WorldWideScience

Sample records for program initial study

  1. Combat Wound Initiative program.

    Science.gov (United States)

    Stojadinovic, Alexander; Elster, Eric; Potter, Benjamin K; Davis, Thomas A; Tadaki, Doug K; Brown, Trevor S; Ahlers, Stephen; Attinger, Christopher E; Andersen, Romney C; Burris, David; Centeno, Jose; Champion, Hunter; Crumbley, David R; Denobile, John; Duga, Michael; Dunne, James R; Eberhardt, John; Ennis, William J; Forsberg, Jonathan A; Hawksworth, Jason; Helling, Thomas S; Lazarus, Gerald S; Milner, Stephen M; Mullick, Florabel G; Owner, Christopher R; Pasquina, Paul F; Patel, Chirag R; Peoples, George E; Nissan, Aviram; Ring, Michael; Sandberg, Glenn D; Schaden, Wolfgang; Schultz, Gregory S; Scofield, Tom; Shawen, Scott B; Sheppard, Forest R; Stannard, James P; Weina, Peter J; Zenilman, Jonathan M

    2010-07-01

    The Combat Wound Initiative (CWI) program is a collaborative, multidisciplinary, and interservice public-private partnership that provides personalized, state-of-the-art, and complex wound care via targeted clinical and translational research. The CWI uses a bench-to-bedside approach to translational research, including the rapid development of a human extracorporeal shock wave therapy (ESWT) study in complex wounds after establishing the potential efficacy, biologic mechanisms, and safety of this treatment modality in a murine model. Additional clinical trials include the prospective use of clinical data, serum and wound biomarkers, and wound gene expression profiles to predict wound healing/failure and additional clinical patient outcomes following combat-related trauma. These clinical research data are analyzed using machine-based learning algorithms to develop predictive treatment models to guide clinical decision-making. Future CWI directions include additional clinical trials and study centers and the refinement and deployment of our genetically driven, personalized medicine initiative to provide patient-specific care across multiple medical disciplines, with an emphasis on combat casualty care.

  2. Initial Study

    DEFF Research Database (Denmark)

    Torp, Kristian

    2009-01-01

    increased. In the initial study presented here, the time it takes to pass an intersection is studied in details. Two major signal-controlled four-way intersections in the center of the city Aalborg are studied in details to estimate the congestion levels in these intersections, based on the time it takes...

  3. Effectiveness of Previous Initiatives Similar to Programs of Study: Tech Prep, Career Pathways, and Youth Apprenticeships

    Science.gov (United States)

    Lewis, Morgan V.

    2008-01-01

    The federal career and technical legislation reauthorized in 2006 required the recipients of its funding to offer at least one Program of Study (POS). All states have developed some components of POS through earlier initiatives, primarily Tech Prep, career pathways, and youth apprenticeship, that attempted to ease the transition of students from…

  4. The School Meals Initiative Implementation Study. Third Year Report. Nutrition Assistance Program Report Series.

    Science.gov (United States)

    Abraham, Sameer; Chattopadhyay, Manas; Montgomery, Margrethe; Steiger, Darby Miller; Daft, Lynn; Wilbraham, Brooke

    This report, authorized by the Food and Nutrition Service of the U.S. Department of Agriculture, contains information on the School Meals Initiative for Healthy Children (SMI), a reform of school-meals programs aimed at upgrading the nutritional content of school meals. The purpose of the study was to describe and evaluate: (1) overall…

  5. The School Meals Initiative Implementation Study. Second Year Report. Nutrition Assistance Program Report Series.

    Science.gov (United States)

    Abraham, Sameer; Chattopadhyay, Manas; Montgomery, Margrethe; Steiger, Darby Miller; Daft, Lynn; Wilbraham, Brooke

    This report, authorized by the Food and Nutrition Service of the U.S. Department of Agriculture, contains information on the School Meals Initiative for Healthy Children (SMI), a reform of school-meals programs aimed at upgrading the nutritional content of school meals. The purpose of the study was to describe and evaluate: (1) overall…

  6. Student perception of initial transition into a nursing program: A mixed methods research study.

    Science.gov (United States)

    McDonald, Meghan; Brown, Janine; Knihnitski, Crystal

    2018-02-03

    Transition into undergraduate education programs is stressful and impacts students' well-being and academic achievement. Previous research indicates nursing students experience stress, depression, anxiety, and poor lifestyle habits which interfere with learning. However, nursing students' experience of transition into nursing programs has not been well studied. Incongruence exists between this lack of research and the desire to foster student success. This study analyzed students' experiences of initial transition into a nursing program. An embedded mixed method design. A single site of a direct-entry, four year baccalaureate Canadian nursing program. All first year nursing students enrolled in the fall term of 2016. This study combined the Student Adaptation to College Questionnaire (SACQ) with a subset of participants participating in qualitative focus groups. Quantitative data was analyzed using descriptive statistics to identify statistically significant differences in full-scale and subscale scores. Qualitative data was analyzed utilizing thematic analysis. Significant differences were seen between those who moved to attend university and those who did not, with those who moved scoring lower on the Academic Adjustment subscale. Focus group thematic analysis highlighted how students experienced initial transition into a baccalaureate nursing program. Identified themes included reframing supports, splitting focus/finding focus, negotiating own expectations, negotiating others' expectations, and forming identity. These findings form the Undergraduate Nursing Initial Transition (UNIT) Framework. Significance of this research includes applications in faculty development and program supports to increase student success in the first year of nursing and to provide foundational success for ongoing nursing practice. Copyright © 2018 Elsevier Ltd. All rights reserved.

  7. Research Programs & Initiatives

    Science.gov (United States)

    CGH develops international initiatives and collaborates with other NCI divisions, NCI-designated Cancer Centers, and other countries to support cancer control planning, encourage capacity building, and support cancer research and research networks.

  8. Impact of the Nova Scotia School Accreditation Program on Teaching and Student Learning: An Initial Study

    Science.gov (United States)

    Wood, Christine; Meyer, Matthew J.

    2011-01-01

    School accreditation is one process currently mandated in Nova Scotia schools to facilitate school improvement efforts. This mixed methods study sought to discover and describe the impact of the Nova Scotia School Accreditation Program (NSSAP) specifically on teaching and student learning in three secondary schools in one school board. Surveys,…

  9. Laser Initiated Actuator study

    Energy Technology Data Exchange (ETDEWEB)

    Watson, B.

    1991-06-27

    The program task was to design and study a laser initiated actuator. The design of the actuator is described, it being comprised of the fiber and body subassemblies. The energy source for all experiments was a Spectra Diode 2200-H2 laser diode. The diode is directly coupled to a 100 micron core, 0.3 numerical aperture fiber optic terminated with an SMA connector. The successful testing results are described and recommendations are made.

  10. Program Management Officer -Think Tank Initiative | IDRC ...

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

    ... (i.e. research outputs, program level performance indicators) in Think Tank Initiative (TTI) systems and database; Prepares and coordinates program level documents such as (i.e. annual work plans, project information memoranda, communications strategies, evaluation plans, project reports or briefings, reports to donors, ...

  11. A Case Study of Counter Violent Extremism (CVE Programming: Lessons from OTI’s Kenya Transition Initiative

    Directory of Open Access Journals (Sweden)

    James Khalil

    2014-09-01

    Full Text Available Between 2011 and 2014 the USAID Office of Transition Initiatives (OTI’s Kenya Transition Initiative implemented what was essentially a pilot program of the new Countering Violent Extremism (CVE concept. Aiming to counter the drivers of ‘violent extremism’ (VE, this operated through a system of small grants funding activities such as livelihood training, cultural events, community debates on sensitive topics, counselling for post-traumatic stress disorder, and so on. This paper delivers lessons from the program, generated via an independent evaluation, offering insights of relevance to the broader CVE community of practitioners. A first overarching conclusion is that programming decisions would have benefitted from a more comprehensive understanding of VE in the local context. For instance, subsets of the population more narrowly ‘at-risk’ of being attracted to VE should have been identified and targeted (e.g. potentially teenagers, ex-convicts, members of specific clans, and so on, and a greater focus should have been placed upon comprehending the relevance of material incentives, fear, status-seeking, adventure-seeking, and other such individual-level drivers. A second conclusion is that the KTI team would have profited from additional top-level guidance from their donors, for instance, providing direction on the extent to which efforts should have been targeted at those supportive of violence versus those directly involved in its creation, the risks associated with donor branding, and contexts in which the pejorative term ‘extremism’ should have been pragmatically replaced by neutral terminology. As a priority donors and the wider community should also provide suitable definitions of the CVE concept, rather than leaving practitioners to construe (undoubtedly inconsistently it’s meaning from the available definitions of VE.

  12. Excel Initiative: Excellence in Youth Programming

    Directory of Open Access Journals (Sweden)

    Lynne M. Borden

    2015-06-01

    Full Text Available The Excellence in Youth Programming (Excel Initiative strives to support youth programs in delivering high quality programs. The backbone of Excel is the Youth Development Observational Tool (YDOT which allows for the virtual assessment of program staff who work with children and youth ages 9-18 years. The YDOT also allows Excel to provide structured feedback to programs. Excel has several unique features, including a virtual platform and a focus on the relationships between adults and youth participating in after-school programs. Offering structured assessment and interaction online eliminates expenses, provides convenient access for programs around the globe, and allows for unobtrusive assessment of worker-youth interactions. Excel is also integrated into a broader network of resources, tools, and research for those working with children and youth ages 9-18.

  13. Space biology initiative program definition review. Trade study 2: Prototype utilization in the development of space biology hardware

    Science.gov (United States)

    Jackson, L. Neal; Crenshaw, John, Sr.; Schulze, Arthur E.; Wood, H. J., Jr.

    1989-01-01

    The objective was to define the factors which space flight hardware developers and planners should consider when determining: (1) the number of hardware units required to support program; (2) design level of the units; and (3) most efficient means of utilization of the units. The analysis considered technology risk, maintainability, reliability, and safety design requirements for achieving the delivery of highest quality flight hardware. Relative cost impacts of the utilization of prototyping were identified. The development of Space Biology Initiative research hardware will involve intertwined hardware/software activities. Experience has shown that software development can be an expensive portion of a system design program. While software prototyping could imply the development of a significantly different end item, an operational system prototype must be considered to be a combination of software and hardware. Hundreds of factors were identified that could be considered in determining the quantity and types of prototypes that should be constructed. In developing the decision models, these factors were combined and reduced by approximately ten-to-one in order to develop a manageable structure based on the major determining factors. The Baseline SBI hardware list of Appendix D was examined and reviewed in detail; however, from the facts available it was impossible to identify the exact types and quantities of prototypes required for each of these items. Although the factors that must be considered could be enumerated for each of these pieces of equipment, the exact status and state of development of the equipment is variable and uncertain at this time.

  14. Study of somatic, motor and functional effects of practicing initiation programs in water gymnastics and swimming by students of physical education and sports

    Directory of Open Access Journals (Sweden)

    Adela Badau

    2017-08-01

    Full Text Available Introduction: The implementing within the academic physical education and sports curricula of a new discipline such as water gymnastics falls within the current trends of curriculum modernization. Purpose: The purpose of the study aims at evaluating the effects of driving, exercise-induced functional and somatic programs initiation of the gymnasts in the water compared to the effects specific to the initiation swimming. Material and Methods: research duration: two semesters / 14 practical courses. In the first semester the water gymnastics initiation program was implemented and in the second semester the swimming initiation program was implemented. Research Tests: Pretest in the first practical lesson of each semester and posttest in the last lesson of each semester. Participants: 34 male students, specializing in physical education and sport. Somatic, motor and functional assessment: weight, height, BMI, basal metabolism; H2O%, fat%, 2km UKK test, VO2max, fitness index. Statistical processing SPPS 20: arithmetic mean, standard deviation, t-test, probability threshold. Results: improvements relevant to the aqua-gymnastics group: VO2max 7.07 ml/min/kg; Test duration 2km UKK 1.049 minutes; BMI 0.255; and the group of swimming VO2max 0.43 ml/min/kg; Duration 2km UKK 0.44 minutes; BMI 0.139. Conclusions: effects on the functional motor and exercise-induced somatic programs initiation water gymnastics are significantly superior to those of initiation in swimming. We recommend conducting further studies to assess the effects of gymnastics on water through differentiated programs on levels of physical training, age, and the use of various sporting materials.

  15. 75 FR 10455 - Broadband Initiatives Program

    Science.gov (United States)

    2010-03-08

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF AGRICULTURE Rural Utilities Service RIN 0572-ZA01 Broadband Initiatives Program AGENCY: Rural Utilities Service... fraud, waste and abuse, contact [email protected] for BIP. You may obtain additional...

  16. Individualized assessment and treatment program for alcohol dependence: results of an initial study to train coping skills.

    Science.gov (United States)

    Litt, Mark D; Kadden, Ronald M; Kabela-Cormier, Elise

    2009-11-01

    Cognitive-behavioral treatments (CBT) are among the most popular interventions offered for alcohol and other substance use disorders, but it is not clear how they achieve their effects. CBT is purported to exert its beneficial effects by altering coping skills, but data supporting coping changes as the mechanism of action are mixed. The purpose of this pilot study was to test a treatment in which coping skills were trained in a highly individualized way, allowing us to determine if such training would result in an effective treatment. Participants were assigned randomly to a comprehensive packaged CBT program (PCBT), or to an individualized assessment and treatment program (IATP). The IATP program employed experience sampling via cellphone to assess coping skills prior to treatment, and provided therapists with a detailed understanding of patients' coping strengths and deficits. Out-patient treatment. A total of 110 alcohol-dependent men and women. Participants in both conditions completed experience sampling of situations, drinking and coping efforts prior to, and following, 12 weeks of treatment. Time-line follow-back procedures were also used to record drinking at baseline and post-treatment. IATP yielded higher proportion of days abstinent (PDA) at post-treatment (P coping responses and less drinking in high-risk situations, as recorded by experience sampling at post-treatment. Post-treatment coping response rates were associated with decreases in drinking. The IATP approach was more successful than PCBT at training adaptive coping responses for use in situations presenting a high risk for drinking. The highly individualized IATP approach may prove to be an effective treatment strategy for alcohol-dependent patients.

  17. Study protocol for the FITR Heart Study: Feasibility, safety, adherence, and efficacy of high intensity interval training in a hospital-initiated rehabilitation program for coronary heart disease

    Directory of Open Access Journals (Sweden)

    Jenna Taylor

    2017-12-01

    Conclusions: This study aims to address the ongoing concerns regarding the practicality and safety of HIIT in CR programs. We anticipate study findings will lead to the development of a standardized protocol to facilitate CR programs to incorporate HIIT as a standard exercise option for appropriate patients.

  18. Impact of structured programs on breastfeeding initiation rates in preterm neonates in a socioeconomically deprived area in France: A 10-year population-based study.

    Science.gov (United States)

    Charkaluk, M-L; Bomy, H; Delguste, S; Courdent, M; Rousseau, S; Zaoui-Grattepanche, C; Pierrat, V

    2018-01-01

    Structured programs have a positive impact on breastfeeding (BF) but have rarely been evaluated for preterm neonates, frequently combining prematurity and socioeconomic deprivation as risk factors of a low BF rate. We aimed to assess BF initiation rates in very preterm (preterm (33-36 weeks), and term neonates from 2002 to 2011 in a French administrative district characterized by socioeconomic deprivation. Structured activities to promote and support BF have been implemented in this area since 2002; they all started in neonatal units. This retrospective population-based study analyzed 302,102 first health certificates. Overall, the BF initiation rate significantly increased, from 52.9% [95% CI: (52.3; 53.4)] in 2002 to 61.0% [95% CI: (60.4; 61.6)] in 2011. In 2002, BF initiation rates did not differ between groups, but in 2011, it was higher for very preterm than for term and moderately preterm neonates [74.7% (69.7; 79.6)] vs. 60.9% (60.3; 61.5) and 59.9% (57.6; 62.2), respectively, both Ppreterm children and term-born children (P=0.40). The 2.2% yearly increase observed in very preterm neonates significantly differed from the 0.9% yearly increase in the French general population (Ppreterm neonates, but not in moderately preterm neonates, whose specific needs should be further evaluated. Copyright © 2017 Elsevier Masson SAS. All rights reserved.

  19. University Research Initiative Research Program Summaries

    Science.gov (United States)

    1987-06-01

    stomatogastric ganglion are coupled to those in other ganglia. Another physiological system, studied by Dr. Cohen, is the lamprey spinal cord, an ideal...detailed structure of the lamprey oscillators. 103 10O4 I. ENVIRONMENTAL SCIENCE AND TECHNOLOGY Services’ Areas of Emphasis: Geosciences (ARO) Ocean...modeling and remote sensing to understand the mesoscale variability of the eastern Pacific Ocean. The principal objective of the program is to develop a

  20. 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.

  1. Program Leader, Think Tank Initiative | IDRC - International ...

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

    ... including its monitoring and evaluation activities, outreach and communications, identification of critical research issues, relationships with external partners, and representation of the Program in international fora;; Monitors, manages, and evaluates grantee relationships (including financial) that are critically important for ...

  2. "Superheroes Social Skills": An Initial Study Examining an Evidence-Based Program for Elementary-Aged Students with Autism Spectrum Disorders in a School Setting

    Science.gov (United States)

    Block, Heidi Marie

    2012-01-01

    The current study evaluated the effectiveness of a multimedia social skills program, Superheroes Social Skills for Children with Autism, in increasing the social engagement skills of 4 elementary-aged students with an autism spectrum disorder. This program incorporates several evidence-based practices into one comprehensive curriculum, namely…

  3. Cabo Verde telemedicine program: initial results of nationwide implementation.

    Science.gov (United States)

    Latifi, Rifat; Dasho, Erion; Merrell, Ronald C; Lopes, Miguel; Azevedo, Vanda; Bekteshi, Flamur; Osmani, Kalterina L; Qesteri, Orland; Kucani, Julian; Lecaj, Ismet

    2014-11-01

    Telemedicine and e-health have been suggested as one solution for closing the health disparity gap between the developed world and the developing world. Yet evidence is lacking from current successful programs in the developing world and, in particular, from sub-Saharan Africa. The primary objective of our study was to present the preliminary results of our efforts in building the Integrated Telemedicine and e-Health Program for Cabo Verde (ITeHP-CV), with an emphasis on initial utilization and results. This is a prospective study of data collected while we worked to establish a fully functional, integrated national telemedicine network and virtual education network in Cabo Verde. We used the International Virtual e-Hospital Foundation strategic approach known as "initiate-build-operate-transfer" over a 26-month period (November 2011-December 2013). We describe herein the five main pillars of this process that have been implemented: (1) capacity building; (2) network development and deployment of equipment; (3) implementation of clinical telemedicine; (4) implementation of activities related to continuing medical education, delivered from within the country and from abroad; and (5) establishment and use of the electronic virtual library. Based on comprehensive technical and medical assessment of the country's needs, 10 fully functional telemedicine centers in all nine inhabited islands of the Republic of Cabo Verde have been established. RESULTS are presented under the five main pillars of capacity building, network deployment, implementation of clinical telemedicine, implementation of continuing medical education activities, and establishment of the electronic virtual library. The ITeHP-CV has been successfully launched, and the initial results are encouraging. The continuity of the program and sustainability are primary goals once the program is transferred fully to the Ministry of Health of Cabo Verde. A long-term follow-up study is required in order to ensure

  4. Digital Earth Initiative: A Joint Interagency Program

    Science.gov (United States)

    Halem, Milton

    1999-01-01

    The Digital Earth is a virtual representation of our planet that enables a person to explore and interact with the vast amounts of natural and cultural information gathered about the Earth. The Digital Earth comprises data interfaces and standards enabling access to geo-referenced data from remote sensing, cartographic, demographic, medical, and other sources to respond to questions posed by the user. In a recent address at the California Science Center in Los Angeles, Vice President Al Gore articulated a Digital Earth Vision. That vision spoke to developing a multi-resolution, three-dimensional representation of the planet, into which we can roam and zoom into vast quantities of embedded geo-referenced data. The vision was not limited to moving through space but also allowing travel over a time-line, which can be set for days, years, centuries, or even geological epochs. As prototypes become available, it would also be possible to interact with the Digital Earth in multiple places around the country with access to high-speed networks and at a more limited level of access over the Internet. NASA was asked by the Vice President to lead an interagency initiative that would take steps to bring this vision to the public. This talk describes the start-up and plans of the Digital Earth Interagency Working Group in the formulation of its charter, an architecture reference model for Digital Earth, public/private partnerships, cooperative agreement notices, Digital Earth prototypes, and testbeds. Animations employing technologies for virtual roaming and zooming through multi-resolution satellite data set as prototype systems will be presented along with examples of potential user scenarios. Plans for engaging academia and industry in implementing the Digital Earth initiative will be discussed.

  5. Initiating the 2002 Mars Science Laboratory (MSL) Technology Program

    Science.gov (United States)

    Caffrey, Robert T.; Udomkesmalee, Gabriel; Hayati, Samad A.; Henderson, Rebecca

    2004-01-01

    The Mars Science Laboratory (MSL) Project is an aggressive mission launching in 2009 to investigate the Martian environment and requires new capabilities that are currently are not available. The MSL Technology Program is developing a wide-range of technologies needed for this Mission and potentially other space missions. The MSL Technology Program reports to both the MSL Project and the Mars Technology Program (MTP). The dual reporting process creates a challenging management situation, but ensures the new technology meets both the specific MSL requirements and the broader Mars Program requirements. MTP is a NASA-wide technology development program managed by JPL and is divided into a Focused Program and a Base Program. The MSL Technology Program is under the focused program and is tightly coupled to MSL's mission milestones and deliverables. The technology budget is separate from the flight Project budget, but the technology's requirements and the development process are tightly coordinated with the Project. The MSL Technology Program combines the proven management techniques of flight projects with the commercial technology management strategies of industry and academia, to create a technology management program that meets the short-term requirements of MSL and the long-term requirements of MTP. This paper examines the initiation of 2002 MSL Technology program. Some of the areas discussed in this paper include technology definition, task selection, technology management, and technology assessment. This paper also provides an update of the 2003 MSL technology program and examines some of the drivers that changed the program from its initiation.

  6. National Nanotechnology Initiative Investments by Agency and Program Component Area

    Data.gov (United States)

    Office of Science and Technology Policy, Executive Office of the President — Data represents National Nanotechnology Initiative investments by agency and program component area (PCA) from FY 2001 through FY 2010 (requested). While this data...

  7. Does education level affect the efficacy of a community based salt reduction program? - A post-hoc analysis of the China Rural Health Initiative Sodium Reduction Study (CRHI-SRS)

    NARCIS (Netherlands)

    Wang, Xin; Li, Xian; Vaartjes, Ilonca; Neal, Bruce; Bots, Michiel L.; Hoes, Arno W.; Wu, Yangfeng

    2016-01-01

    Background: Whether educational level influences the effects of health education is not clearly defined. This study examined whether the impact of a community-based dietary salt reduction program was affected by the level of education of participants. Methods: The China Rural Health Initiative

  8. Does education level affect the efficacy of a community based salt reduction program? - A post-hoc analysis of the China Rural Health Initiative Sodium Reduction Study (CRHI-SRS)

    NARCIS (Netherlands)

    Wang, Xin; Li, Xian; Vaartjes, Ilonca; Neal, Bruce; Bots, Michiel L.; Hoes, Arno W.; Wu, Yangfeng

    2016-01-01

    BACKGROUND: Whether educational level influences the effects of health education is not clearly defined. This study examined whether the impact of a community-based dietary salt reduction program was affected by the level of education of participants. METHODS: The China Rural Health Initiative

  9. A Program Evaluation of a Worksite Wellness Initiative for Weight Loss

    Science.gov (United States)

    Martinez, Nicholas

    2017-01-01

    The purpose of this study was to conduct a program evaluation of ACME's worksite weight loss initiative and collect evidence relative to the efficacy of the program. An anonymous online survey was administered to participants of the weight loss initiative. The survey was designed to gather information relative to the research questions, which…

  10. NASA industry education initiative. Education programs report, 1991

    Science.gov (United States)

    1991-01-01

    Findings from the initial inventory of education programs show that support for the NASA-Industry Education Initiative (NIEI) appears to be strong among the organizations surveyed. In addition, the range, depth and historical baselines of NIEI education programs are encouraging. It is also apparent that there is a significant level of cooperation between NIEI members and other organizations. Heavily focused towards science, engineering, mathematics and technology achievement, NIEI activities appear to be aligned with national education goals. Three criticisms are revealed: (1) the majority of programs are targeted fairly late in the education cycle; (2) the number of initiatives geared towards adult literacy and adult skills-enhancement appears to be relatively low; (3) the majority of NIEI activities involve traditional education-assistance programs, but the number of critical assessment and systematic reform initiatives is low. Four Working Group recommendations resulted from this activity: (1) NIEI Working Group operations should continue for an indefinite period, with participation open to other like-minded private-sector organization; (2) the report should be periodically updated; (3) an analysis of ongoing education programs should be conducted; (4) American corporations should continue to support education and evaluate in-house programs periodically.

  11. Predicting Schedule Duration for Defense Acquisition Programs: Program Initiation to Initial Operational Capability

    Science.gov (United States)

    2016-03-24

    in-depth finance and schedule data for selected programs (Brown et al., 2015). We also give extra focus on Research Development Test & Evaluation...rudimentary justification to collect pre-MS-B data for the purpose of predicting schedule, as the researchers were able to derive predictive factors...McDaniel (2004), and Rossetti (2004). Their modified research database consisted of 52 program derived from this SAR database. Towards the end of

  12. Literacy Course Priorities and Signature Aspects of Nine Elementary Initial Licensure Programs

    Science.gov (United States)

    Lenski, Susan; Ganske, Kathy; Chambers, Sandy; Wold, Linda; Dobler, Elizabeth; Grisham, Dana L.; Scales, Roya; Smetana, Linda; Wolsey, Thomas Devere; Yoder, Karen K.; Young, Janet

    2013-01-01

    The purpose of this article is to describe the first part of a three-phase study to learn what makes an effective elementary literacy initial licensure program. The first step was to identify how nine programs prioritized research-based literacy practices and to identify each program's unique features, which we called "signature aspects." Findings…

  13. Initiating the 2002 Mars Science Laboratory (MSL) Focused Technology Program

    Science.gov (United States)

    Caffrey, Robert T.; Udomkesmalee, Gabriel; Hayati, Samad A.

    2004-01-01

    The Mars Science Laboratory (MSL) Project is an aggressive mission launching in 2009 to deliver a new generation of rover safely to the surface of Mars and conduct comprehensive in situ investigations using a new generation of instruments. This system will be designed to land with precision and be capable of operating over a large percentage on the surface of Mars. It will have capabilities that will support NASA's scientific goals into the next decade of exphation. The MSL Technology program is developing a wide-range of technologies needed for this Mission and potentially other space missions. The MSL Technology Program reports to both the MSL Project and the Mars Technology Program (MTP). The dual reporting process creates a challenging management situation, but ensures the new technology meets both the specific MSL requirements and the broader Mars Program requirements. MTP is a NASA-wide technology development program managed by the Jet Propulsion Laboratory (JPL) and is divided into a Focused Program and a Base Program. The Focused Technology Program addresses technologies that are specific and critical to near-term missions, while the Base Technology Program addresses those technologies that are applicable to multiple missions and which can be characterized as longer term, higher risk, and high payoff technologies. The MSL Technology Program is under the Focused Program and is tightly coupled to MSL's mission milestones and deliverables. The technology budget is separate from the flight Project budget, but the technology s requirements and the development process are tightly coordinated with the Project. The Technology Program combines proven management techniques of flight projects with commercial and academic technology management strategies, to create a technology management program that meets the near-term requirements of MSL and the long-term requirements of MTP. This paper examines the initiation of 2002 MSL Technology program. Some of the areas

  14. The 3D Elevation Program initiative: a call for action

    Science.gov (United States)

    Sugarbaker, Larry J.; Constance, Eric W.; Heidemann, Hans Karl; Jason, Allyson L.; Lukas, Vicki; Saghy, David L.; Stoker, Jason M.

    2014-01-01

    The 3D Elevation Program (3DEP) initiative is accelerating the rate of three-dimensional (3D) elevation data collection in response to a call for action to address a wide range of urgent needs nationwide. It began in 2012 with the recommendation to collect (1) high-quality light detection and ranging (lidar) data for the conterminous United States (CONUS), Hawaii, and the U.S. territories and (2) interferometric synthetic aperture radar (ifsar) data for Alaska. Specifications were created for collecting 3D elevation data, and the data management and delivery systems are being modernized. The National Elevation Dataset (NED) will be completely refreshed with new elevation data products and services. The call for action requires broad support from a large partnership community committed to the achievement of national 3D elevation data coverage. The initiative is being led by the U.S. Geological Survey (USGS) and includes many partners—Federal agencies and State, Tribal, and local governments—who will work together to build on existing programs to complete the national collection of 3D elevation data in 8 years. Private sector firms, under contract to the Government, will continue to collect the data and provide essential technology solutions for the Government to manage and deliver these data and services. The 3DEP governance structure includes (1) an executive forum established in May 2013 to have oversight functions and (2) a multiagency coordinating committee based upon the committee structure already in place under the National Digital Elevation Program (NDEP). The 3DEP initiative is based on the results of the National Enhanced Elevation Assessment (NEEA) that was funded by NDEP agencies and completed in 2011. The study, led by the USGS, identified more than 600 requirements for enhanced (3D) elevation data to address mission-critical information requirements of 34 Federal agencies, all 50 States, and a sample of private sector companies and Tribal and local

  15. Internal NASA Study: NASAs Protoflight Research Initiative

    Science.gov (United States)

    Coan, Mary R.; Hirshorn, Steven R.; Moreland, Robert

    2015-01-01

    The NASA Protoflight Research Initiative is an internal NASA study conducted within the Office of the Chief Engineer to better understand the use of Protoflight within NASA. Extensive literature reviews and interviews with key NASA members with experience in both robotic and human spaceflight missions has resulted in three main conclusions and two observations. The first conclusion is that NASA's Protoflight method is not considered to be "prescriptive." The current policies and guidance allows each Program/Project to tailor the Protoflight approach to better meet their needs, goals and objectives. Second, Risk Management plays a key role in implementation of the Protoflight approach. Any deviations from full qualification will be based on the level of acceptable risk with guidance found in NPR 8705.4. Finally, over the past decade (2004 - 2014) only 6% of NASA's Protoflight missions and 6% of NASA's Full qualification missions experienced a publicly disclosed mission failure. In other words, the data indicates that the Protoflight approach, in and of it itself, does not increase the mission risk of in-flight failure. The first observation is that it would be beneficial to document the decision making process on the implementation and use of Protoflight. The second observation is that If a Project/Program chooses to use the Protoflight approach with relevant heritage, it is extremely important that the Program/Project Manager ensures that the current project's requirements falls within the heritage design, component, instrument and/or subsystem's requirements for both the planned and operational use, and that the documentation of the relevant heritage is comprehensive, sufficient and the decision well documented. To further benefit/inform this study, a recommendation to perform a deep dive into 30 missions with accessible data on their testing/verification methodology and decision process to research the differences between Protoflight and Full Qualification

  16. The Arthur Interactive Media Study: Initial Findings From a Cross-Age Peer Mentoring and Digital Media-Based Character Development Program

    Directory of Open Access Journals (Sweden)

    Edmond P. Bowers

    2016-05-01

    Full Text Available In the midst of increasing emphasis on the inclusion of character education in both school and out-of-school time programs, digital technologies have become ubiquitous in these settings. Based on the potential of these technologies to enhance children’s character development, the Arthur Interactive Media (AIM study investigated if one specific unit or set of digital media-based activities engaged youth in discussions about character. First and second grade students were paired with 4th and 5th grade students, respectively, while engaging with an online interactive graphic novel (IGN about a character-relevant story based on the Arthur cartoon series. Teachers (n = 8 completed surveys about the AIM Unit, and conversations between cross-age peer dyads (n = 27 dyads during their engagement with the IGN were analyzed. Results indicated that teachers were very satisfied with the materials and reported that children were very engaged throughout. Analyses of children’s conversations indicated that children participated in character-relevant conversations involving humility, forgiveness, and future-mindedness while engaging with the IGN.

  17. Joint Program Study. Volume 1

    Science.gov (United States)

    1984-07-27

    about non-major programs was that very little changed in the initial program office organization despite significant changes in program requirements... office organization and staffing • Key participating Service personnel responsibilities. 4.3.3 Funding Practices and Agreements Funding agreements...including management philoso- phies and structures, acquisition strategies, program office organization , the POM process, and contracting procedures. 6.2

  18. Sun Grant Initiative Regional Biomass Feedstock Partnership Competitive Grants Program

    Energy Technology Data Exchange (ETDEWEB)

    Owens, Vance [South Dakota State Univ., Brookings, SD (United States). North Central Regional Sun Grant Center

    2016-12-30

    The Sun Grant Initiative partnered with the US Department of Energy (DOE) in 2008 to create the Regional Biomass Feedstock Partnership Competitive Grants Program. The overall goal of this project was to utilize congressionally directed funds to leverage the North Central Regional Sun Grant’s Competitive Grant program at South Dakota State University (SDSU) to address key issues and research gaps related to development of the bioeconomy. Specific objectives of this program were to: 1. Identify research projects through a Regional Competitive Grants program that were relevant to the sustainable production, harvest, transport, delivery, and processing/conversion of cost-competitive, domestically grown biomass. 2. Build local expertise and capacity at the North Central Regional Sun Grant Center at SDSU through an internal selection of key bioenergy research projects. To achieve these, three nationwide Request for Applications (RFA) were developed: one each in 2008, 2009, and 2010. Internal, capacity building projects at SDSU were also selected during each one of these RFAs. In 2013 and 2015, two additional Proof of Concept RFAs were developed for internal SDSU projects. Priority areas for each RFA were 1) Biomass feedstock logistics including biomass harvesting, handling, transportation, storage, and densification; 2) Sustainable biomass feedstock production systems including biomass crop development, production, and life-cycle analysis; 3) Biomass production systems that optimize biomass feedstock yield and economic return across a diverse landscape while minimizing negative effects on the environment and food/feed production; and 4) Promotion of knowledge-based economic development in science and technology and to advance commercialization of inventions that meet the mission of the Sun Grant Initiative. A total of 33 projects were selected for funding through this program. Final reports for each of these diverse projects are included in this summary report

  19. The School Meals Initiative Implementation Study. First Year Report.

    Science.gov (United States)

    Abraham, Sameer; Chattopadhyay, Manas; Sullivan, Colleen; Mallory, Larry; Steiger, Darby Miller; Daft, Lynn; Arcos, Alyssa; Wilbraham, Brooke

    This report, authorized by the Food and Nutrition Service of the U.S. Department of Agriculture, contains information on the School Meals Initiative for Healthy Children (SMI), a reform of school-meals programs aimed at upgrading the nutritional content of school meals. The purpose of the study was to describe and evaluate: (1) overall…

  20. Special initiatives FY 1995 Multi-Year Program Plan (MYPP)/Fiscal Year Work Plan (FYWP) WBS 5.0

    Energy Technology Data Exchange (ETDEWEB)

    Jekel, R.A.

    1994-09-01

    The Special Initiatives mission supports programmatic requests for service to DOE offices, other organizations and agencies. These requests can include the following: Supporting priority DOE initiatives; Researching special programs; Studying locating new activities at the Hanford Site; Producing specialty materials; Providing consulting support to other sites; Managing a broad spectrum of US and international test programs.

  1. 14 CFR 121.405 - Training program and revision: Initial and final approval.

    Science.gov (United States)

    2010-01-01

    ... 14 Aeronautics and Space 3 2010-01-01 2010-01-01 false Training program and revision: Initial and... AND OPERATIONS OPERATING REQUIREMENTS: DOMESTIC, FLAG, AND SUPPLEMENTAL OPERATIONS Training Program § 121.405 Training program and revision: Initial and final approval. (a) To obtain initial and final...

  2. 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...

  3. Elementary School-Located Influenza Vaccine Programs: Key Stakeholder Experiences from Initiation to Continuation

    Science.gov (United States)

    Williams, Valerie; Rousculp, Matthew D.; Price, Mark; Coles, Theresa; Therrien, Michelle; Griffin, Jane; Hollis, Kelly; Toback, Seth

    2012-01-01

    This study examined the initiation and logistics, funding, perceived barriers and benefits, and disruption of school activities by school-located influenza vaccination (SLIV) programs conducted during the 2008-2009 influenza season. Seventy-two interviews using a structured protocol were conducted with 26 teachers, 16 school administrators, and 30…

  4. A quality improvement initiative project to evaluate a newborn hearing screening program in a Baby-Friendly Hospital Initiative setting

    Directory of Open Access Journals (Sweden)

    Stacey R. Lim

    2015-02-01

    Full Text Available Hearing loss present from birth can have a detrimental impact on later language and educational outcomes. Newborn hearing screening has allowed early identification and intervention of hearing loss, giving children the opportunity to develop age-appropriate language skills. The aim of this quality initiative study was to evaluate the quality of the newborn hearing screening program in the context of a newly implemented Baby-Friendly Hospital Initiative Program at Summa Health System Akron City Hospital. The goals were (1 to determine whether screening environment (mother’s room vs. nursery affected screening results, (2 to identify challenges and positive outcomes encountered by the audiologists, and (3 to ensure that Pass/Refer rates met state standards. A Quest Technologies sound level meter (Model 1800; St. Paul, MN, USA was used to measure noise levels in the nursery rooms where newborns were tested. The length of screening time was determined using a calibrated SP® Traceable® (ISO 17025 stopwatch (McGraw Park, IL, USA. Pass/Refer rates and observed challenges and benefits were noted. All well-baby infants born in the month of February 2013 (n = 101 were included, and Pass/Refer results were compared to those in years 2008-2012.Noise levels in the mother’s room did not appear to negatively affect the Pass/Refer rates. Some challenges were present, including interruptions and louder environmental noise. This protocol was considered appropriate for assessing a hearing screening program in a Baby-Friendly Hospital Initiative (BFHI setting.Benefits of performing hearing screening in the mother’s room included test transparency for parents and the ability to immediately discuss the results. Results obtained in the mother’s room were comparable to past results obtained in the nursery. Noise levels in the screening rooms and challenges should be noted, to ensure accuracy of screening results.

  5. An initial evaluation of a mindful parenting program.

    Science.gov (United States)

    Maloney, Raelynn; Altmaier, Elizabeth

    2007-12-01

    A growing number of children are experiencing marital transition. The effects of divorce on children have typically been considered deleterious, although factors can buffer the difficulty of postdivorce adjustment. One of these factors is a positive relationship with a parental figure. Unfortunately, divorce often overwhelms parents with a series of changes that compromise their parenting skills. One new approach to improving parenting after divorce is mindful parenting, which aims to enhance interpersonal and emotional connection in the parent-child relationship. This program is intended to facilitate parents' self-awareness, their mindfulness, and their intentionality in responding to their child's needs. The present study reports on the implementation of the Mindful Parenting Program, delivered in two groups to 12 recently divorced parents with preschool-aged children. Program effectiveness was conducted on two levels. First, mindfulness measured by the Toronto Mindfulness Scale revealed significant increases over the intervention and posttest period. Second, in-home behavioral observations conducted pre- and postintervention revealed no changes in parent-child relationships. These findings are discussed within the larger context of facilitating effective parenting postdivorce.

  6. Does education level affect the efficacy of a community based salt reduction program? - A post-hoc analysis of the China Rural Health Initiative Sodium Reduction Study (CRHI-SRS).

    Science.gov (United States)

    Wang, Xin; Li, Xian; Vaartjes, Ilonca; Neal, Bruce; Bots, Michiel L; Hoes, Arno W; Wu, Yangfeng

    2016-08-11

    Whether educational level influences the effects of health education is not clearly defined. This study examined whether the impact of a community-based dietary salt reduction program was affected by the level of education of participants. The China Rural Health Initiative Sodium Reduction Study (CRHI-SRS) was a cluster-randomized controlled trial conducted in 120 villages from five Northern Chinese provinces. The intervention comprised a village-wide health education program and availability of salt substitute at village shops. 24-h urine samples were collected among 1903 participants for primary evaluation of the intervention effect. A post-hoc analysis was done to explore for heterogeneity of intervention effects by education level using generalized estimating equations. All models were adjusted for age, sex, body mass index and province. Daily salt intake was lower in intervention than in control at all educational levels with no evidence of a difference in the effect of the intervention across different levels of education. P value for the interaction term between education level and the intervention was 0.35. There was likewise no evidence of an interaction for effects of the intervention on potassium intake (p = 0.71), the sodium to potassium ratio (p = 0.07), or knowledge and behaviors related to salt (all p > 0.05). The study suggests that the effects of the intervention were achieved regardless of the level of education and that the intervention should therefore be broadly effective in rural Chinese populations. The trial was registered with clinicaltrial.gov ( NCT01259700 ).

  7. Initial DEMO tokamak design configuration studies

    Energy Technology Data Exchange (ETDEWEB)

    Bachmann, Christian, E-mail: christian.bachmann@efda.org [EFDA, Boltzmannstraße 2, 85748 Garching (Germany); Aiello, G. [CEA-Saclay, DEN, DM2S, SEMT, F-91191 Gif-Sur-Yvette (France); Albanese, R.; Ambrosino, R. [ENEA/CREATE, Universita di Napoli Federico II, Naples (Italy); Arbeiter, F. [Karlsruhe Institute of Technology (KIT), Karlsruhe (Germany); Aubert, J. [CEA-Saclay, DEN, DM2S, SEMT, F-91191 Gif-Sur-Yvette (France); Boccaccini, L.; Carloni, D. [Karlsruhe Institute of Technology (KIT), Karlsruhe (Germany); Federici, G. [EFDA, Boltzmannstraße 2, 85748 Garching (Germany); Fischer, U. [Karlsruhe Institute of Technology (KIT), Karlsruhe (Germany); Kovari, M. [CCFE, Culham Science Centre, Abingdon, Oxon OX14 3DB (United Kingdom); Li Puma, A. [CEA-Saclay, DEN, DM2S, SEMT, F-91191 Gif-Sur-Yvette (France); Loving, A. [CCFE, Culham Science Centre, Abingdon, Oxon OX14 3DB (United Kingdom); Maione, I. [Karlsruhe Institute of Technology (KIT), Karlsruhe (Germany); Mattei, M. [ENEA/CREATE, Universita di Napoli Federico II, Naples (Italy); Mazzone, G. [ENEA C.R. Frascati, via E. Fermi 45, 00044 Frascati, Roma (Italy); Meszaros, B. [EFDA, Boltzmannstraße 2, 85748 Garching (Germany); Palermo, I. [Centro de Investigaciones Energéticas, Medioambientales y Tecnológicas (CIEMAT), Madrid (Spain); Pereslavtsev, P. [Karlsruhe Institute of Technology (KIT), Karlsruhe (Germany); Riccardo, V. [CCFE, Culham Science Centre, Abingdon, Oxon OX14 3DB (United Kingdom); and others

    2015-10-15

    Highlights: • A definition of main DEMO requirements. • A description of the DEMO tokamak design configuration. • A description of issues yet to be solved. - Abstract: To prepare the DEMO conceptual design phase a number of physics and engineering assessments were carried out in recent years in the frame of EFDA concluding in an initial design configuration of a DEMO tokamak. This paper gives an insight into the identified engineering requirements and constraints and describes their impact on the selection of the technologies and design principles of the main tokamak components. The EU DEMO program aims at making best use of the technologies developed for ITER (e.g., magnets, vessel, cryostat, and to some degree also the divertor). However, other systems in particular the breeding blanket require design solutions and advanced technologies that will only partially be tested in ITER. The main differences from ITER include the requirement to breed, to extract, to process and to recycle the tritium needed for plasma operation, the two orders of magnitude larger lifetime neutron fluence, the consequent radiation dose levels, which limit remote maintenance options, and the requirement to use low-activation steel for in-vessel components that also must operate at high temperature for efficient energy conversion.

  8. 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.

  9. "Initiate-build-operate-transfer"--a strategy for establishing sustainable telemedicine programs in developing countries: initial lessons from the balkans.

    Science.gov (United States)

    Latifi, Rifat; Merrell, Ronald C; Doarn, Charles R; Hadeed, George J; Bekteshi, Flamur; Lecaj, Ismet; Boucha, Kathe; Hajdari, Fatmir; Hoxha, Astrit; Koshi, Dashurije; de Leonni Stanonik, Mateja; Berisha, Blerim; Novoberdaliu, Kadri; Imeri, Arben; Weinstein, Ronald S

    2009-12-01

    Establishing sustainable telemedicine has become a goal of many developing countries around the world. Yet, despite initiatives from a select few individuals and on occasion from various governments, often these initiatives never mature to become sustainable programs. The introduction of telemedicine and e-learning in Kosova has been a pivotal step in advancing the quality and availability of medical services in a region whose infrastructure and resources have been decimated by wars, neglect, lack of funding, and poor management. The concept and establishment of the International Virtual e-Hospital (IVeH) has significantly impacted telemedicine and e-health services in the Balkans. The success of the IVeH in Kosova has led to the development of similar programs in other Balkan countries and other developing countries in the hope of modernizing and improving their healthcare infrastructure. A comprehensive, four-pronged strategy, "Initiate-Build-Operate-Transfer" (IBOT), may be a useful approach in establishing telemedicine and e-health educational services in developing countries. The development strategy, IBOT, used by the IVeH to establish and develop telemedicine programs, was discussed. IBOT includes assessment of healthcare needs of each country, the development of a curriculum and education program, the establishment of a nationwide telemedicine network, and the integration of the telemedicine program into the healthcare infrastructure. The endpoint is the transfer of a sustainable telehealth program to the nation involved. By applying IBOT, a sustainable telemedicine program of Kosova has been established as an effective prototype for telemedicine in the Balkans. Once fully matured, the program will be transitioned to the national Ministry of Health, which ensures the sustainability and ownership of the program. Similar programs are being established in Albania, Macedonia, and other countries around the world. The IBOT model has been effective in creating

  10. Initiating a Program in Social and Emotional Education.

    Science.gov (United States)

    Pasi, Raymond J.

    1997-01-01

    School programs in social and emotional education seek to increase student self-awareness, help students deal with their emotions and interpersonal relationships, and improve social decision-making abilities. A schoolwide social-education program at a Providence, Rhode Island, academy focuses on overall school climate, specially designed events…

  11. The training program in basic gymnastics jumps at the stage of initial training

    Directory of Open Access Journals (Sweden)

    Oksana Zaplatynska

    2015-08-01

    Full Text Available Purpose: improving of the technical training of girls that are engaged in rhythmic gymnastics at the stage of initial training. Materials and Methods: for the development of a training program for jumping in athletes who are engaged in rhythmic gymnastics at the stage of initial training conducted analysis of scientific literature. Results: it was determined that the absorption of the rhythmic structure of elements greatly accelerates and facilitates the process of studying in a cyclic (athletics and acyclic sports (judo, wrestling. This is a prerequisite for the development of the training program of the jumps through assimilation rates their performance. These various methods of influence on the development of sense of rhythmic gymnasts at the stage of initial preparation and learning the rhythmic structure of the basic jumps. Conclusions: the program of teaching basic jumping for gymnasts at the stage of initial training, a variety of methods of influence on the development of sense of rhythm and learning the rhythmic structure of the elements was developed. The project of the training session for the development of a sense of rhythm and learning the rhythmic structure of the basic jumps was developed.

  12. Program management model study

    Science.gov (United States)

    Connelly, J. J.; Russell, J. E.; Seline, J. R.; Sumner, N. R., Jr.

    1972-01-01

    Two models, a system performance model and a program assessment model, have been developed to assist NASA management in the evaluation of development alternatives for the Earth Observations Program. Two computer models were developed and demonstrated on the Goddard Space Flight Center Computer Facility. Procedures have been outlined to guide the user of the models through specific evaluation processes, and the preparation of inputs describing earth observation needs and earth observation technology. These models are intended to assist NASA in increasing the effectiveness of the overall Earth Observation Program by providing a broader view of system and program development alternatives.

  13. Initial Analyses of Change Detection Capabilities and Data Redundancies in the Long Term Resource Monitoring Program

    National Research Council Canada - National Science Library

    Lubinski, Kenneth

    2001-01-01

    Evaluations of Long Term Resource Monitoring Program sampling designs for water quality, fish, aquatic vegetation, and macroinvertebrates were initiated in 1999 by analyzing data collected since 1992...

  14. Groundwater-quality data in seven GAMA study units: results from initial sampling, 2004-2005, and resampling, 2007-2008, of wells: California GAMA Program Priority Basin Project

    Science.gov (United States)

    Kent, Robert; Belitz, Kenneth; Fram, Miranda S.

    2014-01-01

    The Priority Basin Project (PBP) of the Groundwater Ambient Monitoring and Assessment (GAMA) Program was developed in response to the Groundwater Quality Monitoring Act of 2001 and is being conducted by the U.S. Geological Survey (USGS) in cooperation with the California State Water Resources Control Board (SWRCB). The GAMA-PBP began sampling, primarily public supply wells in May 2004. By the end of February 2006, seven (of what would eventually be 35) study units had been sampled over a wide area of the State. Selected wells in these first seven study units were resampled for water quality from August 2007 to November 2008 as part of an assessment of temporal trends in water quality by the GAMA-PBP. The initial sampling was designed to provide a spatially unbiased assessment of the quality of raw groundwater used for public water supplies within the seven study units. In the 7 study units, 462 wells were selected by using a spatially distributed, randomized grid-based method to provide statistical representation of the study area. Wells selected this way are referred to as grid wells or status wells. Approximately 3 years after the initial sampling, 55 of these previously sampled status wells (approximately 10 percent in each study unit) were randomly selected for resampling. The seven resampled study units, the total number of status wells sampled for each study unit, and the number of these wells resampled for trends are as follows, in chronological order of sampling: San Diego Drainages (53 status wells, 7 trend wells), North San Francisco Bay (84, 10), Northern San Joaquin Basin (51, 5), Southern Sacramento Valley (67, 7), San Fernando–San Gabriel (35, 6), Monterey Bay and Salinas Valley Basins (91, 11), and Southeast San Joaquin Valley (83, 9). The groundwater samples were analyzed for a large number of synthetic organic constituents (volatile organic compounds [VOCs], pesticides, and pesticide degradates), constituents of special interest (perchlorate, N

  15. US Air Force 1989 Research Initiation Program. Volume 4.

    Science.gov (United States)

    1992-06-25

    mice have been exposed to 10 min sham radiation or 10, 15 and 20 mW/cm! 2450-MHz RFR and sacrificed by cervical dislocation both immediately and 15...than 1 hr as evidenced by reabsorption of sodium and water (ae Lockwood and Bosmann, 1979). Lysosomal degradative enzymes were assayed as previously...Initial sodium reabsorption was 30% less than controls; initial urine flow was correspondingly 30% greater than controls (not shown). A. Mean

  16. The Precision Medicine Initiative's All of Us Research Program: an agenda for research on its ethical, legal, and social issues.

    Science.gov (United States)

    Sankar, Pamela L; Parker, Lisa S

    2017-07-01

    The Precision Medicine Initiative (PMI) is an innovative approach to developing a new model of health care that takes into account individual differences in people's genes, environments, and lifestyles. A cornerstone of the initiative is the PMI All of Us Research Program (formerly known as PMI-Cohort Program) which will create a cohort of 1 million volunteers who will contribute their health data and biospecimens to a centralized national database to support precision medicine research. The PMI All of US Research Program is the largest longitudinal study in the history of the United States. The designers of the Program anticipated and addressed some of the ethical, legal, and social issues (ELSI) associated with the initiative. To date, however, there is no plan to call for research regarding ELSI associated with the Program-PMI All of Us program. Based on analysis of National Institutes of Health (NIH) funding announcements for the PMI All of Us program, we have identified three ELSI themes: cohort diversity and health disparities, participant engagement, and privacy and security. We review All of Us Research Program plans to address these issues and then identify additional ELSI within each domain that warrant ongoing investigation as the All of Us Research Program develops. We conclude that PMI's All of Us Research Program represents a significant opportunity and obligation to identify, analyze, and respond to ELSI, and we call on the PMI to initiate a research program capable of taking on these challenges.Genet Med advance online publication 01 December 2016.

  17. 'Crisis' and 'everyday' initiators: A qualitative study of coercion and agency in the context of methadone maintenance treatment initiation.

    Science.gov (United States)

    Damon, Will; Small, Will; Anderson, Solanna; Maher, Lisa; Wood, Evan; Kerr, Thomas; McNeil, Ryan

    2017-03-01

    Patient attrition is common among people enrolled in methadone maintenance treatment (MMT) programs and most pronounced during the first year of treatment. However, the experiences of patients initiating MMT have been overlooked in the literature. This study explores experiences of MMT initiation among MMT patients, focusing on contextual influences on MMT initiation and perceptions of MMT and their subsequent influence on treatment retention. Semi-structured qualitative interviews were conducted with 39 MMT patients in Vancouver, Canada. Individuals reporting enrolment in MMT were recruited from within two ongoing cohort studies comprised of people who use drugs. Interview transcripts were analysed using an inductive and iterative approach. Two groups of MMT initiators were identified: (i) 'crisis initiators' prescribed methadone following critical transition events, such as incarceration or pregnancy; and (ii) 'everyday initiators' enrolled in MMT as part of routine healthcare utilisation. While most 'crisis initiators' and some 'everyday initiators' described experiencing coercion during MMT initiation, 'crisis initiators' were further subjected to the coercive leveraging of their vulnerability to motivate 'consent' for MMT. 'Crisis initiators' developed negative views towards MMT and were more likely to discontinue treatment. Long-standing patient-provider relationships and open dialogue were associated with more positive views regarding MMT, regardless of the circumstances of initiation. Findings underscore the need for clear and effective communication regarding treatment regimens and expectations during MMT initiation. Furthermore, training in trauma-informed care may help reduce perceptions of coercion and rates of early treatment termination. [Damon W, Small W, Anderson S, Maher L, Wood E, Kerr T, McNeil R. Crisis' and 'everyday' initiators: A qualitative study of coercion and agency in the context of methadone maintenance treatment initiation. Drug

  18. 76 FR 6688 - Land Border Carrier Initiative Program

    Science.gov (United States)

    2011-02-08

    ... 142 Administrative Practice and Procedure, Canada, Computer technology (Line release), Common carriers... industry partnership program under which participating land and rail commercial carriers would agree to... smuggled into the United States. Because CBP has developed a more comprehensive voluntary industry...

  19. An interdisciplinary study in initial teacher training

    Directory of Open Access Journals (Sweden)

    Virginia Larraz Rada

    2014-07-01

    Full Text Available This experiment of innovative university education shows the interdisciplinary work carried out in the studies of the Bachelor of Science in Education at the University of Andorra. The study was developed within two subjects: Communication Technology (TAC and Cultural Heritage Education in Andorra. The main objective of this experiment is to foster the use of technological resources and digital materials, with the aim of drawing cultural heritage closer to the classroom. Based on a previous study of documentation and an analysis of online educational materials, the students have to design an e-book, which is understood to be digital material in the curricular field of cultural heritage. This digital material is a didactic proposal that focuses on the construction of knowledge by primary school students. During the elaboration of the materials the instructors introduce follow-up activities. The results of the experiment show that, from an interdisciplinary approach, and a problem-solving, learning-centered methodology, specific and transferable abilities in initial teacher training can be studied and evaluated.

  20. 76 FR 61103 - Medicare Program; Comprehensive Primary Care Initiative

    Science.gov (United States)

    2011-10-03

    ...). Each payer applying for this initiative will propose a strategy that is aligned with the Innovation... template provided on the Innovation Center Web site at http://www.innovation.cms.gov /. Application... through payment reform. The Center for Medicare & Medicaid Innovation (Innovation Center) is seeking to...

  1. The Adult Roles Models Program: Feasibility, Acceptability, and Initial Outcomes.

    Science.gov (United States)

    Colarossi, Lisa; Silver, Ellen Johnson; Dean, Randa; Perez, Amanda; Rivera, Angelic

    2014-04-01

    We present the feasibility and acceptability of a parent sexuality education program led by peer educators in community settings. We also report the results of an outcome evaluation with 71 parents who were randomized to the intervention or a control group, and surveyed one month prior to and six months after the 4-week intervention. The program was highly feasible and acceptable to participants, and the curriculum was implemented with a high level of fidelity and facilitator quality. Pilot data show promising outcomes for increasing parental knowledge, communication, and monitoring of their adolescent children.

  2. Study on Java Programming Education

    OpenAIRE

    太田, 信宏

    2009-01-01

    The purpose of this study is to consider the content and key points for inclusion in a Java programming course for beginners. The Java programming language has a variety of functions and has the largest application field of all such languages, containing many themes that are appropriate for any such programming course. The multifunctional and wide-ranging functions of Java, however, may actually act as a barrier to study for beginners. The core content of a programming class for beginners sho...

  3. 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...

  4. 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...

  5. A CAI Study Skills Program.

    Science.gov (United States)

    Gadzella, Bernadette M.

    This paper describes a computer assisted instruction (CAI) study skills program and reports the results of a study conducted to determine its effectiveness. The program consists of ten CAI study skills modules, a CAI study skills notebook, and a CAI study skills test. The modules address (1) managing time, (2) improving memory, (3) taking lecture…

  6. Experimental study of visual training effects in shooting initiation.

    Science.gov (United States)

    Quevedo, Lluïsa; Solé, Joan; Palmi, Joan; Planas, Antoni; Soana, Carlos

    1999-01-01

    INTRODUCTION: The present study was conducted to investigate the influence of specific visual training in shooting initiation performance. METHODS: Seventy-one first-year university students were divided randomly into two groups. The experimental group followed a nine-session shooting training program that included technical, physical and psychological components, along with specific visual exercises. The control group followed the same program with one difference: this group received theoretical lectures on psychological training techniques instead of doing visual exercises. Pre- and post-test results were obtained for shooting, concentration, saccades and visual acuity. RESULTS: Statistical analysis indicated significant gains in the four mentioned variables for the experimental group. The control group also showed significant differences in the three first variables but no significant improvement in visual acuity. No significant differences in shooting performance were observed between groups. CONCLUSIONS: The effect of vision training on sports initiation performance is still not clear. It cannot be assumed that the improvement is transferable to the performance of precision shooting at the stage of sports initiation.

  7. Air Force Research Initiation Program. 1986 Technical Report. Volume 3

    Science.gov (United States)

    1988-04-01

    which the student can achieve some initial success. 3. Utilize the Primacy and Recency Effects Primacy and recency refer to the importance of the first...I00 24 Effects of Exercise and Dobutamine Ms. Beverly Girten on Suspension Hypokinesia/ Hypodunamia Deconditioning in Rats 760-6MG-139 25 An...Arcraft with a Rapidly R6tating Airfoil 760-6MG-071 77 Mission- Effectiveness Afialysis of Dr. Boghos Sivazlian an Aircraft Attacking Pa’ssive fargets

  8. Accelerated Strategic Computing Initiative (ASCI) Program Plan [FY2000

    Energy Technology Data Exchange (ETDEWEB)

    None

    2000-01-01

    In August 1995, the United States took a significant step to reduce the nuclear danger. The decision to pursue a zero- yield Comprehensive Test Ban Treaty will allow greater control over the proliferation of nuclear weapons and will halt the growth of new nuclear systems. This step is only possible because of the Stockpile Stewardship Program, which provides an alternative means of ensuring the safety, performance, and reliability of the United States' enduring stockpile. At the heart of the Stockpile Stewardship Program is ASCI, which will create the high-confidence simulation capabilities needed to integrate fundamental science, experiments, and archival data into the stewardship of the actual weapons in the stockpile. ASCI will also serve to drive the development of simulation as a national resource by working closely with the computer industry and with universities.

  9. Status of Efforts to Initiate an Amphibious Combat Vehicle Program

    Science.gov (United States)

    2014-04-10

    perceived need for new and better capabilities, the Marine Corps began development of the Expeditionary Fighting Vehicle ( EFV ) in 2000. We reported on...the EFV program in 2006 and 2010.4 3GAO, Defense Acquisitions: Many Analyses of Alternatives Have Not...Provided a Robust Assessment of Weapon System Options, GAO-09-665 (Washington, D.C.: Sept. 24, 2009). According to plans, the EFV would travel at

  10. Lean and leadership practices: development of an initial realist program theory.

    Science.gov (United States)

    Goodridge, Donna; Westhorp, Gill; Rotter, Thomas; Dobson, Roy; Bath, Brenna

    2015-09-07

    uses data effectively to identify actual and relevant local problems and the root causes of those problems; and g) creates or supports a 'learning organization' culture. This study has generated initial hypotheses and realist program theory that can form the basis for future evaluation of Lean initiatives. Developing leadership capacity and culture is theorized to be a necessary precursor to other systemic and observable changes arising from Lean initiatives.

  11. International Research and Studies Program

    Science.gov (United States)

    Office of Postsecondary Education, US Department of Education, 2012

    2012-01-01

    The International Research and Studies Program supports surveys, studies, and instructional materials development to improve and strengthen instruction in modern foreign languages, area studies, and other international fields. The purpose of the program is to improve and strengthen instruction in modern foreign languages, area studies and other…

  12. 76 FR 23583 - Application of the Energy Planning and Management Program Power Marketing Initiative to the...

    Science.gov (United States)

    2011-04-27

    ... Area Power Administration Application of the Energy Planning and Management Program Power Marketing... (Western), a Federal power marketing agency of the Department of Energy (DOE), will apply the Energy Planning and Management Program (Program) Power Marketing Initiative (PMI), as modified in this notice, to...

  13. MECHANISMS JUSTIFICATION INITIATION PROGRAM OF INNOVATIVE DEVELOPMENT OF THE ENTERPRISE AND THEIR DOCUMENTARY SUPPORT

    Directory of Open Access Journals (Sweden)

    Євгенія Сергіївна ШВЕЦЬ

    2017-03-01

    Full Text Available The aspects of using the innovation potential in the management of initiation processes of innovative development programs of metallurgical companies are analyzed. There are presented possible options of the interconnection of the enterprise innovation potential with the emergence of negative risks. In addition, the structure of basic project documents is seen into. As a result, the algorithm of documental substantiation and support of innovative development program are proposed. It allows identifying specific goals and results for each stage of document flow. To justify the initiation of the program, the authors propose a processes control mechanism of initiation of the program through the use of an innovative component. The mechanism is based on an assessment of existing indicators of components of industrial (equipment, production facilities, raw materials, energy resources and of the innovative (human potential, intellectual property nature and their possible impact on the decision to initiate the program.

  14. Beacon communities' public health initiatives: a case study analysis.

    Science.gov (United States)

    Massoudi, Barbara L; Marcial, Laura H; Haque, Saira; Bailey, Robert; Chester, Kelley; Cunningham, Shellery; Riley, Amanda; Soper, Paula

    2014-01-01

    The Beacon Communities for Public Health (BCPH) project was launched in 2011 to gain a better understanding of the range of activities currently being conducted in population- and public health by the Beacon Communities. The project highlighted the successes and challenges of these efforts with the aim of sharing this information broadly among the public health community. The Beacon Community Program, designed to showcase technology-enabled, community-based initiatives to improve outcomes, focused on: building and strengthening health information technology (IT) infrastructure and exchange capabilities; translating investments in health IT to measureable improvements in cost, quality, and population health; and, developing innovative approaches to performance measurement, technology, and care delivery. Four multimethod case studies were conducted based on a modified sociotechnical framework to learn more about public health initiative implementation and use in the Beacon Communities. Our methodological approach included using document review and semistructured key informant interviews. NACCHO Model Practice Program criteria were used to select the public health initiatives included in the case studies. Despite differences among the case studies, common barriers and facilitators were found to be present in all areas of the sociotechnical framework application including structure, people, technology, tasks, overarching considerations, and sustainability. Overall, there were many more facilitators (range = 7-14) present for each Beacon compared to barriers (range = 4-6). Four influential promising practices were identified through the work: forging strong and sustainable partnerships; ensuring a good task-technology fit and a flexible and iterative design; fostering technology acceptance; and, providing education and demonstrating value. A common weakness was the lack of a framework or model for the Beacon Communities evaluation work. Sharing a framework or approach

  15. Enabling the space exploration initiative: NASA's exploration technology program in space power

    Science.gov (United States)

    Bennett, Gary L.; Cull, Ronald C.

    1991-01-01

    Space power requirements for Space Exploration Initiative (SEI) are reviewed, including the results of a NASA 90-day study and reports by the National Research Council, the American Institute of Aeronautics and Astronautics (AIAA), NASA, the Advisory Committee on the Future of the U.S. Space Program, and the Synthesis Group. The space power requirements for the SEI robotic missions, lunar spacecraft, Mars spacecraft, and human missions are summarized. Planning for exploration technology is addressed, including photovoltaic, chemical and thermal energy conversion; high-capacity power; power and thermal management for the surface, Earth-orbiting platform and spacecraft; laser power beaming; and mobile surface systems.

  16. Air Force Research Initiation Program 1986 Technical Report Volume 1

    Science.gov (United States)

    1988-04-01

    Stellar Stintillometer- fased Dr. Frank Battles Studies of .Optical Turbulence; 760-6MG-058 4 Requested A No-Cost Time Extention. ) Dr. Albert Biggs To Be...critical opalescence, KArm’n vortices, Bnard cells in clouds, and lunar feature enharcements. In addition the linearity of video cameras was testea...further study: KArman vortices, 8(nard cells in clouos. lunar ohotograpny, time-exposure for low-light levels w;thout image intensification. and

  17. Rogowski coils for studies of detonator initiation

    Science.gov (United States)

    Tasker, Douglas

    2017-06-01

    The Rogowski coil dates back to 1887 and it has commonly been employed to measure rapid changes of electrical currents without direct contact with the circuits, especially in high energy density applications. Recently, it has been used to measure currents in relatively low energy devices such as semiconductor circuits; here we report its utility in the analysis of detonator initiation. From an electrical perspective, the coil is essentially an air-cored transformer and measures the temporal rate of change of current dI/dt. Following a careful characterization of the circuit, an accurate measurement of this derivative is shown to provide a complete solution of the detonator circuit, including current, voltage, power and energy delivered to the detonator. The dependence of the electrical sensitivity, accuracy and bandwidth on coil design will be discussed and a new printed circuit design will be presented. Interesting features in the initiation of exploding bridgewire detonators have been observed with this coil and the results of various experiments will be discussed.

  18. 75 FR 73027 - Cooperative Conservation Partnership Initiative and Wetlands Reserve Enhancement Program

    Science.gov (United States)

    2010-11-29

    ...; ] DEPARTMENT OF AGRICULTURE Commodity Credit Corporation Cooperative Conservation Partnership Initiative and Wetlands Reserve Enhancement Program AGENCY: Commodity Credit Corporation and Natural Resources... producers to voluntarily implement conservation practices that avoid, control, and trap nutrient runoff...

  19. Global teaching and training initiatives for emerging cohort studies.

    Science.gov (United States)

    Paulus, Jessica K; Santoyo-Vistrain, Rocío; Havelick, David; Cohen, Amy; Kalyesubula, Robert; Ajayi, Ikeoluwapo O; Mattsson, Jens G; Adami, Hans-Olov; Dalal, Shona

    2012-09-01

    A striking disparity exists across the globe, with essentially no large-scale longitudinal studies ongoing in regions that will be significantly affected by the oncoming non-communicable disease epidemic. The successful implementation of cohort studies in most low-resource research environments presents unique challenges that may be aided by coordinated training programs. Leaders of emerging cohort studies attending the First World Cohort Integration Workshop were surveyed about training priorities, unmet needs and potential cross-cohort solutions to these barriers through an electronic pre-workshop questionnaire and focus groups. Cohort studies representing India, Mexico, Nigeria, South Africa, Sweden, Tanzania and Uganda described similar training needs, including on-the-job training, data analysis software instruction, and database and bio-bank management. A lack of funding and protected time for training activities were commonly identified constraints. Proposed solutions include a collaborative cross-cohort teaching platform with web-based content and interactive teaching methods for a range of research personnel. An international network for research mentorship and idea exchange, and modifying the graduate thesis structure were also identified as key initiatives. Cross-cohort integrated educational initiatives will efficiently meet shared needs, catalyze the development of emerging cohorts, speed closure of the global disparity in cohort research, and may fortify scientific capacity development in low-resource settings. Copyright © 2012 Ministry of Health, Saudi Arabia. Published by Elsevier Ltd. All rights reserved.

  20. Global teaching and training initiatives for emerging cohort studies

    Science.gov (United States)

    Paulus, Jessica K.; Santoyo-Vistrain, Rocío; Havelick, David; Cohen, Amy; Kalyesubula, Robert; Ajayi, Ikeoluwapo O.; Mattsson, Jens G.; Adami, Hans-Olov; Dalal, Shona

    2015-01-01

    A striking disparity exists across the globe, with essentially no large-scale longitudinal studies ongoing in regions that will be significantly affected by the oncoming non-communicable disease epidemic. The successful implementation of cohort studies in most low-resource research environments presents unique challenges that may be aided by coordinated training programs. Leaders of emerging cohort studies attending the First World Cohort Integration Workshop were surveyed about training priorities, unmet needs and potential cross-cohort solutions to these barriers through an electronic pre-workshop questionnaire and focus groups. Cohort studies representing India, Mexico, Nigeria, South Africa, Sweden, Tanzania and Uganda described similar training needs, including on-the-job training, data analysis software instruction, and database and bio-bank management. A lack of funding and protected time for training activities were commonly identified constraints. Proposed solutions include a collaborative cross-cohort teaching platform with web-based content and interactive teaching methods for a range of research personnel. An international network for research mentorship and idea exchange, and modifying the graduate thesis structure were also identified as key initiatives. Cross-cohort integrated educational initiatives will efficiently meet shared needs, catalyze the development of emerging cohorts, speed closure of the global disparity in cohort research, and may fortify scientific capacity development in low-resource settings. PMID:23856451

  1. 76 FR 66318 - Announcement of Funding Awards; Limited English Proficiency Initiative Program (LEPI), Fiscal...

    Science.gov (United States)

    2011-10-26

    ... URBAN DEVELOPMENT Announcement of Funding Awards; Limited English Proficiency Initiative Program (LEPI... funding under the Notice of Funding Availability (NOFA) for the Limited English Proficiency Initiative... INFORMATION: Executive Order 13166 signed in August 2000 requires all federal agencies to improve access to...

  2. UAVSAR Program: Initial Results from New Instrument Capabilities

    Science.gov (United States)

    Lou, Yunling; Hensley, Scott; Moghaddam, Mahta; Moller, Delwyn; Chapin, Elaine; Chau, Alexandra; Clark, Duane; Hawkins, Brian; Jones, Cathleen; Marks, Phillip; hide

    2013-01-01

    UAVSAR is an imaging radar instrument suite that serves as NASA's airborne facility instrument to acquire scientific data for Principal Investigators as well as a radar test-bed for new radar observation techniques and radar technology demonstration. Since commencing operational science observations in January 2009, the compact, reconfigurable, pod-based radar has been acquiring L-band fully polarimetric SAR (POLSAR) data with repeat-pass interferometric (RPI) observations underneath NASA Dryden's Gulfstream-III jet to provide measurements for science investigations in solid earth and cryospheric studies, vegetation mapping and land use classification, archaeological research, soil moisture mapping, geology and cold land processes. In the past year, we have made significant upgrades to add new instrument capabilities and new platform options to accommodate the increasing demand for UAVSAR to support scientific campaigns to measure subsurface soil moisture, acquire data in the polar regions, and for algorithm development, verification, and cross-calibration with other airborne/spaceborne instruments.

  3. Study on planar blast waves initiated by gaseous detonations. I. Estimation of initiation energy

    Energy Technology Data Exchange (ETDEWEB)

    Ohyagi, S.; Yoshihashi, T.; Harigaya, Y.

    1985-01-01

    An experimental study has been made of the initiation of planar blast waves by gaseous detonations. A gaseous detonation initiated by a DDT process is submitted into a long tube filled with air at various initial pressures. The measurement of the decay process of a produced shock wave indicates that it can be treated as a plane source blast wave, although there exists a secondary shock wave, which may be a detonation wave reflected on an end wall of a driver tube, behind the blast wave front. As a result, the decay of a propagation Mach number and a peak overpressure of the wave front as a function of a distance from the initiation source and the initial pressure of the medium are described by the quasi-similar theory of the idealized plane source blast wave. Comparing the experimental results with the theory leads to the estimation of an initiation energy of the blast wave. The initiation energies of oxyhydrogen detonations for three different mixture strengths, three different initial pressures, and two different sizes of the driver tube are estimated to show that about 30-40 percent of the chemical energy contained initially in the driver tube is used to initiate the blast wave. 9 references.

  4. "Doing Geography": Evaluating an Independent Geographic Inquiry Assessment Task in an Initial Teacher Education Program

    Science.gov (United States)

    Harte, Wendy; Reitano, Paul

    2016-01-01

    The assessment task of the final course in a bachelor of secondary education program is examined for opportunities for preservice geography teachers to achieve the course aims of integrating, consolidating, applying, and reflecting on the knowledge and skills they have learned during their initial teacher education program. The results show that…

  5. 78 FR 45231 - Medicare and Medicaid Programs; Initial Approval of Center for Improvement in Healthcare Quality...

    Science.gov (United States)

    2013-07-26

    ... HUMAN SERVICES Centers for Medicare & Medicaid Services Medicare and Medicaid Programs; Initial Approval of Center for Improvement in Healthcare Quality's (CIHQ's) Hospital Accreditation Program AGENCY... announces our decision to approve the Center for Improvement in Healthcare Quality (CIHQ) as a national...

  6. An Interdisciplinary Study in Initial Teacher Training

    Science.gov (United States)

    Larraz Rada, Virginia; Yáñez de Aldecoa, Cristina; Gisbert Cervera, Mercè; Espuny Vidal, Cinta

    2014-01-01

    This experiment of innovative university education shows the interdisciplinary work carried out in the studies of the Bachelor of Science in Education at the University of Andorra. The study was developed within two subjects: Communication Technology (TAC) and Cultural Heritage Education in Andorra. The main objective of this experiment is to…

  7. The California HIV/AIDS Research Program: History, Impact, and HIV Cure Initiative.

    Science.gov (United States)

    Loeb Stanga, Lisa; Mujeeb, Anwer; Packel, Laura; Martz, Tyler; Lemp, George

    2017-08-29

    This Special Issue of AIDS Research and Human Retroviruses features results from the HIV Cure Initiative, funded by the California HIV/AIDS Research Program (CHRP). As a publicly-funded grant maker, CHRP has served for more than three decades as a unique resource for innovative researchers in California whose work seeks to address all aspects of the HIV epidemic and the communities affected by it. Early initiatives at CHRP pioneered what would become enduring cornerstones of HIV science: isolation of the virus; efficacy and toxicities of the first HIV treatments; the emergence of drug resistance; the first biospecimen banks for HIV-related research; the first community-based laboratory service for HIV diagnostic serology; and the first population-based longitudinal cohort study of persons living with HIV - The Gay Men's Health Study. More recently, CHRP-funded conceptual studies of zinc finger nuclease-mediated disruption of CCR5 genomic sequences and the safety of solid organ transplantation for HIV-positive patients have progressed from brilliant ideas to clinical realities, and CHRP is currently funding the first multisite trial of HIV pre-exposure prophylaxis for transgender persons in the U.S. The present article outlines the founding of CHRP, our current grantmaking process, and our impact on HIV research over time. In 2013, CHRP launched a new initiative aimed at moving the then nascent area of HIV cure science forward: the CHRP HIV Cure Initiative provided over $1.4 million to multiple basic biomedical research projects, and their results are presented in this Special Issue.

  8. A Student-Led Global Health Education Initiative: Reflections on the Kenyan Village Medical Education Program.

    Science.gov (United States)

    John, Christopher; Asquith, Heidi; Wren, Tom; Mercuri, Stephanie; Brownlow, Sian

    2016-04-26

    The Kenyan Village Medical Education Program is a student-led global health initiative that seeks to improve health outcomes in rural Kenya through culturally appropriate health education. The month-long program, which is organised by the Melbourne University Health Initiative (Australia), is conducted each January in southern rural Kenya. Significance for public healthThe Kenyan Village Medical Education (KVME) Program is a student-led global health initiative that involves exploring well-established strategies for the prevention of disease through workshops that are conducted in southern rural Kenya. These workshops are tailored to the unique needs and circumstances of rural Kenyan communities, and are delivered to community leaders, as well as to adults and children within the wider community. Aside from the KVME Program's emphasis on reducing the burden of preventable disease through health education, the positive impact of the KVME Program on the Program's student volunteers also deserves consideration. Throughout the month-long KVME Program, student volunteers are presented with opportunities to develop their understanding of cultural competency, the social and economic determinants of health, as well as the unique challenges associated with working in resource-poor communities. Importantly, the KVME Program also represents an avenue through which global health leadership can be fostered amongst student volunteers.

  9. Initiation of a Transanal Total Mesorectal Excision Program at an Academic Training Program: Evaluating Patient Safety and Quality Outcomes.

    Science.gov (United States)

    Maykel, Justin A; Phatak, Uma R; Suwanabol, Pasithorn A; Schlussel, Andrew T; Davids, Jennifer S; Sturrock, Paul R; Alavi, Karim

    2017-12-01

    Short-term results have shown that transanal total mesorectal excision is safe and effective for patients with mid to low rectal cancers. Transanal total mesorectal excision is considered technically challenging; thus, adoption has been limited to a few academic centers in the United States. The aim of this study is to describe outcomes after the initiation of a transanal total mesorectal excision program in the setting of an academic colorectal training program. This is a single-center retrospective review of consecutive patients who underwent transanal total mesorectal excision from December 2014 to August 2016. This study was conducted at an academic center with a colorectal residency program. Patients with benign and malignant diseases were selected. All transanal total mesorectal excisions were performed with abdominal and perineal teams working simultaneously. The primary outcomes measured were pathologic quality, length of hospital stay, 30-day morbidity, and 30-day mortality. There were 40 patients (24 male). The median age was 55 years (interquartile range, 46.7-63.4) with a median BMI of 29 kg/m (interquartile range, 24.6-32.4). The primary indication was cancer (n = 30), and tumor height from the anal verge ranged from 0.5 to 15 cm. Eighty percent (n = 24) of the patients who had rectal cancer received preoperative chemoradiation. The most common procedures were low anterior resection (67.5%), total proctocolectomy (15%), and abdominoperineal resection (12.5%). Median operative time was 380 minutes (interquartile range, 306-454.4), with no change over time. For patients with malignancy, the mesorectum was complete or nearly complete in 100% of the specimens. A median of 14 lymph nodes (interquartile range, 12-17) were harvested, and 100% of the rectal cancer specimens achieved R0 status. Median length of stay was 4.5 days (interquartile range, 4-7), and there were 6 readmissions (15%). There were no deaths or intraoperative complications. This study

  10. Effects of a Multimedia Social Skills Program in Increasing Social Responses and Initiations of Children with Autism Spectrum Disorder

    Science.gov (United States)

    Block, Heidi M.; Radley, Keith C.; Jenson, William R.; Clark, Elaine; O'Neill, Robert E.

    2015-01-01

    The current study evaluated the effectiveness of Superheroes Social Skills, a multimedia social skills package, in improving social responsiveness and social initiation behaviors of four elementary school children with an autism spectrum disorder (ASD). The program was implemented in a public school setting in the southwestern United States for…

  11. Long-term effects of a home-based smoking prevention program on smoking initiation: A cluster randomized controlled trial

    NARCIS (Netherlands)

    Hiemstra, J.M.; Ringlever, L.; Otten, R.; Schayck, C.P. van; Jackson, C.; Engels, R.C.M.E.

    2014-01-01

    Objective. The aims of the study were to evaluate the long-term effects of a home-based smoking prevention program 'Smoke-free Kids' during preadolescence on smoking initiation during adolescence and to test the potential moderating role of parental smoking, socioeconomic status, and asthma. Method.

  12. Consistencies between New Teachers' Beliefs and Practices and Those Grounding Their Initial Teacher Education Program

    Science.gov (United States)

    Towers, Jo

    2013-01-01

    This paper discusses the experiences of beginning teachers as they navigated their first seven years in the profession. Drawing on data from a research study that charted these teachers' experiences during and after their initial teacher education program, I reveal that although the participants' teaching contexts varied considerably,…

  13. Ramakrishna Mission initiative impact study: final report

    Energy Technology Data Exchange (ETDEWEB)

    Chaurey, A.

    2000-07-06

    This report has been prepared by the Tata Energy Research Institute (TERI) for the National Renewable Energy Laboratory. It presents the results of the evaluation and impact assessment of solar photovoltaic lighting systems in the region of Sunderbans, West Bengal, that were deployed by a reputable non-governmental organization (Ramakrishna Mission) under the auspices of the INDO-US collaborative project. The objectives of the study were to evaluate the solar photovoltaic systems for their impact on the individual households as well as on the community, to assess the effectiveness of the implementation and financial mechanisms, and to draw a long-term strategy for NREL's activities in Sunderbans based on case studies of similar interventions. Under the project, provision was made to supply 300 domestic lighting systems (DLS) based on 53-Wp module capacity to individual households and a few other systems such as for lighting, medical refrigeration, and pumping water to community centers. For this study, 152 households were surveyed, of which 29 had also been a part of earlier pre- and post-installation surveys, 47 had been a part of the earlier post-installation survey, and 76 were households that were surveyed for the first time. A set of 46, out of the total 152 households, was selected for evaluating the systems for their technical performance with respect to module output, condition of the battery, and daily energy consumption. Of the total 300 modules, 2 had been stolen, 9 out of the total 300 batteries needed to be replaced, and 10 out of the 300 charge controllers were non-functional. The statistics for the surveyed households indicate 32 luminaire-related faults (blackening or flickering of compact fluorescent lights) and 11 other faults related to fuses, switches, etc.

  14. Virtual interconnection platform initiative scoping study

    Energy Technology Data Exchange (ETDEWEB)

    Liu, Yong [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Kou, Gefei [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Pan, Zuohong [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Liu, Yilu [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); King Jr., Thomas J. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States)

    2016-01-01

    Due to security and liability concerns, the research community has limited access to realistic large-scale power grid models to test and validate new operation and control methodologies. It is also difficult for industry to evaluate the relative value of competing new tools without a common platform for comparison. This report proposes to develop a large-scale virtual power grid model that retains basic features and represents future trends of major U.S. electric interconnections. This model will include realistic power flow and dynamics information as well as a relevant geospatial distribution of assets. This model will be made widely available to the research community for various power system stability and control studies and can be used as a common platform for comparing the efficacies of various new technologies.

  15. Initial studies of a competition agressivity scale

    Directory of Open Access Journals (Sweden)

    Daniel Bartholomeu

    2008-12-01

    Full Text Available This article describes the development of an aggressivity measure among athletes. Participants included 172 athletes, from five different sports, ranging in age from 14 to 58 years old (mean age 21 years, DP=5,99. The scale was composed of 54 items (on a three-point Likert scale that described various aggressive behaviors. The subjects were asked to indicate the frequency of the behaviors from “always” to “sometimes” and “never.”. The differential item functioning results by sex pointed to six items favoring one of the groups. The data were analyzed by means of principal components analysis with a varimax rotation and suggested a three factor structure explaining 44,31% of the variance. The dimensions were, Intimidation, External Aggression and Internal Aggression. Chronbach’s alphas ranged from 0,74 to 0,90. No significant differences of the dimensions were observed between the studied sports. These data enables the instrument to be used in future research.   Keywords: aggressivity; psychological assessment; sport psychology; factorial analysis; differential item functioning.

  16. 14 CFR 77.33 - Initiation of studies.

    Science.gov (United States)

    2010-01-01

    ... 14 Aeronautics and Space 2 2010-01-01 2010-01-01 false Initiation of studies. 77.33 Section 77.33 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION (CONTINUED) AIRSPACE OBJECTS AFFECTING NAVIGABLE AIRSPACE Aeronautical Studies of Effect of Proposed Construction on Navigable Airspace § 77.33 Initiation of studies...

  17. Healthy Bread Initiative: Methods, Findings, and Theories—Isfahan Healthy Heart Program

    Science.gov (United States)

    Talaei, Mohammad; Khaje, Mohammad-Reza; Sarrafzadegan, Nizal; Sajjadi, Firoozeh; Alikhasi, Hasan; Maghroun, Maryam; Iraji, Farhad; Ehteshami, Shahram

    2013-01-01

    The scientific evidences show that the content, baking methods, and types of bread can make health impacts. Bread, as a major part of Iranian diet, demonstrates a significant potential to be targeted as health promotion subject. Healthy Food for Healthy Communities (HFHC) was a project of Isfahan Healthy Heart Program (IHHP), consisting of a wide variety of strategies, like Healthy Bread (HB) Initiative. The HB Initiative was designed to improve the behaviour of both producers and consumers, mainly aiming at making high-fibre, low-salt bread, eliminating the use of baking soda, providing enough rest time for dough before baking (at least one hour), and enough baking time (at least one minute in oven). A workshop was held for volunteer bakers, and a baker-to-baker training protocol under direct supervision was designed for future volunteers. Cereal Organization was persuaded to provide less refined flour that contained more bran. Health messages in support of new breads were disseminated by media and at bakeries by health professionals. Evaluation of the HB Initiative was done using before-after assessments and population surveys. While HB was baked in 1 (0.01%) bakery at baseline, 402 (41%) bakeries in the intervention area joined the HB Initiative in 2009. Soda was completely eliminated and fibre significantly increased from 4±0.4 g% before study to 12±0.6 g% after the intervention (p<0.001). The preparation and baking times remarkably increased. Wastage of bread decreased from 13±1.8 g% to 2±0.5 g% and was expressed as the most important advantage of this initiative by consumers. People who lived in Isfahan city consumed whole bread 6 times more than those who lived in reference area Arak (p<0.001). The HB Initiative managed to add new breads as a healthy choice that were compatible with local dishes and made a model to solve the long-standing problems of bread. It used various health promotion approaches but was best consistent with Beattie's model. PMID

  18. Reducing Youth Gun Violence: An Overview of Programs and Initiatives. Program Report.

    Science.gov (United States)

    Department of Justice, Washington, DC. Office of Juvenile Justice and Delinquency Prevention.

    This report discusses a wide array of violence prevention strategies used across the United States, ranging from school-based prevention to gun market interception. Relevant research, evaluation, and legislation are included to ground these programs and provide a context for their successful implementation. The first section of the report is an…

  19. A chance-constrained programming model to allocate wildfire initial attack resources for a fire season

    Science.gov (United States)

    Yu Wei; Michael Bevers; Erin Belval; Benjamin Bird

    2015-01-01

    This research developed a chance-constrained two-stage stochastic programming model to support wildfire initial attack resource acquisition and location on a planning unit for a fire season. Fire growth constraints account for the interaction between fire perimeter growth and construction to prevent overestimation of resource requirements. We used this model to examine...

  20. Recovery Act: Tennessee Energy Efficient Schools Initiative Ground Source Heat Pump Program

    Energy Technology Data Exchange (ETDEWEB)

    Townsend, Terry [Townsend Engineering, Inc., Davenport, IA (United States); Slusher, Scott [Townsend Engineering, Inc., Davenport, IA (United States)

    2017-04-24

    The Tennessee Energy Efficient Schools Initiative (EESI) Hybrid-Water Source Heat Pump (HY-GSHP) Program sought to provide installation costs and operation costs for different Hybrid water source heat pump systems’ configurations so that other State of Tennessee School Districts will have a resource for comparison purposes if considering a geothermal system.

  1. Los Alamos National Laboratory Training Capabilities (Possible Applications in the Global Initiatives for Proliferation Prevention Program)

    Energy Technology Data Exchange (ETDEWEB)

    Martin, Olga [Los Alamos National Laboratory

    2012-06-04

    The briefing provides an overview of the training capabilities at Los Alamos National Laboratory that can be applied to nonproliferation/responsible science education at nuclear institutes in the Former Soviet Union, as part of the programmatic effort under the Global Initiatives for Proliferation Prevention program (GIPP).

  2. The climate adaptation programs and activities of the Yellowstone to Yukon Conservation Initiative

    Science.gov (United States)

    Wendy L. Francis

    2011-01-01

    The Yellowstone to Yukon Conservation Initiative (Y2Y) is an innovative transboundary effort to protect biodiversity and facilitate climate adaptation by linking large protected core areas through compatible land uses on matrix lands. The Y2Y organization acts as the keeper of the Y2Y vision and implements two interconnected programs - Science and Action, and Vision...

  3. Black Male Retention Initiatives: Exploring Students' Experiences and Program Effectiveness at Predominantly White Institutions

    Science.gov (United States)

    St. Leger, Gabrielle

    2012-01-01

    Recent initiatives in higher education have been designed to increase Black undergraduate male collegiate retention and persistence through graduation for this historically underrepresented population. Although institutional leaders in higher education have focused on creating more inclusive campuses, designing and implementing programs to retain…

  4. ANALISIS KESIAPAN PROGRAM STUDI DALAM PRODUCTION BASED EDUCATION: STUDI PADA PROGRAM STUDI D3 AKUNTANSI POLINES

    Directory of Open Access Journals (Sweden)

    Muhammad Noor Ardiansah

    2015-03-01

    Full Text Available There has been no clear studies to identify, verify and analyze readiness program resources in order to study the implementation of PBE resulted in initial position (existing point is not clear that the priority programs and activities that are carried out per year tend to be responsive and not directed priorities. These conditions resulted in analysis of resource readiness courses in the management of production-based learning pattern PBE draw conducted This study aims to identify and verify and analyze readiness resources management courses in the pattern of production based learning, particularly in the Accounting Studies Program. This research is expected to be used to increase the effectiveness of learning and vocational education to improve the quality and relevance of polytechnic graduates. Total score was 33 the existence of resources from the scale of 12-60. The average score is 2.75. The average score was shown the position of Prodi's resources have been used, but its role is unclear (repeatable tend to have clearly defined functions, communicated and documented (defined. Resources have been managed, monitored and evaluated well (managed are: curriculum resources, networking courses, lab facilities, ISO-based management. Resources have been used but not optimal role: resources module practice, the formulation of an internship, practice material / TA, the performance of IC-based lecturer

  5. ANALISIS KESIAPAN PROGRAM STUDI DALAM PRODUCTION BASED EDUCATION: STUDI PADA PROGRAM STUDI D3 AKUNTANSI POLINES

    Directory of Open Access Journals (Sweden)

    Muhammad Noor Ardiansah

    2014-06-01

    Full Text Available There has been no clear studies to identify, verify and analyze readiness program resources in order to study the implementation of PBE resulted in initial position (existing point is not clear that the priority programs and activities that are carried out per year tend to be responsive and not directed priorities. These conditions resulted in analysis of resource readiness courses in the management of production-based learning pattern PBE draw conducted This study aims to identify and verify and analyze readiness resources management courses in the pattern of production based learning, particularly in the Accounting Studies Program. This research is expected to be used to increase the effectiveness of learning and vocational education to improve the quality and relevance of polytechnic graduates. Total score was 33 the existence of resources from the scale of 12-60. The average score is 2.75. The average score was shown the position of Prodi's resources have been used, but its role is unclear (repeatable tend to have clearly defined functions, communicated and documented (defined. Resources have been managed, monitored and evaluated well (managed are: curriculum resources, networking courses, lab facilities, ISO-based management. Resources have been used but not optimal role: resources module practice, the formulation of an internship, practice material / TA, the performance of IC-based lecturer

  6. U.S. Radioecology Research Programs Initiated in the 1950s

    Energy Technology Data Exchange (ETDEWEB)

    Auerbach, S.I.; Reichle, D.E.

    1999-10-01

    In the early postwar years, beginning in 1949 and extending to the mid-1960s, U.S. Atomic Energy Commission (AEC) research on the fate and effects of radionuclides in the environment was driven by distinct environmental concerns-- the releases of radioactive materials around production sites, fallout from nuclear weapons tests, and radiation effects from both external and internal exposures. These problem areas spawned development of the scientific field of radioecology. To understand the perspectives in the 1950s of the United States on the issues of nuclear energy and the environment, we have reviewed the early research programs. Keeping to the theme of the papers in this environmental session, we will focus on the first area of concern -- the scientific studies to understand the environmental consequences of nuclear production and fuel reprocessing at the three primary production sites: the Hanford Works in the state of Washington, Clinton Laboratories in Oak Ridge, Tennessee, and the Savannah River Plant in South Carolina. The driving environmental issue was the fate and effects of waste products from nuclear fuel production and reprocessing -- concern about entry into environmental pathways. Early operational monitoring and evaluation by health physicists led to realization that additional emphasis needed to be placed on understanding environmental fate of radionuclides. What followed was forward-thinking R and D planning and development of interdisciplinary research teams for experimentation on complex environmental systems. What follows is a review of the major U.S. AEC radioecology research programs initiated during the 1950s, the issues leading to the establishment of these programs, early results, and their legacies for environmental protection and ecological research in the following decades.

  7. 'teen Mental Health First Aid': a description of the program and an initial evaluation.

    Science.gov (United States)

    Hart, Laura M; Mason, Robert J; Kelly, Claire M; Cvetkovski, Stefan; Jorm, Anthony F

    2016-01-01

    Many adolescents have poor mental health literacy, stigmatising attitudes towards people with mental illness, and lack skills in providing optimal Mental Health First Aid to peers. These could be improved with training to facilitate better social support and increase appropriate help-seeking among adolescents with emerging mental health problems. teen Mental Health First Aid (teen MHFA), a new initiative of Mental Health First Aid International, is a 3 × 75 min classroom based training program for students aged 15-18 years. An uncontrolled pilot of the teen MHFA course was undertaken to examine the feasibility of providing the program in Australian secondary schools, to test relevant measures of student knowledge, attitudes and behaviours, and to provide initial evidence of program effects. Across four schools, 988 students received the teen MHFA program. 520 students with a mean age of 16 years completed the baseline questionnaire, 345 completed the post-test and 241 completed the three-month follow-up. Statistically significant improvements were found in mental health literacy, confidence in providing Mental Health First Aid to a peer, help-seeking intentions and student mental health, while stigmatising attitudes significantly reduced. teen MHFA appears to be an effective and feasible program for training high school students in Mental Health First Aid techniques. Further research is required with a randomized controlled design to elucidate the causal role of the program in the changes observed.

  8. Evaluation of a cross-sector community initiative partnership: delivering a local sport program.

    Science.gov (United States)

    Kihl, Lisa A; Tainsky, Scott; Babiak, Kathy; Bang, Hyejin

    2014-06-01

    Corporate community initiatives (CCI) are often established via cross-sector partnerships with nonprofit agencies to address critical social problems. While there is a growing body of literature exploring the effectiveness and social impact of these partnerships, there is a limited evaluative research on the implementation and execution processes of CCIs. In this paper, we examined the implementation and operational processes in the delivery of a professional sport organization's CCI initiative using program theory evaluation. The findings showed discrepancies between the associate organization and the implementers regarding understanding and fulfilling responsibilities with performing certain aspects (maintaining accurate records and program marketing) of the service delivery protocol. Despite program stakeholders being satisfied overall with the program delivery, contradictions between program stakeholders' satisfaction in the quality of program delivery was found in critical components (marketing and communications) of the service delivery. We conclude that ongoing evaluations are necessary to pinpoint the catalyst of the discrepancies along with all partners valuing process evaluation in addition to outcome evaluation. Copyright © 2014 Elsevier Ltd. All rights reserved.

  9. DOE-HUD Initiative on Energy Efficiency in Housing: A federal partnership. Program summary report

    Energy Technology Data Exchange (ETDEWEB)

    Brinch, J. [Energetics, Inc., Columbia, MD (United States)

    1996-06-01

    One of the primary goals of the US Department of Housing and urban Development (HUD) is the expansion of home ownership and affordable housing opportunities. Recognizing that energy efficiency is a key component in an affordable housing strategy, HUD and the US Department of Energy (DOE) created the DOE-HUD Initiative on Energy Efficiency in Housing. The DOE-HUD Initiative was designed to share the results of DOE research with housing providers throughout the nation, to reduce energy costs in federally-subsidized dwelling units and improve their affordability and comfort. This Program Summary Report provides an overview of the DOE-HUD Initiative and detailed project descriptions of the twenty-seven projects carried out with Initiative funding.

  10. The efficacy of social-influence prevention programs versus "standard care": are new initiatives needed?

    Science.gov (United States)

    Ary, D V; Biglan, A; Glasgow, R; Zoref, L; Black, C; Ochs, L; Severson, H; Kelly, R; Weissman, W; Lichtenstein, E

    1990-06-01

    This study evaluates the effects of a school-based smoking prevention program after 1 year, using school (22 middle/elementary schools, 15 high schools) as both the unit of randomization and the unit of analysis. The multigrade level (grades 6 through 9) intervention was designed to address comprehensively the social influence factors that encourage smoking. Teacher survey data indicated that treatment schools had a median of 10 classroom sessions devoted to tobacco/drug use education, 5 of which were the sessions designed for this evaluation, and control schools had also dedicated a median of 10 classroom sessions to tobacco/drug education. Thus, the study evaluated the incremental effects of the social influence intervention compared to "standard-care" curricula. Among those who reported smoking one or more cigarettes in the month prior to the intervention, there was a significant treatment effect on rate of smoking at one year, but no grade level, gender, or interaction effects. The 1-year covariate-adjusted smoking rate among pretest smokers in the treatment schools was 76.6 cigarettes per month, compared to 111.6 cigarettes per month in control schools, a 31.4% difference. These effects were not accounted for by differential subject attrition. The analyses for nonsmokers, however, showed no significant effects, and the program did not affect self-reported alcohol or marijuana use. Taken together with the results of other prevention studies, these results point to the need for the development and evaluation of new initiatives to prevent substance use.

  11. China’s National Monitoring Program on Ecological Functions of Forests: An Analysis of the Protocol and Initial Results

    Directory of Open Access Journals (Sweden)

    Jun Yang

    2015-03-01

    Full Text Available Information on the ecological functions of forests is important for sustainable forest management. In this study, we introduced the national monitoring program which has been used in China to evaluate the overall health status and ecological functions of forests. We also compared it to similar monitoring programs operating in Europe and the United States of America. We revealed the strength and drawbacks of China’s monitoring program by analyzing the initial evaluation results. Our analysis showed that among the three programs, the European program gives the most detailed measurements of conditions of forests while the U.S. program generates the most detailed information on individual trees. In comparison, China’s monitoring program has a higher spatial resolution but is narrowly focused on trees and uses coarse classifications of indicators. The health status of forests in China suggested that more resources should be invested to improve the health of existing forests, especially plantations. The limitations in China’s monitoring program need to be addressed to improve the accuracy of future assessments.

  12. Promoting child-initiated social-communication in children with autism: Son-Rise Program intervention effects

    OpenAIRE

    Houghton, Kat; Schuchard, Julia; LEWIS, Charlie; Thompson, Cynthia K.

    2013-01-01

    This study examined the effects of the Son-Rise Program (SRP), an intensive treatment aimed to improve child-initiated social communication in children with autism. Six children between the ages of 47 and 78 months were provided with 40 h of SRP, with pre- to post-treatment behavioral changes tested using a novel passive interaction probe task. Results showed an increase in the frequency of spontaneous social orienting and gestural communication for the experimental children, compared to six ...

  13. The importance of leadership in Soldiers' nutritional behaviors: results from the Soldier Fueling Initiative program evaluation.

    Science.gov (United States)

    Jackson, Theresa K; Cable, Sonya J; Jin, Wana K; Robinson, Ayanna; Dennis, Sabriya D; Vo, Linda T; Prosser, Trish J; Rawlings, Jess A

    2013-01-01

    Improving Soldiers' nutritional habits continues to be a concern of the US Army, especially amidst increasing obesity and high injury rates. This study examines leadership influence on nutritional behaviors within the context of the Soldier Fueling Initiative, a program providing nutrition education and improved dining facility menus to Soldiers in Basic Combat Training (BCT) and Advanced Individual Training (AIT). A mixed methods design using surveys (N=486) and focus groups (N=112) was used to collect data at Fort Jackson, SC, and Fort Eustis, VA, in 2011. Survey results showed 75% of Soldiers in BCT believed their drill sergeant was helpful in making performance-enhancing food choices, and 86% agreed their drill sergeant believed it is important to eat for performance. Soldiers in AIT perceived their cadre as less helpful than their BCT drill sergeants and agreed less frequently that the AIT cadre believed it was important to eat for performance (Pnutritional attitudes and behaviors in both BCT and AIT. Focus groups revealed 5 key themes related to cadre influence and nutrition behavior (listed in order of most to least frequent): (1) cadre influence food choices through consequences related to selection, (2) cadre teach Soldiers how to eat, (3) cadre rush Soldiers to eat quickly to return to training, (4) cadre influence choice through example but often do not make healthy choices, and (5) cadre have no influence on food choices. Leaders influence most Soldiers' nutrition practices within the training environment, particularly within BCT. Given that leader influence can impact Soldiers' attitudes and behaviors, it is critical that military leaders become knowledgeable about optimal nutrition practices to disseminate appropriate information to their Soldiers, avoid reprimand associated with trainees' food choices, reinforce key messages associated with nutrition programming, and lead by example in their own food choices.

  14. The Pittsburgh Girls Study: Overview and Initial Findings

    Science.gov (United States)

    Keenan, Kate; Hipwell, Alison; Chung, Tammy; Stepp, Stephanie; Stouthamer-Loeber, Magda; Loeber, Rolf; McTigue, Kathleen

    2010-01-01

    The Pittsburgh Girls Study is a longitudinal, community-based study of 2,451 girls who were initially recruited when they were between the ages of 5 and 8 years. The primary aim of the study was testing developmental models of conduct disorder, major depressive disorder, and their co-occurrence in girls. In the current article, we summarize the…

  15. Student Experiences: the 2013 Cascadia Initiative Expedition Team's Apply to Sail Program

    Science.gov (United States)

    Mejia, H.; Hooft, E. E.; Fattaruso, L.

    2013-12-01

    During the summer of 2013, the Cascadia Initiative Expedition Team led six oceanographic expeditions to recover and redeploy ocean bottom seismometers (OBSs) across the Cascadia subduction zone and Juan de Fuca plate. The Cascadia Initiative (CI) is an onshore/offshore seismic and geodetic experiment to study questions ranging from megathrust earthquakes to volcanic arc structure to the formation, deformation and hydration of the Juan de Fuca and Gorda plates with the overarching goal of understanding the entire subduction zone system. The Cascadia Initiative Expedition Team is a team of scientists charged with leading the oceanographic expeditions to deploy and recover CI OBSs and developing the associated Education and Outreach effort. Students and early career scientists were encouraged to apply to join the cruises via the Cascadia Initiative Expedition Team's Apply to Sail Program. The goal of this call for open participation was to help expand the user base of OBS data by providing opportunities for students and scientists to directly experience at-sea acquisition of OBS data. Participants were required to have a strong interest in learning field techniques, be willing to work long hours at sea assisting in OBS deployment, recovery and preliminary data processing and have an interest in working with the data collected. In total, there were 51 applicants to the Apply to Sail Program from the US and 4 other countries; 21 graduate students as well as a few undergraduate students, postdocs and young scientists from the US and Canada were chosen to join the crew. The cruises lasted from 6 to 14 days in length. OBS retrievals comprised the three first legs, of which the first two were aboard the Research Vessel Oceanus. During each of the retrievals, multiple acoustic signals were sent while the vessel completed a semi-circle around the OBS to accurately determine its position, a final signal was sent to drop the seismometer's anchor, and finally the ship and crew

  16. Initial impact of a national dental education program on the oral health and dental knowledge of children.

    Science.gov (United States)

    Biesbrock, Aaron R; Walters, Patricia A; Bartizek, Robert D

    2003-05-15

    Oral health educational programs have been reported to have a variable impact on the oral health status of program participants. This paper reports the impact of an educational oral health program conducted within a single Boys & Girls Club of America. The objective of this 4-week examiner-blind study was to determine the impact of the educational program on the gingival health (gingivitis and plaque) of participating children who were between the ages of 5 and 15. The multi-week program taught the participants the basics of oral biology and disease, as well as proper oral health prevention including oral hygiene, dietary modification, and the importance of visiting the dentist. A calibrated examiner measured whole mouth Loe-Silness Gingival Index (GI) and Turesky Modification of Quigley-Hein Plaque index (PI) at baseline (immediately prior to the initiation of the educational program) and 4 weeks later. The primary efficacy analysis was based on change from baseline for 75 subjects who were enrolled at baseline, participated in the educational program, and were examined 4 weeks later. Mean baseline GI score was 0.37, while the 4 week mean GI score was reduced to 0.18. This represents a 51% reduction in GI score with pchildren over a one month period.

  17. Married Thai Working Mothers: Coping with Initial Part-Time Doctoral Study

    Science.gov (United States)

    Thinnam, Thanit

    2011-01-01

    Advanced educational attainment can "grow" a career. But acquiring a doctoral qualification adds study to existing work and family responsibilities, especially for women. This phenomenological research explores the experiences of eight Thai working mothers enrolled in the initial stage of part-time doctoral programs in Thailand. A…

  18. 78 FR 63516 - Initial Test Program of Emergency Core Cooling Systems for New Boiling-Water Reactors

    Science.gov (United States)

    2013-10-24

    ... COMMISSION Initial Test Program of Emergency Core Cooling Systems for New Boiling-Water Reactors AGENCY... Cooling Systems for New Boiling-Water Reactors.'' This RG describes testing methods the NRC staff...)-1277, ``Initial Test Program of Emergency Core Cooling Systems for Boiling-Water Reactors.'' DG-1277...

  19. 78 FR 55091 - Fair Housing Initiatives Program-Fiscal Year 2013 Application and Award Policies and Procedures...

    Science.gov (United States)

    2013-09-09

    ... URBAN DEVELOPMENT Fair Housing Initiatives Program--Fiscal Year 2013 Application and Award Policies and... administration of the funding competition for the Fair Housing Initiatives Program during Fiscal Year (FY) 2013... on the Applications and Awards Procedures and Policies (AAPP) Guide, which can be found at: http...

  20. A Community Support Program for Children with Autism and Their Typically Developing Siblings: Initial Investigation

    Science.gov (United States)

    Kryzak, Lauren A.; Cengher, Mirela; Feeley, Kathleen M.; Fienup, Daniel M.; Jones, Emily A.

    2015-01-01

    Siblings are a critical part of lifelong support for individuals with autism spectrum disorder (ASD). But siblings face their own social-emotional adjustment needs. These needs may be addressed through programs that include support groups specifically for the siblings. This study examined the effects of a community program on typical siblings'…

  1. Evaluating a community-based program to improve healthcare quality: research design for the Aligning Forces for Quality initiative.

    Science.gov (United States)

    Scanlon, Dennis P; Alexander, Jeffrey A; Beich, Jeff; Christianson, Jon B; Hasnain-Wynia, Romana; McHugh, Megan C; Mittler, Jessica N; Shi, Yunfeng; Bodenschatz, Laura J

    2012-09-01

    The Aligning Forces for Quality (AF4Q) initiative is the Robert Wood Johnson Foundation's (RWJF's) signature effort to increase the overall quality of healthcare in targeted communities throughout the country. In addition to sponsoring this 16-site, complex program, the RWJF funds an independent scientific evaluation to support objective research on the initiative's effectiveness and contributions to basic knowledge in 5 core programmatic areas. The research design, data, and challenges faced in the evaluation of this 10-year initiative are discussed. A descriptive overview of the evaluation research design for a multi-site, community based, healthcare quality improvement initiative is provided. The multiphase research design employed by the evaluation team is discussed. Evaluation provides formative feedback to the RWJF, participants, and other interested audiences in real time; develops approaches to assess innovative and under-studied interventions; furthers the analysis and understanding of effective community-based collaborative work in healthcare; and helps to differentiate the various facilitators, barriers, and contextual dimensions that affect the implementation and outcomes of community-based health interventions. The AF4Q initiative is arguably the largest community-level healthcare improvement demonstration in the United States to date; it is being implemented at a time of rapid change in national healthcare policy. The implementation of large-scale, multi-site initiatives is becoming an increasingly common approach for addressing problems in healthcare. The evaluation research design for the AF4Q initiative, and the lessons learned from its approach, may be valuable to others tasked with evaluating similar community-based initiatives.

  2. Youth mental health first aid: a description of the program and an initial evaluation

    Directory of Open Access Journals (Sweden)

    Jorm Anthony F

    2011-01-01

    Full Text Available Abstract Background Adolescence is the peak age of onset for mental illness, with half of all people who will ever have a mental illness experiencing their first episode prior to 18 years of age. Early onset of mental illness is a significant predictor for future episodes. However, adolescents and young adults are less likely than the population as a whole to either seek or receive treatment for a mental illness. The knowledge and attitudes of the adults in an adolescent's life may affect whether or not help is sought, and how quickly. In 2007, the Youth Mental Health First Aid Program was launched in Australia with the aim to teach adults, who work with or care for adolescents, the skills needed to recognise the early signs of mental illness, identify potential mental health-related crises, and assist adolescents to get the help they need as early as possible. This paper provides a description of the program, some initial evaluation and an outline of future directions. Methods The program was evaluated in two ways. The first was an uncontrolled trial with 246 adult members of the Australian public, who completed questionnaires immediately before attending the 14 hour course, one month later and six months later. Outcome measures were: recognition of schizophrenia or depression; intention to offer and confidence in offering assistance; stigmatising attitudes; knowledge about adolescent mental health problems and also about the Mental Health First Aid action plan. The second method of evaluation was to track the uptake of the program, including the number of instructors trained across Australia to deliver the course, the number of courses they delivered, and the uptake of the YMHFA Program in other countries. Results The uncontrolled trial found improvements in: recognition of schizophrenia; confidence in offering help; stigmatising attitudes; knowledge about adolescent mental health problems and application of the Mental Health First Aid action

  3. Medical education resources initiative for teens program in baltimore: A model pipeline program built on four pillars.

    Science.gov (United States)

    Mains, Tyler E; Wilcox, Mark V; Wright, Scott M

    2016-01-01

    Less than 6% of U.S. medical school applicants are African-American. The lack of diversity among physicians, by race as well as other measures, confers a negative impact on the American healthcare system because underrepresented minority (URM) physicians are more likely to practice in underserved communities and deliver more equitable, culturally competent care. MERIT (Medical Education Resources Initiative for Teens) is a nonprofit organization based in Baltimore, Maryland, USA. MERIT prepares URM high school students for health careers by providing a holistic support system for seven consecutive years. The program model, which utilizes weekly Saturday sessions, summer internships, and longitudinal mentoring, is built on four foundational pillars: (1) Ignite the Fire, (2) Illuminate the Path, (3) Create the Toolkit, and (4) Sustain the Desire. Since 2011, MERIT has supported 51 students in the Baltimore City Public School System. For the past two years, 100% (n = 14) of MERIT seniors enrolled in universities, compared to only 20.2% of Baltimore City students overall. While it is too early to know whether MERIT alumni will realize their goals of becoming healthcare professionals, they are currently excelling in universities and over 75% (n = 17) are still planning to pursue graduate degrees in health-related fields. After piloting an effective program model, MERIT now has three key priorities moving forward: (1) Creating a sustainable and thriving organization, (2) increasing the number of scholars the program supports in Baltimore, and (3) expanding MERIT to other cities.

  4. Answering questions after initial study guides attention during restudy

    NARCIS (Netherlands)

    Dirkx, Kim J H; Thoma, Gun Brit; Kester, Liesbeth; Kirschner, Paul A.

    2015-01-01

    Though the testing-effect can be boosted by including a restudy phase after answering test questions, we do not know precisely why it does so. One possible explanation is being tested here. The present study measured attention allocation during initial reading and rereading with a remote eye tracker

  5. An Initial study on The Reliability of Power Semiconductor Devices

    NARCIS (Netherlands)

    Boksteen, B.K.; Hueting, Raymond Josephus Engelbart; Salm, Cora; Schmitz, Jurriaan

    2010-01-01

    An initial literature study combined with some basic comparative simulations has been performed on different electricfield modulation techniques and the subsequent reliability issues are reported for power semiconductor devices. An explanation of the most important power device metrics such as the

  6. Massachusetts Institute of Technology Security Studies Program

    Science.gov (United States)

    2006-01-01

    incoming SSP Directors. Among other notables who have called Belmont home are Vannevar Bush, Winslow Homer, Talcott Parsons , the John Birch Society...Researchers 15 Affiliates 26 Seminar Series 33 Special Events 34 Field Trip 36 Publications 41 SSP Teaching 42 Courses 48 Professional Education 50 SSP...STUDIES PROGRAM MIT SECURITY STUDIES PROGRAM SECURITY STUDIES PROGRAM 1 he Security Studies Program (SSP) is a graduate level research and educational

  7. Studies on the disbonding initiation of interfacial cracks.

    Energy Technology Data Exchange (ETDEWEB)

    McAdams, Brian J. (Lehigh University, Bethlehem, PA); Pearson, Raymond A. (Lehigh University, Bethlehem, PA)

    2005-08-01

    With the continuing trend of decreasing feature sizes in flip-chip assemblies, the reliability tolerance to interfacial flaws is also decreasing. Small-scale disbonds will become more of a concern, pointing to the need for a better understanding of the initiation stage of interfacial delamination. With most accepted adhesion metric methodologies tailored to predict failure under the prior existence of a disbond, the study of the initiation phenomenon is open to development and standardization of new testing procedures. Traditional fracture mechanics approaches are not suitable, as the mathematics assume failure to originate at a disbond or crack tip. Disbond initiation is believed to first occur at free edges and corners, which act as high stress concentration sites and exhibit singular stresses similar to a crack tip, though less severe in intensity. As such, a 'fracture mechanics-like' approach may be employed which defines a material parameter--a critical stress intensity factor (K{sub c})--that can be used to predict when initiation of a disbond at an interface will occur. The factors affecting the adhesion of underfill/polyimide interfaces relevant to flip-chip assemblies were investigated in this study. The study consisted of two distinct parts: a comparison of the initiation and propagation phenomena and a comparison of the relationship between sub-critical and critical initiation of interfacial failure. The initiation of underfill interfacial failure was studied by characterizing failure at a free-edge with a critical stress intensity factor. In comparison with the interfacial fracture toughness testing, it was shown that a good correlation exists between the initiation and propagation of interfacial failures. Such a correlation justifies the continuing use of fracture mechanics to predict the reliability of flip-chip packages. The second aspect of the research involved fatigue testing of tensile butt joint specimens to determine lifetimes at sub

  8. Interlaboratory studies and initiatives developing standards for proteomics

    Science.gov (United States)

    Ivanov, Alexander R.; Colangelo, Christopher M.; Dufresne, Craig P.; Friedman, David B.; Lilley, Kathryn S.; Mechtler, Karl; Phinney, Brett S.; Rose, Kristie L.; Rudnick, Paul A.; Searle, Brian C.; Shaffer, Scott A.; Weintraub, Susan T.

    2013-01-01

    Proteomics is a rapidly transforming interdisciplinary field of research that embraces a diverse set of analytical approaches to tackle problems in fundamental and applied biology. This view-point article highlights the benefits of interlaboratory studies and standardization initiatives to enable investigators to address many of the challenges found in proteomics research. Among these initiatives, we discuss our efforts on a comprehensive performance standard for characterizing PTMs by MS that was recently developed by the Association of Biomolecular Resource Facilities (ABRF) Proteomics Standards Research Group (sPRG). PMID:23319436

  9. The Health Initiative Program for Kids (HIP Kids): effects of a 1-year multidisciplinary lifestyle intervention on adiposity and quality of life in obese children and adolescents--a longitudinal pilot intervention study

    National Research Council Canada - National Science Library

    Bock, Dirk E; Robinson, Tracy; Seabrook, Jamie A; Rombeek, Meghan; Norozi, Kambiz; Filler, Guido; Rauch, Ralf; Clarson, Cheril L

    2014-01-01

    ... and how they affect quality of life (QoL). The aim of this study was to determine if a 1-year multidisciplinary, family-centered outpatient intervention based on social cognitive theory would be effective...

  10. Identifying Barriers to Study Abroad Program Participation

    Science.gov (United States)

    McKinley, Karen E.

    2014-01-01

    University administrators, industry professionals, and government leaders encourage college students to participate in study abroad programs. Despite an increase in the number of students going abroad, the percentage of students participating in global programs remain low. This study identified barriers to study abroad program participation at a…

  11. Perceptions of user studies as a foundation for public programming ...

    African Journals Online (AJOL)

    The purpose of this study was to examine the role of user studies and the evaluation of services in the development of effective public programming initiatives by the public archives of east and southern Africa. Users of the archives are the backbone of effective archival services. Sadly, it appears that the records are more ...

  12. Participation in Tertiary Study Abroad Programs: The Role of Personality

    Science.gov (United States)

    Bakalis, Steve; Joiner, Therese A.

    2004-01-01

    The increasing trend for the globalisation of business has highlighted the need for a better understanding of the factors that influence levels of intercultural awareness within organisations. Within the higher education sector, one initiative that aims to address this issue is student study abroad programs. This paper reports on a study that…

  13. Boston children's hospital community asthma initiative: Five-year cost analyses of a home visiting program.

    Science.gov (United States)

    Bhaumik, Urmi; Sommer, Susan J; Giller-Leinwohl, Judith; Norris, Kerri; Tsopelas, Lindsay; Nethersole, Shari; Woods, Elizabeth R

    2017-03-01

    To evaluate the costs and benefits of the Boston Children's Hospital Community Asthma Initiative (CAI) through reduction of Emergency Department (ED) visits and hospitalizations for the full pilot-phase program participants. A cost-benefit analyses was conducted using hospital administrative data to determine an adjusted Return on Investment (ROI): on all 268 patients enrolled in the CAI program during the 33-month pilot program phase of CAI intervention between October 1, 2005 and June 30, 2008 using a comparison group of 818 patients from a similar cohort in neighboring ZIP codes without CAI intervention. Cost data through June 30, 2013 were used to examine cost changes and calculate an adjusted ROI over a 5-year post-intervention period. CAI patients had a cost reduction greater than the comparison group of $1,216 in Year 1 (P = 0.001), $1,320 in Year 2 (P management programs can decrease the incidence of costly hospitalizations and ED visits from asthma. An ROI of greater than one, as found in this cost analysis, supports the business case for the provision of community-based asthma services as part of patient-centered medical homes and Accountable Care Organizations.

  14. Education and training initiatives for crisis management in the European Union: a web-based analysis of available programs.

    Science.gov (United States)

    Ingrassia, Pier Luigi; Foletti, Marco; Djalali, Ahmadreza; Scarone, Piercarlo; Ragazzoni, Luca; Corte, Francesco Della; Kaptan, Kubilay; Lupescu, Olivera; Arculeo, Chris; von Arnim, Gotz; Friedl, Tom; Ashkenazi, Michael; Heselmann, Deike; Hreckovski, Boris; Khorram-Manesh, Amir; Khorrram-Manesh, Amir; Komadina, Radko; Lechner, Kostanze; Patru, Cristina; Burkle, Frederick M; Fisher, Philipp

    2014-04-01

    Education and training are key elements of disaster management. Despite national and international educational programs in disaster management, there is no standardized curriculum available to guide the European Union (EU) member states. European- based Disaster Training Curriculum (DITAC), a multiple university-based project financially supported by the EU, is charged with developing a holistic and highly-structured curriculum and courses for responders and crisis managers at a strategic and tactical level. The purpose of this study is to qualitatively assess the prevailing preferences and characteristics of disaster management educational and training initiatives (ETIs) at a postgraduate level that currently exist in the EU countries. An Internet-based qualitative search was conducted in 2012 to identify and analyze the current training programs in disaster management. The course characteristics were evaluated for curriculum, teaching methods, modality of delivery, target groups, and funding. The literature search identified 140 ETIs, the majority (78%) located in United Kingdom, France, and Germany. Master level degrees were the primary certificates granted to graduates. Face-to-face education was the most common teaching method (84%). Approximately 80% of the training initiatives offered multi- and cross-disciplinary disaster management content. A competency-based approach to curriculum content was present in 61% of the programs. Emergency responders at the tactical level were the main target group. Almost all programs were self-funded. Although ETIs currently exist, they are not broadly available in all 27 EU countries. Also, the curricula do not cover all key elements of disaster management in a standardized and competency-based structure. This study has identified the need to develop a standardized competency-based educational and training program for all European countries that will ensure the practice and policies that meet both the standards of care and

  15. Study Abroad Programs: Making Safety a Priority

    Science.gov (United States)

    Buddan, Michael Craig; Budden, Connie B.; Juban, Rusty; Baraya, Aristides

    2014-01-01

    Increasingly, students are participating in study abroad programs. Such programs provide participants a variety of learning experiences. Developing cross-cultural appreciation, communication skills, maturity and a less ethno-centric mindset are among the impacts study abroad programs offer. However, care must be taken to assure student safety and…

  16. Long-term effects of a home-based smoking prevention program on smoking initiation: a cluster randomized controlled trial.

    Science.gov (United States)

    Hiemstra, Marieke; Ringlever, Linda; Otten, Roy; van Schayck, Onno C P; Jackson, Christine; Engels, Rutger C M E

    2014-03-01

    The aims of the study were to evaluate the long-term effects of a home-based smoking prevention program 'Smoke-free Kids' during preadolescence on smoking initiation during adolescence and to test the potential moderating role of parental smoking, socioeconomic status, and asthma. In 2008, 1478 9-11year old children and their mothers were recruited from 418 elementary schools in the Netherlands. An independent statistician randomly allocated schools to one of the two conditions using a 1:1 ratio (single blind): 728 children in the intervention and 750 in the control condition. The intervention condition received five activity modules, including a communication sheet for mothers, by mail at four-week intervals and one booster module one year after baseline. The control condition received a fact-based intervention only. Intention-to-treat analysis was performed on 1398 non-smoking children at baseline. In the intervention 10.8% of the children started smoking compared to 12% in the control condition. This difference was non-significant (odds ratio=0.90, 95% confidence interval=0.63-1.27). No moderating effects were found. No effects on smoking initiation after 36months were found. Perhaps, the program was implemented with children that were too young. Programs closer to the age of smoking onset should be tested. Copyright © 2013 Elsevier Inc. All rights reserved.

  17. Promoting child-initiated social-communication in children with autism: Son-Rise Program intervention effects.

    Science.gov (United States)

    Houghton, Kat; Schuchard, Julia; Lewis, Charlie; Thompson, Cynthia K

    2013-01-01

    This study examined the effects of the Son-Rise Program (SRP), an intensive treatment aimed to improve child-initiated social communication in children with autism. Six children between the ages of 47 and 78 months were provided with 40 h of SRP, with pre- to post-treatment behavioral changes tested using a novel passive interaction probe task. Results showed an increase in the frequency of spontaneous social orienting and gestural communication for the experimental children, compared to six age- and behaviorally-matched control children with autism. In addition, for the children who received treatment, the duration of social dyadic interactions and total time spent engaged in social interaction increased from pre- to post-treatment. These findings suggest that intensive intervention focused on fostering child-initiated interaction increases social-communicative behaviors in children with autism. Readers will be able to describe the principles underlying the Son-Rise Program, a developmental approach to treatment for autism. Readers will be able to explain the methods of the investigation of a 5-day intensive Son-Rise Program and the results that report change in social communication in children with autism. Copyright © 2013 The Authors. Published by Elsevier Inc. All rights reserved.

  18. Numerical study of the initial dynamics in tormac

    Energy Technology Data Exchange (ETDEWEB)

    Aydemir, A.Y.

    1979-01-01

    Using a single fluid magnetohydrodynamic (MHD) code, we study the initial plasma dynamics in Tormac, an experimental device which attempts to confine plasma in a toroidal, two-pole cusp field. The code is in two dimensions and includes classical electrical conductivity and a constant heat conductivity. The full set of nonlinear MHD equations for the mass density, fluid velocity, temperature, the poloidal flux function, and the poloidal current function are solved using a predictor-corrector method.

  19. An ERP Study on Initial Second Language Vocabulary Learning*

    OpenAIRE

    Yum, Yen Na; Midgley, Katherine J.; Holcomb, Phillip J.; Grainger, Jonathan

    2014-01-01

    This study examined the very initial phases of orthographic and semantic acquisition in monolingual native English speakers learning Chinese words under controlled laboratory conditions. Participants engaged in ten sessions of vocabulary learning, four of which were used to obtain ERPs. Performance in behavioral tests improved over sessions, and these data were used to define fast and slow learners. Most important is that ERPs in the two groups of learners revealed qualitatively distinct lear...

  20. The Initial Response of Secondary Mathematics Teachers to a One-to-One Laptop Program

    Science.gov (United States)

    Zuber, Edward Nordin; Anderson, Judy

    2013-01-01

    Studies of one-to-one programs consistently report lower use of laptops in mathematics classrooms compared to other subjects but do not elaborate reasons for these observations. This mixed-method study investigated the experiences and beliefs of 28 mathematics teachers at five secondary schools during the second year of the New South Wales Digital…

  1. Initiation of a comparative metagenomic study of the Red Sea and Pacific Ocean marine microbiomes

    KAUST Repository

    Kodzius, Rimantas

    2014-03-26

    The marine microbiome is a fundamental component of the biosphere. Its bacteria are abundant and play critical roles within the ocean environment. The majority of this important group of bacteria are genetically uncharacterized. Relatively few species have been studied in the laboratory. However, by applying metagenomic analyses to marine microbial populations, genomic ‘snapshots’ may be taken and from appropriate time series experiments their dynamics established. As a key component of the CBRC Centre Research Program (2014-2020), we are initiating a comparative study of the Red Sea and North Eastern Japanese coast and bay complexes. These environments differ in physical characteristics significantly. The Red Sea exhibits consistently high salinity, temperature and insolation characteristics, whereas the Japanese waters are less saline, cooler and receive lower insolation. Here, we present initial data and analytical pipelines for Phase 1 of our collaborative research program.

  2. The teachers initial training and the insertion in scholastic context: a bibliometrics study

    Directory of Open Access Journals (Sweden)

    Luciana Cristina Cardoso

    2017-03-01

    Full Text Available From the perspective that the teaching career is lifelong built and that the initial formation is shown as a singular moment in the process, this work seeks to reveal the representativeness of the initial formation thematic linked to teachers’ teaching-in-context experiences in Brazilian research. Therefore, 3,468 theses from Education Post Graduation Programs cataloged in the basis of the Novo Horizonte Group (Study and Research Group on Innovation in Education, Technology and Languages from the Federal University of São Carlos – UFSCar have been taken as object of study. The bibliometric research reveals that the initial formation, mediated by experiences in school settings, is present in 11 theses from a total of 3,468 works. The analyzes indicate that, although there are relevant studies to the field, the in-context formation (marked by experiences that go beyond the Teaching Practice and Supervised Internship, is not representatively inserted in the academic scenario. Among some important contributions to the line of teacher formation, the study also indicated that researches addressed institutional formation programs and that in none of them it was possible to identify the creation of a formation space, characterized also as research intervention, suggesting a possible lack of construction, implementation and analysis of new programs, such as formation spaces designed under the hybrid or virtual perspective.

  3. Report to DOE on the evaluation of initial trapping studies

    Energy Technology Data Exchange (ETDEWEB)

    Breun, R.A.; Kesner, J.; Nonn, P.; Pian, T.; Post, R.S.; Scharer, J.; Smatlak, D.; Smith, D.; Yugo, J.; Yujiri, L.

    1978-12-01

    This report summarizes work up to Dec. 1, 1978 on the single mirror plug of Phaedrus. The design, construction and initial experiments proceeded without major problems. The results on RF trapping and heating steadily improved during the months of October and November with our best results being obtained during the last two weeks of November. These positive results are encouraging for RF heating in mirrors. The experiments to date have concentrated on heating stream gun plasmas. This plasma source has been well suited for our initial studies as it produces a hot, dense plasma over a long duration (approx. 1 msec). This has made diagnostics particularly straight forward. Because of the time scale we have carried out most of our work with the 200 kW source which is capable of running for long pulses (30 msec).

  4. Development and initial results of a mandatory department of surgery faculty mentoring pilot program.

    Science.gov (United States)

    Phitayakorn, Roy; Petrusa, Emil; Hodin, Richard A

    2016-09-01

    Mentoring of junior faculty by senior faculty is an important part of promotion and/or tenure and enhanced job satisfaction. This study reports the development and results to date of a faculty mentorship program in surgery. We implemented a departmental faculty mentoring program in July 2014 that consisted of both structured and informal meetings between junior faculty mentees and assigned senior faculty mentors. All senior faculty mentors attended a brief mentor training session. We then developed an evidence-based mentorship instrument that featured standardized metrics of academic success. This instrument was completed by each mentee, and then reviewed at the junior faculty's annual career conference with their division chief. A survey was distributed in July 2015 to assess junior faculty satisfaction with the new mentorship program. Junior or senior faculty consisted of six of three women and 16 of 11 men, respectively. Junior faculty members were aged 40 ± 3 y and had been an attending for 4 ± 2 y. Mentorship meetings occurred approximately three times during the year (range = 0-10). Total meeting time with senior mentors per meeting was a mean of 40 min (range = 0-300 min). Over 75% of junior faculty members were very or somewhat satisfied with the mentorship program and would like to continue in the program. The best aspect of the program was the opportunity to meet with an accomplished surgeon outside their division. Opportunities to improve the program included better matching of mentor to mentee by disease or research focus. Interestingly, almost the entire junior faculty members tended to have at least two other mentors besides the mentor assigned to them in this program. In terms of program outcomes, junior faculty members agreed that the mentorship program improved their overall career plans and enhanced their involvement in professional organizations but has not yet helped with academic productivity, home and/or work balance, and overall

  5. Initial Results from the STEM Student Experiences Aboard Ships (STEMSEAS) Program

    Science.gov (United States)

    Lewis, J. C.; Cooper, S. K.; Thomson, K.; Rabin, B.; Alberts, J.

    2016-12-01

    The Science Technology Engineering and Math Student Experiences Aboard Ships (STEMSEAS) program was created as a response to NSF's call (through GEOPATHS) for improving undergraduate STEM education and enhancing diversity in the geosciences. It takes advantage of unused berths on UNOLS ships during transits between expeditions. During its 2016 pilot year - which consisted of three transits on three different research vessels in different parts of the country, each with a slightly different focus - the program has gained significant insights into how best to create and structure these opportunities and create impact on individual students. A call for applications resulted in nearly 900 applicants for 30 available spots. Of these applicants, 32% are from minority groups underrepresented in the geosciences (Black, Hispanic, or American Indian) and 20% attend community colleges. The program was able to sail socioeconomically diverse cohorts and include women, veterans, and students with disabilities and from two- and four-year colleges. Twenty-three are underrepresented minorities, 6 attend community colleges, 5 attend an HBCU or tribal college, and many are at HSIs or other MSIs. While longer term impact assessment will have to wait, initial results and 6-month tracking for the first cohort indicate that these kinds of relatively short but intense experiences can indeed achieve significant impacts on students' perception of the geosciences, in their understanding of STEM career opportunities, their desire to work in a geoscience lab setting, and to incorporate geosciences into non-STEM careers. Insights were also gained into the successful makeup of mentor/leader groups, factors to consider in student selection, necessary pre- and post-cruise logistics management, follow-up activities, structure of activities during daily life at sea, increasing student networks and access to mentorships, and leveraging of pre-existing resources and ship-based opportunities

  6. STRengthening analytical thinking for observational studies: the STRATOS initiative.

    Science.gov (United States)

    Sauerbrei, Willi; Abrahamowicz, Michal; Altman, Douglas G; le Cessie, Saskia; Carpenter, James

    2014-12-30

    The validity and practical utility of observational medical research depends critically on good study design, excellent data quality, appropriate statistical methods and accurate interpretation of results. Statistical methodology has seen substantial development in recent times. Unfortunately, many of these methodological developments are ignored in practice. Consequently, design and analysis of observational studies often exhibit serious weaknesses. The lack of guidance on vital practical issues discourages many applied researchers from using more sophisticated and possibly more appropriate methods when analyzing observational studies. Furthermore, many analyses are conducted by researchers with a relatively weak statistical background and limited experience in using statistical methodology and software. Consequently, even 'standard' analyses reported in the medical literature are often flawed, casting doubt on their results and conclusions. An efficient way to help researchers to keep up with recent methodological developments is to develop guidance documents that are spread to the research community at large. These observations led to the initiation of the strengthening analytical thinking for observational studies (STRATOS) initiative, a large collaboration of experts in many different areas of biostatistical research. The objective of STRATOS is to provide accessible and accurate guidance in the design and analysis of observational studies. The guidance is intended for applied statisticians and other data analysts with varying levels of statistical education, experience and interests. In this article, we introduce the STRATOS initiative and its main aims, present the need for guidance documents and outline the planned approach and progress so far. We encourage other biostatisticians to become involved. © 2014 The Authors. Statistics in Medicine published by John Wiley & Sons, Ltd.

  7. Telecommunications, navigation and information management concept overview for the Space Exploration Initiative program

    Science.gov (United States)

    Bell, Jerome A.; Stephens, Elaine; Barton, Gregg

    An overview is provided of the Space Exploration Initiative (SEI) concepts for telecommunications, information systems, and navigation (TISN), and engineering and architecture issues are discussed. The SEI program data system is reviewed to identify mission TISN interfaces, and reference TISN concepts are described for nominal, degraded, and mission-critical data services. The infrastructures reviewed include telecommunications for robotics support, autonomous navigation without earth-based support, and information networks for tracking and data acquisition. Four options for TISN support architectures are examined which relate to unique SEI exploration strategies. Detailed support estimates are given for: (1) a manned stay on Mars; (2) permanent lunar and Martian settlements; short-duration missions; and (4) systematic exploration of the moon and Mars.

  8. The Relationship between Perceived Career Barriers and Career Decision Self-Efficacy on the Certainty of Initial Career Choice among Educational Opportunity Fund Program Students

    Science.gov (United States)

    Pulliam, Nicole Pacheco

    2014-01-01

    This study was an investigation of the predictive value of perceived career barriers and career decision self-efficacy on the certainty of initial career choice among Educational Opportunity Fund Program (EOF) pre-freshman college students, an under-studied college population with respect to career development (Winograd & Shick Tryon, 2009).…

  9. Developing a Mindfulness-Based Program for Infant Schools: Feasibility, Acceptability, and Initial Effects

    Science.gov (United States)

    Emerson, Lisa-Marie; Rowse, Georgina; Sills, Jennifer

    2017-01-01

    Growing evidence points to the success of mindfulness for supporting the well-being of older children in schools; less is known about the effects with younger schoolchildren. This study sought to test the feasibility and acceptability of a program of mindfulness-based activities with a nonclinical sample of young children within a school setting.…

  10. Effectiveness of School-Initiated Physical Activity Program on Secondary School Students' Physical Activity Participation

    Science.gov (United States)

    Gråstén, Arto; Yli-Piipari, Sami; Watt, Anthony; Jaakkola, Timo; Liukkonen, Jarmo

    2015-01-01

    Background: The promotion of physical activity and health has become a universal challenge. The Sotkamo Physical Activity as Civil Skill Program was implemented to increase students' physical activity by promoting supportive psychological and physical school environment. The aim of this study was to evaluate the effectiveness of the…

  11. What Assessment Knowledge and Skills Do Initial Teacher Education Programs Address? A Western Canadian Perspective

    Science.gov (United States)

    Poth, Cheryl-Anne

    2012-01-01

    Teacher education programs play a crucial role in preparing teachers for their future assessment roles and responsibilities, yet many beginning teachers feel unprepared to assess their students' performances (Mertler, 2009). To address concerns related to the relevancy of pre-service assessment education, this study examined 57 syllabi from…

  12. Evaluation of the Pilot Program of the Truancy Case Management Partnership Initiative in the District of Columbia, 2011-12

    Science.gov (United States)

    Liberman, Akiva; Cahill, Meagan

    2012-01-01

    This evaluation of the Case Management Partnership Initiative (CPMI) found that the program successfully linked high-need families with services designed to prevent truancy. The truancy prevention program, implemented at Anacostia and Ballou High Schools in 2011-2012, links chronically truant ninth graders and their families to social services and…

  13. The NASA Scientific and Technical Information (STI) Program's Implementation of Open Archives Initiation (OAI) for Data Interoperability and Data Exchange

    Science.gov (United States)

    Rocker, JoAnne; Roncaglia, George J.; Heimerl, Lynn N.; Nelson, Michael L.

    2002-01-01

    Interoperability and data-exchange are critical for the survival of government information management programs. E-government initiatives are transforming the way the government interacts with the public. More information is to be made available through web-enabled technologies. Programs such as the NASA's Scientific and Technical Information (STI) Program Office are tasked to find more effective ways to disseminate information to the public. The NASA STI Program is an agency-wide program charged with gathering, organizing, storing, and disseminating NASA-produced information for research and public use. The program is investigating the use of a new protocol called the Open Archives Initiative (OAI) as a means to improve data interoperability and data collection. OAI promotes the use of the OAI harvesting protocol as a simple way for data sharing among repositories. In two separate initiatives, the STI Program is implementing OAI In collaboration with the Air Force, Department of Energy, and Old Dominion University, the NASA STI Program has funded research on implementing the OAI to exchange data between the three organizations. The second initiative is the deployment of OAI for the NASA technical report server (TRS) environment. The NASA TRS environment is comprised of distributed technical report servers with a centralized search interface. This paper focuses on the implementation of OAI to promote interoperability among diverse data repositories.

  14. Advanced Donation Programs and Deceased Donor-Initiated Chains-2 Innovations in Kidney Paired Donation.

    Science.gov (United States)

    Wall, Anji E; Veale, Jeffrey L; Melcher, Marc L

    2017-12-01

    Kidney paired donation (KPD) strategies have facilitated compatible living-donor kidney transplants for end-stage renal disease patients with willing but incompatible living donors. Success has inspired further innovations that expand opportunities for kidney-paired donation. Two such innovations are the advanced donation strategy in which a donor provides a kidney before their recipient is matched, or even in need of, a kidney transplant, and deceased donor initiated chains in which chains are started with deceased donors rather than altruistic living donors. Although these innovations may expand KPD, they raise several ethical issues. Specific concerns raised by advanced donation include the management of uncertainty, the extent of donor and recipient consent, the scope of the obligation that the organization has to the kidney exchange paired recipient, the naming of alternative recipients, and the potential to unfairly advantage the recipient. Use of deceased donors for chain-initiating kidneys raises ethical issues concerning the consent process for each involved party, the prioritization of deceased donor kidneys, the allocation of chain ending kidneys, and the value of a living donor kidney versus a deceased donor kidney. We outline each ethical issue and discuss how it can be conceptualized and managed so that these KPD innovations programs are ultimately successful.

  15. Bibliography of Ethnic Heritage Studies Program Materials.

    Science.gov (United States)

    Kotler, Greta; And Others

    The Ethnic Heritage Studies Program was designed to teach students about the nature of their heritage and to study the contributions of the cultural heritage of other ethnic groups. This is a bibliography of materials developed by projects which received Federal Ethnic Heritage Studies Program grants during fiscal year 1974-75 and 1975-76.…

  16. Deep-sea coral research and technology program: Alaska deep-sea coral and sponge initiative final report

    Science.gov (United States)

    Rooper, Chris; Stone, Robert P.; Etnoyer, Peter; Conrath, Christina; Reynolds, Jennifer; Greene, H. Gary; Williams, Branwen; Salgado, Enrique; Morrison, Cheryl L.; Waller, Rhian G.; Demopoulos, Amanda W.J.

    2017-01-01

    Deep-sea coral and sponge ecosystems are widespread throughout most of Alaska’s marine waters. In some places, such as the central and western Aleutian Islands, deep-sea coral and sponge resources can be extremely diverse and may rank among the most abundant deep-sea coral and sponge communities in the world. Many different species of fishes and invertebrates are associated with deep-sea coral and sponge communities in Alaska. Because of their biology, these benthic invertebrates are potentially impacted by climate change and ocean acidification. Deepsea coral and sponge ecosystems are also vulnerable to the effects of commercial fishing activities. Because of the size and scope of Alaska’s continental shelf and slope, the vast majority of the area has not been visually surveyed for deep-sea corals and sponges. NOAA’s Deep Sea Coral Research and Technology Program (DSCRTP) sponsored a field research program in the Alaska region between 2012–2015, referred to hereafter as the Alaska Initiative. The priorities for Alaska were derived from ongoing data needs and objectives identified by the DSCRTP, the North Pacific Fishery Management Council (NPFMC), and Essential Fish Habitat-Environmental Impact Statement (EFH-EIS) process.This report presents the results of 15 projects conducted using DSCRTP funds from 2012-2015. Three of the projects conducted as part of the Alaska deep-sea coral and sponge initiative included dedicated at-sea cruises and fieldwork spread across multiple years. These projects were the eastern Gulf of Alaska Primnoa pacifica study, the Aleutian Islands mapping study, and the Gulf of Alaska fish productivity study. In all, there were nine separate research cruises carried out with a total of 109 at-sea days conducting research. The remaining projects either used data and samples collected by the three major fieldwork projects or were piggy-backed onto existing research programs at the Alaska Fisheries Science Center (AFSC).

  17. Implementing a robotics curriculum at an academic general surgery training program: our initial experience.

    Science.gov (United States)

    Winder, Joshua S; Juza, Ryan M; Sasaki, Jennifer; Rogers, Ann M; Pauli, Eric M; Haluck, Randy S; Estes, Stephanie J; Lyn-Sue, Jerome R

    2016-09-01

    The robotic surgical platform is being utilized by a growing number of hospitals across the country, including academic medical centers. Training programs are tasked with teaching their residents how to utilize this technology. To this end, we have developed and implemented a robotic surgical curriculum, and share our initial experience here. Our curriculum was implemented for all General Surgical residents for the academic year 2014-2015. The curriculum consisted of online training, readings, bedside training, console simulation, participating in ten cases as bedside first assistant, and operating at the console. 20 surgical residents were included. Residents were provided the curriculum and notified the department upon completion. Bedside assistance and operative console training were completed in the operating room through a mix of biliary, foregut, and colorectal cases. During the fiscal years of 2014 and 2015, there were 164 and 263 robot-assisted surgeries performed within the General Surgery Department, respectively. All 20 residents completed the online and bedside instruction portions of the curriculum. Of the 20 residents trained, 13/20 (65 %) sat at the Surgeon console during at least one case. Utilizing this curriculum, we have trained and incorporated residents into robot-assisted cases in an efficient manner. A successful curriculum must be based on didactic learning, reading, bedside training, simulation, and training in the operating room. Each program must examine their caseload and resident class to ensure proper exposure to this platform.

  18. Utilizing the Scientist as Teacher Through the Initiating New Science Partnerships in Rural Education (INSPIRE) Program

    Science.gov (United States)

    Pierce, D.; McNeal, K. S.; Radencic, S.

    2011-12-01

    The presence of a scientist or other STEM expert in secondary school science classroom can provide fresh new ideas for student learning. Through the Initiating New Science Partnerships in Rural Education (INSPIRE) program sponsored by NSF Graduate STEM Fellows in K-12 Education (GK-12), scientists and engineers at Mississippi State University work together with graduate students and area teachers to provide hands-on inquiry-based learning to middle school and high school students. Competitively selected graduate fellows from geosciences, physics, chemistry, and engineering spend ten hours per week in participating classrooms for an entire school year, working as a team with their assigned teacher to provide outstanding instruction in science and mathematics and to serve as positive role models for the students. We are currently in the second year of our five-year program, and we have already made significant achievements in science and mathematics instruction. We successfully hosted GIS Day on the Mississippi State University campus, allowing participating students to design an emergency response to a simulated flooding of the Mississippi Delta. We have also developed new laboratory exercises for high school physics classrooms, including a 3-D electric field mapping exercise, and the complete development of a robotics design course. Many of the activities developed by the fellows and teachers are written into formal lesson plans that are made publicly available as free downloads through our project website. All participants in this program channel aspects of their research interests and methods into classroom learning, thus providing students with the real-world applications of STEM principles. In return, participants enhance their own communication and scientific inquiry skills by employing lesson design techniques that are similar to defining their own research questions.

  19. Long distance travelling and financial burdens discourage tuberculosis DOTs treatment initiation and compliance in Ethiopia: a qualitative study

    OpenAIRE

    Tadesse, Takele; Demissie, Meaza; Berhane, Yemane; Kebede, Yigzaw; Abebe, Markos

    2013-01-01

    Background Timely tuberculosis treatment initiation and compliance are the two key factors for a successful tuberculosis control program. However, studies to understand patents? perspective on tuberculosis treatment initiation and compliance have been limited in Ethiopia. The aim of this study is to attempt to do that in rural Ethiopia. Methods This qualitative, phenomenological study conducted 26 in-depth interviews with tuberculosis patients. A thematic content analysis of the interviews wa...

  20. Feasibility, acceptability, and initial efficacy of an online sexual health promotion program for LGBT youth: the Queer Sex Ed intervention.

    Science.gov (United States)

    Mustanski, Brian; Greene, George J; Ryan, Daniel; Whitton, Sarah W

    2015-01-01

    Lesbian, gay, bisexual, and transgender (LGBT) youth experience multiple sexual health inequities driven, in part, by deficits in parental and peer support, school-based sex education programs, and community services. Research suggests that the Internet may be an important resource in the development of sexual health among LGBT youth. We examined the feasibility of recruiting youth in same-sex relationships into an online sexual health intervention, evaluated intervention acceptability, and obtained initial estimates of intervention efficacy. LGBT youth (16 to 20 years old) completed Queer Sex Ed (QSE), an online, multimedia sexual health intervention consisting of five modules. The final sample (N = 202) completed the pretest, intervention, and posttest assessments. The primary study outcomes were sexual orientation identity and self-acceptance (e.g., coming-out self-efficacy), sexual health knowledge (e.g., sexual functioning), relationship variables (e.g., communication skills), and safer sex (e.g., sexual assertiveness). Analyses indicated that 15 of the 17 outcomes were found to be significant (p acceptability, and initial efficacy of QSE, an innovative online comprehensive sexual health program for LGBT youth.

  1. Content-Related Interactions in Self-initiated Study Groups

    Science.gov (United States)

    Christian, Karen; Talanquer, Vicente

    2012-09-01

    The central goal of the present exploratory study was to investigate the nature of the content-related interactions in study groups independently organized by college organic chemistry students. We were particularly interested in the identification of the different factors that affected the emergence of opportunities for students to co-construct understanding and engage in higher levels of cognitive processing. Our results are based on the analysis of in situ observations of 34 self-initiated study sessions involving over a 100 students in three academic semesters. The investigation revealed three major types of social regulation processes, teaching, tutoring, and co-construction in the observed study sessions. However, the extent to which students engaged in each of them varied widely from one session to another. This variability was mostly determined by the specific composition of the study groups and the nature of the study tasks in which they were engaged. Decisions about how to organize the study session, the relative content knowledge and conceptual understanding expressed by the participants, as well as the cognitive level of the problems that guided group work had a strong impact on the nature of student interactions. Nevertheless, group talk in the observed study groups was mostly focused on low-level cognitive processes. The results of our work provide insights on how to better support students' productive engagement in study groups.

  2. Program Design for Healthy Weight in Lesbian and Bisexual Women: A Ten-City Prevention Initiative.

    Science.gov (United States)

    Fogel, Sarah C; McElroy, Jane A; Garbers, Samantha; McDonnell, Cheryl; Brooks, Jacquetta; Eliason, Michele J; Ingraham, Natalie; Osborn, Ann; Rayyes, Nada; Redman, Sarah Davis; Wood, Susan F; Haynes, Suzanne G

    2016-07-07

    Adult lesbian and bisexual (LB) women are more likely to be obese than adult heterosexual women. To address weight- and fitness-related health disparities among older LB women using culturally appropriate interventions, the Office on Women's Health (OWH) provided funding for the program, Healthy Weight in Lesbian and Bisexual Women (HWLB): Striving for a Healthy Community. This paper provides a description of the interventions that were implemented. Five research organizations partnered with lesbian, gay, bisexual, and transgender community organizations to implement healthy weight interventions addressing the needs of LB women 40 years and older. The interventions incorporated evidence-based recommendations related to physical activity and nutrition. Each group intervention developed site-specific primary objectives related to the overall goal of improving the health of LB women and included weight and waist circumference reduction as secondary objectives. A 57-item core health survey was administered across the five sites. At a minimum, each program obtained pre- and post-program assessments. Each program included the OWH-required common elements of exercise, social support, and education on nutrition and physical activity, but adopted a unique approach to deliver intervention content. This is the first time a multisite intervention has been conducted to promote healthy weight in older LB women. Core measurements across the HWLB programs will allow for pooled analyses, and differences in study design will permit analysis of site-specific elements. The documentation and analysis of the effectiveness of these five projects will provide guidance for model programs and future research on LB populations. Copyright © 2015 Jacobs Institute of Women's Health. All rights reserved.

  3. Initial Findings from a Novel School-Based Program, EMPATHY, Which May Help Reduce Depression and Suicidality in Youth.

    Directory of Open Access Journals (Sweden)

    Peter H Silverstone

    Full Text Available We describe initial pilot findings from a novel school-based approach to reduce youth depression and suicidality, the Empowering a Multimodal Pathway Towards Healthy Youth (EMPATHY program. Here we present the findings from the pilot cohort of 3,244 youth aged 11-18 (Grades 6-12. They were screened for depression, suicidality, anxiety, use of drugs, alcohol, or tobacco (DAT, quality-of-life, and self-esteem. Additionally, all students in Grades 7 and 8 (mean ages 12.3 and 13.3 respectively also received an 8-session cognitive-behavioural therapy (CBT based program designed to increase resiliency to depression. Following screening there were rapid interventions for the 125 students (3.9% who were identified as being actively suicidal, as well as for another 378 students (11.7% who were felt to be at higher-risk of self-harm based on a combination of scores from all the scales. The intervention consisted of an interview with the student and their family followed by offering a guided internet-based CBT program. Results from the 2,790 students who completed scales at both baseline and 12-week follow-up showed significant decreases in depression and suicidality. Importantly, there was a marked decrease in the number of students who were actively suicidal (from n=125 at baseline to n=30 at 12-weeks. Of the 503 students offered the CBT program 163 (32% took part, and this group had significantly lower depression scores compared to those who didn't take part. There were no improvements in self-esteem, quality-of-life, or the number of students using DAT. Only 60 students (2% of total screened required external referral during the 24-weeks following study initiation. These results suggest that a multimodal school-based program may provide an effective and pragmatic approach to help reduce youth depression and suicidality. Further research is required to determine longer-term efficacy, reproducibility, and key program elements.ClinicalTrials.gov NCT

  4. A Study of Initialization in Linux and OpenBSD

    OpenAIRE

    Dodge, Catherine; Irvine, Cynthia E.; Nguyen, Thuy D.

    2005-01-01

    The code that initializes a system can be notoriously difficult to understand. In secure systems, initialization is critical for establishing a starting state that is secure. This paper explores two architectures used for bringing an operating system to its initial state, once the operating system gains control from the boot loader. Specifically, the ways in which the OpenBSD and Linux operating systems handle initialization are dissected.

  5. Issues Primer. EEE708 Negotiated Study Program.

    Science.gov (United States)

    Jennings, Leonie

    This issues primer is structured around a series of 20 contemporary concerns in the changing world of work and training in Australia in the early 1990s. It is part of the study materials for the one-semester distance education unit, Negotiated Study Program, in the Open Campus Program at Deakin University (Australia). Information on each issue is…

  6. Self-Employment Training Programs: Case Studies.

    Science.gov (United States)

    Lamb, Melissa, Ed.; And Others

    This self-employment training program case study booklet has been developed for general use in exploring the feasibility of this kind of development tool. The case studies describe a number of comprehensive, self-employment training and assistance programs, from the local to the national level. Chapter II includes information on the training plan,…

  7. Paralegal Studies Program. Curriculum Utilization. Final Report.

    Science.gov (United States)

    Humphrey, Doris D.

    A program developed a paralegal studies program for Delaware County Community College in the Philadelphia (Pennsylvania) metropolitan area. Activities included gathering of information on paralegal studies as it related to curriculum content; advisory group establishment; curriculum development; training/educational material development; and…

  8. Animal models to study cancer-initiating cells from glioblastoma.

    Science.gov (United States)

    Wee, Boyoung; Charles, Nikki; Holland, Eric C

    2011-06-01

    Three main subtypes of gliomas with distinct molecular pathologies have been modeled in animals to better understand their biology. Genetically engineered mouse models that take advantage of genetic abnormalities observed in human gliomas have been instrumental in this process. These models better recapitulate signaling transduction pathways and the microenvironment that play crucial roles in glioma formation than in vitro systems or transplantation models. An increasing amount of data supports the existence of cells functionally defined by their self-renewal ability and tumor-initiating potential upon serial transplantation. As the issue of these cells with stem cell character in gliomagenesis becomes more illusive, animal models that provide an accurate experimental system where the stem cell character can be manipulated and studied are urgently needed. This review provides an overview of the current state of the literature with respect to animal models used in the study of gliomas and cells with stem cell character in their native environment.

  9. Initial Feasibility Study to Drill and Core the Ocean Mantle

    Directory of Open Access Journals (Sweden)

    Nicolas Pilisi

    2011-09-01

    Full Text Available An initial feasibility study (Pilisi and Whitney, 2011 of drilling through the Mohorovičić discontinuity (Moho into the oceanic mantle specifically focused on future requirements for planning, drilling and coring a hole 500 m into the oceanic mantle from three candidate locations in the Pacific Ocean (Cocos Plate, Baja California, and offshore Hawaii. The study points out some of the critical issues that need to be resolved before embarking upon such a challengingproject. It was conducted on the basis of data provided by the Integrated Ocean Drilling Program–Management International (IODP-MI, the Center for Deep Earth Exploration (CDEX operating the drilling vessel Chikyu within IODP, public domain information, and past experience that Blade Energy Partners (hereafter mentioned as “Blade”; http://www.blade-energy.com/ has had with frontier projects in the offshore deepwater oil and gas and geothermal industries.

  10. Complexity metric based on fraction of penumbra dose - initial study

    Science.gov (United States)

    Bäck, A.; Nordström, F.; Gustafsson, M.; Götstedt, J.; Karlsson Hauer, A.

    2017-05-01

    Volumetric modulated arc therapy improve radiotherapy outcome for many patients compared to conventional three dimensional conformal radiotherapy but require a more extensive, most often measurement based, quality assurance. Multi leaf collimator (MLC) aperture-based complexity metrics have been suggested to be used to distinguish complex treatment plans unsuitable for treatment without time consuming measurements. This study introduce a spatially resolved complexity score that correlate to the fraction of penumbra dose and will give information on the spatial distribution and the clinical relevance of the calculated complexity. The complexity metric is described and an initial study on the correlation between the complexity score and the difference between measured and calculated dose for 30 MLC openings is presented. The result of an analysis of the complexity scores were found to correlate to differences between measurements and calculations with a Pearson’s r-value of 0.97.

  11. A Pilot Study of an Online Workplace Nutrition Program: The Value of Participant Input in Program Development

    Science.gov (United States)

    Cousineau, Tara; Houle, Brian; Bromberg, Jonas; Fernandez, Kathrine C.; Kling, Whitney C.

    2008-01-01

    Objective: Tailored nutrition Web programs constitute an emerging trend in obesity prevention. Initial investment in innovative technology necessitates that the target population be well understood. This pilot study's purpose was to determine the feasibility of a workplace nutrition Web program. Design: Formative research was conducted with gaming…

  12. Long-Term Effects of Smoke-free Kids on smoking initiation: A Randomized Home-based Smoking Prevention Program for Elementary School Aged Children.

    NARCIS (Netherlands)

    Hiemstra, Marieke; Ringlever, Linda; Otten, Roy; van Schayck, Onno; Engels, Rutger C M E

    Objective The aims of the study were to evaluate the long-term effects of a home-based smoking prevention program ‘Smoke-free Kids’ during preadolescence on smoking initiation during adolescence and to test the potential moderating role of parental smoking, socioeconomic status, and asthma. Method

  13. The Strengthening Families Initiative and Child Care Quality Improvement: How Strengthening Families Influenced Change in Child Care Programs in One State

    Science.gov (United States)

    Douglass, Anne; Klerman, Lorraine

    2012-01-01

    Research Findings: This study investigated how the Strengthening Families through Early Care and Education initiative in Illinois (SFI) influenced change in 4 child care programs. Findings indicate that SFI influenced quality improvements through 4 primary pathways: (a) Learning Networks, (b) the quality of training, (c) the engagement of program…

  14. Evidence of the Adoption and Implementation of a Statewide Childhood Obesity Prevention Initiative in the New York State WIC Program: The "NY Fit WIC" Process Evaluation

    Science.gov (United States)

    Sekhobo, Jackson P.; Egglefield, Katherine; Edmunds, Lynn S.; Shackman, Gene

    2012-01-01

    Process evaluations are critical in determining whether outcome evaluations are warranted. This study assessed the extent to which a childhood obesity prevention initiative, "NY Fit WIC", was adopted and implemented by the New York State Supplemental Nutrition Program for Women, Infants and Children (WIC). Process data came from…

  15. Librarian-initiated HIV/AIDS prevention intervention program outcome in rural communities in Oyo State, Nigeria.

    Science.gov (United States)

    Ajuwon, G A; Komolafe-Opadeji, H O; Ikhizama, B

    2013-01-01

    The objective of this study was to meet the HIV/AIDS information and service needs of citizens living in selected rural, underserved communities in Oyo State, Nigeria. This was a librarian-initiated intervention program (pre-post) study of heads of rural households in Oyo State. A questionnaire was used for pre- and post-intervention assessment. The education covered knowledge about HIV/AIDS, routes of transmission, prevention strategies, and attitude toward persons living with HIV. It increased participants' knowledge about AIDS and improved attitude toward those living with HIV. Provision and dissemination of information on HIV/AIDS through librarians to rural settlers is an important prevention strategy and librarians can make major contributions.

  16. The building bridges initiative: learning with, from and about to create an interprofessional end-of-life program.

    Science.gov (United States)

    Gordon, Elizabeth; Ridley, Brenda; Boston, Janine; Dahl, Eileen

    2012-01-01

    In this paper, the authors outline the rationale, planning, delivery, results, evaluation and knowledge transfer strategies employed in offering an eight-hour education day offered 12 times in 2010, to a total of 200 staff in three Toronto General Hospital (TGH) intensive care units (ICU) at the University Health Network (UHN). The integration of members from the point-of-care staff teams into the planning, development, presentation and attendance was a critical success factor for this initiative. Organizers and participants had the opportunity to build bridges with each other and across teams and programs by engaging in interprofessional learning, sharing narratives and consolidating increasing awareness of resources with facilitation from staff from nursing, medicine, palliative care, bioethics, social work, physiotherapy, respiratory therapy, wellness and spiritual care. The format, which will be outlined with examples and stories of engagement, included an opportunity to explore common elements of ICU work including moral distress, demonstrated wellness and team communication strategies, as well as the introduction of an interprofessional patient/family meeting checklist reviewed and evaluated by participants. An assessment of quality of life in an ICU was explored using a panel, case study and discussion. The results of the evaluation, which included a qualitative reflection on collaborative themes, a program evaluation and an individual learning assessment, will be discussed, as well as sustainability and transferability possibilities specific to interprofessional programming and team development.

  17. Research scholars program: a faculty development initiative at the Oregon College of Oriental Medicine.

    Science.gov (United States)

    Hammerschlag, Richard; Lasater, Kathie; Salanti, Sonya; Fleishman, Susan

    2008-05-01

    The Research Scholars Program (RSP) was created at the Oregon College of Oriental Medicine (OCOM) to provide faculty development in research literacy, research-informed clinical practice, and research participation skills. The RSP is part of a broad effort, funded by a National Institutes of Health/National Center for Complementary and Alternative Medicine R25 education grant, to infuse an evidence-based perspective into the curriculum at schools of complementary and alternative medicine. The RSP arose from the realization that this curriculum reform would first necessitate faculty training in both research appreciation and pedagogy. OCOM's grant, Acupuncture Practitioner Research Education Enhancement, is a partnership with the Oregon Health & Science University School of Nursing (OHSU SON). The RSP was developed initially as a collaborative effort among the OCOM Dean of Research (R.H.), OCOM Director of Research Education (S.F.), and an OHSU SON education specialist (K.L.). The 9-month, 8 hours per month seminar-style RSP provides the opportunity for a cohort of OCOM faculty and staff to explore research-related concepts and content as well as pedagogical practices that emphasize interactive, learner-centered teaching. The RSP adheres to a competency-based approach as developed by the Education Committee of the grant. As a tangible outcome, each Research Scholar designs a sustainable learning activity that infuses a research perspective into their courses, clinic supervision, or other sphere of influence at the college. In this paper, we describe the creative process and the lessons learned during the planning and initial implementation of the RSP. We view the early successes of the RSP as encouraging signs that research literacy and an evidence-based perspective are becoming increasingly accepted as needed skill sets for present-day practitioners of acupuncture and Oriental medicine.

  18. Geospatial Education in Alaska's High Schools: A new Initiative of the Alaska Space Grant Program

    Science.gov (United States)

    Brown, N.; Prakash, A.

    2005-05-01

    In the summer of 2004, the Alaska Space Grant Program (ASGP) made its first step to start a new and unique initiative to bring geospatial education to the high schools. Setting up this education outreach effort in the largest of the 50 states of US that has a population density of about one person per square mile, has its unique benefits and challenges. It is particularly rewarding as one reaches out to distant native and minority communities in their own local environment. Introducing Earth and Space Science topics with a geospatial context makes such educational efforts of local relevance. Training in the use of Earth and Space Science data and tools is of practical significance to the distant communities and also contributes to the development of a new technically skilled geospatial workforce that is prepared to meet the state and national needs. In the summer of 2004 ASGP ran the first two week summer workshop on "Global Positioning System (GPS) and Geographic Information System (GIS) for Alaska School Teachers". Fourteen high school teachers from various parts of the state participated and received training on the use of GPS and GIS and carried out small projects of significance to their local regions. Follow up visits were made by the course instructors to some selected schools and within six months, two high schools incorporated these in their class room teaching (www.gi.alaska.edu/~prakash/teaching/geos595). To reach out to schools that do not have well established computational facilities, ASGP build a mobile GIS laboratory with 15 laptops-GPS-GIS software assemblage. This mobile set up will be used in the second two week summer course scheduled to be run in June 2005. This batch of teachers will be more comfortable introducing GPS/GIS technology in their class rooms where they will have the possibility to use the same hardware and software setup as they used during their training, ensuring even greater success of this initiative.

  19. An ERP study on initial second language vocabulary learning.

    Science.gov (United States)

    Yum, Yen Na; Midgley, Katherine J; Holcomb, Phillip J; Grainger, Jonathan

    2014-04-01

    This study examined the very initial phases of orthographic and semantic acquisition in monolingual native English speakers learning Chinese words under controlled laboratory conditions. Participants engaged in 10 sessions of vocabulary learning, four of which were used to obtain ERPs. Performance in behavioral tests improved over sessions, and these data were used to define fast and slow learners. Most important is that ERPs in the two groups of learners revealed qualitatively distinct learning patterns. Only fast learners showed a left-lateralized increase in N170 amplitude with training. Furthermore, only fast learners showed an increased N400 amplitude with training, with a distinct anterior distribution. Slow learners, on the other hand, showed a posterior positive effect, with increasingly positive-going waveforms in occipital sites as training progressed. Possible mechanisms underlying these qualitative differences are discussed. Copyright © 2014 Society for Psychophysiological Research.

  20. An ERP Study on Initial Second Language Vocabulary Learning*

    Science.gov (United States)

    Yum, Yen Na; Midgley, Katherine J.; Holcomb, Phillip J.; Grainger, Jonathan

    2014-01-01

    This study examined the very initial phases of orthographic and semantic acquisition in monolingual native English speakers learning Chinese words under controlled laboratory conditions. Participants engaged in ten sessions of vocabulary learning, four of which were used to obtain ERPs. Performance in behavioral tests improved over sessions, and these data were used to define fast and slow learners. Most important is that ERPs in the two groups of learners revealed qualitatively distinct learning patterns. Only fast learners showed a left-lateralized increase in N170 amplitude with training. Furthermore, only fast learners showed an increased N400 amplitude with training, with a distinct anterior distribution. Slow learners, on the other hand, showed a posterior positive effect, with increasingly positive-going waveforms in occipital sites as training progressed. Possible mechanisms underlying these qualitative differences are discussed. PMID:24660886

  1. 14 CFR 91.1077 - Training program and revision: Initial and final approval.

    Science.gov (United States)

    2010-01-01

    ... RULES Fractional Ownership Operations Program Management § 91.1077 Training program and revision... outline of the proposed or revised curriculum, that provides enough information for a preliminary...

  2. Advanced turbocharger design study program

    Science.gov (United States)

    Culy, D. G.; Heldenbrand, R. W.; Richardson, N. R.

    1984-01-01

    The advanced Turbocharger Design Study consisted of: (1) the evaluation of three advanced engine designs to determine their turbocharging requirements, and of technologies applicable to advanced turbocharger designs; (2) trade-off studies to define a turbocharger conceptual design and select the engine with the most representative requirements for turbocharging; (3) the preparation of a turbocharger conceptual design for the Curtiss Wright RC2-32 engine selected in the trade-off studies; and (4) the assessment of market impact and the preparation of a technology demonstration plan for the advanced turbocharger.

  3. Undergraduate International Studies and Foreign Language Program

    Science.gov (United States)

    Office of Postsecondary Education, US Department of Education, 2012

    2012-01-01

    The Undergraduate International Studies and Foreign Language Program provides funds to institutions of higher education, a consortia of such institutions, or partnerships between nonprofit organizations and institutions of higher education to plan, develop, and implement programs that strengthen and improve undergraduate instruction in…

  4. 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.

  5. Web-enhanced Curricular Infusion of ESOL Competencies in Initial Teacher Certification Programs

    Directory of Open Access Journals (Sweden)

    Karen Wolz Verkler

    2003-09-01

    Full Text Available As the cultural and linguistic diversity continues to increase in Florida s K-12 public school population, the demand for teachers trained to address their unique needs becomes paramount. Previously a responsibility of Florida s school districts, ESOL(English for Speakers of Other Languages training has been delegated to colleges of education per state mandate. This mandate requires that graduates of initial teacher certification programs in the state s universities demonstrate competency in all of the 25 Florida Performance Standards for Teachers of English for Speakers of Other Languages. In order to satisfy this charge, colleges of education in Florida are following a variety of training models: stand-alone courses, curricular infusion, or a combination of the two. A large, metropolitan university in Central Florida has developed an integrated model consisting of two stand-alone courses, field experience integration of the standards, and curricular infusion of ESOL standards via on-lone modules in methods courses. The authors, who teach methods courses in which such infusion has been recently effected, surveyed their students to obtain feedback regarding the modules, the results of which are discussed in this paper.

  6. A Maternal System Initiating the Zygotic Developmental Program through Combinatorial Repression in the Ascidian Embryo.

    Science.gov (United States)

    Oda-Ishii, Izumi; Kubo, Atsushi; Kari, Willi; Suzuki, Nobuhiro; Rothbächer, Ute; Satou, Yutaka

    2016-05-01

    Maternal factors initiate the zygotic developmental program in animal embryos. In embryos of the chordate, Ciona intestinalis, three maternal factors-Gata.a, β-catenin, and Zic-r.a-are required to establish three domains of gene expression at the 16-cell stage; the animal hemisphere, vegetal hemisphere, and posterior vegetal domains. Here, we show how the maternal factors establish these domains. First, only β-catenin and its effector transcription factor, Tcf7, are required to establish the vegetal hemisphere domain. Second, genes specifically expressed in the posterior vegetal domain have additional repressive cis-elements that antagonize the activity of β-catenin/Tcf7. This antagonizing activity is suppressed by Zic-r.a, which is specifically localized in the posterior vegetal domain and binds to DNA indirectly through the interaction with Tcf7. Third, Gata.a directs specific gene expression in the animal hemisphere domain, because β-catenin/Tcf7 weakens the Gata.a-binding activity for target sites through a physical interaction in the vegetal cells. Thus, repressive regulation through protein-protein interactions among the maternal transcription factors is essential to establish the first distinct domains of gene expression in the chordate embryo.

  7. Drug Use and Sex Work Among At-risk Women: A Qualitative Study of Initial Factors.

    Science.gov (United States)

    Roshanfekr, Payam; Noori, Roya; Dejman, Masoumeh; Fathi Geshnigani, Zahra; Rafiey, Hassan

    2015-06-01

    In recent years, there has been an increasing interest in performing research on drug use and sex work among at-risk women. Although there is a well-documented literature of the initial reasons associated with drug use and sex work among women, there is, however, a paucity of information in this area in Iran. This study aimed to explore the initial reasons associated with drug use and sex work in a group of female treatment seekers, who presented health-related risk behaviors, in Tehran, Iran. This qualitative study enrolled a total of 65 at-risk women, from five women-specific drug clinics, who participated in the study in 2011. Individual in-depth interviews were conducted. Focus group interviews were conducted with 10 key informants. All interviews were audio-taped and thematically written. The recorded data were analyzed using ATLASti qualitative research software version 10. The median age of the sample was 34 years. In addition, 44.6% of subjects were opiate users, and 55.4% were users of opiates and methamphetamine. Sex work was the main source of income for almost half of the sample. The most frequently reported reasons, associated with initial drug use, were extrinsic motivations, including the drug-using family, friends or social networks. Intrinsic motivations, including curiosity and individual willingness to use drugs, were other initial reasons. The most frequently reported reasons, associated with initial sex work, included the need to purchase drugs and financial problems. The study findings demonstrated a number of reasons associated with initial drug use and sex work. The role of sex work in providing drugs necessitates education and prevention. Special treatment programs should be implemented to prevent sex work among at-risk women in Iran.

  8. Drug Use and Sex Work Among At-risk Women: A Qualitative Study of Initial Factors

    Science.gov (United States)

    Roshanfekr, Payam; Noori, Roya; Dejman, Masoumeh; Fathi Geshnigani, Zahra; Rafiey, Hassan

    2015-01-01

    Background: In recent years, there has been an increasing interest in performing research on drug use and sex work among at-risk women. Although there is a well-documented literature of the initial reasons associated with drug use and sex work among women, there is, however, a paucity of information in this area in Iran. Objectives: This study aimed to explore the initial reasons associated with drug use and sex work in a group of female treatment seekers, who presented health-related risk behaviors, in Tehran, Iran. Patients and Methods: This qualitative study enrolled a total of 65 at-risk women, from five women-specific drug clinics, who participated in the study in 2011. Individual in-depth interviews were conducted. Focus group interviews were conducted with 10 key informants. All interviews were audio-taped and thematically written. The recorded data were analyzed using ATLASti qualitative research software version 10. Results: The median age of the sample was 34 years. In addition, 44.6% of subjects were opiate users, and 55.4% were users of opiates and methamphetamine. Sex work was the main source of income for almost half of the sample. The most frequently reported reasons, associated with initial drug use, were extrinsic motivations, including the drug-using family, friends or social networks. Intrinsic motivations, including curiosity and individual willingness to use drugs, were other initial reasons. The most frequently reported reasons, associated with initial sex work, included the need to purchase drugs and financial problems. Conclusions: The study findings demonstrated a number of reasons associated with initial drug use and sex work. The role of sex work in providing drugs necessitates education and prevention. Special treatment programs should be implemented to prevent sex work among at-risk women in Iran. PMID:26288649

  9. Keys to success: Ten case studies of effective weatherization programs

    Energy Technology Data Exchange (ETDEWEB)

    Brown, M.A.; Berry, L.G.; Kolb, J.O.; White, D.L. [Oak Ridge National Lab., TN (United States); Kinney, L.F.; Wilson, T. [Synertech Systems Corp., Syracuse, NY (United States)

    1993-11-01

    In 1990, DOE initiated a nationwide evaluation of its Weatherization Program, with assistance from Oak Ridge National Laboratory and an advisory group of 40 weatherization professionals, program managers, and researchers. The evaluation is comprised of three impact studies covering the Program`s major market segments: Single-family homes, mobile homes, and dwellings in small (2 to 4-unit) multifamily buildings (the Single-Family Study), Single-family homes heated primarily with fuel oil (the Fuel-Oil Study), and Dwellings in buildings with five or more units (the Multifamily Study). The Single-Family Study, the subject of this report, is a critical part of this coordinated evaluation effort. Its focus on single-family dwellings, mobile homes, and dwellings in small multifamily buildings covers 83% of the income-eligible population and 96% of the dwellings weatherized during Program Year 1989. The first phase of the Single-Family Study involved the analysis of a massive data base of information collected from 368 local weatherization agencies and 543 electric and gas utilities. This analysis resulted in energy-saving and cost-effectiveness estimates for the Weatherization Program and the identification of a set of ten high-performing agencies located throughout the country. The second phase, which is the subject of this report, involves a ``process`` evaluation of these ten high performers, aimed at identifying those weatherization practices that explain their documented success.

  10. Application of Appropriate Use Criteria for Initial Transthoracic Echocardiography in an Academic Outpatient Pediatric Cardiology Program.

    Science.gov (United States)

    Safa, Raya; Aggarwal, Sanjeev; Misra, Amrit; Kobayashi, Daisuke

    2017-08-01

    Transthoracic echocardiography (TTE) is a non-invasive diagnostic modality for children with suspected heart disease. The American College of Cardiology published Appropriate Use Criteria (AUC) for an initial outpatient pediatric TTE in 2014 to promote effective care and improve resource utilization. The objective was to determine the appropriateness of TTE per the published AUC in a single academic pediatric cardiology clinic as a baseline performance quality measure. The echocardiography database was used to identify initial outpatient TTE in children during January-March 2014. TTE indications (appropriate [A], may be appropriate [M], or rarely appropriate [R]) and findings (normal, incidental, or abnormal) were recorded. The effect of AUC and age groups on yield of abnormal TTE findings was analyzed. Of the 2166 screened studies, our study cohort consisted of 247 TTEs. Indications rated A, M, and R were found in 129, 27, and 90, respectively, and 1 was unclassifiable. Majority of TTE (n = 183) were normal, although incidental findings were noted in 32 and abnormal findings in 32 cases. Abnormal findings were noted in 26/129 of A, 2/27 of M, and 4/90 of R. Indications rated A were significantly associated with yield of abnormal TTE findings, adjusted by age group. Infants and adolescents were more likely to have abnormal TTE findings compared to young children. Recently published AUC were validated for initial TTE in the outpatient pediatric cardiology clinic. Appropriateness rated by AUC was highly associated with yield of abnormal TTE findings and worked best in infants and adolescent.

  11. Distributed Pair Programming Using Collaboration Scripts: An Educational System and Initial Results

    Science.gov (United States)

    Tsompanoudi, Despina; Satratzemi, Maya; Xinogalos, Stelios

    2015-01-01

    Since pair programming appeared in the literature as an effective method of teaching computer programming, many systems were developed to cover the application of pair programming over distance. Today's systems serve personal, professional and educational purposes allowing distributed teams to work together on the same programming project. The…

  12. Big Earth Data Initiative: Metadata Improvement: Case Studies

    Science.gov (United States)

    Kozimor, John; Habermann, Ted; Farley, John

    2016-01-01

    Big Earth Data Initiative (BEDI) The Big Earth Data Initiative (BEDI) invests in standardizing and optimizing the collection, management and delivery of U.S. Government's civil Earth observation data to improve discovery, access use, and understanding of Earth observations by the broader user community. Complete and consistent standard metadata helps address all three goals.

  13. Repetition priming of motor activity mediated by a central pattern generator: the importance of extrinsic vs. intrinsic program initiators

    Science.gov (United States)

    Siniscalchi, Michael J.; Jing, Jian; Weiss, Klaudiusz R.

    2016-01-01

    Repetition priming is characterized by increased performance as a behavior is repeated. Although this phenomenon is ubiquitous, mediating mechanisms are poorly understood. We address this issue in a model system, the feeding network of Aplysia. This network generates both ingestive and egestive motor programs. Previous data suggest a chemical coding model: ingestive and egestive inputs to the feeding central pattern generator (CPG) release different modulators, which act via different second messengers to prime motor activity in different ways. The ingestive input to the CPG (neuron CBI-2) releases the peptides feeding circuit activating peptide and cerebral peptide 2, which produce an ingestive pattern of activity. The egestive input to the CPG (the esophageal nerve) releases the peptide small cardioactive peptide. This model is based on research that focused on a single aspect of motor control (radula opening). Here we ask whether repetition priming is observed if activity is triggered with a neuron within the core CPG itself and demonstrate that it is not. Moreover, previous studies demonstrated that effects of modulatory neurotransmitters that induce repetition priming persist. This suggests that it should be possible to “prime” motor programs triggered from within the CPG by first stimulating extrinsic modulatory inputs. We demonstrate that programs triggered after ingestive input activation are ingestive and programs triggered after egestive input activation are egestive. We ask where this priming occurs and demonstrate modifications within the CPG itself. This arrangement is likely to have important consequences for “task” switching, i.e., the cessation of one type of motor activity and the initiation of another. PMID:27466134

  14. Poliovirus Studies during the Endgame of the Polio Eradication Program.

    Science.gov (United States)

    Arita, Minetaro

    2017-01-24

    Since the beginning of Global Polio Eradication Initiative in 1988, poliomyelitis cases caused by wild poliovirus (PV) have been drastically reduced, with only 74 cases reported in 2 endemic countries in 2015. The current limited PV transmission suggests that we are in the endgame of the polio eradication program. However, specific challenges have emerged in the endgame, including tight budget, switching of the vaccines, and changes in biorisk management of PV. To overcome these challenges, several PV studies have been implemented in the eradication program. Some of the responses to the emerging challenges in the polio endgame might be valuable in other infectious diseases eradication programs. Here, I will review challenges that confront the polio eradication program and current research to address these challenges.

  15. [PROFAMILIA studies the effectiveness of contraceptive marketing programs in Colombia].

    Science.gov (United States)

    1987-01-01

    A recent study by PROFAMILIA, the private Colombian family planning organization, indicates that community based distribution programs and social marketing programs are not totally interchangeable forms of contraceptive distribution. Comparison of the efficacy of different systems in making contraceptives more accessible to the low income population led the researchers to conclude that social marketing programs work as well as community based distribution programs in rural areas which already have high rates of contraceptive usage. Community based distribution programs appear more effective than social marketing programs in areas where contraceptive usage is not yet well established. PROFAMILIA researchers conducted operational studies in 3 different states, each of which had a community based distribution program. In the first state the community based distribution program was suspended and a vender who had previously supplied only urban outlets added rural pharmacies to his route. The vender handled 3 kinds of pills, 2 types of spermicidal suppositories, and condoms. In a neighboring state, 3 instructors belonging to the community based distribution program were offered commissions of about 10% of the value of the products if the distributors they supervised met monthly sales quotas. The community based distribution program was left unchanged in the third state but a 2-member mobile team was trained to travel through the region by jeep, talking to community groups about the advantage of contraception. At the end of 18 months, sales of contraceptives had declined in the state where the community based distribution program was replaced by the social marketing program. The decline was believed to be related to unforeseen price increases for pills and devaluation of the Colombian peso. The social marketing project was however much more cost effective than the other 2, which continued to require PROFAMILIA subsidies. Contraceptive usage increased in the other 2 areas

  16. "Ready To Learn" Transmedia Demonstration Station Study: A Report to the CPB-PBS "Ready to Learn Initiative"

    Science.gov (United States)

    Pasnik, Shelley; Llorente, Carlin

    2012-01-01

    The 2012 Transmedia Demonstration Stations program study is part of the multiyear CPB-PBS "Ready To Learn" summative evaluation initiative by Education Development Center, Inc., (EDC) and SRI International (SRI). Through a series of related studies, the authors are documenting, and, whenever possible, measuring the impact of PBS KIDS…

  17. STIMULATION PROGRAM SKILLS PRE READING CHILDREN IN EDUCATION INITIAL CALLAO - PERU

    OpenAIRE

    Velarde Consoli, Esther; Universidad Nacional Mayor de San Marcos; Canales Gabriel, Ricardo; Universidad Nacional Mayor de San Marcos; Meléndez Jara, Magaly; Universidad Nacional Mayor de San Marcos; Lingán Huamán, Susana; Universidad Nacional Mayor de San Marcos

    2014-01-01

    This study analyses the results of the program for the pre skills stimulation readers which has been called: “Leíto: Ready for reading” applied to a sample of children of preschool education of the constitutional province of Callao. The participants were 60 children with an average age of 5 years, two public educational institutions of the constitutional province of Callao in the Peru. As part of the design selected in this research, 60 subjects, 30 of them were assigned to the Experimental G...

  18. A Study of Customized Contract Training Programs at Selected Community Colleges.

    Science.gov (United States)

    Warford, Larry J.

    In 1987, a study was conducted to assess the status of customized contract training programs in 16 League for Innovation community college districts and to examine the issues surrounding the establishment of these programs. An initial survey requested information on the current status of contract training programs. A subsequent survey, employing…

  19. 77 FR 5043 - Announcement of Funding Awards for the Brownfields Economic Development Initiative (BEDI) Program...

    Science.gov (United States)

    2012-02-01

    ... URBAN DEVELOPMENT Announcement of Funding Awards for the Brownfields Economic Development Initiative...) 2009 Notice of Funding Availability (NOFA) for the Brownfield Economic Development Initiative (BEDI... by HUD. FOR FURTHER INFORMATION CONTACT: David Kaminsky, Office of Economic Development Grants...

  20. 77 FR 5044 - Announcement of Funding Awards for the Brownfields Economic Development Initiative (BEDI) Program...

    Science.gov (United States)

    2012-02-01

    ... URBAN DEVELOPMENT Announcement of Funding Awards for the Brownfields Economic Development Initiative... (FLY) 2010 Notice of Funding Availability (NOFA) for the Brownfield Economic Development Initiative... available by HUD. FOR FURTHER INFORMATION CONTACT: David Kaminsky, Office of Economic Development Grants...

  1. The initial response of secondary mathematics teachers to a one-to-one laptop program

    Science.gov (United States)

    Zuber, Edward Nordin; Anderson, Judy

    2013-06-01

    Studies of one-to-one programs consistently report lower use of laptops in mathematics classrooms compared to other subjects but do not elaborate reasons for these observations. This mixed-method study investigated the experiences and beliefs of 28 mathematics teachers at five secondary schools during the second year of the New South Wales Digital Education Revolution laptop program. While some mathematics teachers planned for students to use their laptops up to once a week, most reported less frequent use in the classroom. Teachers were grouped into categories "Non Adopters," "Cautious Adopters," and "Early Adopters" according to reported classroom use of laptops, then analysed for differences in confidence, knowledge, and beliefs relating to technology for teaching and learning mathematics. A prevalent belief limiting laptop use is that students authentically learn mathematics only using pen and paper. Cautious Adopters and Non Adopters expressed beliefs that laptops exacerbate classroom management problems, especially for lower-achieving students. In the context of ability-streamed classes these beliefs effectively ruled out use of laptops for entire classrooms.

  2. Synthetic objective function to improve the performance of DE - Initial study

    Science.gov (United States)

    Viktorin, Adam; Pluhacek, Michal; Senkerik, Roman

    2017-07-01

    In this initial study, the idea of synthesizing objective function during the evolution process is tested for the improvement of optimization performance of Differential Evolution (DE) algorithm. Since many of the real world problems require computationally expensive simulations there is a demand for specialized optimization algorithms to solve them in as few objective function evaluations as possible. This paper proposes a new approach which combines DE with Analytical Programming (AP), a symbolic regression tool used for the synthesis of objective function in order to adapt the control parameter settings during evolution.

  3. Initial Studies on Alkaloids from Lombok Medicinal Plants

    Directory of Open Access Journals (Sweden)

    John B. Bremner

    2001-01-01

    Full Text Available Initial investigation of medicinal plants from Lombok has resulted in the collection of 100 plant species predicted to have antimicrobial, including antimalarial, properties according to local medicinal uses. These plants represent 49 families and 80 genera; 23% of the plants tested positively for alkaloids. Among the plants testing positive, five have been selected for further investigation involving structure elucidation and antimicrobial testing on the extracted alkaloids. Initial work on structural elucidation of some of the alkaloids is reported briefly.

  4. Experimental study of infrared filaments under different initial conditions

    Science.gov (United States)

    Mirell, Daniel Joseph

    field that gives birth to multiphoton and avalanche ionization), (b) conical emission/supercontinuum generation, and (c) emitted THz radiation. The aim of all of this research is to gain a better understanding of filamentation so that we may learn how to control them for the applications of: (a) laser-induced lightning, (b) laser-induced breakdown spectroscopy, (c) LIDAR, (d) medical imaging and many more. In this dissertation we will focus on an experimental study of filamentation in air produced by 780 nm radiation, pulsewidths of 200 fs, and energies pulse of 9 mJ/pulse. We have used an aerodynamic window + vacuum system to study the difference between focusing filament forming pulses down initially in vacuum conditions to that where it is allowed to focus in atmosphere. Described herein is a new way to use an off-the-shelf, inexpensive and robust 1064 nm mirror to observe the beam profile and its evolution in the filament as well as the filaments spectral properties. In addition, experiments to test for the plasma have been conducted. The results of these experiments indicate filament sizes of 200mum, in contrast to the commonly reported value of 100pm. Filaments of this size exist over a length of approximately a meter which is 8 times longer than the associated Rayleigh range for such a spot size with a clear enhancement in filament persistence with the use of the aerodynamic window. In addition the appearance of newly generated "bluer" frequencies that is present under atmospheric focusing is ail but eliminated through an initial focusing of the beam in vacuum conditions. Plasma densities of 1016 e -/cm3 were measured using plasma interferometry.

  5. 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.

  6. Study on the ocean drilling program

    Energy Technology Data Exchange (ETDEWEB)

    Oh, Jae Ho; Han, Hyun Chul; Chin, Jae Wha; Lee, Sung Rok; Park, Kwan Soon; Lee, Young Joo; Park, Young Soo [Korea Institute of Geology Mining and Materials, Taejon (Korea, Republic of)

    1996-12-01

    Geoscience research trend of the world nations is focusing on the study of climate changes and preventing people from the natural hazards such as earthquakes and volcanic activities. For this study, it is necessary for scientists to interpret ancient climate changes preserved in ocean sediments, and to observe plate motions. Thus, geological and geophysical studies should be proceeded for the core samples recovered from the deep sea sediments and basement. It is essential to join the ODP(Ocean Drilling Program) that drills ocean basins and crusts using the drilling vessel with the ability of deploying almost 9 km of drilling string. The first year (1995) was focused on the analyzing the appropriateness Korea to join the ODP. The second year (1996) has been stressed on being an ODP member country based on results of the first year study, and planning the future activities as a member. The scope of study is joining the ODP as a Canada-Australia Consortium member and to set up the Korean ODP organization and future activities. The results and suggestions are as follows. 1) Necessities of Korea joining the ODP: If Korea becomes a member of the ODP, the benefits could be obtained based on the activities of other ODP members through academic, social and economic sectors. 2) Korean membership of ODP: Korea becomes a member of the Australia-Canada Consortium for ODP. AGSO (Austrian Geological Survey Organization), GSC (Geological Survey of Canada), and KIGAM (Korea Institute of Geology, Mining and Materials) on behalf of their own countries will each pay a share of the full member financial contribution to the ODP. AGSO and GSC will pay one third of the full member financial contribution, and KIGAM will pay one twelfth. 3) Korean ODP structure and future activities: To enhance the efficiency of initial activities after joining the ODP, it has been decided to have a relatively simple organization. The primary governing arm of the Korean ODP organizations is the Korean ODP

  7. Initial reactions to tobacco and cannabis smoking: A twin study

    Science.gov (United States)

    Agrawal, Arpana; Madden, Pamela A.F.; Bucholz, Kathleen K.; Heath, Andrew C.; Lynskey, Michael T.

    2014-01-01

    Background and aims Initial subjective reactions to cannabis and tobacco, broadly classified as positive or negative, have previously been explored for their associations with onset and maintenance of subsequent abuse/dependence. We examine (a) the factorial architecture of self-reported initial reactions to cannabis and tobacco; (b) whether these factors associate with concurrently reported age at onset of DSM-IV diagnosis of nicotine dependence and cannabis abuse/dependence; and (c) estimate heritable variation in and covariation between the factors. Design Factorial and exploratory structural equation modeling was conducted to examine the factor structure of initial reactions. Cox proportional hazards modeling was employed to examine their association with time to onset of diagnosis of DSM-IV nicotine dependence and cannabis abuse/dependence. Classical twin modeling, using univariate and multivariate models, was used to parse variance in each factor (and the covariance between factors) to their additive genetic, shared environmental and non-shared environmental sources. Setting and Participants General population sample of Caucasian female twins aged 18–32 years, with a lifetime history of tobacco [N=2393] and cannabis [N=1445] use. Measurement Self-report of initial subjective reactions to tobacco (cigarettes) and cannabis the first time they were used and time to onset of lifetime history of DSM-IV diagnosis of abuse (cannabis) and dependence (cannabis or nicotine). Findings Factors representing putatively positive and negative reactions to cannabis and tobacco emerged. Initial reactions to tobacco were associated with onset of DSM-IV diagnosis of nicotine dependence and cannabis abuse/dependence while initial reactions to cannabis were associated with onset of DSM-IV diagnosis of cannabis abuse/dependence alone. Genetic factors played a moderate role in each factor (heritability of 27–35%, p < 0.05) with the remaining variance attributed to individual

  8. Effectiveness of a grant program's efforts to promote synergy within its funded initiatives: perceptions of participants of the Southern Rural Access Program

    Directory of Open Access Journals (Sweden)

    Weiner Bryan J

    2008-12-01

    Full Text Available Abstract Background Foundations and public agencies commonly fund focused initiatives for individual grantees. These discrete, stand-alone initiatives can risk failure by being carried out in isolation. Fostering synergy among grantees' initiatives is one strategy proposed for promoting the success and impact of grant programs. We evaluate an explicit strategy to build synergy within the Robert Wood Johnson Foundation's Southern Rural Access Program (SRAP, which awarded grants to collaboratives within eight southeastern U.S. states to strengthen basic health care services in targeted rural counties. Methods We interviewed 39 key participants of the SRAP, including the program director within each state and the principal subcontractors heading the program's funded initiatives that supported heath professionals' recruitment, retention and training, made loans to health care providers, and built networks among providers. Interews were recorded and transcribed. Two investigators independently coded the transcripts and a third investigator distilled the main points. Results Participants generally perceived that the SRAP yielded more synergies than other grant programs in which they had participated and that these synergies added to the program's impact. The synergies most often noted were achieved through relationship building among grantees and with outside agencies, sharing information and know-how, sharing resources, combining efforts to yield greater capacity, joining voices to advocate for common goals, and spotting gaps in services offered and then filling these gaps. The SRAP's strategies that participants felt fostered synergy included targeting funding to culturally and geographically similar states, supporting complementary types of initiatives, promoting opportunities to network through semi-annual meetings and regular conference calls, and the advocacy efforts of the program's leadership. Participants noted that synergies were sometimes

  9. Barriers and Facilitators to Implementing a Change Initiative in Long-Term Care Using the INTERACT® Quality Improvement Program.

    Science.gov (United States)

    Tappen, Ruth M; Wolf, David G; Rahemi, Zahra; Engstrom, Gabriella; Rojido, Carolina; Shutes, Jill M; Ouslander, Joseph G

    Implementation of major organizational change initiatives presents a challenge for long-term care leadership. Implementation of the INTERACT® (Interventions to Reduce Acute Care Transfers) quality improvement program, designed to improve the management of acute changes in condition and reduce unnecessary emergency department visits and hospitalizations of nursing home residents, serves as an example to illustrate the facilitators and barriers to major change in long-term care. As part of a larger study of the impact of INTERACT® on rates of emergency department visits and hospitalizations, staff of 71 nursing homes were called monthly to follow-up on their progress and discuss successful facilitating strategies and any challenges and barriers they encountered during the yearlong implementation period. Themes related to barriers and facilitators were identified. Six major barriers to implementation were identified: the magnitude and complexity of the change (35%), instability of facility leadership (27%), competing demands (40%), stakeholder resistance (49%), scarce resources (86%), and technical problems (31%). Six facilitating strategies were also reported: organization-wide involvement (68%), leadership support (41%), use of administrative authority (14%), adequate training (66%), persistence and oversight on the part of the champion (73%), and unfolding positive results (14%). Successful introduction of a complex change such as the INTERACT® quality improvement program in a long-term care facility requires attention to the facilitators and barriers identified in this report from those at the frontline.

  10. 75 FR 21301 - Office of Clinical and Preventive Services; Elder Care Initiative Long-Term Care Grant Program

    Science.gov (United States)

    2010-04-23

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HEALTH AND HUMAN SERVICES Indian Health Service Office of Clinical and Preventive Services; Elder Care Initiative Long-Term Care Grant Program Announcement Type: New. Funding Announcement Number: HHS-2010-IHS-EHC-0001...

  11. 76 FR 47180 - Pick-Sloan Missouri Basin Program-Eastern Division-2021 Power Marketing Initiative Proposal

    Science.gov (United States)

    2011-08-04

    ... Area Power Administration Pick-Sloan Missouri Basin Program--Eastern Division--2021 Power Marketing... marketing agency of the Department of Energy (DOE) published the proposed 2021 Power Marketing Initiative... Region. The meetings provided all firm power customers the opportunity to review current marketing plan...

  12. Initiation of a pediatric mock code program at a children's hospital.

    Science.gov (United States)

    Tofil, Nancy M; Lee White, Marjorie; Manzella, Bryn; McGill, Denise; Zinkan, Lynn

    2009-06-01

    Pediatric cardiopulmonary arrests are rare. Mock codes were instituted to bridge the gap between opportunity and reality. The goal was to improve medical caregivers' skills in pediatric resuscitation. All pediatric and internal medicine/pediatric (med/peds) residents were anonymously surveyed pre- and post-intervention about confidence level about codes and code skills. Twenty mock codes were conducted during the 1 year intervention period. Statistical comparisons were made between each resident pre- and post-survey, graduating third-year residents (PGY3s) prior to intervention versus PGY3s with mock codes and pediatric versus med/peds residents. All residents significantly improved in their perception of overall skill level during the study (p educational initiatives.

  13. Creation and Initial Outcomes of a Selective Four-Year Research Program for Predoctoral Dental Students.

    Science.gov (United States)

    Doherty, Eileen H; Karimbux, Nadeem Y; Kugel, Gerard

    2016-12-01

    Educators agree that dental students' involvement in research plays an important role in their development and contributes to the future of dental education. However, dental schools are challenged to provide the time and support necessary to nurture their students in undertaking research activities. The aim of this study was to examine student participation in a predoctoral student research program at one U.S. dental school and to track participants' outcomes both before and after introduction of an additional, highly selective research scholarship program. Research participation was recorded for all predoctoral dental students in the graduating classes of 2005-15. The number of years of participation was also tracked for each student who participated in research. The results showed that, since the inception of the research honors scholarship in 2005, there has been a more than threefold increase in the number of dental students participating in research each year. The number of students who do multiple years of research has tripled, and the number of students' poster presentations at national academic meetings has risen tenfold in those ten years. The introduction of a competitive award that recognizes exceptional research by students has added to the research profile of the school and has shown success in encouraging students to become involved in research throughout their four years in dental school.

  14. Role of logic programming in computer studies

    Directory of Open Access Journals (Sweden)

    Nicolae PELIN

    2016-09-01

    Full Text Available The paper contains the analysis of the opinions of a number of scholars and specialists on the importance and the role in logic programming methodology of studying computer science, philosophy about the logic programs and interpreter, concerning the burden of which is opposite to the programmer if there is logic interpreter. The presented material is meant, according to the author, to help the reader to understand more easily the analyzed multilateral problem.

  15. Studying creativity training programs: A methodological analysis

    DEFF Research Database (Denmark)

    Valgeirsdóttir, Dagný; Onarheim, Balder

    2017-01-01

    published since the seminal 2004 review. Focusing on quantitative studies of creativity training programs for adults, our systematic review resulted in 22 publications. All studies were analyzed, but comparing the reported effectiveness of training across studies proved difficult due to methodological...... inconsistencies, variations in reporting of results as well as types of measures used. Thus a consensus for future studies is called for to answer the question: Which elements make one creativity training program more effective than another? This is a question of equal relevance to academia and industry......, as creativity training is a tool that can contribute to enhancement of organizational creativity and subsequently innovation. However, to answer the question, future studies of creativity training programs need to be carefully designed to contribute to a more transparent landscape. Thus this paper proposes...

  16. Testing a top-down strategy for establishing a sustainable telemedicine program in a developing country: the Arizona telemedicine program-US Army-Republic of Panama Initiative.

    Science.gov (United States)

    Vega, Silvio; Marciscano, Ivette; Holcomb, Michael; Erps, Kristine A; Major, Janet; Lopez, Ana Maria; Barker, Gail P; Weinstein, Ronald S

    2013-10-01

    Many developing countries have shown interest in embracing telemedicine and incorporating it into their healthcare systems. In 2000, the U.S. Army Yuma Proving Ground (YPG) initiated a program to assist the Republic of Panama in establishing a demonstration Panamanian rural telemedicine program. YPG engaged the Arizona Telemedicine Program (ATP) to participate in the development and implementation of the program. The ATP recommended adoption of a "top-down" strategy for creating the program. Early buy-in of the Panamanian Ministry of Health and academic leaders was regarded as critical to the achievement of long-term success. High-level meetings with the Minister of Health and the Rectors (i.e., Presidents) of the national universities gained early program support. A telemedicine demonstration project was established on a mountainous Indian reservation 230 miles west of Panama City. Today, three rural telemedicine clinics are linked to a regional Ministry of Health hospital for teleconsultations. Real-time bidirectional videoconferencing utilizes videophones connected over Internet protocol networks at a data rate of 768 kilobits per second to the San Felix Hospital. Telepediatrics, tele-obstetrics, telepulmonology, teledermatology, and tele-emergency medicine services became available. Telemedicine services were provided to the three sites for a total of 1,013 cases, with numbers of cases increasing each year. These three demonstration sites remained in operation after discontinuation of the U.S. involvement in September 2009 and serve as a model program for other telemedicine initiatives in Panama. Access to the assets of a partner-nation was invaluable in the establishment of the first model telemedicine demonstration program in Panama. After 3 years, the Panamanian Telemedicine and Telehealth Program (PTTP) became self-sufficient. The successful achievement of sustainability of the PTTP after disengagement by the United States fits the Latifi-Weinstein model

  17. Stroke as the Initial Manifestation of Atrial Fibrillation: The Framingham Heart Study.

    Science.gov (United States)

    Lubitz, Steven A; Yin, Xiaoyan; McManus, David D; Weng, Lu-Chen; Aparicio, Hugo J; Walkey, Allan J; Rafael Romero, Jose; Kase, Carlos S; Ellinor, Patrick T; Wolf, Philip A; Seshadri, Sudha; Benjamin, Emelia J

    2017-02-01

    To prevent strokes that may occur as the first manifestation of atrial fibrillation (AF), screening programs have been proposed to identify patients with undiagnosed AF who may be eligible for treatment with anticoagulation. However, the frequency with which patients with AF present with stroke as the initial manifestation of the arrhythmia is unknown. We estimated the frequency with which AF may present as a stroke in 1809 community-based Framingham Heart Study participants with first-detected AF and without previous strokes, by tabulating the frequencies of strokes occurring on the same day, within 30 days before, 90 days before, and 365 days before first-detected AF. Using previously reported AF incidence rates, we estimated the incidence of strokes that may represent the initial manifestation of AF. We observed 87 strokes that occurred ≤1 year before AF detection, corresponding to 1.7% on the same day, 3.4% within 30 days before, 3.7% within 90 days before, and 4.8% ≤1 year before AF detection. We estimated that strokes may present as the initial manifestation of AF at a rate of 2 to 5 per 10 000 person-years, in both men and women. We observed that stroke is an uncommon but measureable presenting feature of AF. Our data imply that emphasizing cost-effectiveness of population-wide AF-screening efforts will be important given the relative infrequency with which stroke represents the initial manifestation of AF. © 2017 American Heart Association, Inc.

  18. Robotic pulmonary lobectomy for lung cancer treatment: program implementation and initial experience.

    Science.gov (United States)

    Terra, Ricardo Mingarini; Araujo, Pedro Henrique Xavier Nabuco de; Lauricella, Leticia Leone; Campos, José Ribas Milanez de; Costa, Herbert Felix; Pego-Fernandes, Paulo Manuel

    2016-01-01

    To describe the implementation of a robotic thoracic surgery program at a public tertiary teaching hospital and to analyze its initial results. This was a planned interim analysis of a randomized clinical trial aimed at comparing video-assisted thoracoscopic surgery and robotic surgery in terms of the results obtained after pulmonary lobectomy. The robotic surgery program developed at the Instituto do Câncer do Estado de São Paulo, in the city of São Paulo, Brazil, is a multidisciplinary initiative involving various surgical specialties, as well as anesthesiology, nursing, and clinical engineering teams. In this analysis, we evaluated the patients included in the robotic lobectomy arm of the trial during its first three months (from April to June of 2015). Ten patients were included in this analysis. There were eight women and two men. The mean age was 65.1 years. All of the patients presented with peripheral tumors. We performed right upper lobectomy in four patients, right lower lobectomy in four, and left upper lobectomy in two. Surgical time varied considerably (range, 135-435 min). Conversion to open surgery or video-assisted thoracoscopic surgery was not necessary in any of the cases. Intraoperative complications were not found. Only the first patient required postoperative transfer to the ICU. There were no deaths or readmissions within the first 30 days after discharge. The only postoperative complication was chest pain (grade 3), in two patients. Pathological examination revealed complete tumor resection in all cases. When there is integration and proper training of all of the teams involved, the implementation of a robotic thoracic surgery program is feasible and can reduce morbidity and mortality. Descrever a implantação de um programa de cirurgia torácica robótica em um hospital terciário público universitário e analisar seus resultados iniciais. Este estudo é uma análise interina planejada de um ensaio clínico aleatorizado cujo objetivo

  19. Program Adherence and Effectiveness of a Commercial Nutrition Program: The Metabolic Balance Study

    Directory of Open Access Journals (Sweden)

    Cornelia Meffert

    2010-01-01

    Full Text Available Objective. To assess the effectiveness of a commercial nutrition program in improving weight, blood lipids, and health-related quality of life (HRQOL. Methods. Prospective observational study with followup after 1, 3, 6, and 12 months with data from questionnaires and blood samples. Subjects. After 12 months, we had data from 524 subjects (= 60.6% of the initial samples. 84.1% of the subjects were women. The average BMI at baseline was 30.3 (SD = 5.7. Results. After 12 months, the average weight loss was 6.8 kg (SD = 7.1 kg. Program adherence declined over time but was still high after 12 months and showed a positive linear correlation with weight loss. Relevant blood parameters as well as HRQOL improved significantly. Conclusion. After 12 months, nearly two thirds of the samples had achieved >5% reduction of their initial weights. The high degree of program adherence is probably due to personal counseling and individually designed nutrition plans provided by the program.

  20. "Initiate-build-operate-transfer" - a strategy for establishing sustainable telemedicine programs not only in the developing countries.

    Science.gov (United States)

    Latifi, Rifat

    2011-01-01

    Establishing sustainable telemedicine has become a goal of many developing countries around the world. Yet, despite initiatives from a select few individuals and on occasion from various governments, often these initiatives never mature to become sustainable programs. The introduction of telemedicine and e-learning in the Balkans has been a pivotal step in advancing the quality and availability of medical services in a region whose infrastructure and resources have been decimated by wars, neglect, lack of funding, and poor management. The concept and establishment of the International Virtual e-Hospital (IVeH) has significantly impacted telemedicine and e-health services in Kosova. The success of the IVeH in Kosova has led to the development of similar programs in other Balkan countries and other developing countries in the hope of modernizing and improving their healthcare infrastructure. A comprehensive, four-pronged strategy developed by IVeH "Initiate-Build-Operate-Transfer" (IBOT), may be a useful approach in establishing telemedicine and e-health educational services not only in developing countries, but in developed countries. The development strategy, IBOT, used by the IVeH to establish and develop telemedicine programs is described. IBOT includes assessment of healthcare needs of each country, the development of a curriculum and education program, the establishment of a nationwide telemedicine network, and the integration of the telemedicine program into the very core of healthcare infrastructure. The end point is the transfer of a sustainable telehealth program to the nation involved. By applying IBOT, a sustainable telemedicine program of Kosova and Albania has been established as an effective prototype for telemedicine in the Balkans. Once fully matured, the program is transitioned to the Ministry of Health, which ensures the sustainability and ownership of the program. Similar programs are being established in Macedonia, Montenegro and other countries

  1. Weatherization program: a study of progress

    Energy Technology Data Exchange (ETDEWEB)

    None

    1979-11-01

    Progress of the Weatherization Assistance Program (WAP) and other weatherization activities toward national energy conservation goals is reported. Low-income people are among the first to feel the pinch of rising fuel prices, particularly for home heating fuel. WAP installs insulation, storm windows and doors, and other energy efficiency improvements to reduce heat loss in the homes of low-income people, especially with the elderly and the handicapped. The weatherization activities of Federal agencies are described. The study addresses the question of the adequacy and cost of the materials used in weatherization. The series of policy and regulation change questions introduced in the agency-specific section is discussed from a broader perspective. The conclusions are summarized. The appendices present a legislative history of the Program, discuss the operational level of the Program, and describe a cost-benefit analysis of the Program.

  2. Evaluating methamphetamine use and risks of injection initiation among street youth: the ARYS study

    Directory of Open Access Journals (Sweden)

    Montaner Julio SG

    2006-05-01

    Full Text Available Abstract Many Canadian cities are experiencing ongoing infectious disease and overdose epidemics among injection drug users (IDU. These health concerns have recently been exacerbated by the increasing availability and use of methamphetamine. The challenges of reducing health-related harms among IDU have led to an increased recognition that strategies to prevent initiation into injection drug use must receive renewed focus. In an effort to better explore the factors that may protect against or facilitate entry into injection drug use, the At Risk Youth Study (ARYS has recently been initiated in Vancouver, Canada. The local setting is unique due to the significant infrastructure that has been put in place to reduce HIV transmission among active IDU. The ARYS study will seek to examine the impact of these programs, if any, on non-injection drug users. In addition, Vancouver has been the site of widespread use of methamphetamine in general and has seen a substantial increase in the use of crystal methamphetamine among street youth. Hence, the ARYS cohort is well positioned to examine the harms associated with methamphetamine use, including its potential role in facilitating initiation into injection drug use. This paper provides some background on the epidemiology of illicit drug use among street youth in North America and outlines the methodology of ARYS, a prospective cohort study of street youth in Vancouver, Canada.

  3. Encouraging more women into computer science: Initiating a single-sex intervention program in Sweden

    Science.gov (United States)

    Brandell, Gerd; Carlsson, Svante; Ekblom, Håkan; Nord, Ann-Charlotte

    1997-11-01

    The process of starting a new program in computer science and engineering, heavily based on applied mathematics and only open to women, is described in this paper. The program was introduced into an educational system without any tradition in single-sex education. Important observations made during the process included the considerable interest in mathematics and curiosity about computer science found among female students at the secondary school level, and the acceptance of the single-sex program by the staff, administration, and management of the university as well as among male and female students. The process described highlights the importance of preparing the environment for a totally new type of educational program.

  4. Joint Warfighting and Readiness: DoD Execution of the Warsaw Initiative Program

    National Research Council Canada - National Science Library

    Prinzbach, Robert F., II; Conway, Dennis L; Stanfield, Clara L; Pack, Tomasa; Stephenson, Susann L; Carvalho, Sharon L

    2005-01-01

    .... In January 1994, the North Atlantic Treaty Organization (NATO) launched the Partnership for Peace program, which provides assistance to countries seeking cooperative military and peacekeeping relations with NATO...

  5. Patient-Centered Cancer Care Programs in Italy: Benchmarking Global Patient Education Initiatives.

    Science.gov (United States)

    Truccolo, Ivana; Cipolat Mis, Chiara; Cervo, Silvia; Dal Maso, Luigino; Bongiovanni, Marilena; Bearz, Alessandra; Sartor, Ivana; Baldo, Paolo; Ferrarin, Emanuela; Fratino, Lucia; Mascarin, Maurizio; Roncadin, Mario; Annunziata, Maria Antonietta; Muzzatti, Barbara; De Paoli, Paolo

    2016-06-01

    In Italy, educational programs for cancer patients are currently provided by the national government, scientific societies, and patient advocate organizations. Several gaps limit their effectiveness, including the lack of coordinated efforts, poor involvement of patient feedback in the planning of programs, as well as a lack of resources on innovative cancer-related topics. This process is parallel to a strong shift in the attitude of patients towards health in general and taking charge of their own health conditions in particular. The National Cancer Institute in the USA and the Organization of European Cancer Institutes encourage comprehensive cancer centers in providing educational programs conceived to overcome these gaps. The goal of this paper is to identify and describe the key elements necessary to develop a global patient education program and provide recommendations for strategies with practical examples for implementation in the daily activities of cancer institutes. A multidisciplinary committee was established for patient education, including patient representatives as equal partners, to define, implement, verify, and evaluate the fundamental steps for establishing a comprehensive education program. Six essential topics were identified for the program: appropriate communication of cancer epidemiology, clinical trial information, new therapeutic technologies, support in the use of medicines, psycho-oncological interventions, age-personalized approaches, and training programs for healthcare providers. Integration of these topics along with patient feedback is the key to a successful model for educational programs. An integrated educational program can transform a comprehensive cancer center to an institution that provides research and care for and with patients.

  6. The Soil Program of the Restoration Seedbank Initiative: addressing knowledge gaps in degraded soils for use in dryland restoration

    Science.gov (United States)

    Muñoz-Rojas, Miriam; Bateman, Amber; Erickson, Todd E.; Turner, Shane; Merritt, David J.

    2017-04-01

    Global environmental changes and other anthropogenic impacts are rapidly transforming the structure and functioning of ecosystems worldwide. These changes are leading to land degradation with an estimated 25 % of the global land surface being affected. Landscape-scale restoration of these degraded ecosystems has therefore been recognised globally as an international priority. In the resource-rich biodiverse semi-arid Pilbara region of north-west Western Australia hundreds of thousands of hectares are disturbed due to established and emerging iron-ore mine operations. At this scale, the need to develop cost-effective large-scale solutions to restore these landscapes becomes imperative to preserve biodiversity and achieve functionality and sustainability of these ecosystems. The Restoration Seedbank Initiative (RSB) (http://www.plants.uwa.edu.au/ research/restoration-seedbank-initiative) is a five-year multidisciplinary research project that aims to build knowledge and design strategies to restore mine-impacted landscapes in the Pilbara and other arid and semi-arid landscapes worldwide (Kildiseheva et al., 2016). The RSB comprises four research programs that focus on seedbank management and curation, seed storage, seed enhancement, and the use of alternative soil substrates (soil or growing medium program) respectively. These multi-disciplinary programs address the significant challenges of landscape scale restoration in arid systems. In the soil program we follow an integrated approach that includes the characterization of undisturbed ecosystems, assessment of restored soils with the use of soil quality indicators, and design of alternative soil substrates to support the establishment of native plant communities. A series of glasshouse studies and field trials have been conducted in the last three years to advance our knowledge on soil limitations and to provide solutions to effectively overcome these challenges in arid ecosystem restoration. These studies include

  7. Insights in Public Health: Initiating Bicycle Sharing in Hawai'i: Lessons Learned from a Small Pilot Bike Share Program.

    Science.gov (United States)

    Choy, Lehua B; Smith, Heidi Hansen; Espiritu, Justine; Higa, Earl; Lee, Thomas; Maddock, Jay

    2015-10-01

    In 2011, a small pilot bike share program was established in the town core of Kailua, Hawai'i, with funding from the Hawai'i State Department of Health. The Kailua system consisted of two stations with 12 bicycles, and the goal was to secure additional funding to expand the station network in the future. Community feedback consistently indicated support for the bike share program. However, system metrics showed low levels of usage, averaging 41.5 rides per month (2011-2014). From observational data, users were primarily tourists. With minimal local staff, the bike share program had limited resources for promotion and education, which may have hindered potential use by local residents. Management of station operations and bike maintenance were additional, ongoing barriers to success. Despite the challenges, the pilot bike share program was valuable in several ways. It introduced the bike share concept to Hawai'i, thereby helping to build awareness and connect an initial network of stakeholders. Furthermore, the pilot bike share program informed the development of a larger bike share program for urban Honolulu. As limited information exists in the literature about the experiences of smaller bike share programs and their unique considerations, this article shares lessons learned for other communities interested in starting similar bike share programs.

  8. Cognitive-Behavioral Therapy for Bulimia: An Initial Outcome Study.

    Science.gov (United States)

    Ordman, Arnold M.; Kirschenbaum, Daniel S.

    1985-01-01

    Examined the efficacy of a cognitive-behavioral therapy for bulimia. Assigned 20 bulimic women to full- or brief-intervention therapy programs. Results indicated that full-intervention clients, relative to brief-intervention clients, substantially reduced the frequency of their bingeing-vomiting; improved their psychological adjustment; and…

  9. Initial Evaluation of a Mobile Scaffolding Application That Seeks to Support Novice Learners of Programming

    Science.gov (United States)

    Mbogo, Chao; Blake, Edwin; Suleman, Hussein

    2014-01-01

    The aim of this paper is to explore the use of an application that scaffolds the constructions of programs on a mobile device. The application was developed to support novice learners of programming outside the classroom. This paper reports on results of a first experiment conducted to evaluate the mobile application. The main research questions…

  10. Initial Indicators of Effectiveness for a High School Drug Prevention Program

    Science.gov (United States)

    Fearnow-Kenney, Melodie D.; Wyrick, David L.; Jackson-Newsom, Julia; Wyrick, Cheryl H.; Hansen, William B.

    2003-01-01

    All Stars, Sr. is a comprehensive high school health education supplement designed to prevent high-risk behaviors among adolescents. The program includes topics such as personal health, nutrition, interpersonal relationships, and stress, with a special emphasis on drug prevention. Effective research-based programs that target late onset prevention…

  11. Entre-Parents: initial outcome evaluation of a preventive-parenting program for French-speaking parents.

    Science.gov (United States)

    Lucia, Sonia; Dumas, Jean E

    2013-06-01

    Entre-Parents is the French adaptation of Parenting Our Children to Excellence, an eight-session group-parenting program for parents of preschoolers. An evaluation conducted in the French-speaking part of Switzerland with 132 parents provides initial evidence for the community acceptability and efficacy of Entre-Parents. Program attendance was high (average of 6.6 out of the 8 sessions), and parents participated actively in sessions and expressed high levels of program satisfaction. Results indicate that, over time, the program contributed to more effective parenting practices, a reduction in parenting stress, an increase in family adaptability, and increases in children's social competence and reductions in their disruptive and anxious behaviors. Some of these benefits were stronger for parents who attended more sessions.

  12. Automated Work Packages Prototype: Initial Design, Development, and Evaluation. Light Water Reactor Sustainability Program

    Energy Technology Data Exchange (ETDEWEB)

    Oxstrand, Johanna Helene [Idaho National Lab. (INL), Idaho Falls, ID (United States); Al Rashdan, Ahmad [Idaho National Lab. (INL), Idaho Falls, ID (United States); Le Blanc, Katya Lee [Idaho National Lab. (INL), Idaho Falls, ID (United States); Bly, Aaron Douglas [Idaho National Lab. (INL), Idaho Falls, ID (United States); Agarwal, Vivek [Idaho National Lab. (INL), Idaho Falls, ID (United States)

    2015-07-01

    The goal of the Automated Work Packages (AWP) project is to demonstrate how to enhance work quality, cost management, and nuclear safety through the use of advanced technology. The work described in this report is part of the digital architecture for a highly automated plant project of the technical program plan for advanced instrumentation, information, and control (II&C) systems technologies. This report addresses the DOE Milestone M2LW-15IN0603112: Describe the outcomes of field evaluations/demonstrations of the AWP prototype system and plant surveillance and communication framework requirements at host utilities. A brief background to the need for AWP research is provided, then two human factors field evaluation studies are described. These studies focus on the user experience of conducting a task (in this case a preventive maintenance and a surveillance test) while using an AWP system. The remaining part of the report describes an II&C effort to provide real time status updates to the technician by wireless transfer of equipment indications and a dynamic user interface.

  13. Appliance Call Center: A Successful Mixed-Initiative Case Study

    OpenAIRE

    Cheetham, William E.; Goebel, Kai

    2007-01-01

    Customer service is defined as the ability of a company to afford the service requestor with the expressed need. Due to the increasing importance of service offerings as a revenue source and increasing competition among service providers, it is important for companies to optimize both the customer experience as well as the associated cost of providing the service. For more complex interactions with higher value, mixed-initiative systems provide an avenue that gives a good balance between the ...

  14. Institutional initiatives in professional scientific ethics: three case studies

    Science.gov (United States)

    Nickless, Edmund; Bilham, Nic

    2015-04-01

    Learned and professional scientific bodies can play a vital role in promoting ethical behaviours, giving practical substance to theoretical consideration of geoethical principles and complementing the efforts of individual scientists and practitioners to behave in a professional and ethical manner. Institutions may do this through mandatory professional codes of conduct, by developing guidelines and initiatives to codify and stimulate the uptake of best practice, and through wider initiatives to engender a culture conducive to such behaviours. This presentation will outline three current institutional initiatives which directly or indirectly address scientific ethics: i. The UK Science Council's Declaration on Diversity, Equality and Inclusion. ii. Development and promulgation of the American Geosciences Institute's (AGI) Guidelines for Ethical Professional Conduct. iii. The American Geophysical Union's (AGU) Scientific Code of Conduct and Professional Ethics. The focus of the Science Council and its member bodies (including the Geological Society of London) on diversity is of central importance when considering ethical behaviours in science. First, improving equality and diversity in the science workforce is at the heart of ethical practice, as well as being essential to meeting current and future skills needs. Second, in addition to demographic diversity (whether in terms of gender, race, economic status, sexuality or gender identity, etc), an important dimension of diversity in science is to allow space for a plurality of scientific views, and to nurture dissenting voices - essential both to the development of scientific knowledge and to its effective communication to non-technical audiences.

  15. Fever as an initial manifestation of spondyloarthritis: A retrospective study.

    Science.gov (United States)

    Byun, Se Jin; Bae, William Han; Jung, Seung Min; Lee, Sang-Won; Park, Yong-Beom; Song, Jason Jungsik

    2017-01-01

    We aimed to evaluate a wide spectrum of clinical features of adult patients with spondyloarthritis (SpA) whose initial manifestation was fever, using the Assessment of SpondyloArthritis international Society (ASAS) classification criteria. We retrospectively collected the electronic medical records of hospitalized SpA patients who initially presented to the Severance Hospital (Seoul, Korea) with fever from January 2010 to May 2016. As a control group, we also recruited one-hundred consecutive patients who were diagnosed with SpA in our outpatient clinic. Clinical features and laboratory findings were compared in two patient groups. There were 26 patients who had fever as initial presentation of SpA (reactive arthritis 50%, undifferentiated SpA 26.9%, ankylosing spondylitis 15.4%, enteropathic arthritis 3.8%, psoriatic arthritis 3.8%). Peripheral SpA was more common in febrile SpA patients than in control SpA patients (65.4% vs 24.0%, pmanifestation. Febrile SpA patients demonstrated higher systemic inflammation and a lower chance to visit rheumatology in early stage. When evaluating febrile patients with any clinical features of SpA, clinicians are advised to consider performing SpA-focused evaluation including HLA-B27 or a simple sacroiliac joint radiograph.

  16. Hypertension management initiative: qualitative results from implementing clinical practice guidelines in primary care through a facilitated practice program.

    Science.gov (United States)

    Tobe, Sheldon W; Moy Lum-Kwong, Margaret; Von Sychowski, Shirley; Kandukur, Kishan

    2013-05-01

    The goal of the Hypertension Management Initiative (HMI) is to improve the management and control of hypertension by both primary care providers and patients. The HMI was in effect in 11 primary care sites across the province of Ontario, Canada. This was a qualitative study. Focus groups and a lobby survey were completed with a total of 199 of the 3934 patients enrolled in the study. Interviews with 41 participating health care providers from all sites were performed. A qualitative description approach was used to give a rich description of each informant's experiences. Patients expressed motivation and engagement in their own health care and became more knowledgeable about hypertension and how to manage it with their health care providers. Most reported satisfaction with the discipline of regular appointments and ongoing monitoring and counseling of the program including identifying and working on goals for their modifiable risk factors. Their health care providers felt the HMI program had a positive impact on the treatment and management of hypertension and also that it improved the functioning of the interprofessional team. The HMI helped to improve patient self-empowerment and self-management and also improved physicians' and nurses' confidence in diagnosing accurately and in hypertension management. Physician buy-in is key to maintaining clinical hypertension management. Interprofessional collaboration was improved for physicians and nurses but less so for pharmacists. Greater confidence among the nurses to manage hypertension more independently reduced demands on physician time. Copyright © 2013 Canadian Cardiovascular Society. Published by Elsevier Inc. All rights reserved.

  17. Program Evaluation of a Distance Master's Degree Dental Hygiene Program: A Program Effectiveness Study.

    Science.gov (United States)

    Sensabaugh, Cynthia F; Mitchell, Tanya Villalpando; Overman, Pamela R; Van Ness, Christopher J; Gadbury-Amyot, Cynthia C

    2016-12-01

    Purpose: The purpose of this study was to conduct a program evaluation of the University of Missouri-Kansas City Master of Science in Dental Hygiene Education Program (MSDH). This evaluation examined long-term outcomes in the context of stakeholders (the profession, the student, and the degree-granting institution).Methods: A mixed-methods approach was used to gather data from the 28 graduates from the MSDH program. An electronic questionnaire included both open- and closed-ended questions including demographic and practice data, and data related to alumni preparedness to reach their career goals. Virtual focus groups provided valuable insight into whether the program has achieved its goals, and prepared the graduates to meet their program competencies and future goals.Results: Out of a total of 28 individuals who have successfully completed the distance program (2001-2011), 19 participated in an online survey (67.8%). The majority of the participants (73.7%) participated in one of 3 focus groups. Sixty-three percent of the graduates are currently employed in dental hygiene education. Eighty-four percent of the respondents have published their research conducted while in the program, thereby contributing to the dental hygiene body of knowledge. Sixty-eight percent indicated that had the distance option not existed, they would not have been able to obtain their advanced degree in dental hygiene. Twenty-one percent of the respondents report either being currently enrolled in a doctoral program, or having completed a doctoral degree.Conclusion: These results suggest that the University of Missouri-Kansas City Master of Science in Dental Hygiene Education Program is meeting its goals from the perspective of all stakeholders and providing its graduates with access to education and educational resources to meet the program competencies and ultimately achieve their career goals. Copyright © 2016 The American Dental Hygienists’ Association.

  18. Initial experience with a risk-sharing in vitro fertilization-embryo transfer program with novel features.

    Science.gov (United States)

    Stassart, Jacques P; Bayless, Romaine B; Casey, Colleen L; Phipps, William R

    2011-06-01

    To describe outcomes of the first 100 consecutive infertility patients participating in a risk-sharing program with uncomplicated eligibility requirements. The program included the costs of FSH-containing gonadotropin preparations and provided a full payment refund if no birth occurred that resulted in a normal infant surviving to an age of 1 month. Retrospective cohort study. Private IVF center. Infertility patientsrisk-sharing program with uncomplicated eligibility requirements are very likely to have a successful pregnancy. Other centers may wish to incorporate some of the described program's features into their own risk-sharing IVF programs. Copyright © 2011. Published by Elsevier Inc.

  19. Initiating a Reiki or CAM program in a healthcare organization--developing a business plan.

    Science.gov (United States)

    Vitale, Anne

    2014-01-01

    Complementary and alternative medicine (CAM) services, such as Reiki, continue to be offered to consumers in many hospitals and other health care organizations. There is growing interest among nurses, doctors, and other health care providers for the integration of CAM therapies into traditional settings. Health care organizations are responding to this need but may not know how to start CAM programs. Starting a Reiki program in a health care setting must be envisioned in a business model approach. This article introduces nurses and other health care providers to the basic concepts of business plan development and important steps to follow when starting a Reiki or CAM program.

  20. Strengthening capacity for AIDS vaccine research: analysis of the Pfizer Global Health Fellows program and the International AIDS Vaccine Initiative.

    Science.gov (United States)

    Vian, Taryn; Koseki, Sayaka; Feeley, Frank G; Beard, Jennifer

    2013-10-02

    Industry partnerships can help leverage resources to advance HIV/AIDS vaccine research, service delivery, and policy advocacy goals. This often involves capacity building for international and local non-governmental organizations (NGOs). International volunteering is increasingly being used as a capacity building strategy, yet little is known about how corporate volunteers help to improve performance of NGOs in the fight against HIV/AIDS. This case study helps to extend our understanding by analyzing how the Pfizer Global Health Fellows (GHF) program helped develop capacity of the International AIDS Vaccine Initiative (IAVI), looking specifically at Fellowship activities in South Africa, Kenya, and Uganda. From 2005-2009, 8 Pfizer GHF worked with IAVI and local research centers to strengthen capacity to conduct and monitor vaccine trials to meet international standards and expand trial activities. Data collection for the case study included review of Fellow job descriptions, online journals, evaluation reports, and interviews with Fellows and IAVI staff. Qualitative methods were used to analyze factors which influenced the process and outcomes of capacity strengthening. Fellows filled critical short-term expert staffing needs at IAVI as well as providing technical assistance and staff development activities. Capacity building included assistance in establishing operating procedures for the start-up period of research centers; training staff in Good Clinical Practice (GCP); developing monitoring capacity (staff and systems) to assure that centers are audit-ready at all times; and strategic planning for data management systems. Factors key to the success of volunteering partnerships included similarities in mission between the corporate and NGO partners, expertise and experience of Fellows, and attitudes of partner organization staff. By developing standard operating procedures, ensuring that monitoring and regulatory compliance systems were in place, training

  1. Studi Empiris Tingkat Underpricing pada Initial Public Offering

    Directory of Open Access Journals (Sweden)

    Daniel Sugama Stephanus

    2015-12-01

    Full Text Available At Initial Public Offering (IPO, underpricing still happened. This is due to asymmetric information between firms and underwriters. This research to analyze accounting factors and non-accounting factors which affect the level of underpricing. This research is quantitative research with regression analysis. The datas of this research are companies which did an IPO in 2010 – 2014. Accounting factors are ROA, DER, CR, and SIZE. Non-accounting factors are OFFER, AGE, auditor’s reputation, and underwriter’s reputation. Results showed that only underwriter’s reputation affects underpricing. This indicates that underwriter’s reputation is very important for firms to reduce underpricing in an IPO.

  2. Improving pharmacy practice through public health programs: experience from Global HIV/AIDS initiative Nigeria project.

    Science.gov (United States)

    Oqua, Dorothy; Agu, Kenneth Anene; Isah, Mohammed Alfa; Onoh, Obialunamma U; Iyaji, Paul G; Wutoh, Anthony K; King, Rosalyn C

    2013-01-01

    The use of medicines is an essential component of many public health programs (PHPs). Medicines are important not only for their capacity to treat and prevent diseases. The public confidence in healthcare system is inevitably linked to their confidence in the availability of safe and effective medicines and the measures for ensuring their rational use. However, pharmacy services component receives little or no attention in most public health programs in developing countries. This article describes the strategies, lessons learnt, and some accomplishments of Howard University Pharmacists and Continuing Education (HU-PACE) Centre towards improving hospital pharmacy practice through PHP in Nigeria. In a cross-sectional survey, 60 hospital pharmacies were randomly selected from 184 GHAIN-supported health facilities. The assessment was conducted at baseline and repeated after at least 12 months post-intervention using a study-specific instrument. Interventions included engagement of stakeholders; provision of standards for infrastructural upgrade; development of curricula and modules for training of pharmacy personnel; provision of job aids and tools amongst others. A follow-up hands-on skill enhancement based on identified gaps was conducted. Chi-square was used for inferential statistics. All reported p-values were 2-tailed at 95% confidence interval. The mean duration of service provision at post-intervention assessment was 24.39 (95% CI, 21.70-27.08) months. About 16.7% of pharmacies reported been trained in HIV care at pre-intervention compared to 83.3% at post-intervention. The proportion of pharmacies with audio-visual privacy for patient counseling increased significantly from 30.9% at pre-intervention to 81.4% at post-intervention. Filled prescriptions were cross-checked by pharmacist (61.9%) and pharmacy technician (23.8%) before dispensing at pre-intervention compared to pharmacist (93.1%) and pharmacy technician (6.9%) at post intervention. 40.0% of

  3. Collecting costs of community prevention programs: communities putting prevention to work initiative.

    Science.gov (United States)

    Khavjou, Olga A; Honeycutt, Amanda A; Hoerger, Thomas J; Trogdon, Justin G; Cash, Amanda J

    2014-08-01

    Community-based programs require substantial investments of resources; however, evaluations of these programs usually lack analyses of program costs. Costs of community-based programs reported in previous literature are limited and have been estimated retrospectively. To describe a prospective cost data collection approach developed for the Communities Putting Prevention to Work (CPPW) program capturing costs for community-based tobacco use and obesity prevention strategies. A web-based cost data collection instrument was developed using an activity-based costing approach. Respondents reported quarterly expenditures on labor; consultants; materials, travel, and services; overhead; partner efforts; and in-kind contributions. Costs were allocated across CPPW objectives and strategies organized around five categories: media, access, point of decision/promotion, price, and social support and services. The instrument was developed in 2010, quarterly data collections took place in 2011-2013, and preliminary analysis was conducted in 2013. Preliminary descriptive statistics are presented for the cost data collected from 51 respondents. More than 50% of program costs were for partner organizations, and over 20% of costs were for labor hours. Tobacco communities devoted the majority of their efforts to media strategies. Obesity communities spent more than half of their resources on access strategies. Collecting accurate cost information on health promotion and disease prevention programs presents many challenges. The approach presented in this paper is one of the first efforts successfully collecting these types of data and can be replicated for collecting costs from other programs. Copyright © 2014 American Journal of Preventive Medicine. All rights reserved.

  4. An exploratory study assessing reasons behind initiation, continuation or stoppage of alcohol after first use

    Directory of Open Access Journals (Sweden)

    B S Chavan

    2015-01-01

    Full Text Available Objective: Few studies have investigated the reasons for alcohol initiation and continuation. The present study examined reasons for trying alcohol for the first time and its subsequent use. Furthermore, the study attempted to discover the possible predictors that make an individual vulnerable to alcohol use. Methodology: A total of 280 first-year college students from six different colleges were contacted. Using the method of equal probability, every third subject from each class was selected. All the selected subjects were interviewed and administered semi-structured questionnaire for gathering information regarding their experience with alcohol. Results: In our study, experimentation and peer pressure were found to be the main reasons for both alcohol use and its re-use. The first time drinkers differed a lot from those with multiple users in terms of reasons for trying alcohol, the effect of alcohol, family history of alcohol use, and self-view about alcohol use. The results depicted that the gender, educational stream, and family history of alcohol use are the factors that make an individual vulnerable to alcohol use. Conclusion: First-year of college is a unique transitional period. First-year students with high levels of sensation seeking may be especially at high-risk to begin or escalate heavy drinking. Studying the nature of alcohol initiation may not only be helpful in planning awareness programs but also in preventing underage drinking and alcohol abuse.

  5. Effectiveness in delaying the initiation of sexual intercourse of girls aged 12-14. Two components of the Girls Incorporated Preventing Adolescent Pregnancy Program.

    Science.gov (United States)

    Postrado, L T; Nicholson, H J

    1992-03-01

    The Girls Incorporated, formerly Girls Clubs of America, program in Preventing Adolescent Pregnancy, which was initiated in 1985, was evaluated to obtain information about sexual behavior and attitudes related to pregnancy, educational and career expectations, and sociodemographic characteristics, and to ascertain the effectiveness of 2 components for girls aged 12-14 in delaying early sexual involvement. The theoretical base of intervention is discussed and delineation of 3 themes recurrent in the literature. Program interventions are also described. The 2 program components evaluated were Will Power/Won't Power which taught skill in general and specific assertiveness, and Growing Together, which facilitated communication between parents and daughters. The sample consisted of 412 virgin girls 12-14 years, of which 25% did not participate in either program, from communities in which the adolescent pregnancy rate was higher than the national average. Participants were required to have completed 1 complete year which included before and after surveys. 257 participated in Will Power/Won't Power; 84 in Growing Together; and 46 in both programs. Participants and nonparticipants were similar in background characteristics. The profile was one of primarily African American 12 year olds of a Protestant religion. Growing Together participants were slightly different and less likely to engage in early sexual intercourse. The findings of the bivariate and logistic regression analyses were that nonparticipants were 2.5 times more likely to initiate sexual intercourse during the study year than participants in Growing Together, but this was only marginally statistically significant. It is suggested however that when controlling for age, religion, race and having contact with a pregnant teen that Growing Together participation contributed to a delay in the initiation of sexual intercourse. Participation in Will Power did not account for any differences in likelihood of initiating

  6. Adoption of the Nova Scotia (Canada) Community Pharmacy Medication Management Program, 1-Year Post-Initiation.

    Science.gov (United States)

    Deal, Heidi J; Cooke, Charmaine A; Ingram, Ethel M Langille; Sketris, Ingrid S

    2017-02-01

    Pharmacists conduct medication reviews to optimize drug therapy. Each jurisdiction implements and funds these programs differently. To describe the uptake of the first year of a community pharmacy medication review program reimbursed by the publically insured seniors' drug benefit program in Nova Scotia, Canada. This retrospective analysis included 294 pharmacies and 105,000 beneficiaries enrolled in the Nova Scotia Seniors' Pharmacare Program. Prescription and service claims data from this program were analyzed to determine type and number of beneficiaries receiving a medication review, number and predictors of pharmacies completing reviews, and number of prescribed medications 6-months before and 6-months after the review. 428 medication reviews were conducted and billed by 33% of Nova Scotia pharmacies (1-50 reviews per pharmacy per year). The mean number and range of medications before the review were 10.8 (4-28) and following the review 10.4 (0-24), with an average decrease of 0.4 medications (95% CI 0.1-0.6), p=.0043). Patients receiving a review had a mean age of 75.2 years; 64.9% were female. Most pharmacies conducted reviews when patients reached their annual copayment (93%). Approximately 33% of pharmacies billed at least one medication review in the first year of the program. In spite of a $150 reimbursement per community pharmacy medication review, only 428 reviews were conducted over a 13-month period for a population of over 100,000 seniors. Results suggest financial reimbursement alone is not sufficient to implement a medication management program; health systems need to determine patient, pharmacist, pharmacy and health system level strategies to implement medication reviews more broadly.

  7. "Joven & Fuerte": Program for Young Women with Breast Cancer in Mexico - Initial Results.

    Science.gov (United States)

    Villarreal-Garza, Cynthia; Castro-Sánchez, Andrea; Platas, Alejandra; Miaja, Melina; Mohar-Betancourt, Alejandro; Barragan-Carrillo, Regina; Fonseca, Alan; Vega, Yoatzin; Martinez-Cannon, B Alejandra; Aguilar, Dione; Bargalló-Rocha, Enrique; Cardona-Huerta, Servando; Peña-Curiel, Omar; Matus-Santoso, Juan

    2017-01-01

    Despite the high rates of breast cancer among young Mexican women, their special needs and concerns have not been systematically addressed. To fulfill these unsatisfied demands, we have developed "Joven & Fuerte: Program for Young Women with Breast Cancer in Mexico," the first program dedicated to the care of young breast cancer patients in Latin America, which is taking place at the National Cancer Institute of Mexico and the two medical facilities of the Instituto Tecnológico y de Estudios Superiores de Monterrey. The program was created to optimize the complex clinical and psychosocial care of these patients, enhance education regarding their special needs, and promote targeted research, as well as to replicate this program model in other healthcare centers across Mexico and Latin America. From November 2013 to February 2017, the implementation of the "Joven & Fuerte" program has delivered specialized care to 265 patients, through the systematic identification of their particular needs and the provision of fertility, genetic, and psychological supportive services. Patients and families have engaged in pedagogic activities and workshops and have created a motivated and empowered community. The program developed and adapted the first educational resources in Spanish dedicated for young Mexican patients, as well as material for healthcare providers. As for research, a prospective cohort of young breast cancer patients was established to characterize clinicopathological features and psychosocial effects at baseline and during follow-up, as a guide for the development of specific cultural interventions addressing this vulnerable group. Eventually, it is intended that the program's organization and structure can reach national and international interactions and serve as a platform for other countries.

  8. Mass Spectrometry Study of OH-initiated Photooxidation of Toluene

    Science.gov (United States)

    Huang, Ming-qiang; Zhang, Wei-jun; Wang, Zhen-ya; Fang, Li; Kong, Rui-hong; Shan, Xiao-bin; Liu, Fu-yi; Sheng, Liu-si

    2011-12-01

    The composition of products formed from photooxidation of the aromatic hydrocarbon toluene was investigated. The OH-initiated photooxidation experiments were conducted by irradiating toluene/CH3ONO/NO/air mixtures in a smog chamber, the gaseous products were detected under the supersonic beam conditions by utilizing vacuum ultraviolet photoionization mass spectrometer using synchrotron radiation in real-time. And an aerosol time-of-flight mass spectrometer was used to provide on-line measurements of the individual secondary organic aerosol particle resulting from irradiating toluene. The experimental results demonstrated that there were some differences between the gaseous products and that of particle-phase, the products of glyoxal, 2-hydroxyl-3-oxo-butanal, nitrotoluene, and methyl-nitrophenol only existed in the particle-phase. However, furane, methylglyoxal, 2-methylfurane, benzaldehyde, cresol, and benzoic acid were the predominant photooxidation products in both the gas phase and particle phase.

  9. Initial validation of a training program focused on laparoscopic radical nephrectomy.

    Science.gov (United States)

    Enciso, S; Díaz-Güemes, I; Serrano, Á; Bachiller, J; Rioja, J; Usón, J; Sánchez-Margallo, F M

    2016-05-01

    To assess a training model focused on laparoscopic nephrectomy. 16 residents participated in the study, who attended a training program with a theoretical session (1hour) and a dry (7hours) and a wet lab (13hours). During animal training, the first and last nephrectomies were assessed through the completion time and the global rating scale "Objective and Structured Assessment of Technical Skills" (OSATS). Before and after the course, they performed 3 tasks on the virtual reality simulator LAPMentor (1) eye-hand coordination; 2) hand-hand coordination; and 3) transference of objects), registering time and movement metrics. All participants completed a questionnaire related to the training components on a 5-point rating scale. The participants performed the last nephrectomy faster (P<.001) and with higher OSATS scores (P<.001). After the course, they completed the LAPMentor tasks faster (P<.05). The number of movements decreased in all tasks (1) P<.001, 2) P<.05, and 3) P<.05), and the path length in tasks 1 (P<.05) and 2 (P<.05). The movement speeds increased in tasks 2 (P<.001) and 3 (P<.001). With regards to the questionnaire, the usefulness of the animal training and the necessity of training on them prior to their laparoscopic clinical practice were the questions with the highest score (4.92±.28). The combination of physical simulation and animal training constitute an effective training model for improving basic and advanced skills for laparoscopic nephrectomy. The component preferred by the urology residents was the animal training. Copyright © 2015 AEU. Publicado por Elsevier España, S.L.U. All rights reserved.

  10. Association between U.S. state AIDS Drug Assistance Program (ADAP features and HIV antiretroviral therapy initiation, 2001-2009.

    Directory of Open Access Journals (Sweden)

    David B Hanna

    Full Text Available U.S. state AIDS Drug Assistance Programs (ADAPs are federally funded to provide antiretroviral therapy (ART as the payer of last resort to eligible persons with HIV infection. States differ regarding their financial contributions to and ways of implementing these programs, and it remains unclear how this interstate variability affects HIV treatment outcomes.We analyzed data from HIV-infected individuals who were clinically-eligible for ART between 2001 and 2009 (i.e., a first reported CD4+ <350 cells/uL or AIDS-defining illness from 14 U.S. cohorts of the North American AIDS Cohort Collaboration on Research and Design (NA-ACCORD. Using propensity score matching and Cox regression, we assessed ART initiation (within 6 months following eligibility and virologic suppression (within 1 year based on differences in two state ADAP features: the amount of state funding in annual ADAP budgets and the implementation of waiting lists. We performed an a priori subgroup analysis in persons with a history of injection drug use (IDU.Among 8,874 persons, 56% initiated ART within six months following eligibility. Persons living in states with no additional state contribution to the ADAP budget initiated ART on a less timely basis (hazard ratio [HR] 0.73, 95% CI 0.60-0.88. Living in a state with an ADAP waiting list was not associated with less timely initiation (HR 1.12, 95% CI 0.87-1.45. Neither additional state contributions nor waiting lists were significantly associated with virologic suppression. Persons with an IDU history initiated ART on a less timely basis (HR 0.67, 95% CI 0.47-0.95.We found that living in states that did not contribute additionally to the ADAP budget was associated with delayed ART initiation when treatment was clinically indicated. Given the changing healthcare environment, continued assessment of the role of ADAPs and their features that facilitate prompt treatment is needed.

  11. Openness initiative

    Energy Technology Data Exchange (ETDEWEB)

    Duncan, S.S. [Los Alamos National Lab., NM (United States)

    1995-12-31

    Although antinuclear campaigns seem to be effective, public communication and education efforts on low-level radioactive waste have mixed results. Attempts at public information programs on low-level radioactive waste still focus on influencing public opinion. A question then is: {open_quotes}Is it preferable to have a program focus on public education that will empower individuals to make informed decisions rather than trying to influence them in their decisions?{close_quotes} To address this question, a case study with both quantitative and qualitative data will be used. The Ohio Low-Level Radioactive Waste Education Program has a goal to provide people with information they want/need to make their own decisions. The program initiated its efforts by conducting a statewide survey to determine information needed by people and where they turned for that information. This presentation reports data from the survey and then explores the program development process in which programs were designed and presented using the information. Pre and post data from the programs reveal attitude and knowledge shifts.

  12. The Initial Assignment Effect: Local Employer Practices and Positive Career Outcomes for Work-Family Program Users

    OpenAIRE

    Briscoe, Forrest; Kellogg, Katherine C.

    2011-01-01

    One of the great paradoxes of inequality in organizations is that even when organizations introduce new programs designed to help employees in traditionally disadvantaged groups succeed, employees who use these programs often suffer negative career consequences. This study helps to fill a significant gap in the literature by investigating how local employer practices can enable employees to successfully use the programs designed to benefit them. Using a research approach that controls for reg...

  13. Developing Short-Term Study Abroad Programs: Achieving Successful International Student Experiences

    Science.gov (United States)

    Eckert, James; Luqmani, Mushtaq; Newell, Stephen; Quraeshi, Zahir; Wagner, Bret

    2013-01-01

    Most business schools in the U.S. are employing various initiatives to "internationalize" their curriculum in order to prepare students to participate more effectively in a globally interconnected business world. An integral part of these initiatives is to encourage more students to participate in study abroad programs. Though it maybe…

  14. Creating Sustainable Community Engagement Initiatives in a Graduate Physical Therapy Program

    Science.gov (United States)

    Palombaro, Kerstin M.; Lattanzi, Jill B.; Dole, Robin L.

    2010-01-01

    Many institutions of higher learning engage in activities related to community building. At Widener University, the Institute for Physical Therapy Education has undergone a process to build on relationships with those in its community to create service-learning and community engagement activities that were first initiated with short-term, one-time…

  15. 78 FR 58546 - State System Development Initiative (SSDI) Grant Program; Single-Case Deviation From Competition...

    Science.gov (United States)

    2013-09-24

    ... SERVICES Health Resources and Services Administration State System Development Initiative (SSDI) Grant... Administration (HRSA), Department of Health and Human Services (HHS). ACTION: Notice of Single-Case Deviation... Bureau, Health Resources and Services Administration, 5600 Fishers Lane, Room 18-31, Rockville, Maryland...

  16. Research on Teaching Practice in a Portuguese Initial Secondary Mathematics Teacher Education Program

    Science.gov (United States)

    da Ponte, João Pedro; Santos, Leonor; Oliveira, Hélia; Henriques, Ana

    2017-01-01

    In teacher education, a key issue is how prospective teachers learn. At the University of Lisbon, based on an inquiry-based approach to mathematics learning, we developed a secondary school mathematics teacher education program, in which a central feature is the elaboration of a final investigative report based on teaching practice. In this paper,…

  17. 75 FR 9380 - Cooperative Conservation Partners Initiative; Wetlands Reserve Enhancement Program

    Science.gov (United States)

    2010-03-02

    ... INFORMATION: Paperwork Reduction Act Section 2904 of the Food, Conservation, and Energy Act of 2008 (2008 Act..., and processes of conservation programs under Subtitle D of Title XII of the Food Security Act....nrcs.usda.gov/technical/standards/ . For each conservation practice, estimate the practice extent (feet...

  18. 76 FR 81487 - Application of the Energy Planning and Management Program Power Marketing Initiative to the...

    Science.gov (United States)

    2011-12-28

    ... Area Power Administration Application of the Energy Planning and Management Program Power Marketing... Power Administration (Western), a Federal power marketing agency of the Department of Energy (DOE), is... Consolidated Power Marketing Criteria or Regulations for Boulder City Area Projects (Conformed Criteria...

  19. 76 FR 30147 - Application of the Energy Planning and Management Program Power Marketing Initiative to the...

    Science.gov (United States)

    2011-05-24

    ... Area Power Administration Application of the Energy Planning and Management Program Power Marketing... Power Administration (Western), a Federal power marketing agency of the Department of Energy (DOE), is... General Consolidated Power Marketing Criteria or Regulations for Boulder City Area Projects (Conformed...

  20. The evolution of project management approach to innovation: the initiative, project, program, portfolio

    Directory of Open Access Journals (Sweden)

    Baklanova Julia

    2012-03-01

    Full Text Available The author shows the close relationship between the innovative development of the economic entity, projects, programs, portfolios, strategic management. Stresses that the innovative development of the most effective it is at the expense of project management that the maximum positive effect generated by the implementation of innovation with methods, techniques, tools of project management.

  1. An Inquiry Study of Early Literacy. NCTE Reading Initiative.

    Science.gov (United States)

    Serebrin, Wayne; Long, Susi; Egawa, Kathy

    The focus of this inquiry study is young children's learning, and specifically, their use of literacy from their preschool years through age eight. The inquiry study is designed to function simultaneously on two levels: the first level (figure 1) invites study group members to think about themselves as learners, teachers, and scholars. At the…

  2. Burnout in Rural Physician Assistants: An Initial Study.

    Science.gov (United States)

    Benson, Marc A; Peterson, Teri; Salazar, Lisa; Morris, Wesley; Hall, Rebecca; Howlett, Bernadette; Phelps, Paula

    2016-06-01

    To assess the prevalence and causes of burnout in rural physician assistants. (PA in this article refers to personal accomplishment. To avoid confusion, we will spell out physician assistant throughout the article, instead of using PA to refer to both physician assistant and personal accomplishment.) Physician assistants who practice in rural communities were asked to complete the Maslach Burnout Inventory. A preliminary assessment of burnout was determined using the 3 Maslach Burnout Inventory subscale scores: emotional exhaustion, depersonalization, and personal accomplishment, as well as causes of burnout assessed for a correlation to personal and professional factors. Burnout within the rural physician assistant population responding to this survey (response rate = 11.3%) was measured to have high to moderate emotional exhaustion and depersonalization subscores (64% each) and a low to moderate personal accomplishment subscore (46%). The rural physician assistant population who responded to this survey exhibited burnout correlating to feelings of professional isolation and various workplace conditions such as the adequacy of administrative support and control over workload. To begin addressing burnout within this community, we suggest adjusting rural physician assistant workload and support, enhancing professional communications, and addressing burnout prevention techniques within physician assistant training programs.

  3. Actinide recovery using aqueous biphasic extraction: Initial developmental studies

    Energy Technology Data Exchange (ETDEWEB)

    Chaiko, D.J.; Mensah-Biney, R.; Mertz, C.J.; Rollins, A.N.

    1992-08-01

    Aqueous biphasic extraction systems are being developed to treat radioactive wastes. The separation technique involves the selective partitioning of either solutes or colloid-size particles between two scible aqueous phases. Wet grinding of plutonium residues to an average particle size of one micron will be used to liberate the plutonium from the bulk of the particle matrix. The goal is to produce a plutonium concentrate that will integrate with existing and developing chemical recovery processes. Ideally, the process would produce a nonTRU waste stream. Coupling physical beneficiation with chemical processing will result in a substantial reduction in the volume of mixed wastes generated from dissolution recovery processes. As part of this program, we will also explore applications of aqueous biphasic extraction that include the separation and recovery of dissolved species such as metal ions and water-soluble organics. The expertise and data generated in this work will form the basis for developing more cost-effective processes for handling waste streams from environmental restoration and waste management activities within the DOE community. This report summarizes the experimental results obtained during the first year of this effort. Experimental efforts were focused on elucidating the surface and solution chemistry variables which govern partitioning behavior of plutonium and silica in aqueous biphasic extraction systems. Additional efforts were directed toward the development of wet grinding methods for producing ultrafine particles with diameters of one micron or less.

  4. ?teen Mental Health First Aid?: a description of the program and an initial evaluation

    OpenAIRE

    Hart, Laura M; Mason, Robert J; Kelly, Claire M; Cvetkovski, Stefan; Jorm, Anthony F

    2016-01-01

    Background Many adolescents have poor mental health literacy, stigmatising attitudes towards people with mental illness, and lack skills in providing optimal Mental Health First Aid to peers. These could be improved with training to facilitate better social support and increase appropriate help-seeking among adolescents with emerging mental health problems. teen Mental Health First Aid (teen MHFA), a new initiative of Mental Health First Aid International, is a 3???75?min classroom based trai...

  5. The IAEA Coordinated Research Program on HTGR Uncertainty Analysis: Phase I Status and Initial Results

    Energy Technology Data Exchange (ETDEWEB)

    Strydom, Gerhard; Bostelmann, Friederike; Ivanov, Kostadin

    2014-10-01

    The continued development of High Temperature Gas Cooled Reactors (HTGRs) requires verification of HTGR design and safety features with reliable high fidelity physics models and robust, efficient, and accurate codes. One way to address the uncertainties in the HTGR analysis tools is to assess the sensitivity of critical parameters (such as the calculated maximum fuel temperature during loss of coolant accidents) to a few important input uncertainties. The input parameters were identified by engineering judgement in the past but are today typically based on a Phenomena Identification Ranking Table (PIRT) process. The input parameters can also be derived from sensitivity studies and are then varied in the analysis to find a spread in the parameter of importance. However, there is often no easy way to compensate for these uncertainties. In engineering system design, a common approach for addressing performance uncertainties is to add compensating margins to the system, but with passive properties credited it is not so clear how to apply it in the case of modular HTGR heat removal path. Other more sophisticated uncertainty modelling approaches, including Monte Carlo analysis, have also been proposed and applied. Ideally one wishes to apply a more fundamental approach to determine the predictive capability and accuracies of coupled neutronics/thermal-hydraulics and depletion simulations used for reactor design and safety assessment. Today there is a broader acceptance of the use of uncertainty analysis even in safety studies, and it has been accepted by regulators in some cases to replace the traditional conservative analysis. Therefore some safety analysis calculations may use a mixture of these approaches for different parameters depending upon the particular requirements of the analysis problem involved. Sensitivity analysis can for example be used to provide information as part of an uncertainty analysis to determine best estimate plus uncertainty results to the

  6. The Clemson University, University Research Initiative Program in Discrete Mathematics and Computational Analysis

    Science.gov (United States)

    1990-03-01

    for partial differential equations problems, a new model in fluid flows, and dynamical systems in neurel network problems). The investigators on this...workshop sessions at night and between sessions. Attendance at these conferences has risen from about thirty visitors from largely regional institutions to...sixty visiting distinguished scientists from all regions of the United States and Canada. This has been one of the highlights of the URI program at

  7. Borehole Plugging Program (Waste Disposal). Report 1. Initial Investigations and Preliminary Data

    Science.gov (United States)

    1978-01-01

    Salt (TFC Purex) Salt (Kleer) Dolomite sand (-12) Limestone sand (-l6) Melment L-10 Plastiment Nopeo NXZ Bentonite Southwestern Portland...Basalite is calcined shale, Tufa is uncalcined tuff, and Frianite is pumicite. Testing Program and Procedures 11. The five mixtures selected for...Investigate the bonding properties of selected grout mixtures to various types of rock, e.g. dolomites , anhydrites, halites, sandstones, etc

  8. NASA's explorer school and spaceward bound programs: Insights into two education programs designed to heighten public support for space science initiatives

    Science.gov (United States)

    Allner, M.; McKay, C.; Coe, L.; Rask, J.; Paradise, J.; Judson Wynne, J.J

    2010-01-01

    Introduction: NASA has played an influential role in bringing the enthusiasm of space science to schools across the United States since the 1980s. The evolution of this public outreach has led to a variety of NASA funded education programs designed to promote student interest in science, technology, engineering, math, and geography (STEM-G) careers. Purpose: This paper investigates the educational outreach initiatives, structure, and impact of two of NASA's largest educational programs: the NASA Explorer School (NES) and NASA Spaceward Bound programs. Results: Since its induction in 2003 the NES program has networked and provided resources to over 300 schools across the United States. Future directions include further development of mentor schools for each new NES school selected, while also developing a longitudinal student tracking system for NES students to monitor their future involvement in STEM-G careers. The Spaceward Bound program, now in its third year of teacher outreach, is looking to further expand its teacher network and scientific collaboration efforts, while building on its teacher mentorship framework. ?? 2009 Elsevier Ltd.

  9. The Influence of Neighborhood Poverty on Blood Glucose Levels: Findings from the Community Initiative to Eliminate Stroke (CITIES program

    Directory of Open Access Journals (Sweden)

    M. L. Cathorall

    2015-12-01

    Full Text Available Objectives:  To examine the relationship between both individual and neighborhood level characteristics and non-fasting blood glucose levels.Study design: This study used a cross sectional design using data from the Community Initiative to Eliminate Stroke Program in NC (2004-2008.  A total of 12,809 adults nested within 550 census block groups from two adjacent urban counties were included in the analysis.Methods:   Participants completed a cardiovascular risk factor assessment with self-reported demographics, stroke-risk behaviors, and biometric measurements.  Neighborhood level characteristics were based upon census data.  Three multilevel models were constructed for data analysis.Results:  Mean blood glucose level of this sample population was 103.61mg/dL.  The unconditional model 1 suggested a variation in mean blood glucose levels among the neighborhoods (τ00 = 13.39; P < .001.  Both models 2 and 3 suggested that the neighborhood composite deprivation index had a significant prediction on each neighborhood’s mean blood glucose level (¡01= .69; P < 0.001,¡01= .36; P = .004.  Model 3 also suggested that across all the neighborhoods, on average, after controlling for individual level risk factors, deprivation remained a significant predictor of blood glucose levels.Conclusions:  The findings provide evidence that neighborhood disadvantage is a significant predictor of neighborhood and individual level blood glucose levels.  One approach to diabetes prevention could be for policymakers to address the problems associated with environmental determinants of health.

  10. Long Island Breast Cancer Study Project (Past Initiative)

    Science.gov (United States)

    The Long Island Breast Cancer Study Project is a multistudy effort to investigate whether environmental factors are responsible for breast cancer in Suffolk and Nassau counties, NY, as well as in Schoharie County, NY, and Tolland County, CT.

  11. A Targetable EGFR-Dependent Tumor-Initiating Program in Breast Cancer

    Directory of Open Access Journals (Sweden)

    Paul Savage

    2017-10-01

    Full Text Available Summary: Therapies targeting epidermal growth factor receptor (EGFR have variable and unpredictable responses in breast cancer. Screening triple-negative breast cancer (TNBC patient-derived xenografts (PDXs, we identify a subset responsive to EGFR inhibition by gefitinib, which displays heterogeneous expression of wild-type EGFR. Deep single-cell RNA sequencing of 3,500 cells from an exceptional responder identified subpopulations displaying distinct biological features, where elevated EGFR expression was significantly enriched in a mesenchymal/stem-like cellular cluster. Sorted EGFRhi subpopulations exhibited enhanced stem-like features, including ALDH activity, sphere-forming efficiency, and tumorigenic and metastatic potential. EGFRhi cells gave rise to EGFRhi and EGFRlo cells in primary and metastatic tumors, demonstrating an EGFR-dependent expansion and hierarchical state transition. Similar tumorigenic EGFRhi subpopulations were identified in independent PDXs, where heterogeneous EGFR expression correlated with gefitinib sensitivity. This provides new understanding for an EGFR-dependent hierarchy in TNBC and for patient stratification for therapeutic intervention. : Savage et al. demonstrate that sensitivity to EGFR inhibitor, gefitinib, in triple-negative breast cancer is paradoxically associated with EGFR heterogeneity. Using single-cell RNA sequencing in conjunction with functional assays, they identify TNBC tumors in which EGFR expression identifies cells with tumor-initiating capacity whose proliferative expansion is sensitive to EGFR inhibition. Keywords: breast cancer, tumor heterogeneity, patient-derived xenograft, single-cell RNA sequencing, EGFR inhibition, therapeutic response, tumor-initiating cell, cell hierarchy, BRCA1 mutation

  12. Motor program initiation and selection in crickets, with special reference to swimming and flying behavior.

    Science.gov (United States)

    Matsuura, Tetsuya; Kanou, Masamichi; Yamaguchi, Tsuneo

    2002-01-01

    An air puff stimulus to the cerci of a cricket (Gryllus bimaculatus) evokes flying when it is suspended in air, while the same stimulus evokes swimming when it is placed on the water surface. After bilateral dissection of the connectives between the suboesophageal and the prothoracic ganglia or between the brain and the suboesophageal ganglion, the air puff stimulus evokes flying even when the operated cricket is placed on the water surface. A touch stimulus on the body surface of crickets placed on the water surface elicits only flying when the connectives between suboesophageal and prothoracic ganglia are dissected, while the same stimulus elicits either swimming or flying when the connectives between the brain and the suboesophageal ganglion are dissected. These results suggest that certain neurons running through the ventral nerve cords between the brain and the suboesophageal ganglion or between the suboesophageal and the prothoracic ganglia play important but different roles in the initiation and/or switching of swimming and flying. In the suboesophageal ganglion, we physiologically and morphologically identified four types of "swimming initiating neurons". Depolarization of any one of these neurons resulted in synchronized activities of paired legs with a similar temporal sequence to that observed during swimming.

  13. Aphasia and Topic Initiation in Conversation: A Case Study

    Science.gov (United States)

    Barnes, Scott E.; Candlin, Christopher N.; Ferguson, Alison

    2013-01-01

    Background: Aphasiologists often research, assess and treat linguistic impairment and its consequences for daily life separately. Studies that link the language used by people with aphasia to routine communicative activities may expand the linguistic forms treated as relevant for successful communication by people with aphasia. Previous research…

  14. Residential Grief Camps: An Initial Phenomenological Study of Staff Perspectives

    Science.gov (United States)

    Brown, Tiffany B.; Kimball, Thomas G.

    2012-01-01

    Research has focused primarily on the impact of death on family functioning and the stages and tasks of grief, though little attention has been given to grief camps or the experiences of those who work there. This study explored the experiences of staff at a four-day overnight children's grief camp. Eight participants reported their experience of…

  15. Evaluating a Tacit Knowledge Sharing Initiative: A Case Study

    Science.gov (United States)

    Gubbins, Claire; Corrigan, Siobhan; Garavan, Thomas N.; O'Connor, Christy; Leahy, Damien; Long, David; Murphy, Eamonn

    2012-01-01

    Purpose: This paper aims to present a case study illustrating the issues involved in the tacit knowledge conversion process and to determine whether such conversion delivers value to the organisation in terms of business value and return on investment (ROI). Design/methodology/approach: A single-case multiple baseline participants experimental…

  16. Complex decision-making: initial results of an empirical study

    Directory of Open Access Journals (Sweden)

    Pier Luigi Baldi

    2011-09-01

    Full Text Available A brief survey of key literature on emotions and decision-making introduces an empirical study of a group of university students exploring the effects of decision-making complexity on error risk. The results clearly show that decision-making under stress in the experimental group produces significantly more errors than in the stress-free control group.

  17. Small modular biopower initiative Phase 1 feasibility studies executive summaries

    Energy Technology Data Exchange (ETDEWEB)

    Bain, R.

    2000-03-06

    The Phase 1 objective is a feasibility study that includes a market assessment, resource assessment, preliminary system design, and assessment of relevant environmental and safety considerations, and evaluation of financial and cost issues, and a preliminary business plan and commercialization strategy. Each participating company will share at least 20% of the cost of the first phase.

  18. Student Focused Geospatial Curriculum Initiatives: Internships and Certificate Programs at NCCU

    Science.gov (United States)

    Vlahovic, G.; Malhotra, R.

    2009-12-01

    This paper reports recent efforts by the Department of Environmental, Earth and Geospatial Sciences faculty at North Carolina Central University (NCCU) to develop a leading geospatial sciences program that will be considered a model for other Historically Black College/University (HBCU) peers nationally. NCCU was established in 1909 and is the nation’s first state supported public liberal arts college funded for African Americans. In the most recent annual ranking of America’s best black colleges by the US News and World Report (Best Colleges 2010), NCCU was ranked 10th in the nation. As one of only two HBCUs in the southeast offering an undergraduate degree in Geography (McKee, J.O. and C. V. Dixon. Geography in Historically Black Colleges/ Universities in the Southeast, in The Role of the South in Making of American Geography: Centennial of the AAG, 2004), NCCU is uniquely positioned to positively affect talent and diversity of the geospatial discipline in the future. Therefore, successful creation of research and internship pathways for NCCU students has national implications because it will increase the number of minority students joining the workforce and applying to PhD programs. Several related efforts will be described, including research and internship projects with Fugro EarthData Inc., Center for Remote Sensing and Mapping Science at the University of Georgia, Center for Earthquake Research and Information at the University of Memphis and the City of Durham. The authors will also outline requirements and recent successes of ASPRS Provisional Certification Program, developed and pioneered as collaborative effort between ASPRS and NCCU. This certificate program allows graduating students majoring in geospatial technologies and allied fields to become provisionally certified by passing peer-review and taking the certification exam. At NCCU, projects and certification are conducted under the aegis of the Geospatial Research, Innovative Teaching and

  19. Five case studies of multifamily weatherization programs

    Energy Technology Data Exchange (ETDEWEB)

    Kinney, L; Wilson, T.; Lewis, G. [Synertech Systems Corp. (United States); MacDonald, M. [Oak Ridge National Lab., TN (United States)

    1997-12-31

    The multifamily case studies that are the subject of this report were conducted to provide a better understanding of the approach taken by program operators in weatherizing large buildings. Because of significant variations in building construction and energy systems across the country, five states were selected based on their high level of multifamily weatherization. This report summarizes findings from case studies conducted by multifamily weatherization operations in five cities. The case studies were conducted between January and November 1994. Each of the case studies involved extensive interviews with the staff of weatherization subgrantees conducting multifamily weatherization, the inspection of 4 to 12 buildings weatherized between 1991 and 1993, and the analysis of savings and costs. The case studies focused on innovative techniques which appear to work well.

  20. The Last State to Grant Nurse Practitioners DEA Licensure: An Education Improvement Initiative on the Florida Prescription Drug Monitoring Program.

    Science.gov (United States)

    Kellams, Joni R; Maye, John P

    Nurse practitioners (NPs) now have prescriptive authority for controlled substances in all 50 states in the United States. Florida, the last state to grant NPs DEA licensure, has been wrought with prescription diversion practices for a number of years as pill mills, doctor shopping, and overprescribing proliferated. Prescription Drug Monitoring Programs (PDMPs) help curb drug diversion activity and play a key role in reducing the abuse of controlled substances. The primary objective of this education improvement initiative was to increase knowledge of actively licensed NPs in the state of Florida regarding the state's PDMP. The main themes included the drug abuse problem, description and progression of the PDMP, and how to use the Florida PDMP. Upon approval from the institutional review board, this education improvement initiative gauged NP knowledge of the PDMP and main themes before and after an educational PowerPoint intervention. A pretest/posttest questionnaire was administered for assessment of all knowledge questions. One hundred forty-five NPs with active advanced registered NP licenses in Florida completed both the pretest and posttest questionnaires. Descriptive statistics and paired t tests were used for statistical significance testing. Knowledge of the PDMP and the main themes of the education improvement initiative significantly increased (p < .001) from pretest to posttest results. This education improvement initiative had positive effects for NPs on the knowledge of the Florida PDMP and the main themes. This indicated that Florida NPs are able to acquire greater comprehension of the PDMP by an education intervention.

  1. Learning Assistant Supported Student Outcomes (LASSO) study initial findings

    CERN Document Server

    Van Dusen, Ben; Otero, Valerie

    2015-01-01

    This study investigates how faculty, student, and course features are linked to student outcomes in Learning Assistant (LA) supported courses. Over 4,500 students and 17 instructors from 13 LA Alliance member institutions participated in the study. Each participating student completed an online concept inventory at the start (pre) and end (post) of their term. The physics concept inventories included Force and Motion Concept Evaluation (FMCE) and the Brief Electricity and Magnetism Assessment (BEMA). Concepts inventories from the fields of biology and chemistry were also included. Our analyses utilize hierarchical linear models that nest student level data (e.g. pre/post scores and gender) within course level data (e.g. discipline and course enrollment) to build models that examine student outcomes across institutions and disciplines. We report findings on the connections between students' outcomes and their gender, race, and time spent working with LAs as well as instructors' experiences with LAs.

  2. TOWARDS DEVELOPING A SUSTAINABLE FACULTY DEVELOPMENT PROGRAM: An Initiative of an American Medical School in Lebanon.

    Science.gov (United States)

    Rahal, Boushra; Mansour, Nabil; Zaatari, Ghazi

    2015-01-01

    The American University of Beirut Faculty of Medicine (AUB-FM) strategy is to develop faculty members (fm) skills by sponsoring local and international scientific activities has been in place for over three decades, and remains dependent on individuals' efforts. In 2011-2012, Faculty Development Program (FDP) was introduced to develop faculty leadership, business skills in medicine, fulfill personal and professional goals, followed by a five-year plan to cover five themes: Management/Leadership, Marketing, Finance, Strategic Planning and Communications with the purpose of integrating these themes in medical practice. A survey was sent to all departments at AUB-FM in 2011 to assess needs and determine themes. Nine workshops were conducted, followed by post-workshop evaluation. 117 fm responded to needs assessment surveys. Respondents had on average 15 years in clinical practice, 50% with extensive to moderate administrative experience; 71% assumed administrative responsibilities at least once, 56% in leadership positions. Faculty attendance dropped midway from 69 to 19, although workshops were rated very good to excellent. Although faculty were interested in FDP, the drop in attendance might be attributed to: challenges to achieve personal and professional goals while struggling to fulfill their roles, satisfy promotion requirements and generate their income. FDP has to be aligned with FM strategic goals and faculty objectives, be complimentary to a faculty mentoring program, provide rewards, and be supported by a faculty progression tool.

  3. m-Diabete in Senegal. "Be He@lthy Be Mobile", a program initiated by WHO and the ITU.

    Science.gov (United States)

    Eskandar, H; Pujari, S; Dia, I-K; Kleinebreil, L; Meagher, S

    2017-11-01

    The health-care systems of Africa must adapt to the exponential progression of nontransmissible diseases, diabetes in particular. How can we accelerate population awareness of the risk factors? How can we provide the minimal education necessary to all people with diabetes to limit its complications? The "Be He@lthy Be Mobile" initiative of WHO and the ITU (International Telecommunications Union) and its "m-Diabete" app in Senegal explore the conditions for establishing a large-scale patient-education program using texting and its potential health impact.

  4. Continuous quality improvement programs provide new opportunities to drive value innovation initiatives in hospital-based radiology practices.

    Science.gov (United States)

    Steele, Joseph R; Schomer, Don F

    2009-07-01

    Imaging services constitute a huge portion of the of the total dollar investment within the health care enterprise. Accordingly, this generates competition among medical specialties organized along service lines for their pieces of the pie and increased scrutiny from third-party payers and government regulators. These market and political forces create challenge and opportunity for a hospital-based radiology practice. Clearly, change that creates or builds greater value for patients also creates sustainable competitive advantage for a radiology practice. The somewhat amorphous concept of quality constitutes a significant value driver for innovation in this scenario. Quality initiatives and programs seek to define and manage this amorphous concept and provide tools for a radiology practice to create or build more value. Leadership and the early adoption of these inevitable programs by a radiology practice strengthens relationships with hospital partners and slows the attrition of imaging service lines to competitors.

  5. 34 CFR 477.1 - What is the State Program Analysis Assistance and Policy Studies Program?

    Science.gov (United States)

    2010-07-01

    ... 34 Education 3 2010-07-01 2010-07-01 false What is the State Program Analysis Assistance and Policy Studies Program? 477.1 Section 477.1 Education Regulations of the Offices of the Department of Education (Continued) OFFICE OF VOCATIONAL AND ADULT EDUCATION, DEPARTMENT OF EDUCATION STATE PROGRAM ANALYSIS ASSISTANCE AND POLICY STUDIES PROGRAM...

  6. Nuclear astrophysics at ISAC with DRAGON: Initial studies

    Energy Technology Data Exchange (ETDEWEB)

    Olin, Art; Bishop, Shawn; Buchmann, Lothar; Chatterjee, Mohan L.; Chen, Alan; D' Auria, John M.; Engel, Sabine; Gigliott, Dario; Greife, Uwe; Hunter, Don; Hussein, Ahmed; Hutcheon, Dave; Jewett, Cybele; King, Jim; Kubono, Shigeru; Lamey, Michael; Laird, Alison M.; Lewis, Rachel; Liu, Wenjie; Michimasa, Shin' ichiro; Ottewell, Dave; Parker, Peter; Rogers, Joel; Strieder, Frank; Wrede, Chris

    2003-06-30

    The new DRAGON recoil separator facility, designed and built to measure directly the rates of radiative proton and alpha capture reactions important for nuclear astrophysics, is now in operation at the TRIUMF-ISAC radioactive beams facility in Vancouver, Canada. Experiments have been conducted for the first time on the {sup 21}Na(p,{gamma}){sup 22}Mg reaction. The evolution of nova explosions, and particularly their {sup 22}Na abundance, depends sensitively on this reaction rate. Commissioning studies using the well-known stable beam reactions {sup 21}Ne(p,{gamma}){sup 22}Na, {sup 20}Ne(p,{gamma}){sup 21}Na, and {sup 24}Mg(p,{gamma}){sup 25}Al have shown that the recoil separator performs within its design specifications both in suppression power and acceptance. The first radioactive beam studies were done using a beam of 5 x 10{sup 821}Na atoms/s. Yield measurements recording simultaneously singles and coincident heavy-ion and gamma signals were performed, scanning in energy over the known resonance reported previously in {sup 22}Mg at E{sub cm} = 212 keV, and in addition, over a strong resonance observed at E{sub cm} {approx}822 keV.

  7. 34 CFR 668.39 - Study abroad programs.

    Science.gov (United States)

    2010-07-01

    ... 34 Education 3 2010-07-01 2010-07-01 false Study abroad programs. 668.39 Section 668.39 Education..., DEPARTMENT OF EDUCATION STUDENT ASSISTANCE GENERAL PROVISIONS Student Eligibility § 668.39 Study abroad programs. A student enrolled in a program of study abroad is eligible to receive title IV, HEA program...

  8. Together - a couples' program to improve communication, coping, and financial management skills: development and initial pilot-testing.

    Science.gov (United States)

    Falconier, Mariana K

    2015-04-01

    The accumulated knowledge about the negative impact of financial strain on couple's relationship functioning and the magnitude of the latest economic downturn have brought together the fields of financial counseling and couples' therapy. This article describes the development of a new interdisciplinary program that aims at helping couples under financial strain improve their financial management, communication, and dyadic coping skills. The article also reports the results from its initial pilot-testing with data collected from 18 financially distressed couples before and after participation in the program and 3 months later. Results from repeated measures ANOVAs suggest that the program may help reduce both partners' financial strain and the male negative communication and improve both partners' financial management skills and strategies to cope together with financial strain, and the male relationship satisfaction. These findings together with the high satisfaction reported by participants regarding the structure and content of the sessions and homework suggest that this program may be a promising approach to help couples experiencing financial strain. Gender differences, clinical implications, and possibilities for further research are also discussed. © 2014 American Association for Marriage and Family Therapy.

  9. Initial MPTS study results: Design considerations and issues

    Science.gov (United States)

    Maynard, O. E.

    1980-01-01

    One of the key issues identified during investigations of microwave power transmission systems from 1965 to 1976 was the need to assure that the billions of diodes on ground-based rectennas are sufficiently reliable to support long life times of approximately 30 years. Major systems studies conducted focused on waveguides; radio frequency interference and biological considerations; the relationship between performance, weight, and cost; risk assessment; crossed field directional amplifier noise; a 48 kW klystron; effects of the environment on propagation and phase control; rectenna technology; a rationale for the ground power density region; alternate technologies for orbital assembly; ionospheric effects and phase control; and reception conversion (rf to dc collector/converter).

  10. Association between U.S. State AIDS Drug Assistance Program (ADAP) Features and HIV Antiretroviral Therapy Initiation, 2001–2009

    Science.gov (United States)

    Hanna, David B.; Buchacz, Kate; Gebo, Kelly A.; Hessol, Nancy A.; Horberg, Michael A.; Jacobson, Lisa P.; Kirk, Gregory D.; Kitahata, Mari M.; Korthuis, P. Todd; Moore, Richard D.; Napravnik, Sonia; Patel, Pragna; Silverberg, Michael J.; Sterling, Timothy R.; Willig, James H.; Collier, Ann; Samji, Hasina; Thorne, Jennifer E.; Althoff, Keri N.; Martin, Jeffrey N.; Rodriguez, Benigno; Stuart, Elizabeth A.; Gange, Stephen J.

    2013-01-01

    Background U.S. state AIDS Drug Assistance Programs (ADAPs) are federally funded to provide antiretroviral therapy (ART) as the payer of last resort to eligible persons with HIV infection. States differ regarding their financial contributions to and ways of implementing these programs, and it remains unclear how this interstate variability affects HIV treatment outcomes. Methods We analyzed data from HIV-infected individuals who were clinically-eligible for ART between 2001 and 2009 (i.e., a first reported CD4+ <350 cells/uL or AIDS-defining illness) from 14 U.S. cohorts of the North American AIDS Cohort Collaboration on Research and Design (NA-ACCORD). Using propensity score matching and Cox regression, we assessed ART initiation (within 6 months following eligibility) and virologic suppression (within 1 year) based on differences in two state ADAP features: the amount of state funding in annual ADAP budgets and the implementation of waiting lists. We performed an a priori subgroup analysis in persons with a history of injection drug use (IDU). Results Among 8,874 persons, 56% initiated ART within six months following eligibility. Persons living in states with no additional state contribution to the ADAP budget initiated ART on a less timely basis (hazard ratio [HR] 0.73, 95% CI 0.60–0.88). Living in a state with an ADAP waiting list was not associated with less timely initiation (HR 1.12, 95% CI 0.87–1.45). Neither additional state contributions nor waiting lists were significantly associated with virologic suppression. Persons with an IDU history initiated ART on a less timely basis (HR 0.67, 95% CI 0.47–0.95). Conclusions We found that living in states that did not contribute additionally to the ADAP budget was associated with delayed ART initiation when treatment was clinically indicated. Given the changing healthcare environment, continued assessment of the role of ADAPs and their features that facilitate prompt treatment is needed. PMID:24260137

  11. Ultrasound cylindrical phased array for transoesophageal thermal therapy: initial studies

    Energy Technology Data Exchange (ETDEWEB)

    Melodelima, David [INSERM, Unite 556, 151 Cours Albert Thomas, 69424 Lyon (France); Lafon, Cyril [INSERM, Unite 556, 151 Cours Albert Thomas, 69424 Lyon (France); Prat, Frederic [Centre Hospitalier Bicetre, 78 Avenue General Leclerc, 94275 Le Kremlin Bicetre (France); Birer, Alain [INSERM, Unite 556, 151 Cours Albert Thomas, 69424 Lyon (France); Cathignol, Dominique [INSERM, Unite 556, 151 Cours Albert Thomas, 69424 Lyon (France)

    2002-12-07

    This work was undertaken to investigate the feasibility of constructing a cylindrical phased array composed of 64 elements spread around the periphery (OD 10.6 mm) for transoesophageal ultrasound thermotherapy. The underlying operating principle of this applicator is to rotate a plane ultrasound beam electronically. For this purpose, eight adjacent transducers were successively excited with appropriate delay times so as to generate a plane wave. The exposure direction was changed by exciting a different set of eight elements. For these feasibility studies, we used a cylindrical prototype (OD 10.6 mm) composed of 16 elementary transducers distributed over a quarter of the cylinder, all operating at 4.55 MHz. The active part was mechanically reinforced by a rigid damper structure behind the transducers. It was shown that an ultrasound field similar to that emitted by a plane transducer could be generated. Ex vivo experiments on pig's liver demonstrated that the ultrasound beam could be accurately rotated to generate sector-based lesions to a suitable depth (up to 19 mm). Throughout these experiments, exposures lasting 20 s were delivered at an acoustic intensity of 17 W cm{sup -2}. By varying the power from exposure to exposure, the depth of the lesion at different angles could be controlled.

  12. Ultrasound cylindrical phased array for transoesophageal thermal therapy: initial studies

    Science.gov (United States)

    Melodelima, David; Lafon, Cyril; Prat, Frederic; Birer, Alain; Cathignol, Dominique

    2002-12-01

    This work was undertaken to investigate the feasibility of constructing a cylindrical phased array composed of 64 elements spread around the periphery (OD 10.6 mm) for transoesophageal ultrasound thermotherapy. The underlying operating principle of this applicator is to rotate a plane ultrasound beam electronically. For this purpose, eight adjacent transducers were successively excited with appropriate delay times so as to generate a plane wave. The exposure direction was changed by exciting a different set of eight elements. For these feasibility studies, we used a cylindrical prototype (OD 10.6 mm) composed of 16 elementary transducers distributed over a quarter of the cylinder, all operating at 4.55 MHz. The active part was mechanically reinforced by a rigid damper structure behind the transducers. It was shown that an ultrasound field similar to that emitted by a plane transducer could be generated. Ex vivo experiments on pig's liver demonstrated that the ultrasound beam could be accurately rotated to generate sector-based lesions to a suitable depth (up to 19 mm). Throughout these experiments, exposures lasting 20 s were delivered at an acoustic intensity of 17 W cm-2. By varying the power from exposure to exposure, the depth of the lesion at different angles could be controlled.

  13. MILLISECOND PULSAR SCINTILLATION STUDIES WITH LOFAR: INITIAL RESULTS

    Energy Technology Data Exchange (ETDEWEB)

    Archibald, Anne M.; Kondratiev, Vladislav I.; Hessels, Jason W. T.; Stinebring, Daniel R., E-mail: archibald@astron.nl, E-mail: kondratiev@astron.nl, E-mail: hessels@astron.nl, E-mail: dan.stinebring@oberlin.edu [ASTRON, The Netherlands Institute for Radio Astronomy, Postbus 2, 7990-AA Dwingeloo (Netherlands)

    2014-08-01

    High-precision timing of millisecond pulsars (MSPs) over years to decades is a promising technique for direct detection of gravitational waves at nanohertz frequencies. Time-variable, multi-path scattering in the interstellar medium is a significant source of noise for this detector, particularly as timing precision approaches 10 ns or better for MSPs in the pulsar timing array. For many MSPs, the scattering delay above 1 GHz is at the limit of detectability; therefore, we study it at lower frequencies. Using the LOw-Frequency ARray (LOFAR) radio telescope, we have analyzed short (5-20 minutes) observations of 3 MSPs in order to estimate the scattering delay at 110-190 MHz, where the number of scintles is large and, hence, the statistical uncertainty in the scattering delay is small. We used cyclic spectroscopy, still relatively novel in radio astronomy, on baseband-sampled data to achieve unprecedented frequency resolution while retaining adequate pulse-phase resolution. We detected scintillation structure in the spectra of the MSPs PSR B1257+12, PSR J1810+1744, and PSR J2317+1439 with diffractive bandwidths of 6 ± 3, 2.0 ± 0.3, and ∼7 kHz, respectively, where the estimate for PSR J2317+1439 is reliable to about a factor of two. For the brightest of the three pulsars, PSR J1810+1744, we found that the diffractive bandwidth has a power-law behavior Δν{sub d}∝ν{sup α}, where ν is the observing frequency and α = 4.5 ± 0.5, consistent with a Kolmogorov inhomogeneity spectrum. We conclude that this technique holds promise for monitoring the scattering delay of MSPs with LOFAR and other high-sensitivity, low-frequency arrays like the low-frequency component of the Square Kilometre Array.

  14. Initial and sustained participation in an internet-delivered long-term worksite health promotion program on physical activity and nutrition.

    Science.gov (United States)

    Robroek, Suzan J W; Lindeboom, Dennis E M; Burdorf, Alex

    2012-03-05

    Determinants of participation in health promotion programs are largely unknown. To evaluate and implement interventions, information is needed regarding their reach as well as regarding the characteristics of program users and non-users. In this study, individual, lifestyle, and health indicators were investigated in relation to initial, and sustained participation in an Internet-delivered physical activity and healthy nutrition program in the workplace setting. In addition, determinants of program website use were studied. Determinants of participation were investigated in a longitudinal study among employees from six workplaces participating in a two-year cluster randomized controlled trial. The employees were invited by email to participate. At baseline, all participants visited a website to fill out the questionnaire on lifestyle, work, and health factors. Subsequently, a physical health check was offered, followed by face-to-face advice. Throughout the study period, all participants had access to a website with information on lifestyle and health, and to fully automated personalized feedback on the questionnaire results. Only participants in the intervention received monthly email messages to promote website visits during the first year and had access to additional Web-based tools (self-monitors, a food frequency questionnaire assessing saturated fat intake, and the possibility to ask questions) to support behavior change. Website use was monitored by website statistics measuring access. Logistic regression analyses were conducted to identify characteristics of employees who participated in the program and used the website. Complete baseline data were available for 924 employees (intervention: n=456, reference: n=468). Lifestyle and health factors were not associated with initial participation. Employees aged 30 years and older were more likely to start using the program and to sustain their participation. Workers with a low intention to increase their

  15. Energy Economic Data Base (EEDB) program: phase I. Final report and initial update

    Energy Technology Data Exchange (ETDEWEB)

    1979-12-01

    Volume I describes the EEDB and presents some pertinent update material. The initial appendices make up Volume II in which descriptions of the Standard Hypothetical Middletown Sites for nuclear power plants and coal-fired power plants are presented. Additional data in appendices in Volume II include information on NUS Corporation fuel-cycle work; inflation-free fixed charge rates; capital cost update procedure; and Combustion Engineering, Inc. LMFBR NPGS Target nuclear steam supply system. This Volume, III, contains additional appendices entitled: Practical Target Economics for the Liquid Metal Fast Breeder Reactor Nuclear Power Generating Station; Air-Quality Impact Analysis for Determination of the Acceptability of Qualified High- and Low-sulfur Coal-Fired Facility Designs for the Hypothetical Middletown Site; Synthetic Power Plant Fuels by the Solvent Refined Coal Process; Inflation-Free Fuel Cycle Costs for Throwaway and Recycle Cases; Inflated (6%) Fuel Cycle costs for Throwaway and Recycle Cases. Inflated (7%) Fuel Costs for Throwaway and Recycle Cases; Inflated (8%) Fuel Cycle Costs for Throwaway and Recycle Cases; Fuel Costing Methodology; and Bred-Fuel Scenarios.

  16. Initial experience with GeneXpert MTB/RIF assay in the Arkansas Tuberculosis Control Program.

    Science.gov (United States)

    Patil, Naveen; Saba, Hamida; Marco, Asween; Samant, Rohan; Mukasa, Leonard

    2014-01-01

    Mycobacterium tuberculosis remains one of the most significant causes of death from an infectious agent. Rapid and accurate diagnosis of pulmonary and extra-pulmonary tuberculosis (TB) is still a great challenge. The GeneXpert MTB/RIF assay is a novel integrated diagnostic system for the diagnosis of tuberculosis and rapid detection of Rifampin (RIF) resistance in clinical specimens. In 2012, the Arkansas Tuberculosis Control Program introduced GeneXpert MTB/RIF assay to replace the labour-intensive Mycobacterium Tuberculosis Direct (MTD) assay. To rapidly diagnose TB within two hours and to simultaneously detect RIF resistance. Describe the procedure used to introduce GeneXpert MTB/RIF assay in the Arkansas Tuberculosis Control Program.Characterise the current gap in rapid M. tuberculosis diagnosis in Arkansas.Assess factors that predict acid fast bacilli (AFB) smearnegative but culture-positive cases in Arkansas.Illustrate, with two case reports, the role of GeneXpert MTB/RIF assay in reduction of time to confirmation of M. tuberculosis diagnosis in the first year of implementation. Between June 2012 and June 2013, all AFB sputum smearpositive cases and any others, on request by the physician, had GeneXpert MTB/RIF assay performed as well as traditional M. tuberculosis culture and susceptibilities using Mycobacteria Growth Indicator Tube (MGIT) 960 and Löwenstein-Jensen (LJ) slants. Surveillance data for January 2009-June 2013 was analysed to characterise sputum smear-negative but culture-positive cases. Seventy-one TB cases were reported from June 2012- June 2013. GeneXpert MTB/RIF assay identified all culture-positive cases as well as three cases that were negative on culture. Also, this rapid assay identified all six smear-negative but M. tuberculosis culture-positive cases; two of these cases are described as case reports. GeneXpert MTB/RIF assay has made rapid TB diagnosis possible, with tremendous potential in determining isolation of TB suspects on one

  17. Studying the implementation of public programs

    Energy Technology Data Exchange (ETDEWEB)

    Yin, R.K.

    1980-02-01

    This report describes and critically assesses approaches that have been employed to study the implementation of public programs. Implementation is defined as the process by which new policies and/or practices are installed in organizations. The report was produced because of the increased interest among researchers and policy makers alike in the linkages between policy and outcome. The study of implementation has barely begun, and it was recognized that methodological issues of a particularly complex nature arise because of certain unique characteristics of the implementation processes: (1) they involve a series of decisions that occur over a long period of time, with no clear beginning or end points; (2) their outcomes have direct or indirect implications that are too complex for single-factor theories; (3) they involve a large number of participants; and (4) they involve situations that are rather unique in terms of agency context, historical moment in time, and other key elements. The approach employed in the report was to examine the methods that have been used in a number of exemplary studies of implementation. These studies are commonly cited in publications and informally in research circles. Descriptive material from each study was used to address three questions: (1) How is evidence collected in studies of implementation; (2) How is evidence analyzed; (3) What are the reasons for believing the conclusions from such studies. The report concludes with recomendations for the conduct of future studies of implementation.

  18. Quality Oncology Practice Initiative Certification Program: measuring implementation of chemotherapy administration safety standards in the outpatient oncology setting.

    Science.gov (United States)

    Gilmore, Terry R; Schulmeister, Lisa; Jacobson, Joseph O

    2013-03-01

    The Quality Oncology Practice Initiative (QOPI) Certification Program (QCP) evaluates individual outpatient oncology practice performance in areas that affect patient care and safety and builds on the American Society of Clinical Oncology (ASCO) QOPI by assessing the compliance of a practice with certification standards based on the ASCO/Oncology Nursing Society standards for safe chemotherapy administration. To become certified, a practice must attain a benchmark quality score on certification measures in QOPI and attest that it complies with 17 QCP standards. Structured on-site reviews, initially performed in randomly selected practices, became mandatory beginning in September 2011. Of 111 practices that have undergone on-site review, only two were fully concordant with all of the standards (median, 11; range, seven to 17). Most practices were subsequently able to modify practice to become QOPI certified. The QCP addresses the call from the Institute of Medicine to close the quality gap by aligning evidence-based guidelines and consensus-driven standards with requirements for oncology practices to develop and maintain structural safety components, such as policies and procedures that ensure practice performance. On-site practice evaluation is a high-impact component of the program.

  19. [Materials management system in interventional radiology -- initial experience with a computer-supported program].

    Science.gov (United States)

    Clevert, D-A; Jung, E M; Reiser, M; Rupp, N

    2004-10-01

    To perform a cost analysis for assessing options of reorganizing material supplies and reducing costs of the radiology division through the introduction of a materials management system. A materials management system (Piranha, Boston Scientific) was installed on an existing computer system. All consumables were inventoried and entered into the system. An ABC analysis determined further action. On the basis of order frequencies and availability requirements for emergencies, safety levels were agreed with physicians and other medical staff. Inventory costs were computed using these data. The interest rate for the capital tied up in the inventory was 8 % per year. The inventory showed that the capital tied up in stocks was euro 260,000 in 2001 and euro 190,000 in 2002. A change in supply strategy reduced inventory cost in 2001 and 2002. Annual interest expense was lowered by euro 18,420. Another saving of euro 2,700 was achieved by a reduction in storage cost. Annual inventory turnover totaled euro 298,000. The total cost cut through improved inventory management was euro 21,120 per year, which is equivalent to 7 % of the annual expenses. Adding the decline in the cost of shelf time overruns equal to 5 % of the annual expenses, the saving was approximately 12 % of total interventional radiology cost in 2001 and some 11 % in 2002. Flexible supply strategies and the introduction of a materials management program can help to reduce inventory costs in interventional radiology divisions without any impact on service levels.

  20. Cigarette smoking initiation during college predicts future alcohol involvement: A matched-samples study

    OpenAIRE

    Myers, MG; Doran, NM; Edland, SD; Amanda Schweizer, C; Wall, TL

    2013-01-01

    Objective: Little is known about the relationship between cigarette smoking initiation and subsequent alcohol involvement. To address this question, the present study compared alcohol use between students who initiated smoking during college and a matched sample of never-smoking students. We hypothesized greater increases in alcohol involvement among smoking initiators, mediated by exposure to cigarette use situations. Method: Included in the present study were 104 Chinese American and Korean...

  1. Summary and evaluation of the Strategic Defense Initiative Space Power Architecture Study

    Science.gov (United States)

    Edenburn, M. (Editor); Smith, J. M. (Editor)

    1989-01-01

    The Space Power Architecture Study (SPAS) identified and evaluated power subsystem options for multimegawatt electric (MMWE) space based weapons and surveillance platforms for the Strategic Defense Initiative (SDI) applications. Steady state requirements of less than 1 MMWE are adequately covered by the SP-100 nuclear space power program and hence were not addressed in the SPAS. Four steady state power systems less than 1 MMWE were investigated with little difference between them on a mass basis. The majority of the burst power systems utilized H(2) from the weapons and were either closed (no effluent), open (effluent release) or steady state with storage (no effluent). Closed systems used nuclear or combustion heat source with thermionic, Rankine, turboalternator, fuel cell and battery conversion devices. Open systems included nuclear or combustion heat sources using turboalternator, magnetohydrodynamic, fuel cell or battery power conversion devices. The steady state systems with storage used the SP-100 or Star-M reactors as energy sources and flywheels, fuel cells or batteries to store energy for burst applications. As with other studies the open systems are by far the lightest, most compact and simplist (most reliable) systems. However, unlike other studies the SPAS studied potential platform operational problems caused by effluents or vibration.

  2. Experimental and theoretical studies on the OH-initiated degradation of tert-butylamine

    Science.gov (United States)

    Tan, Wen; D'Anna, Barbara; Eichler, Philipp; Mikoviny, Tomas; Müller, Markus; Jørgen Nielsen, Claus; Wisthaler, Armin; Zhu, Liang

    2017-04-01

    Amine-based carbon dioxide (CO2) capture facilities release small amounts of amines into the atmosphere. Once airborne, the amines are photochemically transformed into imines, amides, nitrosamines, nitramines and other breakdown products. As some of these products pose a risk to human health and the environment, we have elucidated photochemical decomposition mechanisms of various types of amines in previous work. Our studies did, however, not include amines in which the primary amino group is attached to a tertiary carbon atom, with 2-amino-2-methyl-1-propanol (AMP, (CH3)2C(NH2)CH2OH) being a prominent candidate used in CO2 capture. Our initial step in elucidating the degradation mechanism of AMP was to study tert-butylamine (tBA, (CH3)3C(NH2)), which is a similar molecule but lacks the OH group. OH-initiated degradation of tBA was studied in chamber experiments at the European Photoreactor (EUPHORE) in Valencia (Spain) using state-of-the-art analytical instrumentation. A Proton-Transfer-Reaction Time-of-Flight Mass Spectrometer (PTR-ToF-MS) was used to measure tBA and tBA degradation products in the gas phase. Propan-2-imine (PI, (CH3)2C(=NH)) and tert-butylnitramine (tBNA, (CH3)3C(NHNO2)) were observed as the two major gas-phase products. An Aerosol Mass Spectrometer (AMS) made quantitative measurements of tert-butylaminium nitrate in the particle phase. A PTR-ToF-MS instrument equipped with a "chemical analysis of aerosol online" (CHARON) inlet detected the two major tBA degradation products (PI, tBNA) in the particle phase. Experimental work was supplemented by quantum chemistry calculations. We will present measured product yields and a complete degradation scheme of tBA. This work was supported by the Norwegian Research Council CLIMIT program under contract 244055.

  3. Group model building: a framework for organizing healthy community program and policy initiatives in Columbia, Missouri.

    Science.gov (United States)

    Thomas, Ian M; Reilly, Stacia R

    2015-01-01

    Between 2008 and 2012, the multidisciplinary Healthy Community Partnership of Columbia, Missouri, participated in a national program to address child obesity. This article describes a systems-level evaluation of their work to implement healthy eating and active living policy, system, and environmental changes to support healthier communities for children. In 2011, the partnership participated in a Group Model Building session, consisting of 2 primary activities. First, participants sketched behavior-over-time graphs, illustrating the evolution of community variables related to child obesity, such as prevalence of walking to school or the marketing of high-sugar drinks. Later, the graphs were arranged on a large area of wall space and connections were drawn between those variables that were believed to influence each other--either positively (reinforcing connections) or negatively (opposing connections). The resulting causal loop diagram is a visual representation of the interacting systems, as perceived by the partnership. In reviewing the diagram, the group identified areas where they felt the diagram "made sense" and other areas where there were inconsistencies between the diagram and their own mental model of the processes at work. To address the inconsistencies, participants were surveyed to determine which specific modifications should be made to the diagram so it would become an accurate representation of the group's shared concept of the relevant relationships. The group felt that the final Modified causal loop diagram achieved this goal and that it provides useful insight into how their work addresses child obesity. They believe the diagram also has the potential to improve community engagement by serving as a visual model, improve planning through better resource allocation, improve implementation by identifying policy leverage points, and increase resources when used in grant applications.

  4. The Army Study Program, FY 1982.

    Science.gov (United States)

    1982-05-31

    ARMY COMMAND AND CONTROL MASTER PLAN TRADOC IN-HOUSE DA700359 *ARMY MODEL IMPROVEMENT PROGRAM- MOBA /MOUT TRADOC IN-HOUSE DACG9534 *ARMY MODEL...3 IN-HOUSE 8102553 *ARMY MODEL IMPROVEMENT PROGRAM- MOBA /MOUT 3 IN-HOUSE 8112536 DAOG9534 *ARMY STRATEGIC BALLISTIC MISSILE 5 BOTH 8202738 .40 DEFENSE...WORKING PARTY/TRAINING DEVELOPMENT WORK *ARMY MODEL IMPROVEMENT PROGRAM- MOBA /MOUT TRADOC IN-HOUSE DAOG9534 *ARMY MODEL IMPROVEMENT PROGRAM-CASTFOREM

  5. Learning Leadership Abroad: An Overview of a Short-Term Leadership-Focused Study Abroad Program in Italy

    Science.gov (United States)

    Rosch, David M.; Haber-Curran, Paige

    2013-01-01

    We provide a brief description of a leadership-oriented short-term (nine days) study abroad program offered in May 2012. The program centered in Rome, Italy, combined classroom curricula with field experiences in the city as well as in Bologna and Florence. Initial quantitative and qualitative assessment suggested the program helped student…

  6. Effects of sixty six adolescent tobacco use cessation trials and seventeen prospective studies of self-initiated quitting

    Directory of Open Access Journals (Sweden)

    Sussman S

    2002-01-01

    Full Text Available Abstract This paper provides a review of the last two and a half decades of research in adolescent and young-adult tobacco use cessation. A total of 66 tobacco cessation intervention studies – targeted or population – are reviewed. In addition, an exhaustive review is completed of adolescent self-initiated tobacco use cessation, involving 17 prospective survey studies. Average reach and retention across the intervention studies was 61% and 78%, respectively, and was higher when whole natural units were treated (e.g., classrooms, than when units created specifically for the program were treated (e.g., school-based clinics. The mean quit-rate at a three to 12-month average follow-up among the program conditions was 12%, compared to approximately 7% across control groups. A comparison of intervention theories revealed that motivation enhancement (19% and contingency-based reinforcement (16% programs showed higher quit-rates than the overall intervention cessation mean. Regarding modalities (channels of change, classroom-based programs showed the highest quit rates (17%. Computer-based (expert system programs also showed promise (13% quit-rate, as did school-based clinics (12%. There was a fair amount of missing data and wide variation on how data points were measured in the programs' evaluations. Also, there were relatively few direct comparisons of program and control groups. Thus, it would be difficult to conduct a formal meta-analysis on the cessation programs. Still, these data suggest that use of adolescent tobacco use cessation interventions double quit rates on the average. In the 17 self-initiated quitting survey studies, key predictors of quitting were living in a social milieu that is composed of fewer smokers, less pharmacological or psychological dependence on smoking, anti-tobacco beliefs (e.g., that society should step in to place controls on smoking and feeling relatively hopeful about life. Key variables relevant to the quitting

  7. Effects of sixty six adolescent tobacco use cessation trials and seventeen prospective studies of self-initiated quitting

    Directory of Open Access Journals (Sweden)

    Sussman S

    2003-01-01

    Full Text Available Abstract This paper provides a review of the last two and a half decades of research in adolescent and young-adult tobacco use cessation. A total of 66 tobacco cessation intervention studies – targeted or population – are reviewed. In addition, an exhaustive review is completed of adolescent self-initiated tobacco use cessation, involving 17 prospective survey studies. Average reach and retention across the intervention studies was 61% and 78%, respectively, and was higher when whole natural units were treated (e.g., classrooms, than when units created specifically for the program were treated (e.g., school-based clinics. The mean quit-rate at a three to 12-month average follow-up among the program conditions was 12%, compared to approximately 7% across control groups. A comparison of intervention theories revealed that motivation enhancement (19% and contingency-based reinforcement (16% programs showed higher quit-rates than the overall intervention cessation mean. Regarding modalities (channels of change, classroom-based programs showed the highest quit rates (17%. Computer-based (expert system programs also showed promise (13% quit-rate, as did school-based clinics (12%. There was a fair amount of missing data and wide variation on how data points were measured in the programs' evaluations. Also, there were relatively few direct comparisons of program and control groups. Thus, it would be difficult to conduct a formal meta-analysis on the cessation programs. Still, these data suggest that use of adolescent tobacco use cessation interventions double quit rates on the average. In the 17 self-initiated quitting survey studies, key predictors of quitting were living in a social milieu that is composed of fewer smokers, less pharmacological or psychological dependence on smoking, anti-tobacco beliefs (e.g., that society should step in to place controls on smoking and feeling relatively hopeful about life. Key variables relevant to the quitting

  8. Evidence Based Improvements in Clinical Pharmacy Clerkship Program in Undergraduate Pharmacy Education: The Evidence Based Improvement (EBI Initiative

    Directory of Open Access Journals (Sweden)

    Atta Abbas

    2014-11-01

    Full Text Available Although clinical pharmacy training in Pakistan is a novelty in the undergraduate pharmacy curriculum, it has significantly improved the practical knowledge of the undergraduate students with regards practice of pharmacy in health care settings. The implementation of the curriculum change was a major innovation but the possible negative implications were not contemplated at the time of execution and combined with a failure in regular review and assessment of the plan. This led to undesirable outcomes such as breaching of health care protocols and ethics by students, inadequate aptitude and poor clinical research skills. These shortcomings were analyzed and an evidence based improvement program known as the Evidence Based Improvement (EBI initiative was designed containing structured modules to empower undergraduates in those areas. It was implemented by the authorities and has led to positive outcomes which render it very useful and this improvement program can serve as a guide to develop clinical pharmacy training programs in those countries where the practice of pharmacy is evolving.

  9. Creating Long Term Income Streams for the 100 Year Starship Study Initiative

    Science.gov (United States)

    Sylvester, A. J.

    Development and execution of long term research projects are very dependent on a consistent application of funding to maximize the potential for success. The business structure for the 100 Year Starship Study project should allow for multiple income streams to cover the expenses of the research objectives. The following examples illustrate the range of potential avenues: 1) affiliation with a charitable foundation for creating a donation program to fund a long term endowment for research, 2) application for grants to fund initial research projects and establish the core expertise of the research entity, 3) development of intellectual property which can then be licensed for additional revenue, 4) creation of spinout companies with equity positions retained by the lab for funding the endowment, and 5) funded research which is dual use for the technology goals of the interstellar flight research objectives. With the establishment of a diversified stream of funding options, then the endowment can be funded at a level to permit dedicated research on the interstellar flight topics. This paper will focus on the strategy of creating spinout companies to create income streams which would fund the endowment of the 100 Year Starship Study effort. This technique is widely used by universities seeking to commercially develop and market technologies developed by university researchers. An approach will be outlined for applying this technique to potentially marketable technologies generated as a part of the 100 Year Starship Study effort.

  10. Compatibility studies for the waste packaging program

    Energy Technology Data Exchange (ETDEWEB)

    Fullam, H.T.

    1969-03-01

    A program is now underway by Battelle-Northwest to develop the technology required for a waste packaging plant. Cesium chloride and strontium fluoride have been selected as the prime candidates for packaging. Cesium diuranate and strontium pyrophosphate have been selected as backup compounds for packaging in case either or both of the prime candidates should be rejected for any reason. No detailed studies of CsCl compatibility have been reported and long term data are needed. As in the case with CsCl, no detailed studies have been made on SrF{sub 2} compatibility. As a result of the lack of pertinent compatibility data, it is readily apparent that detailed studies are required on CsCl and SrF{sub 2} compatibility and at least scouting studies must be made on the compatibility of the backup packaging compounds. This report summarizes the compatibility studies that are underway at PNL using non-radioactive compounds. Capsule fabrication procedures and tests schedules are outlined.

  11. A program to study the Earth's magnetic field

    Science.gov (United States)

    GP President-Elect Ron Merrill has appointed a steering committee to develop a new initiative for a program to study the earth's magnetic field. In addition to Merrill, who will serve as chair, and Kenneth Verosub (University of California, Davis) who will be vice-chair, the committee includes George Backus (Scripps Institution of Oceanography, La Jolla, Calif.), Ned Benton (University of Colorado, Boulder), Rob Coe (University of California, Santa Cruz), and Dennis Kent (Lamont-Doherty Geological Observatory, Palisades, N.Y.). The objective of the new program would be to develop a better description of the behavior of the geomagnetic field on all time scales and to use this description to increase our understanding of the physical processes that govern the generation of the geomagnetic field. The program would have three areas of emphasis: the present and recent field and its secular variation, the paleo-field and its variation on various time scales, and the core processes that produce the field.

  12. Factors influencing the initiation and duration of breastfeeding among low-income women followed by the Canada prenatal nutrition program in 4 regions of quebec.

    Science.gov (United States)

    Simard, Isabel; O'Brien, Huguette Turgeon; Beaudoin, André; Turcotte, Daniel; Damant, Dominique; Ferland, Suzanne; Marcotte, Marie-Josée; Jauvin, Nathalie; Champoux, Lyne

    2005-08-01

    The factors that influence the actual initiation and duration of breastfeeding were studied among low-income women followed by the Canada Prenatal Nutrition Program (CPNP). A group of 196 pregnant women were selected at random from a sample of 6223 pregnant women who registered with the CPNP. Two 24-hour recalls and information regarding lifestyle habits, peer support, and infant-feeding practices were obtained between 26 and 34 weeks of gestation and 21 days and 6 months after birth. Women who received a university education (completed or not completed) versus women with < or = high school education (odds ratio [OR], 8.40; 95% confidence interval [CI], 1.02-69.50), women born outside Canada (OR,8.81; 95% CI, 3.34-23.19), and women of low birth weight infants (OR, 0.39; 95% CI, 0.16-0.96) were more likely to initiate breastfeeding. Late introduction of solid foods (P = .004), nonsmoking (P = .005), multiparity (P = .012), and a higher level of education (P = .049) were positively associated with the duration of breastfeeding among initiators. Understanding factors associated with initiation and duration of breastfeeding among low-income women is critical to better target breastfeeding promotion.

  13. US country studies program: Results from mitigation studies

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1996-12-31

    This paper describes the U.S. Country Studies Program which was implemented to support the principles and objectives of the Framework Convention on Climate Change (FCCC). There were three principle objectives in this program: to enhance capabilities to conduct climate change assessments, prepare action plans, and implement technology projects; to help establish a process for developing and implementing national policies and measures; to support principles and objective of the FCCC. As a result, 55 countries are completing studies, more than 2000 analysts engaged in the studies have been trained, and there is a much broader understanding and support for climate change concerns. The article describes experiences of some countries, and general observations and conclusions which are broadly seperated into developed countries and those with economies in transition.

  14. A Taiwan Study Abroad Program on Aging, Culture, and Healthcare

    Science.gov (United States)

    Hou, Su-I

    2018-01-01

    This article introduces a Taiwan Study Abroad program on aging, culture, and healthcare. The program is a short-term academic summer program (6 credits) to bring U.S. students to Taiwan. During 2011 ~ 2015, a total of four groups including over 54 students and faculty members participated. This program partnered with multiple universities,…

  15. US country studies program: Support for climate change studies, national plans, and technology assessments

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1996-12-31

    This paper describes the objectives of the next phase of the U.S. Country Studies Program which was launched in support of the Framework Convention on Climate Change (FCCC). The next phases of this program aim to: assist countries in preparing Climate Change Action plans; support technology assessments and development of technology initiatives; enhance exchange of information and expertise in support of FCCC. The program offers support for these processes in the form of handbooks which have been published to aid in preparing action plans, and to provide information on methane, forestry, and energy technologies. In addition an array of training workshops have been and are scheduled to offer hands on instruction to participants, expert advice is available from trained personnel, and modeling tools are available to aid in development of action plans.

  16. United States Air Force Research Initiation Program. 1984 Research Reports. Volume 3.

    Science.gov (United States)

    1986-05-01

    S. "Behavioral decision theory", A Review 2f Psycolog , Vol. 28, pp. 1-39, 1977. [21 Price, H.E., Maisana, R.E., and Van Cott, H.P. "The allocation...applications of CSM in the social science literature. For instance, studies by Bentler and Sper.kart (979), Bentler and Hba [197.), Fredricks and Doissett...do to improve the likelihood of success? %.% Answers to these questions are of substantial importance In the application of CSM In the social s-"ences

  17. PERSPECTIVES OF TEACHER TRAINING AND INITIAL LITERACY IMPLIED IN EDUCATIONAL PROGRAMS OF THE NORMAL SCHOOLS OF MEXICO

    Directory of Open Access Journals (Sweden)

    Efrén Viramontes Anaya

    2013-09-01

    Full Text Available Introduction. The stage or phase of this research project is intended to perform an analysis of approaches for teacher ́s training and early literacy of current language programs in Mexico ́s teacher education. The central con-tent of the document contains the analysis of approaches of teachers ́ trai-ning and initial literacy that lie behind educational programs. The theoretical approach is supported by Pérez Gómez (1996 and in the field of literacy in Ferreiro and Teberobsky (2007 and Lerner (2001. The research methodology is projected into the reconstructive critical pa-radigm as a diagnostic part of a future participative action research that will be conducted in two remaining stages. The perspective of analysis is established by the methodological contributions of Habermas (2008, in the hermeneutic reconstruction of implicit in the analyzed documents approaches. The results and discussion of them that provide lines of analysis of educa-tional programs, the relationship between theory and practice in curriculum approaches and a proposal of teachers profile requirements of language courses for teaching training as well as suggestions for future restructuring of curricula for teacher ́s colleges. In the conclusion, it is established that the perspective and the teacher training approach identified in the curriculum of Primary Education Degree (1997 and 2012 Preschool Education Degree (1999 and 2012 is mainly a model technical decision-making. This explains that the formative processes in teaching students of Tea-chers colleges , there is a tendency to engage in activities that are based on the theory, performing analytical processes that lead to understand the di-dactical principles of approaches for teaching reading instruction and writing, which will be applied in decision-making processes in situ of teaching practi-ce. Initial literacy approaches identified in the curriculum of Elementary and Preschool Degrees 1997 and 1999 plans

  18. 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

  19. Accelerometer based analysis of gait initiation failure in advanced juvenile parkinsonism: a single subject study.

    Science.gov (United States)

    Ishii, Mitsuaki; Mashimo, Hideaki

    2016-11-01

    [Purpose] This study used an accelerometer placed close to the center of gravity to quantitatively investigate whether unexpected gait initiation aggravates start hesitation (freezing of gait in gait initiation). [Subject and Methods] The subject was a 53-year-old female who had been suffering from juvenile parkinsonism since she was aged 21 years. An alternating-treatment design was used to compare acceleration characteristics under two gait initiation conditions, which were 1) deliberate gait initiation and 2) gait initiation on a sudden "go" verbal command (sudden gait initiation), in the "on" state of the medication cycle. [Results] In six out of eight sessions, a combination of reduced peak positive anterior accelerations and large power percentage in the high frequency band was consistently observed in the sudden gait initiation compared with deliberate gait initiation. In the other two sessions, although a large acceleration just after the "go" signal was observed, subsequent acceleration signals were blocked by sudden gait initiation. [Conclusion] The results suggest that, even in the "on" state, start hesitation is apparent without increased reliance on frontal cortical attentional mechanisms to compensate for impaired automaticity. In advanced juvenile parkinsonism, sudden gait initiation may be an effective paradigm as a provoking test for start hesitation.

  20. Initial testing (stage 1) of the notch inhibitor PF-03084014, by the pediatric preclinical testing program.

    Science.gov (United States)

    Carol, Hernan; Maris, John M; Kang, Min H; Reynolds, C Patrick; Kolb, E Anders; Gorlick, Richard; Keir, Stephen T; Wu, Jianrong; Kurmasheva, Raushan T; Houghton, Peter J; Smith, Malcolm A; Lock, Richard B; Lyalin, Dmitry

    2014-08-01

    PF-03084014, a γ-secretase inhibitor, was tested against the PPTP in vitro cell line panel (1.0 nM to 10 μM) and against the in vivo xenograft panels (administered orally twice daily on Days 1-7 and 15-21). PF-03084014 demonstrated limited in vitro activity, with no cell line achieving ≥50% inhibition. PF-03084014 induced significant differences in EFS distribution in 14 of 35 (40%) solid tumor xenografts, and 1 of 9 ALL xenografts (which lacked a NOTCH1 mutation), but objective responses were not observed. PF-03084014 demonstrated limited single agent activity in vitro and in vivo against the pediatric preclinical models studied. © 2014 Wiley Periodicals, Inc.

  1. Initial evaluation of rural programs at the Australian National University: understanding the effects of rural programs on intentions for rural and remote medical practice.

    Science.gov (United States)

    Lee, Yin Huey; Barnard, Amanda; Owen, Cathy

    2011-01-01

    Rural health workforce issues are a priority area for the Australian Government and substantial funding has been provided for rural education programs to address health workforce disparities across Australia's rural and remote communities. The Australian Government established a Rural Health Strategy in 2001 and as a result there are now 14 rural clinical schools in Australia. The 2008 Urbis Report highlighted the lack of research on rural programs and workforce outcomes, essential to ensuring that educational efforts, resources and funding are being concentrated appropriately. This study examined the Australian National University (ANU) Medical School's 4 year rural program to identify the impact of elective and compulsory program components on student intentions to practice in a rural and remote location post-graduation. The study also explores factors that affect student decisions to apply for year-long rural placements. METHODS; ANU Medical School's graduating cohort of 2008 fourth year medical students completed an anonymous and voluntary online survey questionnaire. Survey sections included student demographics, compulsory and elective components of the ANU rural program, and an overall evaluation of the ANU rural curriculum. The survey contained a mixture of forced-answer questions and open-ended commentary. Quantitative data were analyzed for descriptive and frequency statistics using EpiInfo V3.5.1 (http://wwwn.cdc.gov/epiinfo/). Qualitative data were reviewed and consistent themes among responses extracted. In total, 40 students from a cohort of 88 (45%) responded, with 26 respondents (65%) indicating that at medical school commencement they considered working in a rural or remote area. At the end of their medical education, 33 respondents (82%) indicated their intention to spend some time in their careers working in a rural or remote area. Students from non-rural backgrounds had greater positive change in their intentions to practice rurally as a direct

  2. A preliminary study of crack initiation and growth at stress concentration sites

    Science.gov (United States)

    Dawicke, D. S.; Gallagher, J. P.; Hartman, G. A.; Rajendran, A. M.

    1982-01-01

    Crack initiation and propagation models for notches are examined. The Dowling crack initiation model and the E1 Haddad et al. crack propagation model were chosen for additional study. Existing data was used to make a preliminary evaluation of the crack propagation model. The results indicate that for the crack sizes in the test, the elastic parameter K gave good correlation for the crack growth rate data. Additional testing, directed specifically toward the problem of small cracks initiating and propagating from notches is necessary to make a full evaluation of these initiation and propagation models.

  3. Evidence Summary for First-Grade Classroom Prevention Program (Good Behavior Game Plus Enhanced Academic Curriculum). Top Tier Evidence Initiative

    Science.gov (United States)

    Coalition for Evidence-Based Policy, 2010

    2010-01-01

    U.S. social programs, set up to address important problems, often fall short by funding specific models/strategies ("interventions") that are not effective. When evaluated in scientifically-rigorous studies, social interventions in K-12 education, job training, crime prevention, and other areas are frequently found ineffective or…

  4. The Healthy Weights Initiative: a community-based obesity reduction program with positive impact on depressed mood scores

    Directory of Open Access Journals (Sweden)

    Lemstra ME

    2016-05-01

    Full Text Available Mark Edgar Lemstra,1 Marla Rochelle Rogers2 1Department of Psychiatry, 2Department of Physical Medicine and Rehabilitation, College of Medicine, University of Saskatchewan, Saskatoon, SK, Canada Objectives: The risk for many chronic diseases increases with obesity. In addition to these, the risk for depression also increases. Exercise interventions for weight loss among those who are not overweight or obese have shown a moderate effect on depression, but few studies have looked at those with obesity. The objectives of this study were to determine 1 the prevalence of depressed mood in obese participants as determined by the Beck Depression Inventory II at baseline and follow-up; 2 the change in depressed mood between those who completed the program and those who did not; and 3 the differences between those whose depressed mood was alleviated after the program and those who continued to have depressed mood. Methods: Depressed mood scores were calculated at baseline and follow-up for those who completed the program and for those who quit. Among those who completed the program, chi-squares were used to determine the differences between those who no longer had depressed mood and those who still had depressed mood at the end of the program, and regression analysis was used to determine the independent risk factors for still having depressed mood at program completion. Results: Depressed mood prevalence decreased from 45.7% to 11.7% (P<0.000 from baseline to follow-up among those who completed the program and increased from 44.8% to 55.6% (P<0.000 among those who quit. After logistic regression, a score of <40 in general health increased the risk of still having depressed mood upon program completion (odds ratio [OR] 3.39; 95% CI 1.18–9.72; P=0.023. Conclusion: Treating depressed mood among obese adults through a community-based, weight-loss program based on evidence may be an adjunct to medical treatment. More research is needed. Keywords: obesity

  5. Exploring Career Agency during Self-Initiated Repatriation: A Study of Chinese Sea Turtles

    Science.gov (United States)

    Guo, Chun; Porschitz, Emily T.; Alves, Jose

    2013-01-01

    Purpose: Drawing on career and self-initiated expatriation/repatriation literatures, this paper aims to examine the career experiences of Chinese self-initiated repatriates after their return to China. Design/methodology/approach: The authors conducted an exploratory, qualitative study involving in-depth interviews with 20 Chinese individuals who…

  6. Long distance travelling and financial burdens discourage tuberculosis DOTs treatment initiation and compliance in Ethiopia: a qualitative study.

    Science.gov (United States)

    Tadesse, Takele; Demissie, Meaza; Berhane, Yemane; Kebede, Yigzaw; Abebe, Markos

    2013-05-01

    Timely tuberculosis treatment initiation and compliance are the two key factors for a successful tuberculosis control program. However, studies to understand patents' perspective on tuberculosis treatment initiation and compliance have been limited in Ethiopia. The aim of this study is to attempt to do that in rural Ethiopia. This qualitative, phenomenological study conducted 26 in-depth interviews with tuberculosis patients. A thematic content analysis of the interviews was performed using the Open Code software version 3.1. We found that lack of geographic access to health facilities, financial burdens, use of traditional healing systems and delay in diagnosis by health care providers were the main reasons for not initiating tuberculosis treatment timely. Lack of geographic access to health facilities, financial burdens, quality of health services provided and social support were also identified as the main reasons for failing to fully comply with tuberculosis treatments. This study highlighted complexities surrounding tuberculosis control efforts in Dabat District. Challenges of geographic access to health care facilities and financial burdens were factors that most influenced timely tuberculosis treatment initiation and compliance. Decentralization of tuberculosis diagnosis and treatment services to peripheral health facilities, including health posts is of vital importance to make progress toward achieving tuberculosis control targets in Ethiopia.

  7. Outcomes of Nigeria's HIV/AIDS Treatment Program for Patients Initiated on Antiretroviral Treatment between 2004-2012

    Science.gov (United States)

    Odafe, Solomon; Abiri, Oseni; Debem, Henry; Agolory, Simon; Shiraishi, Ray W.; Auld, Andrew F.; Swaminathan, Mahesh; Dokubo, Kainne; Ngige, Evelyn; Asadu, Chukwuemeka; Abatta, Emmanuel; Ellerbrock, Tedd V.

    2016-01-01

    Background The Nigerian Antiretroviral therapy (ART) program started in 2004 and now ranks among the largest in Africa. However, nationally representative data on outcomes have not been reported. Methods We evaluated retrospective cohort data from a nationally representative sample of adults aged ≥15 years who initiated ART during 2004 to 2012. Data were abstracted from 3,496 patient records at 35 sites selected using probability-proportional-to-size (PPS) sampling. Analyses were weighted and controlled for the complex survey design. The main outcome measures were mortality, loss to follow-up (LTFU), and retention (the proportion alive and on ART). Potential predictors of attrition were assessed using competing risk regression models. Results At ART initiation, 66.4 percent (%) were females, median age was 33 years, median weight 56 kg, median CD4 count 161 cells/mm3, and 47.1% had stage III/IV disease. The percentage of patients retained at 12, 24, 36 and 48 months was 81.2%, 74.4%, 67.2%, and 61.7%, respectively. Over 10,088 person-years of ART, mortality, LTFU, and overall attrition (mortality, LTFU, and treatment stop) rates were 1.1 (95% confidence interval (CI): 0.7–1.8), 12.3 (95%CI: 8.9–17.0), and 13.9 (95% CI: 10.4–18.5) per 100 person-years (py) respectively. Highest attrition rates of 55.4/100py were witnessed in the first 3 months on ART. Predictors of LTFU included: lower-than-secondary level education (reference: Tertiary), care in North-East and South-South regions (reference: North-Central), presence of moderate/severe anemia, symptomatic functional status, and baseline weight ART initiation could improve program outcomes. Retention interventions targeting men and those with lower levels of education are needed. Further research to understand geographic and clinic size variations with outcome is warranted. PMID:27829033

  8. Outcomes of Nigeria's HIV/AIDS Treatment Program for Patients Initiated on Antiretroviral Treatment between 2004-2012.

    Directory of Open Access Journals (Sweden)

    Ibrahim Dalhatu

    Full Text Available The Nigerian Antiretroviral therapy (ART program started in 2004 and now ranks among the largest in Africa. However, nationally representative data on outcomes have not been reported.We evaluated retrospective cohort data from a nationally representative sample of adults aged ≥15 years who initiated ART during 2004 to 2012. Data were abstracted from 3,496 patient records at 35 sites selected using probability-proportional-to-size (PPS sampling. Analyses were weighted and controlled for the complex survey design. The main outcome measures were mortality, loss to follow-up (LTFU, and retention (the proportion alive and on ART. Potential predictors of attrition were assessed using competing risk regression models.At ART initiation, 66.4 percent (% were females, median age was 33 years, median weight 56 kg, median CD4 count 161 cells/mm3, and 47.1% had stage III/IV disease. The percentage of patients retained at 12, 24, 36 and 48 months was 81.2%, 74.4%, 67.2%, and 61.7%, respectively. Over 10,088 person-years of ART, mortality, LTFU, and overall attrition (mortality, LTFU, and treatment stop rates were 1.1 (95% confidence interval (CI: 0.7-1.8, 12.3 (95%CI: 8.9-17.0, and 13.9 (95% CI: 10.4-18.5 per 100 person-years (py respectively. Highest attrition rates of 55.4/100py were witnessed in the first 3 months on ART. Predictors of LTFU included: lower-than-secondary level education (reference: Tertiary, care in North-East and South-South regions (reference: North-Central, presence of moderate/severe anemia, symptomatic functional status, and baseline weight <45kg. Predictor of mortality was WHO stage higher than stage I. Male sex, severe anemia, and care in a small clinic were associated with both mortality and LTFU.Moderate/Advanced HIV disease was predictive of attrition; earlier ART initiation could improve program outcomes. Retention interventions targeting men and those with lower levels of education are needed. Further research to understand

  9. Energy efficiency advocacy groups: A study of selected interactive efforts and independent initiatives

    Energy Technology Data Exchange (ETDEWEB)

    Schweitzer, M. [Oak Ridge National Lab., TN (United States); English, M.; Schexnayder, S.; Altman, J. [Univ. of Tennessee, Knoxville, TN (United States). Energy, Environment, and Resources Center

    1994-03-01

    Non-utility groups participate in a myriad of activities--initiated by themselves and others--aimed at influencing the policies and actions of utilities and their regulators related to Integrated Resource Planning (IRP) and Demand-Side Management (DSM). Some of these activities are not directed toward a particular regulatory body or utility but are designed to influence public knowledge and acceptance of IRP and DSM. Other activities involve interaction with a particular utility or regulatory body. The traditional forum for this interaction is an adversarial debate (i.e., litigation or regulatory intervention) over the merits of a utility`s plan or proposed action. However, an increasingly common forum is one in which non-utility groups and utilities cooperatively develop plans, policies, and/or programs. Arrangements of this type are referred to in this report as ``interactive efforts``. This report presents the findings derived from ten case studies of energy efficiency advocacy groups (EEAG) activities to influence the use of cost-effective DSM and to promote IRP; nine of these ten cases involve some form of interactive effort and all of them also include other EEAG activities. The goal of this research is not to measure the success of individual activities of the various groups, but to glean from a collective examination of their activities an understanding of the efficacy of various types of interactive efforts and other EEAG activities and of the contextual and procedural factors that influence their outcomes.

  10. New study program: Interdisciplinary Postgraduate Specialist Study in Medical Informatics.

    Science.gov (United States)

    Hercigonja-Szekeres, Mira; Simić, Diana; Božikov, Jadranka; Vondra, Petra

    2014-01-01

    Paper presents an overview of the EU funded Project of Curriculum Development for Interdisciplinary Postgraduate Specialist Study in Medical Informatics named MEDINFO to be introduced in Croatia. The target group for the program is formed by professionals in any of the areas of medicine, IT professionals working on applications of IT for health and researchers and teachers in medical informatics. In addition to Croatian students, the program will also provide opportunity for enrolling students from a wider region of Southeast Europe. Project partners are two faculties of the University of Zagreb - Faculty of Organization and Informatics from Varaždin and School of Medicine, Andrija Štampar School of Public Health from Zagreb with the Croatian Society for Medical Informatics, Croatian Chamber of Economy, and Ericsson Nikola Tesla Company as associates.

  11. Study of n-Butyl Acrylate Self-Initiation Reaction Experimentally and via Macroscopic Mechanistic Modeling

    Directory of Open Access Journals (Sweden)

    Ahmad Arabi Shamsabadi

    2016-04-01

    Full Text Available This paper presents an experimental study of the self-initiation reaction of n-butyl acrylate (n-BA in free-radical polymerization. For the first time, the frequency factor and activation energy of the monomer self-initiation reaction are estimated from measurements of n-BA conversion in free-radical homo-polymerization initiated only by the monomer. The estimation was carried out using a macroscopic mechanistic mathematical model of the reactor. In addition to already-known reactions that contribute to the polymerization, the model considers a n-BA self-initiation reaction mechanism that is based on our previous electronic-level first-principles theoretical study of the self-initiation reaction. Reaction rate equations are derived using the method of moments. The reaction-rate parameter estimates obtained from conversion measurements agree well with estimates obtained via our purely-theoretical quantum chemical calculations.

  12. Combat Wound Initiative Program

    Science.gov (United States)

    2010-07-01

    presence of local or systemic infection, nutritional status, and nonspecific serum markers of inflammation such as white blood cell count (WBC), erythro...6. Wang CJ, Huang HY, Pai CH: Shock wave-enhanced neovascularization at the tendon -bone junction: an experiment in dogs. J Foot Ankle Surg 2002

  13. SU-F-P-05: Initial Experience with an Independent Certification Program for Stereotactic Radiosurgery and Stereotactic Body Radiation Therapy

    Energy Technology Data Exchange (ETDEWEB)

    Solberg, T [University of Pennsylvania, Philadelphia, PA (United States); Robar, J [Capital District Health Authority, Halifax, NS (Canada); Gevaert, T [University Hospital Brussels, Brussels (Belgium); Todorovic, M [Universitats-Klinikum Hamburg-Eppendorf, Hamburg (Germany); Howe, J [Associates In Medical Physics, Louisville, KY (United States)

    2016-06-15

    Purpose: The ASTRO document “Safety is no accident: A FRAMEWORK FOR QUALITY RADIATION ONCOLOGY AND CARE” recommends external reviews of specialized modalities. The purpose of this presentation is to describe the implementation of such a program for Stereotactic Radiosurgery (SRS) and Stereotactic Body radiation Therapy (SBRT). Methods: The margin of error for SRS and SBRT delivery is significantly smaller than that of conventional radiotherapy and therefore requires special attention and diligence. The Novalis Certified program was created to fill an unmet need for specialized SRS / SBRT credentialing. A standards document was drafted by a panel of experts from several disciplines, including medical physics, radiation oncology and neurosurgery. The document, based on national and international standards, covers requirements in program structure, personnel, training, clinical application, technology, quality management, and patient and equipment QA. The credentialing process was modeled after existing certification programs and includes an institution-generated self-study, extensive document review and an onsite audit. Reviewers generate a descriptive report, which is reviewed by a multidisciplinary expert panel. Outcomes of the review may include mandatory requirements and optional recommendations. Results: 15 institutions have received Novalis Certification, including 3 in the US, 7 in Europe, 4 in Australia and 1 in Asia. 87 other centers are at various stages of the process. Nine reviews have resulted in mandatory requirements, however all of these were addressed within three months of the audit report. All reviews have produced specific recommendations ranging from programmatic to technical in nature. Institutions felt that the credentialing process addressed a critical need and was highly valuable to the institution. Conclusion: Novalis Certification is a unique peer review program assessing safety and quality in SRS and SBRT, while recognizing

  14. Success factors for strategic change initiatives: a qualitative study of healthcare administrators' perspectives.

    Science.gov (United States)

    Kash, Bita Arbab; Spaulding, Aaron; Johnson, Christopher E; Gamm, Larry

    2014-01-01

    Success factors related to the implementation of change initiatives are well documented and discussed in the management literature, but they are seldom studied in healthcare organizations engaged in multiple strategic change initiatives. The purpose of this study was to identify key success factors related to implementation of change initiatives based on rich qualitative data gathered from health leader interviews at two large health systems implementing multiple change initiatives. In-depth personal interviews with 61 healthcare leaders in the two large systems were conducted and inductive qualitative analysis was employed to identify success factors associated with 13 change initiatives. Results from this analysis were compared to success factors identified in the literature, and generalizations were drawn that add significantly to the management literature, especially to that in the healthcare sector. Ten specific success factors were identified for the implementation of change initiatives. The top three success factors were (1) culture and values, (2) business processes, and (3) people and engagement. Two of the identified success factors are unique to the healthcare sector and not found in the literature on change models: service quality and client satisfaction (ranked fourth of 10) and access to information (ranked ninth). Results demonstrate the importance of human resource functions, alignment of culture and values with change, and business processes that facilitate effective communication and access to information to achieve many change initiatives. The responses also suggest opportunities for leaders of healthcare organizations to more formally recognize the degree to which various change initiatives are dependent on one another.

  15. State Grade Crossing Programs : A Case Study

    Science.gov (United States)

    1974-09-01

    This report reviews the California Railroad-Highway Grade Crossing Program, analyzing the factors influencing the reduction in grade crossing accidents. The repor concludes that the greater than average success in grade crossing installation and main...

  16. Evaluating Environmental Education Programs Using Case Studies.

    Science.gov (United States)

    Thomas, Ian G.

    1990-01-01

    Described is the evaluation of the Master of Environmental Science program at Monash University (Australia). The design of the evaluation is discussed, and the use of multiple sources of data and an innovative style are highlighted. (Author/CW)

  17. National Estuary Program Study Area Boundaries

    Data.gov (United States)

    U.S. Environmental Protection Agency — There are 28 National Estuary Programs (NEPs) in the U.S.that implement habitat protection and restoration projects with their partners. This work takes place within...

  18. Evaluating the Application of Program Outcomes to Study Abroad Experiences

    Science.gov (United States)

    Smith, Patricia Joanne; Mrozek, Lawrence J.

    2016-01-01

    A search through the 2015 annual conference program of the National Collegiate Honors Council (NCHC) turned up a dozen sessions focusing on the topic of study abroad, demonstrating that a growing number of honors programs and colleges are encouraging or requiring study abroad. Many programs now offer and support honors semesters abroad or…

  19. Heart and Stroke Foundation of Ontario (HSFO high blood pressure strategy's hypertension management initiative study protocol

    Directory of Open Access Journals (Sweden)

    Von Sychowski Shirley

    2008-12-01

    Full Text Available Abstract Background Achieving control of hypertension prevents target organ damage at both the micro and macrovascular level and is a highly cost effective means of lowering the risk for heart attack and stroke particularly in people with diabetes. Clinical trials demonstrate that blood pressure control can be achieved in a large proportion of people. Translating this knowledge into widespread practice is the focus of the Hypertension Management Initiative, which began in 2004 with the goal of improving the management of this chronic health condition by primary care providers and patients in the community. Methods This study will test the effect of a systems change on the management of high blood pressure in real world practice in primary care in Ontario, Canada. The systems change intervention involves an interprofessional educational program bringing together physicians, nurses and pharmacists with tools for both providers and patients to facilitate blood pressure management. Each of two waves of subjects were enrolled over a 6 month period with the initial enrollment between waves separated by 9 months. Blood pressure will be measured with the BpTru ® automated blood pressure device. To determine the effectiveness of the intervention, a before and after analysis within all subjects will compare blood pressure at baseline to annual measurements for the three year study. To assess whether the intervention has an impact on blood pressure control independent of community trends, a betwen group comparison of baseline blood pressures in the delayed wave will be made with the immediate wave during the same time period, so that the immediate wave has experienced the intervention for at least 9 months. The total enrollment goal is 5,000 subjects. The practice locations include 10 Family Health Teams (FHTs and 1 Community Health Centre (CHC and approximately 49 primary care physicians, 15 nurse practitioners, 37 registered nurses and over 150

  20. Heart and Stroke Foundation of Ontario (HSFO) high blood pressure strategy's hypertension management initiative study protocol.

    Science.gov (United States)

    Tobe, Sheldon W; Moy Lum-Kwong, Margaret; Perkins, Nancy; Von Sychowski, Shirley; Sebaldt, Rolf J; Kiss, Alex

    2008-12-10

    Achieving control of hypertension prevents target organ damage at both the micro and macrovascular level and is a highly cost effective means of lowering the risk for heart attack and stroke particularly in people with diabetes. Clinical trials demonstrate that blood pressure control can be achieved in a large proportion of people. Translating this knowledge into widespread practice is the focus of the Hypertension Management Initiative, which began in 2004 with the goal of improving the management of this chronic health condition by primary care providers and patients in the community. This study will test the effect of a systems change on the management of high blood pressure in real world practice in primary care in Ontario, Canada. The systems change intervention involves an interprofessional educational program bringing together physicians, nurses and pharmacists with tools for both providers and patients to facilitate blood pressure management. Each of two waves of subjects were enrolled over a 6 month period with the initial enrollment between waves separated by 9 months. Blood pressure will be measured with the BpTru automated blood pressure device. To determine the effectiveness of the intervention, a before and after analysis within all subjects will compare blood pressure at baseline to annual measurements for the three year study. To assess whether the intervention has an impact on blood pressure control independent of community trends, a betwen group comparison of baseline blood pressures in the delayed wave will be made with the immediate wave during the same time period, so that the immediate wave has experienced the intervention for at least 9 months. The total enrollment goal is 5,000 subjects. The practice locations include 10 Family Health Teams (FHTs) and 1 Community Health Centre (CHC) and approximately 49 primary care physicians, 15 nurse practitioners, 37 registered nurses and over 150 community pharmacists across the 11 communities

  1. Replication Validity of Initial Association Studies: A Comparison between Psychiatry, Neurology and Four Somatic Diseases

    Science.gov (United States)

    Dumas-Mallet, Estelle; Button, Katherine; Boraud, Thomas; Munafo, Marcus; Gonon, François

    2016-01-01

    Context There are growing concerns about effect size inflation and replication validity of association studies, but few observational investigations have explored the extent of these problems. Objective Using meta-analyses to measure the reliability of initial studies and explore whether this varies across biomedical domains and study types (cognitive/behavioral, brain imaging, genetic and “others”). Methods We analyzed 663 meta-analyses describing associations between markers or risk factors and 12 pathologies within three biomedical domains (psychiatry, neurology and four somatic diseases). We collected the effect size, sample size, publication year and Impact Factor of initial studies, largest studies (i.e., with the largest sample size) and the corresponding meta-analyses. Initial studies were considered as replicated if they were in nominal agreement with meta-analyses and if their effect size inflation was below 100%. Results Nominal agreement between initial studies and meta-analyses regarding the presence of a significant effect was not better than chance in psychiatry, whereas it was somewhat better in neurology and somatic diseases. Whereas effect sizes reported by largest studies and meta-analyses were similar, most of those reported by initial studies were inflated. Among the 256 initial studies reporting a significant effect (p<0.05) and paired with significant meta-analyses, 97 effect sizes were inflated by more than 100%. Nominal agreement and effect size inflation varied with the biomedical domain and study type. Indeed, the replication rate of initial studies reporting a significant effect ranged from 6.3% for genetic studies in psychiatry to 86.4% for cognitive/behavioral studies. Comparison between eight subgroups shows that replication rate decreases with sample size and “true” effect size. We observed no evidence of association between replication rate and publication year or Impact Factor. Conclusion The differences in reliability

  2. 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

  3. Comparative study of an externship program versus a corporate-academic cooperation program for enhancing nursing competence of graduating students.

    Science.gov (United States)

    Tseng, Chien-Ning; Hsieh, Chia-Ju; Chen, Kee-Hsin; Lou, Meei-Fang

    2013-08-14

    New graduates report intense stress during the transition from school to their first work settings. Managing this transition is important to reduce turnover rates. This study compared the effects of an externship program and a corporate-academic cooperation program on enhancing junior college students' nursing competence and retention rates in the first 3 months and 1 year of initial employment. This two-phase study adopted a pretest and posttest quasi-experimental design. All participants were graduating students drawn from a 5-year junior nursing college in Taiwan. There were 19 and 24 students who participated in the phase I externship program and phase II corporate-academic cooperation program, respectively. The nursing competence of the students had to be evaluated by mentors within 48 hours of practicum training and after practicum training. The retention rate was also surveyed at 3 months and 1 year after beginning employment. Students who participated in the corporate-academic cooperation program achieved a statistically significant improvement in nursing competence and retention rates relative to those who participated in the externship program (p college nursing students into independent staff nurses, enhances their nursing competence, and boosts retention rates.

  4. Comparative study of an externship program versus a corporate-academic cooperation program for enhancing nursing competence of graduating students

    Science.gov (United States)

    2013-01-01

    Background New graduates report intense stress during the transition from school to their first work settings. Managing this transition is important to reduce turnover rates. This study compared the effects of an externship program and a corporate-academic cooperation program on enhancing junior college students’ nursing competence and retention rates in the first 3 months and 1 year of initial employment. Methods This two-phase study adopted a pretest and posttest quasi-experimental design. All participants were graduating students drawn from a 5-year junior nursing college in Taiwan. There were 19 and 24 students who participated in the phase I externship program and phase II corporate-academic cooperation program, respectively. The nursing competence of the students had to be evaluated by mentors within 48 hours of practicum training and after practicum training. The retention rate was also surveyed at 3 months and 1 year after beginning employment. Results Students who participated in the corporate-academic cooperation program achieved a statistically significant improvement in nursing competence and retention rates relative to those who participated in the externship program (p nursing students into independent staff nurses, enhances their nursing competence, and boosts retention rates. PMID:23945287

  5. Processing of toxicological studies results in the statistical program R

    Directory of Open Access Journals (Sweden)

    Fedoseeva Elena Vasilyevna

    2015-09-01

    Full Text Available The presented article is devoted to the analysis of the experimental values and the applicability of the toxicological studies results in the statistical environment R. This freely distributed program has great functional potential and well-designed algorithm, these make it "...the undisputed leader among the freely distributed systems for statistical analysis..." As the data, the experimental results to assess the toxicity of a highly- mineralized sample in the industrial production wastes were used. We evaluated two test-functions: the change in the population increase of cells and the fluorescence level of laboratory culture of the marine diatom algae Phaeodactylum tricornutum. The detailed algorithm of the analysis, namely: data initialization, evaluation of selective parameters of descriptive statistics, toxicity assessment, single-factor analysis of variance (ANOVA, Tukey and Dunnett multiple comparison tests, evaluation of correlation between the observed variable (Spearman and Pearson correlation coefficients are presented in the article. The complete list of scripts in the program R allows to reproduce a similar analysis.

  6. Food for Thought: An Analysis of Pro-Environmental Behaviours and Food Choices in Ontario Environmental Studies Programs

    Science.gov (United States)

    Breunig, Mary

    2013-01-01

    In Canada, there exists a noteworthy educational initiative referred to as Environmental Studies Programs (ESPs). These secondary school programs are interdisciplinary, helping to link subject matter and encouraging student responsibility. This paper will present student reports from five case studies where I investigated how ESP participation…

  7. Assessing the Internship Program in Universities: Case study of ...

    African Journals Online (AJOL)

    To address this mismatch, companies and universities have initiated the internship program or attachments where final year students pursuing various professions are given an opportunity to work in an effort to gain some experience and beef up other academic credentials that they may not have acquired in their course of ...

  8. Low Osteoporosis Treatment Initiation Rate in Women after Distal Forearm or Proximal Humerus Fracture: A Healthcare Database Nested Cohort Study.

    Directory of Open Access Journals (Sweden)

    Marie Viprey

    Full Text Available Treatment initiation rates following fragility fractures have often been reported to be low and in recent years numerous programs have been implemented worldwide to increase them. This study aimed at describing osteoporosis (OP treatment initiation in a representative sample of women who were hospitalized for a distal forearm fracture (DFF or proximal humerus fracture (PHF in 2009-2011 in France. The data source was a nationwide sample of 600,000 individuals, extracted from the French National Insurance Healthcare System database. All women aged 50 years and older who were hospitalized for a DFF or PHF between 2009 and 2011 and who had not received any OP treatment in the preceding 12 months were included in a retrospective cohort study. OP treatments initiated during the year following the fracture were analyzed. From 2009 to 2011, 729 women were hospitalized for a DFF or a PHF and 284 were on OP treatment at the time of the fracture occurrence. Among the 445 women who had no prevalent OP treatment, 131 (29.4% received supplementation treatment only (vitamin D and/or calcium and 42 (9.4% received a pharmacologic OP treatment in the year following their fracture. Pharmacological OP treatments included bisphosphonates (n = 21, strontium ranelate (n = 14, hormone replacement therapy (n = 4, or raloxifene (n = 3. General practitioners prescribed 75% of initial OP treatments. Despite the guidelines published in 2006 and the numerous initiatives to promote post-fracture OP treatment, OP treatment initiation rate in women who were hospitalized for a fragility fracture remained low in 2009-2011 in France.

  9. Revisiting depressive-prone bipolar disorder: polarity of initial mood episode and disease course among bipolar I systematic treatment enhancement program for bipolar disorder participants.

    Science.gov (United States)

    Perlis, Roy H; Delbello, Melissa P; Miyahara, Sachiko; Wisniewski, Stephen R; Sachs, Gary S; Nierenberg, Andrew A

    2005-10-01

    We examined the hypothesis that a first depressive rather than manic episode in bipolar disorder might herald a subsequent course notable for greater burden of depressive symptoms. We analyzed retrospective data on the polarity of first mood episode obtained from 704 bipolar I subjects entering the multicenter Systematic Treatment Enhancement Program for Bipolar Disorder (STEP-BD) study. Subjects with an initial manic or depressive episode and those in whom both poles occurred within the same year were compared. Depressive-onset bipolar disorder was more common in women and those with earlier onset of illness. Adjusting for these differences, it was significantly associated with more lifetime depressive episodes and a greater proportion of time with depression and anxiety in the year prior to study entry. Polarity of first mood episode may be useful in distinguishing subsets of bipolar patients at risk for a more chronic course.

  10. Initial integration of chiropractic services into a provincially funded inner city community health centre: a program description

    Science.gov (United States)

    Passmore, Steven R.; Toth, Audrey; Kanovsky, Joel; Olin, Gerald

    2015-01-01

    Background: The burden of fees for chiropractic services rendered often falls on the patient and must be provided out-of-pocket regardless of their socioeconomic status and clinical need. Universal healthcare coverage reduces the financial barrier to healthcare utilization, thereby increasing the opportunity for the financially disadvantaged to have access to care. In 2011 the Canadian Province of Manitoba initiated a pilot program providing access to chiropractic care within the Mount Carmel Clinic (MCC), a non-secular, non-profit, inner city community health centre. Objective: To describe the initial integration of chiropractic services into a publically funded healthcare facility including patient demographics, referral patterns, treatment practices and clinical outcomes. Method: A retrospective database review of chiropractic consultations in 2011 (N=177) was performed. Results: The typical patient referred for chiropractic care was a non-working (86%), 47.3(SD=16.8) year old, who self-identified as Caucasian (52.2%), or Aboriginal (35.8%) and female (68.3%) with a body mass index considered obese at 30.4(SD=7.0). New patient consultations were primarily referrals from other health providers internal to the MCC (71.2%), frequently primary care physicians (76%). Baseline to discharge comparisons of numeric rating scale scores for the cervical, thoracic, lumbar, sacroiliac and extremity regions all exceeded the minimally clinically important difference for reduction in musculoskeletal pain. Improvements occurred over an average of 12.7 (SD=14.3) treatments, and pain reductions were also statistically significant at pChiropractic services are being utilized by patients, and referring providers. Clinical outcomes indicate that services rendered decrease musculoskeletal pain in an inner city population. PMID:26816049

  11. Norfolk Southern boxcar blocking/bracing plan for the mixed waste disposal initiative project. Environmental Restoration Program

    Energy Technology Data Exchange (ETDEWEB)

    Seigler, R.S.

    1994-01-01

    The US Department of Energy`s (DOE) Environmental Restoration and Waste Management programs will dispose of mixed waste no longer deemed useful. This project is one of the initial activities used to help meet this goal. The project will transport the {approximately}46,000 drums of existing stabilized mixed waste located at the Oak Ridge K-25 Site and presently stored in the K-31 and K-33 buildings to an off-site commercially licensed and permitted mixed waste disposal facility. Shipping and disposal of all {approximately}46,000 pond waste drums ({approximately}1,000,000 ft{sup 3} or 55,000 tons) is scheduled to occur over a period of {approximately}5--10 years. The first shipment of stabilized pond waste should transpire some time during the second quarter of FY 1994. Martin Marietta Energy Systems, Inc., proposes to line each of the Norfolk Southem boxcars with a prefabricated, white, 15-mm low-density polyethylene (LDPE) liner material. To avoid damaging the bottom of the polyethylene floor liner, a minimum .5 in. plywood will be nailed to the boxcars` nailable metal floor. At the end of the Mixed Waste Disposal Initiative (MWDI) Project workers at the Envirocare facility will dismantle and dispose of all the polyethylene liner and plywood materials. Envirocare of Utah, Inc., located in Clive, Utah, will perform a health physic survey and chemically and radiologically decontaminate, if necessary, each of the rail boxcars prior to them being released back to Energy Systems. Energy Systems will also perform a health physic survey and chemically and radiologically decontaminate, if necessary, each of the rail boxcars prior to them being released back to Norfolk Southem Railroad.

  12. The Industry Coupled Case Study Program final report

    Energy Technology Data Exchange (ETDEWEB)

    Stringfellow, J. [ed.

    1982-10-01

    The Industry Coupled Case Study Program was conceived as a short-term cooperative program between the Federal government and private industry. Federal funds were committed to stimulate geothermal exploration and development between 1977 and 1979, although some work under the program continues into 1982. Federal funding has been phased out and the remaining information developed during the program is being disseminated and reported. This report presents an overview of the program and documents the technical results and open-file data base resulting from the program.

  13. A Follow-Up Study of Eco Education's Environmental Service-Learning Program

    Science.gov (United States)

    Hobert, Thomas Milton

    2010-01-01

    The purpose of the study is to determine student views of the influence of the Eco Education Urban Stewards program's impact on their involvement in community environmental initiatives. Eco Education is a non-profit organization in St. Paul that facilitates an urban, environmental, year-long science curriculum delivered in middle schools in…

  14. Case study on the US superconducting power transmission program

    Energy Technology Data Exchange (ETDEWEB)

    Hammel, E.F.

    1996-02-01

    After the 1911 discovery of superconductivity (the abrupt loss of electrical resistance in certain materials at very low temperatures), attempts were made to make practical use of this phenomenon. Initially these attempts failed, but in the early 1960s (after 50 years of research) they succeeded. By then, the projected growth in the production and consumption of electrical energy required much higher capacity power transmission capabilities than were available or likely to become available from incremental improvements in existing transmission technology. Since superconductors were capable in principle of transmitting huge amounts of power, research programs to develop and demonstrate superconducting transmission lines were initiated in the US and abroad. The history of the US program, including the participants, their objectives, funding and progress made, is outlined. Since the R&D program was terminated before the technology was completely demonstrated, the reasons for and consequences of this action are discussed in a final section.

  15. `Walking in a Foreign and Unknown Landscape': Studying the History of Mathematics in Initial Teacher Education

    Science.gov (United States)

    Povey, Hilary

    2013-07-01

    This article develops the argument that students in initial teacher education benefit in terms of who they are becoming from developing awareness of and engagement in the history of mathematics. Initially, current school mathematics practices in the UK are considered and challenged. Then the role of teachers' relationship to mathematical subject knowledge and of teachers' engagement in critical thinking are considered. Connections are made between these concerns and studying the history of mathematics in initial teacher education classrooms. I then draw on the perspectives and practices of the mathematics teacher educators at one institution to understand these connections better and to exemplify them. Issues of equity are threaded throughout.

  16. An initiative for integrating problem-based learning into a lean manufacturing course of an industrial engineering graduate program

    Directory of Open Access Journals (Sweden)

    Guilherme Tortorella

    Full Text Available Abstract The interest in improving the quality of engineering education is widely deemed. Due to an increasingly worldwide competition, Lean Manufacturing (LM has been a relevant subject among industrial engineering graduate programs. Despite the advances in teaching LM principles and techniques, the practical character inherent to LM undermines learning and development of students. In this sense, this study aims at demonstrating a proposal to enhance LM learning in an industrial engineering program. It is a blended proposal that combines traditional teaching methods to problem-based learning (PBL approach based on real problems of companies undergoing a lean implementation. A first phase of the proposal introduction is illustrated with an example of introducing it in a Brazilian federal university. The findings indicate that PBL may be an effective complementary method for LM learning, especially if graduate students are exposed to real problems in companies that are undergoing a lean implementation and related it to the current body of literature.

  17. A microswitch-based program for promoting initial ambulation responses: An evaluation with two girls with multiple disabilities.

    Science.gov (United States)

    Stasolla, Fabrizio; Caffò, Alessandro O; Perilli, Viviana; Boccasini, Adele; Stella, Anna; Damiani, Rita; Albano, Vincenza; Damato, Concetta

    2017-04-01

    We assessed the use of a microswitch-based program for promoting ambulation responses by two children with multiple disabilities. The goals of the study were to: (a) evaluate the importance of the contingency between the target behavior (forward step) and the programmed consequence (preferred stimuli), (b) measure effects of the intervention on indices of happiness, and (c) assess the social validation of the procedure using 20 physiotherapists as external raters. The intervention involved the automatic delivery of preferred stimuli contingent on forward steps. Results showed that both participants improved their performance (forward steps and indices of happiness) during contingent reinforcement phases compared to baseline and noncontingent reinforcement phases. Moreover, physiotherapists rated the intervention as socially valid. © 2017 Society for the Experimental Analysis of Behavior.

  18. Study Gives Edge to 2 Math Programs

    Science.gov (United States)

    Viadero, Debra

    2009-01-01

    This article reports that two programs for teaching mathematics in the early grades--Math Expressions and Saxon Math--emerged as winners in early findings released last week from a large-scale federal experiment that pits four popular, and philosophically distinct, math curricula against one another. But the results don't promise to end the…

  19. Agency-Sponsored Study Abroad Programs

    Science.gov (United States)

    Frey, James S.

    1976-01-01

    Sponsors of these programs include nonprofit organizations, proprietary agencies, wholly owned subsidiaries of U.S. corporations, and foreign-based institutions catering to North American students. Problems arising from their non-accredited status are examined and a criterion instrument for evaluating them is developed. (LBH)

  20. Age of Alcohol Initiation and Progression to Binge Drinking in Adolescence: A Prospective Cohort Study.

    Science.gov (United States)

    Aiken, Alexandra; Clare, Philip J; Wadolowski, Monika; Hutchinson, Delyse; Najman, Jackob M; Slade, Tim; Bruno, Raimondo; McBride, Nyanda; Kypri, Kypros; Mattick, Richard P

    2017-11-21

    Early alcohol initiation is common and has been associated with the development of alcohol problems. Yet, past research on the association of age of initiation with later problem drinking has produced inconsistent findings. Using prospective data from the Australian Parental Supply of Alcohol Longitudinal Study cohort, this study examined age of alcohol initiation, and of first drunkenness, and associations with subsequent drinking in adolescence. A total of 1,673 parent-child dyads recruited through Australian secondary schools completed annual surveys for 5 years (grades 7 to 11). Limiting the sample to those adolescents who had initiated alcohol use by age 17 (n = 839), multinomial logistic regression models were used to examine associations between (i) age of initiation to alcohol use (consuming at least 1 full serve) and (ii) age of first drunkenness, and 2 outcomes: (i) binge drinking (consuming >4 standard drinks on a single occasion), and (ii) the total number of alcoholic drinks consumed in the past year, adjusted for a range of potential child, parent, family, and peer covariates. Fifty percent of adolescents reported alcohol use and 36% reported bingeing at wave 5 (mean age 16.9 years), and the mean age of initiation to alcohol use for drinkers was 15.1 years. Age of initiation was significantly associated with binge drinking and total quantity of alcohol consumed in unadjusted and adjusted models. Age of first drunkenness was associated with total quantity of alcohol consumed in unadjusted models but not adjusted models and was not associated with subsequent bingeing. Initiating alcohol use earlier in adolescence is associated with an increased risk of binge drinking and higher quantity of consumption in late secondary school, supporting an argument for delaying alcohol initiation for as long as possible to reduce the risk for problematic use in later adolescence and the alcohol-related harms that may accompany this use. Copyright © 2017 by the

  1. Psycho-social needs impact on hookah smoking initiation among women: A qualitative study from Iran

    Directory of Open Access Journals (Sweden)

    Azam Baheiraei

    2015-01-01

    Conclusions: From this study, a variety of factors which contribute to the initiation of hookah smoking among women have been identified. Keeping young girls and women away from seemingly happy gatherings of hookah smokers; Providing appropriate recreational facilities for young women and training families on how to help their children in the event of a crisis-like intention to take up smoking behavior, can be some effective ways for reducing hookah smoking initiation among women.

  2. Radioresistance of mesenchymal glioblastoma initiating cells correlates with patient outcome and is associated with activation of inflammatory program.

    Science.gov (United States)

    Stanzani, Elisabetta; Martínez-Soler, Fina; Mateos, Teresa Martín; Vidal, Noemi; Villanueva, Alberto; Pujana, Miquel Angel; Serra-Musach, Jordi; de la Iglesia, Núria; Giménez-Bonafé, Pepita; Tortosa, Avelina

    2017-09-26

    Glioblastoma (GBM) still remains an incurable disease being radiotherapy (RT) the mainstay treatment. Glioblastoma intra-tumoral heterogeneity and Glioblastoma-Initiating Cells (GICs) challenge the design of effective therapies. We investigated GICs and non-GICs response to RT in a paired in-vitro model and addressed molecular programs activated in GICs after RT. Established GICs heterogeneously expressed several GICs markers and displayed a mesenchymal signature. Upon fractionated RT, GICs reported higher radioresistance compared to non-GICs and showed lower α- and β-values, according to the Linear Quadratic Model interpretation of the survival curves. Moreover, a significant correlation was observed between GICs radiosensitivity and patient disease-free survival. Transcriptome analysis of GICs after acquisition of a radioresistant phenotype reported significant activation of Proneural-to-Mesenchymal transition (PMT) and pro-inflammatory pathways, being STAT3 and IL6 the major players. Our findings support a leading role of mesenchymal GICs in defining patient response to RT and provide the grounds for targeted therapies based on the blockade of inflammatory pathways to overcome GBM radioresistance.

  3. A pilot study for segmentation of pharyngeal and sino-nasal airway subregions by automatic contour initialization.

    Science.gov (United States)

    Neelapu, Bala Chakravarthy; Kharbanda, Om Prakash; Sardana, Viren; Gupta, Abhishek; Vasamsetti, Srikanth; Balachandran, Rajiv; Rana, Shailendra Singh; Sardana, Harish Kumar

    2017-11-01

    The objective of the present study is to put forward a novel automatic segmentation algorithm to segment pharyngeal and sino-nasal airway subregions on 3D CBCT imaging datasets. A fully automatic segmentation of sino-nasal and pharyngeal airway subregions was implemented in MATLAB programing environment. The novelty of the algorithm is automatic initialization of contours in upper airway subregions. The algorithm is based on boundary definitions of the human anatomy along with shape constraints with an automatic initialization of contours to develop a complete algorithm which has a potential to enhance utility at clinical level. Post-initialization; five segmentation techniques: Chan-Vese level set (CVL), localized Chan-Vese level set (LCVL), Bhattacharya distance level set (BDL), Grow Cut (GC), and Sparse Field method (SFM) were used to test the robustness of automatic initialization. Precision and F-score were found to be greater than 80% for all the regions with all five segmentation methods. High precision and low recall were observed with BDL and GC techniques indicating an under segmentation. Low precision and high recall values were observed with CVL and SFM methods indicating an over segmentation. A Larger F-score value was observed with SFM method for all the subregions. Minimum F-score value was observed for naso-ethmoidal and sphenoidal air sinus region, whereas a maximum F-score was observed in maxillary air sinuses region. The contour initialization was more accurate for maxillary air sinuses region in comparison with sphenoidal and naso-ethmoid regions. The overall F-score was found to be greater than 80% for all the airway subregions using five segmentation techniques, indicating accurate contour initialization. Robustness of the algorithm needs to be further tested on severely deformed cases and on cases with different races and ethnicity for it to have global acceptance in Katradental radKatraiology workflow.

  4. Pilot study evaluating the feasibility and initial outcomes of a primary care weight loss intervention with peer coaches.

    Science.gov (United States)

    Dutton, Gareth R; Phillips, Janice M; Kukkamalla, Meghana; Cherrington, Andrea L; Safford, Monika M

    2015-06-01

    The purpose of this single-group pilot study was to evaluate the feasibility, acceptability, and initial outcomes of a novel approach to delivering weight loss treatment in primary care using peer coaches and targeting predominantly African American patients with diabetes or prediabetes. Participants (N = 33) were recruited from a family medicine practice for a 6-month lifestyle intervention. Eligible patients were obese adults (body mass index [BMI] ≥30 kg/m(2)) with ≥1 additional cardiometabolic risk factor(s), including (1) elevated hemoglobin A1C or diagnosed diabetes, (2) elevated blood pressure, (3) elevated triglycerides, and/or (4) low high-density lipoprotein. The intervention included a combination of 12 group-based office visits with health professionals plus 12 individual phone contacts with peer coaches. Outcomes included weight loss, program adherence, and program satisfaction. Participants (mean age = 56 ± 10 years; BMI = 42.9 ± 11.0 kg/m(2)) were predominantly female (88%) and African American (85%). Treatment resulted in a significant mean weight loss of -4.5 ± 7.2 kg, and approximately 27% of participants lost ≥5% of their initial body weight. Participants completed approximately 50% of the group visits and 40% of the telephone calls with peer coaches. Participants rated both components of the intervention favorably. Results of this pilot study indicated that a primary care weight management program including group-based visits and peer-delivered telephone contacts achieved significant weight loss among predominantly African American patients with weight-related comorbidities, including diabetes and prediabetes. Additional research is needed to examine the long-term outcomes of this novel approach and to identify program components supporting patients' success. © 2015 The Author(s).

  5. Cigarette smoking initiation during college predicts future alcohol involvement: a matched-samples study.

    Science.gov (United States)

    Myers, Mark G; Doran, Neal M; Edland, Steven D; Schweizer, C Amanda; Wall, Tamaral L

    2013-11-01

    Little is known about the relationship between cigarette smoking initiation and subsequent alcohol involvement. To address this question, the present study compared alcohol use between students who initiated smoking during college and a matched sample of never-smoking students. We hypothesized greater increases in alcohol involvement among smoking initiators, mediated by exposure to cigarette use situations. Included in the present study were 104 Chinese American and Korean American undergraduates who at baseline (freshman year) reported never having smoked a cigarette. Subjects were drawn from 433 participants in a naturalistic longitudinal study of tobacco use who were assessed annually each year in college. Cigarette smoking status was assessed annually as part of a structured interview. Initiators and never-smokers were matched on gender, ethnicity, baseline alcohol use, parental smoking status, and behavioral undercontrol. As predicted, participants who initiated smoking during college reported significantly greater increases in the number of past-30-day total drinks consumed (p alcohol consumption over and above the effect of exposure. Students who initiate smoking during college appear at risk for increased alcohol involvement. Part of this risk is explained by environmental contextual factors, specifically exposure to situations involving other smokers that also may result in greater exposure to alcohol use.

  6. 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

  7. Interprofessional impressions among nursing and pharmacy students: a qualitative study to inform interprofessional education initiatives.

    Science.gov (United States)

    Wilbur, Kerry; Kelly, Isabelle

    2015-03-19

    Medical care is increasingly complex and must draw upon the distinct, yet complementary skills of various health disciplines. Healthcare student integration through interprofessional education (IPE) activity is considered one way to promote early, and subsequently sustain, the principles of teamwork. However, It has been demonstrated that each profession has distinct profession-based subcultures, or common attitudes, beliefs and values, even among undergraduate students before commencing their training. We sought to evaluate if undergraduate pharmacy and nursing student in the Middle East had similarly formed attitudes and perceptions of each others' roles. Focus group and semi-structured interviews were conducted with undergraduate pharmacy and nursing students enrolled at Qatar University College of Pharmacy and University of Calgary - Qatar Nursing programs. An eight-question topic guide was developed following comprehensive literature review of reports of other interdisciplinary assessments (either quantitative and qualitative). Working theories were drawn by the two primary investigators based on relevant topic characteristics such as expressed roles and purposes for interacting with one other, patients, and physicians, to develop explanatory constructs for the findings and identify patterns in the data. Qualitative analysis of interviews were supported by NVivo10 (©) (QSR International 2013) software. One shared themes across both health professional groups evolved during data analysis: perceptions of collaborative roles. Discipline specific themes included pharmacist knowledge and visibility (nursing students) and nurses as informants and roles in total patient care (pharmacy students). As expected, students with little or no curricular-based structured experiential training yet largely drew upon personal experiences, whereas senior students, who did have some amount of professional context, often mirrored those that have been found in other studies

  8. Breast feeding initiation rate across Western countries: does religion matter? An ecological study.

    Science.gov (United States)

    Bernard, Jonathan Y; Cohen, Emmanuel; Kramer, Michael S

    2016-01-01

    Breast feeding initiation rates remain below 80% in some Western countries. Many individual-level determinants are known; however, less is known regarding cultural and societal determinants, such as religion, that could explain population-level variations. We examined the correlations of the proportions of Catholics and Protestants with the breast feeding initiation rates across and within Western countries. Using publicly available data, we carried out an ecological study comparing the proportions of Catholics and Protestants with the rates of breast feeding initiation. We correlated data at the country level, and additionally explored within-country data in five Western countries: France (Departments), Ireland (counties), the UK (countries), Canada (provinces) and the USA (states). Our analyses accounted for human development index, gross domestic product and population density. We observed a negative correlation (r=-0.30) between the proportion of Catholics and the rate of breast feeding initiation in Western countries. This correlation was consistent when using within-country data in France (r=-0.27), Ireland (r=-0.23), the UK (r=-0.79) and Canada (r=-0.62). In the USA, the positive correlation (r=0.26) between a state's proportion of Catholics and its breast feeding initiation rate was confounded by race, education and socioeconomic status (SES). After controlling for education and SES, the state proportion of non-Hispanic white Catholics was negatively correlated (r=-0.29) with the rate of breast feeding initiation. In this ecological study, we found consistent negative correlations between Catholicism and breast feeding initiation rates. Qualitative and quantitative studies at the individual level are needed to confirm and explain our findings. Our results suggest that women living in a country or region where Catholicism has historically dominated are less likely to initiate breast feeding, and that breast feeding promotion policies should be adapted to

  9. Initial stages of CO2 adsorption on CaO: a combined experimental and computational study.

    Science.gov (United States)

    Solis, Brian H; Cui, Yi; Weng, Xuefei; Seifert, Jan; Schauermann, Swetlana; Sauer, Joachim; Shaikhutdinov, Shamil; Freund, Hans-Joachim

    2017-02-08

    Room temperature adsorption of carbon dioxide (CO2) on monocrystalline CaO(001) thin films grown on a Mo(001) substrate was studied by infrared reflection-absorption spectroscopy (IRAS) and quantum chemical calculations. For comparison, CO2 adsorption was examined on poorly ordered, nanoparticulate CaO films prepared on Ru(0001). For both systems, CO2 readily adsorbs on the clean CaO surface. However, additional bands were observable on the CaO/Ru(0001) films compared with CaO/Mo(001), because the stricter IRAS surface selection rules do not apply to adsorption on the disordered thin films grown on Ru(0001). Spectral evolution with increasing exposure of the IRA bands suggested the presence of several adsorption sites which are consecutively populated by CO2. Density functional calculations showed that CO2 adsorption occurs as monodentate surface carbonate (CO3(2-)) species at monatomic step sites and other low-coordinated sites, followed by formation of carbonates on terraces, which dominate at increasing CO2 exposure. To explain the coverage-dependent IRAS results, we propose CO2 surface islanding from the onset, most likely in the form of pairs and other chain-like species, which were calculated as thermodynamically favorable. The calculated adsorption energy for isolated CO2 on the terrace sites (184 ± 10 kJ mol(-1)) is larger than the adsorption energy obtained by temperature programmed desorption (∼120-140 kJ mol(-1)) and heat of adsorption taken from microcalorimetry measurements at low coverage (∼125 kJ mol(-1)). However, the calculated adsorption energies become less favorable when carbonate chains intersect on CaO terraces, forming kinks. Furthermore, our assignments of the initial stages of CO2 adsorption are consistent with the observed coverage effect on the CO2 adsorption energy measured by microcalorimetry and the IRAS results.

  10. Supply Chain Initiatives Database

    Energy Technology Data Exchange (ETDEWEB)

    None

    2012-11-01

    The Supply Chain Initiatives Database (SCID) presents innovative approaches to engaging industrial suppliers in efforts to save energy, increase productivity and improve environmental performance. This comprehensive and freely-accessible database was developed by the Institute for Industrial Productivity (IIP). IIP acknowledges Ecofys for their valuable contributions. The database contains case studies searchable according to the types of activities buyers are undertaking to motivate suppliers, target sector, organization leading the initiative, and program or partnership linkages.

  11. Quench Simulation Studies: Program documentation of SPQR

    CERN Document Server

    Sonnemann, F

    2001-01-01

    Quench experiments are being performed on prototypes of the superconducting magnets and busbars to determine the adequate design and protection. Many tests can only be understood correctly with the help of quench simulations that model the thermo-hydraulic and electrodynamic processes during a quench. In some cases simulations are the only method to scale the experimental results of prototype measurements to match the situation of quenching superconducting elements in the LHC. This note introduces the theoretical quench model and the use of the simulation program SPQR (Simulation Program for Quench Research), which has been developed to compute the quench process in superconducting magnets and busbars. The model approximates the heat balance equation with the finite difference method including the temperature dependence of the material parameters. SPQR allows the simulation of longitudinal quench propagation along a superconducting cable, the transverse propagation between adjacent conductors, heat transfer i...

  12. Improving health-related quality of life through an evidence-based obesity reduction program: the Healthy Weights Initiative

    Directory of Open Access Journals (Sweden)

    Lemstra ME

    2016-03-01

    Full Text Available Mark E Lemstra,1 Marla R Rogers,21Alliance Health, Moose Jaw, 2Department of Physical Medicine and Rehabilitation, College of Medicine, University of Saskatchewan, Saskatoon, SK, Canada Abstract: When evaluating any health intervention, it is critical to include the impact of the intervention on health-related quality of life (HRQL. Among those who are obese, HRQL is often lower than the general population and even more when considering obesity-related comorbidities and bodily pain. The objectives of this paper were to determine the impact of a multidisciplinary, community-based obesity reduction program on HRQL and to determine the independent risk factors for lack of improvement from baseline to follow-up. HRQL was measured using the Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36 at baseline and follow-up (24 weeks. To date, 84.5% of those who completed the program had improvements in their overall SF-36 score. Significant increases in the mean scores on eight dimensions of health were also observed. Lack of improvement was independently affected by smoking status (odds ratio 3.75; 95% confidence interval 1.44–9.78; P=0.007 and not having a buddy to attend the program (odds ratio 3.70; 95% confidence interval 1.28–10.68; P=0.015. Obesity reduction programs that target increasing exercise, improving diet, and cognitive behavioral therapy can positively impact HRQL in obese adults. Social support has a strong role to play in improving outcomes. Keywords: obesity, health-related quality of life, social- support, SF-36, Canada

  13. Program update and novel use of the DESPAIR program to design a genome-wide linkage study using relative pairs.

    Science.gov (United States)

    Ochs-Balcom, Heather M; Guo, Xiuqing; Yonebayashi, Takashi; Wiesner, Georgia; Elston, Robert C

    2010-01-01

    DESPAIR (DESign for PAIRs) is a computer program useful for designing a two-stage linkage study using relative pairs for a dichotomous phenotype. It determines the optimal two-stage study design - i.e., for specified power and significance level, how many pairs of relatives should be studied, how many equally spaced markers should be used initially, and what criterion should be used to specify the markers around which further searching should be done at a second stage. The program will calculate either the number of relative pairs required for a given number of first-stage markers or the number of markers required for a given number of relative pairs. We highlight the use of the latest version of DESPAIR to decide to what extent additional fine mapping in a candidate region of interest can lead to an increase in power in a previous linkage study sample. We also discuss new features of the program, such as the mean difference test for affected and discordant relative pairs and estimation of full sibling pair equivalents to design a study when several types of relative pairs are available. DESPAIR is part of the S.A.G.E. program package and is freely available for use online. Copyright 2009 S. Karger AG, Basel.

  14. Vulnerability to peer influence: a moderated mediation study of early adolescent alcohol use initiation.

    Science.gov (United States)

    Trucco, Elisa M; Colder, Craig R; Wieczorek, William F

    2011-07-01

    Affiliation with deviant peers is a correlate of adolescent alcohol use; however, the mechanism accounting for this association remains unclear, particularly with respect to initiation of alcohol use in early adolescence. This prospective study examines perceived peer attitudes and use as a mediator between peer delinquency and initiation of alcohol use, and how parenting may moderate vulnerability to this risk pathway. Participants included 371 11-13 year-old adolescents (55.5% female, 83.0% Caucasian). Results suggested that high levels of peer delinquency prospectively predicted perceived peer approval and use of alcohol and that peer approval and use of alcohol prospectively predicted initiation of alcohol use. Thus, reinforcement and modeling of alcohol use appear to be important mechanisms by which delinquent peers influence the initiation of drinking. There was no support for parental warmth or control as moderators of peer influence. Copyright © 2011 Elsevier Ltd. All rights reserved.

  15. Vulnerability to Peer Influence: A Moderated Mediation Study of Early Adolescent Alcohol Use Initiation

    Science.gov (United States)

    Trucco, Elisa M.; Colder, Craig R.; Wieczorek, William F.

    2011-01-01

    Affiliation with deviant peers is a correlate of adolescent alcohol use; however, the mechanism accounting for this association remains unclear, particularly with respect to initiation of alcohol use in early adolescence. This prospective study examines perceived peer attitudes and use as a mediator between peer delinquency and initiation of alcohol use, and how parenting may moderate vulnerability to this risk pathway. Participants included 371 11–13 year-old adolescents (55.5% female, 83.0% Caucasian). Results suggested that high levels of peer delinquency prospectively predicted perceived peer approval and use of alcohol and that peer approval and use of alcohol prospectively predicted initiation of alcohol use. Thus, reinforcement and modeling alcohol use appear to be important mechanisms by which delinquent peers influence the initiation of drinking. There was no support for parental warmth or control as moderators of peer influence. PMID:21420241

  16. Initiating and maintaining recreational walking: a longitudinal study on the influence of neighborhood green space.

    Science.gov (United States)

    Sugiyama, Takemi; Giles-Corti, Billie; Summers, Jacqui; du Toit, Lorinne; Leslie, Eva; Owen, Neville

    2013-09-01

    This study examined prospective relationships of green space attributes with adults initiating or maintaining recreational walking. Postal surveys were completed by 1036 adults living in Adelaide, Australia, at baseline (two time points in 2003-04) and follow-up (2007-08). Initiating or maintaining recreational walking was determined using self-reported walking frequency. Green space attributes examined were perceived presence, quality, proximity, and the objectively measured area (total and largest) and number of green spaces within a 1.6 km buffer drawn from the center of each study neighborhood. Multilevel regression analyses examined the odds of initiating or maintaining walking separately for each green space attribute. At baseline, participants were categorized into non-regular (n = 395), regular (n = 286), and irregular walkers (n = 313). Among non-regular walkers, 30% had initiated walking, while 70% of regular walkers had maintained walking at follow-up. No green space attributes were associated with initiating walking. However, positive perceptions of the presence of and proximity to green spaces and the total and largest areas of green space were significantly associated with a higher likelihood of walking maintenance over four years. Neighborhood green spaces may not assist adults to initiate walking, but their presence and proximity may facilitate them to maintain recreational walking over time. Copyright © 2013 Elsevier Inc. All rights reserved.

  17. High School Students Participate in a CAI Study Skills Program.

    Science.gov (United States)

    Gadzella, Bernadette M.

    A 10-module computer-assisted instruction (CAI) program on study skills was field tested to determine its effectiveness with high school students, using 50 advanced seniors in a large Texas high school as subjects. The program consisted of a study skills pretest, the CAI modules, a notebook on study skills, and a posttest. The modules were…

  18. Do Study Abroad Programs Enhance the Employability of Graduates?

    Science.gov (United States)

    Di Pietro, Giorgio

    2015-01-01

    Using data on a large sample of recent Italian graduates, this paper investigates the extent to which participation in study abroad programs during university studies impacts subsequent employment likelihood. To address the problem of endogeneity related to participation in study abroad programs, I use a combination of fixed effects and…

  19. Study Abroad Programs: A Golden Opportunity for Academic Library Engagement

    Science.gov (United States)

    Denda, Kayo

    2013-01-01

    Study abroad programs in higher education increasingly play a major role in training students for global citizenship. This case study, conducted in a large research university in the United States, identifies the information needs of students and faculty in study abroad programs. Of particular interest is how awareness of library resources and…

  20. Factors Influencing Student Participation in College Study Abroad Programs

    Science.gov (United States)

    Bandyopadhyay, Soumava; Bandyopadhyay, Kakoli

    2015-01-01

    This paper proposes a theoretical framework to investigate the factors that influence student participation in college study abroad programs. The authors posit that students' general perceptions regarding the study abroad experience and their expectations of intercultural awareness from study abroad programs will impact their perceptions of…

  1. [First results of a German second opinion program show high patient satisfaction and large discrepancies between initial therapy recommendations and second opinion].

    Science.gov (United States)

    Weyerstraß, Jan; Prediger, Barbara; Neugebauer, Edmund; Pieper, Dawid

    2018-02-23

    Although legally anchored, there are no empirical results from German second opinion programs. In this study, various aspects within a population of a second opinion program are examined. In this study patients were analyzed who sought a second opinion in the period from August 2011 to December 2016. Differences in patient characteristics, differentiated by agreement of first and second opinion, were analyzed using multivariate logistic regression. Patients' satisfaction and quality of life were examined one, three and six months after obtaining the second opinion. In total, 1,414 patients sought a second opinion. Most frequent medical indications were the knee (38.7 %), the back (26.8 %), the hip (11.7 %), and the shoulder (10.2 %). Except for the indication (p=0.035), no patient characteristic had influence on the conformation of the second opinion. Approximately two out of three initial recommendations were not confirmed by the specialists. 89 % of the patients were satisfied or very satisfied with the second opinion and the service offered. The second opinion offers patients the opportunity to seek an additional independent medical opinion and thus provide support for decision making. Further research is needed to examine the reasons for the high discrepancies between the first and second opinions. Copyright © 2018. Published by Elsevier GmbH.

  2. Impact of Aspect-Oriented Programming on the Quality of Novices’ Programs: A Comparative Study

    Directory of Open Access Journals (Sweden)

    Marija Katic

    2013-06-01

    Full Text Available Aspect-oriented programming has been introduced in order to increase the modularity of object-oriented programs and is claimed to improve software quality. Although there are various researches on this claim, the question to what extent aspect-oriented programming improves the quality of programs depending on a developer’s experience still remains. The purpose of this study is to investigate whether aspect-oriented programming used by novice programmers improves the quality of programs, in terms of software flexibility and readability (consequently reusability and maintainability as well. As a part of an undergraduate course in programming paradigms and languages, a systematic comparison between students’ object-oriented and aspect-oriented solutions of the same problem was driven. In order to drive this comparison we have established the basis for the development of the new quality assessment model consisting of software metrics for an objective evaluation and student survey for subjective evaluation. The results show that the use of aspect-oriented programming lead to novices’ programs that are easier to change and read (flexible and readable compared to object-oriented programs. What is more, administered survey showed that students perceive their programs as more flexible and readable.

  3. Software Development Initiatives to Identify and Mitigate Security Threats - Two Systematic Mapping Studies

    Directory of Open Access Journals (Sweden)

    Paulina Silva

    2016-12-01

    Full Text Available Software Security and development experts have addressed the problem of building secure software systems. There are several processes and initiatives to achieve secure software systems. However, most of these lack empirical evidence of its application and impact in building secure software systems. Two systematic mapping studies (SM have been conducted to cover the existent initiatives for identification and mitigation of security threats. The SMs created were executed in two steps, first in 2015 July, and complemented through a backward snowballing in 2016 July. Integrated results of these two SM studies show a total of 30 relevant sources were identified; 17 different initiatives covering threats identification and 14 covering the mitigation of threats were found. All the initiatives were associated to at least one activity of the Software Development Lifecycle (SDLC; while 6 showed signs of being applied in industrial settings, only 3 initiatives presented experimental evidence of its results through controlled experiments, some of the other selected studies presented case studies or proposals.

  4. Personal Development Planning in Initial Teacher Training: A Case Study from Post-Compulsory Education

    Science.gov (United States)

    Thompson, Ron; Hallwood, Linda; Clements, Christine; Rivron, Helen

    2009-01-01

    This paper provides a case study of personal development planning (PDP) within an initial teacher training course for the post-compulsory sector, delivered through a large consortium in the north of England. The paper reviews conceptual and empirical studies of PDP in higher education and reports on the practice and perceptions of students and…

  5. Here Today Gone Tomorrow: Conceptualizing Instructional Leadership through Case Studies of Unsustained Initiatives

    Science.gov (United States)

    Shulman, Vivian; Sullivan, Susan

    2015-01-01

    This study examines two case studies of failed leadership in school-based professional development. We describe the two initiatives and look to current leadership theories to help account for the events that occurred. The sociologist Bourdieu's concept of "habitus" offers an approach to understanding the relationship between individual…

  6. Student-Initiated Study Groups for STEM Classes in Community College Settings

    Science.gov (United States)

    Sandoval-Lucero, Elena; Blasius, Eileen; Klingsmith, Libby; Waite, Cheryl

    2012-01-01

    This article describes a focus group research study that examined the experiences of community college students who initiated study groups for science, technology, engineering and mathematics (STEM) courses based on self-identified needs for learning support. Results indicated that students identified early in the semester that they needed…

  7. Initiating Transdisciplinarity in Academic Case Study Teaching: Experiences from a Regional Development Project in Salzburg, Austria

    Science.gov (United States)

    Muhar, Andreas; Vilsmaier, Ulli; Glanzer, Michaela; Freyer, Bernhard

    2006-01-01

    Purpose: The purpose of this paper is to describe experiences with the initiation of transdisciplinarity in academic case study teaching with special reference to regional planning, based on the case study "Leben 2014 (Life 2014)--perspectives for regional development in the national park region Ober-pinz-gau, Salzburg".…

  8. Initiation of methamphetamine use among young Thai drug users: a qualitative study.

    Science.gov (United States)

    Sherman, Susan G; German, Danielle; Sirirojn, Bangorn; Thompson, Nick; Aramrattana, Apinun; Celentano, David D

    2008-01-01

    Methamphetamine (MA) has become the leading drug of abuse in northern Thailand over the past several years, particularly among youth. The current qualitative study examines factors associated with initiation of MA use. Between March 2002 and January 2003, 48 in-depth interviews with young MA users were conducted in advance of a randomized, MA harm reduction, peer outreach intervention trial. The interviews were conducted in the city of Chiang Mai and the surrounding district. Data were inductively analyzed using the constant comparative method common to grounded theory methods. Atlas-ti was used for data management. Participants were 57% male and had a median age of 20 years (range 15-31 years). A culture of MA ubiquity characterized participants' initiation stories. Drug ubiquity encompassed three elements: the extent of MA use within peer networks; the availability of MA; and exposure to MA before initiation. All participants were introduced to MA by people close to them, most often by their friends. Internal reasons for trying MA were curiosity, a way to lose weight or to enhance hard work, and a way to "forget life's problems." With the prevalence of MA use among participants' peers, initiation seemed inevitable. Initiation was characterized as ubiquitous in terms of peer networks' use and availability. Because of the prevalent norm of MA use, these data indicate that interventions targeting social networks and young Thais before MA initiation are needed.

  9. A Case Study on Jerudong Primary School Adoption Program

    Directory of Open Access Journals (Sweden)

    H.M. Sukardi

    2016-02-01

    Full Text Available The objectives of this case study were to describe comprehensively how the SEAMEO-VOCTECH Regional Center conducted the school adoption program, to gain information from teachers and related persons on the implementation of the programs, and to identify various interventions for achieving maximum outputs. The study employed a naturalistic qualitative method with Jerudong primary school and the VOCTECH Center as the major sites of the study. Three methods of data collection were enumeration techniques, participant observation and in-depth interview. The findings indicate how beneficial the program was to the school, and the program appears to be suitable to Indonesian schools, whose communities, conditions, and potencies vary

  10. Associations Between Peer Counseling and Breastfeeding Initiation and Duration: An Analysis of Minnesota Participants in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC).

    Science.gov (United States)

    McCoy, Marcia Burton; Geppert, Joni; Dech, Linda; Richardson, Michaela

    2017-07-28

    Background Peer counseling (PC) has been associated with increased breastfeeding initiation and duration, but few analyses have examined the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) model for peer counseling or the continuation of breastfeeding from birth through 12 months postpartum. Objectives Identify associations between Minnesota WIC Peer Breastfeeding Support Program services and breastfeeding initiation and continuation. Methods Retrospective analysis of observational data from the Minnesota WIC program's administrative database of women who gave birth in 2012 and accepted a PC program referral prenatally (n = 2219). Multivariate logistic regression and Cox regression models examined associations between peer services and breastfeeding initiation and continuation of any breastfeeding. Results Among women who accepted referral into a PC program, odds of initiation were significantly higher among those who received peer services (Odds Ratio (OR): 1.66; 95% CI 1.19-2.32), after adjusting for confounders. Women who received peer services had a significantly lower hazard of breastfeeding discontinuation from birth through 12 months postpartum than women who did not receive services. (Hazard Ratio (HR) month one: 0.45; 95% CI 0.33-0.61; months two through twelve: 0.33; 95% CI 0.18-0.60). The effect of peer counseling did not differ significantly by race and ethnicity, taking into account mother's country of origin. Conclusion for practice Receipt of peer services was positively associated with breastfeeding initiation and continued breastfeeding from birth through 12 months postpartum. Making peer services available to more women, especially in communities with low initiation and duration, could improve maternal and child health in Minnesota.

  11. The impact of a workplace catering initiative on dietary intakes of salt and other nutrients: a pilot study.

    Science.gov (United States)

    Geaney, F; Harrington, J; Fitzgerald, Ap; Perry, Ij

    2011-08-01

    Owing to modern lifestyles, individuals are dependent on out-of-home eating. The catering sector can have a pivotal role in influencing our food choices. The objective of the present study was to examine the impact of a structured catering initiative on food choices in a public sector workplace setting. A cross-sectional comparison study in two hospitals, one of which had implemented a catering initiative designed to provide nutritious food while reducing sugar, fat and salt intakes. Two public sector hospitals in Cork, Ireland. A total of 100 random participants aged 18-64 years (fifty intervention, fifty non-intervention) who consumed at least one main meal in the hospital staff canteen daily. Each respondent was asked to complete one anonymous 24 h dietary recall and questionnaire. Food and nutrient analysis was conducted using WISP (Weighed Intake Software Program). Reported mean intakes of total sugars (P catering initiatives in the workplace are a potentially important option in the promotion of healthy food choices. Targeted public health programmes and health policy changes are needed to motivate caterers in the public sector and other industries to develop interventions that promote a healthy diet.

  12. Intimate partner violence and initiation of smoking and drinking: A population-based study of women in Yokohama, Japan.

    Science.gov (United States)

    Yoshihama, Mieko; Horrocks, Julie; Bybee, Deborah

    2010-09-01

    Intimate Partner Violence (IPV) is prevalent in the lives of women across the globe and has been found to be associated with substance use among women. As part of the World Health Organization's (WHO) cross-national research effort, this study examined the relationship between the experience of IPV and use of alcohol and tobacco among a probability sample of women aged 18-49 in Yokohama, Japan. Using retrospective data for 2000-2001, we employed methods of survival analysis that allowed an examination of the probability of initiating smoking and drinking subsequent to the experience of IPV. Experiencing IPV was associated with current smoking as well as initiation of smoking and current patterns of drinking. Women who had experienced IPV were more likely to be smoking at the time of the interview and tended to initiate smoking at earlier ages compared to those who had not experienced IPV. At any time point, the risk of starting to smoke was more than twice as high for women who had previously experienced IPV than for women who had not. In addition, women who had experienced IPV were more likely to drink heavily. The present study's findings clearly point to the need to enhance coordination between IPV prevention and substance abuse programs in order to improve the safety and wellbeing of women who have experienced IPV. Copyright 2010 Elsevier Ltd. All rights reserved.

  13. Studying transcription initiation by RNA polymerase with diffusion-based single-molecule fluorescence.

    Science.gov (United States)

    Alhadid, Yazan; Chung, SangYoon; Lerner, Eitan; Taatjes, Dylan J; Borukhov, Sergei; Weiss, Shimon

    2017-07-01

    Over the past decade, fluorescence-based single-molecule studies significantly contributed to characterizing the mechanism of RNA polymerase at different steps in transcription, especially in transcription initiation. Transcription by bacterial DNA-dependent RNA polymerase is a multistep process that uses genomic DNA to synthesize complementary RNA molecules. Transcription initiation is a highly regulated step in E. coli, but it has been challenging to study its mechanism because of its stochasticity and complexity. In this review, we describe how single-molecule approaches have contributed to our understanding of transcription and have uncovered mechanistic details that were not observed in conventional assays because of ensemble averaging. © 2017 The Protein Society.

  14. Mishal: A Case Study of a Deradicalization and Emancipation Program in SWAT Valley, Pakistan

    Directory of Open Access Journals (Sweden)

    Zubair Azam

    2017-06-01

    Full Text Available Nestled in the SWAT valley lies Pakistan’s earliest known deradicalization initiative for former militants, the Mishal Deradicalization and Emancipation Program (DREP. The Deradicalization program was launched following a military operation in 2009 against the Pakistan wing of the Taliban, namely, the Tehrik-e-Taliban Pakistan (TTP. The program aimed to deradicalize and rehabilitate arrested militants, with what officials claim is a 99 percent success rate and with more than 2,500 former Taliban fighters now ‘reformed’. The program abides by a ‘no blood on hand’ policy, whereby it only takes in militants who have not caused any bodily harm to others. In this paper, we analyze the deradicalization program and highlight the limits and challenges it faces. The paper also highlights the common individual and environmental factors among the beneficiary population of the deradicalization program. This study finds that most participants of the program belonged to large or broken families with weak socio-economic profiles. Additionally, these individuals had very little technical knowledge of religion. This study also finds that the program is more oriented towards re-integration rather than deradicalization due to its policy of inducting only low and mid-level cadre militants. The program also has other severe limitations including lack of credible religious scholars, limited financial and human resources.

  15. Mothers’ experiences in the Nurse-Family Partnership program: a qualitative case study

    Directory of Open Access Journals (Sweden)

    Landy Christine

    2012-09-01

    Full Text Available Abstract Background Few studies have explored the experiences of low income mothers participating in nurse home visiting programs. Our study explores and describes mothers' experiences participating in the Nurse-Family Partnership (NFP Program, an intensive home visiting program with demonstrated effectiveness, from the time of program entry before 29 weeks gestation until their infant's first birthday. Methods A qualitative case study approach was implemented. A purposeful sample of 18 low income, young first time mothers participating in a pilot study of the NFP program in Hamilton, Ontario, Canada partook in one to two face to face in-depth interviews exploring their experiences in the program. All interviews were digitally recorded and transcribed verbatim. Conventional content analysis procedures were used to analyze all interviews. Data collection and initial analysis were implemented concurrently. Results The mothers participating in the NFP program were very positive about their experiences in the program. Three overarching themes emerged from the data: 1. Getting into the NFP program; 2. The NFP nurse is an expert, but also like a friend providing support; and 3. Participating in the NFP program is making me a better parent. Conclusions Our findings provide vital information to home visiting nurses and to planners of home visiting programs about mothers' perspectives on what is important to them in their relationships with their nurses, how nurses and women are able to develop positive therapeutic relationships, and how nurses respond to mothers' unique life situations while home visiting within the NFP Program. In addition our findings offer insights into why and under what circumstances low income mothers will engage in nurse home visiting and how they expect to benefit from their participation.

  16. Barriers to Initiation of Pediatric HIV Treatment in Uganda: A Mixed-Method Study

    Directory of Open Access Journals (Sweden)

    T. Sonia Boender

    2012-01-01

    Full Text Available Although the advantages of early infant HIV diagnosis and treatment initiation are well established, children often present late to HIV programs in resource-limited settings. We aimed to assess factors related to the timing of treatment initiation among HIV-infected children attending three clinical sites in Uganda. Clinical and demographic determinants associated with early disease (WHO clinical stages 1-2 or late disease (stages 3-4 stage at presentation were assessed using multilevel logistic regression. Additionally, semistructured interviews with caregivers and health workers were conducted to qualitatively explore determinants of late disease stage at presentation. Of 306 children initiating first-line regimens, 72% presented late. Risk factors for late presentation were age below 2 years old (OR 2.83, P=0.014, living without parents (OR 3.93, P=0.002, unemployment of the caregiver (OR 4.26, P=0.001, lack of perinatal HIV prophylaxis (OR 5.66, P=0.028, and high transportation costs to the clinic (OR 2.51, P=0.072. Forty-nine interviews were conducted, confirming the identified risk factors and additionally pointing to inconsistent referral from perinatal care, caregivers’ unawareness of HIV symptoms, fear, and stigma as important barriers. The problem of late disease at presentation requires a multifactorial approach, addressing both health system and individual-level factors.

  17. Dropout from exercise programs for seniors: A prospective cohort study

    NARCIS (Netherlands)

    Stiggelbout, M.; Hopman-Rock, M.; Tak, E.; Lechner, L.; Mechelen, W. van

    2005-01-01

    This study examines dropout incidence, moment of dropout, and switching behavior in organized exercise programs for seniors in the Netherlands, as determined in a prospective cohort study (with baseline measurements at the start of the exercise program and follow-up after 6 months; N = 1,725,

  18. Male College Student Perceptions of Intercultural and Study Abroad Programs

    Science.gov (United States)

    Thirolf, Kathryn Q.

    2014-01-01

    In an attempt to understand why men participate in study abroad at much lower rates than women, this study examines how male college students at a large research university perceive a university-run global education program, especially in terms of the expected costs and benefits of participating in such programs, and the extent to which gender…

  19. The Role of Scholarships in Study Abroad Programs

    Science.gov (United States)

    Lien, Donald

    2007-01-01

    This paper considers the role of scholarships in study abroad programs. Suppose that a university attempts to maximize the average ability of its student body by encouraging students to participate in study abroad programs. It is shown that the ideal scholarship vehicle to accomplish this is a fixed-amount award independent of a student's ability…

  20. SHPPS 2006: School Health Policies and Programs Study--Nutrition

    Science.gov (United States)

    Centers for Disease Control and Prevention, 2007

    2007-01-01

    The School Health Policies and Programs Study (SHPPS) is a national survey periodically conducted to assess school health policies and programs at the state, district, school, and classroom levels. This brief reports study results in the following areas, as they relate to nutrition: (1) Health Education; (2) Health Services and Mental Health and…

  1. Strategies and Challenges for Creating an Inclusive Study Abroad Program

    Science.gov (United States)

    Link, Tanja C.

    2016-01-01

    In 2013, 14,304,467 U.S. students participated in a study abroad program related to their academic course work, marking an average increase of 5.2% to the previous year among the reporting institutions. Students with disabilities continue to be significantly underrepresented in such programs. Given the consistent popularity of studying abroad, its…

  2. Modeling the effects of study abroad programs on college students

    Science.gov (United States)

    Alvin H. Yu; Garry E. Chick; Duarte B. Morais; Chung-Hsien Lin

    2009-01-01

    This study explored the possibility of modeling the effects of a study abroad program on students from a university in the northeastern United States. A program effect model was proposed after conducting an extensive literature review and empirically examining a sample of 265 participants in 2005. Exploratory factor analysis (EFA), confirmatory factor analysis (CFA),...

  3. Compassion and Caring: Missing Concepts in Social Studies Programs.

    Science.gov (United States)

    Oliner, Pearl

    1979-01-01

    Current social studies programs do not include the study of prosocial behaviors such as altruism, generosity, and compassion. This omission legitimizes the view that human behaviors are self-serving. Curriculum developers should fashion programs which provide prosocial models and opportunities for students to conceptualize such behaviors and…

  4. The Promise and Challenge of Practice-Research Collaborations: Guiding Principles and Strategies for Initiating, Designing, and Implementing Program Evaluation Research

    Science.gov (United States)

    Secret, Mary; Abell, Melissa L.; Berlin, Trey

    2011-01-01

    The authors present a set of guiding principles and strategies to facilitate the collaborative efforts of social work researchers and practitioners as they initiate, design, and implement outcome evaluations of human service interventions and programs. Beginning with an exploration of the interpersonal barriers to practice-research collaborations,…

  5. Severe morbidity after antiretroviral (ART) initiation: active surveillance in HIV care programs, the IeDEA West Africa collaboration.

    Science.gov (United States)

    Abo, Yao; Zannou Djimon, Marcel; Messou, Eugène; Balestre, Eric; Kouakou, Martial; Akakpo, Jocelyn; Ahouada, Carin; de Rekeneire, Nathalie; Dabis, François; Lewden, Charlotte; Minga, Albert

    2015-04-09

    The causes of severe morbidity in health facilities implementing Antiretroviral Treatment (ART) programmes are poorly documented in sub-Saharan Africa. We aimed to describe severe morbidity among HIV-infected patients after ART initiation, based on data from an active surveillance system established within a network of specialized care facilities in West African cities. Within the International epidemiological Database to Evaluate AIDS (IeDEA)--West Africa collaboration, we conducted a prospective, multicenter data collection that involved two facilities in Abidjan, Côte d'Ivoire and one in Cotonou, Benin. Among HIV-infected adults receiving ART, events were recorded using a standardized form. A simple case-definition of severe morbidity (death, hospitalization, fever>38°5C, Karnofsky indexmorbid events occurring in patients on ART in ambulatory HIV care facilities in West Africa. Meanwhile, additional studies are needed due to the undiagnosed aspect of severe morbidity in substantial proportion.

  6. CDIO Projects in Civil Engineering Study Program at DTU

    DEFF Research Database (Denmark)

    Krogsbøll, Anette; Simonsen, Claus; Christensen, Jørgen Erik

    2011-01-01

    or a design build project on each of the first four semesters. In this paper the four projects in the civil engineering study program are described along with a brief description of the entire study program. The aim is to provide additional information and documentation to accompany an exposition where......In 2008 all Bachelor of engineering study programs at the Technical University of Denmark (DTU) have been adopted to the “Conceive – Design – Implement – Operate” approach. As part of the necessary changes it was decided that all seven study programs should have a cross disciplinary project...... students present their projects. Learning outcomes, training and assessment of personal, professional and social engineering skills are described from a project point of view. Progression of engineering skills is discussed from a study program perspective. The interrelation between the various elements...

  7. Electronic cigarette use and smoking initiation among youth: a longitudinal cohort study.

    Science.gov (United States)

    Hammond, David; Reid, Jessica L; Cole, Adam G; Leatherdale, Scott T

    2017-10-30

    The influence of e-cigarette use on smoking initiation is a highly controversial issue, with limited longitudinal data available for examining temporal associations. We examined e-cigarette use and its association with cigarette-smoking initiation at 1-year follow-up within a large cohort of Canadian secondary school students. We analyzed data from students in grades 9-12 who participated in 2 waves of COMPASS, a cohort study of purposefully sampled secondary schools in Ontario and Alberta, Canada, at baseline (2013/14) and 1-year follow-up (2014/15). We assessed cigarette smoking and e-cigarette use at baseline and follow-up using self-completed surveys. We used generalized linear mixed-effects models to examine correlates of past 30-day e-cigarette use at baseline and smoking initiation between waves within the longitudinal sample. Past 30-day e-cigarette use increased from 2013/14 to 2014/15 (7.2% v. 9.7%, p longitudinal sample (n = 19 130), past 30-day use of e-cigarettes at baseline was associated with initiation of smoking a whole cigarette (adjusted odds ratio [OR] 2.12, 95% confidence interval [CI] 1.68-2.66) and with initiation of daily smoking (adjusted OR 1.79, 95% CI 1.41-2.28) at follow-up. E-cigarette use was strongly associated with cigarette smoking behaviour, including smoking initiation at follow-up. The causal nature of this association remains unclear, because common factors underlying the use of both e-cigarettes and conventional cigarettes may also account for the temporal order of initiation. © 2017 Joule Inc. or its licensors.

  8. Early cannabis initiation and educational attainment: is the association causal? Data from the French TEMPO study.

    Science.gov (United States)

    Melchior, Maria; Bolze, Camille; Fombonne, Eric; Surkan, Pamela J; Pryor, Laura; Jauffret-Roustide, Marie

    2017-10-01

    Adolescent cannabis use has been reported to predict later educational attainment; however, results of past studies may be confounded by inappropriate control for factors that make some youths more likely to use cannabis precociously than others. We aimed to test the possibility of a causal relationship between early cannabis initiation and later academic achievement. Analyses are based on data collected among TEMPO cohort study participants (France, 2009, n = 1103, 22-35 years). Participants were previously assessed in childhood (1991) and adolescence (1999); additionally, their parents had taken part in a longitudinal epidemiological cohort study (GAZEL). Early cannabis initiation was defined as use at age 16 or earlier. Educational attainment was defined as the completion of a high-school degree ('Baccalauréat'). Early (up to and including age 16 years) and late (after age 16 years) cannabis-use initiators were compared with non-users using logistic regression models controlled for inverse probability weights (IPWs) of exposure calculated based on participants' socio-demographic, juvenile and parental characteristics. In age- and sex-adjusted analyses, early cannabis initiators were more likely than non-users to have low educational attainment [odds ratio (OR): 1.77, 95% confidence interval (CI) 1.22-2.55]. In IPWs-controlled analyses, this association somewhat decreased (OR: 1.64, 95% CI 1.13-2.40). Late cannabis initiators did not have lower educational attainment than non-users. Early cannabis use and educational attainment appeared more strongly associated in young women than in young men. Early cannabis can cause low educational attainment. Youths who initiate cannabis use early require attention from addiction and education specialists to reduce their odds of poor long-term outcomes.

  9. The Super Efficient Refrigerator Program: Case study of a Golden Carrot program

    Energy Technology Data Exchange (ETDEWEB)

    Eckert, J B

    1995-07-01

    The work in this report was conducted by the Analytic Studies Division (ASD) of the National Renewable Energy Laboratory (NREL) for the U.S. Department of Energy Office of Energy Efficiency and Renewable Energy, Office of Building Technologies. This case study describes the development and implementation of the Super Efficient Refrigerator Program (SERP), which awarded $30 million to the refrigerator manufacturer that developed and commercialized a refrigerator that exceeded 1993 federal efficiency standards by at least 25%. The program was funded by 24 public and private utilities. As the first Golden Carrot program to be implemented in the United States, SERP was studied as an example for future `market-pull` efforts.

  10. Antecedents of the initiation of watching sexually explicit Internet material: A longitudinal study among adolescents

    NARCIS (Netherlands)

    Vandenbosch, L.; Peter, J.

    2016-01-01

    Little research to date has focused on adolescents’ initiation of watching sexually explicit Internet material (SEIM) and its antecedents. Based on 400 adolescents who had never watched SEIM at baseline (in a three-wave panel study among 1,467 13–17-year-old Dutch adolescents), we examined

  11. Early childhood predictors of age of initiation to use of cannabis: a birth prospective study.

    Science.gov (United States)

    Hayatbakhsh, Reza; Williams, Gail M; Bor, William; Najman, Jake M

    2013-05-01

    Early age of cannabis use predicts subsequent illicit drug abuse and other psychosocial problems. Identification of factors associated with early cannabis use may contribute to the development of preventive interventions. This study aimed to examine the early life predictors of age of initiation to cannabis. Data were from Mater Hospital and University of Queensland Study of Pregnancy, a population-based prospective birth cohort study. Participants were a cohort of 3488 young adults who self-reported frequency and age of onset of cannabis use at the 21 year follow up. Of 3488 young adults, 48.9% (51.8% men and 46.4% women) reported having ever used cannabis. For those who had ever used cannabis, age of onset had mean and median of 15.8 and 16.0 years, respectively. In multivariate analysis child's gender, change in maternal marital status, quality of marital relationship, maternal cigarette smoking and alcohol consumption and maternal depression when the child was 5 years statistically significantly predicted age of initiation to cannabis use. The present study explores the impact of early childhood factors associated with age of onset of cannabis use. It is suggested that the family environment within which children are reared, including factors such as parents' marital circumstances, has a major influence on initiation to cannabis use in adolescence. Research is needed to disentangle the pathways of association between these early life factors and early initiation to use of cannabis. © 2012 Australasian Professional Society on Alcohol and other Drugs.

  12. Learning to Parse Liaison-Initial Words: An Eye-Tracking Study

    Science.gov (United States)

    Tremblay, Annie

    2011-01-01

    This study investigates the processing of resyllabified words by native English speakers at three proficiency levels in French and by native French speakers. In particular, it examines non-native listeners' development of a parsing procedure for recognizing vowel-initial words in the context of liaison, a process that creates a misalignment of the…

  13. An Empirical Case Study of a Child Sexual Abuse Prevention Initiative in Georgia

    Science.gov (United States)

    Schober, Daniel J.; Fawcett, Stephen B.; Thigpen, Sally; Curtis, Anna; Wright, Renee

    2012-01-01

    Objective: This empirical case study describes Prevent Child Abuse Georgia's effort to prevent child sexual abuse (CSA) by educating communities throughout the state on supporting preventive behaviour. The initiative consisted of three major components: (1) dissemination of CSA prevention messages and materials; (2) a statewide helpline that…

  14. Dieting and Smoking Initiation in Early Adolescent Girls and Boys: A Prospective Study.

    Science.gov (United States)

    Austin, S. Bryn; Gortmaker, Steven L.

    2001-01-01

    Tested the relationship between dieting frequency and risk of smoking initiation among middle school students. Data on students who completed a nutrition and physical activity intervention study indicated that girls who dieted up to once per week had twice the adjusted odds of becoming smokers. Girls who dieted more often had four times the…

  15. The Impact of Various Creative Initiatives on Wellbeing: A Study of Children in English Primary Schools

    Science.gov (United States)

    Galton, Maurice; Page, Charlotte

    2015-01-01

    The following paper builds on a survey of primary students' wellbeing in an attempt to assess the impact of various creative initiatives on this aspect of their lives. Three case studies were conducted in schools with some of the highest aggregate wellbeing scores, all three schools having also been engaged in various extended Creative Partnership…

  16. The Initiation of Dating in Adolescence: The Effect of Parental Divorce. The TRAILS Study

    Science.gov (United States)

    Ivanova, Katya; Mills, Melinda; Veenstra, Rene

    2011-01-01

    This study examined the effect of parental divorce on the time it took adolescents to initiate their first romantic relationships. Individual differences in temperament and pubertal development and the age of the adolescent at the time of divorce were also taken into account. Hypotheses were tested using event history analysis with a sample of…

  17. Educative Mentors? The Role of Classroom Teachers in Initial Teacher Education. A New Zealand Study

    Science.gov (United States)

    Trevethan, Helen

    2017-01-01

    Classroom experience is an important part of initial teacher education (ITE) and the teachers who work with student teachers in schools have a significant impact on learning in this context. While many studies have documented what the role of these teachers should be, it is also important to consider how the role is conceptualised by the teachers…

  18. A Study of Stimulus-Explicitness and Entering Behavior in Initial Speech Instruction.

    Science.gov (United States)

    Mills, Gordon Everard

    This study presented a model which described and classified incoming students and recommended the type of instruction they should receive in the initial speech course. The sample population used was 104 university students in a basic speech course. Conclusions reached are: (1) There was a direct relationship between explicitness of instruction and…

  19. The Initiation of Dating in Adolescence : The Effect of Parental Divorce. The TRAILS Study

    NARCIS (Netherlands)

    Ivanova, Katya; Mills, Melinda; Veenstra, Rene

    2011-01-01

    This study examined the effect of parental divorce on the time it took adolescents to initiate their first romantic relationships. Individual differences in temperament and pubertal development and the age of the adolescent at the time of divorce were also taken into account. Hypotheses were tested

  20. Radiation or chemoradiation: initial utility study of selected therapy for local advanced stadium cervical cancer

    Science.gov (United States)

    Pramitasari, D. A.; Gondhowiardjo, S.; Nuranna, L.

    2017-08-01

    This study aimed to compare radiation only or chemo radiation treatment of local advanced cervical cancers by examining the initial response of tumors and acute side effects. An initial assessment employed value based medicine (VBM) by obtaining utility values for both types of therapy. The incidences of acute lower gastrointestinal, genitourinary, and hematology side effects in patients undergoing chemoradiation did not differ significantly from those undergoing radiation alone. Utility values for patients who underwent radiation alone were higher compared to those who underwent chemoradiation. It was concluded that the complete response of patients who underwent chemoradiation did not differ significantly from those who underwent radiation alone.

  1. Interactions between Global Health Initiatives and country health systems: the case of a neglected tropical diseases control program in Mali.

    Directory of Open Access Journals (Sweden)

    Anna Cavalli

    burdening local health systems. The campaign budget barely financed institutional strengthening. Finally, though the initiative rested at least partially on national structures, pressures to absorb donated drugs and reach short-term coverage results contributed to distract energies away from other priorities, including overall health systems strengthening. CONCLUSIONS: Our study indicates that positive synergies between disease specific interventions and nontargeted health services are more likely to occur in robust health services and systems. Disease-specific interventions implemented as parallel activities in fragile health services may further weaken their responsiveness to community needs, especially when several GHIs operate simultaneously. Health system strengthening will not result from the sum of selective global interventions but requires a comprehensive approach.

  2. Initiation and persistence with clopidogrel treatment after acute myocardial infarction: a nationwide study

    DEFF Research Database (Denmark)

    Sørensen, Rikke; Gislason, G H; Fosbøl, E L

    2008-01-01

    AIMS: To identify possible underuse by analysing initiation and persistence with clopidogrel treatment in an unselected population of patients admitted with myocardial infarction (MI) with or without subsequent percutaneous coronary intervention (PCI). METHODS: Patients admitted with first-time MI...... from 2000 to 2005 and subsequent prescription claims of clopidogrel were identified by individual-level linkage of nationwide administrative registries in Denmark. Independent factors affecting initiation and persistence with treatment were analysed by multivariable logistic regression models and Cox...... proportional hazard models. RESULTS: A total of 46,190 MI patients were included in the study, of whom 14,939 were treated with PCI. From 2000 to 2005 initiation of clopidogrel increased from 80.4 to 93.7% among MI patients with PCI and from 2.8 to 39.3% among MI patients without PCI. MI patients...

  3. Exploratory Evaluation and Initial Adaptation of a Parent Training Program for Hispanic Families of Children with Autism.

    Science.gov (United States)

    Buzhardt, Jay; Rusinko, Lisa; Heitzman-Powell, Linda; Trevino-Maack, Sylvia; McGrath, Ashley

    2016-03-01

    The present paper takes a translational approach in applying the themes of the current special section to prevention and intervention science in Latino families. The paper reviews the current literature on cultural processes in prevention and intervention research with Latino families. Overall, many prevention and intervention programs have either been developed specifically for Latino families or have been modified for Latino families with great attention paid to the socio-cultural needs of these families. Nevertheless, few studies have tested the role of cultural values or acculturation processes on outcomes. We make recommendations based on findings within basic science and in particular this special section on the incorporation of these values and processes into prevention and intervention science with Latino families. © 2015 Family Process Institute.

  4. A longitudial study of a neuropsychological rehabilitation program in Alzheimer's disease

    OpenAIRE

    Jacqueline Abrisqueta-Gomez; Fabiola Canali; Vieira, Vera L.D.; Ana Cristina P. Aguiar; Ponce, Carmen S.C.; Brucki, Sonia M.; Bueno,Orlando F. A.

    2004-01-01

    Our aim was to study the duration of benefits derived from a neuropsychological rehabilitation program (NRP) for dementia patients. METHOD: The participants in this study were three patients diagnosed as probable Alzheimer's disease in the initial-to-moderate phase; the three were taking anticholinesterases. They were submitted to a neuropsychological evaluation (NE) before the NRP and then revaluated after 12 and 24 months of treatment. The aim of our intervention was to do practical work wi...

  5. Analysis of initial injury radiographs of occult femoral neck fractures in elderly patients: a pilot study.

    Science.gov (United States)

    Chiang, Chao-Ching; Wu, Hung-Ta; Lin, Chien-Fu Jeff; Tzeng, Yun-Hsuan; Huang, Ching-Kuei; Chen, Wei-Ming; Liu, Chien-Lin

    2012-05-01

    Diagnosis of occult hip fractures by initial radiographs remains challenging in the emergency department. Previously, the gold standard for accurate diagnosis of occult hip fractures was magnetic resonance imaging. This study used initial radiographs obtained in the emergency department to evaluate specific signs and measurements as diagnostic references for occult femoral neck fractures in elderly patients.Initial negative radiographs were reviewed for 2 groups of patients: a group with occult femoral neck fractures (n=16) and a group without fractures (n=32). Reviews of initial radiographs and all imaging studies were performed by a senior orthopedist (C-C.C.) and a radiologist (H-T.W.). Diagnostic signs included lateral, medial, anterior, and posterior signs; measurements included elevation of the fat pad and external rotation of the femur. The prevalence of occult femoral neck fracture was 3.3%. Initial radiographs of occult femoral neck fractures were not routinely negative; 14 (87.5%) of 16 patients with fractures had at least 1 radiographic sign. Using the positive lateral or posterior sign as the diagnostic reference, the sensitivity was 0.875 and the specificity was 0.906. When elevation of the fat pad was ⩾1.5 mm, the sensitivity was 0.867 and the specificity was 0.857 for the diagnosis of occult femoral neck fracture.The lateral and posterior signs and elevation of the fat pad ⩾1.5 mm on initial radiographs are recommended as diagnostic references for occult femoral neck fracture. These references are clearly defined and may offer important information for all clinicians and radiologists in the emergency department. Copyright 2012, SLACK Incorporated.

  6. A qualitative study of methamphetamine initiation in Cape Town, South Africa

    Science.gov (United States)

    Hobkirk, Andréa L.; Watt, Melissa H.; Myers, Bronwyn; Skinner, Donald; Meade, Christina S.

    2015-01-01

    Background Despite a significant rise in methamphetamine use in low- and middle-income countries, there has been little empirical examination of the factors that contribute to individuals’ initiation of methamphetamine use in these settings. The goal of this study was to qualitatively examine factors associated with methamphetamine initiation in South Africa. Methods In-depth interviews were conducted with 30 active methamphetamine users (13 women and 17 men) in Cape Town, South Africa. Interviews included narrative descriptions of the circumstances surrounding methamphetamine initiation. Interviews were audio recorded, transcribed, and translated. Transcripts were analyzed with document memos, data display matrices, and a constant comparison technique to identify themes. Results On average, participants began regularly using methamphetamine around age 21 and had used for seven years. Four major themes emerged related to the initiation of methamphetamine use. The prevalence of methamphetamine users and distributors made the drug convenient and highly accessible to first time users. Methamphetamine has increased in popularity and is considered “trendy”, which contributes to social pressure from friends, and less often, family members to initiate use. Initiation is further fueled by a lack of opportunities for recreation and employment, which leads to boredom and curiosity about the rumored positive effects of the drug. Young people also turn to methamphetamine use and distribution through gang membership as an attempt to generate income in impoverished communities with limited economic opportunities. Finally, participants described initiating methamphetamine as a means of coping with the cumulative stress and psychological burden provoked by the high rates of violence and crime in areas of Cape Town. Conclusion The findings highlight the complex nature of methamphetamine initiation in low- and middle-income countries like South Africa. There is a need for

  7. Physical activity initiated by employer and its health effects; an eight week follow-up study

    Directory of Open Access Journals (Sweden)

    Marit Skogstad

    2016-05-01

    Full Text Available Abstract Background While the health benefits of physical activity are well established, little is known about health effects of physical activity programs initiated by employer. Methods Background data and level of physical activity were collected by questionnaire among 78 men and 43 women working in road maintenance pre and post an 8-week physical activity motivational program. As a part of the program steps measured by accelerometer were registered online where team and individual performances could be continuously monitored. The physical activity levels were registered as 1 those physical active ≤1 time per week, 2 2–3 times per week and 3 ≥4 times a week. Maximal oxygen uptake (VO2max, blood pressure, resting heart rate (RHR and blood samples (glycosylated hemoglobin, lipids and C-reactive protein were obtained at baseline and after eight weeks. Mixed models were applied to evaluate associations between physical activity and health parameters. Results With ≤1 time per week as reference, exercising 2–3 times per week at baseline was associated with higher levels of VO2max. During follow-up, VO2max increased with 2.8 mL ∙ kg−1∙ min−1 (95 % CI = 1.4, 4.3. Women had more favorable body mass index (BMI, blood pressure, RHR and lipid profile than men. Total cholesterol, low density lipoprotein (LDL, RHR and diastolic blood pressure (dBP were lower among participants who exercised 2–3 times per week or ≥4 times a week, compared with those with ≤1 time per week. Half of the participants reported increased daily PA during follow-up, with high intensity PA such as jogging by 8.6 min (SD 14.6 and 8.3 min (SD 18.2, among women and men, respectively. During follow-up dBP increased among men. Further, total cholesterol and LDL were reduced by 0.12 mmol/L and 0.13 mmol/L, respectively (95 % CI = −022, –0.01 and −0.22,–0.04. Conclusions Exercise several times a week was associated with lower blood pressure and a

  8. 76 FR 12104 - Pick-Sloan Missouri Basin Program-Eastern Division-2021 Power Marketing Initiative Proposal

    Science.gov (United States)

    2011-03-04

    ... Power Marketing Initiative (2021 PMI). Western's Firm Electric Service (FES) contracts associated with... plan, with amendments, to key marketing plan principles. This Federal Register notice initiates Western... 2021 PMI proposal. Key Marketing Plan principles discussed with firm power customers included: Contract...

  9. Vegetarian diets in the Adventist Health Study 2: a review of initial published findings1234

    OpenAIRE

    Orlich, Michael J; Fraser, Gary E

    2014-01-01

    The Adventist Health Study 2 is a large cohort that is well suited to the study of the relation of vegetarian dietary patterns to health and disease risk. Here we review initial published findings with regard to vegetarian diets and several health outcomes. Vegetarian dietary patterns were associated with lower body mass index, lower prevalence and incidence of diabetes mellitus, lower prevalence of the metabolic syndrome and its component factors, lower prevalence of hypert...

  10. Baggage Fees and Airline Performance: A Case Study of Initial Investor Misperception

    OpenAIRE

    Barone, Gerhard J.; Henrickson, Kevin E.; Voy, Annie

    2012-01-01

    In response to increasing fuel costs, airlines began introducing baggage fees as a new source of revenue, fees which have since been increased. In this study, an event study methodology is used to examine the impact of these announcements on airline stock prices. The results indicate that the initial announcements led to negative abnormal returns for the announcing firm and other competing airlines, as they were interpreted as a sign of industry weakness. However, the results also show that s...

  11. Building Workforce Capacity Abroad While Strengthening Global Health Programs at Home: Participation of Seven Harvard-Affiliated Institutions in a Health Professional Training Initiative in Rwanda.

    Science.gov (United States)

    Cancedda, Corrado; Riviello, Robert; Wilson, Kim; Scott, Kirstin W; Tuteja, Meenu; Barrow, Jane R; Hedt-Gauthier, Bethany; Bukhman, Gene; Scott, Jennifer; Milner, Danny; Raviola, Giuseppe; Weissman, Barbara; Smith, Stacy; Nuthulaganti, Tej; McClain, Craig D; Bierer, Barbara E; Farmer, Paul E; Becker, Anne E; Binagwaho, Agnes; Rhatigan, Joseph; Golan, David E

    2017-05-01

    A consortium of 22 U.S. academic institutions is currently participating in the Rwanda Human Resources for Health Program (HRH Program). Led by the Rwandan Ministry of Health and funded by both the U.S. Government and the Global Fund to Fight AIDS, Tuberculosis and Malaria, the primary goal of this seven-year initiative is to help Rwanda train the number of health professionals necessary to reach the country's health workforce targets. Since 2012, the participating U.S. academic institutions have deployed faculty from a variety of health-related disciplines and clinical specialties to Rwanda. In this Article, the authors describe how U.S. academic institutions (focusing on the seven Harvard-affiliated institutions participating in the HRH Program-Harvard Medical School, Brigham and Women's Hospital, Harvard School of Dental Medicine, Boston Children's Hospital, Beth Israel Deaconess Medical Center, Massachusetts General Hospital, and Massachusetts Eye and Ear Infirmary) have also benefited: (1) by providing opportunities to their faculty and trainees to engage in global health activities; (2) by establishing long-term, academic partnerships and collaborations with Rwandan academic institutions; and (3) by building the administrative and mentorship capacity to support global health initiatives beyond the HRH Program. In doing this, the authors describe the seven Harvard-affiliated institutions' contributions to the HRH Program, summarize the benefits accrued by these institutions as a result of their participation in the program, describe the challenges they encountered in implementing the program, and outline potential solutions to these challenges that may inform similar future health professional training initiatives.

  12. Morning Report in Family Medicine Residency Programs: A Descriptive Study.

    Science.gov (United States)

    Kuncharapu, Indumathi; Cass, Alvah R.; Carlson, Carol A.; Scott, Jack R.

    Morning Report (MR) is a frequently held case conference in most Family Medicine (FM) residency programs among medical learners who discuss recent inpatient admissions before the day's care of patients. This study conducted a national survey of FM residency program directors to describe the roles of faculty and residents in facilitating MR.…

  13. University completes self study for NCAA certification program

    OpenAIRE

    Hincker, Lawrence

    2007-01-01

    Virginia Tech has completed a year-long, comprehensive self study as part of the NCAA Division I Athletics Certification program, which is required of all NCAA member schools to ensure integrity in the operation of athletics programs at the university.

  14. Nutrition education program for food bank clients: A pilot study

    Science.gov (United States)

    Many low income families depend on foods from food banks. The objective of the study was to determine program content and examine feasibility of a pilot nutrition education program for food bank clients. Formative research was conducted with staff at a local food bank and its pantries and adult clie...

  15. Who initiates and organises situations for work-related alcohol use? The WIRUS culture study.

    Science.gov (United States)

    Nordaune, Kristin; Skarpaas, Lisebet S; Sagvaag, Hildegunn; Haveraaen, Lise; Rimstad, Silje; Kinn, Liv G; Aas, Randi W

    2017-06-01

    Alcohol is one of the leading causes of ill health and premature death in the world. Several studies indicate that working life might influence employees' alcohol consumption and drinking patterns. The aim of this study was to explore work-related drinking situations, with a special focus on answering who initiates and organises these situations. Data were collected through semi-structured group interviews in six Norwegian companies from the private ( n=4) and public sectors ( n=2), employing a total of 3850 employees. The informants ( n=43) were representatives from management and local unions, safety officers, advisers from the social insurance office and human-resource personnel, health, safety and environment personnel, and members from the occupational environment committee. Both qualitative and quantitative content analyses were applied in the analyses of the material. Three different initiators and organisers were discovered: the employer, employees and external organisers. External organisers included customers, suppliers, collaborators, sponsors, subcontractors, different unions and employers' organisations. The employer organised more than half of the situations; external organisers were responsible for more than a quarter. The differences between companies were mostly due to the extent of external organisers. The employer initiates and organises most situations for work-related alcohol use. However, exposure to such situations seems to depend on how many external relations the company has. These aspects should be taken into account when workplace health-promotion initiatives are planned.

  16. Depersonalisation and schizophrenia: Comparative study of initial and multiple episodes of schizophrenia.

    Science.gov (United States)

    Luque-Luque, Rogelio; Chauca-Chauca, Geli Marie; Alonso-Lobato, Pablo; Jaen-Moreno, M Jose

    2016-01-01

    The phenomena of depersonalisation/derealisation have classically been associated with the initial phases of psychosis, and it is assumed that they would precede (even by years) the onset of clinical psychosis, being much more common in the prodromal and acute phases of the illness. The aims of the present study are to analyse the differences in depersonalisation/derealisation between patients with initial and multiple episodes and the factors that could influence this. A descriptive, controlled and cross-sectional study of 48 patients diagnosed with paranoid schizophrenia (20 with an initial episode and 28 with multiple episodes). These patients were assessed using scales such as the Cambridge Depersonalization Scale, the Positive and Negative Symptom Scale, and the Dissociative Experiences Scale. Participants with initial episodes score higher on both the Cambridge Depersonalisation Scale, and the subscale of the Dissociative Experiences Scale that evaluates such experiences. There were no associations between these types of experience and the positive symptoms subscale of the Positive and Negative Symptom Scale. Depersonalisation/derealisation experiences appear with greater frequency, duration and intensity in patients in the early stages of the illnesses, gradually decreasing as they become chronic. Copyright © 2016 SEP y SEPB. Published by Elsevier España. All rights reserved.

  17. Factors associated with the frequency of initial total mastectomy: results of a multi-institutional study.

    Science.gov (United States)

    Feigelson, Heather Spencer; James, Ted A; Single, Richard M; Onitilo, Adedayo A; Aiello Bowles, Erin J; Barney, Tom; Bakerman, Jordan E; McCahill, Laurence E

    2013-05-01

    Several previous studies have reported conflicting data on recent trends in use of initial total mastectomy (TM); the factors that contribute to TM variation are not entirely clear. Using a multi-institution database, we analyzed how practice, patient, and tumor characteristics contributed to variation in TM for invasive breast cancer. We collected detailed clinical and pathologic data about breast cancer diagnosis, initial, and subsequent breast cancer operations performed on all female patients from 4 participating institutions from 2003 to 2008. We limited this analysis to 2,384 incident cases of invasive breast cancer, stages I to III, and excluded patients with clinical indications for mastectomy. Predictors of initial TM were identified with univariate analyses and random effects multivariable logistic regression models. Initial TM was performed on 397 (16.7%) eligible patients. Use of preoperative MRI more than doubled the rate of TM (odds ratio [OR] = 2.44; 95% CI, 1.58-3.77; p < 0.0001). Increasing tumor size, high nuclear grade, and age were also associated with increased rates of initial TM. Differences by age and ethnicity were observed, and significant variation in the frequency of TM was seen at the individual surgeon level (p < 0.001). Our results were similar when restricted to tumors <20 mm. We identified factors associated with initial TM, including preoperative MRI and individual surgeon, that contribute to the current debate about variation in use of TM for the management of breast cancer. Additional evaluation of patient understanding of surgical options and outcomes in breast cancer and the impact of the surgeon provider is warranted. Copyright © 2013 American College of Surgeons. Published by Elsevier Inc. All rights reserved.

  18. Quality in-training initiative--a solution to the need for education in quality improvement: results from a survey of program directors.

    Science.gov (United States)

    Kelz, Rachel R; Sellers, Morgan M; Reinke, Caroline E; Medbery, Rachel L; Morris, Jon; Ko, Clifford

    2013-12-01

    The Next Accreditation System and the Clinical Learning Environment Review Program will emphasize practice-based learning and improvement and systems-based practice. We present the results of a survey of general surgery program directors to characterize the current state of quality improvement in graduate surgical education and introduce the Quality In-Training Initiative (QITI). In 2012, a 20-item survey was distributed to 118 surgical residency program directors from ACS NSQIP-affiliated hospitals. The survey content was developed in collaboration with the QITI to identify program director opinions regarding education in practice-based learning and improvement and systems-based practice, to investigate the status of quality improvement education in their respective programs, and to quantify the extent of resident participation in quality improvement. There was a 57% response rate. Eighty-five percent of program directors (n = 57) reported that education in quality improvement is essential to future professional work in the field of surgery. Only 28% (n = 18) of programs reported that at least 50% of their residents track and analyze their patient outcomes, compare them with norms/benchmarks/published standards, and identify opportunities to make practice improvements. Program directors recognize the importance of quality improvement efforts in surgical practice. Subpar participation in basic practice-based learning and improvement activities at the resident level reflects the need for support of these educational goals. The QITI will facilitate programmatic compliance with goals for quality improvement education. Copyright © 2013 American College of Surgeons. All rights reserved.

  19. The impact of charismatic leadership on followers' initiative-oriented behavior: a study in German hospitals.

    Science.gov (United States)

    Boerner, Sabine; Dütschke, Elisabeth

    2008-01-01

    Organizations in the health care sector are undergoing extensive structural reforms. To face these challenges, management initiatives that foster employees' commitment to and support for organizational change are needed in hospitals. In literature, a charismatic leadership style has proved to be especially helpful in times of crisis and change as well as an essential antecedent of followers' discretionary behavior in organizations. Thus, the aim of the study was to investigate charismatic leadership as a means to enhance followers' initiative-oriented behavior in hospitals. In the hospital context, two situational conditions have to be taken into account. We hypothesized that both employees' job autonomy and stress in the workplace will moderate the positive relationship between charismatic leadership and followers' initiative-oriented behavior. We investigated 543 members of medical staff (physicians and nurses) in six German hospitals by using a questionnaire. The hypotheses were tested by conducting hierarchical regression analyses and interpreting main effects and interactions effects. Charismatic leadership significantly predicted followers' initiative-oriented behavior. Moreover, our study confirmed the moderating effect of job autonomy. However, the moderating effect of followers' stress was not confirmed by our data. First, the results of our investigation point at the positive impact that charismatic leaders have on followers' initiative-oriented behavior in the hospital. Several studies have shown that training can improve leaders' abilities in charismatic leadership. Thus, a suggestion for supervisor development from this is not only to provide professional training but also to intensify efforts in training specialized on charismatic leadership. Second, to support followers' participation in change processes, hospital managers should consider if and how the degree of followers' job autonomy can be enhanced.

  20. Controller evaluation of initial data link en route air traffic control services : ISSS design development : study 1

    Science.gov (United States)

    1994-05-01

    This report documents the first Federal Aviation Administration (FAA) design : development study of an initial group of en route air traffic control (ATC) : services designed for transmission by Data Link technologies using the Initial : Sector Suite...

  1. Why is it difficult to implement e-health initiatives? A qualitative study

    Directory of Open Access Journals (Sweden)

    Wallace Paul

    2011-01-01

    Full Text Available Abstract Background The use of information and communication technologies in healthcare is seen as essential for high quality and cost-effective healthcare. However, implementation of e-health initiatives has often been problematic, with many failing to demonstrate predicted benefits. This study aimed to explore and understand the experiences of implementers -- the senior managers and other staff charged with implementing e-health initiatives and their assessment of factors which promote or inhibit the successful implementation, embedding, and integration of e-health initiatives. Methods We used a case study methodology, using semi-structured interviews with implementers for data collection. Case studies were selected to provide a range of healthcare contexts (primary, secondary, community care, e-health initiatives, and degrees of normalization. The initiatives studied were Picture Archiving and Communication System (PACS in secondary care, a Community Nurse Information System (CNIS in community care, and Choose and Book (C&B across the primary-secondary care interface. Implementers were selected to provide a range of seniority, including chief executive officers, middle managers, and staff with 'on the ground' experience. Interview data were analyzed using a framework derived from Normalization Process Theory (NPT. Results Twenty-three interviews were completed across the three case studies. There were wide differences in experiences of implementation and embedding across these case studies; these differences were well explained by collective action components of NPT. New technology was most likely to 'normalize' where implementers perceived that it had a positive impact on interactions between professionals and patients and between different professional groups, and fit well with the organisational goals and skill sets of existing staff. However, where implementers perceived problems in one or more of these areas, they also perceived a lower

  2. Social Studies Program: [Grade] 3. Updated Version.

    Science.gov (United States)

    New York State Education Dept., Albany. Bureau of Curriculum Development.

    This updated New York social studies curriculum guide for third grade has 10 key concepts that include change, citizenship, culture, empathy, environment, identity, interdependence, nation-state, scarcity, and technology. These concepts are taught in 23 lessons through social, political, economic, geographic, and historic perspectives. Each lesson…

  3. A Program for Educating Parents about the Effects of Divorce and Conflict on Children: An Initial Evaluation.

    Science.gov (United States)

    Shifflet, Kelly; Cummings, E. Mark

    1999-01-01

    Explores the impact and consumer satisfaction associated with participation in a parent education program, Kids in Divorce and Separation (K.I.D.S.), that specifically focuses on divorce and parental conflict. Results indicate that participation in the program has positive effects on parents' self-reported knowledge and behavior with regard to…

  4. Central District Physical Education Teacher Education Program Coordinators' Perceptions Regarding the NASPE Initial Teacher Standards

    Science.gov (United States)

    Nelson, Tracy

    2012-01-01

    To receive National Association for Sport and Physical Education (NASPE)/National Council for the Accreditation of Teacher Education (NCATE) accreditation, Physical Education Teacher Education (PETE) programs must meet the six NASPE standards (NASPE, 2009). The NASPE/NCATE regulations ensure PETE programs provide a curriculum aligned with NASPE.…

  5. 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

  6. Studying the teaching of kindness: A conceptual model for evaluating kindness education programs in schools.

    Science.gov (United States)

    Kaplan, Deanna M; deBlois, Madeleine; Dominguez, Violeta; Walsh, Michele E

    2016-10-01

    Recent research suggests that school-based kindness education programs may benefit the learning and social-emotional development of youth and may improve school climate and school safety outcomes. However, how and to what extent kindness education programming influences positive outcomes in schools is poorly understood, and such programs are difficult to evaluate in the absence of a conceptual model for studying their effectiveness. In partnership with Kind Campus, a widely adopted school-based kindness education program that uses a bottom-up program framework, a methodology called concept mapping was used to develop a conceptual model for evaluating school-based kindness education programs from the input of 123 middle school students and approximately 150 educators, school professionals, and academic scholars. From the basis of this model, recommendations for processes and outcomes that would be useful to assess in evaluations of kindness education programs are made, and areas where additional instrument development may be necessary are highlighted. The utility of the concept mapping method as an initial step in evaluating other grassroots or non-traditional educational programming is also discussed. Copyright © 2016 Elsevier Ltd. All rights reserved.

  7. Data Release: DNA barcodes of plant species collected for the Global Genome Initiative for Gardens Program, National Museum of Natural History, Smithsonian Institution

    Directory of Open Access Journals (Sweden)

    Jose D. Zúñiga

    2017-10-01

    Full Text Available The Global Genome Initiative has sequenced and released 1961 DNA barcodes for genetic samples obtained as part of the Global Genome Initiative for Gardens Program. The dataset includes barcodes for 29 plant families and 309 genera that did not have sequences flagged as barcodes in GenBank and sequences from officially recognized barcoding genetic markers meet the data standard of the Consortium for the Barcode of Life. The genetic samples were deposited in the Smithsonian Institution’s National Museum of Natural History Biorepository and their records were made public through the Global Genome Biodiversity Network’s portal. The DNA barcodes are now available on GenBank.

  8. Letter Report: Yucca Mountain Environmental Monitoring Systems Initiative - Air Quality Scoping Study for Pahranagat National Wildlife Refuge, Lincoln County, Nevada

    Energy Technology Data Exchange (ETDEWEB)

    J. Englebrecht; I. Kavouras; D. Campbell; S. Campbell; S. Kohl; D. Shafer

    2008-08-01

    The Desert Research Institute (DRI) is performing a scoping study as part of the U.S. Department of Energy's Yucca Mountain Environmental Monitoring Systems Initiative (EMSI). The main objective is to obtain baseline air quality information for Yucca Mountain and an area surrounding the Nevada Test Site (NTS). Air quality and meteorological monitoring and sampling equipment housed in a mobile trailer (shelter) is collecting data at eight sites outside the NTS, including Ash Meadows National Wildlife Refuge (NWR), Pahranagat NWR, Beatty, Rachel, Caliente, Crater Flat, and Tonopah Airport, and at four sites on the NTS (Engelbrecht et al., 2007a-d). The trailer is stationed at any one site for approximately eight weeks at a time. This letter report provides a summary of air quality and meteorological data on completion of the site's sampling program.

  9. Letter Report Yucca Mountain Environmental Monitoring Systems Initiative - Air Quality Scoping Study for Pahranagat National Wildlife Refuge, Lincoln County, Nevada

    Energy Technology Data Exchange (ETDEWEB)

    J. Engelbrecht; I. Kavouras; D. Campbell; S. Campbell; S. Kohl; D. Shafer

    2009-04-02

    The Desert Research Institute (DRI) is performing a scoping study as part of the U.S. Department of Energy's Yucca Mountain Environmental Monitoring Systems Initiative (EMSI). The main objective is to obtain baseline air quality information for Yucca Mountain and an area surrounding the Nevada Test Site (NTS). Air quality and meteorological monitoring and sampling equipment housed in a mobile trailer (shelter) is collecting data at eight sites outside the NTS, including Ash Meadows National Wildlife Refuge (NWR), Pahranagat NWR, Beatty, Rachel, Caliente, Crater Flat, and Tonopah Airport, and at four sites on the NTS (Engelbrecht et al., 2007a-d). The trailer is stationed at any one site for approximately eight weeks at a time. This letter report provides a summary of air quality and meteorological data on completion of the site's sampling program.

  10. Letter Report: Yucca Mountain Environmental Monitoring Systems Initiative - Air Quality Scoping Study for Caliente, Lincoln County, Nevada

    Energy Technology Data Exchange (ETDEWEB)

    J. Englebrecht; I. Kavouras; D. Campbell; S. Campbell; S. Kohl; D. Shafer

    2008-08-01

    The Desert Research Institute (DRI) is performing a scoping study as part of the U.S. Department of Energy's Yucca Mountain Environmental Monitoring Systems Initiative (EMSI). The main objective is to obtain baseline air quality information for Yucca Mountain and an area surrounding the Nevada Test Site (NTS). Air quality and meteorological monitoring and sampling equipment housed in a mobile trailer (shelter) is collecting data at eight sites outside the NTS, including Ash Meadows National Wildlife Refuge (NWR), Beatty, Sarcobatus Flats, Rachel, Caliente, Pahranagat NWR, Crater Flat, and Tonopah Airport, and at four sites on the NTS (Engelbrecht et al., 2007a-d). The trailer is stationed at any one site for approximately eight weeks at a time. This letter report provides a summary of air quality and meteorological data, on completion of the site's sampling program.

  11. Letter Report: Yucca Mountain Environmental Monitoring Systems Initiative - Air Quality Scoping Study for Crater Flat, Nye County, Nevada

    Energy Technology Data Exchange (ETDEWEB)

    J. Engelbrecht; I. Kavouras; D. Campbell; S. Campbell; S. Kohl; D. Shafer

    2008-08-01

    The Desert Research Institute (DRI) is performing a scoping study as part of the U.S. Department of Energy's Yucca Mountain Environmental Monitoring Systems Initiative (EMSI). The main objective is to obtain baseline air quality information for Yucca Mountain and an area surrounding the Nevada Test Site (NTS). Air quality and meteorological monitoring and sampling equipment housed in a mobile trailer (shelter) (cover page figure) is collecting data at eight sites outside the NTS, including Ash Meadows National Wildlife Refuge (NWR), Beatty, Sarcobatus Flats, Rachel, Caliente, Pahranagat NWR, Crater Flat, and Tonopah Airport, and at four sites on the NTS (Engelbrecht et al., 2007a-d). The trailer is stationed at any one site for approximately eight weeks at a time. This letter report provides a summary of air quality and meteorological data, on completion of the site's sampling program.

  12. Letter Report: Yucca Mountain Environmental Monitoring Systems Initiative - Air Quality Scoping Study for Tonopah Airport, Nye County, Nevada

    Energy Technology Data Exchange (ETDEWEB)

    J. Engelbrecht; I. Kavouras; D Campbell; S. Campbell; S. Kohl, D. Shafer

    2008-08-01

    The Desert Research Institute (DRI) is performing a scoping study as part of the U.S. Department of Energy's Yucca Mountain Environmental Monitoring Systems Initiative (EMSI). The main objective is to obtain baseline air quality information for Yucca Mountain and an area surrounding the Nevada Test Site (NTS). Air quality and meteorological monitoring and sampling equipment housed in a mobile trailer (shelter) is collecting data at eight sites outside the NTS, including Ash Meadows National Wildlife Refuge (NWR), Tonopah Airport, Beatty, Rachel, Caliente, Pahranagat NWR, Crater Flat, and the Tonopah Airport, and at four sites on the NTS (Engelbrecht et al., 2007a-d). The trailer is stationed at any one site for approximately eight weeks at a time. This letter report provides a summary of air quality and meteorological data, on completion of the site's sampling program.

  13. Letter Report Yucca Mountain Environmental Monitoring Systems Initiative - Air Quality Scoping Study for Crater Flat, Nye County, Nevada

    Energy Technology Data Exchange (ETDEWEB)

    J. Engelbrecht; I. Kavouras; D. Campbell; S.Campbell; S. Kohl; D. Shafer

    2009-04-02

    The Desert Research Institute (DRI) is performing a scoping study as part of the U.S. Department of Energy's Yucca Mountain Environmental Monitoring Systems Initiative (EMSI). The main objective is to obtain baseline air quality information for Yucca Mountain and an area surrounding the Nevada Test Site (NTS). Air quality and meteorological monitoring and sampling equipment housed in a mobile trailer (shelter) (cover page figure) is collecting data at eight sites outside the NTS, including Ash Meadows National Wildlife Refuge (NWR), Beatty, Sarcobatus Flats, Rachel, Caliente, Pahranagat NWR, Crater Flat, and Tonopah Airport, and at four sites on the NTS (Engelbrecht et al., 2007a-d). The trailer is stationed at any one site for approximately eight weeks at a time. This letter report provides a summary of air quality and meteorological data, on completion of the site's sampling program.

  14. Letter Report Yucca Mountain Environmental Monitoring Systems Initiative - Air Quality Scoping Study for Tonopah Airport, Nye County, Nevada

    Energy Technology Data Exchange (ETDEWEB)

    J. Engelbrecht; I. Kavouras; D. Campbell; S. Campbell; S. Kohl; D. Shafer

    2009-04-02

    The Desert Research Institute (DRI) is performing a scoping study as part of the U.S. Department of Energy's Yucca Mountain Environmental Monitoring Systems Initiative (EMSI). The main objective is to obtain baseline air quality information for Yucca Mountain and an area surrounding the Nevada Test Site (NTS). Air quality and meteorological monitoring and sampling equipment housed in a mobile trailer (shelter) is collecting data at eight sites outside the NTS, including Ash Meadows National Wildlife Refuge (NWR), Tonopah Airport, Beatty, Rachel, Caliente, Pahranagat NWR, Crater Flat, and the Tonopah Airport, and at four sites on the NTS (Engelbrecht et al., 2007a-d). The trailer is stationed at any one site for approximately eight weeks at a time. This letter report provides a summary of air quality and meteorological data, on completion of the site's sampling program.

  15. Publication bias in studies of an applied behavior-analytic intervention: an initial analysis.

    Science.gov (United States)

    Sham, Elyssa; Smith, Tristram

    2014-01-01

    Publication bias arises when studies with favorable results are more likely to be reported than are studies with null findings. If this bias occurs in studies with single-subject experimental designs(SSEDs) on applied behavior-analytic (ABA) interventions, it could lead to exaggerated estimates of intervention effects. Therefore, we conducted an initial test of bias by comparing effect sizes, measured by percentage of nonoverlapping data (PND), in published SSED studies (n=21) and unpublished dissertations (n=10) on 1 well-established intervention for children with autism, pivotal response treatment (PRT). Although published and unpublished studies had similar methodologies, the mean PND in published studies was 22% higher than in unpublished studies, 95% confidence interval (4%, 38%). Even when unpublished studies are included, PRT appeared to be effective (PNDM=62%). Nevertheless, the disparity between published and unpublished studies suggests a need for further assessment of publication bias in the ABA literature.

  16. Vegetarian diets in the Adventist Health Study 2: a review of initial published findings.

    Science.gov (United States)

    Orlich, Michael J; Fraser, Gary E

    2014-07-01

    The Adventist Health Study 2 is a large cohort that is well suited to the study of the relation of vegetarian dietary patterns to health and disease risk. Here we review initial published findings with regard to vegetarian diets and several health outcomes. Vegetarian dietary patterns were associated with lower body mass index, lower prevalence and incidence of diabetes mellitus, lower prevalence of the metabolic syndrome and its component factors, lower prevalence of hypertension, lower all-cause mortality, and in some instances, lower risk of cancer. Findings with regard to factors related to vegetarian diets and bone health are also reviewed. These initial results show important links between vegetarian dietary patterns and improved health. © 2014 American Society for Nutrition.

  17. Vegetarian diets in the Adventist Health Study 2: a review of initial published findings1234

    Science.gov (United States)

    Orlich, Michael J; Fraser, Gary E

    2014-01-01

    The Adventist Health Study 2 is a large cohort that is well suited to the study of the relation of vegetarian dietary patterns to health and disease risk. Here we review initial published findings with regard to vegetarian diets and several health outcomes. Vegetarian dietary patterns were associated with lower body mass index, lower prevalence and incidence of diabetes mellitus, lower prevalence of the metabolic syndrome and its component factors, lower prevalence of hypertension, lower all-cause mortality, and in some instances, lower risk of cancer. Findings with regard to factors related to vegetarian diets and bone health are also reviewed. These initial results show important links between vegetarian dietary patterns and improved health. PMID:24898223

  18. Initial source of microbunching instability studies in a free electron laser injector

    Energy Technology Data Exchange (ETDEWEB)

    Seletskiy, S.; Hidaka, Y; Murphy, J.B.; Podobedov, B.; Qian, H.; Shen, Y.; Wang, X.J.; Yang, X

    2011-11-16

    We present the first experimental studies of the initial source of electron beam microbunching instability in a free electron laser (FEL) injector. By utilizing for the studies a transform-limited laser pulse at the photocathode, we eliminated laser-induced microbunching at the National Synchrotron Light Source Source Development Laboratory (SDL). The detailed measurements of the resulting electron beam led us to conclude that, at SDL, microbunching arising from shot noise is not amplified to any significant level, thereby allowing us to set an upper limit on the initial modulation depth of microbunching arising from shot noise. Our analysis demonstrated that the only significant source of microbunching instability under normal operational conditions at SDL is the longitudinal modulation of the photocathode laser pulse. Our work shows that assuring a longitudinally smoothed photocathode laser pulse allows mitigating microbunching instability at a typical FEL injector with a moderate microbunching gain.

  19. Social-cognitive and school factors in initiation of smoking among adolescents: a prospective cohort study

    DEFF Research Database (Denmark)

    Bidstrup, Pernille Envold; Frederiksen, Kirsten; Siersma, Volkert

    2009-01-01

    AIMS: The aim of the present study was to examine the association between social-cognitive factors, school factors, and smoking initiation among adolescents who had never smoked. METHODS: The study was based on longitudinal data on Danish adolescents attending randomly selected public schools....... Adolescents enrolled in grade 7 (mean age, 13 years) who had never smoked (n = 912) were followed up for 6 months after baseline. Those who had still never smoked were followed up again 18 months after baseline, in grade 8 (n = 442). Social-cognitive factors were examined with five measures: self......-efficacy, social influence (norms), social influence (behavior), social influence (pressure), and attitude. We used multilevel analyses to estimate the associations between social-cognitive factors at baseline and smoking initiation as well as the random effects of school, school class, and gender group...

  20. Initial source of microbunching instability studies in a free electron laser injector

    Directory of Open Access Journals (Sweden)

    S. Seletskiy

    2011-11-01

    Full Text Available We present the first experimental studies of the initial source of electron beam microbunching instability in a free electron laser (FEL injector. By utilizing for the studies a transform-limited laser pulse at the photocathode, we eliminated laser-induced microbunching at the National Synchrotron Light Source Source Development Laboratory (SDL. The detailed measurements of the resulting electron beam led us to conclude that, at SDL, microbunching arising from shot noise is not amplified to any significant level, thereby allowing us to set an upper limit on the initial modulation depth of microbunching arising from shot noise. Our analysis demonstrated that the only significant source of microbunching instability under normal operational conditions at SDL is the longitudinal modulation of the photocathode laser pulse. Our work shows that assuring a longitudinally smoothed photocathode laser pulse allows mitigating microbunching instability at a typical FEL injector with a moderate microbunching gain.

  1. Making program evaluation activities family-centered: a qualitative study.

    Science.gov (United States)

    Moreau, Katherine A; Cousins, J Bradley

    2014-01-01

    This study explored ways in which program evaluation activities in pediatric rehabilitation settings can become congruent with family-centered service (FCS) philosophy. Two Canadian pediatric rehabilitation centers participated in this study, which included focus groups with staff members and interviews with parents. Participants identified seven ways in which program evaluation practices could be made congruent with FCS. Suggestions included: (a) the inclusion of a diverse group of program recipients, (b) the use of processes that facilitate family involvement, (c) the recruitment of family champions, (d) the involvement of families in program development, (e) the establishment of evaluations that are relevant to families (f) the development of center-wide statements about family involvement in evaluation and (g) the compensation of families for their active participation in evaluation. For program evaluation practices to be useful and relevant, they should be improved and made consistent with FCS philosophy. Those evaluating pediatric rehabilitation programs need to use approaches and activities that respect the needs, characteristics, cultures and diversity of the program recipients. Such actions will help to improve the quality of care provided, the nature of program evaluation activities, as well as the overall level of FCS in pediatric rehabilitation settings.

  2. Measuring Community Programs and Policies in the Healthy Communities Study

    Science.gov (United States)

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

    2015-01-01

    Childhood obesity is a challenging public health issue facing communities throughout the U.S. Local efforts are believed to be essential to assuring environments that support physical activity and healthy food/beverage consumption among children and their families. However, little is known about how broadly and intensively communities are implementing combinations of programs and policies that address childhood nutrition, physical activity, and weight control. The Healthy Communities Study is a nationwide scientific study in diverse communities to identify characteristics of communities and programs that may be associated with childhood obesity. Data collection occurred in 2013–2015; data analysis will be completed in 2016. As part of the Healthy Communities Study, researchers designed a measurement system to assess the number and scope of community programs and policies and to examine possible associations between calculated “intensity” scores for these programs and policies and behavioral and outcome measures related to healthy weight among children. This report describes the protocol used to capture and code instances of community programs and policies, to characterize attributes of community programs and policies related to study hypotheses, and to calculate the intensity of combinations of community programs and policies (i.e., using the attributes of change strategy, duration, and reach). PMID:26384934

  3. SISTEM PENDUKUNG KEPUTUSAN UNTUK MENGEVALUASI INTERNAL PROGRAM STUDI

    Directory of Open Access Journals (Sweden)

    Indhitya Rahman Padiku

    2016-04-01

    Full Text Available The development of major and study program cannot be separated by some internal factors weather directly influenced number of new registration students or indirectly. It needs a method to both know and to analyze internal evaluation variables in major or study program. Naive Bayes Clasifier (NBC method is the simple form of Bayesian network that assume all features are independent each other. NBC shows us a great performance entirely in accuracy and error level classification. NBC is able to differentiate irrelevance attribute and also classified some attributes in prediction needs. This research hopefully can be useful for major internal evaluating and study program in order to increase the number of new registration students. The classification by influenced of variables to evaluate the condition of both major and study program for the new registration students.

  4. Northeast Cooperative Research Study Fleet (SF) Program Biological Sampling Data

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Northeast Cooperative Research Study Fleet (SF) Program partners with a subset of commercial fishermen to collect high quality, high resolution, haul by haul...

  5. Center for Advanced Energy Studies Program Plan

    Energy Technology Data Exchange (ETDEWEB)

    Kevin Kostelnik

    2005-09-01

    The world is facing critical energy-related challenges regarding world and national energy demands, advanced science and energy technology delivery, nuclear engineering educational shortfalls, and adequately trained technical staff. Resolution of these issues is important for the United States to ensure a secure and affordable energy supply, which is essential for maintaining U.S. national security, continued economic prosperity, and future sustainable development. One way that the U.S. Department of Energy (DOE) is addressing these challenges is by tasking the Battelle Energy Alliance, LLC (BEA) with developing the Center for Advanced Energy Studies (CAES) at the Idaho National Laboratory (INL). By 2015, CAES will be a self-sustaining, world-class, academic and research institution where the INL; DOE; Idaho, regional, and other national universities; and the international community will cooperate to conduct critical energy-related research, classroom instruction, technical training, policy conceptualization, public dialogue, and other events.

  6. Organic Tanks Safety Program: Waste aging studies

    Energy Technology Data Exchange (ETDEWEB)

    Camaioni, D.M.; Samuels, W.D.; Lenihan, B.D.; Clauss, S.A.; Wahl, K.L.; Campbell, J.A.

    1994-11-01

    The underground storage tanks at the Hanford Complex contain wastes generated from many years of plutonium production and recovery processes, and mixed wastes from radiological degradation processes. The chemical changes of the organic materials used in the extraction processes have a direct on several specific safety issues, including potential energy releases from these tanks. This report details the first year`s findings of a study charged with determining how thermal and radiological processes may change the composition of organic compounds disposed to the tank. Their approach relies on literature precedent, experiments with simulated waste, and studies of model reactions. During the past year, efforts have focused on the global reaction kinetics of a simulated waste exposed to {gamma} radiation, the reactions of organic radicals with nitrite ion, and the decomposition reactions of nitro compounds. In experiments with an organic tank non-radioactive simulant, the authors found that gas production is predominantly radiolytically induced. Concurrent with gas generation they observe the disappearance of EDTA, TBP, DBP and hexone. In the absence of radiolysis, the TBP readily saponifies in the basic medium, but decomposition of the other compounds required radiolysis. Key organic intermediates in the model are C-N bonded compounds such as oximes. As discussed in the report, oximes and nitro compounds decompose in strong base to yield aldehydes, ketones and carboxylic acids (from nitriles). Certain aldehydes can react in the absence of radiolysis to form H{sub 2}. Thus, if the pathways are correct, then organic compounds reacting via these pathways are oxidizing to lower energy content. 75 refs.

  7. Teacher education policies in conflict with the official curriculum: supervised training and “PIBID”(Institutional Program Initiation to teaching profession

    Directory of Open Access Journals (Sweden)

    Jose Rubens Lima Jardilino

    2014-06-01

    Full Text Available In the framework of government policies designed to teacher training, this article aims to understand the relationship between the curricular training and Institutional program initiation to teaching profession (PIBID both performed at the School. The reflection is the result of observation and ethnography in the field and interviews with education professionals who work at schools where they develop the curricular training and PIBID. The research findings suggest a tenuous relationship, sometimes conflicting between curricular component and government program considering that both have similarities, have differentiated purposes, divided into objectives, legislation and separate funding. We can see a overlap of these activities that take place within the school.

  8. Organizational Context Matters: A Research Toolkit for Conducting Standardized Case Studies of Integrated Care Initiatives

    Directory of Open Access Journals (Sweden)

    Jenna M. Evans

    2017-06-01

    Full Text Available Introduction: The variable success of integrated care initiatives has led experts to recommend tailoring design and implementation to the organizational context. Yet, organizational contexts are rarely described, understood, or measured with sufficient depth and breadth in empirical studies or in practice. We thus lack knowledge of when and specifically how organizational contexts matter. To facilitate the accumulation of evidence, we developed a research toolkit for conducting case studies using standardized measures of the (inter-organizational context for integrating care.  Theory and Methods: We used a multi-method approach to develop the research toolkit: (1 development and validation of the Context and Capabilities for Integrating Care (CCIC Framework, (2 identification, assessment, and selection of survey instruments, (3 development of document review methods, (4 development of interview guide resources, and (5 pilot testing of the document review guidelines, consolidated survey, and interview guide.  Results: The toolkit provides a framework and measurement tools that examine 18 organizational and inter-organizational factors that affect the implementation and success of integrated care initiatives.  Discussion and Conclusion: The toolkit can be used to characterize and compare organizational contexts across cases and enable comparison of results across studies. This information can enhance our understanding of the influence of organizational contexts, support the transfer of best practices, and help explain why some integrated care initiatives succeed and some fail.

  9. Climate studies in the Long-Term Ecological Program

    OpenAIRE

    Greenland, David

    1993-01-01

    Since the inception of the LTER Program in 1980, climate has been studied at individual LTER sites and an LTER Climate Committee has been responsible for inter-site activities. At individual sites, climate studies support ecological research, emphasize inter-site heterogeneity, and often relate to other national monitoring and research programs. In inter-site work, the Climate Committee has produced protocols for meteorological observations, described and compared climates of the first 11 sit...

  10. Breast-feeding intention, initiation and duration among Hong Kong Chinese women: a prospective longitudinal study.

    Science.gov (United States)

    Wang, Wenru; Lau, Ying; Chow, Aloysius; Chan, Kin Sin

    2014-06-01

    to (1) estimate the breast-feeding intention, initiation and duration rate; (2) identify the reasons to initiate and wean breast feeding and (3) explore predictors of breast-feeding duration. a prospective longitudinal study antenatal clinics of five regional hospitals from four clusters in Hong Kong a population-based sample of 2098 women in the second trimester of pregnancy was recruited with a systematic sampling method. three different sets of self-administered questionnaires were used to measure the breast-feeding intention, initiation and duration, demographic, socio-economic, obstetric, complications of pregnancy and intrapartum variables at three time points. Reasons for initiating and weaning breast feeding, the formal and informal supportive resources of participants during breast feeding were collated at the third time points. the rates of artificial feeding and breast feeding were 41.1% and 58.9%, whereas breast-feeding intention and initiation rates were 85.3% and 67.0%, respectively. The breast-feeding duration rates were 11.1%, 10.3%, 10.7% and 26.7%, for the 'within 3-6 weeks' and '>6 weeks' groups. The common reasons for initiating breast feeding were that breast feeding is beneficial for both the baby (89.8%) and mother (39.7%). Reasons for weaning breast feeding were insufficient breast milk (32.7%), tiredness and fatigue (39.7%) and return to work (29.6%). Partner, relatives and nurse midwives were important supportive resource during breast feeding. Ordinal logistic regression analysis identified five predictive factors of breast-feeding duration. Participants who were working part-time or were housewives (p=0.037), had monthly family income of breast-feeding intention (p=0.001) and early breast feeding within the first hour (pbreast feeding than their counterparts. mothers in Hong Kong do not meet the recommendation of the international standards for breast feeding. Understanding of reasons for initiation, weaning and predictors of breast

  11. Case Study of a School-Based Universal Dating Violence Prevention Program

    Directory of Open Access Journals (Sweden)

    Michele Cascardi

    2014-09-01

    Full Text Available Evaluation of universal dating violence prevention programs has rapidly expanded in the past two decades. Many programs demonstrate change in attitudes supportive of dating violence, and a few show evidence of behavior change; however, detailed analysis of process and fidelity of program implementation is generally neglected. An important goal of prevention research is to identify successful initiatives that can be replicated and disseminated in the field. The purpose of the current case study is to document the implementation process of a middle school–based dating violence prevention curriculum in economically disadvantaged urban neighborhoods. Particular attention is given to the school context, such as the process of school and teacher recruitment, the program model, and classroom implementation of the dating violence prevention program in four areas: teacher training, student outcomes, program fidelity, and student engagement. Nine health and physical education teachers from six urban middle schools participated. Results describe effective strategies to secure school participation and engagement, and provide evidence regarding methods to train health and physical education teachers in low-income, urban neighborhoods. Furthermore, classroom observations demonstrate that teachers successfully implemented the five-lesson curriculum, which resulted in positive student outcomes to prevent dating violence. This case study represents an important step in deepening our understanding of the mechanisms of program delivery.

  12. The university of queensland medical leadership program: a case study.

    Science.gov (United States)

    Knowles, Lynnette; O'Dowd, Corina; Hewett, David G; Schafer, Jennifer; Fracgp, Dranzcog; Wilkinson, David

    2012-01-01

    Changes in modern healthcare's provision, complexity, and workforce demands provide a compelling rationale for an increasing emphasis on leadership development at all levels of training within the medical profession. Undergraduate medical education has traditionally focused on the development of clinical acumen with little emphasis on the development of leadership skills or on the operational and systemic issues surrounding healthcare delivery. Incorporating leadership education and competencies presents a number of challenges to medical schools, including defining the subject area, determining the specific skills and knowledge bases that should constitute the basis of the program, and optimizing training to be integrated into the existing clinical curriculum. We present a case study of the Medical Leadership Program at The University of Queensland School of Medicine that runs concurrent to the undergraduate medical degree. We outline the inception of the program, its aims, participant selection, and program components and reflect on the program to date.

  13. Human Resources Policy. Case Study: Continuing Education Programs

    Directory of Open Access Journals (Sweden)

    Cătălin BABA

    2002-06-01

    Full Text Available Life-long education programs are rather new in Romania, and there is much confusion about their structure, meaning, purposes and usefulness; although there is a clear necessity for these kinds of programs, they were implemented in our country only after recommendations were made by the European institutions. The Babeş-Bolyai University is one of the first and few Romanian universities that actually develop continuing education programs, directed at public services for the use of the local community. In this paper we present a particular case, the Program of Continuous Learning – Defense and Security Studies, designed to assist the 4th Territorial Army Corps based in Cluj-Napoca in its efforts to meet NATO standards. The program offers courses for military personnel in fields like strategic management, decision making processes, human resources management, and, of course, European security, and represents the first project of cooperation between a university and the Romanian army.

  14. Aviation and the environment : initial voluntary airport low emissions program projects reduce emissions, and FAA plans to assess the program's overall performance as participation increases.

    Science.gov (United States)

    2008-11-01

    In 2003, Congress established a program to reduce airport ground emissions at commercial service airports in areas failing to meet or maintain air quality standards. The Federal Aviation Administration (FAA) administers the Voluntary Airport Low Emis...

  15. Clinical Pharmacists as Educators in Family Medicine Residency Programs: A CERA Study of Program Directors.

    Science.gov (United States)

    Jarrett, Jennie B; Lounsbery, Jody L; D'Amico, Frank; Dickerson, Lori M; Franko, John; Nagle, John; Seehusen, Dean A; Wilson, Stephen A

    2016-03-01

    The clinical pharmacist's role within family medicine residency programs (FMRPs) is well established. However, there is limited information regarding perceptions of program directors (PDs) about clinical pharmacy educators. The study objectives were (1) to estimate the prevalence of clinical pharmacists within FMRPs and (2) to determine barriers and motivations for incorporation of clinical pharmacists as educators. The Council of Academic Family Medicine Educational Research Alliance (CERA) distributed an electronic survey to PDs. Questions addressed formalized pharmacotherapy education, clinical pharmacists in educator roles, and barriers and benefits of clinical pharmacists in FMRPs. The overall response rate was 50% (224/451). Seventy-six percent (170/224) of the responding PDs reported that clinical pharmacists provide pharmacotherapy education in their FMRPs, and 57% (97/170) consider clinical pharmacists as faculty members. In programs with clinical pharmacists, 72% (83/116) of PDs reported having a systematic approach for teaching pharmacotherapy versus 22% (21/95) in programs without. In programs without clinical pharmacists, the top barrier to incorporation was limited ability to bill for clinical services 48% (43/89) versus 29% (32/112) in programs with clinical pharmacists. In both programs with and without clinical pharmacists, the top benefit of having clinical pharmacists was providing a collaborative approach to pharmacotherapy education for residents (35% and 36%, respectively). Less than half of FMRPs incorporate clinical pharmacists as faculty members. Despite providing collaborative approaches to pharmacotherapy education, their limited ability to bill for services is a major barrier.

  16. Synthesis and Evaluation of a Novel Co-Initiator for Dentin Adhesives: Polymerization Kinetics and Leachables Study

    Science.gov (United States)

    Ge, Xueping; Ye, Qiang; Song, Linyong; Laurence, Jennifer S.; Spencer, Paulette

    2015-04-01

    A new tertiary amine co-initiator containing three methacrylate-urethane groups was synthesized for the application in dentin adhesives. The photopolymerization kinetics and leaching of unreacted components from methacrylate-based dental polymers formulated with this new co-initiator were determined. The newly synthesized co-initiator showed good chemical stability and decreased amine release from the initiator system. This study provides important information for the future development of biocompatible dentin adhesives/composites.

  17. The incidence of smoking and risk factors for smoking initiation in medical faculty students: cohort study

    Directory of Open Access Journals (Sweden)

    Turkay Mehtap

    2006-05-01

    Full Text Available Abstract Background Medical education requires detailed investigation because it is a period during which the attitudes and behaviors of physicians develop. The purpose of this study was to calculate the yearly smoking prevalence and incidence rates of medical faculty students and to identify the risk factors for adopting smoking behaviour. Methods This is a cohort study in which every student was asked about their smoking habits at the time of first registration to the medical faculty, and was monitored every year. Smoking prevalence, yearly incidence of initiation of smoking and average years of smoking were calculated in analysis. Results At the time of registration, 21.8% of the students smoked. At the end of six years, males had smoked for an average of 2.6 ± 3.0 years and females for 1.0 ± 1.8 years (p Conclusion The first 3 years of medical education are the most risky period for initiation of smoking. We found that factors such as being male, having a smoking friend in the same environment and having a high trait anxiety score were related to the initiation of smoking. Targeted smoking training should be mandatory for students in the Medical Faculty.

  18. Computational study of the self-initiation mechanism in thermal polymerization of methyl acrylate.

    Science.gov (United States)

    Srinivasan, Sriraj; Lee, Myung Won; Grady, Michael C; Soroush, Masoud; Rappe, Andrew M

    2009-10-08

    This computational study deals with the mechanism of spontaneous initiation in thermal polymerization of alkyl acrylates (e.g., methyl, ethyl, and n-butyl acrylate). The mechanism is presently still unknown. Density-functional theory (DFT) and Møller-Plesset (MP2) calculations are used to explore the Flory and Mayo mechanisms of self-initiation in methyl acrylate. On the singlet surface, a low-barrier, concerted [4 + 2] Diels-Alder mechanism for the formation of a dihydropyran adduct (DA) and a high-barrier nonconcerted [2 + 2] diradical ((*)M(2s)(*)) mechanism for the formation of dimethyl cyclobutane-1,2-dicarboxylate (DCD) were found using B3LYP/6-31G*. Several levels of theory were used to validate the transition states, and the pathways for the DA and DCD formations on the singlet surface were determined using intrinsic reaction coordinate (IRC) calculations. On the triplet surface, a triplet diradical intermediate ((*)M(2t)(*)) was identified that is structurally similar to (*)M(2s)(*) but lower in energy. The spin-orbit coupling constant for crossover of the diradical from singlet to triplet surface was calculated. Monoradical generation from the two intermediates, DA and (*)M(2t)(*) via hydrogen transfer to or from a third methyl acrylate was studied. It was found that generation of two monoradical species was possible from (*)M(2t)(*) and is proposed as a likely explanation for experimentally observed spontaneous-initiation.

  19. A pilot study assessing adherence to auto-bilevel following a poor initial encounter with CPAP.

    Science.gov (United States)

    Powell, Eric D; Gay, Peter C; Ojile, Joseph M; Litinski, Mikhail; Malhotra, Atul

    2012-02-15

    We hypothesized that early intervention with an auto bilevel device would improve treatment adherence compared to CPAP among OSA patients with a poor initial experience with lab-based CPAP titration. Patients with a poor initial CPAP experience were recruited for this parallel group, randomized, double-blind, controlled pilot study. After an in-lab titration, patients were randomized with either an auto-bilevel device or CPAP. Treatment adherence and functioning were assessed at 90 days. We enrolled 51 subjects, with 47 completing the protocol. Groups were equally matched for gender, age, education, and OSA severity. There was no significant difference in the proportion of compliant subjects (≥ 4 h/night) between the auto bilevel and CPAP groups (62% vs. 54%; p = 0.624) after 90 days of use. Functional outcomes significantly improved in both groups during treatment use (p CPAP groups in this study. Patients with a poor initial CPAP exposure may still achieve an acceptable long-term clinical outcome. Both groups demonstrated comparably significant improvements in functional outcomes, sleepiness, and fatigue complaints over the treatment period. CLINICAL TRIALS INFORMATION: NCT00635206 ClinicalTrials.gov

  20. An experimental study on initial fixation strength in transpedicular screwing augmented with calcium phosphate cement.

    Science.gov (United States)

    Masaki, Taiga; Sasao, Yutaka; Miura, Takehiko; Torii, Yoshiaki; Kojima, Atsushi; Aoki, Haruhito; Beppu, Moroe

    2009-09-15

    An experimental study. To clarify the optimal insertion timing of transpedicular screws when the initial fixation strength reaches in maximum as calcium phosphate cement (CPC) hardens, in cases augmented by CPC to the vertebrae. CPC goes easily into the bone trabeculae and excels in the bone compatibility. However, it is still unknown as for differences of fixation effects by CPC hardening time at actual insertion of the pedicle screw. Fifty-seven vertebrae obtained from 11 human cadavers. The CPC and titanium pedicle screws were used. Experimental groups were decided as follows. (1) Control group (without CPC). (2) CPC group (augmented with CPC); the mixed CPC infused into the screw hole, afterwards the pedicle screw inserted at a set time (passage time from the initiation of powder and liquid agent mixing). The CPC group was further divided into 3 subgroups, with respect to insertion time of the pedicle screws: 2, 5, and 10 minute subgroups. Maximum pull-out strength was compared, and cross sectioned specimens of the 5 and 10 minute groups were prepared and observed. CPC group showed a pull-out strength of about 177% that of the control group. For inserting timing of the pedicle screw and pull-out strength, no apparent statistically significant difference was found between each subgroups, although the 10-minute group showed the lowest. Cross sectional observations revealed that the CPC diffused deeper into the bone trabeculae in the 5-minute group than in the 10 minutes. CPC augmentation enabled an average 77% increase of the maximum pull-out strength compared to the control group. The study of screw insertion timing augmented with CPC was indicative of the fact that an increase in the initial fixation of the pedicle screw can be achieved when the screw is inserted before initiation of CPC hardening.

  1. Determinants of sexual intercourse initiation among incarcerated adolescents: a mixed-method study.

    Science.gov (United States)

    Nik Farid, Nik Daliana; Che' Rus, Sulaiman; Dahlui, Maznah; Al-Sadat, Nabilla

    2013-12-01

    This study aimed to investigate the determinants of sexual intercourse initiation among incarcerated adolescents aged 12-19 years in Malaysia. This was a sequential mixed-method research project that was conducted in two phases. Quantitative and qualitative methods were used in the first and second phases, respectively. Data was collected via a survey using self-reported questionnaires from 1,082 adolescents, and from in-depth interviews and the written essays of 29 participants. The participants were recruited from 22 welfare institutions in peninsular Malaysia. Among the study participants, 483 were male and 599 were female. Overall, 62.3% of the incarcerated adolescents had initiated sexual intercourse at least once. The mean age at first sexual intercourse for both genders was 14.0 years. Individual factors found to be associated with previous sexual intercourse were the female gender (odds ratio [OR] 1.75; 95% confidence interval [CI] 1.11-2.74), previous alcohol use (OR 1.80; 95% CI 1.10-2.94), previous illicit drug use (OR 1.85; 95% CI 1.07-3.22), permissive attitude toward premarital sex (OR 4.34; 95% CI 2.17-8.70), and sexual abuse during childhood (OR 5.41; 95% CI 3.52-8.32). Qualitative findings revealed that the reasons for initiation of sexual intercourse among these adolescents were partner influence, inability to control sex drive, family issues, and the perception of sex as an expression of love. The determinants of sexual intercourse initiation among incarcerated Malaysian adolescents are comparable to those of developed countries. However, in Malaysia, sexual and reproductive health programmes for such adolescents should be tailored to address their specific needs.

  2. Electron correlations observed through intensity interferometry: study of model initial state wave functions

    Energy Technology Data Exchange (ETDEWEB)

    Feuerstein, B.; Moshammer, R.; Ullrich, J. [Freiburg Univ. (Germany); Schulz, M

    2001-07-01

    Recently, a new method of analysing electron correlations based on intensity interferometry has been applied to double ionization of He and Ne by fast ion impact [1]. The data reveal sensitively correlation effects while they appear to be very insensitive to the collision dynamics. In order to analyse the role of the initial state electron correlation a statistically defined correlation function based on intensity interferometry was calculated for the ground state of He. In a comparative study of model wave functions we demonstrate that correlation can be considered from a statistical point of view which offers a new tool to study correlation effects in many-particle systems. (orig.)

  3. Electron Correlations Observed Through Intensity Interferometry: Study of Model Initial State Wave Functions

    Science.gov (United States)

    Feuerstein, B.; Schulz, M.; Moshammer, R.; Ullrich, J.

    Recently, a new method of analysing electron correlations based on intensity interferometry has been applied to double ionization of He and Ne by fast ion impact [1]. The data reveal sensitively correlation effects while they appear to be very insensitive to the collision dynamics. In order to analyse the role of the initial state electron correlation a statistically defined correlation function based on intensity interferometry was calculated for the ground state of He. In a comparative study of model wave functions we demonstrate that correlation can be considered from a statistical point of view which offers a new tool to study correlation effects in many-particle systems.

  4. Initial Development and Pilot Study Design of Interactive Lecture Demonstrations for ASTRO 101

    Science.gov (United States)

    Schwortz, Andria C.; French, D. A; Gutierrez, Joseph V; Sanchez, Richard L; Slater, Timothy F.; Tatge, Coty

    2014-06-01

    Interactive lecture demonstrations (ILDs) have repeatedly shown to be effective tools for improving student achievement in the context of learning physics. As a first step toward systematic development of interactive lecture demonstrations in ASTRO 101, the introductory astronomy survey course, a systematic review of education research, describing educational computer simulations (ECSs) reveals that initial development requires a targeted study of how ASTRO 101 students respond to ECSs in the non-science majoring undergraduate lecture setting. In this project we have adopted the process by which ILDs were designed, pilot-tested, and successfully implemented in the context of physics teaching (Sokoloff & Thornton, 1997; Sokoloff & Thornton, 2004). We have designed the initial pilot-test set of ASTRO 101 ILD instructional materials relying heavily on ECSs. Both an instructor’s manual and a preliminary classroom-ready student workbook have been developed, and we are implementing a pilot study to explore their effectiveness in communicating scientific content, and the extent to which they might enhance students’ knowledge of and perception about astronomy and science in general. The study design uses a pre-/post-test quasi-experimental study design measuring students’ normalized gain scores, calculated as per Hake (1998) and Prather (2009), using a slightly modified version of S. Slater’s (2011) Test Of Astronomy STandards TOAST combined with other instruments. The results of this initial study will guide the iterative development of ASTRO 101 ILDs that are intended to both be effective at enhancing student achievement and easy for instructors to successfully implement.

  5. The Lusi seismic experiment: An initial study to understand the effect of seismic activity to Lusi

    Energy Technology Data Exchange (ETDEWEB)

    Karyono, E-mail: karyonosu@gmail.com [Agency for Meteorology, Climatology and Geophysics (BMKG), Jakarta (Indonesia); OSLO University (Norway); Padjadjaran University (UNPAD), Bandung (Indonesia); Mazzini, Adriano; Sugiharto, Anton [OSLO University (Norway); Lupi, Matteo [ETH Zurich (Switzerland); Syafri, Ildrem [Padjadjaran University (UNPAD), Bandung (Indonesia); Masturyono,; Rudiyanto, Ariska; Pranata, Bayu; Muzli,; Widodo, Handi Sulistyo; Sudrajat, Ajat [Agency for Meteorology, Climatology and Geophysics (BMKG), Jakarta (Indonesia)

    2015-04-24

    The spectacular Lumpur Sidoarjo (Lusi) eruption started in northeast Java on the 29 of May 2006 following a M6.3 earthquake striking the island [1,2]. Initially, several gas and mud eruption sites appeared along the reactivated strike-slip Watukosek fault system [3] and within weeks several villages were submerged by boiling mud. The most prominent eruption site was named Lusi. The Lusi seismic experiment is a project aims to begin a detailed study of seismicity around the Lusi area. In this initial phase we deploy 30 seismometers strategically distributed in the area around Lusi and along the Watukosek fault zone that stretches between Lusi and the Arjuno Welirang (AW) complex. The purpose of the initial monitoring is to conduct a preliminary seismic campaign aiming to identify the occurrence and the location of local seismic events in east Java particularly beneath Lusi.This network will locate small event that may not be captured by the existing BMKG network. It will be crucial to design the second phase of the seismic experiment that will consist of a local earthquake tomography of the Lusi-AW region and spatial and temporal variations of vp/vs ratios. The goal of this study is to understand how the seismicity occurring along the Sunda subduction zone affects to the behavior of the Lusi eruption. Our study will also provide a large dataset for a qualitative analysis of earthquake triggering studies, earthquake-volcano and earthquake-earthquake interactions. In this study, we will extract Green’s functions from ambient seismic noise data in order to image the shallow subsurface structure beneath LUSI area. The waveform cross-correlation technique will be apply to all of recordings of ambient seismic noise at 30 seismographic stations around the LUSI area. We use the dispersive behaviour of the retrieved Rayleigh waves to infer velocity structures in the shallow subsurface.

  6. Improving the Teaching Skills of Residents in a Surgical Training Program: Results of the Pilot Year of a Curricular Initiative in an Ophthalmology Residency Program.

    Science.gov (United States)

    Chee, Yewlin E; Newman, Lori R; Loewenstein, John I; Kloek, Carolyn E

    2015-01-01

    To design and implement a teaching skills curriculum that addressed the needs of an ophthalmology residency training program, to assess the effect of the curriculum, and to present important lessons learned. A teaching skills curriculum was designed for the Harvard Medical School (HMS) Residency Training Program in Ophthalmology. Results of a needs assessment survey were used to guide curriculum objectives. Overall, 3 teaching workshops were conducted between October 2012 and March 2013 that addressed areas of need, including procedural teaching. A postcurriculum survey was used to assess the effect of the curriculum. Massachusetts Eye and Ear Infirmary, a tertiary care institution in Boston, MA. Overall, 24 residents in the HMS Residency Training Program in Ophthalmology were included. The needs assessment survey demonstrated that although most residents anticipated that teaching would be important in their future career, only one-third had prior formal training in teaching. All residents reported they found the teaching workshops to be either very or extremely useful. All residents reported they would like further training in teaching, with most residents requesting additional training in best procedural teaching practices for future sessions. The pilot year of the resident-as-teacher curriculum for the HMS Residency Training Program in Ophthalmology demonstrated a need for this curriculum and was perceived as beneficial by the residents, who reported increased comfort in their teaching skills after attending the workshops. Copyright © 2015 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.

  7. Geriatric medicine training for family practice residents in the 21st century: a report from the Residency Assistance Program/Harfford Geriatrics Initiative.

    Science.gov (United States)

    Warshaw, Gregg; Murphy, John; Buehler, James; Singleton, Stacy

    2003-01-01

    Increasing the quality and quantity of geriatric medicine training for family practice residents is a particular challenge for community-based programs. With support from the John A. Hartford Foundation of New York City, the American Academy of Family Physicians (AAFP) implemented in 1995 a multi-part project to improve the amount and quality of geriatric medicine education received by family practice residents. This report summarizes the initial results of the regional geriatric medicine curriculum retreats for residency directors. The goals of the retreats were to build recognition among the residency directors of the skills that future family physicians will require to be successful providers of primary care to older adults and to allow the residency directors to identify and develop solutions to barriers to improving geriatric medicine training for residents. Forty-six program directors participated in the three retreats between February 2000 and February 2001. The participants represented 52 programs and rural tracks in all geographic regions, small and large programs, and urban and rural settings. The program directors developed a consensus on the geriatric medicine knowledge, skills, and attitudes that should be expected of all family practice residency graduates; developed a list of basic, required educational resources for each family practice residency program; and proposed solutions to common obstacles to successful curriculum development.

  8. LANGUAGE SCHOOLS AND FOREIGN LANGUAGE STUDYING PROGRAMS IN PORTUGAL

    OpenAIRE

    Hritchenko, Iryna

    2017-01-01

    The article is devoted to the description and characterizing of language schools and foreign language studying programs in Portugal. The relevance of language learning for professional, mobility, self-developing means is shown. The main courses and programs are observed and the advantages and disadvantages of each of them are given. It is stated that Portuguese courses mostly follow the Common European Framework of Reference for Languages. A small synopsis of the abilities for each level is p...

  9. Spectroscopic study of a DNA brush synthesized in situ by surface initiated enzymatic polymerization.

    Science.gov (United States)

    Khan, M Nuruzzaman; Tjong, Vinalia; Chilkoti, Ashutosh; Zharnikov, Michael

    2013-08-29

    We used a combination of synchrotron-based X-ray photoelectron spectroscopy (XPS) and angle-resolved near-edge X-ray absorption fine structure (NEXAFS) spectroscopy to study the chemical integrity, purity, and possible internal alignment of single-strand (ss) adenine deoxynucleotide (poly(A)) DNA brushes. The brushes were synthesized by surface-initiated enzymatic polymerization (SIEP) on a 25-mer of adenine self-assembled monolayer (SAM) on gold (A25-SH), wherein the terminal 3'-OH of the A25-SH serve as the initiation sites for SIEP of poly(A). XPS and NEXAFS spectra of poly(A) brushes were found to be almost identical to those of A25-SH initiator, with no unambiguous traces of contamination. Apart from the well-defined chemical integrity and contamination-free character, the brushes were found to have a high degree of orientational order, with an upright orientation of individual strands, despite their large thickness up to ~55 nm, that corresponds to a chain length of at least several hundred nucleotides for individual ssDNA molecules. The orientational order exhibited by these poly(A) DNA brushes, mediated presumably by base stacking, was found to be independent of the brush thickness as long as the packing density was high enough. The well-defined character and orientational ordering of the ssDNA brushes make them a potentially promising system for different applications.

  10. Study on the Formation and Initial Transport for Non-Homogeneous Debris Flow

    Directory of Open Access Journals (Sweden)

    An Ping Shu

    2017-04-01

    Full Text Available Non-homogeneous debris flows generally occur during the rainy seasons in Southwest China, and have received considerable attention in the literature. Regarding the complexity in debris flow dynamics, experimental approaches have proven to be effective in revealing the formative mechanism for debris flow, and quantifying the relations between the various influencing factors with debris-flow formation and subsequent transport processes. Therefore, a flume-based and experimental study was performed at the Debris Flow Observation and Research Station of Jiangjia Gully in Yunnan Province, to theoretically analyze favorable conditions for debris-flow formation and initial transport by selecting the median particle size d50, flow rate Q, vertical grading coefficient ψ, slopes S, and the initial soil water contents W as the five variables for investigation. To achieve this, an optimal combination of these variables was made through an orthogonal experimental design to determine their relative importance upon the occurrence and initial mobilization behavior of a debris flow and to further enhance our insight into debris-flow triggering and transport mechanisms.

  11. Studying the effect of material initial conditions on drying induced stresses

    Science.gov (United States)

    Heydari, M.; Khalili, K.; Ahmadi-Brooghani, S. Y.

    2018-02-01

    Cracking as a result of non-uniform deformation during drying is one of defects that may occur during drying and has to be dealt with by proper drying treatment. In the current study the effect of initial condition has been investigated on stress-strain induced by drying. The convective drying of a porous clay-like material has been simulated by using a mathematical model. Mass and heat transfer along with the mechanical behavior of the object being dried make the phenomenon a highly coupled problem. The coupling variables are the solid displacement, moisture content and temperature of the porous medium. A numerical solution is sought and employed to predict the influence of initial conditions of material on the drying induced stresses, the moisture content, and the temperature variations. Simulation results showed that increasing the initial temperature is an effective way to reduce the stresses induced by drying and to obtain products with good quality without significant change in drying curve and in comparison this is more effective than intermittent drying.

  12. The pedagogy of Short-Term Study-Abroad Programs

    Directory of Open Access Journals (Sweden)

    Jude Gonsalvez

    2013-10-01

    Full Text Available This paper focuses on establishing guidelines on the pedagogy of short term study abroad programs. This study follows 33 students who participated in a short-term study-abroad program to India with the researcher from 2006 through 2011. The study relies heavily on the student reflections and expressions as they experienced them. It is qualitative in nature. Focus groups were the main method of data collection, where participants were invited to reflect, express, and share their experiences with one another. This provided an opportunity for the participants to come together, relive their experiences, and help provide information as to how and what type of an influence this short-term study-abroad program provided.

  13. "It's almost expected": rural Australian Aboriginal women's reflections on smoking initiation and maintenance: a qualitative study

    Science.gov (United States)

    2011-01-01

    Background Despite declining smoking rates among the general Australian population, rates among Indigenous Australians remain high, with 47% of the Indigenous population reporting daily smoking - twice that of other Australians. Among women, smoking rates are highest in younger age groups, with more than half of Aboriginal women smoking during pregnancy. A lack of research focused on understanding the social context of smoking by Aboriginal women in rural Australia limits our ability to reduce these rates. This study aimed to explore the factors contributing to smoking initiation among rural Aboriginal women and girls and the social context within which smoking behaviour occurs. Methods We conducted three focus groups with 14 Aboriginal women and service providers and 22 individual interviews with Aboriginal women from four rural communities to explore their perceptions of the factors contributing to smoking initiation among Aboriginal girls. Results Four inter-related factors were considered important to understanding the social context in which girls start smoking: colonisation and the introduction of tobacco; normalization of smoking within separate Aboriginal social networks; disadvantage and stressful lives; and the importance of maintaining relationships within extended family and community networks. Within this context, young girls use smoking to attain status and as a way of asserting Aboriginal identity and group membership, a way of belonging, not of rebelling. Family and social structures were seen as providing strong support, but limited the capacity of parents to influence children not to smoke. Marginalization was perceived to contribute to limited aspirations and opportunities, leading to pleasure-seeking in the present rather than having goals for the future. Conclusions The results support the importance of addressing contextual factors in any strategies aimed at preventing smoking initiation or supporting cessation among Aboriginal girls and women

  14. "It's almost expected": rural Australian Aboriginal women's reflections on smoking initiation and maintenance: a qualitative study

    Directory of Open Access Journals (Sweden)

    Passey Megan E

    2011-12-01

    Full Text Available Abstract Background Despite declining smoking rates among the general Australian population, rates among Indigenous Australians remain high, with 47% of the Indigenous population reporting daily smoking - twice that of other Australians. Among women, smoking rates are highest in younger age groups, with more than half of Aboriginal women smoking during pregnancy. A lack of research focused on understanding the social context of smoking by Aboriginal women in rural Australia limits our ability to reduce these rates. This study aimed to explore the factors contributing to smoking initiation among rural Aboriginal women and girls and the social context within which smoking behaviour occurs. Methods We conducted three focus groups with 14 Aboriginal women and service providers and 22 individual interviews with Aboriginal women from four rural communities to explore their perceptions of the factors contributing to smoking initiation among Aboriginal girls. Results Four inter-related factors were considered important to understanding the social context in which girls start smoking: colonisation and the introduction of tobacco; normalization of smoking within separate Aboriginal social networks; disadvantage and stressful lives; and the importance of maintaining relationships within extended family and community networks. Within this context, young girls use smoking to attain status and as a way of asserting Aboriginal identity and group membership, a way of belonging, not of rebelling. Family and social structures were seen as providing strong support, but limited the capacity of parents to influence children not to smoke. Marginalization was perceived to contribute to limited aspirations and opportunities, leading to pleasure-seeking in the present rather than having goals for the future. Conclusions The results support the importance of addressing contextual factors in any strategies aimed at preventing smoking initiation or supporting cessation

  15. The FERMI @ Elettra Technical Optimization Study: PreliminaryParameter Set and Initial Studies

    Energy Technology Data Exchange (ETDEWEB)

    Byrd, John; Corlett, John; Doolittle, Larry; Fawley, William; Lidia, Steven; Penn, Gregory; Ratti, Alex; Staples, John; Wilcox,Russell; Wurtele, Jonathan; Zholents, Alexander

    2005-08-01

    The goal of the FERMI {at} Elettra Technical Optimization Study is to produce a machine design and layout consistent with user needs for radiation in the approximate ranges 100 nm to 40 nm, and 40 nm to 10 nm, using seeded FEL's. The Study will involve collaboration between Italian and US physicists and engineers, and will form the basis for the engineering design and the cost estimation.

  16. Enhancing emergency medicine initiatives with a quality improvement program: lessons learned in the emergency department of Tikur Anbessa Hospital, Addis Ababa Ethiopia.

    Science.gov (United States)

    Azazh, Aklilu; Brown, Lori Di Prete; Ayele, Roman Aydiko; Teklu, Sisay; W/Tsadik, Assefu; Tefera, Muluwork; Bacha, Tigist; Geremew, Haymanot; Tefera, Girma; Busse, Heidi

    2014-07-01

    A Twinning Partnership between the University of Wisconsin-Madison (UW) and Addis Ababa University (AAU) in Addis Ababa, Ethiopia was formed to strengthen the development of emergency medical services at AAU's Tikur Anbessa Specialized Hospital (TASHI) through medical education and exchanges. The Twinning philosophy which emphasizes collaboration and joint learning was an ideal program in which QI program was incorporated to maximize success, promote sustainability, and reinforce basic principles for effective healthcare service delivery. This article describes the QI methodology, capacity building strategy, implementation approach, and lessons learned. QI initiative at TASH ED started during EM fellowship in 2010 when Priority problems in the department were identified, and root cause analysis and possible strategies for improvement were devised. Then Baseline and sensitization was undertaken which was followed by Quality Improvement Projects cycles. The Federal Ministry of health key performance indicators (KPI) were used as standard and measurement tool when it was relevant. The findings were analyzed and trends presented to the ED staff and other stakeholders. In the past four years Since QI initiatives started in TASH EM department different achievements have been registered. The main developments were capacity building with QI training of EM fellows, EM residents and EM and critical care nurses. QI Training was also conducted to Tikur Anbessa Hospital and college of health sciences leadership. In addition, various QI projects have been designed and started, while some are finalized and the rest are on implementation. The QI experience in the department suggests that a QI program can effectively support, complement, and enhance health system strengthening partnerships, and that establishment of a QI program at the department level is feasible and beneficial, enhancing the adoption and sustainability of health care improvements such as marked improvements in

  17. Program coordinators' perceptions of effective national citizen science programs and their impacts: An exploratory study

    Science.gov (United States)

    Clarke, K. C.; Charlevoix, D. J.

    2011-12-01

    The increasing desire to engage the public in science and research has advanced citizen science as a valuable and popular means to this end. Citizen science, a process by which concerned individuals, agencies, industries or community groups collaborate to monitor, track, and respond to issues of common community concerns, has evolved and grown over the past decade. Much of the citizen science research thus far has primarily focused on the public participants (citizen scientists) and/or organizations themselves. This study looks instead at the people, the coordinators, implementing or coordinating citizen science programs and activities, specifically in the Community Collaborative Rain, Hail & Snow Network (CoCoRaHS), and their perceptions for program effectiveness. CoCoRaHS is a national program in which citizens monitor, record, and report precipitation conditions from backyard observations. Semi-structured interviews and an online survey completed by the program's coordinators in the state of Colorado found that the effectiveness of CoCoRaHS depends less on the interactions of the coordinators with each other or funding impacts on program activities, but rather on the interactions between coordinators and citizen scientists. The effectiveness of CoCoRaHS was perceived to depend more significantly on the connections coordinators have with the community of program users and citizen scientists, and a supportive culture within the program. The next step therefore is to explore these interactions between the coordinators and citizen scientists to develop a better understanding of their nature of participation in the citizen science program, and to describe the characteristics of all participants.

  18. A prospective study of cigarette smoking initiation during college: Chinese and Korean American students.

    Science.gov (United States)

    Myers, Mark G; Doran, Neal M; Trinidad, Dennis R; Wall, Tamara L; Klonoff, Elizabeth A

    2009-07-01

    The present study was a prospective investigation of baseline influences on initial smoking and transition to established smoking among college students who had not smoked prior to college. Included were 267 participants in a longitudinal study of tobacco use. Students of Chinese (52%) or Korean (48%) descent were enrolled during their freshman year in college. Data for the present study were collected during four annual in-person interviews. (1) Initial use of a cigarette reflected having first smoked a cigarette (more than a puff) during college. (2) Established smoking was defined as having smoked at least 100 cigarettes. Over the course of the study, 25% of baseline never-smokers tried their first cigarette, and 9% became established smokers. Overall, men were significantly more likely to experiment and progress to established smoking. Baseline alcohol and drug use, behavioral undercontrol, and parental smoking predicted smoking experimentation but not established smoking. Students of Korean ethnicity were more likely to become established smokers. However, acculturation was not a significant predictor of experimentation or established smoking after accounting for the effects of other predictors. These findings suggest a need for efforts to prevent smoking uptake among Asian American college students.

  19. Iowa CASAS Pilot Project Reports: An Initial Evaluation of CASAS Effectiveness in Iowa's Adult Basic Education Programs.

    Science.gov (United States)

    Strom, Mary L.

    In fall 1992, the Iowa Department of Education began pilot tests of the Comprehensive Adult Student Assessment System (CASAS), an assessment system evaluating reading, math, and problem solving in a life skills context for adult remedial programs. This document provides reports from the nine community colleges that served as test sites, describing…

  20. An Alternative Undergraduate Teacher Preparation Program: A Comprehensive One-to-One iPad Initiative Model

    Science.gov (United States)

    Nguyen, Neal Nghia; Lyons, Catherine; Rogers-Adkinson, Diana; Bohannon, Larry; Fridley, Daryl; Gunn, Sharon; Smith, Shonta

    2016-01-01

    To date little literature has been published on how an alternative undergraduate teacher preparation program infuses mobile devices such as the iPad and its applications, model classrooms, and a high-tech computer lab to prepare teacher candidates. Preparing teacher candidates to generalize technological skills is most effective when it is hands…