WorldWideScience

Sample records for preventive pilot project

  1. 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.

  2. Prevention at school level. UNESCO and WHO: six pilot projects.

    Science.gov (United States)

    1993-01-01

    UNESCO (United Nations Educational, Scientific and Cultural Organization) and the World Health Organization (WHO) are jointly undertaking six pilot projects in Asia and the Pacific, Africa, Latin America and the Caribbean to develop innovative approaches for AIDS education in schools, with the long-term objective of integrating successful educational strategies into school curricula. The projects are being carried out through workshops for the production of educative materials and teacher training workshops. The overall goal is to help young people of school age behave responsibly, giving rightful importance to self-esteem and mutual respect. In line with the program's objective of focusing on technical leadership and support to help countries plan and implement effective AIDS control, plans are underway to organize regional training courses for decision makers on AIDS education in school. full text

  3. 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.

  4. 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....

  5. 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.

  6. 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.

  7. Pilot project as enabler?

    DEFF Research Database (Denmark)

    Neisig, Margit; Glimø, Helle; Holm, Catrine Granzow

    This article deals with a systemic perspective on transition. The field of study addressed is a pilot project as enabler of transition in a highly complex polycentric context. From a Luhmannian systemic approach, a framework is created to understand and address barriers of change occurred using...... pilot projects as enabler of transition. Aspects of how to create trust and deal with distrust during a transition are addressed. The transition in focus is the concept of New Public Management and how it is applied in the management of the Employment Service in Denmark. The transition regards...

  8. 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.

  9. Pilot project as enabler?

    DEFF Research Database (Denmark)

    Neisig, Margit; Glimø, Helle; Holm, Catrine Granzow

    pilot projects as enabler of transition. Aspects of how to create trust and deal with distrust during a transition are addressed. The transition in focus is the concept of New Public Management and how it is applied in the management of the Employment Service in Denmark. The transition regards......This article deals with a systemic perspective on transition. The field of study addressed is a pilot project as enabler of transition in a highly complex polycentric context. From a Luhmannian systemic approach, a framework is created to understand and address barriers of change occurred using...... the systemic change from a very control based and detailed regulated version of New Public Management towards a system allowing more flexibility and decentralized decision making empowering municipalities as well as employees own decision making...

  10. Qualitative analysis of emergency department reports applied to a pilot project for the prevention of pediatric burns.

    Science.gov (United States)

    Longo, E; Masellis, M; Fondi, G; Cedri, C; Debbia, C; Pitidis, A

    2015-12-31

    Accidents and burns are a major problem in Italy and in industrialized countries, due to the consequences they have on health, especially in children aged 0-4 years. In Italy, about 400 people die each year from burns, with over 70% of these occurring in the home. In the European Union, burns are one of the top five causes of death from accidents, accounting for 3% of all deaths from accidents and violence in those age groups. One percent of all deaths in children are due to burns. In this paper, we illustrate the results of qualitative analysis, conducted according to the methodology of content analysis, on narratives included in the anamnesis of clinical papers at the ED in 738 cases of burns in children (0-14 years) observed in a sample of Emergency Departments in the years 2005-2009. The results of content analysis show that the most frequent mechanism that leads to burns is contact with hot liquids and heating surfaces. Much of preventive action should be directed at controlling the child. The accidental event descriptions for the younger age group (0-4 years) reveal an unequivocal responsibility of the parents. The qualitative analysis of narratives was carried out to produce scientific evidence to identify the more frequent and severe burn accidents for specific target/age groups and to establish specific preventive measures. The study of qualitative analysis of burns observed at the ED was introductory to the pilot project PRIUS (Preventing burns among school-aged children). The objective of PRIUS is to increase awareness of the risks of burns in children and adults through a learning path tailored towards their prevention, and the promotion of appropriate standards of personal safe behaviour and first aid actions.

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

    DEFF Research Database (Denmark)

    Bruun Larsen, Lars

    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......Background The evidence on targeted and systematic screening of chronic disease is limited. To effectively target people at high risk of lifestyle-related disease, there is a substantial need to advance and implement evidence-based health strategies and interventions that facilitate...

  12. NAESA Augmentation Pilot Project

    Science.gov (United States)

    Hoover, John J.

    1998-01-01

    This project was one project within the Native American Earth and Space Academy (NAESA). NAESA is a national initiative comprised of several organizations that support programs which focus on 1) enhancing the technological, scientific and pedagogical skills of K-14 teachers who instruct Native Americans, 2) enhancing the understanding and applications of science, technology, and engineering of college-bound Native Americans and teaching them general college "survival skills" (e.g., test taking, time management, study habits), 3) enhancing the scientific and pedagogical skills of the faculty of tribally-controllcd colleges and community colleges with large Native American enrollments, and 4) strengthening the critical relationships between students, their parents, tribal elders, and their communities. This Augmentation Pilot Project focused on the areas of community-school alliances and intemet technology use in teaching and learning and daily living addressing five major objectives.

  13. RECON Pilot Project. Final Report.

    Science.gov (United States)

    Avram, Henriette D.

    One of the specific recommendations in the Retrospective Conversion (RECON) feasibility report (ED 032 895) was that a pilot project be established to test various conversion techniques, ideally covering the highest priority material (English-language monograph records from 1960-68). A two-year pilot project was initiated in August 1969. This…

  14. 33 CFR 385.12 - Pilot projects.

    Science.gov (United States)

    2010-07-01

    ... 33 Navigation and Navigable Waters 3 2010-07-01 2010-07-01 false Pilot projects. 385.12 Section... Processes § 385.12 Pilot projects. (a) The Plan includes pilot projects to address uncertainties associated... management, and wastewater reuse. The purpose of the pilot projects is to develop information necessary to...

  15. 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

  16. Strategies for reducing test anxiety and optimizing exam preparation in German university students: a prevention-oriented pilot project of the University of Würzburg.

    Science.gov (United States)

    Neuderth, Silke; Jabs, Burkhard; Schmidtke, Armin

    2009-06-01

    Test anxiety is a significant problem among university students which is frequently accompanied by a decline in performance and severe psychological problems. Studies of treatment methods of test anxiety were identified using literature searches of the Cochrane Library database of randomized controlled trials. A variety of intervention techniques for the treatment of test anxiety was detected, from which cognitive behavioral methods were found to be most effective for the treatment of test anxiety. According to empirical findings, university students should be taught strategies to cope with the demands and organization of their studies at a very early stage to prevent test anxiety and its concomitants. The University of Würzburg (Germany) started a pilot project in fall 2007 comprising lectures and peer coaching with the aim to optimize learning skills and exam preparation to prevent test anxiety. The evaluation of the present concept showed a high level of acceptance among students.

  17. The Multidomain Intervention to preveNt disability in ElDers (MINDED) project: rationale and study design of a pilot study.

    Science.gov (United States)

    Cesari, Matteo; Demougeot, Laurent; Boccalon, Henri; Guyonnet, Sophie; Vellas, Bruno; Andrieu, Sandrine

    2014-05-01

    Disability is hardly reversible at old age, negatively impacts on the elders' quality of life, and significantly threatens the sustainability of public health services. Therefore, preventive interventions become necessary for successfully avoiding its onset. The translation of the successful clinical approach represented by the geriatric comprehensive assessment at the community-level and the specific targeting of frailty (a well-established geriatric syndrome) might represent a promising possibility. This approach may allow the implementation of preventive interventions before the irreversible features of disability onset. Unfortunately, there is a lack of evidence on the effectiveness of primary prevention programs against disability in community-dwelling elders. Moreover, the novelty of the topic makes it difficult for the immediate design and conduction of a full-scale trial. For these reasons, a pilot project aimed at obtaining the preliminary information for the design of a subsequent definitive trial is required. In the present article, we describe the objectives, design, and methods of the Multidomain Intervention to preveNt Disability in ElDers (MINDED) project. MINDED is articulated into three sequential phases. First, a screening tool for indentifying non-disabled frail older persons in the community (ideal target population for preventive interventions against disability) will be validated. Then, the organization of a multidisciplinary team in the development and design of a multidomain preventive plan against disability will be verified/optimized. Finally, a randomized controlled trial measuring the effect size of a multicomponent intervention (based on physical exercise, nutrition, and cognitive training) against incident mobility disability versus usual care in community-dwelling frail elders will be conducted. Copyright © 2014 Elsevier Inc. All rights reserved.

  18. 7 CFR 1955.132 - Pilot projects.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 14 2010-01-01 2009-01-01 true Pilot projects. 1955.132 Section 1955.132 Agriculture... REGULATIONS (CONTINUED) PROPERTY MANAGEMENT Disposal of Inventory Property General § 1955.132 Pilot projects. FmHA or its successor agency under Public Law 103-354 may conduct pilot projects to test policies and...

  19. Nucleus: A pilot project

    Energy Technology Data Exchange (ETDEWEB)

    Finnell, Joshua Eugene [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Klein, Martin [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Cain, Brian J. [Los Alamos National Lab. (LANL), Los Alamos, NM (United States)

    2017-05-09

    The proposal is to provide institutional infrastructure that facilitates management of research projects, research collaboration, and management, preservation, and discovery of data. Deploying such infrastructure will amplify the effectiveness, efficiency, and impact of research, as well as assist researchers in regards to compliance with both data management mandates and LANL security policy. This will facilitate discoverability of LANL research both within the lab and external to LANL.

  20. 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......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...

  1. 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.

  2. Advanced engineering environment pilot project.

    Energy Technology Data Exchange (ETDEWEB)

    Schwegel, Jill; Pomplun, Alan R.; Abernathy, Rusty (Parametric Technology Corporation, Needham, MA)

    2006-10-01

    The Advanced Engineering Environment (AEE) is a concurrent engineering concept that enables real-time process tooling design and analysis, collaborative process flow development, automated document creation, and full process traceability throughout a product's life cycle. The AEE will enable NNSA's Design and Production Agencies to collaborate through a singular integrated process. Sandia National Laboratories and Parametric Technology Corporation (PTC) are working together on a prototype AEE pilot project to evaluate PTC's product collaboration tools relative to the needs of the NWC. The primary deliverable for the project is a set of validated criteria for defining a complete commercial off-the-shelf (COTS) solution to deploy the AEE across the NWC.

  3. The Urban Heat Island Pilot Project (UHIPP)

    Science.gov (United States)

    Luvall, Jeff; Morris, Lynn; Stewart, Fran; Thretheway, Ray; Gartland, Lisa; Russell, Camille; Reddish, Merrill; Arnold, James E. (Technical Monitor)

    2001-01-01

    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. 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 U.S. cities. As part of the pilot, NASA is using remotely-sensed data to quantify surface temperature, albedo, the thermal response number and NDVI vegetation of each city. To pursue these efforts, more information is needed about specific characteristics of several different cities. NASA used the Advanced Thermal and Land Applications Sensor (ATLAS) to obtain high spatial resolution (10 m pixel resolution) over each of the three pilot cities (Baton Rouge, Sacramento, and Salt Lake City). The goal of the UHIPP is to use the results from the NASA/LBNL analysis, combined with knowledge gained through working with various organizations within each pilot city to identify the most effective means of implementing strategies designed to mitigate the urban heat island, These "lessons learned" will be made available and used by cities across the U.S. to assist policy makers and others within various communities to analyze their own urban heat islands and determine which, if any, measures can be taken to help save energy and money, and to prevent pollution. The object of this session is for representatives from each of the pilot cities to present their results of the study and share the experience of working with these data in managing their urban landscape.

  4. Communicating Instantaneous Air Quality Data: Pilot Project

    Science.gov (United States)

    Communicating Instantaneous Air Quality Data: Pilot ProjectEPA is launching a pilot project to test a new tool for making instantaneous outdoor air quality data useful for the public. The new “sensor scale” is designed to be used with sensors

  5. Pilot projects in Evidence Based Policy Making

    NARCIS (Netherlands)

    Vreugdenhil, H.S.I.; Ker Rault, P.A.

    2010-01-01

    In Evidence Based Policy Making, pilot projects have been recognized as important tools to develop ‘evidence’ of policy innovations. This paper presents a theoretical and empirical study of three water management pilot projects in the Rhine basin to deepen understanding of how they can contri-bute

  6. The national conversion pilot project

    International Nuclear Information System (INIS)

    Van Der Puy, M.; Francis, G.; Konczal, M.

    1994-01-01

    The Department of Energy is now faced with the prospect of terminating traditional defense production missions at several Department of Energy sites. Because of this, there is a critical need to develop a DOE process to convert former defense production facilities to private use so that underutilized workers and facilities may be used to minimize the impact on the United States economy. The purpose of the National Conversation Pilot Project (NCPP) at Rocky Flats near Denver, Colorado is to explore and demonstrate the feasibility of economic conversion of DOE facilities, in a manner consistent with ongoing site waste management and cleanup activities, and non-prejudicial to future land use planning decisions. The NCPP is divided into three stages: The first stage, now under way, is one of detailed planning for cleanup and building maintenance activities. The second stage involves building cleanup necessary to support the proposed industrial activities, maintenance of equipment and building infrastructure necessary to assure protection of human health and the environment, declassification work, and some small scale research and development activities. Stage III would involve DOE metals recycling. Specific approval from the DOE is required prior to each project stage. To ensure stakeholder involvement, a steering committee will advise the DOE on the desirability to proceed with the project from stage to stage. A key question in the conversion process is whether a competitive economic and regulatory environment can be created on a DOE facility, allowing an onsite conversion business to effectively compete with offsite businesses. If successful, the Rocky Flats project could become the model for economic conversion at other DOE facilities

  7. The Citizenship Safety Project: a pilot study.

    Science.gov (United States)

    Frederick, K; Barlow, J

    2006-02-01

    The Government White Paper Saving Lives: Our Healthier Nation (1999) provides a clear indication that accidents are a serious public health problem and have been targeted by the Department of Health as a key area for prevention over the next 10 years. School-based injury prevention programmes have been identified as one of the key settings for the implementation of the White Paper's heath promotion strategies. The Citizen Safety Project (CSP) is a peer-delivered injury prevention programme for Year 10 students (14-15 years) and Year 2 pupils (6-7 years). This paper summarizes the findings of a pilot study that assessed the feasibility of implementing the CSP in schools and of conducting a larger study. Working as part of their Personal Social Health Education lessons, 11 pairs (n = 22) of Year 10 students developed a project to take one accident prevention theme of their choice into a primary school to teach small groups of five or six Year 2 pupils (n = 55). A formative evaluation was conducted, based on interviews with Year 2 and Year 10 teachers (n = 2), and the diaries of Year 10 students. Knowledge of accident prevention and risk awareness was measured in Year 2 pupils using the Draw and Write technique, and impact on Year 10 students was measured using self-esteem and locus of control inventories. Using both statistical and thematic analysis the study concludes that the CSP is well accepted, improves knowledge in Year 2 pupils and boosts confidence in Year 10 students, while concurrently achieving key stage attainment targets. Implications of the study are discussed in terms of future research, as are recommendations with regard to modifications to the project.

  8. The NCI Digital Divide Pilot Projects: implications for cancer education.

    Science.gov (United States)

    Kreps, Gary L; Gustafson, David; Salovey, Peter; Perocchia, Rosemarie Slevin; Wilbright, Wayne; Bright, Mary Anne; Muha, Cathy

    2007-01-01

    The National Cancer Institute (NCI) supported four innovative demonstration research projects, "The Digital Divide Pilot Projects," to test new strategies for disseminating health information via computer to vulnerable consumers. These projects involved active research collaborations between the NCI's Cancer Information Service (CIS) and regional cancer control researchers to field test new approaches for enhancing cancer communication in vulnerable communities. The projects were able to use computers to successfully disseminate relevant cancer information to vulnerable populations. These demonstration research projects suggested effective new strategies for using communication technologies to educate underserved populations about cancer prevention, control, and care.

  9. Pilot project - Promoting protection of the right to housing

    DEFF Research Database (Denmark)

    This study was undertaken for the European Commission Directorate-General for Employment, Social Affairs & Inclusion as part of the ‘Promoting protection of the right to housing - Homelessness prevention in the context of evictions’ pilot project. The key objectives of the research were: - to pro......This study was undertaken for the European Commission Directorate-General for Employment, Social Affairs & Inclusion as part of the ‘Promoting protection of the right to housing - Homelessness prevention in the context of evictions’ pilot project. The key objectives of the research were......: - to provide an overview and analysis of available data and trends regarding housing evictions between 2010 and 2013 across the 28 EU Member States; - to establish the reasons for and impacts of eviction, in particular the relative importance of eviction as a pathway into homelessness; - to analyse...... data sources; - to formulate recommendations based on best practices to better prevent and tackle evictions and homelessness resulting from evictions....

  10. SkyMine Carbon Mineralization Pilot Project

    Energy Technology Data Exchange (ETDEWEB)

    Christenson, Norm; Walters, Jerel

    2014-12-31

    This Topical Report addresses accomplishments achieved during Phase 2b of the SkyMine® Carbon Mineralization Pilot Project. The primary objectives of this project are to design, construct, and operate a system to capture CO2 from a slipstream of flue gas from a commercial coal-fired cement kiln, convert that CO2 to products having commercial value (i.e., beneficial use), show the economic viability of the CO2 capture and conversion process, and thereby advance the technology to the point of readiness for commercial scale demonstration and deployment. The overall process is carbon negative, resulting in mineralization of CO2 that would otherwise be released into the atmosphere. The project will also substantiate market opportunities for the technology by sales of chemicals into existing markets, and identify opportunities to improve technology performance and reduce costs at the commercial scale. The project is being conducted in two phases. The primary objectives of Phase 1 were to evaluate proven SkyMine® process chemistry for commercial pilot-scale operation and complete the preliminary design for the pilot plant to be built and operated in Phase 2, complete a NEPA evaluation, and develop a comprehensive carbon life cycle analysis. The objective of Phase 2b was to build the pilot plant to be operated and tested in Phase 2c.

  11. Pilot Project - National Development Research Program (Honduras ...

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

    The idea for a National Research and Training Program (PRIDE, in Spanish) emerged from the IDRC-supported project, "100133 Building Learning Systems for Honduran Development." This grant will support a pilot version of PRIDE consisting of two calls for proposals. The first will focus on poverty and development ...

  12. Communication Lillgrund. Lillgrund Pilot Project

    Energy Technology Data Exchange (ETDEWEB)

    Karlsson, Annah (Vattenfall Vindkraft AB, Stockholm (Sweden))

    2008-09-15

    The project of building a large wind farm like Lillgrund, the third largest offshore wind farm in the world, takes a considerable effort when it comes to communication and information. When the main questions 'What should be communicated?', 'To whom should this information be communicated?' and 'How should the information be communicated?' are answered, it is time to take action and actually communicate and inform. A fundamental part of the communication process is psychology. For the entrepreneur to understand that people are worried about the possible change in their living situation and deal with that is essential for how people are going to react to the plans of a potential wind farm. When Vattenfall bought the Lillgrund project a humble tone and availability were two key components in the way in which the project group approached the local residents, authorities and the general public. The goal was to achieve acceptance from the local residents and authorities and make them feel comfortable with the project and Vattenfall. Communication has been a cornerstone of the project during the whole process. A few of the activities that were carried out are media activities, open meetings for the public, exhibitions, advertisements, meetings with authorities, internal and external study visits to the site, cooperation with Malmoe city, participation in conferences and a grand opening ceremony. The basis for the activities has been the active inviting of organisations, neighbours and others. Thanks to the efforts of the whole project group and all others that were involved, the communication process was very successful. The 'Lillgrund model' will be the foundation for coming communication processes and has provided Vattenfall with a lot of experience regarding communication and information issues

  13. SkyMine Carbon Mineralization Pilot Project

    Energy Technology Data Exchange (ETDEWEB)

    Joe Jones; Clive Barton; Mark Clayton; Al Yablonsky; David Legere

    2010-09-30

    This Topical Report addresses accomplishments achieved during Phase 1 of the SkyMine{reg_sign} Carbon Mineralization Pilot Project. The primary objectives of this project are to design, construct, and operate a system to capture CO{sub 2} from a slipstream of flue gas from a commercial coal-fired cement kiln, convert that CO{sub 2} to products having commercial value (i.e., beneficial use), show the economic viability of the CO{sub 2} capture and conversion process, and thereby advance the technology to a point of readiness for commercial scale demonstration and proliferation. The project will also substantiate market opportunities for the technology by sales of chemicals into existing markets, and identify opportunities to improve technology performance and reduce costs at commercial scale. The primary objectives of Phase 1 of the project were to elaborate proven SkyMine{reg_sign} process chemistry to commercial pilot-scale operation and complete the preliminary design ('Reference Plant Design') for the pilot plant to be built and operated in Phase 2. Additionally, during Phase 1, information necessary to inform a DOE determination regarding NEPA requirements for the project was developed, and a comprehensive carbon lifecycle analysis was completed. These items were included in the formal application for funding under Phase 2. All Phase 1 objectives were successfully met on schedule and within budget.

  14. Photovoltaic pilot projects in the European community

    Science.gov (United States)

    Treble, F. C.; Grassi, G.; Schnell, W.

    The paper presents proposals received for the construction of photovoltaic pilot plants as part of the Commission of the European Communities' second 4-year solar energy R and D program. The proposed plants range from 30 to 300 kWp and cover a variety of applications including rural electrification, water pumping, desalination, dairy farming, factories, hospitals, schools and vacation centers. Fifteen projects will be accepted with a total generating capacity of 1 MWp, with preference given to those projects involving the development of new techniques, components and systems.

  15. Narrative perspectives on the development of coastal pilot projects

    NARCIS (Netherlands)

    Bontje, L.E.

    2017-01-01

    Pilot projects are favoured instruments for exploring and perhaps realising
    policy change. The challenges that coastal policy faces, the frequency with
    which pilot projects are implemented, and the criticisms regarding their
    efficacy make it interesting and relevant to study pilot

  16. Condition based maintenance pilot projects at Pickering ND

    International Nuclear Information System (INIS)

    Zemdegs, R.T.

    1995-01-01

    Ontario Hydro has recognized that the approaches to maintenance have undergone significant changes to the past decades. The traditional break down maintenance approach has been replaced by preventative maintenance and more recently, by condition based maintenance. The nuclear plants of Ontario Hydro have evaluated on a number of alternative programs to improve their maintenance effectiveness and to reduce costs, including Reliability Centred Maintenance (RCM), call-up review, component-based PM programs, analysis of failure history and so on. Pickering ND (nuclear division) and Ontario Hydro's Nuclear Technologies Services Division, have embarked on a Condition Based Maintenance pilot project to address the above issues as a breakthrough solution for smarter maintenance. The Condition Based Maintenance pilot project will demonstrate an end-to-end process utilizing a Reliability Centred Maintenance structured approach to re-engineer and redefine the existing maintenance programs. The project emphasizes on-condition maintenance where justified, and utilizes an information management tool to provide the required records keeping and analysis infrastructure. This paper briefly describes the planned maintenance model at Pickering ND used to guide the CBM pilot, and an overview of the methodology used to develop on-condition equipment indicators as part of a re-engineered maintenance plan

  17. Wind-To-Hydrogen Energy Pilot Project

    Energy Technology Data Exchange (ETDEWEB)

    Ron Rebenitsch; Randall Bush; Allen Boushee; Brad G. Stevens; Kirk D. Williams; Jeremy Woeste; Ronda Peters; Keith Bennett

    2009-04-24

    WIND-TO-HYDROGEN ENERGY PILOT PROJECT: BASIN ELECTRIC POWER COOPERATIVE In an effort to address the hurdles of wind-generated electricity (specifically wind's intermittency and transmission capacity limitations) and support development of electrolysis technology, Basin Electric Power Cooperative (BEPC) conducted a research project involving a wind-to-hydrogen system. Through this effort, BEPC, with the support of the Energy & Environmental Research Center at the University of North Dakota, evaluated the feasibility of dynamically scheduling wind energy to power an electrolysis-based hydrogen production system. The goal of this project was to research the application of hydrogen production from wind energy, allowing for continued wind energy development in remote wind-rich areas and mitigating the necessity for electrical transmission expansion. Prior to expending significant funding on equipment and site development, a feasibility study was performed. The primary objective of the feasibility study was to provide BEPC and The U.S. Department of Energy (DOE) with sufficient information to make a determination whether or not to proceed with Phase II of the project, which was equipment procurement, installation, and operation. Four modes of operation were considered in the feasibility report to evaluate technical and economic merits. Mode 1 - scaled wind, Mode 2 - scaled wind with off-peak, Mode 3 - full wind, and Mode 4 - full wind with off-peak In summary, the feasibility report, completed on August 11, 2005, found that the proposed hydrogen production system would produce between 8000 and 20,000 kg of hydrogen annually depending on the mode of operation. This estimate was based on actual wind energy production from one of the North Dakota (ND) wind farms of which BEPC is the electrical off-taker. The cost of the hydrogen produced ranged from $20 to $10 per kg (depending on the mode of operation). The economic sensitivity analysis performed as part of the

  18. The ATLAS Level-2 Trigger Pilot Project

    CERN Document Server

    Blair, R; Haberichter, W N; Schlereth, J L; Bock, R; Bogaerts, A; Boosten, M; Dobinson, Robert W; Dobson, M; Ellis, Nick; Elsing, M; Giacomini, F; Knezo, E; Martin, B; Shears, T G; Tapprogge, Stefan; Werner, P; Hansen, J R; Wäänänen, A; Korcyl, K; Lokier, J; George, S; Green, B; Strong, J; Clarke, P; Cranfield, R; Crone, G J; Sherwood, P; Wheeler, S; Hughes-Jones, R E; Kolya, S; Mercer, D; Hinkelbein, C; Kornmesser, K; Kugel, A; Männer, R; Müller, M; Sessler, M; Simmler, H; Singpiel, H; Abolins, M; Ermoline, Y; González-Pineiro, B; Hauser, R; Pope, B; Sivoklokov, S Yu; Boterenbrood, H; Jansweijer, P; Kieft, G; Scholte, R; Slopsema, R; Vermeulen, J C; Baines, J T M; Belias, A; Botterill, David R; Middleton, R; Wickens, F J; Falciano, S; Bystrický, J; Calvet, D; Gachelin, O; Huet, M; Le Dû, P; Mandjavidze, I D; Levinson, L; González, S; Wiedenmann, W; Zobernig, H

    2002-01-01

    The Level-2 Trigger Pilot Project of ATLAS, one of the two general purpose LHC experiments, is part of the on-going program to develop the ATLAS high-level triggers (HLT). The Level-2 Trigger will receive events at up to 100 kHz, which has to be reduced to a rate suitable for full event-building of the order of 1 kHz. To reduce the data collection bandwidth and processing power required for the challenging Level-2 task it is planned to use Region of Interest guidance (from Level-1) and sequential processing. The Pilot Project included the construction and use of testbeds of up to 48 processing nodes, development of optimized components and computer simulations of a full system. It has shown how the required performance can be achieved, using largely commodity components and operating systems, and validated an architecture for the Level-2 system. This paper describes the principal achievements and conclusions of this project. (28 refs).

  19. Technology Cooperation Agreement Pilot Project (TCAPP)

    Energy Technology Data Exchange (ETDEWEB)

    Keegan, P.; Benioff, R.

    1999-10-20

    The Technology Cooperation Agreement Pilot Project (TCAPP) is helping developing countries design and implement actions to attract investment in clean energy technologies that will meet their economic development goals, while mitigating greenhouse gas emissions. TCAPP was launched by three US government agencies -- the US Agency for International Development (USAID), the US Environmental Protection Agency (USEPA), and the US Department of Energy (USDOE) -- in August 1997 to establish a model for climate change technology cooperation with developing and transition countries. This report describes the TCAPP approach and the significant progress made by the participating countries.

  20. Swiss electricity grid - Benchmarking pilot project

    International Nuclear Information System (INIS)

    2001-01-01

    This article is a short version of the ENET number 210369. This report for the Swiss Federal Office of Energy (SFOE) describes a benchmarking pilot project carried out as a second phase in the development of a formula for the regulation of an open electricity market in Switzerland. It follows on from an initial phase involving the definition of a 'blue print' and a basic concept. The aims of the pilot project - to check out the practicability of the concept - are discussed. The collection of anonymised data for the benchmarking model from over 30 electricity utilities operating on all 7 Swiss grid levels and their integration in the three areas 'Technology', 'Grid Costs' and 'Capital Invested' are discussed in detail. In particular, confidentiality and data protection aspects are looked at. The methods used in the analysis of the data are described and the results of an efficiency analysis of various utilities are presented. The report is concluded with a listing of questions concerning data collection and analysis as well as operational and capital costs that are still to be answered

  1. The ESA Space Weather Applications Pilot Project

    Science.gov (United States)

    Glover, A.; Hilgers, A.; Daly, E.

    Following the completion in 2001 of two parallel studies to consider the feasibility of a European Space Weather Programme ESA embarked upon a space weather pilot study with the goal of prototyping European space weather services and assessing the overall market for such within Europe This pilot project centred on a number of targeted service development activities supported by a common infrastructure and making use of only existing space weather assets Each service activity included clear participation from at least one identified service user who was requested to provide initial requirements and regular feedback during the operational phase of the service These service activities are now reaching the end of their 2-year development and testing phase and are now accessible each with an element of the service in the public domain see http www esa-spaceweathet net swenet An additional crucial element of the study was the inclusion of a comprehensive and independent analysis of the benefits both economic and strategic of embarking on a programme which would include the deployment of an infrastructure with space-based elements The results of this study will be reported together with their implication for future coordinated European activities in this field

  2. Location Independent Professional Project: A Pilot Study

    Energy Technology Data Exchange (ETDEWEB)

    Hudson, J.A.; Long, J.P.; Miller, M.M.

    1999-02-01

    This pilot study project explored the problem of providing access to the nomadic worker who desires to connect a computer through network access points at a number of different locations within the SNL/NM campus as well as outside the campus. The design and prototype development gathered knowledge that may allow a design to be developed that could be extended to a larger number of SNL/NM network drop boxes. The focus was to provide a capability for a worker to access the SNL IRN from a network drop box (e.g. in a conference room) as easily as when accessing the computer network from the office normally used by the worker. Additional study was done on new methods to authenticate the off campus worker, and protect and control access to data.

  3. Bio-Manufacturing to market pilot project

    Energy Technology Data Exchange (ETDEWEB)

    Dressen, Tiffaney [Univ. of California, Berkeley, CA (United States)

    2017-09-25

    The Bio-Manufacturing to Market pilot project was a part of the AMJIAC, the Advanced Manufacturing Jobs and Innovation Accelerator Challenge grant. This internship program set out to further define and enhance the talent pipeline from the University and local Community Colleges to startup culture in East Bay Area, provide undergraduate STEM students with opportunities outside academia, and provide startup companies with much needed talent. Over the 4 year period of performance, the Bio-Manufacturing to Market internship program sponsored 75 undergraduate STEM students who were able to spend anywhere from one to six semesters working with local Bay Area startup companies and DOE sponsored facilities/programs in the biotech, bio-manufacturing, and biomedical device fields.

  4. Pilot projects and their diffusion: a case study of integrated coastal management in South Africa

    CSIR Research Space (South Africa)

    Vreugdenhil, H

    2012-01-01

    Full Text Available Pilot projects are policy instruments mainly applied to introduce or test new practices, concepts or technologies. Pilot projects can lead to a broader policy transition. However, the diffusion process associated with the pilot projects is not well...

  5. Long Island Smart Metering Pilot Project

    Energy Technology Data Exchange (ETDEWEB)

    None, None

    2012-03-30

    The Long Island Power Authority (LIPA) Smart Meter Pilots provided invaluable information and experience for future deployments of Advanced Metering Infrastructure (AMI), including the deployment planned as part of LIPA's Smart Grid Demonstration Project (DE-OE0000220). LIPA will incorporate lessons learned from this pilot in future deployments, including lessons relating to equipment performance specifications and testing, as well as equipment deployment and tracking issues. LIPA ultimately deployed three AMI technologies instead of the two that were originally contemplated. This enabled LIPA to evaluate multiple systems in field conditions with a relatively small number of meter installations. LIPA experienced a number of equipment and software issues that it did not anticipate, including issues relating to equipment integration, ability to upgrade firmware and software over the air (as opposed to physically interacting with every meter), and logistical challenges associated with tracking inventory and upgrade status of deployed meters. In addition to evaluating the technology, LIPA also piloted new Time-of-Use (TOU) rates to assess customer acceptance of time-differentiated pricing and to evaluate whether customers would respond by adjusting their activities from peak to non-peak periods. LIPA developed a marketing program to educate customers who received AMI in the pilot areas and to seek voluntary participation in TOU pricing. LIPA also guaranteed participating customers that, for their initial year on the rates, their electricity costs under the TOU rate would not exceed the amount they would have paid under the flat rates they would otherwise enjoy. 62 residential customers chose to participate in the TOU rates, and every one of them saved money during the first year. 61 of them also elected to stay on the TOU rate without the cost guarantee at the end of that year. The customer who chose not to continue on the rate was also the one who achieved the

  6. Global Climate Change Pilot Course Project

    Science.gov (United States)

    Schuenemann, K. C.; Wagner, R.

    2011-12-01

    In fall 2011 a pilot course on "Global Climate Change" is being offered, which has been proposed to educate urban, diverse, undergraduate students about climate change at the introductory level. The course has been approved to fulfill two general college requirements, a natural sciences requirement that focuses on the scientific method, as well as a global diversity requirement. This course presents the science behind global climate change from an Earth systems and atmospheric science perspective. These concepts then provide the basis to explore the effect of global warming on regions throughout the world. Climate change has been taught as a sub-topic in other courses in the past solely using scientific concepts, with little success in altering the climate change misconceptions of the students. This pilot course will see if new, innovative projects described below can make more of an impact on the students' views of climate change. Results of the successes or failures of these projects will be reported, as well as results of a pre- and post-course questionnaire on climate change given to students taking the course. Students in the class will pair off and choose a global region or country that they will research, write papers on, and then represent in four class discussions spaced throughout the semester. The first report will include details on the current climate of their region and how the climate shapes that region's society and culture. The second report will discuss how that region is contributing to climate change and/or sequestering greenhouse gases. Thirdly, students will discuss observed and predicted changes in that region's climate and what impact it has had, and could have, on their society. Lastly, students will report on what role their region has played in mitigating climate change, any policies their region may have implemented, and how their region can or cannot adapt to future climate changes. They will also try to get a feel for the region

  7. The SHAZ! project: results from a pilot randomized trial of a structural intervention to prevent HIV among adolescent women in Zimbabwe.

    Directory of Open Access Journals (Sweden)

    Megan S Dunbar

    Full Text Available Adolescent females in Zimbabwe are at high risk for HIV acquisition. Shaping the Health of Adolescents in Zimbabwe (SHAZ! was a randomized controlled trial of a combined intervention package including life-skills and health education, vocational training, micro-grants and social supports compared to life-skills and health education alone. SHAZ! was originally envisioned as a larger effectiveness trial, however, the intervention was scaled back due to contextual and economic conditions in the country at the time. SHAZ! enrolled 315 participants randomly assigned to study arm within blocks of 50 participants (158 intervention and 157 control. The intervention arm participants showed statistically significant differences from the control arm participants for several outcomes during the two years of follow up including; reduced food insecurity [IOR = 0.83 vs. COR = 0.68, p-0.02], and having their own income [IOR = 2.05 vs. COR = 1.67, p = 0.02]. Additionally, within the Intervention arm there was a lower risk of transactional sex [IOR = 0.64, 95% CI (0.50, 0.83], and a higher likelihood of using a condom with their current partner [IOR = 1.79, 95% CI (1.23, 2.62] over time compared to baseline. There was also evidence of fewer unintended pregnancies among intervention participants [HR = 0.61, 95% CI (0.37, 1.01], although this relationship achieved only marginal statistical significance. Several important challenges in this study included the coordination with vocational training programs, the political and economic instability of the area at the time of the study, and the difficulty in creating a true standard of care control arm. Overall the results of the SHAZ! study suggest important potential for HIV prevention intervention packages that include vocational training and micro-grants, and lessons for further economic livelihoods interventions with adolescent females. Further work is needed to refine the

  8. Next step in policy transitions: Diffusion of pilot projects

    CSIR Research Space (South Africa)

    Vreugdenhil, H

    2009-04-01

    Full Text Available , Denmark 13 5.3 Pilot project at the Langen Erlen (Basel): Introduction of surface water-groundwater interactions in an urban recharge polder The Wiese is a tributary of the Rhine River that runs through Germany and Switzerland (Figure 5). The ?Langen... such as transitions. We develop a framework on pilot projects that conceptualizes the nature and process of pilot projects (section 3) and diffusion processes (section 4). The framework will be used for analyzing four water management case studies the Rhine Basin...

  9. A Pilot Astronomy Outreach Project in Bangladesh

    Science.gov (United States)

    Bhattacharya, Dipen; Mridha, Shahjahan; Afroz, Maqsuda

    2015-08-01

    In its strategic planning for the "Astronomy for Development Project," the International Astronomical Union (IAU) has ecognized, among other important missions, the role of astronomy in understanding the far-reaching possibilities for promoting global tolerance and citizenship. Furthermore, astronomy is deemed inspirational for careers in science and technology. The "Pilot Astronomy Outreach Project in Bangladesh"--the first of its kind in the country--aspires to fulfill these missions. As Bangladesh lacks resources to promote astronomy education in universities and schools, the role of disseminating astronomy education to the greater community falls on citizen science organizations. One such group, Anushandhitshu Chokro (AChokro) Science Organization, has been carrying out a successful public outreach program since 1975. Among its documented public events, AChokro organized a total solar eclipse campaign in Bangladesh in 2009, at which 15,000 people were assembled in a single open venue for the eclipse observation. The organization has actively pursued astronomy outreach to dispel public misconceptions about astronomical phenomena and to promote science. AChokro is currently working to build an observatory and Science Outreach Center around a recently-acquired 14-inch Scmidt-Cassegrain telescope and a soon-to-be-acquired new 16-inch reflector, all funded by private donations. The telescopes will be fitted with photometers, spectrometers, and digital and CCD cameras to pursue observations that would include sun spot and solar magnetic fields, planetary surfaces, asteroid search, variable stars and supernovae. The Center will be integrated with schools, colleges, and community groups for regular observation and small-scale research. Special educational and observing sessions for adults will also be organized. Updates on the development of the Center, which is expected to be functioning by the end of 2015, will be shared and feedback invited on the fostering of

  10. Pilot Projects in Water Management : Practicing Change and Changing Practice

    NARCIS (Netherlands)

    Vreugdenhil, H.S.I.

    2010-01-01

    Pilot projects are widely applied in water management. They can be used to test risky innovations at confined scale, but can also be used to delay policy decisions or to advocate a particular innovation. In this book the phenomenon ‘pilot project’ is explored both theoretically and empirically. A

  11. Expository Writing and Information Literacy: A Pilot Project.

    Science.gov (United States)

    Gaunt, Marianne I.; Nash, Stan

    1992-01-01

    A program at Rutgers University (New Jersey) to integrate information literacy into first-year composition courses involved librarians and faculty. The pilot project included two research seminars within each course. Evaluation of the project revealed a successful basic strategy, useful techniques and elements, and some areas for adaptation and…

  12. Los Angeles County Metropolitan Transportation Authority climate change adaptation pilot project report.

    Science.gov (United States)

    2013-08-01

    This Climate Change Adaptation Pilot Project Report details the project background of the recently-completed Los Angeles County : Metropolitan Transportation Authority (Metro) Transit Climate Change Adaptation Pilot Project as well as the various wor...

  13. Teledermatology by videoconference: Experience of a pilot project

    African Journals Online (AJOL)

    70. Teledermatology by videoconference: Experience of a pilot project a Mars M, MBChB, MD b Dlova N, MBChB, FCDerm(SA) a Department of TeleHealth, Nelson R Mandela School of Medicine, University of KwaZulu-Natal b Department of Dermatology, Nelson R Mandela School of Medicine, University of KwaZulu-Natal.

  14. Coyote Creek (Santa Clara County) Pilot Revegetation Project

    Science.gov (United States)

    John T. Stanley; L. R. Silva; H. C. Appleton; M. S. Marangio; W. J. Lapaz; B. H. Goldner

    1989-01-01

    The Santa Clara Valley Water District, located in Northern California, is currently evaluating a pilot riparian revegetation project on a 1.6 ha (4 ac) site adjacent to Coyote Creek in the south San Francisco Bay Area. Specific techniques used during the design, site preparation and installation of 3640 plants (including seed planting locations) are described. This...

  15. Influencing citizen behavior: experiences from multichannel marketing pilot projects

    NARCIS (Netherlands)

    van de Wijngaert, Lidwien; Pieterson, Willem Jan; Teerling, Marije L.

    2011-01-01

    Information technology allows national and local governments to satisfy the needs of citizens in a cost effective way. Unfortunately, citizens still tend to prefer traditional, more costly channels, such as the front desk, phone and mail. Through pilot projects government agencies attempt to

  16. Reflections on a Coaching Pilot Project in Healthcare Settings

    Science.gov (United States)

    Gurbutt, D. J.; Gurbutt, R.

    2016-01-01

    This paper draws on personal reflection of coaching experiences and learning as a coach to consider the relevance of these approaches in a management context with a group of four healthcare staff who participated in a pilot coaching project. It explores their understanding of coaching techniques applied in management settings via their reflections…

  17. Pilot Project Using ICTs to Monitor Chagas' Disease in Argentina ...

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

    Pilot Project Using ICTs to Monitor Chagas' Disease in Argentina, Bolivia and Brazil. Chagas Mazza disease constitutes one of the most serious but least publicized public health problems in Latin America. The disease occurs in 15 countries and is constantly expanding its geographical reach. There are no reliable statistics ...

  18. 76 FR 56272 - Pilot Project on NAFTA Trucking Provisions

    Science.gov (United States)

    2011-09-12

    ...-0097] Pilot Project on NAFTA Trucking Provisions AGENCY: Federal Motor Carrier Safety Administration... ability of Mexico- domiciled motor carriers to operate safely in the United States beyond the municipalities in the United States on the United States-Mexico international border or the commercial zones of...

  19. 76 FR 56868 - Pilot Project on NAFTA Trucking Provisions

    Science.gov (United States)

    2011-09-14

    ...-0097] Pilot Project on NAFTA Trucking Provisions AGENCY: Federal Motor Carrier Safety Administration... ability of Mexico- domiciled motor carriers to operate safely in the United States beyond the municipalities in the United States on the United States-Mexico international border or the commercial zones of...

  20. 78 FR 11728 - Pilot Project on NAFTA Trucking Provisions

    Science.gov (United States)

    2013-02-19

    ...-0097] Pilot Project on NAFTA Trucking Provisions AGENCY: Federal Motor Carrier Safety Administration... or expending appropriated funds to grant authority to Mexico-domiciled motor carriers to operate beyond the municipalities in the United States on the United States-Mexico international border or the...

  1. 76 FR 73765 - Pilot Project on NAFTA Trucking Provisions

    Science.gov (United States)

    2011-11-29

    ...-0097] Pilot Project on NAFTA Trucking Provisions AGENCY: Federal Motor Carrier Safety Administration... ability of Mexico- domiciled motor carriers to operate safely in the United States beyond the municipalities in the United States on the United States-Mexico international border or the commercial zones of...

  2. Spiral model pilot project information model

    Science.gov (United States)

    1991-01-01

    The objective was an evaluation of the Spiral Model (SM) development approach to allow NASA Marshall to develop an experience base of that software management methodology. A discussion is presented of the Information Model (IM) that was used as part of the SM methodology. A key concept of the SM is the establishment of an IM to be used by management to track the progress of a project. The IM is the set of metrics that is to be measured and reported throughout the life of the project. These metrics measure both the product and the process to ensure the quality of the final delivery item and to ensure the project met programmatic guidelines. The beauty of the SM, along with the IM, is the ability to measure not only the correctness of the specification and implementation of the requirements but to also obtain a measure of customer satisfaction.

  3. Pilot Project to Integrate Community and Clinical Level Systems to Address Health Disparities in the Prevention and Treatment of Obesity among Ethnic Minority Inner-City Middle School Students: Lessons Learned

    Directory of Open Access Journals (Sweden)

    Jessica Rieder

    2018-01-01

    Full Text Available Effective obesity prevention and treatment interventions are lacking in the United States, especially for impoverished minority youths at risk for health disparities, and especially in accessible community-based settings. We describe the launch and pilot implementation evaluation of the first year of the B’N Fit POWER initiative as a middle school-based comprehensive wellness program that integrates weight management programming into existing onsite preventive and clinical services. Consistent with the existing implementation science literature, we focused on both the organizational structures that facilitate communication and the development of trust among stakeholders, students, and families and the development of realistic and timely goals to implement and integrate all aspects of the program. New implementation and programming strategies were developed and tested to increase the proportion of students screened, support the linkage of students to care, and streamline the integration of program clinical and afterschool components into routine services already offered at the school. We report on our initial implementation activities using the Standards for Reporting Implementation Studies (StaRI framework using hybrid outcomes combining the Reach element from the RE-AIM framework with a newly conceptualized Wellness Cascade.

  4. The LHC Vacuum Pilot Sectors Project

    CERN Document Server

    Henrist, B; Bregliozzi, G; Chiggiato, P

    2014-01-01

    The operation of the CERN Large Hadron Collider (LHC) at nominal beam parameters is expected for the next years. Increased synchrotron-radiation stimulated-desorption and electron-cloud build-up are expected. A deep understanding of the interactions between the proton beams and the beam pipe wall is mandatory to control the anticipated beam-induced pressure rise. A Vacuum Pilot Sector (VPS) has been designed to monitor the performance of the vacuum system with time. The VPS is installed along a double LHC room temperature vacuum sector (18 m long, 80 mm inner diameter beam pipes) and includes 8 standard modules, 1.4 m long each. Such modules are equipped with residual gas analysers, Bayard-Alpert gauges, photon and electron flux monitors etc. The chosen modular approach opens the possibility of studying different configurations and implementing future modifications. This contribution will describe the apparatus, the control system designed to drive measurements and possible applications during the LHC Run 2.

  5. NASA Desert RATS 2011 Education Pilot Project and Classroom Activities

    Science.gov (United States)

    Gruener, J. E.; McGlone, M.; Allen, J.; Tobola, K.; Graff, P.

    2012-01-01

    The National Aeronautics and Space Administration's (NASA's) Desert Research and Technology Studies (Desert RATS) is a multi-year series of tests of hardware and operations carried out annually in the high desert of Arizona, as an analog to future exploration activities beyond low Earth orbit [1]. For the past several years, these tests have occurred in the San Francisco Volcanic Field, north of Flagstaff. For the 2011 Desert RATS season, the Exploration Systems Mission Directorate (ESMD) at NASA headquarters provided support to develop an education pilot project that would include student activities to parallel the Desert RATS mission planning and exploration activities in the classroom, and educator training sessions. The development of the pilot project was a joint effort between the NASA Johnson Space Center (JSC) Astromaterials Research and Exploration Science (ARES) Directorate and the Aerospace Education Services Project (AESP), managed at Penn State University.

  6. Participatory forest management in Ethiopia: learning from pilot projects.

    Science.gov (United States)

    Ameha, Aklilu; Larsen, H O; Lemenih, Mulugeta

    2014-04-01

    Different arrangements of decentralized forest management have been promoted as alternatives to centralized and top down approaches to halt tropical deforestation and forest degradation. Ethiopia is one of the countries piloting one of these approaches. To inform future programs and projects it is essential to learn from existing pilots and experiences. This paper analyses five of the pilot participatory forest management (PFM) programs undertaken in Ethiopia. The study is based on the Forest User Group (FUG) members' analyses of the programs using selected outcome variables: forest income, change in forest conditions, forest ownership feelings and effectiveness of FUGs as forest managing institutions. These variables were assessed at three points in time-before the introduction of PFM, during the project implementation and after the projects ended. Data were collected using group discussions, key informant interviews and transect walks through the PFM forests. The results show that in all of the five cases the state of the forest is perceived to have improved with the introduction of PFM, and in four of the cases the improvement was maintained after projects ended. Regulated access to the forests following introduction of PFM was not perceived to have affected forest income negatively. There are, however, serious concerns about the institutional effectiveness of the FUGs after projects ended, and this may affect the success of the PFM approach in the longer term.

  7. Venus project : experimentation at ENEA's pilot site

    International Nuclear Information System (INIS)

    Bargellini, M.L.; Fontana, F.; Niccolai, L.; Scavino, G.; Mancini, R.; Levialdi, S.

    1996-12-01

    The document describes the ENEA's (Italian Agency for New Technologies, Energy and the Environment) experience in the Venus Project (Esprit III 6398). Venus is an advanced visual interface based on icon representation that permits to end-user to inquiry databases. VENUS interfaces to ENEA's databases: cometa materials Module, Cometa Laboratories Module and European Programs. This report contents the results of the experimentation and of the validation carried out in ENEA's related to the Venus generations. Moreover, the description of the architecture, the user requirements syntesis and the validation methodology of the VENUS systems have been included

  8. Offshore Cable Installation - Lillgrund. Lillgrund Pilot Project

    Energy Technology Data Exchange (ETDEWEB)

    Unosson, Oscar (Vattenfall Vindkraft AB, Stockholm (Sweden))

    2009-01-15

    This report describes the installation method and the experiences gained during the installation of the submarine cables for the offshore wind farm at Lillgrund. The wind farm consists of 48 wind turbines and is expected to produce 0.33 TWh annually. Different aspects of the installation, such as techniques, co-operation between the installation teams, weather conditions and regulatory and environmental issues are described in this report. In addition, recommendations and guidelines are provided, which hopefully can be utilised in future offshore wind projects. The trenches, in which the submarine cables were laid, were excavated weeks before the cable laying. This installation technique proved to be successful for the laying of the inter array cables. The export cable, however, was laid into position with difficulty. The main reason why the laying of the export cable proved more challenging was due to practical difficulties connected with the barge entrusted with the cable laying, Nautilus Maxi. The barge ran aground a number of times and it had difficulties with the thrusters, which made it impossible to manoeuvre. When laying the inter array cables, the method specification was closely followed, and the laying of the cables was executed successfully. The knowledge and experience gained from the offshore cable installation in Lillgrund is essential when writing technical specifications for new wind plant projects. It is recommended to avoid offshore cable installation work in winter seasons. That will lower the chances of dealing with bad weather and, in turn, will reduce the risks

  9. Pilot Training Project. Community-Based Criminal Justice Staff Development Project, Final Report.

    Science.gov (United States)

    Massachusetts Residential Programs, Inc., Cambridge.

    This report on the pilot training phase of the Community-Based Criminal Justice Staff Development Project represents an attempt to describe and document project efforts during the months between October, 1975 and June, 1976 with a view toward providing a detailed guide for future implementation of staff development activities for community-based…

  10. Broadcasting Auditory Weather Reports – A Pilot Project

    OpenAIRE

    Hermann, Thomas; Drees, Jan M.; Ritter, Helge; Brazil, Eoin; Shinn-Cunningham, Barbara

    2003-01-01

    This paper reports on a pilot project between our research department and and a local radio station, investigating the use of sonification to render and present auditory weather forecasts. The sonifications include auditory markers for certain relevant time points, expected weather events like thunder, snow or fog and several auditory streams to summarize the temporal weather changes during the day. To our knowledge, this is the first utilization of sonification in a regular radio program. We...

  11. 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

  12. 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

  13. Lessons Learned From the Environmental Public Health Tracking Sub-County Data Pilot Project.

    Science.gov (United States)

    Werner, Angela K; Strosnider, Heather; Kassinger, Craig; Shin, Mikyong

    2017-12-07

    Small area data are key to better understanding the complex relationships between environmental health, health outcomes, and risk factors at a local level. In 2014, the Centers for Disease Control and Prevention's National Environmental Public Health Tracking Program (Tracking Program) conducted the Sub-County Data Pilot Project with grantees to consider integration of sub-county data into the National Environmental Public Health Tracking Network (Tracking Network). The Tracking Program and grantees developed sub-county-level data for several data sets during this pilot project, working to standardize processes for submitting data and creating required geographies. Grantees documented challenges they encountered during the pilot project and documented decisions. This article covers the challenges revealed during the project. It includes insights into geocoding, aggregation, population estimates, and data stability and provides recommendations for moving forward. National standards for generating, analyzing, and sharing sub-county data should be established to build a system of sub-county data that allow for comparison of outcomes, geographies, and time. Increasing the availability and accessibility of small area data will not only enhance the Tracking Network's capabilities but also contribute to an improved understanding of environmental health and informed decision making at a local level.

  14. The Waste Isolation Pilot Plant (WIPP) integrated project management system

    International Nuclear Information System (INIS)

    Olona, D.; Sala, D.

    1993-01-01

    The Waste Isolation Pilot Plant (WIPP), located 26 miles east of Carlsbad, New Mexico, is a research and development project of the Department of Energy (DOE), tasked with the mission of demonstrating the safe disposal of transuranic (TRU) radioactive wastes. This unique project was authorized by Congress in 1979 in response to the national need for long-term, safe methods for disposing of radioactive by-products from our national defense programs. The WIPP was originally established in December of 1979, by Public Law 96-164, DOE National Security and Military Applications of Nuclear Energy Authorization Act of 1980. Since the inception of the WIPP Project, work has continued to prepare the facility to receive TRU wastes. Studies continue to be conducted to demonstrate the safety of the WIPP facility in accordance with federal and state laws, state agreements, environmental regulations, and DOE Orders. The objectives of implementing an integrated project management system are to assure compliance with all regulatory and federal regulations, identify areas of concern, provide justification for funding, provide a management tool for control of program workscope, and establish a project baseline from which accountability and performance will be assessed. Program management and project controls are essential for the success of the WIPP Project. The WIPP has developed an integrated project management system to establish the process for the control of the program which has an expected total dollar value of $2B over the ten-year period from 1990-2000. The implementation of this project management system was motivated by the regulatory requirements of the project, the highly public environment in which the project takes place, limited funding and resources, and the dynamic nature of the project. Specific areas to be addressed in this paper include strategic planning, project organization, planning and scheduling, fiscal planning, and project monitoring and reporting

  15. Oregon department of transportation small business group twice-monthly payments pilot project : summary report.

    Science.gov (United States)

    2008-07-01

    Oregon Department of Transportation (ODOT) recently completed a pilot study on small business payment practices. In the study, three pilot projects were tested where payments to small business contractors were changed from a monthly payment to twice-...

  16. Environmental assessment for the National Conversion Pilot Project, Stage 3

    International Nuclear Information System (INIS)

    1997-01-01

    The purpose of the National Conversion Pilot Project (NCPP) is to explore and demonstrate, at the Rocky Flats Environmental Technology Site (RFETS), the feasibility of economic conversion at Department of Energy facilities. Economic conversion is the conversion of facilities and equipment owned by the Federal government to production of goods by private firms for profit. The NCPP mission is consistent with the RFETS current mission: to conduct site remediation, decontaminate and decommission site buildings and close the site in a manner that is safe, environmentally and socially responsible, physically secure, and cost effective. The NCPP is divided into three stages, with decision points at the ends of Stages 1 and 2 and periodically during Stage 3, to help ensure careful consideration of project effectiveness and to create an opportunity for regulators and stakeholders to provide comments to the DOE. At the end of each stage, the project can be reversed, authorized to proceed, or terminated

  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. 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....... A community capacity-building approach was used, with common processes employed but with contextualized interventions within each country. Changes in anthropometric, behavioural and perception outcomes were evaluated at the individual level and school environments and community capacity at the settings level...

  19. 100-N pilot project: Proposed consolidated groundwater monitoring program

    International Nuclear Information System (INIS)

    Borghese, J.V.; Hartman, M.J.; Lutrell, S.P.; Perkins, C.J.; Zoric, J.P.; Tindall, S.C.

    1996-11-01

    This report presents a proposed consolidated groundwater monitoring program for the 100-N Pilot Project. This program is the result of a cooperative effort between the Hanford Site contractors who monitor the groundwater beneath the 100-N Area. The consolidation of the groundwater monitoring programs is being proposed to minimize the cost, time, and effort necessary for groundwater monitoring in the 100-N Area, and to coordinate regulatory compliance activities. The integrity of the subprograms requirements remained intact during the consolidation effort. The purpose of this report is to present the proposed consolidated groundwater monitoring program and to summarize the process by which it was determined

  20. The reprocessing pilot plant at Marcoule: the TOR project

    International Nuclear Information System (INIS)

    Sauteron, Jean; Calame-Longjean, Andre

    1987-01-01

    The irradiated fuel reprocessing pilot plant has recently been renovated and enlarged by the structures of the TOR project (traitement d'oxydes rapides). A new building to house the head end of the process and packaging the corresponding wastes has been built. The general principles underlying this new TOR head end and the guidelines for the telemanipulation functions are given. The processing is shown in a schematic layout. At TOR there has been considerable research and development of mechanics and telemanipulation equipment and of the chemical processing required. This development is described. (UK)

  1. Poverty Reduction in India through Palliative Care: A Pilot Project.

    Science.gov (United States)

    Ratcliff, Cathy; Thyle, Ann; Duomai, Savita; Manak, Manju

    2017-01-01

    EMMS International and Emmanuel Hospital Association (EHA) implemented a pilot project, poverty reduction in India through palliative care (PRIPCare). A total of 129 interviews with patients and family enrolled in palliative care at three EHA hospitals (in Fatehpur, Lalitpur and Utraula) and staff discussions established that 66% of palliative care patients had lost livelihoods due to illness, 26% of patients' families had members who had lost livelihoods due to the illness, 98% of enrolled households had debts, 59% had loans for which they had sold assets, 69% of households took out debt after their family member fell ill, many patients do not know about government benefits and lack necessary documents, many village headmen require bribes to give people access to benefits, and many bereaved women and children lose everything. Palliative care enabled 85% of patients and families to spend less on medicines, 31% of patients received free medicines, all patients reduced use of out-patient departments (OPDs), 20% reduced use of inpatient departments (IPDs), and therefore spent less on travel, 8% of patients had started earning again due to improved health, members of 10% of families started earning again, and one hospital educated 171 village headmen and increased by 5% the number of patients and their families receiving government benefits. If only 0.7% of needy adults are receiving palliative care, these benefits could be delivered to 143 times more families, targeted effectively at poverty reduction. Palliative care has great scope to reduce that most desperate poverty in India caused by chronic illness. This article concerns a study by the UK NGO EMMS International and Indian NGO EHA, to assess whether palliative care reduces household poverty. EHA staff had noticed that many patients spend a lot on ineffective treatment before joining palliative care, many families do not know their entitlement to government healthcare subsidies or government pensions, and many

  2. Newberry Geothermal Pilot Project : Final Environmental Impact Statement.

    Energy Technology Data Exchange (ETDEWEB)

    US Forest Service; US Bureau of Land Management; US Bonneville Power Administration

    1994-09-01

    BPA has decided to acquire 20 average megawatts (aMW) of electrical power from a privately-owned geothermal power plant on the west flank of Newberry Volcano in Deschutes County, Oregon. The Newberry Project will generate 30 aMW and will be developed, owned, and operated by CE Newberry, Inc. of Portland, Oregon. In addition, BPA has decided to grant billing credits to EWEB for 10 aMW of electrical power and to provide wheeling services to EWEB for the transmission of this power to their system. BPA expects the Newberry Project to be in commercial operation by November 1997. BPA has statutory responsibilities to supply electrical power to its utility industrial and other customers in the Pacific Northwest. The Newberry Project will be used to meet the electrical power supply obligations of these customers. The Newberry Project will also demonstrate the availability of geothermal power to meet power supply needs in the Pacific Northwest and is expected to be the first commercial geothermal plant in the region. The Newberry Project was selected under the BPA Geothermal Pilot Project Program. The goal of the Program is to initiate development of the Pacific Northwest`s large, but essentially untapped, geothermal resources, and to confirm the availability of this resource to meet the energy needs of the region. The primary underlying objective of this Program is to assure the supply of alternative sources of electrical power to help meet growing regional power demands and needs.

  3. Middle Urals` pollution prevention priorities assessment project

    Energy Technology Data Exchange (ETDEWEB)

    Gonzalez, M.; Ott, R.L. [Lawrence Livermore National Lab., CA (United States); Chukanov, V. [Institute of Industrial Ecology, Ekaterinburg (Russian Federation)] [and others

    1995-09-13

    The Middle Urals is an important Russian industrial region. The key industries are also the most environmentally damaging: mining, metallurgical and chemical industries. There are some 600 large-sized and medium-sized enterprises located within the Middle Urals` region. Their annual solid and gaseous chemical releases have led to exceeding some maximum permissible contaminant concentrations by factors of tens and hundreds. The environmental problems of the Middle Urals are of such magnitude, seriousness, and urgency that the limited available resources can be applied only to the problems of the highest priority in the most cost-effective way. By the combined efforts of scientists from Lawrence Livermore National Laboratory (USA), Institute of Industrial Ecology (Ekaterinburg, Russia) and Russian Federal Nuclear Center (Snezhinsk, Russia) the project on Environmental Priorities Assessment was initiated in 1993. Because the project will cut across a spectrum of Russian environmental, social, and political issues, it has been established as a genuine Russian effort led by Russian principals. Russian participants are the prime movers and decision-makers, and LLNL participants are advisors. A preliminary project has been completed to gather relevant environmental data and to develop a formal proposal for the full priorities assessment project for submittal to the International Science and Technology Center. The proposed priorities assessment methodology will be described in this paper. The specific objectives of this project are to develop and to implement a methodology to establish Russian priorities for future pollution prevention efforts in a limited geographic region of the Middle Urals (a part of Chelyabinsk and Sverdlovsk Oblasts). This methodology will be developed on two geographic levels: local (town scale) and regional (region scale). Detailed environmental analysis will be performed on a local scale and extrapolated to the regional scale.

  4. A pilot project: Antioch Delta Cove, Antioch, California

    International Nuclear Information System (INIS)

    Minder, M.

    1994-01-01

    The project involves the restoration of the Hickmott cannery site, comprising approximately 15 acres (three five acre parcels) located on the Delta in inter-city Antioch. Hickmott Foods, Inc., operated a fruit and vegetable cannery between 1905 and the early 1970's, during which time tomato skins, peach and apricot pits, and asparagus butts were discharged on the site. The decaying fruit pits have caused cyanide contamination. Additionally, the site contains some petroleum hydrocarbon contamination as well as gypsum board contamination, apparently from nearby manufacturing operations. The Antioch Delta Cove Pilot shows how interested parties can work together to clean up contaminated sites and use the clean up process to stimulate technology transfer. The Antioch project is a blueprint that can be replicated at other sites across California

  5. The Fermilab ISDN pilot project: experiences and future plans

    International Nuclear Information System (INIS)

    Martin, D.E.; Lego, A.J.; Clifford, A.E.

    1996-01-01

    Fully operational in June of 1994, the Fermilab ISDN Pilot Project was started to gain insight into the costs and benefits of providing ISDN service to the homes of Fermilab researchers. Fourteen were chosen from throughout Fermilab, but the number of Fermilab-employed spouses pushed the total user count to 20. each home was equipped with a basic rate ISDN (BRI) Ethernet half-bridge, and an NT-1. An inter-departmental team coordinated the project. Usage at each home was tracked and frequent surveys were attempted. Lessons learned include: working with Ameritech can be difficult; careful monitoring is essential; and configuration of home computing equipment is very time consuming. Plans include moving entirely to primary rate ISDN hubs, support for different home ISDN equipment and better usage and performance tracking. (author)

  6. An evaluation approach for research project pilot technological applications

    Science.gov (United States)

    Marcelino-Jesus, Elsa; Sarraipa, Joao; Jardim-Goncalves, Ricardo

    2013-10-01

    In a world increasingly more competitive and in a constantly development and growth it's important that companies have economic tools, like frameworks to help them to evaluate and validate the technology development to better fits in each company particular needs. The paper presents an evaluation approach for research project pilot applications to stimulate its implementation and deployment, increasing its adequacy and acceptance to their stakeholders and consequently providing new business profit and opportunities. Authors used the DECIDE evaluation framework as a major guide to this approach, which was tested in the iSURF project to support the implementation of an interoperability service utility for collaborative supply chain planning across multiple domains supported by RFID devices.

  7. The Fermilab ISDN Pilot Project: Experiences and future plans

    International Nuclear Information System (INIS)

    Martin, D.E.; Lego, A.J.; Clifford, A.E.

    1995-01-01

    Fully operational in June of 1994, the Fermilab ISDN Pilot Project was started to gain insight into the costs and benefits of providing ISDN service to the homes of Fermilab researchers. Fourteen users were chosen from throughout Fermilab, but the number of Fermilab-employed spouses pushed the total user count to 20. Each home was equipped with a basic rate ISDN (BRI) line, a BRI Ethernet half-bridge, and an NT-1. An inter-departmental team coordinated the project. Usage at each home was tracked and frequent surveys were attempted. Lessons learned include: working with Ameritech can be difficult; careful monitoring is essential; and configuration of home computing equipment is very time consuming. Plans include moving entirely to primary rate ISDN hubs, support for different home ISDN equipment and better usage and performance tracking

  8. Advanced Engineering Environment FY09/10 pilot project.

    Energy Technology Data Exchange (ETDEWEB)

    Lamph, Jane Ann; Kiba, Grant W.; Pomplun, Alan R.; Dutra, Edward G.; Sego, Abraham L.

    2010-06-01

    The Advanced Engineering Environment (AEE) project identifies emerging engineering environment tools and assesses their value to Sandia National Laboratories and our partners in the Nuclear Security Enterprise (NSE) by testing them in our design environment. This project accomplished several pilot activities, including: the preliminary definition of an engineering bill of materials (BOM) based product structure in the Windchill PDMLink 9.0 application; an evaluation of Mentor Graphics Data Management System (DMS) application for electrical computer-aided design (ECAD) library administration; and implementation and documentation of a Windchill 9.1 application upgrade. The project also supported the migration of legacy data from existing corporate product lifecycle management systems into new classified and unclassified Windchill PDMLink 9.0 systems. The project included two infrastructure modernization efforts: the replacement of two aging AEE development servers for reliable platforms for ongoing AEE project work; and the replacement of four critical application and license servers that support design and engineering work at the Sandia National Laboratories/California site.

  9. [Evaluation of 12 pilot projects to improve outpatient palliative care].

    Science.gov (United States)

    Schmidt-Wolf, G; Elsner, F; Lindena, G; Hilgers, R-D; Heussen, N; Rolke, R; Ostgathe, C; Radbruch, L

    2013-12-01

    With a priority programme the German Cancer Aid supported the development of quality-assured outpatient palliative care to cover the whole country. The 12 regional pilot projects funded with the aim to improve outpatient palliative care in different models and different frameworks were concurrently monitored and evaluated. The supported projects, starting and ending individually, documented all patients who were cared for using HOPE (Hospice and palliative care evaluation) and MIDOS (Minimal documentation system for palliative patients). Total data were analyzed for 3239 patients decriptively. In addition to the quantitative data the experiences of the projects were recorded in a number of workshops (2008, 2009, 2010, and 2012). In particular, the experiences reported in the final meeting in July 2012 were considered for this article as well as the final reports for the German Cancer Aid. In the quantitative evaluation 85.6% of 3239 palliative care patients had a cancer diagnosis. In all model projects the goal of a network with close cooperation of primary providers, social support, and outpatient and inpatient specialist services has been achieved. For all projects, the initial financing of the German Cancer Aid was extremely important, because contracts with health insurance funds were negotiated slowly, and could then be built on the experiences with the projects. The participants of the project-completion meeting emphasized the need to carry out a market analysis before starting palliative care organizations considering the different regional structures and target groups of patients. Education, training and continuing education programs contribute significantly to the network. A reliably funded coordination center/case management across all institutions is extremely important. © Georg Thieme Verlag KG Stuttgart · New York.

  10. Tenure Issues in REDD+ Pilot Project Sites in Tanzania

    Directory of Open Access Journals (Sweden)

    Therese Dokken

    2014-02-01

    Full Text Available REDD+ has been proposed as a viable option for addressing climate change in the near term, and at relatively low cost. There is a broad consensus that clearly defined tenure rights are important for the implementation and success of REDD+, both to manage forests effectively and to protect local communities’ livelihoods. We use primary data from 23 villages in six REDD+ pilot sites in Tanzania to identify causes of deforestation and forest degradation, and tenure rights issues, at the village level prior to project implementation. Further, interviews with project proponents and examination of project documents yields insights into how the proponents plan to address tenure issues. Most villages perceive their tenure as secure and have exclusion rights, while collective action challenges are prevalent in villages experiencing deforestation and forest degradation. These findings suggest that the main tenure issues are related to internal institutional arrangements. While we find that tenure is high on the agenda for all the project proponents, they are mainly focusing on formalization and securing tenure rights from state to community level. Though we do find this to be a precondition for reducing deforestation and degradation, some of their focus should be shifted to strengthening village institutions and enhancing internal compliance.

  11. Streaking into middle school science: The Dell Streak pilot project

    Science.gov (United States)

    Austin, Susan Eudy

    A case study is conducted implementing the Dell Streak seven-inch android device into eighth grade science classes of one teacher in a rural middle school in the Piedmont region of North Carolina. The purpose of the study is to determine if the use of the Dell Streaks would increase student achievement on standardized subject testing, if the Streak could be used as an effective instructional tool, and if it could be considered an effective instructional resource for reviewing and preparing for the science assessments. A mixed method research design was used for the study to analyze both quantitative and qualitative results to determine if the Dell Streaks' utilization could achieve the following: 1. instructional strategies would change, 2. it would be an effective instructional tool, and 3. a comparison of the students' test scores and benchmark assessments' scores would provide statistically significant difference. Through the use of an ANOVA it was determined a statistically significant difference had occurred. A Post Hoc analysis was conducted to identify where the difference occurred. Finally a T-test determined was there was no statistically significance difference between the mean End-of-Grade tests and four quarterly benchmark scores of the control and the experimental groups. Qualitative research methods were used to gather results to determine if the Streaks were an effective instructional tool. Classroom observations identified that the teacher's teaching styles and new instructional strategies were implemented throughout the pilot project. Students had an opportunity to complete a questionnaire three times during the pilot project. Results revealed what the students liked about using the devices and the challenges they were facing. The teacher completed a reflective questionnaire throughout the pilot project and offered valuable reflections about the use of the devices in an educational setting. The reflection data supporting the case study was drawn

  12. School-based violence prevention strategy: a pilot evaluation.

    Science.gov (United States)

    Thakore, Rachel V; Apfeld, Jordan C; Johnson, Ronald K; Sathiyakumar, Vasanth; Jahangir, A Alex; Sethi, Manish K

    2015-07-01

    Violence has recently been reported among a primarily young, minority population in Nashville, Tennessee. School-based programs have been proven as effective methods of reducing violent behavior, beliefs, and actions that lead to violence among adolescents. Investigators implemented a rigorous search for an appropriate school-based violence prevention program for Metropolitan Nashville middle school students utilizing a systematic review and discussion group with victims of violence. 27 programs nation-wide were reviewed and 2 discussion groups with African American males under the age of 25 admitted to a level 1 trauma center for assault-related injuries were conducted. Our findings led to a single, evidence-based conflict resolution program. In conjunction with educators, we evaluated the program's effectiveness in a pilot study in a Nashville middle school with high rates of violence. 122 students completed the conflict resolution program and described their behavior and experiences with violence in a pre-test/post-test self-rate questionnaire. Results showed a significant decrease in violent behavior and an increase in students' competencies to deal with violence (p less than 0.05). This study shows that a reduction in violent behavior and beliefs among middle school students can be achieved through the implementation of a targeted violence intervention program. A larger-scale intervention is needed to develop more conclusive evidence of effectiveness. © 2015 KUMS, All rights reserved.

  13. Handheld computers in nursing education: PDA pilot project.

    Science.gov (United States)

    Koeniger-Donohue, Rebecca

    2008-02-01

    Interest in the use and application of handheld technology at undergraduate and graduate nursing programs across the country is growing rapidly. Personal digital assistants (PDAs) are often referred to as a "peripheral brain" because they can save time, decrease errors, and simplify information retrieval at the point of care. In addition, research results support the notion that PDAs enhance nursing clinical education and are an effective student learning resource. However, most nursing programs lack the full range of technological resources to implement and provide ongoing support for handheld technology use by faculty and students. This article describes a 9-month pilot project for the initial use of PDAs by novice faculty and students at Simmons College.

  14. The photovoltaic pilot projects of the European Community

    Science.gov (United States)

    Schnell, W.

    The Commission of the European Communities has started in 1980 a programme for the design and construction of a series of photovoltaic pilot projects in the range of 30-300 kWp. Virtually all important industries and other development organisations in Europe working on photovoltaic cells and systems are involved in this programme. The different technologies which are being developed concern the modules, the cabling of the array, structure design, storage strategy and power conditioning. The various applications include powering of an island, villages, recreation centres, water desalination and disinfection, powering of radio transmitters, emergency power plants, dairy farm, training school, cooling, water pumping, powering of a solar heated swimming pool and last but not least, hydrogen production.

  15. 47 CFR 74.785 - Low power TV digital data service pilot project.

    Science.gov (United States)

    2010-10-01

    ... 47 Telecommunication 4 2010-10-01 2010-10-01 false Low power TV digital data service pilot project... Power TV, TV Translator, and TV Booster Stations § 74.785 Low power TV digital data service pilot project. Low power TV stations authorized pursuant to the LPTV Digital Data Services Act (Public Law 106...

  16. 77 FR 10599 - Surface Transportation Project Delivery Pilot Program; Caltrans Audit Report

    Science.gov (United States)

    2012-02-22

    ... information gathering. Limited scope of Pilot Program project development activity. Caltrans has not operated... Program areas within the scope and the limitations of the audit, with the exceptions noted in the... Federal Highway Administration Surface Transportation Project Delivery Pilot Program; Caltrans Audit...

  17. The Ukrainian pilot project “Stop radon”

    Directory of Open Access Journals (Sweden)

    Pavlenko Tatyana

    2014-01-01

    Full Text Available In 2010 one area of Ukraine (Kirovograd area was selected for a pilot project to reduce radon risks. The project consists of several stages: radon risk training for the public health professionals, measurements of radon concentration in schools and nurseries (more than 1000 buildings were examined, justifications of radon countermeasures and their implementation. The lognormal frequency distribution for equivalent equilibrium concentration was authentically established. The geometric mean of the indoor radon equivalent equilibrium concentration was established to 63 Bq/m3, and standard deviation is equal to 82 Bq/m3. The indoor radon equivalent equilibrium concentration ranged from 22 Bq/m3 to 809 Bq/m3. It was found that the national regulatory limit for this type of buildings was exceeded in more than 50% of the cases. The second phase of the project has a goal to remediate radon levels and reduce radon risks. Calculated exposure doses and radon risk were used to justify the remediation and assess the economic loss for the region caused by radon irradiation of the population.

  18. Designing pilot projects as boundary objects a Brazilian case study in the promotion of sustainable design

    CERN Document Server

    Zurlo, Francesco

    2016-01-01

    This book describes a collaborative Design Pilot Project held in Brazil (called MODU.Lares) involving micro and small enterprises and other actors in the furniture sector. The experience was based on an action research method and evaluated by using a tool, in order to assess the value of pilot project as a boundary object capable of fostering innovation and sustainability. The impact of the Design Pilot Project in triggering change in a fragmented local system with a poor environmental and social record, as well as management and innovation issues, were assessed with the help of the same tool, taking into account environmental, technological, economic, sociocultural, and organizational indicators. The collaborative network established was chiefly based on four elements: prototypes, meetings, exhibitions and the Pilot Project (as an overall process). The results indeed demonstrate that a Design Pilot Project can be a valid instrument for establishing a collaborative environment that promotes sustainability an...

  19. Can social networking be used to promote engagement in child maltreatment prevention programs? Two pilot studies.

    Science.gov (United States)

    Edwards-Gaura, Anna; Whitaker, Daniel; Self-Brown, Shannon

    2014-08-01

    Child maltreatment is one of the United States' most significant public health problems. In efforts to prevent maltreatment experts recommend use of Behavioral Parent Training Programs (BPTs), which focus on teaching skills that will replace and prevent maltreating behavior. While there is research to support the effectiveness of BPTs in maltreatment prevention, the reach of such programs is still limited by several barriers, including poor retention of families in services. Recently, new technologies have emerged that offer innovative opportunities to improve family engagement. These technologies include smartphones and social networking; however, very little is known about the potential of these to aid in maltreatment prevention. The primary goal of this study was to conduct 2 pilot exploratory projects. The first project administered a survey to parents and providers to gather data about at-risk parents' use of smartphones and online social networking technologies. The second project tested a social networking-enhanced brief parenting program with 3 intervention participants and evaluated parental responses. Seventy-five percent of parents surveyed reported owning a computer that worked. Eighty-nine percent of parents reported that they had reliable Internet access at home, and 67% said they used the Internet daily. Three parents participated in the intervention with all reporting improvement in parent-child interaction skills and a positive experience participating in the social networking-enhanced SafeCare components. In general, findings suggest that smartphones, social networking, and Facebook, in particular, are now being used by individuals who show risk factors for maltreatment. Further, the majority of parents surveyed in this study said that they like Facebook, and all parents surveyed said that they use Facebook and have a Facebook account. As well, all saw it as a potentially beneficial supplement for future parents enrolling in parenting programs.

  20. 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

  1. Physicians' accounts of frontline tensions when implementing pilot projects to improve primary care.

    Science.gov (United States)

    Mansfield, Elizabeth; Bhattacharyya, Onil; Christian, Jennifer; Naglie, Gary; Steriopoulos, Vicky; Webster, Fiona

    2018-03-19

    Purpose Canada's primary care system has been described as "a culture of pilot projects" with little evidence of converting successful initiatives into funded, permanent programs or sharing project outcomes and insights across jurisdictions. Health services pilot projects are advocated as an effective strategy for identifying promising models of care and building integrated care partnerships in local settings. In the qualitative study reported here, the purpose of this paper is to investigate the strengths and challenges of this approach. Design/methodology/approach Semi-structured interviews were conducted with 34 primary care physicians who discussed their experiences as pilot project leads. Following thematic analysis methods, broad system issues were captured as well as individual project information. Findings While participants often portrayed themselves as advocates for vulnerable patients, mobilizing healthcare organizations and providers to support new models of care was discussed as challenging. Competition between local healthcare providers and initiatives could impact pilot project success. Participants also reported tensions between their clinical, project management and research roles with additional time demands and skill requirements interfering with the work of implementing and evaluating service innovations. Originality/value Study findings highlight the complexity of pilot project implementation, which encompasses physician commitment to addressing care for vulnerable populations through to the need for additional skill set requirements and the impact of local project environments. The current pilot project approach could be strengthened by including more multidisciplinary collaboration and providing infrastructure supports to enhance the design, implementation and evaluation of health services improvement initiatives.

  2. Manitoba Motor Dealers Association pilot project : final report

    International Nuclear Information System (INIS)

    2006-08-01

    This report described a 3-month pilot project conducted by EnerGuide for Vehicles in collaboration with the Manitoba Motor Dealers Association (MMDA) to increase dealership and consumer awareness of vehicle impacts on climate change. The project also aimed to engage MMDA's members in helping to promote and distribute information on fuel efficient vehicles and fuel efficient driving habits. Program tools in both the dealership showroom as well as service areas were used. Objectives of the project also included gaining public opinion research (POR) information regarding the impact of program tools; gaining feedback from new car dealers regarding the success of the project; gauging customer perceptions of the importance of fuel efficiency when selecting a new vehicle; determining whether or not drivers verify tire pressure on their vehicles; determining whether or not drivers incorporate energy efficient driving habits; and gauging customer perceptions regarding the importance of incorporating behaviours to improve fuel efficiency. The study used a mixed methodology of online and telephone surveys. A total of 41 dealerships participated in the project. The final sample of surveys consisted of 1926 customer records. The total overall number of completed interviews was 463. Results indicated that most dealers believed the campaign was a success, and that staff and customers learned about energy efficiency as a result of the campaign. Seventy-five per cent of dealers agreed that they would participate in future energy efficiency programs. Campaign materials and customer incentives were widely viewed as successful in raising awareness. Seven in 10 dealership customers recalled at least 1 of the promotional endeavours, and a large majority of customers indicated the information they saw at the dealership encouraged them to consider fuel efficiency when buying or maintaining a vehicle in the future. The majority of new customers considered fuel consumption to be the second

  3. JS3P: junior staff programme pilot project

    International Nuclear Information System (INIS)

    Pretrel, H.; Tregoures, N.; Bessiron, V.; Dehoyos, A.; Delvallee, I.; Brisson, N.; Debayle, C.; Dubreuil, M.; Nicaise, G.; Perignon, J.P.; Richard, J.; Reinke, N.; Kaulard, J.; Burgener, M.; Keesmann, S.; Schramm, B.; Seubert, A.; Sternkopf, J.; Thuma, G.; Weber, S.; Smidts, O.; Maillet, E.; Bucalossi, A.; Van haesendonck, M.; Uyttenhove, W.; Mertens, J.

    2006-01-01

    Concept: The objective of the project is to allow junior staff members from the European Technical Safety Organisations (TSOs), IRSN, GRS and AVN, to work together with the final goal of creating a junior staff network, based on technical, cultural and personal interests. These projects are to show junior staff members at a very early stage during their career the need for European collaborations. They are also a tool to explore new subjects of co-operation. It is an initiative that should strengthen the links between the organisations and contribute to establishing the future of nuclear safety in Europe. A JS3P (Junior Staff Programme Pilot Project) is a project done jointly by 'junior' staff members from the three TSOs, where experience of 'seniors' is also integrated when needed. Compared to other collaborative activities, it has certain specific features. The JS3P favours staff exchanges, and technical meetings of several days should be planned during a project in order to encourage people to work together. Technical objectives are shared and the work is done jointly (reports, articles). The team involved in the JS3P should be as small as possible to favour its efficiency. The JS3P is short and easy to realize. Its duration is fixed to a maximum of about 12 months with the option to be prolonged. Typical topics are bibliographic work, comparison issues, scientific surveys, benchmark exercises and prospective investigations on innovative ideas. They can be linked to existing joint projects and then form a smaller module integrated into the large project. Topics may concern prospective issues, tentatively investigating new topics that can be seen as exploratory co-operation projects. Subjects may also concern research issues that are not a priority but that deserve to be investigated as new attractive topics. The JS3P is defined and managed by junior staff members. It is approved by a management board committee and supervised by a technical steering committee

  4. HARD CHROME POLLUTION PREVENTION DEMONSTRATION PROJECT - INTERIM REPORT

    Science.gov (United States)

    In the project, five chromium emission prevention/control devices were tested tha cover the spectrum of prevention/control techniques currently in use in small- and large-size hard chromium electroplating job shops. The Project results show that some of the tested devices had ch...

  5. The Hubble Space Telescope's Student ERO Pilot Project: Implementing Formal and Informal Collaborative Projects

    Science.gov (United States)

    Eisenhamer, Bonnie; Ryer, H.; McCallister, D.; Taylor, J.; Bishop, M.

    2010-05-01

    The Hubble Space Telescope's Early Release Observations (EROs) were revealed to the public on September 9, 2009, and K-12 students and educators in six states across the country are joining in the celebration. Students and educators in Maryland, Ohio, New York, California, New Mexico, and Delaware have been invited to participate in the Hubble Space Telescope's Student ERO Pilot Project. This is an interdisciplinary project created by STScI's Office of Public Outreach in which students research the four ERO objects and create various types of projects. In recognition of their participation, the projects are displayed at host institutions in each state (museum, science center, school, planetarium or library) during a special public event for participating students, their families, and teachers. As part of its evaluation program, STScI's Office of Public Outreach has been conducting an evaluation of the project to determine the viability and potential of conducting large-scale, formal/informal collaborative projects in the future. This poster will highlight preliminary findings and share lessons learned.

  6. Strategizing Carbon-Neutral Mines: A Case for Pilot Projects

    Directory of Open Access Journals (Sweden)

    Ian M. Power

    2014-05-01

    Full Text Available Ultramafic and mafic mine tailings are a valuable feedstock for carbon mineralization that should be used to offset carbon emissions generated by the mining industry. Although passive carbonation is occurring at the abandoned Clinton Creek asbestos mine, and the active Diavik diamond and Mount Keith nickel mines, there remains untapped potential for sequestering CO2 within these mine wastes. There is the potential to accelerate carbonation to create economically viable, large-scale CO2 fixation technologies that can operate at near-surface temperature and atmospheric pressure. We review several relevant acceleration strategies including: bioleaching of magnesium silicates; increasing the supply of CO2 via heterotrophic oxidation of waste organics; and biologically induced carbonate precipitation, as well as enhancing passive carbonation through tailings management practices and use of CO2 point sources. Scenarios for pilot scale projects are proposed with the aim of moving towards carbon-neutral mines. A financial incentive is necessary to encourage the development of these strategies. We recommend the use of a dynamic real options pricing approach, instead of traditional discounted cash-flow approaches, because it reflects the inherent value in managerial flexibility to adapt and capitalize on favorable future opportunities in the highly volatile carbon market.

  7. Pilot Project Technology Business Case: Mobile Work Packages

    Energy Technology Data Exchange (ETDEWEB)

    Thomas, Ken [Idaho National Lab. (INL), Idaho Falls, ID (United States); Lawrie, Sean [ScottMadden, Inc., Raleigh, NC (United States); Niedermuller, Josef [ScottMadden, Inc., Raleigh, NC (United States)

    2015-05-01

    Performance advantages of the new pilot project technologies are widely acknowledged, but it has proven difficult for utilities to derive business cases for justifying investment in these new capabilities. Lack of a business case is often cited by utilities as a barrier to pursuing wide-scale application of digital technologies to nuclear plant work activities. The decision to move forward with funding usually hinges on demonstrating actual cost reductions that can be credited to budgets and thereby truly reduce O&M or capital costs. Technology enhancements, while enhancing work methods and making work more efficient, often fail to eliminate workload such that it changes overall staffing and material cost requirements. It is critical to demonstrate cost reductions or impacts on non-cost performance objectives in order for the business case to justify investment by nuclear operators. The Business Case Methodology (BCM) was developed in September of 2015 to frame the benefit side of II&C technologies to address the “benefit” side of the analysis—as opposed to the cost side—and how the organization evaluates discretionary projects (net present value (NPV), accounting effects of taxes, discount rates, etc.). The cost and analysis side is not particularly difficult for the organization and can usually be determined with a fair amount of precision (not withstanding implementation project cost overruns). It is in determining the “benefits” side of the analysis that utilities have more difficulty in technology projects and that is the focus of this methodology. The methodology is presented in the context of the entire process, but the tool provided is limited to determining the organizational benefits only. This report describes a the use of the BCM in building a business case for mobile work packages, which includes computer-based procedures and other automated elements of a work package. Key to those impacts will be identifying where the savings are

  8. Final report and recommendations of the ESnet Authentication Pilot Project

    Energy Technology Data Exchange (ETDEWEB)

    Johnson, G.R.; Moore, J.P. [Pacific Northwest Lab., Richland, WA (United States); Athey, C.L. [Lawrence Livermore National Lab., CA (United States); Engert, D.E. [Argonne National Lab., IL (United States); Ramus, J.E. [National Energy Research Supercomputer Center, Livermore, CA (United States)

    1995-01-01

    To conduct their work, U.S. Department of Energy (DOE) researchers require access to a wide range of computing systems and information resources outside of their respective laboratories. Electronically communicating with peers using the global Internet has become a necessity to effective collaboration with university, industrial, and other government partners. DOE`s Energy Sciences Network (ESnet) needs to be engineered to facilitate this {open_quotes}collaboratory{close_quotes} while ensuring the protection of government computing resources from unauthorized use. Sensitive information and intellectual properties must be protected from unauthorized disclosure, modification, or destruction. In August 1993, DOE funded four ESnet sites (Argonne National Laboratory, Lawrence Livermore National Laboratory, the National Energy Research Supercomputer Center, and Pacific Northwest Laboratory) to begin implementing and evaluating authenticated ESnet services using the advanced Kerberos Version 5. The purpose of this project was to identify, understand, and resolve the technical, procedural, cultural, and policy issues surrounding peer-to-peer authentication in an inter-organization internet. The investigators have concluded that, with certain conditions, Kerberos Version 5 is a suitable technology to enable ESnet users to freely share resources and information without compromising the integrity of their systems and data. The pilot project has demonstrated that Kerberos Version 5 is capable of supporting trusted third-party authentication across an inter-organization internet and that Kerberos Version 5 would be practical to implement across the ESnet community within the U.S. The investigators made several modifications to the Kerberos Version 5 system that are necessary for operation in the current Internet environment and have documented other technical shortcomings that must be addressed before large-scale deployment is attempted.

  9. An Attachment Parenting Intervention to Prevent Adolescents' Problem Behaviors: A Pilot Study in Italy

    Science.gov (United States)

    Giannotta, Fabrizia; Ortega, Enrique; Stattin, Hakan

    2013-01-01

    Background: In spite of the proven effectiveness of parenting based programs to prevent adolescent risk behaviors, such programs are rarely implemented in Mediterranean countries. Objective: This pilot study was aimed at assessing the feasibility and the effects of a parenting based universal prevention program (Connect) in Italy. Methods: Our…

  10. Pilot project Uljabuouda. Final report; Pilotprojekt Uljabuouda. Slutrapport

    Energy Technology Data Exchange (ETDEWEB)

    2011-07-01

    During the period of 2007-2010 Skellefteaa Kraft AB erected a wind farm comprising 10 3 MW wind turbines on the mountain Uljabuouda in the municipality of Arjeplog. The turbines are of the type WWD-3 with a hub height of 80 meters and a rotor diameter of 90 meters. The Uljabuouda wind farm is one of the first erected above the treeline in the Swedish mountains. The wind turbines are adapted to cold climate equipped with an ice prevention system for the blades. The process of obtaining the necessary permits for the erection of the wind farm was lengthy and lasted during the period of 2000 to 2008. Also the procurement process took longer than expected. During the period of 2006-2008 when the procurement was performed it was difficult to find a supplier who could offer wind turbines equipped with a deicing system. In December 2006 the Uljabuouda project was granted a subsidy from the Swedish Energy Agency, the maximum of 35 million Swedish crowns. The final investment costs of the project will be higher than previously estimated. The main reason for this was the prevailing market conditions during the procurement period. The Uljabuouda wind farm is in full operation since the winter of 2010/2011 and so far our experiences are that the ice prevention system is working well even at harsh icing conditions

  11. Testing the HTA core model: experiences from two pilot projects

    DEFF Research Database (Denmark)

    Pasternack, Iris; Anttila, Heidi; Mäkelä, Marjukka

    2009-01-01

    OBJECTIVES: The aim of this study was to analyze and describe process and outcomes of two pilot assessments based on the HTA Core Model, discuss the applicability of the model, and explore areas of development. METHODS: Data were gathered from HTA Core Model and pilot Core HTA documents...

  12. Pharmacotherapy in Patients after Acute Myocardial Infarction - the Basis for Effective Secondary Prevention. Data from a Pilot Registry in the Czech Republic

    Czech Academy of Sciences Publication Activity Database

    Grünfeldová, H.; Tomečková, Marie; Monhart, Z.; Faltus, Václav; Peleška, Jan

    2007-01-01

    Roč. 30 (2007), s. 372-372 ISSN 1420-4096. [Central European Meeting on Hypertension and Cardiovascular Disease Prevention. 11.10.2007-13.10.2007, Kraków] R&D Projects: GA MŠk(CZ) 1M06014 Institutional research plan: CEZ:AV0Z10300504 Keywords : acute myocardial ifraction * pilot registry * secondary prevention Subject RIV: FA - Cardiovascular Disease s incl. Cardiotharic Surgery

  13. The Namibia Early Flood Warning System, A CEOS Pilot Project

    Science.gov (United States)

    Mandl, Daniel; Frye, Stuart; Cappelaere, Pat; Sohlberg, Robert; Handy, Matthew; Grossman, Robert

    2012-01-01

    Over the past year few years, an international collaboration has developed a pilot project under the auspices of Committee on Earth Observation Satellite (CEOS) Disasters team. The overall team consists of civilian satellite agencies. For this pilot effort, the development team consists of NASA, Canadian Space Agency, Univ. of Maryland, Univ. of Colorado, Univ. of Oklahoma, Ukraine Space Research Institute and Joint Research Center(JRC) for European Commission. This development team collaborates with regional , national and international agencies to deliver end-to-end disaster coverage. In particular, the team in collaborating on this effort with the Namibia Department of Hydrology to begin in Namibia . However, the ultimate goal is to expand the functionality to provide early warning over the South Africa region. The initial collaboration was initiated by United Nations Office of Outer Space Affairs and CEOS Working Group for Information Systems and Services (WGISS). The initial driver was to demonstrate international interoperability using various space agency sensors and models along with regional in-situ ground sensors. In 2010, the team created a preliminary semi-manual system to demonstrate moving and combining key data streams and delivering the data to the Namibia Department of Hydrology during their flood season which typically is January through April. In this pilot, a variety of moderate resolution and high resolution satellite flood imagery was rapidly delivered and used in conjunction with flood predictive models in Namibia. This was collected in conjunction with ground measurements and was used to examine how to create a customized flood early warning system. During the first year, the team made use of SensorWeb technology to gather various sensor data which was used to monitor flood waves traveling down basins originating in Angola, but eventually flooding villages in Namibia. The team made use of standardized interfaces such as those articulated

  14. Simplified pilot module development and testing within the ATLAS PanDA Pilot 2.0 Project

    CERN Document Server

    Drizhuk, Daniil; The ATLAS collaboration

    2016-01-01

    The Production and Distributed Analysis (PanDA) system has been developed to meet ATLAS production and analysis requirements for a data-driven workload management system capable of operating at the LHC data processing scale. The PanDA pilot is one of the major components in the PanDA system. It runs on a worker node and takes care of setting up the environment, fetching and pushing data to storage, getting jobs from the PanDA server and executing them. The original PanDA Pilot was designed over 10 years ago and has since then grown organically. Large parts of the original pilot code base are now getting old and are difficult to maintain. Incremental changes and refactoring have been pushed to the limit, and the time is now right for a fresh start, informed by a decade of experience, with the PanDA Pilot 2.0 Project. To create a testing environment for module development and automated unit and functional testing for next generation pilot tasks, a simple pilot version was developed. It resembles the basic workf...

  15. Marine Arctic Ecosystem Study (MARES): Pilot Project - Marine Mammal Tagging and Tracking

    Science.gov (United States)

    2015-09-30

    1 DISTRIBUTION STATEMENT A. Approved for public release; distribution is unlimited. Marine Arctic Ecosystem Study (MARES): Pilot Project...inter-relationships of biophysical and chemical parameters on living resources, including marine mammals that use this ecosystem . This larger picture

  16. National Comparative Risk Assessment Pilot Project, Cyber Intrusion Analysis-Process Control System

    National Research Council Canada - National Science Library

    Simpson, William R; Meeson, Reginald N

    2007-01-01

    .... An initial pilot project was undertaken to define a common risk model with common methodologies and approved scales to measure key parameters to accelerate the progress toward the stated goals...

  17. Pilot project for implantation of the National Commission on Radiation Protection and Dosimetry of CONTER, Brazil

    International Nuclear Information System (INIS)

    Padilha Filho, L.G.; Santos, J.R.A.; Dmitruk, P.P.; Souza, J.H.C.; Hamann, J.H.; Soboll, D.S.

    2017-01-01

    This work presents the pilot project of the National Council of Technicians and Technologists in Radiology (CONTER), which created the National Commission on Radioprotection and Dosimetry (CNRD), in order to develop a radioprotection culture for professionals in radiographic techniques

  18. Technical specification for the Quality Information Management System (QIMS) Pilot Project

    Energy Technology Data Exchange (ETDEWEB)

    Hall, R.C.; Claussen, L.M.; Thurston, I.

    1992-01-01

    This document contains implementation details for the Quality Information Management System (QIMS) Pilot Project, which has been released for VAX/VMS systems using the INGRES RDBMS. The INGRES Applications-By-Forms (ABF) software development tool was used to define the modules and screens which comprise the QIMS Pilot application. These specifications together with the QIMS information model and corresponding database definition constitute the QIMS technical specification and implementation description presented herein. The QIMS Pilot Project represents a completed software product which has been released for production use. Further extension projects are planned which will release new versions for QIMS. These versions will offer expanded and enhanced functionality to meet further customer requirements not accommodated by the QIMS Pilot Project.

  19. Smart city pilot projects, scaling up or fading out? : Experiences from Amsterdam

    NARCIS (Netherlands)

    van Winden, W.

    2016-01-01

    In many cities, pilot projects are set up to test or develop new technologies that improve sustainability, urban quality of life or urban services (often labelled as “smart city” projects). Typically, these projects are supported by the municipality, funded by subsidies, and run in partnerships.

  20. Smart City pilot projects : exploring the dimensions and conditions of scaling up

    NARCIS (Netherlands)

    van Winden, W.; van den Buuse, D.J.H.M.

    2017-01-01

    In many cities, pilot projects are set up to test new technologies that help to address urban sustainability issues, improve the effectiveness of urban services, and enhance the quality of life of citizens. These projects, often labelled as “smart city” projects, are typically supported by

  1. Light Water Reactor Sustainability Constellation Pilot Project FY11 Summary Report

    International Nuclear Information System (INIS)

    Johansen, R.

    2011-01-01

    Summary report for Fiscal Year 2011 activities associated with the Constellation Pilot Project. The project is a joint effor between Constellation Nuclear Energy Group (CENG), EPRI, and the DOE Light Water Reactor Sustainability Program. The project utilizes two CENG reactor stations: R.E. Ginna and Nine Point Unit 1. Included in the report are activities associate with reactor internals and concrete containments.

  2. 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

  3. 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

  4. Damage Adaptive Guidance for Piloted Upset Recovery Project

    Data.gov (United States)

    National Aeronautics and Space Administration — Aircraft Loss-Of-Control (LOC) has been a longstanding contributor to fatal aviation accidents. Inappropriate pilot action for healthy aircraft, control failures,...

  5. 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.

  6. Aviation safety and pilot control: understanding and preventing unfavorable pilot-vehicle interactions

    National Research Council Canada - National Science Library

    Natl. Research Council Staff; Commission on Engineering and Technical Systems; Division on Engineering and Physical Sciences; National Research Council; National Academy of Sciences

    ... of Aircraft-Pilot Coupling on Flight Safety Aeronautics and Space Engineering Board Commission on Engineering and Technical Systems National Research Council NATIONAL ACADEMY PRESS Washington, D.C. 1997 Copyrightoriginal retained, the be not from cannot book, paper original however, for version formatting, authoritative the typesetting-...

  7. Aviation safety and pilot control: understanding and preventing unfavorable pilot-vehicle interactions

    National Research Council Canada - National Science Library

    Natl. Research Council Staff

    1997-01-01

    ... of Aircraft-Pilot Coupling on Flight Safety Aeronautics and Space Engineering Board Commission on Engineering and Technical Systems National Research Council NATIONAL ACADEMY PRESS Washington, D.C. 1997 Copyrightoriginal retained, the be not from cannot book, paper original however, for version formatting, authoritative the typesetting-...

  8. Technical Description Lillgrund Wind Power Plant. Lillgrund Pilot Project

    Energy Technology Data Exchange (ETDEWEB)

    Jeppsson, Joakim; Larsen, Poul Erik; Larsson, Aake (Vattenfall Vindkraft AB, Stockholm (Sweden))

    2008-09-15

    Lillgrund offshore wind power plant comprises 48 wind turbines, each rated at 2.3 MW, bringing the total wind farm capacity to 110 MW. The Lillgrund offshore wind power plant is located in a shallow area of Oeresund, 7 km off the coast of Sweden and 7 km south from the Oeresund Bridge connecting Sweden and Denmark. An average wind speed of around 8,5 m/s at hub height, combined with a relatively low water depth of 4 to 8 meters makes it economically feasible to build here. Vattenfall Vindkraft AB is the owner and operator of Lillgrund offshore wind power plant. Lillgrund is a Swedish pilot project supported by the Swedish Energy Agency. The bidding process was completed during 2005 and the offshore power plant was constructed in the period 2006 to 2007. The wind farm was constructed on time and has now been successfully operational since December 2007. There is, however, always potential for improvement and the aim of this report has been to determine and highlight these areas. It is worth noting out that only the electrical system and the foundations are tailor made at offshore wind power plants. The wind turbines are more or less standard products with none or very limited possibilities for project specific design changes. Geotechnical investigations are expensive and it can be difficult to balance the risks as well as the benefits of this expense in the early phases of a large infrastructure project. As a whole, the geotechnical surveys at Lillgrund proved to be useful. They identified potential issues, such as the fact that extra excavation was required for two of the foundations. It also revealed the location of a small number of boulders that would have to be removed. Vattenfall requested a complete study of the electrical system for Lillgrund to be delivered with the bids. That request was not met. Instead Siemens Wind Power began a complete electrical system study after being awarded the Contract. The electrical system study was completed during the

  9. Pilot-onderzoek voor het PIENTER-project: vragenlijstevaluatie (evaluatierapportage deel III)

    NARCIS (Netherlands)

    Melker HE de; Suijkerbuijk AWM, Heisterkamp SH; Conyn-van Spaendonck MAE; CIE

    1995-01-01

    INTRODUCTION In 1994 a pilot-study of the so-called PIENTER-project was carried out. The aim of this project is to establish a serum bank of a representative sample of the Dutch population. The serum bank will be used to estimate age-specific immunity of the general population against childhood

  10. Pilot Test of Standup, an Online School-Based Bullying Prevention Program

    Science.gov (United States)

    Timmons-Mitchell, Jane; Levesque, Deborah A.; Harris, Leon A., III.; Flannery, Daniel J.; Falcone, Tatiana

    2016-01-01

    Bullying is a significant public health problem for students in schools. Prevention programs have addressed targets with some success; however, meta-analyses find small effects among older youths. A pilot study was conducted with high school students to evaluate the potential efficacy of StandUp, a three-session online program that delivers…

  11. Reflections on a Pilot Project: Removing the "Dis" from Disability

    Science.gov (United States)

    Yee, Michelle J.

    2012-01-01

    This paper explores preliminary results of a pilot study whose purpose was to document, through an oral history narrative, the personal and work experiences of a female artist and social entrepreneur who is legally blind. These experiences included the challenges that the research participant has experienced in the U.S. as a woman with an…

  12. Structured hernia training - A pilot project | Hollaar | East and Central ...

    African Journals Online (AJOL)

    Pre- and post-pilot written examinations, which included self-assessment of competency and knowledge of groin hernias and their repair, were compared using students' t-test. Both the surgical preceptor and the intern using a five-point ordinal assessment scale evaluated the sur+ performance of each intern. The scores on ...

  13. 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.

  14. Existing Whole-House Solutions Case Study: Greenbelt Homes, Inc. Pilot Retrofit Project

    Energy Technology Data Exchange (ETDEWEB)

    None

    2015-06-01

    In the fall of 2010, a multiyear pilot energy efficiency retrofit project was undertaken by Greenbelt Homes, Inc., (GHI) a 1,566 home cooperative of circa 1930 and 1940 homes in Greenbelt, Maryland. GHI established this pilot project to serve as a basis for decision making for the rollout of a community-wide upgrade program that will incorporate energy efficiency improvements to the building envelope and mechanical equipment. With the community upgrade fully funded by the cooperative through their membership without outside subsidies, this project presents a unique opportunity to evaluate and prioritize the wide range of benefits of high-performance retrofits based on member experience with and acceptance of the retrofit measures implemented during the pilot project. Addressing the complex interactions between benefits, trade-offs, construction methods, project management implications, realistic upfront costs, financing, and other considerations, serves as a case study for energy retrofit projects that include high-performance technologies based on the long-term value to the homeowner. The pilot project focused on identifying the added costs and energy-savings benefits of improvements. Phase 1—baseline evaluation for a representative set of 28 homes sited in seven buildings; Phase 2—installation of the building envelope improvements and continued monitoring of the energy consumption for the heating season; Phase 3—energy simulations supporting recommendations for HVAC and water heating upgrades.

  15. Piloted Simulation Evaluation of a Model-Predictive Automatic Recovery System to Prevent Vehicle Loss of Control on Approach

    Science.gov (United States)

    Litt, Jonathan S.; Liu, Yuan; Sowers, Thomas S.; Owen, A. Karl; Guo, Ten-Huei

    2014-01-01

    This paper describes a model-predictive automatic recovery system for aircraft on the verge of a loss-of-control situation. The system determines when it must intervene to prevent an imminent accident, resulting from a poor approach. It estimates the altitude loss that would result from a go-around maneuver at the current flight condition. If the loss is projected to violate a minimum altitude threshold, the maneuver is automatically triggered. The system deactivates to allow landing once several criteria are met. Piloted flight simulator evaluation showed the system to provide effective envelope protection during extremely unsafe landing attempts. The results demonstrate how flight and propulsion control can be integrated to recover control of the vehicle automatically and prevent a potential catastrophe.

  16. Malaria prevention knowledge, attitudes, and practices (KAP) among international flying pilots and flight attendants of a US commercial airline.

    Science.gov (United States)

    Selent, Monica; de Rochars, Valery M Beau; Stanek, Danielle; Bensyl, Diana; Martin, Barbara; Cohen, Nicole J; Kozarsky, Phyllis; Blackmore, Carina; Bell, Teal R; Marano, Nina; Arguin, Paul M

    2012-12-01

    In 2010, malaria caused approximately 216 million infections in people and 655,000 deaths. In the United States, imported malaria cases occur every year, primarily in returning travelers and immigrants from endemic countries. In 2010, five Plasmodium falciparum malaria cases occurred among crew members of one US commercial airline company (Airline A). This investigation aimed to assess the malaria prevention knowledge, attitudes, and practices (KAP) of Airline A crew members to provide information for potential interventions. The web link to a self-administered on-line survey was distributed by internal company communications to Airline A pilots and flight attendants (FA) eligible for international travel. The survey collected demographic information as well as occupation, work history, and malaria prevention education. Of approximately 7,000 nonrandomly selected crew members, 220 FA and 217 pilots completed the survey (6%). Respondents correctly identified antimalarial medication (91% FA, 95% pilots) and insect repellents (96% FA, 96% pilots) as effective preventive measures. While in malaria-intense destinations, few FA and less than half of pilots always took antimalarial medication (4% FA, 40% pilots) yet many often spent greater than 30 minutes outdoors after sundown (71% FA, 66% pilots). Less than half in both groups always used insect repellents (46% FA, 47% pilots). Many respondents were unaware of how to get antimalarial medications (52% FA, 30% pilots) and were concerned about their side effects (61% FA, 31% pilots). Overall, FA and pilots demonstrated good knowledge of malaria prevention, but many performed risky activities while practicing only some recommended malaria preventive measures. Malaria prevention education should focus on advance notification if traveling to a malaria-endemic area, how to easily obtain antimalarial medications, and the importance of practicing all recommended preventive measures. © 2012 International Society of Travel

  17. Disseminating relevant health information to underserved audiences: implications of the Digital Divide Pilot Projects*

    Science.gov (United States)

    Kreps, Gary L.

    2005-01-01

    Objective: This paper examines the influence of the digital divide on disparities in health outcomes for vulnerable populations, identifying implications for medical and public libraries. Method: The paper describes the results of the Digital Divide Pilot Projects demonstration research programs funded by the National Cancer Institute to test new strategies for disseminating relevant health information to underserved and at-risk audiences. Results: The Digital Divide Pilot Projects field-tested innovative systemic strategies for helping underserved populations access and utilize relevant health information to make informed health-related decisions about seeking appropriate health care and support, resisting avoidable and significant health risks, and promoting their own health. Implications: The paper builds on the Digital Divide Pilot Projects by identifying implications for developing health communication strategies that libraries can adopt to provide digital health information to vulnerable populations. PMID:16239960

  18. Disseminating relevant health information to underserved audiences: implications of the Digital Divide Pilot Projects.

    Science.gov (United States)

    Kreps, Gary L

    2005-10-01

    This paper examines the influence of the digital divide on disparities in health outcomes for vulnerable populations, identifying implications for medical and public libraries. The paper describes the results of the Digital Divide Pilot Projects demonstration research programs funded by the National Cancer Institute to test new strategies for disseminating relevant health information to underserved and at-risk audiences. The Digital Divide Pilot Projects field-tested innovative systemic strategies for helping underserved populations access and utilize relevant health information to make informed health-related decisions about seeking appropriate health care and support, resisting avoidable and significant health risks, and promoting their own health. The paper builds on the Digital Divide Pilot Projects by identifying implications for developing health communication strategies that libraries can adopt to provide digital health information to vulnerable populations.

  19. Dissonance-Based Prevention of Eating Disorder Risk Factors in Middle School Girls: Results from Two Pilot Trials

    Science.gov (United States)

    Rohde, Paul; Auslander, Beth A.; Shaw, Heather; Raineri, Kate M.; Gau, Jeff M.; Stice, Eric

    2014-01-01

    Objective Although several eating disorder prevention programs reduce eating disorder risk factors and symptoms for female high school and college students, few efficacious prevention programs exist for female middle school students, despite the fact that body image and eating disturbances often emerge then. Two pilot trials evaluated a new dissonance-based eating disorder prevention program for middle school girls with body image concerns. Methods Female middle school students with body dissatisfaction from two sites (Study 1: N = 81, M age = 12.1, SD = 0.9; Study 2: N = 52, M age = 12.5, SD = 0.8) were randomized to a dissonance intervention (MS Body Project) or educational brochure control; Study 2 included a 3-month follow-up. Results Intervention participants showed significant posttest reductions in only one of six variables with both Studies 1 and 2 (i.e., pressure to be thin and negative affect, respectively), though posttest effect sizes suggested medium reductions in eating disorder risk factors and symptoms (Study 1 M d = 0.40; Study 2 M d = 0.65); reductions at 3-month follow-up in Study 2 were not evident (M d = 0.19). Conclusions Results suggest that this new middle school version of the Body Project is producing medium magnitude reductions in eating disorder risk factors at posttest but that effects are showing limited persistence. Continued refinement and evaluation of this intervention appears warranted to develop more effective prevention programs for this age group. PMID:24590419

  20. School-based violence prevention strategy: a pilot evaluation

    OpenAIRE

    Thakore, Rachel V.; Apfeld, Jordan C.; Johnson, Ronald K.; Sathiyakumar, Vasanth; Jahangir, A. Alex; Sethi, Manish K.

    2015-01-01

    Abstract: Background: Violence has recently been reported among a primarily young, minority population in Nashville, Tennessee. School-based programs have been proven as effective methods of reducing violent behavior, beliefs, and actions that lead to violence among adolescents. Methods: Investigators implemented a rigorous search for an appropriate school-based violence prevention program for Metropolitan Nashville middle school students utilizing a systematic review and discussi...

  1. A critical care network pressure ulcer prevention quality improvement project.

    Science.gov (United States)

    McBride, Joanna; Richardson, Annette

    2015-03-30

    Pressure ulcer prevention is an important safety issue, often underrated and an extremely painful event harming patients. Critically ill patients are one of the highest risk groups in hospital. The impact of pressure ulcers are wide ranging, and they can result in increased critical care and the hospital length of stay, significant interference with functional recovery and rehabilitation and increase cost. This quality improvement project had four aims: (1) to establish a critical care network pressure ulcer prevention group; (2) to establish baseline pressure ulcer prevention practices; (3) to measure, compare and monitor pressure ulcers prevalence; (4) to develop network pressure ulcer prevention standards. The approach used to improve quality included strong critical care nursing leadership to develop a cross-organisational pressure ulcer prevention group and a benchmarking exercise of current practices across a well-established critical care Network in the North of England. The National Safety Thermometer tool was used to measure pressure ulcer prevalence in 23 critical care units, and best available evidence, local consensus and another Critical Care Networks' bundle of interventions were used to develop a local pressure ulcer prevention standards document. The aims of the quality improvement project were achieved. This project was driven by successful leadership and had an agreed common goal. The National Safety Thermometer tool was an innovative approach to measure and compare pressure ulcer prevalence rates at a regional level. A limitation was the exclusion of moisture lesions. The project showed excellent engagement and collaborate working in the quest to prevent pressure ulcers from many critical care nurses with the North of England Critical Care Network. A concise set of Network standards was developed for use in conjunction with local guidelines to enhance pressure ulcer prevention. © 2015 British Association of Critical Care Nurses.

  2. Developing collaborative person-centred practice: a pilot project on a palliative care unit.

    Science.gov (United States)

    Hall, Pippa; Weaver, Lynda; Gravelle, Debbie; Thibault, Hélène

    2007-02-01

    Maximizing interprofessional collaborative patient-centred practice holds promise for improving patient care and creating satisfying work roles. In Canada's evolving health care system, there are demands for increased efficiency, cost-effectiveness, and quality improvement. Interprofessional collaboration warrants re-examination because maximizing interprofessional collaboration, especially nurse-physician collaboration, holds promise for improving patient care and creating satisfying work roles. A palliative care team seized the opportunity to pilot a different approach to patient and family care when faced with a reduction in medical staff. Grounded in a collaborative patient-centred practice approach, the Canadian Hospice Palliative Care Association's National Model to Guide Hospice Palliative Care (2002), and outcomes from program retreats and workgroups, a collaborative person-centred model of care was developed for a 12-bed pilot project. Preliminary findings show that the pilot project team perceived some specific benefits in continuity of care and interprofessional collaboration, while the presence of the physician was reduced to an average of 3.82 hours on the pilot wing, compared with 8 hours on the non-pilot wings. This pilot study suggests that a person-centred model, when focused on the physician-nurse dyad, may offer improved efficiency, job satisfaction and continuity of care on a palliative care unit. Incorporating all team members and developing strategies to successfully expand the model across the whole unit are the next challenges. Further research into the impact of these changes on the health care professionals, management and patients and families is essential.

  3. Violence prevention in middle schools: a pilot evaluation.

    Science.gov (United States)

    Orpinas, P; Parcel, G S; McAlister, A; Frankowski, R

    1995-12-01

    To evaluate the effect of a violence prevention curriculum and of trained peer leaders on self-reported aggressive behaviors, knowledge about violence and conflict-resolution skills, self-efficacy, and attitudes among 223 6th graders. The effect of two intervention groups (violence prevention curriculum taught by the teacher with or without the assistance of trained peer leaders) and one control group were compared. Ten 6th grade classes (four control and six intervention classes) of four middle schools participated in the study. Students were evaluated before and shortly after the implementation of the curriculum, as well as 3 months later. The intervention reduced self-reported aggressive behaviors among boys, but this reduction was significant only in two of the six intervention classes. Both interventions had an overall significant effect on increasing knowledge about violence and skills to reduce violence. After the intervention, students also developed a more negative attitude toward responding violently when provoked. Attitude change was stronger among students from the teacher plus peer leader group. No intervention effect was observed on self-efficacy nor on attitudes toward skills to reduce violence. Changes were not maintained over time. Results emphasize the need for continuous and comprehensive interventions, follow-up evaluations, and careful selection of peer leaders. Aggressive behaviors, not knowledge alone, should be used as the main dependent variable.

  4. Practitioners' forum: public health and the primary prevention of adolescent violence--the violence prevention project.

    Science.gov (United States)

    Spivak, H; Hausman, A J; Prothrow-Stith, D

    1989-01-01

    The Violence Prevention Project is a community-based outreach and education project directed toward reducing the negative social and medical outcomes of violence among adolescents. Community agency personnel are trained to work with youth on issues of anger and conflict resolution. A mass media campaign advertises the issue to the broader population. Interventions, such as the Violence Prevention Project, can use the public health strategies to increase awareness of the problem and associated risk factors, provide alternative conflict resolution techniques, and generate a new community ethos around violence. This approach holds great promise in an area in which after-the-fact legislative and punitive interventions have not worked.

  5. Evaluation of bridge decks using non-destructive evaluation (NDE) at near highway speeds for effective asset management - pilot project.

    Science.gov (United States)

    2016-09-29

    This project piloted the findings from an initial research and development project pertaining to the detection, : quantification, and visualization of bridge deck distresses through the use of remote sensing techniques, specifically : combining optic...

  6. 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.

  7. Evaluation of the pilot procurement project in Germany

    International Nuclear Information System (INIS)

    Ostertag, Katrin

    2003-01-01

    Energy+ represents a European cooperative procurement initiative which aims at increasing the market share of highly energy-efficient cold appliances. Three years after its start, the project was recently evaluated in Germany. This paper discusses the main evaluation results and their implications for the project's further development. It covers the impacts of Energy+ on technology development and the commercial importance of the targeted appliances. Due to the project's relatively recent start, however, the main focus of the evaluation lies on the procurement process and practical implementation elements. Of particular interest are the specificities of the considered market segment which, in Germany and also in other participating countries, is characterised by highly dispersed consumers and the lack of large institutional buyers as candidates for a buyer group. The project therefore developed a new approach emphasising the role of retail organisations and of marketing activities by the project coordinators. The evaluation discusses several challenges related to this approach. This includes issues concerning the interfaces between international producers, their national branch offices and retailers as well as conflicts between the marketing approaches of producers and retailers, in particular with respect to the use of brand names and trade marks. Further, in Energy+ the communication between users and producers, an essential innovative element of cooperative procurement, cannot take its usual role, since consumers are not directly involved in the process. The paper shows how the project has dealt with these challenges and provides recommendations for the future project design

  8. The Hel Peninsula – Smart Grid Pilot Project

    Directory of Open Access Journals (Sweden)

    Sławomir Noske

    2014-12-01

    Full Text Available The paper presents the scope and results of engineering, and the scope of Smart Grid deployment in the Hel Peninsula. The following functionalities will be described: Fault Detection, Isolation & Recovery – FDIR function, Integrated Volt/Var Control (IVVC function, advanced supervision of LV grid, including distributed energy resources. The paper contains implementation results and research findings, as well as preliminary cost-benefit analysis of the project. Moreover, since Smart Metering and Smart Grid projects are being deployed in the same region – the Hel Peninisula – the benefit achieved by merging the two projects will be explained.

  9. The World Center for Computing's Pilot Videodisc Project for French Language Instruction.

    Science.gov (United States)

    Eastmond, J. Nicholls, Jr.; Mosenthal, Richard

    1985-01-01

    Describes a pilot videodisc project for French language instruction. Unique features include (1) learner control of instruction by a mouse or touch-sensitive screen, (2) extensive cultural interaction, and (3) an elaborate lexicon of word meanings portrayed visually for selected key words. (Author/SED)

  10. Monitoring pilot projects on bored tunnelling : The Second Heinenoord Tunnel and the Botlek Rail Tunnel

    NARCIS (Netherlands)

    Bakker, K.J.; De Boer, F.; Admiraal, J.B.M.; Van Jaarsveld, E.P.

    1999-01-01

    Two pilot projects for bored tunnelling in soft soil have been undertaken in the Netherlands. The monitoring was commissioned under the authority of the Centre for Underground Construction (COB). A description of the research related to the Second Heinenoord Tunnel and the Botlek Rail Tunnel will be

  11. Using Study Plans to Develop Self-Directed Learning Skills: Implications from a Pilot Project

    Science.gov (United States)

    Du, Fengning

    2012-01-01

    Self-directed learning has been lauded as a powerful learner-centered approach to involve students in every aspect of their learning. This article depicts a pilot project utilizing study plan as a vehicle to promote self-directed learning in an intensive and teacher-dominant college language program. This article seeks to identify both the…

  12. 78 FR 70954 - Transport Format for the Submission of Regulatory Study Data; Notice of Pilot Project

    Science.gov (United States)

    2013-11-27

    ...] Transport Format for the Submission of Regulatory Study Data; Notice of Pilot Project AGENCY: Food and Drug... Data Standards (SDS) Extensible Markup Language (XML) transport format for the submission of regulatory study data. The current study data transport format supported by FDA is the SAS Transport (XPORT...

  13. Human Development across the Lifespan. A Pilot Intergenerational Project in Three Pennsylvania School Districts. Final Evaluation.

    Science.gov (United States)

    Ward, Christopher R.; Balavage, Valerie

    An evaluation determined the impact on participants of pilot intergenerational programs in the Central Greene, Quaker Valley, and Titusville school districts in western Pennsylvania. It examined how participation in project activities changed students' attitudes about older adults and aging. A four-part questionnaire consisted of the following:…

  14. Optimization of the cumulative risk assessment of pesticides and biocides using computational techniques: Pilot project

    DEFF Research Database (Denmark)

    Jonsdottir, Svava Osk; Reffstrup, Trine Klein; Petersen, Annette

    This pilot project is intended as the first step in developing a computational strategy to assist in refining methods for higher tier cumulative and aggregate risk assessment of exposure to mixture of pesticides and biocides. For this purpose, physiologically based toxicokinetic (PBTK) models were...

  15. Insights from stakeholders of five residential smart grid pilot projects in the Netherlands

    NARCIS (Netherlands)

    Obinna, U.; Joore, P.; Wauben, L.; Reinders, Angelina H.M.E.

    2016-01-01

    This paper presents insights and perceptions of stakeholders involved in the development and implementation of residential smart grid pilot projects in the Netherlands, adding to the limited information that is currently available in this area, while expectations about the potential benefits of

  16. Transitioning the GED[R] Mathematics Test to Computer with and without Accommodations: A Pilot Project

    Science.gov (United States)

    Patterson, Margaret Becker; Higgins, Jennifer; Bozman, Martha; Katz, Michael

    2011-01-01

    We conducted a pilot study to see how the GED Mathematics Test could be administered on computer with embedded accessibility tools. We examined test scores and test-taker experience. Nineteen GED test centers across five states and 216 randomly assigned GED Tests candidates participated in the project. GED candidates completed two GED mathematics…

  17. An Audit Learning Experience: A Pilot Project through Cooperation with a Third Sector Organization

    Science.gov (United States)

    Tonge, Richard; Willett, Caroline

    2012-01-01

    This paper is a critical evaluation of a pilot cooperative education project conducted with a charitable organization in the UK. An action research approach was adopted. Final level students who are studying auditing have had the opportunity to apply the knowledge and skills they are developing through their studies to a real-life situation in the…

  18. Pilot project SPINOZA - branch-integrated metering; Pilotprojekt SPINOZA - spartenintegrierte Zaehlerauslesung

    Energy Technology Data Exchange (ETDEWEB)

    Wenz, Werner [Stadtwerke Karlsruhe Netze GmbH, Karlsruhe (Germany); Ruoff, Erwin [Stadtwerke Karlsruhe GmbH, Karlsruhe (Germany)

    2009-02-15

    Public utilities Karlsruhe GmbH has started in August 2008 the Smart Meter Pilot project SPINOZA (field integrated on-line metering). The aim is to collect experiences for the utilization of advanced technologies, which are required up to 2010 at least for power and gas supply. (orig./GL)

  19. 129,000 pound pilot project : report to the 62nd Idaho State Legislature.

    Science.gov (United States)

    2013-01-01

    In 2003, the Idaho Legislature passed House Bill 395, which created a pilot project to test the effect of : increasing the legal truck weights on State Highways. Trucks configured to increase gross vehicle weight : (GVW) from 105,500 pounds to 129,00...

  20. A methodology for assessment of road structures for the PBS pilot project in South Africa

    CSIR Research Space (South Africa)

    Nordengen, Paul A

    2016-11-01

    Full Text Available This paper describes the methodology that is being used for the performance assessment of PBS vehicles in terms of road structures as part of the PBS pilot project in South Africa. The assessment approach has evolved from the standard “bridge...

  1. 76 FR 63988 - Pilot Project on NAFTA Trucking Provisions; Pre-Authorization Safety Audits

    Science.gov (United States)

    2011-10-14

    ...-0097] Pilot Project on NAFTA Trucking Provisions; Pre-Authorization Safety Audits AGENCY: Federal Motor... demonstrate the ability of Mexico- domiciled motor carriers to operate safely in the United States beyond the commercial zones on the United States-Mexico border. This action is required by the ``U.S. Troop Readiness...

  2. Pediatric Primary Care-Based Obesity Prevention for Parents of Preschool Children: A Pilot Study.

    Science.gov (United States)

    Sherwood, Nancy E; JaKa, Meghan M; Crain, A Lauren; Martinson, Brian C; Hayes, Marcia G; Anderson, Julie D

    2015-12-01

    The Healthy Homes/Healthy Kids Preschool (HHHK-Preschool) pilot program is an obesity prevention intervention integrating pediatric care provider counseling and a phone-based program to prevent unhealthy weight gain among 2- to 4-year-old children at risk for obesity (BMI percentile between the 50th and 85th percentile and at least one overweight parent) or currently overweight (85th percentile ≤ BMI pediatric primary care clinics were randomized to: (1) the Busy Bodies/Better Bites Obesity Prevention Arm or the (2) Healthy Tots/Safe Spots safety/injury prevention Contact Control Arm. Baseline and 6-month data were collected, including measured height and weight, accelerometry, previous day dietary recalls, and parent surveys. Intervention process data (e.g., call completion) were also collected. High intervention completion and satisfaction rates were observed. Although a statistically significant time by treatment interaction was not observed for BMI percentile or BMI z-score, post-hoc examination of baseline weight status as a moderator of treatment outcome showed that the Busy Bodies/Better Bites obesity prevention intervention appeared to be effective among children who were in the overweight category at baseline relative to those who were categorized as at risk for obesity (p = 0.04). HHHK-Preschool pilot study results support the feasibility, acceptability, and potential efficacy in already overweight children of a pediatric primary care-based obesity prevention intervention integrating brief provider counseling and parent-targeted phone coaching. What's New: Implementing pediatric primary care-based obesity interventions is challenging. Previous interventions have primarily involved in-person sessions, a barrier to sustained parent involvement. HHHK-preschool pilot study results suggest that integrating brief provider counseling and parent-targeted phone coaching is a promising approach.

  3. Pilot-onderzoek voor het PIENTER-project: vragenlijstevaluatie (evaluatierapportage deel III)

    OpenAIRE

    Melker HE de; Suijkerbuijk AWM, Heisterkamp SH; Conyn-van Spaendonck MAE; CIE

    1995-01-01

    INTRODUCTION In 1994 a pilot-study of the so-called PIENTER-project was carried out. The aim of this project is to establish a serum bank of a representative sample of the Dutch population. The serum bank will be used to estimate age-specific immunity of the general population against childhood diseases of the Netherlands Immunisation Programme, the incidence of infectious diseases with a frequent subclinical course and the prevalence of serum-derterminants of other illnesses. The questionnai...

  4. Pilot project of working with people experiencing homelessness – »Invisible Lublana«

    OpenAIRE

    Podobnik, Milka

    2016-01-01

    The thesis focus on city tours pilot project called »Invisible Lublana«. Tours are guided by people who have experienced homelessness. The project is co-created by students of Social Pedagogy, professors, visitors of the guided tours and by the employees of association Kings of the Streets. The thesis are based on theoretical assumptions about uncertainty in socialpedagogical work and how to deal with it; about fear of homeless in relation with physical avoidance; the idea of personal cit...

  5. Energy Efficiency Performance in Refurbishment Projects with Design Team Attributes As A Mediator: A Pilot Study

    Science.gov (United States)

    Sekak, Siti Nor Azniza Ahmad; Rahmat Dr, Ismail, Prof.; Yunus, Julitta; Saád, Sri Rahayu Mohd; Hanafi Azman Ong, Mohd

    2017-12-01

    The Energy Efficiency (EE) plays an important role over the building life cycle and the implementation of EE in refurbishment projects has a significant potential towards the reduction of greenhouse gas emissions. However, the involvement of the design team at the early stage of the refurbishment projects will determine the success of EE implementations. Thus, a pilot study was conducted at the initial stage of the data collection process of this research to validate and verify the questionnaires.

  6. Technology Education in South Africa: Evaluating an Innovative Pilot Project

    Science.gov (United States)

    Stables, Kay; Kimbell, Richard

    2001-02-01

    Researchers from Goldsmiths College were asked to undertake an evaluation of a three year curriculum initiative introducing technology education, through a learner-centred, problem solving and collaborative approach. The program was developed in a group of high schools in the North West Province of South Africa. We visited ten schools involved in the project and ten parallel schools not involved who acted as a control group. We collected data on student capability (demonstrated through an innovative test activity) and on student attitudes towards technology (demonstrated in evaluation questionnaires and in semi-structured interviews). Collectively the data indicate that in areas of knowledge and skill and in certain aspects of procedures (most notably problem solving) the project has had a marked impact. We also illustrate that greater consideration could have been given in the project to developing skills in generating and developing ideas and in graphic communication. Gender differences are noted, particularly in terms of positive attitudes illustrated by both boys and girls from schools involved in the project. Attention is drawn to the critical impact the project has had on transforming the pedagogy of the teachers from a teacher-centred didactic model, to a learner-centred, problem solving model. Some wider implications of the successes of this project are debated.

  7. Development of clinical pharmacy in Belgian hospitals through pilot projects funded by the government.

    Science.gov (United States)

    Somers, A; Spinewine, A; Spriet, I; Steurbaut, S; Tulkens, P; Hecq, J D; Willems, L; Robays, H; Dhoore, M; Yaras, H; Vanden Bremt, I; Haelterman, M

    2018-04-30

    Objectives The goal is to develop clinical pharmacy in the Belgian hospitals to improve drug efficacy and to reduce drug-related problems. Methods From 2007 to 2014, financial support was provided by the Belgian federal government for the development of clinical pharmacy in Belgian hospitals. This project was guided by a national Advisory Working Group. Each funded hospital was obliged to describe yearly its clinical pharmacy activities. Results In 2007, 20 pharmacists were funded in 28 pilot hospitals; this number was doubled in 2009 to 40 pharmacists over 54 institutions, representing more than half of all acute Belgian hospitals. Most projects (72%) considered patient-related activities, whereas some projects (28%) had a hospital-wide approach. The projects targeted patients at admission (30%), during hospital stay (52%) or at discharge (18%). During hospital stay, actions were mainly focused on geriatric patients (20%), surgical patients (15%), and oncology patients (9%). Experiences, methods, and tools were shared during meetings and workshops. Structure, process, and outcome indicators were reported and strengths, weaknesses, opportunities, and threats were described. The yearly reports revealed that the hospital board was engaged in the project in 87% of the cases, and developed a vision on clinical pharmacy in 75% of the hospitals. In 2014, the pilot phase was replaced by structural financing for clinical pharmacy in all acute Belgian hospitals. Conclusion The pilot projects in clinical pharmacy funded by the federal government provided a unique opportunity to launch clinical pharmacy activities on a broad scale in Belgium. The results of the pilot projects showed clear implementation through case reports, time registrations, and indicators. Tools for clinical pharmacy activities were developed to overcome identified barriers. The engagement of hospital boards and the results of clinical pharmacy activities persuaded the government to start structural

  8. 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

    2016-01-01

    Abstract 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. PMID:27015195

  9. 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.

  10. A pilot project to improve access to telepsychotherapy at rural clinics.

    Science.gov (United States)

    Adler, Geri; Pritchett, Lonique R; Kauth, Michael R; Nadorff, Danielle

    2014-01-01

    The U.S. Department of Veterans Affairs (VA) has pioneered telemental health (TMH) with over 500,000 TMH encounters over the past decade. VA community-based outpatient clinics were established to improve accessibility of mental healthcare for rural Veterans. Despite these clinics clinics and increased availability of TMH, many rural Veterans have difficulty receiving mental healthcare, particularly psychotherapy. Twelve therapists participated in a pilot project using TMH technologies to improve mental healthcare service delivery to rural Veterans treated at six community clinics. Therapists completed online training, and study staff communicated with them monthly and clinical leaders every other month. Therapists completed two questionnaires: before training and 10 months later. This article describes barriers and facilitators to the implementation of the project, as well as therapists' knowledge, confidence, and motivation regarding TMH. Two clinicians were offering telepsychotherapy after 10 months. At all six sites, unanticipated organizational constraints and administrative barriers delayed implementation; establishing organizational practices and therapists' motivation helped facilitate the process. Adopters of the project reported more positive views of the modality and did not worry about staffing, a concern of nonadopters. Despite barriers to implementation, lessons learned from this pilot project have led to improvements and changes in TMH processes. Results from the pilot showed that therapists providing telepsychotherapy had increased confidence, knowledge, and motivation. As TMH continues to expand, formalized decision-making with clinical leaders regarding project goals, better matching of therapists with this modality, and assessment of medical center and clinic readiness are recommended.

  11. Implementing an evidence-based Tai Ji Quan program in a multicultural setting: A pilot dissemination project

    Directory of Open Access Journals (Sweden)

    David Fink

    2014-03-01

    Full Text Available Falls in older adults are a significant public health issue and a particularly significant health risk in Minnesota. With accumulating research evidence suggesting that falls can be prevented through exercise, there is an increased public health effort among organizations serving older adults to translate and disseminate evidence-based programs into the community. Such efforts, however, face additional challenges if they are implemented in communities with older adults from different cultural backgrounds and languages. This paper briefly describes a pilot community-based dissemination project, including the initiation, implementation, process, and outcomes, of an evidence-based fall prevention (Tai Ji Quan: Moving for Better Balance formerly known as Tai Chi: Moving for Better Balance through a local Area Agency on Aging in the Minneapolis/St. Paul metropolitan area in Minnesota (USA. Overall, the program was successfully implemented resulting in adoption by local community organizations serving Asian and, to a lesser degree, East African non-English speaking older adults. Bilingual community instructors were trained to lead the classes resulting in broad participation and improved physical performance by the older adults targeted for the intervention. The results from this pilot study indicate that Tai Ji Quan: Moving for Better Balance can be implemented with positive results in non-English speaking community settings using bilingual leaders.

  12. [Exercise-referral to a specialist in adapted physical activity (APA) : a pilot project].

    Science.gov (United States)

    Brugnerotto, Adeline; Cardinaux, Regula; Ueltschi, Yan; Bauwens, Marine; Nanchen, David; Cornuz, Jacques; Bize, Raphaël; Auer, Reto

    2016-11-02

    Family physicians have a key role in the promotion of physical activity, in particular in identifying and counseling persons who have a sedentary lifestyle. Some patients could benefit from intensive individual counseling. Physicians are often not aware of all physical activity promotion activities in the community that they could recommend their patients. In a pilot study, we have tested and adapted the referral of patients from family physicians to specialists in adapted physical activity (APAs). APAs are trained to assess and guide persons towards physical activities adapted to their needs and pathologies and thus towards an increase in physical activity. Pilot data suggest that, while few patients were oriented to the APAs in the pilot project, family physicians appreciate the possibility of collaborating with the APAs.

  13. SRC-GAZEL: a full-scale pilot project

    International Nuclear Information System (INIS)

    Schenkel, Y.; Grulois, C.; Martin, J.; Bourgois, F.; Jossart, J.-M.; Meekers, E.

    1997-01-01

    In the context of the European agricultural crisis and of set-aside land, the biomass cultivation alternative for energy generation increasingly interests the agricultural world. The Short Rotation Coppice-GAZEL project studies the feasibility of generating electricity by the gasification of short rotation coppice of willows or poplars. It perfectly fits in the Belgian general energy plan: one purpose of this plan is to set up small electric generation units feeding directly the low-voltage grid in order to bring a flexible component to the massive production of nuclear power plants. The project consists of three major parts: production of short rotation coppice (SRC); mechanisation of the culture of SRC and conditioning of the wood products for gasification; and gasification and electricity production. In addition, socio-economic and environmental impacts will be analysed in detail. In this paper, we focus on the choices that have to be made regarding SRC harvesting and fuel conditioning. (author)

  14. QR Codes in the Library: Are They Worth the Effort? Analysis of a QR Code Pilot Project

    OpenAIRE

    Wilson, Andrew M.

    2012-01-01

    The literature is filled with potential uses for Quick Response (QR) codes in the library. Setting, but few library QR code projects have publicized usage statistics. A pilot project carried out in the Eda Kuhn Loeb Music Library of the Harvard College Library sought to determine whether library patrons actually understand and use QR codes. Results and analysis of the pilot project are provided, attempting to answer the question as to whether QR codes are worth the effort for libraries.

  15. Testing and Commissioning of Lillgrund Wind Farm. Lillgrund Pilot Project

    Energy Technology Data Exchange (ETDEWEB)

    Larsen, Poul Erik; Larsson, Aake; Jeppsson, Joakim; Toernkvist, Mattias (ed.) (Vattenfall Vindkraft AB, Stockholm (Sweden))

    2009-04-15

    This report gives an overview of the tests carried out in the Lillgrund project. The report covers factory tests, site tests and the performance tests, which can be carried out during the defects liability period. The report describes tests relevant for the wind turbine generators, the electrical system and the foundations. On the whole, the Lillgrund test results have been satisfactory. One of the more problematic issues experienced were when the foundation interface verification showed that the bolts were not meeting the height requirements. Since this shortcoming was detected relatively early in the project life, it was possible to correct the misalignment and keep the additional costs to a minimum. From a management point of view, this highlighted the importance of clear and unambiguous interface specifications and to make sure that the project has a proper interface management function. According to the Contract, Vattenfall has the right to verify a number of performance parameters during the 5-year defect liability period. The performance tests include availability, power curve, electrical system losses and acoustic noise levels. The contract specifies the test criteria, the test methods and procedures and the penalty if the tests result in undesirable levels. In some cases, there is a financial incentive for the supplier if the tests show that the wind farm is performing better than stipulated in the contract. Lillgrund has performed very well thus far and Vattenfall has determined that the contractual performance requirements are being met. Vattenfall has, therefore, not requested to carry out any of these elective Performance Tests

  16. Design and implementation of a field pilot study on using coal fly ash to prevent oxidation of reactive mine tailings

    Energy Technology Data Exchange (ETDEWEB)

    Wang, H.L.; Shang, J.Q.; Xu, Y.Q.; Yanful, E.K. [Western Ontario Univ., London, ON (Canada). Dept. of Civil and Environmental Engineering; Hmidi, N. [Goldcorp Inc., Musselwhite Mine, Thunder Bay, ON (Canada)

    2009-07-01

    This paper reported on a pilot scale study that investigated the feasibility of using coal fly ash in mine tailings management and acid mine drainage (AMD) treatment at Goldcorp's Musselwhite Mine site in northern Ontario. The principles and key aspects of the fly ash application in mine tailings management were described. Fly ash from the Atikokan coal-fired power generating plant was added to the Musselwhite tailings as a mixture as well as intermediate and top layers. The physical, chemical and hydrogeological effects of the two approaches were monitored. The paper provided details of the design, implementation, monitoring, sampling and testing over 2 years. The objectives were to evaluate the optimum mass ratio of coal fly ash and mine tailings, effectiveness in reducing the infiltration of precipitation, and projected long-term durability and performance on tailings oxidation prevention. The pilot study was designed based on the principles of cementitious materials formation and secondary mineral formation by the reactions of coal fly ash and water/AMD. Calcium oxide, aluminum oxide, silicon oxide, and ferric oxide are major components of coal fly ash. The preliminary test results revealed that water did not accumulate and cracks did not form on top of 4 tanks. The settlements of the mixing approaches were lower than that of the stratified approach and the temperature distributions in the 4 tanks were comparable. 9 refs., 3 tabs., 11 figs.

  17. Design and implementation of a field pilot study on using coal fly ash to prevent oxidation of reactive mine tailings

    International Nuclear Information System (INIS)

    Wang, H.L.; Shang, J.Q.; Xu, Y.Q.; Yanful, E.K.

    2009-01-01

    This paper reported on a pilot scale study that investigated the feasibility of using coal fly ash in mine tailings management and acid mine drainage (AMD) treatment at Goldcorp's Musselwhite Mine site in northern Ontario. The principles and key aspects of the fly ash application in mine tailings management were described. Fly ash from the Atikokan coal-fired power generating plant was added to the Musselwhite tailings as a mixture as well as intermediate and top layers. The physical, chemical and hydrogeological effects of the two approaches were monitored. The paper provided details of the design, implementation, monitoring, sampling and testing over 2 years. The objectives were to evaluate the optimum mass ratio of coal fly ash and mine tailings, effectiveness in reducing the infiltration of precipitation, and projected long-term durability and performance on tailings oxidation prevention. The pilot study was designed based on the principles of cementitious materials formation and secondary mineral formation by the reactions of coal fly ash and water/AMD. Calcium oxide, aluminum oxide, silicon oxide, and ferric oxide are major components of coal fly ash. The preliminary test results revealed that water did not accumulate and cracks did not form on top of 4 tanks. The settlements of the mixing approaches were lower than that of the stratified approach and the temperature distributions in the 4 tanks were comparable. 9 refs., 3 tabs., 11 figs.

  18. Sweet Sorghum Alternative Fuel and Feed Pilot Project

    Energy Technology Data Exchange (ETDEWEB)

    Slack, Donald C. [Univ. of Arizona, Tucson, AZ (United States). Agricultural and Biosystems Engineering Dept.; Kaltenbach, C. Colin [Univ. of Arizona, Tucson, AZ (United States)

    2013-07-30

    The University of Arizona undertook a “pilot” project to grow sweet sorghum on a field scale (rather than a plot scale), produce juice from the sweet sorghum, deliver the juice to a bio-refinery and process it to fuel-grade ethanol. We also evaluated the bagasse for suitability as a livestock feed and as a fuel. In addition to these objectives we evaluated methods of juice preservation, ligno-cellulosic conversion of the bagasse to fermentable sugars and alternative methods of juice extraction.

  19. Venus project : experimentation at ENEA`s pilot site

    Energy Technology Data Exchange (ETDEWEB)

    Bargellini, M.L.; Fontana, F. [ENEA, Centro Ricerche Casaccia, Rome (Italy). Dip. Innovazione; Bucci, C.; Ferrara, F.; Sottile, P.A. [GESI s.r.l., Rome (Italy); Niccolai, L.; Scavino, G. [Rome Univ. Sacro Cuore (Italy); Mancini, R.; Levialdi, S. [Rome Univ. La Sapienza (Italy). Dip. di Scienze dell`Informazione

    1996-12-01

    The document describes the ENEA`s (Italian Agency for New Technologies, Energy and the Environment) experience in the Venus Project (Esprit III ). Venus is an advanced visual interface based on icon representation that permits to end-user to inquiry databases. VENUS interfaces to ENEA`s databases: cometa materials Module, Cometa Laboratories Module and European Programs. This report contents the results of the experimentation and of the validation carried out in ENEA`s related to the Venus generations. Moreover, the description of the architecture, the user requirements syntesis and the validation methodology of the VENUS systems have been included.

  20. Nurses' knowledge of pressure ulcer prevention in ogun state, Nigeria: results of a pilot survey .

    Science.gov (United States)

    Ilesanmi, Rose Ekama; Ofi, Bola Abosede; Adejumo, Prisca Olabisi

    2012-02-01

     Pressure ulcer (PU) development remains a significant complication among at-risk patients. Optimal prevention strategies start with knowledge about current evidence-based prevention interventions. A pilot study was conducted to describe nurses' level of knowledge of PU preventive interventions and to test the reliability of the Pressure Ulcer Knowledge Test (PUKT) among Nigerian nurses. One hundred, eleven (111) nurses were purposively selected from specific wards of a state teaching hospital in South West Nigeria. While 106 nurses (95.5%) correctly identified patients at risk for PU development, 78 participants (70.3%) had low (prevention intervention knowledge scores. No significant differences in PU prevention intervention knowledge scores were observed between nurses with different educational backgrounds (P = 0.317) or years of working experience (P >0.005). The Cronbach's alpha coefficient for reliability was 0.861. The results of this study confirm that many PU prevention interventions in Nigeria are based on tradition and that a structured educational approach is needed to enable Nigerian nurses to provide evidence-based PU prevention interventions.

  1. Effects of a brief pilot sexual harassment prevention workshop on employees' knowledge.

    Science.gov (United States)

    Campbell, Cody; Kramer, Alaina; Woolman, Kendra; Staecker, Emma; Visker, Joseph; Cox, Carol

    2013-10-01

    Administrators from three workplaces were interested in conducting evidence-based sexual harassment prevention training for their employees, but they could devote little time during the workday to the training. A pilot program to evaluate the use of a 1-hour workshop that followed best practice recommendations and adult learning principles using job-related scenarios was designed. Participants' overall sexual harassment prevention knowledge scores significantly increased from before to after the workshop and were significantly higher after the workshop than those of a control group. The majority of participants also perceived that their workplaces were committed to employees understanding the sexual harassment policy, and that the workplace would seriously investigate claims and take corrective action. Even a brief workshop covering essential content using adult learning principles can be effective in sexual harassment prevention knowledge acquisition. Copyright 2013, SLACK Incorporated.

  2. Results of a NASA Kennedy Space Center Earned Value Management Pilot Project

    Science.gov (United States)

    Delgado, Hector N.; Rhodeside, Glenn R.

    2004-01-01

    The Earn Value Management Pilot provided a tremendous amount of data on the strengths and weaknesses of the new financial system, the ability to support EVM from many viewpoints, the lack of tools for small to medium projects implementing EVM, and the training and environment necessary to successfully deploy EVM to all projects. This data along with other pilots will prove invaluable. Deploying EVM should not be taken lightly - a full assessment of capabilities and supporting infrastructure should be done prior to any deployment, and some very basic questions should be asked. For instance, will sufficient training be provided? Can the project managers readily and easily obtain all the necessary data? If EVM is to thrive in all projects regardless of cost, the transition should be as seamless as possible, minimizing cost and effort, and with the end user in mind. In setting up an EVM implementation, the question, "How does the project manager benefit from this process?" must remain at the forefront. Further research in this area is needed to answer the question,"Is EVM cost effective in small projects?" The authors welcome knowledge sharing with other organizations that are striving to gain the benefits of EVM on small projects.

  3. Pilot project "The zoo goes to school", enriching the classroom

    Directory of Open Access Journals (Sweden)

    Michel Mendes

    2014-12-01

    Full Text Available Environmental education does not only occur in formal institutions, and yes has been widely disseminated among non formal spaces of education, which complements its ecological and social nature. Zoos are the institutions that play an important role in environmental education, raising awareness and preparing citizens to act in the critically and ethical society, committed to the environment. The objective of this study was to evaluate the environmental perception of students in 7th grade of elementary school in Municipal Elementary School Jardelino Ramos, in partnership with the Zoo, University of Caxias do Sul. Twenty-four questionnaires were applied in order to diagnose the environmental perception of students through four questions regarding activities at the zoo. After it was contextualized and discussed on the topics: zoos and their history, function, animals and their enclosures, technical education and environmental enrichment. To complement the enrichment technique discussed in class, the students sewed materials that were later added to the precincts of animals chosen for themselves. A week after the project is completed was held again the questionnaire to verify the results obtained from the project. These were analyzed, discussed and compared through graphs, which show that the objectives were achieved and the didactics used was efficient, as described in the article.

  4. Inositol for the prevention of neural tube defects: a pilot randomised controlled trial.

    Science.gov (United States)

    Greene, Nicholas D E; Leung, Kit-Yi; Gay, Victoria; Burren, Katie; Mills, Kevin; Chitty, Lyn S; Copp, Andrew J

    2016-03-28

    Although peri-conceptional folic acid (FA) supplementation can prevent a proportion of neural tube defects (NTD), there is increasing evidence that many NTD are FA non-responsive. The vitamin-like molecule inositol may offer a novel approach to preventing FA-non-responsive NTD. Inositol prevented NTD in a genetic mouse model, and was well tolerated by women in a small study of NTD recurrence. In the present study, we report the Prevention of Neural Tube Defects by Inositol (PONTI) pilot study designed to gain further experience of inositol usage in human pregnancy as a preliminary trial to a future large-scale controlled trial to evaluate efficacy of inositol in NTD prevention. Study subjects were UK women with a previous NTD pregnancy who planned to become pregnant again. Of 117 women who made contact, ninety-nine proved eligible and forty-seven agreed to be randomised (double-blind) to peri-conceptional supplementation with inositol plus FA or placebo plus FA. In total, thirty-three randomised pregnancies produced one NTD recurrence in the placebo plus FA group (n 19) and no recurrences in the inositol plus FA group (n 14). Of fifty-two women who declined randomisation, the peri-conceptional supplementation regimen and outcomes of twenty-two further pregnancies were documented. Two NTD recurred, both in women who took only FA in their next pregnancy. No adverse pregnancy events were associated with inositol supplementation. The findings of the PONTI pilot study encourage a large-scale controlled trial of inositol for NTD prevention, but indicate the need for a careful study design in view of the unwillingness of many high-risk women to be randomised.

  5. Lessons From a Pilot Community-Driven Approach for Obesity Prevention.

    Science.gov (United States)

    Hilgendorf, Amy; Stedman, John; Inzeo, Paula Tran; McCall, Ann; Burrows, Judy; Krueger, Scott; Christens, Brian; Pollard, Ethen; Meinen, Amy; Korth, Amy; Wolf, Lesley; Adams, Alexandra

    2016-11-01

    The Wisconsin Obesity Prevention Initiative has piloted a novel approach for community action for obesity prevention that incorporates both coalition and community organizing efforts in 2 counties. This article describes lessons learned to date from this experience. A description of the progress made in these communities and the support provided by Initiative staff and other partners are drawn from process evaluation of the pilot from November 2014 through December 2015, as well as the reflections of community partners. In Marathon County, building towards coalition action required thoughtful re-engagement and restructuring of an existing obesity-focused coalition. Community organizing surfaced local concerns related to the root causes of obesity, including poverty and transit. In Menominee County, coalition and community organizing efforts both have drawn attention to cultural assets for health promotion, such as traditional food practices, as well as the links between cultural loss and obesity. Building coalition action and community organizing varies across community contexts and requires addressing various steps and challenges. Both approaches require critical local examination of existing community action and stakeholders, attention to relationship building, and support from outside partners. In coalition action, backbone staff provide important infrastructure, including member recruitment and facilitating group processes towards collaboration. Community organizing involves broad resident engagement to identify shared interests and concerns and build new leadership. A community-driven systems change model offers potential to increase community action for obesity prevention.

  6. Live Storybook Outcomes of Pilot Multidisciplinary Elementary Earth Science Collaborative Project

    Science.gov (United States)

    Soeffing, C.; Pierson, R.

    2017-12-01

    Live Storybook Outcomes of pilot multidisciplinary elementary earth science collaborative project Anchoring phenomena leading to student led investigations are key to applying the NGSS standards in the classroom. This project employs the GLOBE elementary storybook, Discoveries at Willow Creek, as an inspiration and operational framework for a collaborative pilot project engaging 4th grade students in asking questions, collecting relevant data, and using analytical tools to document and understand natural phenomena. The Institute of Global Environmental Strategies (IGES), a GLOBE Partner, the Outdoor Campus, an informal educational outdoor learning facility managed by South Dakota Game, Fish and Parks, University of Sioux Falls, and All City Elementary, Sioux Falls are collaborating partners in this project. The Discoveries at Willow Creek storyline introduces young students to the scientific process, and models how they can apply science and engineering practices (SEPs) to discover and understand the Earth system in which they live. One innovation associated with this project is the formal engagement of elementary students in a global citizen science program (for all ages), GLOBE Observer, and engaging them in data collection using GLOBE Observer's Cloud and Mosquito Habitat Mapper apps. As modeled by the fictional students from Willow Creek, the 4th grade students will identify their 3 study sites at the Outdoor Campus, keep a journal, and record observations. The students will repeat their investigations at the Outdoor Campus to document and track change over time. Students will be introduced to "big data" in a manageable way, as they see their observations populate GLOBE's map-based data visualization and . Our research design recognizes the comfort and familiarity factor of literacy activities in the elementary classroom for students and teachers alike, and postulates that connecting a science education project to an engaging storybook text will contribute to a

  7. Education for arthritis patients: a community pharmacy based pilot project.

    Science.gov (United States)

    Petkova, Valentina B

    2009-04-01

    There are different kinds of arthritis, widely spread among the population, that make them a clinical problem with social, psychological and economic burden. Different education programs have been developed in order to improve patients' disease management, medication compliance and from there patients' quality of life. To develop and implement a community pharmacy-based educational program for patients with arthritis. Improvements in pain, medication compliance, decrease in general practitioner's visits and hospitalizations are expected. Prospective, randomized, controlled trial. The sample consisted of 43 individuals, with different stages of arthritis (aged 15 - 71), attending pharmacies - intervention group; and 43 individuals - control group. A 4-month education was conducted on the following topics: what causes arthritis and what are the factors that can intensify it; pain management and physical activities; self-management and prevention; pharmacotherapy and possible adverse drug reactions. Patient's health-related quality of life was assessed in the beginning and at the end of the survey. PARAMETERS ASSESSED DURING THE FOUR STAGES OF THE PROGRAM WERE: frequency of severe pain, frequency of general practitioner's visits, frequency of urgent medical aid calls, compliance with therapy, satisfaction with pharmacy services. Improvement in patients' health-related quality of life was observed and also: decrease in the severity of patients' pain, decrease in the physician's visits, and increase in satisfaction overall care. Positive results from the educational approach in pharmacy conditions were demonstrated. These consequences have a potential to increase arthritis patient's quality of life.

  8. Image applications for coastal resource planning: Elkhorn Slough Pilot Project

    Science.gov (United States)

    Kvitek, Rikk G.; Sharp, Gary D.; VanCoops, Jonathan; Fitzgerald, Michael

    1995-01-01

    The purpose of this project has been to evaluate the utility of digital spectral imagery at two levels of resolution for large scale, accurate, auto-classification of land cover along the Central California Coast. Although remote sensing technology offers obvious advantages over on-the-ground mapping, there are substantial trade-offs that must be made between resolving power and costs. Higher resolution images can theoretically be used to identify smaller habitat patches, but they usually require more scenes to cover a given area and processing these images is computationally intense requiring much more computer time and memory. Lower resolution images can cover much larger areas, are less costly to store, process, and manipulate, but due to their larger pixel size can lack the resolving power of the denser images. This lack of resolving power can be critical in regions such as the Central California Coast where important habitat change often occurs on a scale of 10 meters. Our approach has been to compare vegetation and habitat classification results from two aircraft-based spectral scenes covering the same study area but at different levels of resolution with a previously produced ground-truthed land cover base map of the area. Both of the spectral images used for this project were of significantly higher resolution than the satellite-based LandSat scenes used in the C-CAP program. The lower reaches of the Elkhorn Slough watershed was chosen as an ideal study site because it encompasses a suite of important vegetation types and habitat loss processes characteristic of the central coast region. Dramatic habitat alterations have and are occurring within the Elkhorn Slough drainage area, including erosion and sedimentation, land use conversion, wetland loss, and incremental loss due to development and encroachnnent by agriculture. Additonally, much attention has already been focused on the Elkhorn Slough due to its status as a National Marine Education and Research

  9. Design and development of an intelligent nursing bed - a pilot project of "joint assignment".

    Science.gov (United States)

    Jiehui Jiang; Tingwei Liu; Yuting Zhang; Yu Song; Mi Zhou; Xiaosong Zheng; Zhuangzhi Yan

    2017-07-01

    The "joint assignment" is a creative bachelor education project for Biomedical Engineering (BME) in Shanghai University (SHU), China. The objective of this project is to improve students' capabilities in design thinking and teamwork through practices in the process of the design and development of complex medical product. As the first step, a pilot project "design and development of intelligent nursing bed" was set up in May 2015. This paper describes details of how project organization and management, various teaching methods and scientific evaluation approaches were achieved in this pilot project. For example, a method containing one main line and four branches is taken to manage the project and "prototyping model" was used as the main research approach. As a result a multi-win situation was achieved. The results showed, firstly, 62 bachelor students including 16 BME students were well trained. They improved themselves in use of practical tools, communication skills and scientific writing; Secondly, commercial companies received a nice product design on intelligent nursing bed, and have been working on industrializing it; Thirdly, the university and associated schools obtained an excellent practical education experience to supplement traditional class education; Fourthly and most importantly, requirements from end-users will be met. The results also showed that the "joint assignment" task could become a significant component in BME bachelor education.

  10. Karakteristik Awal Pengetahuan, Sikap, Dan Manifestasi Perilaku Masyarakat Pada Pilot Project Wilayah Bebas Sampah

    OpenAIRE

    Al Muhdhar, Mimien Henie Henie Irawati

    2013-01-01

    : A survey research was conducted in 2012 in the Pilot Project of Zero Waste Zone. The purpose of this research was to identify the initial characteristics of community knowledge, attitude, and behavioral manifestations towards waste. The data of this survey was analyzed quantitatively. The results of the analysis signified high rate of the average level of community knowledge in household waste management (78), high rate of public attitude (80), and medium rate of public behavioral manif...

  11. School-Based Prevention of Depression and Anxiety Symptoms in Early Adolescence: A Pilot of a Parent Intervention Component

    Science.gov (United States)

    Gillham, Jane E.; Reivich, Karen J.; Freres, Derek R.; Lascher, Marisa; Litzinger, Samantha; Shatte, Andrew; Seligman, Martin E. P.

    2006-01-01

    Previous studies suggest that school-based cognitive-behavioral interventions can reduce and prevent depressive symptoms in youth. This pilot study investigated the effectiveness of a cognitive-behavioral depression prevention program, the Penn Resiliency Program for Children and Adolescents (the PRP-CA), when combined with a parent intervention…

  12. Education for arthritis patients: a community pharmacy based pilot project.

    Directory of Open Access Journals (Sweden)

    Petkova VB

    2009-06-01

    Full Text Available There are different kinds of arthritis, widely spread among the population, that make them a clinical problem with social, psychological and economic burden. Different education programs have been developed in order to improve patients’ disease management, medication compliance and from there patients’ quality of life.Objective: To develop and implement a community pharmacy-based educational program for patients with arthritis. Improvements in pain, medication compliance, decrease in general practitioner’s visits and hospitalizations are expected.Methods: Prospective, randomized, controlled trial. The sample consisted of 43 individuals, with different stages of arthritis (aged 15 - 71, attending pharmacies – intervention group; and 43 individuals – control group. A 4-month education was conducted on the following topics: what causes arthritis and what are the factors that can intensify it; pain management and physical activities; self-management and prevention; pharmacotherapy and possible adverse drug reactions. Patient's health-related quality of life was assessed in the beginning and at the end of the survey. Results: Parameters assessed during the four stages of the program were: frequency of severe pain, frequency of general practitioner’s visits, frequency of urgent medical aid calls, compliance with therapy, satisfaction with pharmacy services. Improvement in patients’ health-related quality of life was observed and also: decrease in the severity of patients’ pain, decrease in the physician’s visits, and increase in satisfaction overall care.Conclusions: Positive results from the educational approach in pharmacy conditions were demonstrated. These consequences have a potential to increase arthritis patient’s quality of life.

  13. Ground Characterization Studies in Canakkale Pilot Site of LIQUEFACT Project

    Science.gov (United States)

    Ozcep, F.; Oztoprak, S.; Aysal, N.; Bozbey, I.; Tezel, O.; Ozer, C.; Sargin, S.; Bekin, E.; Almasraf, M.; Cengiz Cinku, M.; Ozdemir, K.

    2017-12-01

    The our aim is to outline the ground characterisation studies in Canakkale test site. Study is based on the EU H2020 LIQUEFACT project entitled "Liquefact: Assessment and mitigation of liquefaction potential across Europe: a holistic approach to protect structures / infrastructures for improved resilience to earthquake-induced liquefaction disasters". Objectives and extent of ground characterization for Canakkale test site includes pre-existing soil investigation studies and complementary field studies. There were several SPT and geophysical tests carried out in the study area. Within the context of the complementary tests, six (6) study areas in the test site were chosen and complementary tests were carried out in these areas. In these areas, additional boreholes were opened and SPT tests were performed. It was decided that additional CPT (CPTU and SCPT) and Marchetti Dilatometer (DMT) tests should be carried out within the scope of the complementary testing. Seismic refraction, MASW and micro tremor measurements had been carried out in pre-existing studies. Shear wave velocities obtained from MASW measurements were evaluated to the most rigorous level. These tests were downhole seismic, PS-logging, seismic refraction, 2D-ReMi, MASW, micro tremor (H/V Nakamura method), 2D resistivity and resonance acoustic profiling (RAP). RAP is a new technique which will be explained briefly in the relevant section. Dynamic soil properties had not been measured in pre-existing studies, therefore these properties were investigated within the scope of the complementary tests. Selection of specific experimental tests of the complementary campaign was based on cost-benefit considerations Within the context of complementary field studies, dynamic soil properties were measured using resonant column and cyclic direct shear tests. Several sieve analyses and Atterberg Limits tests which were documented in the pre-existing studies were evaluated. In the complementary study carried out

  14. DSM energy saving pilot project report. Furniture Plant Teika, Riga, Latvia

    International Nuclear Information System (INIS)

    Ananevski, V.; Kalejs, M.; Hercogs, J.; Blumbergs, U.

    1995-07-01

    The purpose of this pilot project was to carry out energy audit into the furniture plant TEIKA and energy saving measures. Another aim was to transfer the Danish know how and experience obtained through the Danish effort in Latvian industries consumers. Therefore great attention is paid to energy mapping in order to show possibilities of the Danish methodisms. This report is a part of the Joint Latvian - Danish Project Demand Side Management and Energy Saving. It is a results of collaborative efforts between a Latvian team, consisting of the specialists from Latvenergo and on the other hand a Danish team, which was represented by the Danish Power Consult company NESA. (EG)

  15. Environmental Monitoring - Lillgrund Offshore Wind Farm. Lillgrund Pilot Project

    Energy Technology Data Exchange (ETDEWEB)

    Davy, Thomas (Vattenfall Vindkraft AB, Stockholm (Sweden))

    2009-02-15

    The purpose of this report is to describe the environmental monitoring measures performed for the Lillgrund Offshore Wind Farm and to summarize the results and conclusions. Construction work started in 2006 and the plant was energized in December 2007. At the time of construction Lillgrund was the third largest wind farm offshore in the world and the first large offshore wind farm in Sweden. The purpose of the environmental monitoring is to ensure that there are no negative impacts on the environment stemming from construction of the Lillgrund wind farm as well as to ensure that the conditions stated by the authorities and the Company's commitments are met. The aim is also to collect more information and knowledge on the possible environmental impact for future offshore wind farm projects. For the Lillgrund project, all monitoring programs were included in one document, Monitoring Program - Lillgrund. It was included as part of the procedures to ensure that the Swedish legal requirements on operators control were followed. The authorities approved the document before construction started. The monitoring measures performed during the construction phase included: - A feedback and monitoring program on dredging and spillage; - A feedback and monitoring program on flora and fauna; - Studies and inspections of the refilling and re-establishment of the sea bottom; - Procedure for operators control. The mean measured sediment spillage, as part of the monitoring program on dredging and spillage, varied between 4.6 - 4.8% depending on dredger used. The maximum value allowed by the conditions is 5%. In general, the calculated values for suspended material were limited and the critical value of 0.01 kg/m3 was exceeded only in minor areas for a very limited time. No corrective actions were required. The deposition of sediment was very low and even at the most effected sites it was only just over 1 mm. The largest dredging volumes were for the foundation work, in total 82

  16. The Biomarker Knowledge System Informatics Pilot Project Supplement To The Biomarker Development Laboratory at Moffitt (Bedlam) — EDRN Public Portal

    Science.gov (United States)

    The Biomarker Knowledge System Informatics Pilot Project goal will develop network interfaces among databases that contain information about existing clinical populations and biospecimens and data relating to those specimens that are important in biomarker assay validation. This protocol comprises one of two that will comprise the Moffitt participation in the Biomarker Knowledge System Informatics Pilot Project. THIS PROTOCOL (58) is the Sput-Epi Database.

  17. Macroalgae for CO2 Capture and Renewable Energy - A Pilot Project

    Energy Technology Data Exchange (ETDEWEB)

    Wiley, Kristine [Gas Technology Inst., Des Plaines, IL (United States)

    2011-01-31

    The objective of this project was to demonstrate, at a pilot scale, the beneficial use of carbon dioxide (CO2) through a technology designed to capture CO2 from fossil-fuel fired power plant stack gas, generating macroalgae and converting the macroalgae at high efficiency to renewable methane that can be utilized in the power plant or introduced into a natural gas pipeline. The proposed pilot plant would demonstrate the cost-effectiveness and CO2/ NOx flue-gas removal efficiency of an innovative algal scrubber technology where seaweeds are grown out of water on specially-designed supporting structures contained within greenhouses where the plants are constantly bathed by recycled nutrient sprays enriched by flue gas constituents. The work described in this document addresses Phase 1 of the project only. The scope of work for Phase 1 includes the completion of a preliminary design package; the collection of additional experimental data to support the preliminary and detailed design for a pilot scale utilization of CO2 to cultivate macroalage and to process that algae to produce methane; and a technological and economic analysis to evaluate the potential of the system. Selection criteria for macroalgae that could survive the elevated temperatures and potential periodic desiccation of near desert project sites were identified. Samples of the selected macroalgae species were obtained and then subjected to anaerobic digestion to determine conversions and potential methane yields. A Process Design Package (PDP) was assembled that included process design, process flow diagram, material balance, instrumentation, and equipment list, sizes, and cost for the Phase 2 pilot plant. Preliminary economic assessments were performed under the various assumptions made, which are purposely conservative. Based on the results, additional development work should be conducted to delineate the areas for improving efficiency, reducing

  18. Pilot trial of a dissonance-based cognitive-behavioral group depression prevention with college students.

    Science.gov (United States)

    Rohde, Paul; Stice, Eric; Shaw, Heather; Gau, Jeff M

    2016-07-01

    Conduct a pilot trial testing whether a new cognitive-behavioral (CB) group prevention program that incorporated cognitive-dissonance change principles was feasible and appeared effective in reducing depressive symptoms and major depressive disorder onset relative to a brochure control condition in college students with elevated depressive symptoms. 59 college students (M age = 21.8, SD = 2.3; 68% female, 70% White) were randomized to the 6-session Change Ahead group or educational brochure control condition, completing assessments at pretest, posttest, and 3-month follow-up. Recruitment and screening methods were effective and intervention attendance was high (86% attended all 6 sessions). Change Ahead participants showed medium-large reductions in depressive symptoms at posttest (M d = 0.64), though the effect attenuated by 3-month follow-up. Incidence of major depression onset at 3-month follow-up was 4% for Change Ahead participants versus 13% (difference ns). Change Ahead appears highly feasible and showed positive indications of reduced acute phase depressive symptoms and MDD onset relative to a minimal intervention control in this initial pilot. Given the brevity of the intervention, its apparent feasibility, and the lack of evidence-based depression prevention programs for college students, continued evaluation of Change Ahead appears warranted. Copyright © 2016 Elsevier Ltd. All rights reserved.

  19. The evolution of the Waste Isolation Pilot Plant (WIPP) project's public affairs program

    International Nuclear Information System (INIS)

    Walter, L.H.

    1988-01-01

    As a first-of-a-kind facility, the Waste Isolation Pilot Plant (WIPP) presents a unique perspective on the value of designing a public affairs program that grown with and complements a project's evolution from construction to operations. Like the project itself, the public affairs programs progressed through several stages to its present scope. During the construction phase, foundations were laid in the community. Then, in this past year as the project entered a preoperational status, emphasis shifted to broaden the positive image that had been created locally. In this stage, public affairs presented the project's positive elements to the various state agencies, government officials, and federal organizations involved in our country's radioactive waste management program. Most recently, and continuing until receipt of the first shipment of waste in October 1988, an even broader, more aggressive public affairs program is planned

  20. Russian energy efficiency projects: lessons learnt from Activities Implemented Jointly pilot phase

    International Nuclear Information System (INIS)

    Korppoo, Anna

    2005-01-01

    Russia needs to improve the efficiency of energy. Failure to do so will retard the economic recovery of the country, but the energy sector is lacking both domestic and foreign investments. JI projects could provide the underfinanced Russian energy sector with additional investments. AIJ pilot project experiences provide an overview of the potential difficulties for future JI projects. Institutional problems were the most important category. Most of these problems remain, and the lack of ratification of the Kyoto Protocol by Russia has formed a new very significant barrier. Implementation level problems caused some problems to AIJ projects, but they are likely to have less impact on the better prepared JI projects. The character of funding-related problems has changed: for AIJ projects the main problem was that emission reductions could not be credited, whereas future JI projects will experience more competition in the Kyoto market where the overall investment climate and the availability of local cofunding are more relevant. Therefore, the unfinished economic and energy sector reforms currently discourage JI investments. The project experiences so far have been dismal, and if Russian policy-makers cannot improve this performance, only few JI projects can be expected in the future

  1. The seed of change in society. Diffusion of solar cell systems in housing by means of pilot projects

    International Nuclear Information System (INIS)

    Van Mierlo, B.C.

    2002-01-01

    The central question in this thesis is: in what way can pilot projects contribute to the diffusion of new sustainable technologies, in particular solar cell systems in housing units. The reason for this is, in the first place, that trials, demonstration projects, practical experiments and market introduction projects are often launched by firms and subsidised by the state. The objective of such projects, referred to here as pilot projects, is in general to prepare the market introduction of new technologies. However, these projects are often realised and financed without much information being available on how they operate: about how they could prepare the market launch and how this function could be optimised. The second reason is that since the end of the 1980s the expectations in the Netherlands in respect of solar cell systems (PV systems) connected to the electricity grid have been high. These systems could have great advantages for the environment and after 2010 could be the most important source of sustainable energy. The government sees housing as the most promising market segment for these systems. It is recognised that certain major bottlenecks have to be solved before a large-scale diffusion is possible. According to the niche approach, the basic starting point of this thesis, this means that the existing social-technological regime needs to change: the rules and infrastructure according to which the existing technologies are, as it were, considered self-evident, and which hinder the introduction of new technologies. Subsidised pilot projects form a protected market niche that can stimulate a change in the regime by learning and by the social embedding of the learning experiences. According to this approach, a protected market niche is a necessary component of state-supported innovation policy if market niches do not arise spontaneously. It is, however, a limited instrument since the ultimate impact on existing regimes depends mainly on external factors

  2. The New Mexico Technology Deployment Pilot Project: A technology reinvestment project. Final report

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1996-11-01

    The New Mexico Technology Deployment Project (NMTDP) has been in operation for slightly more than two years. As one of the original TRP projects, NMTDP had the charter to develop and validate a new model for technology extraction which emphasized focused technology collaboration, early industry involvement, and a strong dual use commercialization and productization emphasis. Taken in total, the first two years of the NMTDP have been exceptionally successful, surpassing the goals of the project. This report describes the accomplishments and evolution of the NMTDP to date and discusses the future potential of the project. Despite the end of federal funding, and a subsequent reduction in level of effort, the project partners are committed to continuation of the project.

  3. Evaluation of the home-energy-rating concept and the Massachusetts Pilot Project

    Energy Technology Data Exchange (ETDEWEB)

    Frankel, M.L.; Duberg, J.A.

    1983-06-01

    This is a report on the results of an evaluation of a home-energy-rating concept based on a Massachusetts pilot project. The focus of the evaluation was on: (1) the compatibility of the Massachusetts rating with the RCS program, (2) who would use the rating and how, (3) qualitative estimates of benefits and costs, and (4) recommendations for further use and testing of the rating. In addition the evaluation of the rating concept also attempted to determine what if any effect the home energy rating has on the demand for energy audits, on the propensity of customers who received ratings to undertake recommended energy-efficiency home improvements, and on changes in mortgage-lending procedures for energy-efficient homes. The evaluation consisted of telephone and in-person discussions with the project developers, the various professional user groups, the recipients of the energy ratings, and control groups of audit customers that did not receive the energy rating. The evaluation was designed to determine the results of the pilot project, assess the project's effectiveness, and analyze the potential for transferring the rating procedure to other geographic locations.

  4. The Living the Example Social Media Substance Use Prevention Program: A Pilot Evaluation.

    Science.gov (United States)

    Evans, William; Andrade, Elizabeth; Goldmeer, Sandra; Smith, Michelle; Snider, Jeremy; Girardo, Gunilla

    2017-06-27

    Adolescent substance use rates in rural areas of the United States, such as upstate New York, have risen substantially in recent years, calling for new intervention approaches in response to this trend. The Mentor Foundation USA conducts the Living the Example (LTE) campaign to engage youth in prevention using an experiential approach. As part of LTE, youth create their own prevention messages following a training curriculum in techniques for effective messaging and then share them via social media. This paper reports on a pilot evaluation of the LTE program. To conduct a pilot test of LTE in two rural high schools in upstate New York. We hypothesized that positive antidrug brand representations could be promoted using social media strategies to complement the Shattering the Myths (STM) in-person, event-based approach (hypothesis 1, H1), and that youth would respond positively and engage with prevention messages disseminated by their peers. We also hypothesized that exposure to the social media prevention messages would be associated with more positive substance use avoidance attitudes and beliefs, reductions in future use intentions, and decreased substance use at posttest (hypothesis 2, H2). We adapted a previously published curriculum created by the authors that focuses on branding, messaging, and social media for prevention. The curriculum consisted of five, one-hour sessions. It was delivered to participating youth in five sequential weeks after school at the two high schools in late October and early November 2016. We designed a pre- and posttest pilot implementation study to evaluate the effects of LTE on student uptake of the intervention and short-term substance use and related outcomes. Working at two high schools in upstate New York, we conducted a pilot feasibility evaluation of LTE with 9th-grade students (ie, freshmen) at these high schools. We administered a 125-item questionnaire online to capture data on media use; attitudes toward social media

  5. Prevention of paracentesis-induced circulatory dysfunction: midodrine vs albumin. A randomized pilot study.

    Science.gov (United States)

    Appenrodt, Beate; Wolf, Andrea; Grünhage, Frank; Trebicka, Jonel; Schepke, Michael; Rabe, Christian; Lammert, Frank; Sauerbruch, Tilman; Heller, J

    2008-08-01

    Large-volume paracentesis in patients with cirrhosis and ascites induces arterial vasodilatation and decreases effective arterial blood volume, termed paracentesis-induced circulatory dysfunction (PICD), which can be prevented by costly intravenous albumin. Vasoconstrictors, e.g. terlipressin, may also prevent PICD. The aim was to compare the less expensive vasoconstrictor midodrine, an alpha-adrenoceptor agonist, with albumin in preventing PICD. Twenty-four patients with cirrhosis and ascites were randomly assigned to be treated with either midodrine (n=11) (12.5 mg three times per day; over 2 days) or albumin (n=13) (8 g/L of removed ascites) after large-volume paracentesis. Effective arterial blood volume was assessed indirectly by measuring plasma renin and aldosterone concentration on days 0 and 6 after paracentesis; renal function and haemodynamic changes were also measured. PICD was defined as an increase in plasma renin concentration on day 6 by more than 50% of the baseline value. PICD developed in six patients of the midodrine group (60%) and in only four patients (31%) of the albumin group. Six days after paracentesis, the aldosterone concentration increased significantly in the midodrine group, but not in the albumin group. This pilot study suggests that midodrine is not as effective as albumin in preventing circulatory dysfunction after large-volume paracentesis in patients with cirrhosis and ascites.

  6. Utility of regional satellite volcano deformation monitoring in Latin America: The CEOS pilot project

    Science.gov (United States)

    Delgado, F.; Pritchard, M. E.; Biggs, J.; Arnold, D.

    2014-12-01

    Satellite observations are a cost effective tool for monitoring large numbers of volcanoes in areas with scarce instrumentation or difficult access. In the context of the 2012 Santorini Report on satellite Earth Observation and Geohazards, CEOS (Committee on Earth Observation Satellites) has developed a pilot project to showcase remote sensing for volcano hazard mitigation and response. Specifically, the pilot aims to demonstrate the feasibility of global volcano monitoring of Holocene volcanoes by undertaking regional monitoring of volcanic arcs in Latin America, using satellite earth observations data to track deformation as well as gas, ash, and thermal emissions. Latin America was chosen because the volcanoes are situated in a diversity of environments, providing a good test of the capabilities of different types of satellite data under different conditions; volcanic activity is abundant, and monitoring agencies in Latin American countries would directly benefit from the resources that this pilot will make available. It is hoped that the regional study will demonstrate that Earth observation data can help to identify volcanoes that may become active in the future as well as track eruptive activity that may impact populations and infrastructure on the ground and in the air, ultimately leading to improved targeting for permanent satellite-based observations and in-situ volcanic monitoring efforts. The pilot project is posible thanks to data provided by the various space agencies (ESA, ASI, DLR, JAXA, NASA, CNES, CSA). In this contribution, we focus on premilinary ground deformation results using SAR satellites for selected areas in the Northern and Southern Andes as well as the Caribbean with recent unrest. For example, in the Southern Andes we will present ALOS time series at Llaima (-38.7 S) and Peteroa (-35.2 S) volcanoes, both of which have had eruptions during the past ten years.

  7. Patient and Stakeholder Engagement in the PCORI Pilot Projects: Description and Lessons Learned.

    Science.gov (United States)

    Forsythe, Laura P; Ellis, Lauren E; Edmundson, Lauren; Sabharwal, Raj; Rein, Alison; Konopka, Kristen; Frank, Lori

    2016-01-01

    Patients and healthcare stakeholders are increasingly becoming engaged in the planning and conduct of biomedical research. However, limited research characterizes this process or its impact. We aimed to characterize patient and stakeholder engagement in the 50 Pilot Projects funded by the Patient-Centered Outcomes Research Institute (PCORI), and identify early contributions and lessons learned. A self-report instrument was completed by researchers between 6 and 12 months following project initiation. Forty-seven principal investigators or their designees (94 % response rate) participated in the study. MAIN MEASURES Self-report of types of stakeholders engaged, stages and levels of engagement, facilitators and barriers to engagement, lessons learned, and contributions from engagement were measured. Most (83 %) reported engaging more than one stakeholder in their project. Among those, the most commonly reported groups were patients (90 %), clinicians (87 %), health system representatives (44 %), caregivers (41 %), and advocacy organizations (41 %). Stakeholders were commonly involved in topic solicitation, question development, study design, and data collection. Many projects engaged stakeholders in data analysis, results interpretation, and dissemination. Commonly reported contributions included changes to project methods, outcomes or goals; improvement of measurement tools; and interpretation of qualitative data. Investigators often identified communication and shared leadership strategies as "critically important" facilitators (53 and 44 % respectively); lack of stakeholder time was the most commonly reported challenge (46 %). Most challenges were only partially resolved. Early lessons learned included the importance of continuous and genuine partnerships, strategic selection of stakeholders, and accommodation of stakeholders' practical needs. PCORI Pilot Projects investigators report engaging a variety of stakeholders across many stages of research, with specific

  8. Public library consumer health information pilot project: results of a National Library of Medicine evaluation.

    Science.gov (United States)

    Wood, F B; Lyon, B; Schell, M B; Kitendaugh, P; Cid, V H; Siegel, E R

    2000-10-01

    In October 1998, the National Library of Medicine (NLM) launched a pilot project to learn about the role of public libraries in providing health information to the public and to generate information that would assist NLM and the National Network of Libraries of Medicine (NN/LM) in learning how best to work with public libraries in the future. Three regional medical libraries (RMLs), eight resource libraries, and forty-one public libraries or library systems from nine states and the District of Columbia were selected for participation. The pilot project included an evaluation component that was carried out in parallel with project implementation. The evaluation ran through September 1999. The results of the evaluation indicated that participating public librarians were enthusiastic about the training and information materials provided as part of the project and that many public libraries used the materials and conducted their own outreach to local communities and groups. Most libraries applied the modest funds to purchase additional Internet-accessible computers and/or upgrade their health-reference materials. However, few of the participating public libraries had health information centers (although health information was perceived as a top-ten or top-five topic of interest to patrons). Also, the project generated only minimal usage of NLM's consumer health database, known as MEDLINEplus, from the premises of the monitored libraries (patron usage from home or office locations was not tracked). The evaluation results suggested a balanced follow-up by NLM and the NN/LM, with a few carefully selected national activities, complemented by a package of targeted activities that, as of January 2000, are being planned, developed, or implemented. The results also highlighted the importance of building an evaluation component into projects like this one from the outset, to assure that objectives were met and that evaluative information was available on a timely basis, as was

  9. Computer Hardware, Advanced Mathematics and Model Physics pilot project final report

    International Nuclear Information System (INIS)

    1992-05-01

    The Computer Hardware, Advanced Mathematics and Model Physics (CHAMMP) Program was launched in January, 1990. A principal objective of the program has been to utilize the emerging capabilities of massively parallel scientific computers in the challenge of regional scale predictions of decade-to-century climate change. CHAMMP has already demonstrated the feasibility of achieving a 10,000 fold increase in computational throughput for climate modeling in this decade. What we have also recognized, however, is the need for new algorithms and computer software to capitalize on the radically new computing architectures. This report describes the pilot CHAMMP projects at the DOE National Laboratories and the National Center for Atmospheric Research (NCAR). The pilot projects were selected to identify the principal challenges to CHAMMP and to entrain new scientific computing expertise. The success of some of these projects has aided in the definition of the CHAMMP scientific plan. Many of the papers in this report have been or will be submitted for publication in the open literature. Readers are urged to consult with the authors directly for questions or comments about their papers

  10. Clean coal technology - Study on the pilot project experiment of underground coal gasification

    International Nuclear Information System (INIS)

    Yang Lanhe; Liang Jie; Yu Li

    2003-01-01

    In this paper, the gasification conditions, the gasifier structure, the measuring system and the gasification rationale of a pilot project experiment of underground coal gasification (UCG) in the Liuzhuang Colliery, Tangshan, are illustrated. The technique of two-phase underground coal gasification is proposed. The detection of the moving speed and the length of the gasification working face is made using radon probing technology. An analysis of the experiment results indicates that the output of air gas is 3000 m 3 /h with a heating value of about 4.18 MJ/m 3 , while the output of water gas is 2000 m 3 /h with a heating value of over 11.00 MJ/m 3 , of which H 2 content is above 40% with a maximum of 71.68%. The cyclical time of two-phase underground gasification is 16 h, with 8 h for each phase. This prolongs the time when the high-heating value gas is produced. The moving speed of the gasification working face in two alternative gasifiers is identified, i.e. 0.204 and 0.487 m/d, respectively. The success of the pilot project experiment of the underground gasification reveals the strides that have been made toward the commercialization of the UCG in China. It also further justifies the reasonability and feasibility of the new technology of long channel, big section, two-phase underground gasification. A conclusion is also drawn that the technology of the pilot project experiment can be popularized in old and discarded coal mines

  11. Navigating Bioethical Waters: Two Pilot Projects in Problem-Based Learning for Future Bioscience and Biotechnology Professionals.

    Science.gov (United States)

    Berry, Roberta M; Levine, Aaron D; Kirkman, Robert; Blake, Laura Palucki; Drake, Matthew

    2016-12-01

    We believe that the professional responsibility of bioscience and biotechnology professionals includes a social responsibility to contribute to the resolution of ethically fraught policy problems generated by their work. It follows that educators have a professional responsibility to prepare future professionals to discharge this responsibility. This essay discusses two pilot projects in ethics pedagogy focused on particularly challenging policy problems, which we call "fractious problems". The projects aimed to advance future professionals' acquisition of "fractious problem navigational" skills, a set of skills designed to enable broad and deep understanding of fractious problems and the design of good policy resolutions for them. A secondary objective was to enhance future professionals' motivation to apply these skills to help their communities resolve these problems. The projects employed "problem based learning" courses to advance these learning objectives. A new assessment instrument, "Skills for Science/Engineering Ethics Test" (SkillSET), was designed and administered to measure the success of the courses in doing so. This essay first discusses the rationale for the pilot projects, and then describes the design of the pilot courses and presents the results of our assessment using SkillSET in the first pilot project and the revised SkillSET 2.0 in the second pilot project. The essay concludes with discussion of observations and results.

  12. Pilot evaluation of a media literacy program for tobacco prevention targeting early adolescents shows mixed results.

    Science.gov (United States)

    Kaestle, Christine E; Chen, Yvonnes; Estabrooks, Paul A; Zoellner, Jamie; Bigby, Brandon

    2013-01-01

    The purpose of this pilot study was to assess the impact of media literacy for tobacco prevention for youth delivered through a community site. A randomized pretest-posttest evaluation design with matched-contact treatment and control conditions. The pilot study was delivered through the YMCA in a lower-income suburban and rural area of Southwest Virginia, a region long tied, both economically and culturally, to the tobacco industry. Children ages 8 to 14 (76% white, 58% female) participated in the study (n = 38). The intervention was an antismoking media literacy program (five 1-hour lessons) compared with a matched-contact creative writing control program. General media literacy, three domains of tobacco-specific media literacy ("authors and audiences," "messages and meanings," and "representation and reality"), tobacco attitudes, and future expectations were assessed. Multiple regression modeling assessed the impact of the intervention, controlling for pretest measures, age, and sex. General media literacy and tobacco-specific "authors and audiences" media literacy improved significantly for treatment compared with control (p media literacy measures and for tobacco attitudes were not significant. Future expectations of smoking increased significantly for treatment participants ages 10 and younger (p media literacy are accompanied by an increase in future expectations to smoke for younger children.

  13. Condensed listing of surface boreholes at the Waste Isolation Pilot Plant Project through 31 December 1995

    International Nuclear Information System (INIS)

    Hill, L.R.; Aguilar, R.; Mercer, J.W.; Newman, G.

    1997-01-01

    This report contains a condensed listing of Waste Isolation Pilot Plant (WIPP) project surface boreholes drilled for the purpose of site selection and characterization through 31 December 1995. The US Department of Energy (DOE) sponsored the drilling activities, which were conducted primarily by Sandia National Laboratories. The listing provides physical attributes such as location (township, range, section, and state-plane coordinates), elevation, and total borehole depth, as well as the purpose for the borehole, drilling dates, and information about extracted cores. The report also presents the hole status (plugged, testing, monitoring, etc.) and includes salient findings and references. Maps with borehole locations and times-of-drilling charts are included

  14. Active tuberculosis case finding among pregnant women: a pilot project in Burkina Faso.

    Science.gov (United States)

    Sulis, G; Gnanou, S; Roggi, A; Konseimbo, A; Giorgetti, P F; Castelli, F; Matteelli, A

    2016-10-01

    Tuberculosis (TB) is a leading cause of death among women of childbearing age, and may be responsible for severe complications during pregnancy. Between August 2014 and March 2015, we conducted a pilot project to promote active TB case finding in antenatal care (ANC) clinics in the Central Region of Burkina Faso. Our results show very limited TB diagnostic practices and possible severe underdiagnosis of TB at ANC clinics, despite adequate screening practices. Integration of training and supervision of TB diagnosis and treatment into ANC services is required.

  15. Using an Optionally Piloted Aircraft for Airborne Gravity Observations with the NOAA GRAV-D Project

    Science.gov (United States)

    Youngman, M.; Johnson, J. A.; van Westrum, D.; Damiani, T.

    2017-12-01

    The U.S. National Geodetic Survey's (NGS) Gravity for the Redefintion of the American Vertical Datum (GRAV-D) project is collecting airborne gravity data to support a 1 cm geoid. Started in 2008, this project will collect airborne gravity data over the entire U.S. and territories by 2022. As of June 30, 2017, the project was almost 62% complete. With recent technological developments, NGS has been exploring using unmanned aircraft for airborne gravity measurements. This presentation will focus on results from two surveys over the U.S. Appalachian and Rocky Mountains using the Aurora Centaur Optionally Piloted Aircraft and the Micro-g Lacoste Turnkey Airborne Gravimeter System 7 (TAGS7). Collecting high quality data as well as dealing with remote locations has been a challenge for the GRAV-D project and the field of airborne gravity in general. Unmanned aircraft could potentially improve data quality, handle hard to reach locations, and reduce pilot fatigue. The optionally piloted Centaur aircraft is an attractive option because it is not restricted in U.S. airspace and delivers high quality gravity data. Specifically, the Centaur meets U.S. Federal Aviation Administration regulations for Unmanned Aircraft Systems (UAS) by using a safety pilot on board to maintain line of sight and the ability to take control in the event of an emergency. Even though this is a sizeable UAS, most traditional gravimeters are too large and heavy for the platform. With a smaller and lighter design, the TAGS7 was used for its ability to conform to the aircraft's size restrictions, with the added benefit of upgraded performance capabilities. Two surveys were performed with this aircraft and gravimeter, one in April and one in August to September of 2017. Initial results indicate that the high-gain, fast response of the Centaur autopilot (optimized for flights without passengers), coupled with the full-force feedback sensor of the TAGS7, provides superior performance in all conditions, and

  16. Global Change Data Base Pilot (Diskette) Project for Africa. Dase base documentation version 1.1

    Science.gov (United States)

    1992-06-01

    The data base for Africa contains vegetation data, climate data, and other thematic data for a recent three and a half year period. The documentation contains separate chapters of material edited about separate data sets of the overall Global Change Data Base, Pilot (diskette) Project for Africa. Descriptions of data formats, authors, and contributors are accompanied by documentation of the development/use of the data. These materials have been suggested and contributed directly by the authors of the individual data sets. To avoid confusion, some information contained in the documentation that is not directly relevant to the data base has been either omitted, crossed out, or blanked out.

  17. Pilot project concerning the establishment of a collective biomass conversion plant on the island of Mors

    International Nuclear Information System (INIS)

    1993-06-01

    This pilot project comprises a feasibility study in connection with plans to establish a biomass conversion plant, on the Danish island of Mors, which would provide methane to be used as fuel, in combination with natural gas, for a cogeneration plant serving six villages. The subjects of location, organization, the transportation of biomass, the design of the biomass conversion plant, economical aspects and conditions of the use of the methane are discussed as a basis for decisions in this respect. Environmental considerations are also dealt with. (AB)

  18. Community-based distribution of contraception: a pilot project in Khayelitsha, Cape Town.

    Science.gov (United States)

    Cooper, D; Marks, A S

    1996-09-01

    This article describes a pilot project in informal settlements in Khayelitsha, Cape Town, South Africa, to use community-based distribution (CBD) for contraceptive delivery. The article presents preliminary findings from a baseline survey conducted among a sample of 696 women and 679 men in all CBD areas. The pilot program began in March 1996. Most people lived in informal housing with or without access to services. Three nongovernmental organizations (NGOs) piloted the program. Qualitative and quantitative studies were conducted to determine the nature of contraceptive services and the response of the population to these services. Qualitative studies included in-depth interviews with key staff at five contraceptive clinics and health NGOs serving the target areas. Findings reveal a range of problems including limited hours of operations and long waiting lines. Services focused on injectables. Quality of care problems included perceived side effects, limited client information, poor client-staff relations, and limited follow-up. A number of clinic problems would be reduced with CBD distribution. The survey among the suburbs of Harare, Makhaza, Site B, and Griffiths Mxenge, in August 1995 and February 1996, reveals that men and women differed in the desired family size. Respondents had less children than they preferred. Support was strongly in favor of contraception. Contraceptive use was 66%. 83% were using injectables. 75% reported that the method choice was made by the provider. Almost all believed that germs caused sexually transmitted diseases, but there was misinformation on transmission modes.

  19. Development and piloting of the Fiji Injury Surveillance in Hospitals System (TRIP Project-1).

    Science.gov (United States)

    Wainiqolo, I; Kafoa, B; McCaig, E; Kool, B; McIntyre, R; Ameratunga, S

    2013-01-01

    Whilst more than 90% of injury related deaths are estimated to occur in low-and-middle-income countries (LMICs), the epidemiology of fatal and hospitalised injuries in Pacific Island Countries has received scant attention. This study describes the development and piloting of a population-based trauma registry in Fiji to address this gap in knowledge. The Fiji Injury Surveillance in Hospitals (FISH) system was an active surveillance system designed to identify injuries resulting in death or a hospital admission in Viti Levu, Fiji. During the pilot conducted over five months in 2005, Accident and Emergency registers, admission folders and morgue registers from 8 of Viti Levu's 12 hospitals, and an additional 3 hospitals in other parts of the country were reviewed by hospital staff and medical students to identify cases and extract a minimum data set that included demographic factors; the mechanism, nature and context of injury; substance use; and discharge outcomes. The system was audited to identify and redress difficulties with data quality in a manner that also supported local capacity development and training in injury surveillance and data management. This pilot study demonstrated the potential to collect high quality data on injuries that can pose a significant threat to life in Fiji using a mechanism that also increased the capability of health professionals to recognise the significance of injury as a public health issue. The injury surveillance system piloted provides the opportunity to inform national injury control strategies in Fiji and increase the capacity for injury prevention and more focused research addressing risk factors in the local context. Copyright © 2011 Elsevier Ltd. All rights reserved.

  20. An analysis of the impact of the thermonuclear pilot project ITER on industry and research in Austria

    International Nuclear Information System (INIS)

    Hangel, G.

    2007-03-01

    An analysis of the influence of the thermonuclear pilot project ITER on Austrian research and industrial activities is presented in terms of the following subjects: fusion research history, ITER technique, security, nuclear fusion, ITER (reactor, project specifications for quotations), possibilities for Austrian companies and fusion research in Austria. (nevyjel)

  1. PROJECT MANAGEMENT MATURITY: AN ASSESSMENT OF MATURITY FOR DEVELOPING PILOT PLANTS

    Directory of Open Access Journals (Sweden)

    H.K. Mittermaier

    2012-01-01

    Full Text Available

    ENGLISH ABSTRACT: Despite the current economic climate, the South African mining and engineering industry is experiencing a very promising future, with a large number of capital projects in the offing. It is inevitable that pilot plant development will form part of this future as a risk mitigation technique. This study found that, even though the terms ‘pilot plant’ and ‘project management maturity’ are familiar within the industry, no link between these two could be found in the literature. A number of maturity models exist; and one developed by PMSolutions was selected to perform an assessment of the current level of project management maturity within the South African mining and engineering industry pertaining to the development of pilot plants. The Delphi technique was used to determine the views of experts in the South African mining, mineral processing, petrochemical, nuclear, and mechanical sectors regarding this maturity. A significant difference was observed between the current level of maturity and the required level of maturity in all but one of the nine knowledge areas defined by the Project Management Institute. The two knowledge areas of project time and risk management showed significant differences between current and required maturity levels, and were identified as key areas for improvement.

    AFRIKAANSE OPSOMMING: Ten spyte van die huidige ekonomiese klimaat ondervind die Suid-Afrikaanse mynbou- en ingenieursbedryf ’n baie bemoedigende toekoms, met ’n groot aantal kapitaalprojekte in die vooruitsig. Ten einde risiko’s te verlaag, sal die ontwikkeling van loodsaanlegte noodwendig deel van hierdie toekoms uitmaak. Daar is gevind dat, alhoewel die terme ‘loodsaanleg’ en ‘projekbestuur volwassenheid’ in die nywerheid bekend is, geen skakeling van hierdie twee terme in die literatuur opgespoor kon word nie. ’n Aantal volwassenheid modelle bestaan; en een wat deur PMSolutions ontwikkel is, is gekies om

  2. 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

  3. Hubble's Early Release Observations Student Pilot Project: Implementing Formal and Informal Collaborations

    Science.gov (United States)

    Eisenhamer, B.; Ryer, H.; McCallister, D.

    2012-08-01

    The Hubble Space Telescope's Early Release Observations (EROs) were revealed to the public on September 9, 2009, and K-12 students and educators in five states across the country were able to join the celebration. To date, students and educators in Maryland, Ohio, New York, California, and Florida have participated in the Hubble Space Telescope's ERO Pilot Project. This is an interdisciplinary project created by the Space Telecope Science Institute's (STScI) Office of Public Outreach in which students use skills from subject areas such as language arts, science, art, and technology to research the four ERO objects and create compositions. In recognition of their participation, the students' compositions are displayed at host institutions in each state (a museum, science center, school, planetarium or library) during a special public event for participating students, their families, and teachers. As part of its evaluation program, STScI's Office of Public Outreach has been conducting an evaluation of the project to determine the viability and potential of conducting large-scale, formal/informal collaborative projects in the future and to share lessons learned. Lessons learned will be applied to a new interdisciplinary project, the James Webb Space Telescope Student Innovation Project.

  4. 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

  5. Smooth Transition for Advancement to Graduate Education (STAGE) for Underrepresented Groups in the Mathematical Sciences Pilot Project: Broadening Participation through Mentoring

    Science.gov (United States)

    Eubanks-Turner, Christina; Beaulieu, Patricia; Pal, Nabendu

    2018-01-01

    The Smooth Transition for Advancement to Graduate Education (STAGE) project was a three-year pilot project designed to mentor undergraduate students primarily from under-represented groups in the mathematical sciences. The STAGE pilot project focused on mentoring students as they transitioned from undergraduate education to either graduate school…

  6. Design and Implementation of a Pilot Obesity Prevention Program in a Low-Resource School: Lessons Learned and Research Recommendations

    Science.gov (United States)

    Baskin, Monica L.; Zunker, Christie; Worley, Courtney B.; Dial, Brenda; Kimbrough, Linda

    2009-01-01

    Purpose: This paper seeks to describe the design, implementation, and lessons learned from an obesity prevention pilot program delivered in a low resource school in the USA. Design/methodology/approach: A planned program evaluation was conducted to: document explicitly the process of designing and implementing the program; and assess the…

  7. Mind magic: a pilot study of preventive mind-body-based stress reduction in behaviorally inhibited and activated children

    NARCIS (Netherlands)

    Jellesma, F.C.; Cornelis, J.

    2012-01-01

    Purpose of study: The aim of this pilot study was to examine a mind-body-based preventive intervention program and to determine relationships between children's behavioral inhibition system (BIS) and behavioral activation system, stress, and stress reduction after the program. Design of study:

  8. "Let's Talk about Drugs": Pilot Study of a Community-Level Drug Prevention Intervention Based on Motivational Interviewing Principles

    Science.gov (United States)

    Newbery, Natasha; McCambridge, Jim; Strang, John

    2007-01-01

    Purpose: The feasibility of a community-level drug prevention intervention based upon the principles of motivational interviewing within a further education college was investigated in a pilot study. Design/methodology/approach: The implementation over the course of a single term of "Let's Talk about Drugs" was studied with both action…

  9. Teaching weather and climate science in primary schools - a pilot project from the UK Met Office

    Science.gov (United States)

    Orrell, Richard; Liggins, Felicity; Challenger, Lesley; Lethem, Dom; Campbell, Katy

    2017-04-01

    Wow Schools is a pilot project from the Met Office with an aim to inspire and educate the next generation of scientists and, uniquely, use the data collected by schools to improve weather forecasts and warnings across the UK. Wow Schools was launched in late 2015 with a competition open to primary schools across the UK. 74 schools entered the draw, all hoping to be picked as one of the ten lucky schools taking part in the pilot scheme. Each winning school received a fully automatic weather station (AWS), enabling them to transmit real-time local weather observations to the Met Office's Weather Observation Website (WOW - wow.metoffice.gov.uk), an award winning web portal for uploading and sharing a range of environmental observations. They were also given a package of materials designed to get students out of the classroom to observe the weather, get hands-on with the science underpinning weather forecasting, and analyse the data they are collecting. The curriculum-relevant materials were designed with the age group 7 to 11 in mind, but could be extended to support other age groups. Each school was offered a visit by a Wow Schools Ambassador (a Met Office employee) to bring the students' learning to life, and access to a dedicated forecast for its location generated by our new supercomputer. These forecasts are improved by the school's onsite AWS reinforcing the link between observations and forecast production. The Wow Schools pilot ran throughout 2016. Here, we present the initial findings of the project, examining the potential benefits and challenges of working with schools across the UK to: enrich students' understanding of the science of weather forecasting; to source an ongoing supply of weather observations and discover how these might be used in the forecasting process; and explore what materials and business model(s) would be most useful and affordable if a wider roll-out of the initiative was undertaken.

  10. Intelligent MTconnect® Eddy-Current Valve Probe Pilot Project within the High Pressure Gas Facility (HPGF) Liquid Nitrogen Evaporator Systems

    Data.gov (United States)

    National Aeronautics and Space Administration — This effort is a pilot project which leverages previously developed explosive environment certified valve sensors from the "Intelligent Displacement Sensor...

  11. Delivering a MOOC for literature searching in health libraries: evaluation of a pilot project.

    Science.gov (United States)

    Young, Gil; McLaren, Lisa; Maden, Michelle

    2017-12-01

    In an era when library budgets are being reduced, Massive Online Open Courses (MOOC's) can offer practical and viable alternatives to the delivery of costly face-to-face training courses. In this study, guest writers Gil Young from Health Care Libraries Unit - North, Lisa McLaren from Brighton and Sussex Medical School and Liverpool University PhD student Michelle Maden describe the outcomes of a funded project they led to develop a MOOC to deliver literature search training for health librarians. Funded by Health Education England, the MOOC was developed by the Library and Information Health Network North West as a pilot project that ran for six weeks. In particular, the MOOC target audience is discussed, how content was developed for the MOOC, promotion and participation, cost-effectiveness, evaluation, the impact of the MOOC and recommendations for future development. H. S. © 2017 Health Libraries Group.

  12. The in situ combustion pilot project in Bare field, Orinoco oil belt, Venezuela

    Energy Technology Data Exchange (ETDEWEB)

    Perozo, H.A.; Mendoza, A.J.; Teixeira, J.; Alvarez, A.; Vasquez, P. [PDVSA Intevep (Venezuela)

    2011-07-01

    In heavy oil fields, in-situ combustion technology can be used as a means to enhance oil recovery. This process consists of burning some part of the oil present in the reservoir to produce heat that allow increased oil displacement. The aim of this study is to present an in situ combustion pilot project (ISCPP). This project will be conducted by PDVSA Intevep and its partners in the Orinoco oil belt, Venezuela, to assess the effect of in situ combustion in increasing recovery factors from heavy crude oil reservoirs. The laboratory combustion test analyses, the static and dynamic reservoir simulations, the design, construction and completion of all wells and the study, analysis and development of surface facilities are discussed. The ISCPP is expected to be running by the end of 2011.

  13. The development of the Waste Isolation Pilot Plant (WIPP) project's public affairs program

    International Nuclear Information System (INIS)

    Walter, L.H.

    1988-01-01

    The Waste Isolation Pilot Plant (WIPP) offers a perspective on the value of designing flexibility into a public affairs program to enable it to grow with and complement a project's evolution from construction through to operations. This paper discusses how the WIPP public affairs program progressed through several stages to its present scope. During the WIPP construction phase, the public affairs program laid a foundation for Project acceptance in the community. A speaker's bureau, a visitors program, and various community outreach and support programs emphasized the educational and socioeconomic benefits of having this controversial project in Carlsbad. Then, in this past year as the project entered a preoperational status, the public affairs program emphasis shifted to broaden the positive image that had been created locally. In this stage, the program promoted the project's positive elements with the various state agencies, government officials, and federal organizations involved in our country's radioactive waste management and transportation program. Currently, an even broader, more aggressive public affairs program is planned. During this stage public affairs will be engaged in a comprehensive institutional and outreach program, explaining and supporting WIPP's mission in each of the communities and agencies affected by the operation of the country's first geologic repository

  14. Implementation of a Cardiovascular Disease Prevention Program among School-Aged Children: A Pilot Study

    Directory of Open Access Journals (Sweden)

    Lavon Young

    2006-09-01

    Full Text Available The objective of this study was to test students’ knowledge of cardiovascular disease information and to determine if a carefully structured training program administered to high school students would increase their knowledge about cardiovascular disease and risk factors that are preventable. A pilot study was conducted during which fifty high school students from nine counties in the State of Mississippi were measured for their knowledge of hypertension both at baseline and after the completion of an intervention training activity. There were significant gains in knowledge between the pre-test and the post-test that the students completed. The gains in knowledge indicate that elimination of risk factors is possible if all health care and school-based prevention programs are implemented to positively impact changes in eating and physical activity behaviors. Students’ involvement in such activities could translate into significant changes in risk factors at these ages and throughout their lifetime. It is widely accepted that these behavioral changes, if sustained into adulthood, could have the potential to influence cardiovascular risk reduction.

  15. Antenatal Cognitive-behavioral Therapy for Prevention of Postpartum Depression: A Pilot Study

    Science.gov (United States)

    Kwon, Jung Hye; Lee, Jeong Jae

    2008-01-01

    Purpose To examine the efficacy of cognitive-behavioral therapy (CBT) for the prevention of postpartum depression (PPD) in "at risk" women. Materials and Methods We recruited 927 pregnant women in 6 obstetric and gynecology clinics and screened them using Beck Depression Inventory (BDI). Ninety-nine of the screened women who had significantly high scores in BDI (a score above 16) were selected for the study. They were contacted through by telephone, and 27 who had consented to participate in the study were interviewed via SCID-IV-I. Twenty-seven eligible women were randomly assigned to the CBT intervention (n = 15) and control condition (n = 12). All participants were required to complete written questionnaires, assessing demographic characteristics, depressive symptoms, negative thoughts, dyadic communication satisfaction, and global marital satisfaction prior to treatment and approximately 1 month postpartum. The 15 women in the CBT condition received 9 bi-weekly 1-hour individual CBT sessions, targeting and modifying negative patterns of thinking and behaviors occurring in the context of the dyadic relationship. Results The analysis of covariance (ANCOVA) showed that there were significant differences in all postpartum measures between the 2 groups, indicating that our antenatal intervention with CBT was effective in reducing depressive symptoms and improving marital satisfaction, which lasted until the postpartum period. Conclusion Our pilot study has provided preliminary empirical evidence that antenatal CBT intervention can be an effective preventive treatment for PPD. Further study in this direction was suggested. PMID:18729297

  16. Preventing falls in assisted living: Results of a quality improvement pilot study.

    Science.gov (United States)

    Zimmerman, Sheryl; Greene, Angela; Sloane, Philip D; Mitchell, Madeline; Giuliani, Carol; Nyrop, Kirsten; Walsh, Edith

    Residents of assisted living (AL) communities are at high risk for falls, which result in negative outcomes and high health care costs. Adapting effective falls prevention programs for AL quality improvement (QI) has the potential to reduce falls, improve resident quality of life, and reduce costs. This project tested the feasibility and outcomes of an evidence-based multi-component QI program, the Assisted Living Falls Prevention and Monitoring Program (AL-FPMP). Resident posture and gait improved, likely due to exercise and/or physical therapy. Effective falls prevention QI programs can be implemented in AL, and are advised to (1) establish and maintain a falls team to create a culture focused on the reduction of falls risk; (2) teach staff to assess residents using the Morse Falls Scale to increase their awareness of residents' falls risk and improvement; and (3) modify existing exercise programs to address balance and lower body strength. Copyright © 2016 Elsevier Inc. All rights reserved.

  17. Industrial heat pumps for high temperatures - a pilot project; Industrielle varmepumper for hoeje temperaturer - et forprojekt

    Energy Technology Data Exchange (ETDEWEB)

    Johansson, M. [Dansk Energi Analyse A/S, Frederiksberg (Denmark); Weel, M.; Mikkelsen, J. [Weel and Sandvig, Kgs. Lyngby (Denmark)

    2012-03-15

    This project investigates the possibility of using mass produced and inexpensive turbo compressor technology for heat pumping in the industry. The compressors are designed for the compression of air and used by the automotive industry in connection with turbo-chargers. The heat pumps are primarily intended to use water as the working medium, which in addition to having no environmental loads, is suitable for the heat pumping at temperatures above about 60 deg. C and up to about 200 deg. C, a temperature level which is considerably higher than what has previously been observed covered with heat pumping. In this project, a Danish-produced high-speed gear (Rotrex) is used, which has just been developed to said compressor technology. In cooperation with Rotrex, the modifications relevant to a standard unit were analyzed and assessed. The project identified some areas of industry where heat pumping using this technology is considered to be attractive. A pilot plant operating with steam in a total of 12 hours is demonstrated. In more than 3 hours, the pilot plant was coupled so that it delivered useful heat supply to the evaporator. The plant has during the tests worked satisfactorily, and there is no evidence of problems with leaks in the compressor shaft sealings, neither in relation to the leakage of oil or steam, which was one of the central issues to clarify with the demonstration. In the limited testing period no problems were detected that could not be immediately resolved, i.e. the transmission in the form of a belt drive with high speed from the engine to the friction gear. In the determination of the performance of the compressor during the trial operation with steam as a working medium, it is shown that the conversion efficiency are within the expected range when taking into account the uncertainties in the measurements and the calculation method. In the experiment, no measurement of steam flow through the compressor was made, because of a greatly reduced

  18. Laboratory-based respiratory virus surveillance pilot project on select cruise ships in Alaska, 2013-15.

    Science.gov (United States)

    Rogers, Kimberly B; Roohi, Shahrokh; Uyeki, Timothy M; Montgomery, David; Parker, Jayme; Fowler, Nisha H; Xu, Xiyan; Ingram, Deandra J; Fearey, Donna; Williams, Steve M; Tarling, Grant; Brown, Clive M; Cohen, Nicole J

    2017-09-01

    Influenza outbreaks can occur among passengers and crews during the Alaska summertime cruise season. Ill travellers represent a potential source for introduction of novel or antigenically drifted influenza virus strains to the United States. From May to September 2013-2015, the Alaska Division of Public Health, the Centers for Disease Control and Prevention (CDC), and two cruise lines implemented a laboratory-based public health surveillance project to detect influenza and other respiratory viruses among ill crew members and passengers on select cruise ships in Alaska. Cruise ship medical staff collected 2-3 nasopharyngeal swab specimens per week from passengers and crew members presenting to the ship infirmary with acute respiratory illness (ARI). Specimens were tested for respiratory viruses at the Alaska State Virology Laboratory (ASVL); a subset of specimens positive for influenza virus were sent to CDC for further antigenic characterization. Of 410 nasopharyngeal specimens, 83% tested positive for at least one respiratory virus; 71% tested positive for influenza A or B virus. Antigenic characterization of pilot project specimens identified strains matching predominant circulating seasonal influenza virus strains, which were included in the northern or southern hemisphere influenza vaccines during those years. Results were relatively consistent across age groups, recent travel history, and influenza vaccination status. Onset dates of illness relative to date of boarding differed between northbound (occurring later in the voyage) and southbound (occurring within the first days of the voyage) cruises. The high yield of positive results indicated that influenza was common among passengers and crews sampled with ARI. This finding reinforces the need to bolster influenza prevention and control activities on cruise ships. Laboratory-based influenza surveillance on cruise ships may augment inland influenza surveillance and inform control activities. However, these

  19. One Health in Practice: A Pilot Project for Integrated Care of Zoonotic Infections in Immunocompromised Children and Their Pets in Chile.

    Science.gov (United States)

    Peña, A; Abarca, K; Weitzel, T; Gallegos, J; Cerda, J; García, P; López, J

    2016-08-01

    Although pets provide physiological and psychological benefits to their owners, they are a potential source of zoonotic infections, especially for vulnerable individuals such as immunocompromised patients. During 1 year, we therefore performed a pilot project, which included 32 immunocompromised Chilean children and their family pets (35 dogs and 9 cats) with the aim of detecting, treating and preventing zoonotic infections. Children were examined by Infectious Diseases paediatricians and demographical and clinical information related to zoonotic infections were recorded. Pets were examined and sampled by veterinarians, who also administered missing routine vaccines and anti-parasitics. During family visits, all members were informed and educated about zoonoses and a satisfaction survey was performed. Visits also included vector control and indoor residual spraying with pyrethroids. Children were re-examined and re-tested according to the findings of their pets, and all detected zoonotic infections were treated both in children and pets. Physical examination revealed abnormalities in 18 dogs (51.4%) and three cats (33.3%). Twenty-eight (63.6%) of the pets were diagnosed with a zoonotic pathogen, and seven (15.9%) with a facultative pathogen. Most zoonotic agents were isolated from the pet's external ear and intestine. Bacteria with the highest pathogenic potential were Campylobacter jejuni and Brucella canis. In two children and their respective pets, the same zoonotic diseases were diagnosed (toxocariasis and giardiasis). Arthropods serving as potential vectors of zoonotic infections were found in 49% of dogs and 44% of cats. The pilot project was positively evaluated by the participating families. Our pilot project confirmed that pets are reservoir for various zoonotic agents in Chile and that the implementation of an integrated multidisciplinary programme was a valuable tool to prevent, diagnose and treat such zoonotic infections in vulnerable patients such as

  20. Economic evaluation of a comprehensive teenage pregnancy prevention program: pilot program.

    Science.gov (United States)

    Rosenthal, Marjorie S; Ross, Joseph S; Bilodeau, Roseanne; Richter, Rosemary S; Palley, Jane E; Bradley, Elizabeth H

    2009-12-01

    Previous research has suggested that comprehensive teenage pregnancy prevention programs that address sexual education and life skills development and provide academic support are effective in reducing births among enrolled teenagers. However, there have been limited data on the costs and cost effectiveness of such programs. The study used a community-based participatory research approach to develop estimates of the cost-benefit of the Pathways/Senderos Center, a comprehensive neighborhood-based program to prevent unintended pregnancies and promote positive development for adolescents. Using data from 1997-2003, an in-time intervention analysis was conducted to determine program cost-benefit while teenagers were enrolled; an extrapolation analysis was then used to estimate accrued economic benefits and cost-benefit up to age 30 years. The program operating costs totaled $3,228,152.59 and reduced the teenage childbearing rate from 94.10 to 40.00 per 1000 teenage girls, averting $52,297.84 in total societal costs, with an economic benefit to society from program participation of $2,673,153.11. Therefore, total costs to society exceeded economic benefits by $559,677.05, or $1599.08 per adolescent per year. In an extrapolation analysis, benefits to society exceed costs by $10,474.77 per adolescent per year by age 30 years on average, with social benefits outweighing total social costs by age 20.1 years. This comprehensive teenage pregnancy prevention program is estimated to provide societal economic benefits once participants are young adults, suggesting the need to expand beyond pilot demonstrations and evaluate the long-range cost effectiveness of similarly comprehensive programs when they are implemented more widely in high-risk neighborhoods.

  1. A Pilot Study for Linking Adolescent Patients to an Interactive Tobacco Prevention Program

    Directory of Open Access Journals (Sweden)

    Karen S. Calabro

    2017-04-01

    Full Text Available Context: The American Academy of Pediatrics and professional guidelines recommend intervening with adolescents about avoiding tobacco use in the health-care setting. Barriers in the clinical setting limit consistent provision of this critical service. Objectives: This pilot study compared 2 approaches for referring adolescents to an evidence-based tobacco prevention and cessation program in the outpatient setting. Secondary aims assessed tobacco use, knowledge, and program evaluation. Design, Setting, and Participants: The study setting was a medical and dental clinic. Participants aged 13 to 18 received tobacco advice and instructions to work through “A Smoking Prevention Interactive Experience.” The program addresses health concerns of adolescents about tobacco use and is founded on behavioral change theories. The link to access it is featured on the website of the National Cancer Institute’s Research-Tested Interventions. Participants (N = 197 were randomized to 1 of 2 approaches (ie, a program link via e-mail or referral by a printed card. Results: The program was accessed by 57% (112 of 197 of participants. Both referral approaches were equally effective. Non-Hispanics were twice as likely to access the program as Hispanics (adjusted odds ratio = 2.1, 95% confidence interval = 1.2-3.8, P < .05. Over 95% of participants identified themselves as nonusers of tobacco and evaluated the program as beneficial in increasing knowledge and motivation to remain tobacco-free. Conclusion: Linking adolescent patients to an evidence-based tobacco prevention/cessation program at a community health clinic was highly promising and feasible. We present conclusions for future research.

  2. Economic Evaluation of a Comprehensive Teenage Pregnancy Prevention Program: Pilot Program

    Science.gov (United States)

    Rosenthal, Marjorie S.; Ross, Joseph S.; Bilodeau, RoseAnne; Richter, Rosemary S.; Palley, Jane E.; Bradley, Elizabeth H.

    2011-01-01

    Background Previous research has suggested that comprehensive teenage pregnancy prevention programs that address sexual education and life skills development and provide academic are effective in reducing births among enrolled teenagers. However, there have been limited data on costs and cost-effectiveness of such programs. Objectives To use a community-based participatory research approach, to develop estimates of the cost-benefit of the Pathways/Senderos Center, a comprehensive neighborhood-based program to prevent unintended pregnancies and promote positive development for adolescents. Methods Using data from 1997-2003, we conducted an in-time intervention analysis to determine program cost-benefit while teenagers were enrolled and then used an extrapolation analysis to estimate accyrred economibc benefits and cost-benefit up to age 30. Results The program operating costs totaled $3,228,152.59 and reduced the teenage childbearing rate from 94.10 to 40.00 per 1000 teenage females, averting $52,297.84 in total societal costs, with an economic benefit to society from program participation of $2,673,153.11. Therefore, total costs to society exceeded economic benefits by $559,677.05, or $1,599.08 per adolescent per year. In an extrapolation analysis, benefits to society exceed costs by $10,474.77 per adolescent per year by age 30 on average, with social benefits outweighing total social costs by age 20.1. Conclusions We estimate that this comprehensive teenage pregnancy prevention program would provide societal economic benefits once participants are young adults, suggesting the need to expand beyond pilot demonstrations and evaluate the long-range cost-effectiveness of similarly comprehensive programs when implemented more widely in high-risk neighborhoods. PMID:19896030

  3. Cognitive Behavioural Suicide Prevention for Male Prisoners: A pilot randomised controlled trial

    Science.gov (United States)

    Pratt, D.; Tarrier, N.; Dunn, G.; Awenat, Y.; Shaw, J.; Ulph, F.; Gooding, P.

    2015-01-01

    Background Prisoners have an exceptional risk of suicide. Cognitive behavioural therapy for suicidal behaviour has been shown to offer considerable potential, but has yet to be formally evaluated within prisons. This study investigated the feasibility of delivering and evaluating a novel, manualised cognitive behavioural suicide prevention (CBSP) therapy for suicidal male prisoners. Methods A pilot randomised controlled trial of CBSP in addition to treatment as usual (CBSP; n=31) compared to treatment as usual alone (TAU; n=31), was conducted in a male prison in England. The primary outcome was self-injurious behaviour occurring within the past six months. Secondary outcomes were dimensions of suicidal ideation, psychiatric symptomatology, personality dysfunction and psychological determinants of suicide, including depression and hopelessness. The trial was prospectively registered (number ISRCTN59909209). Results Relative to TAU, participants receiving CBSP therapy achieved a significantly greater reduction in suicidal behaviours with a moderate treatment effect (Cohen’s d=−0.72, 95%CI: −1.71 to 0.09; baseline mean [SD], TAU: 1.39[3.28] vs CBSP: 1.06[2.10], 6 months mean [SD], TAU: 1.48[3.23] vs CBSP: 0.58[1.52]). Significant improvements were achieved on measures of psychiatric symptomatology and personality dysfunction. Improvements on psychological determinants of suicide were non-significant. More than half of participants in the CBSP group achieved a clinically significant recovery by the end of therapy, compared to a quarter of the TAU group. Conclusions The delivery and evaluation of cognitive behavioural suicide prevention therapy within a prison is feasible. CBSP therapy offers significant promise in the prevention of prison suicide and an adequately powered randomised controlled trial is warranted. PMID:26165919

  4. Boys' Clubs of America Alcohol Abuse Prevention Project, 1977-78. Final Evaluation.

    Science.gov (United States)

    Insight Associates, Great Neck, NY.

    This report evaluates this prevention program's effectiveness in producing social change in the area of alcohol abuse among Boys' Club participants. Concentrating on the program's third year, this paper presents summative evaluations for seven Boys' Club pilot sites. Each summation concentrates on the site's ability to translate models developed…

  5. Boys' Clubs of America Alcohol Abuse Prevention Project, 1976-77. Final Evaluation.

    Science.gov (United States)

    Insight Associates, Great Neck, NY.

    This report evaluates the alcohol abuse prevention program's effectiveness in producing social change among Boys' Club participants. Concentrating on the program's second year, this paper presents summative evaluations for nine Boys' Club pilot sites. Each summation concentrates on the site's ability to implement model programs developed during…

  6. 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

    The U.S. Department of Energy (DOE) is sponsoring research, development, and deployment on light water reactor sustainability (LWRS), in which the Idaho National Laboratory (INL) is working closely with nuclear utilities to develop technologies and solutions to help ensure the safe operational life extension of current reactors. As technologies are introduced that change the operation of the plant, the LWRS pilot projects can help identify their best-advanced uses and help demonstrate the safety of these technologies. In early testing of operator performance given these emerging technologies will ensure the safety and usability of systems prior to large-scale deployment and costly verification and validation at the plant. The aim of these collaborations, demonstrations, and approaches are intended to lessen the inertia that sustains the current status quo of today's II and C systems technology, and to motivate transformational change and a shift in strategy to a long-term approach to II and C modernization that is more sustainable. Research being conducted under Pilot Project 1 regards understanding the conditions and behaviors that can be modified, either through process improvements and/or technology deployment, to improve the overall safety and efficiency of outage control at nuclear facilities. The key component of the research in this pilot project is accessing the delivery of information that will allow researchers to simulate the control room, outage control center (OCC) information, and plant status data. The simulation also allows researchers to identify areas of opportunity where plant operating status and outage activities can be analyzed to increase overall plant efficiency. For Pilot Project 3 the desire is to demonstrate the ability of technology deployment and the subsequent impact on maximizing the 'Collective Situational Awareness' of the various stakeholders in a commercial nuclear power plant. Specifically, the desire is to show positive results

  7. The Pilot Lunar Geologic Mapping Project: Summary Results and Recommendations from the Copernicus Quadrangle

    Science.gov (United States)

    Skinner, J. A., Jr.; Gaddis, L. R.; Hagerty, J. J.

    2010-01-01

    The first systematic lunar geologic maps were completed at 1:1M scale for the lunar near side during the 1960s using telescopic and Lunar Orbiter (LO) photographs [1-3]. The program under which these maps were completed established precedents for map base, scale, projection, and boundaries in order to avoid widely discrepant products. A variety of geologic maps were subsequently produced for various purposes, including 1:5M scale global maps [4-9] and large scale maps of high scientific interest (including the Apollo landing sites) [10]. Since that time, lunar science has benefitted from an abundance of surface information, including high resolution images and diverse compositional data sets, which have yielded a host of topical planetary investigations. The existing suite of lunar geologic maps and topical studies provide exceptional context in which to unravel the geologic history of the Moon. However, there has been no systematic approach to lunar geologic mapping since the flight of post-Apollo scientific orbiters. Geologic maps provide a spatial and temporal framework wherein observations can be reliably benchmarked and compared. As such, a lack of a systematic mapping program means that modern (post- Apollo) data sets, their scientific ramifications, and the lunar scientists who investigate these data, are all marginalized in regard to geologic mapping. Marginalization weakens the overall understanding of the geologic evolution of the Moon and unnecessarily partitions lunar research. To bridge these deficiencies, we began a pilot geologic mapping project in 2005 as a means to assess the interest, relevance, and technical methods required for a renewed lunar geologic mapping program [11]. Herein, we provide a summary of the pilot geologic mapping project, which focused on the geologic materials and stratigraphic relationships within the Copernicus quadrangle (0-30degN, 0-45degW).

  8. Eco-design pilot project in China - Monsoon offer 2 upgrade

    Science.gov (United States)

    Thai, Roselyne; Liu, Guoguo

    2017-11-01

    During COP21, Schneider Electric has committed that 100% of our new products would be eco-designed to tackle climate change. Launched in 2015, this initiative ecoDesign WayTM was tested on some pilot projects. This project covers the first ecoDesign WayTM pilot in China on an overvoltage or under voltage protective device used in both residential and industrial sectors, called Monsoon. Under the name ecoDesign WayTM, a method and a process have been deployed. The 3 main ecoDesign WayTM phases are: phase 1 - Marketing & Technique handshake, Phase 2 - ecoDesign WayTM follow-up and Phase 3 - Marketing communication. During the project, EIME from Bureau Veritas CODDE and ecoDesign WayTM scorecard from EVEA consulting are two core tools for eco-design implementation. They are respectively used for life cycle assessment and eco-design performance comparison. Thanks to the approach, compared to previous range, pollution emissions and resource depletion along the whole life cycle of product have decreased (reduction of 55% for energy depletion and 85% for water depletion). Global warming potential has dramatically decreased by 98.4% and air pollution by 33%. Meanwhile, the recycling rate has been improved by 18%, and recycled PA is used. The ecoDesign WayTM scorecard is stored as referent document for any customer request. Moreover, customers can access RoHS certificate, REACh declaration, PEP and EoLI in Check a product, an online environmental data repository, available 24/7.

  9. TOLD LIKE IT IS! AN EVALUATION OF AN INTEGRATED ORAL DEVELOPMENT PILOT PROJECT

    Directory of Open Access Journals (Sweden)

    David Barr

    2005-09-01

    Full Text Available Much established pedagogical and CALL (computer-assisted language learning research advocates an integrated constructivist approach to the use of technology in language learning. This paper reports on a pilot project delivered to first year undergraduate French students. The project aim was to deliver a blend of collaborative and individual learning through a combination of CALL programs and online activities alongside traditional face-to-face conversation classes. Using quantitative analysis of a pre- and posttest and a variety of questionnaires, this project assessed student progress in developing oral skills across two groups, one (the treatment group using technology and the other (the comparison group being a traditional conversation class. Each group covered the same content and underwent the same assessment procedures. In addition, through qualitative analysis measures, the project evaluated the role played by additional variables in the learning process, as well as student and staff reactions to the two approaches. The study concludes by showing that while progress was made by both groups, the progress made by those not using technology was significantly greater than that made by students using technology over a short-term study. It also highlights the need for developing pedagogy to ensure that CALL-based teaching goes beyond rehearsal activity to achieve message-orientated communication.

  10. DSM energy saving pilot project report. Company Augstceltne Ltd., Riga, Latvia

    Energy Technology Data Exchange (ETDEWEB)

    Krievins, P.; Cakuls, A.; Kaross, V.; Jansons, D.

    1995-05-01

    This report is a part of the Joint Latvian - Danish Project DEMAND SIDE MANAGEMENT AND ENERGY SAVING. The Project is a part of the Danish aid and technology transfer to Latvia. It is the result of collaborative efforts between a Latvian team, consisting of the specialists from Latvenergo and a Danish team, which was represented by Danish Power Consult. The purpose of this pilot project was not only to carry out energy audit in the company Augstceltne Ltd and propose demand side management and energy saving measures. Another task of the project was the application of DPC energy audit methodic, measuring equipment and software in Latvian conditions and the promotion of energy saving programs in Latvia in this way. The Company Augstceltne Ltd was created to rent the rest of premises for many other independent companys and to earn money for surviving. Now the Company has 9 buildings with a total area of 26,920 square meters. The tower block has 23 floors and it is the main business centre. 66 companies are located in the building. (EG)

  11. [Risk management in the operation room. Results of a pilot project of interdisciplinary "incident reporting"].

    Science.gov (United States)

    Horstmann, R; Hofinger, G; Mäder, M; Gaidzik, P W; Waleczek, H

    2006-08-01

    Methods for error analysis are suitable to increase patients' safety as well as staff satisfaction and may avoid, in a sense of process control, financial damage to the hospital. The aim of the presented pilot study was to establish and evaluate an incident reporting system as a first step towards a new safety culture. In June 2003 an incident reporting system was introduced in the central surgical suite, in which the surgical and anaesthesiologic departments took part as well medical and nursing staff. Besides conceiving a report form, a "board of confidence" was elected, kick-off meetings were held and a baseline study on the basis of industrial psychological knowledge was initialised. The process of creating confidence is arduous and depends elementarily on sincere cooperation of management staff, especially of the heads of the departments. The exclusive participation of only two medical departments led to conflicts. Therefore, after finishing the pilot study, the system was expanded to the whole surgical suite including all operating departments. In order to increase the motivation for the strictly voluntarily participation, the frequency of regular echoes to the staff was optimised. To achieve high acceptance in the whole staff, the board of confidence needs a clearly defined position within the system of quality management. For the first time in Germany an incident reporting system under participation of several medical departments has been installed. After finishing the pilot project, in future we will be able to evaluate changes caused by this system. Simultaneously an electronic database for reported adverse events and strategies to avoid them are being developed based on similar systems in aviation industry. In near future, the system will be of increasing importance likewise for inpatient units and non-operative departments.

  12. 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.

  13. Aspirin for Stroke Prevention in Elderly Patients With Vascular Risk Factors: Japanese Primary Prevention Project.

    Science.gov (United States)

    Uchiyama, Shinichiro; Ishizuka, Naoki; Shimada, Kazuyuki; Teramoto, Tamio; Yamazaki, Tsutomu; Oikawa, Shinichi; Sugawara, Masahiro; Ando, Katsuyuki; Murata, Mitsuru; Yokoyama, Kenji; Minematsu, Kazuo; Matsumoto, Masayasu; Ikeda, Yasuo

    2016-06-01

    The effect of aspirin in primary prevention of stroke is controversial among clinical trials conducted in Western countries, and no data are available for Asian populations with a high risk of intracranial hemorrhage. The objective of this study was to evaluate the effect of aspirin on the risk of stroke and intracranial hemorrhage in the Japanese Primary Prevention Project (JPPP). A total of 14 464 patients (age, 60-85 years) with hypertension, dyslipidemia, and diabetes mellitus participated and were randomized into 2 treatment groups: 100 mg of aspirin or no aspirin. The median follow-up period was 5.02 years. The cumulative rate of fatal or nonfatal stroke was similar for the aspirin (2.068%; 95% confidence interval [CI], 1.750-2.443) and no aspirin (2.299%; 95% CI, 1.963-2.692) groups at 5 years; the estimated hazard ratio was 0.927 (95% CI, 0.741-1.160; P=0.509). Aspirin nonsignificantly reduced the risk of ischemic stroke or transient ischemic attack (hazard ratio, 0.783; 95% CI, 0.606-1.012; P=0.061) and nonsignificantly increased the risk of intracranial hemorrhage (hazard ratio, 1.463; 95% CI; 0.956-2.237; P=0.078). A Cox regression adjusted by the risk factors for all stroke, which were age >70 years, smoking, and diabetes mellitus, supported the above result. Aspirin did not show any net benefit for the primary prevention of stroke in elderly Japanese patients with risk factors for stroke, whereas age >70 years, smoking, and diabetes mellitus were risk factors for stroke regardless of aspirin treatment. URL: http://www.clinicaltrials.gov. Unique identifier: NCT00225849. © 2016 American Heart Association, Inc.

  14. A Pilot Project Demonstrating that Combat Medics Can Safely Administer Parenteral Medications in the Emergency Department.

    Science.gov (United States)

    Schauer, Steven G; Cunningham, Cord W; Fisher, Andrew D; DeLorenzo, Robert A

    2017-12-01

    Introduction Select units in the military have improved combat medic training by integrating their functions into routine clinical care activities with measurable improvements in battlefield care. This level of integration is currently limited to special operations units. It is unknown if regular Army units and combat medics can emulate these successes. The goal of this project was to determine whether US Army combat medics can be integrated into routine emergency department (ED) clinical care, specifically medication administration. Project Design This was a quality assurance project that monitored training of combat medics to administer parenteral medications and to ensure patient safety. Combat medics were provided training that included direct supervision during medication administration. Once proficiency was demonstrated, combat medics would prepare the medications under direct supervision, followed by indirect supervision during administration. As part of the quality assurance and safety processes, combat medics were required to document all medication administrations, supervising provider, and unexpected adverse events. Additional quality assurance follow-up occurred via complete chart review by the project lead. Data During the project period, the combat medics administered the following medications: ketamine (n=13), morphine (n=8), ketorolac (n=7), fentanyl (n=5), ondansetron (n=4), and other (n=6). No adverse events or patient safety events were reported by the combat medics or discovered during the quality assurance process. In this limited case series, combat medics safely administered parenteral medications under indirect provider supervision. Future research is needed to further develop this training model for both the military and civilian setting. Schauer SG , Cunningham C W, Fisher AD , DeLorenzo RA . A pilot project demonstrating that combat medics can safely administer parenteral medications in the emergency department. Prehosp Disaster Med. 2017;32(6):679-681.

  15. The natural history of spina bifida in children pilot project: research protocol.

    Science.gov (United States)

    Alriksson-Schmidt, Ann I; Thibadeau, Judy K; Swanson, Mark E; Marcus, David; Carris, Kari L; Siffel, Csaba; Ward, Elisabeth

    2013-01-25

    Population-based empirical information to inform health care professionals working with children with spina bifida currently is lacking. Spina bifida is a highly complex condition that not only affects mobility but many additional aspects of life. We have developed a pilot project that focuses on a broad range of domains: surgeries, development and learning, nutrition and physical growth, mobility and functioning, general health, and family demographics. Specifically, we will: (1) explore the feasibility of identifying and recruiting participants using different recruitment sources, (2) test a multidisciplinary module to collect the data, (3) determine the utility of different methods of retrieving the data, and (4) summarize descriptive information on living with spina bifida. The overall objective of the project was to provide information for a future multistate prospective study on the natural history of spina bifida. Families with a child 3 to 6 years of age with a diagnosis of spina bifida were eligible for enrollment. Eligible families were identified through a US population-based tracking system for birth defects and from a local spina bifida clinic. This is an ongoing project with first results expected in 2013. This project, and the planned multistate follow-up project, will provide information both to health care professionals experienced in providing care to patients with spina bifida, and to those who have yet to work with this population. The long-term purpose of this project is to increase the knowledge about growing up with spina bifida and to guide health care practices by prospectively studying a cohort of children born with this condition.

  16. Technology Cooperation Agreement Pilot Project: Development-Friendly Greenhouse Gas Reduction

    Energy Technology Data Exchange (ETDEWEB)

    Keegan, P.

    1998-10-30

    This paper provides an overview of TCAPP, including the methodology, the results to date, and proposed future activities. It includes a detailed description of the technology cooperation frameworks completed by each country, the process that produced them and the plans for how TCAPP will help to implement the directions articulated by the country teams. The US Government initiated the Technology Cooperation Agreement Pilot Project (TCAPP) in August 1997 in recognition of the need to establish a mechanism for implementing Article 4.5 of the Framework Convention on Climate Change. ''The developed country partners shall take all practicable steps to promote, facilitate and finance, as appropriate, the transfer of, or access to, environmentally sound technologies and know-how to other Parties, particularly developing country Parties, to enable them to implement the provisions of the Convention.'' TCAPP builds support for implementing clean energy technologies by facilitating collaboration among the participating countries, the US and other OECD countries, international donors, and the private sector. The governments of Brazil, China, Kazakhstan, Mexico and the Philippines are currently participating and helping to shape this initiative. International donors and the private sector have also been actively engaged in the design and implementation of this pilot program.

  17. A continuous collection system for household pharmaceutical wastes: a pilot project.

    Science.gov (United States)

    Musson, Stephen E; Townsend, Timothy; Seaburg, Kurt; Mousa, John

    2007-07-01

    A 5-month "self-serve" pilot project was implemented to properly dispose of old and unwanted prescription and nonprescription medications. Obstacles encountered during the program included reluctance by major drug store chains to participate, regulatory and legal restrictions on pharmaceutical handling, and collection of detailed data from participants. Despite these difficulties, a total weight of 305 lb of discarded pharmaceuticals was collected during the pilot program period from an estimated 500 participants. A survey of participants indicated that discard of pharmaceuticals to the sanitary sewer, a newly discovered environmental hazard, is commonplace, with approximately 50% of participants using this method previously. The average age of the patients using the disposed medication was approximately 64 yr old, with the large majority being above 50 yr in age. The majority of participants learned of the program through newspaper advertisement. The average age or time after purchase of the medication was approximately 3 yr, and the primary purpose cited for its disposal was that the medication had exceeded its expiration date.

  18. Palliative care for advanced dementia: a pilot project in 2 nursing homes.

    Science.gov (United States)

    Kuhn, Daniel R; Forrest, Jeannine M

    2012-02-01

    This article describes a pilot project involving training, case consultations, and administrative coaching over a period of 1 year aimed at introducing palliative care in 2 nursing homes among 31 residents with advanced dementia. Resident outcomes that examined numerous clinical measures were assessed at 3 points in time. Changes in the knowledge and attitudes of 80 staff members and 33 family members who participated in the multimodal intervention were also assessed at 3 points in time. Limited improvements were demonstrated on measures for residents, staff members, and family members at the first nursing home (site 1) and significant improvements were demonstrated at the other nursing home (site 2). Top leadership turned over 3 times at site 1 which limited the integration of palliative care, whereas leadership of site 2 remained stable. Implications for implementing a program of palliative care in nursing homes are discussed.

  19. A pilot project to evaluate the academic performance, abilities, and satisfaction of second-degree students.

    Science.gov (United States)

    Moe, Krista; Brockopp, Dorothy Ann; Walmsley, Lee Anne; Davis, Joanne; Butler, Karen; Diebold, Claudia; Maiti, Sima Rinku

    2009-01-01

    The literature on students matriculated in the growing number of second-degree nursing programs in the United States typically describes them as exceptional on many parameters of interest. The experience at the authors' university in an integrated second-degree baccalaureate nursing program did not support prevailing notions regarding these students. The purpose of this pilot project was to evaluate the performance and satisfaction of second-degree students in comparison to traditional students. The Learning and Study Strategies Inventory, a standardized exit examination, the nursing grade point average (GPA), and focus groups were used in the evaluation. Findings showed little difference between second-degree students and traditional students on the Learning and Study Strategies Inventory and no difference in exit examination scores and nursing GPA. Social and learning differences were apparent as a result of the focus group experience.

  20. Ecological control of Triatoma dimidiata (Latreille, 1811: five years after a Costa Rican pilot project

    Directory of Open Access Journals (Sweden)

    Rodrigo Zeledó

    2008-09-01

    Full Text Available An ecological pilot project for the control of Triatoma dimidiata allowed a new evaluation four and five years after environmental modifications in the peridomestic areas of 20 households. It was verified that the two groups of houses, 10 case-houses and 10 control-houses, were free of insects after those periods of time. In the first group, the owners started a chicken coop in the backyard and a colony of bugs was found there without infesting the house. In the second group, the inhabitants of one house once again facilitated the conditions for the bugs to thrive in the same store room, reaffirming that man-made ecotopes facilitates colonization. This ecological control method was revealed to be reliable and sustainable and it is recommended to be applied to those situations where the vectors of Chagas disease can colonize houses and are frequent in wild ecotopes.

  1. Physical and cognitive stimulation in Alzheimer Disease. the GAIA Project: a pilot study.

    Science.gov (United States)

    Maci, Tiziana; Pira, Francesco Le; Quattrocchi, Graziella; Nuovo, Santo Di; Perciavalle, Vincenzo; Zappia, Mario

    2012-03-01

    Several data suggest that physical activity and cognitive stimulation have a positive effect on the quality of life (QoL) of people with Alzheimer's disease (AD), slowing the decline due to the disease. A pilot project was undertaken to assess the effect of cognitive stimulation, physical activity, and socialization on patients with AD and their informal caregiver's QoL and mood. Fourteen patients with AD were randomly divided into active treatment group and control group. At the end of treatment, a significant improvement in apathy, anxiety, depression, and QoL in the active treatment group was found. Considering caregivers, those of the active treatment group exhibited a significant improvement in their mood and in their perception of patients' QoL. This study provides evidence that a combined approach based on cognitive stimulation, physical activity, and socialization is a feasible tool to improve mood and QoL in patients with AD and their caregivers.

  2. Serious games for screening pre-dementia conditions: from virtuality to reality? A pilot project.

    Science.gov (United States)

    Zucchella, Chiara; Sinforiani, Elena; Tassorelli, Cristina; Cavallini, Elena; Tost-Pardell, Daniela; Grau, Sergi; Pazzi, Stefania; Puricelli, Stefano; Bernini, Sara; Bottiroli, Sara; Vecchi, Tomaso; Sandrini, Giorgio; Nappi, Giuseppe

    2014-01-01

    Conventional cognitive assessment is based on a pencil-and-paper neuropsychological evaluation, which is time consuming, expensive and requires the involvement of several professionals. Information and communication technology could be exploited to allow the development of tools that are easy to use, reduce the amount of data processing, and provide controllable test conditions. Serious games (SGs) have the potential to be new and effective tools in the management and treatment of cognitive impairments Serious games for screening pre-dementia conditions: from virtuality to reality? A pilot project in the elderly. Moreover, by adopting SGs in 3D virtual reality settings, cognitive functions might be evaluated using tasks that simulate daily activities, increasing the "ecological validity" of the assessment. In this commentary we report our experience in the creation of the Smart Aging platform, a 3D SGand virtual environment-based platform for the early identification and characterization of mild cognitive impairment.

  3. Ecological control of Triatoma dimidiata (Latreille, 1811): five years after a Costa Rican pilot project.

    Science.gov (United States)

    Zeledó, Rodrigo; Rojas, Julio C; Urbina, Andrea; Cordero, Marlen; Gamboa, Sue H; Lorosa, Elias S; Alfaro, Sergio

    2008-09-01

    An ecological pilot project for the control of Triatoma dimidiata allowed a new evaluation four and five years after environmental modifications in the peridomestic areas of 20 households. It was verified that the two groups of houses, 10 case-houses and 10 control-houses, were free of insects after those periods of time. In the first group, the owners started a chicken coop in the backyard and a colony of bugs was found there without infesting the house. In the second group, the inhabitants of one house once again facilitated the conditions for the bugs to thrive in the same store room, reaffirming that man-made ecotopes facilitates colonization. This ecological control method was revealed to be reliable and sustainable and it is recommended to be applied to those situations where the vectors of Chagas disease can colonize houses and are frequent in wild ecotopes.

  4. Pennsylvania's Asthma School Project and descriptive pilot investigation: a focus on environmental health tracking.

    Science.gov (United States)

    Logue, James N; White, Mark V; Marchetto, David J

    2007-10-01

    The authors reviewed asthma prevalence rates from all 501 Pennsylvania public school districts for 1997-1998 through 2002-2003. School nurses collect and report these data to the Pennsylvania Department of Health annually, and the data are aggregated by school district, county, and specified school year. The department initiated a descriptive pilot investigation in 2004 as part of the larger Asthma School Project, targeting all students with asthma in the two districts that had the highest and second highest asthma rates in Pennsylvania. The authors conclude that reporting of asthma by school nurses was a reliable data source, since most participating students had documentation of asthma diagnosis or asthma medication. The department also conducted environmental evaluations at the schools and investigated the occurrences of asthma exacerbations in participating students, but no unusual patterns or links to the schools were identified. The authors encourage other state health departments to consider designing and testing similar approaches to tracking asthma in students.

  5. Managing multiple projects: a literature review of setting priorities and a pilot survey of healthcare researchers in an academic setting.

    Science.gov (United States)

    Hopkins, Robert Borden; Campbell, Kaitryn; O'Reilly, Daria; Tarride, Jean-Eric; Bowen, Jim; Blackhouse, Gord; Goerre, Ron

    2007-05-16

    To summarize and then assess with a pilot study the use of published best practice recommendations for priority setting during management of multiple healthcare research projects, in a resource-constrained environment. Medical, economic, business, and operations literature was reviewed to summarize and develop a survey to assess best practices for managing multiple projects. Fifteen senior healthcare research project managers, directors, and faculty at an urban academic institution were surveyed to determine most commonly used priority rules, ranking of rules, characteristics of their projects, and availability of resources. Survey results were compared to literature recommendations to determine use of best practices. Seven priority-setting rules were identified for managing multiple projects. Recommendations on assigning priorities by project characteristics are presented. In the pilot study, a large majority of survey respondents follow best practice recommendations identified in the research literature. However, priority rules such as Most Total Successors (MTS) and Resource Scheduling Method (RSM) were used "very often" by half of the respondents when better performing priority rules were available. Through experience, project managers learn to manage multiple projects under resource constraints. Best practice literature can assist project managers in priority setting by recommending the most appropriate priority given resource constraints and project characteristics. There is room for improvement in managing multiple projects.

  6. Development and Pilot Test of a Commercial Sexual Exploitation Prevention Tool: A Brief Report.

    Science.gov (United States)

    Murphy, Molly; Bennett, Nicole; Kottke, Melissa

    2016-01-01

    Commercial sexual exploitation of children (CSEC) is a persistent problem in the United States, yet few youth-oriented CSEC prevention tools exist. The objectives of this project were to develop an educational website about CSEC for adolescents and evaluate it through pre- and posttests of adolescents' knowledge and attitudes about CSEC. Results demonstrated increases in participants' CSEC knowledge and decreases in their tolerance of CSEC after navigating the website and viewing an embedded video. Qualitative and quantitative results suggest that CSEC is deemed an important issue by adolescents and web-based content is a relevant and useful mode through which to educate adolescents about CSEC. Consideration should be given to further exploration of this and other tools for CSEC prevention tailored to adolescents' needs and preferences.

  7. Case Study Report: REDD+ Pilot Project in Community Forests in Three Watersheds of Nepal

    Directory of Open Access Journals (Sweden)

    Shanti Shrestha

    2014-09-01

    Full Text Available Reducing emissions from deforestation and forest degradation (REDD+ is an international climate policy instrument that is expected to tap into the large mitigation potential for conservation and better management of the world’s forests through financial flows from developed to developing countries. This paper describes the results and lessons learned from a pioneering REDD+ pilot project in Nepal, which is based on a community forest management approach and which was implemented from 2009–2013 with support from NORAD’s Climate and Forest Initiative. The major focus of the project was to develop and demonstrate an innovative benefit-sharing mechanism for REDD+ incentives, as well as institutionally and socially inclusive approaches to local forest governance. The paper illustrates how community-based monitoring, reporting, and verification (MRV and performance-based payments for forest management can be implemented. The lessons on REDD+ benefit sharing from this demonstration project could provide insights to other countries which are starting to engage in REDD+, in particular in South Asia.

  8. Effectiveness evaluation of service provided in geology: Introduction of a pilot project EESG

    Directory of Open Access Journals (Sweden)

    Markéta Lajczyková

    2011-04-01

    Full Text Available The paper is focused on providing services, specifically on effectiveness evaluating of services in the field of geology (nicknamed project EESG, and delivers the performance of a pilot project to establish a general methodology for effectiveness evaluating of services of geology by using several methods for data analyzing in the field of the quality management system, which should be addressed in practice in conditions of a specific organization. Among other things, the article also paid attention to the CEDAC method. The paper based on the importance of effectiveness and benefits from the effectivness evaluation of service as very important decision variables in managing the process, which contributes to so-called operational quality management. Paper also presents the results of some interesting analysis for example an analysis of a competitive advantage thanks to management systems and identification areas for improvement based on analysis of the audits. The paper has been compiled in connection with resolving project KEGA 3/6411/08 Transformation of the already existing study programme Management of production quality to an university-wide bilingual study programme.

  9. EFFECTIVENESS EVALUATION OF SERVICE PROVIDED IN GEOLOGY: INTRODUCTION OF A PILOT PROJECT EESG

    Directory of Open Access Journals (Sweden)

    MARKÉTA LAJCZYKOVÁ

    2010-12-01

    Full Text Available The paper is focused on providing services, specifically on effectiveness evaluating of services in the field of geology (nicknamed project EESG, and delivers the performance of a pilot project to establish a general methodology for effectiveness evaluating of services of geology by using several methods for data analyzing in the field of the quality management system, which should be addressed in practice in conditions of a specific organization. Among other things, the article also paid attention to the CEDAC method. The paper based on the importance of effectiveness and benefits from the effectivness evaluation of service as very important decision variables in managing the process, which contributes to so-called operational quality management. Paper also presents the results of some interesting analysis for example an analysis of a competitive advantage thanks to management systems and identification areas for improvement based on analysis of the audits. The paper has been compiled in connection with resolving project KEGA 3/6411/08 Transformation of the already existing study programme Management of production quality to an university-wide bilingual study programme.

  10. Pilot project on the resettlement of out-migrant agricultural population in Yangtze Gorges Reservoir Area.

    Science.gov (United States)

    Zhu, W

    1992-10-01

    A brief summary is provided of the pilot project on the resettlement of the agricultural population in Yangtze Reservoir Area, China. Population needed to be resettled from the area to be flooded by the construction of the Three Gorges Hydropower Station in the middle of the Yangtze River. The submerged area included 19 cities and counties of which 2 are county level cities, 11 county seats, 140 towns and market towns, 326 townships, and 1351 villages. The population to be evacuated totaled 725,500 residents, of whom 392,90 were urban residents and 332,600 were rural residents. The amount of cultivated land lost amounted to 3573 mu (1 mu = 17.5% of an acre). While the hydropower station is being constructed, the population will rise over 20 years to 1 million. The Chinese government has developed a program of resettlement, whereby displaced population receive financial support to develop the economy; the sum appropriated equaled 50 million yuan RMB. So far, the pilot project has been successful. Within the 326 townships affected, only part of the land lying below the highest water level of the reservoir would be affected; the remaining land could be used for resettlement, albeit the land is uncultivated grassland and barren mountains and hills. Resettlement in the area is preferred over long distance migration. The government program will help farmers make full use of the available lands. Suggested crops include mulberry trees, oranges, medical herbs, and other cash crops. Effort will be made to ensure each farmer will receive one mu of economic forest or one mu of cultivated land of high and stable yields. The program aims to guarantee sufficient food supplies and the same standard of living before displacement, as well as the opportunity to create better conditions for alleviating poverty and improvement through increased productivity.

  11. Cognitive-behavioural suicide prevention for male prisoners: a pilot randomized controlled trial.

    Science.gov (United States)

    Pratt, D; Tarrier, N; Dunn, G; Awenat, Y; Shaw, J; Ulph, F; Gooding, P

    2015-12-01

    Prisoners have an exceptional risk of suicide. Cognitive-behavioural therapy for suicidal behaviour has been shown to offer considerable potential, but has yet to be formally evaluated within prisons. This study investigated the feasibility of delivering and evaluating a novel, manualized cognitive-behavioural suicide prevention (CBSP) therapy for suicidal male prisoners. A pilot randomized controlled trial of CBSP in addition to treatment as usual (CBSP; n = 31) compared with treatment as usual (TAU; n = 31) alone was conducted in a male prison in England. The primary outcome was self-injurious behaviour occurring within the past 6 months. Secondary outcomes were dimensions of suicidal ideation, psychiatric symptomatology, personality dysfunction and psychological determinants of suicide, including depression and hopelessness. The trial was prospectively registered (number ISRCTN59909209). Relative to TAU, participants receiving CBSP therapy achieved a significantly greater reduction in suicidal behaviours with a moderate treatment effect [Cohen's d = -0.72, 95% confidence interval -1.71 to 0.09; baseline mean TAU: 1.39 (S.D. = 3.28) v. CBSP: 1.06 (S.D. = 2.10), 6 months mean TAU: 1.48 (S.D. = 3.23) v. CBSP: 0.58 (S.D. = 1.52)]. Significant improvements were achieved on measures of psychiatric symptomatology and personality dysfunction. Improvements on psychological determinants of suicide were non-significant. More than half of the participants in the CBSP group achieved a clinically significant recovery by the end of therapy, compared with a quarter of the TAU group. The delivery and evaluation of CBSP therapy within a prison is feasible. CBSP therapy offers significant promise in the prevention of prison suicide and an adequately powered randomized controlled trial is warranted.

  12. Young Women Living with HIV: Outcomes from a Targeted Secondary Prevention Empowerment Pilot Trial.

    Science.gov (United States)

    Brothers, Jennifer; Hotton, Anna L; Hosek, Sybil G; Harper, Gary W; Fernandez, M Isabel

    2016-05-01

    Women account for 1 in 5 new HIV infections in the US, make up 24% of people living with HIV, and represent a quarter of AIDS diagnoses. Despite the need for continued prevention among young women living with HIV, there is very little in the literature on how best to reduce sexual risk and increase the health and well-being of young women living with HIV. This article explores the primary and secondary outcomes of a randomized controlled pilot trial of an intervention entitled Young Women Taking Charge and Growing Stronger. This behavioral intervention aimed to decrease sexual risk and empower young women living with HIV by enhancing young women's knowledge and skills pertaining to HIV risk reduction as well as to the factors that increase women's vulnerability, such as sexual inequality, gender, and power imbalances. Findings from this trial demonstrate that group-based behavioral interventions for young women living with HIV have promise to reduce the total number of sexual partners and reduce unprotected vaginal and anal intercourse. However, more work is needed to understand how best to address the challenges young women face in their day to day lives that impact their sexual risk as well as their overall health and access to care and treatment.

  13. Prevention of railway trespassing by automatic sound warning-A pilot study.

    Science.gov (United States)

    Kallberg, Veli-Pekka; Silla, Anne

    2017-04-03

    The objective of this study was to investigate the effects of a sound warning system on the frequency of trespassing at 2 pilot test sites in Finland. The effect of automatic prerecorded sound warning on the prevention of railway trespassing was evaluated based on observations at 2 test sites in Finland. At both sites an illegal footpath crossed the railway, and the average daily number of trespassers before implementation of the measures was about 18 at both sites. The results showed that trespassing was reduced at these sites by 18 and 44%, respectively. Because of the lack of proper control sites, it is possible that the real effects of the measure are somewhat smaller. The current study concludes that automatic sound warning may be efficient and cost effective at locations where fencing is not a viable option. However, it is not likely to be a cost-effective panacea for all kinds of sites where trespassing occurs, especially in countries like Finland where trespassing is scattered along the railway network rather than concentrated to a limited number of sites.

  14. The Teen Photovoice Project: A Pilot Study to Promote Health Through Advocacy

    Science.gov (United States)

    Necheles, Jonathan W.; Chung, Emily Q.; Hawes-Dawson, Jennifer; Ryan, Gery W.; Williams, La’Shield B.; Holmes, Heidi N.; Wells, Kenneth B.; Vaiana, Mary E.; Schuster, Mark A.

    2009-01-01

    Background Clinicians, public health practitioners, and policymakers would like to understand how youth perceive health issues and how they can become advocates for health promotion in their communities. 1,2 Traditional research methods can be used to capture these perceptions, but are limited in their ability to activate (excite and engage) youth to participate in health promotion activities. Objectives To pilot the use of an adapted version of photovoice as a starting point to engage youth in identifying influences on their health behaviors in a process that encourages the development of health advocacy projects. Methods Application of qualitative and quantitative methods to a participatory research project that teaches youth the photovoice method to identify and address health promotion issues relevant to their lives. Participants included 13 students serving on a Youth Advisory Board (YAB) of the UCLA/RAND Center for Adolescent Health Promotion working in four small groups of two to five participants. Students were from the Los Angeles, California, metropolitan area. Results Results were derived from photograph sorting activities, analysis of photograph narratives, and development of advocacy projects. Youth frequently discussed a variety of topics reflected in their pictures that included unhealthy food choices, inducers of stress, friends, emotions, environment, health, and positive aspects of family. The advocacy projects used social marketing strategies, focusing on unhealthy dietary practices and inducers of stress. The youths’ focus on obesity-related issues have contributed to the center’s success in partnering with the Los Angeles Unified School District on a new community-based participatory research (CBPR) project. Conclusion Youth can engage in a process of identifying community-level health influences, leading to health promotion through advocacy. Participants focused their advocacy work on selected issues addressing the types of unhealthy food

  15. Thermal sludge treatment. Pilot project on the possibilities and marginal conditions; Thermische slibontsluiting. Pilot-onderzoek naar de mogelijkheden en randvoorwaarden

    Energy Technology Data Exchange (ETDEWEB)

    Berkhof, D.; Koornneef, E.; Janus, H. [Royal Haskoning DHV, Amersfoort (Netherlands)

    2012-09-15

    As part of the agreements within the framework of the Dutch Green Deal between Water Boards and the Ministry of Economic Affairs, Agriculture and Innovation (ELI) a research program has been set up which addresses the implementation of new developments that can improve energy efficiency in the treatment of waste water. Attention is paid to supercritical gasification, supercritical oxidation and conventional gasification. The study on conventional gasification is split into two phases: research into the economic feasibility in combination with TDH (thermal pressure hydrolysis) and drying, and next to that a pilot plant. This report concerns phase 2: pilot projects on thermal sewage treatment [Dutch] Als onderdeel van de afspraken in het kader van de Green Deal tussen Waterschappen en het ministerie van ELI is een onderzoeksprogramma opgesteld gericht op het implementeren van nieuwe ontwikkelingen die de energie efficientie bij de verwerking van afvalwater kunnen verbeteren. Daarbij wordt gekeken naar superkritische vergassing en oxidatie en naar conventionele vergassing. De studie naar conventionele vergassing is gesplitst in 2 fasen: onderzoek naar de economische haalbaarheid in combinatie met TDH (thermische druk hydrolyse), en drogen en daarnaast een onderzoek op pilot plant/praktijkschaal. In de onderhavige rapportage wordt fase 2, het onderzoek op pilot plant/praktijkschaal naar thermische slibontsluiting (TSO) beschreven.

  16. Nursing Intervention Aimed at Improving Self-Managementfor Persons with Chronic Kidney Disease in North Carolina Medicaid: A Pilot Project.

    Science.gov (United States)

    Vann, Julie C Jacobson; Hawley, Jenny; Wegner, Steven; Falk, Ronald J; Harward, Donna H; Kshirsagar, Abhijit V

    2015-01-01

    This pilot project aimed to improve knowledge and self-management among Medicaid beneficiaries with Stage 3b and 4 chronic kidney disease who were identified using a population-based approach. Participants received up to six in-person educational sessions delivered by a nurse practitioner. Increases in knowledge and self-reported behavior changes were generally observed among participants.

  17. Formative Evaluation of the Computer-Assisted Learning Pilot Project in Canadian Federal Penitentiary Schools. August 1983-March 1984.

    Science.gov (United States)

    Carlson, Marthena; Dostaler, Ann

    The computer-assisted learning (CAL) pilot project in Canadian penitentiary schools involved the use of computer courseware supplied from a central computer via telephone lines to terminals in the schools. Courseware was in three curricular areas: mathematics, English language arts, and the BASIC programming language. The evaluation was conducted…

  18. Tourism Chains and Pro-Poor Tourism Development: An Actor-Network Analysis of a Pilot Project in Costa Rica

    NARCIS (Netherlands)

    Duim, van der V.R.; Caalders, J.D.A.D.

    2008-01-01

    This paper analyses a pilot project in Costa Rica aimed to examine and improve the market linkages of 24 small-scale tourism initiatives to tour operators in Costa Rica and the Netherlands. It links pro-poor tourism and the concept of tourism chain to actor-network theory. The analysis shows that

  19. Small City Transit : Ann Arbor, Michigan : Pilot Dial-A-Ride Project in a Sector of the City

    Science.gov (United States)

    1976-03-01

    Ann Arbor, Michigan, is an illustration of a pilot dial-a-ride project implemented to test the feasibility of a coordinated dial-a-ride/fixed route service. This case study is one of thirteen examples of a transit service in a samll community. The ba...

  20. Characteristics of Difficult-to-Place Youth in State Custody: A Profile of the Exceptional Care Pilot Project Population

    Science.gov (United States)

    Armour, Marilyn P.; Schwab, James

    2007-01-01

    This study examines the characteristics of Texas youth designated as "most difficult to place" recipients of service under the "Exceptional Care Pilot Project" (N = 46). Findings include, among others, high levels of comorbid psychiatric disturbance (greater than 3 diagnostic groupings), physical (78.3%) and sexual (88%)…

  1. Research cooperation project on environmentally friendly technology for highly efficient mineral resources extraction and treatment. Detail design for pilot plant

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1999-03-01

    Photographs and drawings were edited into a book in relation with a joint project for environment preservation technologies in high-efficiency extraction and treatment of mineral resources, and detail design for a pilot plant. The book classified the related devices into fabricated devices, purchased devices and electrical devices, and contains detailed drawings and photographs thereof. (NEDO)

  2. 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.

  3. Probiotics: Prevention of Severe Pneumonia and Endotracheal Colonization Trial-PROSPECT: a pilot trial.

    Science.gov (United States)

    Cook, Deborah J; Johnstone, Jennie; Marshall, John C; Lauzier, Francois; Thabane, Lehana; Mehta, Sangeeta; Dodek, Peter M; McIntyre, Lauralyn; Pagliarello, Joe; Henderson, William; Taylor, Robert W; Cartin-Ceba, Rodrigo; Golan, Eyal; Herridge, Margaret; Wood, Gordon; Ovakim, Daniel; Karachi, Tim; Surette, Michael G; Bowdish, Dawn M E; Lamarche, Daphnee; Verschoor, Chris P; Duan, Erick H; Heels-Ansdell, Diane; Arabi, Yaseen; Meade, Maureen

    2016-08-02

    Probiotics are live microorganisms that may confer health benefits when ingested. Randomized trials suggest that probiotics significantly decrease the incidence of ventilator-associated pneumonia (VAP) and the overall incidence of infection in critically ill patients. However, these studies are small, largely single-center, and at risk of bias. The aim of the PROSPECT pilot trial was to determine the feasibility of conducting a larger trial of probiotics to prevent VAP in mechanically ventilated patients in the intensive care unit (ICU). In a randomized blinded trial, patients expected to be mechanically ventilated for ≥72 hours were allocated to receive either 1 × 10(10) colony-forming units of Lactobacillus rhamnosus GG or placebo, twice daily. Patients were excluded if they were at increased risk of L. rhamnosus GG infection or had contraindications to enteral medication. Feasibility objectives were: (1) timely recruitment; (2) maximal protocol adherence; (3) minimal contamination; and (4) estimated VAP rate ≥10 %. We also measured other infections, diarrhea, ICU and hospital length of stay, and mortality. Overall, in 14 centers in Canada and the USA, all feasibility goals were met: (1) 150 patients were randomized in 1 year; (2) protocol adherence was 97 %; (3) no patients received open-label probiotics; and (4) the VAP rate was 19 %. Other infections included: bloodstream infection (19.3 %), urinary tract infections (12.7 %), and skin and soft tissue infections (4.0 %). Diarrhea, defined as Bristol type 6 or 7 stools, occurred in 133 (88.7 %) of patients, the median length of stay in ICU was 12 days (quartile 1 to quartile 3, 7-18 days), and in hospital was 26 days (quartile 1 to quartile 3, 14-44 days); 23 patients (15.3 %) died in the ICU. The PROSPECT pilot trial supports the feasibility of a larger trial to investigate the effect of L. rhamnosus GG on VAP and other nosocomial infections in critically ill patients. Clinicaltrials

  4. Randomized Pilot Trial of Two Modified Endotracheal Tubes To Prevent Ventilator-associated Pneumonia.

    Science.gov (United States)

    Deem, Steven; Yanez, David; Sissons-Ross, Laura; Broeckel, Jo Ann Elrod; Daniel, Stephen; Treggiari, Miriam

    2016-01-01

    Ventilator-associated pneumonia (VAP) is a prevalent and costly nosocomial infection related to instrumentation of the airway with an endotracheal tube (ETT), enabling microaspiration of contaminated secretions. Modification of the ETT design to reduce microaspiration and/or biofilm formation may play an important role in VAP prevention. However, there is insufficient evidence to provide strong recommendations regarding the use of modified ETT and unaddressed safety concerns. We performed a pilot randomized controlled trial comparing two modified ETTs designed specifically to prevent VAP, with the standard ETT, to test the feasibility of and inform planning for a large, pivotal, randomized trial. This study was conducted with institutional review board approval under exception from informed consent. We randomized in a blinded fashion patients undergoing emergency endotracheal intubation both out of and in hospital to receive one of three different ETT types: (1) a polyurethane-cuffed tube (PUC-ETT), (2) a polyurethane-cuffed tube equipped with a port for continuous aspiration of subglottic secretions (PUC-CASS-ETT), or a (3) standard polyvinylchloride-cuffed tube (PVC-ETT). In addition to investigating feasibility and safety, the study coprimary end points were tracheal bacterial colonization reaching a cfu count >10(6) cfu per milliliter and the incidence of invasively diagnosed VAP. A total of 102 subjects were randomized and met the eligibility criteria. Randomization procedures performed well and integrity of blinding at randomization was maintained. The majority of intubations occurred in the hospital setting (n = 77), and the remainder occurred out of hospital (n = 25). Compared with the PVC-ETT, there were no significant differences in tracheal colonization for PUC-ETT (odds ratio [OR], 0.98; 95% confidence interval [CI], 0.31-3.09) or for PUC-CASS-ETT (OR, 1.26; 95% CI, 0.42-3.76). There were no differences in the risk of invasively diagnosed VAP

  5. [Interactive Knowledge to Action in Health Promotion: The GESTALT Project. Initial Results of a Pilot Study on Sustainable Implementation of an Evidence-Based Programme].

    Science.gov (United States)

    Rütten, A; Wolff, A; Streber, A

    2016-06-01

    The present article outlines a pilot study to demonstrate the concept of the interactive knowledge to action approach in order to foster sustainable implementation of an evidence-based physical activity programme for dementia prevention into practice. The approach and procedures will be introduced, and initial results of the pilot study "GESTALT", with special regard to the interplay of science, politics and prevention practice, will be outlined. In the GESTALT project (2011-2014) the concept of interactive knowledge to action was realised through a cooperative planning approach that systematically engaged and involved stakeholders from science, politics and practice. Evaluation of the project's sustainability focused on 3 dimensions: target group, organisations and context. Target group analysis included assessment of changes in physical activity behaviour (n=75). Organisational and context evaluations included an analysis of relevant documentation of cooperative planning meetings, conduction of the programme, bilateral talks and further meetings. In relation to the target group, the majority of participants (60%) were committed to an active lifestyle 6 months after completion of the GESTALT programme. Regarding organisations and context, 14 partner organisations maintained active engagement in cooperative planning processes. After adapting the GESTALT programme to the context and needs of the organisations and participants, 5 organisations were able to implement it. These same organisations also continued to provide exercise classes for ex-participants of the initial GESTALT programme. Through developing partnerships, increasing publicity and attracting policy makers, resources for the sustainable implementation of the GESTALT project were obtained. The pilot study GESTALT shows that the concept of interactive knowledge to action has substantially contributed to the sustainability of a physical activity programme in the field of dementia prevention. For this

  6. Workplace-based assessment of communication skills: A pilot project addressing feasibility, acceptance and reliability

    Directory of Open Access Journals (Sweden)

    Weyers, Simone

    2016-11-01

    Full Text Available Background: Imparting communication skills has been given great importance in medical curricula. In addition to standardized assessments, students should communicate with real patients in actual clinical situations during workplace-based assessments and receive structured feedback on their performance. The aim of this project was to pilot a formative testing method for workplace-based assessment. Our investigation centered in particular on whether or not physicians view the method as feasible and how high acceptance is among students. In addition, we assessed the reliability of the method.Method: As part of the project, 16 students held two consultations each with chronically ill patients at the medical practice where they were completing GP training. These consultations were video-recorded. The trained mentoring physician rated the student’s performance and provided feedback immediately following the consultations using the Berlin Global Rating scale (BGR. Two impartial, trained raters also evaluated the videos using BGR. For qualitative and quantitative analysis, information on how physicians and students viewed feasibility and their levels of acceptance was collected in written form in a partially standardized manner. To test for reliability, the test-retest reliability was calculated for both of the overall evaluations given by each rater. The inter-rater reliability was determined for the three evaluations of each individual consultation.Results: The formative assessment method was rated positively by both physicians and students. It is relatively easy to integrate into daily routines. Its significant value lies in the personal, structured and recurring feedback. The two overall scores for each patient consultation given by the two impartial raters correlate moderately. The degree of uniformity among the three raters in respect to the individual consultations is low.Discussion: Within the scope of this pilot project, only a small sample

  7. Workplace-based assessment of communication skills: A pilot project addressing feasibility, acceptance and reliability.

    Science.gov (United States)

    Weyers, Simone; Jemi, Iman; Karger, André; Raski, Bianca; Rotthoff, Thomas; Pentzek, Michael; Mortsiefer, Achim

    2016-01-01

    Background: Imparting communication skills has been given great importance in medical curricula. In addition to standardized assessments, students should communicate with real patients in actual clinical situations during workplace-based assessments and receive structured feedback on their performance. The aim of this project was to pilot a formative testing method for workplace-based assessment. Our investigation centered in particular on whether or not physicians view the method as feasible and how high acceptance is among students. In addition, we assessed the reliability of the method. Method: As part of the project, 16 students held two consultations each with chronically ill patients at the medical practice where they were completing GP training. These consultations were video-recorded. The trained mentoring physician rated the student's performance and provided feedback immediately following the consultations using the Berlin Global Rating scale (BGR). Two impartial, trained raters also evaluated the videos using BGR. For qualitative and quantitative analysis, information on how physicians and students viewed feasibility and their levels of acceptance was collected in written form in a partially standardized manner. To test for reliability, the test-retest reliability was calculated for both of the overall evaluations given by each rater. The inter-rater reliability was determined for the three evaluations of each individual consultation. Results: The formative assessment method was rated positively by both physicians and students. It is relatively easy to integrate into daily routines. Its significant value lies in the personal, structured and recurring feedback. The two overall scores for each patient consultation given by the two impartial raters correlate moderately. The degree of uniformity among the three raters in respect to the individual consultations is low. Discussion: Within the scope of this pilot project, only a small sample of physicians and

  8. Testimonial therapy. A pilot project to improve psychological wellbeing among survivors of torture in India.

    Science.gov (United States)

    Agger, Inger; Raghuvanshi, Lenin; Shabana, Shirin; Polatin, Peter; Laursen, Laila K

    2009-01-01

    In developing countries where torture is perpetrated, there are few resources for the provision of therapeutic assistance to the survivors. The testimonial method represents a brief cross-cultural psychosocial approach to trauma, which is relatively easy to master. The method was first described in Chile in 1983 and has since been used in many variations in different cultural contexts. In this project the method has been supplemented by culture-specific coping strategies (meditation and a delivery ceremony). A pilot training project was undertaken between Rehabilitation and Research Centre for Torture victims (RCT) in Copenhagen, Denmark, and People's Vigilance Committee for Human Rights (PVCHR) in Varanasi, India, to investigate the usefulness of the testimonial method. The project involved the development of a community-based testimonial method, training of twelve PVCHR community workers, the development of a manual, and a monitoring and evaluation (M&E) system comparing results of measures before the intervention and two to three months after the intervention. Twenty-three victims gave their testimonies under supervision. In the two first sessions the testimony was written and in the third session survivors participated in a delivery ceremony. The human rights activists and community workers interviewed the survivors about how they felt after the intervention. After testimonial therapy, almost all survivors demonstrated significant improvements in overall WHO-five Well-being Index (WHO-5) score. Four out of the five individual items improved by at least 40%. Items from the International Classification of Functioning, Disability and Health (ICF) showed less significant change, possibly because the M&E questionnaire had not been well understood by the community workers, or due to poor wording, formulation and/or validation of the questions. All survivors expressed satisfaction with the process, especially the public delivery ceremony, which apparently became a

  9. FY2017 Pilot Project Plan for the Nuclear Energy Knowledge and Validation Center Initiative

    Energy Technology Data Exchange (ETDEWEB)

    Ren, Weiju [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States)

    2016-10-30

    To prepare for technical development of computational code validation under the Nuclear Energy Knowledge and Validation Center (NEKVAC) initiative, several meetings were held by a group of experts of the Idaho National Laboratory (INL) and the Oak Ridge National Laboratory (ORNL) to develop requirements of, and formulate a structure for, a transient fuel database through leveraging existing resources. It was concluded in discussions of these meetings that a pilot project is needed to address the most fundamental issues that can generate immediate stimulus to near-future validation developments as well as long-lasting benefits to NEKVAC operation. The present project is proposed based on the consensus of these discussions. Analysis of common scenarios in code validation indicates that the incapability of acquiring satisfactory validation data is often a showstopper that must first be tackled before any confident validation developments can be carried out. Validation data are usually found scattered in different places most likely with interrelationships among the data not well documented, incomplete with information for some parameters missing, nonexistent, or unrealistic to experimentally generate. Furthermore, with very different technical backgrounds, the modeler, the experimentalist, and the knowledgebase developer that must be involved in validation data development often cannot communicate effectively without a data package template that is representative of the data structure for the information domain of interest to the desired code validation. This pilot project is proposed to use the legendary TREAT Experiments Database to provide core elements for creating an ideal validation data package. Data gaps and missing data interrelationships will be identified from these core elements. All the identified missing elements will then be filled in with experimental data if available from other existing sources or with dummy data if nonexistent. The resulting hybrid

  10. FY2017 Pilot Project Plan for the Nuclear Energy Knowledge and Validation Center Initiative

    International Nuclear Information System (INIS)

    Ren, Weiju

    2016-01-01

    To prepare for technical development of computational code validation under the Nuclear Energy Knowledge and Validation Center (NEKVAC) initiative, several meetings were held by a group of experts of the Idaho National Laboratory (INL) and the Oak Ridge National Laboratory (ORNL) to develop requirements of, and formulate a structure for, a transient fuel database through leveraging existing resources. It was concluded in discussions of these meetings that a pilot project is needed to address the most fundamental issues that can generate immediate stimulus to near-future validation developments as well as long-lasting benefits to NEKVAC operation. The present project is proposed based on the consensus of these discussions. Analysis of common scenarios in code validation indicates that the incapability of acquiring satisfactory validation data is often a showstopper that must first be tackled before any confident validation developments can be carried out. Validation data are usually found scattered in different places most likely with interrelationships among the data not well documented, incomplete with information for some parameters missing, nonexistent, or unrealistic to experimentally generate. Furthermore, with very different technical backgrounds, the modeler, the experimentalist, and the knowledgebase developer that must be involved in validation data development often cannot communicate effectively without a data package template that is representative of the data structure for the information domain of interest to the desired code validation. This pilot project is proposed to use the legendary TREAT Experiments Database to provide core elements for creating an ideal validation data package. Data gaps and missing data interrelationships will be identified from these core elements. All the identified missing elements will then be filled in with experimental data if available from other existing sources or with dummy data if nonexistent. The resulting hybrid

  11. A computer graphics pilot project - Spacecraft mission support with an interactive graphics workstation

    Science.gov (United States)

    Hagedorn, John; Ehrner, Marie-Jacqueline; Reese, Jodi; Chang, Kan; Tseng, Irene

    1986-01-01

    The NASA Computer Graphics Pilot Project was undertaken to enhance the quality control, productivity and efficiency of mission support operations at the Goddard Operations Support Computing Facility. The Project evolved into a set of demonstration programs for graphics intensive simulated control room operations, particularly in connection with the complex space missions that began in the 1980s. Complex mission mean more data. Graphic displays are a means to reduce the probabilities of operator errors. Workstations were selected with 1024 x 768 pixel color displays controlled by a custom VLSI chip coupled to an MC68010 chip running UNIX within a shell that permits operations through the medium of mouse-accessed pulldown window menus. The distributed workstations run off a host NAS 8040 computer. Applications of the system for tracking spacecraft orbits and monitoring Shuttle payload handling illustrate the system capabilities, noting the built-in capabilities of shifting the point of view and rotating and zooming in on three-dimensional views of spacecraft.

  12. The first pilot project of the consortium for top-down proteomics: A status report

    Energy Technology Data Exchange (ETDEWEB)

    Dang, Xibei [Ion Cyclotron Resonance Program, National High Magnetic Field Laboratory, Florida State University, Tallahassee FL USA; Department of Chemistry and Biochemistry, Florida State University, Tallahassee FL USA; Scotcher, Jenna [Ion Cyclotron Resonance Program, National High Magnetic Field Laboratory, Florida State University, Tallahassee FL USA; Wu, Si [Environmental Molecular Sciences Laboratory, Pacific Northwest National Laboratory, Richland WA USA; Chu, Rosalie K. [Environmental Molecular Sciences Laboratory, Pacific Northwest National Laboratory, Richland WA USA; Tolić, Nikola [Environmental Molecular Sciences Laboratory, Pacific Northwest National Laboratory, Richland WA USA; Ntai, Ioanna [Departments of Chemistry and Molecular Biosciences and the Proteomics Center of Excellence, Northwestern University, Evanston IL USA; Thomas, Paul M. [Departments of Chemistry and Molecular Biosciences and the Proteomics Center of Excellence, Northwestern University, Evanston IL USA; Fellers, Ryan T. [Departments of Chemistry and Molecular Biosciences and the Proteomics Center of Excellence, Northwestern University, Evanston IL USA; Early, Bryan P. [Departments of Chemistry and Molecular Biosciences and the Proteomics Center of Excellence, Northwestern University, Evanston IL USA; Zheng, Yupeng [Departments of Chemistry and Molecular Biosciences and the Proteomics Center of Excellence, Northwestern University, Evanston IL USA; Durbin, Kenneth R. [Departments of Chemistry and Molecular Biosciences and the Proteomics Center of Excellence, Northwestern University, Evanston IL USA; LeDuc, Richard D. [NIH/NCRR Mass Spectrometry Resource, Washington University in St. Louis, St. Louis MO USA; Wolff, Jeremy J. [Bruker Daltonics, Billerica MA USA; Thompson, Christopher J. [Bruker Daltonics, Billerica MA USA; Pan, Jingxi [UVic-Genome BC Proteomics Centre, Department of Biochemistry and Microbiology, University of Victoria, Victoria BC Canada; Han, Jun [UVic-Genome BC Proteomics Centre, Department of Biochemistry and Microbiology, University of Victoria, Victoria BC Canada; Shaw, Jared B. [Department of Chemistry, University of Texas, Austin TX USA; Salisbury, Joseph P. [Departments of Chemistry and Pharm. Sci., Barnett Institute, Northeastern University, Boston MA USA; Easterling, Michael [Bruker Daltonics, Billerica MA USA; Borchers, Christoph H. [UVic-Genome BC Proteomics Centre, Department of Biochemistry and Microbiology, University of Victoria, Victoria BC Canada; Brodbelt, Jennifer S. [Department of Chemistry, University of Texas, Austin TX USA; Agar, Jeffery N. [Departments of Chemistry and Pharm. Sci., Barnett Institute, Northeastern University, Boston MA USA; Paša-Tolić, Ljiljana [Environmental Molecular Sciences Laboratory, Pacific Northwest National Laboratory, Richland WA USA; Kelleher, Neil L. [Departments of Chemistry and Molecular Biosciences and the Proteomics Center of Excellence, Northwestern University, Evanston IL USA; Young, Nicolas L. [Ion Cyclotron Resonance Program, National High Magnetic Field Laboratory, Florida State University, Tallahassee FL USA

    2014-04-14

    Pilot Project #1—the identification and characterization of human histone H4 proteoforms by top-down MS—is the first project launched by the Consortium for Top-Down Proteomics (CTDP) to refine and validate top-down MS. Within the initial results from seven participating laboratories, all reported the probability-based identification of human histone H4 (UniProt accession P62805) with expectation values ranging from 10-13 to 10-105. Regarding characterization, a total of 74 proteoforms were reported, with 21 done so unambiguously; one new PTM, K79ac, was identified. Inter-laboratory comparison reveals aspects of the results that are consistent, such as the localization of individual PTMs and binary combinations, while other aspects are more variable, such as the accurate characterization of low-abundance proteoforms harboring >2 PTMs. An open-access tool and discussion of proteoform scoring are included, along with a description of general challenges that lie ahead including improved proteoform separations prior to mass spectrometric analysis, better instrumentation performance, and software development.

  13. RandAgiamo™, a Pilot Project Increasing Adoptability of Shelter Dogs in the Umbria Region (Italy

    Directory of Open Access Journals (Sweden)

    Laura Menchetti

    2015-08-01

    Full Text Available Current Italian legislation does not permit euthanasia of dogs, unless they are ill or dangerous. Despite good intentions and ethical benefits, this ‘no-kill policy’ has caused a progressive overpopulation of dogs in shelters, due to abandonment rates being higher than adoption rates. Shelter overcrowding has negative implications for dog welfare and increases public costs. The aim of this paper is to describe the pilot project “RandAgiamo” implemented in a rescue shelter in the Umbria Region and to evaluate its effectiveness on the rate of dog adoption using official data. RandAgiamo aimed to increase adult shelter dogs’ adoptability by a standard training and socialization programme. It also promoted dogs’ visibility by publicizing them through social media and participation in events. We analysed the official data of the Umbria regional health authorities regarding dog shelters of the Perugia province of the year 2014. In the RandAgiamo shelter, the dog adoption rate was 27.5% higher than that of dogs housed in other shelters located in the same geographical area (P < 0.001. The RandAgiamo project could be beneficial for the dogs’ welfare, owner satisfaction, shelter management, and public perception of shelter dogs. However, staff were required to provide dog training and related activities.

  14. Phase II Water Rental Pilot Project: Snake River Resident Fish and Wildlife Resources and Management Recommendations.

    Energy Technology Data Exchange (ETDEWEB)

    Stovall, Stacey H.

    1994-08-01

    The Idaho Water Rental Pilot Project was implemented in 1991 as part of the Non-Treaty Storage Fish and Wildlife Agreement between Bonneville Power Administration and the Columbia Basin Fish and Wildlife Authority. The goal of the project is to quantify resident fish and wildlife impacts resulting from salmon flow augmentation releases made from the upper Snake River Basin. Phase I summarized existing resource information and provided management recommendations to protect and enhance resident fish and wildlife habitat resulting from storage releases for the I improvement of an adromous fish migration. Phase II includes the following: (1) a summary of recent biological, legal, and political developments within the basin as they relate to water management issues, (2) a biological appraisal of the Snake River between American Falls Reservoir and the city of Blackfoot to examine the effects of flow fluctuation on fish and wildlife habitat, and (3) a preliminary accounting of 1993--1994 flow augmentation releases out of the upper Snake, Boise, and Payette river systems. Phase III will include the development of a model in which annual flow requests and resident fish and wildlife suitability information are interfaced with habitat time series analysis to provide an estimate of resident fish and wildlife resources.

  15. The first pilot project of the consortium for top-down proteomics: A status report

    Science.gov (United States)

    Dang, Xibei; Scotcher, Jenna; Wu, Si; Chu, Rosalie K.; Tolić, Nikola; Ntai, Ioanna; Thomas, Paul M.; Fellers, Ryan T.; Early, Bryan P.; Zheng, Yupeng; Durbin, Kenneth R.; LeDuc, Richard D.; Wolff, Jeremy J.; Thompson, Christopher J.; Pan, Jingxi; Han, Jun; Shaw, Jared B.; Salisbury, Joseph P.; Easterling, Michael; Borchers, Christoph H.; Brodbelt, Jennifer S.; Agar, Jeffery N.; Paša-Tolić, Ljiljana; Kelleher, Neil L.; Young, Nicolas L.

    2014-01-01

    Pilot Project #1—the identification and characterization of human histone H4 proteoforms by top-down MS—is the first project launched by the Consortium for Top-Down Proteomics (CTDP) to refine and validate top-down MS. Within the initial results from seven participating laboratories, all reported the probability-based identification of human histone H4 (UniProt accession P62805) with expectation values ranging from 10−13 to 10−105. Regarding characterization, a total of 74 proteoforms were reported, with 21 done so unambiguously; one new PTM, K79ac, was identified. Inter-laboratory comparison reveals aspects of the results that are consistent, such as the localization of individual PTMs and binary combinations, while other aspects are more variable, such as the accurate characterization of low-abundance proteoforms harboring >2 PTMs. An open-access tool and discussion of proteoform scoring are included, along with a description of general challenges that lie ahead including improved proteoform separations prior to mass spectrometric analysis, better instrumentation performance, and software development. PMID:24644084

  16. Computer aided process planning at the Oak Ridge Y-12 plant: a pilot project

    International Nuclear Information System (INIS)

    Hewgley, R.E. Jr.; Prewett, H.P. Jr.

    1979-01-01

    In 1976, a formal needs analysis was conducted in one of the Fabrication Division Shops of all activities from the receipt of an order through final machining. The results indicated deficiencies in process planning activities involving special production work. A pilot program was organized to investigate the benefits of emerging CAM technology and application of GT concepts for machining operations at the Y-12 Plant. The objective of the CAPP Project was to provide computer-assisted process planning for special production machining in th shop. The CAPP team was charged with the specific goal of demonstrating computer-aided process planning within a four-year term. The CAPP charter included a plan with intermediate measurable milestones for achieving its mission. In three years, the CAPP project demonstrated benefits to process planning. A capability to retrieve historical records for similar parts, to review accurately the status of all staff assignments, and to generate detailed machining procedures definitely can impact the way in which a machine shop prepared for new orders. The real payoff is in the hardcopy output (N/C programs, studies, sequence plans, and procedures). 4 figures,

  17. L’Aquila Smart Clean Air City: The Italian Pilot Project for Healthy Urban Air

    Directory of Open Access Journals (Sweden)

    Alessandro Avveduto

    2017-11-01

    Full Text Available Exposure to atmospheric pollution is a major concern for urban populations. Currently, no effective strategy has been adopted to tackle the problem. The paper presents the Smart Clean Air City project, a pilot experiment concerning the improvement in urban air quality. Small wet scrubber systems will be operating in a network configuration in suitable urban areas of L’Aquila city (Italy. The purpose of this work is to describe the project and show the preliminary results obtained in the characterization of two urban sites before the remediation test; the main operating principles of the wet scrubber system will be discussed, as well as the design of the mobile treatment plant for the processing of wastewater resulting from scrubber operation. Measurements of particle size distributions in the range of 0.30–25 µm took place in the two sites of interest, an urban background and a traffic area in the city of L’Aquila. The mean number concentration detected was 2.4 × 107 and 4.5 × 107 particles/m3, respectively. Finally, theoretical assessments, performed by Computational Fluid Dynamics (CFD codes, will show the effects of the wet scrubber operation on air pollutants under different environmental conditions and in several urban usage patterns.

  18. A pilot project using evidence-based clinical pathways and payment reform in China's rural hospitals shows early success.

    Science.gov (United States)

    Cheng, Tsung-Mei

    2013-05-01

    Reforming China's public hospitals to curb widespread overtreatment and improve the quality and affordability of care has been the most challenging aspect of that nation's ambitious health reform, which began in 2009. This article describes a pilot project under way in several of China's provinces that combines payment reform with the implementation of evidence-based clinical pathways at a few hospitals serving rural areas. Results to date include reduced length-of-stay and prescription drug use and higher patient and provider satisfaction. These early results suggest that the pilot may be achieving its goals, which may have far-reaching and positive implications for China's ongoing reform.

  19. Experiences and challenges in implementing complex community-based research project: the Pacific Obesity Prevention in Communities project.

    Science.gov (United States)

    Schultz, J T; Moodie, M; Mavoa, H; Utter, J; Snowdon, W; McCabe, M P; Millar, L; Kremer, P; Swinburn, B A

    2011-11-01

    Policy makers throughout the world are struggling to find effective ways to prevent the rising trend of obesity globally, particularly among children. The Pacific Obesity Prevention in Communities project was the first large-scale, intervention research project conducted in the Pacific aiming to prevent obesity in adolescents. The project spanned four countries: Australia, New Zealand, Fiji and Tonga. This paper reports on the strengths and challenges experienced from this complex study implemented from 2004 to 2009 across eight cultural groups in different community settings. The key strengths of the project were its holistic collaborative approach, participatory processes and capacity building. The challenges inherent in such a large complex project were underestimated during the project's development. These related to the scale, complexity, duration, low research capacity in some sites and overall coordination across four different countries. Our experiences included the need for a longer lead-in time prior to intervention for training and up-skilling of staff in Fiji and Tonga, investment in overall coordination, data quality management across all sites and the need for realistic capacity building requirements for research staff. The enhanced research capacity and skills across all sites include the development and strengthening of research centres, knowledge translation and new obesity prevention projects. © 2011 The Authors. obesity reviews © 2011 International Association for the Study of Obesity.

  20. A Nanocomposite Approach to Microcrack Prevention in Composite Cryotanks Project

    Data.gov (United States)

    National Aeronautics and Space Administration — Nanomaterials and nanocomposites offer great potential for improvement in many applications. One such NASA application is the prevention of microcracking as well as...

  1. Pilot RCT Results of an mHealth HIV Prevention Program for Sexual Minority Male Adolescents.

    Science.gov (United States)

    Ybarra, Michele L; Prescott, Tonya L; Phillips, Gregory L; Bull, Sheana S; Parsons, Jeffrey T; Mustanski, Brian

    2017-07-01

    Guy2Guy (G2G) is the first comprehensive HIV prevention program developed for sexual minority males as young as 14 years old and is delivered nationally via text messaging. Here, we report the results of the pilot randomized control trial. G2G was tested against an attention-matched "healthy lifestyle" control (eg, self-esteem). Both programs lasted 5 weeks and delivered 5 to 10 text messages daily. A 1-week booster was delivered 6 weeks subsequently. Participants were cisgender males ages 14 to 18 years old who were gay, bisexual, and/or queer and had an unlimited text messaging plan. Youth were recruited across the United States via Facebook and enrolled by telephone from October 2014 to April 2015. Ninety-day postintervention outcomes were condomless sex acts (CSA) and abstinence and, secondarily, HIV testing. We also examined these outcomes at intervention end and stratified them by sexual experience. At 90 days postintervention, there were no significant differences in CSAs or abstinence noted. Among participants who were sexually active at baseline, intervention participants were significantly more likely to report getting an HIV test (adjusted odds ratio = 3.42, P = .001). They were also less likely than control youth to be abstinent (adjusted odds ratio = 0.48, P = .05). CSAs were significantly lower for those in the intervention versus control at intervention end (incident rate ratio = 0.39, P = .04), although significance was lost once age was added to the analysis (incident rate ratio = 0.58, P = .26). G2G appears promising in increasing adolescent HIV testing rates. Sex-positive intervention messages appear to have increased the participants' comfort with having sex (ie, less abstinence) while not increasing their potential for HIV transmission (ie, more CSAs). Additional content or features may be needed to invigorate condom use. Copyright © 2017 by the American Academy of Pediatrics.

  2. Chamomile infusion cryotherapy to prevent oral mucositis induced by chemotherapy: a pilot study.

    Science.gov (United States)

    Dos Reis, Paula Elaine Diniz; Ciol, Marcia A; de Melo, Nilce Santos; Figueiredo, Paulo Tadeu de Souza; Leite, André Ferreira; Manzi, Natália de Melo

    2016-10-01

    The aim of this study is to compare cryotherapy made only with water and cryotherapy made with chamomile infusion for prevention and reduction of intensity of oral mucositis in patients with cancer receiving 5-fluorouracil and leucovorin. This is a randomized pilot study with two groups: cryotherapy made only with water (control group, n = 18) and cryotherapy made with chamomile infusion (chamomile group, n = 20). Both groups were instructed to swish the ice around in their oral cavity for at least 30 min during chemotherapy. Assessment of oral mucosa occurred on days 8, 15, and 22 after the first day of chemotherapy. Fifty percent of the patients in the control and 30 % in the chamomile group developed oral mucositis. Mouth pain score was higher in patients in the control group on all evaluations (p = 0.02 for day 8, p = 0.09 for day 15, and p = 0.14 for day 22). Patients in the chamomile group never developed mucositis with grade 2 or higher. Presence of ulceration was statistically significant on day 8 (16 % in the control vs. 0 % in the chamomile group, p = 0.10), but not in days 15 and 22, although 11 % still had ulcerations in the control group and none in the chamomile group. The occurrence of oral mucositis was lower in patients in the chamomile group than in the control group. When compared to the controls, the chamomile group presented less mouth pain and had no ulcerations. Cryotherapy was well tolerated by both groups, and no toxicity related to chamomile was identified.

  3. Mindfulness Based Relapse Prevention for Stimulant Dependent Adults: A Pilot Randomized Clinical Trial.

    Science.gov (United States)

    Glasner-Edwards, Suzette; Mooney, Larissa J; Ang, Alfonso; Garneau, Hélène Chokron; Hartwell, Emily; Brecht, Mary-Lynn; Rawson, Richard A

    2017-02-01

    In light of the known associations between stress, negative affect, and relapse, mindfulness strategies hold promise as a means of reducing relapse susceptibility. In a pilot randomized clinical trial, we evaluated the effects of Mindfulness Based Relapse Prevention (MBRP), relative to a health education control condition (HE) among stimulant dependent adults receiving contingency management. All participants received a 12-week contingency management (CM) intervention. Following a 4-week CM-only lead in phase, participants were randomly assigned to concurrently receive MBRP (n=31) or HE (n=32). Stimulant dependent adults age 18 and over. A university based clinical research center. The primary outcomes were stimulant use, measured by urine drug screens weekly during the intervention and at 1-month post-treatment, negative affect, measured by the Beck Depression Inventory and Beck Anxiety Inventory, and psychiatric severity, measured by the Addiction Severity Index. Medium effect sizes favoring MBRP were observed for negative affect and overall psychiatric severity outcomes. Depression severity changed differentially over time as a function of group, with MBRP participants reporting greater reductions through follow-up (p=0.03; Effect Size=0.58). Likewise, the MBRP group evidenced greater declines in psychiatric severity, (p=0.01; Effect Size=0.61 at follow-up). Among those with depressive and anxiety disorders, MBRP was associated with lower odds of stimulant use relative to the control condition (Odds Ratio= 0.78, p=0.03 and OR=0.68, p=0.04). MBRP effectively reduces negative affect and psychiatric impairment, and is particularly effective in reducing stimulant use among stimulant dependent adults with mood and anxiety disorders.

  4. Mobile technology for obesity prevention: a randomized pilot study in racial- and ethnic-minority girls.

    Science.gov (United States)

    Nollen, Nicole L; Mayo, Matthew S; Carlson, Susan E; Rapoff, Michael A; Goggin, Kathy J; Ellerbeck, Edward F

    2014-04-01

    Mobile technologies have wide-scale reach and disseminability, but no known studies have examined mobile technologies as a stand-alone tool to improve obesity-related behaviors of at-risk youth. To test a 12-week mobile technology intervention for use and estimate effect sizes for a fully powered trial. Fifty-one low-income, racial/ethnic-minority girls aged 9-14 years were randomized to a mobile technology (n=26) or control (n=25) condition. Both conditions lasted 12 weeks and targeted fruits/vegetables (FVs; Weeks 1-4); sugar-sweetened beverages (SSBs; Weeks 5-8), and screen time (Weeks 9-12). The mobile intervention prompted real-time goal setting and self-monitoring and provided tips, feedback, and positive reinforcement related to the target behaviors. Controls received the same content in a written manual but no prompting. Outcomes included device utilization and effect size estimates of FVs, SSBs, screen time, and BMI. Data were collected and analyzed in 2011-2012. Mobile technology girls used the program on 63% of days and exhibited trends toward increased FVs (+0.88, p=0.08) and decreased SSBs (-0.33, p=0.09). The adjusted difference between groups of 1.0 servings of FVs (p=0.13) and 0.35 servings of SSBs (p=0.25) indicated small to moderate effects of the intervention (Cohen's d=0.44 and -0.34, respectively). No differences were observed for screen time or BMI. A stand-alone mobile app may produce small to moderate effects for FVs and SSBs. Given the extensive reach of mobile devices, this pilot study demonstrates the need for larger-scale testing of similar programs to address obesity-related behaviors in high-risk youth. Copyright © 2014 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.

  5. School-based eating disorder prevention: a pilot effectiveness trial of teacher-delivered Media Smart.

    Science.gov (United States)

    Wilksch, Simon M

    2015-02-01

    This pilot study tested teacher-delivered Media Smart, a school-based eating disorder prevention program that has achieved significant benefits when delivered by health professionals. Two Grade 7 classes (N = 51; M age = 12.43 years) participated, with one randomly allocated to Media Smart (n = 27; 67% girls) and the other to a control condition of usual lessons (n = 24; 37% girls). Program feasibility was assessed by teacher self-report, whereas student self-report of shape and weight concern (primary outcome variable) and seven additional risk factors were measured at baseline, post-program and 6-month follow up. Teacher ratings of program feasibility revealed that 25 of the 29 (86.2%) program activities were taught with 96% of activities rated as either highly (19 activities) or moderately (5 activities) valuable for students. Mixed model analyses were conducted using a 2 (group: Media Smart, control) × 2 (time: post-program, 6-month follow up) × 2 (gender: girls, boys) design, with baseline scores as a covariate. A not-significant trend for group favouring Media Smart was observed for shape and weight concern (Cohen's d effect size [d] = 0.32), whereas significant effects were found for feelings of ineffectiveness (d = 0.52) and weight-related peer teasing (d = 0.68). The program was feasible for teacher delivery and showed some promising results, supporting a more substantial randomized-controlled effectiveness trial. © 2013 Wiley Publishing Asia Pty Ltd.

  6. Vendor-based restrictions on pesticide sales to prevent pesticide self-poisoning - a pilot study

    Directory of Open Access Journals (Sweden)

    Manjula Weerasinghe

    2018-02-01

    Full Text Available Abstract Background In South Asia, up to 20% of people ingesting pesticides for self-poisoning purchase the pesticide from a shop with the sole intention of self-harm. Individuals who are intoxicated with alcohol and/or non-farmers represent 72% of such high-risk individuals. We aimed to test the feasibility and acceptability of vendor-based restrictions on pesticide sales for such high-risk individuals. Methods We conducted a pilot study in 14 (rural = 7, urban = 7 pesticide shops in Anuradhapura District of Sri Lanka. A two-hour training program was delivered to 28 pesticide vendors; the aim of the training was to help vendors recognize and respond to customers at high risk of pesticide self-poisoning. Knowledge and attitudes of vendors towards preventing access to pesticides for self-poisoning at baseline and in a three month follow-up was evaluated by questionnaire. Vendors were interviewed to explore the practice skills taught in the training and their assessment of the program. Results The scores of knowledge and attitudes of the vendors significantly increased by 23% (95% CI 15%–32%, p < 0.001 and by 16% (95% CI 9%–23%, p < 0.001 respectively in the follow-up. Fifteen (60% vendors reported refusing sell pesticides to a high-risk person (non-farmer or intoxicated person in the follow-up compared to three (12% at baseline. Vendors reported that they were aware from community feedback that they had prevented at least seven suicide attempts. On four identified occasions, vendors in urban shops had been unable to recognize the self-harming intention of customers who then ingested the pesticide. Only 2 (8% vendors were dissatisfied with the training and 23 (92% said they would recommend it to other vendors. Conclusions Our study suggests that vendor-based sales restriction in regions with high rates of self-poisoning has the potential to reduce access to pesticides for self-poisoning. A large-scale study of the effectiveness

  7. RandAgiamo™, a Pilot Project Increasing Adoptability of Shelter Dogs in the Umbria Region (Italy)

    Science.gov (United States)

    Menchetti, Laura; Mancini, Stefania; Catalani, Maria Chiara; Boccini, Beatrice; Diverio, Silvana

    2015-01-01

    Simple Summary In Italy, dog shelters are overcrowded because the rate of dog adoption is lower than that of abandonment. A project called “RandAgiamo” was implemented in a rescue shelter in central Italy. RandAgiamo provides training, socialization and advertising of adult shelter dogs. Official data of the Umbria regional health authorities from the year 2014 showed a higher rate of adoption in shelters involved in the project. RandAgiamo dogs had triple odds of being adopted compared to others housed in shelters of the same province. The increase in adoption rate can be beneficial for both dog welfare and shelter management. Abstract Current Italian legislation does not permit euthanasia of dogs, unless they are ill or dangerous. Despite good intentions and ethical benefits, this “no-kill policy” has caused a progressive overpopulation of dogs in shelters, due to abandonment rates being higher than adoption rates. Shelter overcrowding has negative implications for dog welfare and increases public costs. The aim of this paper is to describe the pilot project “RandAgiamo” implemented in a rescue shelter in the Umbria Region and to evaluate its effectiveness on the rate of dog adoption using official data. RandAgiamo aimed to increase adult shelter dogs’ adoptability by a standard training and socialization programme. It also promoted dogs’ visibility by publicizing them through social media and participation in events. We analysed the official data of the Umbria regional health authorities regarding dog shelters of the Perugia province of the year 2014. In the RandAgiamo shelter, the dog adoption rate was 27.5% higher than that of dogs housed in other shelters located in the same geographical area (p dogs’ welfare, owner satisfaction, shelter management, and public perception of shelter dogs. However, staff were required to provide dog training and related activities. PMID:26479385

  8. Pilot project wind power - Large scale wind power in northern Sweden; Pilotprojekt vindkraft - Storskalig vindkraft i norra Sverige

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2011-07-01

    The Swedish Energy Agency granted 2009-04-20 Svevind AB financial aid to implement {sup P}ilot project wind power- Large scale wind power in northern Sweden{sup .} The purpose of the aid is to implement pilot sub-projects in wind power, to to increase knowledge for the larger establishments. The Energy Agency said in its decision that the projects Dragaliden and Gabriel Mountain is of 'great importance for future large-scale development of wind power in Sweden'. The special conditions prevailing in the project, forest environment and cold climate, gives the possibility of studies of wind turbines on birds, reindeer herding and hunting and the more technical aspects, such as de-icing and obstacle lighting. The objectives of the project, in addition to the construction and operation of 32 wind turbines, has been to include evaluating the permit process, studying the social effects around the wind power, to study the impact on small game hunting, perform tests of the de-icing system, investigate impacts on reindeer herding and explain the outcome of the project-generated rural funds. Some of the above sub-projects have been completed, which are reported in this report. For the sub-projects still in progress, the report presents the results to date, until the completion.

  9. INTEGRATED DESIGN AND ENGINEERING USING BUILDING INFORMATION MODELLING: A PILOT PROJECT OF SMALL-SCALE HOUSING DEVELOPMENT IN THE NETHERLANDS

    Directory of Open Access Journals (Sweden)

    Rizal Sebastian

    2010-11-01

    Full Text Available During the design phase, decisions are made that affect, on average, 70% of the life-cycle cost of a building. Therefore, collaborative design relying on multidisciplinary knowledge of the building life cycle is essential. Building information modelling (BIM makes it possible to integrate knowledge from various project participants that traditionally work in different phases of the building process. BIM has been applied in a number of large-scale projects in the industrial real estate and infrastructure sectors in different countries, including The Netherlands. The projects in the housing sector, however, are predominantly small scale and carried out by small and medium enterprises (SMEs. These SMEs are looking for practical and affordable BIM solutions for housing projects. This article reports a pilot project of small-scale housing development using BIM in the province of Zeeland, The Netherlands. The conceptual knowledge derived from European and national research projects is disseminated to the SMEs through a series of experimental working sessions. Action learning protocols within a pilot project are developed to ensure direct impacts in terms of cost reduction and quality improvement. The project shows that BIM can be applied without radical changes to the SMEs' information and communication technology systems or to their business organizations. DOI: 10.3763/aedm.2010.0116 Source: Architectural Engineering and Design Management, Volume 6, Number 2, 2010 , pp. 103-110(8

  10. Upset Prevention and Recovery for Unimpaired and Impaired Aircraft Project

    Data.gov (United States)

    National Aeronautics and Space Administration — The objective of the project is the development of an on-board envelope estimation, protection and upset recovery tool to address loss of control incidents in...

  11. Photoaging Mobile Apps in School-Based Melanoma Prevention: Pilot Study.

    Science.gov (United States)

    Brinker, Titus Josef; Brieske, Christian Martin; Schaefer, Christoph Matthias; Buslaff, Fabian; Gatzka, Martina; Petri, Maximilian Philip; Sondermann, Wiebke; Schadendorf, Dirk; Stoffels, Ingo; Klode, Joachim

    2017-09-08

    Around 90% of melanomas are caused by exposure to ultraviolet (UV) radiation and are therefore eminently preventable. Tanning behavior is mostly initiated in early adolescence, often with the belief that it increases attractiveness; the problems related to malignant melanoma and other skin cancers are too far in the future to fathom. Given the substantial amount of time children and adolescents spend in schools, as well as with their mobile phones, addressing melanoma prevention via both of these ways is crucial. However, no school-based intervention using mobile apps has been evaluated to date. We recently released a photoaging mobile app, in which a selfie is altered to predict future appearance dependent on UV protection behavior and skin type. In this pilot study, we aimed to use mobile phone technology to improve school-based melanoma prevention and measure its preliminary success in different subgroups of students with regard to their UV protection behavior, Fitzpatrick skin type and age. We implemented a free photoaging mobile phone app (Sunface) in 2 German secondary schools via a method called mirroring. We "mirrored" the students' altered 3-dimensional (3D) selfies reacting to touch on mobile phones or tablets via a projector in front of their whole grade. Using an anonymous questionnaire capturing sociodemographic data as well as risk factors for melanoma we then measured their perceptions of the intervention on a 5-point Likert scale among 205 students of both sexes aged 13-19 years (median 15 years). We measured more than 60% agreement in both items that measured motivation to reduce UV exposure and only 12.5% disagreement: 126 (63.0%) agreed or strongly agreed that their 3D selfie motivated them to avoid using a tanning bed, and 124 (61.7%) to increase use of sun protection. However, only 25 (12.5%) disagreed with both items. The perceived effect on motivation was increased in participants with Fitzpatrick skin types 1-2 in both tanning bed avoidance

  12. PERSPECTIVE: REDD pilot project scenarios: are costs and benefits altered by spatial scale?

    Science.gov (United States)

    Carlson, Kimberly M.; Curran, Lisa M.

    2009-09-01

    Kimberly M Carlson Payments for reducing carbon emissions due to deforestation and degradation (REDD) have garnered considerable global interest and investments. These financial incentives aim to alter the drivers of land use change by reducing opportunity costs of retaining forest cover, and are often promoted as multipartite solutions that not only generate profits and reduce carbon emissions but provide benefits for human development and biodiversity. Currently, the United Nations Framework Convention on Climate Change (UNFCCC) is debating a post-Kyoto protocol with national or sub-national emission reduction targets. Anticipating the inclusion of REDD in this agreement, >80% of pilot REDD projects are being established in tropical regions (table 1). While the capacity of REDD projects to meet their stated objectives must be assessed post- implementation, land use change models are powerful tools for generating potential outcomes from these pilot initiatives. Table 1. Extent and emissions reductions for all REDD projects as reported by Ecosystem Marketplace, which maintains a comprehensive and up-to-date inventory of REDD projects that are selling credits and/or are verified by a third-party verifier. Adapted from Forest Carbon Portal (2009). Geographical zoneContinentProjects (#) Area (km2) Emissions reductions (Mt C) Tropical and Subtropical Africa2775019.50 Asia28100109.60 South America 9183 880278.24 TemperateAustralia1140.18 North America115N/A Totals15199 759407.52 In this issue of ERL, Gaveau et al (2009) use a spatially-explicit model to explore the potential of a REDD pilot project in northern Sumatra, Indonesia, to reduce deforestation and conserve orangutan biodiversity. This project is conceived by the Provincial Government of Aceh, financed by Merrill Lynch, and co-managed by carbon trading firm Carbon Conservation and NGO Flora and Fauna International. Project managers estimate CO2 emissions reductions at 3.4 Mt y-1 over 30 years across a 7500 km2

  13. Tourism Chains and Pro-Poor Tourism Development: An Actor-Network Analysis of a Pilot Project in Costa Rica

    OpenAIRE

    Duim, van der, V.R.; Caalders, J.D.A.D.

    2008-01-01

    This paper analyses a pilot project in Costa Rica aimed to examine and improve the market linkages of 24 small-scale tourism initiatives to tour operators in Costa Rica and the Netherlands. It links pro-poor tourism and the concept of tourism chain to actor-network theory. The analysis shows that the tangible results in terms of pro-poor tourism of the project itself were meagre, as, initially, only three and later only one out of 24 projects was included in the tourism chain. However, the an...

  14. The Agricultural Model Intercomparison and Improvement Project (AgMIP): Protocols and Pilot Studies

    Science.gov (United States)

    Rosenzweig, C.; Jones, J. W.; Hatfield, J. L.; Ruane, A. C.; Boote, K. J.; Thorburn, P.; Antle, J. M.; Nelson, G. C.; Porter, C.; Janssen, S.; hide

    2012-01-01

    The Agricultural Model Intercomparison and Improvement Project (AgMIP) is a major international effort linking the climate, crop, and economic modeling communities with cutting-edge information technology to produce improved crop and economic models and the next generation of climate impact projections for the agricultural sector. The goals of AgMIP are to improve substantially the characterization of world food security due to climate change and to enhance adaptation capacity in both developing and developed countries. Analyses of the agricultural impacts of climate variability and change require a transdisciplinary effort to consistently link state-of-the-art climate scenarios to crop and economic models. Crop model outputs are aggregated as inputs to regional and global economic models to determine regional vulnerabilities, changes in comparative advantage, price effects, and potential adaptation strategies in the agricultural sector. Climate, Crop Modeling, Economics, and Information Technology Team Protocols are presented to guide coordinated climate, crop modeling, economics, and information technology research activities around the world, along with AgMIP Cross-Cutting Themes that address uncertainty, aggregation and scaling, and the development of Representative Agricultural Pathways (RAPs) to enable testing of climate change adaptations in the context of other regional and global trends. The organization of research activities by geographic region and specific crops is described, along with project milestones. Pilot results demonstrate AgMIP's role in assessing climate impacts with explicit representation of uncertainties in climate scenarios and simulations using crop and economic models. An intercomparison of wheat model simulations near Obregón, Mexico reveals inter-model differences in yield sensitivity to [CO2] with model uncertainty holding approximately steady as concentrations rise, while uncertainty related to choice of crop model increases with

  15. Prevention of mother to child transmission of HIV: evaluation of a pilot programme in a district hospital in rural Zimbabwe.

    Science.gov (United States)

    Perez, Freddy; Orne-Gliemann, Joanna; Mukotekwa, Tarisai; Miller, Anna; Glenshaw, Monica; Mahomva, Agnes; Dabis, François

    2004-11-13

    Zimbabwe has one of the highest rates of HIV seroprevalence in the world. In 2001 only 4% of women and children in need of services for prevention of mother to child transmission of HIV were receiving them. Pilot implementation of the first programme for prevention of mother to child transmission of HIV in rural Zimbabwe. 120 bed district hospital in Buhera district (285,000 inhabitants), Manicaland, Zimbabwe. Programme uptake indicators monitored for 18 months; impact of policy evaluated by assessing up-scaling of programme. Voluntary counselling and testing services for HIV were provided in the hospital antenatal clinic. Women identified as HIV positive and informed of their serostatus and their newborn were offered a single dose antiretroviral treatment of nevirapine; mother-child pairs were followed up through routine health services. Nursing staff and social workers were trained, and community mobilisation was conducted. No services for prevention of mother to child transmission of HIV were available at baseline. Within 18 months, 2298 pregnant women had received pretest counselling, and the acceptance of HIV testing reached 93.0%. Of all 2137 women who had an HIV test, 1588 (74.3%) returned to collect their result; 326 of the 437 HIV positive women diagnosed had post-test counselling, and 104 (24%) mother-child pairs received nevirapine prophylaxis. Minimum staffing, an enhanced training programme, and involvement of district health authorities are needed for the implementation and successful integration of services for prevention of mother to child transmission of HIV. Voluntary counselling and testing services are important entry points for HIV prevention and care and for referral to community networks and medical HIV care services. A district approach is critical to extend programmes for prevention of mother to child transmission of HIV in rural settings. The lessons learnt from this pilot programme have contributed to the design of the national expansion

  16. Phase I Water Rental Pilot Project : Snake River Resident Fish and Wildlife Resources and Management Recommendations.

    Energy Technology Data Exchange (ETDEWEB)

    Riggin, Stacey H.; Hansen, H. Jerome

    1992-10-01

    The Idaho Water Rental Pilot Project was implemented as a part of the Non-Treaty Storage Fish and Wildlife Agreement (NTSA) between Bonneville Power Administration and the Columbia Basin Fish and Wildlife Authority. The goal of the project is to improve juvenile and adult salmon and steelhead passage in the lower Snake River with the use of rented water for flow augmentation. The primary purpose of this project is to summarize existing resource information and provide recommendations to protect or enhance resident fish and wildlife resources in Idaho with actions achieving flow augmentation for anadromous fish. Potential impacts of an annual flow augmentation program on Idaho reservoirs and streams are modeled. Potential sources of water for flow augmentation and operational or institutional constraints to the use of that water are identified. This report does not advocate flow augmentation as the preferred long-term recovery action for salmon. The state of Idaho strongly believes that annual drawdown of the four lower Snake reservoirs is critical to the long-term enhancement and recovery of salmon (Andrus 1990). Existing water level management includes balancing the needs of hydropower production, irrigated agriculture, municipalities and industries with fish, wildlife and recreation. Reservoir minimum pool maintenance, water quality and instream flows are issues of public concern that will be directly affected by the timing and quantity of water rental releases for salmon flow augmentation, The potential of renting water from Idaho rental pools for salmon flow augmentation is complicated by institutional impediments, competition from other water users, and dry year shortages. Water rental will contribute to a reduction in carryover storage in a series of dry years when salmon flow augmentation is most critical. Such a reduction in carryover can have negative impacts on reservoir fisheries by eliminating shoreline spawning beds, reducing available fish habitat

  17. Fort Cobb Reservoir Watershed, Oklahoma and Thika River Watershed, Kenya Twinning Pilot Project

    Science.gov (United States)

    Moriasi, D.; Steiner, J.; Arnold, J.; Allen, P.; Dunbar, J.; Shisanya, C.; Gathenya, J.; Nyaoro, J.; Sang, J.

    2007-12-01

    Nairobi. A dam was constructed in 1994 with a water reservoir of 70 million m3. Thika River also supplies water to Masinga Reservoir to supply the seven forks dams, which together supply 75% of the nation's electricity. The quantity of water in rivers and reservoirs is decreased due to sedimentation while water quality is degraded by sediments, and sediment-borne nutrients and pesticides. The focus of this pilot twinning project is watershed erosion and reservoir sedimentation assessment. This will be accomplished by (1) a rapid watershed/catchment erosion assessment using ground based measurements and remote sensing/GIS techniques, 2) use of Acoustic Profiling Systems (APS) for reservoir sedimentation measurement studies, and 3) advanced water quality modeling using the soil and water assessment tool (SWAT) model. Data acquired will be used for sediment transport modeling to1) determine sediment "hot spots" and management practices that will minimize sediments into reservoirs in order to 2) maintain the reservoirs on which many farmers depend for their livelihood and a cleaner environment. This project will provide an opportunity for 1) sharing knowledge and experience among the stakeholders, 2) building capacity through formal and informal education opportunities through reciprocal hosting of decision makers and water experts, and 3) technology transfer of pilot results with recommended management practices to reduce reservoir sedimentation rates.

  18. Competences, education and support for new roles in cancer genetics services: outcomes from the cancer genetics pilot projects.

    Science.gov (United States)

    Bennett, Catherine; Burton, Hilary; Farndon, Peter

    2007-01-01

    In 2004 the Department of Health in collaboration with Macmillan Cancer Support set up service development projects to pilot the integration of genetics in mainstream medicine in the area of cancer genetics.In developing these services, new roles and responsibilities were devised that required supporting programmes of education and training. The NHS National Genetics Education and Development Centre has worked with the projects to draw together their experience in these aspects. New roles include the Cancer Family Nurse Specialist, in which a nurse working in a cancer setting was trained to identify and manage genetic or family history concerns, and the Genetic Risk Assessment Practitioner--a small team of practitioners working within a secondary care setting to deliver a standardised risk assessment pathway. Existing roles were also adapted for a different setting, in particular the use of genetic counsellors working in a community ethnic minority setting. These practitioners undertook a range of clinical activities that can be mapped directly to the 'UK National Workforce Competences for Genetics in Clinical Practice for Non-genetics Healthcare Staff' framework developed by Skills for Health and the NHS National Genetics Education and Development Centre (2007; draft competence framework). The main differences between the various roles were in the ordering of genetic tests and the provision of advice on invasive preventive options such as mastectomy. Those involved in service development also needed to develop competences in project management, business skills, audit and evaluation, working with users, general management (personnel, multi-agency work and marketing), educational supervision, IT, public and professional outreach, and research. Important resources to support the development of new roles and competences included pathways and guidelines, a formal statement of competences, a recognised syllabus, appropriate and timely courses, the availability of a

  19. Enhancement of medical student performance through narrative reflective practice: a pilot project

    Directory of Open Access Journals (Sweden)

    Alan Thomson

    2013-03-01

    Full Text Available Background: Narrative Reflective Practice (NRP is a process that helps medical students become better listeners and physicians. We hypothesized that NRP would enhance students’ performance on multiple choice question exams (MCQs, on objective structured clinical examinations (OSCEs, and on subjective clinical evaluations (SCEs. Methods: The MCQs, OSCEs and SCEs test scores from 139 third year University of Alberta medical students from the same class doing their Internal Medicine rotation were collected over a 12 month period. All preceptors followed the same one-hour clinical teaching format, except for the single preceptor who incorporated 2 weeks of NRP in the usual clinical teaching of 16 students. The testing was done at the end of each 8-week rotation, and all students within each cohort received the same MCQs, OSCE and SCEs Results: Independent t-tests were used to assess group differences in the mean MCQ, OSCE and SCE scores. The group receiving NRP training scored 4.7 % higher on the MCQ component than those who did not. The mean differences for OSCE and SCE scores were non-significant. Conclusions: Two weeks NRP exposure produced an absolute increase in students’ MCQ score. Longer periods of NRP exposure may also increase the OSCE and SCE scores. This promising pilot project needs to be confirmed using several trained preceptors and trainees at different levels of their clinical experience.

  20. Can contextual online exams in practical biomedical education increase comprehension and motivation?: a pilot project.

    Science.gov (United States)

    Baumann, Martin; Perlitz, Volker

    2011-12-01

    The exclusive reproduction of short-term learned and pool-based contents in examinations may impede development of in-depth understanding. This pilot project suggests an approach useful to overcome this shortcoming by enhancing students' motivation for comprehensive learning using automatically added contextual questions in electronic examinations. Installed in practical courses teaching pain physiology, digital data acquisition and examination workstations were interlinked via a network connection. The data acquisition software was substantiated by algorithms that evaluated data acquired before their transmission to examination workstations. These data were used by the assessment software operating on these workstations to automatically compose new examination questions. Examinations thus combined pool questions with newly generated questions with authentic digitized data from the preceding course. This helped confront students with questions based on their individual data that had resulted from the courses examined. Formative evaluation showed an increase in motivation and alertness for practical tasks and acquired results. This suggests usefulness of this setting in examining the preparation and comprehension of course contents. There is reason to assume that this approach is suitable to be transferred to other practical courses using digital acquisition of practical and examination data.

  1. Innovative model of delivering quality improvement education for trainees – a pilot project

    Directory of Open Access Journals (Sweden)

    Kannan Ramar

    2015-09-01

    Full Text Available Background: After incorporating quality improvement (QI education as a required curriculum for our trainees in 2010, a need arose to readdress our didactic sessions as they were too long, difficult to schedule, and resulting in a drop in attendance. A ‘flipped classroom’ (FC model to deliver QI education was touted to be an effective delivery method as it allows the trainees to view didactic materials on videos, on their own time, and uses the classroom to clarify concepts and employ learned tools on case-based scenarios including workshops. Methods: The Mayo Quality Academy prepared 29 videos that incorporated the previously delivered 17 weekly didactic sessions, for a total duration of 135 min. The half-day session clarified questions related to the videos, followed by case examples and a hands-on workshop on how to perform and utilize a few commonly used QI tools and methods. Results: Seven trainees participated. There was a significant improvement in knowledge as measured by pre- and post-FC model test results [improvement by 40.34% (SD 16.34, p<0.001]. The survey results were overall positive about the FC model with all trainees strongly agreeing that we should continue with this model to deliver QI education. Conclusions: The pilot project of using the FC model to deliver QI education was successful in a small sample of trainees.

  2. RandAgiamo™, a Pilot Project Increasing Adoptability of Shelter Dogs in the Umbria Region (Italy).

    Science.gov (United States)

    Menchetti, Laura; Mancini, Stefania; Catalani, Maria Chiara; Boccini, Beatrice; Diverio, Silvana

    2015-08-14

    Current Italian legislation does not permit euthanasia of dogs, unless they are ill or dangerous. Despite good intentions and ethical benefits, this 'no-kill policy' has caused a progressive overpopulation of dogs in shelters, due to abandonment rates being higher than adoption rates. Shelter overcrowding has negative implications for dog welfare and increases public costs. The aim of this paper is to describe the pilot project "RandAgiamo" implemented in a rescue shelter in the Umbria Region and to evaluate its effectiveness on the rate of dog adoption using official data. RandAgiamo aimed to increase adult shelter dogs' adoptability by a standard training and socialization programme. It also promoted dogs' visibility by publicizing them through social media and participation in events. We analysed the official data of the Umbria regional health authorities regarding dog shelters of the Perugia province of the year 2014. In the RandAgiamo shelter, the dog adoption rate was 27.5% higher than that of dogs housed in other shelters located in the same geographical area (P dogs' welfare, owner satisfaction, shelter management, and public perception of shelter dogs. However, staff were required to provide dog training and related activities.

  3. 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.

  4. A bottom-up approach to estimating cost elements of REDD+ pilot projects in Tanzania

    Directory of Open Access Journals (Sweden)

    Merger Eduard

    2012-08-01

    Full Text Available Abstract Background Several previous global REDD+ cost studies have been conducted, demonstrating that payments for maintaining forest carbon stocks have significant potential to be a cost-effective mechanism for climate change mitigation. These studies have mostly followed highly aggregated top-down approaches without estimating the full range of REDD+ costs elements, thus underestimating the actual costs of REDD+. Based on three REDD+ pilot projects in Tanzania, representing an area of 327,825 ha, this study explicitly adopts a bottom-up approach to data assessment. By estimating opportunity, implementation, transaction and institutional costs of REDD+ we develop a practical and replicable methodological framework to consistently assess REDD+ cost elements. Results Based on historical land use change patterns, current region-specific economic conditions and carbon stocks, project-specific opportunity costs ranged between US$ -7.8 and 28.8 tCOxxxx for deforestation and forest degradation drivers such as agriculture, fuel wood production, unsustainable timber extraction and pasture expansion. The mean opportunity costs for the three projects ranged between US$ 10.1 – 12.5 tCO2. Implementation costs comprised between 89% and 95% of total project costs (excluding opportunity costs ranging between US$ 4.5 - 12.2 tCO2 for a period of 30 years. Transaction costs for measurement, reporting, verification (MRV, and other carbon market related compliance costs comprised a minor share, between US$ 0.21 - 1.46 tCO2. Similarly, the institutional costs comprised around 1% of total REDD+ costs in a range of US$ 0.06 – 0.11 tCO2. Conclusions The use of bottom-up approaches to estimate REDD+ economics by considering regional variations in economic conditions and carbon stocks has been shown to be an appropriate approach to provide policy and decision-makers robust economic information on REDD+. The assessment of opportunity costs is a crucial first step to

  5. Strategies to promote evidence-based practice in pediatric physical therapy: a formative evaluation pilot project.

    Science.gov (United States)

    Schreiber, Joe; Stern, Perri; Marchetti, Gregory; Provident, Ingrid

    2009-09-01

    The physical therapy profession has been perceived as one that bases its practice largely on anecdotal evidence and that uses treatment techniques for which there is little scientific support. Physical therapists have been urged to increase evidence-based practice behaviors as a means to address this perception and to enhance the translation of knowledge from research evidence into clinical practice. However, little attention has been paid to the best ways in which to support clinicians' efforts toward improving evidence-based practice. The purpose of this study was to identify, implement, and evaluate the effectiveness of strategies aimed at enhancing the ability of 5 pediatric physical therapists to integrate scientific research evidence into clinical decision making. This study was a formative evaluation pilot project. The participants in this study collaborated with the first author to identify and implement strategies and outcomes aimed at enhancing their ability to use research evidence during clinical decision making. Outcome data were analyzed with qualitative methods. The participants were able to implement several, but not all, of the strategies and made modest self-reported improvements in evidence-based practice behaviors, such as reading journal articles and completing database searches. They identified several barriers, including a lack of time, other influences on clinical decision making, and a lack of incentives for evidence-based practice activities. The pediatric physical therapists who took part in this project had positive attitudes toward evidence-based practice and made modest improvements in this area. It is critical for the profession to continue to investigate optimal strategies to aid practicing clinicians in applying research evidence to clinical decision making.

  6. An Introduction to the Tibet cGPS pilot project: TigiCAS

    Science.gov (United States)

    Zhang, Z.; Liu, J.; Galetzka, J.; Avouac, J.; Tapponnier, P.; Zeng, L.; Gan, W.; Shen, Z.; Wang, M.

    2007-12-01

    The convergence between India and Eurasia is the¡¡prototype of continental collision in action. Compared¡¡to geological history and fault kinematics studies, the present-day, regional pattern of strain-partitioning¡¡is still inadequately known. Among limited geodetic¡¡efforts in the past decade or two, most have been focused¡¡on refining measurements of the current crustal¡¡shortening rate across the Himalaya. The vast region¡¡immediately to the north is sparsely instrumented, with only one continuous GPS station (Lhasa) within¡¡the plateau proper. Campaign stations are few and¡¡ill-positioned, mostly along major roads, providing¡¡poor constraints on present-day slip-rates on individual¡¡active faults. The extant GPS network configuration is thus still insufficient to discriminate between block vs continuum deformation. In November 2006, the¡¡Chinese Academy of Sciences led a pilot program and¡¡installed 6 continuous GPS stations in southern Tibet, crossing the NS-trending normal fault systems and¡¡complementing the Nepal cGPS profiles. We present¡¡here the new sites, preliminary data processing results, and the spatial relationship with ongoing or planned¡¡continuous GPS sites from a couple of other projects. Together with such projects, TigiCAS will provide¡¡a substantial increase in geodetic data in the¡¡Himalayan-Tibet convergent belt in the next few¡¡years, and lead to a better understanding of¡¡contemporary deformation of the region.

  7. Pilot projects for the remediation of Sillamaee uranium tailings in Estonia

    International Nuclear Information System (INIS)

    Kaasik, T.; Siinmaa, A.

    2001-01-01

    First Estonian uranium, produced in a pilot plant at Narva, was presented to Soviet military administration in 1945 and just a year later - 1946 - installation of an uranium production plant was started at Sillamaee, Estonia. Estonian local ore - alum shale - containing only 0,026% of uranium was used for uranium production for nearly five years, after the plant was launched in 1948. The uranium mine, having been activated from 1947 to 1952, was left in status of 'active conservation' for 17 years, until finally closed in 1969. Potential threats of this hidden legacy have never been revealed. After close-down of local uranium mine, more than 4 million tons of ore, imported mostly from Central and East European countries: Czechoslovakia, Hungary and Eastern Germany were processed at Sillamaee. These activities have left a large tailings impoundment with the total volume of ca. 8 million cubic meters in the immediate vicinity of the Baltic Sea. Today the plant is privatized, converted to civil purposes and provides together its power generating facilities ca. 1200 jobs in the socially sensitive area of North-East Estonia, while environmental hazards of the history, however, remain: - Continuous seepage of tailing waters into the sea contributes and would contribute over long term to the pollution of the Baltic Sea; - stability of the tailings dam seaside under present conditions can not be guaranteed thus risking a sudden release of partly liquid tailings due to potential dam failure; - uncovered surface of the tailings presents a health hazard due to dusting and radon release and hinders the revitalization of the area. The conceptual design of the Estonia's largest environmental remediation project, done by Wismut, is now complete and first implementation steps are underway. The project for mine area restoration is in initiation phase; it shall reveal the current and potential environmental hazards of the facility and create the concept for necessary rehabilitation

  8. Integrating Informatics into the Undergraduate Curriculum: A Report on a Pilot Project.

    Science.gov (United States)

    Ingram, D; Murphy, J

    1996-01-01

    Previous case reports in this series on Education and Training have looked at specialist courses for postgraduate students seeking an in-depth knowledge of informatics and a career in the field. By contrast, this review describes a project designed to pilot a series of learning opportunities for undergraduate medical students. Although some UK medical colleges have opted to introduce informatics into the curriculum as a discipline in its own right, the Informatics Department at St Bartholomew's Hospital Medical College chose a different approach. When a new curriculum was introduced at St Bartholomew's and at The London Hospital Medical College, the Head of the Informatics Department saw this as an ideal opportunity to explore ways of integrating informatics into the curriculum. The initiatives described in this paper were made possible as a result of an award from the UK government Department of Employment. Money from an Enterprise in Higher Education grant funded a range of programmes, one of which was designed to introduce students to selected aspects of informatics and to demonstrate what is feasible in the undergraduate curriculum. The work carried out over a period of three and a half years was intended to provide the basis for the next phase of curriculum development. However, in the wake of the restructuring which has taken place in London medical colleges, the Informatics Department at what was St Bartholomew's has relocated to University College London Medical School, and is now called The Centre for Health Informatics and Multiprofessional Education (CHIME). University College is designing a new medical curriculum and CHIME is drawing on the experience gained through the Enterprise Project to find the best way to integrate informatics into this curriculum.

  9. 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)

  10. Future-oriented computerized information system for power plant process control in a pilot project at Philippsburg nuclear power plant

    International Nuclear Information System (INIS)

    Woehrle, G.; Kraft, M.

    1988-01-01

    The motivation for the pilot project at Philippsburg nuclear power plant resulted from the Three Mile Island accident in 1979. The primary task embraces an efficient computer-aided reduction of information when a fault occurs based on a process engineering analysis of the information accrued. Accompanying this are a consolidation and evaluation of the information available in the control room. In this pilot project the new tasks of status monitoring, information reduction and operationalcontrol have been realized for the first time using a computer-aided process information system. In addition to the existing control computer, an information computer with approximately 1200 analogue and about 10000 binary signals has been installed. The installation of the system was completed in 1984 and in the meantime initial operational experience has become available. (orig.) [de

  11. Ibobbly mobile health intervention for suicide prevention in Australian Indigenous youth: a pilot randomised controlled trial.

    Science.gov (United States)

    Tighe, Joseph; Shand, Fiona; Ridani, Rebecca; Mackinnon, Andrew; De La Mata, Nicole; Christensen, Helen

    2017-01-27

    Rates of youth suicide in Australian Indigenous communities are 4 times the national youth average and demand innovative interventions. Historical and persistent disadvantage is coupled with multiple barriers to help seeking. Mobile phone applications offer the opportunity to deliver therapeutic interventions directly to individuals in remote communities. The pilot study aimed to evaluate the effectiveness of a self-help mobile app (ibobbly) targeting suicidal ideation, depression, psychological distress and impulsivity among Indigenous youth in remote Australia. Remote and very remote communities in the Kimberley region of North Western Australia. Indigenous Australians aged 18-35 years. 61 participants were recruited and randomised to receive either an app (ibobbly) which delivered acceptance-based therapy over 6 weeks or were waitlisted for 6 weeks and then received the app for the following 6 weeks. The primary outcome was the Depressive Symptom Inventory-Suicidality Subscale (DSI-SS) to identify the frequency and intensity of suicidal ideation in the previous weeks. Secondary outcomes were the Patient Health Questionnaire 9 (PHQ-9), The Kessler Psychological Distress Scale (K10) and the Barratt Impulsivity Scale (BIS-11). Although preintervention and postintervention changes on the (DSI-SS) were significant in the ibobbly arm (t=2.40; df=58.1; p=0.0195), these differences were not significant compared with the waitlist arm (t=1.05; df=57.8; p=0.2962). However, participants in the ibobbly group showed substantial and statistically significant reductions in PHQ-9 and K10 scores compared with waitlist. No differences were observed in impulsivity. Waitlist participants improved after 6 weeks of app use. Apps for suicide prevention reduce distress and depression but do not show significant reductions on suicide ideation or impulsivity. A feasible and acceptable means of lowering symptoms for mental health disorders in remote communities is via

  12. The Langley Tobacco Prevention Project: "a model of school and community partnerships": executive summary

    National Research Council Canada - National Science Library

    Morrow, Karina

    1996-01-01

    "The objective [of this project] was to provide children, parents and school personnel with tobacco prevention education and skill training in order for these groups of individuals to create a smoke-free school community...

  13. Performance evaluation of restaurant food waste and biowaste to biogas pilot projects in China and implications for national policy.

    Science.gov (United States)

    De Clercq, Djavan; Wen, Zongguo; Fan, Fei

    2017-03-15

    The objective of this research was to conduct a performance evaluation of three food waste/biowaste-to-biogas pilot projects across 7 scenarios in China based on multi-criteria decision analysis (MCDA) methodology. The projects ranked included a food waste-biogas project in Beijing, a food waste-biogas project in Suzhou and a co-digestion project producing biomethane in Hainan. The projects were ranked from best to worst based on technical, economic and environmental criteria under the MCDA framework. The results demonstrated that some projects are encountering operational problems. Based on these findings, six national policy recommendations were provided: (1) shift away from capital investment subsidies to performance-based subsidies; (2) re-design feed in tariffs; (3) promote bio-methane and project clustering; (4) improve collection efficiency by incentivizing FW producers to direct waste to biogas projects; (5) incentivize biogas projects to produce multiple outputs; (6) incentivize food waste-based projects to co-digest food waste with other substrates for higher gas output. Copyright © 2016 Elsevier Ltd. All rights reserved.

  14. Department of Energy Operation Quality Assurance Program for the Waste Isolation Pilot Plant (WIPP) Project (Carlsbad, New Mexico)

    International Nuclear Information System (INIS)

    1987-12-01

    The purpose of this plan is to describe the Quality Assurance (QA)reverse arrow Program to be established and implemented by the US Department of Energy (DOE) Waste Isolation Pilot Plant (WIPP) Project Office (WPO) and by the Project Participants: the Scientific Advisor (Sandia National Laboratory) and the Management and Operating Contractor (Westinghouse Electric Corporation). This plan addresses the Pre-Operational and Operational phases of the WIPP Project not addressed under the construction phase. This plan also requires the QA Programs for DOE and Project Participants to be structured so as to comply with this plan and ANSI-ASME NQA-1. The prime responsibility for Operational Quality Assurance rests with the DOE WIPP Project Office and is implemented through the combined efforts of the Scientific Advisor and the Management and Operating Contractor. Overviews of selected operational and testing activities will be are conducted in accordance with prescribed requirements and that adequate documentation of these activities is maintained. 4 figs

  15. HANFORD MEDIUM-LOW CURIE WASTE PRETREATMENT ALTERNATIVES PROJECT FRACTIONAL CRYSTALLIZATION PILOT SCALE TESTING FINAL REPORT

    Energy Technology Data Exchange (ETDEWEB)

    HERTING DL

    2008-09-16

    The Fractional Crystallization Pilot Plant was designed and constructed to demonstrate that fractional crystallization is a viable way to separate the high-level and low-activity radioactive waste streams from retrieved Hanford single-shell tank saltcake. The focus of this report is to review the design, construction, and testing details of the fractional crystallization pilot plant not previously disseminated.

  16. A Pilot Randomised Controlled Trial of a School-Based Resilience Intervention to Prevent Depressive Symptoms for Young Adolescents with Autism Spectrum Disorder: A Mixed Methods Analysis

    Science.gov (United States)

    Mackay, Bethany A.; Shochet, Ian M.; Orr, Jayne A.

    2017-01-01

    Despite increased depression in adolescents with Autism Spectrum Disorder (ASD), effective prevention approaches for this population are limited. A mixed methods pilot randomised controlled trial (N = 29) of the evidence-based Resourceful Adolescent Program-Autism Spectrum Disorder (RAP-A-ASD) designed to prevent depression was conducted in…

  17. Current Situation of the Educational Project on Disaster Prevention in Taiwan

    Science.gov (United States)

    Chang, C.-P.; Chen, Y.-A.; Hsu, T.-H.

    2011-09-01

    The Taiwan government has invested much effort in developing and promoting disaster relief and prevention by following out many research projects after the 1999 Chichi earthquake. "Experiment and Development Project on Implementation and Introspection of Disaster Prevention Education" is one of the most important among these projects. This project includes five major areas such as, 1) "operation and supporting mechanism build-up"; 2) "curriculum development and popularization experiment"; 3) "teachers' training programs on disaster prevention education"; 4) "promotion and popularization of experiment and e-learning"; and 5) "establishment of evaluation system". Furthermore, The Ministry of Education has promoted actively for the participation of local government since 2007. Depending upon the requirements and characteristics of different areas, different projects are set up and some involved the teachers and students senior high schools and event under to participate. Through this project, most primary and secondary schools in Taiwan have participated the evacuation training during the large earthquake in the campus and have developed the disaster prevention project for their selves. These implementations are still of the early stage, most of the schools still lack experience and need to be more relevant for disaster prevention and relief exercises. In the future more executive powers and supports from the Ministry of Education and from the local government works will largely help the schools and general public at all levels to reduce the occurrence of disaster events on campus.

  18. A framework for considering climate change in transportation and land use scenario planning : lessons learned from an interagency pilot project on Cape Cod.

    Science.gov (United States)

    2011-07-01

    The Interagency Transportation, Land Use, and Climate Change Pilot Project utilized a scenario planning process to develop a multi-agency transportation- and land use-focused development strategy for Cape Cod, Massachusetts, with the intention of ach...

  19. 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

  20. The LEONARDO-DA-VINCI pilot project "e-learning-assistant" - Situation-based learning in nursing education.

    Science.gov (United States)

    Pfefferle, Petra Ina; Van den Stock, Etienne; Nauerth, Annette

    2010-07-01

    E-learning will play an important role in the training portfolio of students in higher and vocational education. Within the LEONARDO-DA-VINCI action programme transnational pilot projects were funded by the European Union, which aimed to improve the usage and quality of e-learning tools in education and professional training. The overall aim of the LEONARDO-DA-VINCI pilot project "e-learning-assistant" was to create new didactical and technical e-learning tools for Europe-wide use in nursing education. Based on a new situation-oriented learning approach, nursing teachers enrolled in the project were instructed to adapt, develop and implement e- and blended learning units. According to the training contents nursing modules were developed by teachers from partner institutions, implemented in the project centers and evaluated by students. The user-package "e-learning-assistant" as a product of the project includes two teacher training units, the authoring tool "synapse" to create situation-based e-learning units, a student's learning platform containing blended learning modules in nursing and an open sourced web-based communication centre. Copyright 2009 Elsevier Ltd. All rights reserved.

  1. 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

  2. Hemodialysis Infection Prevention Protocols Ontario—Shower Technique (HIPPO-ST: A Pilot Randomized Trial

    Directory of Open Access Journals (Sweden)

    S. Daisy Kosa

    2017-03-01

    Discussion: This HIPPO-ST pilot study demonstrated the feasibility of the larger HIPPO-ST study, especially given the high levels of education success with the HIPPO-ST arm and the low levels of contamination in the control arm.

  3. Piloting a community-based micro-hydro power generation project

    International Nuclear Information System (INIS)

    Buenafe, Menandro B.; Eponio, Melchor P.

    1998-01-01

    A community based microhydro power generation project was successfully piloted in Dulao, Malibcong, Abra. The project started with the identification and evaluation of five potential creeks flowing near villages in the Cordillera hinterlands. All the sites showed comparative hydrologic features except for one factor that decided the project's implementation: the willingness of the people to invest by providing their labor- counterpart. On this account, only the residents of Dulao put their full trust in the implementing institutions, the main reason for the project's success. The micro-hydro power project consisted of an earthen diversion canal that conveyed part of the streamflow unto a forebay located above the powerhouse. The forebay was built of riprap and concrete, equipped with a desilting chamber, trashrack, a spillway, and an overflow canal that directed water to the ricefields downstream. A polyethylenevinyl penstock was laid underground along the slope,from the forebay to the powerhouse. The penstock assumed a Y-configuration inside the powerhouse where the two crossflow turbines were separately mounted on each arms. Two butterfly valves were positioned just before each turbine so that flow can be alternately controlled for the two machines. A tailrace drained the discharge from the turbines back to the same creek. Originally, the setup could only operate the 3kw turbine that ran the ricemill by means of a flat belt drive. Upon further hydrologic study, an 8kw crossflow turbine was installed to a drive a 7.5kva, two-pole, single phase alternator. The 8kw turbine can operate under three design flows, namely: 20,40, and 60 liters per second. The turbine-alternator setup was achieved by a pulley and belt drive arrangement. Typically, the AC generator was provided with monitoring instruments like a volt meter, frequency meter, and ampere meter. An electronic load controller (ELC) was observed to effectively protect the alternator from runaway speeds, over

  4. Sequence Analysis and Characterization of Active Human Alu Subfamilies Based on the 1000 Genomes Pilot Project.

    Science.gov (United States)

    Konkel, Miriam K; Walker, Jerilyn A; Hotard, Ashley B; Ranck, Megan C; Fontenot, Catherine C; Storer, Jessica; Stewart, Chip; Marth, Gabor T; Batzer, Mark A

    2015-08-29

    The goal of the 1000 Genomes Consortium is to characterize human genome structural variation (SV), including forms of copy number variations such as deletions, duplications, and insertions. Mobile element insertions, particularly Alu elements, are major contributors to genomic SV among humans. During the pilot phase of the project we experimentally validated 645 (611 intergenic and 34 exon targeted) polymorphic "young" Alu insertion events, absent from the human reference genome. Here, we report high resolution sequencing of 343 (322 unique) recent Alu insertion events, along with their respective target site duplications, precise genomic breakpoint coordinates, subfamily assignment, percent divergence, and estimated A-rich tail lengths. All the sequenced Alu loci were derived from the AluY lineage with no evidence of retrotransposition activity involving older Alu families (e.g., AluJ and AluS). AluYa5 is currently the most active Alu subfamily in the human lineage, followed by AluYb8, and many others including three newly identified subfamilies we have termed AluYb7a3, AluYb8b1, and AluYa4a1. This report provides the structural details of 322 unique Alu variants from individual human genomes collectively adding about 100 kb of genomic variation. Many Alu subfamilies are currently active in human populations, including a surprising level of AluY retrotransposition. Human Alu subfamilies exhibit continuous evolution with potential drivers sprouting new Alu lineages. © The Author(s) 2015. Published by Oxford University Press on behalf of the Society for Molecular Biology and Evolution.

  5. Environmental assessment: Raft River geothermal project pilot plant, Cassia County, Idaho

    Energy Technology Data Exchange (ETDEWEB)

    1979-09-01

    The action assessed here is the construction and operation of a 5- to 6-MW(e) (gross) geothermal pilot plant in the Raft River Valley of southern Idaho. This project was originally planned as a thermal test loop using a turbine simulator valve. The test loop facility (without the simulator valve) is now under construction. The current environmental assessment addresses the complete system including the addition of a turbine-generator and its associated switching gear in place of the simulator valve. The addition of the turbine-generator will result in a net production of 2.5 to 3.5 MW(e) with a commensurate reduction in waste heat to the cooling tower and will require the upgrading of existing transmission lines for offsite delivery of generated power. Construction of the facility will require disturbance of approximately 20 ha (50 acres) for the facility itself and approximately 22.5 ha (57 acres) for construction of drilling pads and ponds, pipelines, and roads. Existing transmission lines will be upgraded for the utility system interface. Interference with alternate land uses will be minimal. Loss of wildlife habitat will be acceptable, and US Fish and Wildlife Service recommendations for protection of raptor nesting sites, riparian vegetation, and other important habitats will be observed. During construction, noise levels may reach 100 dBA at 15 m (50 ft) from well sites, but wildlife and local residents should not be significantly affected if extended construction is not carried out within 0.5 km (0.3 miles) of residences or sensitive wildlife habitat. Water use during construction will not be large and impacts on competing uses are unlikely.

  6. Performance analysis and pilot plant test results for the Komorany fluidized bed retrofit project

    Energy Technology Data Exchange (ETDEWEB)

    Snow, G.C. [POWER International, Inc., Coeur d`Alene, ID (United States)

    1995-12-01

    Detailed heat and mass balance calculations and emission performance projections are presented for an atmospheric fluidized bed boiler bottom retrofit at the 927 MWt (steam output) Komorany power station and district heating plant in the Czech Republic. Each of the ten existing boilers are traveling grate stoker units firing a local, low-rank brown coal. This fuel, considered to be representative of much of the coal deposits in Central Europe, is characterized by an average gross calorific value of 10.5 MJ/kg (4,530 Btu/lb), an average dry basis ash content of 47 %, and a maximum dry basis sulfur content of 1.8 % (3.4 % on a dry, ash free basis). The same fuel supply, together with limestone supplied from the region will be utilized in the retrofit fluidized bed boilers. The primary objectives of this retrofit program are, (1) reduce emissions to a level at or below the new Czech Clean Air Act, and (2) restore plant capacity to the original specification. As a result of the AFBC retrofit and plant upgrade, the particulate matter emissions will be reduced by over 98 percent, SO{sub 2} emissions will be reduced by 88 percent, and NO{sub x} emissions will be reduced by 38 percent compared to the present grate-fired configuration. The decrease in SO{sub 2} emissions resulting from the fluidized bed retrofit was initially predicted based on fuel sulfur content, including the distribution among organic, pyritic, and sulfate forms; the ash alkalinity; and the estimated limestone calcium utilization efficiency. The methodology and the results of this prediction were confirmed and extended by pilot scale combustion trials at a 1.0 MWt (fuel input), variable configuration test facility in France.

  7. Project Management Plan for the Idaho National Engineering Laboratory Waste Isolation Pilot Plant Experimental Test Program

    International Nuclear Information System (INIS)

    Connolly, M.J.; Sayer, D.L.

    1993-11-01

    EG ampersand G Idaho, Inc. and Argonne National Laboratory-West (ANL-W) are participating in the Idaho National Engineering Laboratory's (INEL's) Waste Isolation Pilot Plant (WIPP) Experimental Test Program (WETP). The purpose of the INEL WET is to provide chemical, physical, and radiochemical data on transuranic (TRU) waste to be stored at WIPP. The waste characterization data collected will be used to support the WIPP Performance Assessment (PA), development of the disposal No-Migration Variance Petition (NMVP), and to support the WIPP disposal decision. The PA is an analysis required by the Code of Federal Regulations (CFR), Title 40, Part 191 (40 CFR 191), which identifies the processes and events that may affect the disposal system (WIPP) and examines the effects of those processes and events on the performance of WIPP. A NMVP is required for the WIPP by 40 CFR 268 in order to dispose of land disposal restriction (LDR) mixed TRU waste in WIPP. It is anticipated that the detailed Resource Conservation and Recovery Act (RCRA) waste characterization data of all INEL retrievably-stored TRU waste to be stored in WIPP will be required for the NMVP. Waste characterization requirements for PA and RCRA may not necessarily be identical. Waste characterization requirements for the PA will be defined by Sandia National Laboratories. The requirements for RCRA are defined in 40 CFR 268, WIPP RCRA Part B Application Waste Analysis Plan (WAP), and WIPP Waste Characterization Program Plan (WWCP). This Project Management Plan (PMP) addresses only the characterization of the contact handled (CH) TRU waste at the INEL. This document will address all work in which EG ampersand G Idaho is responsible concerning the INEL WETP. Even though EG ampersand G Idaho has no responsibility for the work that ANL-W is performing, EG ampersand G Idaho will keep a current status and provide a project coordination effort with ANL-W to ensure that the INEL, as a whole, is effectively and

  8. Road usage charge pilot project final evaluation report for Washington State participants.

    Science.gov (United States)

    2013-05-01

    This report provides a summary of evaluation results of Washingtons participation in : the Road Usage Charge Pilot Program (RUCPP). The RUCPP was a trial of various : approaches and technologies for motorists in the States of Washington, Oregon, a...

  9. 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.

  10. Large Pilot-Scale Carbon Dioxide (CO2) Capture Project Using Aminosilicone Solvent.Final Scientific/Technical Report

    Energy Technology Data Exchange (ETDEWEB)

    Hancu, Dan [GE

    2017-12-21

    GE Global Research has developed, over the last 8 years, a platform of cost effective CO2 capture technologies based on a non-aqueous aminosilicone solvent (GAP-1m). As demonstrated in previous funded DOE projects (DE-FE0007502 and DEFE0013755), the GAP-1m solvent has increased CO2 working capacity, lower volatility and corrosivity than the benchmark aqueous amine technology. Performance of the GAP-1m solvent was recently demonstrated in a 0.5 MWe pilot at National Carbon Capture Center, AL with real flue gas for over 500 hours of operation using a Steam Stripper Column (SSC). The pilot-scale PSTU engineering data were used to (i) update the techno-economic analysis, and EH&S assessment, (ii) perform technology gap analysis, and (iii) conduct the solvent manufacturability and scale-up study.

  11. An ET-CURE pilot project supporting undergraduate training in cancer research, emerging technology, and health disparities.

    Science.gov (United States)

    Wilson, Danyell S; Fang, Bin; Dalton, William S; Meade, Cathy D; Koomen, John M

    2012-06-01

    The National Cancer Institute's Center to Reduce Cancer Health Disparities has created pilot training opportunities under the "Continuing Umbrella of Research Experiences" program that focus on emerging technologies. In this pilot project, an 18-month cancer biology research internship was reinforced with: instruction in an emerging technology (proteomics), a transition from the undergraduate laboratory to a research setting, education in cancer health disparities, and community outreach activities. A major goal was to provide underrepresented undergraduates with hands-on research experiences that are rarely encountered at the undergraduate level, including mentoring, research presentations, and participation in local and national meetings. These opportunities provided education and career development for the undergraduates, and they have given each student the opportunity to transition from learning to sharing their knowledge and from being mentored to mentoring others. Here, we present the concepts, curriculum, infrastructure, and challenges for this training program along with evaluations by both the students and their mentors.

  12. Can we talk? Communications management for the Waste Isolation Pilot Plant, a complex nuclear waste management project

    International Nuclear Information System (INIS)

    Goldstein, S.A.; Pullen, G.M.; Brewer, D.R.

    1995-01-01

    Sandia Nuclear Waste Management Program is pursuing for DOE an option for permanently disposing radioactive waste in deep geologic repositories. Included in the Program are the Waste Isolation Pilot Plant (WIPP) Project for US defense program mixed waste the Yucca Mountain Project (YMP) for spent power reactor fuel and vitrified high-level waste, projects for other waste types, and development efforts in environmental decision support technologies. WIPP and YMP are in the public arena, of a controversial nature, and provide significant management challenges. Both projects have large project teams, multiple organization participants, large budgets, long durations, are very complex, have a high degree of programmatic risk, and operate in an extremely regulated environment requiring legal defensibility. For environmental projects like these to succeed, SNL's Program is utilizing nearly all areas in PMI's Project Management Body of Knowledge (PMBOK) to manage along multiple project dimensions such as the physical sciences (e.g., geophysics and geochemistry; performance assessment; decision analysis) management sciences (controlling the triple constraint of performance, cost and schedule), and social sciences (belief systems; public participation; institutional politics). This discussion focuses primarily on communication challenges active on WIPP. How is the WIPP team meeting the challenges of managing communications?'' and ''How are you approaching similar challenges?'' will be questions for a dialog with the audience

  13. Can we talk? Communications management for the Waste Isolation Pilot Plant, a complex nuclear waste management project

    Energy Technology Data Exchange (ETDEWEB)

    Goldstein, S.A.; Pullen, G.M.; Brewer, D.R.

    1995-07-01

    Sandia Nuclear Waste Management Program is pursuing for DOE an option for permanently disposing radioactive waste in deep geologic repositories. Included in the Program are the Waste Isolation Pilot Plant (WIPP) Project for US defense program mixed waste the Yucca Mountain Project (YMP) for spent power reactor fuel and vitrified high-level waste, projects for other waste types, and development efforts in environmental decision support technologies. WIPP and YMP are in the public arena, of a controversial nature, and provide significant management challenges. Both projects have large project teams, multiple organization participants, large budgets, long durations, are very complex, have a high degree of programmatic risk, and operate in an extremely regulated environment requiring legal defensibility. For environmental projects like these to succeed, SNL`s Program is utilizing nearly all areas in PMI`s Project Management Body of Knowledge (PMBOK) to manage along multiple project dimensions such as the physical sciences (e.g., geophysics and geochemistry; performance assessment; decision analysis) management sciences (controlling the triple constraint of performance, cost and schedule), and social sciences (belief systems; public participation; institutional politics). This discussion focuses primarily on communication challenges active on WIPP. How is the WIPP team meeting the challenges of managing communications?`` and ``How are you approaching similar challenges?`` will be questions for a dialog with the audience.

  14. Midodrine versus albumin in the prevention of paracentesis-induced circulatory dysfunction in cirrhotics: a randomized pilot study.

    Science.gov (United States)

    Singh, Virendra; Dheerendra, Prashant C; Singh, Baljinder; Nain, Chander K; Chawla, Divya; Sharma, Navneet; Bhalla, Ashish; Mahi, Sushil K

    2008-06-01

    Intravenous albumin has been used to prevent paracentesis-induced circulatory dysfunction (PICD) in cirrhotics; however, its use is costly and controversial. Splanchnic arterial vasodilatation is primarily responsible for PICD. There are no reports of use of midodrine in the prevention of PICD. In this pilot study, we evaluated midodrine and albumin in the prevention of PICD. Forty patients with cirrhosis underwent therapeutic paracentesis with midodrine or albumin in a randomized controlled trial at a tertiary center. Effective arterial blood volume was assessed by plasma renin activity. Plasma renin activity at baseline and at 6 days after paracentesis did not differ in the two groups (43.18 +/- 10.73 to 45.90 +/- 8.59 ng/mL/h, P= 0.273 in the albumin group and 44.44 +/- 8.44 to 41.39 +/- 10.21 ng/mL/h, P= 0.115 in the midodrine group). Two patients had an increase in plasma renin activity of more than 50% from baseline in the albumin group, and none in the midodrine group. A significant increase in 24-h urine volume and urine sodium excretion was noted in the midodrine group. Midodrine therapy was cheaper than albumin therapy. The study suggests that midodrine may be as effective as albumin in preventing PICD in cirrhotics, but at a fraction of the cost, and can be administered orally. Midodrine also resulted in an increase in 24-h urine volume and sodium excretion.

  15. 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.

  16. Variation in hospital costs and reimbursement for endovascular aneurysm repair: A Vascular Quality Initiative pilot project.

    Science.gov (United States)

    Lemmon, Gary W; Neal, Dan; DeMartino, Randall R; Schneider, Joseph R; Singh, Tej; Kraiss, Larry; Scali, Salvatore; Tassiopoulos, Apostolos; Hoel, Andrew; Cronenwett, Jack L

    2017-10-01

    Comparing costs between centers is difficult because of the heterogeneity of vascular procedures contained in broad diagnosis-related group (DRG) billing categories. The purpose of this pilot project was to develop a mechanism to merge Vascular Quality Initiative (VQI) clinical data with hospital billing data to allow more accurate cost and reimbursement comparison for endovascular aneurysm repair (EVAR) procedures across centers. Eighteen VQI centers volunteered to submit UB04 billing data for 782 primary, elective infrarenal EVAR procedures performed by 108 surgeons in 2014. Procedures were categorized as standard or complex (with femoral-femoral bypass or additional arterial treatment) and without or with complications (arterial injury or embolectomy; bowel or leg ischemia; wound infection; reoperation; or cardiac, pulmonary, or renal complications), yielding four clinical groups for comparison. MedAssets, Inc, using cost to charge ratios, calculated total hospital costs and cost categories. Cost variation analyzed across centers was compared with DRG 237 (with major complication or comorbidity) and 238 (without major complication or comorbidity) coding. A multivariable model to predict DRG 237 coding was developed using VQI clinical data. Of the 782 EVAR procedures, 56% were standard and 15% had complications, with wide variation between centers. Mean total costs ranged from $31,100 for standard EVAR without complications to $47,400 for complex EVAR with complications and varied twofold to threefold among centers. Implant costs for standard EVAR without complications varied from $8100 to $28,200 across centers. Average Medicare reimbursement was less than total cost except for standard EVAR without complications. Only 9% of all procedures with complications in the VQI were reported in the higher reimbursed DRG 237 category (center range, 0%-21%). There was significant variation in hospitals' coding of DRG 237 compared with their expected rates. VQI clinical

  17. Community-based efforts to prevent obesity: Australia-wide survey of projects.

    Science.gov (United States)

    Nichols, Melanie S; Reynolds, Rebecca C; Waters, Elizabeth; Gill, Timothy; King, Lesley; Swinburn, Boyd A; Allender, Steven

    2013-08-01

    Community-based programs that affect healthy environments and policies have emerged as an effective response to high obesity levels in populations. Apart from limited individual reports, little is currently known about these programs, limiting the potential to provide effective support, to promote effective practice, prevent adverse outcomes and disseminate intervention results and experience. The aim of the present study was to identify the size and reach of current community-based obesity prevention projects in Australia and to examine their characteristics, program features (e.g. intervention setting), capacity and approach to obesity prevention. Detailed survey completed by representatives from community-based obesity prevention initiatives in Australia. There was wide variation in funding, capacity and approach to obesity prevention among the 78 participating projects. Median annual funding was Au$94900 (range Au$2500-$4.46 million). The most common intervention settings were schools (39%). Forty per cent of programs focused on a population group of ≥50000 people. A large proportion of respondents felt that they did not have sufficient resources or staff training to achieve project objectives. Community-based projects currently represent a very large investment by both government and non-government sectors for the prevention of obesity. Existing projects are diverse in size and scope, and reach large segments of the population. Further work is needed to identify the full extent of existing community actions and to monitor their reach and future 'scale up' to ensure that future activities aim for effective integration into systems, policies and environments. SO WHAT? Community-based programs make a substantial contribution to the prevention of obesity and promotion of healthy lifestyles in Australia. A risk of the current intervention landscape is that effective approaches may go unrecognised due to lack of effective evaluations or limitations in program

  18. Recent developments in the Los Alamos National Laboratory Plutonium Facility Waste Tracking System-automated data collection pilot project

    International Nuclear Information System (INIS)

    Martinez, B.; Montoya, A.; Klein, W.

    1999-01-01

    The waste management and environmental compliance group (NMT-7) at the Los Alamos National Laboratory has initiated a pilot project for demonstrating the feasibility and utility of automated data collection as a solution for tracking waste containers at the Los Alamos National Laboratory Plutonium Facility. This project, the Los Alamos Waste Tracking System (LAWTS), tracks waste containers during their lifecycle at the facility. LAWTS is a two-tiered system consisting of a server/workstation database and reporting engine and a hand-held data terminal-based client program for collecting data directly from tracked containers. New containers may be added to the system from either the client unit or from the server database. Once containers are in the system, they can be tracked through one of three primary transactions: Move, Inventory, and Shipment. Because LAWTS is a pilot project, it also serves as a learning experience for all parties involved. This paper will discuss many of the lessons learned in implementing a data collection system in the restricted environment. Specifically, the authors will discuss issues related to working with the PPT 4640 terminal system as the data collection unit. They will discuss problems with form factor (size, usability, etc.) as well as technical problems with wireless radio frequency functions. They will also discuss complications that arose from outdoor use of the terminal (barcode scanning failures, screen readability problems). The paper will conclude with a series of recommendations for proceeding with LAWTS based on experience to date

  19. Pilotprojekt "Patientensicherheit" in der medizinischen Lehre [Pilot project "Patient-Safety" in Medical Education

    Directory of Open Access Journals (Sweden)

    Rosentreter, Michael

    2011-02-01

    Full Text Available [english] Since the summer term 2009 the study project „Patientensicherheit – Der klinische Umgang mit Patienten- und Eingriffsverwechslungen sowie Medikationsfehlern“ (Patient Safety – the clinical handling of patients – and mistaking of procedures as well as medication errors is offered within the Modellstudiengang Medizin. Seminars on patient safety in Germany so far mainly address trained doctors and health economists. In contrast, this study project on patient safety should at an early stage contribute to a “culture of discussing and preventing mistakes” – an aspect that is little established in clinical medicine, but also in medical training. For this purpose, a broad variety of courses was developed, which – relying on problem-oriented learning – enables the students to analyse so-called adverse events (AE and develop adequate prevention measures on the basis of the insights gained by this analysis. Therefore, theoretical lessons are complemented by discussing prototypical clinical cases. These discussions are moderated by experienced clinicians. After completing the seminar, students showed a significant increase (comparison of means in the self-assessed qualifications „Wissen zu Patientensicherheit“ (Knowledge of Patient Safety and „Wahrnehmung von Risikosituationen“ (Appreciation of Risk Situations. All in all, the students rated their training success with a grade of 1.5 (good.[german] Seit dem Sommersemester 2009 wird im Rahmen des Modellstudiengangs Medizin der RWTH Aachen das Lehrprojekt „Patientensicherheit – Der klinische Umgang mit Patienten- und Eingriffsverwechslungen sowie Medikationsfehlern“ angeboten Seminare zur Patientensicherheit in Deutschland zielen bislang vor allem auf ausgebildete Ärzte und Gesundheitsökonomen ab. Demgegenüber soll das Lehrprojekt Patientensicherheit einen frühzeitigen Beitrag zu einer „Kultur der Fehlerdiskussion und -vermeidung“ leisten – ein Aspekt, der

  20. 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...

  1. Use of a virtual world computer environment for international distance education: lessons from a pilot project using Second Life.

    Science.gov (United States)

    Schoonheim, Marloes; Heyden, Robin; Wiecha, John M

    2014-02-21

    Virtual worlds (VWs), in which participants navigate as avatars through three-dimensional, computer-generated, realistic-looking environments, are emerging as important new technologies for distance health education. However, there is relatively little documented experience using VWs for international healthcare training. The Geneva Foundation for Medical Education and Research (GFMER) conducted a VW training for healthcare professionals enrolled in a GFMER training course. This paper describes the development, delivery, and results of a pilot project undertaken to explore the potential of VWs as an environment for distance healthcare education for an international audience that has generally limited access to conventionally delivered education.

  2. Grief and courage in a river town: a pilot project in the Aboriginal community of Kempsey, New South Wales.

    Science.gov (United States)

    Cleworth, Sally; Smith, Wayne; Sealey, Robyn

    2006-12-01

    To describe a pilot project implemented in Kempsey, NSW, whereby a psychiatry registrar worked in a community-controlled Aboriginal medical service, Durri Aboriginal Corporation Medical Service, which provides mental health services for Aboriginal people. The Aboriginal Mental Health Workers and psychiatry registrar jointly managed a significant number of Aboriginal people, often with assistance from the local mental health service at Kempsey. The registrar gained insight into the local Aboriginal community and more culturally appropriate clinical methods, as well as some cultural factors that can influence the presentation and management of mental illnesses. The Aboriginal Mental Health Workers increased their clinical knowledge and confidence through working with the registrar.

  3. 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.

  4. 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...

  5. A pilot project combining multispectral proximal sensors and digital cameras for monitoring tropical pastures

    Science.gov (United States)

    Handcock, Rebecca N.; Gobbett, D. L.; González, Luciano A.; Bishop-Hurley, Greg J.; McGavin, Sharon L.

    2016-08-01

    Timely and accurate monitoring of pasture biomass and ground cover is necessary in livestock production systems to ensure productive and sustainable management. Interest in the use of proximal sensors for monitoring pasture status in grazing systems has increased, since data can be returned in near real time. Proximal sensors have the potential for deployment on large properties where remote sensing may not be suitable due to issues such as spatial scale or cloud cover. There are unresolved challenges in gathering reliable sensor data and in calibrating raw sensor data to values such as pasture biomass or vegetation ground cover, which allow meaningful interpretation of sensor data by livestock producers. Our goal was to assess whether a combination of proximal sensors could be reliably deployed to monitor tropical pasture status in an operational beef production system, as a precursor to designing a full sensor deployment. We use this pilot project to (1) illustrate practical issues around sensor deployment, (2) develop the methods necessary for the quality control of the sensor data, and (3) assess the strength of the relationships between vegetation indices derived from the proximal sensors and field observations across the wet and dry seasons. Proximal sensors were deployed at two sites in a tropical pasture on a beef production property near Townsville, Australia. Each site was monitored by a Skye SKR-four-band multispectral sensor (every 1 min), a digital camera (every 30 min), and a soil moisture sensor (every 1 min), each of which were operated over 18 months. Raw data from each sensor was processed to calculate multispectral vegetation indices. The data capture from the digital cameras was more reliable than the multispectral sensors, which had up to 67 % of data discarded after data cleaning and quality control for technical issues related to the sensor design, as well as environmental issues such as water incursion and insect infestations. We recommend

  6. Postpartum Depression Prevention for Reservation-Based American Indians: Results from a Pilot Randomized Controlled Trial

    Science.gov (United States)

    Ginsburg, Golda S.; Barlow, Allison; Goklish, Novalene; Hastings, Ranelda; Baker, Elena Varipatis; Mullany, Britta; Tein, Jenn-Yun; Walkup, John

    2012-01-01

    Background: Postpartum depression is a devastating condition that affects a significant number of women and their offspring. Few preventive interventions have targeted high risk youth, such as American Indians (AIs). Objective: To evaluate the feasibility of a depression prevention program for AI adolescents and young adults. Methods: Expectant AI…

  7. "It's Crazy Being a Black, Gay Youth." Getting Information about HIV Prevention: A Pilot Study

    Science.gov (United States)

    Voisin, Dexter R.; Bird, Jason D. P.; Shiu, Chen-Shi; Krieger, Cathy

    2013-01-01

    Background: Access and adoption of HIV prevention information are important criteria for reducing HIV infection rates among men who have sex with men. Methods: Using focus group data, researchers sought to identify sources of HIV prevention information and barriers to adopting protective behaviors among young African American men who have sex with…

  8. Ballroom dancing as physical activity for patients with cancer: a systematic review and report of a pilot project.

    Science.gov (United States)

    Rudolph, Ivonne; Schmidt, Thorsten; Wozniak, Tobias; Kubin, Thomas; Ruetters, Dana; Huebner, Jutta

    2018-04-01

    Physical activity has positive effects on cancer patients. Dancing addresses diverse bio-psycho-social aspects. Our aim was to assess the evidence on ballroom dancing and to develop the setting for a pilot project. We performed a systematic review, extracted the data and designed a pilot training based on standard curricula. We included cancer patients during or after therapy. Training duration was 90 min with one regular pause and individual pauses as needed. We retrieved two systematic reviews and six controlled studies. Types of dancing varied. Only one study used ballroom dancing. Dance training might improve well-being, physical fitness, fatigue and coping during and after therapy. Yet, evidence is scarce and data to derive the effect size are lacking; 27 patients and their partners took part in the pilot training. Patients and partners needed more time to learn the steps than is planned in regular ballroom classes. Participants were very satisfied with the adaptation of the training to their physical strength and estimated the training in a sheltered group. No side effects occurred. In spite of a high rate of participants reporting fatigue, 90 min of physical activity with only a few minutes of rest were manageable for all participants. Ballroom dancing may offer benefits for patients with respect to quality of life. Cancer patients prefer sheltered training setting and curricula of regular ballroom classes must be adapted for cancer patients. Strict curricula might reduce motivation and adherence and exclude patients with lower or variable fitness.

  9. Quality improvement training for core medical and general practice trainees: a pilot study of project participation, completion and journal publication.

    Science.gov (United States)

    McNab, Duncan; McKay, John; Bowie, Paul

    2015-11-01

    Small-scale quality improvement projects are expected to make a significant contribution towards improving the quality of healthcare. Enabling doctors-in-training to design and lead quality improvement projects is important preparation for independent practice. Participation is mandatory in speciality training curricula. However, provision of training and ongoing support in quality improvement methods and practice is variable. We aimed to design and deliver a quality improvement training package to core medical and general practice specialty trainees and evaluate impact in terms of project participation, completion and publication in a healthcare journal. A quality improvement training package was developed and delivered to core medical trainees and general practice specialty trainees in the west of Scotland encompassing a 1-day workshop and mentoring during completion of a quality improvement project over 3 months. A mixed methods evaluation was undertaken and data collected via questionnaire surveys, knowledge assessment, and formative assessment of project proposals, completed quality improvement projects and publication success. Twenty-three participants attended the training day with 20 submitting a project proposal (87%). Ten completed quality improvement projects (43%), eight were judged as satisfactory (35%), and four were submitted and accepted for journal publication (17%). Knowledge and confidence in aspects of quality improvement improved during the pilot, while early feedback on project proposals was valued (85.7%). This small study reports modest success in training core medical trainees and general practice specialty trainees in quality improvement. Many gained knowledge of, confidence in and experience of quality improvement, while journal publication was shown to be possible. The development of educational resources to aid quality improvement project completion and mentoring support is necessary if expectations for quality improvement are to be

  10. Physical activity in the classroom to prevent childhood obesity: a pilot study in Santiago, Chile.

    Science.gov (United States)

    Mardones, Francisco; Arnaiz, Pilar; Soto-Sánchez, Johana; Saavedra, Juana; Domínguez, Angélica; Rozowski, Jaime; Iriarte, Laura; Cantwell Wood, Jennifer

    2017-01-01

    This paper describes a 4-month pilot study that tested the suitability of a physical activity intervention for first graders (children aged 6 and 7 years) in a public school in Santiago, Chile. Teachers were trained to deliver the programme in the classroom during the school day. Teachers were surveyed to determine if this intervention fit within their curriculum and classroom routines and they reported in a focus group that it was suitable for them. All children actively participated in the programme and positive changes in their attitudes towards physical activity were observed by their teachers. Anthropometrics, blood pressure and hand grip strength were measured in the students. A significant reduction was observed in children with high waist circumference ≥ 90th percentile, and in mean systolic blood pressure. However, statistical power values for those comparisons were rather low. Anthropometry and hand grip strength were not modified. The latter calculations and the lack of a control group are showing the weaknesses of this pilot study and that further research with a larger sample size and an experimental design is strongly needed.

  11. Hydrological Modeling in the Bull Run Watershed in Support of a Piloting Utility Modeling Applications (PUMA) Project

    Science.gov (United States)

    Nijssen, B.; Chiao, T. H.; Lettenmaier, D. P.; Vano, J. A.

    2016-12-01

    Hydrologic models with varying complexities and structures are commonly used to evaluate the impact of climate change on future hydrology. While the uncertainties in future climate projections are well documented, uncertainties in streamflow projections associated with hydrologic model structure and parameter estimation have received less attention. In this study, we implemented and calibrated three hydrologic models (the Distributed Hydrology Soil Vegetation Model (DHSVM), the Precipitation-Runoff Modeling System (PRMS), and the Variable Infiltration Capacity model (VIC)) for the Bull Run watershed in northern Oregon using consistent data sources and best practice calibration protocols. The project was part of a Piloting Utility Modeling Applications (PUMA) project with the Portland Water Bureau (PWB) under the umbrella of the Water Utility Climate Alliance (WUCA). Ultimately PWB would use the model evaluation to select a model to perform in-house climate change analysis for Bull Run Watershed. This presentation focuses on the experimental design of the comparison project, project findings and the collaboration between the team at the University of Washington and at PWB. After calibration, the three models showed similar capability to reproduce seasonal and inter-annual variations in streamflow, but differed in their ability to capture extreme events. Furthermore, the annual and seasonal hydrologic sensitivities to changes in climate forcings differed among models, potentially attributable to different model representations of snow and vegetation processes.

  12. Detention Home Teens as Tutors: A Cooperative Cross-Age Tutoring Pilot Project

    Science.gov (United States)

    Lazerson, David B.

    2005-01-01

    Concerned professionals in the juvenile justice field frequently express concern for effective programs that help youth offenders successfully rejoin society. This mixed-method pilot study involved detention home teens functioning as tutors for special education students in a public school. Tutors were selected who, based on previous assessment as…

  13. Multilingual and Multicultural Task-Based Learning Scenarios: A Pilot Study from the MAGICC Project

    Science.gov (United States)

    Álvarez, Inma; Pérez-Cavana, María Luisa

    2015-01-01

    In this article we report on the results of a pilot study on the use of task-based multilingual and multicultural professional scenarios for higher education teachers and learners at BA and MA level. The scenarios reflect new learning outcomes and assessment criteria for the presently under-conceptualised domain of communication in multilingual…

  14. A Pilot Project to Increase Parent Comfort Communicating with Their Children about Sexual Health

    Science.gov (United States)

    Barr, Elissa M.; Johnson Moore, Michele; Howard, Alexandria

    2012-01-01

    Risky sexual behaviors among U.S. adolescents have resulted in epidemic rates of sexually transmitted infections, HIV, and unintended pregnancy. This article describes a community-developed pilot program for parents in a large South Florida county aimed at increasing parent comfort in discussing sexuality with their children to improve adolescent…

  15. SIS (Student Information System) Postsecondary Student Follow-Up: Pilot Implementation Project, Winter 1979.

    Science.gov (United States)

    Whatcom Community Coll., Bellingham, WA.

    A pilot study was conducted to determine the applicability of Student Information System (SIS) data collection instruments to the operations, programs, and services of Whatcom Community College (WCC). The study centered on Subsystem I (student's educational intent) and Subsystem II (withdrawal follow-up) since the five other subsystems of SIS used…

  16. 76 FR 16391 - Call for Innovative National Environmental Policy Act (NEPA) Pilot Project Proposals

    Science.gov (United States)

    2011-03-23

    ... practices or procedural innovations that can be replicated by other agencies or applied to other Federal... site, nepa.gov . Where appropriate, CEQ will advocate that agencies incorporate these best practices... agency implementation of NEPA through innovation, public engagement, and transparency. The NEPA Pilot...

  17. TITLE I PROJECTS AND OTHERS, ESPANOLA VALLEY PILOT PROGRAM RESEARCH. 1966-67 PRELIMINARY REPORT.

    Science.gov (United States)

    COLLIER, NINA PERERA

    THIS IS A COMPREHENSIVE REPORT OF THE ACTIVITIES OF YOUTH CONCERTS OF NEW MEXICO, INC., IN BRINGING ARTISTS TO ELEMENTARY AND HIGH SCHOOL CHILDREN IN TOWNS AND VILLAGES THAT HAVE HAD LITTLE OR NO CONTACT WITH LIVE PERFORMERS. A PILOT STUDY WAS CONDUCTED TO COMPARE THE INSTRUMENTAL AND VOCAL ENSEMBLES' EFFECTS ON STUDENTS IN URBAN SCHOOLS WITH…

  18. Children's Views Matter Too! A Pilot Project Assessing Children's and Adolescents' Experiences of Clinical Psychology Services

    Science.gov (United States)

    Gordon, Michael; Russo, Kate

    2009-01-01

    This pilot study explored the experiences and understanding of clinical psychology practices and services of children and adolescents attending clinical psychology outpatient appointments. Fifteen young participants took part in the study. A content analysis indicated that young children and adolescents have an appropriate understanding of the…

  19. 77 FR 12312 - Electronic Submission of Nonclinical Study Data; Notice of Pilot Project

    Science.gov (United States)

    2012-02-29

    ... certain biological products and is committed to advancing the public health through innovative activities... 56363, October 3, 2007). The phase 2 pilot was aimed at evaluating animal toxicity data submitted in... transport file (XPT version 5) datasets with data provided in PDF. CBER currently receives nonclinical study...

  20. Structuring a college alcohol prevention program on the low level of response to alcohol model: a pilot study.

    Science.gov (United States)

    Schuckit, Marc A; Kalmijn, Jelger A; Smith, Tom L; Saunders, Gretchen; Fromme, Kim

    2012-07-01

    New approaches are needed to bolster the modest effects of campus drinking prevention programs. However, more definitive research on new paradigms is very expensive, and in the current economic climate, progress can be made by evaluating smaller pilot studies. This study describes one such approach. A sample of 18-year-old or older, healthy, drinking freshmen at our university was assigned to 2 groups stratified to be similar on demography, drinking histories, and their level of response (LR) to alcohol. In the spring quarter of the school year, the 32 subjects in each of 2 groups viewed four 45-minute Internet-based videotapes as part of 4 prevention sessions. All 8 modules were based on the same techniques and general content, but the 4 videos for the first group were structured around the validated model of how a low LR affects heavy drinking (the low level of response-based [LRB] Group), with partial mediation by heavier drinking peers, positive alcohol expectancies, and drinking to cope with stress. Videos for the state-of-the-art (SOTA) comparison group did not place the similar prevention messages into the low LR framework. Changes in drinking were evaluated at 3 times: before Module 1, before Module 4, and 1 month after Module 4. Usual and maximum drinks per occasion decreased over time for both high and low LR subjects in both LRB and SOTA groups. As predicted, the low LR students showed greater decreases in the LRB Group, while high LR students showed greater decreases in the more generic SOTA Group. The results support the hypothesis that tailoring prevention efforts to address specific predisposing factors, such as a low LR, may be associated with beneficial effects on drinking quantity. We hope that these data will encourage additional efforts to validate the low LR-based prevention paradigm and test other interventions that are targeted toward predisposing phenotypes such as impulsivity and negative affect. Copyright © 2012 by the Research Society

  1. Can community midwives prevent antenatal depression? An external pilot study to test the feasibility of a cluster randomized controlled universal prevention trial.

    Science.gov (United States)

    Brugha, T S; Smith, J; Austin, J; Bankart, J; Patterson, M; Lovett, C; Morgan, Z; Morrell, C J; Slade, P

    2016-01-01

    Repeated epidemiological surveys show no decline in depression although uptake of treatments has grown. Universal depression prevention interventions are effective in schools but untested rigorously in adulthood. Selective prevention programmes have poor uptake. Universal interventions may be more acceptable during routine healthcare contacts for example antenatally. One study within routine postnatal healthcare suggested risk of postnatal depression could be reduced in non-depressed women from 11% to 8% by giving health visitors psychological intervention training. Feasibility and effectiveness in other settings, most notably antenatally, is unknown. We conducted an external pilot study using a cluster trial design consisting of recruitment and enhanced psychological training of randomly selected clusters of community midwives (CMWs), recruitment of pregnant women of all levels of risk of depression, collection of baseline and outcome data prior to childbirth, allowing time for women 'at increased risk' to complete CMW-provided psychological support sessions. Seventy-nine percent of eligible women approached agreed to take part. Two hundred and ninety-eight women in eight clusters participated and 186 termed 'at low risk' for depression, based on an Edinburgh Perinatal Depression Scale (EPDS) score of depression in pregnancy is feasible, acceptable and worth undertaking.

  2. The Living the Example Social Media Substance Use Prevention Program: A Pilot Evaluation

    OpenAIRE

    Evans, William; Andrade, Elizabeth; Goldmeer, Sandra; Smith, Michelle; Snider, Jeremy; Girardo, Gunilla

    2017-01-01

    Background Adolescent substance use rates in rural areas of the United States, such as upstate New York, have risen substantially in recent years, calling for new intervention approaches in response to this trend. The Mentor Foundation USA conducts the Living the Example (LTE) campaign to engage youth in prevention using an experiential approach. As part of LTE, youth create their own prevention messages following a training curriculum in techniques for effective messaging and then share them...

  3. Carbamazepine for prevention of chemotherapy-induced nausea and vomiting: a pilot study

    Directory of Open Access Journals (Sweden)

    Thaiana Aragão Santana

    Full Text Available CONTEXT AND OBJECTIVE: Nausea and vomiting are major inconveniences for patients undergoing chemotherapy. Despite standard preventive treatment, chemotherapy-induced nausea and vomiting (CINV still occurs in approximately 50% of these patients. In an attempt to optimize this treatment, we evaluated the possible effects of carbamazepine for prevention of CINV.DESIGN AND LOCATION: Prospective nonrandomized open-label phase II study carried out at a Brazilian public oncology service. METHODS: Patients allocated for their first cycle of highly emetogenic chemotherapy were continuously recruited. In addition to standard antiemetic protocol that was made available, they received carbamazepine orally, with staggered doses, from the third day before until the fifth day after chemotherapy. Considering the sparseness of evidence about the efficacy of anticonvulsants for CINV prevention, we used Simon's two-stage design, in which 43 patients should be included unless overall complete prevention was not achieved in 9 out of the first 15 entries. The Functional Living Index-Emesis questionnaire was used to measure the impact on quality of life.RESULTS:None of the ten patients (0% presented overall complete prevention. In three cases, carbamazepine therapy was withdrawn because of somnolence and vomiting before chemotherapy. Seven were able to take the medication for the entire period and none were responsive, so the study was closed. There was no impact on the patients' quality of life.CONCLUSION: Carbamazepine was not effective for prevention of CINV and also had a deleterious side-effect profile in this population.

  4. Development of a Parenting Support Program to Prevent Abuse of Adolescents in South Africa: Findings from a Pilot Pre-Post Study

    Science.gov (United States)

    Cluver, Lucie D.; Lachman, Jamie M.; Ward, Catherine L.; Gardner, Frances; Peterson, Tshiamo; Hutchings, Judy M.; Mikton, Christopher; Meinck, Franziska; Tsoanyane, Sibongile; Doubt, Jenny; Boyes, Mark; Redfern, Alice A.

    2017-01-01

    Purpose: Violence against children increases in adolescence, but there is a research and practice gap in research-supported child abuse prevention for the adolescent years. A pilot program for low-resource settings was developed in collaboration with nongovernmental organizations, government, and academics in South Africa, using research-supported…

  5. Pilot Trial of Inpatient Cognitive Therapy for the Prevention of Suicide in Military Personnel with Acute Stress Disorder or Post-Traumatic Stress Disorder

    Science.gov (United States)

    2010-08-01

    Uccello, R., & Lachenmeyer, J. (1998, November). Behavioral treatment of body dysmorphic disorder . Poster presented at the annual meeting of the...TITLE: Pilot Trial of Inpatient Cognitive Therapy for the Prevention of Suicide in Military Personnel with Acute Stress Disorder or Post-Traumatic...Stress Disorder PRINCIPAL INVESTIGATOR: Marjan G. Holloway, Ph.D

  6. 77 FR 30292 - Disease, Disability, and Injury Prevention and Control Special Interest Project (SIP): Initial...

    Science.gov (United States)

    2012-05-22

    ..., Disability, and Injury Prevention and Control Special Interest Project (SIP): Initial Review The meeting announced below concerns Identifying Barriers to Receiving Breast and Cervical Cancer Screening Among Muslim... ``Identifying Barriers to Receiving Breast and Cervical Cancer Screening Among Muslim Women Living in the United...

  7. 77 FR 31358 - Disease, Disability, and Injury Prevention and Control Special Interest Projects (SIPs): Initial...

    Science.gov (United States)

    2012-05-25

    ..., Disability, and Injury Prevention and Control Special Interest Projects (SIPs): Initial Review The meeting...-Management Intervention Research, SIP12-057, Panel E, initial review. In accordance with Section 10(a)(2) of... Epilepsy Well (MEW) Collaborating Center for Epilepsy Self-Management Intervention Research, SIP12-057...

  8. 75 FR 32190 - Disease, Disability, and Injury Prevention and Control Special Interest Projects (SIPs): SIP 10...

    Science.gov (United States)

    2010-06-07

    ..., Disability, and Injury Prevention and Control Special Interest Projects (SIPs): SIP 10-033, Innovative... Start Times on the Health and Academic Performance of High School Students, Initial Review In accordance... Populations & SIP 10-035, Impact of High School Start Times on the Health and Academic Performance of High...

  9. 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)

  10. New Timing Products from the IGS: IGS/BIPM Time Transfer Pilot Project and UT1-like Estimates from GPS

    Science.gov (United States)

    Ray, Jim R.

    2000-05-01

    The International GPS Service (IGS) and its Analysis Centers are engaged in developing new products related to timekeeping, some of which are relevant to the IVS community. Global comparisons and techniques for dissemination of atomic time are being developed in a Pilot Project with the Bureau International des Poids et Mesures (BIPM). Full project information is available at http://maia.usno.navy.mil/gpst.html. In addition, high-quality estimates of Universal Time are now being made based on the observed motions of the GPS orbit planes. While these cannot replace the need for VLBI determinations of UT1, they are nonetheless very valuable for densifying the VLBI-based time series and for providing extremely rapid turnaround results necessary for real-time applications.

  11. Functional Improvement in Older Adults after a Falls Prevention Pilot Study

    Directory of Open Access Journals (Sweden)

    Pei-Fen J. Chang Ph.D., OTR

    2013-02-01

    Full Text Available Falls are a costly, disabling, and life-threatening risk in the elderly. Improvements in physical function, balance, lower extremity strength, and health-related quality of life are hypothesized to help mitigate fall risk. In this pilot study, six women and men with an average age of 81 years participated in a 6-week exercise andeducation program created to reduce risk of falls. Evaluations were made at baseline and at 6 weeks on four tests: the Functional Status Questionnaire, the Berg Balance Scale (BBS, the Six-minute Walk Test, and the World Health Organization Quality of Life–BREF 26-question test. Scores indicated significant improvement in functional physical status (activities of daily living, balance, distance walked in 6 min, and quality of life in the physical health domain. The size of this study limits the generalizability of its findings, but its evidence warrants undertaking a larger trial.

  12. Impact of a Student Pharmacist Driven Medication Reconciliation and Antidepressant Treatment History Project at a Depression Clinic: A Pilot Study

    Science.gov (United States)

    Tang, Stella S.; Jaward, Leanna; Ward, Kristen; Parikh, Sagar V.; Bostwick, Jolene R.

    2017-01-01

    Objectives To improve treatment of patients with depression, a new pilot service project involving student pharmacists who would conduct medication reconciliation and review of antidepressant treatment history was created and evaluated. Experimental design A prospective study conducted at the University of Michigan Depression Center. Principal observations From an initial sample of 78 referrals, 41 subjects were reached by phone, with 34 completing medication reconciliation and antidepressant treatment history. Of the 34 patients, 25 (73.5%) had at least one discrepancy identified in their medication list, resulting in 164 medication changes in the electronic medical record (EMR). A total of 105 past antidepressant trials were documented in the 34 individuals, with 34 (32.4%) trials found to be inadequate. Thirteen (38.2%) patients reported failure to respond to two different antidepressants from different classes. All 34 patients participated well in the phone calls and were willing to consult a pharmacist at their upcoming clinic visit. Conclusions A student pharmacist pilot was feasible, identified many discrepancies in the medication record, and identified important medication treatment history in patients with depression in advance of the clinic visit. The project provides support for a specialized role for student pharmacists and demonstrates that interprofessional care can contribute to improved treatment of depression. PMID:28626270

  13. Relational Mindfulness for Psychiatry Residents: a Pilot Course in Empathy Development and Burnout Prevention.

    Science.gov (United States)

    Bentley, Paige Greason; Kaplan, Sebastian G; Mokonogho, Josephine

    2018-04-13

    Psychiatry residents face challenges daily that test their capacity to be empathic and attuned to their own self-care. This can have a deleterious impact not only on the residents but also on patient-care. Training to manage the challenges of the work and cultivate stronger patient relationships is needed but often missing in medical education. This study aimed to pilot an empathy training course based in relational mindfulness and assess the impact on burnout and empathy. Seven first-year psychiatry residents (PGY-1) at an academic medical center in a mid-size city in the southeast participated in an eight-week pilot program created by the authors that integrated relational mindfulness and empathy training. Data were gathered from the seven PGY-1s on measures of burnout and empathy and on their experience of the training. The PGY-1s demonstrated a downward trend in means on all three burnout subscales and significant improvement on the measure of empathy (f = 8.98; p = .02). Overall, the PGY-1s reported an increased awareness of their cognitive and emotional experiences and stated that the skills learned in the program increased their ability to care for themselves, their patients, and their families. Training in intrapersonal and interpersonal attunement is often overlooked in medical training, leading to resident burnout and negative patient outcomes. An empathy course based in relational mindfulness may be a viable strategy for programs looking to attend to their residents' emotional health and bridge the empathy training gap.

  14. Pilot testing an internet-based STI and HIV prevention intervention with Chilean women.

    Science.gov (United States)

    Villegas, Natalia; Santisteban, Daniel; Cianelli, Rosina; Ferrer, Lilian; Ambrosia, Todd; Peragallo, Nilda; Lara, Loreto

    2015-03-01

    The incidence of sexually transmitted infections (STIs) and human immunodeficiency virus (HIV) is high among young Chilean women, and there are no STI or HIV prevention interventions available to them that incorporate technology. The purpose of this study was to investigate the preliminary efficacy of an Internet-based STI and HIV prevention intervention (I-STIPI) for Chilean young women on measures of STI- and HIV-related information, motivation, behavioral skills, and preventive behaviors. This is a pretest-posttest study. Forty young Chilean women between 18 and 24 years of age participated in an investigation of the I-STIPI's preliminary efficacy on STI and HIV prevention-related outcomes between baseline and a postintervention assessment. The intervention consisted of four online modules. Data collection was conducted in Santiago, Chile. Paired-samples t test analysis was used to determine whether there were significant differences in each of the outcome variables. After receiving I-STIPI, women reported a significant increase in levels of STI- and HIV-related knowledge, attitudes toward the use of condoms and perceived self-efficacy, and a reduction of risky sexual behaviors with uncommitted partners. The I-STIPI showed promise as an Internet-based intervention that can reduce barriers to accessing preventive interventions and increase STI and HIV preventive behaviors in young Chilean women. The study provided important information about the ability of an Internet-based intervention to reduce young women's risk factors and to provide positive preliminary efficacy on STI- and HIV-related outcomes. Internet-based interventions can eliminate many barriers to receiving prevention interventions and may prove to be cost effective. © 2014 Sigma Theta Tau International.

  15. Pilot Testing an Internet-Based STI and HIV Prevention Intervention With Chilean Women

    Science.gov (United States)

    Villegas, Natalia; Santisteban, Daniel; Cianelli, Rosina; Ferrer, Lilian; Ambrosia, Todd; Peragallo, Nilda; Lara, Loreto

    2015-01-01

    Purpose The incidence of sexually transmitted infections (STIs) and human immunodeficiency virus (HIV) is high among young Chilean women, and there are no STI or HIV prevention interventions available to them that incorporate technology. The purpose of this study was to investigate the preliminary efficacy of an Internet-based STI and HIV prevention intervention (I-STIPI) for Chilean young women on measures of STI- and HIV-related information, motivation, behavioral skills, and preventive behaviors. Design This is a pretest-posttest study. Forty young Chilean women between 18 and 24 years of age participated in an investigation of the I-STIPI’s preliminary efficacy on STI and HIV prevention-related outcomes between baseline and a postintervention assessment. The intervention consisted of four online modules. Data collection was conducted in Santiago, Chile. Paired-samples t test analysis was used to determine whether there were significant differences in each of the outcome variables. Findings After receiving I-STIPI, women reported a significant increase in levels of STI- and HIV-related knowledge, attitudes toward the use of condoms and perceived self-efficacy, and a reduction of risky sexual behaviors with uncommitted partners. Conclusions The I-STIPI showed promise as an Internet-based intervention that can reduce barriers to accessing preventive interventions and increase STI and HIV preventive behaviors in young Chilean women. Clinical Relevance The study provided important information about the ability of an Internet-based intervention to reduce young women’s risk factors and to provide positive preliminary efficacy on STI- and HIV-related outcomes. Internet-based interventions can eliminate many barriers to receiving prevention interventions and may prove to be cost effective. PMID:25410132

  16. The Happy Older Latinos are Active (HOLA) health promotion and prevention study: study protocol for a pilot randomized controlled trial.

    Science.gov (United States)

    Jimenez, Daniel E; Reynolds, Charles F; Alegría, Margarita; Harvey, Philip; Bartels, Stephen J

    2015-12-18

    Results of previous studies attest to the greater illness burden of common mental disorders (anxiety and depression) in older Latinos and the need for developing preventive interventions that are effective, acceptable, and scalable. Happy Older Latinos are Active (HOLA) is a newly developed intervention that uses a community health worker (CHW) to lead a health promotion program in order to prevent common mental disorders among at-risk older Latinos. This pilot study tests the feasibility and acceptability of delivering HOLA to older, at-risk Latinos. HOLA is a multi-component, health promotion intervention funded by the National Institute of Mental Health (NIMH). This prevention approach will be tested against a fotonovela, an enhanced psychoeducation control condition, in a sample of Latino elderly with minor or subthreshold depression or anxiety. A total of 60 older Latinos (aged 60+) will be randomized to receive HOLA or the fotonovela. The primary outcomes of interest are recruitment, adherence, retention, and acceptability. Data will also be collected on: preemption of incident and recurrent major depression, generalized anxiety, and social phobia; reduction in depression and anxiety symptom severity; physical functioning; sedentary behaviors; social engagement; and self-efficacy. The results of this study could have implications for other high-risk, highly disadvantaged populations. The development of a health promotion intervention designed to prevent common mental disorders could be a means of addressing multiple disparities (for example, mental health outcomes, mental health service use, stigma) among racial/ethnic minority elderly. CLINICALTRIALS. NCT02371954 . Date of registration: 21 January 2015.

  17. 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

  18. ISO 50001 for Commercial Buildings: Lessons Learned From U.S. DOE Pilot Project: Preprint

    Energy Technology Data Exchange (ETDEWEB)

    Deru, M.; Field, K.; Punjabi, S.

    2014-08-01

    In the U.S., the ISO 50001 Standard, which establishes energy management systems (EnMSs) and processes, has shown uptake primarily in the industrial sector. The U.S. Department of Energy (DOE) undertook a pilot program to explore ISO 50001 implementation in commercial buildings. Eight organizations participated as pilots, with technical assistance provided by DOE, the National Renewable Energy Laboratory (NREL), the Lawrence Berkeley National Laboratory (LBNL), and the Georgia Institute of Technology (Georgia Tech). This paper shares important lessons learned from the pilot. Staff time was the most critical resource required to establish effective EnMSs in commercial buildings. The pilot also revealed that technical support and template/example materials were essential inputs. Crucial activities included evaluating performance, identifying goals, making connections, communicating operational controls, and tracking/reviewing progress. Benefits realized included enhanced intra-organizational connections, greater energy awareness, increased process efficiencies, and improved ability to make business cases. Incremental benefits for ISO 50001 certification were greater accountability, assurance of best practices, public relations opportunities, and potential to unlock verified savings credits or incentive money. Incremental certification costs included more staff/consultant time, money for certification, and a tendency to limit EnMS scope in order to ensure favorable audit results. Five best practices were identified - utilizing expert technical assistance, training, and other resources; focusing on implementation over documentation; keeping top management involved; considering organizational structure when selecting EnMS scope; and matching the implementation level to an EnMS's scope and scale. The last two practices are particularly relevant to the commercial buildings sector.

  19. Human and behavioral factors contributing to spine-based neurological cockpit injuries in pilots of high-performance aircraft: recommendations for management and prevention

    Science.gov (United States)

    Jones, J. A.; Hart, S. F.; Baskin, D. S.; Effenhauser, R.; Johnson, S. L.; Novas, M. A.; Jennings, R.; Davis, J.

    2000-01-01

    In high-performance aircraft, the need for total environmental awareness coupled with high-g loading (often with abrupt onset) creates a predilection for cervical spine injury while the pilot is performing routine movements within the cockpit. In this study, the prevalence and severity of cervical spine injury are assessed via a modified cross-sectional survey of pilots of multiple aircraft types (T-38 and F-14, F-16, and F/A-18 fighters). Ninety-five surveys were administered, with 58 full responses. Fifty percent of all pilots reported in-flight or immediate post-flight spine-based pain, and 90% of fighter pilots reported at least one event, most commonly (> 90%) occurring during high-g (> 5 g) turns of the aircraft with the head deviated from the anatomical neutral position. Pre-flight stretching was not associated with a statistically significant reduction in neck pain episodes in this evaluation, whereas a regular weight training program in the F/A-18 group approached a significant reduction (mean = 2.492; p < 0.064). Different cockpit ergonomics may vary the predisposition to cervical injury from airframe to airframe. Several strategies for prevention are possible from both an aircraft design and a preventive medicine standpoint. Countermeasure strategies against spine injury in pilots of high-performance aircraft require additional research, so that future aircraft will not be limited by the human in control.

  20. Higher education for refugees: Lessons from a 4-year pilot project

    Science.gov (United States)

    Crea, Thomas M.; McFarland, Mary

    2015-04-01

    Refugees experience limited access to adequate education at all levels, but opportunities for higher education are especially lacking. Yet, evidence suggests that education plays an important protective role in helping refugee individuals and communities cope with their daily existence during protracted waiting periods, and the United Nations refugee agency (UNHCR) recently recognised tertiary education as a basic human right. The purpose of this paper is to present findings from the evaluation of a pilot programme, Jesuit Commons: Higher Education at the Margins (JC:HEM), which initially provided higher education to refugees in Kakuma Camp, Kenya and Dzaleka Camp, Malawi; and to urban refugees in Amman, Jordan. The authors of this note review the progress made towards the pilot objectives, as well as student feedback on the benefits and challenges of higher education for refugees and others living at the margins. The refugees interviewed in this study expressed feelings of empowerment, related to their expanded worldview as well as to a specific set of skills obtained through their participation in the programme. Interviewees also noted a number of limitations specific to the context of their living conditions. Particularly in refugee camps, students expressed concerns about what would happen after their having completed their course. The general outcome of the pilot phase, which ended in 2014, was that the programme addresses a critical need and that it should be continued, albeit with key modifications in its design and delivery. Key areas for future growth of the programme include curriculum transformation, integrated service delivery and university engagement.

  1. Propolis in the prevention of oral mucositis in breast cancer patients receiving adjuvant chemotherapy: A pilot randomised controlled trial.

    Science.gov (United States)

    Piredda, M; Facchinetti, G; Biagioli, V; Giannarelli, D; Armento, G; Tonini, G; De Marinis, M G

    2017-11-01

    Chemo-induced oral mucositis (OM) is associated with significant symptoms, treatment delays and increased costs. This pilot randomised controlled trial aimed at evaluating the safety, tolerability and compliance with propolis in breast cancer patients receiving doxorubicin and cyclophosphamide, testing preliminary clinical efficacy of propolis in the prevention of OM, and prospectively evaluating the incidence of OM. Sixty patients were randomised to receive either a dry extract of propolis with 8%-12% of galangin plus mouth rinsing with sodium bicarbonate (experimental arm), or mouth rinsing with sodium bicarbonate (control arm). OM was evaluated with the NCI-CTCAE v4.0 after 5, 10, 15 and 21 days of treatment. Compliance with, tolerability of propolis and adverse events were recorded. The incidence of OM was also prospectively evaluated for 6 months. Two patients (6.7%) manifested a suspected skin reaction to propolis. No patient in the experimental arm developed OM > G1, while in the control arm OM > G1 was 16.7% (p = .02). The incidence of OM ≥ G1 at the end of cycles 2-8 was higher at the second (25%) and fifth cycles (45.8%). Propolis plus bicarbonate was safe, well tolerated and promisingly effective in the prevention of OM in patients with breast cancer. © 2017 John Wiley & Sons Ltd.

  2. Personal listening devices and the prevention of noise induced hearing loss in children: The cheers for ears pilot program

    Directory of Open Access Journals (Sweden)

    Dunay Schmulian Taljaard

    2013-01-01

    Full Text Available To determine whether the Cheers for Ears Program on noise induced hearing loss prevention was effective in improving current knowledge of noise impact of personal listening devices on hearing, and in changing self-reported listening behavior of primary school students aged between 9 years and 13 years. A survey study was implemented at participating primary schools. Schools represented various levels of socio-economic status. Informed consent (parents and teachers and informed assent (pupils were obtained. All pupils participated in two interactive sessions (the second 6 weeks after first and only those who provided assent and consent were surveyed at three points during the study: Prior to the first session (baseline, directly post-session and at 3 months post-session. A total of 318 pupils were surveyed. The median age of the participants was 11 years (nearly 50% of the total cohort. Significant changes are reported in their knowledge about hearing and in listening behavior of the participants as measured by pre- and post-measurement. The changes in behaviors were stable and sustained at 3 months post-intervention survey point and the success of the program can be attributed to the multimodal interactive nature of the sessions, the spacing of the sessions and the survey points. Wide-ranging support from schools and departments also played a role. The pilot Cheers for Ears Program is effective in increasing knowledge on the harmful effects of noise and therefore, it may prevent future noise-induced hearing loss.

  3. Pilot study assessing the effectiveness of long-lasting permethrin-impregnated clothing for the prevention of tick bites.

    Science.gov (United States)

    Vaughn, Meagan F; Meshnick, Steven R

    2011-07-01

    Tick-borne diseases such as Lyme disease, Rocky Mountain spotted fever, and ehrlichiosis are a significant concern for many thousands of workers who have frequent and unavoidable exposure to tick-infested habitats. Many North Carolina state employees with outdoor occupations report multiple tick bites each year, indicating that existing tick preventive strategies may be underutilized or ineffective. Treatment of clothing with permethrin, a nontoxic chemical with insecticidal, knockdown, and repellent properties, is highly effective against ticks. However, most permethrin products must be reapplied after several washings to maintain insecticidal activity. Recently, a factory-based method for long-lasting permethrin impregnation of clothing has been developed by Insect Shield, Inc., that allows clothing to retain insecticidal activity for over 70 washes. A nonrandomized open label pilot study was conducted to determine the effectiveness of Insect Shield-treated clothing for the prevention of tick bites among 16 outdoor workers from the North Carolina Division of Water Quality under actual field conditions. Participants completed questionnaires at the start of follow-up (March, 2008) and at the end of follow-up (September, 2008), and tick bites and outdoor work hours were reported on weekly tick bite logs for the entire follow-up period. Subjects wearing Insect Shield-treated clothing had a 93% reduction (p clothing may be highly effective against tick bites.

  4. Problem-solving education to prevent depression among low-income mothers of preterm infants: a randomized controlled pilot trial.

    Science.gov (United States)

    Silverstein, Michael; Feinberg, Emily; Cabral, Howard; Sauder, Sara; Egbert, Lucia; Schainker, Elisabeth; Kamholz, Karen; Hegel, Mark; Beardslee, William

    2011-08-01

    We sought to assess the feasibility and document key study processes of a problem-solving intervention to prevent depression among low-income mothers of preterm infants. A randomized controlled pilot trial (n = 50) of problem-solving education (PSE) was conducted. We assessed intervention provider training and fidelity; recruitment and retention of subjects; intervention acceptability; and investigators' ability to conduct monthly outcome assessments, from which we could obtain empirical estimates of depression symptoms, stress, and functioning over 6 months. Four of four bachelor-level providers were able to deliver PSE appropriately with standardized subjects within 4 weeks of training. Of 12 randomly audited PSE sessions with actual subjects, all met treatment fidelity criteria. Nineteen of 25 PSE subjects (76%) received full four-session courses; no subjects reported negative experiences with PSE. Eighty-eight percent of scheduled follow-up assessments were completed. Forty-four percent of control group mothers experienced an episode of moderately severe depression symptoms over the follow-up period, compared to 24% of PSE mothers. Control mothers experienced an average 1.19 symptomatic episodes over the 6 months of follow-up, compared to 0.52 among PSE mothers. PSE appears feasible and may be a promising strategy to prevent depression among mothers of preterm infants.

  5. Randomized clinical trial to change parental practices for drug use in a telehealth prevention program: a pilot study.

    Science.gov (United States)

    Valente, Juliana Y; Moreira, Tais Campos; Ferigolo, Maristela; Barros, Helena M T

    2018-03-21

    Programs for parents have been found to have a direct positive impact on reducing the consumption of psychoactive substances by adolescents, as well as having an indirect impact on reducing risk factors and increasing protective factors. The present study aimed to verify if a telehealth prevention program based on a brief motivational intervention helps to reduce parental risk practices and increase parental protective practices for drug use in comparison with psychoeducation. A pilot randomized controlled trial was performed at the National Service of Guidance and Information on Drug Use (Ligue 132), from September 2014 to December 2015, with the parents of adolescents (n=26). The outcome measures were parental style, risk, and protective parental practices. The brief motivational intervention was found to be more effective than psychoeducation in reducing the negligent behavior of parents. Furthermore, when comparing pre- and post-intervention data, the brief motivational intervention helped to change parental style and the large majority of parental practices: increasing positive monitoring, as well as decreasing physical abuse, relaxed discipline, inconsistent punishment, and negative monitoring. These results demonstrate that the telehealth intervention is effective in modifying the parental practices known to help in preventing drug use. Studies with more number of subjects are required so that the results can be substantiated and generalized. Copyright © 2018 Sociedade Brasileira de Pediatria. Published by Elsevier Editora Ltda. All rights reserved.

  6. Effectiveness of case management in the prevention of COPD re-admissions: a pilot study.

    Science.gov (United States)

    van Eeden, Annelies E; van de Poll, Ingrid; van Vulpen, Gertrud; Roldaan, Tim; Wagenaar, Wies; Boland, Melinde R S; Wolterbeek, Ron; Chavannes, Niels H

    2017-11-25

    Chronic obstructive pulmonary disease (COPD) exacerbations are associated with high disease burden and costs, especially in the case of hospitalizations. The overall number of hospital admissions due to exacerbations of COPD has increased. It is remarkable that re-admissions account for a substantial part of these hospitalizations. This pilot study investigates the use of case management to reduce re-admissions due to COPD. COPD patients with more than one hospitalization per year due to an exacerbation were included. The participants (n = 10) were closely monitored and intensively coached for 20 weeks after hospitalization. The case manager provided care in a person-focused manner. The case manager informed and supported the patient, took action when relapse threatened, coordinated and connected primary and secondary care. Data of 12 months before and after start of the intervention were compared. Primary outcome was the difference in number of hospitalizations. Secondary outcomes were health-related quality of life (measured by the Clinical COPD Questionnaire, CCQ) and dyspnoea (measured by the MRC Dyspnoea Scale). The incidence rate of hospitalizations was found to be 2.25 times higher (95% confidence interval [CI] 1.3-3.9; P = 0.004) 12 months before compared with 12 months after the start of case management. COPD patients had a mean CCQ score of 3.3 (95% CI 2.8-3.8) before and 2.4 (95% CI 1.9-2.8) after 20 weeks of case management; a difference of 1.0 (95% CI 0.4-1.6; P = 0.001). The mean MRC scores showed no significant differences before (4.3; 95% CI 3.7-4.9) and after the case management period (3.9; 95% CI 3.2-4.6); a difference of 0.4 (95% CI - 0.1 to 0.9; P = 0.114). This pilot study shows that the number of COPD hospital re-admissions decreased significantly after the introduction of a case manager. Moreover, there was an improvement in patient-reported health-related quality of life.

  7. Pilot Study Evaluation of Suicide Prevention Gatekeeper Training Utilising STORM in a British University Setting

    Science.gov (United States)

    Gask, Linda; Coupe, Nia; McElvenny, Damien; Green, Gill

    2017-01-01

    Recent years have seen increasing awareness of the wide range of mental health problems faced by students. Gatekeeper training has been shown to have a positive impact on knowledge and attitudes about suicide prevention, although the evidence for skills acquisition is limited. We utilised the STORM® training package in an exploratory study to…

  8. Outcomes of a pilot obesity prevention plus intervention targeting children and parenting practices

    Science.gov (United States)

    Prevention-Plus interventions for primary care offer a venue to intervene with both children and parents for child obesity treatment. Such interventions can promote effective parenting practices that encourage healthy eating, physical activity (PA), and lower TV use among children. Test for feasibil...

  9. School-Based Smoking Prevention with Media Literacy: A Pilot Study

    Science.gov (United States)

    Bier, Melinda C.; Schmidt, Spring J.; Shields, David; Zwarun, Lara; Sherblom, Stephen; Pulley, Cynthia; Rucker, Billy

    2011-01-01

    School-based tobacco prevention programs have had limited success reducing smoking rates in the long term. Media literacy programs offer an innovative vehicle for delivery of potentially more efficacious anti-tobacco education. However, these programs have been neither widely implemented nor well evaluated. We conducted a pre-post evaluation of a…

  10. Substance Use Prevention among At-Risk Rural Youth: Piloting the Social Ecological "One Life" Program

    Science.gov (United States)

    Williams, Ronald D., Jr.; Barnes, Jeremy T.; Holman, Thomas; Hunt, Barry P.

    2014-01-01

    Substance use among youth is a significant health concern in the rural United States, particularly among at-risk students. While evidence-based programs are available, literature suggests that an underdeveloped rural health prevention workforce often limits the adoption of such programs. Additionally, population-size restrictions of national…

  11. Does a Culturally Sensitive Smoking Prevention Program Reduce Smoking Intentions among Aboriginal Children? A Pilot Study

    Science.gov (United States)

    McKennitt, Daniel W.; Currie, Cheryl L.

    2012-01-01

    The aim of the study was to determine if a culturally sensitive smoking prevention program would have short-term impacts on smoking intentions among Aboriginal children. Two schools with high Aboriginal enrollment were selected for the study. A grade 4 classroom in one school was randomly assigned to receive the culturally sensitive smoking…

  12. A pilot randomized trial of a cognitive reappraisal obesity prevention program.

    Science.gov (United States)

    Stice, Eric; Yokum, Sonja; Burger, Kyle; Rohde, Paul; Shaw, Heather; Gau, Jeff M

    2015-01-01

    Evaluate a selective obesity prevention program promoting use of cognitive reappraisals to reduce reward region response and increase inhibitory region response to high-fat/high-sugar foods and reduce intake of fat and sugar to prevent blunted reward region response to intake of such foods. Young adults at risk for future weight gain by virtue of weight concerns (N=148) were randomized to this new prevention program (Minding Health), an alternative prevention program promoting participant-driven gradual reductions in caloric intake and increases in physical activity (Healthy Weight), or an obesity education video control condition, completing assessments at pre-, post-, and 6-month follow-up. A subset of Minding Health and control participants completed an fMRI scan at pre- and post-assessing neural response to images of high-fat/sugar foods and to receipt and anticipated receipt of a high-fat/sugar food. Minding Health participants showed significantly greater reductions in body fat than controls and caloric intake from fat and sugar than Healthy Weight participants. Minding Health participants also showed greater activation of an inhibitory control region and reduced activation of an attention/expectation region in response to palatable food images relative to pretest and controls. However, Healthy Weight participants showed greater reductions in BMI and eating disorder symptoms than Minding Health participants. Although the Minding Health intervention produced some of the hypothesized effects, it did not produce lasting reductions in body fat or BMI and showed limited effects on neural responsivity, implying it will be vital to increase the efficacy of this new prevention program. Copyright © 2014 Elsevier Inc. All rights reserved.

  13. A pilot of a tripartite prevention program for homeless young women in the transition to adulthood.

    Science.gov (United States)

    Wenzel, Suzanne L; D'Amico, Elizabeth J; Barnes, Dionne; Gilbert, Mary Lou

    2009-01-01

    Among young women who are impoverished and homeless, the transition to adulthood (ages 18-25) is associated with alcohol and drug use, risky sexual activity, and increased risk of being victimized by intimate partner violence. "The Power of YOU," a program using motivational interviewing (MI), was designed to address these problems. We tested the "Power of YOU" with 31 homeless women (ages 18-25) in 7 focus groups. Women completed questionnaires assessing background characteristics and satisfaction at the end of each group. Each group was followed by a feedback session that was audiorecorded and transcribed. Key themes were identified. During a past 6-month period, 38.7% of women reported alcohol intoxication, 19.3% reported 2-3 male sex partners, and 22.2% reported major physical violence from a partner. Women expressed satisfaction and provided consistently positive feedback on the intervention, reporting, for example, that it was "helpful to know how to put a condom on" and that they appreciated the attention paid to safety planning. Results from this pilot suggest that "The Power of YOU" may hold promise in helping homeless young women in the transition to adulthood make healthier choices and plan for high-risk situations, and that the nonconfrontational, nonjudgmental approach of MI appeared appropriate for this population.

  14. Piloting a Sex-Specific, Technology-Enhanced, Active Learning Intervention for Stroke Prevention in Women.

    Science.gov (United States)

    Dirickson, Amanda; Stutzman, Sonja E; Alberts, Mark J; Novakovic, Roberta L; Stowe, Ann M; Beal, Claudia C; Goldberg, Mark P; Olson, DaiWai M

    2017-12-01

    Recent studies reveal deficiencies in stroke awareness and knowledge of risk factors among women. Existing stroke education interventions may not address common and sex-specific risk factors in the population with the highest stroke-related rate of mortality. This pilot study assessed the efficacy of a technology-enhanced, sex-specific educational program ("SISTERS") for women's knowledge of stroke. This was an experimental pretest-posttest design. The sample consisted of 150 women (mean age, 55 years) with at least 1 stroke risk factor. Participants were randomized to either the intervention (n = 75) or control (n = 75) group. Data were collected at baseline and at a 2-week posttest. There was no statistically significant difference in mean knowledge score (P = .67), mean confidence score (P = .77), or mean accuracy score (P = .75) between the intervention and control groups at posttest. Regression analysis revealed that older age was associated with lower knowledge scores (P women may have less comfort with technology and require consideration for cognitive differences.

  15. Media literacy as a violence-prevention strategy: a pilot evaluation.

    Science.gov (United States)

    Webb, Theresa; Martin, Kathryn; Afifi, Abdelmonem A; Kraus, Jess

    2010-09-01

    Youth violence is a major unresolved public health problem in the United States and media exposure to violence is a synergistic source of this national problem. One media literacy curriculum designed specifically to address this issue is Beyond Blame: Challenging Violence in the Media. The purpose of this pilot study was to examine the curriculum's feasibility as a full-scale intervention. Intervention and control groups were similar with respect to knowledge of the Beyond Blame curriculum at baseline. Intervention students scored much higher on the posttest compared with the control students. The majority (90.2%) of the intervention students reported a significant increase in pre- to posttest score compared with only 18.8% of the control students (p < .0001). The magnitude of the score increase for intervention students was much greater than those in the control group. Several intervention students (N = 49; 19.9%) improved their score by 12 or more points compared with the control students who showed only a 1- to 7-point score increase (N = 3; 18.8%; p < .0001). The pre-and posttest scores were similar for males and females. Three of the six intervention classrooms scored higher on both the pretest and posttest compared with the other three classrooms.

  16. Kinship--king's social harmonisation project. Pilot phase of a social network for use in higher education (HE).

    Science.gov (United States)

    John, B A

    2013-05-08

    Students entering Higher Education are increasingly information and communications technology literate. Many students (graduates and undergraduates) arrive as "digital residents", who are adept with social media and technologically fluent. The informal use of social media for learning is becoming increasingly evident, along with the potentially detrimental effects of a poor digital profile on employment prospects. This paper describes the creation of Kinship (King's Social Harmonisation Project), a university hosted, members only social network, which is currently being piloted in the Medical School at King's College London. Along with a number of other teaching and learning resources, it is intended to use Kinship to establish an informal code of conduct by modelling and moderating appropriate professional online behaviour. Kinship was developed using an open source Elgg platform, thanks to funding of £20,000 from the College Teaching Fund under the mentorship of Brighton University (1). This educational research project, led by Medicine, was proposed to select, customise and evaluate a social networking platform in order to provide functionality that would enhance new and existing e-learning resources, support group interaction, participation and sharing and meet the diverse needs of three academic schools: Medicine, the Dental Institute and two separate Departments, the Modern Languages Centre and the Department of English from Arts & Humanities, as a pilot for wider College deployment. Student involvement is central to the project, from conducting the evaluation to moulding and customising the functionality and look of Kinship, in order to ensure that the site is authentic and evolves in response to their wishes and requirements. Formal evaluation of Kinship commences summer 2012.

  17. International CO{sub 2} abatement projects: experience from the Swiss AIJ pilot program

    Energy Technology Data Exchange (ETDEWEB)

    Sutter, C.; Brodmann, U.; Luechinger, A. [Factor Consulting + Management Ltd., Zurich (Switzerland)

    2001-07-01

    This paper analyses the two most advanced Swiss AIJ (Activities Implemented Jointly) projects. Key success and failure factors are derived from practical experience in developing and implementing these projects. The assessment of uncertainties shows that the counterfactual nature of baselines forms the most relevant factor for uncertainty with regard to climate benefits. Different strategies to minimise this uncertainty are described. For the investor, the performance of the project during its lifetime is the main source of uncertainty, since this will usually have a direct influence on the amount of emission reduction credits produced. Consequently, adequate legal structure and incentives for project hosts are crucial to ensure. The projects analysed are the Swiss-Romanian Thermal Energy Project (STEP) involving coal and gas for district heating and the Bucina Energy Optimisation Project in Slovakia to optimise a wood processing plant. 5 refs., 5 figs.

  18. A pilot randomized trial to prevent sexual dysfunction in postmenopausal breast cancer survivors starting adjuvant aromatase inhibitor therapy.

    Science.gov (United States)

    Advani, Pragati; Brewster, Abenaa M; Baum, George P; Schover, Leslie R

    2017-08-01

    A randomized pilot trial evaluated the hypothesis that early intervention lessens sexual dysfunction in the first year on aromatase inhibitors. A secondary aim was comparing the efficacy of two vaginal moisturizers. Fifty-seven postmenopausal women with early stage breast cancer starting aromatase inhibitors were randomized to three treatment groups. All received a handout on managing sexual and other side effects. The Usual Care group received no additional therapy. The Active Treatment groups received a 6-month supply of a vaginal moisturizer (hyaluronic acid-based in Active Group-H and prebiotic in Active Group-P) and a vaginal lubricant and dilator, plus access to an educational website and phone coaching. Questionnaires completed at baseline, 6, and 12 months included the Female Sexual Function Index (FSFI), Menopausal Sexual Interest Questionnaire (MSIQ), Female Sexual Distress Scale-Revised (FSDS-R), and a menopausal symptom scale. Forty-nine women (86%) provided follow-up data. Mean age was 59 and 77% were non-Hispanic Caucasian. Sexual function was impaired at baseline, but remained stable over 12 months for all groups. The combined active treatment group had less dyspareunia (P = 0.07) and sexual distress (P = 0.02) at 6 months than the Usual Care group. At 6 months, the Active-H group improved significantly more than the Active-P group on FSFI total score (P = 0.04). Sexual counseling helped women maintain stable sexual function on aromatase inhibitors. Active intervention resulted in better outcomes at 6 months. This promising pilot trial suggests a need for more research on preventive counseling to maintain sexual function during aromatase inhibitor treatment.

  19. Podiatry intervention versus usual care to prevent falls in care homes: pilot randomised controlled trial (the PIRFECT study).

    Science.gov (United States)

    Wylie, Gavin; Menz, Hylton B; McFarlane, Sarah; Ogston, Simon; Sullivan, Frank; Williams, Brian; Young, Zoe; Morris, Jacqui

    2017-07-12

    Common foot problems are independent risk factors for falls in older people. There is evidence that podiatry can prevent falls in community-dwelling populations. The feasibility of implementing a podiatry intervention and trial in the care home population is unknown. To inform a potential future definitive trial, we performed a pilot randomised controlled trial to assess: (i) the feasibility of a trial of a podiatry intervention to reduce care home falls, and (ii) the potential direction and magnitude of the effect of the intervention in terms of number of falls in care home residents. Informed by Medical Research Council guidance on developing and evaluating complex interventions, we conducted a single blind, pilot randomised controlled trial in six care homes in the East of Scotland. Participants were randomised to either: (i) a three month podiatry intervention comprising core podiatry care, foot and ankle exercises, orthoses and footwear provision or (ii) usual care. Falls-related outcomes (number of falls, time to first fall) and feasibility-related outcomes (recruitment, retention, adherence, data collection rates) were collected. Secondary outcomes included: generic health status, balance, mobility, falls efficacy, and ankle joint strength. 474 care home residents were screened. 43 (9.1%) participants were recruited: 23 to the intervention, 20 to control. Nine (21%) participants were lost to follow-up due to declining health or death. It was feasible to deliver the trial elements in the care home setting. 35% of participants completed the exercise programme. 48% reported using the orthoses 'all or most of the time'. Completion rates of the outcome measures were between 93% and 100%. No adverse events were reported. At the nine month follow-up period, the intervention group per-person fall rate was 0.77 falls vs. 0.83 falls in the control group. A podiatry intervention to reduce falls can be delivered to care home residents within a pilot randomised

  20. Student pharmacists provide tobacco use prevention education to elementary school children: A pilot experience.

    Science.gov (United States)

    Ostroff, Jared L; Wolff, Marissa L; Andros, Christina; Nemec, Eric C

    2017-09-01

    The purpose of this article is to describe a service learning experience involving tobacco prevention education and to measure the education's effect on the learners' knowledge of tobacco products. Student pharmacists planned and presented a 40-min tobacco prevention education program using the Tar Wars curriculum to fourth and fifth grade students at three suburban elementary schools in Western Massachusetts. Mean scores on a five-question assessment given to school age children before and after the presentation were compared. A total of 206 elementary school students in ten classrooms participated. The average survey score increased from 1.87 on the pre-survey to 3.72 out of a maximum of five on the post-survey (Peducation to three suburban elementary schools. The children demonstrated an increase in short-term knowledge regarding tobacco use. Tobacco prevention is a unique co-curricular opportunity for student pharmacists to get involved in their community. Copyright © 2017 Elsevier Inc. All rights reserved.

  1. Building youths' resilience within a psychiatric outpatient setting: results from a pilot clinical intervention project.

    Science.gov (United States)

    Waaktaar, Trine; Christie, Helen J; Borge, Anne Inger Helmen; Torgersen, Svenn

    2004-02-01

    The relevance of resilience research for clinical practice has not yet been established. In this intervention pilot study, the aim was to explore how group work based on enhancing the participants' creativity, self-efficacy, active coping, and sense of continuity could be utilized within a clinical context for adolescents with stressful background experiences. 31 participants and 24 parents completed pre-, post-, and 1-yr. follow-up assessments of the youths' behavior difficulties, as well as depression, positive life attitude, coping, and prosocial behavior. Apart from a drop in self-rated prosocial behavior, no significant treatment effects were found. Implications for clinical practice and research are indicated.

  2. ExoHab Pilot Project & Field Tests for Moon-Mars Human Laboratories

    Science.gov (United States)

    Foing, Bernard

    2010-05-01

    We studied concepts for a minimal Moon-Mars habitat, in focussing on the system aspects and coordinating every different part as part an evolving architecture. We validated experimentally the Habitat and Laboratory ExoHab concept constraints during EuroGeoMars campaign in Utah desert research station (from 24 Jan. to 28 Feb. 2009) and EuroMoonMars/DOMMEX campaigns in Nov 2009 and February-April 2010. We discuss from the ILEWG ExoHab concept studies and field simulations the specifics of human exploration, with focus on habitability and human performance. In the ExoHab pilot concept project (supported by ILEWG, ESA NASA), we justify the case for a scientific and exploration outpost allowing experiments, sample analysis in laboratory (relevant to the origin and evolution of planets and life, geophysical and geo-chemical studies, astrobiology and life sciences, observation sciences, technology demonstration, resource utilisation, human exploration and settlement). In this modular concept, we consider various infra structure elements: core habitat, Extra Vehicular activity (EVA), crew mobility, energy supply, recycling module, communication, green house and food production, operations. We review some studies space agencies' architecture proposals, with landers, orbiters, rovers, habitats, surface operations and protocols. We focus on the easiest and the soonest way in settling a minimal base immediately operational in scientific experimentation and exploration, but not immediately autonomous. Through a modular concept, this outpost will be possibly evolved into a long duration or permanent base. We will analyse the possibilities of settling such a minimal base by means of the current and near term propulsion technology, as a full Ariane 5 ME carrying 1.7 T of gross payload to the surface of the Moon (Integrated Exploration Study, ESA ESTEC [1,2]). The low solar rays incidence may permit having ice in deep craters, which will be beneficial for the evolution of the

  3. A home-based prevention program for sixth-grade alcohol use: Results from project Northland.

    Science.gov (United States)

    Williams, C L; Perry, C L; Dudovitz, B; Veblen-Mortenson, S; Anstine, P S; Komro, K A; Toomey, T L

    1995-12-01

    Project Northland is designed to prevent alcohol use among young adolescents. The project is ongoing in 24 school districts, randomly assigned to intervention or reference conditions. Multiple interventions begin with sixth graders and continue through eighth grade. The reference districts offer their standard health curricula. Evaluation consists of school surveys with the cohort (N = 2201) and telephone surveys of half their parents. This article describes the sixth-grade home-based intervention, the Slick Tracy Home Team. Findings of broad-based participation across sex, race, and risk status were documented, as well as some increases in knowledge and family communication about alcohol use.

  4. The role of health behavior in preventing dental caries in resource-poor adults: a pilot intervention.

    Science.gov (United States)

    Wu, Andrew; Switzer-Nadasdi, Rhonda

    2014-01-01

    Dental caries is a highly prevalent, yet preventable disease that is commonly overlooked in the adult population. It is strongly related to health-related behaviors and knowledge, and therefore, is potentially receptive to a behavioral health intervention. However, prevention strategies that target health behaviors in adults are fundamentally different from those in children, whom most current intervention strategies for dental caries target. This study attempts to pilot design, implement, and assess health behavior intervention tools for adults, in order to improve their oral health. To increase knowledge about dental caries by 80% and increase positive self-reported oral hygiene behaviors by 80% in low-income adult participants at Interfaith Dental Clinic by piloting novel interventional and educational tools based on the Transtheoretical Model of Health Behavior. A convenience sample of newly registered participants to the Interfaith Dental Clinic between August 2011 and May 2013, were interviewed on each participant's first appointment, exposed to the interventional tools, and subsequently interviewed at their next appointment. A control group, comprised of participants who had completed their caries care as deemed by the clinic and had not been exposed to the interventional tools, were also interviewed on their last appointment before graduating the clinic's program. A total of 112 participants were exposed to the intervention, and forty-two participants comprised the control group. Follow-up for the intervention group was 20.5% (n = 23). Knowledge about the cause of caries increased by 29.9%, and positive self-reported oral hygiene behaviors increased by 25.4%. A Wilcoxon rank sum test showed no significance between the interview scores of the post-intervention group and that of the control group (p = 0.18 for knowledge, p = 0.284 for behaviors). Qualitative results show the vast majority of participants blamed diet for cause of caries, that this participant

  5. Prevention of further weight gain in overweight school children, a pilot study.

    Science.gov (United States)

    Melin, Anna; Lenner, Ragnhild Arvidsson

    2009-09-01

    Involving school nurses in weight gain prevention activities in already overweight children may be a means to address childhood obesity prevention. To describe and evaluate a treatment method aimed for implementation in school care centres. Twenty families (20 overweight children aged 7 years) were interviewed at baseline with standardized questionnaires, received simple dietary and lifestyle advice. Weight was measured and advice/support by school nurses was available monthly during the 1-year period. A follow-up was made after 1 year. Changes in wellbeing, life style and body mass index (BMI) z-score were recorded and analysed. Experiences from parents and nurses were also examined. A good (91%) or fair (54%) adherence to dietary advice was found in children who decreased or maintained their z-score respectively. Mean BMI z-score reduced [-0.16 (p = 0.03)] during the intervention period. Generally, parents and school nurses were satisfied with the programme, helping them to set limits and be more self-confident in their role as 'health adviser' respectively. Overweight progression in younger children is possible to modify by increased awareness of the problem, of their food habits and lifestyle practices. Providing school nurses with the knowledge to address the problem and working in collaboration with dieticians and a healthcare team can be an effective means to prevent further weight gain in overweight school-age children. Possibility of stigmatization was expressed thus efforts will need to be made to carry out such a programme to preserve the children's integrity and run activities in a discrete manner in the school environment. © 2008 The Authors. Journal compilation © 2008 Nordic College of Caring Science.

  6. Preventing Ischial Pressure Ulcers: III. Clinical Pilot Study of Chronic Neuromuscular Electrical Stimulation

    Directory of Open Access Journals (Sweden)

    Hilton M. Kaplan

    2011-01-01

    Full Text Available Objective: BIONs™ (BIOnic Neurons are injectable, wireless microstimulators that make chronic BION Active Seating (BAS possible for pressure ulcer prevention (PUP. Neuromuscular electrical stimulation (NMES produces skeletal motion and activates trophic factors, counteracting three major etiological mechanisms leading to pressure ulcers (PUs: immobility, soft-tissue atrophy, and ischemia. Companion papers I and II reviewed prior experience with NMES for PUP, and analyzed the biomechanical considerations, respectively. This paper presents a treatment strategy derived from this analysis, and the clinical results of the first three cases.

  7. Identification and analysis of functional elements in 1% of the human genome by the ENCODE pilot project

    DEFF Research Database (Denmark)

    Birney, Ewan; Stamatoyannopoulos, John A; Dutta, Anindya

    2007-01-01

    We report the generation and analysis of functional data from multiple, diverse experiments performed on a targeted 1% of the human genome as part of the pilot phase of the ENCODE Project. These data have been further integrated and augmented by a number of evolutionary and computational analyses...... modification. Third, a more sophisticated view of chromatin structure has emerged, including its inter-relationship with DNA replication and transcriptional regulation. Finally, integration of these new sources of information, in particular with respect to mammalian evolution based on inter- and intra....... Together, our results advance the collective knowledge about human genome function in several major areas. First, our studies provide convincing evidence that the genome is pervasively transcribed, such that the majority of its bases can be found in primary transcripts, including non...

  8. Wastewater planning in Djenné, Mali. A pilot project for the local infiltration of domestic wastewater.

    Science.gov (United States)

    Alderlieste, M C; Langeveld, J G

    2005-01-01

    The city of Djenné (Mali) is famous for its mosque which is the world's largest adobe building. Djenné is considered to be one of the most interesting cities in Western Africa from an architectural point of view. Since 1988, Djenné is listed as a UNESCO World Heritage Site. In the 1990s, a drinking water supply network was provided by foreign development organisations. However, no facilities were provided for the disposal of wastewater, resulting in an increase of waterborne diseases. This paper describes the urban drainage problem in Djenné and discusses the systematic evaluation of possible solutions and the subsequent pilot project for the local infiltration of sullage. The infiltration of sullage proved to be an appropriate technology for solving the urban drainage problem in Djenné.

  9. The power of cooperative investigation: summary and comparison of the HUPO Brain Proteome Project pilot study results.

    Science.gov (United States)

    Reidegeld, Kai A; Müller, Michael; Stephan, Christian; Blüggel, Martin; Hamacher, Michael; Martens, Lennart; Körting, Gerhard; Chamrad, Daniel C; Parkinson, David; Apweiler, Rolf; Meyer, Helmut E; Marcus, Katrin

    2006-09-01

    Within the pilot phase of the HUPO Brain Proteome Project, nine participating laboratories analysed human (epilepsy and/or post mortem material) and mouse brain samples (embryonic, juvenile and adult), respectively, using a variety of different state of the art techniques. Thirty-seven different analytical approaches were accomplished. Of these analyses, 17 were done differentially, i.e. the protein expression patterns of the different samples (human or mouse) were compared. A catalogue of all proteins present in the respective sample was built in 20 analyses (mapping). All data were collected in the Data Collection Center in Bochum, Germany, and were reprocessed according to thoroughly defined parameters. In this report, a summary of all results and inter-laboratory comparisons with respect to the number of identified proteins, the analysed organism, and the used techniques is presented.

  10. Exploring Students' Computational Thinking Skills in Modeling and Simulation Projects: : A Pilot Study

    NARCIS (Netherlands)

    Grgurina, Natasa; van Veen, Klaas; Barendsen, Erik; Zwaneveld, Bert; Suhre, Cor; Gal-Ezer, Judith; Sentance, Sue; Vahrenhold, Jan

    2015-01-01

    Computational Thinking (CT) is gaining a lot of attention in education. We explored how to discern the occurrences of CT in the projects of 12th grade high school students in the computer science (CS) course. Within the projects, they constructed models and ran simulations of phenomena from other

  11. 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

  12. Evaluation of a pilot Pressure Ulcer Prevention Initiative (PUPI) for patients with traumatic spinal cord injury.

    Science.gov (United States)

    Cobb, J E; Bélanger, L M A; Park, S E; Shen, T; Rivers, C S; Dvorak, M F; Street, J T; Noonan, V K

    2014-05-01

    The purpose of this study was to determine whether implementation of a Pressure Ulcer Prevention Initiative (PUPI) changed the assessment and treatment of patients with a traumatic spinal cord injury (SCI) in an acute care setting, and improved patient outcomes. The success of implementation was evaluated by examining the percentage of patients with completed occupational therapist (OT) skin care assessments and prescriptions for therapeutic support surfaces (TSS; i.e., mattresses) before implementation (historical, cohort 1) and after implementation (experimental, cohort 2). Patient outcomes were evaluated by examining changes in PU incidence, severity, timing and recurrence, as well as PU prevalence and satisfaction with life in the community. Final analysis included 70 patients in cohort 1 and 73 in cohort 2. OT skin care assessment documentation (31% to 60%; pprevention but no statistically significant improvements in PU-related patient outcomes were demonstrated. Results from this study identified facilitators and barriers to implementation and highlighted the complexity and difficulty of instituting effective preventative or therapeutic interventions for this population in an acute care setting. This information will assist with refinements of the PUPI and inform similar future initiatives.

  13. 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.…

  14. Development of interventions for the secondary prevention of Alzheimer's dementia: the European Prevention of Alzheimer's Dementia (EPAD) project.

    Science.gov (United States)

    Ritchie, Craig W; Molinuevo, José Luis; Truyen, Luc; Satlin, Andrew; Van der Geyten, Serge; Lovestone, Simon

    2016-02-01

    Alzheimer's dementia affects more than 40 million people worldwide with substantial increases in prevalence anticipated. Interventions that either modify risk or reduce the development of early disease could delay the onset of dementia or reduce the rate of cognitive and functional decline. The European Prevention of Alzheimer's Dementia (EPAD) is a public-private consortium, funded by the Innovative Medicines Initiative, designed to increase the likelihood of successful development of new treatments for the secondary prevention of Alzheimer's dementia. EPAD will help with testing of different agents in this pre-dementia population through four components: improvement of access to existing cohorts and registries, development of the EPAD Registry of approximately 24,000 people who might be at increased risk of developing Alzheimer's dementia, establishment of the EPAD Longitudinal Cohort Study of 6000 people at any one time, and establishment of an adaptive, proof-of-concept trial including 1500 participants at any given time. The need for EPAD and its key design elements are described, and we discuss EPAD in relation to similar projects in progress. These parallel efforts reflect the need for a coordinated, worldwide battle against dementia, in which EPAD will play a crucial role. Copyright © 2016 Elsevier Ltd. All rights reserved.

  15. Using information and communication technology to revitalise continuing professional development for rural health professionals: evidence from a pilot project.

    Science.gov (United States)

    Mugisha, J F

    2009-01-01

    This project revitalised continuing professional development (CPD) among rural health professionals in Uganda, Africa, using information and communication technology (ICT). The project was piloted in 3 rural hospitals where CPD activities were failing to meet demand because activities were not properly coordinated, the meetings were too infrequent, the delivery methods were inappropriate, and the content was highly supply-driven and generally irrelevant to the performance needs of the health workers. The project intervention involved the installation of various ICT equipment including computers, liquid crystal display (LCD) projectors, office copiers, printers, spiral binders and CDs. A number of health workers were also trained in ICT use. Three years later, an evaluation study was conducted using interviews, focus group discussions and document review. The results indicated that there had been a rapid increase in the number of staff attending the CPD sessions, an increased staff mix among participants, improved quality of CPD presentations, increased use of locally produced content, more relevant topics discussed and an increased interest by hospital management in CPD, manifested by commitment of staff training funds. Staff motivation, attitude and responsiveness to clients had also improved as a result of the invigorated CPD activities.

  16. 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.

  17. Pilot study evaluating the efficacy of exergaming for the prevention of deep venous thrombosis.

    Science.gov (United States)

    Rahemi, Hadi; Chung, Jayer; Hinko, Vanessa; Hoeglinger, Simon; Martinek, Wendy A; Montero-Baker, Miguel; Mills, Joseph L; Najafi, Bijan

    2018-03-01

    Current prophylactic protocols fail to prevent deep venous thrombosis (DVT) in a significant minority of patients, and it remains one of the leading causes of preventable death. We therefore quantified the efficacy of novel game-based exercises (exergaming) to augment femoral venous parameters relative to ankle movement and muscle flexion. Healthy volunteers were recruited to perform a series of ankle and foot exercises using a wireless foot sensor (LEGSys; BioSensics LLC, Watertown, Mass) to navigate a computer cursor sequentially on a screen to the center of 200 circular targets. A single ultrasound technician (W.A.M.) measured each patient's mean flow volume, peak flow velocity, mean flow velocity, and cross-sectional area of the right femoral vein at baseline and obtained immediate postexercise (PEX), 5-minute PEX, and 15-minute PEX measurements. Electromyography (EMG) was performed at baseline and during the exercise. Baseline demographics and medical and surgical comorbidities were also recorded. The primary end point was the difference between baseline and immediate PEX mean flow volume estimates. We secondarily explored the association of baseline characteristics and EMG measurements with femoral vein parameters. Fifteen healthy subjects (53% male; 28.1 ± 4.6 years) completed the exergaming task within a mean of 4 minutes, 2 ± 21 seconds. Immediately after exercise, the femoral vein mean flow volume, mean velocity, and peak systolic velocity increased by 49%, 53%, and 48%, respectively (P  .05). Subgroup analysis revealed that women (P peak plantar flexion velocities (P peak systolic velocity within the femoral vein by approximately 50% above baseline. Exergaming represents a novel and potentially attractive method of DVT prevention by augmenting femoral vein mean volume flow and capitalizing on biofeedback. Less forceful but more uniform contractions were found to be most effective at augmenting venous blood flow. Exergaming will require further

  18. Pilot Test of a Culturally Appropriate Diabetes Prevention Intervention for At-Risk Latina Women.

    Science.gov (United States)

    McCurley, Jessica L; Fortmann, Addie L; Gutierrez, Angela P; Gonzalez, Patricia; Euyoque, Johanna; Clark, Taylor; Preciado, Jessica; Ahmad, Aakif; Philis-Tsimikas, Athena; Gallo, Linda C

    2017-12-01

    Purpose The purpose of the study was to test the preliminary effectiveness, feasibility, and acceptability of a peer-led, culturally appropriate, Diabetes Prevention Program (DPP)-based lifestyle intervention for Latina women at high-risk for type 2 diabetes (T2DM). Methods Participants (N = 61) were overweight/obese (body mass index [BMI] ≥25) Latina women with no diabetes, at elevated risk either due to midlife age (45-65 years; n = 37) or history of gestational diabetes mellitus (n = 24). The study used a 1-group pretest-posttest design and offered 12 weeks of peer-led education sessions in a community setting. The intervention targeted physical activity and dietary behaviors to facilitate weight reduction and included culturally appropriate content, age-specific health information, and stress/emotion management strategies. Clinical and self-report assessments were conducted at baseline, month 3, and month 6. Results Mean participant age was 47.8 years (SD = 10.8). Most (91.2%) were born in Mexico, and 43.3% had a ninth-grade education or less. At month 6, participants achieved a mean reduction of 4.1% body weight (7 lb [3.2 kg]). Statistically significant improvements were observed for dietary behaviors, stress, and depression symptoms. Attrition was low, 5% (3 women). Focus groups indicated that intervention content increased knowledge, was applicable, highly valued, culturally relevant, and would be recommended to others. Conclusions This culturally tailored DPP adaptation was feasible and acceptable for 2 groups of Latina women at high-risk for T2DM and showed preliminary effectiveness in reducing weight and modifying self-reported dietary behaviors, stress, and depression symptoms. Further research is needed to identify ways to enhance weight loss and diabetes prevention in this at-risk, underserved population.

  19. Postpartum Depression Prevention for Reservation-Based American Indians: Results from a Pilot Randomized Controlled Trial.

    Science.gov (United States)

    Ginsburg, Golda S; Barlow, Allison; Goklish, Novalene; Hastings, Ranelda; Baker, Elena Varipatis; Mullany, Britta; Tein, Jenn-Yun; Walkup, John

    2012-06-01

    BACKGROUND: Postpartum depression is a devastating condition that affects a significant number of women and their offspring. Few preventive interventions have targeted high risk youth, such as American Indians (AIs). OBJECTIVE: To evaluate the feasibility of a depression prevention program for AI adolescents and young adults. METHODS: Expectant AI women (mean age = 18.15; N = 47) were randomized (1:1) to either the Living in Harmony program (LIH, an 8 lesson cognitive-behaviorally based program) or an Educational-Support program (ES, an 8 lesson education program). Both interventions were delivered by AI paraprofessionals. Adolescents were evaluated during their pregnancy at baseline, at post-intervention, and at 4, 12, and 24 weeks postpartum. The primary outcome measure was the Center for Epidemiological Studies-Depression scale (CES-D). Additional measures of depression included the onset of major depressive disorder (MDD; assessed via computerized diagnostic interview) and the Edinburgh Postpartum Depression Scale (EPDS). Secondary outcomes included changes in mothers' global functioning and social support. RESULTS: At all post intervention assessments, mothers in both groups showed similar reductions in depressive symptoms and similar rates of MDD (0 and 6% in LIH and ES respectively). Both groups of participants also showed similar improvements in global functioning. No changes in either group were found on the measure of social support. CONCLUSIONS: Findings suggest that both paraprofessional-delivered interventions may reduce symptoms of depression among AIs. Replication with a larger sample, a usual care control condition, blinded evaluators, and a longer follow-up is needed.

  20. Piloting proactive marketing to recruit disadvantaged adults to a community-wide obesity prevention program.

    Science.gov (United States)

    O'Hara, Blythe J; Eggins, Dianne; Phongsavan, Philayrath; Milat, Andrew J; Bauman, Adrian E; Wiggers, John

    2015-03-30

    Population-wide obesity prevention and treatment programs are fundamental to addressing the increasing overweight and obesity rates in socioeconomically disadvantaged populations. Innovative recruitment strategies, including proactive marketing strategies, are needed to ensure such programs have universal reach and target vulnerable populations. This study aimed to determine the success of proactive recruitment to Australia's Get Healthy Information and Coaching Service® (GHS) and to assess whether the recruitment strategy influenced participants' outcomes. Sociodemographic information was collected from all GHS participants who joined the service between February 2009 and August 2013, and anthropometric information regarding behavioural risk factors was collected from all GHS coaching participants at baseline and six months. Data were analysed according to the participants' referral source (self-referral and secondary referral versus proactive recruitment). Participants recruited through proactive marketing were more likely to be male, aged 50 years or older, have high school education, not be in paid employment and be from the lowest three quintiles of socioeconomic advantage. The risk factor profile of coaching participants recruited through proactive marketing did not vary significantly from those recruited via other mechanisms, although they were less likely to be obese and less likely to have a higher 'at risk' waist circumference measurement. Proactively recruited coaching participants reported significant improvements from baseline to six months (consistent with improvements made by participants recruited through other strategies), although they were significantly more likely to withdraw from coaching before they completed the six-month program.Proactive marketing facilitated use of an obesity prevention service; similar services may have greater reach if proactive marketing recruitment strategies are used. These strategies could be encouraged to assist

  1. Percutaneous internal fixation with Y-STRUT® device to prevent both osteoporotic and pathological hip fractures: a prospective pilot study.

    Science.gov (United States)

    Cornelis, François H; Tselikas, Lambros; Carteret, Thibault; Lapuyade, Bruno; De Baere, Thierry; Le Huec, Jean Charles; Deschamps, Frédéric

    2017-02-09

    We studied Y-STRUT® (Hyprevention, France), a new percutaneous internal fixation device, in combination with bone cementoplasty to prevent hip fracture. Between February 2013 and February 2015, a total of 16 femoral necks in 4 osteoporotic and 12 oncologic patients have been considered for prophylactic consolidation in this prospective multicentre pilot study involving 4 different hospitals. These consolidations were performed percutaneously under fluoroscopic guidance using Y-STRUT®, a dedicated internal fixation device. For osteoporotic patients, orthopaedic surgeons performed the prophylactic consolidations immediately after surgical treatment of a hip fracture (same anaesthesia) in the opposite side. For oncologic patients, without current hip fracture but considered at risk (Mirels score ≥8), interventional radiologists performed the procedures. We report the preliminary results of feasibility, safety and tolerance of these preventive consolidations using Y-STRUT®. Four patients (mean 83 years old) had prophylactic consolidation because of a severe osteoporosis (mean T-score -3.30) resulting in first hip fractures. Ten patients (mean 61 years old) were treated because of impending pathological fractures (mean Mirels score 9) related to femoral neck osteolytic metastases. All the procedures were performed with success. Wound healing was achieved in all cases with no access site complication. Radiographic exams performed at 3 months follow-up revealed that Y-STRUT® was well integrated in the bone. For the osteoporotic cohort, mean pain was 0.9 ± 0.7 at 3 weeks. For the oncologic cohort, it decreases from 3.6 ± 2.9 at baseline to 2.4 ± 0.9 at 2 months. Preliminary results demonstrate the feasibility and safety of Y-STRUT® implantation as well as the tolerance of the device.

  2. Effectiveness of a universal school-based programme for preventing depression in Chinese adolescents: a quasi-experimental pilot study.

    Science.gov (United States)

    Wong, Paul W C; Fu, King-Wa; Chan, Kim Y K; Chan, Wincy S C; Liu, Patricia M Y; Law, Yik-Wa; Yip, Paul S F

    2012-12-15

    Evidence of the effectiveness, rather than efficacy, of universal school-based programmes for preventing depression among adolescents is limited. This study examined the effectiveness of a universal depression prevention programme, "The Little Prince is Depressed" (LPD), which adopted the cognitive-behavioural model and aimed to reduce depressive symptoms and enhance protective factors of depression among secondary school students in Hong Kong. A quasi-experimental design was adopted for this pilot study. Thirteen classes were assigned to the intervention or control conditions according to the deliberation of the programme administrator of the four participating schools. Implementation was carried out in two phases, with a professional-led first phase and teacher-led programme second phase. LPD consisted of a 12-week school-based face-to-face programme with psycho-educational lessons and homework assignments. Students completed the programme generally showed positive development in help-seeking attitudes and self-esteem. For students who had more depressive symptoms at pre-assessment, the programme was found to be significant in enhancing cognitive-restructuring skills and support-seeking behaviours. The programme was not, however, found to be statistically significant in reducing depressive symptoms of the participants over the study period. A small sample size, a high attrition rate, and a short follow-up time frame. The LPD programme was successful in building resilience of the students in general and enhancing the cognitive-behavioural skills of students with depressive symptoms. While we did not find sufficient evidence for concluding that the LPD was effective in reducing depressive symptoms, we believe that these results highlight the challenges of implementing evidence-based practices generated from highly controlled environments in real-life settings. Copyright © 2012 Elsevier B.V. All rights reserved.

  3. Pilot-onderzoek voor het Pienter-project: Seroprevalenties voor bof, mazelen, rubella, kinkhoest, Toxoplasma gondii, Toxocara, T. spiralis en hepatitis A

    NARCIS (Netherlands)

    Melker HE de; Peet TE van der; Berbers WAM; Akker R van de; Knapen F van; Schellekens JFP; Conyn-van Spaendonck MAE; CIE; LVO; VIR; LPM; LBA

    1995-01-01

    Important information on the occurrence of infectious diseases can be derived from serosurveillance. In 1994 a pilot study for the PIENTER-project was carried out to investigate the feasibility of the establishment of a serum bank representatitive for the Dutch general population. As part of this

  4. Samba for solar modules. Brazil decides reimbursement strategy and starts pilot projects; Samba fuer Solarmodule. Brasilien macht den Weg fuer die Einspeisung von Solarstrom frei und startet Pilotprojekte

    Energy Technology Data Exchange (ETDEWEB)

    Rosell, Alejandro Diego

    2012-06-15

    Better late than never: After long years of discussion, Brazil recently decided on a reimbursement strategy. Further, pilot projects with a total of 24 MW are in te planning stage. While some expect a major invitation for tender, local experts warn of rough times ahead.

  5. EXPANDING URBAN AMERICAN INDIAN YOUTHS’ REPERTOIRE OF DRUG RESISTANCE SKILLS: PILOT RESULTS FROM A CULTURALLY ADAPTED PREVENTION PROGRAM

    Science.gov (United States)

    Kulis, Stephen; Dustman, Patricia A.; Brown, Eddie F.; Martinez, Marcos

    2013-01-01

    This article examines changes in the drug resistance strategies used by urban American Indian (UAI) middle school students during a pilot test of a substance use prevention curriculum designed specifically for UAI youth, Living in 2 Worlds (L2W). L2W teaches four drug resistance strategies (refuse, explain, avoid, leave [R-E-A-L]) in culturally appropriate ways. Data come from 57 UAI students (53% female; mean age = 12.5 years) who participated in L2W during an academic enrichment class for Native youth at two Phoenix schools. Students completed a pre-test questionnaire before the L2W lessons and a post-test 7 months later. Questions assessed the use of R-E-A-L and alternative strategies commonly reported by UAI youth (change the subject, use humor). Tests of mean differences from pre-test to post-test showed significant increases in use of refuse, R-E-A-L repertoire. Use of more passive strategies (avoid, use humor) did not change significantly, except for change the subject, which increased. Changes in the use of strategies did not differ significantly by gender, age, school grades, parental education, or length of urban residence. The L2W curriculum appears effective in teaching culturally relevant communication strategies that expand UAI youths’ repertoire of drug resistance skills. PMID:23529769

  6. A Pilot Study of Stress System Activation in Children Enrolled in a Targeted Prevention Program: Implications for Personalization

    Directory of Open Access Journals (Sweden)

    Bonnie Klimes-Dougan

    2018-01-01

    Full Text Available Empirically validated interventions addressing childhood psychological problems are now readily available, but success likely depends in part on accurately identifying which children will benefit from which intervention. This pilot study examined the stress activation and response system, first as a way to differentiate high versus low-risk children, and second to explore indicators of the stress system associated with favorable intervention response. Method. Participants (N = 43, 58% male were school-aged children who qualified for inclusion in the Early Risers “Skills for Success” Prevention Program based on their elevated levels of aggressive and/or socially withdrawn behavior and a normally developing comparison group. Compared to the normally developing group, children who were participants in the intervention exhibited a more blunted cortisol response to the stress paradigm. However, for the children in the intervention group, elevated cortisol levels at the start of the stress paradigm were concurrently associated with internalizing problems and predictive of improvement in internalizing problems over time. These findings provide preliminary evidence that hypothalamic pituitary adrenal (HPA axis biological variables may be helpful tools for identifying children who would benefit from intervention and personalizing interventions.

  7. Teaching Climate Change Using System Models: An Understanding Global Change Project Pilot Study

    Science.gov (United States)

    Bean, J. R.; Stuhlsatz, M.; Bracey, Z. B.; Marshall, C. R.

    2017-12-01

    Teaching and learning about historical and anthropogenic climate change in the classroom requires integrating instructional resources that address physical, chemical, and biological processes. The Understanding Global Change (UGC) framework and system models developed at the University of California Museum of Paleontology (UCMP) provide visualizations of the relationships and feedbacks between Earth system processes, and the consequences of anthropogenic activities on global climate. This schema provides a mechanism for developing pedagogic narratives that are known to support comprehension and retention of information and relationships. We designed a nine-day instructional unit for middle and high school students that includes a sequence of hands-on, inquiry-based, data rich activities combined with conceptual modeling exercises intended to foster students' development of systems thinking and their understanding of human influences on Earth system processes. The pilot unit, Sea Level Rise in the San Francisco Bay Area, addresses the human causes and consequences of sea level rise and related Earth system processes (i.e., the water cycle and greenhouse effect). Most of the content is not Bay Area specific, and could be used to explore sea level rise in any coastal region. Students completed pre and post assessments, which included questions about the connectedness of components of the Earth system and probed their attitudes towards participating in environmental stewardship activities. Students sequentially drew models representing the content explored in the activities and wrote short descriptions of their system diagrams that were collected by teachers for analysis. We also randomly assigned classes to engage in a very short additional intervention that asked students to think about the role that humans play in the Earth system and to draw themselves into the models. The study will determine if these students have higher stewardship scores and more frequently

  8. Strengthening district health service management and delivery through internal contracting: lessons from pilot projects in Cambodia.

    Science.gov (United States)

    Khim, Keovathanak; Annear, Peter Leslie

    2013-11-01

    Following a decade of piloting different models of contracting, in mid-2009 the Cambodian Ministry of Health began to test a form of 'internal contracting' for health care delivery in selected health districts (including hospitals and health centers) contracted by the provincial health department as Special Operating Agencies (SOAs) and provided with greater management autonomy. This study assesses the internal contracting approach as a means for improving the management of district health services and strengthening service delivery. While the study may contribute to the emerging field now known as performance-based financing, the lessons deal more broadly with the impact of management reform and increased autonomy in contrast to traditional public sector line-management and budgeting. Carried out during 2011, the study was based on: (i) a review of the literature and of operational documents; (ii) primary data from semi-structured key informant interviews with 20 health officials in two provinces involved in four SOA pilot districts; and (iii) routine data from the 2011 SOA performance monitoring report. Five prerequisites were identified for effective contract management and improved service delivery: a clear understanding of roles and responsibilities by the contracting parties; implementation of clear rules and procedures; effective management of performance; effective monitoring of the contract; and adequate and timely provision of resources. Both the level and allocation of incentives and management bottlenecks at various levels continue to impede implementation. We conclude that, in contracted arrangements like these, the clear separation of contracting functions (purchasing, commissioning, monitoring and regulating), management autonomy where responsibilities are genuinely devolved and accepted, and the provision of resources adequate to meet contract demands are necessary conditions for success. Copyright © 2013 Elsevier Ltd. All rights reserved.

  9. The Performance and Registration Information Systems Management (PRISM) pilot demonstration project

    Science.gov (United States)

    1999-12-01

    The Intermodal Surface Transportation Efficiency Act of 1991 mandated a study to explore the potential of the commercial motor vehicle (CMV) registration process as a safety enforcement tool for reducing CMV accidents. The project sought to establish...

  10. Pilot Project to Optimize Superfund-financed Pump and Treat Systems: Summary Report and Lessons Learned

    Science.gov (United States)

    This report summarizes Phase II (site optimization) of the Nationwide Fund-lead Pump and Treat Optimization Project. This phase included conducting Remediation System Evaluations (RSEs) at each of the 20 sites selected in Phase I.

  11. Development and pilot study of a marketing strategy for primary care/internet-based depression prevention intervention for adolescents (the CATCH-IT intervention).

    Science.gov (United States)

    Van Voorhees, Benjamin W; Watson, Natalie; Bridges, John F P; Fogel, Joshua; Galas, Jill; Kramer, Clarke; Connery, Marc; McGill, Ann; Marko, Monika; Cardenas, Alonso; Landsback, Josephine; Dmochowska, Karoline; Kuwabara, Sachiko A; Ellis, Justin; Prochaska, Micah; Bell, Carl

    2010-01-01

    Adolescent depression is both common and burdensome, and while evidence-based strategies have been developed to prevent adolescent depression, participation in such interventions remains extremely low, with less than 3% of at-risk individuals participating. To promote participation in evidence-based preventive strategies, a rigorous marketing strategy is needed to translate research into practice. To develop and pilot a rigorous marketing strategy for engaging at-risk individuals with an Internet-based depression prevention intervention in primary care targeting key attitudes and beliefs. A marketing design group was constituted to develop a marketing strategy based on the principles of targeting, positioning/competitor analysis, decision analysis, and promotion/distribution and incorporating contemporary models of behavior change. We evaluated the formative quality of the intervention and observed the fielding experience for prevention using a pilot study (observational) design. The marketing plan focused on "resiliency building" rather than "depression intervention" and was relayed by office staff and the Internet site. Twelve practices successfully implemented the intervention and recruited a diverse sample of adolescents with > 30% of all those with positive screens and > 80% of those eligible after phone assessment enrolling in the study with a cost of $58 per enrollee. Adolescent motivation for depression prevention (1-10 scale) increased from a baseline mean value of 7.45 (SD = 2.05) to 8.07 poststudy (SD = 1.33) (P = .048). Marketing strategies for preventive interventions for mental disorders can be developed and successfully introduced and marketed in primary care.

  12. [The regional model of three-level system of of medical social monitoring of children and adolescents: the pilot project in the Republic of Tatarstan].

    Science.gov (United States)

    Al'bitskii, V Iu; Ustinova, N V; Farrakhov, A Z; Shavaliev, R F; Kulikov O V; Plaksina, L V

    2014-01-01

    The absence of system of medical social monitoring of children being in difficult life situations is one of main causes of preventable losses of health and life of children and adolescents. The plan of activities of the working group No3 under the Coordination council under the President of the Russian Federation of the national strategy realization of actions in interest of children for 2012-2017 includes a point: "The development and implementation of standard model of medical social monitoring of children and adolescents in the subjects of the Russian Federation". The implementation of this task is assigned to the Department of social pediatrics of The research center of children health of Moscow and the Ministry of Health of the Republic of Tatarstan. The research methods included analysis and generalization of advanced experience of medical social monitoring of children population; expertise technique; modeling. The regional model of three-level system of medical social monitoring of children population is developed and implemented. The model includes level I (consulting rooms of medical social care of children polyclinics, feldsher obstetric stations, first-aid centers), level II--inter-municipal (departments of medical social monitoring in central district hospitals, medical institutions, clinical diagnostic centers) and level III--regional (the Republican center of medical social monitoring of children and adolescents). The immediate tasks necessary for effective functioning of system of medical social monitoring were determined. Within the framework of implementation of the pilot project the legal and normative legislative acts were developed to regulate functioning of regional model of three-level system of medical social care. The other documents necessary for effective functioning of this system were elaborated. The practical significance of this system is in the implementation of effective three-level model of medical social monitoring of children and

  13. Manpower Projections, Recruitment Needs and Training Requirements for Commercial Airline Pilots in the United States 1968-1979.

    Science.gov (United States)

    Simons, Robert Marchand

    This study evaluated the reported airline pilot shortage in relation to certified air carriers; recruitment needs for qualified applicants; training requirements as recommended by air carriers, airline captains, and flight officers; and airline pilot supply and demand during 1968-79. A literature review on foreign and domestic pilot shortages was…

  14. Moderated online social therapy for depression relapse prevention in young people: pilot study of a 'next generation' online intervention.

    Science.gov (United States)

    Rice, Simon; Gleeson, John; Davey, Christopher; Hetrick, Sarah; Parker, Alexandra; Lederman, Reeva; Wadley, Greg; Murray, Greg; Herrman, Helen; Chambers, Richard; Russon, Penni; Miles, Christopher; D'Alfonso, Simon; Thurley, Melissa; Chinnery, Gina; Gilbertson, Tamsyn; Eleftheriadis, Dina; Barlow, Emma; Cagliarini, Daniella; Toh, Jia-Wern; McAlpine, Stuart; Koval, Peter; Bendall, Sarah; Jansen, Jens Einar; Hamilton, Matthew; McGorry, Patrick; Alvarez-Jimenez, Mario

    2016-06-17

    Implementation of targeted e-mental health interventions offers a promising solution to reducing the burden of disease associated with youth depression. A single-group pilot study was conducted to evaluate the acceptability, feasibility, usability and safety of a novel, moderated online social therapy intervention (entitled Rebound) for depression relapse prevention in young people. Participants were 42 young people (15-25 years) (50% men; mean age = 18.5 years) in partial or full remission. Participants had access to the Rebound platform for at least 12 weeks, including the social networking, peer and clinical moderator and therapy components. Follow-up data were available for 39 (92.9%) participants. There was high system usage, with 3034 user logins (mean = 72.2 per user) and 2146 posts (mean = 51.1). Almost 70% of users had ≥10 logins over the 12 weeks, with 78.5% logging in over at least 2 months of the pilot. A total of 32 (84%) participants rated the intervention as helpful. There was significant improvement between the number of participants in full remission at baseline (n = 5; none of whom relapsed) relative to n = 19 at 12-week follow-up (P < 0.001). Six (14.3%) participants relapsed to full threshold symptoms at 12 weeks. There was a significant improvement to interviewer-rated depression scores (Montgomery-Asberg Depression Rating Scale (MADRS); P = 0.014, d = 0.45) and a trend for improved strength use (P = 0.088, d = 0.29). The single-group design and 12-week treatment phase preclude a full understanding of the clinical benefits of the Rebound intervention. The Rebound intervention was shown to be acceptable, feasible, highly usable and safe in young people with major depression. © 2016 John Wiley & Sons Australia, Ltd.

  15. Curcuma longa (Turmeric) for Prevention of Capecitabine-Induced Hand-Foot Syndrome: A Pilot Study.

    Science.gov (United States)

    Scontre, Vanessa Armenio; Martins, Janine Capobiango; de Melo Sette, Claudia Vaz; Mutti, Haila; Cubero, Daniel; Fonseca, Fernando; Del Giglio, Auro

    2017-11-02

    Hand-foot syndrome (HFS) is common and frequently occurs in the first cycle of treatment in approximately 40% to 50% of patients who receive capecitabine. Turmeric (Curcuma longa) is a plant used in Ayurvedic medicine with clinical activity in various inflammatory conditions. Our objective was to evaluate whether turmeric was active for the prevention of capecitabine-induced HFS. We included patients older than 18 years of age without previous exposure to capecitabine who were scheduled to receive this medication. Before starting treatment, after three weeks and at the end of six weeks, we evaluated dermatologic toxicity, conducted quality-of-life questionnaires (EORTC-QLQC30 and DLQI) and collected serum inflammatory biomarkers (inerleukin-6 (IL-6), tumor necrosis factor-a (TNF-a), C-reactive protein (CRP), and albumin). We administered turmeric at a dose of 4 g/day (2 pills 12 hours apart) starting at the beginning of capecitabine treatment and lasting six weeks. We included 40 patients whose mean age was 62 years. Most were female (80%), 52% had breast cancer, and 47.5% had GI tumors. After the first cycle of capecitabine treatment, we observed that 11 of 40 patients developed HFS (27.5%; 95% CI [15, 42]), whereas four patients developed HFS equal or superior to grade 2 (10%; 95% CI [3.3, 23]). We did not find any correlations between the inflammatory markers tested and HFS. We show that turmeric combined with capecitabine seems to produce a lower rate of HFS, especially grade 2 or higher. These findings need to be reproduced in larger controlled studies.

  16. The role of fibular tape in the prevention of ankle injury in basketball: A pilot study.

    Science.gov (United States)

    Moiler, Kym; Hall, Toby; Robinson, Kim

    2006-09-01

    Prospective nonrandomized controlled trial. To determine the effect of fibular repositioning tape (FRT) on incidence and severity of ankle injury. Pain and functional disability is common following ankle sprain and a major problem in sport. A novel method of taping, FRT, which has been described to prevent ankle sprain, requires less tape than traditional methods and is easier to apply. The objective of this study was to determine the effect of FRT on the incidence and severity of ankle injury in basketball. One hundred twenty-five male basketball players were assigned at time of play to either the control (209 exposures) or FRT (224 exposures) condition in a manner of convenience. Control participants had the choice on the use and type of prophylaxis, excluding FRT. FRT participants were taped using the method described by Mulligan. Ankle injury data were collected after each exposure. Injury severity was determined by functional limitation, pain levels, and days to return to play. Four hundred forty-three measured basketball exposures resulted in 11 ankle injuries. All injuries occurred in subjects with a history of previous ankle sprain. Significantly less ankle injuries were sustained by members of the FRT condition (n = 2), compared to members of the control condition (n = 9) (Fisher exact test, P = .03). The odds ratio of sustaining an ankle injury was 0.20 (P = .04; 95% confidence interval [CI]: 0.04, 0.93) when taped with FRT and the number needed to treat was 22 (95% CI, 12-312). This study provides preliminary data regarding the prophylactic effects of FRT on ankle injury in male basketball players.

  17. Participatory testing and reporting in an environmental-justice community of Worcester, Massachusetts: a pilot project

    Directory of Open Access Journals (Sweden)

    Calvache Maria-Camila

    2010-07-01

    Full Text Available Abstract Background Despite indoor home environments being where people spend most time, involving residents in testing those environments has been very limited, especially in marginalized communities. We piloted participatory testing and reporting that combined relatively simple tests with actionable reporting to empower residents in Main South/Piedmont neighborhoods of Worcester, Massachusetts. We answered: 1 How do we design and implement the approach for neighborhood and household environments using participatory methods? 2 What do pilot tests reveal? 3 How does our experience inform testing practice? Methods The approach was designed and implemented with community partners using community-based participatory research. Residents and researchers tested fourteen homes for: lead in dust indoors, soil outdoors, paint indoors and drinking water; radon in basement air; PM2.5 in indoor air; mold spores in indoor/outdoor air; and drinking water quality. Monitoring of neighborhood particulates by residents and researchers used real-time data to stimulate dialogue. Results Given the newness of our partnership and unforeseen conflicts, we achieved moderate-high success overall based on process and outcome criteria: methods, test results, reporting, lessons learned. The conflict burden we experienced may be attributable less to generic university-community differences in interests/culture, and more to territoriality and interpersonal issues. Lead-in-paint touch-swab results were poor proxies for lead-in-dust. Of eight units tested in summer, three had very high lead-in-dust (>1000 μg/ft2, six exceeded at least one USEPA standard for lead-in-dust and/or soil. Tap water tests showed no significant exposures. Monitoring of neighborhood particulates raised awareness of environmental health risks, especially asthma. Conclusions Timely reporting back home-toxics' results to residents is ethical but it must be empowering. Future work should fund the active

  18. One-year effects of Project EX: A smoking intervention pilot program with Spanish adolescents.

    Science.gov (United States)

    Espada, José P; Gonzálvez, María T; Orgilés, Mireia; Sussman, Steve

    2017-07-01

    Adolescent smoking is a major public health problem, which has led to the development of cessation programs such as Project EX. However, there is no evidence for the long-term efficacy of cessation among Spanish adolescents. This study provides a 1-year follow-up evaluation of the Project EX tobacco use cessation program among 211 smokers. The intent-to-treat 30-day smoking quit rate for the program group was 7.81 percent ( p = .04), whereas no smokers quit in the control group ( p = .02). The intervention had a significant influence on future smoking expectation, intention, motivation to quit, and overall level of 30-day smoking. Long-term outcomes of the Project EX clinic-based program are promising for adolescent smokers in Spain.

  19. Finding a voice: participatory research with street-involved youth in the youth injection prevention project.

    Science.gov (United States)

    Coser, Larissa Rodrigues; Tozer, Kira; Van Borek, Natasha; Tzemis, Despina; Taylor, Darlene; Saewyc, Elizabeth; Buxton, Jane A

    2014-09-01

    This article uses a Positive Youth Development framework to explore the experiences of six experiential youth coresearchers (YCs) in the Youth Injection Prevention (YIP) participatory research project, and the parallel track process of empowerment and capacity building that developed. The YIP project was conducted in Metro Vancouver at the BC Centre for Disease Control and community organizations serving street-involved youth. A process evaluation was conducted to explore themes in the YCs experience in the project, as well as process strengths and challenges. Semistructured interviews with the YCs, researcher field notes, and team meeting and debrief session minutes were analyzed. The YIP project appears to have exerted a positive influence on the YCs. Positive self-identities, sense of purpose, reconceptualization of intellectual ability, new knowledge and skills, supportive relationships, finding a voice, and social and self-awareness were among the positive impacts. Process strengths included team-building activities, team check-in and checkout sessions, and professional networking opportunities. Process challenges included the time required to help YCs overcome personal barriers to participation. The YIP project demonstrates that participatory research with street-involved youth is a viable research option that contributes to positive youth development and empowerment. © 2014 Society for Public Health Education.

  20. DNA methylation profiling of the human major histocompatibility complex: a pilot study for the human epigenome project.

    Directory of Open Access Journals (Sweden)

    Vardhman K Rakyan

    2004-12-01

    Full Text Available The Human Epigenome Project aims to identify, catalogue, and interpret genome-wide DNA methylation phenomena. Occurring naturally on cytosine bases at cytosine-guanine dinucleotides, DNA methylation is intimately involved in diverse biological processes and the aetiology of many diseases. Differentially methylated cytosines give rise to distinct profiles, thought to be specific for gene activity, tissue type, and disease state. The identification of such methylation variable positions will significantly improve our understanding of genome biology and our ability to diagnose disease. Here, we report the results of the pilot study for the Human Epigenome Project entailing the methylation analysis of the human major histocompatibility complex. This study involved the development of an integrated pipeline for high-throughput methylation analysis using bisulphite DNA sequencing, discovery of methylation variable positions, epigenotyping by matrix-assisted laser desorption/ionisation mass spectrometry, and development of an integrated public database available at http://www.epigenome.org. Our analysis of DNA methylation levels within the major histocompatibility complex, including regulatory exonic and intronic regions associated with 90 genes in multiple tissues and individuals, reveals a bimodal distribution of methylation profiles (i.e., the vast majority of the analysed regions were either hypo- or hypermethylated, tissue specificity, inter-individual variation, and correlation with independent gene expression data.

  1. DNA Methylation Profiling of the Human Major Histocompatibility Complex: A Pilot Study for the Human Epigenome Project

    Science.gov (United States)

    Rakyan, Vardhman K; Hildmann, Thomas; Novik, Karen L; Lewin, Jörn; Tost, Jörg; Cox, Antony V; Andrews, T. Dan; Howe, Kevin L; Otto, Thomas; Olek, Alexander; Fischer, Judith; Gut, Ivo G; Berlin, Kurt

    2004-01-01

    The Human Epigenome Project aims to identify, catalogue, and interpret genome-wide DNA methylation phenomena. Occurring naturally on cytosine bases at cytosine–guanine dinucleotides, DNA methylation is intimately involved in diverse biological processes and the aetiology of many diseases. Differentially methylated cytosines give rise to distinct profiles, thought to be specific for gene activity, tissue type, and disease state. The identification of such methylation variable positions will significantly improve our understanding of genome biology and our ability to diagnose disease. Here, we report the results of the pilot study for the Human Epigenome Project entailing the methylation analysis of the human major histocompatibility complex. This study involved the development of an integrated pipeline for high-throughput methylation analysis using bisulphite DNA sequencing, discovery of methylation variable positions, epigenotyping by matrix-assisted laser desorption/ionisation mass spectrometry, and development of an integrated public database available at http://www.epigenome.org. Our analysis of DNA methylation levels within the major histocompatibility complex, including regulatory exonic and intronic regions associated with 90 genes in multiple tissues and individuals, reveals a bimodal distribution of methylation profiles (i.e., the vast majority of the analysed regions were either hypo- or hypermethylated), tissue specificity, inter-individual variation, and correlation with independent gene expression data. PMID:15550986

  2. Partitioning technologies and actinide science: towards pilot facilities in Europe (ACSEPT project)

    International Nuclear Information System (INIS)

    Bourg, S.; Hill, C.; Ouvrier, N.

    2010-01-01

    ACSEPT is an essential contribution to the demonstration, in the long term, of the potential benefits of actinide recycling to minimize the burden on the geological repositories. To succeed, ACSEPT is organized into three technical domains: (i) Considering technically mature aqueous separation processes, ACSEPT works to optimize and select the most promising ones dedicated either to actinide partitioning or to grouped actinide separation. A substantial review was undertaken either to be sure that the right molecule families are being studied, or, on the contrary, to identify new candidates. Results of the first hot tests allowed the validation of some process options. (ii) Concerning pyrochemical separation processes, ACSEPT is focused on the enhancement of the two reference cores of process selected within EUROPART with specific attention to the exhaustive electrolysis in molten chloride (quantitative recovery of the actinides with the lowest amount of fission products) and to actinide back-extraction from an An-Al alloy. R and D efforts are also brought to key scientific and technical issues compulsory for building a complete separation process (head-end steps, salt treatment for recycling and waste management). (iii) By integrating all the experimental results within engineering and systems studies, both in hydro and pyro domains, ACSEPT will deliver relevant flowsheets and recommendations to prepare for future demonstration at a pilot level, in relation with strategies developed through the SNE-TP. In addition, a training and education programme is implemented to share the knowledge among the partitioning community and the future generations of researchers

  3. Project Impact: a pharmacotherapy pilot trial investigating the abstinence and treatment adherence of Latino light smokers.

    Science.gov (United States)

    de Dios, Marcel A; Anderson, Bradley J; Stanton, Cassandra; Audet, Daniel A; Stein, Michael

    2012-10-01

    Light smoking is particularly prevalent among Latino smokers. Nicotine replacement (NRT) and varenicline are effective medications for smoking cessation for moderate-heavy smokers but have not been tested in light smokers, and thus, there are no treatment guidelines for use with light smokers. This pilot trial tested the efficacy of NRT and varenicline in increasing smoking abstinence among Latino light smokers. A 3-group (NRT, varenicline, and varenicline-placebo) randomized design was used, and Latino light smokers (≤10 cigarettes per day) received 12 weeks of treatment, which included a culturally informed behavioral health session and ongoing medication management visits. At follow-up, there were no abstinent participants in the placebo and NRT groups. However, 30% of participants in the varenicline group were abstinent at the 3-, 4-, and 6-month follow-up. This study represents the only investigation that specifically targets Latino light smokers using these treatments and characterizing their treatment adherence. Copyright © 2012 Elsevier Inc. All rights reserved.

  4. The in-depth safety assessment (ISA) pilot projects in Ukraine

    International Nuclear Information System (INIS)

    Kot, C. A.

    1998-01-01

    Ukraine operates pressurized water reactors of the Soviet-designed type, VVER. All Ukrainian plants are currently operating with annually renewable permits until they update their safety analysis reports (SARs). After approval of the SARS by the Ukrainian Nuclear Regulatory Authority, the plants will be granted longer-term operating licenses. In September 1995, the Nuclear Regulatory Authority and the Government Nuclear Power Coordinating Committee of Ukraine issued a new contents requirement for the safety analysis reports of VVERs in Ukraine. It contains requirements in three major areas: design basis accident (DBA) analysis, probabilistic risk assessment (PRA), and beyond design-basis accident (BDBA) analysis. The DBA requirements are an expanded version of the older SAR requirements. The last two requirements, on PRA and BDBA, are new. The US Department of Energy (USDOE), through the International Nuclear Safety Program (INSP), has initiated an assistance and technology transfer program to Ukraine to assist their nuclear power stations in developing a Western-type technical basis for the new SARS. USDOE sponsored In-Depth Safety Assessments (ISAs) have been initiated at three pilot nuclear reactor units in Ukraine, South Ukraine Unit 1, Zaporizhzhya Unit 5, and Rivne Unit 1. USDOE/INSP have structured the ISA program in such a way as to provide maximum assistance and technology transfer to Ukraine while encouraging and supporting the Ukrainian plants to take the responsibility and initiative and to perform the required assessments

  5. Non-invasive method for preventing intradialytic hypotension: A pilot study.

    Science.gov (United States)

    Saxena, Anita; Sharma, R K; Gupta, Amit; John, Manns Manohar

    2015-09-01

    Intradialytic hypotension (IDH) is a life-threatening condition. We evaluated the feasibility of blood volume monitoring (BVM) and blood temperature monitoring (BTM) in preventing IDH in patients prone to the same. Fourteen hemodynamically unstable end-stage renal disease patients who were prone to IDH and unable to achieve dry weight were given BVM treatment twice weekly for two weeks. Forty patients who were not on BVM treatment served as controls. Patients were anemic, had low serum albumin (3.4 ± 0.43 g/dL) and fluid overload and were edematous. Of the 40 patients in the control group, 18 patients experienced IDH and dialysis had to be terminated. The incidence of IDH was 5% in the control group. In the BVM group, the total volume of fluid removed during hemodialysis was between 2.0 and 4.5 L (mean 3.2 L). By the end of dialysis, the hemo-concentration increased by 34.8%. With use of BVM and BTM, the blood pressure did not drop below 120/80 mm Hg, the dialysis sessions were uneventful and none of the patients suffered symptoms of hypotension. There was a difference of 3 kg between weight achieved and dry weight of the patient, although there was a 14.2% reduction in extracellular water (ECW), 14.5% in plasma fluid and 14.5% decrease in interstitial fluid. Blood volume significantly correlated with post-dialysis intracellular water (ICW) (r = 0.722, P = 0.008) and ECW/ICW ratio (r = 0.698, P = 0.012). There was a significant correlation between systolic blood pressure and ECW (r = 0.615, P = 0.033). Diastolic blood pressure significantly correlated with post-dialysis ECW (r = 0.690, P = 0.008), plasma fluid post-dialysis (r = 0.632, P = 0.027) and interstitial fluid (r = 0.604, P = 0.038). The ECW/ICW ratio was high (1.13 ± 0.48; control 0.74), implying overhydration and expanded extracellular fluid. BVM should be included in the dialysis protocol where patient compliance to maintenance hemodialysis is poor and patients are constantly in volume overload.

  6. EcoPrinciples Connect: A Pilot Project Matching Ecological Principles with Available Data to Promote Ecosystem-Based Management

    Science.gov (United States)

    Martone, R. G.; Erickson, A.; Mach, M.; Hale, T.; McGregor, A.; Prahler, E. E.; Foley, M.; Caldwell, M.; Hartge, E. H.

    2016-12-01

    Ocean and coastal practitioners work within existing financial constraints, jurisdictions, and legislative authorities to manage coastal and marine resources while seeking to promote and maintain a healthy and productive coastal economy. Fulfilling this mandate necessitates incorporation of best available science, including ecosystem-based management (EBM) into coastal and ocean management decisions. To do this, many agencies seek ways to apply lessons from ecological theory into their decision processes. However, making direct connections between science and management can be challenging, in part because there is no process for linking ecological principles (e.g., maintaining species diversity, habitat diversity, connectivity and populations of key species) with available data. Here we explore how incorporating emerging data and methods into resource management at a local scale can improve the overall health of our coastal and marine ecosystems. We introduce a new web-based interface, EcoPrinciples Connect, that links marine managers to scientific and geospatial information through the lens of these ecological principles, ultimately helping managers become more efficient, more consistent, and advance the integration of EBM. The EcoPrinciples Connect tool grew directly out of needs identified in response to a Center for Ocean Solutions reference guide, Incorporating Ecological Principles into California Ocean and Coastal Management: Examples from Practice. Here we illustrate how we have worked to translate the information in this guide into a co-developed, user-centric tool for agency staff. Specifically, we present a pilot project where we match publicly available data to the ecological principles for the California San Francisco Bay Conservation and Development Commission. We will share early lessons learned from pilot development and highlight opportunities for future transferability to an expanded group of practitioners.

  7. Understanding of Danish Passive Houses based on Pilot Project the Comfort Houses

    DEFF Research Database (Denmark)

    Brunsgaard, Camilla

    2010-01-01

    The building industry in Denmark and the rest of Europe is facing challenges in fulfilling the EU directive of 2002. New buildings and renovation projects need to improve the energy performance to be able to fulfil the Kyoto agreement from 1998 (Directive 2002). In Denmark it has resulted in new ...

  8. Smart energy households' pilot projects in the Netherlands with a design-driven approach

    NARCIS (Netherlands)

    Geelen, D.V.; Scheepens, A.; Kobus, C.; Obinna, U.; Mugge, R.; Schoormans, J.; Reinders, Angelina H.M.E.

    2013-01-01

    Residential smart grid projects can be evaluated by a design-driven approach, which focuses on gaining insights for successful product and service development by taking the end-users as a starting point. Because only little experience exists with this design-driven approach, this paper addresses how

  9. 77 FR 35466 - Pilot Project Grants in Support of Railroad Safety Risk Reduction Programs

    Science.gov (United States)

    2012-06-13

    ... contributions must be allowable, reasonable, allocable, and in accordance with applicable Office of Management... required for Grants.gov registration. The Office of Management and Budget requires that all businesses and... demonstrate that an applicant has a definite understanding of the scope and cost of the project. If FRA...

  10. The Agricultural Model Intercomparison and Improvement Project (AgMIP): Protocols and pilot studies

    NARCIS (Netherlands)

    Rosenzweig, C.; Jones, W.; Hatfield, J.L.; Ruane, A.C.; Boote, K.J.; Thorburn, P.; Antle, J.M.; Nelson, G.C.; Porter, C.; Janssen, S.J.C.; Asseng, S.; Basso, B.; Ewert, F.; Wallach, D.; Baigorria, G.; Winter, J.M.

    2013-01-01

    The Agricultural Model Intercomparison and Improvement Project (AgMIP) is a major international effort linking the climate, crop, and economic modeling communities with cutting-edge information technology to produce improved crop and economic models and the next generation of climate impact

  11. Collaborative International Evaluated Library Organisation Pilot Project. CIELO meeting, NEA Headquarters, 18-20 May 2015

    International Nuclear Information System (INIS)

    Mattoon, Caleb; Brown, David; Trkov, Andrej; Plompen, Arjan; Hawari, Ayman I.; Roubtsov, Danila; Kim, Do Heon; Bauge, Eric; Palmiotti, Giuseppe; Kessedjian, Gregoire; Conlin, Jeremy Lloyd; Qian, Jing; Leal, Luiz Carlos; Chadwick, Mark; Herman, Michal Wladyslaw; White, Morgan C.; Cabellos, Oscar; Romain, Pascal; Schillebeeckx, Peter; Ichou, Raphaelle; Jacqmin, Robert; Hilaire, Stephane; Danon, Yaron; Ge, Zhigang; Malvagi, Fausto; Kahler, Albert C. Skip; Morillon, Benjamin; Mcnabb, Dennis P.; Oleynik, Dmitry S.; Wu, Haicheng; Marquez Damian, Jose Ignacio; Yokoyama, Kenji; Dunn, Michael; Cho, Young-Sik; Pignet, Sophie; Ignatyuk, Anatoly V.; Leeb, Helmut; Wang, Wenming; Ruan, Xichao

    2015-05-01

    WPEC subgroup 40-CIELO (Collaborative International Evaluated Library Organization) provides a new working paradigm to facilitate evaluated nuclear reaction data advances. It brings together experts from across the international nuclear reaction data community to identify and document discrepancies among existing evaluated data libraries, measured data, and model calculation interpretations, and aims to make progress in reconciling these discrepancies to create more accurate ENDF-formatted files. SG40-CIELO focusses on 6 important isotopes: 1 H, 16 O, 56 Fe, 235,238 U, 239 Pu. This document is the proceedings of the CIELO meeting, held at the NEA Headquarters on 18-20 May 2015. It comprises all the available presentations (slides) given by the participants: A - CIELO project: - 1: Status of Cross Section Progress (M. Chadwick); - 2: Update on CIELO Related Measurements at RPI (Y. Danon); - 3: IAEA-NDS and the CIELO Project (A. Trkov); - 4: LANL Criticality Data Testing using CIELO Candidate Evaluations (S. Kahler); - 5: ENDF/B-VII.1 vs. CIELO (R. Cullen); B - O 16 : - 6: n+ 16 O (A. Plompen); - 7: Resonance Evaluations for 16 O for the CIELO Project (L. Leal); - 8: Validation of Leal and Hale O-16 Evaluations against FNS/JAEA Liquid Oxygen ToF Benchmark (I. Kodeli); - 9: Cierjacks 1968, Cierjacks 1980 and RPI 2015 (C.R. Lubitz); - 10: O 16 Items (C.R. Lubitz); C - Fe 56 : - 11: Iron in fast neutron range, beta-0 evaluation for 56 Fe (M. Herman); - 12: Data Evaluation at ORNL (L. Leal); - 13: IAEA-NDS and the CIELO Project Fe-56 (A. Trkov); - 14: The evaluation of experimental data in fast range for 56 Fe (Z. Ge); D - H1 - 15: Reactivity effect of New Light and Heavy Water TSL on Critical Systems (J.I. Marquez); E - Big3: - 16: Resonance Evaluations of 235 U for the CIELO Project (L. Leal); - 17: IAEA-NDS and the CIELO Project U-235 (A. Trkov); - 18: Status of 235 U CIELO evaluation (B. Morillon); - 19: U 235 Items (C.R. Lubitz); - 20: Fission Results, Capture

  12. Risk management in a large-scale CO2 geosequestration pilot project, Illinois, USA

    Science.gov (United States)

    Hnottavange-Telleen, K.; Chabora, E.; Finley, R.J.; Greenberg, S.E.; Marsteller, S.

    2011-01-01

    Like most large-scale infrastructure projects, carbon dioxide (CO 2) geological sequestration (GS) projects have multiple success criteria and multiple stakeholders. In this context "risk evaluation" encompasses multiple scales. Yet a risk management program aims to maximize the chance of project success by assessing, monitoring, minimizing all risks in a consistent framework. The 150,000-km2 Illinois Basin underlies much of the state of Illinois, USA, and parts of adjacent Kentucky and Indiana. Its potential for CO2 storage is first-rate among basins in North America, an impression that has been strengthened by early testing of the injection well of the Midwest Geological Sequestration Consortium's (MGSC's) Phase III large scale demonstration project, the Illinois Basin - Decatur Project (IBDP). The IBDP, funded by the U.S. Department of Energy's National Energy Technology Laboratory (NETL), represents a key trial of GS technologies and project-management techniques. Though risks are specific to each site and project, IBDP risk management methodologies provide valuable experience for future GS projects. IBDP views risk as the potential for negative impact to any of these five values: health and safety, environment, financial, advancing the viability and public acceptability of a GS industry, and research. Research goals include monitoring one million metric tonnes of injected CO2 in the subsurface. Risk management responds to the ways in which any values are at risk: for example, monitoring is designed to reduce uncertainties in parameter values that are important for research and system control, and is also designed to provide public assurance. Identified risks are the primary basis for risk-reduction measures: risks linked to uncertainty in geologic parameters guide further characterization work and guide simulations applied to performance evaluation. Formally, industry defines risk (more precisely risk criticality) as the product L*S, the Likelihood multiplied

  13. 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.

  14. Pilot Implementations

    DEFF Research Database (Denmark)

    Manikas, Maria Ie

    This PhD dissertation engages in the study of pilot (system) implementation. In the field of information systems, pilot implementations are commissioned as a way to learn from real use of a pilot system with real data, by real users during an information systems development (ISD) project and before...... the final system is implemented. Among others, their use is argued to investigate the fit between the technical design and the organisational use. But what is a pilot implementation really? In this dissertation, I set out to address this conceptual question. I initially investigate this question....... The analysis is conducted by means of a theoretical framework that centres on the concept infrastructure. With infrastructure I understand the relation between organised practice and the information systems supporting this practice. Thus, infrastructure is not a thing but a relational and situated concept...

  15. 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

  16. Shifting Resources and Focus to Meet the Goals of the National HIV/AIDS Strategy: The Enhanced Comprehensive HIV Prevention Planning Project, 2010–2013

    Science.gov (United States)

    Purcell, David W.; Fisher, Holly H.; Belcher, Lisa; Carey, James W.; Courtenay-Quirk, Cari; Dunbar, Erica; Eke, Agatha N.; Galindo, Carla A.; Glassman, Marlene; Margolis, Andrew D.; Neumann, Mary Spink; Prather, Cynthia; Stratford, Dale; Taylor, Raekiela D.; Mermin, Jonathan

    2016-01-01

    In September 2010, CDC launched the Enhanced Comprehensive HIV Prevention Planning (ECHPP) project to shift HIV-related activities to meet goals of the 2010 National HIV/AIDS Strategy (NHAS). Twelve health departments in cities with high AIDS burden participated. These 12 grantees submitted plans detailing jurisdiction-level goals, strategies, and objectives for HIV prevention and care activities. We reviewed plans to identify themes in the planning process and initial implementation. Planning themes included data integration, broad engagement of partners, and resource allocation modeling. Implementation themes included organizational change, building partnerships, enhancing data use, developing protocols and policies, and providing training and technical assistance for new and expanded activities. Pilot programs also allowed grantees to assess the feasibility of large-scale implementation. These findings indicate that health departments in areas hardest hit by HIV are shifting their HIV prevention and care programs to increase local impact. Examples from ECHPP will be of interest to other health departments as they work toward meeting the NHAS goals. PMID:26843670

  17. The URban Greenhouse gas Emissions assessment through inverse modeling (URGE) project: a pilot study in the Oslo area

    Science.gov (United States)

    Pisso, I. J.; Lopez-Aparicio, S.; Schneider, P.; Schmidbauer, N.; Vogt, M.

    2017-12-01

    Norway has set the target of cutting greenhouse gas (GHG) emissions by at least 40% compared to 1990 levels by 2030. This goal will require the implementation of policy measures aiming at strong reductions of GHGs emissions, especially in the urban environment. The implementation of urban policy measures is still a challenging task and it requires control and verification for success. The URGE project aims at assessing the emission flux of GHGs including comprehensive uncertainty estimates based on inverse transport modelling techniques and optimized use of measurements. The final goal is to establish a coherent and consistent GHG urban emission inventory. This will be carried out in a case study in Oslo (Norway), where CO2 will be the priority compound. The overall outcome of the project will provide support in the development of strategies to effectively reduce GHG emissions in the urban environment. The overall goal will be reached through establishing the baseline urban CO2 emission inventory for Oslo; determining the optimal measurement locations based on transport modelling (with flexpart-wrf); designing and carrying out a pilot measurement campaign of the CO2-rich air downwind of the city plume combining state-of-the-art instruments (Picarro) and small sensors; assessing the feasibility of determining the background concentration surrounding the city with satellite measurements (OCO2); and providing optimised estimates of the emissions and their uncertainties via inverse modelling (source-receptor relationship). One of our main interests is the interoperability and exchange of information with similar activities in other urban areas. We will present the overall project and the preliminary results of the network design. We will discuss the data exchange formats, the algorithms and data structures that could be used for results and methodology intercomparisons as well as the suitability to apply the same techniques to other atmospheric compounds.

  18. 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.

  19. Fog Collection Pilot Project (FCPP) in the Eastern Escarpments of Eritrea

    Science.gov (United States)

    Gherezghiher, T.

    2010-07-01

    Eritrea is water scarce country that relies heavily on underground water reserve and more than 80% of the rural population does not have access to safe and clean drinking water. In the rural areas, shallow hand dug wells are the primary sources of water and in most cases their discharge rate is deteriorating due to the recurrent drought. Particularly, in the targeted project areas underground water reserve is hard to find due to the steep topography. However, in these parts of Eritrea one will find a sector of mountains, about 700 km long, where the wind transports moist air from the Red Sea forming fog on the highlands. The area of the FCPP is the region of Maakel, near the villages Nefasit and Arborobu. The overall objective of his FCPP was to provide supplementary water supply system from large fog collectors (LFCs) in order to increase access to safe and clean drinking water in the targeted Schools and surrounding villages. Communities and students were organized to participate in the implementation of the project. Forty LFCs were established in all the targeted areas in previously evaluated potential locations. The project was implemented by Vision Eritrea, a National NGO in partnership with the country's' Water Resource Department; Fog Quest a Canadian NGO and Water Foundation, a German NGO, who also funded the project. The FCPP focused on introducing a new innovative water harvesting technology which is a crucial element for the survival of the people in the mountainous escarpment of the country; and with prospect of locally owned solutions for a sustainable management of and access to natural resource. Preliminary evaluation of the project showed that there was a good production of fog water, with an average of 6-8 litters/m2/day on the low intensity of fog and from 12 -18 litters on the high fog intensity. A functional water committee was established and trained on water management and maintenance of the LFC. They also developed water bylaw by which the

  20. Front-office staff can improve clinical tobacco intervention: health coordinator pilot project.

    Science.gov (United States)

    Bass, Frederic; Naish, Brigham; Buwembo, Isaac

    2013-11-01

    To learn whether front-line personnel in primary care practices can increase delivery of clinical tobacco interventions and also help smokers address physical inactivity, at-risk alcohol use, and depression. Uncontrolled before-and-after design. Vancouver, BC, area (4 practices); northern British Columbia (2 practices). Six practices, with 1 staff person per practice serving as a "health coordinator" who tracked and, after the baseline period, delivered preventive interventions to all patients who smoked. To assess delivery of preventive interventions, each practice was to sample 300 consecutive patient records, both at baseline and at follow-up 15 months later. Front-office staff were recruited, trained, paid, and given ongoing support to provide preventive care. Clinicians supplemented this care with advice and guided the use of medication. Effectiveness of the intervention was based on comparison, at baseline and at follow-up, of the proportion of patients with any of the following 6 proven intervention components documented in their medical records: chart reminder, advice received, self-management plan, target quit date, referral, and follow-up date (as they applied to tobacco, physical inactivity, at-risk alcohol use, and depression). A Tobacco Intervention Flow Sheet cued preventive care, and its data were entered into a spreadsheet (which served as a smokers' registry). Qualitative appraisal data were noted. For tobacco, substantial increases occurred after the intervention period in the proportion of patients with each of the intervention components noted in their charts: chart reminder (20% vs 94%); provision of advice (34% vs 79%); self-management plan (14% vs 57%); target quit date (5% vs 11%); referral (6% vs 11%); and follow-up date (7% vs 42%). Interventions for physical inactivity and depression showed some gains, but there were no gains for at-risk alcohol use. Front-line staff, patients, and clinicians were enthusiastic about the services offered

  1. ODM2 Admin Pilot Project- a Data Management Application for Observations of the Critical Zone.

    Science.gov (United States)

    Leon, M.; McDowell, W. H.; Mayorga, E.; Setiawan, L.; Hooper, R. P.

    2017-12-01

    ODM2 Admin is a tool to manage data stored in a relational database using the Observation Data Model 2 (ODM2) information model. Originally developed by the Luquillo Critical Zone Observatory (CZO) to manage a wide range of Earth observations, it has now been deployed at 6 projects: the Catalina Jemez CZO, the Dry Creek Experimental Forest, Au Sable and Manistee River sites managed by Michigan State, Tropical Response to Altered Climate Experiment (TRACE) and the Critical Zone Integrative Microbial Ecology Activity (CZIMEA) EarthCube project; most of these deployments are hosted on a Microsoft Azure cloud server managed by CUAHSI. ODM2 Admin is a web application built on the Python open-source Django framework and available for download from GitHub and DockerHub. It provides tools for data ingestion, editing, QA/QC, data visualization, browsing, mapping and documentation of equipment deployment, methods, and citations. Additional features include the ability to generate derived data values, automatically or manually create data annotations and create datasets from arbitrary groupings of results. Over 22 million time series values for more than 600 time series are being managed with ODM2 Admin across the 6 projects as well as more than 12,000 soil profiles and other measurements. ODM2 Admin links with external identifier systems through DOIs, ORCiDs and IGSNs, so cited works, details about researchers and earth sample meta-data can be accessed directly from ODM2 Admin. This application is part of a growing open source ODM2 application ecosystem under active development. ODM2 Admin can be deployed alongside other tools from the ODM2 ecosystem, including ODM2API and WOFpy, which provide access to the underlying ODM2 data through a Python API and Water One Flow web services.

  2. Incorporating the Six Core Elements of Health Care Transition Into a Medicaid Managed Care Plan: Lessons Learned From a Pilot Project.

    Science.gov (United States)

    McManus, Margaret; White, Patience; Pirtle, Robin; Hancock, Catina; Ablan, Michael; Corona-Parra, Raquel

    2015-01-01

    This pediatric-to-adult health care transition pilot project describes the process and results of incorporating the "Six Core Elements of Health Care Transition (2.0)" into a Medicaid managed care plan with a group of 35 18-23 year olds who have chronic mental health, developmental, and complex medical conditions. The pilot project demonstrated an effective approach for customizing and delivering recommended transition services. At the start of the 18-month project, the Medicaid plan was at the basic level (1) of transition implementation of the Six Core Elements with no transition policy, member transition readiness assessment results, health care transition plans of care, updated medical summaries, transfer package for the adult-focused provider, and assurance of transfer completion and consumer feedback. At the conclusion of the pilot project, the plan scored at level 3 on each core element. The primary reason for not scoring at the highest level (4) was because the transition elements have not been incorporated into services for all enrollees within the plan. Future efforts in managed care will benefit from starting the transition process much earlier (ages 12-14), expanding the role of nurse care managers and participating pediatric and adult-focused clinicians in transition, and offering payment incentives to clinicians to implement the Six Core Elements of Health Care Transition. Copyright © 2015 Elsevier Inc. All rights reserved.

  3. Cinemeducation: A pilot student project using movies to help students learn medical professionalism.

    Science.gov (United States)

    Lumlertgul, Nuttha; Kijpaisalratana, Naruchorn; Pityaratstian, Nuttorn; Wangsaturaka, Danai

    2009-07-01

    Using movies has been accepted worldwide as a tool to help students learn medical professionalism. In the second year, a group of medical students conducted the "Cinemeducation" project to promote professionalism in the "Medical Ethics and Critical Thinking" course. Five movies with professionalism issues were screened with 20-30 students attending each session. After the show, participants then were asked to reflect on what they had learned in terms of professionalism. Two students led group discussion emphasizing questioning and argumentation for 60 min. Additional learning issues emerging from each session were also explored in more depth and arranged into a report. In the Cinemeducation Project, medical students have learned five main ethical issues in each film, which were the doctor-patient relationship, informed consent and clinical trials in patients, management of genetic disorders, patient management, and brain death and organ transplantation. In addition to issues of professionalism, they also developed critical thinking and moral reasoning skills. Using a case-based scenario in movies has proven to be an effective and entertaining method of facilitating students with learning on professionalism.

  4. CDM pilot project to stimulate market for family-hydro for low-income households

    International Nuclear Information System (INIS)

    2004-01-01

    Over 100,000 low-income households living in rural, rice-farming regions of Vietnam and China rely upon family-hydro (between 100 and 200W) as the only affordable means of obtaining electricity. These systems are used for domestic lighting, radio and, in some cases, televisions. The units are small, cheap and are usually installed and owned by a single family. Funding from the CDM could be utilised in order to reduce the cost of good quality equipment to provide low-income households living in isolated off-grid locations with an affordable and sustainable electricity supply which can meet their needs for lighting, educational, productive and recreational uses. Therefore research was needed to determine the level of carbon emission reductions resulting from their use. The successful acceptance by the Prototype Carbon Fund (PCF) of the methodology of establishing the benchmark developed during this project could then be used as a precedent by other project developers in the future, thus being of long-term support to the emerging family-hydro industry. (author)

  5. 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

  6. Youth Engaged in Leadership & Learning Project, Redwood City. Report on Findings and Recommendations from the Pilot Project Formerly Known as the "Youth Mapping Project," November 2000-June 2001.

    Science.gov (United States)

    Stanford Univ., CA. John W. Gardner Center for Youth and Their Communities.

    This report summarizes preliminary findings from the Youth Engaged in Leadership and Learning project in Redwood City, California, which prepared and supported youth in becoming knowledgeable and active decision-makers in their schools and communities, and played a key role in developing youths' leadership skills and encouraging civic engagement…

  7. The approach of the PREFER project to wildfire prevention and damage assessment in the Mediterranean area

    Science.gov (United States)

    Laneve, Giovanni; Fusilli, Lorenzo; Tampellini, Maria Lucia; Vimercati, Marco; Hirn, Barbara; Sebastian-Lopez, Ana; Diagourtas, Dimitri; Eftychidis, Georgios; Clandillon, Stephen; Caspard, Mathilde; Oliveira, Sandra; Lourenco, Luciano

    2015-04-01

    PREFER is a Copernicus Emergency project funded from the 2012 FP7 Space Work Programme, and it is aimed at developing products and services that will contribute to improve the European capacity to respond to the preparedness, prevention, and recovery management steps in the case of forest fire emergency cycle, with focus on the Mediterranean area. It is well known from the most recent reports on state of Europe's forests that the Mediterranean area is particularly affected by uncontrolled forest fires, with a number of negative consequences on ecosystems, such as desertification and soil erosion, and on the local economy. Most likely, the current risks of forest fires will be exacerbated by climate change. In particular, the climate of Southern Europe and the Mediterranean basin is projected to warm at a rate exceeding the global average. Wild fires will therefore remain the most serious threat to Southern European forests. In this situation, the need to collect better information and more knowledge concerning future risks of forest fires and fire prevention in the Mediterranean area is widely recognized to be a major urgent one. As part of the Copernicus programme (i.e. the European Earth Observation Programme), PREFER is based on advanced geo-information products using in particular the earth observation data acquired and developed in the frame of Copernicus. The objective of the PREFER project, started at the end of 2012, 8 partners (from Italy, Portugal, Spain, France and Greece) involved and three years schedule, is the design, development and demonstration of a pre-operational "end-to-end" information service, fully exploiting satellite sensors data and able to support prevention/ preparedness and recovery phases of the Forest Fires emergency cycle in the EU Mediterranean Region. The PREFER information is as general as to be usable in the different countries of the Mediterranean Region, and acts in full complement to already existing services, such as the EC

  8. Digital Library for Access to Rare Materials. From pilot projects to national digitisation programmes

    Directory of Open Access Journals (Sweden)

    Adolf Knoll

    2003-09-01

    Full Text Available More than ten years ago, a first image digitisation product was published by the National Library of the Czech Republic in co-operation with an almost unknown small software company. It was a CD-ROM requested by UNESCO for its Memory of the World programme. After that there were many tests concerning digitisation devices and another two CD-ROM projects were completed to present two interesting manuscripts with rich description metadata related to all the structural levels of the book, including full text. In 1995 - 1996, our first digitisation centre was built to process manuscripts and old printed books. Later, it was upgraded several times with additional devices such as scanners, book cradles for careful document fixation, sophisticated camera stands, microclimate control units, etc. Simultaneously, many software tools were developed to assist the digitisation production. The co-operation with the company became crucial for further development of this activity and both the library and the company grew thanks to each other. In 1999, another project started to output digital data: it was based on the idea of safeguarding acid-paper library materials through preservation microfilming combined with digitisation of microfilm for access purposes. In order to be able to store large amounts of image data produced by this second programme, a mass storage facility was plugged into the digitisation production line. It was based on robotic library using magnetic tapes as storage medium. Successively, the digitisation programmes began to be used also by other Czech institutions holding rare collections of documents: other libraries, museums, archives, and even castle libraries and church institutions. Today, from all the digitised documents almost half of them are from other institutions than the National Library. This is an important success that has taken place thanks to support of the Ministry of Culture through specific grant programmes. Interested

  9. Identification and analysis of functional elements in 1% of the human genome by the ENCODE pilot project.

    Science.gov (United States)

    Birney, Ewan; Stamatoyannopoulos, John A; Dutta, Anindya; Guigó, Roderic; Gingeras, Thomas R; Margulies, Elliott H; Weng, Zhiping; Snyder, Michael; Dermitzakis, Emmanouil T; Thurman, Robert E; Kuehn, Michael S; Taylor, Christopher M; Neph, Shane; Koch, Christoph M; Asthana, Saurabh; Malhotra, Ankit; Adzhubei, Ivan; Greenbaum, Jason A; Andrews, Robert M; Flicek, Paul; Boyle, Patrick J; Cao, Hua; Carter, Nigel P; Clelland, Gayle K; Davis, Sean; Day, Nathan; Dhami, Pawandeep; Dillon, Shane C; Dorschner, Michael O; Fiegler, Heike; Giresi, Paul G; Goldy, Jeff; Hawrylycz, Michael; Haydock, Andrew; Humbert, Richard; James, Keith D; Johnson, Brett E; Johnson, Ericka M; Frum, Tristan T; Rosenzweig, Elizabeth R; Karnani, Neerja; Lee, Kirsten; Lefebvre, Gregory C; Navas, Patrick A; Neri, Fidencio; Parker, Stephen C J; Sabo, Peter J; Sandstrom, Richard; Shafer, Anthony; Vetrie, David; Weaver, Molly; Wilcox, Sarah; Yu, Man; Collins, Francis S; Dekker, Job; Lieb, Jason D; Tullius, Thomas D; Crawford, Gregory E; Sunyaev, Shamil; Noble, William S; Dunham, Ian; Denoeud, France; Reymond, Alexandre; Kapranov, Philipp; Rozowsky, Joel; Zheng, Deyou; Castelo, Robert; Frankish, Adam; Harrow, Jennifer; Ghosh, Srinka; Sandelin, Albin; Hofacker, Ivo L; Baertsch, Robert; Keefe, Damian; Dike, Sujit; Cheng, Jill; Hirsch, Heather A; Sekinger, Edward A; Lagarde, Julien; Abril, Josep F; Shahab, Atif; Flamm, Christoph; Fried, Claudia; Hackermüller, Jörg; Hertel, Jana; Lindemeyer, Manja; Missal, Kristin; Tanzer, Andrea; Washietl, Stefan; Korbel, Jan; Emanuelsson, Olof; Pedersen, Jakob S; Holroyd, Nancy; Taylor, Ruth; Swarbreck, David; Matthews, Nicholas; Dickson, Mark C; Thomas, Daryl J; Weirauch, Matthew T; Gilbert, James; Drenkow, Jorg; Bell, Ian; Zhao, XiaoDong; Srinivasan, K G; Sung, Wing-Kin; Ooi, Hong Sain; Chiu, Kuo Ping; Foissac, Sylvain; Alioto, Tyler; Brent, Michael; Pachter, Lior; Tress, Michael L; Valencia, Alfonso; Choo, Siew Woh; Choo, Chiou Yu; Ucla, Catherine; Manzano, Caroline; Wyss, Carine; Cheung, Evelyn; Clark, Taane G; Brown, James B; Ganesh, Madhavan; Patel, Sandeep; Tammana, Hari; Chrast, Jacqueline; Henrichsen, Charlotte N; Kai, Chikatoshi; Kawai, Jun; Nagalakshmi, Ugrappa; Wu, Jiaqian; Lian, Zheng; Lian, Jin; Newburger, Peter; Zhang, Xueqing; Bickel, Peter; Mattick, John S; Carninci, Piero; Hayashizaki, Yoshihide; Weissman, Sherman; Hubbard, Tim; Myers, Richard M; Rogers, Jane; Stadler, Peter F; Lowe, Todd M; Wei, Chia-Lin; Ruan, Yijun; Struhl, Kevin; Gerstein, Mark; Antonarakis, Stylianos E; Fu, Yutao; Green, Eric D; Karaöz, Ulaş; Siepel, Adam; Taylor, James; Liefer, Laura A; Wetterstrand, Kris A; Good, Peter J; Feingold, Elise A; Guyer, Mark S; Cooper, Gregory M; Asimenos, George; Dewey, Colin N; Hou, Minmei; Nikolaev, Sergey; Montoya-Burgos, Juan I; Löytynoja, Ari; Whelan, Simon; Pardi, Fabio; Massingham, Tim; Huang, Haiyan; Zhang, Nancy R; Holmes, Ian; Mullikin, James C; Ureta-Vidal, Abel; Paten, Benedict; Seringhaus, Michael; Church, Deanna; Rosenbloom, Kate; Kent, W James; Stone, Eric A; Batzoglou, Serafim; Goldman, Nick; Hardison, Ross C; Haussler, David; Miller, Webb; Sidow, Arend; Trinklein, Nathan D; Zhang, Zhengdong D; Barrera, Leah; Stuart, Rhona; King, David C; Ameur, Adam; Enroth, Stefan; Bieda, Mark C; Kim, Jonghwan; Bhinge, Akshay A; Jiang, Nan; Liu, Jun; Yao, Fei; Vega, Vinsensius B; Lee, Charlie W H; Ng, Patrick; Shahab, Atif; Yang, Annie; Moqtaderi, Zarmik; Zhu, Zhou; Xu, Xiaoqin; Squazzo, Sharon; Oberley, Matthew J; Inman, David; Singer, Michael A; Richmond, Todd A; Munn, Kyle J; Rada-Iglesias, Alvaro; Wallerman, Ola; Komorowski, Jan; Fowler, Joanna C; Couttet, Phillippe; Bruce, Alexander W; Dovey, Oliver M; Ellis, Peter D; Langford, Cordelia F; Nix, David A; Euskirchen, Ghia; Hartman, Stephen; Urban, Alexander E; Kraus, Peter; Van Calcar, Sara; Heintzman, Nate; Kim, Tae Hoon; Wang, Kun; Qu, Chunxu; Hon, Gary; Luna, Rosa; Glass, Christopher K; Rosenfeld, M Geoff; Aldred, Shelley Force; Cooper, Sara J; Halees, Anason; Lin, Jane M; Shulha, Hennady P; Zhang, Xiaoling; Xu, Mousheng; Haidar, Jaafar N S; Yu, Yong; Ruan, Yijun; Iyer, Vishwanath R; Green, Roland D; Wadelius, Claes; Farnham, Peggy J; Ren, Bing; Harte, Rachel A; Hinrichs, Angie S; Trumbower, Heather; Clawson, Hiram; Hillman-Jackson, Jennifer; Zweig, Ann S; Smith, Kayla; Thakkapallayil, Archana; Barber, Galt; Kuhn, Robert M; Karolchik, Donna; Armengol, Lluis; Bird, Christine P; de Bakker, Paul I W; Kern, Andrew D; Lopez-Bigas, Nuria; Martin, Joel D; Stranger, Barbara E; Woodroffe, Abigail; Davydov, Eugene; Dimas, Antigone; Eyras, Eduardo; Hallgrímsdóttir, Ingileif B; Huppert, Julian; Zody, Michael C; Abecasis, Gonçalo R; Estivill, Xavier; Bouffard, Gerard G; Guan, Xiaobin; Hansen, Nancy F; Idol, Jacquelyn R; Maduro, Valerie V B; Maskeri, Baishali; McDowell, Jennifer C; Park, Morgan; Thomas, Pamela J; Young, Alice C; Blakesley, Robert W; Muzny, Donna M; Sodergren, Erica; Wheeler, David A; Worley, Kim C; Jiang, Huaiyang; Weinstock, George M; Gibbs, Richard A; Graves, Tina; Fulton, Robert; Mardis, Elaine R; Wilson, Richard K; Clamp, Michele; Cuff, James; Gnerre, Sante; Jaffe, David B; Chang, Jean L; Lindblad-Toh, Kerstin; Lander, Eric S; Koriabine, Maxim; Nefedov, Mikhail; Osoegawa, Kazutoyo; Yoshinaga, Yuko; Zhu, Baoli; de Jong, Pieter J

    2007-06-14

    We report the generation and analysis of functional data from multiple, diverse experiments performed on a targeted 1% of the human genome as part of the pilot phase of the ENCODE Project. These data have been further integrated and augmented by a number of evolutionary and computational analyses. Together, our results advance the collective knowledge about human genome function in several major areas. First, our studies provide convincing evidence that the genome is pervasively transcribed, such that the majority of its bases can be found in primary transcripts, including non-protein-coding transcripts, and those that extensively overlap one another. Second, systematic examination of transcriptional regulation has yielded new understanding about transcription start sites, including their relationship to specific regulatory sequences and features of chromatin accessibility and histone modification. Third, a more sophisticated view of chromatin structure has emerged, including its inter-relationship with DNA replication and transcriptional regulation. Finally, integration of these new sources of information, in particular with respect to mammalian evolution based on inter- and intra-species sequence comparisons, has yielded new mechanistic and evolutionary insights concerning the functional landscape of the human genome. Together, these studies are defining a path for pursuit of a more comprehensive characterization of human genome function.

  10. DISCOVERY OF A LOW-MASS COMPANION TO A METAL-RICH F STAR WITH THE MARVELS PILOT PROJECT

    International Nuclear Information System (INIS)

    Fleming, Scott W.; Ge Jian; Mahadevan, Suvrath; Lee, Brian; Cuong Nguyen, Duy; Morehead, Robert C.; Wan Xiaoke; Zhao Bo; Liu Jian; Guo Pengcheng; Kane, Stephen R.; Eastman, Jason D.; Siverd, Robert J.; Scott Gaudi, B.; Niedzielski, Andrzej; Sivarani, Thirupathi; Stassun, Keivan G.; Gary, Bruce; Wolszczan, Alex; Barnes, Rory

    2010-01-01

    We report the discovery of a low-mass companion orbiting the metal-rich, main sequence F star TYC 2949-00557-1 during the Multi-object APO Radial Velocity Exoplanet Large-area Survey (MARVELS) pilot project. The host star has an effective temperature T eff = 6135 ± 40 K, logg = 4.4 ± 0.1, and [Fe/H] = 0.32 ± 0.01, indicating a mass of M = 1.25 ± 0.09 M sun and R = 1.15 ± 0.15 R sun . The companion has an orbital period of 5.69449 ± 0.00023 days and straddles the hydrogen burning limit with a minimum mass of 64 M J , and thus may be an example of the rare class of brown dwarfs orbiting at distances comparable to those of 'Hot Jupiters'. We present relative photometry that demonstrates that the host star is photometrically stable at the few millimagnitude level on time scales of hours to years, and rules out transits for a companion of radius ∼>0.8 R J at the 95% confidence level. Tidal analysis of the system suggests that the star and companion are likely in a double synchronous state where both rotational and orbital synchronization have been achieved. This is the first low-mass companion detected with a multi-object, dispersed, fixed-delay interferometer.

  11. Evaluation of a Pilot Project to Introduce Simulation-Based Team Training to Pediatric Surgery Trauma Room Care

    Directory of Open Access Journals (Sweden)

    Markus Lehner

    2017-01-01

    Full Text Available Introduction. Several studies in pediatric trauma care have demonstrated substantial deficits in both prehospital and emergency department management. Methods. In February 2015 the PAEDSIM collaborative conducted a one and a half day interdisciplinary, simulation based team-training course in a simulated pediatric emergency department. 14 physicians from the medical fields of pediatric surgery, pediatric intensive care and emergency medicine, and anesthesia participated, as well as four pediatric nurses. After a theoretical introduction and familiarization with the simulator, course attendees alternately participated in six simulation scenarios and debriefings. Each scenario incorporated elements of pediatric trauma management as well as Crew Resource Management (CRM educational objectives. Participants completed anonymous pre- and postcourse questionnaires and rated the course itself as well as their own medical qualification and knowledge of CRM. Results. Participants found the course very realistic and selected scenarios highly relevant to their daily work. They reported a feeling of improved medical and nontechnical skills as well as no uncomfortable feeling during scenarios or debriefings. Conclusion. To our knowledge this pilot-project represents the first successful implementation of a simulation-based team-training course focused on pediatric trauma care in German-speaking countries with good acceptance.

  12. [Quality Assurance in Sociomedical Evaluation by Peer Review: A Pilot Project of the German Statutory Pension Insurance].

    Science.gov (United States)

    Strahl, A; Gerlich, C; Wolf, H-D; Gehrke, J; Müller-Garnn, A; Vogel, H

    2016-03-01

    The sociomedical evaluation by the German Pension Insurance serves the purpose of determining entitlement to disability pensions. A quality assurance concept for the sociomedical evaluation was developed, which is based on a peer Review process. Peer review is an established process of external quality assurance in health care. The review is based on a hierarchically constructed manual that was evaluated in this pilot project. The database consists of 260 medical reports for disability pension of 12 pension insurance agencies. 771 reviews from 19 peers were included in the evaluation of the inter-rater reliability. Kendall's coefficient of concordance W for more than 2 raters is used as primary measure of inter-rater reliability. Reliability appeared to be heterogeneous. Kendalls W varies for the particular criteria from 0.09 to 0.88 and reached for primary criterion reproducibility a value of 0.37. The reliability of the manual seemed acceptable in the context of existing research data and is in line with existing peer review research outcomes. Nevertheless, the concordance is limited and requires optimisation. Starting points for improvement can be seen in a systematic training and regular user meetings of the peers involved. © Georg Thieme Verlag KG Stuttgart · New York.

  13. Restructuring of the Diabetes Day Centre: a pilot lean project in a tertiary referral centre in the West of Ireland.

    Science.gov (United States)

    McDermott, A M; Kidd, P; Gately, M; Casey, R; Burke, H; O'Donnell, P; Kirrane, F; Dinneen, S F; O'Brien, T

    2013-08-01

    Diabetes is a chronic disease amenable to management in the community and outpatient setting. The increasing incidence of diabetes places outpatient endocrinology services under pressure to provide a quality service in a timely manner. Our aim was to apply lean thinking to the diabetes clinic in a tertiary referral centre in the West of Ireland to improve flow, as reflected in reduced patient journey times. The project lasted 6 months, from January to June 2011. An introductory seminar on lean thinking was arranged to inform and motivate the Diabetes Day Centre staff. Two 'rapid improvement events' took place. Value stream mapping (VSM) was the predominant lean tool employed. Patient journeys were mapped and quantified (minutes) using timesheets allocated to each step in the process at baseline, and following intervention. Data were analysed using Minitab V.16.0. VSM allowed the value-adding and problem-causing steps in the patient journey through the diabetes clinic process to be identified and addressed. Total patient journey time through the clinic was significantly reduced from 118 (± 38.02) min to 58 (± 18.30) min (plean tool in a pilot study at our institution as evidenced by improved patient flow and a significant reduction in patient journey time through the clinic. Through the incorporation of Lean into the ethos of the hospital, we have the potential to deliver excellent care in a safe environment and in an efficient manner, while benefiting the patient, employees and tax-payer.

  14. Project BudBurst and FieldScope: Piloting continental-scale citizen science data visualization tools

    Science.gov (United States)

    Wasser, L. A.; Henderson, S.; Ward, D.; Newman, S. J.

    2012-12-01

    The National Ecological Observatory Network (NEON) and the National Geographic Society's (NGS) Education program are developing and testing data analysis and visualization tools for use in citizen science programs. Many ecology-based citizen science programs engage participants in data collection. However, limited resources, in the form of GIS or data analysis software and time to learn associated data processing skills often preclude further analysis of the data. There is a need for both applications that simplify the toolsets required to perform data analysis and visualization and associated educational materials that guide educators in using these tools in formal and informal educational settings. Project BudBurst, NEON's citizen science program, is collaborating with the NGS FieldScope project to create a suite of free, online data mapping and analysis tools that will increase the impact of public participation in scientific research. These tools will support citizen scientists and the informal education community in answering relevant research questions such as: "What is the geographic pattern of the onset of phenological events?", "How has the timing of phenological events changed over time?" and "How does landuse influence the timi