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Sample records for program comprehensive water

  1. Recommendation: Comprehensive Programming.

    Science.gov (United States)

    Kelly, Judith

    1989-01-01

    This article summarizes recommendations of the Richardson Study regarding a comprehensive approach to programing for gifted students. Basic components of comprehensive programing are outlined, and seven steps deemed essential to program development and implementation are described, as implemented by the Pyramid Project in four school districts in…

  2. Constraint Programming for Context Comprehension

    DEFF Research Database (Denmark)

    Christiansen, Henning

    2014-01-01

    A close similarity is demonstrated between context comprehension, such as discourse analysis, and constraint programming. The constraint store takes the role of a growing knowledge base learned throughout the discourse, and a suitable con- straint solver does the job of incorporating new pieces...

  3. Clustering Classes in Packages for Program Comprehension

    Directory of Open Access Journals (Sweden)

    Xiaobing Sun

    2017-01-01

    Full Text Available During software maintenance and evolution, one of the important tasks faced by developers is to understand a system quickly and accurately. With the increasing size and complexity of an evolving system, program comprehension becomes an increasingly difficult activity. Given a target system for comprehension, developers may first focus on the package comprehension. The packages in the system are of different sizes. For small-sized packages in the system, developers can easily comprehend them. However, for large-sized packages, they are difficult to understand. In this article, we focus on understanding these large-sized packages and propose a novel program comprehension approach for large-sized packages, which utilizes the Latent Dirichlet Allocation (LDA model to cluster large-sized packages. Thus, these large-sized packages are separated as small-sized clusters, which are easier for developers to comprehend. Empirical studies on four real-world software projects demonstrate the effectiveness of our approach. The results show that the effectiveness of our approach is better than Latent Semantic Indexing- (LSI- and Probabilistic Latent Semantic Analysis- (PLSA- based clustering approaches. In addition, we find that the topic that labels each cluster is useful for program comprehension.

  4. Collective Code Bookmarks for Program Comprehension

    NARCIS (Netherlands)

    Guzzi, A.; Hattori, L.; Lanza, M.; Pinzger, M.; Van Deursen, A.

    2011-01-01

    The program comprehension research community has been developing useful tools and techniques to support developers in the time-consuming activity of understanding software artifacts. However, the majority of the tools do not bring collective benefit to the team: After gaining the necessary

  5. Program comprehension risks and opportunities in extreme programming

    NARCIS (Netherlands)

    A. van Deursen (Arie)

    2001-01-01

    textabstractWe investigate the relationship between reverse engineering and program comprehension on the one hand, and software process on the other. To understand this relationship, we select one particular existing software process, extreme programming (XP), and study the role played in it by

  6. Service water assistance program

    Energy Technology Data Exchange (ETDEWEB)

    Munchausen, J.H. [EPRI Plant Support Engineering, Charlotte, NC (United States)

    1995-09-01

    The Service Water Assistance Program was developed to provide utility service water system engineers with a mechanism to quickly and efficiently address service water issues. Since its inception, its ability to assist utilities has resulted in a reduction in the operations and maintenance costs associated with service water systems and has provided a medium for EPRI awareness of industry service water issues.

  7. 42 CFR 441.106 - Comprehensive mental health program.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 4 2010-10-01 2010-10-01 false Comprehensive mental health program. 441.106... Comprehensive mental health program. (a) If the plan includes services in public institutions for mental... implementing a comprehensive mental health program. (b) The program must— (1) Cover all ages; (2) Use mental...

  8. 77 FR 33563 - Applications for New Awards; Comprehensive Centers Program

    Science.gov (United States)

    2012-06-06

    ... support effective special education teachers; and developing and implementing human capital management... June 6, 2012 Part II Department of Education Applications for New Awards; Comprehensive Centers Program... OF EDUCATION Applications for New Awards; Comprehensive Centers Program AGENCY: Office of Elementary...

  9. Establishing a Comprehensive Wind Energy Program

    Energy Technology Data Exchange (ETDEWEB)

    Fleeter, Sanford [Purdue University

    2012-09-30

    This project was directed at establishing a comprehensive wind energy program in Indiana, including both educational and research components. A graduate/undergraduate course ME-514 - Fundamentals of Wind Energy has been established and offered and an interactive prediction of VAWT performance developed. Vertical axis wind turbines for education and research have been acquired, instrumented and installed on the roof top of a building on the Calumet campus and at West Lafayette (Kepner Lab). Computational Fluid Dynamics (CFD) calculations have been performed to simulate these urban wind environments. Also, modal dynamic testing of the West Lafayette VAWT has been performed and a novel horizontal axis design initiated. The 50-meter meteorological tower data obtained at the Purdue Beck Agricultural Research Center have been analyzed and the Purdue Reconfigurable Micro Wind Farm established and simulations directed at the investigation of wind farm configurations initiated. The virtual wind turbine and wind turbine farm simulation in the Visualization Lab has been initiated.

  10. NASA Water Resources Program

    Science.gov (United States)

    Toll, David L.

    2011-01-01

    With increasing population pressure and water usage coupled with climate variability and change, water issues are being reported by numerous groups as the most critical environmental problems facing us in the 21st century. Competitive uses and the prevalence of river basins and aquifers that extend across boundaries engender political tensions between communities, stakeholders and countries. In addition to the numerous water availability issues, water quality related problems are seriously affecting human health and our environment. The potential crises and conflicts especially arise when water is competed among multiple uses. For example, urban areas, environmental and recreational uses, agriculture, and energy production compete for scarce resources, not only in the Western U.S. but throughout much of the U.S. and also in numerous parts of the world. Mitigating these conflicts and meeting water demands and needs requires using existing water resources more efficiently. The NASA Water Resources Program Element works to use NASA products and technology to address these critical water issues. The primary goal of the Water Resources is to facilitate application of NASA Earth science products as a routine use in integrated water resources management for the sustainable use of water. This also includes the extreme events of drought and floods and the adaptation to the impacts from climate change. NASA satellite and Earth system observations of water and related data provide a huge volume of valuable data in both near-real-time and extended back nearly 50 years about the Earth's land surface conditions such as precipitation, snow, soil moisture, water levels, land cover type, vegetation type, and health. NASA Water Resources Program works closely to use NASA and Earth science data with other U.S. government agencies, universities, and non-profit and private sector organizations both domestically and internationally. The NASA Water Resources Program organizes its

  11. CDC Best Practices for Comprehensive Tobacco Control Programs - 2007

    Data.gov (United States)

    U.S. Department of Health & Human Services — Centers for Disease Control and Prevention (CDC). Best Practices for Comprehensive Tobacco Control Programs. Funding. CDC's Best Practices for Comprehensive Tobacco...

  12. CDC Best Practices for Comprehensive Tobacco Control Programs - 2014

    Data.gov (United States)

    U.S. Department of Health & Human Services — Centers for Disease Control and Prevention (CDC). Best Practices for Comprehensive Tobacco Control Programs. Funding. CDC's Best Practices for Comprehensive Tobacco...

  13. 76 FR 6727 - Proposed Amendments to the Water Quality Regulations, Water Code and Comprehensive Plan To...

    Science.gov (United States)

    2011-02-08

    ... COMMISSION 18 CFR Part 410 Proposed Amendments to the Water Quality Regulations, Water Code and Comprehensive... and locations for public hearings on proposed amendments to its Water Quality Regulations, Water Code... amendments to the Commission's Water Quality Regulations, Water Code and Comprehensive Plan relating to the...

  14. Improving Reading Comprehension Skills through the SCRATCH Program

    Science.gov (United States)

    Papatga, Erdal; Ersoy, Ali

    2016-01-01

    The aim of this study was to reveal how reading comprehension skills of elementary fourth graders who have problems in reading comprehension can be improved by means of the SCRATCH program. The study was designed as a participant action research. It was carried out within a 15- week process at an elementary school with middle socio-economic level…

  15. A Comprehensive Cultural Orientation Program for Refugees.

    Science.gov (United States)

    Archer, Carol M.

    This paper presents the various components of the cultural orientation program as it has developed at the Bilingual Educational Institute (BEI), the organization that is currently awarded the grant for RSS in the Houston area by the state of Texas. This cultural orientation program's topics include the following: employment; healthcare; community…

  16. Comprehensive Monitor-Oriented Compensation Programming

    Directory of Open Access Journals (Sweden)

    Christian Colombo

    2014-04-01

    Full Text Available Compensation programming is typically used in the programming of web service compositions whose correct implementation is crucial due to their handling of security-critical activities such as financial transactions. While traditional exception handling depends on the state of the system at the moment of failure, compensation programming is significantly more challenging and dynamic because it is dependent on the runtime execution flow — with the history of behaviour of the system at the moment of failure affecting how to apply compensation. To address this dynamic element, we propose the use of runtime monitors to facilitate compensation programming, with monitors enabling the modeller to be able to implicitly reason in terms of the runtime control flow, thus separating the concerns of system building and compensation modelling. Our approach is instantiated into an architecture and shown to be applicable to a case study.

  17. Migrant Education Program. Comprehensive Needs Assessment

    Science.gov (United States)

    Minnesota Department of Education, 2013

    2013-01-01

    The primary purpose of the Minnesota Migrant Education Program (MEP) is to help migrant children and youth overcome challenges of mobility, frequent absences, late enrollment into school, social isolation, and other difficulties associated with a migratory life, in order that they might succeed in school. Furthermore, the Minnesota MEP must give…

  18. Fort Lee's Comprehensive Peer Outreach Program.

    Science.gov (United States)

    Kehayan, V. Alex

    This paper describes the Peer Outreach Service Team (POST), a peer multi-service, student support system organization operating in the Fort Lee schools in Fort Lee, New Jersey. The goals of the POST program are described as reducing numbers of school dropouts as well as levels of negative behavior, chemical dependency, teenage depression, and…

  19. A Comprehensive Child Sexual Abuse Treatment Program.

    Science.gov (United States)

    Giarretto, Henry

    1982-01-01

    The Child Sexual Abuse Treatment Program (CSATP) of Santa Clara, California, uses professionals from the community, volunteers, and self-help groups of parents and children to provide treatment with a humanistic attitude. A case study illustrates CSATP treatment for father-daughter incest. Effects of father, mother, daughter, and family are…

  20. A Comprehensive Stress-Reduction Program for Dental Students.

    Science.gov (United States)

    Schwartz, Robert M.; And Others

    1984-01-01

    A comprehensive program for reducing student stress at the Behavioral Science Department of the University of Pittsburgh School of Dental Medicine is described. Components include the school's overall orientation, the student advising and counseling system, and student-oriented programs and courses. (Author/MLW)

  1. Comprehensive Support Services Program Demonstration Project. ESEA IV-C.

    Science.gov (United States)

    Ithaca Public Schools, NY.

    Described is the development and operation of Ithaca (New York) City School District's Comprehensive Support Services Program (CSSP), a diagnostic prescriptive approach to coordinating services for children with learning problems. Listed are program activities (such as providing training opportunities for the total teaching staff) and program…

  2. Remodularizing Java programs for comprehension of features

    DEFF Research Database (Denmark)

    Olszak, Andrzej; Jørgensen, Bo Nørregaard

    2009-01-01

    . In absence of these mechanisms, feature implementations tend to be scattered and tangled in terms of object-oriented abstractions, making the code implementing features difficult to locate and comprehend. In this paper we present a semi-automatic method for feature-oriented remodularization of Java programs....... Our method uses execution traces to locate implementations of features, and Java packages to establish explicit feature modules. To evaluate usefulness of the approach, we present a case study where we apply our method to two real-world software systems. The obtained results indicate a significant...

  3. 76 FR 16285 - Amendments to the Water Quality Regulations, Water Code and Comprehensive Plan To Update Water...

    Science.gov (United States)

    2011-03-23

    ... COMMISSION 18 CFR Part 410 Amendments to the Water Quality Regulations, Water Code and Comprehensive Plan To Update Water Quality Criteria for Toxic Pollutants in the Delaware Estuary and Extend These Criteria to... amendments to its Water Quality Regulations, Water Code and Comprehensive Plan to update the Commission's...

  4. 75 FR 41106 - Amendments to the Water Quality Regulations, Water Code and Comprehensive Plan to Update Water...

    Science.gov (United States)

    2010-07-15

    ... COMMISSION 18 CFR Part 410 Amendments to the Water Quality Regulations, Water Code and Comprehensive Plan to Update Water Quality Criteria for Toxic Pollutants in the Delaware Estuary and Extend These Criteria to... proposed amendments to the Commission's Water Quality Regulations, Water Code and Comprehensive Plan to...

  5. Kenya Comprehensive School Health Policy: Lessons from a Pilot Program.

    Science.gov (United States)

    Wasonga, Job; Ojeny, Betty; Oluoch, Gordon; Okech, Ben

    2014-02-04

    The study assessed the implementation of Kenya comprehensive school health pilot intervention program. This pilot program has informed the Kenya Comprehensive School Health Policy which is a critical document in the achievement of Millennium Development Goals relating to child health, gender equality, universal education and environmental sustainability. The study was based on focus group discussions, field observations and in-depth interviews with government officers who implemented the pilot program. The findings were categorized into implementation process, what is working well, what is not working well and lessons learned. During the course of the study, it was noted that involvement of all stakeholders enhances program ownership and sustainability but if they are not well coordinated or where supportive supervision and monitoring is not carried out, then some components of the comprehensive school health program may not be sustainable. We learnt that comprehensive school health program increases students' enrolment, attendance and retention, factors that are very important in a country's human resources development. The study has shown that although the formulation of a policy may be participatory and bottom-top, the implementation requires allocation of enough resources and coordination to bridge the gap between policy formulation and implementation.

  6. Kenya comprehensive school health policy: lessons from a pilot program

    Directory of Open Access Journals (Sweden)

    Job Wasonga

    2014-06-01

    Full Text Available The study assessed the implementation of Kenya comprehensive school health pilot intervention program. This pilot program has informed the Kenya Comprehensive School Health Policy which is a critical document in the achievement of Millennium Development Goals relating to child health, gender equality, universal education and environmental sustainability. The study was based on focus group discussions, field observations and in-depth interviews with government officers who implemented the pilot program. The findings were categorized into implementation process, what is working well, what is not working well and lessons learned. During the course of the study, it was noted that involvement of all stakeholders enhances program ownership and sustainability but if they are not well coordinated or where supportive supervision and monitoring is not carried out, then some components of the comprehensive school health program may not be sustainable. We learnt that comprehensive school health program increases students’ enrolment, attendance and retention, factors that are very important in a country’s human resources development. The study has shown that although the formulation of a policy may be participatory and bottom-top, the implementation requires allocation of enough resources and coordination to bridge the gap between policy formulation and implementation.

  7. Adoption of Comprehensive School Physical Activity Programs: A Literature Review

    Science.gov (United States)

    Hunt, Kari; Metzler, Michael

    2017-01-01

    Recent research has provided preliminary insight into the implementation of Comprehensive School Physical Activity Program (CSPAP) components in P-12 schools, but additional empirical support is needed to establish the CSPAP model as a viable conceptual framework. The purpose of this review is to examine the extent to which the CSPAP framework is…

  8. Comprehensive School Physical Activity Programs in Middle Schools

    Science.gov (United States)

    Beddoes, Zack; Castelli, Darla M.

    2017-01-01

    Physical activity declines among children in their tweens and teens. To address physical inactivity as a health risk, national organizations are endorsing the implementation of comprehensive school physical activity programs (CSPAPs). The purpose of this article is to describe the history of school-coordinated approaches to addressing health…

  9. College Student Utilization of a Comprehensive Psychiatric Emergency Program

    Science.gov (United States)

    Mitchell, Sharon L.; Kader, Mahrin; Haggerty, Melinda Z.; Bakhai, Yogesh D.; Warren, Calvert G.

    2013-01-01

    The authors sought to identify college students at risk for experiencing a mental health crisis that warranted a psychiatric evaluation at a hospital and/or a psychiatric hospitalization. A retrospective chart review of college students evaluated at a comprehensive psychiatric emergency program during a 1-year period was conducted. Demographic…

  10. Outcomes for a Comprehensive School-Based Asthma Management Program

    Science.gov (United States)

    Gerald, Lynn B.; Redden, David; Wittich, Angelina R.; Hains, Coralie; Turner-Henson, Anne; Hemstreet, Mary P.; Feinstein, Ronald; Erwin, Sue; Bailey, William C.

    2006-01-01

    This article describes the evaluation of a comprehensive school-based asthma management program in an inner-city, largely African-American school system. All 54 elementary schools (combined enrollment 13,247 students) from a single urban school system participated in this study. Schools were randomly divided between immediate and delayed…

  11. 75 FR 69986 - Striving Readers Comprehensive Literacy Program

    Science.gov (United States)

    2010-11-16

    ... design for learning (UDL) support effective literacy development and instruction for limited-English... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF EDUCATION Striving Readers Comprehensive Literacy Program AGENCY: Office of Elementary and Secondary Education, U.S...

  12. Developing a Comprehensive Learning Community Program: Providing a Historical Perspective

    Science.gov (United States)

    Workman, Jamie L.; Redington, Lyn

    2015-01-01

    This is the first of a three-part series which will share information about how a mid-size, comprehensive university developed a learning community program, including a residential curriculum. Through intentional collaboration and partnerships, the team, comprised of faculty and staff throughout the university, developed a "multi-year plan…

  13. A comprehensive hip fracture program reduces complication rates and mortality

    DEFF Research Database (Denmark)

    Pedersen, Susanne Juhl; Moltke, Finn Borgbjerg; Schousboe, B.

    2008-01-01

    OBJECTIVES: To evaluate the rate of postoperative complications, length of stay, and 1-year mortality before and after introduction of a comprehensive Multidisciplinary fast-track treatment and care program for hip fracture patients (the optimized program). DESIGN: Retrospective chart review...... community dwellers before the fracture and 159 (29.7%) were admitted from nursing homes. INTERVENTION: The fast-track treatment and care program included a switch from systemic opiates to a local femoral nerve catheter block; an earlier assessment by the anesthesiologist; and more-systematic approach...... group (P = .02). Overall 12-month mortality was 29% in the control group and 23% in the intervention group (P = .2). CONCLUSION: The optimized hip fracture program reduced the rate of in-hospital postoperative complications and mortality. Randomized clinical trials are needed to confirm these results...

  14. Measuring urban water conservation policies: Toward a comprehensive index

    Science.gov (United States)

    Hess, David; Wold, Christopher; Worland, Scott C.; Hornberger, George M.

    2017-01-01

    This article (1) discusses existing efforts to measure water conservation policies (WCPs) in the United States (U.S.); (2) suggests general methodological guidelines for creating robust water conservation indices (WCIs); (3) presents a comprehensive template for coding WCPs; (4) introduces a summary index, the Vanderbilt Water Conservation Index (VWCI), which is derived from 79 WCP observations for 197 cities for the year 2015; and (5) compares the VWCI to WCP data extracted from the 2010 American Water Works Association (AWWA) Water and Wastewater Rates survey. Existing approaches to measuring urban WCPs in U.S. cities are limited because they consider only a portion of WCPs or they are restricted geographically. The VWCI consists of a more comprehensive set of 79 observations classified as residential, commercial/industrial, billing structure, drought plan, or general. Our comparison of the VWCI and AWWA survey responses indicate reasonable agreement (ρ = 0.76) between the two WCIs for 98 cities where the data overlap. The correlation suggests the AWWA survey responses can provide fairly robust longitudinal WCP information, but we argue the measurement of WCPs is still in its infancy, and our approach suggests strategies for improving existing methods.

  15. A Comprehensive, High-Quality Orthopedic Intern Surgical Skills Program.

    Science.gov (United States)

    Ford, Samuel E; Patt, Joshua C; Scannell, Brian P

    2016-01-01

    To design and implement a month-long, low-cost, comprehensive surgical skills curriculum built to address the needs of orthopedic surgery interns with high satisfaction among both interns and faculty. The study design was retrospective and descriptive. The study was conducted at tertiary care referral center with a medium sized orthopedic residency surgery program (5 residents/year). Totally 5 orthopedic surgery residents and 16 orthopedic surgery faculty participated. A general mission was established-to orient the resident to the postgraduate year 1 and prepare them for success in residency. The basic tenets of the American Board of Orthopaedic Surgeons surgical skills program framework were built. Curricular additions included anatomic study, surgical approaches, joint-specific physical examination, radiographic interpretation, preoperative planning, reduction techniques, basic emergency and operating room procedures, cadaveric procedure practice, and introduction to arthroplasty. The program was held in August during protected time for intern participants. In total, 16 orthopedic surgeons instructed 85% of the educational sessions. One faculty member did most of the preparation and organization to facilitate the program. The program ran for a cumulative 89 hours, including 14.5 hours working with cadaveric specimens. The program cost a total of $8100. The average module received a 4.15 rating on a 5-point scale, with 4 representing "good" and 5 representing "excellent." The program was appropriately timed and addressed topics relevant to the intern without sacrificing clinical experience or burdening inpatient services with interns' absence. The program received high satisfaction ratings from both the interns as well as the faculty. Additionally, the program fostered early relationships between interns and faculty-an unforeseen benefit. In the future, our program plans to better integrate validated learning metrics and improve instruction pertaining to both

  16. Implementation and outcomes of a comprehensive worksite health promotion program.

    Science.gov (United States)

    Renaud, Lise; Kishchuk, Natalie; Juneau, Martin; Nigam, Anil; Téreault, Karine; Leblanc, Marie-Claude

    2008-01-01

    This paper reports on the implementation and results of a three-year comprehensive worksite health promotion program called Take care of your health!, delivered at a single branch of a large financial organization with 656 employees at the beginning of the implementation period and 905 at the end. The program included six educational modules delivered over a three-year period. A global health profile was part of the first and last modules. The decision to implement the program coincided with an overall program of organizational renewal. The data for this evaluation come from four sources: analysis of changes in employee health profiles between the first and last program sessions (n=270); questionnaires completed by participating employees at the end of the program (n=169); organizational data on employee absenteeism and turnover; and qualitative interviews with company managers (n=9). Employee participation rates in the six modules varied between 39% and 76%. The assessment of health profile changes showed a significant increase in the Global Health Score. Participants were significantly more likely to report more frequent physical activity and better nutritional practices. The proportion of smokers among participants was significantly reduced (p = 0.0147). Also reduced significantly between the two measurements were self-assessment of high stress inside and outside the workplace, stress signs, and feelings of depression. Employees were highly satisfied with the program and felt that it had impacts on their knowledge and capacities to manage their health behaviour. During the same period, absenteeism in the organization declined by 28% and turnover by 54%. From the organization's perspective, program implementation was very successful. This study's results are in line with previous findings of significant benefits to organizations and employees from worksite health promotion. The close relationship between the program outcomes and the overall process of

  17. Integration of a specific nutrition program into a comprehensive program of therapeutic education

    OpenAIRE

    Trolonge, Stanislas; Idier, Laetitia; Larroumet, Nicole; Lespinasse, Lucille; Capdepon, Laurence; Dos Reis, Sandra; Chauveau, Philippe

    2012-01-01

    Nutritional education strategies should be included in a multidisciplinary team for therapeutic education (TPE). We conduct a comprehensive program of therapeutic education for out-center hemodialysis patients. 5 education workshops were performed during dialysis sessions, every 15 days: Illness experience (psychologist), vascular access (nurses), medication management (pharmacist), nutrition management (dietitian) and final evaluation. A specific program of nutrition (EDAM project: Educat...

  18. Comprehensive Outpatient Rehabilitation Program: Hospital-Based Stroke Outpatient Rehabilitation.

    Science.gov (United States)

    Rice, Danielle; Janzen, Shannon; McIntyre, Amanda; Vermeer, Julianne; Britt, Eileen; Teasell, Robert

    2016-05-01

    Few studies have considered the effectiveness of outpatient rehabilitation programs for stroke patients. The objective of this study was to assess the effectiveness of a hospital-based interdisciplinary outpatient stroke rehabilitation program with respect to physical functioning, mobility, and balance. The Comprehensive Outpatient Rehabilitation Program provides a hospital-based interdisciplinary approach to stroke rehabilitation in Southwestern Ontario. Outcome measures from physiotherapy and occupational therapy sessions were available at intake and discharge from the program. A series of paired sample t-tests were performed to assess patient changes between time points for each outcome measure. A total of 271 patients met the inclusion criteria for analysis (56.1% male; mean age = 62.9 ± 13.9 years). Significant improvements were found between admission and discharge for the Functional Independence Measure, grip strength, Chedoke-McMaster Stroke Assessment, two-minute walk test, maximum walk test, Timed Up and Go, Berg Balance Scale, and one-legged stance (P stroke. A hospital-based, stroke-specific rehabilitation program should be considered when patients continue to experience deficits after inpatient rehabilitation. Copyright © 2016 National Stroke Association. Published by Elsevier Inc. All rights reserved.

  19. Comprehensive study report Devon Beaufort Sea exploration drilling program

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2004-08-01

    The potential biophysical and socio-economic effects of the proposed Beaufort Sea Exploration Drilling Program were summarized in this comprehensive study report. The project, proposed by Devon Canada Corporation, involves exploration drilling in the southern Beaufort Sea, north of the Mackenzie River Delta to evaluate hydrocarbon reserves. In addition to the regulatory context of the project, this paper described the project and its setting, and the public engagement and consultation process. Impact assessment methodology was also outlined along with the baseline conditions and mitigation measures for air quality, noise, ice, geology, coastal processes, chemical oceanography, plankton, benthos, fish and fish habitat, birds, marine mammals, and socio economic conditions. The paper also addressed issues such as land use, heritage resources and resource use. The effects of the environment on the program were also outlined along with the impact of accidents such as spill incidences. 63 tabs., 22 figs.

  20. Comprehensive benefit analysis of regional water resources based on multi-objective evaluation

    Science.gov (United States)

    Chi, Yixia; Xue, Lianqing; Zhang, Hui

    2018-01-01

    The purpose of the water resources comprehensive benefits analysis is to maximize the comprehensive benefits on the aspects of social, economic and ecological environment. Aiming at the defects of the traditional analytic hierarchy process in the evaluation of water resources, it proposed a comprehensive benefit evaluation of social, economic and environmental benefits index from the perspective of water resources comprehensive benefit in the social system, economic system and environmental system; determined the index weight by the improved fuzzy analytic hierarchy process (AHP), calculated the relative index of water resources comprehensive benefit and analyzed the comprehensive benefit of water resources in Xiangshui County by the multi-objective evaluation model. Based on the water resources data in Xiangshui County, 20 main comprehensive benefit assessment factors of 5 districts belonged to Xiangshui County were evaluated. The results showed that the comprehensive benefit of Xiangshui County was 0.7317, meanwhile the social economy has a further development space in the current situation of water resources.

  1. 78 FR 58985 - Proposed Amendments to the Water Quality Regulations, Water Code and Comprehensive Plan To Update...

    Science.gov (United States)

    2013-09-25

    ... COMMISSION 18 CFR Part 410 Proposed Amendments to the Water Quality Regulations, Water Code and Comprehensive Plan To Update Water Quality Criteria for pH AGENCY: Delaware River Basin Commission. ACTION: Proposed... on proposed amendments to the Commission's Water Quality Regulations, Water Code and Comprehensive...

  2. Setting a research agenda to inform intensive comprehensive aphasia programs.

    Science.gov (United States)

    Hula, William D; Cherney, Leora R; Worrall, Linda E

    2013-01-01

    Research into intensive comprehensive aphasia programs (ICAPs) has yet to show that this service delivery model is efficacious, effective, has cost utility, or can be broadly implemented. This article describes a phased research approach to the study of ICAPs and sets out a research agenda that considers not only the specific issues surrounding ICAPs, but also the phase of the research. Current ICAP research is in the early phases, with dosing and outcome measurement as prime considerations as well as refinement of the best treatment protocol. Later phases of ICAP research are outlined, and the need for larger scale collaborative funded research is recognized. The need for more rapid translation into practice is also acknowledged, and the use of hybrid models of phased research is encouraged within the ICAP research agenda.

  3. 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

  4. 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.

  5. National Training Program for Comprehensive Community Physicians, Venezuela

    Directory of Open Access Journals (Sweden)

    Ramón Syr Salas Perea

    2008-11-01

    Full Text Available Note from the Editors: This article by Drs. Borroto Cruz and Salas Perea was published in the Fall 2008 edition of MEDICC Review. We will be publishing a Spanish translation this month in Medicina Social. We present here the abstract of the article. We encourage readers to read the English original which is available at: www.medicc.org/mediccreview/. The issue is entitled: Teaching for Health Equity: Changing Paradigms of Medical Education. National Training Program for Comprehensive Community Physicians, Venezuela Introduction: Through the 1990s, wide disparities in health status were recorded in Venezuela, a mirror of poor social conditions, decreasing investment in the public health sector and a health workforce distribution unable to meet population health needs or to staff effective, accessible public health services. Venezuelans’ health status deteriorated as a result. In 2003-2004, the Venezuelan government launched Barrio Adentro, a new national public health model aimed at assuring primary health care coverage for the entire population of an estimated 26 million. Cuban physicians staff Barrio Adentro clinics, mainly in poor neighborhoods, until enough Venezuelan physicians can be trained to fill the posts. Intervention: Cuban experience with community-oriented medical education and global health cooperation was drawn upon to develop curriculum and provide faculty for the new National Training Program for Comprehensive Community Physicians, begun in 2005 in cooperation with six Venezuelan universities. The program differs from previous Venezuelan medical education models by adopting a stated goal of training physicians for public service, recruiting students who had no previous opportunity for university-level education, and concentrating the weight of their training on a service- and community-based model of education, relying on practicing physician-tutors. Results: Over 20,000 students have been enrolled in three years. The six

  6. Comprehensive instrumentation for deep-water drilling risers

    Energy Technology Data Exchange (ETDEWEB)

    Vaisberg, O.; Guesnon, J. [Institut Francais du Petrole (IFP), 92 - Rueil-Malmaison (France); Guerin, P.; Heurtier, J.M. [Principia Recherche Developpement SA (France)

    2002-12-01

    The marine riser remains a key component of deep-water drilling systems and as such raises numerous mechanical problems some of which are not completely solved. A riser monitoring system has been defined in order to acquire a better understanding of riser behavior and to verify dedicated finite element software. Such an instrumentation project is capable of yielding data of great value to oil companies and drilling contractors preparing ultra deep water drilling campaigns in severe environment. The objective is to gather data to study the riser quasi-static shape, under the influence of platform offset and current loads, as well as the dynamic stresses due to wave action, rig motions, vortex induced vibrations and tensioner characteristics. It is also intended to identify accurately the location and the severity of the various fatigue sources. Finally, the campaign enables the axial dynamic behavior of the riser in the connected and disconnected modes to be studied. The axial resonance in the disconnected mode is actually a critical concern for ultra deep water risers, particularly for dual gradient drilling systems and slender risers as the natural period for these systems may be in the range of the wave period. The main original features of the riser instrumentation can be summarized by the following items. The drilling riser can be monitored in different operational modes during the connected and disconnected phases. Comprehensive data recorded include those related to the riser itself, the tensioning system, the telescopic joint and associated devices, the rig motions and the environmental conditions. The proposed acquisition system is specifically adapted to the drilling procedures. A remote solution using a central net for sensor power, synchronization, real time data gathering, storage and preprocessing, hot-line checking and set up is described. (authors)

  7. Comprehension.

    Science.gov (United States)

    Bollenbach, Carolyn

    1986-01-01

    Teaching comprehension skills requires teaching to intuition with activities such as presenting puzzling situations to introduce a topic, using art to elicit latent feelings, using imagery and improvisations to enhance visualization, and using music and dance to encourage nonverbal expressions. (DB)

  8. Facilitating programming comprehension for novice learners with multimedia approach: A preliminary investigation

    Science.gov (United States)

    Annamalai, Subashini; Salam, Sobihatun Nur Abdul

    2017-10-01

    This research paper presents the preliminary investigation on the use of an interactive multimedia courseware named MAFPro, to facilitate C Programming lessons for novice learners. The courseware utilizes the elements of multimedia that focus on enhancing learners' programming comprehension. Among the aspects that were examined were the students' programming comprehension and their perceived motivation of MAFPro. This study was carried out in a survey design method with the participation of 30 undergraduates who are novice learners. The data analysis indicates that the multimedia courseware, MAFPro that has been used in the C programming classroom has a significant difference on the undergraduates' programming comprehension. The students also perceived MAFPro as motivating and engaging.

  9. Biota Remedial Investigation and Comprehensive Monitoring Program Summary

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This report summarizes the results of the Army's wildlife tissue sampling collected as part of the Remedial Investigation (RI) and the Comprehensive Monitoring...

  10. A Comprehensive Graduate Orientation Program: Practicing What We Preach.

    Science.gov (United States)

    Taub, Deborah J.; Komives, Susan R.

    1998-01-01

    Describes an orientation program for graduate students in a student affairs program at the University of Maryland. Beginning at the time of students' initial inquiry about the program, and continuing through the first semester, this program has been evaluated as effective by participants. (MKA)

  11. Urban water transactions: the search of a comprehensive framework for interactions between water and urban systems

    Science.gov (United States)

    Angarita, Hector; Domínguez, Efraín

    2013-04-01

    United Nations global demographic prospects show that from 1950 to 2050, the number of people living in cities will increase from 0.7 to 6.3 billion, which represents a 9 times fold in 100 years. In contrast, human population as a whole doesn't show the same trends of the urban subset. For instance, rural population is in some regions almost stalled or reducing at small rates, with an average growth rate 50% less than the urban population. This progressive change in global population structure, with more people living mostly in urban areas, already places urban settlements as the main node driving the interaction of human population and other earth systems, at local, regional and global scales. This population dynamics is a major source of concern, mainly because the need to comprehensively understand the two apparent contradictory faces of the urbanization phenomena: Despite cities tend to perform more efficiently in terms of mass and energy requirements as function of population size, the agglomeration process in cities typically implies an increase of overall throughput of mass and energy over time. Thus, a central question is to understand how the apparent per capita energy and material flows minimization occurring in cities can propagate its effects towards other geosystems in future population scenarios. The magnitude of scaled (temporal and spatial) effects is crucial to determine if limits of supporting systems capacity is or will be exceeded for a system of cities, or if otherwise is within steady limits. The Urban Water Transaction (UWT) framework aims for the study of the above question from the perspective of water. Typically between 50 and 70% of mass throughput in urban areas is water, however, that figure doesn't account for other teleconnected flows, such as energy production (hydropower facilities) and food production (virtual water), etc. Therefore, a comprehensive view of actual dependence of urban areas and water faces - in the view of the

  12. Optimization Program for Drinking Water Systems

    Science.gov (United States)

    The Area-Wide Optimization Program (AWOP) provides tools and approaches for drinking water systems to meet water quality optimization goals and provide an increased – and sustainable – level of public health protection to their consumers.

  13. Comprehensive assessment of projected changes in water availability and aridity

    Science.gov (United States)

    Greve, Peter; Seneviratne, Sonia I.

    2015-04-01

    Substantial changes in the hydrological cycle are projected for the 21st century, with potential major impacts, particularly at regional scale. However, the projections are subject to major uncertainties and the metrics generally used to assess such changes do not fully account for the hydroclimatological characteristics of the land surface. In this context, the 'dry gets drier, wet gets wetter' paradigm is often used as a simplifying summary. However, recent studies have challenged the validity of the paradigm both for observations (Greve et al., 2014) and projections (Roderick et al., 2014), especially casting doubt on applying the widely used P-E (precipitation - evapotranspiration) metric over global land surfaces. Here we show in a comprehensive assessment that projected changes in mean annual P-E are generally not significant in most land areas, with the exception of the northern high latitudes where significant changes towards wetter conditions are found. We further show that the combination of decreasing P and increasing atmospheric demand (potential evapotranspiration, Ep) leads to a significant increase in aridity in many subtropical and neighbouring regions, thus confirming the paradigm for some dry regions, but invalidating it for the relative large fraction of the affected area which is currently in a humid or transitional climate regime. Combining both metrics (P-E and P-E_p) we conclude that the 'dry gets drier, wet gets wetter' paradigm is generally not confirmed for projected changes in most land areas (despite notable exceptions in the high latitudes and subtropics), because of a lack of robustness of the projected changes in some regions (tropics) and because humid to transitional regions are shifting to drier conditions, i.e. not following the paradigm. References Greve, P., Orlowsky, B., Mueller, B., Sheffield, J., Reichstein, M., & Seneviratne, S. I. Global assessment of trends in wetting and drying over land. Nature Geosci. 7, 716-721 (2014

  14. Student evaluation of a standardized comprehensive testing program.

    Science.gov (United States)

    Richards, Elizabeth A; Stone, Cynthia L

    2008-01-01

    Computer-based, standardized, comprehensive testing is becoming a popular assessment tool in nursing education.This study sought to determine student response and satisfaction regarding such testing at a large state nursing school. Surveys that reviewed the entire testing process were provided to all students taking the computerized testing. Student feedback led to revisions for future testing.

  15. A comprehensive exercise program for a young adult male with Down syndrome who experienced a stroke.

    Science.gov (United States)

    Casey, Amanda Faith; Mackay-Lyons, Marilyn; Connolly, Eilish Marie; Jennings, Craig; Rasmussen, Roy

    2014-01-01

    Individuals with Down syndrome (DS) may be at heightened risk for stroke due to a combination of physiological conditions and lifestyle choices. There remains a lack of information regarding the effectiveness of exercise training on individuals with DS post-stroke. This case report describes the effects of a comprehensive exercise program on an individual with DS who had sustained a stroke. A 20-year-old male with DS recovering from a left hemorrhagic stroke 18 months previous underwent a 12-week land and water-based program 60 minutes/session, 5 sessions/week. Exercise sessions addressed specific limitations, including cardiorespiratory fitness, generalized muscle weakness, balance deficits, and reduced ambulatory ability in terms of speed, gait pattern and walking tolerance. Between the baseline and 6-month follow-up assessments improvements were noted in peak oxygen consumption (VO2peak, 8% increase), one-repetition maximum (51%), community balance and mobility scale (54%), comfortable walking speed (42%), six-minute walk test (28%) and daily step count (21%). Improved cardiorespiratory fitness, strength, balance and mobility provide preliminary evidence of the trainability of individuals with both DS and stroke. Future studies are warranted to investigate the role of exercise in risk factor reduction for primary and secondary prevention of stroke in people with DS. Implications for Rehabilitation Individuals with Down syndrome (DS) may be at heightened risk of stroke due to a combination of physiological conditions and lifestyle choices which contribute to reduced exercise capacity, accelerated aging patterns, moyamoya syndrome and physical inactivity as well as high rates of obesity and related conditions. More intensive fitness programs may be particularly important for people with both DS and stroke. Participation in a comprehensive exercise program can be safe and effective in regaining pre-stroke levels of cardiorespiratory fitness, functional mobility and

  16. A Comprehensive Fusion Liaison Officer Program: The Arizona Model

    Science.gov (United States)

    2015-03-01

    Arizona’s Community Liaison Officer Program ( CLP ). The mission of the CLP is to: provide a direct link between the state Counter Terrorism Center and...means available will make Arizona the safest and most prepared state in the nation.135 The Community Liaison Program ( CLP ) provides a link between...information gathering and dissemination.136 The ACTIC has a fulltime community liaison program ( CLP ) officer, assigned from one of the ACTIC partner

  17. Comprehensive and Systematic School-Based Suicide Prevention Programs: A Checklist for Counselors.

    Science.gov (United States)

    Malley, Patrick B.; Kush, Francis

    1994-01-01

    Reviews literature germane to school-based suicide programs and identifies components that are descriptive of comprehensive and systematic school-based suicide programs. Uses literature review to devise checklist to enable school counselors to compare their programs with current views of prevention of teenage suicide. Checklist is appended and…

  18. Outdoor Recreation in Florida: A Comprehensive Program for Meeting Florida's Outdoor Recreation Needs.

    Science.gov (United States)

    Florida State Dept. of Natural Resources, Tallahassee.

    A comprehensive program for meeting outdoor recreational needs in Florida is described in this planning and reference document in terms of objectives for the program through the year 1975 (with projections to the year 2000). The scope and nature of outdoor recreation are defined, and a justification for an outdoor recreation program is presented.…

  19. 2014 Water Power Program Peer Review Report

    Energy Technology Data Exchange (ETDEWEB)

    none,

    2014-08-18

    The Water Power Peer Review Meeting was held February 24-28, 2014 in Arlington, VA. Principle investigators from the Energy Department National Laboratories, academic, and industry representatives presented the progress of their DOE-funded research. This report documents the formal, rigorous evaluation process and findings of nine independent reviewers who examined the technical, scientific, and business results of 96 projects of the Water Power Program, as well as the productivity and management effectiveness of the Water Power Program itself.

  20. Effectiveness of Comprehensive Tobacco Control Programs in Reducing Teenage Smoking: A Review

    OpenAIRE

    Wakefield, Melanie A. PhD; Chaloupka, Frank J. PhD

    1999-01-01

    This review focuses on the extent to which comprehensive, statewide, tobacco control programs in the United States have induced change in teenage smoking or made progress towards this goal and under what circumstances such programs are likely to be most effective. The sources for this review include published journal articles, reports and documents, rather than any primary data analysis. We review evidence for the extent to which individual strategies that comprise a comprehensive tobacco con...

  1. Comprehensive Energy and Water Master Plan, Redstone Arsenal

    Science.gov (United States)

    2009-01-01

    remote) • Building 6105 Well - 0.4 MGD Potable (remote) Treatment at the two remote wells consists of hypochlorinators at each well to disinfect and...Cleaning/ laundry services • Laboratories • Medical centers • Steam plant make-up water BMP # 10 - Water Reuse and Recycling The golf course is

  2. Dynamic Programming Applications in Water Resources

    Science.gov (United States)

    Yakowitz, Sidney

    1982-08-01

    The central intention of this survey is to review dynamic programming models for water resource problems and to examine computational techniques which have been used to obtain solutions to these problems. Problem areas surveyed here include aqueduct design, irrigation system control, project development, water quality maintenance, and reservoir operations analysis. Computational considerations impose severe limitation on the scale of dynamic programming problems which can be solved. Inventive numerical techniques for implementing dynamic programming have been applied to water resource problems. Discrete dynamic programming, differential dynamic programming, state incremental dynamic programming, and Howard's policy iteration method are among the techniques reviewed. Attempts have been made to delineate the successful applications, and speculative ideas are offered toward attacking problems which have not been solved satisfactorily.

  3. Ground-Water Protection and Monitoring Program

    Energy Technology Data Exchange (ETDEWEB)

    Dresel, P.E.

    1995-06-01

    This section of the 1994 Hanford Site Environmental Report summarizes the ground-water protection and monitoring program strategy for the Hanford Site in 1994. Two of the key elements of this strategy are to (1) protect the unconfined aquifer from further contamination, and (2) conduct a monitoring program to provide early warning when contamination of ground water does occur. The monitoring program at Hanford is designed to document the distribution and movement of existing ground-water contamination and provides a historical baseline for evaluating current and future risk from exposure to the contamination and for deciding on remedial action options.

  4. Creating a Comprehensive Solar Water Heating Deployment Strategy

    Energy Technology Data Exchange (ETDEWEB)

    Focus Marketing Services

    1999-08-18

    This report details the results of a research conducted in 1998 and 1999 and outlines a marketing deployment plan designed for businesses interested in marketing solar water heaters in the new home industry.

  5. Implementing Comprehensive Teacher Training in Business Doctoral Programs

    Science.gov (United States)

    Brightman, Harvey J.; Nargundkar, Satish

    2013-01-01

    The advent of digital course offerings, the use of social media, the integration of the Khan Academy into curricula, the use of smart phones and tablets, and massive online courses place greater emphasis than ever on effective teaching. While business schools fund faculty development in teaching, too few doctoral programs offer systematic teacher…

  6. A Multilevel Evaluation of a Comprehensive Child Abuse Prevention Program

    Science.gov (United States)

    Lawson, Michael A.; Alameda-Lawson, Tania; Byrnes, Edward C.

    2012-01-01

    Objectives: The purpose of this study is to examine the extent to which participation in a county-wide prevention program leads to improvements in protective factors associated with child abuse prevention (CAP) and whether improvements in measured protective factors relate to decreased odds of child abuse. Method: Using multilevel growth modeling,…

  7. The Mobility Assistance Program. A Comprehensive Evaluation Report.

    Science.gov (United States)

    Hicks, Laurabeth H.

    The Mobility Assistance Program (MAP) was established to assist U.S. Department of Education employees affected by the reduction in force (RIF). MAP's mission was to provide career transition and outplacement job search assistance to RIF-affected employees. It provided these services: job search, personnel support, training, and professional…

  8. A Review of CEFA Software: Comprehensive Exploratory Factor Analysis Program

    Science.gov (United States)

    Lee, Soon-Mook

    2010-01-01

    CEFA 3.02(Browne, Cudeck, Tateneni, & Mels, 2008) is a factor analysis computer program designed to perform exploratory factor analysis. It provides the main properties that are needed for exploratory factor analysis, namely a variety of factoring methods employing eight different discrepancy functions to be minimized to yield initial…

  9. Cultivating Leadership Development: A Comprehensive Program for Undergraduates

    Science.gov (United States)

    Greenleaf, Justin P.; Klaus, Kaley; Arensdorf, Jill

    2017-01-01

    The Voss Advanced Undergraduate Leadership Experience (VALUE), is a student cohort program with a competitive application process. Students must have a prerequisite level of leadership education and self-select into one of three designated tracks. Students are paired with faculty and community mentors to learn about operations and collaboration in…

  10. THE EFFECT OF A READING COMPREHENSION SOFTWARE PROGRAM ON STUDENT ACHIEVEMENT IN MATHEMATICS

    Directory of Open Access Journals (Sweden)

    David E. Proudfoot

    2016-06-01

    Full Text Available In an effort to increase student achievement, research was conducted to determine the degree in which a reading comprehension software program effected the reading and math abilities of fourth and fifth grade students. Cognitive and educational studies were examined to select a reading comprehension software program as an intervention that would produce positive results in reading comprehension and possibly transfer positive results to achievement in other academic areas, specifically in math. The effects of the intervention were measured by assigning subjects to an experimental group. The total sample consisted of 39 students who were deficient in reading comprehension, and also exposed a significant weakness with word problem items on mathematical assessments. Four instruments were used to collect data before and after the treatment to measure student achievement. To determine the degree to which the software program effected student achievement, data from the four instruments were analyzed using SPSS software. A paired-samples dependent t test and a Pearson Product Moment Correlation Coefficient was computed with ratio level data to test for a correlation between increased math scores and reading comprehension scores. Results yielded statistically significant and positive results in increasing reading comprehension skills that could possibly benefit students in reading and understanding mathematical problems. Results did not conclusively support that the increase of reading-comprehension skills had a collateral effect on students scoring higher with math word problems. The results are conducive to providing insight to educational leaders who plan to implement software as a means for increasing student achievement.

  11. Puerto Rico Experimental Model Dental Auxiliary Training Program. The Comprehensive Report, Exhibits G to L.

    Science.gov (United States)

    Puerto Rico Univ., San Juan. School of Dentistry.

    This annex supplements the Puerto Rico Experimental Model Dental Training Program Comprehensive Report (CE 028 213) and is comprised of exhibits G through L. Among the information included in the exhibits is the evaluation reports of the commission on accreditation, the detailed curriculum, and the accredited program's scope, sequence, and course…

  12. Puerto Rico Experimental Model Dental Auxiliary Training Program. The Comprehensive Report, Exhibits A to F.

    Science.gov (United States)

    Puerto Rico Univ., San Juan. School of Dentistry.

    This annex supplements the Puerto Rico Experimental Model Dental Training Program Comprehensive Report (CE 028 213) and is comprised of exhibits A through F. Among the information included in the exhibits is the experimental model schedule, the schematic representation, the content display, and the course outlines for all courses in the program.…

  13. Developing a Comprehensive Learning Community Program: Navigating Change through Shifting Institutional Priorities

    Science.gov (United States)

    Workman, Jamie L.; Redington, Lyn

    2016-01-01

    This is the third of a three-part series which will share information about how a mid-size, comprehensive university has worked to a learning community program, including a residential curriculum. This article focuses on how those working with Learning Communities navigate program development during changing institutional priorities.

  14. Resource List--Using Evidence-Based Programs as the Foundation of Comprehensive Sex Education

    Science.gov (United States)

    Advocates for Youth, 2015

    2015-01-01

    Decades of research have identified dozens of programs that are effective in helping young people reduce their risk for pregnancy, HIV, and STDs. These evidence-based programs utilize strategies that include the provision of accurate, honest information about abstinence as well as contraception and can serve as the foundation for comprehensive sex…

  15. SWEEP - Save Water & Energy Education Program

    Energy Technology Data Exchange (ETDEWEB)

    Sullivan, Gregory P.; Elliott, Douglas B.; Hillman, Tim C.; Hadley, Adam; Ledbetter, Marc R.; Payson, David R.

    2001-05-03

    The objective of this study was to develop, monitor, analyze, and report on an integrated resource-conservation program highlighting efficient residential appliances and fixtures. The sites of study were 50 homes in two water-constrained communities located in Oregon. The program was designed to maximize water savings to these communities and to serve as a model for other communities seeking an integrated approach to energy and water resource efficiency. The program included the installation and in-place evaluation of energy- and water-efficient devices including the following: horizontal axis clothes washers (and the matching clothes dryers), resource-efficient dishwashers, an innovative dual flush low-flow toilet, low-flow showerheads, and faucet aerators. The significance of this activity lies in its integrated approach and unique metering evaluation of individual end-use, aggregated residential total use, and system-wide energy and water benefits.

  16. A comprehensive program for countermeasures against potentially hazardous objects (PHOs)

    Energy Technology Data Exchange (ETDEWEB)

    Huebner, Walter [Los Alamos National Laboratory; Giguere, P T [Los Alamos National Laboratory; Bradley, P [Los Alamos National Laboratory; Guzik, J A [Los Alamos National Laboratory; Plesko, C [Los Alamos National Laboratory; Wohletz, K [Los Alamos National Laboratory; Johnson, L N [SMD; Boice, D C [SWR; Chocron, S [SWRI; Ghosh, A [SWRI; Goldstein, R [SWRI; Mukerherjee, J [SWRI; Patrick, W [SWRI; Walker, J D [SWRI

    2008-01-01

    At the hundredth anniversary of the Tunguska event in Siberia it is appropriate to discuss measures to avoid such occurrences in the future. Recent discussions about detecting, tracking, cataloguing, and characterizing near-Earth objects (NEOs) center on objects larger than about 140 m in size. However, objects smaller than 100 m are more frequent and can cause significant regional destruction of civil infrastructures and population centers. The cosmic object responsible for the Tunguska event provides a graphic example: although it is thought to have been only about 50 to 60 m in size, it devastated an area of about 2000 km{sup 2}. Ongoing surveys aimed at early detection of a potentially hazardous object (PHO: asteroid or comet nucleus that approaches the Earth's orbit within 0.05 AU) are only a first step toward applying countermeasures to prevent an impact on Earth. Because 'early' may mean only a few weeks or days in the case of a Tunguska-sized object or a long-period comet, deflecting the object by changing its orbit is beyond the means of current technology, and destruction and dispersal of its fragments may be the only reasonable solution. Highly capable countermeasures - always at the ready - are essential to defending against an object with such short warning time, and therefore short reaction time between discovery and impending impact. We present an outline for a comprehensive plan for countermeasures that includes smaller (Tunguska-sized) objects and long-period comets, focuses on short warning times, uses non-nuclear methods (e.g., hyper-velocity impactor devices and conventional explosives) whenever possible, uses nuclear munitions only when needed, and launches from the ground. The plan calls for international collaboration for action against a truly global threat.

  17. 34 CFR 403.161 - How must funds be used under the Comprehensive Career Guidance and Counseling Programs?

    Science.gov (United States)

    2010-07-01

    ... Guidance and Counseling Programs? 403.161 Section 403.161 Education Regulations of the Offices of the... the Special Programs? Comprehensive Career Guidance and Counseling Programs § 403.161 How must funds be used under the Comprehensive Career Guidance and Counseling Programs? (a) A State shall use not...

  18. Developing a comprehensive scale to assess college multicultural programming.

    Science.gov (United States)

    Mallinckrodt, Brent; Miles, Joseph R; Bhaskar, Tripti; Chery, Nicole; Choi, Gahee; Sung, Mi-Ra

    2014-01-01

    A barrier to assessing effectiveness of multicultural programming is lack of a relatively brief instrument to measure the wide range of intended outcomes. A frequent goal of programming is to increase cultural empathy, but this is rarely the only intended outcome. We conducted focus groups of campus administrators, student affairs staff, and undergraduate instructors who identified a full range of racial/ethnic multicultural competencies that undergraduates should possess. An 84-item pool generated from these focus groups was combined with the 31-item Scale of Ethnocultural Empathy (SEE; Wang et al., 2003). These 115 items, together with instruments used to gauge concurrent validity, were administered to White undergraduate students in introductory psychology courses at the midpoint (n = 602) and end (n = 676) of fall semester. Exploratory factor analysis suggested 6 subscales for the Everyday Multicultural Competencies/Revised SEE (EMC/RSEE): (a) Cultural Openness and Desire to Learn; (b) Resentment and Cultural Dominance; (c) Anxiety and Lack of Multicultural Self-Efficacy; (d) Empathic Perspective-Taking; (e) Awareness of Contemporary Racism and Privilege; and (f) Empathic Feeling and Acting as an Ally. Item response theory principles guided final selection of subscale items. Analyses suggested good factor stability, reliability, and discriminant validity of the 48-item EMC/RSEE in these undergraduate samples. EMC/RSEE subscales were not strongly correlated with a measure of impression management and were significantly associated with measures of Openness to Diversity Challenge, and Universal-Diverse Orientation. (c) 2014 APA, all rights reserved.

  19. Comprehensive Adolescent Health Programs That Include Sexual and Reproductive Health Services: A Systematic Review

    Science.gov (United States)

    Parekh, Jenita; Tunçalp, Özge; Turke, Shani; Blum, Robert William

    2014-01-01

    We systematically reviewed peer-reviewed and gray literature on comprehensive adolescent health (CAH) programs (1998–2013), including sexual and reproductive health services. We screened 36 119 records and extracted articles using predefined criteria. We synthesized data into descriptive characteristics and assessed quality by evidence level. We extracted data on 46 programs, of which 19 were defined as comprehensive. Ten met all inclusion criteria. Most were US based; others were implemented in Egypt, Ethiopia, and Mexico. Three programs displayed rigorous evidence; 5 had strong and 2 had modest evidence. Those with rigorous or strong evidence directly or indirectly influenced adolescent sexual and reproductive health. The long-term impact of many CAH programs cannot be proven because of insufficient evaluations. Evaluation approaches that take into account the complex operating conditions of many programs are needed to better understand mechanisms behind program effects. PMID:25320876

  20. An integer linear programming for a comprehensive reverse supply chain

    Directory of Open Access Journals (Sweden)

    Hoda Mahmoudi

    2014-12-01

    Full Text Available Reverse supply chain is a cycle of recovery for the products and materials used by the customers but can be returned to the chain performing some operations. Due to significance of reverse supply chain in the content of environmental and economical aspects, we formulate a mathematical model of reverse multi-layer multi-product supply chain for minimizing the total costs including returning, disassembly, processing, recycling, remanufacturing, and distribution centers. The presented model is an integer linear programming model being solved using Lingo 9 software. Numerical experiments are conducted to gain insight into the proposed model. The solutions provide a decision aid stream strengthening the concept of reverse supply network design and analysis for profit-making organization.

  1. The Solid* toolset for software visual analytics of program structure and metrics comprehension : From research prototype to product

    NARCIS (Netherlands)

    Reniers, Dennie; Voinea, Lucian; Ersoy, Ozan; Telea, Alexandru

    2014-01-01

    Software visual analytics (SVA) tools combine static program analysis and fact extraction with information visualization to support program comprehension. However, building efficient and effective SVA tools is highly challenging, as it involves extensive software development in program analysis,

  2. Framework for a ground-water quality monitoring and assessment program for California

    Science.gov (United States)

    Belitz, Kenneth; Dubrovsky, Neil M.; Burow, Karen; Jurgens, Bryant C.; John, Tyler

    2003-01-01

    The State of California uses more ground water than any other State in the Nation. With a population of over 30 million people, an agricultural economy based on intensive irrigation, large urban industrial areas, and naturally elevated concentrations of some trace elements, there is a wide range of contaminant sources that have the potential to contaminate ground water and limit its beneficial uses. In response to the many-and different-potential sources of ground-water contamination, the State of California has evolved an extensive set of rules and programs to protect ground-water quality, and agencies to implement the rules and programs. These programs have in common a focus on compliance with regulations governing chemical use and (or) ground-water quality. Although appropriate for, and successful at, their specific missions, these programs do not at present provide a comprehensive view of ground-water quality in the State of California. In October 2001, The California Assembly passed a bill, AB 599, establishing the Ground-Water- Quality Monitoring Act of 2001.' The goal of AB 599 is to improve Statewide comprehensive ground-water monitoring and increase availability of information about ground-water quality to the public. AB 599 requires the State Water Resources Control Board (SWRCB), in collaboration with an interagency task force (ITF) and a public advisory committee (PAC), to develop a plan for a comprehensive ground-water monitoring program. AB 599 specifies that the comprehensive program should be capable of assessing each ground-water basin in the State through direct and other statistically reliable sampling approaches, and that the program should integrate existing monitoring programs and design new program elements, as necessary. AB 599 also stresses the importance of prioritizing ground-water basins that provide drinking water. The United States Geological Survey (USGS), in cooperation with the SWRCB, and in coordination with the ITF and PAC, has

  3. USGS Water Availability and Use Science Program - research Towards a national water budget

    Science.gov (United States)

    Dalton, M.

    2016-12-01

    A key part of achieving the US Department of the Interior's sustainability goals is informing the public and decision makers about the status and trends of the Nation's water resources. To achieve these goals the USGS has implemented a National Water Census (NWC) to provide a more accurate picture of the quantity of the Nation's water resources and improve forecasting of water availability for current and future economic, energy production, and environmental uses. In 2016, to streamline water sustainability activities, the USGS realigned all water availability and use oriented research, including the NWC, within a new Program - the Water Availability and Use Science Program (WAUSP). WAUSP supports producing a current, comprehensive scientific assessment of the factors that influence water availability through development of nationally consistent datasets on the status and trends of water budget components (precipitation, streamflow, groundwater, and evapotranspiration), as well as human water use; improving the current understanding of flow requirements for ecological purposes; and evaluating water-resource conditions in selected river basins, or Focus Area Studies, where competition for water is a local concern. In addition to supporting research that provides water budget component estimates at the smallest possible spatial and temporal scale, WAUSP has supported the development of new methods and techniques to improve estimation of water use through the National Water Use Science project. These efforts include developing a heat budget-based model to improve estimates of thermoelectric water use, evaluating direct and indirect water use associated with unconventional oil and gas production, and developing methods to estimate irrigation consumptive use at both the local and regional scale. Additionally, WAUSP collaborates with federal, State, local, and University partners on a number of other water use related research including the new Water Use Data and

  4. A Comprehensive Planning Model and Delivery System for Leadership Training Programs.

    Science.gov (United States)

    Janosik, Steven M.; Sina, Julie A.

    1988-01-01

    Presents an eight-step planning model that operationally defines a comprehensive delivery systems approach to campuswide leadership training. Lists four goals of the model: to increase efficiency of leadership training through shared resources, to decrease costs, to provide quality control, and to increase impact of programming effort by creating…

  5. Completion report : Effect of Comprehensive Yogic Breathing program on type 2 diabetes: A randomized control trial

    Directory of Open Access Journals (Sweden)

    V P Jyotsna

    2014-01-01

    Full Text Available Background: Yoga has been shown to be benefi cial in diabetes in many studies, though randomized control trials are few. The aim of this randomized control trial was to see the effect of Sudarshan Kriya and related practices (comprehensive yogic breathing program on quality of life, glycemic control, and cardiac autonomic functions in diabetes. Diabetes mellitus is a risk factor for sudden cardiac death. Cardiac autonomic neuropathy has been implicated in the causation of sudden cardiac death. Therefore, a maneuver to prevent progression of cardiac autonomic neuropathy holds signifi cance. Materials and Methods: A total of 120 patients of diabetes on oral medication and diet and exercise advice were randomized into two groups: (1 Continued to receive standard treatment for diabetes. (2 Patients administered comprehensive yogic breathing program and monitored to regularly practice yoga in addition to standard treatment of diabetes. At 6 months, quality of life and postprandial plasma glucose signifi cantly improved in the group practicing yoga compared to baseline, but there was no significant improvement in the fasting plasma glucose and glycated hemoglobin. Results: On per protocol analysis, sympathetic cardiac autonomic functions signifi cantly improved from baseline in the group practicing comprehensive yogic breathing. Conclusion: This randomized control trial points towards the beneficial effect of yogic breathing program in preventing progression of cardiac neuropathy. This has important implications as cardiac autonomic neuropathy has been considered as one of the factors for sudden cardiac deaths.Keywords: comprehensive yogic breathing program, diabetes mellitus, cardiac autonomic function

  6. Development of Reading Comprehension Skills among Students with Intellectual Disabilities Using Technologically-Based Reading Programs

    Science.gov (United States)

    Macklin, Ella M.

    2016-01-01

    This research paper reported the results from research conducted regarding technologically-based reading comprehension programs for students who have intellectual disabilities. It provided evidence-based research and theoretical bases for learning (i.e. Zone of Generativity, Constructivism, Self-Efficacy) on the issue of these students not being…

  7. Pre-Education Programs: A Comprehensive Project at Henry Ford Community College.

    Science.gov (United States)

    Zopf, Deborah; Smyrski, Larry

    This document presents an overview of a four-year comprehensive pre-education project at Henry Ford Community College (HFCC) in Michigan. To meet the needs of school districts that preferred a 32-credit certificate program as well as districts that preferred a 60-unit associate degree, HFCC employed a career-ladder approach: A 32-credit…

  8. Youth Leadership Development: Perceptions and Preferences of Urban Students Enrolled in a Comprehensive Agriculture Program

    Science.gov (United States)

    Anderson, James C., II; Kim, Eunyoung

    2009-01-01

    This descriptive study explores the perceptions of and preferences for leadership development by students enrolled in a comprehensive urban agriculture program. A total of 284 students from the Chicago High School for Agricultural Sciences participated in the study. The results of the study showed that the average respondent was involved in a…

  9. Comprehensive Support Services Program for Serving Pupils with Special Educational Needs, 1975 - 1976. Report and Evaluation.

    Science.gov (United States)

    Ashburn, Sarah H.

    Presented are a description and evaluation report of the Comprehensive Support Services Program (CSSP), a regional effort by seven New York school districts to identify, evaluate, and provide supplemental educational support for learning disabled students with special educational needs through a multi-disciplinary team in each school. Summarized…

  10. Developing a Comprehensive Learning Community Program: Implementing a Learning Community Curriculum

    Science.gov (United States)

    Workman, Jamie L.; Redington, Lyn

    2016-01-01

    This is the second of a three-part series which will share information about how a mid-size, comprehensive university developed a learning community program, including a residential curriculum. Through intentional collaboration and partnerships, the team, comprised of faculty and staff throughout the university, developed a "multi-year plan…

  11. Comprehensive School Physical Activity Programs: Helping All Students Achieve 60 Minutes of Physical Activity Each Day

    Science.gov (United States)

    Elliot, Eloise; Erwin, Heather; Hall, Tina; Heidorn, Brent

    2013-01-01

    The American Alliance for Health, Physical Education, Recreation and Dance recommends that all schools implement a comprehensive school physical activity program. Physical activity is important to the overall health and well-being of everyone, including all school age children. The benefits of physical activity are well documented and include the…

  12. An Investigation of Classroom Practices in Teaching Listening Comprehension at English Education Program

    Science.gov (United States)

    Siregar, Nurhafni

    2017-01-01

    The objective of this study is to investigate how the classroom practice in teaching listening comprehension at English Education Program of STKIP Tapanuli Selatan in 2016/2017 Academic Year is. The informants of this research were all of second semester students of STKIP Tapanuli Selatan in 2016/2017 academic year and a lecturer of listening…

  13. A Call to Action: Addressing the Childhood Obesity Epidemic through Comprehensive School Counseling Programs

    Science.gov (United States)

    Belser, Christopher T.; Morris, Jessica A.; Hasselbeck, Jennifer M.

    2012-01-01

    The need for school-based interventions targeting the childhood obesity epidemic has been well documented. The risk factors associated with childhood obesity are physical, mental, psychosocial, academic, and economic. With training in developing comprehensive programs and interventions, professional school counselors are positioned to assist…

  14. 18 CFR 740.4 - State water management planning program.

    Science.gov (United States)

    2010-04-01

    ... 18 Conservation of Power and Water Resources 2 2010-04-01 2010-04-01 false State water management... STATE WATER MANAGEMENT PLANNING PROGRAM § 740.4 State water management planning program. (a) A State... major elements of the State water management program, which should address but not be limited to: (i...

  15. The Role of Communicative Feedback in Successful Water Conservation Programs

    Science.gov (United States)

    Tom, Gail; Tauchus, Gail; Williams, Jared; Tong, Stephanie

    2011-01-01

    The Sacramento County Water Agency has made available 2 water conservation programs to its customers. The Data Logger Program attaches the Meter Master Model 100 EL data logger to the customer's water meter for 1 week and provides a detailed report of water usage from each fixture. The Water Wise House Call Program provides findings and…

  16. Lake Whitney Comprehensive Water Quality Assessment, Phase 1B- Physical and Biological Assessment (USDOE)

    Energy Technology Data Exchange (ETDEWEB)

    Doyle, Robert D; Byars, Bruce W

    2009-11-24

    Baylor University Center for Reservoir and Aquatic Systems Research (CRASR) has conducted a phased, comprehensive evaluation of Lake Whitney to determine its suitability for use as a regional water supply reservoir. The area along the Interstate 35 corridor between Dallas / Fort Worth Metroplex and the Waco / Temple Centroplex represents one of the fastest growth areas in the State of Texas and reliable water supplies are critical to sustainable growth. Lake Whitney is situated midway between these two metropolitan areas. Currently, the City of Whitney as well as all of Bosque and Hill counties obtain their potable water from the Trinity Sands aquifer. Additionally, parts of the adjoining McLennan and Burleson counties utilize the Trinity sands aquifer system as a supplement to their surface water supplies. Population growth coupled with increasing demands on this aquifer system in both the Metroplex and Centroplex have resulted in a rapid depletion of groundwater in these rural areas. The Lake Whitney reservoir represents both a potentially local and regional solution for an area experiencing high levels of growth. Because of the large scope of this project as well as the local, regional and national implications, we have designed a multifaceted approach that will lead to the solution of numerous issues related to the feasibility of using Lake Whitney as a water resource to the region. Phase IA (USEPA, QAPP Study Elements 1-4) of this research focused on the physical limnology of the reservoir (bathymetry and fine scale salinity determination) and develops hydrodynamic watershed and reservoir models to evaluate how salinity would be expected to change with varying hydrologic and climatic factors. To this end, we implemented a basic water quality modeling program in collaboration with the Texas Parks and Wildlife Department and the Texas Commission on Environmental Quality to add to the developing long-term database on Lake Whitney. Finally, we conducted an initial

  17. Creating a comprehensive customer service program to help convey critical and acute results of radiology studies.

    Science.gov (United States)

    Towbin, Alexander J; Hall, Seth; Moskovitz, Jay; Johnson, Neil D; Donnelly, Lane F

    2011-01-01

    Communication of acute or critical results between the radiology department and referring clinicians has been a deficiency of many radiology departments. The failure to perform or document these communications can lead to poor patient care, patient safety issues, medical-legal issues, and complaints from referring clinicians. To mitigate these factors, a communication and documentation tool was created and incorporated into our departmental customer service program. This article will describe the implementation of a comprehensive customer service program in a hospital-based radiology department. A comprehensive customer service program was created in the radiology department. Customer service representatives were hired to answer the telephone calls to the radiology reading rooms and to help convey radiology results. The radiologists, referring clinicians, and customer service representatives were then linked via a novel workflow management system. This workflow management system provided tools to help facilitate the communication needs of each group. The number of studies with results conveyed was recorded from the implementation of the workflow management system. Between the implementation of the workflow management system on August 1, 2005, and June 1, 2009, 116,844 radiology results were conveyed to the referring clinicians and documented in the system. This accounts for more than 14% of the 828,516 radiology cases performed in this time frame. We have been successful in creating a comprehensive customer service program to convey and document communication of radiology results. This program has been widely used by the ordering clinicians as well as radiologists since its inception.

  18. Deaf Education Teacher Preparation: A Phenomenological Case Study of a Graduate Program With a Comprehensive Philosophy.

    Science.gov (United States)

    Engler, Karen S; MacGregor, Cynthia J

    2018-01-01

    At a time when deaf education teacher preparation programs are declining in number, little is known about their actual effectiveness. A phenomenological case study of a graduate-level comprehensive deaf education teacher preparation program at a midwestern university explored empowered and enabled learning of teacher candidates using the Missouri Department of Elementary and Secondary Education educator pillars: (a) commitment to the profession, (b) proficiency in practice, and (c) learning impact, all deemed critical to developing quality teachers. A strong connection was found between the program's comprehensive philosophy and its practice. Embracing diversity of d/Deafness and differentiated instruction were the most prevalent themes expressed by participants. Teacher candidates displayed outstanding commitment to the profession and high proficiency in practice. The findings suggest that additional consideration should be given to classroom and behavior management, teacher candidate workload, teaching beyond academics, and preparation for navigating the public school system.

  19. Strategies for establishing a comprehensive quality and performance improvement program in a radiology department.

    Science.gov (United States)

    Kruskal, Jonathan B; Anderson, Stephan; Yam, Chun S; Sosna, Jacob

    2009-01-01

    To improve the safety and quality of the care that radiologists provide, and to allow radiologists and radiology personnel to remain competitive in an increasingly complex environment, it is essential that all imaging departments establish and maintain managed, comprehensive, and effective performance improvement programs. Although the structure and focus of these programs can vary, a number of common components exist, many of which are now widely mandated by organizations that regulate the field of radiology. Basic components include patient safety, process improvement, customer service, professional staff assessment, and education, each of which requires strategies for implementing continuous programs to monitor performance, analyzing and depicting data, implementing change, and meeting regulatory requirements. All of these components are part of a comprehensive quality management system in a large academic radiology department. For smaller departments or practices, the gradual introduction of one or more of these components is useful in ensuring the safety and quality of their services. (c) RSNA, 2009.

  20. Small Business: Action Needed to Determine Whether DOD’s Comprehensive Subcontracting Plan Test Program Should Be Made Permanent

    Science.gov (United States)

    2015-11-01

    SMALL BUSINESS Action Needed to Determine Whether DOD’s Comprehensive Subcontracting Plan Test Program Should Be... Subcontracting Plan Test Program Should Be Made Permanent 5a. CONTRACT NUMBER 5b. GRANT NUMBER 5c. PROGRAM ELEMENT NUMBER 6. AUTHOR(S) 5d. PROJECT...committees November 2015 SMALL BUSINESS Action Needed to Determine Whether DOD’s Comprehensive Subcontracting Plan Test Program Should Be Made

  1. On the use of genetic programming for mining comprehensible rules in subgroup discovery.

    Science.gov (United States)

    Luna, José María; Romero, José Raúl; Romero, Cristóbal; Ventura, Sebastián

    2014-12-01

    This paper proposes a novel grammar-guided genetic programming algorithm for subgroup discovery. This algorithm, called comprehensible grammar-based algorithm for subgroup discovery (CGBA-SD), combines the requirements of discovering comprehensible rules with the ability to mine expressive and flexible solutions owing to the use of a context-free grammar. Each rule is represented as a derivation tree that shows a solution described using the language denoted by the grammar. The algorithm includes mechanisms to adapt the diversity of the population by self-adapting the probabilities of recombination and mutation. We compare the approach with existing evolutionary and classic subgroup discovery algorithms. CGBA-SD appears to be a very promising algorithm that discovers comprehensible subgroups and behaves better than other algorithms as measures by complexity, interest, and precision indicate. The results obtained were validated by means of a series of nonparametric tests.

  2. AGING WATER INFRASTRUCTURE RESEARCH PROGRAM: ADDRESSING THE CHALLENGE THROUGH INNOVATION

    Science.gov (United States)

    A driving force behind the Sustainable Water Infrastructure (SI) initiative and the Aging Water Infrastructure (AWI) research program is the Clean Water and Drinking Water Infrastructure Gap Analysis. In this report, EPA estimated that if operation, maintenance, and capital inves...

  3. A comparison of five common drug-drug interaction software programs regarding accuracy and comprehensiveness.

    Science.gov (United States)

    Kheshti, Raziyeh; Aalipour, Mohammadsadegh; Namazi, Soha

    2016-01-01

    Drug-drug interactions (DDIs) can cause failure in treatment and adverse events. DDIs screening software is an important tool to aid clinicians in the detection and management of DDIs. However, clinicians should be aware of the advantages and limitations of these programs. We compared the ability of five common DDI programs to detect clinically important DDIs. Lexi-Interact, Micromedex Drug Interactions, iFacts, Medscape, and Epocrates were evaluated. The programs' sensitivity, specificity, and positive and negative predictive values were determined to assess their accuracy in detecting DDIs. The accuracy of each program was identified using 360 unknown pair interactions, taken randomly from prescriptions, and forty pairs of clinically important ones. The major reference was a clinical pharmacist alongside the Stockley's Drug Interaction and databases including PubMed, Scopus, and Google Scholar. Comprehensiveness of each program was determined by the number of components in the drug interaction monograph. The aggregate score for accuracy and comprehensiveness was calculated. Scoring 250 out of possible 400 points, Lexi-Interact and Epocrates, provided the most accurate software programs. Micromedex, Medscape, and iFacts ranked third, fourth, and fifth, scoring 236, 202, and 191, respectively. In comprehensiveness test, iFacts showed the highest score, 134 out of possible 134 points, whereas Lexi-Interact rated second, with a score of 120. Scoring 370 and 330 out of possible 534 points, Lexi-Interact and Micromedex, respectively, provided the most competent, complete, and user-friendly applications. Lexi-Interact and Micromedex showed the best performances. An increase in sensitivity is possible by the combination of more than one programs and expert pharmacist intervention.

  4. National Irrigation Water Quality Program data-synthesis data base

    Science.gov (United States)

    Seiler, Ralph L.; Skorupa, Joseph P.

    2001-01-01

    Under the National Irrigation Water Quality Program (NIWQP) of the U.S. Department of the Interior, researchers investigated contamination caused by irrigation drainage in 26 areas in the Western United States from 1986 to 1993. From 1992 to 1995, a comprehensive relational data base was built to organize data collected during the 26-area investigations. The data base provided the basis for analysis and synthesis of these data to identify common features of contaminated areas and hence dominant biologic, geologic, climatic, chemical, and physiographic factors that have resulted in contamination of water and biota in irrigated areas in the Western United States. Included in the data base are geologic, hydrologic, climatological, chemical, and cultural data that describe the 26 study areas in 14 Western States. The data base contains information on 1,264 sites from which water and bottom sediment were collected. It also contains chemical data from 6,903 analyses of surface water, 914 analyses of ground water, 707 analyses of inorganic constituents in bottom sediments, 223 analyses of organochlorine pesticides in bottom sediments, 8,217 analyses of inorganic constituents in biota, and 1,088 analyses for organic constituents in biota. The data base is available to the public and can be obtained at the NIWQP homepage http://www.usbr.gov/niwqp as dBase III tables for personal-computer systems or as American Standard Code for Information Exchange structured query language (SQL) command and data files for SQL data bases.

  5. 7 CFR 1700.30 - Water and Environmental Programs.

    Science.gov (United States)

    2010-01-01

    ... Environmental Programs. RUS, through the Water and Environmental Programs, provides loan and grant funds for... 7 Agriculture 11 2010-01-01 2010-01-01 false Water and Environmental Programs. 1700.30 Section... Assistant Administrator, Water and Environmental Programs, develops and institutes plans, procedures, and...

  6. Impacting Children’s Health and Academic Performance through Comprehensive School Physical Activity Programming

    Directory of Open Access Journals (Sweden)

    Timothy A. BRUSSEAU

    2015-06-01

    Full Text Available Physical activity is associated with numerous academic and health benefits. Furthermore, schools have been identified as an ideal location to promote physical activity as most youth attend school regularly from ages 5-18. Unfortunately, in an effort to increase academic learning time, schools have been eliminating traditional activity opportunities including physical education and recess. To combat physical inactivity in you, numerous organizations are promoting a Comprehensive School Physical Activity Program to encourage academic achievement and overall health. Comprehensive School Physical Activity Programs include five components and should be centered around 1 quality physical education, 2 physical activity before and after school, 3 physical activity during school (both recess and classroom activity, 4 staff involvement, and 5 family and community engagement.

  7. A study of the international trend and comprehensive enhancement program on the Nuclear Power Plant safety

    Energy Technology Data Exchange (ETDEWEB)

    Jang, Soon Hong; Cho, Nam Jin; Paek, Won Phil [Korea Advanced Institute of Science and Technology, Taejon (Korea, Republic of)] (and others)

    1990-12-15

    The objectives of this study are as follows : overview of the international trend related to the safety of Nuclear Power Plant(NPPs), study of the present status of NPP safety in Korea in aspects of design, construction and operation, suggestion of the comprehensive program to improve NPP safety in Korea. The results of this study can contribute to improve the safety of existing and future NPPs, and to establish the severe accident policy in Korea.

  8. A comprehensive system of cosinor treatment programs written for the Apple II microcomputer.

    Science.gov (United States)

    Vokac, M

    1984-01-01

    A comprehensive set of cosinor treatment programs has been written for an Apple II microcomputer. The system includes Single Cosinor, Mean (population) Cosinor and Serial Sections analyses as well as extensive graphics and file management. The package is integrated and used through a hierarchically ordered system of menus and choices. 48k memory and two disk drives are required, and both EPSON and SILENTYPE printers are supported.

  9. 76 FR 295 - Proposed Amendments to the Water Quality Regulations, Water Code and Comprehensive Plan To...

    Science.gov (United States)

    2011-01-04

    ... gas well sites contains salts and other chemicals that present water treatment challenges. This... production waters, treated wastewater and mine drainage waters to be reused for natural gas development under... restoration of natural gas wells and the remediation of any pollution from natural gas development activities...

  10. Role of a comprehensive toxicity assessment and monitoring program in the management and ecological recovery of a wastewater receiving stream.

    Science.gov (United States)

    Greeley, Mark S; Kszos, Lynn A; Morris, Gail W; Smith, John G; Stewart, Arthur J

    2011-06-01

    National Pollution Discharge Elimination Permit (NPDES)-driven effluent toxicity tests using Ceriodaphnia dubia and fathead minnows were conducted for more than 20 years to assess and monitor the effects of wastewaters at the United States (U.S.) Department of Energy Y-12 National Security Complex (Y-12 Complex) in Oak Ridge, Tennessee. Toxicity testing was also conducted on water samples from East Fork Poplar Creek (EFPC), the wastewater receiving stream, as part of a comprehensive biological monitoring and assessment program. In this paper, we evaluate the roles of this long-term toxicity assessment and monitoring program in the management and ecological recovery of EFPC. Effluent toxicity testing, associated toxicant evaluation studies, and ambient toxicity monitoring were instrumental in identifying toxicant sources at the Y-12 Complex, guiding modifications to wastewater treatment procedures, and assessing the success of various pollution-abatement actions. The elimination of untreated wastewater discharges, the dechlorination of remaining wastewater streams, and the implementation of flow management at the stream headwaters were the primary actions associated with significant reductions in the toxicity of stream water in the upper reaches of EFPC from the late 1980s through mid 1990s. Through time, as regulatory requirements changed and water quality improved, emphasis shifted from comprehensive toxicity assessments to more focused toxicity monitoring efforts. Ambient toxicity testing with C. dubia and fathead minnows was supplemented with less-standardized but more sensitive alternative laboratory toxicity tests and in situ bioassays. The Y-12 Complex biological monitoring experience demonstrates the value of toxicity studies to the management of a wastewater receiving stream.

  11. Role of a Comprehensive Toxicity Assessment and Monitoring Program in the Management and Ecological Recovery of a Wastewater Receiving Stream

    Science.gov (United States)

    Greeley, Mark S.; Kszos, Lynn A.; Morris, Gail W.; Smith, John G.; Stewart, Arthur J.

    2011-06-01

    National Pollution Discharge Elimination Permit (NPDES)-driven effluent toxicity tests using Ceriodaphnia dubia and fathead minnows were conducted for more than 20 years to assess and monitor the effects of wastewaters at the United States (U.S.) Department of Energy Y-12 National Security Complex (Y-12 Complex) in Oak Ridge, Tennessee. Toxicity testing was also conducted on water samples from East Fork Poplar Creek (EFPC), the wastewater receiving stream, as part of a comprehensive biological monitoring and assessment program. In this paper, we evaluate the roles of this long-term toxicity assessment and monitoring program in the management and ecological recovery of EFPC. Effluent toxicity testing, associated toxicant evaluation studies, and ambient toxicity monitoring were instrumental in identifying toxicant sources at the Y-12 Complex, guiding modifications to wastewater treatment procedures, and assessing the success of various pollution-abatement actions. The elimination of untreated wastewater discharges, the dechlorination of remaining wastewater streams, and the implementation of flow management at the stream headwaters were the primary actions associated with significant reductions in the toxicity of stream water in the upper reaches of EFPC from the late 1980s through mid 1990s. Through time, as regulatory requirements changed and water quality improved, emphasis shifted from comprehensive toxicity assessments to more focused toxicity monitoring efforts. Ambient toxicity testing with C. dubia and fathead minnows was supplemented with less-standardized but more sensitive alternative laboratory toxicity tests and in situ bioassays. The Y-12 Complex biological monitoring experience demonstrates the value of toxicity studies to the management of a wastewater receiving stream.

  12. Towards a comprehensive assessment and framework for low and high flow water risks

    Science.gov (United States)

    Motschmann, Alina; Huggel, Christian; Drenkhan, Fabian; León, Christian

    2017-04-01

    Driven by international organizations such as the Intergovernmental Panel on Climate Change (IPCC) the past years have seen a move from a vulnerability concept of climate change impacts towards a risk framework. Risk is now conceived at the intersection of climate-driven hazard and socioeconomic-driven vulnerability and exposure. The concept of risk so far has been mainly adopted for sudden-onset events. However, for slow-onset and cumulative climate change impacts such as changing water resources there is missing clarity and experience how to apply a risk framework. Research has hardly dealt with the challenge of how to integrate both low and high flow risks in a common framework. Comprehensive analyses of risks related to water resources considering climate change within multi-dimensional drivers across different scales are complex and often missing in climate-sensitive mountain regions where data scarcity and inconsistencies represent important limitations. Here we review existing vulnerability and risk assessments of low and high flow water conditions and identify critical conceptual and practical gaps. Based on this, we develop an integrated framework for low and high flow water risks which is applicable to both past and future conditions. The framework explicitly considers a water balance model simulating both water supply and demand on a daily basis. We test and apply this new framework in the highly glacierized Santa River catchment (SRC, Cordillera Blanca, Peru), representative for many developing mountain regions with both low and high flow water risks and poor data availability. In fact, in the SRC, both low and high flow hazards, such as droughts and floods, play a central role especially for agricultural, hydropower, domestic and mining use. During the dry season (austral winter) people are increasingly affected by water scarcity due to shrinking glaciers supplying melt water. On the other hand during the wet season (austral summer) high flow water

  13. A comprehensive framework for the assessment of new end uses in recycled water schemes.

    Science.gov (United States)

    Chen, Zhuo; Ngo, Huu Hao; Guo, Wenshan; Lim, Richard; Wang, Xiaochang C; O'Halloran, Kelly; Listowski, Andrzej; Corby, Nigel; Miechel, Clayton

    2014-02-01

    Nowadays, recycled water has provided sufficient flexibility to satisfy short-term freshwater needs and increase the reliability of long-term water supplies in many water scarce areas, which becomes an essential component of integrated water resources management. However, the current applications of recycled water are still quite limited that are mainly associated with non-potable purposes such as irrigation, industrial uses, toilet flushing and car washing. There is a large potential to exploit and develop new end uses of recycled water in both urban and rural areas. This can greatly contribute to freshwater savings, wastewater reduction and water sustainability. Consequently, the paper identified the potentials for the development of three recycled water new end uses, household laundry, livestock feeding and servicing, and swimming pool, in future water use market. To validate the strengths of these new applications, a conceptual decision analytic framework was proposed. This can be able to facilitate the optional management strategy selection process and thereafter provide guidance on the future end use studies within a larger context of the community, processes, and models in decision-making. Moreover, as complex evaluation criteria were selected and taken into account to narrow down the multiple management alternatives, the methodology can successfully add transparency, objectivity and comprehensiveness to the assessment. Meanwhile, the proposed approach could also allow flexibility to adapt to particular circumstances of each case under study. © 2013.

  14. The Analysis of Maternity Health Program by Using Comprehensive Evaluation Model (CIPPI – Tabriz, 1389

    Directory of Open Access Journals (Sweden)

    Hadi Kalantari

    2015-08-01

    Full Text Available ​ Background and Objectives: In all health systems, maternity health program has an important role for its great effects. Therefore, the evaluation of this program constantly was at the center of attention of managers and policy makers. The current study aimed to analyze maternity health program by focusing on the evaluation process according to the evaluation comprehensive model (CIPPI in East Azarbaijan. Material and Methods: This is a descriptive cross-sectional study and its data were collected by qualitative methods such as observing and interviewing. By evaluating different levels of delivered services, interviewing process owners and customers and reviewing the documents, evaluation process was studied and the results were compared with CIPPI model. Results: The yielded results from the comparison of this program with CIPPI model indicated that from 24 analyzed items in 5 dimensions of this program, only 5 items were measured completely, 5 items measured partially and 14 items were not measured at all. There were other problems including weaknesses in checklist, standards and during the process of evaluation. Conclusion: According to the results, it is concluded that the current model of maternity health evaluation program in Eastern Azarbaijan has a notable gap with an ideal evaluation program and the need for a revise of this program according to efficient and effective evaluation models seems necessary.

  15. A comprehensive intervention program on the long-term placement of peripherally inserted central venous catheters.

    Science.gov (United States)

    Chen, Wenfeng; Deng, Haoyu; Shen, Liangfang; Qin, Man; He, Lianxian

    2014-01-01

    Peripherally inserted central venous catheters (PICCs) have been increasingly utilized in treating patients in intensive care. The purpose of this study is to analyze the related complications and to evaluate effect of a comprehensive intervention on long-term PICCs. We selected 217 and 243 cases before and after comprehensive intervention respectively from the department of radiotherapy in our hospital. Various possible factors affecting PICCs insertions and maintenance were analyzed. A quality control circle was formed for nursing care. The comprehensive intervention was performed both on catheter insertion and post-PICCs care. Complication rates were compared before and after the intervention. The duration for PICCs was 90 days. In the control group (before intervention), the complications were as follows: Tube feeding difficulties (23.5%), catheter dislodgment (23.5%), infection (17.6%), catheter obstruction (17.6%), puncture failure (5.9%), allergy (5.9%), and pain (5.9%). The incidence of unplanned extubations was 7.8%. The incidence of complications was significantly decreased in the test group (after intervention). Moreover, one episode of catheter obstruction (5.9%) and one episode of allergy (5.9%) were found (P < 0.01) in this study. Comprehensive intervention programs effectively reduce the incidence of complications in long-term PICCs lines.

  16. Chesapeake Bay Program Water Quality Database

    Science.gov (United States)

    The Chesapeake Information Management System (CIMS), designed in 1996, is an integrated, accessible information management system for the Chesapeake Bay Region. CIMS is an organized, distributed library of information and software tools designed to increase basin-wide public access to Chesapeake Bay information. The information delivered by CIMS includes technical and public information, educational material, environmental indicators, policy documents, and scientific data. Through the use of relational databases, web-based programming, and web-based GIS a large number of Internet resources have been established. These resources include multiple distributed on-line databases, on-demand graphing and mapping of environmental data, and geographic searching tools for environmental information. Baseline monitoring data, summarized data and environmental indicators that document ecosystem status and trends, confirm linkages between water quality, habitat quality and abundance, and the distribution and integrity of biological populations are also available. One of the major features of the CIMS network is the Chesapeake Bay Program's Data Hub, providing users access to a suite of long- term water quality and living resources databases. Chesapeake Bay mainstem and tidal tributary water quality, benthic macroinvertebrates, toxics, plankton, and fluorescence data can be obtained for a network of over 800 monitoring stations.

  17. 77 FR 38277 - Wind and Water Power Program

    Science.gov (United States)

    2012-06-27

    ... of Energy Efficiency and Renewable Energy Wind and Water Power Program AGENCY: Office of Energy... Department of Energy (DOE) Wind and Water Power Program is planning a coordination workshop to exchange... in Washington, DC on June 13, 2012. Mark Higgins, Wind and Water Power Acting Program Manager, Office...

  18. 77 FR 5002 - Wind and Water Power Program

    Science.gov (United States)

    2012-02-01

    ... of Energy Efficiency and Renewable Energy Wind and Water Power Program AGENCY: Office of Energy..., request for comment. SUMMARY: The Wind and Water Power Program (WWPP) within the U.S. Department of Energy...: Michael Hahn, Wind and Water Power Program, 1617 Cole Blvd. Golden, CO 80401. Please submit one signed...

  19. Substance Dependency's Effect on Reading Decoding and Comprehension: Reading Decoding and Comprehension Levels as Indicators of Brain Dysfunctioning with Ramifications for Traditional Rehabilitation Programming.

    Science.gov (United States)

    Schadler, Debbie E.

    This paper discusses the outcomes of a study that investigated the effects of substance dependency on the reading decoding and comprehension of 497 adolescents (ages 12-18) involved in an inpatient drug and alcohol rehabilitation program. The first part of the study involved the formal assessment of reading decoding and reading comprehension…

  20. Principal-subordinate hierarchical multi-objective programming model of initial water rights allocation

    Directory of Open Access Journals (Sweden)

    Dan WU

    2009-06-01

    Full Text Available The principal-subordinate hierarchical multi-objective programming model of initial water rights allocation was developed based on the principle of coordinated and sustainable development of different regions and water sectors within a basin. With the precondition of strictly controlling maximum emissions rights, initial water rights were allocated between the first and the second levels of the hierarchy in order to promote fair and coordinated development across different regions of the basin and coordinated and efficient water use across different water sectors, realize the maximum comprehensive benefits to the basin, promote the unity of quantity and quality of initial water rights allocation, and eliminate water conflict across different regions and water sectors. According to interactive decision-making theory, a principal-subordinate hierarchical interactive iterative algorithm based on the satisfaction degree was developed and used to solve the initial water rights allocation model. A case study verified the validity of the model.

  1. Renewable energy water supply - Mexico program summary

    Energy Technology Data Exchange (ETDEWEB)

    Foster, R. [New Mexico State Univ., Las Cruces, NM (United States)

    1997-12-01

    This paper describes a program directed by the US Agency for International Development and Sandia National Laboratory which installed sustainable energy sources in the form of photovoltaic modules and wind energy systems in rural Mexico to pump water and provide solar distillation services. The paper describes the guidelines which appeared most responsible for success as: promote an integrated development program; install quality systems that develop confidence; instill local project ownership; train local industry and project developers; develop a local maintenance infrastructure; provide users training and operations guide; develop clear lines of responsibilities for system upkeep. The paper emphasizes the importance of training. It also presents much collected data as to the characteristics and performance of the installed systems.

  2. Examining ethics - developing a comprehensive exam for a bioethics master's program.

    Science.gov (United States)

    Schonfeld, Toby; Stoddard, Hugh; Labrecque, Cory Andrew

    2014-10-01

    Assessing mastery of bioethics in a graduate program requires careful attention not simply to the content knowledge and skill development of students but also to the principles of sound assessment processes. In this article, we describe the rationale, development process, and features of the comprehensive exam we created as a culminating experience of a master's program in bioethics. The exam became the students' opportunity to demonstrate the way they were able to integrate course, textual, and practical knowledge gained throughout the experience of the program. Additionally, the exam assessed students' proficiency in the field of bioethics and their ability to critically and constructively analyze bioethical issues. In this article, we offer tips to other exam creators regarding our experiences with question and answer development, scoring of the exam, and relationships between coursework and exam preparation and completion. We also include a sample rubric for others to see how we determined which student answers were satisfactory.

  3. Comprehensive isolation of natural organic matter from water for spectral characterizations and reactivity testing

    Science.gov (United States)

    Leenheer, J.A.; Croue, J.-P.; Benjamin, M.; Korshin, G.V.; Hwang, C.J.; Bruchet, A.; Aiken, G.R.

    2000-01-01

    A variety of approaches were tested to comprehensively isolate natural organic matter (NOM) from water. For waters with high NOM concentrations such as the Suwannee River, Georgia, approaches that used combinations of membrane concentrations, evaporative concentrations, and adsorption on nonionic XAD resins, ion exchange resins and iron oxide coated sand isolated over 90% of the NOM. However, for waters with low NOM concentrations, losses of half of the NOM were common and desalting of NOM isolates was a problem. A new comprehensive approach was devised and tested on the Seine River, France in which 100 L of filtered water was sodium softened by ion exchange and vacuum evaporated to 100 mL. Colloids (32% of the NOM) were isolated using a 3,500 Dalton membrane by dialysis against 0.1 M HCl and 0.2 M HF to remove salts and silica. On the membrane permeate, hydrophobic NOM (42%) was isolated using XAD-8 resin and hydrophilic NOM (26%) was isolated using a variety of selective desalting precipitations. The colloid fraction was characterized by IR and NMR spectroscopy as N-acetylamino sugars. ?? 2000 American Chemical Society.

  4. 78 FR 42945 - Public Water Supply Supervision Program; Program Revision for the State of Oregon

    Science.gov (United States)

    2013-07-18

    ... AGENCY Public Water Supply Supervision Program; Program Revision for the State of Oregon AGENCY... that the State of Oregon has revised its approved State Public Water Supply Supervision Primacy Program...; Long Term 2 Enhanced Surface Water Treatment Rule; Ground Water Rule; and Lead and Copper Short-Term...

  5. Region 9 Tribal Clean Water Act Programs and Grants

    Science.gov (United States)

    EPA's Tribal Water Office in Region 9 manages all grants related to the Clean Water Act for over 100 federally recognized tribes and provides programmatic and technical assistance for water quality standards and CWA grant programs.

  6. Annual Water Program 1969 : Pungo National Wildlife Refuge

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This annual water program covers water management activities for Pungo National Wildlife Refuge for calendar year 1969. The plan covers water flow regime,...

  7. Stillwater Wildlife Management Area Annual Water management Program [1974

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — The Water Management Program summarizes last year's -water receipts, distribution and general marsh conditions . Anticipated water flows are made from cooperative...

  8. 75 FR 48329 - Tribal Drinking Water Operator Certification Program

    Science.gov (United States)

    2010-08-10

    ... AGENCY Tribal Drinking Water Operator Certification Program AGENCY: Environmental Protection Agency (EPA... Drinking Water Infrastructure Grant Tribal Set-Aside (DWIG TSA) program. The Federal drinking water regulations require some system operators to be ``qualified.'' Participation in EPA's Tribal Drinking Water...

  9. Effects of a Comprehensive Predialysis Education Program on the Home Dialysis Therapies: A Retrospective Cohort Study.

    Science.gov (United States)

    Shukla, Ashutosh M; Easom, Andrea; Singh, Manisha; Pandey, Richa; Rotaru, Dumitru; Wen, Xuerong; Shah, Sudhir V

    2017-01-01

    Improvement in the rates of home dialysis has been a desirable but difficult-to-achieve target for United States nephrology. Provision of comprehensive predialysis education (CPE) in institutes with established home dialysis programs has been shown to facilitate a higher home dialysis choice amongst chronic kidney disease (CKD) patients. Unfortunately, limited data have shown the efficacy of such programs in the United States or in institutes with small home dialysis (HoD) programs. We report the retrospective findings examining the efficacy of a CPE program in the early period after its establishment, with reference to its impact on the choice and growth of a small HoD program. Over the initial 22 months since its inception, 108 patients were enrolled in the CPE clinic. Seventy percent of patients receiving CPE chose HoD, of which 55% chose peritoneal dialysis (PD) and 15% chose home hemodialysis (HHD). Rates of HoD choice were similar across the spectrum of socio-economic variables. Of just over half (54.6%) of those choosing to return for more than 1 session, 25.3%, changed their modality preference after the first education session, and nearly all reached a final modality selection by the end of the third visit. Initiation of the CPE program resulted in a 216% growth in HoD census over the same period and resulted in near doubling of HoD prevalence to 38% of all dialysis patients. Comprehensive patient education improves the choice and prevalence of HoD therapies. We further find that 3 sessions of CPE may provide needed resources for the large majority of subjects for adequate decision-making. Copyright © 2017 International Society for Peritoneal Dialysis.

  10. WaterSense Program: Methodology for National Water Savings Analysis Model Indoor Residential Water Use

    Energy Technology Data Exchange (ETDEWEB)

    Whitehead, Camilla Dunham; McNeil, Michael; Dunham_Whitehead, Camilla; Letschert, Virginie; della_Cava, Mirka

    2008-02-28

    The U.S. Environmental Protection Agency (EPA) influences the market for plumbing fixtures and fittings by encouraging consumers to purchase products that carry the WaterSense label, which certifies those products as performing at low flow rates compared to unlabeled fixtures and fittings. As consumers decide to purchase water-efficient products, water consumption will decline nationwide. Decreased water consumption should prolong the operating life of water and wastewater treatment facilities.This report describes the method used to calculate national water savings attributable to EPA?s WaterSense program. A Microsoft Excel spreadsheet model, the National Water Savings (NWS) analysis model, accompanies this methodology report. Version 1.0 of the NWS model evaluates indoor residential water consumption. Two additional documents, a Users? Guide to the spreadsheet model and an Impacts Report, accompany the NWS model and this methodology document. Altogether, these four documents represent Phase One of this project. The Users? Guide leads policy makers through the spreadsheet options available for projecting the water savings that result from various policy scenarios. The Impacts Report shows national water savings that will result from differing degrees of market saturation of high-efficiency water-using products.This detailed methodology report describes the NWS analysis model, which examines the effects of WaterSense by tracking the shipments of products that WaterSense has designated as water-efficient. The model estimates market penetration of products that carry the WaterSense label. Market penetration is calculated for both existing and new construction. The NWS model estimates savings based on an accounting analysis of water-using products and of building stock. Estimates of future national water savings will help policy makers further direct the focus of WaterSense and calculate stakeholder impacts from the program.Calculating the total gallons of water the

  11. A Comprehensive Review of Credit Instructional Programs Offered by Pasadena City Colleges, 1981-1982. Volume I. Summary Report.

    Science.gov (United States)

    Carvell Education Managment Planning, Inc., Los Angeles, CA.

    The first part of a report on a comprehensive review of the credit instructional programs offered by Pasadena City College (PCC), this volume provides a description of the evaluation procedures used, and a discussion of general issues that are major considerations for program improvement. Section I introduces the program review in terms of its…

  12. A Program Based on the Pragmatic Theory to Develop Grammatical Structure Comprehension Skills for Foreign Learners of Arabic

    Science.gov (United States)

    Elsamman, Marwan

    2014-01-01

    This study aimed at designing a program based on the Pragmatic theory to develop grammatical structure comprehension skills for foreign learners of Arabic and examining its effectiveness. Hence, the problem of the study has been summarized in the weakness of grammatical structure comprehension skills for foreign learners of Arabic and in the need…

  13. Incorporating person centred care principles into an ongoing comprehensive cancer management program: An experiential account

    Directory of Open Access Journals (Sweden)

    Vallath Nandini

    2011-01-01

    Full Text Available Recent research indicates a definite positive impact on treatment outcomes when an integrative approach that focuses on symptom control and quality of life is provided along with the standard therapeutic regimens. However implementation or practice of this approach is not seen widely due to the culture of medical training and practice. This article presents the initial development of a program for incorporating integrative care principles into an ongoing comprehensive cancer care program at a tertiary centre. The key purpose of the program being to develop, facilitate, and establish comprehensive and holistic processes including palliative care principles, that would positively enhance the quantity and quality of life of the person with disease, as well as create an environment that reflects and sustains this approach. The vision, objectives, goals, strategies, activities and results within the 7 months of implementation are documented. The new learnings gained during the process have also been noted in the hope that the model described may be used to conceptualize similar care giving facilities in other centres.

  14. Integrated musculoskeletal rehabilitation care at a comprehensive combat and complex casualty care program.

    Science.gov (United States)

    Goldberg, Capt Kathy F; Green, Bart; Moore, Jacqueline; Wyatt, Marilynn; Boulanger, Lynn; Belnap, Brian; Harsch, Peter; Donaldson, David S

    2009-01-01

    The purpose of this study is to describe the musculoskeletal rehabilitation model used to care for combat and severely wounded or ill US military service members at an integrated Comprehensive Combat and Complex Casualty Care center located at Naval Medical Center San Diego. Through a collaborative and iterative process, providers from the various services included at the Comprehensive Combat and Complex Casualty Care program developed a description of the integration of services provided at this location. After construction of the facility in 2007, the program has provided services for approximately 2 years. Eighteen different health care providers from 10 different specialties provide integrated musculoskeletal services, which include primary care, physical therapy, occupational therapy, vestibular therapy, gait analysis, prosthetics, recreational therapy, and chiropractic care. At the time of this writing (early 2009), the program had provided musculoskeletal rehabilitation care to approximately 500 patients, 58 with amputations, from the operational theater, Veterans Affairs, other military treatment facilities, and local trauma centers. The complex nature of combat wounded and polytrauma patients requires an integrated and interdisciplinary team that is innovative, adaptable, and focused on the needs of the patient. This article presents a description of the model and the experiences of our musculoskeletal rehabilitation team; it is our hope that this article will assist other centers and add to the small but emerging literature on this topic.

  15. COMPREHENSIVE STRENGTH TRAINING PROGRAM FOR A RECREATIONAL SENIOR GOLFER 11-MONTHS AFTER A ROTATOR CUFF REPAIR

    Science.gov (United States)

    Meira, Erik P.; En Gilpin, Hui; Brunette, Meredith

    2011-01-01

    Background and Purpose: Golf is a popular sport played by hundreds of thousands of individuals of all ages and of varying skill levels. An orthopedic or sports-related injury and/or surgery may limit an individual's sport participation, require him/her to complete a course of rehabilitation, and initiate (or resume) a sport-specific training program. Unlike the availability of evidence to guide postsurgical rehabilitation and sport-specific training of athletes from sports other than golf, there have only been two reports describing outcomes after surgery and for golfers. The purpose of this case report is to present a post-rehabilitation return to sport-training program for a recreational golfer 11-months after a rotator cuff repair. Case Description: The subject, a 67-year old female, injured her right shoulder requiring a rotator cuff repair 11-months prior to her participation in a golf fitness training program. The subject participated in six training sessions over seven week period consisting of general strengthening exercises (including exercises for the rotator cuff), exercises for the core, plyometrics, and power exercises. Outcomes: The subject made improvements in power and muscular endurance of the core. She was able to resume golf at the completion of the training program. Discussion: The subject was able to make functional improvements and return to golf after participation in a comprehensive strength program. Additional studies are necessary to improve program design for golfers who wish to return to sport after shoulder surgery. PMID:22163096

  16. A comprehensive joint replacement program for total knee arthroplasty: a descriptive study

    Directory of Open Access Journals (Sweden)

    Prefontaine Paul

    2008-11-01

    Full Text Available Abstract Background Total knee arthroplasty (TKA is a commonly performed surgical procedure in the US. It is important to have a comprehensive inpatient TKA program which maximizes outcomes while minimizing adverse events. The purpose of this study was to describe a TKA program – the Joint Replacement Program (JRP – and report post-surgical outcomes. Methods 74 candidates for a primary TKA were enrolled in the JRP. The JRP was designed to minimize complications and optimize patient-centered outcomes using a team approach including the patient, patient's family, and a multidisciplinary team of health professionals. The JRP consisted of a pre-operative class, standard pathways for medical care, comprehensive peri-operative pain management, aggressive physical therapy (PT, and proactive discharge planning. Measures included functional tests, knee range of motion (ROM, and medical record abstraction of patient demographics, length of stay, discharge disposition, and complications over a 6-month follow-up period. Results All patients achieved medical criteria for hospital discharge. The patients achieved the knee flexion ROM goal of 90° (91.7 ± 5.4°, but did not achieve the knee extension ROM goal of 0° (2.4 ± 2.6°. The length of hospital stay was two days for 53% of the patients, with 39% and 7% discharged in three and four days, respectively. All but three patients were discharged home with functional independence. 68% of these received outpatient physical therapy compared with 32% who received home physical therapy immediately after discharge. Two patients ( Conclusion The comprehensive JRP for TKA was associated with satisfactory clinical outcomes, short lengths of stay, a high percentage of patients discharged home with outpatient PT, and minimal complications. This JRP may represent an efficient, effective and safe protocol for providing care after a TKA.

  17. Canada's northern food subsidy Nutrition North Canada: a comprehensive program evaluation.

    Science.gov (United States)

    Galloway, Tracey

    2017-01-01

    Nutrition North Canada (NNC) is a retail subsidy program implemented in 2012 and designed to reduce the cost of nutritious food for residents living in Canada's remote, northern communities. The present study evaluates the extent to which NNC provides access to perishable, nutritious food for residents of remote northern communities. Program documents, including fiscal and food cost reports for the period 2011-2015, retailer compliance reports, audits of the program, and the program's performance measurement strategy are examined for evidence that the subsidy is meeting its objectives in a manner both comprehensive and equitable across regions and communities. NNC lacks price caps or other means of ensuring food is affordable and equitably priced in communities. Gaps in food cost reporting constrain the program's accountability. From 2011-15, no adjustments were made to community eligibility, subsidy rates, or the list of eligible foods in response to information provided by community members, critics, the Auditor General of Canada, and the program's own Advisory Board. Measures to increase program accountability, such as increasing subsidy information on point-of-sale receipts, make NNC more visible but do nothing to address underlying accountability issues Conclusions: The current structure and regulatory framework of NNC are insufficient to ensure the program meets its goal. Both the volume and cost of nutritious food delivered to communities is highly variable and dependent on factors such as retailers' pricing practices, over which the program has no control. It may be necessary to consider alternative forms of policy in order to produce sustainable improvements to food security in remote, northern communities.

  18. The effect of comprehensive sexual education program on sexual health knowledge and sexual attitude among college students in southwest China

    NARCIS (Netherlands)

    Chi, X.; Hawk, S.T.; Winter, S.; Meeus, W.H.J.

    2015-01-01

    The purpose of this study was to evaluate whether a comprehensive sexual education program for college students in Southwest China (a) improved sexual health knowledge in reproduction, contraception, condom use, sexually transmitted diseases, and HIV; (b) increased accepting attitudes toward

  19. The effect of comprehensive sexual education program on sexual health knowledge and sexual attitude among college students in Southwest China

    NARCIS (Netherlands)

    Chi, Xinli; Hawk, Skyler T; Winter, Sam; Meeus, Wim|info:eu-repo/dai/nl/070442215

    The purpose of this study was to evaluate whether a comprehensive sexual education program for college students in Southwest China (a) improved sexual health knowledge in reproduction, contraception, condom use, sexually transmitted diseases, and HIV; (b) increased accepting attitudes toward

  20. Water-saving interventions assessment framework: an application for the Urmia Lake Restoration Program

    Science.gov (United States)

    Shadkam, Somayeh; Oel, Pieter; Kabat, Pavel; Ludwig, Fulco

    2017-04-01

    Increasing water demand often results in unsustainable water use leaving insufficient amounts of water for sustaining natural environments. Therefore, to save natural resources water-saving interventions have been introduced to the environmental policy agenda in many (semi)-arid regions. Many policies, however, have failed reaching their objectives to increase water availability for the environment. This calls for a comprehensive tool to assess water-saving policies. Therefore, this study introduces a constructive framework to assess the policies by estimating five components: 1) Total water demand under socio-economic scenarios, 2) Water supply under climate change scenarios, 3) Water withdrawal for different sectors, 4) Water depletion and 5) Environmental flow. The framework, was applied to assess Urmia Lake Restoration Program (ULRP), which aims to restore the drying Urmia Lake in north-western Iran by increasing the lake inflow by 3.1×106m3yr-1. Results suggest that although the ULRP helps to increase inflow by up to 57% it is unlikely to fully reach its target. The analysis shows that there are three main reasons for the potential poor performance. The first reason is decreasing return flows due to increasing irrigation efficiency. This means that the expected increase in lake inflow volume is smaller than the volume saved by increasing irrigation efficiency. The second reason is increased depletion which is due to neglecting the fact that agricultural water demand is currently higher than available water for agriculture. As a result, increasing water use efficiency may result in increased water depletion. The third reason is ignoring the potential impact of climate change, which might decrease future water availability by 3% to 15%. Our analysis suggests that to reach the intervention target, measures need to focus on reducing Water demand and Water depletion rather than on reducing Water withdrawals. The assessment framework can be used to comprehensively

  1. Developing a comprehensive, proficiency-based training program for robotic surgery.

    Science.gov (United States)

    Dulan, Genevieve; Rege, Robert V; Hogg, Deborah C; Gilberg-Fisher, Kristine M; Arain, Nabeel A; Tesfay, Seifu T; Scott, Daniel J

    2012-09-01

    Robotically assisted surgery has become very popular for numerous surgical disciplines, yet training practices remain variable with little to no validation. The purpose of this study was to develop a comprehensive, proficiency-based robotic training program. A skill deconstruction list was generated by observation of robotic operations and interviews with experts. Available resources were used, and other components were developed as needed to develop a comprehensive, proficiency-based curriculum to teach all deconstructed skills. Preliminary construct and content validity and curriculum feasibility were evaluated. The skill deconstruction list contained 23 items. Curricular components included an online tutorial, a half-day interactive session, and 9 inanimate exercises with objective metrics. Novice (546 ± 26) and expert (923 ± 60) inanimate composite scores were different (P training completion. All 23 deconstructed skills were rated as highly relevant (4.9 ± 0.5; 5-point scale), and no skills were absent from the curriculum, supporting content validity. These data suggest that this proficiency-based training curriculum comprehensively addresses the skills necessary to perform robotic operations with early construct and content validity and feasibility demonstrated. Further validation is encouraged. Copyright © 2012 Mosby, Inc. All rights reserved.

  2. A comprehensive review of the effectiveness of different exercise programs for patients with osteoarthritis.

    Science.gov (United States)

    Golightly, Yvonne M; Allen, Kelli D; Caine, Dennis J

    2012-11-01

    Exercise is recommended as a first-line conservative intervention approach for osteoarthritis (OA). A wide range of exercise programs are available and scientific evidence is necessary for choosing the optimal strategy of treatment for each patient. The purpose of this review is to discuss the effectiveness of different types of exercise programs for OA based on trials, systematic reviews, and meta-analyses in the literature. Publications from January 1997 to July 2012 were searched in 4 electronic databases using the terms osteoarthritis, exercise, exercise program, effectiveness, and treatment outcome. Strong evidence supports that aerobic and strengthening exercise programs, both land- and water-based, are beneficial for improving pain and physical function in adults with mild-to-moderate knee and hip OA. Areas that require further research include examination of the long-term effects of exercise programs for OA, balance training for OA, exercise programs for severe OA, the effect of exercise programs on progression of OA, the effectiveness of exercise for joint sites other than the knee or hip, and the effectiveness of exercise for OA by such factors as age, sex, and obesity. Efforts to improve adherence to evidence-based exercise programs for OA and to promote the dissemination and implementation of these programs are crucial.

  3. ECO: A Generic Eutrophication Model Including Comprehensive Sediment-Water Interaction

    Science.gov (United States)

    Smits, Johannes G. C.; van Beek, Jan K. L.

    2013-01-01

    The content and calibration of the comprehensive generic 3D eutrophication model ECO for water and sediment quality is presented. Based on a computational grid for water and sediment, ECO is used as a tool for water quality management to simulate concentrations and mass fluxes of nutrients (N, P, Si), phytoplankton species, detrital organic matter, electron acceptors and related substances. ECO combines integral simulation of water and sediment quality with sediment diagenesis and closed mass balances. Its advanced process formulations for substances in the water column and the bed sediment were developed to allow for a much more dynamic calculation of the sediment-water exchange fluxes of nutrients as resulting from steep concentration gradients across the sediment-water interface than is possible with other eutrophication models. ECO is to more accurately calculate the accumulation of organic matter and nutrients in the sediment, and to allow for more accurate prediction of phytoplankton biomass and water quality in response to mitigative measures such as nutrient load reduction. ECO was calibrated for shallow Lake Veluwe (The Netherlands). Due to restoration measures this lake underwent a transition from hypertrophic conditions to moderately eutrophic conditions, leading to the extensive colonization by submerged macrophytes. ECO reproduces observed water quality well for the transition period of ten years. The values of its process coefficients are in line with ranges derived from literature. ECO’s calculation results underline the importance of redox processes and phosphate speciation for the nutrient return fluxes. Among other things, the results suggest that authigenic formation of a stable apatite-like mineral in the sediment can contribute significantly to oligotrophication of a lake after a phosphorus load reduction. PMID:23844160

  4. ECO: a generic eutrophication model including comprehensive sediment-water interaction.

    Science.gov (United States)

    Smits, Johannes G C; van Beek, Jan K L

    2013-01-01

    The content and calibration of the comprehensive generic 3D eutrophication model ECO for water and sediment quality is presented. Based on a computational grid for water and sediment, ECO is used as a tool for water quality management to simulate concentrations and mass fluxes of nutrients (N, P, Si), phytoplankton species, detrital organic matter, electron acceptors and related substances. ECO combines integral simulation of water and sediment quality with sediment diagenesis and closed mass balances. Its advanced process formulations for substances in the water column and the bed sediment were developed to allow for a much more dynamic calculation of the sediment-water exchange fluxes of nutrients as resulting from steep concentration gradients across the sediment-water interface than is possible with other eutrophication models. ECO is to more accurately calculate the accumulation of organic matter and nutrients in the sediment, and to allow for more accurate prediction of phytoplankton biomass and water quality in response to mitigative measures such as nutrient load reduction. ECO was calibrated for shallow Lake Veluwe (The Netherlands). Due to restoration measures this lake underwent a transition from hypertrophic conditions to moderately eutrophic conditions, leading to the extensive colonization by submerged macrophytes. ECO reproduces observed water quality well for the transition period of ten years. The values of its process coefficients are in line with ranges derived from literature. ECO's calculation results underline the importance of redox processes and phosphate speciation for the nutrient return fluxes. Among other things, the results suggest that authigenic formation of a stable apatite-like mineral in the sediment can contribute significantly to oligotrophication of a lake after a phosphorus load reduction.

  5. ECO: a generic eutrophication model including comprehensive sediment-water interaction.

    Directory of Open Access Journals (Sweden)

    Johannes G C Smits

    Full Text Available The content and calibration of the comprehensive generic 3D eutrophication model ECO for water and sediment quality is presented. Based on a computational grid for water and sediment, ECO is used as a tool for water quality management to simulate concentrations and mass fluxes of nutrients (N, P, Si, phytoplankton species, detrital organic matter, electron acceptors and related substances. ECO combines integral simulation of water and sediment quality with sediment diagenesis and closed mass balances. Its advanced process formulations for substances in the water column and the bed sediment were developed to allow for a much more dynamic calculation of the sediment-water exchange fluxes of nutrients as resulting from steep concentration gradients across the sediment-water interface than is possible with other eutrophication models. ECO is to more accurately calculate the accumulation of organic matter and nutrients in the sediment, and to allow for more accurate prediction of phytoplankton biomass and water quality in response to mitigative measures such as nutrient load reduction. ECO was calibrated for shallow Lake Veluwe (The Netherlands. Due to restoration measures this lake underwent a transition from hypertrophic conditions to moderately eutrophic conditions, leading to the extensive colonization by submerged macrophytes. ECO reproduces observed water quality well for the transition period of ten years. The values of its process coefficients are in line with ranges derived from literature. ECO's calculation results underline the importance of redox processes and phosphate speciation for the nutrient return fluxes. Among other things, the results suggest that authigenic formation of a stable apatite-like mineral in the sediment can contribute significantly to oligotrophication of a lake after a phosphorus load reduction.

  6. Impact of a COPD comprehensive case management program on hospital length of stay and readmission rates.

    Science.gov (United States)

    Alshabanat, Abdulmajeed; Otterstatter, Michael C; Sin, Don D; Road, Jeremy; Rempel, Carmen; Burns, Jane; van Eeden, Stephan F; FitzGerald, J M

    2017-01-01

    COPD accounts for the highest rate of hospital admissions among major chronic diseases. COPD hospitalizations are associated with impaired quality of life, high health care utilization, and poor prognosis and result in an economic and a social burden that is both substantial and increasing. The aim of this study is to determine the efficacy of a comprehensive case management program (CCMP) in reducing length of stay (LOS) and risk of hospital admissions and readmissions in patients with COPD. We retrospectively compared outcomes across five large hospitals in Vancouver, BC, Canada, following the implementation of a systems approach to the management of COPD patients who were identified in the hospital and followed up in the community for 90 days. We compared numbers, rates, and intervals of readmission and LOS during 2 years of active program delivery compared to 1 year prior to program implementation. A total of 1,564 patients with a clinical diagnosis of COPD were identified from 2,719 hospital admissions during the 3 years of study. The disease management program reduced COPD-related hospitalizations by 30% and hospitalizations for all causes by 13.6%. Similarly, the rate of readmission for all causes showed a significant decline, with hazard ratios (HRs) of 0.55 (year 1) and 0.51 (year 2) of intervention (Pmanagement program for COPD patients, including education, case management, and follow-up, was associated with significant reduction in hospital admissions and LOS.

  7. Effects of a Comprehensive, Multiple Risky Behavior Prevention Program on High School Students

    Directory of Open Access Journals (Sweden)

    Crystal Collier

    2016-01-01

    Full Text Available The purpose of this research study was to examine the effect of a multiple risky behaviors prevention program applied comprehensively throughout an entire school system involving universal, selective, and indicated levels of students at a local private high school during a 4-year period. The noncurriculum prevention program was created based upon the key elements of effective prevention programming and the need to address the growing variety of risky behaviors that the youth face today. Results (n=469 to 614 indicated that 7 out of 15 risky behaviors statistically significantly decreased throughout the 4-year study, with 6 behaviors involving alcohol and drugs. However, many of the targeted non-substance-use risky behaviors displayed inconsistent prevalence rate patterns without statistically significant changes. These findings indicate that the frequency and intensity of programming for non-substance-use behaviors should be increased to a value at least equal to that of the substance-use behaviors. Implications for schools, prevention specialists, and future program development and research are discussed.

  8. Architectural Visualization of C/C++ Source Code for Program Comprehension

    Energy Technology Data Exchange (ETDEWEB)

    Panas, T; Epperly, T W; Quinlan, D; Saebjornsen, A; Vuduc, R

    2006-09-01

    Structural and behavioral visualization of large-scale legacy systems to aid program comprehension is still a major challenge. The challenge is even greater when applications are implemented in flexible and expressive languages such as C and C++. In this paper, we consider visualization of static and dynamic aspects of large-scale scientific C/C++ applications. For our investigation, we reuse and integrate specialized analysis and visualization tools. Furthermore, we present a novel layout algorithm that permits a compressive architectural view of a large-scale software system. Our layout is unique in that it allows traditional program visualizations, i.e., graph structures, to be seen in relation to the application's file structure.

  9. Worksite Cancer Prevention Activities in the National Comprehensive Cancer Control Program.

    Science.gov (United States)

    Nahmias, Zachary; Townsend, Julie S; Neri, Antonio; Stewart, Sherri L

    2016-08-01

    Workplaces are one setting for cancer control planners to reach adults at risk for cancer and other chronic diseases. However, the extent to which Centers for Disease Control and Prevention-funded National Comprehensive Cancer Control Programs (NCCCP) implement interventions in the workplace setting is not well characterized. We conducted a qualitative content analysis of program action plans submitted by NCCCP grantees from 2013 to 2015 to identify and describe cancer prevention objectives and interventions in the workplace setting. Nearly half of NCCCP action reports contained at least one cancer prevention objective or intervention in the workplace setting. Common interventions included education about secondhand smoke exposure in the workplace, and the importance of obtaining colorectal cancer screening. Workplace interventions were relatively common among NCCCP action plans, and serve as one way to address low percentages of CRC screening, and reduce risk for obesity- and tobacco-related cancers.

  10. The Impact of Comprehensive Agrarian Reform Program (CARP on FarmerBeneficiaries in the 3rd Congressional District of Iloilo, Philippines

    Directory of Open Access Journals (Sweden)

    Ronaldo F. Frufonga

    2016-02-01

    Full Text Available The study aims to assess the impact of the comprehensive agrarian reform program on farmer beneficiaries in the 3rd Congressional District of the province of Iloilo for the year 2014. The Network design was used as research design to obtain and provide useful information in judging decision alternatives involve in the impact of Comprehensive Agrarian Reform Program to the farmerbeneficiaries. The participants were the 386 farmer beneficiaries. Data were gathered using surveychecklist form and analyzed through frequency counts, percentages, mean and t-test of dependent/correlated means. The researcher observed ethical considerations in conducting the study. The results show that the comprehensive agrarian reform program has a positive impact on the lives of the farmer beneficiaries. It has contributed to higher income and led to reduced poverty incidence before and after the program. The beneficiaries tend to be better off in terms of wellbeing compared to before the implementation of the program. They have better access to sanitary toilet facilities and potable water, and have a propensity to have higher educational attainment. Support services became essential in enhancing food security and building infrastructures that uphold food production, enhance trade, and increase income of the household beneficiaries living in the rural community. Further, the household farmer beneficiaries have a propensity to boost the chances to reduce poverty.

  11. The Design and Evaluation of the Comprehensive Hospitalist Assessment and Mentorship with Portfolios (CHAMP) Ultrasound Program.

    Science.gov (United States)

    Mathews, Benji K; Reierson, Kreegan; Vuong, Khuong; Mehta, Ankit; Miller, Paula; Koenig, Seth; Narasimhan, Mangala

    2018-02-28

    Literature supports the use of point-ofcare ultrasound performed by the treating hospitalist in the diagnosis of common diseases. There is no consensus on the training paradigm or the evaluation of skill retention for hospitalists. To evaluate the effectiveness of a comprehensive bedside ultrasound training program with postcourse competency assessments for hospitalists. A retrospective report of a training program with 53 hospitalists. The program consisted of online modules, a 3-day in-person course, portfolios, 1-day refresher training, monthly scanning, and assessments. Hospitalists were rated by using similar pre- and postcourse competency assessments and self-rating parameters during the 3-day and refresher courses. A large tertiary-care center. Skills increased after the 3-day course from a median preassessment score of 15% correct (interquartile range [IQR] 10%-25%) to a median postassessment score of 90% (IQR 80%-95%; P < .0001). At the time of the refresher course, the median precourse skills score had decreased to 65% correct (IQR 35%-90%), which improved to 100% postcourse (IQR 85%-100%; P < .0001). Skills scores decreased significantly less between the post 3-day course assessment and pre 1-day refresher course for hospitalists who completed portfolios (mean decrease 13.6% correct; P < .0001) and/or monthly scanning sessions (mean decrease 7.3% correct; P < .0001) compared with hospitalists who did not complete these items. A comprehensive longitudinal ultrasound training program including competency assessments improved ultrasound acquisition skills with hospitalists. Skill retention remained high in those who completed portfolios and/or monthly scanning sessions along with a 1-day in-person refresher course.

  12. Using Hierarchical Latent Dirichlet Allocation to Construct Feature Tree for Program Comprehension

    Directory of Open Access Journals (Sweden)

    Xiaobing Sun

    2017-01-01

    Full Text Available Program comprehension is an important task faced by developers during software maintenance. With the increasing complexity of evolving systems, program comprehension becomes more and more difficult. In practice, programmers are accustomed to getting a general view of the features in a software system and then finding the interesting or necessary files to start the understanding process. Given a system, developers may need a general view of the system. The traditional view of a system is shown in a package-class structure which is difficult to understand, especially for large systems. In this article, we focus on understanding the system in both feature view and file structure view. This article proposes an approach to generate a feature tree based on hierarchical Latent Dirichlet Allocation (hLDA, which includes two hierarchies, the feature hierarchy and file structure hierarchy. The feature hierarchy shows the features from abstract level to detailed level, while the file structure hierarchy shows the classes from whole to part. Empirical results show that the feature tree can produce a view for the features and files, and the clustering of classes in the package in our approach is better (in terms of recall than the other clustering approach, that is, hierarchical clustering.

  13. A Correlational Study of a Reading Comprehension Program and Attrition Rates of ESL Nursing Students in Texas.

    Science.gov (United States)

    Donnell, Wendy M

    The purpose of this study was to examine the associations between English as a second language (ESL), a reading comprehension program, and attrition rates of nursing students. Higher attrition rates of ESL nursing students are an assumption, seemingly based on anecdotal evidence. Data reflecting ESL student attrition should be measured and analyzed so that students can be identified prior to attrition. A secondary analysis of a large database of 27 initial licensure programs in Texas was completed. Data analysis identified that ESL students who used a reading comprehension program were almost twice as likely to be off track or out of the program as ESL students who did not use the program. Nurse educators need to evaluate student profile characteristics in a comprehensive way when determining risk of attrition.

  14. 76 FR 45253 - Public Water Supply Supervision Program; Program Revision for the State of Alaska

    Science.gov (United States)

    2011-07-28

    ... AGENCY Public Water Supply Supervision Program; Program Revision for the State of Alaska AGENCY... State of Alaska has revised its approved State Public Water Supply Supervision Primacy Program. Alaska has adopted regulations analogous to the EPA's Ground Water Rule. The EPA has determined that these...

  15. 76 FR 5157 - Public Water Supply Supervision Program; Program Revision for the State of Alaska

    Science.gov (United States)

    2011-01-28

    ... AGENCY Public Water Supply Supervision Program; Program Revision for the State of Alaska AGENCY... that the State of Alaska has revised its approved State Public Water Supply Supervision Primacy Program...; Long Term 2 Enhanced Surface Water Treatment Rule; and Lead and Copper Short-Term Regulatory Revisions...

  16. 30 CFR 402.6 - Water-Resources Research Program.

    Science.gov (United States)

    2010-07-01

    ... interpreting the results of scientific and engineering research on water-resources problems. (10) Providing... 30 Mineral Resources 2 2010-07-01 2010-07-01 false Water-Resources Research Program. 402.6 Section 402.6 Mineral Resources GEOLOGICAL SURVEY, DEPARTMENT OF THE INTERIOR WATER-RESOURCES RESEARCH PROGRAM...

  17. Comprehensive care program for elderly patients over 65 years with hip fracture.

    Science.gov (United States)

    Fernández-Moyano, A; Fernández-Ojeda, R; Ruiz-Romero, V; García-Benítez, B; Palmero-Palmero, C; Aparicio-Santos, R

    2014-01-01

    To report the health outcomes of a multidisciplinary care program for patients over 65 years with hip fracture. We have developed a care coordination model for the comprehensive care of hip fracture patients. It establishes what, who, when, how and where orthopedists, internists, family physicians, emergency, intensive care, physiotherapists, anesthetists, nurses and workers social intervene. All elderly patients over 65 years admitted with the diagnosis of hip fracture (years 2006 to 2010) were retrospectively evaluated. One thousand episodes of hip fracture, corresponding to 956 patients, were included. Mean age was 82 years and mean stay 6.7 days. This was reduced by 1.14 days during the 5 years of the program. A total of 85.1% were operated on before 72 yours, and 91.2% during the program. Incidence of surgical site infection was 1.5%. In-hospital mortality was 4.5%, (24.2% at 12 months). Readmissions at one years was 14.9%. Independence for basic activity of daily living was achieved by 40% of the patients. This multidisciplinary care program for hip fracture patients is associated with positive health outcomes, with a high percentage of patients treated early (more than 90%), reduced mean stay (less than 7 days), incidence of surgical site infections, readmissions and inpatient mortality and at one year, as well as adequate functional recovery. Copyright © 2012 Elsevier España, S.L. All rights reserved.

  18. Development and implementation of a comprehensive quality assurance program at a community endoscopy facility.

    Science.gov (United States)

    Hilsden, Robert Jay; Rostom, Alaa; Dubé, Catherine; Pontifex, Darlene; McGregor, S Elizabeth; Bridges, Ronald J

    2011-10-01

    Quality assurance (QA) is a process that includes the systematic evaluation of a service, institution of improvements and ongoing evaluation to ensure that effective changes were made. QA is a fundamental component of any organized colorectal cancer screening program. However, it should play an equally important role in opportunistic screening. Establishing the processes and procedures for a comprehensive QA program can be a daunting proposition for an endoscopy unit. The present article describes the steps taken to establish a QA program at the Forzani & MacPhail Colon Cancer Screening Centre (Calgary, Alberta) - a colorectal cancer screening centre and nonhospital endoscopy unit that is dedicated to providing colorectal cancer screening-related colonoscopies. Lessons drawn from the authors' experience may help others develop their own initiatives. The Global Rating Scale, a quality assessment and improvement tool developed for the gastrointestinal endoscopy services of the United Kingdom's National Health Service, was used as the framework to develop the QA program. QA activities include monitoring the patient experience through surveys, creating endoscopist report cards on colonoscopy performance, tracking and evaluating adverse events and monitoring wait times.

  19. Development and Implementation of a Comprehensive Quality Assurance Program at a Community Endoscopy Facility

    Directory of Open Access Journals (Sweden)

    Robert J Hilsden

    2011-01-01

    Full Text Available Quality assurance (QA is a process that includes the systematic evaluation of a service, institution of improvements and ongoing evaluation to ensure that effective changes were made. QA is a fundamental component of any organized colorectal cancer screening program. However, it should play an equally important role in opportunistic screening. Establishing the processes and procedures for a comprehensive QA program can be a daunting proposition for an endoscopy unit. The present article describes the steps taken to establish a QA program at the Forzani & MacPhail Colon Cancer Screening Centre (Calgary, Alberta – a colorectal cancer screening centre and nonhospital endoscopy unit that is dedicated to providing colorectal cancer screening-related colonoscopies. Lessons drawn from the authors’ experience may help others develop their own initiatives. The Global Rating Scale, a quality assessment and improvement tool developed for the gastrointestinal endoscopy services of the United Kingdom’s National Health Service, was used as the framework to develop the QA program. QA activities include monitoring the patient experience through surveys, creating endoscopist report cards on colonoscopy performance, tracking and evaluating adverse events and monitoring wait times.

  20. Impact of a COPD comprehensive case management program on hospital length of stay and readmission rates

    Directory of Open Access Journals (Sweden)

    Alshabanat A

    2017-03-01

    Full Text Available Abdulmajeed Alshabanat,1 Michael C Otterstatter,2,3 Don D Sin,4,5 Jeremy Road,5,6 Carmen Rempel,6 Jane Burns,6 Stephan F van Eeden,4,5 JM FitzGerald5–7 On behalf of the COPD Transition Team Program 1Department of Experimental Medicine, University of British Columbia, 2British Columbia Centre for Disease Control, 3School of Population and Public Health, 4Department of Medicine, Centre for Heart Lung Innovation, St Paul’s Hospital, 5Division of Respirology, Department of Medicine, 6Department of Medicine, Faculty of Medicine, Institute for Heart and Lung Health, University of British Columbia, 7Centre for Clinical Epidemiology and Evaluation, Vancouver Coastal Health Institute, Vancouver, BC, Canada Background: COPD accounts for the highest rate of hospital admissions among major chronic diseases. COPD hospitalizations are associated with impaired quality of life, high health care utilization, and poor prognosis and result in an economic and a social burden that is both substantial and increasing.Aim: The aim of this study is to determine the efficacy of a comprehensive case management program (CCMP in reducing length of stay (LOS and risk of hospital admissions and readmissions in patients with COPD.Materials and methodology: We retrospectively compared outcomes across five large hospitals in Vancouver, BC, Canada, following the implementation of a systems approach to the management of COPD patients who were identified in the hospital and followed up in the community for 90 days. We compared numbers, rates, and intervals of readmission and LOS during 2 years of active program delivery compared to 1 year prior to program implementation.Results: A total of 1,564 patients with a clinical diagnosis of COPD were identified from 2,719 hospital admissions during the 3 years of study. The disease management program reduced COPD-related hospitalizations by 30% and hospitalizations for all causes by 13.6%. Similarly, the rate of readmission for all

  1. Water Quality: Water Education for Teachers. A 4-H School Enrichment Program.

    Science.gov (United States)

    Powell, G. Morgan; Kling, Emily B.

    This looseleaf notebook is a teacher resource package that is designed for enrichment program use. It contains five units dealing with water quality: (1) The Water Cycle; (2) Our Water Supply; (3) Waste/Water Treatment; (4) Water Conservation; (5) Water Pollution. The units provide background information, experiments, stories, poems, plays, and…

  2. Canada’s northern food subsidy Nutrition North Canada: a comprehensive program evaluation

    Science.gov (United States)

    Galloway, Tracey

    2017-01-01

    ABSTRACT Background: Nutrition North Canada (NNC) is a retail subsidy program implemented in 2012 and designed to reduce the cost of nutritious food for residents living in Canada’s remote, northern communities. The present study evaluates the extent to which NNC provides access to perishable, nutritious food for residents of remote northern communities. Design: Program documents, including fiscal and food cost reports for the period 2011–2015, retailer compliance reports, audits of the program, and the program’s performance measurement strategy are examined for evidence that the subsidy is meeting its objectives in a manner both comprehensive and equitable across regions and communities. Results: NNC lacks price caps or other means of ensuring food is affordable and equitably priced in communities. Gaps in food cost reporting constrain the program’s accountability. From 2011–15, no adjustments were made to community eligibility, subsidy rates, or the list of eligible foods in response to information provided by community members, critics, the Auditor General of Canada, and the program’s own Advisory Board. Measures to increase program accountability, such as increasing subsidy information on point-of-sale receipts, make NNC more visible but do nothing to address underlying accountability issues Conclusions: The current structure and regulatory framework of NNC are insufficient to ensure the program meets its goal. Both the volume and cost of nutritious food delivered to communities is highly variable and dependent on factors such as retailers’ pricing practices, over which the program has no control. It may be necessary to consider alternative forms of policy in order to produce sustainable improvements to food security in remote, northern communities. PMID:28151097

  3. Assessing Opportunities to Enhance Comprehensive Health Promotion and Wellness Programming in a State Community College System.

    Science.gov (United States)

    Linnan, Laura A; Arandia, Gabriela; Naseer, Carolyn; Li, Jiang; Pomerantz, Meg; Diehl, Sandra J

    2017-01-01

    BACKGROUND North Carolina has the third largest community college system in the nation and reaches residents in all 100 counties. Few studies have focused on the health of employees who work at these institutions. We assessed the current status of and interest in supporting health promotion efforts among North Carolina Community College System members.METHODS North Carolina Community College System presidents completed a brief 15-item survey assessing support for and interest in offering health promotion programs. Wellness coordinators completed a 60-item questionnaire assessing current health promotion programming and organizational, environmental, and policy supports for health promotion efforts. Onsite interviews with a sub-sample of Wellness coordinators offered insights into important implementation considerations. We examined differences by campus size with Fisher's exact test.RESULTS All 58 presidents (100%) and 51 wellness coordinators (88%) completed surveys. Ten percent of colleges offered comprehensive employee health promotion programming. Most offered physical activity (70.6%), tobacco cessation (51.0%), weight loss/management (49.0%), and/or nutrition counseling (47.1%). Larger colleges were more likely to offer programming and environmental support. Nearly all presidents (89.7%) believed it is "very" or "extremely" important to offer health promotion programs to employees, and most (84%) were interested in promoting health through a university partnership.LIMITATIONS Despite very high survey response rates from presidents and wellness coordinators at each community college, onsite interviews were only done at select campuses, limiting the generalizability and scope of conclusions derived from interview data.CONCLUSION Community colleges in North Carolina are promising settings for promoting employee health. Findings identify resources, barriers, and technical assistance that could facilitate greater adoption and implementation of programs. ©2017 by

  4. Patterns of fish assemblage structure and dynamics in waters of the Savannah River Plant. Comprehensive Cooling Water Study final report

    Energy Technology Data Exchange (ETDEWEB)

    Aho, J.M.; Anderson, C.S.; Floyd, K.B.; Negus, M.T.; Meador, M.R.

    1986-06-01

    Research conducted as part of the Comprehensive Cooling Water Study (CCWS) has elucidated many factors that are important to fish population and community dynamics in a variety of habitats on the Savannah River Plant (SRP). Information gained from these studies is useful in predicting fish responses to SRP operations. The overall objective of the CCWS was (1) to determine the environmental effects of SRP cooling water withdrawals and discharges and (2) to determine the significance of the cooling water impacts on the environment. The purpose of this study was to: (1) examine the effects of thermal plumes on anadromous and resident fishes, including overwintering effects, in the SRP swamp and associated tributary streams; (2) assess fish spawning and locate nursery grounds on the SRP; (3) examine the level of use of the SRP by spawning fish from the Savannah River, this objective was shared with the Savannah River Laboratory, E.I. du Pont de Nemours and Company; and (4) determine impacts of cooling-water discharges on fish population and community attributes. Five studies were designed to address the above topics. The specific objectives and a summary of the findings of each study are presented.

  5. Light Water Reactor Sustainability Program Integrated Program Plan

    Energy Technology Data Exchange (ETDEWEB)

    George Griffith; Robert Youngblood; Jeremy Busby; Bruce Hallbert; Cathy Barnard; Kathryn McCarthy

    2012-01-01

    Nuclear power has safely, reliably, and economically contributed almost 20% of electrical generation in the United States over the past two decades. It remains the single largest contributor (more than 70%) of non-greenhouse-gas-emitting electric power generation in the United States. Domestic demand for electrical energy is expected to experience a 31% growth from 2009 to 2035. At the same time, most of the currently operating nuclear power plants will begin reaching the end of their initial 20-year extension to their original 40-year operating license for a total of 60 years of operation. Figure E-1 shows projected nuclear energy contribution to the domestic generating capacity. If current operating nuclear power plants do not operate beyond 60 years, the total fraction of generated electrical energy from nuclear power will begin to decline - even with the expected addition of new nuclear generating capacity. The oldest commercial plants in the United States reached their 40th anniversary in 2009. The U.S. Department of Energy Office of Nuclear Energy's Research and Development Roadmap (Nuclear Energy Roadmap) organizes its activities around four objectives that ensure nuclear energy remains a compelling and viable energy option for the United States. The four objectives are as follows: (1) develop technologies and other solutions that can improve the reliability, sustain the safety, and extend the life of the current reactors; (2) develop improvements in the affordability of new reactors to enable nuclear energy to help meet the Administration's energy security and climate change goals; (3) develop sustainable nuclear fuel cycles; and (4) understand and minimize the risks of nuclear proliferation and terrorism. The Light Water Reactor Sustainability (LWRS) Program is the primary programmatic activity that addresses Objective 1. This document summarizes the LWRS Program's plans.

  6. The Effect of the Cherry Hill Study Skills Program on Eighth Grade Students' Reading Comprehension and Study Skills.

    Science.gov (United States)

    La Marca, Marilyn Tierney

    A study was conducted to determine the effects of the "Cherry Hill Study Skills Program" on eighth grade students' reading comprehension and study skills. The "Cherry Hill Study Skills Program" is a process oriented course dealing with the sequential development of nine specific skills deemed essential to the retrieval and retention of information…

  7. An Investigation of Basic and Borderline Proficient Students' Comprehension Reading Achievement Using the Read 180 Computerized Instructional Program

    Science.gov (United States)

    Piper, Deborah L.

    2013-01-01

    The purpose of this study was to see if students made gains in reading achievement in the area of reading comprehension by having used a computerized reading instructional program entitled "READ 180RTM." The researcher included a qualitative component to gather teacher and parent perceptions of the use of this program. The theoretical…

  8. Stillwater Wildlife Management Area Annual Water Management Program [1976

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — The Water Management Program summarizes last year's water receipts, distribution, and general marsh conditions. Using past records of waterfowl use and productivity...

  9. The Five Star and Urban Waters Restoration Grant Program - 2017

    Science.gov (United States)

    This page contains information about a grants program funded by EPA Urban Waters and sponsored by the Urban Waters Federal Partnership. The request for proposals is open from November 3 2015 - February 3 2016.

  10. 2015 Key Water Power Program and National Laboratory Accomplishments

    Energy Technology Data Exchange (ETDEWEB)

    Office of Energy Efficiency and Renewable Energy

    2016-01-01

    The U.S. Department of Energy Water Power Program is committed to developing and deploying a portfolio of innovative technologies and market solutions for clean, domestic power generation from water resources across the United States.

  11. Water cooled breeder program summary report (LWBR (Light Water Breeder Reactor) development program)

    Energy Technology Data Exchange (ETDEWEB)

    1987-10-01

    The purpose of the Department of Energy Water Cooled Breeder Program was to demonstrate pratical breeding in a uranium-233/thorium fueled core while producing electrical energy in a commercial water reactor generating station. A demonstration Light Water Breeder Reactor (LWBR) was successfully operated for more than 29,000 effective full power hours in the Shippingport Atomic Power Station. The reactor operated with an availability factor of 76% and had a gross electrical output of 2,128,943,470 kilowatt hours. Following operation, the expended core was examined and no evidence of any fuel element defects was found. Nondestructive assay of 524 fuel rods determined that 1.39 percent more fissile fuel was present at the end of core life than at the beginning, proving that breeding had occurred. This demonstrates the existence of a vast source of electrical energy using plentiful domestic thorium potentially capable of supplying the entire national need for many centuries. To build on the successful design and operation of the Shippingport Breeder Core and to provide the technology to implement this concept, several reactor designs of large breeders and prebreeders were developed for commercial-sized plants of 900--1000 Mw(e) net. This report summarizes the Water Cooled Breeder Program from its inception in 1965 to its completion in 1987. Four hundred thirty-six technical reports are referenced which document the work conducted as part of this program. This work demonstrated that the Light Water Breeder Reactor is a viable alternative as a PWR replacement in the next generation of nuclear reactors. This transition would only require a minimum of change in design and fabrication of the reactor and operation of the plant.

  12. Comprehensive Test Ban Treaty research and development FY95-96 program plan

    Energy Technology Data Exchange (ETDEWEB)

    None

    1994-11-01

    The Department of Energy (DOE) is responsible for the United States Government`s (USG) research and development (R&D) functions for monitoring nuclear explosions in the context of a Comprehensive Test Ban Treaty (CTBT). This responsibility includes the November 1993 transfer of the Department of Defense`s (DoD) CTBT R&D responsibility to DOE. The DOE research program builds on the broad base of USG expertise developed historically and includes R&D for detecting, locating, identifying, and characterizing nuclear explosions in all environments. The Office of Research and Development (NN-20), within the Department of Energy`s Office of Nonproliferation and National Security, formulates and executes the efforts necessary to meet the Department`s responsibilities. The following DOE laboratories as a team will support NN-20 in implementing the program plan: Lawrence Livermore National Laboratory, Los Alamos National Laboratory, Pacific Northwest Laboratory, and Sandia National Laboratories. DOE has committed to a cooperative program that draws upon the core competencies of the national laboratories and upon the strengths of other government agencies and the private sector (academia and industry). The integration of resources under a common direction will allow the program to be flexible and responsive to changing technical and policy requirements while maximizing the effectiveness of funding appropriations. DOE will develop and demonstrate appropriate technologies, algorithms, procedures, and integrated systems in a cost-effective and timely manner. The program comprises seismic, radionuclide, hydroacoustic, and infrasound monitoring; on-site inspection; space-based monitoring; and automated data processing elements.

  13. Assessment of a pharmacist-led comprehensive medication management and wellness program

    Directory of Open Access Journals (Sweden)

    Daniel L. Janovick

    2015-01-01

    Full Text Available Background: Pharmacists are currently providing comprehensive medication management in the outpatient setting. However, there is little documented evidence demonstrating pharmacists are generating further improved health outcomes utilizing non-pharmacologic support, such as fitness and nutrition counseling. The objective of this study is to determine if a pharmacist-led wellness program with medication management and lifestyle modifications through fitness and nutrition coaching can lead to improved biometric markers. Methods: The wellness program targeted corporate employees and was offered in a corporate headquarters' setting with an on-site workout facility. The program was expected to recruit approximately 15 patients into the wellness program consisting of two treatment arms. The standard group featured nutrition-based classes, medication therapy management and fitness education. The intervention group performed the standard group's activities plus direct, supervised fitness training once weekly. Measured biometric markers were assessed at baseline, 3.5 months, and 7 months and included body mass index (BMI, waist circumference (WC, fasting blood glucose (FBG, systolic and diastolic blood pressure (SBP and DBP, and full lipid panel (TC, TG, HDL, and LDL. Results: Seventeen patients were enrolled in the study. The standard group (n = 11 and intervention group (n = 6 had relatively similar biometric markers at baseline. Seven total patients completed the study (4 from standard group, 3 from intervention group. The majority of biometric markers improved in both groups, and BP and LDL control was maintained for all who completed the study. Conclusion: These data suggest that a licensed pharmacist with certified personal trainer credentials may be capable of maintaining biometric markers at healthy levels and improving where necessary in an employee wellness program through one-on-one medication, fitness and nutrition support. Additional, large

  14. Healthy Schools-Healthy Kids: a controlled evaluation of a comprehensive universal eating disorder prevention program.

    Science.gov (United States)

    McVey, Gail; Tweed, Stacey; Blackmore, Elizabeth

    2007-06-01

    This study was a controlled evaluation of a comprehensive school-based universal prevention program involving male and female students, parents, teachers, school administrators and local public health professionals. A total of 982 male and female Grades 6 and 7 middle school students (and 91 teachers/school administrators) completed self-report surveys at baseline on measures of body satisfaction, internalization of media ideals, size acceptance, disordered eating, weight-based teasing, weight loss and muscle-gaining behaviours, and perceptions of school climate (teachers only). Eighty-four percent of the students repeated the surveys immediately following the 8-month school-wide intervention and 71% again 6 months later. Repeated measures ANCOVAs revealed that participation in the Healthy Schools-Healthy Kids (HS-HK) program had a positive influence by reducing the internalization of media ideals among male and female students and by reducing disordered eating among female students. The program was also associated with reductions in weight-loss behaviours among the students, although this effect was lost by the 6-month follow-up. When the intervention students were sub-divided into low versus high-risk groups, the high-risk group appeared to benefit most from the intervention with significant reductions in internalization of media ideals, greater body satisfaction, and reduced disordered eating over time. There were no intervention effects for teachers. Challenges of engaging teachers in prevention are discussed.

  15. Means, goals, and outcomes of a comprehensive occupational health program for telephone operators.

    Science.gov (United States)

    Westlander, G

    1995-01-01

    A means-goals analysis requires a plan with some degree of distinctness, which is worked out beforehand and specifies reasonably clear goals and intended means. This article draws its material from a broadly designed strategy for organizational change that meets these criteria. A service division of Swedish Telecom underwent a program of comprehensive organizational change; major efforts were made to improve the occupational health of 300 telephone operators in manual service operations. Over a full three-year period, a number of specific problems were to be resolved. An independent research team evaluated the implementation of the program prospectively. The team followed an evaluation model in which stringent distinction was made between: (1) action areas, (2) intended specific means, (3) intended immediate goals, and (4) the longer-term favorable effects of achieving these immediate goals. In addition, an attempt was made to interpret and understand the findings of the means-goals evaluation by paying systematic attention to the implementation process and factors that might permit an understanding of the final outcomes of the program. Compared with other efforts to improve telephone operators' work conditions as reported in the research literature, this strategy for the promotion of change is broad and ambitious.

  16. The Comprehensive Cancer Care Network of Romagna: the opportunities generated by the OECI accreditation program.

    Science.gov (United States)

    Ancarani, Valentina; Bernabini, Marna; Zani, Chiara; Altini, Mattia; Amadori, Dino

    2015-01-01

    Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori (IRST) IRCCS is a public-private partnership among 3 public sector bodies and 6 private nonprofit organizations and represents the hub of the Oncology Network of Romagna, which provides a wide range of services for the population ranging from primary prevention to palliative care. In 2012, IRST took part in the ministerial research project of the Organisation of European Cancer Institutes (OECI) accreditation program for Comprehensive Cancer Centers. The self-assessment period lasted 6 months and was coordinated by a multidisciplinary project team headed by a project leader. Each project team member coordinated a subgroup whose task was to analyze specific standards from qualitative and quantitative questionnaires. During the self-assessment period for the areas in which IRST did not meet OECI requirements, the project team outlined several improvement plans. At the end of the self-assessment period, the OECI Accreditation & Designation Board approved the documentation presented by IRST and a peer review visit was scheduled. The OECI report suggested establishing a more specific and stronger centralized management and leadership of all the oncologic activities carried out in other centers. In accordance with these suggestions, IRST and the Local Health Authority of Romagna laid the foundations for a new management model for the Oncology Network of Romagna: the Comprehensive Cancer Care Network (CCCN). The CCCN is a territory-oriented model (population approach) based on a principle of cooperation and collaboration among the network nodes.

  17. The Effects of a Comprehensive Reading Program on Reading Outcomes for Middle School Students With Disabilities.

    Science.gov (United States)

    Hock, Michael F; Brasseur-Hock, Irma F; Hock, Alyson J; Duvel, Brenda

    Reading achievement scores for adolescents with disabilities are markedly lower than the scores of adolescents without disabilities. For example, 62% of students with disabilities read below the basic level on the NAEP Reading assessment, compared to 19% of their nondisabled peers. This achievement gap has been a continuing challenge for more than 35 years. In this article, we report on the promise of a comprehensive 2-year reading program called Fusion Reading. Fusion Reading is designed to significantly narrow the reading achievement gap of middle school students with reading disabilities. Using a quasi-experimental design with matched groups of middle school students with reading disabilities, statistically significant differences were found between the experimental and comparison conditions on multiple measures of reading achievement with scores favoring the experimental condition. The effect size of the differences were Hedges's g = 1.66 to g = 1.04 on standardized measures of reading achievement.

  18. [The effectiveness of a comprehensive program of physiotherapy in shoulder pain syndromes].

    Science.gov (United States)

    Kuciel-Lewandowska, Jadwiga; Wierzchowska, Malwina; Paprocka-Borowicz, Małgorzata; Kierzek, Andrzej; Pozowski, Andrzej; Heider, Roman; Guła, Michał; Laber, Wojciech Tomasz

    2010-01-01

    Periarthritis humeroscapularis (PHS) is a disease notable for serious therapeutic problems arising from lesions in various tissue structures. The shoulder is the most important biokinematic element in the upper extremity. For this reason, physiotherapy continues to search for an ideal form of rehabilitation. Treatment of PHS is long and difficult. The correct diagnosis combined with physiotherapy can reduce the suffering of the patient and shorten the duration of the disease. Thus, the restoration of physical activity can be expedited. We decided to assess the effectiveness of a comprehensive program of physiotherapy in shoulder pain syndromes. The study was done at the Rehabilitation Unit of the Stabłowice Clinic of the Wroclaw Health Center. We enrolled 30 patients aged 30 to 85 years (mean age: 60 +/- 14 years) with pain and limited mobility of the shoulder diagnosed as PHS. A questionnaire with 12 questions addressing the intensity and extent of shoulder pain was prepared. Shoulder joint mobility was determined with a goniometric method. In addition, an 11-grade Numerical Rating Scale (NRS), where 0 meant no pain and 10 the most severe pain, was adopted. All patients underwent a series of 10 physiotherapeutic procedures directed at the shoulder joint. Assessment was made before and after therapy. A considerable reduction of pain was noted after physiotherapy and massage, while exercises significantly improved mobility, muscle status, and function of the upper extremity. The present study has shown that the comprehensive program of physiotherapy carried out at the Rehabilitation Unit of the Stabłowice Clinic of the Wrocław Health Center is effective in treating patients with the shoulder pain syndrome.

  19. Application of Clean Water (CWA) Section 404 compensatory wetland mitigation under the Comprehensive Environmental Response, Compensation, and Liability Act (CERCLA)

    Energy Technology Data Exchange (ETDEWEB)

    Abbott, D.J.; Straub, C.A.

    1994-06-01

    Pursuant to Section 404 of the Clean Water Act (CWA), activities resulting in the discharge of dredge or fill material into waters of the US, including wetlands, require permit authorization from the US Army Corps of Engineers (ACOE). As part of the Section 404 permitting process, compensatory wetland mitigation in the form of wetland enhancement, restoration, or construction may be required to off-set impacts sustained under a Section 404 permit. Under normal circumstances, compensatory mitigation is a relatively straight forward process; however, issues associated with mitigation become more complex at sites undergoing remediation under the Comprehensive Environmental Response, Compensation, and Liability Act (CERCLA), because on-site response/remedial actions involving dredged and fill material are not subject to the formal Section 404 permitting process. These actions are conducted in accordance with the substantive permitting requirements of the ACOE`s Nationwide and individual permitting programs. Wetland mitigatory requirements are determined through application of the US Environmental Protection Agency`s (USEPA`s) 040(b) (1) Guidelines promulgated in 40 CFR Part 230 and are implemented through compliance with substantive permitting requirements during the conduct of response/remedial actions. A programmatic approach for implementing wetland mitigatory requirements is being developed at a former US Department of Energy (DOE) uranium refinery undergoing CERCLA remediation in southwestern Ohio. The approach is designed to define the regulatory mechanism that will be used to integrate CWA driven wetland mitigatory requirements into the CERCLA process.

  20. [Health risks and economic costs associated with obesity requiring a comprehensive weight reduction program].

    Science.gov (United States)

    Hainer, V; Kunesová, M; Parízková, J; Stunkard, A

    1997-06-12

    An increasing prevalence of obesity all over the world reflects a lack of effective measures in both prevention and treatment of obesity. Obesity as a disease has been underestimated by the lay-public as well as health care providers. However, obesity represents a substantial health problem associated with a decreased quality of life. Obesity is linked to numerous chronic diseases (cardiovascular diseases, diabetes, hyperlipidemia, gout, osteoarthritis, gall-stones, and bowel, breast and genitourinary cancers) that lead to premature disability and mortality. Health risks increase with a body mass index (BMI) over 25 in individuals 19-35 years of age and with a BMI over 27 in those 35 years of age and older. Health risks also increase with an excess accumulation of visceral fat manifested as an increase in waist circumference (> 100 cm) or in waist to hip ratio (> 0.85 for females and > 1.00 for males). According to studies carried out in different countries current economic costs of obesity represent 5-8% of all direct health costs. In contrast, effective treatment of obesity results in a substantial decrease in expenditures associated with pharmacotherapy of hypertension, diabetes, hyperlipidemia and osteoarthritis. Both scientists and clinicians involved in obesity research and treatment recommend to introduce the long-term weight management programs focussing more on the overall health of the participants than the weight loss per se. Therefore, it will be necessary to establish new realistic goals in the obesity management that reflect reasonable weights and recently experienced beneficial health effects of modest (5-10%) weight loss. Comprehensive obesity treatment consisting of low fat diet, exercise, behavioral modification, drug therapy and surgical procedures requires differentiated weight management programs modified according to the degree and type of obesity as well as to current health complications present. The Czech Society for the Study of Obesity

  1. Light Water Reactor Sustainability Program: Integrated Program Plan

    Energy Technology Data Exchange (ETDEWEB)

    None, None

    2017-05-01

    proliferation and terrorism. The Light Water Reactor Sustainability (LWRS) Program is the primary programmatic activity that addresses Objective 1. This document summarizes the LWRS Program’s plans. For the LWRS Program, sustainability is defined as the ability to maintain safe and economic operation of the existing fleet of nuclear power plants for a longer-than-initially-licensed lifetime. It has two facets with respect to long-term operations: (1) manage the aging of plant systems, structures, and components so that nuclear power plant lifetimes can be extended and the plants can continue to operate safely, efficiently, and economically; and (2) provide science-based solutions to the industry to implement technology to exceed the performance of the current labor-intensive business model.

  2. Genetic Algorithm-Based Fuzzy Comprehensive Evaluation of Water Quality in Dongzhaigang

    Directory of Open Access Journals (Sweden)

    Jiasheng Wen

    2015-09-01

    Full Text Available The concentrations of dissolved inorganic nitrogen (DIN; NO2−–N, NH3–N, and NO3−–N, PO43−–P, dissolved oxygen (DO, chemical oxygen demand (COD, five-day biological oxygen demand (BOD5, oil, Si, and seven heavy metals (Hg, Cr, Cu, As, Zn, Pb, and Cd in seawater from the Dongzhaigang National Mangrove Nature Reserve of China in 2013 were determined. Except for the concentrations of the COD, BOD5, Cr, Hg, Cu, As, and Cd, each index in seawater were found to be over the limits of I-Class seawater standards. The index of organic pollution showed that the pollution level in this study area reached level 6; eutrophication levels indicated that the nutritional level reached level 4. According to the water quality index model, the sea area was slightly polluted by heavy metals. In a genetic algorithm-based fuzzy comprehensive evaluation, the results for organic pollutants, nutrients, and heavy metal pollution can be combined to evaluate the water quality as a whole. Results showed that the sea area in Dongzhaigang did not have a healthy water environment, but was seriously polluted by organic pollutants and nutrients.

  3. Selective Liaison With Liquids for Environment-Friendly and Comprehensive Oil/Water Separation.

    Science.gov (United States)

    Parbat, Dibyangana; Manna, Uttam

    2017-10-30

    A hydrophobic three dimensional material-having smart affair with oil phase, is developed using a scalable and facile Micheal addition reaction at ambient condition, without using any catalyst. The synthesized material is capable of absorbing both heavy/light oils with efficiency above 1000 weight %. This super-oil-absorbance property remained intact in diverse scenarios, including extremes of temperature (100°C and 10°C), pressure (184.7mbar), and prolonged (7 days) exposures to extremes of pH (1/12), surfactants (DTAB/SDS, 1mM)-contaminated water, artificial sea water etc. This super-oil-absorbent with impeccable durability was exploited further in demonstrations of comprehensive and facile clean-up from various forms of oil/water mixtures (i.e., floating oil, sediment oil, emulsions etc.) in extremes and complex settings that are relevant to practical scenarios including marine-oil-spills, following eco-friendly and energy-efficient selective-absorption/active-filtration principles. © 2017 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.

  4. Surface, Water and Air Biocharacterization - A Comprehensive Characterization of Microorganisms and Allergens in Spacecraft Environment

    Science.gov (United States)

    Pierson, Duane L.; Ott, C. Mark; Cruz, Patricia; Buttner, Mark P.

    2009-01-01

    A Comprehensive Characterization of Microorganisms and Allergens in Spacecraft (SWAB) will use advanced molecular techniques to comprehensively evaluate microbes on board the space station, including pathogens (organisms that may cause disease). It also will track changes in the microbial community as spacecraft visit the station and new station modules are added. This study will allow an assessment of the risk of microbes to the crew and the spacecraft. Research Summary: Previous microbial analysis of spacecraft only identify microorganisms that will grow in culture, omitting greater than 90% of all microorganisms including pathogens such as Legionella (the bacterium which causes Legionnaires' disease) and Cryptosporidium (a parasite common in contaminated water) The incidence of potent allergens, such as dust mites, has never been systematically studied in spacecraft environments and microbial toxins have not been previously monitored. This study will use modern molecular techniques to identify microorganisms and allergens. Direct sampling of the ISS allows identification of the microbial communities present, and determination of whether these change or mutate over time. SWAB complements the nominal ISS environmental monitoring by providing a comparison of analyses from current media-based and advanced molecular-based technologies.

  5. Incorporating Reading in an Elementary Physical Education Program with the Utilization of the Physio-Cat Program to Improve Fifth-Grade Reading-Comprehension Skills

    Science.gov (United States)

    Polite', Cheryl Powell

    2012-01-01

    This was a quantitative study utilized to determine the effect of the Physio-Cat Program on improving reading-comprehension scores in reading for students in kindergarten through Grade 5 at an elementary school in Dade County Florida. The Physio-Cat Program, designed by this researcher, was developed to provide an innovative approach to improve…

  6. Light Water Reactor Sustainability Program Integrated Program Plan

    Energy Technology Data Exchange (ETDEWEB)

    Kathryn McCarthy; Jeremy Busby; Bruce Hallbert; Shannon Bragg-Sitton; Curtis Smith; Cathy Barnard

    2013-04-01

    Nuclear power has safely, reliably, and economically contributed almost 20% of electrical generation in the United States over the past two decades. It remains the single largest contributor (more than 70%) of non-greenhouse-gas-emitting electric power generation in the United States. Domestic demand for electrical energy is expected to experience a 31% growth from 2009 to 2035. At the same time, most of the currently operating nuclear power plants will begin reaching the end of their initial 20-year extension to their original 40-year operating license for a total of 60 years of operation. Figure E-1 shows projected nuclear energy contribution to the domestic generating capacity. If current operating nuclear power plants do not operate beyond 60 years, the total fraction of generated electrical energy from nuclear power will begin to decline—even with the expected addition of new nuclear generating capacity. The oldest commercial plants in the United States reached their 40th anniversary in 2009. The U.S. Department of Energy Office of Nuclear Energy’s Research and Development Roadmap (Nuclear Energy Roadmap) organizes its activities around four objectives that ensure nuclear energy remains a compelling and viable energy option for the United States. The four objectives are as follows: (1) develop technologies and other solutions that can improve the reliability, sustain the safety, and extend the life of the current reactors; (2) develop improvements in the affordability of new reactors to enable nuclear energy to help meet the Administration’s energy security and climate change goals; (3) develop sustainable nuclear fuel cycles; and (4) understand and minimize the risks of nuclear proliferation and terrorism. The Light Water Reactor Sustainability (LWRS) Program is the primary programmatic activity that addresses Objective 1. This document summarizes the LWRS Program’s plans.

  7. Light Water Reactor Sustainability Program Integrated Program Plan

    Energy Technology Data Exchange (ETDEWEB)

    McCarthy, Kathryn A. [Idaho National Lab. (INL), Idaho Falls, ID (United States); Busby, Jeremy [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Hallbert, Bruce [Idaho National Lab. (INL), Idaho Falls, ID (United States); Bragg-Sitton, Shannon [Idaho National Lab. (INL), Idaho Falls, ID (United States); Smith, Curtis [Idaho National Lab. (INL), Idaho Falls, ID (United States); Barnard, Cathy [Idaho National Lab. (INL), Idaho Falls, ID (United States)

    2014-04-01

    Nuclear power has safely, reliably, and economically contributed almost 20% of electrical generation in the United States over the past two decades. It remains the single largest contributor (more than 70%) of non-greenhouse-gas-emitting electric power generation in the United States. Domestic demand for electrical energy is expected to experience a 31% growth from 2009 to 2035. At the same time, most of the currently operating nuclear power plants will begin reaching the end of their initial 20-year extension to their original 40-year operating license for a total of 60 years of operation. Figure E-1 shows projected nuclear energy contribution to the domestic generating capacity. If current operating nuclear power plants do not operate beyond 60 years, the total fraction of generated electrical energy from nuclear power will begin to decline—even with the expected addition of new nuclear generating capacity. The oldest commercial plants in the United States reached their 40th anniversary in 2009. The U.S. Department of Energy Office of Nuclear Energy’s Research and Development Roadmap (Nuclear Energy Roadmap) organizes its activities around four objectives that ensure nuclear energy remains a compelling and viable energy option for the United States. The four objectives are as follows: (1) develop technologies and other solutions that can improve the reliability, sustain the safety, and extend the life of the current reactors; (2) develop improvements in the affordability of new reactors to enable nuclear energy to help meet the Administration’s energy security and climate change goals; (3) develop sustainable nuclear fuel cycles; and (4) understand and minimize the risks of nuclear proliferation and terrorism. The Light Water Reactor Sustainability (LWRS) Program is the primary programmatic activity that addresses Objective 1. This document summarizes the LWRS Program’s plans.

  8. DEVELOPMENT PERSONALITY/SOCIAL COMPETENCY OF SECONDARY HIGH SCHOOL STUDENTS TROUGH A COMPREHENSIVE GUIDANCE AND COUNSELING PROGRAM

    Directory of Open Access Journals (Sweden)

    Anwar Sutoyo

    2015-10-01

    Full Text Available Abstract The goal this research is to find the effectiveness of model guidance and counseling comprehensive program to develop the personality/ social competency of secondary high school students.This research uses method one group pretest and posttest design. In data collecting technique, this research was directly done through interview, documentation and assessment scale.The conclusions of the research are, The model of guidance and counseling comprehensive program that developed is effective to evolving the personality/ social competency of secondary high school students. Therefore it, counselor need to have leadership ability, create an collaboration atmospherebetweenstakeholders, and tecnology information mastered. Keywords: Comprehensive Program; Personality/ Social Competency 

  9. Temperature Programming of the Second Dimension in Comprehensive Two-Dimensional Gas Chromatography.

    Science.gov (United States)

    Chow, Hei-Yin J; Górecki, Tadeusz

    2017-08-15

    Comprehensive two-dimensional gas chromatography (GC × GC) provides a significant increase in selectivity and peak capacity for the separation of complex mixtures. Optimization of the system is often complicated, with many interconnected parameters between the two dimensions and additional problems like peak wraparound that need to be eliminated or minimized. Wraparound peaks are compounds with retention times in the second dimension that are longer than the modulation period. This results in broad peaks that elute in subsequent modulation cycles, potentially coeluting with separated compounds. The use of a secondary oven is often the solution to the problem. By applying a constant positive temperature offset from the main oven temperature, the retention of all analytes can be reduced so that they elute within their respective modulation periods. However, this reduces the separation of less retained compounds, a classical consequence of the general elution problem due to the isothermal conditions during the limited separation time in the second dimension. To overcome this problem, the second dimension was temperature-programmed by resistively heating an electrically conductive secondary column using constant current. The column was cooled through forced convection inside the GC oven within the time frame of a single modulation period. Temperature programming in the second dimension of GC × GC was able to improve separation while eliminating wraparound peaks and reducing peak widths, leading to significantly increased second dimension peak capacity.

  10. Rapid gene expression changes in peripheral blood lymphocytes upon practice of a comprehensive yoga program.

    Science.gov (United States)

    Qu, Su; Olafsrud, Solveig Mjelstad; Meza-Zepeda, Leonardo A; Saatcioglu, Fahri

    2013-01-01

    One of the most common integrative medicine (IM) modalities is yoga and related practices. Previous work has shown that yoga may improve wellness in healthy people and have benefits for patients. However, the mechanisms of how yoga may positively affect the mind-body system are largely unknown. Here we have assessed possible rapid changes in global gene expression profiles in the peripheral blood mononuclear cells (PBMCs) in healthy people that practiced either a comprehensive yoga program or a control regimen. The experimental sessions included gentle yoga postures, breathing exercises, and meditation (Sudarshan Kriya and Related Practices--SK&P) compared with a control regimen of a nature walk and listening to relaxing music. We show that the SK&P program has a rapid and significantly greater effect on gene expression in PBMCs compared with the control regimen. These data suggest that yoga and related practices result in rapid gene expression alterations which may be the basis for their longer term cell biological and higher level health effects.

  11. Rapid gene expression changes in peripheral blood lymphocytes upon practice of a comprehensive yoga program.

    Directory of Open Access Journals (Sweden)

    Su Qu

    Full Text Available One of the most common integrative medicine (IM modalities is yoga and related practices. Previous work has shown that yoga may improve wellness in healthy people and have benefits for patients. However, the mechanisms of how yoga may positively affect the mind-body system are largely unknown. Here we have assessed possible rapid changes in global gene expression profiles in the peripheral blood mononuclear cells (PBMCs in healthy people that practiced either a comprehensive yoga program or a control regimen. The experimental sessions included gentle yoga postures, breathing exercises, and meditation (Sudarshan Kriya and Related Practices--SK&P compared with a control regimen of a nature walk and listening to relaxing music. We show that the SK&P program has a rapid and significantly greater effect on gene expression in PBMCs compared with the control regimen. These data suggest that yoga and related practices result in rapid gene expression alterations which may be the basis for their longer term cell biological and higher level health effects.

  12. Integrating the iPad into an intensive, comprehensive aphasia program.

    Science.gov (United States)

    Hoover, Elizabeth L; Carney, Anne

    2014-02-01

    The proliferation of tablet technology and the development of apps to support aphasia rehabilitation offer increasing opportunities for speech-language pathologists in a clinical setting. This article describes the components of an Intensive Comprehensive Aphasia Program at Boston University and details how usage of the iPad (Apple Inc., Cupertino, CA) was incorporated. We describe how the iPad was customized for use in individual, dyadic, and group treatment formats and how its use was encouraged through home practice tasks. In addition to providing the participants with step-by-step instructions for the usage of each new app, participants had multiple opportunities for practice across various treatment formats. Examples of how the participants continued using their iPad beyond the program suggest how the usage of this device has generalized into their day-to-day life. An overall summary of performance on targeted linguistic measures as well as an analysis of functional and quality-of-life measures reveal statistically significant improvements pre- to posttreatment. Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

  13. Nutrition and Physical Activity Strategies for Cancer Prevention in Current National Comprehensive Cancer Control Program Plans.

    Science.gov (United States)

    Puckett, Mary; Neri, Antonio; Underwood, J Michael; Stewart, Sherri L

    2016-10-01

    Obesity, diet and physical inactivity are risk factors for some cancers. Grantees of the National Comprehensive Cancer Control Program (NCCCP) in US states, tribes, and territories develop plans to coordinate funding and activities for cancer prevention and control. Including information and goals related to nutrition and physical activity (NPA) is a key opportunity for primary cancer prevention, but it is currently unclear to what extent NCCCP plans address these issues. We reviewed 69 NCCCP plans and searched for terms related to NPA. Plans were coded as (1) knowledge of NPA and cancer link; (2) goals to improve NPA behaviors; and (3) strategies to increase healthy NPA activities, environments, or systems changes. NPA content was consistently included in all cancer plans examined across all years. Only 4 (6 %) outlined only the relationship between NPA and cancer without goals or strategies. Fifty-nine plans (89 %) contained goals or strategies related to NPA, with 53 (82 %) including both. However, numbers of goals, strategies, and detail provided varied widely. All programs recognized the importance of NPA in cancer prevention. Most plans included NPA goals and strategies. Increasing the presence of NPA strategies that can be modified or adapted appropriately locally could help with more widespread implementation and measurement of NPA interventions.

  14. Louisiana Barrier Island Comprehensive Monitoring (BICM) Program Summary Report: Data and Analyses 2006 through 2010

    Science.gov (United States)

    Kindinger, Jack G.; Buster, Noreen A.; Flocks, James G.; Bernier, Julie C.; Kulp, Mark A.

    2013-01-01

    The Barrier Island Comprehensive Monitoring (BICM) program was implemented under the Louisiana Coastal Area Science and Technology (LCA S&T) office as a component of the System Wide Assessment and Monitoring (SWAMP) program. The BICM project was developed by the State of Louisiana (Coastal Protection Restoration Authority [CPRA], formerly Department of Natural Resources [DNR]) to complement other Louisiana coastal monitoring programs such as the Coastwide Reference Monitoring System-Wetlands (CRMS-Wetlands) and was a collaborative research effort by CPRA, University of New Orleans (UNO), and the U.S. Geological Survey (USGS). The goal of the BICM program was to provide long-term data on the barrier islands of Louisiana that could be used to plan, design, evaluate, and maintain current and future barrier-island restoration projects. The BICM program used both historical and newly acquired (2006 to 2010) data to assess and monitor changes in the aerial and subaqueous extent of islands, habitat types, sediment texture and geotechnical properties, environmental processes, and vegetation composition. BICM datasets included aerial still and video photography (multiple time series) for shoreline positions, habitat mapping, and land loss; light detection and ranging (lidar) surveys for topographic elevations; single-beam and swath bathymetry; and sediment grab samples. Products produced using BICM data and analyses included (but were not limited to) storm-impact assessments, rate of shoreline and bathymetric change, shoreline-erosion and accretion maps, high-resolution elevation maps, coastal-shoreline and barrier-island habitat-classification maps, and coastal surficial-sediment characterization maps. Discussions in this report summarize the extensive data-collection efforts and present brief interpretive analyses for four coastal Louisiana geographic regions. In addition, several coastal-wide and topical themes were selected that integrate the data and analyses within a

  15. Selective prevention programs for children from substance-affected families: a comprehensive systematic review

    Directory of Open Access Journals (Sweden)

    Bröning Sonja

    2012-06-01

    Full Text Available Abstract Children from substance-affected families show an elevated risk for developing own substance-related or other mental disorders. Therefore, they are an important target group for preventive efforts. So far, such programs for children of substance-involved parents have not been reviewed together. We conducted a comprehensive systematic review to identify and summarize evaluations of selective preventive interventions in childhood and adolescence targeted at this specific group. From the overall search result of 375 articles, 339 were excluded, 36 full texts were reviewed. From these, nine eligible programs documented in 13 studies were identified comprising four school-based interventions (study 1–6, one community-based intervention (study 7–8, and four family-based interventions (study 9–13. Studies’ levels of evidence were rated in accordance with the Scottish Intercollegiate Guidelines Network (SIGN methodology, and their quality was ranked according to a score adapted from the area of meta-analytic family therapy research and consisting of 15 study design quality criteria. Studies varied in program format, structure, content, and participants. They also varied in outcome measures, results, and study design quality. We found seven RCT’s, two well designed controlled or quasi-experimental studies, three well-designed descriptive studies, and one qualitative study. There was preliminary evidence for the effectiveness of the programs, especially when their duration was longer than ten weeks and when they involved children’s, parenting, and family skills training components. Outcomes proximal to the intervention, such as program-related knowledge, coping-skills, and family relations, showed better results than more distal outcomes such as self-worth and substance use initiation, the latter due to the comparably young age of participants and sparse longitudinal data. However, because of the small overall number of studies found

  16. 77 FR 33456 - Public Water Supply Supervision Program; Program Revision for the State of Washington

    Science.gov (United States)

    2012-06-06

    ... AGENCY Public Water Supply Supervision Program; Program Revision for the State of Washington AGENCY... that the State of Washington has revised its approved State Public Water Supply Supervision Primacy... Water, ] 243 Israel Road SE., 2nd floor, Tumwater, Washington 98501 and between the hours of 9:00 a.m...

  17. National Water-Quality Assessment Program: Island of Oahu, Hawaii

    Science.gov (United States)

    Anthony, Stephen S.

    1998-01-01

    During the past 25 years, our Nation has sought to improve its water quality; however, many water-quality issues remain unresolved. To address the need for consistent and scientifically sound information for managing the Nation's water resources, the U.S. Geological Survey began a full-scale National Water-Quality Assessment (NAWQA) Program in 1991. This program is unique compared with other national water-quality assessment studies in that it integrates the monitoring of the quality of surface and ground waters with the study of aquatic ecosystems. The goals of the NAWQA Program are to (1) describe current water-quality conditions for a large part of the Nation's freshwater streams and aquifers, (2) describe how water quality is changing over time, and (3) improve our understanding of the primary natural and human factors affecting water quality. Assessing the quality of water in every location of the Nation would not be practical; therefore, NAWQA Program studies are conducted within a set of areas called study units. These study units represent the diverse geography, water resources, and land and water uses of the Nation. The island of Oahu, Hawaii, is one such study unit designed to supplement water-quality information collected in other study units across the Nation while addressing issues relevant to the island of Oahu.

  18. A randomised clinical trial of a comprehensive exercise program for chronic whiplash: trial protocol

    Directory of Open Access Journals (Sweden)

    Latimer Jane

    2009-12-01

    Full Text Available Abstract Background Whiplash is the most common injury following a motor vehicle accident. Approximately 60% of people suffer persistent pain and disability six months post injury. Two forms of exercise; specific motor relearning exercises and graded activity, have been found to be effective treatments for this condition. Although the effect sizes for these exercise programs, individually, are modest, pilot data suggest much larger effects on pain and disability are achieved when these two treatments are combined. The aim of this study is to investigate the effectiveness and cost-effectiveness of this comprehensive exercise approach for chronic whiplash. Methods/Design A multicentre randomised controlled trial will be conducted. One hundred and seventy-six participants with chronic grade I to II whiplash will be recruited in Sydney and Brisbane, Australia. All participants will receive an educational booklet on whiplash and in addition, those randomised to the comprehensive exercise group (specific motor relearning and graded activity exercises will receive 20 progressive and individually-tailored, 1 hour exercise sessions over a 12 week period (specific motor relearning exercises: 8 sessions over 4 weeks; graded activity: 12 sessions over 8 weeks. The primary outcome to be assessed is pain intensity. Other outcomes of interest include disability, health-related quality of life and health service utilisation. Outcomes will be measured at baseline, 14 weeks, 6 months and 12 months by an assessor who is blinded to the group allocation of the subjects. Recruitment is due to commence in late 2009. Discussion The successful completion of this trial will provide evidence on the effectiveness and cost-effectiveness of a simple treatment for the management of chronic whiplash. Trial registration ACTRN12609000825257

  19. Comprehensive Detection of Gas Plumes from Multibeam Water Column Images with Minimisation of Noise Interferences

    Directory of Open Access Journals (Sweden)

    Jianhu Zhao

    2017-11-01

    Full Text Available Multibeam echosounder systems (MBES can record backscatter strengths of gas plumes in the water column (WC images that may be an indicator of possible occurrence of gas at certain depths. Manual or automatic detection is generally adopted in finding gas plumes, but frequently results in low efficiency and high false detection rates because of WC images that are polluted by noise. To improve the efficiency and reliability of the detection, a comprehensive detection method is proposed in this paper. In the proposed method, the characteristics of WC background noise are first analyzed and given. Then, the mean standard deviation threshold segmentations are respectively used for the denoising of time-angle and depth-angle images, an intersection operation is performed for the two segmented images to further weaken noise in the WC data, and the gas plumes in the WC data are detected from the intersection image by the morphological constraint. The proposed method was tested by conducting shallow-water and deepwater experiments. In these experiments, the detections were conducted automatically and higher correct detection rates than the traditional methods were achieved. The performance of the proposed method is analyzed and discussed.

  20. Sustainable urban stormwater management in the tropics: An evaluation of Singapore's ABC Waters Program

    Science.gov (United States)

    Lim, H. S.; Lu, X. X.

    2016-07-01

    The Active Beautiful Clean (ABC) Waters Program was implemented in 2006 as part of Singapore's stormwater management strategy and reflects the country's move towards Water Sensitive Urbanism through the adoption of Low-Impact Development (LID) ideology and practices. It is the first holistic and comprehensive LID program in the tropics and holds promise for extension to other tropical cities. This paper presents a comprehensive summary of the goals, LID practices (ABC design features) and design considerations as well as results of several monitored sites, including a constructed wetland, two rain gardens, green roofs and three canal restoration projects. We evaluate the ABC Waters Program based on these initial results and consider the challenges, issues and the research needs for it to meet its hydrological and water quality remediation goals. So far, the ABC design features evaluated perform well in removing particulates. Performance in nutrient removal is poor. With over 60 projects completed within 10 years, post-project monitoring and evaluation is necessary and complements on-going laboratory and modelling research projects conducted by local academic institutions.

  1. Water Conservation and Reuse. Instructor Guide. Working for Clean Water: An Information Program for Advisory Committees.

    Science.gov (United States)

    Pennsylvania State Univ., Middletown. Inst. of State and Regional Affairs.

    Described is a learning session on water conservation intended for citizen advisory groups interested in water quality planning. Topics addressed in this instructor's manual include water conservation needs, benefits, programs, technology, and problems. These materials are components of the Working for Clean Water Project. (Author/WB)

  2. Gynecologic cancer prevention and control in the National Comprehensive Cancer Control Program: progress, current activities, and future directions.

    Science.gov (United States)

    Stewart, Sherri L; Lakhani, Naheed; Brown, Phaeydra M; Larkin, O Ann; Moore, Angela R; Hayes, Nikki S

    2013-08-01

    Gynecologic cancer confers a large burden among women in the United States. Several evidence-based interventions are available to reduce the incidence, morbidity, and mortality from these cancers. The National Comprehensive Cancer Control Program (NCCCP) is uniquely positioned to implement these interventions in the US population. This review discusses progress and future directions for the NCCCP in preventing and controlling gynecologic cancer.

  3. Effectiveness and Cost-benefit Evaluation of a Comprehensive Workers' Health Surveillance Program for Sustainable Employability of Meat Processing Workers

    NARCIS (Netherlands)

    van Holland, Berry J; Reneman, Michiel F; Soer, Remko; Brouwer, Sandra; de Boer, Michiel R

    2017-01-01

    Objective To evaluate the effectiveness of a comprehensive workers' health surveillance (WHS) program on aspects of sustainable employability and cost-benefit. Methods A cluster randomized stepped wedge trial was performed in a Dutch meat processing company from february 2012 until march 2015. In

  4. A comprehensive linear programming tool to optimize formulations of ready-to-use therapeutic foods: An application to Ethiopia

    Science.gov (United States)

    Ready-to-use therapeutic food (RUTF) is the standard of care for children suffering from noncomplicated severe acute malnutrition (SAM). The objective was to develop a comprehensive linear programming (LP) tool to create novel RUTF formulations for Ethiopia. A systematic approach that surveyed inter...

  5. Guidelines for a Comprehensive Care Program to Ostomized Patients and Families: a Nursing proposal

    Directory of Open Access Journals (Sweden)

    Paula Alvarenga de Figueiredo

    2016-01-01

    Full Text Available Objectives: describe care needs and demands that mark the discursive practices of ostomized clients and family members and discuss guidelines for a comprehensive care program to ostomized clients and their families, organized by macrosociological categories. Method: Creative and Sensitive, involving 17 ostomized subjects and family members at a municipal outpatient clinic. The ethical aspects were complied with. A characterization form was used, as well as Creativity and Sensitivity Dynamics: "speaking map", "body-knowledge" and "calendar". Critical Discourse Analysis was applied. Results: the health needs and care demands of the ostomized patients and their family members, in their multiple dimensions, were constituted in the home and community, outpatient and social context, implying new orientations for nursing care. The unveiling of the data brought elements that constituted guidelines, in a macrosociological approach, to achieve the expanded integrality of nursing care. Conclusion: the ostomized clients are unique in their genre/peculiar from Latin sui generis, calling for strategies that respond to and distinguish their specificities. Elaborating a Public Health Policy that improves and reorganizes the care demands, taking into account these individual biopsychosocial and spiritual aspects, is a possible and irrevocable target in the attempt to achieve better conditions of health and wellbeing.

  6. A Comprehensive Evaluation of a Universal School-Based Depression Prevention Program for Adolescents.

    Science.gov (United States)

    Tomyn, Justin D; Fuller-Tyszkiewicz, Matthew; Richardson, Ben; Colla, Lucia

    2016-11-01

    The present study proposes and demonstrates a comprehensive framework for evaluation of a universal school-based depression prevention program. Efficacy was evaluated by considering the impact of continuous versus categorical approaches to operationalizing outcome, the effect of the intervention on key change agent variables, and moderation of intervention effects by student symptom severity at baseline. Participants 252 adolescent boys and girls (60 % male), aged 13 to 17 years (M = 13.62 years, SD = 0.60 years) from four schools in the state of Victoria, Australia, who were allocated by school into a waitlist = control (n = 88) or a CBT-based intervention (n = 164) group. The intervention involved six 45-min weekly sessions run during wellbeing classes. While the intervention and control groups did not differ in average improvement in symptoms by post-intervention, further analyses showed that responsiveness was highly variable within the intervention, and those with elevated depressive symptoms benefitted most. The proposed change agents of self-esteem, resilience, body image satisfaction, and perceived social support did not uniquely predict change in depressive symptoms but collectively accounted for substantial variance in this change process. Collectively, this framework provided insights into aspects of the intervention that worked and highlighted areas for improvement, thus providing clear direction for future research.

  7. Guidelines for a Comprehensive Care Program to Ostomized Patients and Families: a Nursing proposal.

    Science.gov (United States)

    de Figueiredo, Paula Alvarenga; Alvim, Neide Aparecida Titonelli

    2016-01-01

    describe care needs and demands that mark the discursive practices of ostomized clients and family members and discuss guidelines for a comprehensive care program to ostomized clients and their families, organized by macrosociological categories. Creative and Sensitive, involving 17 ostomized subjects and family members at a municipal outpatient clinic. The ethical aspects were complied with. A characterization form was used, as well as Creativity and Sensitivity Dynamics: "speaking map", "body-knowledge" and "calendar". Critical Discourse Analysis was applied. the health needs and care demands of the ostomized patients and their family members, in their multiple dimensions, were constituted in the home and community, outpatient and social context, implying new orientations for nursing care. The unveiling of the data brought elements that constituted guidelines, in a macrosociological approach, to achieve the expanded integrality of nursing care. the ostomized clients are unique in their genre/peculiar from Latin sui generis, calling for strategies that respond to and distinguish their specificities. Elaborating a Public Health Policy that improves and reorganizes the care demands, taking into account these individual biopsychosocial and spiritual aspects, is a possible and irrevocable target in the attempt to achieve better conditions of health and wellbeing.

  8. Guidelines for a Comprehensive Care Program to Ostomized Patients and Families: a Nursing proposal1

    Science.gov (United States)

    de Figueiredo, Paula Alvarenga; Alvim, Neide Aparecida Titonelli

    2016-01-01

    Objectives: describe care needs and demands that mark the discursive practices of ostomized clients and family members and discuss guidelines for a comprehensive care program to ostomized clients and their families, organized by macrosociological categories. Method: Creative and Sensitive, involving 17 ostomized subjects and family members at a municipal outpatient clinic. The ethical aspects were complied with. A characterization form was used, as well as Creativity and Sensitivity Dynamics: "speaking map", "body-knowledge" and "calendar". Critical Discourse Analysis was applied. Results: the health needs and care demands of the ostomized patients and their family members, in their multiple dimensions, were constituted in the home and community, outpatient and social context, implying new orientations for nursing care. The unveiling of the data brought elements that constituted guidelines, in a macrosociological approach, to achieve the expanded integrality of nursing care. Conclusion: the ostomized clients are unique in their genre/peculiar from Latin sui generis, calling for strategies that respond to and distinguish their specificities. Elaborating a Public Health Policy that improves and reorganizes the care demands, taking into account these individual biopsychosocial and spiritual aspects, is a possible and irrevocable target in the attempt to achieve better conditions of health and wellbeing. PMID:27192418

  9. Puerto Rico water resources planning model program description

    Science.gov (United States)

    Moody, D.W.; Maddock, Thomas; Karlinger, M.R.; Lloyd, J.J.

    1973-01-01

    Because the use of the Mathematical Programming System -Extended (MPSX) to solve large linear and mixed integer programs requires the preparation of many input data cards, a matrix generator program to produce the MPSX input data from a much more limited set of data may expedite the use of the mixed integer programming optimization technique. The Model Definition and Control Program (MODCQP) is intended to assist a planner in preparing MPSX input data for the Puerto Rico Water Resources Planning Model. The model utilizes a mixed-integer mathematical program to identify a minimum present cost set of water resources projects (diversions, reservoirs, ground-water fields, desalinization plants, water treatment plants, and inter-basin transfers of water) which will meet a set of future water demands and to determine their sequence of construction. While MODCOP was specifically written to generate MPSX input data for the planning model described in this report, the program can be easily modified to reflect changes in the model's mathematical structure.

  10. Improving Reading Comprehension of Children with ASD: Implication of Anaphoric Reference Support with Computer Programming

    Science.gov (United States)

    Karayazi Ozsayin, Seda

    2017-01-01

    This study examined the effects of anaphoric pronouns presented via computer screen on the reading comprehension of four children with Autism Spectrum Disorder (ASD). Stories from the education.com website were used to collect data. The students' responses to reading comprehension questions during baseline, treatment, and follow-up sessions were…

  11. Planning and Implementing a Comprehensive Career System of Individualized Guidance. Description of a Program for Effective Personal Problem Solving. The CCGS Personal and Social Development Program.

    Science.gov (United States)

    Jones, G. Brian; And Others

    In response to intended future California legislation which would allot state aid to schools on the basis of how well each educational program met its stated objectives, the Comprehensive Career Guidance System (CCGS) was developed. It is a systematic approach to the development and evaluation of guidance oriented objectives and related…

  12. A cross-cultural, long-term outcome evaluation of the ISTAR Comprehensive Stuttering Program across Dutch and Canadian adults who stutter.

    NARCIS (Netherlands)

    Langevin, M.; Huinck, W.J.; Kully, D.; Peters, H.F.M.; Lomheim, H.; Tellers, M.

    2006-01-01

    There is a need to evaluate the effectiveness of stuttering treatment programs delivered in domestic and international contexts and to determine if treatment delivered internationally is culturally sensitive. Evaluation of the effectiveness of the ISTAR Comprehensive Stuttering Program (CSP) within

  13. [Comprehensive care program for the mentally ill in Spanish prisons (PAIEM): assessment after four years operation].

    Science.gov (United States)

    Sanz, J; Gómez-Pintado, P; Ruiz, A; Pozuelo, F; Arroyo, J M

    2014-01-01

    To assess the comprehensive care program for the mentally ill in prison (PAIEM), which has been implemented for 3 years in Spanish prisons with the aim of improving processes and results. Descriptive study of the data gathered from an anonymous questionnaire completed by members of the PAIEM team in prisons. Frequency distributions were obtained of all the variables relating to facts, attitudes, opinions, experiences, situations and processes of the PAIEM. 91.2% of the PAIEM teams responded. Psychologists, educators, doctors and social workers were the professionals that collaborated most actively in the PAIEM (73%-84%) and were the ones to act most frequently as tutors. The mentally ill are usually located in ordinary modules (80%). The most commonly used activities for their psycho-social rehabilitation are self care (73%), education for health, preparation for daily life and social skills (more than 60%). Interventions with families are basically by telephone (79%). Bivariate analysis showed that the PAIEMs that operate most effectively are those that coordinate well with other technical teams, that prepare referral more than six months prior to release and ones where the NGOs process the referrals. Over 71% of the professionals observed improvements of disabilities and needs in over half the patients more than half of the professionals involved are satisfied (3.4/5) with their participation, although they acknowledge that there is a greater work load. The activities of the PAIEM are adequate, especially in the phases of early detection, stabilisation and rehabilitation and less so in the social incorporation phase, which improves when the third sector intervenes in referrals of patients to the social health care network outside prison.

  14. Overview of the National Water-Quality Assessment Program

    Science.gov (United States)

    Leahy, P.P.; Thompson, T.H.

    1994-01-01

    The Nation's water resources are the basis for life and our economic vitality. These resources support a complex web of human activities and fishery and wildlife needs that depend upon clean water. Demands for good-quality water for drinking, recreation, farming, and industry are rising, and as a result, the American public is concerned about the condition and sustainability of our water resources. The American public is asking: Is it safe to swim in and drink water from our rivers or lakes? Can we eat the fish that come from them? Is our ground water polluted? Is water quality degrading with time, and if so, why? Has all the money we've spent to clean up our waters, done any good? The U.S. Geological Survey's National Water-Quality Assessment (NAWQA) Program was designed to provide information that will help answer these questions. NAWQA is designed to assess historical, current, and future water-quality conditions in representative river basins and aquifers nationwide. One of the primary objectives of the program is to describe relations between natural factors, human activities, and water-quality conditions and to define those factors that most affect water quality in different parts of the Nation. The linkage of water quality to environmental processes is of fundamental importance to water-resource managers, planners, and policy makers. It provides a strong and unbiased basis for better decisionmaking by those responsible for making decisions that affect our water resources, including the United States Congress, Federal, State, and local agencies, environmental groups, and industry. Information from the NAWQA Program also will be useful for guiding research, monitoring, and regulatory activities in cost effective ways.

  15. Comprehensive evaluation of cervical cancer screening programs: the case of Colombia

    Directory of Open Access Journals (Sweden)

    Raúl Murillo

    2011-12-01

    Full Text Available OBJECTIVE: To identify critical screening program factors for reducing cervical cancer mortality in Colombia. MATERIAL AND METHODS: Coverage, quality, and screening follow-up were evaluated in four Colombian states with different mortality rates. A case-control study (invasive cancer and healthy controls evaluating screening history was performed. RESULTS: 3-year cytology coverage was 72.7%, false negative rate 49%, positive cytology follow-up 64.2%. There was no association between screening history and invasive cancer in two states having high cytology coverage but high false negative rates. Two states revealed association between deficient screening history and invasive cancer as well as lower positive-cytology follow-up. CONCLUSIONS: Reduced number of visits between screening and treatment is more relevant when low access to health care is present. Improved quality is a priority if access to screening is available. Suitable interventions for specific scenarios and proper appraisal of new technologies are compulsory to improve cervical cancer screening. Comprehensive process-failure audits among invasive cancer cases could improve program evaluation since mortality is a late outcome.OBJETIVO: Identificar factores críticos para reducir la mortalidad por cáncer cervical en Colombia. MATERIAL Y MÉTODOS: Se evaluó cobertura, calidad y seguimiento del tamizaje en cuatro departamentos con tasas de mortalidad diferenciales. Un estudio de casos (cáncer invasor y controles (sanos evaluó historia de tamizaje. RESULTADOS: Cobertura 72,7%; falsos negativos 49%; acceso a diagnóstico-tratamiento de HSIL 64,2%. La historia de tamizaje no se asoció con cáncer invasor en dos departamentos con elevada cobertura pero elevada proporción de falsos negativos. Dos departamentos con asociación entre historia de tamizaje deficiente y cáncer invasor tuvieron cobertura aceptable pero bajo acceso a diagnóstico-tratamiento. No hubo relación entre mortalidad

  16. Optimizing basin-scale coupled water quantity and water quality management with stochastic dynamic programming

    DEFF Research Database (Denmark)

    Davidsen, Claus; Liu, Suxia; Mo, Xingguo

    2015-01-01

    Few studies address water quality in hydro-economic models, which often focus primarily on optimal allocation of water quantities. Water quality and water quantity are closely coupled, and optimal management with focus solely on either quantity or quality may cause large costs in terms of the oth......-er component. In this study, we couple water quality and water quantity in a joint hydro-economic catchment-scale optimization problem. Stochastic dynamic programming (SDP) is used to minimize the basin-wide total costs arising from water allocation, water curtailment and water treatment. The simple water......-economic optimiza-tion model can be used to assess costs of meeting additional constraints such as minimum water qual-ity or to economically prioritize investments in waste water treatment facilities based on economic criteria....

  17. Scientific Framework for a Comprehensive Assessment of Tribal Water Resources in Western Washington

    National Research Council Canada - National Science Library

    Konrad, Christopher P

    2005-01-01

    Judicious management of water resources and protection of Tribal water rights requires information about the quantity and quality of water available in western Washington, the quantity of water needed...

  18. A Public Education Program in Water Resources Management.

    Science.gov (United States)

    Amend, John R.; Armold, Anita A.

    1983-01-01

    Describes a program designed to improve public awareness/understanding of major factors in managing water resources. Use is made of an interactive computer simulator to place lay people and teachers in decision-making situations involving real variables and alternatives and to project for them the probable consequences of their water management…

  19. Temperature-programmed desorption of water and ammonia on ...

    Indian Academy of Sciences (India)

    Unknown

    Abstract. Temperature-programmed desorption (TPD) of water and ammonia over. ZrO2 and sulphated ZrO2 prepared by different methods has been investigated for measuring strong acidity and acidity distribution on sulphated zirconia-type solid super-acid catalysts. The TPD of water provides a simple reliable method for ...

  20. NASA'S Water Resources Element Within the Applied Sciences Program

    Science.gov (United States)

    Toll, David; Doorn, Bradley; Engman, Edwin

    2010-01-01

    The NASA Applied Sciences Program works within NASA Earth sciences to leverage investment of satellite and information systems to increase the benefits to society through the widest practical use of NASA research results. Such observations provide a huge volume of valuable data in both near-real-time and extended back nearly 50 years about the Earth's land surface conditions such as land cover type, vegetation type and health, precipitation, snow, soil moisture, and water levels and radiation. Observations of this type combined with models and analysis enable satellite-based assessment of numerous water resources management activities. The primary goal of the Earth Science Applied Science Program is to improve future and current operational systems by infusing them with scientific knowledge of the Earth system gained through space-based observation, model results, and development and deployment of enabling technologies, systems, and capabilities. Water resources is one of eight elements in the Applied Sciences Program and it addresses concerns and decision making related to water quantity and water quality. With increasing population pressure and water usage coupled with climate variability and change, water issues are being reported by numerous groups as the most critical environmental problems facing us in the 21st century. Competitive uses and the prevalence of river basins and aquifers that extend across boundaries engender political tensions between communities, stakeholders and countries. Mitigating these conflicts and meeting water demands requires using existing resources more efficiently. The potential crises and conflicts arise when water is competed among multiple uses. For example, urban areas, environmental and recreational uses, agriculture, and energy production compete for scarce resources, not only in the Western U.S. but throughout much of the U.S. but also in many parts of the world. In addition to water availability issues, water quality related

  1. Industrial Water Analysis Program: A Critical Study.

    Science.gov (United States)

    1983-09-01

    The effect that time has on the boiler water constituents is an important aspect which must be considered when reviewing the results of the independent...an independent laboratory [2:441. Research Objectives The objectives of this study are the following: 1. Review the current Air Force practice of...any substance which tends to keep a compound, mixture, or solution from changing its form or chemical nautre [6:964]. Quebracho tannin : [a chemical

  2. Small Water System Management Program: 100 K Area

    Energy Technology Data Exchange (ETDEWEB)

    Hunacek, G.S. Jr. [Westinghouse Hanford Co., Richland, WA (United States)

    1995-06-29

    Purposes of this document are: to provide an overview of the service and potable water system presently in service at the Hanford Site`s 100 K Area; to provide future system forecasts based on anticipated DOE activities and programs; to delineate performance, design, and operations criteria; and to describe planned improvements. The objective of the small water system management program is to assure the water system is properly and reliably managed and operated, and continues to exist as a functional and viable entity in accordance with WAC 246-290-410.

  3. New Mexico’s comprehensive impaired-driving program : a case study.

    Science.gov (United States)

    2014-03-01

    In late 2004, the National Highway Traffic Safety Administration provided funds to the New Mexico Department of Transportation to demonstrate a process for implementing a comprehensive State impaired driving system. NHTSA also contracted with the Pac...

  4. Reading for Understanding: Towards an R&D Program in Reading Comprehension

    National Research Council Canada - National Science Library

    Snow, Catherine

    2001-01-01

    .... We encourage readers of this draft version to respond with feedback about our summary of the issues, the coherence of our model of reading comprehension, and our sketch of the research enterprise...

  5. A comprehensive intervention program on the long-term placement of peripherally inserted central venous catheters

    OpenAIRE

    Wenfeng Chen; Haoyu Deng; Liangfang Shen; Man Qin; Lianxian He

    2014-01-01

    Background: Peripherally inserted central venous catheters (PICCs) have been increasingly utilized in treating patients in intensive care. The purpose of this study is to analyze the related complications and to evaluate effect of a comprehensive intervention on long-term PICCs. Materials and Methods: We selected 217 and 243 cases before and after comprehensive intervention respectively from the department of radiotherapy in our hospital. Various possible factors affecting PICCs insertions...

  6. The Effectiveness of the Barton's Intervention Program on Reading Comprehension and Reading Attitude of Students with Dyslexia.

    Science.gov (United States)

    Mihandoost, Zeinab; Elias, Habibah

    2011-01-01

    The current research tested the differences in reading attitude and reading comprehension in the dyslexic students between the control group and the experimental group following the Barton intervention program. Dyslexia screening instrument and reading text were employed in order to identify dyslexic students. The population of the study included 138 dyslexic students studying in schools in Ilam, Iran. From this population, 64 students were randomly selected and assigned to an experimental group as well as a control group. The experimental group was taught for 36 sessions, using the Barton's method at two levels, and ten lessons were provided to improve the reading skill. The reading comprehension and reading attitude instruments were employed for the measurement of the attitude and comprehension before and after the intervention program. The analysis of covariance showed a significant difference between the control group and the experimental group following the Barton intervention program. This study showed that dyslexic students learned to read, and a more direct instruction related to decoding could influence their progress more than the general exposure to education.

  7. Comprehensive Everglades Restoration Plan: Additional Water Quality Projects May be Needed and Could Increase Costs

    National Research Council Canada - National Science Library

    2000-01-01

    .... Because water is key to restoring the ecosystem, one of the initiative's major goals is 'getting the water right'-or improving the quality, quantity, timing, and distribution of water in the ecosystem...

  8. The ground water monitoring program. Grundwasserueberwachungsprogramm; Ergebnisse der Beprobung 1992

    Energy Technology Data Exchange (ETDEWEB)

    Grimm-Strele, J.; Burk, K.; Barufke, K.P.; Feuerstein, W.; Heidland, S.; Kaltenbach, D.; Maisch, M.; Regner, B.; Schuhmann, D.; Seifert, D.; Stekker, D.; Weiller-Schaefer, M.; Werner, K.

    1993-05-01

    The Baden-Wuerttemberg monitoring network for assessment of the actual state of the ground water and of possible development trends is part of a preventive ground water pollution abatement program. The monitoring network was extended considerably in 1992. The organizational structure was changed through takeover of the monitoring networks owned by Verdichtungsmessnetz Wasserversorgung by the water supply utilities. The analytical data compiled in 1992 are presented placing emphasis on the ground water data obtained for critical substances such as nitrates, herbicides, pesticides, and highly volatile halogenated hydrocarbons. Numerous further results from different types of measuring points are compiled in concise statistical surveys. (orig.)

  9. The implementation of the Mais Médicos (More Doctors) Program and comprehensiveness of care in the Family Health Strategy.

    Science.gov (United States)

    Comes, Yamila; Trindade, Josélia de Souza; Pessoa, Vanira Matos; Barreto, Ivana Cristina de Holanda Cunha; Shimizu, Helena Eri; Dewes, Diego; Arruda, Carlos André Moura; Santos, Leonor Maria Pacheco

    2016-09-01

    The Mais Médicos (More Doctors) Program is a Brazilian government program that aims to expand access to medical care and thus improve the quality of primary healthcare delivery. This study aims to analyze the perceptions of nondoctor members of the Family Health Strategy teams regarding comprehensiveness of care after the inclusion of doctors from the program. The study encompassed 32 poor municipalities in Brazil's five geographical regions. A total of 78 health workers were interviewed. The interviews were transcribed and analyzed using content analysis and the software Atlas.ti Version 1.0.36. The study found that the program led to: an increase in access to and accessibility of services provided under the Family Health Strategy; humanized care and the establishment of bonds - understanding, partnership, friendship and respect; going back to clinical approaches - dedicated time, listening attentively, and detailed physical examination; the desire and willingness to resolve problems; continuity of care; guarenteeing home visits; and coordination of multidisciplinary teams in networks. It was concluded that the Mais Médicos Program contributed to the enhancement of comprehensiveness, thus leading to improvements in primary health care delivery.

  10. A comprehensive professional development training's effect on afterschool program staff behaviors to promote healthy eating and physical activity.

    Science.gov (United States)

    Weaver, Robert Glenn; Beets, Michael W; Saunders, Ruth P; Beighle, Aaron; Webster, Collin

    2014-01-01

    Evaluate a comprehensive intervention designed to support staff and program leaders in the implementation of the YMCA of USA healthy eating and physical activity (HEPA) standards for their afterschool programs (3-6 pm). Pre- (fall 2011) and postassessment (spring 2012) no-control group. Four large-scale YMCA afterschool programs serving approximately 500 children. Professional development training founded on the 5Ms (ie, Mission, Model, Manage, Monitor, and Maximize) and LET US Play principles (ie, Lines, Elimination, Team size, Uninvolved staff/kids, and Space, equipment, and rules), on-site booster training sessions, workshops, and ongoing technical support for staff and program leaders from January to May 2012. System for Observing Staff Promotion of Activity and Nutrition. Multilevel mixed-effects linear (ie, staff behaviors expressed as a percentage of the number of scans observed) and logistic regression. A total of 5328 System for Observing Staff Promotion of Activity and Nutrition scans were completed over the 2 measurement periods. Of the 20 staff behaviors identified in HEPA standards and measured in this study, 17 increased or decreased in the appropriate direction. For example, the proportion staff engaged in physical activity with children increased from 26.6% to 37% and the proportion of staff eating unhealthy foods decreased from 42.1% to 4.5%. Comprehensive professional development training, founded on the 5Ms and LET US Play principles, and ongoing technical assistance can have a sizable impact on key staff behaviors identified by HEPA standards for afterschool programs.

  11. 76 FR 366 - Public Water Supply Supervision Program; Program Revision for the State of Washington

    Science.gov (United States)

    2011-01-04

    ... Program. Washington has adopted a definition for public water system that is analogous to EPA's definition... ``Indian country'' as defined by 18 U.S.C. 1151, nor does it intend to limit existing rights of the State...

  12. [Effects of community-based comprehensive fall prevention program on muscle strength, postural balance and fall efficacy in elderly people].

    Science.gov (United States)

    Bae, Jeongyee; Cho, Seong Il

    2014-12-01

    The purposes of this study was to develop a comprehensive community-based fall prevention program and to test the effects of the program on the muscle strength, postural balance and fall efficacy for elderly people. The design of this study was a nonequivalent control group pretest-posttest design. There were 28 participants in the experimental group and 29 in the control group. The program consisted of balance exercises, elastic resistance exercises and prevention education. The program was provided five times a week for 8 weeks and each session lasted 90 minutes. Data were analyzed using χ²-test, independent t-test and paired t-test using the SPSS program. Muscle strength of the lower extremities, postural balance and fall efficacy scores significantly improved in the experimental group compared to the control group. These results suggest that this program can improve lower extremity muscle strength, postural balance and fall efficacy in elders. Therefore, this program is recommended for use in fall prevention programs for elders living in the community.

  13. NASA'S Water Resources Element Within the Applied Sciences Program

    Science.gov (United States)

    Toll, David; Doorn, Bradley; Engman, Edwin

    2011-01-01

    The NASA Earth Systems Division has the primary responsibility for the Applied Science Program and the objective to accelerate the use of NASA science results in applications to help solve problems important to society and the economy. The primary goal of the NASA Applied Science Program is to improve future and current operational systems by infusing them with scientific knowledge of the Earth system gained through space-based observation, assimilation of new observations, and development and deployment of enabling technologies, systems, and capabilities. This paper discusses major problems facing water resources managers, including having timely and accurate data to drive their decision support tools. It then describes how NASA's science and space based satellites may be used to overcome this problem. Opportunities for the water resources community to participate in NASA's Water Resources Applications Program are described.

  14. Effect of an intervention program on the reading comprehension processes and strategies in 5th and 6th grade students.

    Science.gov (United States)

    Gayo, Elena; Deaño, Manuel; Conde, Ángeles; Ribeiro, Iolanda; Cadime, Irene; Alfonso, Sonia

    2014-01-01

    Various investigations have revealed that the promotion of cognitive and metacognitive strategies can improve reading comprehension and that when readers receive this type of instruction, they can use monitoring processes and regulation strategies adequately. The goal of this work is to analyze the effects of strategic and metacognitive instruction on reading comprehension processes and strategies, using the "Aprender a Comprender" [Learning to Understand] program. Instruction was carried out in the classroom by two teachers during six months. Ninety-four students participated, 49 from 5th grade and 45 from 6th grade. A pretest-intervention-posttest-follow-up design was used with a comparison group by grade. The analysis of variance shows an impact of the intervention and its differential maintenance in each grade. The 5th-grade intervention group scored higher than the comparison group in the reading comprehension test, both at posttest and at follow-up. The 6th-grade intervention group scored higher than the comparison group in the Planning scale, both at posttest and at follow-up. Textual strategy instruction favors reading comprehension and the progressive development of planning, which is necessary for supervision and regulation, and its effects are maintained over time.

  15. National water-quality assessment program : the Albemarle- Pamlico drainage

    Science.gov (United States)

    Lloyd, O.B.; Barnes, C.R.; Woodside, M.D.

    1991-01-01

    In 1991, the U.S. Geological Survey (USGS) began to implement a full-scale National Water-Quality Assessment (NAWQA) program. Long-term goals of the NAWQA program are to describe the status and trends in the quality of a large, representative part of the Nation's surface- and ground-water resources and to provide a sound, scientific understanding of the primary natural and human factors affecting the quality of these resources. In meeting these goals, the program will produce a wealth of water quality information that will be useful to policy makers and managers at the national, State, and local levels. Study-unit investigations constitute a major component of the NAWQA program, forming the principal building blocks on which national-level assessment activities are based. The 60 study-unit investigations that make up the program are hydrologic systems that include parts of most major river basins and aquifer systems. These study units cover areas of 1,200 to more than 65,000 square miles and incorporate about 60 to 70 percent of the Nation's water use and population served by public water supply. In 1991, the Albemarle-Pamlico drainage was among the first 20 NAWQA study units selected for study under the full-scale implementation plan. The Albemarle-Pamlico drainage study will examine the physical, chemical, and biological aspects of water quality issues in a coordinated investigation of surface water and ground water in the Albemarle-Pamlico drainage basin. The quantity and quality of discharge from the Albemarle-Pamlico drainage basin contribute to some water quality problems in the biologically sensitive waters of Albemarle and Pamlico Sounds. A retrospective analysis of existing water quality data will precede a 3-year period of intensive data-collection and analysis activities. The data resulting from this study and the improved understanding of important processes and issues in the upstream part of the study unit will enhance understanding of the quality of

  16. An Educational- Vocational Intervention: Through a Work-Life Orientation Program in Finnish Comprehensive Schools

    OpenAIRE

    Kalervo Friberg

    2013-01-01

    Changes in student-affective entry characteristics were examined in an educational−vocational intervention at Finnish comprehensive school. The conceptual framework constructed from attitudes as learned dispositions (Fishbein & Ajzen, 1975) and self-determination (Deci & Ryan, 1985) was tested in a longitudinal study. A person-based survey questionnaire was designed, piloted, and validated. Spearman−Brown reliability w...

  17. The Effects of Captions on EFL Learners' Comprehension of English-Language Television Programs

    Science.gov (United States)

    Rodgers, Michael P. H.; Webb, Stuart

    2017-01-01

    The Multimedia Principle (Fletcher & Tobias, 2005) states that people learn better and comprehend more when words and pictures are presented together. The potential for English language learners to increase their comprehension of video through the use of captions, which graphically display the same language as the spoken dialogue, has been…

  18. The economic value of Quebec's water fluoridation program.

    Science.gov (United States)

    Tchouaket, Eric; Brousselle, Astrid; Fansi, Alvine; Dionne, Pierre Alexandre; Bertrand, Elise; Fortin, Christian

    2013-01-01

    Dental caries is a major public health problem worldwide, with very significant deleterious consequences for many people. The available data are alarming in Canada and the province of Quebec. The water fluoridation program has been shown to be the most effective means of preventing caries and reducing oral health inequalities. This article analyzes the cost-effectiveness of Quebec's water fluoridation program to provide decision-makers with economic information for assessing its usefulness. An approach adapted from economic evaluation was used to: (1) build a logic model for Quebec's water fluoridation program; (2) determine its implementation cost; and (3) analyze its cost-effectiveness. Documentary analysis was used to build the logic model. Program cost was calculated using data from 13 municipalities that adopted fluoridation between 2002 and 2010 and two that received only infrastructure grants. Other sources were used to collect demographic data and calculate costs for caries treatment including costs associated with travel and lost productivity. The analyses showed the water fluoridation program was cost-effective even with a conservatively estimated 1 % reduction in dental caries. The benefit-cost ratio indicated that, at an expected average effectiveness of 30 % caries reduction, one dollar invested in the program saved $71.05-$82.83 per Quebec's inhabitant in dental costs (in 2010) or more than $560 million for the State and taxpayers. The results showed that the drinking-water fluoridation program produced substantial savings. Public health decision-makers could develop economic arguments to support wide deployment of this population-based intervention whose efficacy and safety have been demonstrated and acknowledged.

  19. The effect of comprehensive sexual education program on sexual health knowledge and sexual attitude among college students in Southwest China.

    Science.gov (United States)

    Chi, Xinli; Hawk, Skyler T; Winter, Sam; Meeus, Wim

    2015-03-01

    The purpose of this study was to evaluate whether a comprehensive sexual education program for college students in Southwest China (a) improved sexual health knowledge in reproduction, contraception, condom use, sexually transmitted diseases, and HIV; (b) increased accepting attitudes toward lesbian, gay, bisexual, and transsexual individuals; and (c) altered participants' attitudes toward premarital sex and monogamy. The program used diverse teaching methods, providing 6 sessions over a period of 9 weeks about sexual health knowledge and sexual attitudes to college students (age 18-26 years) in Southwest China. Sexual health knowledge and sexual attitudes of 80 comprehensive sexual education class students (education group) and 92 general mental health education class students (control group) were measured at baseline, the end of course (posttest), and 3 weeks after the end of course (follow-up). There were significant effects of the program on (a) sexual health knowledge, including reproductive health, contraception, condom use, and HIV/AIDS and (b) positive attitudes toward sexual minorities, although these changes may require further reinforcement. In contrast, the program did not alter students' attitudes about premarital sex or monogamy. The results are discussed in terms of recommendations of sex education in China and future directions for research. © 2013 APJPH.

  20. Effects of a comprehensive cardiac rehabilitation program on quality of life and exercise tolerance in women: A retrospective analysis

    Directory of Open Access Journals (Sweden)

    Knapik Grant

    2003-04-01

    Full Text Available Abstract Background Currently, there are a lack of investigations that have examined the effect of participating in a comprehensive cardiac rehabilitation program on quality of life and physiological measures in women of different ages. The purpose of this investigation was to examine the effect of participating in a comprehensive cardiac rehabilitation program on quality of life, exercise tolerance, blood pressure and lipids in women between 33 and 82 years of age. Methods The 126 women participated in a 14-week cardiac rehabilitation program that consisted of 7 weeks of formal supervised exercise training and 7 weeks of unsupervised exercise and lifestyle modification. Physiologic and quality of life outcome measures obtained at the outset and after 14 weeks included: 1 exercise treadmill time; 2 resting and peak systolic and diastolic blood pressure; 3 total cholesterol, low-density lipoprotein cholesterol, high density lipoprotein cholesterol and Triglycerides; 4 Cardiac Quality of Life Index questionnaire. Results Significant improvements were found in the following quality of life measures after participating in the cardiac rehabilitation program: physical well being, psychosocial, worry, nutrition and symptoms. No significant differences were seen for any QOL variable between the different age groups. Significant improvements were seen in exercise tolerance (+21% and high density lipoprotein (+5%. Conclusion Cardiac rehabilitation may play an important role in improving quality of life, exercise tolerance and high density lipoprotein cholesterol levels in younger and older women with underlying cardiovascular disease.

  1. Investing in Head Start: Impacts and Cost Effectiveness of America's Comprehensive Child Development Program

    Science.gov (United States)

    University of Pittsburgh Office of Child Development, 2009

    2009-01-01

    As part of The American Recovery and Reinvestment Act of 2009, the federal Head Start and Early Head Start programs received a significant increase in funding. Head Start is the longest-running program to address systemic poverty in the United States. It is also one of the most heavily researched programs in the nation. Still, debate continues…

  2. Nutrient Assimilation Services for Water Quality Credit Trading Programs

    OpenAIRE

    Stephenson, Kurt; Shabman, Leonard

    2015-01-01

    Water quality trading programs envision regulated point sources meeting discharge control requirements and then being allowed to increase their nutrient discharge if they secure nutrient reduction credits from other pollutant sources in the watershed. Reduction credits can be created when agricultural land managers implement best management practices and regulators predict that those practices will result in water quality conditions equivalent to controlling discharges at the regulated source...

  3. 78 FR 47241 - Amendments to the Water Quality Regulations, Water Code and Comprehensive Plan To Revise the...

    Science.gov (United States)

    2013-08-05

    ... the Water Quality Regulations and Water Code as follows: For the parameter ``PCBs (Total)'', in the column headed ``Freshwater Objectives (ug/l): Fish & Water Ingestion,'' by removing the number ``0... From the Federal Register Online via the Government Publishing Office DELAWARE RIVER BASIN...

  4. Communicating How Water Works: Results from a Community Water Education Program

    Science.gov (United States)

    Cockerill, Kristan

    2010-01-01

    Based on feedback from attendees at an environmental summit who requested information about regional water sources, a team comprised of a local nonprofit, a state university, and a cooperative extension office created a community water education program. Undergraduate student interns worked with the author to develop a 20-minute science-based…

  5. Comprehensive utilization of activated sludge for the preparation of hydrolytic enzymes, polyhydroxyalkanoates, and water-retaining organic fertilizer.

    Science.gov (United States)

    Ni, He; Fan, Xiao-Min; Guo, Hao-Ning; Liang, Jian-Hua; Li, Qing-Rong; Yang, Liu; Li, Hui; Li, Hai-Hang

    2017-07-03

    The urban wastewater treatment industry produces a large amount of excess activated sludge which is mainly composed of microbial biomass and costly to be disposed. In this research, a comprehensive utilization of activated sludge was developed by sequentially extracting hydrolytic enzymes and polyhydroxyalkanoates (PHAs), and the residue was used to prepare water-retaining organic fertilizer. The sludge was extracted with fourfold H2O-containing 1% Triton X-100 with the yield of 66.7% protease activity. The enzyme solution was precipitated in 80% acetone and vacuum dried at 40°C at the dried enzyme yield of 2.4 g/kg wet sludge. The enzyme product contains collagenase, lipase, amylase, and cellulase activities, which are good compound enzymes to feed. The PHAs were extracted with 30% sodium hypoclorite:chloroform (1:3). The PHA solution was decolored and dried, and pure white PHAs were obtained at the yield of 70.1 g/kg wet sludge. The residue was used to prepare water-retaining organic fertilizer at the optimal condition. The fertilizer absorbs 131.3-fold distilled water and had good performance in water retention and can effectively slow down the loss of soil moisture when added into soil. This work provides a simple and practical approach for comprehensive utilizing activated sludge with significant economic benefits.

  6. 76 FR 15999 - Notice of Proposed Consent Decree Under the Clean Water Act, the Comprehensive Environmental...

    Science.gov (United States)

    2011-03-22

    ..., Compensation and Liability Act, and the Emergency Planning and Community Right-To-Know Act Notice is hereby... v. Unisea, Incorporated, Civil Action No. 3:11-cv-00037-JWS, was lodged with the United States... Act, the Comprehensive Environmental Response, Compensation and Liability Act, and the Emergency...

  7. Summary of DOE/PERF water program review.

    Energy Technology Data Exchange (ETDEWEB)

    Veil, J.; Gasper, J.; Puder, M.; Leath, P.; Environmental Science Division

    2006-01-31

    For many years, the U.S. Department of Energy (DOE) has supported and sponsored various types of water research relating to the oil and gas industry through its Office of Fossil Energy and its National Energy Technology Laboratory (NETL). In early 2005, the Petroleum Environmental Research Forum (PERF) submitted a proposal to DOE for funding an upcoming PERF meeting that would feature water research in the petroleum industry. PERF is a nonprofit organization created in 1986 to provide a stimulus to and a forum for the collection, exchange, and analysis of research information related to the development of technology concerning the petroleum industry, and a mechanism for establishing joint research projects in that field. Additional information on PERF can be accessed at http://www.perf.org. DOE agreed to provide funding to hold a review of its water research program in conjunction with the fall 2005 PERF meeting. Argonne National Laboratory (Argonne) was asked to coordinate and host the meeting, which was referred to as the DOE/PERF Water Program Review. The program review was held on November 1-4, 2005, in Annapolis, Maryland, at the Historic Inns of Annapolis. The purpose of the program review was to provide a forum for sharing information, reviewing current programs (especially recent unpublished research), and reviewing industry and regulatory needs regarding water use and reuse issues. PERF and DOE/NETL can use this information to plan for future water-related research projects. The water program review provided a unique opportunity in several ways. First, DOE was able to have all of the contractors currently receiving DOE funds for water research present in one room at the same time. Each contractor described his or her research and was able to learn about the research being conducted by the other researchers. Second, this forum allowed representatives of many large oil and gas companies to hear about the DOE research projects and offer their reactions to DOE

  8. The FaceBase Consortium: A comprehensive program to facilitate craniofacial research

    OpenAIRE

    Hochheiser, Harry; Aronow, Bruce J.; Artinger, Kristin; Beaty, Terri H; Brinkley, James F.; Chai, Yang; Clouthier, David; Cunningham, Michael L.; Dixon, Michael; Donahue, Leah Rae; Scott E Fraser; Hallgrimsson, Benedikt; Iwata, Junichi; Klein, Ophir; Marazita, Mary L.

    2011-01-01

    The FaceBase Consortium consists of ten interlinked research and technology projects whose goal is to generate craniofacial research data and technology for use by the research community through a central data management and integrated bioinformatics hub. Funded by the National Institute of Dental and Craniofacial Research (NIDCR) and currently focused on studying the development of the middle region of the face, the Consortium will produce comprehensive datasets of global gene expression pat...

  9. Health education and agency: a comprehensive program for young women in the Mixteca region of Mexico.

    Science.gov (United States)

    Venguer, Tere; Pick, Susan; Fishbein, Martin

    2007-08-01

    The Si yo estoy bien, mi familia también ("If I am OK then so is my family") is a health and agency education program that was provided over a period of 3 years to 39,000 rural women in Oaxaca, Mexico. The purpose of the article is to describe the development, implementation and evaluation of the program. The theoretical rationale and strategy of this intervention are described, as well as the construction of the program and the implementation. Moreover, an evaluation of the various stages of the program is provided, to enable an assessment of its efficacy, and the scope for dissemination and scaling up.

  10. Two-Year Impacts of a Comprehensive Family Financial Rewards Program on Children's Academic Outcomes: Moderation by Likelihood of Earning Rewards

    Science.gov (United States)

    Berg, Juliette; Morris, Pamela; Aber, Larry

    2013-01-01

    This article examines the extent to which impacts of a conditional cash transfer (CCT) program on children's academic outcomes vary by key characteristics associated with families' propensity to earn the rewards offered by the program. We utilize an experimental study of Opportunity NYC-Family Rewards, a comprehensive CCT program in New York City…

  11. ENCOURAGING THE USE OF WETLANDS IN WATER QUALITY TRADING PROGRAMS

    Science.gov (United States)

    The interest in water quality trading (WQT) has grown in recent years because of its potential to meet nutrient reduction goals at lower costs. However, one problem identified by researchers in most WQT programs has been few actual trades, usually associated with low numbers of ...

  12. Temperature-programmed desorption of water and ammonia on ...

    Indian Academy of Sciences (India)

    Home; Journals; Journal of Chemical Sciences; Volume 115; Issue 4. Temperature-programmed desorption of water and ammonia on sulphated zirconia catalysts for ... Author Affiliations. Vasant R Choudhary1 Abhijeet J Karkamkar1. Chemical Engineering Division, National Chemical Laboratory, Pune 411 008, India ...

  13. Affective Aspects of an Age-Integrated Water Exercise Program.

    Science.gov (United States)

    Weiss, Caroline R.; Jamieson, Nancy B.

    1987-01-01

    Surveyed 88 female participants of community-based age-integrated water exercise program designed to enhance comfort and social interaction. Affective measures and observation of membership as a support group elicited few differences by age. Members endorsed having age integration in classes and there was little indication that subgroups of…

  14. Our World of Water. A Spring Program for Fifth Graders.

    Science.gov (United States)

    Jackson Community Coll., MI. Dahlem Environmental Education Center.

    This instructional packet is one of 14 school environmental education programs developed for use in the classroom and at the Dahlem Environmental Education Center (DEEC) of the Jackson Community College (Michigan). Provided in the packet are pre-trip activities, field trip activities, and post-trip activities which focus on water in the built and…

  15. 75 FR 20111 - Energy Conservation Program: Energy Conservation Standards for Residential Water Heaters, Direct...

    Science.gov (United States)

    2010-04-16

    ... Energy 10 CFR Part 430 Energy Conservation Program: Energy Conservation Standards for Residential Water... Energy Conservation Program: Energy Conservation Standards for Residential Water Heaters, Direct Heating... conservation standards for residential water heaters (other than tabletop and electric instantaneous models...

  16. The Caregiver Education and Training Project: A Comprehensive Training Program for Family Caregivers.

    Science.gov (United States)

    Grossmont District Hospital, La Mesa, CA.

    This demonstration program was designed to impart specific nursing, psychosocial, and community knowledge skills to caregivers, particularly those who themselves were older adults and were caring for a family member at home. Begun in October 1986, this program featured basic home nursing instruction and an orientation to the demands and rewards of…

  17. 42 CFR 485.58 - Condition of participation: Comprehensive rehabilitation program.

    Science.gov (United States)

    2010-10-01

    ... rehabilitation program that includes, at a minimum, physicians' services, physical therapy services, and social... contraindications to any treatment modality. (iv) Rehabilitation goals, if determined. (2) Services may be provided... rehabilitation program. 485.58 Section 485.58 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT...

  18. Comprehensive Technical Report, General Electric Direct-Air-Cycle Aircraft Nuclear Propulsion Program, Program Summary and References

    Energy Technology Data Exchange (ETDEWEB)

    Thornton, G.; Rothstein, A.J.

    1962-06-28

    This is one of twenty-one volumes sumarizing the Aircraft Nuclear Propulsion Program of the General Electric Company. This volume discusses the background to the General Electric program, and summarizes the various direct-air-cycle nuclear test assemblies and power plants that were developed. Because of the requirements of high performance, low weight, and small size, vast improvements in existing technology were required to meet the flight objectives. The technological progress achieved during the program is also summarized. The last appendix contains a compilation of the abstracts, tables of contents, and reference lists of the other twenty volumes.

  19. From Implementation to Outcomes to Impacts: Designing a Comprehensive Program Evaluation

    Science.gov (United States)

    Shebby, S.

    2015-12-01

    Funders are often interested in learning about the impact of program activities, yet before the impacts are determined, educational evaluations should first examine program implementation and outcomes. Implementation evaluation examines how and the extent to which program activities are delivered as intended, including the extent to which activities reached the targeted participants. Outcome evaluation is comprised of a systematic examination of the effects that a program has on program participants, such as changes in knowledge, attitudes, beliefs, values, and behaviors. In this presentation, presenters will share insights on evaluating the implementation, outcomes, and impacts associated with an online science curriculum for K-2 students. The science curriculum was designed to provide students with access to science concepts and skills in an interactive and innovative environment, and teachers with embedded, aligned, and on-demand professional development. One of the most important—and challenging—steps in this evaluation was to select outcomes that were well-defined, measurable, and aligned to program activities, as well as relevant to program stakeholders. An additional challenge was to measure implementation given limited access to the classroom environment. This presentation will include a discussion of the process evaluators used to select appropriate implementation indicators and outcomes (teacher and student), design an evaluation approach, and craft data collection instruments. Although examples provided are specific to the K-2 science intervention, the best practices discussed are pertinent to all program and event evaluations. Impact evaluation goes beyond implementation and outcome evaluation to inform whether a program is working or not. It requires a comparison group to inform what outcomes would have been in the absence of the intervention. As such, this presentation will also include a discussion of impacts, including how impacts are defined

  20. A Comprehensive Review of the Evidence of the Impact of Surface Water Quality on Property Values

    Directory of Open Access Journals (Sweden)

    Sarah Nicholls

    2018-02-01

    Full Text Available The desirability of living on or close to water is reflected in sometimes substantial property price premiums. Water quality has an important influence on property prices, since it impacts a water body’s appearance, capacity to support wildlife, and recreational potential. As water quality continues to be altered by human use and activity, and in light of new threats posed by projected climate and associated environmental change, understanding the impact of changing quality on property prices, and the associated property tax base, is paramount. This paper reviews the body of evidence on this topic to date. Of the 43 distinct studies represented in the 48 publications reviewed, the expected, statistically significant relationship between water quality and property price was demonstrated in at least one of the models developed in all but two studies. As a whole, they provide convincing evidence that clean water has a positive effect on property values.

  1. Lessons from sexual and reproductive health voucher program design and function: a comprehensive review.

    Science.gov (United States)

    Grainger, Corinne; Gorter, Anna; Okal, Jerry; Bellows, Ben

    2014-04-29

    Developing countries face challenges in financing healthcare; often the poor do not receive the most basic services. The past decade has seen a sharp increase in the number of voucher programs, which target output-based subsidies for specific services to poor and underserved groups. The dearth of literature that examines lessons learned risks the wheel being endlessly reinvented. This paper examines commonalities and differences in voucher design and implementation, highlighting lessons learned for the design of new voucher programmes. The methodology comprised: discussion among key experts to develop inclusion/exclusion criteria; up-dating the literature database used by the DFID systematic review of voucher programs; and networking with key contacts to identify new programs and obtain additional program documents. We identified 40 programs for review and extracted a dataset of more than 120 program characteristics for detailed analysis. All programs aimed to increase utilisation of healthcare, particularly maternal health services, overwhelmingly among low-income populations. The majority contract(ed) private providers, or public and private providers, and all facilitate(d) access to services that are well defined, time-limited and reflect the country's stated health priorities. All voucher programs incorporate a governing body, management agency, contracted providers and target population, and all share the same incentive structure: the transfer of subsidies from consumers to service providers, resulting in a strong effect on both consumer and provider behaviour. Vouchers deliver subsidies to individuals, who in the absence of the subsidy would likely not have sought care, and in all programs a positive behavioural response is observed, with providers investing voucher revenue to attract more clients. A large majority of programs studied used targeting mechanisms. While many programs remain too small to address national-level need among the poor, large programs

  2. ADDRESSING ENVIRONMENTAL CHALLENGES UNDER COMPREHENSIVE UTILIZATION OF GEOTHERMAL SALINE WATER RESOURCES IN THE NORTHERN DAGESTAN

    Directory of Open Access Journals (Sweden)

    A. Sh. Ramazanov

    2016-01-01

    Full Text Available Aim. The aim of the study is to develop technologies for processing geothermal brine produced with the extraction of oil as well as to solve environmental problems in the region.Methods. In order to determine the chemical composition and radioactivity of the geothermal water and solid samples, we used atomic absorption and gamma spectrometry. Evaluation of the effectiveness of the technology was made on the basis of experimental studies.Results. In the geothermal water, eight radionuclides were recognized and quantified with the activity of 87 ± 5 Bq / dm3. For the processing of this water to produce lithium carbonate and other components we propose a technological scheme, which provides a step of water purification from radio-nuclides. As a result of aeration and alkalinization, we can observe deactivation and purification of the geothermal water from mechanical impurities, iron ions, hydrogen carbonates and organic substances. Water treatment allows recovering lithium carbonate, magnesite caustic powder and salt from geothermal water. The mother liquors produced during manufacturing operations meet the requirements for the water suitable for waterflooding of oil reservoirs and can be injected for maintaining the reservoir pressure of the deposits.Conclusion. The implementation of the proposed processing technology of mineralized geothermal water produced with the extraction of oil in the Northern Dagestan will contribute to extend the life of the oil fields and improve the environmental problems. It will also allow import substitution in Russia for lithium carbonate and edible salt.

  3. A framework for developing an evidence-based, comprehensive tobacco control program

    Directory of Open Access Journals (Sweden)

    Shacham Galia

    2010-05-01

    Full Text Available Abstract Background Tobacco control is an area where the translation of evidence into policy would seem to be straightforward, given the wealth of epidemiological, behavioural and other types of research available. Yet, even here challenges exist. These include information overload, concealment of key (industry-funded evidence, contextualization, assessment of population impact, and the changing nature of the threat. Methods In the context of Israel's health targeting initiative, Healthy Israel 2020, we describe the steps taken to develop a comprehensive tobacco control strategy. We elaborate on the following: a scientific issues influencing the choice of tobacco control strategies; b organization of existing evidence of effectiveness of interventions into a manageable form, and c consideration of relevant philosophical and political issues. We propose a framework for developing a plan and illustrate this process with a case study in Israel. Results Broad consensus exists regarding the effectiveness of most interventions, but current recommendations differ in the emphasis they place on different strategies. Scientific challenges include integration of complex and sometimes conflicting information from authoritative sources, and lack of estimates of population impact of interventions. Philosophical and political challenges include the use of evidence-based versus innovative policymaking, the importance of individual versus governmental responsibility, and whether and how interventions should be prioritized. The proposed framework includes: 1 compilation of a list of potential interventions 2 modification of that list based on local needs and political constraints; 3 streamlining the list by categorizing interventions into broad groupings of related interventions; together these groupings form the basis of a comprehensive plan; and 4 refinement of the plan by comparing it to existing comprehensive plans. Conclusions Development of a comprehensive

  4. Environmental Guidance Program Reference Book: Comprehensive Environmentally Response, Compensation, and Liability Act

    Energy Technology Data Exchange (ETDEWEB)

    1991-12-31

    This Reference Book contains a current copy of the Comprehensive Environmental Response Compensation, and Liability Act and those regulations that implement the statute and appear to be most relevant to Department of Energy (DOE) activities. The document is provided to DOE and contractor staff for informational purposes only and should not be interpreted as legal guidance. Updates that include important new requirements will be provided periodically. Questions concerning this Reference Book may be directed to Mark Petts, EH-231 (FTS 896-2609 or Commercial 202/586-2609).

  5. Budget Impact of a Comprehensive Nutrition-Focused Quality Improvement Program for Malnourished Hospitalized Patients.

    Science.gov (United States)

    Sulo, Suela; Feldstein, Josh; Partridge, Jamie; Schwander, Bjoern; Sriram, Krishnan; Summerfelt, Wm Thomas

    2017-07-01

    Nutrition interventions can alleviate the burden of malnutrition by improving patient outcomes; however, evidence on the economic impact of medical nutrition intervention remains limited. A previously published nutrition-focused quality improvement program targeting malnourished hospitalized patients showed that screening patients with a validated screening tool at admission, rapidly administering oral nutritional supplements, and educating patients on supplement adherence result in significant reductions in 30-day unplanned readmissions and hospital length of stay. To assess the potential cost-savings associated with decreased 30-day readmissions and hospital length of stay in malnourished inpatients through a nutrition-focused quality improvement program using a web-based budget impact model, and to demonstrate the clinical and fiscal value of the intervention. The reduction in readmission rate and length of stay for 1269 patients enrolled in the quality improvement program (between October 13, 2014, and April 2, 2015) were compared with the pre-quality improvement program baseline and validation cohorts (4611 patients vs 1319 patients, respectively) to calculate potential cost-savings as well as to inform the design of the budget impact model. Readmission rate and length-of-stay reductions were calculated by determining the change from baseline to post-quality improvement program as well as the difference between the validation cohort and the post-quality improvement program, respectively. As a result of improved health outcomes for the treated patients, the nutrition-focused quality improvement program led to a reduction in 30-day hospital readmissions and length of stay. The avoided hospital readmissions and reduced number of days in the hospital for the patients in the quality improvement program resulted in cost-savings of $1,902,933 versus the pre-quality improvement program baseline cohort, and $4,896,758 versus the pre-quality improvement program in the

  6. 10 Guiding principles of a comprehensive Internet-based public health preparedness training and education program.

    Science.gov (United States)

    Alexander, Lorraine K; Horney, Jennifer A; Markiewicz, Milissa; MacDonald, Pia D M

    2010-01-01

    Distance learning is an effective strategy to address the many barriers to continuing education faced by the public health workforce. With the proliferation of online learning programs focused on public health, there is a need to develop and adopt a common set of principles and practices for distance learning. In this article, we discuss the 10 principles that guide the development, design, and delivery of the various training modules and courses offered by the North Carolina Center for Public Health Preparedness (NCCPHP). These principles are the result of 10 years of experience in Internet-based public health preparedness educational programming. In this article, we focus on three representative components of NCCPHP's overall training and education program to illustrate how the principles are implemented and help others in the field plan and develop similar programs.

  7. TETRA-COM: a comprehensive SPSS program for estimating the tetrachoric correlation.

    Science.gov (United States)

    Lorenzo-Seva, Urbano; Ferrando, Pere J

    2012-12-01

    We provide an SPSS program that implements descriptive and inferential procedures for estimating tetrachoric correlations. These procedures have two main purposes: (1) bivariate estimation in contingency tables and (2) constructing a correlation matrix to be used as input for factor analysis (in particular, the SPSS FACTOR procedure). In both cases, the program computes accurate point estimates, as well as standard errors and confidence intervals that are correct for any population value. For purpose (1), the program computes the contingency table together with five other measures of association. For purpose (2), the program checks the positive definiteness of the matrix, and if it is found not to be Gramian, performs a nonlinear smoothing procedure at the user's request. The SPSS syntax, a short manual, and data files related to this article are available as supplemental materials from brm.psychonomic-journals.org/content/supplemental.

  8. Mortality benefit of a comprehensive heart failure disease management program in indigent patients.

    Science.gov (United States)

    Hebert, Kathy A; Horswell, Ronald L; Dy, Sydney; Key, Ira J; Butler, Michael K; Cerise, Frederick P; Arcement, Lee M

    2006-02-01

    Heart failure (HF) produces significant morbidity and mortality. Although HF disease management (HFDM) programs have been shown to decrease this morbidity, there is still a paucity of data on their effect on mortality. The objective of this study was to determine whether participation in an HFDM program would reduce mortality in an indigent population from rural Louisiana. Proportional hazards modeling was used to determine whether patients participating in the HFDM program had improved survival compared with patients receiving traditional outpatient care at the same institution. Inclusion criteria consisted of an index hospitalization with discharge occurring between July 1, 1997, and May 30, 2002, hospital discharge diagnosis of HF, left ventricular systolic dysfunction documented during hospitalization, and at least 1 subsequent outpatient visit. Data from patients having participated in the HFDM program before their index hospitalization were excluded. Compared with patients who were given traditional care (n = 100), HFDM patients (n = 156) were younger (56.7 vs 60 years, P = .031), more likely to be African American (48.7% vs 33.0%, P = .014), more likely to be uninsured (47.4% vs 27%, P = .001), and more likely to have an ejection fraction of HFDM program was associated with a significant reduction in mortality compared with traditional care (adjusted hazard ratio .33, P HFDM program was associated with decreased mortality compared with traditional follow-up care.

  9. Hypertension in Russia: Changes Observed After 4 Years of a Comprehensive Health System Improvement Program in the Yaroslavl Region.

    Science.gov (United States)

    Mozheyko, Maria; Eregin, Sergey; Danilenko, Natalia; Vigdorchik, Alexey; Tobe, Sheldon W; Campbell, Norman; McLean, Donna; Baskakova, Zhanna; Klimovskaia, Ilnaz; Ramanathan, Krishnan; Hughes, David

    2017-02-01

    Rates of cardiovascular mortality and morbidity in Russia have been among the highest in Europe. A comprehensive health system improvement program targeting better diagnosis and control of hypertension was undertaken in the Yaroslavl Region of Russia. This initiative was a joint program between clinicians, the Department of Health and Pharmacy of the Yaroslavl Region, and Novartis Pharma LLC. From 2011 to 2014, the blood pressure control rate improved substantially (94% relative improvement), the percentage of patients with a systolic blood pressure ≥180 mm Hg decreased (from 10% to 5%), and there was a reduction in stroke incidence rate from 4.6 to 3.7 per 1000 population. During this same period, significant changes were made to the way hypertension was diagnosed and treated across all regional government polyclinics, and the use of antihypertensive therapies increased. © 2016 The Authors. The Journal of Clinical Hypertension Published by Wiley Periodicals, Inc.

  10. Designing and piloting a program to provide water filters and improved cookstoves in Rwanda.

    Directory of Open Access Journals (Sweden)

    Christina K Barstow

    Full Text Available In environmental health interventions addressing water and indoor air quality, multiple determinants contribute to adoption. These may include technology selection, technology distribution and education methods, community engagement with behavior change, and duration and magnitude of implementer engagement. In Rwanda, while the country has the fastest annual reduction in child mortality in the world, the population is still exposed to a disease burden associated with environmental health challenges. Rwanda relies both on direct donor funding and coordination of programs managed by international non-profits and health sector businesses working on these challenges.This paper describes the design, implementation and outcomes of a pilot program in 1,943 households across 15 villages in the western province of Rwanda to distribute and monitor the use of household water filters and improved cookstoves. Three key program design criteria include a. an investment in behavior change messaging and monitoring through community health workers, b. free distributions to encourage community-wide engagement, and c. a private-public partnership incentivized by a business model designed to encourage "pay for performance". Over a 5-month period of rigorous monitoring, reported uptake was maintained at greater than 90% for both technologies, although exclusive use of the stove was reported in only 28.5% of households and reported water volume was 1.27 liters per person per day. On-going qualitative monitoring suggest maintenance of comparable adoption rates through at least 16 months after the intervention.High uptake and sustained adoption of a water filter and improved cookstove was measured over a five-month period with indications of continued comparable adoption 16 months after the intervention. The design attributes applied by the implementers may be sufficient in a longer term. In particular, sustained and comprehensive engagement by the program implementer

  11. A situational analysis methodology to inform comprehensive HIV prevention and treatment programming, applied in rural South Africa.

    Science.gov (United States)

    Treves-Kagan, Sarah; Naidoo, Evasen; Gilvydis, Jennifer M; Raphela, Elsie; Barnhart, Scott; Lippman, Sheri A

    2017-09-01

    Successful HIV prevention programming requires engaging communities in the planning process and responding to the social environmental factors that shape health and behaviour in a specific local context. We conducted two community-based situational analyses to inform a large, comprehensive HIV prevention programme in two rural districts of North West Province South Africa in 2012. The methodology includes: initial partnership building, goal setting and background research; 1 week of field work; in-field and subsequent data analysis; and community dissemination and programmatic incorporation of results. We describe the methodology and a case study of the approach in rural South Africa; assess if the methodology generated data with sufficient saturation, breadth and utility for programming purposes; and evaluate if this process successfully engaged the community. Between the two sites, 87 men and 105 women consented to in-depth interviews; 17 focus groups were conducted; and 13 health facilities and 7 NGOs were assessed. The methodology succeeded in quickly collecting high-quality data relevant to tailoring a comprehensive HIV programme and created a strong foundation for community engagement and integration with local health services. This methodology can be an accessible tool in guiding community engagement and tailoring future combination HIV prevention and care programmes.

  12. Implementation and Outcomes of a Comprehensive Type 2 Diabetes Program in Rural Guatemala.

    Science.gov (United States)

    Flood, David; Mux, Sandy; Martinez, Boris; García, Pablo; Douglas, Kate; Goldberg, Vera; Lopez, Waleska; Rohloff, Peter

    2016-01-01

    The burden of chronic, non-communicable diseases such as diabetes is growing rapidly in low- and middle-income countries. Implementing management programs for diabetes and other chronic diseases for underserved populations is thus a critical global health priority. However, there is a notable dearth of shared programmatic and outcomes data from diabetes treatment programs in these settings. We describe our experiences as a non-governmental organization designing and implementing a type 2 diabetes program serving Maya indigenous people in rural Guatemala. We detail the practical challenges and solutions we have developed to build and sustain diabetes programming in this setting. We conduct a retrospective chart review from our electronic medical record to evaluate our program's performance. We generate a cohort profile, assess cross-sectional indicators using a framework adapted from the literature, and report on clinical longitudinal outcomes. A total of 142 patients were identified for the chart review. The cohort showed a decrease in hemoglobin A1C from a mean of 9.2% to 8.1% over an average of 2.1 years of follow-up (p Guatemala.

  13. Polytrauma transitional rehabilitation programs: Comprehensive rehabilitation for community integration after brain injury.

    Science.gov (United States)

    Duchnick, Jennifer J; Ropacki, Susan; Yutsis, Maya; Petska, Kelly; Pawlowski, Carey

    2015-08-01

    When the U.S. Congress passed the Veterans Health Programs Improvement Act of 2004 and the Consolidated Appropriations Act in 2005, Veterans Affairs (VA) traumatic brain injury centers responded by establishing and developing the polytrauma rehabilitation centers and polytrauma transitional rehabilitation programs (PTRPs) across 4 sites in Minneapolis, Minnesota, Palo Alto, California, Richmond, Virginia, and Tampa, Florida, in 2007. The 5th PTRP was opened in 2011 in San Antonio, Texas. This article presents the context of establishing these programs within a VA system, describes aspects of programmatic design, and shares characteristics and outcomes of individuals served by the first 4 national centers. PTRPs provide specialized, interdisciplinary brain injury rehabilitation to active-duty service members and veterans with complex rehabilitation needs. A total of 286 individuals participated in the first 4 PTRPs during the first 3 years. Admission and discharge data were collected as part of routine care, and data review focused on describing the demographic, injury, and neurobehavioral functioning outcomes across 4 sites. Mayo-Portland Adaptability Inventory Abilities, Adjustment, and Participation subscales and total scale T-scores served as primary functioning outcome measures. Mean scores are presented. Statistical analysis found a significant change in total scale T-score from admission to discharge, consistent with improved patient functional ability. Challenges associated with the development and implementation of programs are discussed. Elements of programming may be applicable for other health care organizations that seek to improve rehabilitation care delivery. (c) 2015 APA, all rights reserved).

  14. GateWay Community College Water Resources Program Partnerships: An Opportunity for Program Success and Collaboration

    Science.gov (United States)

    Castaneda, M.

    2012-12-01

    GateWay Community College Water Resources Technologies (WRT) Program offers Certificate of Completions and Associate Degrees on Hydrologic Studies, Water Treatment and Wastewater Treatment. The program has been in existence since 1998 and has gone through several updates to meet the demand for professionals in those areas. The program includes theoretical and practical hands-on training in the monitoring of water quality and quantity as well as in water and industrial wastewater treatment. The WRT program offers online, face-to-face, and hybrid courses to address different student's needs for training. The program only Full-time faculty is supported by 15 adjunct- faculty professionals. Adjunct faculty is usually hired from a wide variety of professional people already working in the industry that have shown interest on teaching. Adjunct faculty also provide free tutoring to the WRT students when they are not teaching courses. The college Learning Center provides funding to support these tutoring activities. The program has an active Advisory Committee that provides guidance and recommends program changes to meet their training needs. This Advisory Committee is made of professionals from different federal, state, county agencies, and municipalities, private industry and consulting companies in the area. The Advisory Committee meets every year to provide feedback to GateWay on curriculum changes and commit to potential internship opportunities for the WRT students. Those internships (or voluntary work) are paid directly by the municipalities or agencies or can be paid by the GateWay WRT program. These internship jobs provides with an opportunity to actively promote the WRT program throughout the valley. The GateWay WRT program considers the Advisory Committee an essential component for the program success: the committee supports the program in recommending and acquiring the latest field equipment needed for the hands-on training. One of the main WRT program

  15. Recruitment of Young Medical Apprentices (RYOMA) project: a comprehensive surgical education program at a local academic institute in Japan.

    Science.gov (United States)

    Nanashima, Atsushi; Hidaka, Shigekazu; Nonaka, Takashi; Yamasaki, Naoya; Tsuchiya, Tomoshi; Matsumoto, Keitaro; Miyazaki, Takuro; Hatachi, Go; Sumida, Yorihisa; Sawai, Terumitsu; Yasutake, Toru; Nagayasu, Takeshi

    2014-01-01

    The number of young surgeons in Japan has significantly decreased in recent years, which may lead to future problems in the medical field. Therefore, comprehensive training programs for young surgeons are needed. Retrospective study We developed a specific education program called the "Recruitment of Young Medical Apprentices" (RYOMA) project. We performed this project between January 2008 and August 2013 on fourth- to sixth-year medical students and internship doctors. The RYOMA project included step-by-step surgical education programs on open and scopic procedures as dry, wet, and animal laboratory training. Our goal was to increase the number of young and specialist surgeons. Based on an interview questionnaire answered by 90 medical students, most young students were interested in surgical training and several chose to become surgeons in the future. The most positive opinions regarding the field of surgery were the impressive results achieved with surgery, whereas negative opinions included the difficulty of the surgical skill, physical concerns related to difficult work environments, and the severity of surgical procedures. The present program has begun to resolve negative opinions through adequate training or simulations. Of the 19 medical students and internship doctors who attended the RYOMA project in 2008, 17 trainees (90%) were satisfied with this special surgical program and 16 (88%) showed interest in becoming surgeons. The number of participants considering the field of surgery increased between 2008 and 2013. Of 23 participants, 19 (83%) had a positive opinion of the program after the training. Gaining experience in surgical training from an early stage in medical school and step-by-step authorized education by teaching staff are important for recruiting students and increasing the number of young surgeons. Copyright © 2014 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.

  16. Hampton roads regional Water-Quality Monitoring Program

    Science.gov (United States)

    Porter, Aaron J.; Jastram, John D.

    2016-12-02

    IntroductionHow much nitrogen, phosphorus, and suspended solids are contributed by the highly urbanized areas of the Hampton Roads region in Virginia to Chesapeake Bay? The answer to this complex question has major implications for policy decisions, resource allocations, and efforts aimed at restoring clean waters to Chesapeake Bay and its tributaries. To quantify the amount of nitrogen, phosphorus, and suspended solids delivered to the bay from this region, the U.S. Geological Survey has partnered with the Hampton Roads Sanitation District (HRSD), in cooperation with the Hampton Roads Planning District Commission (HRPDC), to conduct a water-quality monitoring program throughout the Hampton Roads region.

  17. A Comprehensive Review on Water Quality Parameters Estimation Using Remote Sensing Techniques

    National Research Council Canada - National Science Library

    Gholizadeh, Mohammad Haji; Melesse, Assefa M; Reddi, Lakshmi

    2016-01-01

    ...). A large number of different sensors on board various satellites and other platforms, such as airplanes, are currently used to measure the amount of radiation at different wavelengths reflected from the water's surface...

  18. Sustainable practice improvements: impact of the Comprehensive Advanced Palliative Care Education (CAPCE) program.

    Science.gov (United States)

    Harris, Diane; Hillier, Loretta M; Keat, Nancy

    2007-01-01

    This paper describes an education program designed to improve palliative care practice through the development of workplace hospice palliative care resources (PCRs), and its impact on knowledge transfer and longer-term changes to clinical practice. Evaluation methods included pre- and post-program questionnaires, and a survey of learners' (n=301) perceptions of program learning strategies. Interviews (n=21) were conducted with a purposeful sample of PCRs and representatives from their work sites. Ratings of the sessions indicated that they were relevant to learners' clinical practice. At follow up, the majority of learners (83%) continued to serve as PCRs. Many positive effects were identified, including enhanced pain and symptom management, staff education, and development of care policies and guidelines. Management support, particularly the prioritization of palliative care and staff development, were factors facilitating sustained implementation. These findings highlight the importance of multimodal learning strategies and supportive work environments in the development of PCRs to enhance palliative care practice.

  19. ADDRESSING ENVIRONMENTAL CHALLENGES UNDER COMPREHENSIVE UTILIZATION OF GEOTHERMAL SALINE WATER RESOURCES IN THE NORTHERN DAGESTAN

    OpenAIRE

    A. Sh. Ramazanov; M. A. Kasparova; I. V. Saraeva; A. B. Alkhasov; O. M. Ramazanov; M. I. Akhmedov

    2016-01-01

    Aim. The aim of the study is to develop technologies for processing geothermal brine produced with the extraction of oil as well as to solve environmental problems in the region.Methods. In order to determine the chemical composition and radioactivity of the geothermal water and solid samples, we used atomic absorption and gamma spectrometry. Evaluation of the effectiveness of the technology was made on the basis of experimental studies.Results. In the geothermal water, eight radionuclides we...

  20. 30 CFR 402.7 - Water-Resources Technology Development Program.

    Science.gov (United States)

    2010-07-01

    ... 30 Mineral Resources 2 2010-07-01 2010-07-01 false Water-Resources Technology Development Program. 402.7 Section 402.7 Mineral Resources GEOLOGICAL SURVEY, DEPARTMENT OF THE INTERIOR WATER-RESOURCES RESEARCH PROGRAM AND THE WATER-RESOURCES TECHNOLOGY DEVELOPMENT PROGRAM Description of Water-Resources...

  1. 43 CFR 404.3 - What is the Reclamation Rural Water Supply Program?

    Science.gov (United States)

    2010-10-01

    ... 43 Public Lands: Interior 1 2010-10-01 2010-10-01 false What is the Reclamation Rural Water Supply... RECLAMATION, DEPARTMENT OF THE INTERIOR RECLAMATION RURAL WATER SUPPLY PROGRAM Overview § 404.3 What is the Reclamation Rural Water Supply Program? This program addresses domestic, municipal, and industrial water...

  2. Evaluating Progress in Radon Control Activities for Lung Cancer Prevention in National Comprehensive Cancer Control Program Plans, 2011-2015.

    Science.gov (United States)

    Acree, Pascal; Puckett, Mary; Neri, Antonio

    2017-04-04

    Radon is the second leading cause of lung cancer among smokers and the leading cause among nonsmokers. The Centers for Disease Control and Prevention's National Comprehensive Cancer Control Program (NCCCP) funds every state, seven tribes, seven territories and the District of Columbia to develop formal cancer plans that focus efforts in cancer control. A 2010 review of cancer plans identified radon-related activities in 27 (42%) plans. Since then, 37 coalitions have updated their plans with new or revised cancer control objectives. There has also been recent efforts to increase awareness about radon among cancer coalitions. This study assesses NCCCP grantees current radon activities and changes since the 2010 review. We reviewed all 65 NCCCP grantee cancer plans created from 2005 to 2015 for radon related search terms and categorized plans by radon activities. The program's most recent annual progress report to CDC was also reviewed. We then compared the results from the updated plans with the findings from the 2010 review to assess changes in radon activities among cancer coalitions. Changes in state radon laws between 2010 and 2015 were also assessed. While a number of cancer plans have added or expanded radon-specific activities since 2010, approximately one-third of NCCCP grantees still do not include radon in their cancer plans. Cancer programs can consider addressing radon through partnership with existing radon control programs to further reduce the risk of lung cancer, especially among non-smokers.

  3. 77 FR 21540 - Notice of Submission for OMB Review; Federal Student Aid; Comprehensive Transition Programs (CTP...

    Science.gov (United States)

    2012-04-10

    ... Educational Opportunity Grant, and Federal Work Study funds if they are enrolled in an approved program. The... selecting the ``Browse Pending Collections'' link and by clicking on link number 04770. When you access the information collection, click on ``Download Attachments'' to view. Written requests for information should be...

  4. POLYMAT-C: a comprehensive SPSS program for computing the polychoric correlation matrix.

    Science.gov (United States)

    Lorenzo-Seva, Urbano; Ferrando, Pere J

    2015-09-01

    We provide a free noncommercial SPSS program that implements procedures for (a) obtaining the polychoric correlation matrix between a set of ordered categorical measures, so that it can be used as input for the SPSS factor analysis (FA) program; (b) testing the null hypothesis of zero population correlation for each element of the matrix by using appropriate simulation procedures; (c) obtaining valid and accurate confidence intervals via bootstrap resampling for those correlations found to be significant; and (d) performing, if necessary, a smoothing procedure that makes the matrix amenable to any FA estimation procedure. For the main purpose (a), the program uses a robust unified procedure that allows four different types of estimates to be obtained at the user's choice. Overall, we hope the program will be a very useful tool for the applied researcher, not only because it provides an appropriate input matrix for FA, but also because it allows the researcher to carefully check the appropriateness of the matrix for this purpose. The SPSS syntax, a short manual, and data files related to this article are available as Supplemental materials that are available for download with this article.

  5. Understanding implementation of comprehensive geriatric care programs: a multiple perspective approach is preferred

    NARCIS (Netherlands)

    J.B.M. Vos; J.M. Cramm (Jane); J.D.H. van Wijngaarden (Jeroen); T.J.E.M. Bakker (Ton); J.P. Mackenbach (Johan); A.P. Nieboer (Anna)

    2017-01-01

    textabstractBackground: The Prevention and Reactivation Care Program (PReCaP) provides a novel approach targeting hospital-related functional decline among elderly patients. Despite the high expectations, the PReCaP was not effective in preventing functional decline (ADL and iADL) among older

  6. Developing a Comprehensive Cardio-Oncology Program at a Cancer Institute: The Moffitt Cancer Center Experience

    Science.gov (United States)

    Fradley, Michael G.; Brown, Allen C.; Shields, Bernadette; Viganego, Federico; Damrongwatanasuk, Rongras; Patel, Aarti A.; Hartlage, Gregory; Roper, Natalee; Jaunese, Julie; Roy, Larry; Ismail-Khan, Roohi

    2017-01-01

    Cardio-oncology is a multidisciplinary field focusing on the management and prevention of cardiovascular complications in cancer patients and survivors. While the initial focus of this specialty was on heart failure associated with anthracycline use, novel anticancer agents are increasingly utilized and are associated with many other cardiotoxicities including hypertension, arrhythmias and vascular disease. Since its inception, the field has developed at a rapid pace with the establishment of programs at many major academic institutions and community practices. Given the complexities of this patient population, it is important for providers to possess knowledge of not only cardiovascular disease but also cancer subtypes and their specific therapeutics. Developing a cardio-oncology program at a stand-alone cancer center can present unique opportunities and challenges when compared to those affiliated with other institutions including resource allocation, cardiovascular testing availability and provider education. In this review, we present our experiences establishing the cardio-oncology program at Moffitt Cancer Center and provide guidance to those individuals interested in developing a program at a similar independent cancer institution. PMID:28781723

  7. Developing a Comprehensive Cardio-Oncology Program at a Cancer Institute: The Moffitt Cancer Center Experience.

    Science.gov (United States)

    Fradley, Michael G; Brown, Allen C; Shields, Bernadette; Viganego, Federico; Damrongwatanasuk, Rongras; Patel, Aarti A; Hartlage, Gregory; Roper, Natalee; Jaunese, Julie; Roy, Larry; Ismail-Khan, Roohi

    2017-06-14

    Cardio-oncology is a multidisciplinary field focusing on the management and prevention of cardiovascular complications in cancer patients and survivors. While the initial focus of this specialty was on heart failure associated with anthracycline use, novel anticancer agents are increasingly utilized and are associated with many other cardiotoxicities including hypertension, arrhythmias and vascular disease. Since its inception, the field has developed at a rapid pace with the establishment of programs at many major academic institutions and community practices. Given the complexities of this patient population, it is important for providers to possess knowledge of not only cardiovascular disease but also cancer subtypes and their specific therapeutics. Developing a cardio-oncology program at a stand-alone cancer center can present unique opportunities and challenges when compared to those affiliated with other institutions including resource allocation, cardiovascular testing availability and provider education. In this review, we present our experiences establishing the cardio-oncology program at Moffitt Cancer Center and provide guidance to those individuals interested in developing a program at a similar independent cancer institution.

  8. 78 FR 8535 - Medicare Program: Comprehensive End-Stage Renal Disease Care Model Announcement

    Science.gov (United States)

    2013-02-06

    ... functional status, quality of life, and overall well-being, as well as increased beneficiary and caregiver... or enhancing the quality of care for Medicare, Medicaid, and Children's Health Insurance Program... an interdisciplinary care team that is led by a nephrologist, comprised of dialysis facilities...

  9. CAPP: A Comprehensive Preventative Program Model Addressing Alcohol Misuse among College Freshmen

    Science.gov (United States)

    Tsotsis, Laura

    2012-01-01

    Alcohol consumption by college students in the United States has increased in quantity and frequency over the past five years. With this increase, there has come evidence of a rise in negative consequences caused by alcohol misuse. To help reduce these problems, colleges and universities nationwide have begun implementing alcohol programs for…

  10. South Asian Water (SAWA) Leadership Program on Climate Change ...

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

    South Asian Water (SAWA) Leadership Program on Climate Change. Selon le cinquième rapport du Groupe d'experts intergouvernemental sur l'évolution du climat, les principaux risques en Asie du Sud seraient une augmentation du débordement des rivières, des inondations côtières et des inondations en milieu urbain ...

  11. Do Baseline Requirements Hinder Trades in Water Quality Programs?

    OpenAIRE

    Ghosh, Gaurav; Ribaudo, Marc; Shortle, James

    2009-01-01

    The Environmental Protection Agency and the U.S. Department of Agriculture are promoting point/nonpoint trading as a way of reducing the costs of meeting water quality goals while giving nonpoint sources a larger role in meeting those goals. Farms can create offsets or credits in a point/nonpoint trading program by implementing management practices such as conservation tillage, nutrient management, and buffer strips. To be eligible to sell credits, farmers must first comply with baseline requ...

  12. Do baseline requirements hinder trades in water quality trading programs?

    OpenAIRE

    Ribaudo, Marc; Ghosh, Gaurav S.; Shortle, James S.

    2009-01-01

    The Environmental Protection Agency and the U.S. Department of Agriculture are promoting point/nonpoint trading as a way of reducing the costs of meeting water quality goals while giving nonpoint sources a larger role in meeting those goals. Farms can create offsets or credits in a point/nonpoint trading program by implementing management practices such as conservation tillage, nutrient management, and buffer strips. To be eligible to sell credits, farmers must first comply with baseline requ...

  13. Implementation and Outcomes of a Comprehensive Type 2 Diabetes Program in Rural Guatemala.

    Directory of Open Access Journals (Sweden)

    David Flood

    Full Text Available The burden of chronic, non-communicable diseases such as diabetes is growing rapidly in low- and middle-income countries. Implementing management programs for diabetes and other chronic diseases for underserved populations is thus a critical global health priority. However, there is a notable dearth of shared programmatic and outcomes data from diabetes treatment programs in these settings.We describe our experiences as a non-governmental organization designing and implementing a type 2 diabetes program serving Maya indigenous people in rural Guatemala. We detail the practical challenges and solutions we have developed to build and sustain diabetes programming in this setting.We conduct a retrospective chart review from our electronic medical record to evaluate our program's performance. We generate a cohort profile, assess cross-sectional indicators using a framework adapted from the literature, and report on clinical longitudinal outcomes.A total of 142 patients were identified for the chart review. The cohort showed a decrease in hemoglobin A1C from a mean of 9.2% to 8.1% over an average of 2.1 years of follow-up (p <0.001. The proportions of patients meeting glycemic targets were 53% for hemoglobin A1C < 8% and 32% for the stricter target of hemoglobin A1C < 7%.We first offer programmatic experiences to address a gap in resources relating to the practical issues of designing and implementing global diabetes management interventions. We then present clinical data suggesting that favorable diabetes outcomes can be attained in poor areas of rural Guatemala.

  14. Methodology of comprehensive evaluation of the effectiveness and reliability of production lines of preparation of sea water for the cultivation of aquatic organisms

    Directory of Open Access Journals (Sweden)

    S. D. Ugryumova

    2016-01-01

    Full Text Available The factors affecting the efficiency and reliability of technical systems. Set stages of development and modernization of production lines that correspond to specific stages of evaluating the effectiveness and reliability. Considered several methods of definition of indicators of indicators of efficiency and reliability of the equipment in technological lines of fisheries sector: forecasting methods, structural methods, physical methods, logical-probability method (method by I.A. Ryabinin and topological method. Advantages and disadvantages, allowing you to work out the most suitable method, process lines preparation of sea water for the cultivation of aquatic organisms, connected in series. Modernized technological line of preparation of sea water for the cultivation of aquatic organisms differing from the typical line of seawater in hatcheries (Far East, as the presence of a large number of instrumentation: sensors, salinity and temperature; motomeru that continuously monitor turbidity in the range of 50÷100 EMF (30÷60 mg/1 by kaolin; signaling the flow sensors volume level of the filtrate and the backfill layer; analyzers of chemical composition of sea water; analyzers of suspended mechanical impurities; signaling sensors of acidity and oxygen content and replacement filters coarse, fine cleaning and auxiliary equipment. A program of comprehensive evaluation of the effectiveness and reliability of production lines, revealed that conducted the modernization of production line preparation of sea water for the cultivation of aquatic organisms has improved its efficiency by an average of 1.71% to reduce the amount of manual labor by 15.1%; control the process; provide the most rapid, efficient purification of sea water; reduce the cost of replacement filter media.

  15. Developing a program to identify and track corrosion in nuclear plant raw water systems

    Energy Technology Data Exchange (ETDEWEB)

    Spires PE, G.V. [KTA - Tator Inc., Pittsburgh, Pennsylvania (United States); Pickles PE, S.B. [Senior Engineer, Ontario Power Generation, Ontario (Canada)

    2001-07-01

    Findings derived from a comprehensive plant performance survey at Ontario Power Generation's (OPG) nuclear units convinced management that it would be prudent to expand the ongoing power piping Flow Accelerated Corrosion (FAC) induced wall thinning base-lining and tracking program to encompass the raw cooling water systems as well. Such systems are subject to a distinctly different class of pipe wall thinning (PWT) mechanisms than the FAC that degrades high-energy power piping. This paper describes the PWT corrosion assessment and tracking program that has been developed and is currently being implemented by OPG for the raw cooling water (i.e., Service Water) systems within it's nuclear generating stations. Interim databases are used prior to initial inspection rounds to catalogue the prospective locations. For each piping system being surveyed, these interim databases include physical coordinates for the candidate locations, the type and wall thickness of the components comprising each location, ranking indications and recommended NDE methodologies as a function of the anticipated corrosion mechanisms. Rationales for assessing corrosion susceptibility and ranking prospective inspection sites are expounded by way of notations built into the database. (authors)

  16. Effectiveness and Cost-benefit Evaluation of a Comprehensive Workers' Health Surveillance Program for Sustainable Employability of Meat Processing Workers.

    Science.gov (United States)

    van Holland, Berry J; Reneman, Michiel F; Soer, Remko; Brouwer, Sandra; de Boer, Michiel R

    2017-03-24

    Objective To evaluate the effectiveness of a comprehensive workers' health surveillance (WHS) program on aspects of sustainable employability and cost-benefit. Methods A cluster randomized stepped wedge trial was performed in a Dutch meat processing company from february 2012 until march 2015. In total 305 workers participated in the trial. Outcomes were retrieved during a WHS program, by multiple questionnaires, and from company registries. Primary outcomes were sickness absence, work ability, and productivity. Secondary outcomes were health, vitality, and psychosocial workload. Data were analyzed with linear and logistic multilevel models. Cost-benefit analyses from the employer's perspective were performed as well. Results Primary outcomes sickness absence (OR = 1.40), work ability (B = -0.63) and productivity (OR = 0.71) were better in the control condition. Secondary outcomes did not or minimally differ between conditions. Of the 12 secondary outcomes, the only outcome that scored better in the experimental condition was meaning of work (B = 0.18). Controlling for confounders did not or minimally change the results. However, our stepped wedge design did not enable adjustment for confounding in the last two periods of the trial. The WHS program resulted in higher costs for the employer on the short and middle term. Conclusions Primary outcomes did not improve after program implementation and secondary outcomes remained equal after implementation. The program was not cost-beneficial after 1-3 year follow-up. Main limitation that may have contributed to absence of positive effects may be program failure, because interventions were not deployed as intended.

  17. First comprehensive screening of lipophilic organic contaminants in surface waters of the megacity Jakarta, Indonesia.

    Science.gov (United States)

    Dsikowitzky, L; Sträter, M; Dwiyitno; Ariyani, F; Irianto, H E; Schwarzbauer, J

    2016-09-30

    Jakarta is an Indonesian coastal megacity with over 10 million inhabitants. The rivers flowing through the city receive enormous amounts of untreated wastewaters and discharge their pollutant loads into Jakarta Bay. We utilized a screening approach to identify those site-specific compounds that represent the major contamination of the cities' water resources, and detected a total number of 71 organic contaminants in Jakarta river water samples. Especially contaminants originating from municipal wastewater discharges were detected in high concentrations, including flame retardants, personal care products and pharmaceutical drugs. A flame retardant, a synthetic fragrance and caffeine were used as marker compounds to trace the riverine transport of municipal wastewaters into Jakarta Bay. These markers are also appropriate to trace municipal wastewater discharges to other tropical coastal ecosystems. This application is in particular useful to evaluate wastewater inputs from land-based sources to habitats which are sensitive to changing water quality, like coral reefs. Copyright © 2016 Elsevier Ltd. All rights reserved.

  18. Summary and results of the comprehensive environmental monitoring program at the INEL's Raft River geothermal site

    Energy Technology Data Exchange (ETDEWEB)

    Mayes, R.A.; Thurow, T.L.; Cahn, L.S.

    1982-01-01

    The Raft River Geothermal Program was designed to demonstrate that moderate temperature (approx. 150/sup 0/C) geothermal fluids could be used to generate electricity and provide an alternate energy source for direct-use applications. The environmental program was initiated soon after drilling began. The major elements of the monitoring program were continued during the construction and experimental testing of the 5-MW(e) power plant. The monitoring studies established pre-development baseline conditions of and assessed changes in the physical, biological, and human environment. The Physical Environmental Monitoring Program collected baseline data on geology, subsidence, seismicity, meteorology and air quality. The Biological Environmental Monitoring Program collected baseline data on the flora and fauna of the terrestrial ecosystem, studied raptor disturbances, and surveyed the aquatic communities of the Raft River. The Human Environmental Monitoring Program surveyed historic and archaeological sites, considered the socioeconomic environment, and documented incidences of fluorosis in the Raft River Valley. In addition to the environmental monitoring programs, research on biological direct applications using geothermal water was conducted at Raft River. Areas of research included biomass production of wetland and tree species, aquaculture, agricultural irrigation, and the use of wetlands as a treatment or pretreatment system for geothermal effluents.

  19. Genetic Programming and Standardization in Water Temperature Modelling

    Directory of Open Access Journals (Sweden)

    Maritza Arganis

    2009-01-01

    Full Text Available An application of Genetic Programming (an evolutionary computational tool without and with standardization data is presented with the aim of modeling the behavior of the water temperature in a river in terms of meteorological variables that are easily measured, to explore their explanatory power and to emphasize the utility of the standardization of variables in order to reduce the effect of those with large variance. Recorded data corresponding to the water temperature behavior at the Ebro River, Spain, are used as analysis case, showing a performance improvement on the developed model when data are standardized. This improvement is reflected in a reduction of the mean square error. Finally, the models obtained in this document were applied to estimate the water temperature in 2004, in order to provide evidence about their applicability to forecasting purposes.

  20. Remote sensing programs and courses in engineering and water resources

    Science.gov (United States)

    Kiefer, R. W.

    1981-01-01

    The content of typical basic and advanced remote sensing and image interpretation courses are described and typical remote sensing graduate programs of study in civil engineering and in interdisciplinary environmental remote sensing and water resources management programs are outlined. Ideally, graduate programs with an emphasis on remote sensing and image interpretation should be built around a core of five courses: (1) a basic course in fundamentals of remote sensing upon which the more specialized advanced remote sensing courses can build; (2) a course dealing with visual image interpretation; (3) a course dealing with quantitative (computer-based) image interpretation; (4) a basic photogrammetry course; and (5) a basic surveying course. These five courses comprise up to one-half of the course work required for the M.S. degree. The nature of other course work and thesis requirements vary greatly, depending on the department in which the degree is being awarded.

  1. Mixed integer programming improves comprehensibility and plan quality in inverse optimization of prostate HDR-brachytherapy

    CERN Document Server

    Gorissen, Bram L; Hoffmann, Aswin L

    2014-01-01

    Current inverse treatment planning methods that optimize both catheter positions and dwell times in prostate HDR brachytherapy use surrogate linear or quadratic objective functions that have no direct interpretation in terms of dose-volume histogram (DVH) criteria, do not result in an optimum or have long solution times. We decrease the solution time of existing linear and quadratic dose-based programming models (LP and QP, respectively) to allow optimizing over potential catheter positions using mixed integer programming. An additional average speed-up of 75% can be obtained by stopping the solver at an early stage, without deterioration of the plan quality. For a fixed catheter configuration, the dwell time optimization model LP solves to optimality in less than 15 seconds, which confirms earlier results. We propose an iterative procedure for QP that allows to prescribe the target dose as an interval, while retaining independence between the solution time and the number of dose calculation points. This iter...

  2. Challenges in the development and implementation of the National Comprehensive Cancer Control Program in Mexico.

    Science.gov (United States)

    Reynoso-Noverón, Nancy; Meneses-García, Abelardo; Erazo-Valle, Aura; Escudero-de Los Ríos, Pedro; Kuri-Morales, Pablo Antonio; Mohar-Betancourt, Alejandro

    2016-04-01

    Chronic noncommunicable diseases (NCDs), including cancer, have become the leading cause of human morbidity and mortality. In Mexico, cancer is the third leading cause of death, with a high incidence among the economically active population, a high proportion of advanced stages at diagnosis and limited care coverage for patients. However, no public policy aimed at managing this important public health problem has been developed and implemented to date. This manuscript describes the first interinstitutional proposal of a National Program for Cancer Control, considering the known risk factors, early detection, treatment, palliative care and patient rehabilitation. This manuscript also outlines a series of thoughts on the difficulties and needs that the Mexican health system faces in achieving the main objectives of the program: to decrease the incidence of cancer, to increase survival and to improve the quality of life for this group of patients.

  3. [Comprehensive Assessment of Psychiatric Residents: An Addition to the Program Admission Process].

    Science.gov (United States)

    Luis, E Jaramillo G; Elena, Martín C

    2012-01-01

    The training of medical specialists is a long and complex process. Its purpose is to guarantee the society that they are the right professionals to meet the health needs of the population. The first step to ensure this objective is the admission process. In psychiatry this process, monitoring resident students and the criteria for each one are different in each country. Admission in Colombia is a heterogeneous process, not standardized, which varies greatly from one university to another, even between private and public universities. At the National University of Colombia, the admissions process is handled by the Admissions Office and includes: a written test for which you must obtain a minimum score, a resume rating and an interview. The Teaching Committee and the Department of Psychiatry considered the admission procedure in general to be good, but in need of refinement. Due to the experience of some teachers and given the current rules, a "comprehensive assessment" for master and doctoral students was required and in 1996 it was decided that this method of assessment for admission to a specialization in Psychiatry would serve to complement the admission process. The article describes the experience of the process and its outcomes, strengths and weaknesses. Copyright © 2012 Asociación Colombiana de Psiquiatría. Publicado por Elsevier España. All rights reserved.

  4. The FaceBase Consortium: A comprehensive program to facilitate craniofacial research

    Science.gov (United States)

    Hochheiser, Harry; Aronow, Bruce J.; Artinger, Kristin; Beaty, Terri H.; Brinkley, James F.; Chai, Yang; Clouthier, David; Cunningham, Michael L.; Dixon, Michael; Donahue, Leah Rae; Fraser, Scott E.; Hallgrimsson, Benedikt; Iwata, Junichi; Klein, Ophir; Marazita, Mary L.; Murray, Jeffrey C.; Murray, Stephen; de Villena, Fernando Pardo-Manuel; Postlethwait, John; Potter, Steven; Shapiro, Linda; Spritz, Richard; Visel, Axel; Weinberg, Seth M.; Trainor, Paul A.

    2012-01-01

    The FaceBase Consortium consists of ten interlinked research and technology projects whose goal is to generate craniofacial research data and technology for use by the research community through a central data management and integrated bioinformatics hub. Funded by the National Institute of Dental and Craniofacial Research (NIDCR) and currently focused on studying the development of the middle region of the face, the Consortium will produce comprehensive datasets of global gene expression patterns, regulatory elements and sequencing; will generate anatomical and molecular atlases; will provide human normative facial data and other phenotypes; conduct follow up studies of a completed genome-wide association study; generate independent data on the genetics of craniofacial development, build repositories of animal models and of human samples and data for community access and analysis; and will develop software tools and animal models for analyzing and functionally testing and integrating these data. The FaceBase website (http://www.facebase.org) will serve as a web home for these efforts, providing interactive tools for exploring these datasets, together with discussion forums and other services to support and foster collaboration within the craniofacial research community. PMID:21458441

  5. A comprehensive program for children with gender variant behaviors and gender identity disorders.

    Science.gov (United States)

    Menvielle, Edgardo

    2012-01-01

    This article describes a clinical program designed to address broadly defined mental health needs of children who experience stress related to not fitting into normative gender types and argues for the need for integrated services that address the spectrum of gender variance. An array of services useful to children and their families is proposed. The article describes the clinical population served, common clinical and social problems, and a rationale for the interventions provided.

  6. Comprehension-Driven Program Analysis (CPA) for Malware Detection in Android Phones

    Science.gov (United States)

    2015-07-01

    uses the XML file to automatically annotate the correct API mapping onto the Atlas program graph. We have automatically scraped and encoded into Java...as the 99th time an application was launched or after a menu 3 levels deep was selected on one screen and another menu was selected 3 levels deep on... web server that was not provided during the audit, making it much more difficult to realize the big picture without additional time investments

  7. Comprehensive Report to Congress Clean Coal Technology Program: Clean power from integrated coal/ore reduction

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1996-10-01

    This report describes a clean coal program in which an iron making technology is paired with combined cycle power generation to produce 3300 tons per day of hot metal and 195 MWe of electricity. The COREX technology consists of a metal-pyrolyzer connected to a reduction shaft, in which the reducing gas comes directly from coal pyrolysis. The offgas is utilized to fuel a combined cycle power plant.

  8. A Comprehensive Examination of the Influence of State Tobacco Control Programs and Policies on Youth Smoking

    Science.gov (United States)

    Loomis, Brett R.; Han, Beth; Gfroerer, Joe; Kuiper, Nicole; Couzens, G. Lance; Dube, Shanta; Caraballo, Ralph S.

    2013-01-01

    Objectives. We examined the influence of tobacco control policies (tobacco control program expenditures, smoke-free air laws, youth access law compliance, and cigarette prices) on youth smoking outcomes (smoking susceptibility, past-year initiation, current smoking, and established smoking). Methods. We combined data from the 2002 to 2008 National Surveys on Drug Use and Health with state and municipality population data from the US Census Bureau to assess the associations between state tobacco control policy variables and youth smoking outcomes, focusing on youths aged 12 to 17 years. We also examined the influence of policy variables on youth access when these variables were held at 2002 levels. Results. Per capita funding for state tobacco control programs was negatively associated with all 4 smoking outcomes. Smoke-free air laws were negatively associated with all outcomes except past-year initiation, and cigarette prices were associated only with current smoking. We found no association between these outcomes and retailer compliance with youth access laws. Conclusions. Smoke-free air laws and state tobacco control programs are effective strategies for curbing youth smoking. PMID:23327252

  9. A Comprehensive Review of School-Based Body Mass Index Screening Programs and Their Implications for School Health: Do the Controversies Accurately Reflect the Research?

    Science.gov (United States)

    Ruggieri, Dominique G.; Bass, Sarah B.

    2015-01-01

    Background: Whereas legislation for body mass index (BMI) surveillance and screening programs has passed in 25 states, the programs are often subject to ethical debates about confidentiality and privacy, school-to-parent communication, and safety and self-esteem issues for students. Despite this debate, no comprehensive analysis has been completed…

  10. TOWARDS A COMPREHENSIVE REGIONAL WATER POLICY MODEL FOR THE TEXAS HIGH PLAINS

    OpenAIRE

    Das, Biswaranjan; Willis, David B.; Johnson, Jeffrey W.

    2004-01-01

    A 19 county, 50-year dynamic economic optimization model of irrigated crop production is linked to a detailed hydrology model for purposes of improving policy estimates of economic cost and associated water saving of groundwater conservation management policies. Spatial and temporal desegregation, allows planners to target specific areas and improve the accuracy of benefit-cost policy estimates.

  11. A Comprehensive Review on Water Quality Parameters Estimation Using Remote Sensing Techniques.

    Science.gov (United States)

    Gholizadeh, Mohammad Haji; Melesse, Assefa M; Reddi, Lakshmi

    2016-08-16

    Remotely sensed data can reinforce the abilities of water resources researchers and decision makers to monitor waterbodies more effectively. Remote sensing techniques have been widely used to measure the qualitative parameters of waterbodies (i.e., suspended sediments, colored dissolved organic matter (CDOM), chlorophyll-a, and pollutants). A large number of different sensors on board various satellites and other platforms, such as airplanes, are currently used to measure the amount of radiation at different wavelengths reflected from the water's surface. In this review paper, various properties (spectral, spatial and temporal, etc.) of the more commonly employed spaceborne and airborne sensors are tabulated to be used as a sensor selection guide. Furthermore, this paper investigates the commonly used approaches and sensors employed in evaluating and quantifying the eleven water quality parameters. The parameters include: chlorophyll-a (chl-a), colored dissolved organic matters (CDOM), Secchi disk depth (SDD), turbidity, total suspended sediments (TSS), water temperature (WT), total phosphorus (TP), sea surface salinity (SSS), dissolved oxygen (DO), biochemical oxygen demand (BOD) and chemical oxygen demand (COD).

  12. FIELD TEST PROGRAM TO DEVELOP COMPREHENSIVE DESIGN, OPERATING, AND COST DATA FOR MERCURY CONTROL SYSTEMS

    Energy Technology Data Exchange (ETDEWEB)

    Michael D. Durham

    2003-05-01

    With the Nation's coal-burning utilities facing the possibility of tighter controls on mercury pollutants, the U.S. Department of Energy is funding projects that could offer power plant operators better ways to reduce these emissions at much lower costs. Mercury is known to have toxic effects on the nervous system of humans and wildlife. Although it exists only in trace amounts in coal, mercury is released when coal burns and can accumulate on land and in water. In water, bacteria transform the metal into methylmercury, the most hazardous form of the metal. Methylmercury can collect in fish and marine mammals in concentrations hundreds of thousands times higher than the levels in surrounding waters. One of the goals of DOE is to develop technologies by 2005 that will be capable of cutting mercury emissions 50 to 70 percent at well under one-half of today's costs. ADA Environmental Solutions (ADA-ES) is managing a project to test mercury control technologies at full scale at four different power plants from 2000--2003. The ADA-ES project is focused on those power plants that are not equipped with wet flue gas desulfurization systems. ADA-ES has developed a portable system that will be tested at four different utility power plants. Each of the plants is equipped with either electrostatic precipitators or fabric filters to remove solid particles from the plant's flue gas. ADA-ES's technology will inject a dry sorbent, such as activated carbon, which removes the mercury and makes it more susceptible to capture by the particulate control devices. A fine water mist may be sprayed into the flue gas to cool its temperature to the range where the dry sorbent is most effective. PG&E National Energy Group is providing two test sites that fire bituminous coals and both are equipped with electrostatic precipitators and carbon/ash separation systems. Wisconsin Electric Power Company is providing a third test site that burns Powder River Basin (PRB) coal and

  13. A comprehensive program to develop correlations for physical properties of kraft black liquor. Final report

    Energy Technology Data Exchange (ETDEWEB)

    Fricke, A.L.; Zaman, A.A.

    1998-05-01

    The overall objective of the program was to develop correlations to predict physical properties within requirements of engineering precision from a knowledge of pulping conditions and of kraft black liquor composition, if possible. These correlations were to include those relating thermodynamic properties to pulping conditions and liquor composition. The basic premise upon which the research was based is the premise that black liquor behaves as a polymer solution. This premise has proven to be true, and has been used successfully in developing data reduction methods and in interpreting results. A three phase effort involving pulping, analysis of liquor composition, and measurement of liquor properties was conducted.

  14. Curriculum development for an advanced regional anesthesia education program: one institution's experience from apprenticeship to comprehensive teaching.

    Science.gov (United States)

    Ouanes, Jean-Pierre P; Schwengel, Deborah; Mathur, Vineesh; Ahmed, Omar I; Hanna, Marie N

    2014-02-01

    Results of recent attitude survey studies suggest that most practicing physicians are inadequately treating postoperative pain. Residents in anesthesia are confident in performing lumbar epidural and spinal anesthesia, but many are not confident in performing the blocks with which they have the least exposure. Changes need to be made in the training processes to a comprehensive model that prepares residents to perform a wider array of blocks in postgraduate practice. Here, we describe one institution's approach to creating a standardized, advanced regional anesthesia curriculum for residents that follows the six core competencies of the ACGME. Residents received training in anatomy dissection, ultrasound-guided regional anesthesia, traditional nerve stimulation techniques, problem-based learning and simulation sessions, oral board presentation sessions, and journal club sessions. Residents kept a detailed log for their use of peripheral nerve block procedures. We have now redesigned and implemented an advanced regional anesthesia program within our institution to provide residents with experience in regional anesthesia at a competent level. Resident's knowledge in regional anesthesia did improve after the first year of implementation as reflected in improvements between the pre- and post-tests. As the advanced regional anesthesia education program continues to improve, we hope to demonstrate levels of validity, reliability, and usability by other programs.

  15. Analysis of a comprehensive dataset of diversity generating retroelements generated by the program DiGReF

    Directory of Open Access Journals (Sweden)

    Schillinger Thomas

    2012-08-01

    Full Text Available Abstract Background Diversity Generating Retroelements (DGRs are genetic cassettes that can introduce tremendous diversity into a short, defined region of the genome. They achieve hypermutation through replacement of the variable region with a strongly mutated cDNA copy generated by the element-encoded reverse transcriptase. In contrast to “selfish” retroelements such as group II introns and retrotransposons, DGRs impart an advantage to their host by increasing its adaptive potential. DGRs were discovered in a bacteriophage, but since then additional examples have been identified in some bacterial genomes. Results Here we present the program DiGReF that allowed us to comprehensively screen available databases for DGRs. We identified 155 DGRs which are found in all major classes of bacteria, though exhibiting sporadic distribution across species. Phylogenetic analysis and sequence comparison showed that DGRs move between genomes by associating with various mobile elements such as phages, transposons and plasmids. The DGR cassettes exhibit high flexibility in the arrangement of their components and easily acquire additional paralogous target genes. Surprisingly, the genomic data alone provide new insights into the molecular mechanism of DGRs. Most notably, our data suggest that the template RNA is transcribed separately from the rest of the element. Conclusions DiGReF is a valuable tool to detect DGRs in genome data. Its output allows comprehensive analysis of various aspects of DGR biology, thus deepening our understanding of the role DGRs play in prokaryotic genome plasticity, from the global down to the molecular level.

  16. The Effect of Neuro-Linguistic Programming (NLP on Reading Comprehension in English for Specific Purposes Courses

    Directory of Open Access Journals (Sweden)

    Fahimeh Farahani

    2018-01-01

    Full Text Available Neuro-Linguistic Programming (NLP has potential to help language learners; however, it has received scant attention. The present study was an attempt to investigate the effect of NLP techniques on reading comprehension of English as a Foreign Language (EFL learners at an English for Specific Purposes (ESP course. To achieve this goal, two intact classes of students were selected to form an experimental group (n=30 and a control group (n=30. A reading pretest (based on the course content was given to all participants. The sensory learning styles of the participants were diagnosed using Reid's (1987 leaning style questionnaire, and the participants in the experimental group were familiarized with NLP techniques to be able to implement these techniques in their reading. In the control group, the conventional approach to teach ESP reading was used. Considering the analysis of posttest results through ANCOVA, it was found that implementation of NLP techniques can have significant effect on reading comprehension of Iranian undergraduate EFL learners. Pedagogical implications are discussed.

  17. Introducing the Comprehensive Unit-based Safety Program for mechanically ventilated patients in Saudi Arabian Intensive Care Units

    Directory of Open Access Journals (Sweden)

    Raymond M Khan

    2017-01-01

    Full Text Available Over the past decade, there have been major improvements to the care of mechanically ventilated patients (MVPs. Earlier initiatives used the concept of ventilator care bundles (sets of interventions, with a primary focus on reducing ventilator-associated pneumonia. However, recent evidence has led to a more comprehensive approach: The ABCDE bundle (Awakening and Breathing trial Coordination, Delirium management and Early mobilization. The approach of the Comprehensive Unit-based Safety Program (CUSP was developed by patient safety researchers at the Johns Hopkins Hospital and is supported by the Agency for Healthcare Research and Quality to improve local safety cultures and to learn from defects by utilizing a validated structured framework. In August 2015, 17 Intensive Care Units (ICUs (a total of 271 beds in eight hospitals in the Kingdom of Saudi Arabia joined the CUSP for MVPs (CUSP 4 MVP that was conducted in 235 ICUs in 169 US hospitals and led by the Johns Hopkins Armstrong Institute for Patient Safety and Quality. The CUSP 4 MVP project will set the stage for cooperation between multiple hospitals and thus strives to create a countrywide plan for the management of all MVPs in Saudi Arabia.

  18. Water Reserves Program. An adaptation strategy to prevent imbalance of water in nature

    Science.gov (United States)

    Salinas-Rodriguez, S. A.; López Pérez, M.; Barrios Ordóñez, J.; Wickel, B.; Villón Bracamonte, R. A.

    2013-12-01

    Freshwater ecosystems occupy approximately 1% of the earth's surface yet possess about 12% of all known animal species. By virtue of their position in the landscape they connect terrestrial and coastal marine biomes and provide and sustain ecosystem services vital to the health and persistence of human communities. These services include the supply of water for food production, urban and industrial consumption, among others. Over the past century many freshwater ecosystems around the world have been heavily modified or lost due to the alteration of flow regimes (e.g. damming, canalization, diversion, over-abstraction). The synergistic impacts of land use change, changes in flows, chemical deterioration, and climate change have left many systems and their species very little room to adjust to change, while future projections indicate a steady increase imbalance in water demand for food and energy production and water supply to suit the needs of a growing world population. In Mexico, the focus has been to secure water for human development and maximize economic growth, which has resulted in allocation of water beyond available amounts, and that in many river basins has led imbalance of water in nature. As a consequence episodic water scarcity severely constrains freshwater ecosystems and the services they provide. Climatic change and variability are presenting serious challenges to a country that already is experiencing serious strain on its water resources. However, freshwater ecosystems are recognized by law as legitimate user of water, and mandate a flow allocation for the environment ('water reserve' or 'environmental flows'). Based on this legal provision the Mexican government through the National Water Commission (Conagua), with support of the Alliance WWF - Fundación Gonzalo Río Arronte, and the Interamerican Development Bank, has launched a national program to identify and implement 'water reserves': basins where environmental flows will be secured and

  19. Towards a comprehensive and realistic risk evaluation of engineered nanomaterials in the urban water system

    Science.gov (United States)

    Duester, Lars; Burkhardt, Michael; Gutleb, Arno; Kaegi, Ralf; Macken, Ailbhe; Meermann, Björn; von der Kammer, Frank

    2014-06-01

    The European COoperation in Science and Technology (COST) Action ES1205 on the transfer of Engineered Nano materials from wastewater Treatment and stormwatEr to Rivers (ENTER) aims to create and to maintain a trans European network among scientists. This perspective article delivers a brief overview on the status quo at the beginning of the project by addressing the following aspects on engineered nano materials (ENMs) in the urban systems: i) ENMs that need to be considered on a European level; ii) uncertainties on production-volume estimations; iii) fate of selected ENMs during waste water transport and treatment; iv) analytical strategies for ENM analysis; v) ecotoxicity of ENMs, and vi) future needs. These six step stones deliver the derivation of the position of the ES1205 network at the beginning of the projects runtime, by defining six fundamental aspects that should be considered in future discussions on risk evaluation of ENMs in urban water systems.

  20. Towards a comprehensive and realistic risk evaluation of engineered nanomaterials in the urban water system

    Directory of Open Access Journals (Sweden)

    Lars eDuester

    2014-06-01

    Full Text Available The European COoperation in Science and Technology (COST Action ES1205 on the transfer of Engineered Nano materials from wastewater Treatment and stormwatEr to Rivers (ENTER aims to create and to maintain a trans European network among scientists. This perspective article delivers a brief overview on the status quo at the beginning of the project by addressing the following aspects on engineered nano materials (ENMs in the urban systems: i ENMs that need to be considered on a European level; ii uncertainties on production-volume estimations; iii fate of selected ENMs during waste water transport and treatment; iv analytical strategies for ENM analysis; v ecotoxicity of ENMs, and vi future needs. These six step stones deliver the derivation of the position of the ES1205 network at the beginning of the projects runtime, by defining six fundamental aspects that should be considered in future discussions on risk evaluation of ENMs in urban water systems.

  1. Toward a comprehensive and realistic risk evaluation of engineered nanomaterials in the urban water system

    Science.gov (United States)

    Duester, Lars; Burkhardt, Michael; Gutleb, Arno C.; Kaegi, Ralf; Macken, Ailbhe; Meermann, Björn; von der Kammer, Frank

    2014-01-01

    The European COoperation in Science and Technology (COST) Action ES1205 on the transfer of Engineered Nano materials from wastewater Treatment and stormwatEr to Rivers (ENTER) aims to create and to maintain a trans European network among scientists. This perspective article delivers a brief overview on the status quo at the beginning of the project by addressing the following aspects on engineered nano materials (ENMs) in the urban systems: (1) ENMs that need to be considered on a European level; (2) uncertainties on production-volume estimations; (3) fate of selected ENMs during waste water transport and treatment; (4) analytical strategies for ENM analysis; (5) ecotoxicity of ENMs, and (6) future needs. These six step stones deliver the derivation of the position of the ES1205 network at the beginning of the projects runtime, by defining six fundamental aspects that should be considered in future discussions on risk evaluation of ENMs in urban water systems. PMID:25003102

  2. Toward a comprehensive and realistic risk evaluation of engineered nanomaterials in the urban water system.

    Science.gov (United States)

    Duester, Lars; Burkhardt, Michael; Gutleb, Arno C; Kaegi, Ralf; Macken, Ailbhe; Meermann, Björn; von der Kammer, Frank

    2014-01-01

    The European COoperation in Science and Technology (COST) Action ES1205 on the transfer of Engineered Nano materials from wastewater Treatment and stormwatEr to Rivers (ENTER) aims to create and to maintain a trans European network among scientists. This perspective article delivers a brief overview on the status quo at the beginning of the project by addressing the following aspects on engineered nano materials (ENMs) in the urban systems: (1) ENMs that need to be considered on a European level; (2) uncertainties on production-volume estimations; (3) fate of selected ENMs during waste water transport and treatment; (4) analytical strategies for ENM analysis; (5) ecotoxicity of ENMs, and (6) future needs. These six step stones deliver the derivation of the position of the ES1205 network at the beginning of the projects runtime, by defining six fundamental aspects that should be considered in future discussions on risk evaluation of ENMs in urban water systems.

  3. North Atlantic Coast Comprehensive Study (NACCS) Coastal Storm Model Simulations: Waves and Water Levels

    Science.gov (United States)

    2015-08-01

    geospatial sciences, water resources , and environmental sciences for the Army, the Department of Defense, civilian agencies, and our nation’s public good... resources , is to build unique grid systems at various resolutions, increasing the reso- lution where it is warranted. Three grid levels ranging from...Gauges Observations Mean (m) Bias (m) RMS error (m) Linear Reg Index of Agreement Obs STW Corr Sym slope ET070 5 355 2.23 2.16 -0.08 0.74

  4. A Comprehensive Review on Water Quality Parameters Estimation Using Remote Sensing Techniques

    OpenAIRE

    Mohammad Haji Gholizadeh; Melesse, Assefa M.; Lakshmi Reddi

    2016-01-01

    Remotely sensed data can reinforce the abilities of water resources researchers and decision makers to monitor waterbodies more effectively. Remote sensing techniques have been widely used to measure the qualitative parameters of waterbodies (i.e., suspended sediments, colored dissolved organic matter (CDOM), chlorophyll-a, and pollutants). A large number of different sensors on board various satellites and other platforms, such as airplanes, are currently used to measure the amount of radiat...

  5. A comprehensive program to develop correlations for physical properties of kraft black liquor. Final report

    Energy Technology Data Exchange (ETDEWEB)

    Fricke, A.L.; Zaman, A.A.; Stoy, M.O.; Schmidl, G.W.; Dong, D.J.; Speck, B.

    1998-04-01

    A wide variety of experimental techniques have been used in this work, and many of these have been developed completely or improved significantly in the course of the research done during this program. Therefore, it is appropriate to describe these techniques in detail as a reference for future workers so that the techniques can be used in future work with little additional effort or so that the results reported from this program can be compared better with future results from other work. In many cases, the techniques described are for specific analytical instruments. It is recognized that these may be superseded by future developments and improvements in instrumentation if a complete description of techniques used successfully in the past on other instrumentation is available. The total pulping and liquor preparation research work performed included chip and white liquor preparation, digestion, pulp washing, liquor and wash recovery, liquor sampling, weak liquor concentration in two steps to about 45--50% solids with an intermediate soap skimming at about 140F and 27--30% solids, determination of pulp yield and Kappa number, determination of total liquor solids, and a check on the total material balance for pulping. All other research was performed either on a sample of the weak black liquor (the combined black liquor and washes from the digester) or on the skimmed liquor that had been concentrated.

  6. A comprehensive approach to teaching management in a degree-completion dental hygiene program.

    Science.gov (United States)

    Abraham, N; Cirincione, U K

    1990-01-01

    Changes in society have dictated changes in the future of the dental hygiene profession and in the curriculum used to prepare students. Dental hygiene students should be prepared to assume a variety of new roles in the oral health and health care fields, including administrator/manager, researcher, educator, clinician, patient advocate, and change agent. The role of the administrator/manager had been identified as an important one for dental hygienists. In order to develop the skills necessary to obtain a position in management or administration, dental hygiene students should have educational preparation in these areas. This paper describes the development of an enhanced business curriculum in a degree-completion program. The curriculum provides a basic foundation for the development of effective management skills and includes courses in business, human resources management, and marketing, along with elective course offerings and an externship program. An integrated approach to management is employed, with emphasis on application to oral health and health care delivery systems.

  7. StarTeach Astronomy Education: Building a Comprehensive Educational Outreach Program for K-12 Students

    Science.gov (United States)

    Welser, L. A.; Bennum, D. H.

    2000-12-01

    The StarTeach project is a unique tool designed to generate excitement and enthusiasm about astronomy for elementary, middle, and high school students. The program was created out of the realization that astronomy is a subject with the potential to introduce children to many other branches of science, such as physics, chemistry, and geology. The development of StarTeach involves three main phases. First, CCD images of various astronomical objects, such as planets, nebulae, and galaxies, were taken. Next, the StarTeach web site (http://www.physics.unr.edu/grad/welser/astro) was created to present the CCD images. Features include pages on the solar system, deep sky, and the universe, which are complemented by Hubble and NASA photographs. Also included are a set of on-line quizzes about astronomy and links to astronomy education sites on the web. The final part of the StarTeach program involves presenting the material to third and eighth grade classes using power point slide shows and the StarTeach web site. The main goals of the StarTeach project are to strengthen the astronomy curriculum at local Reno schools, to facilitate an interactive scientific learning environment where students can expand and test their knowledge of science, and to generate enthusiasm for astronomy and science in general. This work was partially funded by a DOE EPSCoR University of Nevada, Reno Undergraduate Research Grant.

  8. A Comprehensive Review on Water Quality Parameters Estimation Using Remote Sensing Techniques

    Science.gov (United States)

    Gholizadeh, Mohammad Haji; Melesse, Assefa M.; Reddi, Lakshmi

    2016-01-01

    Remotely sensed data can reinforce the abilities of water resources researchers and decision makers to monitor waterbodies more effectively. Remote sensing techniques have been widely used to measure the qualitative parameters of waterbodies (i.e., suspended sediments, colored dissolved organic matter (CDOM), chlorophyll-a, and pollutants). A large number of different sensors on board various satellites and other platforms, such as airplanes, are currently used to measure the amount of radiation at different wavelengths reflected from the water’s surface. In this review paper, various properties (spectral, spatial and temporal, etc.) of the more commonly employed spaceborne and airborne sensors are tabulated to be used as a sensor selection guide. Furthermore, this paper investigates the commonly used approaches and sensors employed in evaluating and quantifying the eleven water quality parameters. The parameters include: chlorophyll-a (chl-a), colored dissolved organic matters (CDOM), Secchi disk depth (SDD), turbidity, total suspended sediments (TSS), water temperature (WT), total phosphorus (TP), sea surface salinity (SSS), dissolved oxygen (DO), biochemical oxygen demand (BOD) and chemical oxygen demand (COD). PMID:27537896

  9. A Comprehensive Review on Water Quality Parameters Estimation Using Remote Sensing Techniques

    Directory of Open Access Journals (Sweden)

    Mohammad Haji Gholizadeh

    2016-08-01

    Full Text Available Remotely sensed data can reinforce the abilities of water resources researchers and decision makers to monitor waterbodies more effectively. Remote sensing techniques have been widely used to measure the qualitative parameters of waterbodies (i.e., suspended sediments, colored dissolved organic matter (CDOM, chlorophyll-a, and pollutants. A large number of different sensors on board various satellites and other platforms, such as airplanes, are currently used to measure the amount of radiation at different wavelengths reflected from the water’s surface. In this review paper, various properties (spectral, spatial and temporal, etc. of the more commonly employed spaceborne and airborne sensors are tabulated to be used as a sensor selection guide. Furthermore, this paper investigates the commonly used approaches and sensors employed in evaluating and quantifying the eleven water quality parameters. The parameters include: chlorophyll-a (chl-a, colored dissolved organic matters (CDOM, Secchi disk depth (SDD, turbidity, total suspended sediments (TSS, water temperature (WT, total phosphorus (TP, sea surface salinity (SSS, dissolved oxygen (DO, biochemical oxygen demand (BOD and chemical oxygen demand (COD.

  10. Report: Source Water Assessment and Protection Programs Show Initial Promise, But Obstacles Remain

    Science.gov (United States)

    Report #2005-P-00013, March 28, 2005. Source water assessments are being used by (1) some States to improve the overall drinking water protection program by prioritizing protection efforts and program resources.

  11. Water Management Program: Unit Three, 1985 Prime Hook National Wildlife Refuge

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This annual program describes the results of the 1984 water management program for Unit Three at Prime Hook National Wildlife Refuge and outlines the water regimen...

  12. Position of the American Dietetic Association, Society for Nutrition Education, and American School Food Service Association--Nutrition services: an essential component of comprehensive school health programs.

    Science.gov (United States)

    Briggs, Marilyn; Safaii, SeAnne; Beall, Deborah Lane

    2003-04-01

    It is the position of the American Dietetic Association (ADA), the Society for Nutrition Education (SNE), and the American School Food Service Association (ASFSA) that comprehensive nutrition services must be provided to all of the nation's preschool through grade twelve students. These nutrition services shall be integrated with a coordinated, comprehensive school health program and implemented through a school nutrition policy. The policy should link comprehensive, sequential nutrition education; access to and promotion of child nutrition programs providing nutritious meals and snacks in the school environment; and family, community, and health services' partnerships supporting positive health outcomes for all children. Childhood obesity has reached epidemic proportions and is directly attributed to physical inactivity and diet. Schools can play a key role in reversing this trend through coordinated nutrition services that promote policies linking comprehensive, sequential nutrition education programs, access to and marketing of child nutrition programs, a school environment that models healthy food choices, and community partnerships. This position paper provides information and resources for nutrition professionals to use in developing and supporting comprehensive school health programs. J Am Diet Assoc. 2003;103:505-514.

  13. The Effects of Comprehensive Exercise Program on the Adjustments of Standing Balance in Community-Dwelling Elderly Persons

    Science.gov (United States)

    Kanetada, Yuji; Sunahori, Hitoshi; Murase, Azusa; Otani, Takuya; Sakamoto, Nozomi; Yoshimura, Osamu; Tobimatsu, Yoshiko

    2008-01-01

    The objective of this study was to assess the effect of comprehensive exercise program widely accepted as a community-based physical intervention for the prevention of falling in the elderly persons on their controlling standing balance. Twenty-six community-dwelling elderly persons (13 males and females; 69.8 ± 2.8 years old) participated in this study. Daily exercise was comprised of walking for more than 30 min, stretching, muscle strengthening and balance exercise without exercise equipments. The intervention was continued for three months. Indicators of standing balance related to static balance, dynamic balance and postural response were measured before and after the intervention. As an effect of the intervention on static balance, the sway of center of pressure (COP) in the static stance significantly increased. In the dynamic balance, significant improvements were observed in one leg standing time, the 10-m gait time, functional reach. Additionally, the maximal movable length of COP which subjects can move voluntarily to right and left significantly increased. In the postural response, the integrated electromyography (IEMG) induced by postural response for sudden postural perturbation significantly decreased in the lower leg muscles. Since less muscular activities were sufficient to maintain posture, it was suggested that postural response was elicited more efficiently following the intervention. This study suggested that the comprehensive exercise program, which has been widely introduced as community-based interventions for the prevention of falling, have extensive effects on the control of standing balance covering static balance, dynamic balance and postural response in the elderly persons. PMID:25792884

  14. Application of dynamic programming to control khuzestan water resources system

    Science.gov (United States)

    Jamshidi, M.; Heidari, M.

    1977-01-01

    An approximate optimization technique based on discrete dynamic programming called discrete differential dynamic programming (DDDP), is employed to obtain the near optimal operation policies of a water resources system in the Khuzestan Province of Iran. The technique makes use of an initial nominal state trajectory for each state variable, and forms corridors around the trajectories. These corridors represent a set of subdomains of the entire feasible domain. Starting with such a set of nominal state trajectories, improvements in objective function are sought within the corridors formed around them. This leads to a set of new nominal trajectories upon which more improvements may be sought. Since optimization is confined to a set of subdomains, considerable savings in memory and computer time are achieved over that of conventional dynamic programming. The Kuzestan water resources system considered in this study is located in southwest Iran, and consists of two rivers, three reservoirs, three hydropower plants, and three irrigable areas. Data and cost benefit functions for the analysis were obtained either from the historical records or from similar studies. ?? 1977.

  15. Intimate Partner Violence Programs in a Children's Hospital: Comprehensive Assessment Utilizing a Delphi Instrument.

    Science.gov (United States)

    Randell, Kimberly A; Evans, Sarah E; O'Malley, Donna; Dowd, M Denise

    2015-03-01

    The purpose of this study was to conduct a baseline assessment of intimate partner violence (IPV) practices in a pediatric hospital system. The Delphi Instrument for Hospital-based Domestic Violence Programs was used to assess the structure and components of the hospital system's IPV practices. Through key stakeholder interviews, we also assessed IPV practices in individual patient care areas. Qualitative analysis of interview data used a grounded theory approach. The hospital scored 17 of 100 points on the Delphi instrument assessment. Key areas of weakness identified by the Delphi instrument and interviews included lack of coordinated provider training and evaluation of IPV-related processes and no standards for IPV screening, safety assessment, and documentation. Most interviewees supported addressing IPV; all identified barriers to IPV screening at individual provider and institutional levels. Institutional barriers included lack of a standardized response to IPV disclosure, need for individualized screening protocols for different patient care settings, lack of standardized provider training, concerns about overextending social work resources, and lack of resources for hospital staff experiencing vicarious trauma. Individual barriers included concern that screening may harm physician-patient-family relationships and the perception that physicians are unwilling to address psychosocial issues. The Delphi Instrument for Hospital-based Domestic Violence Programs identified weaknesses and key areas for improvement in IPV practices. Deficiencies revealed by the Delphi instrument were affirmed by individual interview results. Institutional and individual provider level barriers must be addressed to optimize IPV practices in a pediatric hospital system. Copyright © 2015 by the American Academy of Pediatrics.

  16. High and Low Responders in a Comprehensive Lifestyle Program for Weight Loss - Secondary Analysis of a Randomized Controlled Trial.

    Science.gov (United States)

    Melchart, Dieter; Wühr, Erich; Weidenhammer, Wolfgang

    2017-01-01

    Unhealthy lifestyle is often related to overweight and obesity and thus to chronic diseases. Web-based programs might be an option for a comprehensive approach to improving long-term weight management. Data from a randomized controlled trial (RCT) evaluating the impact of a lifestyle program on weight reduction were used for a secondary analysis. The objectives were (a) to identify potential predictors for marked weight loss, (b) to explore associations of weight reduction with changes in health-related variables, and (c) to evaluate whether self-monitoring of the daily lifestyle is associated with weight loss. 67 subjects with a body mass index of 28-35 who underwent the 1-year 'Individual Health Management' (IHM) program were included in the analysis (mean age 49.8 years, 79% female). Two subgroups (high response: ≥7.5% weight reduction vs. low response: weight loss. 70% of the subjects fulfilled the criterion of high response. There were no statistically significant differences between the two subgroups with respect to sociodemographic and baseline data. Regression analysis failed to identify any predictors for the amount of weight reduction. Subjects with high response showed a more distinct improvement in life satisfaction and neurovegetative stability. The findings indicated an association between the level of self-monitoring and weight loss. More research is needed to establish optimal strategies for maximizing the longer-term maintenance of weight loss and prevention effects. For weight reduction, support strategies like feedback learning through self-monitoring, reporting systems, and self-performance measurement with questionnaires might ameliorate high-intensity lifestyle modification programs. © 2017 S. Karger GmbH, Freiburg.

  17. 78 FR 35330 - Initial Test Programs for Water-Cooled Nuclear Power Plants

    Science.gov (United States)

    2013-06-12

    ... COMMISSION Initial Test Programs for Water-Cooled Nuclear Power Plants AGENCY: Nuclear Regulatory Commission... revision to Regulatory Guide (RG), 1.68, ``Initial Test Programs for Water-Cooled Nuclear Power Plants... Initial Test Programs (ITPs) for light water cooled nuclear power plants. ADDRESSES: Please refer to...

  18. Wellness through a comprehensive Yogic breathing program – A controlled pilot trial

    Directory of Open Access Journals (Sweden)

    Norlander Torsten

    2007-12-01

    Full Text Available Abstract Background Increasing rates of psychosocial disturbances give rise to increased risks and vulnerability for a wide variety of stress-related chronic pain and other illnesses. Relaxation exercises aim at reducing stress and thereby help prevent these unwanted outcomes. One of the widely used relaxation practices is yoga and yogic breathing exercises. One specific form of these exercises is Sudarshan Kriya and related practices (SK&P which are understood to have favourable effects on the mind-body system. The goal of this pilot study was to design a protocol that can investigate whether SK&P can lead to increased feeling of wellness in healthy volunteers. Methods Participants were recruited in a small university city in Sweden and were instructed in a 6-day intensive program of SK&P which they practiced daily for six weeks. The control group was instructed to relax in an armchair each day during the same period. Subjects included a total of 103 adults, 55 in the intervention (SK&P group and 48 in the control group. Various instruments were administered before and after the intervention. Hospital Anxiety Depression Scale measured the degree of anxiety and depression, Life Orientation Test measured dispositional optimism, Stress and Energy Test measured individual's energy and stress experiences. Experienced Deviation from Normal State measured the experience of altered state of consciousness. Results There were no safety issues. Compliance was high (only 1 dropout in the SK&P group, and 5 in the control group. Outcome measures appeared to be appropriate for assessing the differences between the groups. Subjective reports generally correlated with the findings from the instruments. The data suggest that participants in the SK&P group, but not the control group, lowered their degree of anxiety, depression and stress, and also increased their degree of optimism (ANOVA; p Conclusion These data indicate that the experimental protocol that is

  19. Leveraging lean principles in creating a comprehensive quality program: The UCLA health readmission reduction initiative.

    Science.gov (United States)

    Afsar-Manesh, Nasim; Lonowski, Sarah; Namavar, Aram A

    2017-12-01

    UCLA Health embarked to transform care by integrating lean methodology in a key clinical project, Readmission Reduction Initiative (RRI). The first step focused on assembling a leadership team to articulate system-wide priorities for quality improvement. The lean principle of creating a culture of change and accountability was established by: 1) engaging stakeholders, 2) managing the process with performance accountability, and, 3) delivering patient-centered care. The RRI utilized three major lean principles: 1) A3, 2) root cause analyses, 3) value stream mapping. Baseline readmission rate at UCLA from 9/2010-12/2011 illustrated a mean of 12.1%. After the start of the RRI program, for the period of 1/2012-6/2013, the readmission rate decreased to 11.3% (p<0.05). To impact readmissions, solutions must evolve from smaller service- and location-based interventions into strategies with broader approach. As elucidated, a systematic clinical approach grounded in lean methodologies is a viable solution to this complex problem. Copyright © 2017 Elsevier Inc. All rights reserved.

  20. FIELD TEST PROGRAM TO DEVELOP COMPREHENSIVE DESIGN, OPERATING, AND COST DATA FOR MERCURY CONTROL SYSTEMS

    Energy Technology Data Exchange (ETDEWEB)

    Michael D. Durham

    2004-10-01

    PG&E NEG Salem Harbor Station Unit 1 was successfully tested for applicability of activated carbon injection as a mercury control technology. Test results from this site have enabled a thorough evaluation of mercury control at Salem Harbor Unit 1, including performance, estimated cost, and operation data. This unit has very high native mercury removal, thus it was important to understand the impacts of process variables on native mercury capture. The team responsible for executing this program included plant and PG&E headquarters personnel, EPRI and several of its member companies, DOE, ADA, Norit Americas, Inc., Hamon Research-Cottrell, Apogee Scientific, TRC Environmental Corporation, Reaction Engineering, as well as other laboratories. The technical support of all of these entities came together to make this program achieve its goals. Overall the objectives of this field test program were to determine the mercury control and balance-of-plant impacts resulting from activated carbon injection into a full-scale ESP on Salem Harbor Unit 1, a low sulfur bituminous-coal-fired 86 MW unit. It was also important to understand the impacts of process variables on native mercury removal (>85%). One half of the gas stream was used for these tests, or 43 MWe. Activated carbon, DARCO FGD supplied by NORIT Americas, was injected upstream of the cold side ESP, just downstream of the air preheater. This allowed for approximately 1.5 seconds residence time in the duct before entering the ESP. Conditions tested in this field evaluation included the impacts of the Selective Non-Catalytic Reduction (SNCR) system on mercury capture, of unburned carbon in the fly ash, of adjusting ESP inlet flue gas temperatures, and of boiler load on mercury control. The field evaluation conducted at Salem Harbor looked at several sorbent injection concentrations at several flue gas temperatures. It was noted that at the mid temperature range of 322-327 F, the LOI (unburned carbon) lost some of its

  1. Profiting and providing less care: comprehensive services at for-profit, nonprofit, and public opioid treatment programs in the United States.

    Science.gov (United States)

    Bachhuber, Marcus A; Southern, William N; Cunningham, Chinazo O

    2014-05-01

    Opioid use disorders are frequently associated with medical and psychiatric comorbidities (eg, HIV infection and depression), as well as social problems (eg, lack of health insurance). Comprehensive services addressing these conditions improve outcomes. To compare the proportion of for-profit, nonprofit, and public opioid treatment programs offering comprehensive services, which are not mandated by government regulations. Cross-sectional analysis of opioid treatment programs offering outpatient care in the United States (n=1036). Self-reported offering of communicable disease (HIV, sexually transmitted infections, and viral hepatitis) testing, psychiatric services (screening, assessment and diagnostic evaluation, and pharmacotherapy), and social services support (assistance in applying for programs such as Medicaid). Mixed-effects logistic regression models were developed to adjust for several county-level factors. Of opioid treatment programs, 58.0% were for profit, 33.5% were nonprofit, and 8.5% were public. Nonprofit programs were more likely than for-profit programs to offer testing for all communicable diseases [adjusted odds ratios (AOR), 1.7; 95% confidence interval (CI), 1.2, 2.5], all psychiatric services (AOR, 8.0; 95% CI, 4.9, 13.1), and social services support (AOR, 3.3; 95% CI, 2.3, 4.8). Public programs were also more likely than for-profit programs to offer communicable disease testing (AOR, 6.4; 95% CI, 3.5, 11.7), all psychiatric services (AOR, 25.8; 95% CI, 12.6, 52.5), and social services support (AOR, 2.4; 95% CI, 1.4, 4.3). For-profit programs were significantly less likely than nonprofit and public programs to offer comprehensive services. Interventions to increase the offering of comprehensive services are needed, particularly among for-profit programs.

  2. Water vapor measurement system in global atmospheric sampling program, appendix

    Science.gov (United States)

    Englund, D. R.; Dudzinski, T. J.

    1982-01-01

    The water vapor measurement system used in the NASA Global Atmospheric Sampling Program (GASP) is described. The system used a modified version of a commercially available dew/frostpoint hygrometer with a thermoelectrically cooled mirror sensor. The modifications extended the range of the hygrometer to enable air sample measurements with frostpoint temperatures down to -80 C at altitudes of 6 to 13 km. Other modifications were made to permit automatic, unattended operation in an aircraft environment. This report described the hygrometer, its integration with the GASP system, its calibration, and operational aspects including measurement errors. The estimated uncertainty of the dew/frostpoint measurements was + or - 1.7 Celsius.

  3. The effects of water and non-nutritive sweetened beverages on weight loss during a 12-week weight loss treatment program.

    Science.gov (United States)

    Peters, John C; Wyatt, Holly R; Foster, Gary D; Pan, Zhaoxing; Wojtanowski, Alexis C; Vander Veur, Stephanie S; Herring, Sharon J; Brill, Carrie; Hill, James O

    2014-06-01

    To compare the efficacy of non-nutritive sweetened beverages (NNS) or water for weight loss during a 12-week behavioral weight loss treatment program. An equivalence trial design with water or NNS beverages as the main factor in a prospective randomized trial among 303 men and women was employed. All participants participated in a behavioral weight loss treatment program. The results of the weight loss phase (12 weeks) of an ongoing trial (1 year) that is also evaluating the effects of these two treatments on weight loss maintenance were reported. The two treatments were not equivalent with the NNS beverage treatment group losing significantly more weight compared to the water group (5.95 kg versus 4.09 kg; P water group during 12 weeks. These results show that water is not superior to NNS beverages for weight loss during a comprehensive behavioral weight loss program. Copyright © 2014 The Obesity Society.

  4. Comprehensive Analysis of Established Dyslipidemia-Associated Loci in the Diabetes Prevention Program

    Science.gov (United States)

    Varga, Tibor V.; Winters, Alexandra H.; Jablonski, Kathleen A.; Horton, Edward S.; Khare-Ranade, Prajakta; Knowler, William C.; Marcovina, Santica M.; Renström, Frida; Watson, Karol E.; Goldberg, Ronald; Florez, José C.

    2016-01-01

    Background We assessed whether 234 established dyslipidemia-associated loci modify the effects of metformin treatment and lifestyle intervention (vs. placebo control) on lipid and lipid sub-fraction levels in the Diabetes Prevention Program (DPP) randomized controlled trial. Methods and Results We tested gene-treatment interactions in relation to baseline adjusted follow-up blood lipid concentrations (high and low density lipoprotein cholesterol [HDL-C, LDL-C], total cholesterol, triglycerides) and lipoprotein sub-fraction particle concentrations and size in 2,993 participants with pre-diabetes. Of the previously reported SNP associations, 32.5% replicated at PP>1.1×10−16) with their respective baseline traits for all but two traits. Lifestyle modified the effect of the GRS for large HDL particle numbers, such that each risk allele of the GRSHDL-large was associated with lower concentrations of large HDL particles at follow-up in the lifestyle arm (β=−0.11 μmol/l per GRS risk allele; 95%CI −0.188, −0.033; P=5×10−3; Pinteraction=1×10−3 for lifestyle vs. placebo), but not in the metformin or placebo arms (P>0.05). In the lifestyle arm, participants with high genetic risk had more favorable or similar trait levels at 1-yr compared to participants at lower genetic risk at baseline for 17 of the 20 traits. Conclusions Improvements in large HDL particle concentrations conferred by lifestyle may be diminished by genetic factors. Lifestyle intervention, however, was successful in offsetting unfavorable genetic loading for most lipid traits. PMID:27784733

  5. FIELD TEST PROGRAM TO DEVELOP COMPREHENSIVE DESIGN, OPERATING, AND COST DATA FOR MERCURY CONTROL SYSTEMS

    Energy Technology Data Exchange (ETDEWEB)

    Michael D. Durham

    2005-03-17

    Brayton Point Unit 1 was successfully tested for applicability of activated carbon injection as a mercury control technology. Test results from this site have enabled a thorough evaluation of the impacts of future mercury regulations to Brayton Point Unit 1, including performance, estimated cost, and operation data. This unit has variable (29-75%) native mercury removal, thus it was important to understand the impacts of process variables and activated carbon on mercury capture. The team responsible for executing this program included: (1) Plant and PG&E National Energy Group corporate personnel; (2) Electric Power Research Institute (EPRI); (3) United States Department of Energy National Energy Technology Laboratory (DOE/NETL); (4) ADA-ES, Inc.; (5) NORIT Americas, Inc.; (6) Apogee Scientific, Inc.; (7) TRC Environmental Corporation; (8) URS Corporation; (9) Quinapoxet Solutions; (10) Energy and Environmental Strategies (EES); and (11) Reaction Engineering International (REI). The technical support of all of these entities came together to make this program achieve its goals. Overall, the objectives of this field test program were to determine the impact of activated carbon injection on mercury control and balance-of-plant processes on Brayton Point Unit 1. Brayton Point Unit 1 is a 250-MW unit that fires a low-sulfur eastern bituminous coal. Particulate control is achieved by two electrostatic precipitators (ESPs) in series. The full-scale tests were conducted on one-half of the flue gas stream (nominally 125 MW). Mercury control sorbents were injected in between the two ESPs. The residence time from the injection grid to the second ESP was approximately 0.5 seconds. In preparation for the full-scale tests, 12 different sorbents were evaluated in a slipstream of flue gas via a packed-bed field test apparatus for mercury adsorption. Results from these tests were used to determine the five carbon-based sorbents that were tested at full-scale. Conditions of interest

  6. The National Heart, Lung, and Blood Institute Small Business Program: A Comprehensive Ecosystem for Biomedical Product Development.

    Science.gov (United States)

    Marek, Kurt W

    2016-12-01

    Small companies working to develop products in the cardiovascular space face numerous challenges, from regulatory, intellectual property, and reimbursement barriers to securing funds to keep the lights on and reach the next development milestone. Most small companies that spin out from universities have the scientific knowledge, but product development expertise and business acumen are also needed to be successful. Other challenges include reduced interest in early stage technologies (Pharma & Biotech 2015 in Review, EP Vantage) and limited deal flow for cardiovascular products (Gormley B., Wall Street Journal, September 15, 2014). The NHLBI small business program is a comprehensive ecosystem designed to address these critical challenges and to provide resources and expertise to assist early stage companies developing cardiovascular and other products within the institute's mission. This article describes steps that NHLBI has taken to enhance our small business program to more effectively translate basic discoveries into commercial products to benefit patients and public health, including enhancing internal expertise and developing non-financial resources to assist small businesses as they develop their products and seek private sector investment and partnership.

  7. ISFAHAN HEALTHY HEART PROGRAM:A COMPREHENSIVE INTEGRATED COMMUNITY-BASED PROGRAM FOR CARDIOVASCULAR DISEASE PREVENTION AND CONTROL. DESIGN, METHODS AND INITIAL EXPERIENCE 2000-2001

    Directory of Open Access Journals (Sweden)

    N MOHAMMADI FARD

    2002-03-01

    Full Text Available Isfahan Healthy Heart Program (IHHP is a five to six year comprehensive integrated community based program for preventing and controlling of cardiovascular diseases (CVD via reducing CVD risk factors and improvement of cardiovascular healthy behavior in target population. IHHP has been started in 1999 and will be last since 2004. Primary survey was done to collect baseline data from interventional (Isfahan and Najafabad Cities and reference (Arak communities. In a multistage sampling method, we select randomly 5 to 10 percent of households in clusters. Then individuals aged equal or higher than 19 years old were selected for entering to survey. In this way, data from 12600 individuals (6300 in interventional counties and 6300 in reference county was collected and stratified due to their living area (urban vs. rural and different age and sex groups. Cardiovascular risk factors (Hypercholesterolemia, Smoking, Hypertension, Diabetes Mellitus, Obesity were investigated by laboratory tests (Lipid profile, FBS, OGTT, physical exam and standard questionnaires, in all ones. Nutritional habits, socioeconomic states, physical activity profiles and other healthy behaviors regarding to cardiovascular disease were assessed by validated questionnaires via interviewing to all individuals. Twelve leads electrocardiogram was done in all persons older than 35 years old. The prevalence of CVDs and distribution of CVD risk factors were estimated in this phase. In the 2nd phase, based on primary survey findings, we arranged a series of teams (worksite, children, women, health personnel, high risk patients, nutrition for planning and implementation of program through interventional community for a 5-year period. Every team has its own target population and objectives and monitors its process during the study. At intervals (annually, some local and small surveys with a random sampling will be conducted to assess and monitor the program and its potency to cope with

  8. Latent tuberculosis infection in a Malaysian prison: implications for a comprehensive integrated control program in prisons.

    Science.gov (United States)

    Al-Darraji, Haider Abdulrazzaq Abed; Kamarulzaman, Adeeba; Altice, Frederick L

    2014-01-10

    . The prevalence of LTBI was extraordinary high in this sample of Malaysian prisoners, regardless of their age or HIV status. This warrants further examination of the size of the problem of TB in other congregate settings and the establishment of an evidence-based TB control program in Malaysian prisons with integrated TB, HIV and substance abuse components.

  9. Methane emissions from Pantanal, South America, during the low water season: toward more comprehensive sampling.

    Science.gov (United States)

    Bastviken, David; Santoro, Ana Lucia; Marotta, Humberto; Pinho, Luana Queiroz; Calheiros, Debora Fernandes; Crill, Patrick; Enrich-Prast, Alex

    2010-07-15

    Freshwater environments contribute 75% of the natural global methane (CH(4)) emissions. While there are indications that tropical lakes and reservoirs emit 58-400% more CH(4) per unit area than similar environments in boreal and temperate biomes, direct measurements of tropical lake emissions are scarce. We measured CH(4) emissions from 16 natural shallow lakes in the Pantanal region of South America, one of the world's largest tropical wetland areas, during the low water period using floating flux chambers. Measured fluxes ranged from 3.9 to 74.2 mmol m(-2) d(-1) with the average from all studied lakes being 8.8 mmol m(-2) d(-1) (131.8 mg CH(4) m(-2) d(-1)), of which ebullition accounted for 91% of the flux (28-98% on individual lakes). Diel cycling of emission rates was observed and therefore 24-h long measurements are recommended rather than short-term measurements not accounting for the full diel cycle. Methane emission variability within a lake may be equal to or more important than between lake variability in floodplain areas as this study identified diverse habitats within lakes having widely different flux rates. Future measurements with static floating chambers should be based on many individual chambers distributed in the various subenvironments of a lake that may differ in emissions in order to account for the within lake variability.

  10. Understanding implementation of comprehensive geriatric care programs: a multiple perspective approach is preferred.

    Science.gov (United States)

    de Vos, Annemarie; Cramm, Jane-Murray; van Wijngaarden, Jeroen D H; Bakker, Ton J E M; Mackenbach, Johan P; Nieboer, Anna P

    2017-10-01

    The Prevention and Reactivation Care Program (PReCaP) provides a novel approach targeting hospital-related functional decline among elderly patients. Despite the high expectations, the PReCaP was not effective in preventing functional decline (ADL and iADL) among older patients. Although elderly PReCaP patients demonstrated slightly better cognitive functioning (Mini Mental State Examination; 0.4 [95% confidence interval (CI) 0.2-0.6]), lower depression (Geriatric Depression Scale 15; -0.9 [95% -1.1 to -0.6]), and higher perceived health (Short-form 20; 5.6 [95% CI 2.8-8.4]) 1 year after admission than control patients, the clinical relevance was limited. Therefore, this study aims to identify factors impacting on the effectiveness of the implementation of the PReCaPand geriatric care 'as usual'. We conducted semi-structured interviews with 34 professionals working with elderly patients in three hospitals, selected for their comparable patient case mix and different levels of geriatric care. Five non-participatory observations were undertaken during multidisciplinary meetings. Patient files (n = 42), hospital protocols, and care plans were screened for elements of geriatric care. Clinical process data were analysed for PReCaP components. The establishment of a geriatric unit and employment of geriatricians demonstrates commitment to geriatric care in hospital A. Although admission processes are comparable, early identification of frail elderly patients only takes place in hosptial A. Furthermore, nursing care in the hospital A geriatric unit excels with regard to maximizing patient independency, an important predictor for hospital-related functional decline. Transfer nurses play a key role in arranging post-discharge geriatric follow-up care. Geriatric consultations are performed by geriatricians, geriatric nurses, and PReCaP case managers in hospital A. Yet hospital B consultative psychiatric nurses provide similar consultation services. The combination of

  11. Radon control activities for lung cancer prevention in national comprehensive cancer control program plans, 2005-2011.

    Science.gov (United States)

    Neri, Antonio; Stewart, Sherri L; Angell, William

    2013-08-08

    Radon is the second leading cause of lung cancer among smokers and the leading cause among nonsmokers. The US Environmental Protection Agency recommends that every home be tested for radon. Comprehensive Cancer Control (CCC) programs develop cancer coalitions that coordinate funding and resources to focus on cancer activities that are recorded in cancer plans. Radon tests, remediation, and radon mitigation techniques are relatively inexpensive, but it is unclear whether coalitions recognize radon as an important carcinogen. We reviewed 65 cancer plans created from 2005 through 2011 for the terms "radon," "radiation," or "lung." Plan activities were categorized as radon awareness, home testing, remediation, supporting radon policy activities, or policy evaluation. We also reviewed each CCC program's most recent progress report. Cancer plan content was reviewed to assess alignment with existing radon-specific policies in each state. Twenty-seven of the plans reviewed (42%) had radon-specific terminology. Improving awareness of radon was included in all 27 plans; also included were home testing (n=21), remediation (n=11), support radon policy activities (n=13), and policy evaluation (n=1). Three plans noted current engagement in radon activities. Thirty states had radon-specific laws; most (n=21) were related to radon professional licensure. Eleven states had cancer plan activities that aligned with existing state radon laws. Although several states have radon-specific policies, approximately half of cancer coalitions may not be aware of radon as a public health issue. CCC-developed cancer coalitions and plans should prioritize tobacco control to address lung cancer but should consider addressing radon through partnership with existing radon control programs.

  12. Development of total maximum daily loads for bacteria impaired watershed using the comprehensive hydrology and water quality simulation model.

    Science.gov (United States)

    Kim, Sang M; Brannan, Kevin M; Zeckoski, Rebecca W; Benham, Brian L

    2014-01-01

    The objective of this study was to develop bacteria total maximum daily loads (TMDLs) for the Hardware River watershed in the Commonwealth of Virginia, USA. The TMDL program is an integrated watershed management approach required by the Clean Water Act. The TMDLs were developed to meet Virginia's water quality standard for bacteria at the time, which stated that the calendar-month geometric mean concentration of Escherichia coli should not exceed 126 cfu/100 mL, and that no single sample should exceed a concentration of 235 cfu/100 mL. The bacteria impairment TMDLs were developed using the Hydrological Simulation Program-FORTRAN (HSPF). The hydrology and water quality components of HSPF were calibrated and validated using data from the Hardware River watershed to ensure that the model adequately simulated runoff and bacteria concentrations. The calibrated and validated HSPF model was used to estimate the contributions from the various bacteria sources in the Hardware River watershed to the in-stream concentration. Bacteria loads were estimated through an extensive source characterization process. Simulation results for existing conditions indicated that the majority of the bacteria came from livestock and wildlife direct deposits and pervious lands. Different source reduction scenarios were evaluated to identify scenarios that meet both the geometric mean and single sample maximum E. coli criteria with zero violations. The resulting scenarios required extreme and impractical reductions from livestock and wildlife sources. Results from studies similar to this across Virginia partially contributed to a reconsideration of the standard's applicability to TMDL development.

  13. Design of Cycle 3 of the National Water-Quality Assessment Program, 2013-2022: Part 1: Framework of Water-Quality Issues and Potential Approaches

    Science.gov (United States)

    Rowe, Gary L.; Belitz, Kenneth; Essaid, Hedeff I.; Gilliom, Robert J.; Hamilton, Pixie A.; Hoos, Anne B.; Lynch, Dennis D.; Munn, Mark D.; Wolock, David W.

    2010-01-01

    online at http://water.usgs.gov/nawqa/bib/), and are documented by more than 14 million data records representing about 7,600 stream sites, 8,100 wells, and 2,000 water-quality and ecological constituents that are available from the NAWQA data warehouse (http://infotrek.er.usgs.gov/traverse/f?p=NAWQA:HOME:0). The Program promotes collaboration and liaison with government officials, resource managers, industry representatives, and other stakeholders to increase the utility and relevance of NAWQA science to decisionmakers. As part of this effort, NAWQA supports integration of data from other organizations into NAWQA assessments, where appropriate and cost-effective, so that more comprehensive findings are available across geographic and temporal scales.

  14. 33 CFR 385.8 - Goals and purposes of the Comprehensive Everglades Restoration Plan.

    Science.gov (United States)

    2010-07-01

    ... Comprehensive Everglades Restoration Plan. 385.8 Section 385.8 Navigation and Navigable Waters CORPS OF... EVERGLADES RESTORATION PLAN Program Goals and Responsibilities § 385.8 Goals and purposes of the Comprehensive Everglades Restoration Plan. (a) The Comprehensive Everglades Restoration Plan (CERP) is a...

  15. Light Water Reactor Sustainability Program: Digital Architecture Project Plan

    Energy Technology Data Exchange (ETDEWEB)

    Thomas, Ken [Idaho National Lab. (INL), Idaho Falls, ID (United States)

    2014-09-01

    There are many technologies available to the nuclear power industry to improve efficiency in plant work activities. These range from new control room technologies to those for mobile field workers. They can make a positive impact on a wide range of performance objectives – increase in productivity, human error reduction, validation of results, accurate transfer of data, and elimination of repetitive tasks. It is expected that the industry will more and more turn to these technologies to achieve these operational efficiencies to lower costs. At the same time, this will help utilities manage a looming staffing problem as the inevitable retirement wave of the more seasoned workers affects both staffing levels and knowledge retention. A barrier to this wide-scale implementation of new technologies for operational efficiency is the lack of a comprehensive digital architecture that can support the real-time information exchanges needed to achieve the desired operational efficiencies. This project will define an advanced digital architecture that will accommodate the entire range of system, process, and plant worker activity to enable the highest degree of integration, thereby creating maximum efficiency and productivity. This pilot project will consider a range of open standards that are suitable for the various data and communication requirements of a seamless digital environment. It will map these standards into an overall architecture to support the II&C developments of this research program.

  16. Impact of a school-based comprehensive program for pregnant teens on their contraceptive use, future contraceptive intention, and desire for more children.

    Science.gov (United States)

    Amin, Ruhul; Sato, Takanori

    2004-01-01

    In response to multiple problems faced by pregnant or parenting teens, or both, many alternative school-based comprehensive programs have been established to provide the teens with multiple services. However, few of these programs have been evaluated to assess their impact on the teens. In this study, we have made a systematic evaluation of such a school-based comprehensive program-the Paquin School Program in Baltimore City-to assess its impact on contraceptive use, future contraceptive intention, and desire for more children. We used data collected from a sample of 371 pregnant and parenting teens who attended the Paquin School Program between 1999 and 2001, and from a sample of 506 comparable teens, who did not attend the Program. Our findings showed that the percentages of the Paquin School enrollees who were using contraceptives or who expressed intention to use contraceptives in the future were higher than those of their counterpart nonenrollees from the comparison schools. The findings also showed that the use of Depo-Provera and desire for no more children were higher among the Paquin School enrollees than among the enrollees from the comparison schools. Because the Paquin School enrollees self-selected into its program, some unobserved differences between them and their counterpart nonenrollees might have affected the outcomes of this article. However, the consistent patterns of positive outcomes for the Paquin School enrollees with regard to contraceptive use, future intention to use contraceptives, and desire for no more children, compared to those from the comparison schools, seem to suggest that the Paquin School's alternative comprehensive program has been successful in its effort to promote family planning. One possible reason for this success of the effort to promote family planning is its integration with the multiple services of the comprehensive program of the Paquin School that enables its teens to plan their fertility.

  17. Building an Interdisciplinary Research Program in Water Conservation: Approach, preliminary findings, and next steps

    OpenAIRE

    Rosenberg, David E.; Endter-Wada, Joanna; Caplan, Arthur; Glenn, Diana T.; Ballard, Guy; Henderson, Katie

    2011-01-01

    Effective urban water conservation programs must harness a synergy of new technologies, public policies, social cost pricing, information dissemination, citizen engagement, and coordinated actions across decision making scales. Together, these factors affect the volume of water an individual user ultimately saves and the overall success of a conservation program or programs. Over the past 18 months, we have started building an interdisciplinary research program in urban water conservation to ...

  18. 75 FR 81642 - Long-Term North to South Water Transfer Program, Sacramento County, CA

    Science.gov (United States)

    2010-12-28

    ... amount of water for transfer, method to make water available, and price. The EIS/EIR will identify... Bureau of Reclamation Long-Term North to South Water Transfer Program, Sacramento County, CA AGENCY... joint EIS/EIR to analyze the effects of water transfers from water agencies in northern California to...

  19. 78 FR 9047 - Public Water System Supervision Program Revision for the State of Texas

    Science.gov (United States)

    2013-02-07

    ... adopted three EPA drinking water rules, namely the: (1) Long Term 2 Enhanced Surface Water Treatment Rule... Environmental Quality, Water Supply Division, Public Drinking Water Section (MC-155), Building F, 12100 Park 35... AGENCY Public Water System Supervision Program Revision for the State of Texas AGENCY: United States...

  20. Using behavior change communication to lead a comprehensive family planning program: the Nigerian Urban Reproductive Health Initiative

    Science.gov (United States)

    Krenn, Susan; Cobb, Lisa; Babalola, Stella; Odeku, Mojisola; Kusemiju, Bola

    2014-01-01

    ABSTRACT Background: The Nigerian Urban Reproductive Health Initiative (NURHI), a 6-year comprehensive family planning program (2009–2015) in 4 cities, intentionally applies communication theories to all program elements, not just the demand generation ones, relying mainly on a theory called ideation—the concept that contraceptive use is influenced by people's beliefs, ideas, and feelings and that changing these ideational factors can change people's behavior. Program Description: The project used multiple communication channels to foster dialogue about family planning, increase social approval for it, and improve accurate knowledge about contraceptives. Mobile service delivery was started in the third year to improve access to clinical methods in slums. Methods: Data from representative baseline (2010–11) and midterm (2012) surveys of women of reproductive age in the project cities were analyzed. We also used propensity score matching to create a statistically equivalent control group of women not exposed to project activities, and we examined service delivery data from NURHI-supported clinics (January 2011–May 2013) to determine the contribution of mobile services to total family planning services. Results: Three years into the initiative, analysis of longitudinal data shows that use of modern contraceptives has increased in each city, varying from 2.3 to 15.5 percentage points, and that the observed increases were predicted by exposure to NURHI activities. Of note is that modern method use increased substantially among the poorest wealth quintiles in project cities, on average, by 8.4 percentage points. The more project activities women were exposed to, the greater their contraceptive use. For example, among women not using a modern method at baseline, contraceptive prevalence among those with no exposure by midterm was 19.1% vs. 43.4% among those with high exposure. Project exposure had a positive dose-response relationship with ideation, as did

  1. Light Water Reactor Sustainability Program. Digital Architecture Requirements

    Energy Technology Data Exchange (ETDEWEB)

    Thomas, Kenneth [Idaho National Lab. (INL), Idaho Falls, ID (United States); Oxstrand, Johanna [Idaho National Lab. (INL), Idaho Falls, ID (United States)

    2015-03-01

    The Digital Architecture effort is a part of the Department of Energy (DOE) sponsored Light-Water Reactor Sustainability (LWRS) Program conducted at Idaho National Laboratory (INL). The LWRS program is performed in close collaboration with industry research and development (R&D) programs that provides the technical foundations for licensing and managing the long-term, safe, and economical operation of current nuclear power plants (NPPs). One of the primary missions of the LWRS program is to help the U.S. nuclear industry adopt new technologies and engineering solutions that facilitate the continued safe operation of the plants and extension of the current operating licenses. Therefore, a major objective of the LWRS program is the development of a seamless digital environment for plant operations and support by integrating information from plant systems with plant processes for nuclear workers through an array of interconnected technologies. In order to get the most benefits of the advanced technology suggested by the different research activities in the LWRS program, the nuclear utilities need a digital architecture in place to support the technology. A digital architecture can be defined as a collection of information technology (IT) capabilities needed to support and integrate a wide-spectrum of real-time digital capabilities for nuclear power plant performance improvements. It is not hard to imagine that many processes within the plant can be largely improved from both a system and human performance perspective by utilizing a plant wide (or near plant wide) wireless network. For example, a plant wide wireless network allows for real time plant status information to easily be accessed in the control room, field workers’ computer-based procedures can be updated based on the real time plant status, and status on ongoing procedures can be incorporated into smart schedules in the outage command center to allow for more accurate planning of critical tasks. The goal

  2. Radon Control Activities for Lung Cancer Prevention in National Comprehensive Cancer Control Program Plans, 2005–2011

    Science.gov (United States)

    Stewart, Sherri L.; Angell, William

    2013-01-01

    Introduction Radon is the second leading cause of lung cancer among smokers and the leading cause among nonsmokers. The US Environmental Protection Agency recommends that every home be tested for radon. Comprehensive Cancer Control (CCC) programs develop cancer coalitions that coordinate funding and resources to focus on cancer activities that are recorded in cancer plans. Radon tests, remediation, and radon mitigation techniques are relatively inexpensive, but it is unclear whether coalitions recognize radon as an important carcinogen. Methods We reviewed 65 cancer plans created from 2005 through 2011 for the terms “radon,” “radiation,” or “lung.” Plan activities were categorized as radon awareness, home testing, remediation, supporting radon policy activities, or policy evaluation. We also reviewed each CCC program’s most recent progress report. Cancer plan content was reviewed to assess alignment with existing radon-specific policies in each state. Results Twenty-seven of the plans reviewed (42%) had radon-specific terminology. Improving awareness of radon was included in all 27 plans; also included were home testing (n = 21), remediation (n = 11), support radon policy activities (n = 13), and policy evaluation (n = 1). Three plans noted current engagement in radon activities. Thirty states had radon-specific laws; most (n = 21) were related to radon professional licensure. Eleven states had cancer plan activities that aligned with existing state radon laws. Conclusion Although several states have radon-specific policies, approximately half of cancer coalitions may not be aware of radon as a public health issue. CCC-developed cancer coalitions and plans should prioritize tobacco control to address lung cancer but should consider addressing radon through partnership with existing radon control programs. PMID:23928457

  3. Effects of a Cross-Age Peer Learning Program on the Vocabulary and Comprehension of English Learners and Non-English Learners in Elementary School

    Science.gov (United States)

    Silverman, Rebecca D.; Martin-Beltran, Melinda; Peercy, Megan M.; Hartranft, Anna M.; McNeish, Daniel M.; Artzi, Lauren; Nunn, Stephanie

    2017-01-01

    This study evaluated the effects of a cross-age peer learning program targeting vocabulary and comprehension in kindergarten and fourth-grade classrooms with substantial proportions of English Learners (ELs). The study followed a quasi-experimental design with 12 classrooms (6 kindergarten and 6 fourth grade) in the intervention group and 12…

  4. The Effect of an Instructional Reading Program Based on the Successful Readers' Strategies on Jordanian EFL Eleventh Grade Students' Reading Comprehension

    Science.gov (United States)

    Smadi, Oqlah; Alshra'ah, Malek

    2015-01-01

    The study investigated the effect of a reading instructional program based on the strategies of successful readers on Jordanian secondary stage students' reading comprehension in English. The participants of the study were 50 first secondary stage male students who were chosen purposefully from the northwestern badia directorate of education.…

  5. The Development of a Comprehensive First-Year Experience Program for the University of Southern California: Using an Innovation Gap Analysis Model

    Science.gov (United States)

    Studdert, Thomas Patrick

    2013-01-01

    Using an innovation adaptation of the gap analysis approach of Richard Clark and Fred Estes, the collegiate First-Year Experience (FYE) consisting of comprehensive and intentional curricular and co-curricular initiatives was examined. Conceptualization and operationalization of the goal for a FYE program was based on 3 student development theories…

  6. Improved genetic algorithm for economic load dispatch in hydropower plants and comprehensive performance comparison with dynamic programming method

    Science.gov (United States)

    Shang, Yizi; Lu, Shibao; Gong, Jiaguo; Liu, Ronghua; Li, Xiang; Fan, Qixiang

    2017-11-01

    This paper presents a practical genetic algorithm (GA)-based solution for solving the economic load dispatch problem (ELDP) and further compares the performance of the improved GA (IGA) with that of dynamic programming (DP). Specifically, their performance is comprehensively evaluated in terms of addressing the ELDP through a case study of 26 turbines in the Three Gorges Hydropower Plant with a focus on calculation accuracy, calculation time, and algorithm stability. Evaluation results show that the improved GA method can significantly reduce the ineffectiveness of the GA in current use and could avoid the running of the turbines in the cavitation/vibration zone, thereby ensuring the safety of the turbines during generating operations. Further, the analysis comparing the performance of the IGA and DP show that the IGA is superior to DP when a small number of turbines are involved. However, as the number of turbines increases, the IGA requires more calculation time than DP; moreover, its calculation accuracy and convergence rate are significantly reduced. It is difficult to guarantee the stability of IGA in high-dimension space even though the population grows, on account of the exponential expansion of the calculation dimension, the algorithm's premature convergence, and the lack of a local search capability. The improvement of the GA as well as the evaluation method proposed in this paper provide a new approach for choosing and improving optimization algorithms to solve the ELDP of large-scale hydropower plants.

  7. A comprehensive linear programming tool to optimize formulations of ready-to-use therapeutic foods: an application to Ethiopia.

    Science.gov (United States)

    Ryan, Kelsey N; Adams, Katherine P; Vosti, Stephen A; Ordiz, M Isabel; Cimo, Elizabeth D; Manary, Mark J

    2014-12-01

    Ready-to-use therapeutic food (RUTF) is the standard of care for children suffering from noncomplicated severe acute malnutrition (SAM). The objective was to develop a comprehensive linear programming (LP) tool to create novel RUTF formulations for Ethiopia. A systematic approach that surveyed international and national crop and animal food databases was used to create a global and local candidate ingredient database. The database included information about each ingredient regarding nutrient composition, ingredient category, regional availability, and food safety, processing, and price. An LP tool was then designed to compose novel RUTF formulations. For the example case of Ethiopia, the objective was to minimize the ingredient cost of RUTF; the decision variables were ingredient weights and the extent of use of locally available ingredients, and the constraints were nutritional and product-quality related. Of the new RUTF formulations found by the LP tool for Ethiopia, 32 were predicted to be feasible for creating a paste, and these were prepared in the laboratory. Palatable final formulations contained a variety of ingredients, including fish, different dairy powders, and various seeds, grains, and legumes. Nearly all of the macronutrient values calculated by the LP tool differed by lead to production of a variety of low-cost RUTF formulations that meet international standards and thereby potentially allow more children to be treated for SAM. © 2014 American Society for Nutrition.

  8. Materials Inventory Database for the Light Water Reactor Sustainability Program

    Energy Technology Data Exchange (ETDEWEB)

    Kazi Ahmed; Shannon M. Bragg-Sitton

    2013-08-01

    Scientific research involves the purchasing, processing, characterization, and fabrication of many sample materials. The history of such materials can become complicated over their lifetime – materials might be cut into pieces or moved to various storage locations, for example. A database with built-in functions to track these kinds of processes facilitates well-organized research. The Material Inventory Database Accounting System (MIDAS) is an easy-to-use tracking and reference system for such items. The Light Water Reactor Sustainability Program (LWRS), which seeks to advance the long-term reliability and productivity of existing nuclear reactors in the United States through multiple research pathways, proposed MIDAS as an efficient way to organize and track all items used in its research. The database software ensures traceability of all items used in research using built-in functions which can emulate actions on tracked items – fabrication, processing, splitting, and more – by performing operations on the data. MIDAS can recover and display the complete history of any item as a simple report. To ensure the database functions suitably for the organization of research, it was developed alongside a specific experiment to test accident tolerant nuclear fuel cladding under the LWRS Advanced Light Water Reactor Nuclear Fuels Pathway. MIDAS kept track of materials used in this experiment from receipt at the laboratory through all processes, test conduct and, ultimately, post-test analysis. By the end of this process, the database proved to be right tool for this program. The database software will help LWRS more efficiently conduct research experiments, from simple characterization tests to in-reactor experiments. Furthermore, MIDAS is a universal tool that any other research team could use to organize their material inventory.

  9. What's in the pool? A comprehensive identification of disinfection by-products and assessment of mutagenicity of chlorinated and brominated swimming pool water

    NARCIS (Netherlands)

    Richardson, S.D.; Demarini, D.M.; Kogevinas, M.; Fernandez, P.; Marco, E.; Lourencetti, C.; Balleste, C.; Heederik, D.|info:eu-repo/dai/nl/072910542; Meliefste, K.; McKague, A.B.; Marcos, R.; Font-Ribera, L.; Grimalt, J.O.; Villanueva, C.M.

    2010-01-01

    BACKGROUND: Swimming pool disinfectants and disinfection by-products (DBPs) have been linked to human health effects, including asthma and bladder cancer, but no studies have provided a comprehensive identification of DBPs in the water and related that to mutagenicity. OBJECTIVES: We performed a

  10. 77 FR 36014 - Initial Test Program of Emergency Core Cooling Systems for Boiling-Water Reactors

    Science.gov (United States)

    2012-06-15

    ... COMMISSION Initial Test Program of Emergency Core Cooling Systems for Boiling-Water Reactors AGENCY: Nuclear...-1277, ``Initial Test Program of Emergency Core Cooling Systems for Boiling- Water Reactors.'' This... testing features of emergency core cooling systems (ECCSs) for boiling-water reactors (BWRs). DATES...

  11. Are Water-Related Leadership Development Programs Designed to Be Effective? An Exploratory Study

    Science.gov (United States)

    Burbach, Mark E.; Floress, Kristin; Kaufman, Eric K.

    2015-01-01

    Water resource professionals and others involved in managing water resources face increasingly complex challenges. Effective leadership development programs are needed to produce water leaders who can address these challenges. Leadership programs must be designed not simply to increase participants' environmental and leadership knowledge but to…

  12. 77 FR 26245 - Household Water Well System Grant Program Announcement of Application Deadlines and Funding

    Science.gov (United States)

    2012-05-03

    ... with low to moderate incomes finance the costs of household water wells that they own or will own. The... Rural Utilities Service Household Water Well System Grant Program Announcement of Application Deadlines... in grant funds to be competitively awarded for the Household Water Well System (HWWS) Grant Program...

  13. Environment, Safety and Health independent evaluation of Fernald Environmental Restoration Management Company`s (FERMCO) Comprehensive Environmental Occupational Safety and Health Program (CEOSHP)

    Energy Technology Data Exchange (ETDEWEB)

    1994-04-01

    The Office of Environmental Management (EM) requested the Office of Environment, Safety and Health (EH) to perform an independent evaluation of Fernald Environmental Restoration Management Corporation`s (FERMCO`s) Comprehensive Environmental occupational Safety and Health Program (CEOSHP) document. In 1992, FERMCO was awarded the Department of Energy`s (DOE) first Environmental Restoration Management Contract and developed the CEOSHP to respond to contract requirements. EH limited its review to the CEOSHP because this document constitutes FERMCO`s written environment, safety and health (ES&H) program document and thus provides the basis for FERMCO`s ES&H program. EH`s independent review identified several major areas of the CEOSHP that need to be revised if it is to function successfully as the program-level document for FERMCO`s environment, safety and health program. The problems identified occur throughout the document and apply across the three CEOSHP sections evaluated by EH: the Occupational Safety and Health program, the Environmental Protection program, and the Radiological Control program. Primary findings of the CEOSHP: (1) Does not fully reflect the occupational safety and health, environmental protection, and radiological control requirements of the Department; (2) Does not convey a strong sense of management leadership of the program or clearly delineate employee rights, responsibilities, and roles in FERMCO`s ES&H program; (3) Is not a program management-level document; (4) Does not describe a ``seamless`` ES&H program; and (5) Does not clearly convey how FERMCO`s ES&H program actually works. EH`s detailed evaluation of FERMCO`s CEOSHP, along with specific recommendations are presented in Sections 2, 3, and 4 of this report. EH believes that EM will find this review and analysis useful in its efforts to assist FERMCO in a comprehensive redrafting of the CEOSHP.

  14. Light Water Reactor Sustainability Research and Development Program Plan -- Fiscal Year 2009–2013

    Energy Technology Data Exchange (ETDEWEB)

    Idaho National Laboratory

    2009-12-01

    Nuclear power has reliably and economically contributed almost 20% of electrical generation in the United States over the past two decades. It remains the single largest contributor (more than 70%) of non-greenhouse-gas-emitting electric power generation in the United States. By the year 2030, domestic demand for electrical energy is expected to grow to levels of 16 to 36% higher than 2007 levels. At the same time, most currently operating nuclear power plants will begin reaching the end of their 60-year operating licenses. If current operating nuclear power plants do not operate beyond 60 years, the total fraction of generated electrical energy from nuclear power will begin to decline—even with the expected addition of new nuclear generating capacity. The oldest commercial plants in the United States reached their 40th anniversary this year. U.S. regulators have begun considering extended operations of nuclear power plants and the research needed to support long-term operations. The Light Water Reactor Sustainability (LWRS) Research and Development (R&D) Program, developed and sponsored by the Department of Energy, is performed in close collaboration with industry R&D programs. The purpose of the LWRS R&D Program is to provide technical foundations for licensing and managing long-term, safe and economical operation of the current operating nuclear power plants. The LWRS R&D Program vision is captured in the following statements: Existing operating nuclear power plants will continue to safely provide clean and economic electricity well beyond their first license- extension period, significantly contributing to reduction of United States and global carbon emissions, enhancement of national energy security, and protection of the environment. There is a comprehensive technical basis for licensing and managing the long-term, safe, economical operation of nuclear power plants. Sustaining the existing operating U.S. fleet also will improve its international engagement

  15. Fiscal 2000 research report on the study on management program for comprehensive assessment of chemical materials; 2000 nendo kagaku busshitsu sogo hyoka kanri program ni kansuru chosa kenkyu

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2001-03-01

    For the realization of environmentally friendly, sound economic activities and the assurance of a safe and peaceful daily life for people, studies were conducted about comprehensive risk assessment and management techniques to use in dealing with chemical substances. Concerning the above-named management program, a workshop was called, where panel discussion and exchange of views and opinions were held. In the study of overseas technological trends, visits were paid to interested institutes and corporations in Denmark, Sweden, and Germany, where hearings were held over the management and manufacture of chemical substances. Concerning the control of chemical substances, surveys were conducted of the control in Japan and abroad and of the methods that businesses and other organizations followed in meeting the control. It was found that the control was being dealt with earnestly in every country and that chemical substances would stay managed under international collaborative conditions. Efforts were being positively exerted by businesses and other organizations to properly manage and reduce chemical substances and to develop and use substitutes. It was found that measures for handling chemical substances were closely knit into business management. (NEDO)

  16. A Comprehensive Quality Assurance Program for Personnel and Procedures in Radiation Oncology: Value of Voluntary Error Reporting and Checklists

    Energy Technology Data Exchange (ETDEWEB)

    Kalapurakal, John A., E-mail: j-kalapurakal@northwestern.edu [Department of Radiation Oncology, Northwestern University Feinberg School of Medicine, Chicago, Illinois (United States); Zafirovski, Aleksandar; Smith, Jeffery; Fisher, Paul; Sathiaseelan, Vythialingam [Department of Radiation Oncology, Northwestern University Feinberg School of Medicine, Chicago, Illinois (United States); Barnard, Cynthia [Department of Quality Strategies, Northwestern Memorial Hospital, Chicago, Illinois (United States); Rademaker, Alfred W. [Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois (United States); Rave, Nick [Department of Physicians Services, Northwestern Memorial Hospital, Chicago, Illinois (United States); Mittal, Bharat B. [Department of Radiation Oncology, Northwestern University Feinberg School of Medicine, Chicago, Illinois (United States)

    2013-06-01

    Purpose: This report describes the value of a voluntary error reporting system and the impact of a series of quality assurance (QA) measures including checklists and timeouts on reported error rates in patients receiving radiation therapy. Methods and Materials: A voluntary error reporting system was instituted with the goal of recording errors, analyzing their clinical impact, and guiding the implementation of targeted QA measures. In response to errors committed in relation to treatment of the wrong patient, wrong treatment site, and wrong dose, a novel initiative involving the use of checklists and timeouts for all staff was implemented. The impact of these and other QA initiatives was analyzed. Results: From 2001 to 2011, a total of 256 errors in 139 patients after 284,810 external radiation treatments (0.09% per treatment) were recorded in our voluntary error database. The incidence of errors related to patient/tumor site, treatment planning/data transfer, and patient setup/treatment delivery was 9%, 40.2%, and 50.8%, respectively. The compliance rate for the checklists and timeouts initiative was 97% (P<.001). These and other QA measures resulted in a significant reduction in many categories of errors. The introduction of checklists and timeouts has been successful in eliminating errors related to wrong patient, wrong site, and wrong dose. Conclusions: A comprehensive QA program that regularly monitors staff compliance together with a robust voluntary error reporting system can reduce or eliminate errors that could result in serious patient injury. We recommend the adoption of these relatively simple QA initiatives including the use of checklists and timeouts for all staff to improve the safety of patients undergoing radiation therapy in the modern era.

  17. Comprehensive study on parameter sensitivity for flow and nutrient modeling in the Hydrological Simulation Program Fortran model.

    Science.gov (United States)

    Luo, Chuan; Li, Zhaofu; Wu, Min; Jiang, Kaixia; Chen, Xiaomin; Li, Hengpeng

    2017-09-01

    Numerous parameters are used to construct the HSPF (Hydrological Simulation Program Fortran) model, which results in significant difficulty in calibrating the model. Parameter sensitivity analysis is an efficient method to identify important model parameters. Through this method, a model's calibration process can be simplified on the basis of understanding the model's structure. This study investigated the sensitivity of the flow and nutrient parameters of HSPF using the DSA (differential sensitivity analysis) method in the Xitiaoxi watershed, China. The results showed that flow was mostly affected by parameters related to groundwater and evapotranspiration, including DEEPFR (fraction of groundwater inflow to deep recharge), LZETP (lower-zone evapotranspiration parameter), and AGWRC (base groundwater recession), and most of the sensitive parameters had negative and nonlinear effects on flow. Additionally, nutrient components were commonly affected by parameters from land processes, including MON-SQOLIM (monthly values limiting storage of water quality in overland flow), MON-ACCUM (monthly values of accumulation), MON-IFLW-CONC (monthly concentration of water quality in interflow), and MON-GRND-CONC (monthly concentration of water quality in active groundwater). Besides, parameters from river systems, KATM20 (unit oxidation rate of total ammonia at 20 °C) had a negative and almost linear effect on ammonia concentration and MALGR (maximal unit algal growth rate for phytoplankton) had a negative and nonlinear effect on ammonia and orthophosphate concentrations. After calibrating these sensitive parameters, our model performed well for simulating flow and nutrient outputs, with R 2 and ENS (Nash-Sutcliffe efficiency) both greater than 0.75 for flow and greater than 0.5 for nutrient components. This study is expected to serve as a valuable complement to the documentation of the HSPF model to help users identify key parameters and provide a reference for performing

  18. Annual Water Management Program Missisquoi National Wildlife Refuge 1989

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This report outlines the effects of the 1988 water levels, water supply and water use on the ecology at Missisquoi National Wildlife Refuge in 1989. The report also...

  19. Annual Water Management Program Missisquoi National Wildlife Refuge 1988

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This report outlines the effects of the 1987 water levels, water supply and water use on the ecology at Missisquoi National Wildlife Refuge in 1988. The report also...

  20. Annual Water Management Program Missisquoi National Wildlife Refuge 1990

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This report outlines the effects of the 1989 water levels, water supply and water use on the ecology at Missisquoi National Wildlife Refuge in 1990. The report also...

  1. Annual Water Management Program Missisquoi National Wildlife Refuge 1991

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This report outlines the effects of the 1990 water levels, water supply and water use on the ecology at Missisquoi National Wildlife Refuge in 1991. The report also...

  2. Stillwater Wildlife Management Area : Annual Water Management Program : January 1, 1972 to December 31, 1972

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This 1972 Annual Water Management Program for the Stillwater Wildlife Management Area summarizes the water receipts, distribution, and marsh conditions attributed to...

  3. Stillwater Wildlife Management Area : Annual Water Management Program : January 1, 1973 to December 31, 1973

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This 1973 Annual Water Management Program for the Stillwater Wildlife Management Area summarizes the water receipts, distribution, and marsh conditions attributed to...

  4. Transitions in care during the end of life: changes experienced following enrolment in a comprehensive palliative care program

    Directory of Open Access Journals (Sweden)

    Critchley Patrick

    2005-02-01

    Full Text Available Abstract Background Transitions in the location of care and in who provides such care can be extremely stressful for individuals facing death and for those close to them. The objective of this study was to describe the distribution of transitions in care experienced by palliative care patients following admission to a comprehensive palliative care program (PCP. A better understanding of these transitions may aid in reducing unnecessary change, help predict care needs, enhance transitions that improve quality of life, guide health care system communication links and maximize the cost-effective utilization of different care settings and providers. Methods Transition and demographic information pertaining to all patients registered in the PCP at the Queen Elizabeth II Health Sciences Centre (QEII, Halifax, Nova Scotia, Canada between January 1, 1998 and December 31, 2002 and who died on or prior to December 31, 2002 was extracted from the PCP database and examined. A transition was defined as either: (1 a change in location of where the patient was cared for by the PCP or, (2 a change in which clinical service provided care. Descriptive analysis provided frequencies and locations of transitions experienced from time of PCP admission to death and during the final two and four weeks of life, an examination of patient movement and a summary of the length of stay spent by patients at each care location. Results Over the five year period, 3974 adults admitted to the QEII PCP experienced a total of 5903 transitions (Mean 1.5; standard deviation 1.8; median 1. Patients with no transitions (28% differed significantly from those who had experienced at least one transition with respect to survival time, age, location of death and diagnosis (p Conclusion A relatively small number of patients under the care of the PCP at the end of life, made several transitions in care setting or service provider. These particular patients need closer scrutiny to understand

  5. 75 FR 27575 - Agency Information Collection Activities: State Water Resources Research Institute Program Annual...

    Science.gov (United States)

    2010-05-17

    ... encourages regional cooperation among institutes in research into areas of water management, development, and... Geological Survey Agency Information Collection Activities: State Water Resources Research Institute Program... Water Resources Research Act of 1984, as amended (42 U.S.C. 10301 et seq.), authorizes a water resources...

  6. 76 FR 68499 - Draft WaterSMART Cooperative Watershed Management Program Funding Opportunity Announcement

    Science.gov (United States)

    2011-11-04

    ... and time. Water shortage and water-use conflicts have become more commonplace in many areas of the... Office of the Secretary Draft WaterSMART Cooperative Watershed Management Program Funding Opportunity Announcement AGENCY: Office of the Assistant Secretary for Water and Science, Interior. ACTION: Notice of...

  7. 24 CFR 200.950 - Building product standards and certification program for solar water heating system.

    Science.gov (United States)

    2010-04-01

    ... certification program for solar water heating system. 200.950 Section 200.950 Housing and Urban Development... solar water heating system. (a) Applicable standards. (1) All solar water heating systems shall be...) Document OG-300-93, Operating Guidelines and Minimum Standards for Certifying Solar Water Heating Systems...

  8. 76 FR 63211 - Energy Efficiency Program: Test Procedures for Residential Water Heaters, Direct Heating...

    Science.gov (United States)

    2011-10-12

    ...-0042] RIN 1904-AC53 Energy Efficiency Program: Test Procedures for Residential Water Heaters, Direct... energy efficiency of electric instantaneous water heaters. c. Storage Water Heaters With Very Large... Approach to Predicting the Energy Efficiency of Residential Water Heaters-- Testing of Gas Tankless and...

  9. Comprehensive Auditing in Nuclear Medicine Through the International Atomic Energy Agency Quality Management Audits in Nuclear Medicine (QUANUM) Program. Part 1: the QUANUM Program and Methodology.

    Science.gov (United States)

    Dondi, Maurizio; Torres, Leonel; Marengo, Mario; Massardo, Teresa; Mishani, Eyal; Van Zyl Ellmann, Annare; Solanki, Kishor; Bischof Delaloye, Angelika; Lobato, Enrique Estrada; Miller, Rodolfo Nunez; Paez, Diana; Pascual, Thomas

    2017-11-01

    same tool could then be applied to assess any improvement after corrective actions are taken. This is the first comprehensive audit program in nuclear medicine that helps evaluate managerial aspects, safety of patients and workers, clinical practice, and radiopharmacy, and, above all, keeps them under control all together, with the intention of continuous improvement. Copyright © 2017. Published by Elsevier Inc.

  10. A New Comprehensive Educational Group Program for Older Adults with Cognitive Complaints: Background, Content, and Process Evaluation.

    NARCIS (Netherlands)

    Hoogenhout, E. M.; de Groot, R. H. M.; Jolles, J.

    2011-01-01

    This paper presents a comprehensive group intervention for older adults with cognitive complaints. It offers psychoeducation about cognitive aging and contextual factors, focuses on skills and compensatory behavior, and incorporates group discussion. The intervention reduced negative emotional

  11. Complexity of comprehensive care treatments in undergraduate dental programs: The benefits of observing and assisting experienced faculty members

    Directory of Open Access Journals (Sweden)

    Moataz Elgezawi

    2017-10-01

    Conclusions: Exposing students to manage complex oral rehabilitation including procedures like sinus lifting and bone augmentation, through an evidence-based interdisciplinary approach during the undergraduate comprehensive clinical dentistry course enhances their confidence and clinical acumen as an independent practitioner.

  12. Using behavior change communication to lead a comprehensive family planning program: the Nigerian Urban Reproductive Health Initiative.

    Science.gov (United States)

    Krenn, Susan; Cobb, Lisa; Babalola, Stella; Odeku, Mojisola; Kusemiju, Bola

    2014-12-10

    The Nigerian Urban Reproductive Health Initiative (NURHI), a 6-year comprehensive family planning program (2009-2015) in 4 cities, intentionally applies communication theories to all program elements, not just the demand generation ones, relying mainly on a theory called ideation-the concept that contraceptive use is influenced by people's beliefs, ideas, and feelings and that changing these ideational factors can change people's behavior. The project used multiple communication channels to foster dialogue about family planning, increase social approval for it, and improve accurate knowledge about contraceptives. Mobile service delivery was started in the third year to improve access to clinical methods in slums. Data from representative baseline (2010-11) and midterm (2012) surveys of women of reproductive age in the project cities were analyzed. We also used propensity score matching to create a statistically equivalent control group of women not exposed to project activities, and we examined service delivery data from NURHI-supported clinics (January 2011-May 2013) to determine the contribution of mobile services to total family planning services. Three years into the initiative, analysis of longitudinal data shows that use of modern contraceptives has increased in each city, varying from 2.3 to 15.5 percentage points, and that the observed increases were predicted by exposure to NURHI activities. Of note is that modern method use increased substantially among the poorest wealth quintiles in project cities, on average, by 8.4 percentage points. The more project activities women were exposed to, the greater their contraceptive use. For example, among women not using a modern method at baseline, contraceptive prevalence among those with no exposure by midterm was 19.1% vs. 43.4% among those with high exposure. Project exposure had a positive dose-response relationship with ideation, as did ideation and contraceptive use. By the end of the observation period

  13. Predicting the Incremental Hospital Cost of Adverse Events Among Medicare Beneficiaries in the Comprehensive Joint Replacement Program During Fiscal Year 2014.

    Science.gov (United States)

    Culler, Steven D; Jevsevar, David S; McGuire, Kevin J; Shea, Kevin G; Little, Kenneth M; Schlosser, Michael J

    2017-06-01

    The Medicare program's Comprehensive Care for Joint Replacement (CJR) payment model places hospitals at financial risk for the treatment cost of Medicare beneficiaries (MBs) undergoing lower extremity joint replacement (LEJR). This study uses Medicare Provider Analysis and Review File and identified 674,777 MBs with LEJR procedure during fiscal year 2014. Adverse events (death, acute myocardial infarction, pneumonia, sepsis or shock, surgical site bleeding, pulmonary embolism, mechanical complications, and periprosthetic joint infection) were studied. Multivariable regressions were modeled to estimate the incremental hospital cost of treating each adverse event. The risk-adjusted estimated hospital cost of treating adverse events varied from a high of $29,061 (MBs experiencing hip fracture and joint infection) to a low of $6308 (MBs without hip fracture that experienced pulmonary embolism). Avoidance of adverse events in the LEJR hospitalization will play an important role in managing episode hospital costs in the Comprehensive Care for Joint Replacement program. Copyright © 2017 Elsevier Inc. All rights reserved.

  14. EPA approves Eastern Band of Cherokee Indians Water Quality Standards program Clean Water Act program a foundation for pollution control and watershed management

    Science.gov (United States)

    (2/18/15)- ATLANTA - The Eastern Band of Cherokee Indians (Tribe) in western North Carolina has been granted the authority by the U.S. Environmental Protection Agency to administer the Water Quality Standards program under the Clean Water Act (CWA).

  15. A User’s Guide to the Comprehensive Water Quality Database for Groundwater in the Vicinity of the Nevada Test Site, Rev. No.: 1

    Energy Technology Data Exchange (ETDEWEB)

    Farnham, Irene

    2006-09-01

    This water quality database (viz.GeochemXX.mdb) has been developed as part of the Underground Test Area (UGTA) Program with the cooperation of several agencies actively participating in ongoing evaluation and characterization activities under contract to the U.S. Department of Energy (DOE), National Nuclear Security Administration Nevada Site Office (NNSA/NSO). The database has been constructed to provide up-to-date, comprehensive, and quality controlled data in a uniform format for the support of current and future projects. This database provides a valuable tool for geochemical and hydrogeologic evaluations of the Nevada Test Site (NTS) and surrounding region. Chemistry data have been compiled for groundwater within the NTS and the surrounding region. These data include major ions, organic compounds, trace elements, radionuclides, various field parameters, and environmental isotopes. Colloid data are also included in the database. The GeochemXX.mdb database is distributed on an annual basis. The extension ''XX'' within the database title is replaced by the last two digits of the release year (e.g., Geochem06 for the version released during the 2006 fiscal year). The database is distributed via compact disc (CD) and is also uploaded to the Common Data Repository (CDR) in order to make it available to all agencies with DOE intranet access. This report provides an explanation of the database configuration and summarizes the general content and utility of the individual data tables. In addition to describing the data, subsequent sections of this report provide the data user with an explanation of the quality assurance/quality control (QA/QC) protocols for this database.

  16. Hydrological information products for the Off-Project Water Program of the Klamath Basin Restoration Agreement

    Science.gov (United States)

    Snyder, Daniel T.; Risley, John C.; Haynes, Jonathan V.

    2012-01-01

    The Klamath Basin Restoration Agreement (KBRA) was developed by a diverse group of stakeholders, Federal and State resource management agencies, Tribal representatives, and interest groups to provide a comprehensive solution to ecological and water-supply issues in the Klamath Basin. The Off-Project Water Program (OPWP), one component of the KBRA, has as one of its purposes to permanently provide an additional 30,000 acre-feet of water per year on an average annual basis to Upper Klamath Lake through "voluntary retirement of water rights or water uses or other means as agreed to by the Klamath Tribes, to improve fisheries habitat and also provide for stability of irrigation water deliveries." The geographic area where the water rights could be retired encompasses approximately 1,900 square miles. The OPWP area is defined as including the Sprague River drainage, the Sycan River drainage downstream of Sycan Marsh, the Wood River drainage, and the Williamson River drainage from Kirk Reef at the southern end of Klamath Marsh downstream to the confluence with the Sprague River. Extensive, broad, flat, poorly drained uplands, valleys, and wetlands characterize much of the study area. Irrigation is almost entirely used for pasture. To assist parties involved with decisionmaking and implementation of the OPWP, the U.S. Geological Survey (USGS), in cooperation with the Klamath Tribes and other stakeholders, created five hydrological information products. These products include GIS digital maps and datasets containing spatial information on evapotranspiration, subirrigation indicators, water rights, subbasin streamflow statistics, and return-flow indicators. The evapotranspiration (ET) datasets were created under contract for this study by Evapotranspiration, Plus, LLC, of Twin Falls, Idaho. A high-resolution remote sensing technique known as Mapping Evapotranspiration at High Resolution and Internalized Calibration (METRIC) was used to create estimates of the spatial

  17. Installation-restoration program (IRP) Stage 7, remedial investigation/feasibility study comprehensive CERCLA work plan for McClellan AFB/EM, McClellan AFB, California. Final report

    Energy Technology Data Exchange (ETDEWEB)

    1991-07-01

    In 1979, officials at McClellan Air Force Base (AFB) in California began to suspect that past waste disposal practices may be contaminating the ground water in the area. At least four areas of potential ground water contamination needing further investigation. A comprehensive program was developed to maintain drinking water quality and to remediate the contamination. Through the operation and maintenance of aircraft, McClellan AFB has been engaged in operations that involve the use, storage, and disposal of hazardous materials including: industrial solvents, caustic cleaners, electroplating chemicals, heavy metals, polychlorinated biphenyls (PCBs), low-level radioactive wastes, and a variety of fuel oils and lubricants. Hazardous substances have percolated into aquifers. Ground water testing identified the presence of volatile organic compounds in on- and off-base wells. Surface water drainage includes several creeks within the area watersheds. These creeks receive contaminants and toxic hazards from on base drainage and then in turn merge with several tributaries, and exit to the west.

  18. Scaling Up a Water, Sanitation, and Hygiene Program in Rural Bangladesh: The Role of Program Implementation.

    Science.gov (United States)

    Benjamin-Chung, Jade; Sultana, Sonia; Halder, Amal K; Ahsan, Mohammed Ali; Arnold, Benjamin F; Hubbard, Alan E; Unicomb, Leanne; Luby, Stephen P; Colford, John M

    2017-05-01

    To evaluate whether the quality of implementation of a water, sanitation, and hygiene program called SHEWA-B and delivered by UNICEF to 20 million people in rural Bangladesh was associated with health behaviors and sanitation infrastructure access. We surveyed 33 027 households targeted by SHEWA-B and 1110 SHEWA-B hygiene promoters in 2011 and 2012. We developed an implementation quality index and compared the probability of health behaviors and sanitation infrastructure access in counterfactual scenarios over the range of implementation quality. Forty-seven percent of households (n = 14 622) had met a SHEWA-B hygiene promoter, and 47% of hygiene promoters (n = 527) could recall all key program messages. The frequency of hygiene promoter visits was not associated with improved outcomes. Higher implementation quality was not associated with better health behaviors or infrastructure access. Outcomes differed by only 1% to 3% in scenarios in which all clusters received low versus high implementation quality. SHEWA-B did not meet UNICEF's ideal implementation quality in any area. Improved implementation quality would have resulted in marginal changes in health behaviors or infrastructure access. This suggests that SHEWA-B's design was suboptimal for improving these outcomes.

  19. 77 FR 73056 - Initial Test Programs for Water-Cooled Nuclear Power Plants

    Science.gov (United States)

    2012-12-07

    ... COMMISSION Initial Test Programs for Water-Cooled Nuclear Power Plants AGENCY: Nuclear Regulatory Commission...-Cooled Nuclear Power Plants.'' This guide describes the general scope and depth that the staff of the NRC considers acceptable for Initial Test Programs (ITPs) for light water cooled nuclear power plants. DATES...

  20. 77 FR 76034 - National Water Program 2012 Strategy: Response to Climate Change

    Science.gov (United States)

    2012-12-26

    ... AGENCY National Water Program 2012 Strategy: Response to Climate Change AGENCY: Environmental Protection... publishing the final ``National Water Program 2012 Strategy: Response to Climate Change'' (2012 Strategy... light of climate change and charts key strategic actions to be taken to achieve the goals in 2012 and...

  1. Empirical Evidence in Support of a Research-Informed Water Conservation Education Program

    Science.gov (United States)

    Thompson, Ruthanne; Serna, Victoria Faubion

    2016-01-01

    Based on results from a 2008 research study of regional citizen knowledge concerning watershed issues, a water conservation education program was designed and implemented. Findings from the initial study demonstrated program success as evidenced by knowledge gain and willingness to "commit" to water saving behaviors in 94% of students. A…

  2. 75 FR 9921 - San Diego County Water Authority Natural Communities Conservation Program/Habitat Conservation...

    Science.gov (United States)

    2010-03-04

    ... Fish and Wildlife Service San Diego County Water Authority Natural Communities Conservation Program/Habitat Conservation Plan, San Diego and Riverside Counties, CA AGENCY: Fish and Wildlife Service... the Draft Water Authority Natural Communities Conservation Program/Habitat Conservation Plan (NCCP/HCP...

  3. Annual Water Program at Montezuma National Wildlife Refuge 1976

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — The management of water levels is basic to the requirements of waterfowl. Water levels will be maintained to provide maximum nesting, resting, and feeding areas for...

  4. Minnesota Valley National Wildlife Refuge: Annual Water Management Program

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — The primary objective of the refuge's water management plan is to create water conditions that will result in an ecologically diverse wetland community....

  5. Annual Water Program at Montezuma National Wildlife Refuge 1982

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — The management of water levels is essential to meet refuge objectives. These objectives are to control water levels to: (1) provide resting and feeding habitat for...

  6. Annual Water Program at Montezuma National Wildlife Refuge 1983

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — The management of water levels is essential to meet refuge objectives. These objectives are to control water levels to: (1) provide resting and feeding habitat for...

  7. Annual Water Program at Montezuma National Wildlife Refuge 2000

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This report explains the effects of the 1999 water levels on the ecology of Montezuma National Wildlife Refuge and it proposes the water surface elevations of the...

  8. Algal Attributes: An Autecological Classification of Algal Taxa Collected by the National Water-Quality Assessment Program

    Science.gov (United States)

    Porter, Stephen D.

    2008-01-01

    Algae are excellent indicators of water-quality conditions, notably nutrient and organic enrichment, and also are indicators of major ion, dissolved oxygen, and pH concentrations and stream microhabitat conditions. The autecology, or physiological optima and tolerance, of algal species for various water-quality contaminants and conditions is relatively well understood for certain groups of freshwater algae, notably diatoms. However, applications of autecological information for water-quality assessments have been limited because of challenges associated with compiling autecological literature from disparate sources, tracking name changes for a large number of algal species, and creating an autecological data base from which algal-indicator metrics can be calculated. A comprehensive summary of algal autecological attributes for North American streams and rivers does not exist. This report describes a large, digital data file containing 28,182 records for 5,939 algal taxa, generally species or variety, collected by the U.S. Geological Survey?s National Water-Quality Assessment (NAWQA) Program. The data file includes 37 algal attributes classified by over 100 algal-indicator codes or metrics that can be calculated easily with readily available software. Algal attributes include qualitative classifications based on European and North American autecological literature, and semi-quantitative, weighted-average regression approaches for estimating optima using regional and national NAWQA data. Applications of algal metrics in water-quality assessments are discussed and national quartile distributions of metric scores are shown for selected indicator metrics.

  9. 43 CFR 404.51 - Are proposed projects under the Rural Water Supply Program reviewed by the Administration?

    Science.gov (United States)

    2010-10-01

    ... Water Supply Program reviewed by the Administration? 404.51 Section 404.51 Public Lands: Interior... SUPPLY PROGRAM Feasibility Studies § 404.51 Are proposed projects under the Rural Water Supply Program... the Reclamation's Rural Water Supply Program. This includes review under Executive Order 12322 to...

  10. 78 FR 36183 - State Allotment Percentages for the Drinking Water State Revolving Fund Program

    Science.gov (United States)

    2013-06-17

    ..., non-tribal water systems (each serving less than 3,301 people), the 2011 assessment extrapolated the... AGENCY State Allotment Percentages for the Drinking Water State Revolving Fund Program AGENCY... Protection Agency (EPA) is announcing the revised Drinking Water State Revolving Fund (DWSRF) allotments that...

  11. 78 FR 46597 - Agency Information Collection Activities: State Water Resources Research Institute Program Annual...

    Science.gov (United States)

    2013-08-01

    ... research into areas of water management, development, and conservation that have a regional or national....S. Geological Survey Agency Information Collection Activities: State Water Resources Research... Water Resources (NIWR) USGS Competitive Grant Program. As required by the Paperwork Reduction Act (PRA...

  12. 78 FR 23288 - Proposed Information Collection: State Water Resources Research Institute Program; Annual...

    Science.gov (United States)

    2013-04-18

    ... research into areas of water management, development, and conservation that have a regional or national... Geological Survey Proposed Information Collection: State Water Resources Research Institute Program; Annual... collection (IC) to renew approval of the paperwork requirements for ``National Institutes for Water Resources...

  13. Characterizing irrigation water requirements for rice production from the Arkansas Rice Research Verification Program

    Science.gov (United States)

    This study investigated rice irrigation water use in the University of Arkansas Rice Research Verification Program between the years of 2003 and 2011. Irrigation water use averaged 747 mm (29.4 inches) over the nine years. A significant 40% water savings was reported for rice grown under a zero gr...

  14. 76 FR 49787 - Rural Water Supply Program Approved Appraisal Reports; Availability

    Science.gov (United States)

    2011-08-11

    ... Bureau of Reclamation Rural Water Supply Program Approved Appraisal Reports; Availability AGENCY: Bureau... for appraisal investigations and feasibility studies for rural water supply projects intended to serve... helps rural communities assess their potable water needs and identify options to address those needs...

  15. 75 FR 11194 - San Diego County Water Authority Natural Communities Conservation Program/Habitat Conservation...

    Science.gov (United States)

    2010-03-10

    ... Fish and Wildlife Service San Diego County Water Authority Natural Communities Conservation Program/Habitat Conservation Plan, San Diego and Riverside Counties, CA AGENCY: Fish and Wildlife Service... application, and notice of public meetings for the San Diego County Water Authority's (Water Authority...

  16. 78 FR 12349 - Proposed Information Collection; Land and Water Conservation Fund State Assistance Program

    Science.gov (United States)

    2013-02-22

    ... National Park Service Proposed Information Collection; Land and Water Conservation Fund State Assistance... INFORMATION: I. Abstract The Land and Water Conservation Fund Act of 1965 (LWCF Act) (16 U.S.C. 460l-4 et seq... discussed in detail in the Land and Water Conservation Fund State Assistance Program Federal Financial...

  17. Using Home Irrigation Users' Perceptions to Inform Water Conservation Programs

    Science.gov (United States)

    Warner, Laura A.; Chaudhary, Anil Kumar; Lamm, Alexa J.; Rumble, Joy N.; Momol, Esen

    2017-01-01

    Targeted agricultural education programs can play a role in solving complex water issues. This article applies importance-performance analysis to examine dimensions of water resources that may inform local water conservation campaigns in the United States. The purpose of this study was to generate a deep understanding of home irrigation users'…

  18. ORD Water Quality Research Program Mid-Cycle Review - June 2009

    Science.gov (United States)

    The Board of Scientific Counselors (BOSC) completed a mid-cycle review of the Office of Research and Development’s (ORD) Water Quality Research Program (WQRP), focusing on Agency efforts to enhance the program following the 2006 BOSC program review.

  19. Water Wizards: School Program on Water Conservation for Third and Fourth Grade Levels.

    Science.gov (United States)

    Massachusetts State Water Resources Authority, Boston.

    Water is precious. It is also easy to take for granted. Many people recognize that water is scarce in desert areas. but it is harder to realize that places like Massachusetts could face a shortage of pure drinking water. This manual provides teachers with curriculum resources to introduce concepts of water supply and water conservation to third…

  20. Developing Needs Analysis-Based Reading Comprehension Learning Materials: A Study on the Indonesian Language Study Program Students

    Science.gov (United States)

    Salam, S.

    2017-01-01

    The purpose of this research was to describe the need of development of "Reading Comprehension" teaching materials to students and lecturers of Indonesian Language and Literature Education Department, Gorontalo. This research is included in the research and development to develop educational products in the form of teaching materials.…

  1. A Comprehensive Stress Education and Reduction Program Utilizing a Well-Being Model: Incorporating the ASCA Student Standards

    Science.gov (United States)

    Tarabochia, Dawn S.

    2013-01-01

    The American School Counselor Association developed national standards for students to provide a framework for a holistic approach to student academic, career, and personal/social development. While the ASCA Student Standards are comprehensive, little attention is given to stress. Adolescents are experiencing greater stress associated with…

  2. A new comprehensive educational group program for older adults with cognitive complaints: Background, content, and process evaluation

    NARCIS (Netherlands)

    Hoogenhout, Esther; De Groot, Renate; Jolles, Jelle

    2012-01-01

    Hoogenhout, E. M., De Groot, R. H. M., & Jolles, J. (2011). A new comprehensive educational group intervention for older adults with cognitive complaints: Background, content, and process evaluation. Educational Gerontology, 37, 51-73. doi:10.1080/03601277.2010.515888

  3. Families and Futures 2000. A Resource for Planning Comprehensive Home and Family Life Education Programs. Working Papers.

    Science.gov (United States)

    Washington Office of the State Superintendent of Public Instruction, Olympia.

    This curriculum guide is the first step in a total home and family life curriculum revision in the state of Washington aimed at helping students solve problems and study issues that have an impact on home and family life. The guide contains two model, nonsequential, comprehensive courses that may be adopted or adapted by school districts. The…

  4. Water allocation for agriculture in southwestern Iran using a programming model

    Science.gov (United States)

    Esmaeili, Abdoulkarim; Shahsavari, Zahra

    2015-09-01

    Water pricing can play a major role in improving water allocation, encouraging users to conserve scarce water resources, and promoting improvements in productivity. In this study, the economic values of water in farms under Dorodzan Dam in southwestern Iran were calculated using linear programming models. The method was applied to three samples of farms that drew irrigation water from a canal, a well, and both a well and a canal. The results of this study revealed that the shadow prices of water in farms varied based on the water sources and time of year. Additionally, the estimated price for water is obviously higher than the price that farmers currently pay for water in the study area. Due to the different economic values of water calculated for different months, it is recommended that the price of irrigation water be adjusted accordingly during various seasons in a fashion similar to that of electrical energy.

  5. Long Term Resource Monitoring Program Water Quality Component Review

    Science.gov (United States)

    2006-06-01

    Water Adequacy and Suitability of the Water Quality Laboratory. The panel also agreed that Quality Procedures Manual the potential for obtaining formal ... formally recognize the high level of work being performed 5 in LTRMP water quality and increase the national from the LTRMP field stations. However...transmission as the primary method for obtaining findings to external peer review is the final steptranmision s te prmar metod or otaiing in quality

  6. Long Term Resource Monitoring Program Water Quality Component Review

    National Research Council Canada - National Science Library

    Soballe, David M; Houser, Jeffrey N

    2006-01-01

    ...) adequacy and suitability of the water quality procedures manual, (4) adequacy and efficiency of procedures for quality assurance and quality control in data collection and laboratory analyses, (5...

  7. DOD/COCOM Water Security Program Strategy Document

    Science.gov (United States)

    2011-04-22

    and bridges within flood zones, and optimization of drainage or surface water channels.  Train host country on common water-borne pathogens , modes...produce 60% of the nation’s vegetables and 25% of its fruits and nuts . The Bureau of Reclamation is also the second largest producer of

  8. Bacteriological Methods in Water Quality Control Programs. Instructor's Guide.

    Science.gov (United States)

    Office of Water Program Operations (EPA), Cincinnati, OH. National Training and Operational Technology Center.

    This instructor's manual presents material on basic bacteriological laboratory procedures as required by Federal Register Water Quality Guidelines. Course topics include: characteristics, occurrences, and significance of bacterial indicators of pollution; bacteriological water quality standards and criteria; collection and handling of samples;…

  9. Bacteriological Methods in Water Quality Control Programs. Training Manual.

    Science.gov (United States)

    Office of Water Program Operations (EPA), Cincinnati, OH. National Training and Operational Technology Center.

    This training manual presents material on basic bacteriological laboratory procedures as required by Federal Register Water Quality Guidelines. Course topics include: characteristics, occurrences, and significance of bacterial indicators of pollution; bacteriological water quality standards and criteria; collection and handling of samples;…

  10. A review of mathematical programming models of irrigation water ...

    African Journals Online (AJOL)

    Crops modelled influence water values, but there is no apparent relationship between objective function specification and average value. Nor does the number of irrigation options seem to influence water value either. The policy implication is that while similar models for the same region produce consistent estimates, each ...

  11. The Comprehensive Soldier and Family Fitness Program Evaluation. Report 4. Evaluation of Resilience Training and Mental and Behavioral Health Outcomes

    Science.gov (United States)

    2013-04-01

    Prevention & Treatment, 5. No pagination specified. Casey, G. W., Jr. (2011). Comprehensive Soldier Fitness: A vision for psychological resilience in the...Alcohol-induced psychotic disorder with hallucinations 291.50 Alcohol-induced psychotic disorder with delusions 291.81 Alcohol withdrawal 291.89 Other...292.00 Drug withdrawal 292.11 Drug-induced psychotic disorder with delusions 292.12 Drug-induced psychotic disorder with hallucinations 292.81

  12. Behavioral Health and Performance Operations at the NASA Johnson Space Center: A Comprehensive Program that Addresses Flight and Spaceflight Duty Adaptability

    Science.gov (United States)

    Beven, G. E.

    2017-01-01

    NASA astronauts on active status require medical certification for aircraft flying duties as well as readiness for long duration spaceflight training, launch to the International Space Station (ISS), and mission continuation during spaceflight operations. Behavioral fitness and adaptability is an inherent component of medical certification at NASA and requires a unique approach that spans the professional life-span of all active astronauts. TOPIC: This presentation will address the Behavioral Health and Performance (BHP) operations program at the Johnson Space Center. Components of BHP operations include astronaut selection, as well as annual, elective, preflight, inflight, and postflight BHP assessments. Each aspect of the BHP operations program will be discussed, with a focus on behavioral fitness determination and resultant outcomes. Specifically, astronaut selection generates a rating of suitability for long duration spaceflight as well as psychiatric qualification; annual, preflight and postflight BHP assessments provoke a decision regarding the presence of any aeromedical concerns; and inflight assessment requires a conclusion pertaining to mission impact. The combination of these elements provide for a unique, comprehensive approach to flight and spaceflight adaptability. APPLICATIONS: Attendees will understand the differing facets of NASA's comprehensive BHP operations program that occurs over the course of an astronaut's career and be able to compare and contrast this to the Adaptability Rating for Military Aviation (ARMA) and proposed models presented by others on this panel.

  13. Bombay Hook National Wildlife Refuge Annual Water Management Program 1995

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — The Bombay Hook Water Management Plan has been developed to meet the station objectives set forth in the Master Plan. The purpose of this plan is to establish a...

  14. Bombay Hook National Wildlife Refuge Annual Water Management Program 1997

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — The Bombay Hook Water Management Plan has been developed to meet the station objectives set forth in the Master Plan. The purpose of this plan is to establish a...

  15. Bombay Hook National Wildlife Refuge Annual Water Management Program 1992

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — The Bombay Hook Water Management Plan has been developed to meet the station objectives set forth in the Master Plan. The purpose of this plan is to establish a...

  16. Bombay Hook National Wildlife Refuge Annual Water Management Program 1993

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — The Bombay Hook Water Management Plan has been developed to meet the station objectives set forth in the Master Plan. The purpose of this plan is to establish a...

  17. Annual Water Program at Montezuma National Wildlife Refuge 1994

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — The “big flood” occurred in 1993. Late March and early April found Montezuma National Wildlife Refuge literally awash in water. The major flooding which resulted...

  18. Annual Water Management Program Missisquoi National Wildlife Refuge 2005

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — The Missisquoi National Wildlife Refuge has a total of four impounded wetlands. The water levels are manageable to a limited degree in three of them: Cranberry Pool,...

  19. Annual Water Management Program 1987 Erie National Wildlife Refuge

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — The management of water levels on refuge impoundments is critical in meeting refuge waterfowl objectives. These objectives are: 1) Provide nesting habitat for...

  20. Bombay Hook National Wildlife Refuge Annual Water Management Program 1989

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — The Bombay Hook Water Management Plan has been developed to meet the station objectives set forth in the Master Plan. The purpose of this plan is to establish a...

  1. Bombay Hook National Wildlife Refuge Annual Water Management Program 1996

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — The Bombay Hook Water Management Plan has been developed to meet the station objectives set forth in the Master Plan. The purpose of this plan is to establish a...

  2. Bombay Hook National Wildlife Refuge Annual Water Management Program 2004

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — The Bombay Hook Water Management Plan has been developed to meet the station objectives set forth in the Master Plan. The purpose of this plan is to establish a...

  3. Bombay Hook National Wildlife Refuge Annual Water Management Program 2001

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — The Bombay Hook Water Management Plan has been developed to meet the station objectives set forth in the Master Plan. The purpose of this plan is to establish a...

  4. Bombay Hook National Wildlife Refuge Annual Water Management Program

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — The Bombay Hook Water Management Plan has been developed to meet the station objectives set forth in the Master Plan. The purpose of this plan is to establish a...

  5. Annual Water Management Program : Hatchie National Wildlife Refuge : 1989

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — The Hatchie National Wildlife Refuge Water Management Plan has been developed to meet the station objectives set forth in the Master Plan. The purpose of this plan...

  6. Annual Water Management Program : Hatchie National Wildlife Refuge : 1997

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — The Hatchie National Wildlife Refuge Water Management Plan has been developed to meet the station objectives set forth in the Master Plan. The purpose of this plan...

  7. Annual Water Management Program : Hatchie National Wildlife Refuge : 1995

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — The Hatchie National Wildlife Refuge Water Management Plan has been developed to meet the station objectives set forth in the Master Plan. The purpose of this plan...

  8. Military Land-Based Water Purification and Distribution Program (Preprint)

    National Research Council Canada - National Science Library

    Dusenbury, James S

    2003-01-01

    .... During World War II, it became increasingly apparent that this technology was only partially effective in providing potable and uncontaminated water for drinking, washing, culinary, bathing and laundering purposes...

  9. Bombay Hook National Wildlife Refuge Annual Water Management Program 1988

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — The Bombay Hook Water Management Plan has been developed to meet the station objectives set forth in the Master Plan. The purpose of this plan is to establish a...

  10. Bombay Hook National Wildlife Refuge Annual Water Management Program 1999

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — The Bombay Hook Water Management Plan has been developed to meet the station objectives set forth in the Master Plan. The purpose of this plan is to establish a...

  11. A comprehensive review of school-based body mass index screening programs and their implications for school health: do the controversies accurately reflect the research?

    Science.gov (United States)

    Ruggieri, Dominique G; Bass, Sarah B

    2015-01-01

    Whereas legislation for body mass index (BMI) surveillance and screening programs has passed in 25 states, the programs are often subject to ethical debates about confidentiality and privacy, school-to-parent communication, and safety and self-esteem issues for students. Despite this debate, no comprehensive analysis has been completed that compares and contrasts how these issues differentially affect schools, parents, and students. A keyword search from electronic databases and a review of state legislation related to BMI surveillance and screening were used to identify relevant literature and data focused on surveillance and screening policies, BMI report cards, and parental perceptions of BMI screenings and their child's weight status [corrected]. This article addresses the gap of previous literature by outlining the ethical considerations and implications that BMI screening programs and report cards have for schools, parents, and students, and links these with outcome studies to address whether these controversies are supported by research. Despite the controversies surrounding these programs, this review shows that they can be valuable for all parties and demonstrates BMI screening programs to be vital to the development of robust school-based obesity prevention programs and promotion of healthy lifestyles in schools. © 2014, American School Health Association.

  12. Predicting compliance with an information-based residential outdoor water conservation program

    Science.gov (United States)

    Landon, Adam C.; Kyle, Gerard T.; Kaiser, Ronald A.

    2016-05-01

    Residential water conservation initiatives often involve some form of education or persuasion intended to change the attitudes and behaviors of residential consumers. However, the ability of these instruments to change attitudes toward conservation and their efficacy in affecting water use remains poorly understood. In this investigation the authors examine consumer attitudes toward complying with a persuasive water conservation program, the extent to which those attitudes predict compliance, and the influence of environmental contextual factors on outdoor water use. Results indicate that the persuasive program was successful in developing positive attitudes toward compliance, and that those attitudes predict water use. However, attitudinal variables explain a relatively small proportion of the variance in objectively measured water use behavior. Recommendations for policy are made stressing the importance of understanding both the effects of attitudes and environmental contextual factors in behavior change initiatives in the municipal water sector.

  13. A Correlational Study of a Reading Comprehension Program and Attrition Rates of ESL Nursing Students in Texas

    Science.gov (United States)

    Donnell, Wendy

    2013-01-01

    Decreasing the attrition rate of nursing students has become an important issue for programs in Texas as a means to alleviate the nursing shortage (THECB, 2009). Programs are admitting a more diverse group of students but attrition has historically been high among minority groups (Gilchrist & Rector, 2007). The purpose of this study was to…

  14. A Comprehensive Meta-Analysis of Triple P-Positive Parenting Program Using Hierarchical Linear Modeling: Effectiveness and Moderating Variables

    Science.gov (United States)

    Nowak, Christoph; Heinrichs, Nina

    2008-01-01

    A meta-analysis encompassing all studies evaluating the impact of the Triple P-Positive Parenting Program on parent and child outcome measures was conducted in an effort to identify variables that moderate the program's effectiveness. Hierarchical linear models (HLM) with three levels of data were employed to analyze effect sizes. The results (N =…

  15. The Positive Action Program: Improving Academics, Behavior, and Character by Teaching Comprehensive Skills for Successful Learning and Living

    Science.gov (United States)

    Flay, Brian R.; Allred, Carol G.

    2010-01-01

    This chapter outlines and provides evidence for the effects of the "Positive Action Program" as a way of inculcating values, driving student wellbeing, and improving academic performance and interpersonal behavior. The program centers on addressing behavioral, emotional, and academic problems by developing in individuals positive beliefs…

  16. "I Want My Robot to Look for Food": Comparing Kindergartner's Programming Comprehension Using Tangible, Graphic, and Hybrid User Interfaces

    Science.gov (United States)

    Strawhacker, Amanda; Bers, Marina U.

    2015-01-01

    In recent years, educational robotics has become an increasingly popular research area. However, limited studies have focused on differentiated learning outcomes based on type of programming interface. This study aims to explore how successfully young children master foundational programming concepts based on the robotics user interface (tangible,…

  17. Puerto Rico Experimental Model Dental Auxiliary Training Program. The Comprehensive Report, October 22, 1976-February 24, 1980.

    Science.gov (United States)

    Puerto Rico Univ., San Juan. School of Dentistry.

    The Dental Auxiliary Department of the University of Puerto Rico designed a career option dental auxiliary training program which is a step ladder program with three exit points over a period of two academic years. The first option is a six-month track to train a traditional chairside dental auxiliary. The second option is a nine-month track to…

  18. Microbiological monitoring for the US Geological Survey National Water-Quality Assessment Program

    Science.gov (United States)

    Francy, Donna S.; Myers, Donna N.; Helsel, Dennis R.

    2000-01-01

    Data to characterize the microbiological quality of the Nation?s fresh, marine, and estuarine waters are usually collected for local purposes, most often to judge compliance with standards for protection of public health in swimmable or drinkable waters. Methods and procedures vary with the objectives and practices of the parties collecting data and are continuously being developed or modified. Therefore, it is difficult to provide a nationally consistent picture of the microbial quality of the Nation?s waters. Study objectives and guidelines for a national microbiological monitoring program are outlined in this report, using the framework of the U.S. Geological Survey (USGS) National Water-Quality Assessment (NAWQA) program. A national program is designed to provide long-term data on the presence of microbiological pathogens and indicators in ground water and surface water to support effective water policy and management. Three major groups of waterborne pathogens affect the public health acceptability of waters in the United States?bacteria, protozoa, and viruses. Microbiological monitoring in NAWQA would be designed to assess the occurrence, distribution, and trends of pathogenic organisms and indicators in surface waters and ground waters; relate the patterns discerned to factors that help explain them; and improve our understanding of the processes that control microbiological water quality.

  19. Design of Cycle 3 of the National Water-Quality Assessment Program, 2013-23: Part 2: Science plan for improved water-quality information and management

    Science.gov (United States)

    Rowe, Gary L.; Belitz, Kenneth; Demas, Charlie R.; Essaid, Hedeff I.; Gilliom, Robert J.; Hamilton, Pixie A.; Hoos, Anne B.; Lee, Casey J.; Munn, Mark D.; Wolock, David W.

    2013-01-01

    This report presents a science strategy for the third decade of the National Water-Quality Assessment (NAWQA) Program, which since 1991, has been responsible for providing nationally consistent information on the quality of the Nation's streams and groundwater; how water quality is changing over time; and the major natural and human factors that affect current water quality conditions and trends. The strategy is based on an extensive evaluation of the accomplishments of NAWQA over its first two decades, the current status of water-quality monitoring activities by USGS and its partners, and an updated analysis of stakeholder priorities. The plan is designed to address priority issues and national needs identified by NAWQA stakeholders and the National Research Council (2012) irrespective of budget constraints. This plan describes four major goals for the third decade (Cycle 3), the approaches for monitoring, modeling, and scientific studies, key partnerships required to achieve these goals, and products and outcomes that will result from planned assessment activities. The science plan for 2013–2023 is a comprehensive approach to meet stakeholder priorities for: (1) rebuilding NAWQA monitoring networks for streams, rivers, and groundwater, and (2) upgrading models used to extrapolate and forecast changes in water-quality and stream ecosystem condition in response to changing climate and land use. The Cycle 3 plan continues approaches that have been central to the Program’s long-term success, but adjusts monitoring intensities and study designs to address critical information needs and identified data gaps. Restoration of diminished monitoring networks and new directions in modeling and interpretative studies address growing and evolving public and stakeholder needs for water-quality information and improved management, particularly in the face of increasing challenges related to population growth, increasing demands for water, and changing land use and climate

  20. Klamath Basin Restoration Agreement Off-Project Water Program Sub-basin Analysis Flow Statistics

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — VERSION 5/15/2012 HYDROLOGICAL INFORMATION PRODUCTS FOR THE OFF-PROJECT WATER PROGRAM OF THE KLAMATH BASIN RESTORATION AGREEMENT By Daniel T. Snyder, John C. Risley,...

  1. Annual Water Management Program Report Prime Hook National Wildlife Refuge 1998

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — The main goal of Prime Hook's water management program is to increase the carrying capacity of the refuge's marshes by maximizing the annual production of diverse...

  2. Annual Water Management Program Report Prime Hook National Wildlife Refuge 1995

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This report describes the results of Prime Hook's 1994 Water Management. Program and delineates plans for 1995. 1994 marked the third year that asynchronous...

  3. Annual Marsh and Water Management Program: Back Bay National Wildlife Refuge

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — Marsh and water management activities have been conducted for nearly thirty years at Back Bay NWR. Annual programs were submitted for many years. In the early 1970's...

  4. Annual Water Management Program Report Prime Hook National Wildlife Refuge 1994

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This program describes the results of the marsh and water level management actions of Prime Hook National Wildlife Refuge in 1993 and outlines the planned strategies...

  5. Annual Marsh and Water Management Program Report Prime Hook National Wildlife Refuge 2000

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This program describes the results of the marsh and water level management actions of Prime Hook National Wildlife Refuge in 1999 and outlines the planned strategies...

  6. Annual Water Management Program Report Prime Hook National Wildlife Refuge 1997

    Data.gov (United States)

    Department of the Interior — This report summarizes the results of Prime Hook National Wildlife Refuge’s 1996 annual water management program and describes plans for 1997. The main objective of...

  7. Marsh and Water Management Program Evaluation 1987 Bombay Hook, Montezuma, Missisquoi NWR's

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — Attached is a copy of the Marsh and Water Management Program Evaluation conducted by the three division field biologists in Region 5 last fall. The report consists...

  8. Optimizing basin-scale coupled water quantity and water quality man-agement with stochastic dynamic programming

    Science.gov (United States)

    Davidsen, Claus; Liu, Suxia; Mo, Xingguo; Engelund Holm, Peter; Trapp, Stefan; Rosbjerg, Dan; Bauer-Gottwein, Peter

    2015-04-01

    Few studies address water quality in hydro-economic models, which often focus primarily on optimal allocation of water quantities. Water quality and water quantity are closely coupled, and optimal management with focus solely on either quantity or quality may cause large costs in terms of the oth-er component. In this study, we couple water quality and water quantity in a joint hydro-economic catchment-scale optimization problem. Stochastic dynamic programming (SDP) is used to minimize the basin-wide total costs arising from water allocation, water curtailment and water treatment. The simple water quality module can handle conservative pollutants, first order depletion and non-linear reactions. For demonstration purposes, we model pollutant releases as biochemical oxygen demand (BOD) and use the Streeter-Phelps equation for oxygen deficit to compute the resulting min-imum dissolved oxygen concentrations. Inelastic water demands, fixed water allocation curtailment costs and fixed wastewater treatment costs (before and after use) are estimated for the water users (agriculture, industry and domestic). If the BOD concentration exceeds a given user pollution thresh-old, the user will need to pay for pre-treatment of the water before use. Similarly, treatment of the return flow can reduce the BOD load to the river. A traditional SDP approach is used to solve one-step-ahead sub-problems for all combinations of discrete reservoir storage, Markov Chain inflow clas-ses and monthly time steps. Pollution concentration nodes are introduced for each user group and untreated return flow from the users contribute to increased BOD concentrations in the river. The pollutant concentrations in each node depend on multiple decision variables (allocation and wastewater treatment) rendering the objective function non-linear. Therefore, the pollution concen-tration decisions are outsourced to a genetic algorithm, which calls a linear program to determine the remainder of the decision

  9. Cost analysis of a school-based comprehensive malaria program in primary schools in Sikasso region, Mali

    Directory of Open Access Journals (Sweden)

    Roberta Maccario

    2017-06-01

    Full Text Available Abstract Background The expansion of malaria prevention and control to school-aged children is receiving increasing attention, but there are still limited data on the costs of intervention. This paper analyses the costs of a comprehensive school-based intervention strategy, delivered by teachers, that included participatory malaria educational activities, distribution of long lasting insecticide-treated nets (LLIN, and Intermittent Parasite Clearance in schools (IPCs in southern Mali. Methods Costs were collected alongside a randomised controlled trial conducted in 80 primary schools in Sikasso Region in Mali in 2010-2012. Cost data were compiled between November 2011 and March 2012 for the 40 intervention schools (6413 children. A provider perspective was adopted. Using an ingredients approach, costs were classified by cost category and by activity. Total costs and cost per child were estimated for the actual intervention, as well as for a simpler version of the programme more suited for scale-up by the government. Univariate sensitivity analysis was performed. Results The economic cost of the comprehensive intervention was estimated to $10.38 per child (financial cost $8.41 with malaria education, LLIN distribution and IPCs costing $2.13 (20.5%, $5.53 (53.3% and $2.72 (26.2% per child respectively. Human resources were found to be the key cost driver, and training costs were the greatest contributor to overall programme costs. Sensitivity analysis showed that an adapted intervention delivering one LLIN instead of two would lower the economic cost to $8.66 per child; and that excluding LLIN distribution in schools altogether, for example in settings where malaria control already includes universal distribution of LLINs at community-level, would reduce costs to $4.89 per child. Conclusions A comprehensive school-based control strategy may be a feasible and affordable way to address the burden of malaria among schoolchildren in the Sahel.

  10. Cost analysis of a school-based comprehensive malaria program in primary schools in Sikasso region, Mali.

    Science.gov (United States)

    Maccario, Roberta; Rouhani, Saba; Drake, Tom; Nagy, Annie; Bamadio, Modibo; Diarra, Seybou; Djanken, Souleymane; Roschnik, Natalie; Clarke, Siân E; Sacko, Moussa; Brooker, Simon; Thuilliez, Josselin

    2017-06-12

    The expansion of malaria prevention and control to school-aged children is receiving increasing attention, but there are still limited data on the costs of intervention. This paper analyses the costs of a comprehensive school-based intervention strategy, delivered by teachers, that included participatory malaria educational activities, distribution of long lasting insecticide-treated nets (LLIN), and Intermittent Parasite Clearance in schools (IPCs) in southern Mali. Costs were collected alongside a randomised controlled trial conducted in 80 primary schools in Sikasso Region in Mali in 2010-2012. Cost data were compiled between November 2011 and March 2012 for the 40 intervention schools (6413 children). A provider perspective was adopted. Using an ingredients approach, costs were classified by cost category and by activity. Total costs and cost per child were estimated for the actual intervention, as well as for a simpler version of the programme more suited for scale-up by the government. Univariate sensitivity analysis was performed. The economic cost of the comprehensive intervention was estimated to $10.38 per child (financial cost $8.41) with malaria education, LLIN distribution and IPCs costing $2.13 (20.5%), $5.53 (53.3%) and $2.72 (26.2%) per child respectively. Human resources were found to be the key cost driver, and training costs were the greatest contributor to overall programme costs. Sensitivity analysis showed that an adapted intervention delivering one LLIN instead of two would lower the economic cost to $8.66 per child; and that excluding LLIN distribution in schools altogether, for example in settings where malaria control already includes universal distribution of LLINs at community-level, would reduce costs to $4.89 per child. A comprehensive school-based control strategy may be a feasible and affordable way to address the burden of malaria among schoolchildren in the Sahel.

  11. Development of the Supported Employment, Comprehensive Cognitive Enhancement, and Social Skills program for adults on the autism spectrum: Results of initial study.

    Science.gov (United States)

    Baker-Ericzén, Mary J; Fitch, Meghan A; Kinnear, Mikaela; Jenkins, Melissa M; Twamley, Elizabeth W; Smith, Linda; Montano, Gabriel; Feder, Joshua; Crooke, Pamela J; Winner, Michelle G; Leon, Juan

    2018-01-01

    The population of adults on the autism spectrum continues to increase, and vocational outcomes are particularly poor. Longitudinal studies of adults with autism spectrum and without intellectual disability have shown consistent and persistent deficits across cognitive, social, and vocational domains, indicating a need for effective treatments of functional disabilities as each impact employment. This initial pilot study is an open trial investigation of the feasibility, acceptability, and initial estimates of outcomes for the newly developed Supported Employment, Comprehensive Cognitive Enhancement, and Social Skills intervention, a manualized "soft skills" curriculum, to enhance both cognitive and social development in adults with autism spectrum. A total of eight adults with autism spectrum, without intellectual disability (78% males), participated in the study. Results support the original hypothesis that adults with autism spectrum can improve both cognitive (i.e. executive functioning) and social cognitive (i.e. social thinking and social communication) abilities. Further Supported Employment, Comprehensive Cognitive Enhancement, and Social Skills was found to be feasible, acceptable, and highly satisfactory for participants and parents. Employment rates more than doubled post-intervention, with an increase from 22% to 56% of participants employed. Conclusion is that Supported Employment, Comprehensive Cognitive Enhancement, and Social Skills has promise as an intervention that can be easily embedded into exiting supported employment vocational training programs to improve cognitive, social, and vocational outcomes.

  12. 2014 Water Power Program Peer Review: Marine and Hydrokinetic Technologies, Compiled Presentations (Presentation)

    Energy Technology Data Exchange (ETDEWEB)

    2014-02-01

    This document represents a collection of all presentations given during the EERE Wind and Water Power Program's 2014 Marine and Hydrokinetic Peer Review. The purpose of the meeting was to evaluate DOE-funded hydropower and marine and hydrokinetic R&D projects for their contribution to the mission and goals of the Water Power Program and to assess progress made against stated objectives.

  13. 2014 Water Power Program Peer Review: Hydropower Technologies, Compiled Presentations (Presentation)

    Energy Technology Data Exchange (ETDEWEB)

    2014-02-01

    This document represents a collection of all presentations given during the EERE Wind and Water Power Program's 2014 Hydropower Peer Review. The purpose of the meeting was to evaluate DOE-funded hydropower and marine and hydrokinetic R&D projects for their contribution to the mission and goals of the Water Power Program and to assess progress made against stated objectives.

  14. Tewaukon National Wildlife Refuge: 1965 Annual Water Program and 1964 Water Use Data

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This document describes the plan for managing waters on Tewaukon National Wildlfie Refuge for calendar year 1965. Water use data for the year 1964 is included in the...

  15. The Effect of a Comprehensive Lifestyle Modification Program on Glycemic Control and Body Composition in Patients with Type 2 Diabetes

    Directory of Open Access Journals (Sweden)

    Ji-Soo Yoo, PhD, RN

    2007-09-01

    Conclusion: CLMP is a useful program, and its multiple approaches by nurses as the leaders and coordinators appear to have positive and synergistic roles in improving and maintaining stable glucose level and body composition in patients with type 2 diabetes.

  16. Development of a comprehensive and sustainable gynecologic oncology training program in western Kenya, a low resource setting

    Directory of Open Access Journals (Sweden)

    Barry Rosen

    2017-08-01

    This is the first recognized fellowship training program in sub-Saharan Africa outside of South Africa. It is an example of a collaborative effort to improve women's health in a low-resource country. This is a Kenyan managed program through Moi University. These subspecialty trained doctors will also provide advice that will shape health care policy and provide sustainable expertise for women diagnosed with a gynecologic cancer.

  17. Teaching communication skills in clinical settings: comparing two applications of a comprehensive program with standardized and real patients.

    Science.gov (United States)

    Carvalho, Irene P; Pais, Vanessa G; Silva, Filipa R; Martins, Raquel; Figueiredo-Braga, Margarida; Pedrosa, Raquel; Almeida, Susana S; Correia, Luís; Ribeiro-Silva, Raquel; Castro-Vale, Ivone; Teles, Ana; Mota-Cardoso, Rui

    2014-05-09

    Communication is important for the quality of clinical practice, and programs have been implemented to improve healthcare providers' communication skills. However, the consistency of programs teaching communication skills has received little attention, and debate exists about the application of acquired skills to real patients. This study inspects whether (1) results from a communication program are replicated with different samples, and (2) results with standardized patients apply to interviews with real patients. A structured, nine-month communication program was applied in two consecutive years to two different samples of healthcare professionals (25 in the first year, 20 in the second year). Results were assessed at four different points in time, each year, regarding participants' confidence levels (self-rated), basic communication skills in interviews with standardized patients, and basic communication skills in interviews with real patients. Data were analyzed using GLM Repeated-Measures procedures. Improvements were statistically significant in both years in all measures except in simulated patients' assessment of the 2008 group. Differences between the two samples were non-significant. Differences between interviews with standardized and with real patients were also non-significant. The program's positive outcomes were replicated in different samples, and acquired skills were successfully applied to real-patient interviews. This reinforces this type of program structure as a valuable training tool, with results translating into real situations. It also adds to the reliability of the assessment instruments employed, though these may need adaptation in the case of real patients.

  18. Assessing marginal water values in multipurpose multireservoir systems via stochastic programming

    Science.gov (United States)

    Tilmant, A.; Pinte, D.; Goor, Q.

    2008-12-01

    The International Conference on Water and the Environment held in Dublin in 1992 emphasized the need to consider water as an economic good. Since water markets are usually absent or ineffective, the value of water cannot be directly derived from market activities but must rather be assessed through shadow prices. Economists have developed various valuation techniques to determine the economic value of water, especially to handle allocation issues involving environmental water uses. Most of the nonmarket valuation studies reported in the literature focus on long-run policy problems, such as permanent (re)allocations of water, and assume that the water availability is given. When dealing with short-run allocation problems, water managers are facing complex spatial and temporal trade-offs and must therefore be able to track site and time changes in water values across different hydrologic conditions, especially in arid and semiarid areas where the availability of water is a limiting and stochastic factor. This paper presents a stochastic programming approach for assessing the statistical distribution of marginal water values in multipurpose multireservoir systems where hydropower generation and irrigation crop production are the main economic activities depending on water. In the absence of a water market, the Lagrange multipliers correspond to shadow prices, and the marginal water values are the Lagrange multipliers associated with the mass balance equations of the reservoirs. The methodology is illustrated with a cascade of hydroelectric-irrigation reservoirs in the Euphrates river basin in Turkey and Syria.

  19. Impact of a Comprehensive Workplace Hand Hygiene Program on Employer Health Care Insurance Claims and Costs, Absenteeism, and Employee Perceptions and Practices.

    Science.gov (United States)

    Arbogast, James W; Moore-Schiltz, Laura; Jarvis, William R; Harpster-Hagen, Amanda; Hughes, Jillian; Parker, Albert

    2016-06-01

    The aim of this study was to determine the efficacy of a multimodal hand hygiene intervention program in reducing health care insurance claims for hygiene preventable infections (eg, cold and influenza), absenteeism, and subjective impact on employees. A 13.5-month prospective, randomized cluster controlled trial was executed with alcohol-based hand sanitizer in strategic workplace locations and personal use (intervention group) and brief hand hygiene education (both groups). Four years of retrospective data were collected for all participants. Hygiene-preventable health care claims were significantly reduced in the intervention group by over 20% (P < 0.05). Absenteeism was positively impacted overall for the intervention group. Employee survey data showed significant improvements in hand hygiene behavior and perception of company concern for employee well-being. Providing a comprehensive, targeted, yet simple to execute hand hygiene program significantly reduced the incidence of health care claims and increased employee workplace satisfaction.

  20. A stochastic dynamic programming model for stream water quality ...

    Indian Academy of Sciences (India)

    R. Narasimhan (Krishtel eMaging) 1461 1996 Oct 15 13:05:22

    Due to seasonal variation of river flow, the assimilative capacity of the river system also varies within a year. A seasonal fraction-removal policy has to be specified based on varying assimilative capacity of the river rather than on a single value of river flow for the entire year. Seasonal waste water discharge programmes.

  1. Evaluation of water, sanitation and hygiene program outcomes ...

    African Journals Online (AJOL)

    Cross-sectional results from the follow-up data were also reported. Results: Statistically significant improvements from baseline were observed in the proportions of respondents with latrine access at home, who washed their hands after defecation, who treated their household drinking water and the average time to collect ...

  2. Using Audience Segmentation to Tailor Residential Irrigation Water Conservation Programs

    Science.gov (United States)

    Warner, Laura A.; Chaudhary, Anil Kumar; Rumble, Joy N.; Lamm, Alexa J.; Momol, Esen

    2017-01-01

    Today's complex issues require technical expertise as well as the application of innovative social science techniques within Extension contexts. Researchers have suggested that a social science approach will play a critical role in water conservation, and people who use home landscape irrigation comprise a critical target audience for agriculture…

  3. A stochastic dynamic programming model for stream water quality ...

    Indian Academy of Sciences (India)

    This paper deals with development of a seasonal fraction-removal policy model for waste load allocation in streams addressing uncertainties due to randomness and fuzziness. A stochastic dynamic programming (SDP) model is developed to arrive at the steady-state seasonal fraction-removal policy. A fuzzy decision model ...

  4. Advanced oxidation processes for the removal of natural organic matter from drinking water sources: A comprehensive review.

    Science.gov (United States)

    Sillanpää, Mika; Ncibi, Mohamed Chaker; Matilainen, Anu

    2018-02-15

    Natural organic matter (NOM), a key component in aquatic environments, is a complex matrix of organic substances characterized by its fluctuating amounts in water and variable molecular and chemical properties, leading to various interaction schemes with the biogeosphere and hydrologic cycle. These factors, along with the increasing amounts of NOM in surface and ground waters, make the effort of removing naturally-occurring organics from drinking water supplies, and also from municipal wastewater effluents, a challenging task requiring the development of highly efficient and versatile water treatment technologies. Advanced oxidation processes (AOPs) received an increasing amount of attention from researchers around the world, especially during the last decade. The related processes were frequently reported to be among the most suitable water treatment technologies to remove NOM from drinking water supplies and mitigate the formation of disinfection by products (DBPs). Thus, the present work overviews recent research and development studies conducted on the application of AOPs to degrade NOM including UV and/or ozone-based applications, different Fenton processes and various heterogeneous catalytic and photocatalytic oxidative processes. Other non-conventional AOPs such as ultrasonication, ionizing radiation and plasma technologies were also reported. Furthermore, since AOPs are unlikely to achieve complete oxidation of NOM, integration schemes with other water treatment technologies were presented including membrane filtration, adsorption and others processes. Copyright © 2017 Elsevier Ltd. All rights reserved.

  5. Water Treatment Plant Operation. Volume II. A Field Study Training Program.

    Science.gov (United States)

    California State Univ., Sacramento. School of Engineering.

    The purpose of this water treatment field study training program is to: (1) develop new qualified water treatment plant operators; (2) expand the abilities of existing operators, permitting better service both to employers and public; and (3) prepare operators for civil service and certification examinations (examinations administered by…

  6. Water Treatment Plant Operation. Volume I. A Field Study Training Program.

    Science.gov (United States)

    California State Univ., Sacramento. School of Engineering.

    The purpose of this water treatment field study training program is to: (1) develop new qualified water treatment plant operators; (2) expand the abilities of existing operators, permitting better service both to employers and public; and (3) prepare operators for civil service and certification examinations (examinations administered by…

  7. Water Treatment Plant Operation Volume 2. A Field Study Training Program. Revised.

    Science.gov (United States)

    California State Univ., Sacramento. School of Engineering.

    The purpose of this water treatment field study training program is to: (1) develop new qualified water treatment plant operators; (2) expand the abilities of existing operators, permitting better service both to employers and public; and (3) prepare operators for civil service and certification examinations (examinations administered by…

  8. Analysis of Large- Capacity Water Heaters in Electric Thermal Storage Programs

    Energy Technology Data Exchange (ETDEWEB)

    Cooke, Alan L. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Anderson, David M. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Winiarski, David W. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Carmichael, Robert T. [Cadeo Group, Washington D. C. (United States); Mayhorn, Ebony T. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Fisher, Andrew R. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States)

    2015-03-17

    This report documents a national impact analysis of large tank heat pump water heaters (HPWH) in electric thermal storage (ETS) programs and conveys the findings related to concerns raised by utilities regarding the ability of large-tank heat pump water heaters to provide electric thermal storage services.

  9. 77 FR 8865 - Public Water System Supervision Program Approval for the State of Illinois; Tentative Approval

    Science.gov (United States)

    2012-02-15

    ... to this determination are available for inspection at the following offices: Illinois Pollution... AGENCY Public Water System Supervision Program Approval for the State of Illinois; Tentative Approval... State of Illinois submitted a primacy application for its approved Public Water System Supervision...

  10. 77 FR 19661 - Draft National Water Program 2012 Strategy: Response to Climate Change

    Science.gov (United States)

    2012-04-02

    ... will address climate change challenges to its mission of protecting human health and the environment. Climate change alters the hydrological background in which EPA's programs function. Depending upon the... AGENCY Draft National Water Program 2012 Strategy: Response to Climate Change AGENCY: Environmental...

  11. Five Years Later: Predicting Student Use of Journals in a New Water Resources Graduate Program

    Science.gov (United States)

    Wirth, Andrea A.; Mellinger, Margaret

    2011-01-01

    Using citation analysis, the authors examined the journals cited in theses and dissertations over the first five years of the Water Resources Graduate Program at Oregon State University. These journal titles were compared to the titles predicted as being important in the 2003 Oregon State University Libraries new program (Category I) review. A…

  12. Development of a comprehensive and sustainable gynecologic oncology training program in western Kenya, a low resource setting.

    Science.gov (United States)

    Rosen, Barry; Itsura, Peter; Tonui, Philip; Covens, Alan; van Lonkhuijzen, Luc; Orang'o, Elkanah Omenge

    2017-08-01

    To provide information on the development of a gynecologic oncology training program in a low-resource setting in Kenya. This is a review of a collaboration between Kenyan and North American physicians who worked together to develop a gynecologic oncology training in Kenya. We review the published data on the increase of cancer incidence in sub-Saharan Africa and outline the steps that were taken to develop this program. The incidence of cervical cancer in Kenya is very high and is the leading cause of cancer mortality in Kenya. WHO identifies cancer as a new epidemic affecting countries in sub-Saharan Africa. In Kenya, a country of 45 million, there is limited resources to diagnose and treat cancer. In 2009 in western Kenya, at Moi University there was no strategy to manage oncology in the Reproductive Health department. There was only 1 gynecologic oncologists in Kenya in 2009. A collaboration between Canadian and Kenya physicians resulted in development of a gynecologic oncology clinical program and initiation of fellowship training in Kenya. In the past 4 years, five fellows have graduated from a 2 year fellowship training program. Integration of data collection on all the patients as part of this program provided opportunities to do clinical research and to acquire peer reviewed grants. This is the first recognized fellowship training program in sub-Saharan Africa outside of South Africa. It is an example of a collaborative effort to improve women's health in a low-resource country. This is a Kenyan managed program through Moi University. These subspecialty trained doctors will also provide advice that will shape health care policy and provide sustainable expertise for women diagnosed with a gynecologic cancer.

  13. Effect of a comprehensive health education program on pre-hospital delay intentions in high-risk stroke population and caregivers.

    Science.gov (United States)

    Yang, Li; Zhao, Qiuli; Zhu, Xuemei; Shen, Xiaoying; Zhu, Yulan; Yang, Liu; Gao, Wei; Li, Minghui

    2017-08-01

    Many factors influence pre-hospital delays in the event of stroke. This study aimed to develop and evaluate a comprehensive educational program for decreasing pre-hospital delays in high-risk stroke population. We enrolled 220 high-risk stroke population and caregivers from six urban communities in Harbin from May 2013 to May 2015, and randomly divided them into intervention and control groups. We implemented a comprehensive educational program (intervention group), comprising public lectures, instructional brochures, case videos, simulations, and role-playing from May 2013 to May 2015. We delivered conventional oral education in the control group. We compared stroke pre-hospital delay behavioral intention (SPDBI), pre-hospital stroke symptom coping test (PSSCT), and stroke pre-symptoms alert test (SPSAT) results between the groups before and 6, 12, and 18 months after health intervention. There were significant differences between before and after intervention (P pre-symptoms alert, and reducing the possibility of pre-hospital delays.

  14. Effects of hybrid comprehensive cardiac telerehabilitation conducted under the pension prevention program of the Social Insurance Institution

    Directory of Open Access Journals (Sweden)

    Ewa Piotrowicz

    2017-02-01

    Full Text Available Background: The Polish Social Insurance Institution (SII, under its pension prevention initiative, has taken measures to support the patients return to work and thus developed a new model of hybrid, comprehensive, cardiac telerehabilitation (HCCT. The aim of the study was to analyze the effects of HCCT in terms of its acceptance, adherence to and influence on patients’ physical capacity and ability to return to work. Material and Methods: The study included 99 patients, aged 54.6±6.3 years, who suffered from cardiovascular diseases. They participated in a 24-day HCCT consisting of preliminary and final examinations, 10 days of out-patients rehabilitation based on cycloergometer training (5 sessions and Nordic walking training (10 sessions, and 12 days of home telerehabilitation based on Nordic walking training. The effectiveness of HCCT was assessed by comparing changes in functional capacity expressed by metabolic equivalent of task (MET and a 6-min walking test (6-MWT distance from the beginning and the end of HCCT. Acceptance of HCCT was evaluated using a questionnaire. Adherence to HCCT was assessed by the patients’ participation in the training sessions. Effectiveness of HCCT in terms of return to work was assessed according to SII definition. Results: Hybrid, comprehensive, cardiac telerehabilitation resulted in significant improvement of functional capacity 7.6±2.0 vs. 8.1±2.4 MET (p < 0.0001 and distance in 6-MWT 448.5±79.2 m vs. 480.5±84.1 m (p < 0.0001. There were 82.8% of adherent, 16.2% of partially adherent and 1% of non-adherent patients. After HCCT 48 patients were able to return to work. Conclusions: Hybrid, comprehensive, cardiac telerehabilitation was well accepted and led to the improvement of the patients’ physical capacity. Adherence to HCCT was high and allowed 48.48% of patients return to work. Med Pr 2017;68(1:61–74

  15. Optimizing conjunctive use of surface water and groundwater resources with stochastic dynamic programming

    DEFF Research Database (Denmark)

    Davidsen, Claus; Liu, Suxia; Mo, Xinguo

    2014-01-01

    to head-dependent pumping costs. These dynamic pumping costs strongly affect the total costs and can lead to non-convexity of the future cost function. The water user groups (agriculture, industry, domestic) are characterized by inelastic demands and fixed water allocation and water supply curtailment......Optimal management of conjunctive use of surface water and groundwater has been attempted with different algorithms in the literature. In this study, a hydro-economic modelling approach to optimize conjunctive use of scarce surface water and groundwater resources under uncertainty is presented....... A stochastic dynamic programming (SDP) approach is used to minimize the basin-wide total costs arising from water allocations and water curtailments. Dynamic allocation problems with inclusion of groundwater resources proved to be more complex to solve with SDP than pure surface water allocation problems due...

  16. The effect of a comprehensive injury audit program on injury incidence in ballet: a 3-year prospective study.

    Science.gov (United States)

    Allen, Nick; Nevill, Alan M; Brooks, John H M; Koutedakis, Yiannis; Wyon, Matthew A

    2013-09-01

    The aim of this study was to determine whether an intervention with individualized conditioning program based on injury history and functional movement screening would be effective in reducing ballet injury incidence. Prospective 3-year epidemiological study. Professional ballet company and its in-house medical facility. Dancers from a professional ballet company over the 3-year study period. Participant numbers ranged from 52 to 58 (year 1: 52; year 2: 58; year 3: 53). The intervention consisted of individual conditioning programs developed using injury history and functional movement screening. Analysis was undertaken of the all dancers who were present in the company during the study period. The significance of change in injuries over a 3-year period was determined using a Poisson distribution model. To determine whether individual conditioning programs resulted in a decrease in injury incidence over the study period. The injury count reduced significantly in years 2 and 3 (P ballet. The implementation of well-structured injury surveillance programs can impact on injury incidence through its influence on intervention programs.

  17. Teaching communication skills in clinical settings: comparing two applications of a comprehensive program with standardized and real patients

    Science.gov (United States)

    2014-01-01

    Background Communication is important for the quality of clinical practice, and programs have been implemented to improve healthcare providers’ communication skills. However, the consistency of programs teaching communication skills has received little attention, and debate exists about the application of acquired skills to real patients. This study inspects whether (1) results from a communication program are replicated with different samples, and (2) results with standardized patients apply to interviews with real patients. Methods A structured, nine-month communication program was applied in two consecutive years to two different samples of healthcare professionals (25 in the first year, 20 in the second year). Results were assessed at four different points in time, each year, regarding participants’ confidence levels (self-rated), basic communication skills in interviews with standardized patients, and basic communication skills in interviews with real patients. Data were analyzed using GLM Repeated-Measures procedures. Results Improvements were statistically significant in both years in all measures except in simulated patients’ assessment of the 2008 group. Differences between the two samples were non-significant. Differences between interviews with standardized and with real patients were also non-significant. Conclusions The program’s positive outcomes were replicated in different samples, and acquired skills were successfully applied to real-patient interviews. This reinforces this type of program structure as a valuable training tool, with results translating into real situations. It also adds to the reliability of the assessment instruments employed, though these may need adaptation in the case of real patients. PMID:24886341

  18. Combustion of oil on water: an experimental program

    Energy Technology Data Exchange (ETDEWEB)

    None

    1982-02-01

    This study determined how well crude and fuel oils burn on water. Objectives were: (1) to measure the burning rates for several oils; (2) to determine whether adding heat improves the oils' combustibility; (3) to identify the conditions necessary to ignite fuels known to be difficult to ignite on ocean waters (e.g., diesel and Bunker C fuel oils); and (4) to evaluate the accuracy of an oil-burning model proposed by Thompson, Dawson, and Goodier (1979). Observations were made about how weathering and the thickness of the oil layer affect the combustion of crude and fuel oils. Nine oils commonly transported on the world's major waterways were tested. Burns were first conducted in Oklahoma under warm-weather conditions (approx. 30/sup 0/C) and later in Ohio under cold-weather conditions (approx. 0/sup 0/C to 10/sup 0/C).

  19. Comprehensive Versus Usual Community Care for First-Episode Psychosis: 2-Year Outcomes From the NIMH RAISE Early Treatment Program.

    Science.gov (United States)

    Kane, John M; Robinson, Delbert G; Schooler, Nina R; Mueser, Kim T; Penn, David L; Rosenheck, Robert A; Addington, Jean; Brunette, Mary F; Correll, Christoph U; Estroff, Sue E; Marcy, Patricia; Robinson, James; Meyer-Kalos, Piper S; Gottlieb, Jennifer D; Glynn, Shirley M; Lynde, David W; Pipes, Ronny; Kurian, Benji T; Miller, Alexander L; Azrin, Susan T; Goldstein, Amy B; Severe, Joanne B; Lin, Haiqun; Sint, Kyaw J; John, Majnu; Heinssen, Robert K

    2016-04-01

    The primary aim of this study was to compare the impact of NAVIGATE, a comprehensive, multidisciplinary, team-based treatment approach for first-episode psychosis designed for implementation in the U.S. health care system, with community care on quality of life. Thirty-four clinics in 21 states were randomly assigned to NAVIGATE or community care. Diagnosis, duration of untreated psychosis, and clinical outcomes were assessed via live, two-way video by remote, centralized raters masked to study design and treatment. Participants (mean age, 23) with schizophrenia and related disorders and ≤6 months of antipsychotic treatment (N=404) were enrolled and followed for ≥2 years. The primary outcome was the total score of the Heinrichs-Carpenter Quality of Life Scale, a measure that includes sense of purpose, motivation, emotional and social interactions, role functioning, and engagement in regular activities. The 223 recipients of NAVIGATE remained in treatment longer, experienced greater improvement in quality of life and psychopathology, and experienced greater involvement in work and school compared with 181 participants in community care. The median duration of untreated psychosis was 74 weeks. NAVIGATE participants with duration of untreated psychosis of quality of life and psychopathology compared with those with longer duration of untreated psychosis and those in community care. Rates of hospitalization were relatively low compared with other first-episode psychosis clinical trials and did not differ between groups. Comprehensive care for first-episode psychosis can be implemented in U.S. community clinics and improves functional and clinical outcomes. Effects are more pronounced for those with shorter duration of untreated psychosis.

  20. Penny wise, pound foolish: an assessment of Canadian Hemophilia/inherited bleeding disorder comprehensive care program services and resources.

    Science.gov (United States)

    Page, D; Crymble, S; Lawday, K; Long, M; Stoffman, J; Waterhouse, L; Wilton, P

    2016-07-01

    A network of 25 haemophilia/inherited bleeding disorder comprehensive care centres was established in Canada in the 1970s and 1980s. In 2007, standards of care, focused on the structural and resource requirements necessary to effectively provide optimal care, were adopted. Assess how human and physical resources affect centres' capacity to attain standards of care. The Canadian Hemophilia Society (CHS), with the support of the Association of Hemophilia Clinic Directors of Canada (AHCDC), undertook the assessment. Health care providers were interviewed in person by lay CHS volunteers and staff. A comprehensive patient satisfaction survey was mailed to a representative cross-section of patients/caregivers. The CHS observed that, despite competent and dedicated staff, many of the programmes are experiencing serious resource deficiencies. Twenty-three of the 25 programmes lack resources in one or more of the following disciplines: haematology, nursing, physiotherapy, social work and clerical/data entry. In nine of the 25 programmes, no resources are allocated to certain core disciplines, notably physiotherapy and social work. Key standards of care, including regular health assessments and close monitoring of home infusion with factor concentrates, are not always respected. Nevertheless, a high level of satisfaction was observed among patients and their caregivers. The study also discovered that clotting factor concentrates constitute 90-95% of the total cost of care while all other aspects of care delivery represent only 5-10%. Under-funding of programmes and suboptimal monitoring of valuable clotting factor concentrate utilization and reporting are both 'penny-wise' and 'pound-foolish'. A formal accreditation process is needed. © 2016 John Wiley & Sons Ltd.