WorldWideScience

Sample records for program initially proposed

  1. Program Proposal

    Science.gov (United States)

    Baskas, Richard S.

    2012-01-01

    A study was conducted to determine if a deficiency, or learning gap, existed in a particular working environment. To determine if an assessment was to be conducted, a program proposal would need to be developed to explore this situation. In order for a particular environment to react and grow with other environments, it must be able to take on…

  2. 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...

  3. 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...

  4. Trump proposes initial healthcare agenda

    Directory of Open Access Journals (Sweden)

    Robbins RA

    2016-11-01

    Full Text Available No abstract available. Article truncated at 150 words. On Friday, November 11, President-elect Trump proposed a healthcare agenda on his website greatagain.gov (1. Yesterday, November 12, he gave an interview on 60 Minutes clarifying his positions (2. Trump said that he wanted to focus on healthcare and has proposed to: •Repeal all of the Affordable Care Act; •Allow the sale of health insurance across state lines; •Make the purchase of health insurance fully tax deductible; •Expand access to the health savings accounts;•Increase price transparency; •Block grant Medicaid; •Lower entrance barriers to new producers of drugs. In his 60 Minutes interview Trump reiterated that two provisions of the ACA – prohibition of pre-existing conditions exclusion and ability for adult children to stay on parents insurance plans until age 26 – have his support (2. Other aspects of the ACA that might receive his support were not discussed. On the Department of Veterans’ Affairs ...

  5. 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.

  6. 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.

  7. 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, ...

  8. 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.

  9. Likely social impacts of proposed national-level policy initiatives

    Energy Technology Data Exchange (ETDEWEB)

    Piernot, C.A.; Rothweiler, M.A.; Levine, A.; Crews, R.

    1981-03-01

    The results are described of an investigation of likely social effects of enacting nine proposed national-level policy initiatives to accelerate development and use of solar energy. This study is part of the Technology Assessment of Solar Energy Systems (TASE) project supported by the US Department of Energy. The report presents general social impact information about the variety of ways in which the American people could be affected by enactment of these initiatives. It identifies the effects of each initiative on individuals, groups, organizations, communities, and society as a whole. In addition, it provides a framework for organizing a myriad of impact information into a set of conceptually exclusive impact categories. It illustrates that social impacts means effects on people as individuals, groups, organizations, and communities as well as on the infrastructure of society. Finally, it demonstrates the importance of specifying an audience of impact with a case example from the residential rental market.

  10. 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...

  11. A proposal for constraining initial vacuum by cosmic microwave background

    Science.gov (United States)

    Chandra, Debabrata; Pal, Supratik

    2018-01-01

    We propose a theoretical framework that can possibly constrain the initial vacuum by observation of the cosmic microwave background (CMB). With a generic vacuum without any particular choice a priori, thereby keeping both the Bogolyubov coefficients in the analysis, we compute observable parameters from two- and three-point correlation functions. We are thus left with constraining four model parameters from the two complex Bogolyubov coefficients. We also demonstrate a method of finding out the constraint relations between the Bogolyubov coefficients using the theoretical normalization condition and observational data of power spectrum and bispectrum from CMB. Finally, we discuss the possible pros and cons of the analysis.

  12. 76 FR 59716 - Notice of Submission of Proposed Information Collection to OMB Transformation Initiative: Rent...

    Science.gov (United States)

    2011-09-27

    ... Initiative: Rent Reform Demonstration Small Grant Research Program AGENCY: Office of the Chief Information...: Transformation Initiative: Rent Reform Demonstration Small Grant Research Program. OMB Approval Number: 2528...

  13. Independence: proposing an initial framework for occupational therapy.

    Science.gov (United States)

    Collins, Bethan

    2017-11-01

    The concept of independence is common in occupational therapy theory and practice but has rarely been clearly defined or conceptualized within in occupational therapy literature and there seems to be no standard definition. This can result in ambiguity, which potentially jeopardizes client-centred practice. This paper proposes an occupational therapy independence framework (OTIF) that synthesizes the range of characterizations of independence in a practically useful and occupation-centred manner. A review of literature, clinical experience, doctoral research and conversations with occupational therapists and disabled people, in particular those involved in a disability activism group and people with physical disabilities, has led to the development of the OTIF. Independence and interdependence, as characterized in the OTIF, occur when an individual exerts choice over occupational performance and can engage in occupations in a manner acceptable to the individual. Interdependence results when occupations are performed with another person whereas independence involves solitary occupational performance. Dependence typically results from inability to choose occupations or a mismatch between performance capacity and environmental factors. The OTIF has the potential to clarify the conceptualization of independence within occupational therapy theory and practice. This initial proposal is presented to stimulate debate and discussion.

  14. 76 FR 2405 - Notice of Proposed Information Collection: Brownfield Economic Development Initiative (BEDI)

    Science.gov (United States)

    2011-01-13

    ... URBAN DEVELOPMENT Notice of Proposed Information Collection: Brownfield Economic Development Initiative...: Brownfield Economic Development Initiative (BEDI). OMB Control Number: 2506-0153. Description of the need for the Information and proposed use: The Brownfield Economic Development Initiative is authorized...

  15. Federal Aviation Administration retained savings program proposal

    Energy Technology Data Exchange (ETDEWEB)

    Hostick, D.J.; Larson, L.L. [Pacific Northwest National Lab., Richland, WA (United States); Hostick, C.J. [IBP, Inc., Pasco, WA (United States)

    1998-03-01

    Federal legislation allows federal agencies to retain up to 50% of the savings associated with implementing energy efficiency and water conservation measures and practices. Given budget pressures to reduce expenditures, the use of retained savings to fund additional projects represents a source of funds outside of the traditional budget cycle. The Southwest Region Federal Aviation Administration (FAA) has tasked Pacific Northwest National Laboratory (PNNL) to develop a model retained savings program for Southwest Region FAA use and as a prototype for consideration by the FAA. PNNL recommends the following steps be taken in developing a Southwest Region FAA retained savings program: Establish a retained savings mechanism. Determine the level at which the retained savings should be consolidated into a fund. The preliminary recommendation is to establish a revolving efficiency loan fund at the regional level. Such a mechanism allows some consolidation of savings to fund larger projects, while maintaining a sense of facility ownership in that the funds will remain within the region.

  16. Proposal for a United Nations Basic Space Technology Initiative

    Science.gov (United States)

    Balogh, Werner

    Putting space technology and its applications to work for sustainable economic and social development is the primary objective of the United Nations Programme on Space Applications, launched in 1971. A specific goal for achieving this objective is to establish a sustainable national space capacity. The traditional line of thinking has supported a logical progression from building capacity in basic space science, to using space applications and finally - possibly - to establishing indigenous space technology capabilities. The experience in some countries suggests that such a strict line of progression does not necessarily hold true and that priority given to the establishment of early indigenous space technology capabilities may contribute to promoting the operational use of space applications in support of sustainable economic and social development. Based on these findings and on the experiences with the United Nations Basic Space Science Initiative (UNBSSI) as well as on a series of United Nations/International Academy of Astronautics Workshops on Small Satellites in the Service of Developing Countries, the United Nations Office for Outer Space Affairs (UNOOSA) is considering the launch of a dedicated United Nations Basic Space Technology Initiative (UNBSTI). The initiative would aim to contribute to capacity building in basic space technology and could include, among other relevant fields, activities related to the space and ground segments of small satellites and their applications. It would also provide an international framework for enhancing cooperation between all interested actors, facilitate the exchange of information on best practices, and contribute to standardization efforts. It is expected that these activities would advance the operational use of space technology and its applications in an increasing number of space-using countries and emerging space nations. The paper reports on these initial considerations and on the potential value-adding role

  17. TEACHING ADMINISTRATION: PROPOSAL OF THE PROGRAM CONTENT

    Directory of Open Access Journals (Sweden)

    Eduardo Ribeiro Rodrigues

    2016-08-01

    Full Text Available The National Curriculum Guidelines established by MEC (Brazilian Ministry of Education, define the specific areas of vocational training content that should be included in the curricular organization of undergraduate courses in Brazil, without suggesting or detailing which content should be offered in each area. In this sense, this study aims at proposing the course syllabus for the financial area for the undergraduate courses of Management. To achieve this goal, the curriculum matrices and the teaching plans of the financial discipline of the undergraduate courses on Management with the highest grades in ENADE were analyzed. Based on this survey, seven disciplines were elaborated with the professional qualification contents of the area, with 560 hours/class in total, distributed in the curriculum matrix, according to their goals: presentation of corporate finance and personal finance, short and long-term financial decisions, financial economic analysis, financial planning, and financial strategies.

  18. Resourcing future generations: a proposed new IUGS initiative

    CSIR Research Space (South Africa)

    Lambert, I

    2013-06-01

    Full Text Available . � Development of novel sensor systems for (geophysical, geo- chemical) geological assessment, environmental monitoring and possibly underpinning the discovery of big deposits; � A focus on stress and strain, fluid circulation and chemical and mineralogical... Society of America’s Annual meeting in Denver at the end of October, which will introduce RFG to the wider geoscience community. The developed proposal will be presented to an ICSU GeoUnions meeting to be held in mid-November 2013 in Turkey, which...

  19. R&D Proposal for the National Muon Acccelerator Program

    Energy Technology Data Exchange (ETDEWEB)

    2010-02-01

    This document contains a description of a multi-year national R&D program aimed at completing a Design Feasibility Study (DFS) for a Muon Collider and, with international participation, a Reference Design Report (RDR) for a muon-based Neutrino Factory. It also includes the supporting component development and experimental efforts that will inform the design studies and permit an initial down-selection of candidate technologies for the ionization cooling and acceleration systems. We intend to carry out this plan with participants from the host national laboratory (Fermilab), those from collaborating U.S. national laboratories (ANL, BNL, Jlab, LBNL, and SNAL), and those from a number of other U.S. laboratories, universities, and SBIR companies. The R&D program that we propose will provide the HEP community with detailed information on future facilities based on intense beams of muons - the Muon Collider and the Neutrino Factory. We believe that these facilities offer the promise of extraordinary physics capabilities. The Muon Collider presents a powerful option to explore the energy frontier and the Neutrino Factory gives the opportunity to perform the most sensitive neutrino oscillation experiments possible, while also opening expanded avenues for the study of new physics in the neutrino sector. The synergy between the two facilities presents the opportunity for an extremely broad physics program and a unique pathway in accelerator facilities. Our work will give clear answers to the questions of expected capabilities and performance of these muon-based facilities, and will provide defensible ranges for their cost. This information, together with the physics insights gained from the next-generation neutrino and LHC experiments, will allow the HEP community to make well-informed decisions regarding the optimal choice of new facilities. We believe that this work is a critical part of any broad strategic program in accelerator R&D and, as the P5 panel has recently

  20. R&D PROPOSAL FOR THE NATIONAL MUON ACCELERATOR PROGRAM

    Energy Technology Data Exchange (ETDEWEB)

    Muon Accelerator Program; Zisman, Michael S.; Geer, Stephen

    2010-02-24

    This document contains a description of a multi-year national R&D program aimed at completing a Design Feasibility Study (DFS) for a Muon Collider and, with international participation, a Reference Design Report (RDR) for a muon-based Neutrino Factory. It also includes the supporting component development and experimental efforts that will inform the design studies and permit an initial down-selection of candidate technologies for the ionization cooling and acceleration systems. We intend to carry out this plan with participants from the host national laboratory (Fermilab), those from collaborating U.S. national laboratories (ANL, BNL, Jlab, LBNL, and SNAL), and those from a number of other U.S. laboratories, universities, and SBIR companies. The R&D program that we propose will provide the HEP community with detailed information on future facilities based on intense beams of muons--the Muon Collider and the Neutrino Factory. We believe that these facilities offer the promise of extraordinary physics capabilities. The Muon Collider presents a powerful option to explore the energy frontier and the Neutrino Factory gives the opportunity to perform the most sensitive neutrino oscillation experiments possible, while also opening expanded avenues for the study of new physics in the neutrino sector. The synergy between the two facilities presents the opportunity for an extremely broad physics program and a unique pathway in accelerator facilities. Our work will give clear answers to the questions of expected capabilities and performance of these muon-based facilities, and will provide defensible ranges for their cost. This information, together with the physics insights gained from the next-generation neutrino and LHC experiments, will allow the HEP community to make well-informed decisions regarding the optimal choice of new facilities. We believe that this work is a critical part of any broad strategic program in accelerator R&D and, as the P5 panel has recently

  1. Institutions for Quality Cooperation for Development: Clarifications and Initial Proposals

    Directory of Open Access Journals (Sweden)

    Rafael Grasa Hernández

    2006-01-01

    Full Text Available In his analysis of institutions for quality cooperation for development, focusing basically on the Spanish case, the author first clarifies and defines the concepts of “institution”, governance,and the so-called three sectors, that is, the State and administrations, the market and civil society. Good government depends on the capabilities and synergies among these threesectors as well as on their relationships with the different institutions and their social context, and this ensures governance, that is, development or, in this case, cooperation for development.The second part of the article poses the question: How are we doing in all of this in the case of Spanish cooperation for development and, therefore, in its ability to affect the generation or strengthening of development policies in the different sectors of the countries of the South? To answer this question, the author considers three aspects: a the chronic lack of institutions; b the excess of legislation and formality, rooted in Latin political and organisational culture, and c the need for new instruments and procedures, reflected, but only partially, in the new Directing Plan and in the proposals of Catalan cooperation, translated into institutional terms. Finally, the article makes reference to “decentralised” cooperation, its challenges and prospects, and a “decalogue” of good government which “only aims to serve to open debate on the need for new institutions for quality cooperation for development congruent with the development policies of the actors of the South.”

  2. 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.

  3. 76 FR 39117 - Notice of Proposed Information Collection: Transformation Initiative Rent Reform Demonstration...

    Science.gov (United States)

    2011-07-05

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT Notice of Proposed Information Collection: Transformation Initiative Rent Reform... Rent Reform Demonstration Small Grants. Description of the need for information and proposed use: The...

  4. 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 ...

  5. 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

  6. 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.

  7. 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.

  8. 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...

  9. Proposal for Supply Chain Concentration in the Traditional MBA Program

    Science.gov (United States)

    Ramaswamy, K. V.

    2012-01-01

    The purpose of this proposal is to develop and implement a concentration in Supply Chain Management in the existing traditional MBA program effective fall 2012. Houston is the hub for many multinational oil and energy companies, large healthcare systems, wholesale/retail businesses, engineering and construction companies, and is a major city along…

  10. Pilot program to assess proposed basic quality assurance requirements in the medical use of byproduct materials

    Energy Technology Data Exchange (ETDEWEB)

    Kaplan, E.; Nelson, K.; Meinhold, C.B. (Brookhaven National Lab., Upton, NY (United States))

    1991-10-01

    In January 1990, the Nuclear Regulatory Commission (NRC) proposed amendments to 10 CFR Part 35 that would require medical licensees using byproduct material to establish and implement a basic quality assurance program. A 60-day real-world trial of the proposed rules was initiated to obtain information beyond that generally found through standard public comment procedures. Volunteers from randomly selected institutions had opportunities to review the details of the proposed regulations and to implement these rules on a daily basis during the trial. The participating institutions were then asked to evaluate the proposed regulations based on their personal experiences. The pilot project sought to determine whether medical institutions could develop written quality assurance programs that would meet the eight performance-based objectives of proposed Section 35.35. In addition, the NRC wanted to learn from these volunteers if they had any recommendations on how the rule could be revised to minimized its cost and to clarify its objectives without decreasing its effectiveness. It was found that licensees could develop acceptable QA programs under a performance-based approach, that most licensee programs did meet the proposed objectives, and that most written QA plans would require consultations with NRC or Agreement State personnel before they would fully meet all objectives of proposed Section 35.35. This report describes the overall pilot program. The methodology used to select and assemble the group of participating licensees is presented. The various workshops and evaluation questionnaires are discussed, and detailed findings are presented. 7 refs.

  11. 76 FR 39115 - Notice of Proposed Information Collection: Transformation Initiative Family Self-Sufficiency...

    Science.gov (United States)

    2011-07-05

    ... Family Self-Sufficiency Demonstration Small Grants. Description of the need for information and proposed... URBAN DEVELOPMENT Notice of Proposed Information Collection: Transformation Initiative Family Self-Sufficiency Demonstration Small Grants AGENCY: Office of Policy Development and Research, HUD. ACTION: Notice...

  12. 76 FR 20087 - Proposed Collection; Comment Request; State Small Business Credit Initiative Allocation Agreement

    Science.gov (United States)

    2011-04-11

    ... Proposed Collection; Comment Request; State Small Business Credit Initiative Allocation Agreement AGENCY... collection for which approval from the Office of Management and Budget (OMB) will be requested. The proposed collection would be an extension of a currently approved collection under OMB No. 1505-0227 which is due to...

  13. 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.

  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. 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

  16. 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

  17. 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...

  18. A review of national information and communication technologies and a proposed National Electronic Initiative Framework

    OpenAIRE

    Peslak, Alan R.

    2006-01-01

    Information and communications technologies (ICT) have had uneven deployment both between nations and within nations. These differences in the use of ICT and the Internet are part of the “digital divide”, an uneven distribution of information and communications technologies and the benefits that accrue from their use. This article examines electronic initiatives to improve implementation of ICT throughout the world and proposes a multi–level national electronic initiative framework (NEIF) inc...

  19. Cost estimate for a proposed GDF Suez LNG testing program

    Energy Technology Data Exchange (ETDEWEB)

    Blanchat, Thomas K.; Brady, Patrick Dennis; Jernigan, Dann A.; Luketa, Anay Josephine; Nissen, Mark R.; Lopez, Carlos; Vermillion, Nancy; Hightower, Marion Michael

    2014-02-01

    At the request of GDF Suez, a Rough Order of Magnitude (ROM) cost estimate was prepared for the design, construction, testing, and data analysis for an experimental series of large-scale (Liquefied Natural Gas) LNG spills on land and water that would result in the largest pool fires and vapor dispersion events ever conducted. Due to the expected cost of this large, multi-year program, the authors utilized Sandia's structured cost estimating methodology. This methodology insures that the efforts identified can be performed for the cost proposed at a plus or minus 30 percent confidence. The scale of the LNG spill, fire, and vapor dispersion tests proposed by GDF could produce hazard distances and testing safety issues that need to be fully explored. Based on our evaluations, Sandia can utilize much of our existing fire testing infrastructure for the large fire tests and some small dispersion tests (with some modifications) in Albuquerque, but we propose to develop a new dispersion testing site at our remote test area in Nevada because of the large hazard distances. While this might impact some testing logistics, the safety aspects warrant this approach. In addition, we have included a proposal to study cryogenic liquid spills on water and subsequent vaporization in the presence of waves. Sandia is working with DOE on applications that provide infrastructure pertinent to wave production. We present an approach to conduct repeatable wave/spill interaction testing that could utilize such infrastructure.

  20. Proposal for a unified selection to medical residency programs.

    Science.gov (United States)

    Toffoli, Sônia Ferreira Lopes; Ferreira Filho, Olavo Franco; Andrade, Dalton Francisco de

    2013-01-01

    This paper proposes the unification of entrance exams to medical residency programs (MRP) in Brazil. Problems related to MRP and its interface with public health problems in Brazil are highlighted and how this proposal are able to help solving these problems. The proposal is to create a database to be applied in MRP unified exams. Some advantages of using the Item Response Theory (IRT) in this database are highlighted. The MRP entrance exams are developed and applied decentralized where each school is responsible for its examination. These exams quality are questionable. Reviews about items quality, validity and reliability of appliances are not common disclosed. Evaluation is important in every education system bringing on required changes and control of teaching and learning. The proposal of MRP entrance exams unification, besides offering high quality exams to institutions participants, could be as an extra source to rate medical school and cause improvements, provide studies with a database and allow a regional mobility. Copyright © 2013 Elsevier Editora Ltda. All rights reserved.

  1. 78 FR 71634 - 60-Day Notice of Proposed Information Collection: Delta Community Capital Initiative Application...

    Science.gov (United States)

    2013-11-29

    ... Respondent 1 1 1 56.02 37.5 25.00 Total 50 1 56.02 2,801 $937.50 B. Solicitation of Public Comment This... URBAN DEVELOPMENT 60-Day Notice of Proposed Information Collection: Delta Community Capital Initiative... is to allow for 60 days of public comment. DATES: Comments Due Date: January 28, 2014. ADDRESSES...

  2. 76 FR 64083 - Loveland Area Projects-2025 Power Marketing Initiative Proposal

    Science.gov (United States)

    2011-10-17

    ....'' The following key principles were discussed with the firm electric service customers during the... Marketing Initiative (2025 PMI). Western's firm electric service contracts associated with the current... fiscal year 2025. The 2025 PMI proposes to extend the current marketing plan, with amendments to key...

  3. 76 FR 61366 - Food and Drug Administration Transparency Initiative: Draft Proposals for Public Comment to...

    Science.gov (United States)

    2011-10-04

    ... HUMAN SERVICES Food and Drug Administration Food and Drug Administration Transparency Initiative: Draft Proposals for Public Comment to Increase Transparency By Promoting Greater Access to the Agency's Compliance and Enforcement Data; Availability AGENCY: Food and Drug Administration, HHS. ] ACTION: Notice of...

  4. 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

  5. A proposed application programming interface for a physical volume repository

    Science.gov (United States)

    Jones, Merritt; Williams, Joel; Wrenn, Richard

    1996-01-01

    The IEEE Storage System Standards Working Group (SSSWG) has developed the Reference Model for Open Storage Systems Interconnection, Mass Storage System Reference Model Version 5. This document, provides the framework for a series of standards for application and user interfaces to open storage systems. More recently, the SSSWG has been developing Application Programming Interfaces (APIs) for the individual components defined by the model. The API for the Physical Volume Repository is the most fully developed, but work is being done on APIs for the Physical Volume Library and for the Mover also. The SSSWG meets every other month, and meetings are open to all interested parties. The Physical Volume Repository (PVR) is responsible for managing the storage of removable media cartridges and for mounting and dismounting these cartridges onto drives. This document describes a model which defines a Physical Volume Repository, and gives a brief summary of the Application Programming Interface (API) which the IEEE Storage Systems Standards Working Group (SSSWG) is proposing as the standard interface for the PVR.

  6. Technical Proposal Salton Sea Geothermal Power Pilot Plant Program

    Energy Technology Data Exchange (ETDEWEB)

    None

    1975-03-28

    The proposed Salton Sea Geothermal Power Pilot Plant Program comprises two phases. The objective of Phase 1 is to develop the technology for power generation from high-temperature, high-salinity geothermal brines existing in the Salton Sea known geothermal resources area. Phase 1 work will result in the following: (a) Completion of a preliminary design and cost estimate for a pilot geothermal brine utilization facility. (b) Design and construction of an Area Resource Test Facility (ARTF) in which developmental geothermal utilization concepts can be tested and evaluated. Program efforts will be divided into four sub-programs; Power Generation, Mineral Extraction, Reservoir Production, and the Area Resources Test Facility. The Power Generation Subprogram will include testing of scale and corrosion control methods, and critical power cycle components; power cycle selection based on an optimization of technical, environmental and economic analyses of candidate cycles; preliminary design of a pilot geothermal-electric generating station to be constructed in Phase 2 of this program. The Mineral Extraction Subprogram will involve the following: selection of an optimum mineral recovery process; recommendation of a brine clean-up process for well injection enhancement; engineering, construction and operation of mineral recovery and brine clean-up facilities; analysis of facility operating results from environmental, economical and technical point-of-view; preliminary design of mineral recovery and brine clean-up facilities of sufficient size to match the planned pilot power plant. The Reservoir Production Subprogram will include monitoring the operation and maintenance of brine production, handling and injection systems which were built with private funding in phase 0, and monitoring of the brine characteristics and potential subsidence effects during well production and injection. Based on the above, recommendations and specifications will be prepared for production and

  7. 78 FR 23818 - Urbanized Area Formula Program: Proposed Circular

    Science.gov (United States)

    2013-04-22

    ... inaccurate, and now interprets each provision to require their application at the UZA level. In other words... Program (5337) Rural Area Formula Program (5311) Transit Oriented Development Pilot Program (section 20005...

  8. 78 FR 24431 - Notice of Submission of Proposed Information Collection to OMB; Housing Counseling Training Program

    Science.gov (United States)

    2013-04-25

    ... Training Program AGENCY: Office of the Chief Information Officer, HUD. ACTION: Notice. SUMMARY: The... lists the following information: Title of Proposed: Housing Counseling Training Program. OMB Approval... the information and proposed use: The Housing Counseling Training NOFA, which requests narrative...

  9. 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

  10. [Participatory evaluation in health programs: a proposal for the Adolescent Health Care Program].

    Science.gov (United States)

    Bursztyn, Ivani; Ribeiro, José Mendes

    2005-01-01

    This article presents a model for participatory evaluation of the Adolescent Health Program (PROSAD) in Brazil. The study focuses on the concept of participation, with a review of internationally validated planning methodologies (RAP, logFRAME, ZOPP, PCM) and the programmatic characteristics of PROSAD. The proposed model comprises 4 steps, involving the constitution of the analytical matrix, a self-evaluation workshop, a summary of results, and graphic representation. The model promotes participatory practice in health program management by using techniques that allow a workshop to be held in 70 minutes (mean time), producing results that are recognized and easily grasped by the local team.

  11. 76 FR 67200 - Proposed National Toxicology Program (NTP) Review Process for the Report on Carcinogens: Request...

    Science.gov (United States)

    2011-10-31

    ... HUMAN SERVICES National Institutes of Health Proposed National Toxicology Program (NTP) Review Process... the National Toxicology Program (DNTP), National Institute of Environmental Health Sciences (NIEHS... Toxicology Program. BILLING CODE 4140-01-P ...

  12. 76 FR 3080 - Agency Information Collection Activities: Proposed Collection; Comment Request-Food Programs...

    Science.gov (United States)

    2011-01-19

    ...), and the Senior Farmers' Market Nutrition Program (SFMNP). Currently, the nutrition assistance programs... Food and Nutrition Service Agency Information Collection Activities: Proposed Collection; Comment Request--Food Programs Reporting System AGENCY: Food and Nutrition Service (FNS), USDA. ACTION: Notice...

  13. 78 FR 20612 - Agency Information Collection Activities: Proposed Collection; Comment Request-Food Programs...

    Science.gov (United States)

    2013-04-05

    ...) and the Senior Farmers' Market Nutrition Program (SFMNP). Currently, the nutrition assistance programs...; ] DEPARTMENT OF AGRICULTURE Food and Nutrition Service Agency Information Collection Activities: Proposed Collection; Comment Request--Food Programs Reporting System AGENCY: Food and Nutrition Service (FNS), USDA...

  14. 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...

  15. 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...

  16. 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...

  17. Clinical trials recruitment planning: A proposed framework from the Clinical Trials Transformation Initiative.

    Science.gov (United States)

    Huang, Grant D; Bull, Jonca; Johnston McKee, Kelly; Mahon, Elizabeth; Harper, Beth; Roberts, Jamie N

    2018-03-01

    Patient recruitment is widely recognized as a key determinant of success for clinical trials. Yet a substantial number of trials fail to reach recruitment goals-a situation that has important scientific, financial, ethical, and policy implications. Further, there are important effects on stakeholders who directly contribute to the trial including investigators, sponsors, and study participants. Despite efforts over multiple decades to identify and address barriers, recruitment challenges persist. To advance a more comprehensive approach to trial recruitment, the Clinical Trials Transformation Initiative (CTTI) convened a project team to examine the challenges and to issue actionable, evidence-based recommendations for improving recruitment planning that extend beyond common study-specific strategies. We describe our multi-stakeholder effort to develop a framework that delineates three areas essential to strategic recruitment planning efforts: (1) trial design and protocol development, (2) trial feasibility and site selection, and (3) communication. Our recommendations propose an upstream approach to recruitment planning that has the potential to produce greater impact and reduce downstream barriers. Additionally, we offer tools to help facilitate adoption of the recommendations. We hope that our framework and recommendations will serve as a guide for initial efforts in clinical trial recruitment planning irrespective of disease or intervention focus, provide a common basis for discussions in this area and generate targets for further analysis and continual improvement. Copyright © 2018 The Authors. Published by Elsevier Inc. All rights reserved.

  18. Alzheimer’s Prevention Initiative: a proposal to evaluate presymptomatic treatments as quickly as possible

    Science.gov (United States)

    Reiman, Eric M; Langbaum, Jessica BS; Tariot, Pierre N

    2010-01-01

    Now is the time to launch the era of Alzheimer’s disease (AD) prevention research, establish the methods and infrastructure to rapidly evaluate presymptomatic AD treatments and evaluate them rigorously and rapidly in randomized clinical trials. This article is a call to arms. It contends that the evaluation of presymptomatic AD treatments must become an urgent priority, it identifies what is holding us back and proposes new public policies and scientific strategies to overcome these roadblocks. It defines the term ‘presymptomatic AD treatment,’ notes the best established biomarkers of AD progression and pathology and suggests how they could be used to rapidly evaluate presymptomatic AD treatments in the people at risk. It introduces an approach to evaluate presymptomatic AD treatments in asymptomatic people at the highest risk of imminent clinical onset and determines the extent to which the treatment’s biomarker predicts a clinical outcome. We propose an Alzheimer’s Prevention Initiative, which is now being reviewed and refined in partnership with leading academic and industry investigators. It is intended to evaluate the most promising presymptomatic AD treatments, help develop a regulatory pathway for their accelerated approval using reasonably likely surrogate end points and find demonstrably effective presymptomatic AD treatments as quickly as possible. PMID:20383319

  19. 75 FR 5760 - Proposed Information Collection; Comment Request; Western Alaska Community Development Quota Program

    Science.gov (United States)

    2010-02-04

    ... National Oceanic and Atmospheric Administration Proposed Information Collection; Comment Request; Western Alaska Community Development Quota Program AGENCY: National Oceanic and Atmospheric Administration (NOAA... opportunity to comment on proposed and/or continuing information collections, as required by the Paperwork...

  20. 75 FR 60169 - Proposed Information Collection (Vetbiz Vendor Information Pages Verification Program) Activity...

    Science.gov (United States)

    2010-09-29

    ... AFFAIRS Proposed Information Collection (Vetbiz Vendor Information Pages Verification Program) Activity... use of other forms of information technology. Title: Vetbiz Vendor Information Pages Verification... collection. Abstract: Vetbiz Vendor Information Pages Verification Program is used to assist federal agencies...

  1. 77 FR 17458 - Proposed Information Collection; Comment Request; Observer Programs' Information that Can Be...

    Science.gov (United States)

    2012-03-26

    ... Programs' Information that Can Be Gathered Only Through Questions AGENCY: National Oceanic and Atmospheric... action and proposed management options; and (5) ensure that the observer programs can safely and...

  2. 75 FR 75693 - Rehabilitation Mortgage Insurance Underwriting Program Section 203(k); Notice of Proposed...

    Science.gov (United States)

    2010-12-06

    ... URBAN DEVELOPMENT Rehabilitation Mortgage Insurance Underwriting Program Section 203(k); Notice of... INFORMATION CONTACT: Arlene Nunes, Deputy Director, Home Mortgage Insurance Division, Office of Single Family... information: Title of Proposal: Rehabilitation Mortgage Insurance Underwriting Program Section 203(k). OMB...

  3. 76 FR 71037 - Proposed National Toxicology Program (NTP) Review Process for the Report on Carcinogens: Request...

    Science.gov (United States)

    2011-11-16

    ... HUMAN SERVICES Proposed National Toxicology Program (NTP) Review Process for the Report on Carcinogens... Toxicology Program (DNTP), National Institute of Environmental Health Sciences (NIEHS); National Institutes... (see ADDRESSES). Dated: November 8, 2011. John R. Bucher, Associate Director, National Toxicology...

  4. 78 FR 29331 - Proposed Information Collection; Comment Request; Western Alaska Community Development Quota Program

    Science.gov (United States)

    2013-05-20

    ... current information collection. The Western Alaska Community Development Quota (CDQ) Program is an... National Oceanic and Atmospheric Administration Proposed Information Collection; Comment Request; Western Alaska Community Development Quota Program AGENCY: National Oceanic and Atmospheric Administration (NOAA...

  5. Validation of a proposal for evaluating hospital infection control programs.

    Science.gov (United States)

    Silva, Cristiane Pavanello Rodrigues; Lacerda, Rúbia Aparecida

    2011-02-01

    To validate the construct and discriminant properties of a hospital infection prevention and control program. The program consisted of four indicators: technical-operational structure; operational prevention and control guidelines; epidemiological surveillance system; and prevention and control activities. These indicators, with previously validated content, were applied to 50 healthcare institutions in the city of São Paulo, Southeastern Brazil, in 2009. Descriptive statistics were used to characterize the hospitals and indicator scores, and Cronbach's α coefficient was used to evaluate the internal consistency. The discriminant validity was analyzed by comparing indicator scores between groups of hospitals: with versus without quality certification. The construct validity analysis was based on exploratory factor analysis with a tetrachoric correlation matrix. The indicators for the technical-operational structure and epidemiological surveillance presented almost 100% conformity in the whole sample. The indicators for the operational prevention and control guidelines and the prevention and control activities presented internal consistency ranging from 0.67 to 0.80. The discriminant validity of these indicators indicated higher and statistically significant mean conformity scores among the group of institutions with healthcare certification or accreditation processes. In the construct validation, two dimensions were identified for the operational prevention and control guidelines: recommendations for preventing hospital infection and recommendations for standardizing prophylaxis procedures, with good correlation between the analysis units that formed the guidelines. The same was found for the prevention and control activities: interfaces with treatment units and support units were identified. Validation of the measurement properties of the hospital infection prevention and control program indicators made it possible to develop a tool for evaluating these programs

  6. 77 FR 30305 - Notice of Proposed Information Collection; Comment Request Housing Counseling Program

    Science.gov (United States)

    2012-05-22

    ... URBAN DEVELOPMENT Notice of Proposed Information Collection; Comment Request Housing Counseling Program.... This Notice also lists the following information: Title of Proposal: Housing Counseling Program. OMB...: Nonprofit Housing Counseling organizations submit information to HUD through Grants.gov when applying for...

  7. 76 FR 22411 - Notice of Proposed Information Collection: Comment Request; Housing Counseling Program...

    Science.gov (United States)

    2011-04-21

    ... URBAN DEVELOPMENT Notice of Proposed Information Collection: Comment Request; Housing Counseling Program--Application for Approval as a Housing Counseling Agency AGENCY: Office of the Assistant Secretary for Housing... information: Title of Proposal: Housing Counseling Program--Application for Approval as a Housing Counseling...

  8. "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

  9. US Air Force 1989 Research Initiation Program. Volume 2.

    Science.gov (United States)

    1992-06-25

    formed in both cases, however, this ketone rearranged in a (3,3] sigmatropic fashion DA!& to compound 1. For the Jones oxidation, rearrangement occurred...effort 3 . Cost sharing by the university. The list of proposals selected for award was forwarded to AFOSR for approval of funding and for research...proposals were made by the contractor. Evaluation criteria consisted of: 0 1. Technical excellence of the proposal 2. Continuation of the SFRP effort 3 . Cost

  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. 75 FR 52393 - Proposed Data Collection; Comment Request: New Markets Tax Credit (NMTC) Program-Allocation...

    Science.gov (United States)

    2010-08-25

    ... Proposed Data Collection; Comment Request: New Markets Tax Credit (NMTC) Program--Allocation Application... the New Markets Tax Credit (NMTC) Program--Allocation Application (hereafter, the Application). DATES...: Direct all comments to Rosa Martinez, Acting NMTC Program Manager, Community Development Financial...

  12. 77 FR 39342 - Proposed Information Collection (Homeless Providers Grant and Per Diem Program) Activity; Comment...

    Science.gov (United States)

    2012-07-02

    .../or per diem for programs to assist homeless veterans' transition to independent living and to... AFFAIRS Proposed Information Collection (Homeless Providers Grant and Per Diem Program) Activity; Comment.... Titles a. Homeless Providers Grant and Per Diem Program, Capital Grant. Application, VA Form 10-0361-CG...

  13. 75 FR 60398 - California: Proposed Authorization of State Hazardous Waste Management Program Revision

    Science.gov (United States)

    2010-09-30

    ... AGENCY 40 CFR Part 271 California: Proposed Authorization of State Hazardous Waste Management Program... application for authorization for changes to its hazardous waste management program by November 1, 2010... waste management program. EPA continues to have independent enforcement authority under RCRA sections...

  14. 78 FR 77204 - Proposed Information Collection (VA National Veterans Sports Programs and Special Event Surveys...

    Science.gov (United States)

    2013-12-20

    ... AFFAIRS Proposed Information Collection (VA National Veterans Sports Programs and Special Event Surveys... solicits comments on the information needed to evaluate the National Veterans Sports Programs and Special... ``OMB Control No. 2900-NEW (VA National Veterans Sports Programs and Special Event Surveys)'' in any...

  15. Reformation or Reclassification? A Proposal of a Rating System for Youth Sport Programs

    Science.gov (United States)

    Wiersma, Lenny D.

    2005-01-01

    The vast diversity in goals and emphases of sport programs for children and the potential problems that exist when a child is enrolled in a program that does not best serve his/her needs accentuate the need for a rating system for youth sport programs. The current proposal of a youth sport rating scale would provide information for parents on the…

  16. 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...

  17. 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

  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. 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.

  20. 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...

  1. 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…

  2. 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...

  3. Interstate 80 high-occupancy vehicle lane project : initial study, proposed mitigated negative declaration.

    Science.gov (United States)

    2006-12-01

    The Solano Transportation Authority (STA) in cooperation with the California Department of : Transportation (Caltrans) proposes to construct high-occupancy vehicle (HOV) lanes within the : median of Interstate 80 (I-80) between Red Top Road and Air B...

  4. Initial assessment: electromagnetic compatibility aspects of proposed SPS Microwave Power Transmission System (MPTS) operations

    Energy Technology Data Exchange (ETDEWEB)

    1978-02-01

    An analysis of major concerns with regard to the effects on radio and electronic systems by the proposed Microwave Power Transmission System for transmitting power from a satellite solar power station to earth is presented. (LCL)

  5. 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

  6. 75 FR 23851 - Medicare Program; Proposed Changes to the Hospital Inpatient Prospective Payment Systems for...

    Science.gov (United States)

    2010-05-04

    ... medical education I-O Input-Output IOM Institute of Medicine IPF Inpatient psychiatric facility IPPS... Determinations 6. RHQDAPU Program Disaster Extensions and Waivers 7. Proposed Chart Validation Requirements for...

  7. 76 FR 44306 - Proposed Information Collection; Comment Request; Fisheries Finance Program Requirements

    Science.gov (United States)

    2011-07-25

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF COMMERCE National Oceanic and Atmospheric Administration Proposed Information Collection; Comment Request; Fisheries Finance Program Requirements AGENCY: National Oceanic and Atmospheric Administration (NOAA), Commerce...

  8. 77 FR 50457 - Agency Information Collection Activities: Proposed Collection; Comment Request-WIC Program...

    Science.gov (United States)

    2012-08-21

    ... foods, nutrition education, and health care referrals to low income, nutritionally at risk pregnant... Food and Nutrition Service Agency Information Collection Activities: Proposed Collection; Comment Request--WIC Program Regulations--Reporting and Recordkeeping Burden AGENCY: Food and Nutrition Service...

  9. 75 FR 67948 - Proposed Information Collection; Comment Request; Marine Recreational Information Program (Marine...

    Science.gov (United States)

    2010-11-04

    ... Proposed Information Collection; Comment Request; Marine Recreational Information Program (Marine... renewal of an existing information collection. Marine recreational anglers are surveyed for catch and effort data, fish biology data, and angler socioeconomic characteristics. These data are required to...

  10. 75 FR 27789 - Proposed Collection; Comment Request; Application for the Pharmacology Research Associate Program

    Science.gov (United States)

    2010-05-18

    ... projects to be submitted to the Office of Management and Budget (OMB) for review and approval. Proposed... program is to develop leaders in pharmacological research for key positions in academic, industrial, and...

  11. 76 FR 38197 - Notice of Submission of Proposed Information Collection to OMB; Housing Counseling Program...

    Science.gov (United States)

    2011-06-29

    ... URBAN DEVELOPMENT Notice of Submission of Proposed Information Collection to OMB; Housing Counseling... provide oversight for agencies approved to participate in the Housing Counseling Program. Specifically... counseling aids tenants and homeowners in ] improving their housing conditions and in meeting the...

  12. 78 FR 17354 - Proposed Information Collection; Comment Request; Western Pacific Community Development Program...

    Science.gov (United States)

    2013-03-21

    ... Collection The collection of information of a community development plan involves no forms, and respondents... National Oceanic and Atmospheric Administration Proposed Information Collection; Comment Request; Western Pacific Community Development Program Process AGENCY: National Oceanic and Atmospheric Administration...

  13. 77 FR 43428 - Financial Management Service; Proposed Collection of Information: Minority Bank Deposit Program...

    Science.gov (United States)

    2012-07-24

    ... Fiscal Service Financial Management Service; Proposed Collection of Information: Minority Bank Deposit Program (MBDP) Certification Form for Admission AGENCY: Financial Management Service, Fiscal Service, Treasury. ACTION: Notice and Request for comments. SUMMARY: The Financial Management Service, as part of...

  14. 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.

  15. 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

  16. 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.

  17. 76 FR 24041 - Notice of Proposed Information Collection: Comment Request; HUD Housing Counseling Program-Agency...

    Science.gov (United States)

    2011-04-29

    ... Counseling Agencies and maintains a toll free housing counseling hotline, performance reviews help HUD ensure... URBAN DEVELOPMENT Notice of Proposed Information Collection: Comment Request; HUD Housing Counseling... information: Title of Proposal: HUD Housing Counseling Program--Agency Performance Review. OMB Control Number...

  18. 77 FR 50150 - Notice of Proposed Information Collection for Public Comment: Debt Resolution Program

    Science.gov (United States)

    2012-08-20

    ... URBAN DEVELOPMENT Notice of Proposed Information Collection for Public Comment: Debt Resolution Program... (OMB) for review, as required by the Paperwork Reduction Act. The Department is soliciting public... comments from members of the public and affected agencies concerning the proposed collection of information...

  19. 77 FR 29647 - Medicare Program; Solicitation for Proposals for the Medicare Graduate Nurse Education...

    Science.gov (United States)

    2012-05-18

    ... [CMS-5052-N2] Medicare Program; Solicitation for Proposals for the Medicare Graduate Nurse Education... participate in the Medicare Graduate Nurse Education (GNE) Demonstration. DATES: Proposals will be considered...--(A) 1 or more applicable schools of nursing; and (B) 2 or more applicable non- hospital community...

  20. 77 FR 39722 - Notice of Proposed Information Collection for Public Comment: Housing Choice Voucher Program...

    Science.gov (United States)

    2012-07-05

    ... sample. For the current OMB request, the research team proposes three main types of data collection: (1... Act. The Department is soliciting public comments on the subject proposal. This request is for the... accurate information on the costs of administering the HCV program across a national sample of high- [[Page...

  1. 75 FR 9120 - Energy Conservation Program: Public Meeting and Availability of the Notice of Proposed Rulemaking...

    Science.gov (United States)

    2010-03-01

    ...; ] DEPARTMENT OF ENERGY 10 CFR Part 431 RIN 1904-AB85 Energy Conservation Program: Public Meeting and Availability of the Notice of Proposed Rulemaking for Walk-In Coolers and Walk-In Freezers; Date Change AGENCY: Office of Energy Efficiency and Renewable Energy, Department of Energy. ACTION: Proposed rulemaking; date...

  2. Proposal for Indicators to Evaluate the Quality of a Postgraduate Program in Education

    Directory of Open Access Journals (Sweden)

    Edgar Oliver Cardoso Espinosa

    2011-11-01

    Full Text Available It is now imperative for those postgraduate programs oriented toward Education to meet the quality standards set by the National Postgraduate-Quality Program (PNPC, since this constitutes the Federal Government's main guideline for allocating resources. The present study aims to propose indicators that would allow assessment of postgraduate-program quality in Education by using the following criteria as a basis for analysis: efficacy, efficiency, importance, equity and relevance. It also indicates the status of these programs to the CONACYT, a minimal involvement, demonstrating the need to establish indicators that would serve as a guide for cataloguing programs according to their quality.

  3. 76 FR 53882 - Proposed Information Collection; Comment Request; Trade Fair Certification Program Application

    Science.gov (United States)

    2011-08-30

    ... International Trade Administration Proposed Information Collection; Comment Request; Trade Fair Certification... and instructions should be directed to Michael Thompson, Trade Fair Certification Program, U.S... . SUPPLEMENTARY INFORMATION: I. Abstract The Trade Fair Certification (TFC) Program is a service of the U.S...

  4. 77 FR 16319 - Proposed Renewal; Comment Request; Anti-Money Laundering Programs for Various Financial Institutions

    Science.gov (United States)

    2012-03-20

    ... Financial Crimes Enforcement Network Proposed Renewal; Comment Request; Anti-Money Laundering Programs for... develop and implement written anti-money laundering programs reasonably designed to prevent those financial institutions from being used to facilitate money laundering and the financing of terrorist...

  5. 76 FR 15052 - Proposed Information Collection (Time Record (Work-Study Program); Comment Request

    Science.gov (United States)

    2011-03-18

    ... AFFAIRS Proposed Information Collection (Time Record (Work-Study Program); Comment Request AGENCY... of automated collection techniques or the use of other forms of information technology. Title: Time Record (Work-Study Program)), VA Form 22-8690. OMB Control Number: 2900-0379. Type of Review: Extension...

  6. 77 FR 65244 - 60-Day Notice of Proposed Information Collection: Smart Traveler Enrollment Program

    Science.gov (United States)

    2012-10-25

    ... Notice of Proposed Information Collection: Smart Traveler Enrollment Program ACTION: Notice of request... 1995, we are requesting comments on this collection from all interested individuals and organizations...: Smart Traveler Enrollment Program (STEP) OMB Control Number: 1405-0152 Type of Request: Extension...

  7. 78 FR 1916 - 30-Day Notice of Proposed Information Collection: Smart Traveler Enrollment Program

    Science.gov (United States)

    2013-01-09

    ... Notice of Proposed Information Collection: Smart Traveler Enrollment Program ACTION: Notice of request... comments on this collection from all interested individuals and organizations. The purpose of this Notice... Information Collection: Smart Traveler Enrollment Program (STEP). OMB Control Number: 1405-0152. Type of...

  8. 78 FR 31999 - 30-Day Notice of Proposed Information Collection: Iran Democracy Program Grants Vetting

    Science.gov (United States)

    2013-05-28

    ... Notice of Proposed Information Collection: Iran Democracy Program Grants Vetting ACTION: Notice of...: Iran Program Grants Vetting. OMB Control Number: 1405-0176. Type of Request: Extension. ] Originating... conduct this vetting, the Department collects information from grantees and sub-grantees regarding the...

  9. 75 FR 25307 - 30-Day Notice of Proposed Information Collection: DS-4100, Iran Program Grants Vetting...

    Science.gov (United States)

    2010-05-07

    ... Notice of Proposed Information Collection: DS-4100, Iran Program Grants Vetting, Information Collection... Department conduct a vetting of potential Iran programs grantees and sub-grantees for counter-terrorism purposes. To conduct this vetting the Department envisions collecting information from grantees and sub...

  10. 78 FR 15798 - 60-Day Notice of Proposed Information Collection: Iran Democracy Program Grants Vetting

    Science.gov (United States)

    2013-03-12

    ... Notice of Proposed Information Collection: Iran Democracy Program Grants Vetting ACTION: Notice of... to conduct vetting of potential Iran ] program grantees and sub-grantees for counter-terrorism purposes. To conduct this vetting, the Department collects information from grantees and sub-grantees...

  11. 75 FR 2181 - 60-Day Notice of Proposed Information Collection: DS-4100, Iran Program Grants Vetting...

    Science.gov (United States)

    2010-01-14

    ... Notice of Proposed Information Collection: DS-4100, Iran Program Grants Vetting, Information Collection... Foreign Assets Control (OFAC) mandates that the Department conduct a vetting of potential Iran programs grantees and sub-grantees for counter-terrorism purposes. To conduct this vetting the Department envisions...

  12. 77 FR 24766 - Call for Proposals for a Micro Support Program on International Conflict Resolution and...

    Science.gov (United States)

    2012-04-25

    ... funding, and provide financial and report management oversight. Deadline: Friday, May 11, 2012 at 3 p.m... PEACE Call for Proposals for a Micro Support Program on International Conflict Resolution and... Support Program on International Conflict Resolution and Peacebuilding. The United States Institute of...

  13. 75 FR 78798 - Airport Improvement Program: Proposed Changes to Benefit Cost Analysis (BCA) Threshold

    Science.gov (United States)

    2010-12-16

    ... Federal Aviation Administration Airport Improvement Program: Proposed Changes to Benefit Cost Analysis... requiring benefit cost analyses (BCA) for capacity projects when applying for Airport Improvement Program... Friday, except Federal holidays. Privacy: We will post all comments we receive, without change, to http...

  14. 78 FR 5479 - Notice of Proposed Information Collection: Comment Request; Housing Counseling Training Program

    Science.gov (United States)

    2013-01-25

    ... Training Program AGENCY: Office of the Assistant Secretary for Housing, HUD. ACTION: Notice. SUMMARY: The.... This Notice also lists the following information: Title of Proposal: Housing Counseling Training Program. OMB Control Number, if applicable: 2502-0567. Description of the need for the information and...

  15. 75 FR 78939 - Senior Community Service Employment Program; Notice of Proposed Rulemaking, Additional Indicator...

    Science.gov (United States)

    2010-12-17

    ... Program; Notice of Proposed Rulemaking, Additional Indicator on Volunteer Work; Correction AGENCY... Service Employment Program (SCSEP), Additional Indicator on Volunteer Work that was published on November 23, 2010. The NPRM updates the SCSEP regulations to add an indicator to measure the number of exiting...

  16. 78 FR 32242 - Notice of Proposed Collection Requests; Comment Request; Program for International Student...

    Science.gov (United States)

    2013-05-29

    ... Notice of Proposed Collection Requests; Comment Request; Program for International Student Assessment...) for the Program for International Student Assessments (PISA 2015) Recruitment and Field Test, 1850... will include an assessment of students' financial literacy. From the sample of students that take the...

  17. 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…

  18. 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...

  19. 78 FR 71635 - 60-Day Notice of Proposed Information Collection: Appalachia Economic Development Initiative and...

    Science.gov (United States)

    2013-11-29

    ... Annual cost Per Respondent 1 1 1 56.02 37.5 25.00 Total 50 1 56.02 2,801 $937.50 B. Solicitation of... URBAN DEVELOPMENT 60-Day Notice of Proposed Information Collection: Appalachia Economic Development... is to allow for 60 days of public comment. DATES: Comments Due Date: January 28, 2014. ADDRESSES...

  20. Health and Economic Impacts of the Proposed Florida Smokefree for Health Initiative

    OpenAIRE

    Ong, Michael MD, Ph.D.; Lightwood, James M. Ph.D.; Glantz, Stanton A. Ph.D.

    2003-01-01

    Florida was an early and important battleground for local nonsmokers’ rights advocates vs. the tobacco industry. In the early 1980s, several cities in Florida passed what were at the time state-of-the art local clean indoor air ordinances. The tobacco industry responded by working through the state restaurant association and others to enact a weak statewide law that overturned these local ordinances and forbade passage of additional laws. While the state voluntary health agencies initially...

  1. Striking a Balance between Program Requirements and GT Principles: Writing a compromised GT proposal

    Directory of Open Access Journals (Sweden)

    Sherry L. Xie, Ph.D. Candidate

    2009-06-01

    Full Text Available Glaser’s term “compromised GT proposal” (2001, p.114 refers to the type of Grounded Theory (GT proposal that is written in order to conform to the requirements of a standardized qualitative research proposal. A GT proposal needs only to supply information on the area of interest, the data source and a statement of method to the effect that the researcher begin to collect, code and analyse the data and let the theory emerge. Thus, the proposal may only occupy “a page or two” (Glaser, 2001, p. 111. Whilst being consistent with the methodology, a GT proposal sometimes has to give way to the format specified by a PhD program or committee even though the format was not defined for a GT proposal and in some areas, conflicts with GT principles; for example, the format may require a literature review. This short paper reports on my experience of writing a compromised GT proposal as a first-time GT researcher. It describes how both Glaser’s advice on writing compromised GT research proposals and the characteristics of the substantive area of the proposed research were used to satisfy program requirements while still maintaining GT fundamentals.

  2. 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...

  3. The first two years of the Gemini Fast Turnaround Proposal Program

    Science.gov (United States)

    Andersen, Morten; Mason, Rachel; Geballe, Thomas R.; Chiboucas, Kristin; Salinas, Ricardo; Lundquist, Michael J.; scharwaechter, Julia; Schirmer, Mischa; silva, Karleyene

    2017-01-01

    Gemini Observatory has since February 2015 offered telescope time monthly through the Fast Turnaround observing route. A fast review process by the proposers themselves coupled with rapid scheduling allow the proposals to go from submission to part of the queue in a month and the observations are then active for 3 months, much faster than the traditional semester based proposal scheme.Both telescopes are included and around 10% of the available telescope time is allocated each month.Here we present the early results and lessons learned from the program. We discuss the over-subscription, the review process and the selection of proposals as well as the scheduling. The completion rates is further discussed. Finally we highlight some of the science results coming out of the program.

  4. 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...

  5. 78 FR 59666 - Transmission Infrastructure Program; Proposed Transmission Infrastructure Program Updates and...

    Science.gov (United States)

    2013-09-27

    ... principle investment, all operating costs including overhead, and accrued interest by the end of the project... Programs Office into the process. The FRN also identifies the principles Western will continue using to... Contents I. Definitions II. Principles III. Project Evaluation Criteria IV. Project Life-Cycle Overview V...

  6. "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…

  7. 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...

  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. 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.

  10. 76 FR 7570 - Proposed Collection; Comment Request; National Institutes of Health Loan Repayment Programs

    Science.gov (United States)

    2011-02-10

    ... Application System (MIS/OAS). Request for Comments: Written comments and/or suggestions from the public and... participation in the program. Frequency of Response: Initial application and one- or two-year renewal application. Affected Public: Individuals or households, nonprofits, and businesses or other for-profit. Type...

  11. Investment in selective social programs: a proposed methodological tool for the analysis of programs’ sustainability

    Directory of Open Access Journals (Sweden)

    Manuel Antonio Barahona Montero

    2014-08-01

    Full Text Available This paper proposes a methodology to evaluate sustainability of Selective Social Programs (SSP, based on the relationship between economic growth and human development posed by the United Nations Development Program (UNDP.  For such purposes, the Circle of Sustainability is developed, which is comprised of 12 pillars. Each pillar is evaluated based on its current status and impact.  Combining both results allows to assesses sustainability of these programs and identify areas of focus. Therefore, this methodology helps to better channel available efforts and resources.

  12. Cost-Benefit Comparison of Two Proposed Overseas Programs for Reducing Chronic Hepatitis B Infection among Refugees: Is Screening Essential?

    Science.gov (United States)

    Jazwa, Amelia; Coleman, Margaret S.; Gazmararian, Julie; Wingate, La’Marcus T.; Maskery, Brian; Mitchell, Tarissa; Weinberg, Michelle

    2015-01-01

    Background Refugees are at an increased risk of chronic Hepatitis B Virus (HBV) infection because many of their countries of origin, as well as host countries, have intermediate-to-high prevalence rates. Refugees arriving to the US are also at risk of serious sequelae from chronic HBV infection because they are not routinely screened for the virus overseas or in domestic post-arrival exams, and may live in the US for years without awareness of their infection status. Methods A cohort of 26,548 refugees who arrived in Minnesota and Georgia during 2005–2010 was evaluated to determine the prevalence of chronic HBV infection. This prevalence information was then used in a cost-benefit analysis comparing two variations of a proposed overseas program to prevent or ameliorate the effects of HBV infection, titled ‘Screen, then vaccinate or initiate management’ (SVIM) and ‘Vaccinate only’ (VO). The analyses were performed in 2013. All values were converted to US 2012 dollars. Results The estimated six year period-prevalence of chronic HBV infection was 6.8% in the overall refugee population arriving to Minnesota and Georgia and 7.1% in those ≥ 6 years of age. The SVIM program variation was more cost beneficial than VO. While the up-front costs of SVIM were higher than VO ($154,084 vs. $73,758; n=58,538 refugees), the SVIM proposal displayed a positive net benefit, ranging from $24 million to $130 million after only 5 years since program initiation, depending on domestic post-arrival screening rates in the VO proposal. Conclusions Chronic HBV infection remains an important health problem in refugees resettling to the United States. An overseas screening policy for chronic HBV infection is more cost-beneficial than a ‘Vaccination only’ policy. The major benefit drivers for the screening policy are earlier medical management of chronic HBV infection and averted lost societal contributions from premature death. PMID:25595868

  13. 77 FR 61776 - Notice of Submission of Proposed Information Collection to OMB Housing Counseling Program

    Science.gov (United States)

    2012-10-11

    ... URBAN DEVELOPMENT Notice of Submission of Proposed Information Collection to OMB Housing Counseling... September 17, 2012, at 77 FR 57103, HUD published Housing Counseling Program and reference to the NOFA charts were excluded. Nonprofit Housing Counseling organizations ] submit information to HUD through...

  14. 78 FR 70090 - 30-Day Notice of Proposed Information Collection: PEPFAR Program Expenditures

    Science.gov (United States)

    2013-11-22

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF STATE 30-Day Notice of Proposed Information Collection: PEPFAR Program Expenditures ACTION: Notice of request for... to allow 30 days for public comment. DATES: Submit comments directly to the Office of Management and...

  15. 78 FR 23288 - Proposed Information Collection: State Water Resources Research Institute Program; Annual...

    Science.gov (United States)

    2013-04-18

    ... research into areas of water management, development, and conservation that have a regional or national... Geological Survey Proposed Information Collection: State Water Resources Research Institute Program; Annual... collection (IC) to renew approval of the paperwork requirements for ``National Institutes for Water Resources...

  16. Communicative Competence of the Fourth Year Students: Basis for Proposed English Language Program

    Science.gov (United States)

    Tuan, Vu Van

    2017-01-01

    This study on level of communicative competence covering linguistic/grammatical and discourse has aimed at constructing a proposed English language program for 5 key universities in Vietnam. The descriptive method utilized was scientifically employed with comparative techniques and correlational analysis. The researcher treated the surveyed data…

  17. 77 FR 10718 - Request for Proposals: 2012 Hazardous Fuels Woody Biomass Utilization Grant Program

    Science.gov (United States)

    2012-02-23

    ... Forest Service Request for Proposals: 2012 Hazardous Fuels Woody Biomass Utilization Grant Program AGENCY... applications for wood energy projects that require engineering services. The document contained incorrect dates... regulations, contact your appropriate Forest Service Regional Biomass Coordinator as listed in the addresses...

  18. 78 FR 59048 - 30-Day Notice of Proposed Information Collection: Family Self-Sufficiency Program (FSS)

    Science.gov (United States)

    2013-09-25

    ... URBAN DEVELOPMENT 30-Day Notice of Proposed Information Collection: Family Self- Sufficiency Program..., 2013. A. Overview of Information Collection Title of Information Collection: Family Self-Sufficiency... toward economic independence and self-sufficiency. Public Housing Agencies consult with local officials...

  19. 78 FR 67183 - Proposed Information Collection; Migratory Bird Harvest Information Program and Migratory Bird...

    Science.gov (United States)

    2013-11-08

    ... Fish and Wildlife Service Proposed Information Collection; Migratory Bird Harvest Information Program and Migratory Bird Surveys AGENCY: Fish and Wildlife Service, Interior. ACTION: Notice; request for... Bird Treaty Act (16 U.S.C. 703-711) and the Fish and Wildlife Act of 1956 (16 U.S.C. 742d) designate...

  20. 77 FR 28854 - Proposed Information Collection; Comment Request; Coastal Zone Management Program Administration

    Science.gov (United States)

    2012-05-16

    ... importance of U.S. coastal areas, the U.S. Congress passed the Coastal Zone Management Act of 1972 (CZMA), 16... approve amendments or program changes; and report on the states' coastal nonpoint source pollution... National Oceanic and Atmospheric Administration Proposed Information Collection; Comment Request; Coastal...

  1. 76 FR 38198 - Notice of Submission of Proposed Information Collection to OMB Housing Counseling Program...

    Science.gov (United States)

    2011-06-29

    ... URBAN DEVELOPMENT Notice of Submission of Proposed Information Collection to OMB Housing Counseling Program- Application for Approval as a Housing Counseling Agency AGENCY: Office of the Chief Information... counseling services directly or through their affiliates or branches regarding home buying, homeownership and...

  2. 78 FR 5421 - Proposed Information Collection; Comment Request; NOAA's Teacher at Sea Program

    Science.gov (United States)

    2013-01-25

    ... National Oceanic and Atmospheric Administration Proposed Information Collection; Comment Request; NOAA's Teacher at Sea Program AGENCY: National Oceanic and Atmospheric Administration (NOAA), Commerce. ACTION... Hammond, (301) 713-0353, or [email protected]noaa.gov . SUPPLEMENTARY INFORMATION: I. Abstract This...

  3. 77 FR 41191 - Proposed Collection; Comment Request: Effectiveness of the NIH Curriculum Supplements Programs

    Science.gov (United States)

    2012-07-12

    ... NIH Curriculum Supplements Programs SUMMARY: In compliance with the requirements of section 3506(c)(2... review and approval. Proposed Collection: Title: The Effectiveness of the NIH Curriculum Supplements... will attempt to assess customer demographics and their satisfaction with the NIH curriculum supplements...

  4. 78 FR 11870 - Proposed Information Collection Request; Comment Request; Renewable Fuels Standard (RFS2) Program

    Science.gov (United States)

    2013-02-20

    ... the proposed collection of information, including the validity of the methodology and assumptions used... Fuel Producer Co-products Report RFS0801: RFS2 Renewable Biomass Report RFS0901: RFS2 Production... of the RFS2 program and was not a feature of RFS1. For the new EMTS system, all parties who owned...

  5. A Proposal for a CA-Integrated English Language Teacher Education Program in Turkey

    Science.gov (United States)

    Sert, Olcay

    2010-01-01

    This study proposes a comprehensive framework for a Conversation Analysis (CA) informed English language teacher education program in Turkey. By reviewing recent studies in CA, Critical Reflective Practice, Teacher Language Awareness and language teacher education in general; the author calls for a more effective language teacher education program…

  6. 78 FR 12349 - Proposed Information Collection; Land and Water Conservation Fund State Assistance Program

    Science.gov (United States)

    2013-02-22

    ... National Park Service Proposed Information Collection; Land and Water Conservation Fund State Assistance... INFORMATION: I. Abstract The Land and Water Conservation Fund Act of 1965 (LWCF Act) (16 U.S.C. 460l-4 et seq... discussed in detail in the Land and Water Conservation Fund State Assistance Program Federal Financial...

  7. 78 FR 23775 - Notice of Proposed Information Collection; Comment Request: Tax Credit Assistance Program (TCAP)

    Science.gov (United States)

    2013-04-22

    ... URBAN DEVELOPMENT Notice of Proposed Information Collection; Comment Request: Tax Credit Assistance... Credit Assistance Program (TCAP). This is a revision of an already approved information collection. HUD... information collection requirement described below has been submitted to the Office of Management and Budget...

  8. A situational analysis of pharmacovigilance plans in the Global Fund Malaria and U.S. President's Malaria Initiative proposals.

    Science.gov (United States)

    Stergachis, Andy; Bartlein, Rebecca J K; Dodoo, Alexander; Nwokike, Jude; Kachur, S Patrick

    2010-05-30

    Pharmacovigilance programmes can monitor and help ensure the safe use of medicines that are critical to the success of global public health programmes. The widespread deployment of artemisinin-based combination therapy (ACT) by national malaria control programmes as part of the overall Global Malaria Action Plan for malaria control to elimination and eradication makes ACT an excellent candidate for pharmacovigilance activities. In 2008, The Roll Back Malaria partnership issued guidelines for inclusion of pharmacovigilance in Global Fund and other related proposals. In light of this recommendation and the rapid scale-up of ACT worldwide, an analysis of Global Fund Round 8 proposals and the President's Malaria Initiative (PMI) 2009 Malaria Operational Plans was conducted to assess if and how pharmacovigilance has been incorporated into countries' national malaria plans and donor budget requests. The Global Fund-Malaria Round 8 proposals for the 26 countries and the PMI Malaria Operational Plans (MOPs) for fiscal year 2009 for the 15 countries that were approved and received funding from either the Global Fund-Malaria Round 8 or PMI were accessed through the programme websites. The analysis consisted of conducting word counts and key word in context analyses of each proposal and plan. Twelve out of 26 (46%) of the Global Fund proposals mentioned that established pharmacovigilance systems were present in their countries. Four of the fifteen PMI MOPs (27%) mentioned that established pharmacovigilance systems were present in their countries. Only seven of the 26 (27%) Global Fund proposals included a request for funding for new or current pharmacovigilance activities. Seven of 15 (47%) MOPs included a request for funding for pharmacovigilance activities. There were relatively few requests for funding for pharmacovigilance activities, demonstrating a lack of emphasis placed on pharmacovigilance systems in recipient countries. The findings stress the need for more active

  9. 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.

  10. Students' needs reflected in the efl program: a small-scale evaluation of the methodologies proposed in an english program

    OpenAIRE

    Mora Acosta Lisbeth; Ramos Holguín Bertha

    2009-01-01

    In order to evaluate if there were discrepancies or not among the methodology proposed in the English program, students’ needs and what the teacher was actually doing in her classes, 13 ninth graders were asked to answer two questionnaires and they were also observed while they were in their English classes at the Institución Educativa Departamental El Vino (Cundinamarca, Colombia). The English teacher was also interviewed and a self- assessment questionnaire was given to her. The analysis of...

  11. BA- proposal made in collaboration between students and clinical practitioner at the OT-program

    DEFF Research Database (Denmark)

    Hove, Anne

    2014-01-01

    Presentation 24 BA- proposal made in collaboration between students and clinical practitioner at the OT-program Anne Hove (Metropolitan University College, Denmark) At the OT education a key aim is to ensure the students develop their BA-projects in a concrete collaboration with the practice field...... developing a project proposal is a difficult task. We have therefore in the spring of 2014 piloted a new ways of addressing this challenge. We have given students and practitioners the opportunity to develop project proposals in collaboration. I will present the first experiences from the pilot. We will host....... This focus is strengthen through a process where clinical practitioners and students develop in collaboration project proposals to BA-projects. We strongly believe that students learn more with this type of BA-project. In the lecture, I will short describe the learning potential we see in this type of BA...

  12. Draft report: a selection methodology for LWR safety R and D programs and proposals

    Energy Technology Data Exchange (ETDEWEB)

    Husseiny, A. A.; Ritzman, R. L.

    1980-03-01

    The results of work done to develop a methodology for selecting LWR safety R and D programs and proposals is described. A critical survey of relevant decision analysis methods is provided including the specifics of multiattribute utility theory. This latter method forms the basis of the developed selection methodology. Details of the methodology and its use are provided along with a sample illustration of its application.

  13. 43 CFR 404.51 - Are proposed projects under the Rural Water Supply Program reviewed by the Administration?

    Science.gov (United States)

    2010-10-01

    ... Water Supply Program reviewed by the Administration? 404.51 Section 404.51 Public Lands: Interior... SUPPLY PROGRAM Feasibility Studies § 404.51 Are proposed projects under the Rural Water Supply Program... the Reclamation's Rural Water Supply Program. This includes review under Executive Order 12322 to...

  14. 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…

  15. Peripheral arterial vasodilation hypothesis: a proposal for the initiation of renal sodium and water retention in cirrhosis

    DEFF Research Database (Denmark)

    Schrier, R W; Arroyo, V; Bernardi, M

    1988-01-01

    . While the occurrence of primary renal sodium and water retention and plasma volume expansion prior to ascites formation favors the "overflow" hypothesis, the stimulation of the renin-angiotensin-aldosterone system, vasopressin release and sympathetic nervous system associated with cirrhosis...... is not consonant with primary volume expansion. In this present article, the "Peripheral Arterial Vasodilation Hypothesis" is proposed as the initiator of sodium and water retention in cirrhosis. Peripheral arterial vasodilation is one of the earliest observations in the cirrhotic patient and experimental animals...... and drug-induced peripheral arterial vasodilation. However, a predilection for the retained sodium and water to transudate into the abdominal cavity occurs with cirrhosis because of the presence of portal hypertension. The Peripheral Arterial Vasodilation Hypothesis also explains the continuum from...

  16. 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...

  17. 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…

  18. 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.

  19. 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…

  20. 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…

  1. 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…

  2. 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).

  3. 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...

  4. 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…

  5. Invited perspectives: Hydrological perspectives on precipitation intensity-duration thresholds for landslide initiation: proposing hydro-meteorological thresholds

    Science.gov (United States)

    Bogaard, Thom; Greco, Roberto

    2018-01-01

    Many shallow landslides and debris flows are precipitation initiated. Therefore, regional landslide hazard assessment is often based on empirically derived precipitation intensity-duration (ID) thresholds and landslide inventories. Generally, two features of precipitation events are plotted and labeled with (shallow) landslide occurrence or non-occurrence. Hereafter, a separation line or zone is drawn, mostly in logarithmic space. The practical background of ID is that often only meteorological information is available when analyzing (non-)occurrence of shallow landslides and, at the same time, it could be that precipitation information is a good proxy for both meteorological trigger and hydrological cause. Although applied in many case studies, this approach suffers from many false positives as well as limited physical process understanding. Some first steps towards a more hydrologically based approach have been proposed in the past, but these efforts received limited follow-up.Therefore, the objective of our paper is to (a) critically analyze the concept of precipitation ID thresholds for shallow landslides and debris flows from a hydro-meteorological point of view and (b) propose a trigger-cause conceptual framework for lumped regional hydro-meteorological hazard assessment based on published examples and associated discussion. We discuss the ID thresholds in relation to return periods of precipitation, soil physics, and slope and catchment water balance. With this paper, we aim to contribute to the development of a stronger conceptual model for regional landslide hazard assessment based on physical process understanding and empirical data.

  6. Invited perspectives: Hydrological perspectives on precipitation intensity-duration thresholds for landslide initiation: proposing hydro-meteorological thresholds

    Directory of Open Access Journals (Sweden)

    T. Bogaard

    2018-01-01

    Full Text Available Many shallow landslides and debris flows are precipitation initiated. Therefore, regional landslide hazard assessment is often based on empirically derived precipitation intensity-duration (ID thresholds and landslide inventories. Generally, two features of precipitation events are plotted and labeled with (shallow landslide occurrence or non-occurrence. Hereafter, a separation line or zone is drawn, mostly in logarithmic space. The practical background of ID is that often only meteorological information is available when analyzing (non-occurrence of shallow landslides and, at the same time, it could be that precipitation information is a good proxy for both meteorological trigger and hydrological cause. Although applied in many case studies, this approach suffers from many false positives as well as limited physical process understanding. Some first steps towards a more hydrologically based approach have been proposed in the past, but these efforts received limited follow-up.Therefore, the objective of our paper is to (a critically analyze the concept of precipitation ID thresholds for shallow landslides and debris flows from a hydro-meteorological point of view and (b propose a trigger–cause conceptual framework for lumped regional hydro-meteorological hazard assessment based on published examples and associated discussion. We discuss the ID thresholds in relation to return periods of precipitation, soil physics, and slope and catchment water balance. With this paper, we aim to contribute to the development of a stronger conceptual model for regional landslide hazard assessment based on physical process understanding and empirical data.

  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. 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.

  11. Making didactics proposals aimed at improving socioeducational programs for youngters at risk of social exclusion

    Directory of Open Access Journals (Sweden)

    María Violeta Álvarez Fernández

    2013-12-01

    Full Text Available Educators at Sograndio Juvenile Detention Center in Asturias were sure that they were able to offer new alternatives to improve their socio-educational intervention. That is the reason why they got involved in an action research training process aimed at making didactic proposals which tried to optimize the development of social competence programs for youngsters with criminal behavior. In order to do this, the Short Version of the Prosocial Thinking Program for Young People (Alba et al., 2005 was applied to nine inmates, eight males between 14 and 20 years old and a female of 16 years old. Theywere the basis and reflection of ourmethodological intervention. The teamtaking part in this intervention is formed by nine inmates and three external members (two coordinators and a woman psychologist. The investigation, mainly qualitative, includes different instruments (both qualitative and quantitative, such as: observation registries, discussion groups, questionnaires and notebooks. After the implementation of the program, positive changes must be highlighted in the emotional dimension, the resolution of problems, self-control and frustration tolerance. Besides, very high levels of satisfaction have been observed among youngsters, educators and external informants. It is important to have created a climate of professional compromise towards change and this way to have abandoned a passive attitude towards training, so that we were able to start an active search for practical answers, adjusted to our necessities and professional interests. Finally, we make several observations and intervention proposals that contribute to generate didactic knowledge thought and adapted for social education.

  12. 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.

  13. Health and weight control management among wrestlers. A proposed program for high school athletes.

    Science.gov (United States)

    Perriello, V A; Almquist, J; Conkwright, D; Cutter, D; Gregory, D; Pitrezzi, M J; Roemmich, J; Snyders, G

    1995-01-01

    Weight loss is a part of any competitive sport which matches participants of equal weight or sports where participating at lower weights or with a thinner body habitus is considered an advantage. For some wrestlers, weight loss is excessive and often accomplished by methods that lead to loss of lean body mass and total body water. There is convincing evidence that this excessive weight loss is unhealthy for all individuals who follow these practices. Even greater harm is experienced by high school wrestlers who have not yet completed their growth and development. These health consequences include growth retardation, decreased academic performance, altered endocrine or hormonal function and damage to many vital organs. "cycling" of weight results in decrease in strength, power and endurance which would effect adversely a wrestler's likelihood of success. The VHSL has begun an educational program to inform coaches, wrestlers and parents about the hazards inherent in these weight loss practices. History suggests that education alone will not alter the present practices of weight loss. Therefore a weight management program similar to ones initiated in other states is being pursued by the VHSL. The pilot program this year is scheduled to be followed next year by a more wide-spread voluntary program across the Commonwealth.(ABSTRACT TRUNCATED AT 250 WORDS)

  14. Proposal to introduce Disaster Risk Management topics in Master programs in ESAN Graduate School of Business

    Directory of Open Access Journals (Sweden)

    CECILIA DEJO ESTEVES

    Full Text Available This paper aims to explain and present a proposal to introduce Disaster Risk Management (DRM topics into ESAN Graduate School of Business Master's programs. Although disasters have cost Peru more than USD 7,600 million in the past 2 decades the business sector, particularly Small and Medium Enterprises, have not developed preventive or continuity plans mainly because they are not familiar with DRM topics. Taking this into consideration, the paper presents a detailed academic/curricular proposal for DRM topics such as business continuity, business ethics, corporate social responsibility, and sustainable management. Additionally, it introduces the idea of promoting Disaster Risk Management (DRM topics to the Peruvian business community as a strategy to enhance the graduate education.

  15. Curricular renovation in the phonoaudiology program of the University of Cauca: a proposal for educational quality

    Directory of Open Access Journals (Sweden)

    Liliana María Pérez-Tenorio

    2010-09-01

    Full Text Available In Colombia, the Superior Education is going through a transformation process. These changes must be in coherence with the formulation of flexible policies among the diverse components of the curriculum and with the need for new forms of working and producing knowledge. The curricular renovation must ref lect an educational quality compromise and contribute to generate human development with high social impact. This article presents a proposal for Curricular Renovation, elaborated by faculty and students of the Phonoaudiology Program of the University of Cauca. This document contains aspects related to the pedagogic model, didactics, faculty-student relation, systems of evaluation and plan of studies. Furthermore, in this document the bases for the Route of Curricular Renovation are presented, consisting of the following phases: background, diagnosis and operational plan. These should facilitate the academic integration for adjusting the curricular processes to the needs of the academic program in a local, national and international context.

  16. Intertechnology Corporation proposed test and evaluation plan, commercial buildings. National Solar Demonstration Program

    Energy Technology Data Exchange (ETDEWEB)

    None

    1976-09-01

    This report has three major parts. The first of these derives the requirements for the Test and Evaluation plan from the System Level Plan which is summarized in Section II. The second part contains the proposed plan to fill these requirements and includes hardware and software recommendations as well as procedures and management considerations. Primary emphasis has been given to the remote site because this is the area in which the commercial part of the demonstration is most unique. Finally, some pre-demonstration activities are described. The pilot program is intended to resolve a number of issues which arose in the course of the T and E plan. These relate to choice of scan frequencies, compression algorithms, etc. It is also intended to confirm performance and cost effectiveness of the site data collection package. The base line measurements of attitudes, etc. provide a reference mark against which one can measure the non-technical effectiveness of the demonstration program. (WDM)

  17. 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.

  18. Identification of Barriers Towards Change and Proposal to Institutionalize Continuous Improvement Programs in Manufacturing Operations

    Directory of Open Access Journals (Sweden)

    Alvair Silveira Torres Jr.

    2011-06-01

    Full Text Available A multi case research unfolded into a study in a sample of Brazilian manufacturing companies concerning their Continuous Improvement (CI program in manufacturing operations. Stakeholders interviews and performance analyses were conducted. The study aims to analyze the existence or absence of the institutionalization of a CI culture in manufacturing operations, identify barriers and difficulties within the process and propose a model for change. As a result of the research, it was observed that despite the considerable motivation of staff, rapid gains of the company and superior results during the early phases of the CI program, time and again such results were either not upheld or faded out over time, delivering no significant mid-term or long term results, due to poor management of changes. This happened mainly as a result of lack of strategic alignment at all levels of the organization, translated in measureable activities and projects, coached and mentored by the middle and upper management throughout the implementation and maintenance of the program. The selected cases showed a declining in performance after two years of CI program start up. Learning, union and process ownership among participants by means of interactions, are necessary to absorb and incorporate changes, instead of merely "smart words" .

  19. Proposed Social Spending Innovation Research (SSIR) Program: Harnessing American Entrepreneurial Talent to Solve Major U.S. Social Problems

    Science.gov (United States)

    Coalition for Evidence-Based Policy, 2015

    2015-01-01

    The Social Spending Innovation Research (SSIR) proposal seeks to replicate, in social spending, the great success of the Small Business Innovation Research (SBIR) program in technology development. The SBIR program funds technology development by entrepreneurial small companies. The program has spawned breakthrough technologies in diverse areas…

  20. 77 FR 38375 - Advisory Circular (AC) 150/5345-53D, Airport Lighting Equipment Certification Program; Proposed...

    Science.gov (United States)

    2012-06-27

    ... Certification Program (ALECP) for acceptance of an organization as a third party certification body (third party... certification body (third party certifier) and how manufacturers may get equipment qualified under the program... Certification Program; Proposed Update and Opportunity to Comment AGENCY: Federal Aviation Administration (FAA...

  1. [The Articulator of Primary Health Care Program: an innovative proposal for qualification of Primary Health Care].

    Science.gov (United States)

    Doricci, Giovanna Cabral; Guanaes-Lorenzi, Carla; Pereira, Maria José Bistafa

    2017-06-01

    In 2009, the Secretary of State for Health of Sao Paulo created a Program with a view to qualify the primary care in the state. This proposal includes a new job function, namely the articulator of primary care. Due to the scarcity of information about the practice of these new professionals in the scientific literature, this article seeks to analyze how articulators interpret their function and how they describe their daily routines. Thirteen articulators were interviewed. The interviews were duly analyzed by qualitative delineation. The results describe three themes: 1)Roles of the articulator: technical communicator and political advisor; 2) Activities performed to comply with the expected roles, examples being diagnosis of the municipalities, negotiation of proposals, participation in meetings, visits to municipalities; and 3) Challenges of the role, which are configured as challenges to the health reform process, examples being the lack of physical and human resources, activities of professionals in the medical-centered model, among others. The conclusion drawn is that the Program has great potential to provide input for the development and enhancement of Primary Care. Nevertheless, there are a series of challenges to be overcome, namely challenges to the context per se.

  2. Seminar program for postgraduate specialty training in general practice: proposal for a 5-year thematic catalogue

    Science.gov (United States)

    Sommer, Susanne; Baum, Erika; Magez, Julia; Chenot, Jean-Francois; Weckmann, Gesine; Steinhäuser, Jost; Heim, Susanne; Schneider, Dagmar; Fuchs, Stephan

    2017-01-01

    Introduction: In different German regions, seminar programs have been conducted for General practice residents. In each region, selection and teaching of learning content is conducted in a different manner. So far, no structured, standardized curriculum has been implemented nationwide. We have investigated, if the development of a common 5-year program of learning topics is conceivable between the different university departments of General practice in Germany. Method: The seminar program working group of the DEGAM (German College of General Practitioners and Family Physicians) has conducted an online survey based on information gathered via preliminary telephone conference (n=7; physicians with postgraduate teaching experience) among all German university departments of General Practice and two non-university teaching institutions, identified via the internet. 884 topics were extracted from 14 Seminar programs. The topics were entered in a database, discussed and categorized: Practice management/practice work flow/standardized documentation forms/quality management (n=33 topics), common acute and chronic diseases, including disease management programs (n=29 topics), communication, neurological, psychological and psychiatric consultations (n=24 topics), common medical problems, including eye, ear, nose, throat, skin and pediatric problems (n=99 Topics) family physicians general approach, including epidemiology, shared decision making, test of time (n=42 Topics). These topics have been rated for priority and desirable number of teaching-units. Results: A catalogue of 111 topics was designed, encompassing 160 teaching units. There is a suggestion of wide topics collections plus an add-on catalogue. Conclusion: A proposal for a 5-year-thematic catalogue for postgraduate training of general practice residents in Germany has been developed. This newly developed curriculum has the potential to improve knowledge and skills that have not been covered during in-house and

  3. 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

    Lean as a management system has been increasingly adopted in health care settings in an effort to enhance quality, capacity and safety, while simultaneously containing or reducing costs. The Ministry of Health in the province of Saskatchewan, Canada has made a multi-million dollar investment in Lean initiatives to create "better health, better value, better care, and better teams", affording a unique opportunity to advance our understanding of the way in which Lean philosophy, principles and tools work in health care. In order to address the questions, "What changes in leadership practices are associated with the implementation of Lean?" and "When leadership practices change, how do the changed practices contribute to subsequent outcomes?", we used a qualitative, multi-stage approach to work towards developing an initial realist program theory. We describe the implications of realist assumptions for evaluation of this Lean initiative. Formal theories including Normalization Process Theory, Theories of Double Loop and Organization Leaning and the Theory of Cognitive Dissonance help understand this initial rough program theory. Data collection included: key informant consultation; a stakeholder workshop; documentary review; 26 audiotaped and transcribed interviews with health region personnel; and team discussions. A set of seven initial hypotheses regarding the manner in which Lean changes leadership practices were developed from our data. We hypothesized that Lean, as implemented in this particular setting, changes leadership practices in the following ways. Lean: a) aligns the aims and objectives of health regions; b) authorizes attention and resources to quality improvement and change management c) provides an integrated set of tools for particular tasks; d) changes leaders' attitudes or beliefs about appropriate leadership and management styles and behaviors; e) demands increased levels of expertise, accountability and commitment from leaders; f) measures and

  4. PROPOSAL FOR AN EXPERIMENT PROGRAM IN NEUTRINO PHYSICS AND PROTON DECAY IN THE HOMESTAKE LABORATORY.

    Energy Technology Data Exchange (ETDEWEB)

    DIWAN, M.; KETTELL, S.; LITTENBERG, W.; MARIANO, W.; PARSA, Z.; SAMIOS, N.; WHITE, S.; ET AL.

    2006-07-24

    This report is intended to describe first, the principal physics reasons for an ambitious experimental program in neutrino physics and proton decay based on construction of a series of massive water Cherenkov detectors located deep underground (4850 ft) in the Homestake Mine of the South Dakota Science and Technology Authority (SDSTA); and second, the engineering design of the underground chambers to house the Cherenkov detector modules; and third, the conceptual design of the water Cherenkov detectors themselves for this purpose. In this proposal we show the event rates and physics sensitivity for beams from both FNAL (1300 km distant from Homestake) and BNL (2540 km distant from Homestake). The program we propose will benefit with a beam from FNAL because of the high intensities currently available from the Main Injector with modest upgrades. The possibility of tuning the primary proton energy over a large range from 30 to 120 GeV also adds considerable flexibility to the program from FNAL. On the other hand the beam from BNL over the larger distance will produce very large matter effects, and consequently a hint of new physics (beyond CP violation) can be better tested with that configuration. In this proposal we focus on the CP violation physics. Included in this document are preliminary costs and time-to-completion estimates which have been exposed to acknowledged experts in their respective areas. This presentation is not, however, to be taken as a technical design report with the extensive documentation and contingency costs that a TDR usually entails. Nevertheless, some contingency factors have been included in the estimates given here. The essential ideas expressed here were first laid out in a letter of intent to the interim director of the Homestake Laboratory on July 26, 2001. Since that time, the prospect of a laboratory in the Homestake Mine has been realized, and the design of a long baseline neutrino experiment has been refined. The extrapolation

  5. [The Purpose of Medical Education: Proposal to Standardize a System of Credits for Medical Specializations Programs].

    Science.gov (United States)

    Cañar, Carlos Andrés Pineda

    2012-01-01

    This article analyzes the concept of an academic credit system and proposes a way to systematize medical specialization programs. The credit system is a way to recognize and standardize the total time that a student must devote to their training. Thus, a credit equal to a certain number of hours of classroom training and independent activities is proposed. An educational program is expressed in the number of credits needed for the whole training process to achieve the competencies expected. A review of the concept of competition in education is also performed. The introduction of the term and its relation to the need to measure performance in future professionals according to labor market needs is identified. A critical discussion about skills defining the different types of skills in the educational field is later discussed. Subsequently, the Colombian regulatory framework is presented concerning the powers, in particular, Decree 1295 of 2010, which defines one academic credit equal to 48 hours in a semester, of which 16 hours are classroom and 32 hours are independent study. A tor of the major milestones in the history of medical education is later made. The structure of credits and contact hours, independent of postgraduate psychiatry in the country is reviewed showing the heterogeneity in their approach. The proposal is presented, defining the types of classroom activities and how to calculate the hours of independent study by type of classroom activity. Copyright © 2012 Asociación Colombiana de Psiquiatría. Publicado por Elsevier España. All rights reserved.

  6. 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...

  7. 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.

  8. 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...

  9. A Proposed Arctic Ocean Field Program During the International Polar Year 2007-2008

    Science.gov (United States)

    Persson, O. P.

    2004-05-01

    The Arctic Ocean represents a glaring void of measurements appropriate for monitoring and understanding the climate changes currently occurring in the Arctic region. We propose a field program in the central Arctic Ocean to develop and improve methods for the long-term monitoring of the Arctic atmosphere, ice, and ocean and the interactions among them, and to study physical processes crucial to the regional climate change. The approach will include developing and evaluating methods by which long-term satellite-, surface-, and ocean-based measurements of the thermodynamic and kinematic properties of the atmosphere, ice, and ocean can be integrated to measure key parameters with accuracies necessary to detect climatic change, to attribute responsibility to the processes causing this change, and to evaluate the role of anthropogenic sources in this change. Key measurements include the atmospheric circulation above and within the atmospheric boundary layer, cloud macro and microphysical properties, atmospheric aerosols and chemical constituents, all components of the energy budget of the pack ice including the oceanic heat flux, and the pack ice mass balance. Many of the techniques to be developed will likely use in-situ surface and ocean-based measurements to evaluate and improve the accuracy of the satellite-based measurements. These measurements will generally integrate existing technology, though some will require technological development as well. Many physical processes over the pack ice are different than those over the circumpolar land areas where SEARCH (Study of Environmental Arctic Change) intensive observing sites are being established. Observations at the land sites are largely influenced by processes forced by coastal gradients or by orography, and are much less influenced by the oceanic heat source omnipresent over the Arctic Ocean. The proposed pack ice field program will make measurements specific to processes important for climate models and that are

  10. A Proposal for a Standard Interface Between Monte Carlo Tools And One-Loop Programs

    Energy Technology Data Exchange (ETDEWEB)

    Binoth, T.; /Edinburgh U.; Boudjema, F.; /Annecy, LAPP; Dissertori, G.; Lazopoulos, A.; /Zurich, ETH; Denner, A.; /PSI, Villigen; Dittmaier, S.; /Freiburg U.; Frederix, R.; Greiner, N.; Hoeche, Stefan; /Zurich U.; Giele, W.; Skands, P.; Winter, J.; /Fermilab; Gleisberg, T.; /SLAC; Archibald, J.; Heinrich, G.; Krauss, F.; Maitre, D.; /Durham U., IPPP; Huber, M.; /Munich, Max Planck Inst.; Huston, J.; /Michigan State U.; Kauer, N.; /Royal Holloway, U. of London; Maltoni, F.; /Louvain U., CP3 /Milan Bicocca U. /INFN, Turin /Turin U. /Granada U., Theor. Phys. Astrophys. /CERN /NIKHEF, Amsterdam /Heidelberg U. /Oxford U., Theor. Phys.

    2011-11-11

    Many highly developed Monte Carlo tools for the evaluation of cross sections based on tree matrix elements exist and are used by experimental collaborations in high energy physics. As the evaluation of one-loop matrix elements has recently been undergoing enormous progress, the combination of one-loop matrix elements with existing Monte Carlo tools is on the horizon. This would lead to phenomenological predictions at the next-to-leading order level. This note summarises the discussion of the next-to-leading order multi-leg (NLM) working group on this issue which has been taking place during the workshop on Physics at TeV Colliders at Les Houches, France, in June 2009. The result is a proposal for a standard interface between Monte Carlo tools and one-loop matrix element programs.

  11. Academic stress in Chinese schools and a proposed preventive intervention program

    Directory of Open Access Journals (Sweden)

    Xu Zhao

    2015-12-01

    Full Text Available While American educators fret about the mediocre educational performance of American students in international contests (e.g. the Program for International Student Assessment and wonder why the Chinese education system produces such high-achieving students, educators, journalists, and public officials in China want to know what causes and how to prevent the high levels of academic stress that Chinese students, their families, and their school systems experience. So far, much of the blame for these toxic levels of stress has been directed to the Gaokao, the Chinese national college entrance exam that takes place in June each year. But to date, top-down Chinese educational reforms have been ineffective in reducing the problem. In this article, we build a case for strengthening bottom-up efforts at the school level in China and propose an evidence-based approach for addressing the challenge of academic stress experienced by Chinese students.

  12. EPA Proposes Revisions to its Risk Management Program to Improve Chemical Process Safety and Further Protect Communities and First Responders

    Science.gov (United States)

    WASHINGTON - The U.S. Environmental Protection Agency (EPA) is proposing to revise its Risk Management Program (RMP) regulations to improve chemical process safety, assist local emergency authorities in planning for and responding to accidents, and

  13. 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

  14. 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.

  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. 76 FR 77581 - 60-Day Notice of Proposed Information Collection: Form DS-3097, Exchange Visitor Program Annual...

    Science.gov (United States)

    2011-12-13

    ... Notice of Proposed Information Collection: Form DS-3097, Exchange Visitor Program Annual Report, and OMB... of 1995. Title of Information Collection: Exchange Visitor Program Annual Report. OMB Control Number... the Student and Exchange Visitor Information System (SEVIS) and then printed and signed by a sponsor...

  17. 78 FR 52962 - 60-Day Notice of Proposed Information Collection: Housing Finance Agency Risk-Sharing Program

    Science.gov (United States)

    2013-08-27

    ... URBAN DEVELOPMENT 60-Day Notice of Proposed Information Collection: Housing Finance Agency Risk-Sharing... Collection Title of Information Collection: Housing Finance Agency Risk- Sharing Program. OMB Approval Number... housing finance agencies (HFAs). Under this program, HUD provides full mortgage insurance on multifamily...

  18. 78 FR 65696 - 30-Day Notice of Proposed Information Collection: Housing Finance Agency Risk-Sharing Program

    Science.gov (United States)

    2013-11-01

    ... URBAN DEVELOPMENT 30-Day Notice of Proposed Information Collection: Housing Finance Agency Risk-Sharing... Collection Title of Information Collection: Housing Finance Agency Risk- Sharing Program. OMB Approval Number... with State and local housing finance agencies (HFAs). Under this program, HUD provides full mortgage...

  19. 77 FR 69550 - Proposed Information Collection (Patient Satisfaction Survey Michael E. DeBakey Home Care Program...

    Science.gov (United States)

    2012-11-19

    ... AFFAIRS Proposed Information Collection (Patient Satisfaction Survey Michael E. DeBakey Home Care Program.... This notice solicits comments on information needed to determine patients' satisfaction with services... information technology. Title: Patient Satisfaction Survey Michael E. DeBakey Home Care Program, VA Form 10...

  20. 75 FR 62635 - Proposed Information Collection (Patient Satisfaction Survey Michael E. DeBakey Home Care Program...

    Science.gov (United States)

    2010-10-12

    ... AFFAIRS Proposed Information Collection (Patient Satisfaction Survey Michael E. DeBakey Home Care Program... needed to determine patients' satisfaction with services provided by or through the Michael E. DeBakey.... Title: Patient Satisfaction Survey Michael E. DeBakey Home Care Program, VA Form 10-0476. OMB Control...

  1. 78 FR 6851 - Proposed Information Collection (Patient Satisfaction Survey Michael E. DeBakey Home Care Program...

    Science.gov (United States)

    2013-01-31

    ... AFFAIRS Proposed Information Collection (Patient Satisfaction Survey Michael E. DeBakey Home Care Program....'' SUPPLEMENTARY INFORMATION: Title: Patient Satisfaction Survey Michael E. DeBakey Home Care Program, VA Form 10.... Abstract: VA Form 10-0476 will be used to gather feedback from patients regarding their satisfaction with...

  2. 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.

  3. 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.

  4. 76 FR 51943 - Proposed Information Collection; Comment Request; International Dolphin Conservation Program

    Science.gov (United States)

    2011-08-19

    ...; International Dolphin Conservation Program AGENCY: National Oceanic and Atmospheric Administration (NOAA... (NOAA) collects information to implement the International Dolphin Conservation Program Act (Act). The... ] nations in the International Dolphin Conservation Program that would otherwise be under embargo. The Act...

  5. 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

  6. A Proposed Return-to-Sport Program for Patients With Midportion Achilles Tendinopathy: Rationale and Implementation.

    Science.gov (United States)

    Silbernagel, Karin Grävare; Crossley, Kay M

    2015-11-01

    Synopsis Achilles tendinopathy is a common overuse injury in athletes involved in running and jumping activities and sports. The intervention with the highest level of evidence is exercise therapy, and it is recommended that all patients initially be treated with exercise for at least 3 months prior to considering other treatment options. Recovery from Achilles tendinopathy can take up to a year, and there is a high propensity for recurrence, especially during the return-to-sport phase. The extent of the tendon injury, the age and sex of the athlete, the magnitude of pain/symptoms, the extent of impairments, and the demands of the sport all need to be considered when planning for return to sport. This clinical commentary describes an approach to return to sport for patients with midportion Achilles tendinopathy. The aim of the return-to-sport program is to facilitate the decision-making process in returning an athlete with midportion Achilles tendinopathy back to full sport participation and to minimize the chances for recurrence of the injury. J Orthop Sports Phys Ther 2015;45(11):876-886. Epub 21 Sep 2015. doi:10.2519/jospt.2015.5885.

  7. Do a Field List of Internationally Visible Journals and their Journal Impact Factors Depend on the Initial Set of Journals? A Research Proposal.

    Science.gov (United States)

    Rousseau, Ronald; Spinak, Ernesto

    1996-01-01

    Proposes a research model to test the dependence of a field list of internationally visible journals on the initial set. Outlines applications of the experiment and hypothesizes on the validity of the Institute of Scientific Information's (ISI) impact factors. Suggests that in some cases lists of journals selected by linguistic or geographic…

  8. 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.

  9. 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

  10. Review of current Southern California edison load management programs and proposal for a new market-driven, mass-market, demand-response program

    Energy Technology Data Exchange (ETDEWEB)

    Weller, G.H.

    2002-01-01

    Utility load management programs, including direct load control and interruptible load programs, constitute a large installed base of controllable loads that are employed by utilities as system reliability resources. In response to energy supply shortfalls expected during the summer of 2001, the California Public Utilities Commission in spring 2001 authorized new utility load management programs as well as revisions to existing programs. This report provides an independent review of the designs of these new programs for a large utility (Southern California Edison) and suggests possible improvements to enhance the price responsiveness of the customer actions influenced by these programs. The report also proposes a new program to elicit a mass-market demand response to utility price signals.

  11. 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

  12. 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

  13. 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.

  14. 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…

  15. 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.

  16. 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.

  17. 75 FR 43178 - Medicare Program; Solicitation for Proposals for the Medicare Imaging Demonstration

    Science.gov (United States)

    2010-07-23

    ... defined in Sec. 1834(e)(1)(B) of the Social Security Act (the Act): Diagnostic magnetic resonance imaging... Domestic Assistance Program No. 93.773, Medicare--Hospital Insurance; and Program No. 93.774, Medicare...

  18. An Application Programming Interface For Developing Distributed Algorithm Along With Proposed Meta Language Concept

    OpenAIRE

    Kishalay Bairagi

    2015-01-01

    Abstract In computer science an application programming interface API is an interface that defines the ways by which an application programming may request services from libraries.7 Libraries of a programming language are the list of all classes and interfaces along with their fields constructors and methods that are part of that language. For example java is an object oriented programming language which has a rich set of built-in classes and interfaces packaged in the API also known as java ...

  19. 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.

  20. 78 FR 16862 - Notice of Submission of Proposed Information Collection to OMB: Emergency Shelter Grants Program...

    Science.gov (United States)

    2013-03-19

    ... requirements that Emergency Solutions Grants (ESG) program recipients will be expected to implement and retain. This submission is limited to the record keeping burden under the ESG entitlement program, formerly... HEARTH Act. To see the regulations for the new ESG program and applicable supplementary documents, visit...

  1. 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.

  2. 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.

  3. Report of an equity-focused health impact assessment of a proposed universal parenting program in Manitoba.

    Science.gov (United States)

    Cohen, Benita E; Ateah, Christine A; Chartier, Mariette J; Anderson DeCoteau, Marcia; Harris, Elizabeth; Serwonka, Karen

    2016-06-27

    To assess potential inequitable impacts of a proposed Teen Triple P Positive Parenting Program (Teen PPP) in Manitoba to achieve equity of access and outcomes for families of diverse backgrounds; recommend (if required) alternative actions to promote greater equity of access and outcomes for families participating in Teen PPP; and evaluate the influence of recommendations on implementation of the proposed program. An equity-focused health impact assessment (EfHIA) of the proposed Teen PPP was conducted, using a standard EfHIA framework. Methods used to assess potential Teen PPP impacts included: a literature review, key informant interviews and 14 community consultations. Evidence was analyzed, summarized and presented to the project Steering Committee (SC), along with draft recommendations for ensuring that equity is considered in Teen PPP planning and rollout. The SC prioritized 12 possible inequitable impacts of Teen PPP with potential to prevent certain parents/caregivers either from accessing the proposed program or benefitting adequately from the program, causing them to drop out prematurely. Recommendations for avoiding these impacts were finalized by the SC and presented to provincial government officials responsible for the proposed program. Follow-up interviews with these individuals indicated that the recommendations were well received and raised equity-related issues that will be considered in future program planning decisions. EfHIA is a proven planning tool for ensuring that health equity is considered in all policies, which is one of the necessary conditions for reducing inequities and closing the health equity gap throughout Canada within a generation.

  4. Striking a Balance between Program Requirements and GT Principles: Writing a compromised GT proposal

    OpenAIRE

    Sherry L. Xie, Ph.D. Candidate

    2009-01-01

    Glaser’s term “compromised GT proposal” (2001, p.114) refers to the type of Grounded Theory (GT) proposal that is written in order to conform to the requirements of a standardized qualitative research proposal. A GT proposal needs only to supply information on the area of interest, the data source and a statement of method to the effect that the researcher begin to collect, code and analyse the data and let the theory emerge. Thus, the proposal may only occupy “a page or two” (Glaser, 2001, p...

  5. 76 FR 13101 - Building Energy Codes Program: Presenting and Receiving Comments to DOE Proposed Changes to the...

    Science.gov (United States)

    2011-03-10

    ... CONTACT: Mr. Robert Dewey, U.S. Department of Energy, Energy Efficiency and Renewable Energy, Building... Part 430 Building Energy Codes Program: Presenting and Receiving Comments to DOE Proposed Changes to the International Green Construction Code (IgCC) AGENCY: Office of Energy Efficiency and Renewable...

  6. 78 FR 67385 - 30-Day Notice of Proposed Information Collection: FHA PowerSaver Pilot Program (Title I Property...

    Science.gov (United States)

    2013-11-12

    ... URBAN DEVELOPMENT 30-Day Notice of Proposed Information Collection: FHA PowerSaver Pilot Program (Title... with the Paperwork Reduction Act. The purpose of this notice is to allow for an additional 30 days of... information collection for a period of 60 days was published on August 9, 2013. A. Overview of Information...

  7. 78 FR 64145 - 30-Day Notice of Proposed Information Collection: Housing Finance Agency Risk-Sharing Program

    Science.gov (United States)

    2013-10-25

    ... URBAN DEVELOPMENT 30-Day Notice of Proposed Information Collection: Housing Finance Agency Risk-Sharing..., 2013. A. Overview of Information Collection Title of Information Collection: Housing Finance Agency... Secretary to implement risk sharing with State and local housing finance agencies (HFAs). Under this program...

  8. 76 FR 624 - Proposed Information Collection (Patient Satisfaction Survey Michael E. DeBakey Home Care Program...

    Science.gov (United States)

    2011-01-05

    ... AFFAIRS Proposed Information Collection (Patient Satisfaction Survey Michael E. DeBakey Home Care Program.... 2900-New (VA Form 10-0476).'' SUPPLEMENTARY INFORMATION: Title: Patient Satisfaction Survey Michael E... Review: New collection. Abstract: VA Form 10-0476 will be used to gather feedback from patients regarding...

  9. 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

  10. 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.

  11. 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.

  12. 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.

  13. 77 FR 57103 - Notice of Submission of Proposed Information Collection to OMB Housing Counseling Program

    Science.gov (United States)

    2012-09-17

    ... URBAN DEVELOPMENT Notice of Submission of Proposed Information Collection to OMB Housing Counseling... comments on the subject proposal. Nonprofit Housing Counseling organizations submit information to HUD through Grants.gov when applying for grant funds to provide housing counseling assistance to eligible...

  14. 76 FR 25612 - National Organic Program; Proposed Amendments to the National List of Allowed and Prohibited...

    Science.gov (United States)

    2011-05-05

    ... treatment for dairy and breeder stock when organic system plan-approved ] preventive management does not...; ] DEPARTMENT OF AGRICULTURE Agricultural Marketing Service 7 CFR Part 205 RIN 0581-AD05 National Organic...: Agricultural Marketing Service, USDA. ACTION: Proposed rule. SUMMARY: This proposed rule would amend the U.S...

  15. 75 FR 71513 - Senior Community Service Employment Program; Notice of Proposed Rulemaking, Additional Indicator...

    Science.gov (United States)

    2010-11-23

    ... Rulemaking, Additional Indicator on Volunteer Work; Proposed Rule #0;#0;Federal Register / Vol. 75, No. 225... Rulemaking, Additional Indicator on Volunteer Work AGENCY: Employment and Training Administration, Labor... to the proposed additional indicator on http://www.regulations.gov without making any change to the...

  16. 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.

  17. 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.

  18. 76 FR 38618 - Proposed Information Collection; Comment Request; Coral Reef Conservation Program Survey

    Science.gov (United States)

    2011-07-01

    ... 6616, 14th and Constitution Avenue, NW., Washington, DC 20230 (or via the Internet at [email protected] allow CRCP staff to ensure programs are designed appropriately at the start, future program evaluation... expect to use face-to-face interviews in American Samoa, internet-based survey techniques in Hawaii and...

  19. 76 FR 43657 - Proposed Information Collection; Comment Request; Project 25 Compliance Assessment Program...

    Science.gov (United States)

    2011-07-21

    ... Compliance Assessment Program Laboratory Application for Assessment and Recognition AGENCY: National... (NIST) and the Department of Homeland Security (DHS) developed the Project 25 Compliance Assessment Program (P25 CAP) to improve public safety confidence in purchasing land mobile radio (LMR) equipment...

  20. 75 FR 32182 - Medicaid Program: Proposed Implementation of Section 614 of the Children's Health Insurance...

    Science.gov (United States)

    2010-06-07

    ... 614 of the Children's Health Insurance Program Reauthorization Act of 2009 (CHIPRA), Public Law 111-3... under the Children's Health Insurance Program under title XXI of the Social Security Act. In other... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HEALTH AND...

  1. 76 FR 60854 - Notice of Submission of Proposed Information Collection to OMB; Housing Choice Voucher Program...

    Science.gov (United States)

    2011-09-30

    ... performing and efficient PHAs and to use this information to develop a new administrative fee allocation... the overhead costs and other costs related to HCV program administration that cannot be captured by... to develop a new administrative fee allocation formula for the HCV program. The study is proceeding...

  2. 76 FR 4376 - Office of Justice Programs; Agency Information Collection Activities; Proposed Collection...

    Science.gov (United States)

    2011-01-25

    ...-effectiveness of the Forensic Casework DNA Backlog Programs over time and to diagnose performance problems in... Officials, and Forensic Laboratory personnel from agencies within the jurisdiction represented by the... diagnose program performance problems, but also to better understand whether the benefits of DNA collection...

  3. 77 FR 262 - Proposed Information Collection; Comment Request; Geographic Partnership Programs

    Science.gov (United States)

    2012-01-04

    ... updates and corrections to the elementary, secondary, and unified school district names and Federal Local... INFORMATION: I. Abstract The mission of the Geography Division within the Census Bureau is to plan, coordinate... statistical programs throughout the United States and its territories. The Geography Division manages programs...

  4. 77 FR 32612 - Proposed Priorities; Gaining Early Awareness and Readiness for Undergraduate Programs; College...

    Science.gov (United States)

    2012-06-01

    ... in postsecondary education by means that include promotion of financial literacy and economic... Education, Entrepreneurship, and Downpayment (SEED) for Oklahoma Kids demonstration offered initial deposit... counseling and require counselors to participate in Department-provided professional development for GEAR UP...

  5. 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.

  6. 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.

  7. 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.

  8. Lowest Price, Technically Acceptable Evaluation Criteria Used in the November 2014 Request for Proposal for the Program Executive Office Soldier Systems Engineering and Technical Assistance (SETA) Contract

    Science.gov (United States)

    2017-09-01

    USED IN THE NOVEMBER 2014 REQUEST FOR PROPOSAL FOR THE PROGRAM EXECUTIVE OFFICE SOLDIER SYSTEMS ENGINEERING AND TECHNICAL ASSISTANCE (SETA) CONTRACT...NOVEMBER 2014 REQUEST FOR PROPOSAL FOR THE PROGRAM EXECUTIVE OFFICE SOLDIER SYSTEMS ENGINEERING AND TECHNICAL ASSISTANCE (SETA) CONTRACT 5. FUNDING...evaluation process for replies received in response to a request for proposal (RFP) for systems engineering and technical assistance (SETA) support

  9. 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

  10. 76 FR 21372 - Medicare Program; Solicitation for Proposals for the Medicare Community-Based Care Transitions...

    Science.gov (United States)

    2011-04-15

    ... beneficiaries at high risk for readmission, including those with multiple chronic conditions, depression, or... proposal in the manner intended by the applicant (for example, collated, tabulated color copies). Hard...

  11. 77 FR 7604 - Notice Requesting Public Comment on Two Proposed Unemployment Insurance (UI) Program Performance...

    Science.gov (United States)

    2012-02-13

    ... Employment and Training Administration Notice Requesting Public Comment on Two Proposed Unemployment... Recovery Act of 2010 (IPERA) AGENCY: Employment and Training Administration (ETA), Labor. ACTION: Notice... Definition and Acceptable Level of Performance (ALP) Measure Definition: Combined percentage of UI benefits...

  12. 75 FR 26283 - Proposed Collection, Submission for OMB Review, Museums for America Grant Program Evaluation

    Science.gov (United States)

    2010-05-11

    ... burden of the proposed collection of information including the validity of the methodology and... Time per Respondent: Dependent on level of questioning: 475--15 minutes; 250--30 minutes: 175--50...

  13. 75 FR 46169 - Medicare Program; Proposed Changes to the Hospital Outpatient Prospective Payment System and CY...

    Science.gov (United States)

    2010-08-03

    ... OPPS Payments A. Proposed Recalibration of APC Relative Weights 1. Database Construction a. Database... occupational therapy, and speech-language pathology services, for which payment is made under a fee schedule...

  14. 78 FR 52008 - 30-Day Notice of Proposed Information Collection: Multifamily Housing Service Coordinator Program

    Science.gov (United States)

    2013-08-21

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT 30-Day Notice of Proposed Information Collection: Multifamily Housing Service..., 2012. A. Overview of Information Collection Title of Information Collection: Multifamily Housing...

  15. 76 FR 32971 - Proposed Priority for the Disability and Rehabilitation Research Projects and Centers Program

    Science.gov (United States)

    2011-06-07

    ... and Rehabilitation Research Project (DRRP)--Center on Knowledge Translation for Disability and... notice proposes a priority for a center on knowledge translation for disability and rehabilitation..., demonstration projects, training, and related activities, including international activities, to develop methods...

  16. Enabling cross-platform clinical decision support through Web-based decision support in commercial electronic health record systems: proposal and evaluation of initial prototype implementations.

    Science.gov (United States)

    Zhang, Mingyuan; Velasco, Ferdinand T; Musser, R Clayton; Kawamoto, Kensaku

    2013-01-01

    Enabling clinical decision support (CDS) across multiple electronic health record (EHR) systems has been a desired but largely unattained aim of clinical informatics, especially in commercial EHR systems. A potential opportunity for enabling such scalable CDS is to leverage vendor-supported, Web-based CDS development platforms along with vendor-supported application programming interfaces (APIs). Here, we propose a potential staged approach for enabling such scalable CDS, starting with the use of custom EHR APIs and moving towards standardized EHR APIs to facilitate interoperability. We analyzed three commercial EHR systems for their capabilities to support the proposed approach, and we implemented prototypes in all three systems. Based on these analyses and prototype implementations, we conclude that the approach proposed is feasible, already supported by several major commercial EHR vendors, and potentially capable of enabling cross-platform CDS at scale.

  17. 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…

  18. Preoperative multidisciplinary program for bariatric surgery: a proposal for the Brazilian Public Health System

    Directory of Open Access Journals (Sweden)

    Elinton Adami CHAIM

    Full Text Available ABSTRACT BACKGROUND Bariatric surgery has become the gold standard treatment for morbid obesity, but access to surgery remains difficult and low compliance to postoperative follow-up is common. To improve outcomes, enable access and optimize follow-up, we developed a multidisciplinary preoperative approach for bariatric surgery. OBJECTIVE To determine the impact of this program in the outcomes of bariatric surgery in the Brazilian public health system. METHODS A prospective evaluation of the individuals who underwent a preoperative multidisciplinary program for bariatric surgery and comparison of their surgical outcomes with those observed in the prospectively collected historical database of the individuals who underwent surgery before the beginning of the program. RESULTS There were 176 individuals who underwent the multidisciplinary program and 226 who did not. Individuals who underwent the program had significantly lower occurrence of the following variables: hospital stay; wound dehiscence; wound infection; pulmonary complications; anastomotic leaks; pulmonary thromboembolism; sepsis; incisional hernias; eventrations; reoperations; and mortality. Both loss of follow-up and weight loss failure were also significantly lower in the program group. CONCLUSION The adoption of a comprehensive preoperative multidisciplinary approach led to significant improvements in the postoperative outcomes and also in the compliance to the postoperative follow-up. It represents a reproducible and potentially beneficial approach within the context of the Brazilian public health system.

  19. 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.

  20. Proposed Revenues, Financial Strategy, and Program Costs for FY 1992 and 1993 : Technical Appendix, BPA Programs in Perspective.

    Energy Technology Data Exchange (ETDEWEB)

    United States. Bonneville Power Administration.

    1990-07-01

    Programs in Perspective is the Bonneville Power Administration's public involvement process (PIP) for engaging customers and other stakeholders in a regional dialog to set strategic direction and broad program plans for BPA effort. This planning leads into a biennial rate setting cycle and offers a more accessible and flexible opportunity for dialog on broad issues than is possible under the strict administrative procedures of ratemaking. The self-financed character of BPA has made this public process a necessary and valuable one to assure that those who pay BPA's rates have a clear understanding and a strong voice in the plans for use of the resulting revenues. During 1989, the previous PIP engaged the region in discussion of major strategic, issues focussing on major areas. In 1990, BPA seeks discussion of the directions and plans specifically for fiscal years 1992 and 1993. The steps taken for those years will lay the foundation for the years beyond. Thus, we have subtitled this year's process, Staying fit for the long run.'' We have consulted extensively with customers and others in the region in developing these plans. In dozens of program--specific meetings, BPA staff have talked and listened to what others think our plans ought to be. PIP now gives us a chance to review their sum total, along with projections for revenues and our overall financial position. 8 tabs., 8 figs.

  1. A proposal to establish master's in biomedical sciences degree programs in medical school environments.

    Science.gov (United States)

    Ingoglia, Nicholas A

    2009-04-01

    Most graduate schools associated with medical schools offer programs leading to the PhD degree but pay little attention to master's programs. This is unfortunate because many university graduates who are interested specifically in biomedical rather than pure science fields need further education before making decisions on whether to enter clinical, research, education, or business careers. Training for these students is done best in a medical school, rather than a graduate university, environment and by faculty who are engaged in research in the biomedical sciences. Students benefit from these programs by exploring career options they might not have previously considered while learning about disease-related subjects at the graduate level. Graduate faculty can also benefit by being compensated for their teaching with a portion of the tuition revenue, funds that can help run their laboratories and support other academic expenses. Faculty also may attract talented students to their labs and to their PhD programs by exposing them to a passion for research. The graduate school also benefits by collecting masters tuition revenue that can be used toward supporting PhD stipends. Six-year outcome data from the program at Newark show that, on completion of the program, most students enter educational, clinical, or research careers and that the graduate school has established a new and significant stream of revenue. Thus, the establishment of a master's program in biomedical sciences that helps students match their academic abilities with their career goals significantly benefits students as well as the graduate school and its faculty.

  2. 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...

  3. 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...

  4. School-based sleep education programs: A knowledge-to-action perspective regarding barriers, proposed solutions, and future directions.

    Science.gov (United States)

    Gruber, Reut

    2017-12-01

    Sleep is associated with an array of physical and mental health outcomes that are essential for healthy adjustment in children. Unfortunately, transfer of this knowledge into action has been slow and largely ineffective. There are only 15 published school-based sleep health promotion programs, and findings are mixed in terms of their impact on sleep behavior, knowledge and health outcomes. This paper applies a knowledge-to-action (KTA) framework to assess the strengths and weaknesses of such programs and to identify strategies that can be used to enhance the translation of empirical evidence in pediatric sleep to effective action. It is proposed that effectiveness of interventions may be increased by defining specific targets for change, identifying prospectively the gap between current sleep practice or knowledge and intervention goals, assessing and addressing barriers and facilitators for program implementation, adapting the program for local use, tailoring it to the developmental needs of the target users, using rigorous designs to evaluate outcomes and improving sustainability by engaging multiple stakeholders throughout the KTA process. Collectively it is proposed that integrating a KTA framework and related strategies will enhance the effectiveness of these programs in translating empirical evidence in pediatric sleep to effective and sustained action. Copyright © 2016 Elsevier Ltd. All rights reserved.

  5. The New Zealand douglas-fir breeding program: proposed adjustments for a changing climate

    Science.gov (United States)

    Heidi Dungey; Charlie Low; Mark Miller; Kane Fleet; Alvin D. Yanchuk

    2012-01-01

    Genetic improvement of Douglas-fir (Pseudotsuga menziesii (Mirb.) Franco) in New Zealand was initiated in 1955 with large provenance trials established in the late 1950s. These trials showed that material of Oregon and Californian origin was growing faster than other provenances. Additional collections were made to further evaluate provenance...

  6. 78 FR 25760 - Proposed Information Collection; Urban Park and Recreation Recovery Program Grants

    Science.gov (United States)

    2013-05-02

    ...--renovate or redesign existing close-to- home recreation facilities. Innovation--specific activities that... Rehabilitation or Innovation grants. Rehabilitation and Innovation proposals must be based on priorities...), narrative statements with a description and scope of the planning product(s) to be developed, a project...

  7. 78 FR 72600 - Proposed Priorities, Requirements, and Definitions-Charter Schools Program (CSP) Grants for...

    Science.gov (United States)

    2013-12-03

    ...) Grants for National Leadership Activities AGENCY: Office of Innovation and Improvement, Department of... Assistant Deputy Secretary for Innovation and Improvement proposes priorities, requirements, and definitions...-career-ready standards. Moreover, it is of great importance to ensure equitable access to and use of...

  8. 77 FR 3787 - Notice of Submission of Proposed Information Collection to OMB; Family Unification Program (FUP)

    Science.gov (United States)

    2012-01-25

    ... Vouchers available to eligible families to promote family reunification. Youths 18 to 21 who left foster... promote family reunification. Youths 18 to 21 who left foster care at age 16 or older are also eligible to... URBAN DEVELOPMENT Notice of Submission of Proposed Information Collection to OMB; Family Unification...

  9. 76 FR 11505 - Notice of Submission of Proposed Information Collection to OMB Family Unification Program (FUP)

    Science.gov (United States)

    2011-03-02

    ... Vouchers available to eligible families to promote family reunification. Youths 18 to 21 who left foster... family reunification. Youths 18 to 21 who left foster care at age 16 or older are also eligible to... URBAN DEVELOPMENT Notice of Submission of Proposed Information Collection to OMB Family Unification...

  10. 76 FR 35864 - Proposed Priority; Special Demonstration Programs-National Technical Assistance Projects To...

    Science.gov (United States)

    2011-06-20

    ... continuing education to State VR agencies and other entities that partner with State VR agencies. The purpose... Doc No: 2011-15293] DEPARTMENT OF EDUCATION [CFDA 84.235M] Proposed Priority; Special Demonstration... Disabilities AGENCY: Office of Special Education and Rehabilitative Services, Department of Education. ACTION...

  11. 78 FR 11622 - Request for Proposals: 2013 Hazardous Fuels Woody Biomass Utilization Grant Program

    Science.gov (United States)

    2013-02-19

    ... energy technology, what other technologies were considered, why the recommended renewable energy.... Total Points 15 d. Amount and type of fossil fuel offset in therms/year and increased system fuel use... Unit, located at the Forest Products Laboratory, requests proposals for wood energy projects that...

  12. 77 FR 56857 - Notice of Proposed Information Collection for Public Comment; Public Housing Mortgage Program and...

    Science.gov (United States)

    2012-09-14

    ... other assets, a proposal must be submitted to HUD. After approval and execution of any legal documents... [email protected] . Persons with hearing or speech impairments may access this number through TTY by...-402-4109, (this is not a toll-free number). Persons with hearing or speech impairments may access this...

  13. 78 FR 20296 - Proposed Information Collection; Comment Request; Marine Recreational Information Program Fishing...

    Science.gov (United States)

    2013-04-04

    ... information or copies of the information collection instrument(s) and instructions should be directed to Rob... Atlantic and Gulf coast states (except TX), HI and Puerto Rico. II. Method of Collection Information will... National Oceanic and Atmospheric Administration Proposed Information Collection; Comment Request; Marine...

  14. 75 FR 24962 - Notice of Proposed Information Collection for Public Comment: Disaster Assistance Program...

    Science.gov (United States)

    2010-05-06

    ... an important opportunity for HUD to learn about rent- setting strategies and case management services... strategies employed by participating public housing authorities (PHAs) for providing case management to help... URBAN DEVELOPMENT Notice of Proposed Information Collection for Public Comment: Disaster Assistance...

  15. 76 FR 68770 - Proposed Eligibility Criteria for the Centers of Excellence Program in Health Professions...

    Science.gov (United States)

    2011-11-07

    ... graduate degree in Behavioral or Mental Health from the school of discipline, the proposed graduation rate... students from all levels of the education pipeline to pursue health professions careers. Such schools are... Education for Under-Represented Minority Individuals AGENCY: Health Resources and Services Administration...

  16. 77 FR 16250 - Notice of Proposed Information Collection for Public Comment; Office of Native American Programs...

    Science.gov (United States)

    2012-03-20

    ... Native American, Alaska Native, and native Hawaiian communities, as funded by Indian Housing Block Grants...: Office of the Assistant Secretary for Public and Indian Housing, HUD. ACTION: Notice of proposed..., Departmental Reports Management Officer, QDAM, Department of Housing and Urban Development, 451 7th Street SW...

  17. 77 FR 21547 - Proposed Priorities; Disability and Rehabilitation Research Projects and Centers Program

    Science.gov (United States)

    2012-04-10

    ... research on persons with disabilities: What we know and where we need to go. American Journal of Physical... with disabilities. Journal of Womens Health. 19(10): 1869-76. ] Proposed Priority 2--Rehabilitation... children with autism and elderly adults with dementia (Van der Loos & Reinkensmeyer, 2008). There are a...

  18. 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.

  19. 76 FR 13648 - Proposed Collection; Comment Request; Process Evaluation of the NIH Roadmap Epigenomics Program

    Science.gov (United States)

    2011-03-14

    ... synthesized results across primary and secondary data sources will provide critical insights on... tracking and monitoring systems along with primary data to assess program process and progress, is non-experimental. The assessment is based on secondary source information, with primary source information...

  20. 76 FR 35232 - Notice of Proposed Information Collection for Public Comment; Housing Choice Voucher Program...

    Science.gov (United States)

    2011-06-16

    ... respond, including through the use of appropriate automated collection techniques or other forms of... collecting cost data: (1) Measuring the time that front line staff spend working on the program and translating that time into costs using the salaries and benefits of the staff doing the work and adjusting for...

  1. 76 FR 79650 - Proposed Information Collection; Comment Request; Survey of Income and Program Participation...

    Science.gov (United States)

    2011-12-22

    ... (or via the Internet at [email protected] ). FOR FURTHER INFORMATION CONTACT: Requests for additional... effect of tax and transfer programs on this distribution. They also need improved and expanded data on... estimate that each household contains 2.1 people, age 15 years or older, yielding approximately 94,500...

  2. 75 FR 21593 - Proposed Information Collection; Comment Request; Survey of Income and Program Participation...

    Science.gov (United States)

    2010-04-26

    ... 20230 (or via the Internet at [email protected] ). FOR FURTHER INFORMATION CONTACT: Requests for additional... effect of tax and transfer programs on this distribution. They also need improved and expanded data on... contains 2.1 people, yielding 88,267 person-level interviews in Wave 1 and subsequent waves. Interviews...

  3. 75 FR 22102 - Proposed Information Collection; Comment Request; Survey of Income and Program Participation...

    Science.gov (United States)

    2010-04-27

    ... 20230 (or via the Internet at [email protected] ). FOR FURTHER INFORMATION CONTACT: Requests for additional... effect of tax and transfer programs on this distribution. They also need improved and expanded data on... contains 2.1 people, yielding 88,267 person-level interviews in Wave 1 and subsequent waves. Interviews...

  4. 76 FR 24457 - Proposed Information Collection; Comment Request; Survey of Income and Program Participation...

    Science.gov (United States)

    2011-05-02

    ...., Washington, DC 20230 (or via the Internet at [email protected] ). FOR FURTHER INFORMATION CONTACT: Requests for... effect of tax and transfer programs on this distribution. They also need improved and expanded data on... estimate that each household contains 2.1 people, age 15 years or older, yielding approximately 94,500...

  5. 77 FR 16841 - Medicare Program; Solicitation for Proposals for the Medicare Graduate Nurse Education...

    Science.gov (United States)

    2012-03-22

    ... the Medicare Graduate Nurse Education Demonstration Program AGENCY: Centers for Medicare & Medicaid... to participate in the Medicare Graduate Nurse Education (GNE) Demonstration. The primary goal of the... has a written agreement in place with--(A) 1 or more applicable schools of nursing; and (B) 2 or more...

  6. 76 FR 63017 - Medicare Program; Proposed Changes to the Medicare Advantage and the Medicare Prescription Drug...

    Science.gov (United States)

    2011-10-11

    .... Medication Therapy Management Comprehensive Medication Reviews and Beneficiaries in LTC Settings (Sec. 423... Medication Therapy Management MTMP Medication Therapy Management Program ] NAIC National Association... gradually increasing coverage in the coverage gap for both generic drugs (beginning in 2011) and brand name...

  7. 77 FR 73493 - Notice of Proposed Information Collection: Comment Request Family Self-Sufficiency Program...

    Science.gov (United States)

    2012-12-10

    ... the program. A random assignment model is needed because participant self-selection into FSS limits... forms of information technology, e.g., permitting electronic submission of responses. This notice also.... FSS has operated since 1992 and serves voucher holders and residents of public housing. The FSS model...

  8. 75 FR 338 - Proposed Information Collection; Comment Request; NOAA Teacher at Sea Program

    Science.gov (United States)

    2010-01-05

    ... Information Collection; Comment Request; NOAA Teacher at Sea Program AGENCY: National Oceanic and Atmospheric Administration (NOAA), Commerce. ACTION: Notice. SUMMARY: The Department of Commerce, as part of its continuing... Hammond, (301) 713-0353, or [email protected]noaa.gov . SUPPLEMENTARY INFORMATION: I. Abstract NOAA...

  9. Academic Stress in Chinese Schools and a Proposed Preventive Intervention Program

    Science.gov (United States)

    Zhao, Xu; Selman, Robert L.; Haste, Helen

    2015-01-01

    While American educators fret about the mediocre educational performance of American students in international contests (e.g. the Program for International Student Assessment) and wonder why the Chinese education system produces such high-achieving students, educators, journalists, and public officials in China want to know what causes and how to…

  10. 76 FR 53844 - National Dairy Promotion and Research Program; Invitation To Submit Comments on Proposed...

    Science.gov (United States)

    2011-08-30

    ... pursuant to the Dairy Production Stabilization Act (Dairy Act) of 1983 [7 U.S.C. 4501- 4514], as amended... Dairy Production Stabilization Act of 1983 authorizes a national program for dairy product promotion... of milk production in the United States. The Dairy Order is administered by a 38-member Dairy Board...

  11. An Application Programming Interface For Developing Distributed Algorithm Along With Proposed Meta Language Concept

    Directory of Open Access Journals (Sweden)

    Kishalay Bairagi

    2015-08-01

    Full Text Available Abstract In computer science an application programming interface API is an interface that defines the ways by which an application programming may request services from libraries.7 Libraries of a programming language are the list of all classes and interfaces along with their fields constructors and methods that are part of that language. For example java is an object oriented programming language which has a rich set of built-in classes and interfaces packaged in the API also known as java API7. Therefore a programmer can easily borrow built-in classes or interfaces to use the fields constructors and methods of those classes and interfaces in his or her application and is able to be free from the hazards of thinking the implementation details of those functions and constructors and writing it down to the application he or she is developing. An API 7 also helps a programmer to write a short and compact code to save time of program and application development and to produce a quality code having readability and understandability than the code without having the application of API. Almost all the modern programming languages come up with the rich set of APIs. The basic difference between an API and library lies in the fact that while API reflects the expected behaviour library is an actual implementation of this set of rules. 7 On the other hand the relation with framework is based on several libraries implementing several APIs but instead of normal use of an API the access to the behaviour built into the framework is made possible by extending its contents with new classes and interfaces.7 This paper presents a component of framework4 where the API for the distributed algorithms has been plugged into the framework so that a programmer can get services from the built- in classes and interfaces for easily understandable compact and faster program development. Here a concept of meta language consisting of very simple constructs has been introduced

  12. 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...

  13. 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…

  14. 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.

  15. 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,…

  16. Teaching Education and Socio-educational Action: Developing an Implementation Proposal of the Program Community Teachers (PCT

    Directory of Open Access Journals (Sweden)

    Paulette Barberousse-Alfonso

    2017-12-01

    Full Text Available From a critical and transformative approach, this essay presents inputs and relevant conclusions obtained during the first stage of the project Construyendo una propuesta de implementación del Programa Maestros Comunitarios (PMC, Code number 0166-15 DEB-UNA (UNA, DEB, s. f., conducted in 2016. Considering our perspective as researchers and professors at División de Educación Básica, the paper addresses a current topic within the socio-educative field to face challenges of contemporary educational models in formal and non-formal areas of elementary education in the Costa Rican context. Our purpose is that students and teachers of the career program Pedagogía con énfasis en I y II ciclos de la Educación General Básica have an overview of the national, social, and educational reality in an attempt to involve them in applying pedagogical actions towards finding a solution to school dropouts at Escuela Finca Guararí, Heredia, Costa Rica. The essay describes the experience of teaching education students and their socio-educational action with the focus on the systematization of the experience in the initial stage of the project. Furthermore, the paper connects with emerging strategic knowledge areas at División de Educación Básica (DEB, such as social and community pedagogy in the context of the National University (UNA of Costa Rica. It takes over a route already traced at DEB, which proposes more flexible and alternative pedagogic formats to promote educational equity and diversity issues. The paper describes the project background and a theoretical framework, as well as aspects that have been shared by the protagonist actors along the process: students-teachers, host teachers, supervisor professors, school children, and their parents at Escuela Finca Guararí. Conclusions address main results and facts during 2016 in order to show the viability of the project, which is conducted from a public university. Finally, the article also

  17. 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

  18. ORGANIZATION AND PLANNING IN CHILDREN WITH ADHD: EVALUATION AND PROPOSAL OF A STIMULATION PROGRAM

    Directory of Open Access Journals (Sweden)

    Josefina Rubiales

    2011-12-01

    Full Text Available The Attention Deficit Hyperactivity Disorder (ADHD is a neurobiological disorder of a complex and heterogeneous origin characterized by a persistent pattern of inattention, hyperactivity and / or impulsivity. Is one of the most common neurobehavioral disorders in childhood and adolescence, and one of the main reasons for consultation because of difficulties in school performance, behavior problems, difficulties of living at home and with peers, involvement in self-esteem and aggressiveness. The primary deficit is associated with executive dysfunction, among which is the organization and planning. The aim of this study was to compare the performance in organization and planning of children with and without a diagnosis of ADHD and submit a stimulation proposal according to their needs. MATERIALS AND METHODS: The clinical sample comprised 16 children diagnosed with ADHD and the control sample of 32 children without a diagnosis, in both cases 8 to 14 years old and from the city of Mar del Plata (Argentina. The instruments used to evaluate the organization and planning has been the subtest Torres of Mexico Child Neuropsychological Battery (ENI, and cubes subtests Construction, Completion and Management Object Test Story Weschler Intelligence for children and adolescents. The proposed treatment includes 8 sessions of stimulation. RESULTS AND CONCLUSIONS: Children with ADHD have greater difficulty in planning and organizational skills than the children of the control sample, from which it establishes a estimulation proposal, whose originality and advantage is accentuated in the ecological validity the process.

  19. Lyndon B. Johnson Space Center (JSC) proposed dual-use technology investment program in intelligent robotics

    Science.gov (United States)

    Erickson, Jon D.

    1994-01-01

    This paper presents an overview of the proposed Lyndon B. Johnson Space Center (JSC) precompetitive, dual-use technology investment project in robotics. New robotic technology in advanced robots, which can recognize and respond to their environments and to spoken human supervision so as to perform a variety of combined mobility and manipulation tasks in various sectors, is an objective of this work. In the U.S. economy, such robots offer the benefits of improved global competitiveness in a critical industrial sector; improved productivity by the end users of these robots; a growing robotics industry that produces jobs and profits; lower cost health care delivery with quality improvements; and, as these 'intelligent' robots become acceptable throughout society, an increase in the standard of living for everyone. In space, such robots will provide improved safety, reliability, and productivity as Space Station evolves, and will enable human space exploration (by human/robot teams). The proposed effort consists of partnerships between manufacturers, universities, and JSC to develop working production prototypes of these robots by leveraging current development by both sides. Currently targeted applications are in the manufacturing, health care, services, and construction sectors of the U.S. economy and in the inspection, servicing, maintenance, and repair aspects of space exploration. But the focus is on the generic software architecture and standardized interfaces for custom modules tailored for the various applications allowing end users to customize a robot as PC users customize PC's. Production prototypes would be completed in 5 years under this proposal.

  20. Proposed framework for the Western Area Power Administration Environmental Risk Management Program

    Energy Technology Data Exchange (ETDEWEB)

    Glantz, C.S.; DiMassa, F.V.; Pelto, P.J.; Brothers, A.J. [Pacific Northwest Lab., Richland, WA (United States); Roybal, A.L. [Western Area Power Administration, Golden, CO (United States)

    1994-12-01

    The Western Area Power Administration (Western) views environmental protection and compliance as a top priority as it manages the construction, operation, and maintenance of its vast network of transmission lines, substations, and other facilities. A recent Department of Energy audit of Western`s environmental management activities recommends that Western adopt a formal environmental risk program. To accomplish this goal, Western, in conjunction with Pacific Northwest Laboratory, is in the process of developing a centrally coordinated environmental risk program. This report presents the results of this design effort, and indicates the direction in which Western`s environmental risk program is heading. Western`s environmental risk program will consist of three main components: risk communication, risk assessment, and risk management/decision making. Risk communication is defined as an exchange of information on the potential for threats to human health, public safety, or the environment. This information exchange provides a mechanism for public involvement, and also for the participation in the risk assessment and management process by diverse groups or offices within Western. The objective of risk assessment is to evaluate and rank the relative magnitude of risks associated with specific environmental issues that are facing Western. The evaluation and ranking is based on the best available scientific information and judgment and serves as input to the risk management process. Risk management takes risk information and combines it with relevant non-risk factors (e.g., legal mandates, public opinion, costs) to generate risk management options. A risk management tool, such as decision analysis, can be used to help make risk management choices.

  1. Academic stress in Chinese schools and a proposed preventive intervention program

    OpenAIRE

    Xu Zhao; Robert L. Selman; Helen Haste

    2015-01-01

    While American educators fret about the mediocre educational performance of American students in international contests (e.g. the Program for International Student Assessment) and wonder why the Chinese education system produces such high-achieving students, educators, journalists, and public officials in China want to know what causes and how to prevent the high levels of academic stress that Chinese students, their families, and their school systems experience. So far, much of the blame for...

  2. 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

  3. PROPOSAL FOR NEURAL-LINGUISTIC PROGRAMMING (N.L.P. INTHE ADMINISTRATIVE DEVELOPMENT OF LEADERSHIP SPORTS

    Directory of Open Access Journals (Sweden)

    Khalil Samira

    2010-08-01

    Full Text Available Neural-linguistic programming is an organised method to know the human self construction and dealing with it in fixed means and styles so as to decesisively affect the processes of perception, thinking, imaging, ideas,feeling and also in behavior, skills and the human body and mental performance (1 Neural-linguistic programming has a private nature because it is a group of mechanisms and practicaltechniques far from likeliness, so it enters in the circle of application and employment of the human abilities and possibilities. (9 Al Fiky (2001 points out that neural linguistic programming created the favourable environment to help individuals to get rid of their diseased fears and controlling in their negative reactions and thus improving communication with themselves and with others. He shows it took its way into the human life fields because itsways and strategies are used in the sectors of health, education, marketing and administration(2. The modern administration embarks on the human element that represents the most valuable elementsof administration and is the most effective on the productivity and with the increasing the effect of the human element in the efficacy of the administrative organizations, the need increased to consider the management of the human resources as an independent function of administrative functions that cancers the human element and onwhose efficiency, abilities, experience and zeal for work, the administration efficacy depends.

  4. "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

  5. 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.

  6. 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.

  7. 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...

  8. 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.

  9. 76 FR 81958 - Notice of Submission of Proposed Information Collection to OMB; Limited English Proficiency...

    Science.gov (United States)

    2011-12-29

    ... URBAN DEVELOPMENT Notice of Submission of Proposed Information Collection to OMB; Limited English... translated materials and other programs that support the assistance of persons with limited English... Following Information Title of Proposal: Limited English Proficiency Initiative (LEPI) Program. OMB Approval...

  10. 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.

  11. 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.

  12. Facility Location Evaluation for Satsop Integrating transmission : Draft Supplement to the Environmental Statement, Fiscal Year 1976 Proposed Program.

    Energy Technology Data Exchange (ETDEWEB)

    United States. Bonneville Power Administration.

    1975-02-26

    Alternatives were discussed for the proposed construction of a substation near Satsop and two 500-kV transmission lines from the proposed Satsop Substation approximately 24 miles west of Olympia, one running from Satsop to Paul Substation and one running from Satsop to Olympia Substation. Depending on the final route location chosen, between approximately 62 and 73 miles of 500-kV transmission line between the proposed Satsop Substation and Olympia and Paul Substations over existing, parallel, and new right-of-way would be required. Between 15 and 31 miles of new access road would also be required. Land use affected would include clearing from 560 to 1180 acres of timber. Depending upon the route location chosen, between 1/4 and 4 acres of agricultural land would be removed from production, and between 4 and 37 acres temporarily disrupted. In addition, approximately 30 acres of land would be required for the substation. Other impacts would include the removal of wildlife habitat associated with the above mentioned right-of-way requirements. Disturbance to wildlife during construction would occur. Some erosion and sedimentation would occur. Visual impacts would result from clearing rights-of-way through heavily forested areas. Noise and other disturbances to residents will occur, primarily during construction. The alternatives considered include: (1) nonconstruction, and (2) six alternative route locations for the proposed transmission lines. Generation alternatives to all transmission construction, including alternative methods of electrical transmission and generation, transmission construction, disposal of slash and limiting the consumption of electricity are discussed in BPA's General Construction and Maintenance Program Statement and the Annual Proposed Program Statement.

  13. 76 FR 71015 - Pick-Sloan Missouri Basin Program-Eastern Division-2021 Power Marketing Initiative

    Science.gov (United States)

    2011-11-16

    ... Firm Electric Service (FES) contracts associated with the current Marketing Plan expire. The 2021 PMI extends the current Marketing Plan, with amendments to key marketing plan principles. Western's proposed... proposal. Key Marketing Plan principles discussed with firm power customers included: Contract Term...

  14. 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…

  15. 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'…

  16. 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…

  17. 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.

  18. A Training Program to Enhance Postgraduate Students' Research Skills in Preparing a Research Proposal in the Field of Curriculum and Instruction Methods of Arabic Language

    Science.gov (United States)

    Alfakih, Ahmed Hassan

    2017-01-01

    The study examined the impact of a training program on enhancing postgraduate students' research skills in preparing a research proposal. The nature of the skills required to prepare a research proposal were first determined using a questionnaire. A training program for improving such skills was then constructed and seven postgraduate students in…

  19. 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

  20. 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.

  1. 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.

  2. Guide for the preparation of proposals for the Pre-Freshman Engineering Program: PREP - 1984 (for minorities and women)

    Energy Technology Data Exchange (ETDEWEB)

    None

    1983-08-01

    The Pre-Freshman Engineering Program (PREP) for minorities and women (formerly PREFACE) will provide funds to colleges and universities for projects aimed at seeking out minority group individuals and women during junior high school and high school years (7th grade through 12th grade) and providing them with enrichment experiences. These experiences shall consist of activities to identify, motivate and prepare students for engineering studies. Emphasis is on the individuals identified, regardless of where they may decide to matriculate for undergraduate studies. Work experience is believed to contribute to the success of these projects because it exposes students to the real world of work of the professional engineer. However, no DOE funds may be used directly to support such work experiences. Eligible organizations, limitations of funding, preparation and submission of proposals, evaluation and selection of proposals, and the final report are discussed.

  3. A proposed Russian-American NEPST program utilizing Russian launch and support systems

    Science.gov (United States)

    Ponomarev-Stepnoi, N. N.; Usov, Veniamin; Yefremov, Gennadi L.; Degtiariev, Yuri G.; Belousov, Stanislav Y.; Ogloblin, Boris G.; Bocharov, Anatoli F.

    1995-01-01

    This paper summarizes the research efforts on investigating the possibility of launching the Nuclear Electric Propulsion Space Test Program (NEPSTP) spacecraft, designed by the Applied Physics Laboratory (APL) of Johns Hopkins University, with the Russian ``Proton'' launch vehicle from the Baikonur launch site (Ponomarev-Stepnoi 1994). The NEPSTP spacecraft is designed to demonstrate a payload transportation to GEO using the TOPAZ II space nuclear power system and nuclear electric propulsion of different types (including those developed in the US, Great Britain and Russia) capable of providing spacecraft injection to GEO. The spacecraft's onboard instrumentation includes sensors to measure neutron and gamma radiation around the spacecraft, as well as positron fields surrounding the reactor, and neutral particles and the plasma resulting from operation of nuclear electric propulsion, powered by the nuclear power source. The analysis under study was prepared by the scientists from the Scientific Industrial Association (SIA) of ``Machine Building,'' RRC ``Kurchatov Institute,'' and the Central Design Bureau of Machine Building (CDBMB), on request and support of ``INERTEK'' Joint Stock Company.

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

    Directory of Open Access Journals (Sweden)

    Paula Alvarenga de Figueiredo

    2016-01-01

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

  5. Employability of Engineering Graduates from 2013 to 2015 as Basis for a Proposed Student Development Program

    Directory of Open Access Journals (Sweden)

    Nemy H. Chavez

    2017-02-01

    Full Text Available This study aims to determine the employability of Mechanical, Industrial and Electronics Engineering graduates which also explores the relevance of curriculum and work-related behavior to the job placement of the graduate-respondents. Descriptive type of research was utilized in the study. Findings showed that engineering graduates of the academic institution under study are highly employable and gainfully employed locally while enjoying the benefits of regular status and handling professional, technical or supervisory positions where they find their present jobs within 1 to 6 months. Relevance of the engineering program to graduates’ present work assignment is one of the common reasons in accepting and staying on the job while communication skill is the most common useful ability of the engineering graduates in their job placement and leadership, hard work and professional integrity are the work – related values identified with very much contribution in meeting the demands of their present employment. Curriculum is also considered relevant for Mechanical and Industrial Engineering graduates but only slightly relevant for Electronics Engineering Graduates.

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

    Science.gov (United States)

    de Figueiredo, Paula Alvarenga; Alvim, Neide Aparecida Titonelli

    2016-01-01

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

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

    Science.gov (United States)

    de Figueiredo, Paula Alvarenga; Alvim, Neide Aparecida Titonelli

    2016-01-01

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

  8. A Response to Proposed Budget Cuts Affecting Children's Mental Health: Protecting Policies and Programs That Promote Collective Efficacy.

    Science.gov (United States)

    Hoagwood, Kimberly Eaton; Atkins, Marc; Horwitz, Sarah; Kutash, Krista; Olin, S Serene; Burns, Barbara; Peth-Pierce, Robin; Kuppinger, Anne; Burton, Geraldine; Shorter, Priscilla; Kelleher, Kelly J

    2017-11-01

    Children stand to lose if the federal government follows through on threats to cut funding for critical safety-net programs that have long supported families and communities. Although cuts directly targeting children's mental health are a great concern, cuts to policies that support health, housing, education, and family income are equally disturbing. These less publicized proposed cuts affect children indirectly, but they have direct effects on their families and communities. The importance of these services is supported by an extensive body of social learning research that promotes collective efficacy-neighbors positively influencing each other-shown to have positive long-term effects on children's development and adult outcomes. In this article, the authors describe two federal programs that by virtue of their impact on families and communities are likely to promote collective efficacy and positively affect children's mental health; both programs are facing severe cutbacks. They suggest that states adopt a cross-system approach to promote policies and programs in general medical health, mental health, housing, education, welfare and social services, and juvenile justice systems as a viable strategy to strengthen families and communities and promote collective efficacy. The overall goal is to advance a comprehensive national mental health policy for children that enhances collaboration across systems and strengthens families and communities, which is especially critical for children living in marginalized communities.

  9. A Proposal for a Three Detector Short-Baseline Neutrino Oscillation Program in the Fermilab Booster Neutrino Beam

    CERN Document Server

    Antonello, M.; Bellini, V.; Benetti, P.; Bertolucci, S.; Bilokon, H.; Boffelli, F.; Bonesini, M.; Bremer, J.; Calligarich, E.; Centro, S.; Cocco, A.G.; Dermenev, A.; Falcone, A.; Farnese, C.; Fava, A.; Ferrari, A.; Gibin, D.; Gninenko, S.; Golubev, N.; Guglielmi, A.; Ivashkin, A.; Kirsanov, M.; Kisiel, J.; Kose, U.; Mammoliti, F.; Mannocchi, G.; Menegolli, A.; Meng, G.; Mladenov, D.; Montanari, C.; Nessi, M.; Nicoletto, M.; Noto, F.; Picchi, P.; Pietropaolo, F.; Plonski, P.; Potenza, R.; Rappoldi, A.; Raselli, G.L.; Rossella, M.; Rubbia, C.; Sala, P.; Scaramelli, A.; Sobczyk, J.; Spanu, M.; Stefan, D.; Sulej, R.; Sutera, C.M.; Torti, M.; Tortorici, F.; Varanini, F.; Ventura, S.; Vignoli, C.; Wachala, T.; Zani, A.; Adams, C.; Andreopoulos, C.; Ankowski, A.M.; Asaadi, J.; Bagby, L.; Baller, B.; Barros, N.; Bass, M.; Bishai, M.; Bitadze, A.; Bugel, L.; Camilleri, L.; Cavanna, F.; Chen, H.; Chi, C.; Church, E.; Cianci, D.; Collin, G.H.; Conrad, J.M.; De Geronimo, G.; Dharmapalan, R.; Djurcic, Z.; Ereditato, A.; Esquivel, J.; Evans, J.; Fleming, B.T.; Foreman, W.M.; Freestone, J.; Gamble, T.; Garvey, G.; Genty, V.; Goldi, D.; Gramellini, E.; Greenlee, H.; Guenette, R.; Hackenburg, A.; Hanni, R.; Ho, J.; Howell, J.; James, C.; Jen, C.M.; Jones, B.J.P.; Kalousis, L.N.; Karagiorgi, G.; Ketchum, W.; Klein, J.; Klinger, J.; Kreslo, I.; Kudryavtsev, V.A.; Lissauer, D.; Livesly, P.; Louis, W.C.; Luthi, M.; Mariani, C.; Mavrokoridis, K.; McCauley, N.; McConkey, N.; Mercer, I.; Miao, T.; Mills, G.B.; Montanari, D.; Moon, J.; Moss, Z.; Mufson, S.; Norris, B.; Nowak, J.; Pal, S.; Palamara, O.; Pater, J.; Pavlovic, Z.; Perkin, J.; Pulliam, G.; Qian, X.; Qiuguang, L.; Radeka, V.; Rameika, R.; Ratoff, P.N.; Richardson, M.; von Rohr, C.Rudolf; Russell, B.; Schmitz, D.W.; Shaevitz, M.H.; Sippach, B.; Soderberg, M.; Soldner-Rembold, S.; Spitz, J.; Spooner, N.; Strauss, T.; Szelc, A.M.; Taylor, C.E.; Terao, K.; Thiesse, M.; Thompson, L.; Thomson, M.; Thorn, C.; Toups, M.; Touramanis, C.; Van de Water, R.G.; Weber, M.; Whittington, D.; Wongjirad, T.; Yu, B.; Zeller, G.P.; Zennamo, J.; Acciarri, R.; An, R.; Barr, G.; Blake, A.; Bolton, T.; Bromberg, C.; Caratelli, D.; Carls, B.; Convery, M.; Dytmam, S.; Eberly, B.; Gollapinni, S.; Graham, M.; Grosso, R.; Hen, O.; Hewes, J.; Horton-Smith, G.; Johnson, R.A.; Joshi, J.; Jostlein, H.; Kaleko, D.; Kirby, B.; Kirby, M.; Kobilarcik, T.; Li, Y.; Littlejohn, B.; Lockwitz, S.; Lundberg, B.; Marchionni, A.; Marshall, J.; McDonald, K.; Meddage, V.; Miceli, T.; Mooney, M.; Moulai, M.H.; Murrells, R.; Naples, D.; Nienaber, P.; Paolone, V.; Papavassiliou, V.; Pate, S.; Pordes, S.; Raaf, J.L.; Rebel, B.; Rochester, L.; Schukraft, A.; Seligman, W.; St. John, J.; Tagg, N.; Tsai, Y.; Usher, T.; Wolbers, S.; Woodruff, K.; Xu, M.; Yang, T.; Zhang, C.; Badgett, W.; Biery, K.; Brice, S.J.; Dixon, S.; Geynisman, M.; Moore, C.; Snider, E.; Wilson, P.

    2015-01-01

    A Short-Baseline Neutrino (SBN) physics program of three LAr-TPC detectors located along the Booster Neutrino Beam (BNB) at Fermilab is presented. This new SBN Program will deliver a rich and compelling physics opportunity, including the ability to resolve a class of experimental anomalies in neutrino physics and to perform the most sensitive search to date for sterile neutrinos at the eV mass-scale through both appearance and disappearance oscillation channels. Using data sets of 6.6e20 protons on target (P.O.T.) in the LAr1-ND and ICARUS T600 detectors plus 13.2e20 P.O.T. in the MicroBooNE detector, we estimate that a search for muon neutrino to electron neutrino appearance can be performed with ~5 sigma sensitivity for the LSND allowed (99% C.L.) parameter region. In this proposal for the SBN Program, we describe the physics analysis, the conceptual design of the LAr1-ND detector, the design and refurbishment of the T600 detector, the necessary infrastructure required to execute the program, and a possible...

  10. 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

  11. 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.

  12. A proposal for a new social values research program and policy network.

    Science.gov (United States)

    Littlejohns, Peter; Yeung, Kai; Clark, Sarah; Weale, Albert

    2012-01-01

    The purpose of this paper is to demonstrate that the social values framework developed by Clark and Weale could be applied to publicly available data and to explore the concordance between the framework values and those present in the statements of decision-making protocols of Health Technology Assessment Agencies. The web sites of the National Institute for Health and Clinical Excellence (NICE); the All Wales Strategy Medicines Group; and the Scottish Medicines Consortium were searched for references to social value statements and assessed according to the social values framework. The framework was easy to apply and demonstrated that it is possible to find statements of operational expression of a range of social values in the description of the decision protocols used by the public agencies. Most of the framework's values find some expression in the statements of the decision protocols, but there are differences. For example, the All Wales Group, when discussing clinical effectiveness, explicitly refers to an assessment via "pathways of care" in a way that neither of the other two do. The value of autonomy is explicitly mentioned by NICE but not by the other two, whereas the value of solidarity (a value most typically associated with European social insurance systems) finds only indirect expression in the guidance notes of all. The paper provides further information that will be useful in revising the framework in preparation for its role in future data collection. This is the initial step in developing a social values instrument that will support health policy decisions. While there are other check lists of social values, this is the first time that an approach to creating a framework is being tested empirically.

  13. 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 ...

  14. 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.

  15. "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.

  16. Fluorescent lamp recycling initiatives in the United States and a recycling proposal based on extended producer responsibility and product stewardship concepts.

    Science.gov (United States)

    Silveira, Geraldo Tr; Chang, Shoou-Yuh

    2011-06-01

    This paper presents an overview of mercury-containing lamp (MCL) recycling initiatives currently available in the world, especially in the United States. The majority of MCLs contain mercury which is a neurotoxin, a persistent pollutant in the environment, and can bioaccumulate in the food chain. Although there are some recycling options in the United States, collection rates are still at 23% of all potential used MCLs. This shows that citizens are either indifferent to or unaware of the recycling alternatives. On the other hand, MCL recycling seems not to be a cost-effective process and, for this reason, in the United States, take-back programmes are still sponsored only by consumers or municipalities. A few retailers have recently initiated limited take-back alternatives and manufacturers have not yet supported financially any consistent recycling alternative in the country. Considering successful experiences, this paper makes a suggestion for an MCL recycling system based on the concepts of extended producer responsibility and product stewardship. A manufacturer-importer advance recycling fee is proposed to finance the collection and recycling system while a MCL-energy recycling fee supported by the energy sector creates a lamp refund process. 'PRO Lamp', a producer responsibility organization, will manage the entire system through a widespread public-private agreement.

  17. 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.

  18. 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.

  19. Assessment of Newly Proposed Clinical Criteria to Identify HNF1A MODY in Patients with an Initial Diagnosis of Type 1 or Type 2 Diabetes Mellitus

    Directory of Open Access Journals (Sweden)

    Malgorzata Grzanka

    2016-01-01

    Full Text Available The most common form of maturity-onset diabetes of the young (MODY is caused by mutations in the hepatocyte nuclear factor 1A (HNF1A gene. However, most HNF1A mutation-carriers are initially misdiagnosed with type 1 (T1DM or type 2 (T2DM diabetes mellitus; hence, they often receive nonoptimal treatment. The aim of our study was to test newly proposed clinical criteria for the identification of HNF1A MODY in patients with a diagnosis of T1DM or T2DM. To achieve this, the following criteria to preselect patients for screening were used: for T1DM: TDIR (total daily insulin requirement > 0.3 IU of insulin/kg and the percentage of basal insulin > 30% of TDIR; for T2DM: sulphonylurea- (SU- based oral treatment (monotherapy or combined with Metformin > 15 years and BMI < 30 kg/m2. We reviewed the clinical data of 140 patients with T1DM and 524 clinically diagnosed with T2DM. On the basis of these criteria, we found a HNF1A mutation in 1 out of 2 individuals with a diagnosis of T1DM and 1 out of 11 selected individuals with a diagnosis of T2DM. We believe that the simplicity of the proposed criteria might prove useful in clinical practice, as an alternative to more time-consuming classical diagnostic techniques.

  20. 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…

  1. 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...

  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. 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,…

  4. 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.…

  5. 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…

  6. 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,…

  7. 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...

  8. 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…

  9. 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...

  10. 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...

  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. 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.

  13. H Scan/AHP decision process planning for evaluating and ranking of proposals submitted to the DOE hydrogen program

    Energy Technology Data Exchange (ETDEWEB)

    Szoka de Valladares, M.R. [National Renwable Energy Lab., Washington, DC (United States); Mack, S. [Energtics, Washington, DC (United States)

    1995-09-01

    The DOE Hydrogen Program needs to develop criteria as part of a systematic evaluation process for proposal identification, evaluation and selection. The H Scan component of this process provides a framework in which a project proposer can fully describe their candidate technology system and its components. The H Scan complements traditional methods of capturing cost and technical information. It consists of a special set of survey forms designed to elicit information so expert reviewers can assess the proposal relative to DOE specified selection criteria. The Analytic Hierarchy Process (AHP) component of the decision process assembles the management defined evaluation and selection criteria into a coherent multi-level decision construct by which projects can be evaluated in pair-wise comparisons. The AHP model will reflect management`s objectives and it will assist in the ranking of individual projects based on the extent to which each contributes to management`s objectives. This paper contains a detailed description of the products and activities associated with the planning and evaluation process: The objectives or criteria; the H Scan; and The Analytic Hierarchy Process (AHP).

  14. Proposing a New Approach for Supplier Selection Based on Kraljic’s Model Using FMEA and Integer Linear Programming

    Directory of Open Access Journals (Sweden)

    S. Mohammad Arabzad

    2012-06-01

    Full Text Available In recent years, numerous methods have been proposed to deal with supplier evaluation and selection problem, but a point which has been usually neglected by researchers is the role of purchasing items. The aim of this paper is to propose an integrated approach to select suppliers and allocate orders on the basis of the nature of the purchasing items which means that this issue plays an important role in supplier selection and order allocation. Therefore, items are first categorized according to the Kraljic’s model by the use of FMEA technique. Then, suppliers are categorized and evaluated in four phases with respect to different types of purchasing items (Strategic, Bottleneck, Leverage and Routine. Finally, an integer linear programming is utilized to allocate purchasing orders to suppliers. Furthermore, an empirical example is conducted to illustrate the stage of proposed approach. Results imply that ranking of suppliers and allocation of purchasing items based on the nature of purchasing items will create more capabilities in managing purchasing items and suppliers .

  15. ?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...

  16. Geophysical Characterization by the SAGE Program of a Newly Proposed, Low Temperature-EGS Prospect in the Central Rio Grande Rift, New Mexico

    Science.gov (United States)

    Jiracek, G. R.; Zablowski, P.; Castro, B.; Le Pape, F.; Biagini, B.; Kennedy, M.; Feucht, D. W.; Pellerin, L.; Bedrosian, P. A.; Hasterok, D. P.; Biehler, S.; McPhee, D. K.; Ferguson, J. F.

    2011-12-01

    In 2011 the SAGE (Summer of Applied Geophysical Experience) program began initial field evaluation of a recently proposed geothermal prospect located approximately 20 km northwest of Santa Fe, New Mexico. New magnetotelluric (MT) and gravity measurements in the Caja del Rio volcanic field have been combined with previous industry seismic results and SAGE MT, gravity, and seismic data to define parameters important for potential low temperature and EGS development. A thick, 2.0-2.5 km-deep, water-saturated, electrically conductive section overlies resistive basement, presumably Paleozoic limestone on top of Precambrian granite. Therefore, by projecting a measured 58oC/km near-surface temperature gradient, the area would easily meet the criterion for high grade EGS of impermeable basement rock at >200oC at less than 4 km depth. MT-derived depth estimates of a ubiquitous, highly conductive midcrustal conductor along with thermal conductivity values, and estimates of radiogenic heat flow allowed thermal modeling of the entire upper crust. This relies on recent evidence that the midcrustal conductor depth is a good proxy for the depth to the 500oC isotherm in active tectonic areas. The resulting thermal calculations yield a surface heat flow of 80 mW/m2 for a 2 km-deep sedimentary column and a 14 km-deep conductor. Forced, westward flowing groundwater convection over a basement high has been proposed for the thermal anomaly. Our initial geophysical results do not provide strong evidence for this. Rather, we favor the possibility that deeply penetrating, permeable fault conduits provide pathways for ascending warm water beneath the volcanic field. This is supported by high 3He/4He ratios measured in groundwater samples. The Caja del Rio area appears to be the most attractive geothermal prospect in the central Rio Grande rift outside of the near-by, world-class Valles caldera geothermal area.

  17. United States Air Force Research Initiation Program for 1987. Volume 3

    Science.gov (United States)

    1989-04-01

    region, is given by the Berthelot equation . For the ac-conductivity, as well, there are some 5 6recent developments . Abdalla and Pistoulet proposed a...concluded that the surface conductivity is explained by the Berthelot equation , whereas the bulk conductivity has the Arrhenius-type behavior. This type of...7MG-029 63 -Automated Translation of Digital Logic Dr. George Zobrist (1986) Equations into Optimized VHDL Code 760-6MG-055 Flight Dynamics Laboratory

  18. 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

  19. 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

  20. 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.

  1. 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

  2. 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.

  3. 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.

  4. 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.

  5. 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

  6. 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.

  7. 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

  8. 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...

  9. 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.

  10. Evaluation of the proposed pilot groundwater pump and treat demonstration for the Paducah Gaseous Diffusion Plant. Environmental Restoration Program

    Energy Technology Data Exchange (ETDEWEB)

    Bodenstein, G.W.; Bonczek, R.R.; Early, T.O.; Hale, T.B.; Huff, D.D.; Nickelson, M.D.; Rightmire, C.T.

    1992-11-01

    This report contains the evaluation and recommendations of a Groundwater Corrective Actions Review Team. The primary goal is to evaluate the technical merit of and the need to implement a proposed groundwater pump-and-treat demonstration project for the Northwest contaminant plume at Paducah, Kentucky. A key distinction recognized by the review team is that the proposed project is intended to be a full-scale hydraulic containment of contaminants migrating from the sources of the plume, not plume remediation. The key questions incorporated into this plan are whether (1) dense, nonaqueous-phase liquids (DNAPLS) are present in the Regional Gravel Aquifer (RGA) at the source of the plume and (2) {sup 99}Tc removal must be included as part of any groundwater treatment process. The first question cannot be answered until the contaminant sources are better defined; the second question requires further risk assessment and/or a policy decision by DOE. Technical evaluation by the review team suggests that the recommended course of action be to modify the proposed work plan to include accurate identification of the sources of contaminants and vertical distribution of contaminants within the Northwest plume before a decision is made on the preferred source-control option. If DNAPLs are not present in the RGA, removal or containment of the sources is recommended. If DNAPLs are present, then hydraulic containment will be required. Finally, the review team recognizes that it is necessary to initiate a more comprehensive analysis of sitewide remediation needs to create links between action taken for the Northwest plume and action taken for other contamination sites at PGPD.

  11. Therapeutic Patient Education in Cancer Pain Management: from Practice to Research: Proposals and Strategy of the French EFFADOL Program.

    Science.gov (United States)

    Prevost, Virginie; Clarisse, Bénédicte; Heutte, Natacha; Leconte, Alexandra; Bisson, Cécile; Bignon, Rachel; Cauchin, Sonia; Feuillet, Maryline; Gehanne, Sylvie; Gicquère, Maud; Grach, Marie-Christine; Guillaumé, Cyril; Le Gal, Christine; Le Garrec, Joelle; Lecaer, Franck; Lepleux, Isabelle; Millet, Anne-Laure; Ropartz, Marie-Claude; Roux, Nathalie; Hieng, Virith Sep; Van Delook, Carole; Le Chevalier, Aline; Delorme, Claire

    2017-08-13

    In the field of cancer pain, therapeutic patient education (TPE) allows patients to develop skills to better manage their pain. In the Lower Normandy region of France, the management of pain is based on networking, thus allowing proximity and accessibility for all concerned. We have thus designed and initiated a broad five-stage research program that includes the following: (1) training for caregivers in TPE; (2) identifying the educational expectations of patients and their relatives with regard to cancer pain; (3) the design of a TPE program; (4) the evaluation of its quality; and (5) the evaluation of its effectiveness by comparative randomization. This article presents this approach and more particularly the research phases (stages 2, 4, 5) for which the objectives, the methodology, and the expected results are justified. Among the key points, particular attention is paid to the evaluation of the educational dimension that provides patients with self-efficacy to participate actively in the management of their pain, their perception of changes in relation to it and its impact. The choice of a specific assessment criterion (subscale 9 of the Brief Pain Inventory) and of the step-wedge design are thus argued. This approach, which is based on a partnership between health care professionals and researchers, aims to demonstrate the benefits provided by TPE to patients in order to enable them to better manage their pain on a daily basis.

  12. 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.

  13. 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.

  14. 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.

  15. Periconceptional bread intakes indicate New Zealand's proposed mandatory folic acid fortification program may be outdated: results from a postpartum survey

    Science.gov (United States)

    2012-01-01

    Background In September 2009, a folic acid fortification mandate (135 μg/100 g bread) was to be implemented in New Zealand. However, due to political and manufacturer objection, fortification was deferred until May 2012. Based on estimates of bread consumption derived from a 1997 nationally representative survey, this program was intended to deliver a mean additional intake of 140 μg folic acid/d to women of childbearing age. Little is known about current bread consumption patterns in this target group. The aim of this study was to assess bread consumption among women prior to and during pregnancy with the intent to estimate periconceptional folic acid intakes that would be derived from bread if mandatory fortification were implemented as currently proposed. Methods A retrospective survey of 723 postpartum women in hospitals and birthing centres across New Zealand was conducted using a self-administered questionnaire on bread intake prior to and during pregnancy and maternal socio-demographic and obstetric characteristics. Results Median bread intake before conception (2 slices/d) was below that of previous data upon which the current fortification proposal was modeled (3-4 slices/d). If mandatory fortification is implemented as proposed, only 31% (95% CI = 24%-37%) of childbearing-age women would attain an additional folic acid intake of ≥ 140 μg/d, with a mean of 119 μg/d (95% CI = 107 μg/d-130 μg/d). Based on these data, a fortification level of 160 μg/100 g bread is required to achieve the targeted mean of 140 μg folic acid/d. Nonetheless, under the current proposal additional folic acid intakes would be greatest among the least advantaged segments of the target population: Pacific and indigenous Māori ethnic groups; those with increased parity, lower income and education; younger and single mothers; and women with unplanned pregnancies. Subgroups predicted to derive less than adequate folic acid intakes from the proposed policy were women of Asian

  16. 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.

  17. 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.

  18. 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.

  19. 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.

  20. 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

  1. 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

  2. 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.

  3. 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

  4. 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

  5. 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.

  6. 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.

  7. 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.

  8. [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.

  9. [Environmental Hazards Assessment Program annual report, June 1992--June 1993]. Needs assessment for the proposed masters degree program in environmental science at the Medical University of South Carolina: EHAP Volume 1, No. 2

    Energy Technology Data Exchange (ETDEWEB)

    Hoomani, J.

    1993-05-01

    There will be a critical shortage of professionals who are educated to deal with environmental problems by 1997. This was the major finding of a 1992 study conducted by the Oak Ridge Associated Universities, Incorporated and the Pacific Northwest Laboratory (Publication Number PAL-8171, CU-700). The study was done to determine the manpower needs of the Office of Environmental Restoration and Waste Management in the US Department of Energy (DOE). Although the focus of the study was the 19 sites of the DOE complex, including the Savannah River Site in South Carolina, the study documented that such shortages will affect other major agencies and organizations including the US Department of Interior, the US Department of Defense, the Environmental Protection Agency, state and local governmental agencies, private agencies, and manufacturing enterprises throughout the State of South Carolina and the National. The Oak Ridge Study also documented that a variety of professional positions requiring environmental expertise are difficult to fill because traditional educational programs in physical science, engineering, health science, public policy, and administration have not adequately responded to the unique nature of these emerging specialities. This lack of educational preparation has necessitated extensive on-site training of new employees before they can become productive members of the environmental work force. Unique educational initiatives such as the Environmental Studies program proposed here are vital to address the long-term demand for environmental professionals.

  10. 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.

  11. 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.

  12. Avaliação de iniciativas e programas intersetoriais em saúde: desafios e aprendizados Evaluation of initiatives and intersectorial programs in health: challenges and learning

    Directory of Open Access Journals (Sweden)

    Rosana Magalhães

    2009-06-01

    Full Text Available O objetivo deste artigo é contribuir para a avaliação das iniciativas voltadas para a construção de arranjos intersetoriais no âmbito das políticas públicas de saúde e de proteção social. São tomados como focos analíticos a iniciativa de Desenvolvimento Local Integrado e Sustentável de Manguinhos (DLIS-Manguinhos - uma proposta de base territorial e comunitária associada à estratégias de colaboração e negociação bottom up- e a experiência de implementação do programa federal de transferência condicionada de renda Bolsa Família (PBF. Nesta perspectiva, aspectos ligados às redes de mobilização social, perfil dos atores envolvidos, tipos de incentivos e níveis de integração institucional são tratados como elementos cruciais para a análise do alcance de programas e iniciativas que articulam propostas intersetoriais. Conclui-se que a interface e o diálogo entre pesquisa, avaliação e acompanhamento de processos decisórios constituem eixos centrais para o maior aprendizado social e institucional na área.The objective of his article is to contribute to the evaluation of the initiatives aimed at the creation of intersectorial arrangements in the scope of public health policies and social protection. The focus is on the Integrated and Sustainable Local Development of Manguinhos (DLIS-Manguinhos - a territory and community based proposal associated to bottom up cooperation and negotiation strategies - and the experience of establishing the conditioned cash transference federal program called Bolsa Família (Family Grant Program - PBF. In this perspective, the aspects related to social mobilization networks, profile of the players involved, types of incentive and levels of institutional integration are treated as crucial elements in the analysis of the programs and initiatives that articulate intersectorial proposals. It is concluded that the interface and dialog among research, evaluation and follow up of decision

  13. 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).

  14. 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.

  15. 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.

  16. 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.

  17. Nullius in verba: The University of Minnesota Social and Administrative Pharmacy Program proposed Guidelines for Formulary Evaluations

    Directory of Open Access Journals (Sweden)

    Paul C Langley

    2016-07-01

    Full Text Available The University of Minnesota Social and Administrative Pharmacy Program proposed Guidelines for Formulary Evaluations (GFE are designed to focus on the credibility of clinical and cost-outcomes claims in formulary decision making. The last few years have witnessed increasing concern over the credibility of trial based efficacy claims, with a surprisingly high proportion of claims falling short. At the same time cost-outcomes claims, where comparative clinical claims are a key input, have been presented where the claims made are not open to experimental or observational assessment. This follows from standards recommended for modeled and simulated claims. In the absence of cost-outcomes claims being presented in an evaluable form, it is impossible not only to replicate the claim or to judge whether or not it is credible. Claims for product value based on such claims are unacceptable. The guidelines proposed here are designed to overcome these limitations and support an evidence base that is both credible and replicable for formulary decisions. This is achieved by focusing on short-term modeled or simulated claims for cost-effectiveness. The requirement for modeled or simulated claims that are evaluable within a time frame that is meaningful for formulary decisions marks a major departure from format submissions already in play, not only in the US but in other developed economies. Rather than subscribing to the gold standard of long term or lifetime cost-per-QALY claims a short-term time horizon of no more than 2-years is recommended. This allows products to be provisionally placed on formulary but subject to a protocol that supports an evaluation to be reported back to a formulary committee as part of ongoing disease area or therapeutic class reviews. The place of the product and its contracted price can then be reviewed. Conflict of Interest None Type: Commentary

  18. Universal proposal strategies of anti-HPV vaccination for adolescents: comparative analysis between school-based and clinic immunization programs.

    Science.gov (United States)

    Desiante, F; Russo, C; Giorgino, A; Caputi, G; Battista, T; Cipriani, R; Conversano, M

    2017-09-01

    A promising approach to increase teenager's adherence to immunization against HPV is the administration of vaccinations within the school facilities. The Local Health Unit of Taranto experienced two different vaccine strategy proposals in the twelve-year-olds: the first one was the usual active call strategy in the outpatient clinic, while the second one provided the involvement of the schools in the area. The aim of the study is to evaluate the results of the proposed vaccination strategies in both sexes and in towns of different sizes in order to identify an effective path for achieving vaccine coverage improvement. To estimate the number of anti-HPV vaccine doses administered in adolescents of the 2003 cohort, we used the computerized vaccination system data of the Apulia Region. Then, once analyzed, the data for anti-HPV vaccine were broken down by gender, vaccine strategy and size of the town of residence. Analyses performed by using STATA SE 14. The multiple logistic regression points out that, females (OR = 3.2; p HPV vaccine cycle in adolescents. The comparative assessment of anti-HPV coverage strategies, suggests that school vaccination has resulted in significantly better outcomes than outpatient clinic one, for all the groups considered (overall 72.3% vs 55.6%). The involvement of school institutes can define a winning organizational model to get a wider adolescent's adherence to immunization programs, especially in bigger towns. The school vaccination strategy could improve anti-HPV vaccine adherence also in males, who perceives a lower HPV-related diseases risk than females.

  19. Annual Report Nucelar Energy Research and Development Program Nuclear Energy Research Initiative

    Energy Technology Data Exchange (ETDEWEB)

    Hively, LM

    2003-02-13

    NERI Project No.2000-0109 began in August 2000 and has three tasks. The first project year addressed Task 1, namely development of nonlinear prognostication for critical equipment in nuclear power facilities. That work is described in the first year's annual report (ORNLTM-2001/195). The current (second) project year (FY02) addresses Task 2, while the third project year will address Tasks 2-3. This report describes the work for the second project year, spanning August 2001 through August 2002, including status of the tasks, issues and concerns, cost performance, and status summary of tasks. The objective of the second project year's work is a compelling demonstration of the nonlinear prognostication algorithm using much more data. The guidance from Dr. Madeline Feltus (DOE/NE-20) is that it would be preferable to show forewarning of failure for different kinds of nuclear-grade equipment, as opposed to many different failure modes from one piece of equipment. Long-term monitoring of operational utility equipment is possible in principle, but is not practically feasible for the following reason. Time and funding constraints for this project do not allow us to monitor the many machines (thousands) that will be necessary to obtain even a few failure sequences, due to low failure rates (<10{sup -3}/year) in the operational environment. Moreover, the ONLY way to guarantee a controlled failure sequence is to seed progressively larger faults in the equipment or to overload the equipment for accelerated tests. Both of these approaches are infeasible for operational utility machinery, but are straight-forward in a test environment. Our subcontractor has provided such test sequences. Thus, we have revised Tasks 2.1-2.4 to analyze archival test data from such tests. The second phase of our work involves validation of the nonlinear prognostication over the second and third years of the proposed work. Recognizing the inherent limitations outlined in the previous

  20. Facility Location Evaluation for Bonneville Dam Integrating Transmission, Study Area 77-2 : Draft Supplement to the Environmental Statement, Fiscal Year 1977 Proposed Program.

    Energy Technology Data Exchange (ETDEWEB)

    United States. Bonneville Power Administration.

    1976-01-22

    The overall construction and maintenance program in general, the Pacific Northwest Environment in which it operates, and the environmental impacts that typically occur from transmission line construction and maintenance activities are described. A framework for evaluation of specific proposals is provided. The need for a specific new transmission facility proposed as part of the Annual Proposed Program is identified and the probable environmental impact of constructing the facility in accordance with a general proposed system plan and alternative plans is outlined. This expands the facility planning supplement to include alternative locations for the proposed new facility and environmental impacts associated with each alternative location. This supplement was prepared after public and agency review of the final planning supplement had been completed and reconnaissance studies were made.

  1. 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

  2. Environmental considerations for inclusion in program opportunity notices, requests for proposals, and environmental reports: fossil energy demonstration plants

    Energy Technology Data Exchange (ETDEWEB)

    Salk, M.S.; Baird, J.N.; Barnthouse, L.W.; Berry, L.G.; Roop, R.D.; Sanders, F.S.

    1978-01-01

    This document was prepared for the Department of Energy, Division of Coal Conversion, for use in developing Program Opportunity Notices (PON), Requests for Proposals (RFP), and Environmental Reports (ER). Environmental considerations to be addressed by Offerors and Contractors are divided into three parts that correspond to the separate stages of project development: (1) the Offeror's response to the PON or RFP; (2) the Contractor's performance of baseline data collection and environmental impact assessment that results in an Environmental Report (ER) for use by DOE in the preparation of an Environmental Impact Statement (EIS); and (3) the Contractor's continuance of environmental monitoring and assessment during construction and operation. Environmental analysis and environmental protection are an integral part of the Offeror's or Contractor's performance under contract to DOE. Consideration should be given to the health and socioeconomic status of man as well as to the physical and biological environment. The Offeror's or Contractor's consideration of and commitment to avoiding adverse environmental impacts must be demonstrated at every stage of the process from planning through construction and operation.

  3. 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

  4. 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.

  5. 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.

  6. 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.

  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. 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

  10. Evaluation and Proposed Refinement of the Sampling Design for the Long Term Resource Monitoring Program's Fish Component

    National Research Council Canada - National Science Library

    Ickes, Brian

    2002-01-01

    ... if the sampling design adequately addresses program goals and objectives. Periodic evaluations also permit assessment of a program's ability to provide adequate and useful information for changing management and science needs...

  11. PROPUESTA PARA EL DESARROLLO DE INSTRUMENTOS DE AUTOEVALUACIÓN PARA PROGRAMAS EDUCATIVOS A DISTANCIA (PROPOSAL FOR THE DEVELOPMENT OF SELF-ASSESSMENT INSTRUMENTS FOR DISTANCE EDUCATION PROGRAMS

    Directory of Open Access Journals (Sweden)

    García Martínez Verónica

    2011-08-01

    Full Text Available Resumen:El presente trabajo expone la etapa inicial de un proyecto conjunto entre la Universidad Juárez Autónoma de Tabasco (UJAT y la Universidad Autónoma de Chiapas (UNACH, México; se trata de una estrategia diseñada para elaborar mecanismos que permitan a los programas virtuales autoevaluarse. La propuesta surge como resultado de la aplicación de un modelo de autoevaluación de programas a distancia diseñado por la Asociación Nacional de Universidades e Instituciones de Educación Superior (ANUIES y tomado como referencia para instrumentar en la UJAT, un ejercicio de autodiagnóstico durante el periodo 2008-2009. Los resultados mostraron la necesidad de pensar en mecanismos de evaluación situados en el contexto regional. La propuesta descansa, principalmente, en la revisión documental y en el panel de expertos elegidos mediante el método Delphi y Método combinado TZ. La estrategia metodológica consta de cuatro etapas: a revisión de modelos de evaluación; b la selección de expertos de dos universidades de los Estados de Tabasco y Chiapas que cuentan desde hace más de diez años con programas virtuales; c el diseño de instrumentos de auto diagnóstico y d la calificación de los instrumentos por los expertos. El reporte describe tres de las cuatro etapas del estudio. El promedio del índice de expertos en la autoevaluación fue similar en las dos universidades; se concluye, por lo tanto, que los expertos comparten un nivel de conocimiento afín, en especial en el diseño de materiales u objetos de aprendizaje, no así en indicadores de calidad estimados para la educación virtual.Abstract: The present study describes the initial stage of a joint project between the Universidad Juárez Autónoma de Tabasco (UJAT y the Universidad Autónoma de Chiapas (UNACH México. This is a strategy designed to develop mechanisms to let the distance learning programs to self - assessment. The proposal is the result of applying a self

  12. 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

  13. 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.

  14. 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

  15. 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.

  16. 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

  17. Proposed Rule and Related Materials for Heavy-Duty Highway Program: Revisions for Emergency Vehicles and SCR Maintenance

    Science.gov (United States)

    May 23, 2012, Notice of Proposed Rulemaking with revisions related to emissions controls on diesel-powered emergency vehicles and revisions related to scheduled maintenance intervals for diesel engines and vehicles using Selective Catalytic Reduction (SCR)

  18. 76 FR 70156 - Proposed 5-Year Outer Continental Shelf (OCS) Oil and Gas Leasing Program for 2012-2017

    Science.gov (United States)

    2011-11-10

    ...-4010), Room 3120, 381 Elden Street, Herndon, Virginia 20170. Please label your comments and the....gov for public review and comment: (1) Economic Analysis for the OCS 5-Year Program 2012-2017: Theory...

  19. 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.

  20. 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.

  1. 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.

  2. The National School Lunch Program: Ideas, proposals, policies, and politics shaping students' experiences with school lunch in the United States, 1946 - present

    OpenAIRE

    Gosliner, Wendi Anne

    2013-01-01

    AbstractThe National School Lunch Program:Ideas, proposals, policies, and politics shaping students' experiences with school lunch in the United States, 1946 - presentBy Wendi Anne GoslinerDoctor of Public HealthUniversity of California, BerkeleyProfessor Ann Keller, ChairOn an average school day in 2012, The National School Lunch Program (NSLP) supported the provision of lunch meals to almost 2/3 of school-age youth in the United States. Recent spikes in childhood obesity rates and the emerg...

  3. A proposed emergency management program for acute care facilities in response to a highly virulent infectious disease.

    Science.gov (United States)

    Petinaux, Bruno; Ferguson, Brandy; Walker, Milena; Lee, Yeo-Jin; Little, Gary; Parenti, David; Simon, Gary

    2016-01-01

    To address the organizational complexities associated with a highly virulent infectious disease (HVID) hazard, such as Ebola Virus Disease (EVD), an acute care facility should institute an emergency management program rooted in the fundamentals of mitigation, preparedness, response, and recovery. This program must address all known facets of the care of a patient with HVID, from unannounced arrival to discharge. The implementation of such a program not only serves to mitigate the risks from an unrecognized exposure but also serves to prepare the organization and its staff to provide for a safe response, and ensure a full recovery. Much of this program is based on education, training, and infection control measures along with resourcing for appropriate personal protective equipment which is instrumental in ensuring an organized and safe response of the acute care facility in the service to the community. This emergency management program approach can serve as a model in the care of not only current HVIDs such as EVD but also future presentations in our healthcare setting.

  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. 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

  6. 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).…

  7. 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…

  8. 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…

  9. 78 FR 55084 - Proposed Collection; 60-day Comment Request; Data Collection To Understand How NIH Programs Apply...

    Science.gov (United States)

    2013-09-09

    ... are employed to increase organizational effectiveness. The Office of Management and Budget (OMB) and..., change management, organizational assessment and intervention, organizational design, process improvement... proposed projects to be submitted to the Office of Management and Budget (OMB) for review and approval...

  10. 78 FR 70958 - 30-Day Notice of Proposed Information Collection: Recordkeeping for HUD's Continuum of Care Program

    Science.gov (United States)

    2013-11-27

    ... URBAN DEVELOPMENT 30-Day Notice of Proposed Information Collection: Recordkeeping for HUD's Continuum of... allow for an additional 30 days of public comment. DATES: Comments Due Date: December 27, 2013... solicited public comment on the information collection for a period of 60 days was published on March 25...

  11. 76 FR 70828 - Proposed Information Collection (Mentor-Protégé Program Application and Reports) Activity...

    Science.gov (United States)

    2011-11-15

    ...://www.Regulations.gov ; or to Arita Tillman, Office of Acquisition and Logistics (049P1), Department of... information will have practical utility; (2) the accuracy of (OM)'s estimate of the burden of the proposed collection of information; (3) ways to enhance the quality, utility, and clarity of the information to be...

  12. Facility Location Evaluation for Haymill Service Study Area : Draft Supplement to the Environmental Statement, Fiscal Year 1977 Proposed Program.

    Energy Technology Data Exchange (ETDEWEB)

    United States. Bonneville Power Administration.

    1976-03-05

    This document expands the facility planning supplement to include alternative locations for the proposed new facility and environmental impacts associated with each alternative location. This supplement is prepared after public and agency review of the final planning supplement has been completed and reconnaissance studies have been made.

  13. Environmental Impact Analysis Process. Draft Environmental Impact Statement Proposed Central Radar System Over-the-Horizon Backscatter Radar Program

    Science.gov (United States)

    1986-08-01

    depression, feelings of inadequacy, headaches, hypersensitivity to sensory stimulation, and psychosomatic symptoms (disturbances of digestion and...Fence I 325 442 Proposed CRS Operations Existing Building18.000 Gal Underground Propane Tank 10" Water i . 8" Sewer 1 302 E 329 5" High Temperature

  14. 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.

  15. 78 FR 9935 - Notice of Submission of Proposed Information Collection to OMB; Family Self-Sufficiency Program...

    Science.gov (United States)

    2013-02-12

    ... of Management and Budget (OMB) for review, as required by the Paperwork Reduction Act. The Department... program and illustrate strategies that assist participants to obtain greater economic independence. While..., which include: Getting a first job; getting a higher paying job; self-employment/small business...

  16. 77 FR 6585 - Proposed Information Collection Request (ICR) for the Impact Evaluation of the YouthBuild Program...

    Science.gov (United States)

    2012-02-08

    ..., from low-income families or in foster care and who are offenders, migrants, disabled or children of... emotional development. The evaluation represents an important opportunity for DOL and CNCS to add to the growing body of knowledge about the impacts of ``second chance'' programs for youth who have dropped out...

  17. 76 FR 27363 - Proposed Information Collection Request (ICR) for the Impact Evaluation of the YouthBuild Program...

    Science.gov (United States)

    2011-05-11

    ...-income communities: available housing, and youth education, employment and criminal behavior. The program... from school and work, be incarcerated, be unmarried, and have children outside of marriage. The... impacts on employment, earnings, and job characteristics? What are YouthBuild's impacts on crime and...

  18. Mental Health Awareness and Services in Armenian-American Schools: A Grant Proposal for a Teacher Training Program

    Science.gov (United States)

    Tanielian, Aline Zarig

    2012-01-01

    School-based mental health programs in America provide students with psychological services that have been found to increase students' academic and social success and overall well-being. Furthermore, teacher involvement in students' psychological well-being via awareness, psychoeducation, and/or rendering help and resources has been found to be a…

  19. Environmental Impact Analysis Process. Final Environmental Impact Statement. Part 2. Proposed High Frequency Active Auroral Research Program.

    Science.gov (United States)

    1993-07-01

    which I will identify by page number. Nikola Tesla , built huge facilities early in this century to study electricity and the earth’s ability to...I believe you have left out some critical points which the public will want to have answers to before construction and operation begin. Like Tesla ...based on the proposed tax laws), then it would be helpful to have a BTU equivalent for the facility and its components as well. 11-4 Like Tesla , the

  20. Electromagnetic interference impact of the proposed emitters for the High Frequency Active Auroral Research Program (HAARP). Interim report

    Energy Technology Data Exchange (ETDEWEB)

    Robertshaw, G.A.; Snyder, A.L.; Weiner, M.M.

    1993-05-14

    The proposed HAARP emitters at the Gakona (Alaska) preferred site and at the Clear AFS (Alaska) alternative site are the Ionospheric Research Instrument (IRI), the Incoherent Scatter Radar (ISR), and the Vertical Incidence Sounder(VIS). The electromagnetic interference (EMI) impact of those emitters on receiving systems in the vicinity of the sites is estimated in this study. The results are intended for use as an input to the Air Force Environmental Impact Statement as part of the Environmental Impact Analysis Process.

  1. Facility Location Evaluation for Satsop Integrating Transmission : Final Supplement to the Environmental Statement, Fiscal Year 1976 Proposed Program.

    Energy Technology Data Exchange (ETDEWEB)

    United States. Bonneville Power Administration.

    1976-06-08

    Proposed is the construction of a substation near Satsop and two 500-kV transmission lines from the proposed Satsop Substation approximately 24 miles west of Olympia, one running from Satsop to Paul Substation and one running from Satsop to Olympia Substation. Approximately 74 miles of 500-kV transmission line between the proposed Satsop Substation and Olympia and Paul Substations over existing, parallel, and new right-of-way would be required. Between 15 and 31 miles of new access road would also be required. Land use affected would include clearing from 560 to 1180 acres of timber. Approximately one acre of agricultural land would be removed from production and 37 acres temporarily disrupted. In addition approximately 30 acres of land would be required for the substation. Other impacts would include the removal of wildlife habitat associated with the above mentioned right-of-way requirements. Disturbance to wildlife during construction would occur. Some erosion and sedimentation would occur. Visual impacts would result from clearing rights-of-way through heavily forested areas. Noise and other disturbances to residents will occur, primarily during construction.

  2. Proposed program for and present status of the Geological Survey's investigation of domestic resources of radioactive raw materials

    Science.gov (United States)

    Bulter, A.P.; Killeen, P.L.; Page, G.B.; Rubey, W.W.

    1983-01-01

    This interim report is designed to show the present status of the Geological Survey's information and the parts of a comprehensive program necessary to improve our information about the raw material resources of uranium and thorium. Rarely in geologic work has it been necessary. to determine so completely a nation's resources of useful minerals in so brief a span of time. Ordinarily, information on mineral resources Is accumulated during a long period of years. However, uranium and thorium were suddenly thrust from a position of subsidiary economic interest into one of great strategic importance. Information concerning their occurrence must, therefore, be obtained as rapidly as reliable methods of investigation will permit. Accordingly the program must be at once comprehensive and carried out over an area more extensive than is usual in the search for and appraisal of most other mineral resources.

  3. The need of a weight management control program in judo: a proposal based on the successful case of wrestling

    Directory of Open Access Journals (Sweden)

    Sterkowicz Stanislaw

    2010-05-01

    Full Text Available Abstract Judo competitions are divided into weight classes. However, most athletes reduce their body weight in a few days before competition in order to obtain a competitive advantage over lighter opponents. To achieve fast weight reduction, athletes use a number of aggressive nutritional strategies so many of them place themselves at a high health-injury risk. In collegiate wrestling, a similar problem has been observed and three wrestlers died in 1997 due to rapid weight loss regimes. After these deaths, the National Collegiate Athletic Association had implemented a successful weight management program which was proven to improve weight management behavior. No similar program has ever been discussed by judo federations even though judo competitors present a comparable inappropriate pattern of weight control. In view of this, the basis for a weight control program is provided in this manuscript, as follows: competition should begin within 1 hour after weigh-in, at the latest; each athlete is allowed to be weighed-in only once; rapid weight loss as well as artificial rehydration (i.e., saline infusion methods are prohibited during the entire competition day; athletes should pass the hydration test to get their weigh-in validated; an individual minimum competitive weight (male athletes competing at no less than 7% and females at no less than 12% of body fat should be determined at the beginning of each season; athletes are not allowed to compete in any weight class that requires weight reductions greater than 1.5% of body weight per week. In parallel, educational programs should aim at increasing the athletes', coaches' and parents' awareness about the risks of aggressive nutritional strategies as well as healthier ways to properly manage body weight.

  4. The need of a weight management control program in judo: a proposal based on the successful case of wrestling

    Science.gov (United States)

    2010-01-01

    Judo competitions are divided into weight classes. However, most athletes reduce their body weight in a few days before competition in order to obtain a competitive advantage over lighter opponents. To achieve fast weight reduction, athletes use a number of aggressive nutritional strategies so many of them place themselves at a high health-injury risk. In collegiate wrestling, a similar problem has been observed and three wrestlers died in 1997 due to rapid weight loss regimes. After these deaths, the National Collegiate Athletic Association had implemented a successful weight management program which was proven to improve weight management behavior. No similar program has ever been discussed by judo federations even though judo competitors present a comparable inappropriate pattern of weight control. In view of this, the basis for a weight control program is provided in this manuscript, as follows: competition should begin within 1 hour after weigh-in, at the latest; each athlete is allowed to be weighed-in only once; rapid weight loss as well as artificial rehydration (i.e., saline infusion) methods are prohibited during the entire competition day; athletes should pass the hydration test to get their weigh-in validated; an individual minimum competitive weight (male athletes competing at no less than 7% and females at no less than 12% of body fat) should be determined at the beginning of each season; athletes are not allowed to compete in any weight class that requires weight reductions greater than 1.5% of body weight per week. In parallel, educational programs should aim at increasing the athletes', coaches' and parents' awareness about the risks of aggressive nutritional strategies as well as healthier ways to properly manage body weight. PMID:20441594

  5. 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.

  6. 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...

  7. Systematic assessment of cervical cancer initiation and progression uncovers genetic panels for deep learning-based early diagnosis and proposes novel diagnostic and prognostic biomarkers.

    Science.gov (United States)

    Long, Nguyen Phuoc; Jung, Kyung Hee; Yoon, Sang Jun; Anh, Nguyen Hoang; Nghi, Tran Diem; Kang, Yun Pyo; Yan, Hong Hua; Min, Jung Eun; Hong, Soon-Sun; Kwon, Sung Won

    2017-12-12

    Although many outstanding achievements in the management of cervical cancer (CxCa) have obtained, it still imposes a major burden which has prompted scientists to discover and validate new CxCa biomarkers to improve the diagnostic and prognostic assessment of CxCa. In this study, eight different gene expression data sets containing 202 cancer, 115 cervical intraepithelial neoplasia (CIN), and 105 normal samples were utilized for an integrative systems biology assessment in a multi-stage carcinogenesis manner. Deep learning-based diagnostic models were established based on the genetic panels of intrinsic genes of cervical carcinogenesis as well as on the unbiased variable selection approach. Survival analysis was also conducted to explore the potential biomarker candidates for prognostic assessment. Our results showed that cell cycle, RNA transport, mRNA surveillance, and one carbon pool by folate were the key regulatory mechanisms involved in the initiation, progression, and metastasis of CxCa. Various genetic panels combined with machine learning algorithms successfully differentiated CxCa from CIN and normalcy in cross-study normalized data sets. In particular, the 168-gene deep learning model for the differentiation of cancer from normalcy achieved an externally validated accuracy of 97.96% (99.01% sensitivity and 95.65% specificity). Survival analysis revealed that ZNF281 and EPHB6 were the two most promising prognostic genetic markers for CxCa among others. Our findings open new opportunities to enhance current understanding of the characteristics of CxCa pathobiology. In addition, the combination of transcriptomics-based signatures and deep learning classification may become an important approach to improve CxCa diagnosis and management in clinical practice.

  8. 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.

  9. COMPARATIVE ANALYSIS OF THE MAIN UNIT-LINKED INVESTMENT PROGRAMS PROPOSED BY THE ROMANIAN LIFE INSURANCE COMPANIES

    Directory of Open Access Journals (Sweden)

    CIUMAS Cristina

    2017-06-01

    Full Text Available An important component of the activity carried out by the insurance companies is the investment of the premiums paid by policyholders in various types of assets, in order to obtain higher yields than those guaranteed by the insurance contracts, while providing the necessary liquidity for the payment of insurance claims in case of occurrence of the assumed risks. This research contributes to the existing literature regarding the study of investment alternatives, with an exclusive focus on the investment in unit-linked life insurance. A special place in this study is the comparative analysis of the main unit-linked investment programs offered by Romanian insurance companies.

  10. 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…

  11. 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.…

  12. Draft Supplement to the Environmental Statement Fiscal Year 1975 Proposed Program : Facility Location Evaluation for Richland Area Electrical Service.

    Energy Technology Data Exchange (ETDEWEB)

    United States. Bonneville Power Administration.

    1974-01-01

    The proposal involves the construction of 35.2 miles of 230-kV and 3.6 miles of 115-kV transmission line as well as the associated construction of three new substation facilities. A total of 697 acres of the new easement required for the proposed transmission facilities would occur entirely within the Atomic Energy Commission's Hanford Reservation where land uses and public access are already restricted for safety reasons. The removal of vegetative cover in the reservation during construction operations will increase an already high potential for wind erosion. An additional 5 miles of new right-of-way easement will be required outside of the Hanford Reservation crossing primarily sagebrush rangeland with some irrigated cropland being removed from production. Depending upon actual sites selected for the three new substation facilities a total of up to approximately 60 acres of sagebrush rangeland would be permanently removed from production. Disturbance of game in the immediate vicinity of the transmission facilities will occur during construction, as will some soil erosion primarily during and immediately after construction, siltation in nearby streams, disturbance of nearby residents from noise and dust during construction and some degration of AM reception immediately adjacent to the right-of-way. 15 figs.

  13. 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

  14. 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.

  15. Development and Validation of the Guide for Effective Nutrition Interventions and Education (GENIE): A Tool for Assessing the Quality of Proposed Nutrition Education Programs.

    Science.gov (United States)

    Hand, Rosa K; Abram, Jenica K; Brown, Katie; Ziegler, Paula J; Parrott, J Scott; Steiber, Alison L

    2015-01-01

    To develop and validate the Guide for Effective Nutrition Interventions and Education (GENIE), a checklist of research-based quality indicators for nutrition education programs. A prospective test of criterion validity and inter-rater reliability of a new tool comparing expert assessments and trained reviewer GENIE scores of the same nutrition education proposals. Ten nutrition education experts; 13 volunteer reviewers. GENIE's face, content, and criterion validity and inter-rater reliability compared using expert assessments and reviewer objective and subjective scores. Reviewer scores compared using Spearman correlation. Inter-rater reliability tested using intra-class correlation (ICC), Cronbach alpha, and ANOVA. Criterion validity tested using independent t test and point bi-serial correlation to compare reviewer with expert scores. Correlation found between total objective and total subjective scores. Agreement found between reviewers across proposals and categories considering subjective scores (F = 7.21, P validity and reliability of GENIE as a tool for nutrition education practitioners, researchers, and program funding agencies to accurately assess the quality of a variety of nutrition program plans. Copyright © 2015 Society for Nutrition Education and Behavior. Published by Elsevier Inc. All rights reserved.

  16. 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.

  17. Proposed 'grant-and-access' program with price caps could stimulate development of drugs for very rare diseases.

    Science.gov (United States)

    Valverde, Ana M; Reed, Shelby D; Schulman, Kevin A

    2012-11-01

    The 1983 Orphan Drug Act created incentives for the development of orphan drugs. Despite its successes, including a substantial increase in new drugs, approved orphan drugs still treat fewer than 5 percent of registered rare diseases. In addition, concerns have arisen about the high prices of many of these therapies, which can cost hundreds of thousands of dollars per patient each year. In this article, we propose a new "grant-and-access pathway," in which drug developers could opt to compete for federal grants to subsidize the costs of clinical testing. In return for the grant funding, companies would no longer claim orphan drug tax credits and would agree to price caps for marketed products based on the duration and costs associated with drug development, expected market size, and target rate of return. We identify scenarios in which such a policy could provide a net benefit to society.

  18. A Proposal for the Education based on the Information Technology in Technical High Schools, Linking Together Web Programming and Microcontroller

    Science.gov (United States)

    Shinozaki, Kenichi; Yanaru, Torao

    Recently, IT (Information Technology) have rapidly revolved and penetrated into the usual human life, with such as the household appliances and the mobile devices. Considering this strong change of social environment, what technology is introduced to satisfy the present educational needs and how to develop the teaching system is very important. Then in this paper, we describe the developed web-teaching material that links Xport, an embedded device server, with the control system using microcontroller technology. In the classes, we have implemented the lessons that utilize this system in the following subjects : programming technology, hardware technology, electronic circuit and practical training. Furthermore, because of high availability of the developed system through internet, it is also useful for the education on science and technical arts in general high schools or in junior high schools as well as in technical high schools.

  19. Analysis of Combined Data from Heterogeneous Study Designs: A Methodological Proposal from the Patient Navigation Research program

    Science.gov (United States)

    Roetzheim, Richard G.; Freund, Karen M.; Corle, Don K.; Murray, David M.; Snyder, Frederick R.; Kronman, Andrea C.; Jean-Pierre, Pascal; Raich, Peter C.; Holden, Alan E. C.; Darnell, Julie S.; Warren-Mears, Victoria; Patierno, Steven; Design, PNRP; Committee, Analysis

    2013-01-01

    Background The Patient Navigation Research Program (PNRP) is a cooperative effort of nine research projects, each employing its own unique study design. To evaluate projects such as PNRP, it is desirable to perform a pooled analysis to increase power relative to the individual projects. There is no agreed upon prospective methodology, however, for analyzing combined data arising from different study designs. Expert opinions were thus solicited from members of the PNRP Design and Analysis Committee Purpose To review possible methodologies for analyzing combined data arising from heterogeneous study designs. Methods The Design and Analysis Committee critically reviewed the pros and cons of five potential methods for analyzing combined PNRP project data. Conclusions were based on simple consensus. The five approaches reviewed included: 1) Analyzing and reporting each project separately, 2) Combining data from all projects and performing an individual-level analysis, 3) Pooling data from projects having similar study designs, 4) Analyzing pooled data using a prospective meta analytic technique, 5) Analyzing pooled data utilizing a novel simulated group randomized design. Results Methodologies varied in their ability to incorporate data from all PNRP projects, to appropriately account for differing study designs, and in their impact from differing project sample sizes. Limitations The conclusions reached were based on expert opinion and not derived from actual analyses performed. Conclusions The ability to analyze pooled data arising from differing study designs may provide pertinent information to inform programmatic, budgetary, and policy perspectives. Multi-site community-based research may not lend itself well to the more stringent explanatory and pragmatic standards of a randomized controlled trial design. Given our growing interest in community-based population research, the challenges inherent in the analysis of heterogeneous study design are likely to become

  20. 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.

  1. 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...

  2. Facility Location Evaluation for Ellensburg Service Study Area 78-2 : Draft Environmental Supplement, Fiscal Year 1978 Proposed Program.

    Energy Technology Data Exchange (ETDEWEB)

    United States. Bonneville Power Administration.

    1977-03-21

    Construction of transmission facilities to provide for increasing electrical loads in the Ellensburg Service Area is proposed. The alternatives considered include nonconstruction and 3 alternative route locations for the transmission lines. The alternatives involve the construction of between 2 and 4 miles of new 115-kV transmission line and the addition of a new 115-12.5-kV substation. Depending on the final route location chosen, between 2 and 3 acres of new right-of-way would be required for the line. In all cases, approximately 2 acres would be required for a new substation. Only one alternative would require access road construction and that would be limited to 1/2 mile. Vegetation removal would be limited to less than 4 total acres for the line and substation. Minimal erosion and sedimentation would occur. Disturbances to agricultural lands would occur. Disturbances to agricultural lands would be minor and short-term. Visual impacts would occur, as well as noise and other minor disturbances during construction. 18 references, 13 figures, 9 tables.

  3. Death Valley Lower Carbonate Aquifer Monitoring Program Wells Down gradient of the Proposed Yucca Mountain Nuclear Waste Repository

    Energy Technology Data Exchange (ETDEWEB)

    Inyo County

    2006-07-26

    Inyo County has participated in oversight activities associated with the Yucca Mountain Nuclear Waste Repository since 1987. The overall goal of these studies are the evaluation of far-field issues related to potential transport, by ground water, or radionuclides into Inyo County, including Death Valley, and the evaluation of a connection between the Lower Carbonate Aquifer (LCA) and the biosphere. Our oversight and completed Cooperative Agreement research, and a number of other investigators research indicate that there is groundwater flow between the alluvial and carbonate aquifers both at Yucca Mountain and in Inyo County. In addition to the potential of radionuclide transport through the LCA, Czarnecki (1997), with the US Geological Survey, research indicate potential radionuclide transport through the shallower Tertiary-age aquifer materials with ultimate discharge into the Franklin Lake Playa in Inyo County. The specific purpose of this Cooperative Agreement drilling program was to acquire geological, subsurface geology, and hydrologic data to: (1) establish the existence of inter-basin flow between the Amargosa Basin and Death Valley Basin; (2) characterize groundwater flow paths in the LCA through Southern Funeral Mountain Range, and (3) Evaluation the hydraulic connection between the Yucca Mountain repository and the major springs in Death Valley through the LCA.

  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. 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

  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. 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

  8. 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

  9. 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

  10. 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…

  11. 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…

  12. 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…

  13. Facility Location Evaluation for Shelton-Kitsap 230-kV Line, Study Area 75-4. Draft supplement to the Environmental Statement Fiscal Year 1976 Proposed Program.

    Energy Technology Data Exchange (ETDEWEB)

    United States. Bonneville Power Administration.

    1974-10-22

    This report discusses alternative route locations for the proposed construction of a 31.6-mile, 230-kV transmission line from Shelton, Washington, to Kitsap Substation near Port Orchard, Washington. The new line would replace an existing 115-kV wood-pole line for 28.8 miles and has the potential to replace or parallel for 2.8 miles. Approximately 22.6 miles of commercial Christmas trees growing on the existing right-of-way will be removed during the construction of this facility. Depending on the alternative chosen, for the last 2.8 miles, increased right-of-way width could require from 9 to 24 acres of additional tree cover, primarily Douglas-fir. Alternatives considered are: (1) nonconstruction, and (2) replacement of existing 115-kV wood-pole line with replacement and parallel alternatives for the last 2.8 miles. Generation alternatives to all transmission construction, including alternative methods of electrical transmission and generation, transmission construction, disposal of slash and limiting the consumption of electricity, are discussed in BPA's General Construction and Maintenance Program Statement and the Annual Proposed Program Environmental Statement.

  14. Implementation and evaluation of the HEROES initiative: a tri-state coordinated school health program to reduce childhood obesity.

    Science.gov (United States)

    King, Mindy H; Lederer, Alyssa M; Sovinski, Danielle; Knoblock, Heidi M; Meade, Rhonda K; Seo, Dong-Chul; Kim, Nayoung

    2014-05-01

    This article describes the design, implementation, and evaluative findings of the HEROES (Healthy, Energetic, Ready, Outstanding, Enthusiastic, Schools) Initiative, a school-based multilevel childhood obesity prevention intervention. Based on the Centers for Disease Control and Prevention's recommended coordinated school health approach, the HEROES Initiative works to alleviate the burden of childhood obesity in Southern Indiana, Northwestern Kentucky, and Southeastern Illinois in the United States. Process evaluation was conducted with the 17 participating schools in spring 2012 based on interviews with school personnel and observation of the school environment. Findings showed that despite some variability, schools were generally able to implement the intervention with fidelity. School-level outcome evaluation was also based on observation of the school environment, and revealed that schools had implemented a number of new practices to encourage physical activity and healthy eating. Assessment of student-level outcomes was based on professionally collected physiological measurements and self-reported behavioral data collected over an 18-month period of time, last collected in spring 2012. Findings demonstrated that the HEROES Initiative has been successful in reducing the percentage of overweight children in participating schools and healthfully modifying their dietary, physical activity, and sedentary behaviors. Strategies that have facilitated success and challenges related to the intervention are discussed.

  15. The University of Minnesota Morris (UMM) STEP Program: an initiative to encourage the participation of Native Americans in the sciences

    Science.gov (United States)

    Cotter, J. F.

    2009-12-01

    The goal of the UMM STEP program is to increase the number of graduates in STEM fields through innovative curricular, recruiting and mentoring strategies. A unique focus of the UMM STEP program is increasing the number of Native American science majors. The STEP program fosters a summer research environment where peer interaction and mentoring creates a web of support. To do so we will establish a supportive and fulfilling pipeline that: 1) Identifies Native American students and involves them in research while they are high school; 2) Mentors and prepares participants for university academics the summer before their freshman year; 3) Provides a complete tuition waiver, mentoring and a support network throughout their undergraduate career; and 4) Involves participants in an active and dynamic summer undergraduate research environment where under-represented individuals are in the majority. The third and fourth components of this pipeline are in very good shape. The Morris campus was originally established as an Indian School in 1887. When the federal government deeded the Indian school campus to the University of Minnesota a stipulation was that Native American students attend the college for free. At present, 196 Native Americans are enrolled at UMM (50 are STEM majors). The UMM STEP research experience provides the unique opportunity to interact with a scientific community that both breaks down a number of traditional barriers and aids in the maturation of these students as scientists. In Summer 2008, 4 students were involved in summer research and in 2009 seven Native American students participated. Early efforts of the UMM STEP program are encouraging. UMM Admissions staff used the UMM STEP program to recruit Native American students and the P.I. phoned “uncommitted admits”, visited reservations and hosted reservation student visits. The result was an increase in freshman Native American Science majors from 7 in Fall 2007, 15 in fall 2008 and 20 in fall

  16. 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.

  17. 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

  18. "Finnish embryo transfer breeding program ""ASMO"": description of the goals and a summary of the results of initial selection"

    Directory of Open Access Journals (Sweden)

    E. A. MÄNTYSAARI

    2008-12-01

    Full Text Available In 1990 the organizations responsible for Finnish dairy breeding established an open nucleus multiple ovulation and embryo transfer (MOET breeding program called ASMO. The aim was, besides to test effectiveness of MOET, to improve the protein to fat ratio in milk produced by Finnish Ayrshires but without sacrificing the progress in protein yield. The relative weights of traits were such that equal importance was assigned to protein % and protein yield. Negative weight was assigned to fat % to ensure it remained unaltered. The MOET work continued until 1994 after which the performance of selected animals has been monitored. During the five years the scheme operated, 276 cows were flushed for embryos, and 2751 embryos were recovered, of which 1810 were transferable. More than 1600 embryos were transferred to recipients, and 813 calves were born. Eighty bull calves were sold for the artificial insemination test scheme. In December 1995 the first 125 ET daughters were evaluated with the national animal model program. Their mean estimated breeding values (EBVs were +0.13 for protein % and -0.18 for fat % compared with the genetic base of progeny tested sires born in 1986-1988, and the protein yield EBVs were 12 kg above the genetic base. Despite the efficiency of selection, the program was discontinued in 1994. Due to the difficulty of maintaining sufficient control over donor animals, there were fewer than expected embryos per flush and also too few flushes per donor.;

  19. 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

  20. 76 FR 12982 - Notice of Proposed Information Collection for Public Comment: Notice of Funding Availability for...

    Science.gov (United States)

    2011-03-09

    ... Affected Public: Institutions of higher education accredited by a national or regional accrediting agency... URBAN DEVELOPMENT Notice of Proposed Information Collection for Public Comment: Notice of Funding Availability for the Transformation Initiative: Sustainable Construction in Indian Country Grant Program AGENCY...

  1. Proposal for the pre-sediment removal aquatic survey of Lake Mary, Ladora, and Lower Derby Reservois located on the U.S. Army Rocky Mountain Arsenal, Colorado

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — Proposal for a monitoring program at the Rocky Mountain Arsenal (RMA) to document the effectiveness of the sediment removal program. This project has been initiated...

  2. Preventing substance use and disordered eating: initial outcomes of the ATHENA (athletes targeting healthy exercise and nutrition alternatives) program.

    Science.gov (United States)

    Elliot, Diane L; Goldberg, Linn; Moe, Esther L; Defrancesco, Carol A; Durham, Melissa B; Hix-Small, Hollie

    2004-11-01

    To implement and to assess the efficacy of a school-based, sport team-centered program to prevent young female high school athletes' disordered eating and body-shaping drug use. Prospective controlled trial in 18 high schools, with balanced random assignment by school to the intervention and usual-care control conditions. We enrolled 928 students from 40 participating sport teams. Mean age was 15.4 years, 92.2% were white, and follow-up retention was 72%. The ATHENA (Athletes Targeting Healthy Exercise and Nutrition Alternative) curriculum's 8 weekly 45-minute sessions were incorporated into a team's usual practice activities. Content was gender-specific, peer-led, and explicitly scripted. Topics included healthy sport nutrition, effective exercise training, drug use and other unhealthy behaviors' effects on sport performance, media images of females, and depression prevention. We assessed participants by confidential questionnaire prior to and following their sport season. We determined program effects using an analysis of covariance-based approach within the Generalized Estimating Equation framework. Experimental athletes reported significantly less ongoing and new use of diet pills and less new use of athletic-enhancing substances (amphetamines, anabolic steroids, and sport supplements) (Pdiet pills (P<.05), vomiting to lose weight (P<.05), and use of tobacco (P<.05) and muscle-building supplements (P<.005). The program's curriculum components were altered appropriately (controlling mood [P<.005], refusal skills [P = .05], belief in the media [P<.005], and perceptions of closest friends' body-shaping drug use [P<.001]). Sport teams are effective natural vehicles for gender-specific, peer-led curricula to promote healthy lifestyles and to deter disordered eating, athletic-enhancing substance use, and other health-harming behaviors.

  3. 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.

  4. 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.

  5. 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

    Full Text Available BACKGROUND: Recently, a number of Global Health Initiatives (GHI have been created to address single disease issues in low-income countries, such as poliomyelitis, trachoma, neonatal tetanus, etc.. Empirical evidence on the effects of such GHIs on local health systems remains scarce. This paper explores positive and negative effects of the Integrated Neglected Tropical Disease (NTD Control Initiative, consisting in mass preventive chemotherapy for five targeted NTDs, on Mali's health system where it was first implemented in 2007. METHODS AND FINDINGS: Campaign processes and interactions with the health system were assessed through participant observation in two rural districts (8 health centres each. Information was complemented by interviews with key informants, website search and literature review. Preliminary results were validated during feedback sessions with Malian authorities from national, regional and district levels. We present positive and negative effects of the NTD campaign on the health system using the WHO framework of analysis based on six interrelated elements: health service delivery, health workforce, health information system, drug procurement system, financing and governance. At point of delivery, campaign-related workload severely interfered with routine care delivery which was cut down or totally interrupted during the campaign, as nurses were absent from their health centre for campaign-related activities. Only 2 of the 16 health centres, characterized by a qualified, stable and motivated workforce, were able to keep routine services running and to use the campaign as an opportunity for quality improvement. Increased workload was compensated by allowances, which significantly improved staff income, but also contributed to divert attention away from core routine activities. While the campaign increased the availability of NTD drugs at country level, parallel systems for drug supply and evaluation requested extra efforts

  6. 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.

  7. Investigation of the role of thermal boundary layer processes in initiating convection under the NASA SPACE Field Program

    Science.gov (United States)

    Mcnider, Richard T.; Song, Aaron; Casey, Dan; Crosson, William; Wetzel, Peter

    1993-01-01

    The current NWS ground based network is not sufficient to capture the dynamic or thermodynamic structure leading to the initiation and organization of air mass moist convective events. Under this investigation we intend to use boundary layer mesoscale models (McNider and Pielke, 1981) to examine the dynamic triggering of convection due to topography and surface thermal contrasts. VAS and MAN's estimates of moisture will be coupled with the dynamic solution to provide an estimate of the total convective potential. Visible GOES images will be used to specify incoming insolation which may lead to surface thermal contrasts and JR skin temperatures will be used to estimate surface moisture (via the surface thermal inertia) (Weizel and Chang, 1988) which can also induce surface thermal contrasts. We will use the SPACE-COHMEX data base to evaluate the ability of the joint mesoscale model satellite products to show skill in predicting the development of air mass convection. We will develop images of model vertical velocity and satellite thermodynamic measures to derive images of predicted convective potential. We will then after suitable geographic registration carry out a pixel by pixel correlation between the model/satellite convective potential and the 'truth' which are the visible images. During the first half of the first year of this investigation we have concentrated on two aspects of the project. The first has been in generating vertical velocity fields from the model for COHMEX case days. We have taken June 19 as the first case and have run the mesoscale model at several different grid resolutions. We are currently developing the composite model/satellite convective image. The second aspect has been the attempted calibration of the surface energy budget to provide the proper horizontal thermal contrasts for convective initiation. We have made extensive progress on this aspect using the FIFE data as a test data set. The calibration technique looks very promising.

  8. A goal programming approach for a joint design of macroeconomic and environmental policies: a methodological proposal and an application to the Spanish economy.

    Science.gov (United States)

    André, Francisco J; Cardenete, M Alejandro; Romero, Carlos

    2009-05-01

    The economic policy needs to pay increasingly more attention to the environmental issues, which requires the development of methodologies able to incorporate environmental, as well as macroeconomic, goals in the design of public policies. Starting from this observation, this article proposes a methodology based upon a Simonian satisficing logic made operational with the help of goal programming (GP) models, to address the joint design of macroeconomic and environmental policies. The methodology is applied to the Spanish economy, where a joint policy is elicited, taking into consideration macroeconomic goals (economic growth, inflation, unemployment, public deficit) and environmental goals (CO(2), NO( x ) and SO( x ) emissions) within the context of a computable general equilibrium model. The results show how the government can "fine-tune" its policy according to different criteria using GP models. The resulting policies aggregate the environmental and the economic goals in different ways: maximum aggregate performance, maximum balance and a lexicographic hierarchy of the goals.

  9. 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.

  10. The interfaculty graduate environmental sciences program of the American University of Beirut: an ESD initiative in the Arab World

    Science.gov (United States)

    Zurayk, Rami; El-Fadel, Mutasem; Nuwayhid, Iman

    2010-06-01

    The American University of Beirut's Interfaculty Graduate Environmental Sciences Program was launched in 1997 as a means of addressing salient issues on the environment and development in Lebanon and the Arab World using an interdisciplinary approach. The programme adopts a student-centred learning approach and aims to develop critical and systems thinking skills to produce socially and environmentally conscious leaders and agents of change in the Arab World. In this paper, we provide an evaluation of the programme's ESD dimensions using the criteria of interdisciplinarity, local relevance and competence-based learning. This is followed by a critical analysis of the programme's potential for use as a model in the Arab World. We find that, while the model may be useful in providing inspiration and a good practice case, its transfer "as is" to institutions of higher education in the Arab World or even in Lebanon is unlikely, and perhaps undesirable, in view of the inherently diverse nature of Arab universities.

  11. Institutional Program of Teaching Initiation Scholarships and the question about the improvement of the quality of basic education

    Directory of Open Access Journals (Sweden)

    Natalia Neves Macedo Deimling

    2017-11-01

    Full Text Available The purpose of this article was to discuss the impacts of PIBID on the improvement of the quality of basic education, from the perspective of those who compose it. It is one of the categories of analysis discussed in a broader research of qualitative approach that relied on document analysis and semi-structured interview as main instruments of construction and data analysis. The interviews were performed with six coordinators, seven supervisors, four collaborators and forty-eight scholarship students of four subprojects of a Brazilian federal university in 2013. The results showed that PIBID, although supporting new and different activities in schools, it cannot contribute, by itself, to improve the quality of basic education. This is because a program is unable to single-handedly change the Brazilian educational reality.

  12. The own method and program of isotope quantitatively assessment of perfusion in muscles of upper limbs (initial report).

    Science.gov (United States)

    Niewiadomski, Dariusz; Tryniszewski, Wieslaw; Marzec, Wojciech; Brocki, Marian; Mikosiński, Jacek; Raciborska, Iwona; Maziarz, Zbigniew

    2014-01-01

    The issue of blood flow in muscles has been dealt with for many years. However, most often it was assessed qualitatively with standard vascular examinations. The quantitatively perfusion assessment is indispensable in the normal and pathological conditions. Some diseases impair the perfusion mainly in the area of upper limbs. It can be observed in Raynaud's disease, vascular occlusive diseases, neurological disturbances, and thermal injuries. Hyperhidrosis of upper limbs after sympathectomy of thoracic part of sympathetic trunk may bring closer the diagnosis statement. Nuclear medicine has the markers and methods that allow for the assessment of the volume of perfusion in muscles. The aim for creating this method and program was the development of radioisotope method allowing for quantitative assessment of perfusion in muscles of upper limbs. This should lead to calculating the perfusion index and its range of normal values in a greater group of patients and to using this method both in the healthy and pathological conditions. 20 patients, age 30.4 ± 7.1 years, who underwent following examinations: qualification to the group, medical history, subject examinations, USG of upper limb vessels, anthropometric examinations, biochemical and hormonal blood tests, the assessment of upper limbs with USG Doppler and FMD (flow mediated dilatation), radioisotope examinations with gamma camera BrightView XCT by own program RAPUL (Radioisotope Assessment Perfusion of Upper Limb). Acquisitions were started five minutes after intravenous injection of 99mTc-MIBI (metoxyisobutylnitrite). The whole body scintigram and scintigrams of arm and forearm muscles in A-P projections were taken. In the examined patients, the results of anthropometric, biochemical and hormonal test were within the range of normal values. In radioisotope quantitative assessment of perfusion, perfusion indexes of left arm were 20 military services) and pathological conditions.

  13. Health Informatics as an ABET-CAC Accreditable IS Program

    Science.gov (United States)

    Landry, Jeffrey P.; Daigle, Roy J.; Pardue, Harold; Longenecker, Herbert E., Jr.; Campbell, S. Matt

    2012-01-01

    This paper builds on prior work defending innovative information systems programs as ABET-accreditable. A proposal for a four-year degree program in health informatics, initiated at the authors' university to combat enrollment declines and to therefore help information systems to survive and thrive, is described. The program proposal is then…

  14. Implementation proposal of a water conservation and reuse program at the TRANSPETRO; Proposta de implementacao de um programa de conservacao e reuso de agua na TRANSPETRO

    Energy Technology Data Exchange (ETDEWEB)

    Martini, Andrea Dietrich; Alves, Anibal Jose Constantino; Melo Neto, Joao Evangelista de [TRANSPETRO - PETROBRAS Transporte S.A., Rio de Janeiro, RJ (Brazil)

    2008-07-01

    The great amount of water that is used by industries and the ascendant preoccupation about the quantity and quality of water resources in Brazil and in the world are important justifications to start thinking of more efficient proposals for water application. Between the alternatives for water consume reduction in industry there is the reuse as the principle of those. A study of PricewaterhouseCoopers about this matter at the main national industries identified that 48% have reuse goals. The present work intends to show a methodology and the justifications to implement a conservation and water reuse program at the Terminals of PETROBRAS Transporte S.A. - TRANSPETRO. Therefore are presented the many possible applications for reuse water at TRANSPETRO and the stages to the implementation of this kind of project. The methodology presented, based on FIESP Proposal, has as the objective both water consumed reduction and water discharged reduction. Then it must be realized an identification of several water consumed sources and water discharged sources, focusing on the many reuse possible. (author)

  15. Implementation and evaluation of a multisite drug usage evaluation program across Australian hospitals - a quality improvement initiative.

    Science.gov (United States)

    Pulver, Lisa K; Wai, Angela; Maxwell, David J; Robertson, Marion B; Riddell, Steven

    2011-08-29

    With the use of medicines being a broad and extensive part of health management, mechanisms to ensure quality use of medicines are essential. Drug usage evaluation (DUE) is an evidence-based quality improvement methodology, designed to improve the quality, safety and cost-effectiveness of drug use. The purpose of this paper is to describe a national DUE methodology used to improve health care delivery across the continuum through multi-faceted intervention involving audit and feedback, academic detailing and system change, and a qualitative assessment of the methodology, as illustrated by the Acute Postoperative Pain Management (APOP) project. An established methodology, consisting of a baseline audit of inpatient medical records, structured patient interviews and general practitioner surveys, followed by an educational intervention and follow-up audit, is used. Australian hospitals, including private, public, metropolitan and regional, are invited to participate on a voluntary basis. De-identified data collected by hospitals are collated and evaluated nationally to provide descriptive comparative analyses. Hospitals benchmark their practices against state and national results to facilitate change. The educational intervention consists of academic detailing, group education, audit and feedback, point-of-prescribing prompts and system changes. A repeat data collection is undertaken to assess changes in practice.An online qualitative survey was undertaken to evaluate the APOP program. Qualitative assessment of hospitals' perceptions of the effectiveness of the overall DUE methodology and changes in procedure/prescribing/policy/clinical practice which resulted from participation were elicited. 62 hospitals participated in the APOP project. Among 23 respondents to the evaluation survey, 18 (78%) reported improvements in the documentation of pain scores at their hospital. 15 (65%) strongly agreed or agreed that participation in APOP directly resulted in increased

  16. Corporate standardization initiatives and integrated management system: the case of Transpetro's oil pipelines and terminals standardization program

    Energy Technology Data Exchange (ETDEWEB)

    Ludovico de Almeida, M.F.L.; Doria de Arujo, D. [Pontifical Catholic University of Rio de Janeiro (Brazil); Labrunie, Charles [Petrobras Transporte - Transpetro (Brazil)

    2010-07-01

    In the global market, pipeline companies must respond quickly to changes and the importance of standardization and quality management processes has become more evident. Transpetro's oil pipelines and terminals unit has implemented its oil pipelines and terminal standardization program (PRONOT) within the scope of the integrated management system (IMS). Launched in 2006 with the aim of standardizing all its oil pipeline and terminal operations, its implementation was planned in two phases: the first already concluded including pipeline operations, industrial maintenance and right-of-way activities management and from 2009, cross-sectional activities like health, safety and environment (HSE), training and development of workforce, communication with stakeholders, oil pipeline integrity and engineering project requirements. This paper presents Transpetro's experience and concludes that it has achieved milestones in its search for operational excellence, including increased process safety and reliability and availability of facilities, improved processes, activities and relations with stakeholders, optimized resources, reduced costs, increased revenue and effective contribution to its own practices.

  17. Efficacy of a web-based, tailored, alcohol prevention/intervention program for college students: initial findings.

    Science.gov (United States)

    Bingham, C Raymond; Barretto, Andrea Ippel; Walton, Maureen A; Bryant, Christopher M; Shope, Jean T; Raghunathan, Trivellore E

    2010-01-01

    Reduce college student at-risk drinking (ARD) using a Web-based brief motivational alcohol prevention/intervention called Michigan Prevention and Alcohol Safety for Students (M-PASS). Participants included 1,137 randomly sampled first-year college students, including 59% female, 80% white, and averaged age 18.1 years. Intervention group participants (n = 616) attended 4 online M-PASS sessions, receiving feedback tailored to individual drinking patterns and concepts from 4 behavior change theories. Control group participants (n = 521) completed a mid-phase survey, and both groups were surveyed at baseline and posttest. Evidence of M-PASS's efficacy was found. The intervention was associated with advanced stage of change, lower tolerance of drinking and drink/driving, fewer reasons to drink, and use of more strategies to avoid ARD. Preliminary evidence of behavioral change was also found. Efficacy was greater for women than men. Web-based programs may be useful in reducing alcohol-related risk among college students. Further evaluation is needed.

  18. Initial testing of a monoclonal antibody (IMC-A12) against IGF-1R by the Pediatric Preclinical Testing Program.

    Science.gov (United States)

    Houghton, Peter J; Morton, Christopher L; Gorlick, Richard; Kolb, E Anders; Keir, Stephen T; Reynolds, C Patrick; Kang, Min H; Maris, John M; Wu, Jianrong; Smith, Malcolm A

    2010-07-01

    Many childhood malignancies including sarcomas, neuroblastoma, and Wilms tumor show the presence of both, active, type-1-insulin-like growth factor receptor (IGF-1R), and the autocrine production of its ligands IGF-1/IGF-2. IMC-A12 is a fully human IgG1 antibody that prevents ligand binding to the IGF-1R. IMC-A12 was evaluated against the 23 cell lines of the Pediatric Preclinical Testing Program (PPTP) in vitro panel using 96 hr exposure at concentrations ranging from 0.01 nM to 0.1 microM. IMC-A12 was tested in vivo at a dose of 1 mg/mouse administered intraperitoneally twice weekly for 6 weeks. In vitro, IMC-A12-induced T/C values IMC-A12 induced significant differences in EFS distribution compared to control in 24 of 34 (71%) evaluable solid tumor xenografts. Using the PPTP "time to event" activity measure, IMC-A12 induced intermediate (n = 13) or high (n = 1) activity in 33 xenografts evaluable for this activity measure, including 6 of 6 rhabdomyosarcoma xenografts, 3 of 5 osteosarcoma xenografts, 2 of 5 neuroblastoma xenografts, and 1 of 5 Ewing sarcoma xenografts. The only objective response observed was observed in a rhabdomyosarcoma xenograft (Rh28) that achieved a maintained complete response. IMC-A12 demonstrated broad antitumor activity against the PPTP's in vivo solid tumor panels, with the activity primarily being tumor growth inhibition rather than tumor regression. IMC-A12 showed its greatest activity in vivo against the PPTP's rhabdomyosarcoma xenografts. Copyright 2010 Wiley-Liss, Inc.

  19. Initial results from VC-1, First Continental Scientific Drilling Program Core Hole in Valles Caldera, New Mexico

    Science.gov (United States)

    Goff, Fraser; Rowley, John; Gardner, Jamie N.; Hawkins, Ward; Goff, Sue; Charles, Robert; Wachs, Daniel; Maassen, Larry; Heiken, Grant

    1986-02-01

    Valles Caldera 1 (VC-1) is the first Continental Scientific Drilling Program (CSDP) core hole drilled in the Valles caldera and the first continuously cored well in the caldera region. The objectives of VC-1 were to penetrate a hydrothermal outflow plume near its source, to obtain structural and stratigraphie information near the intersection of the ring fracture zone and the precaldera Jemez fault zone, arid to core the youngest volcanic unit inside the caldera (Banco Bonito obsidian). Coring of the 856-m well took only 35 days to finish, during which all objectives were attained and core recovery exceeded 95%. VC-1 penetrates 298 m of moat volcanics and caldera fill ignimbrites, 35 m of precaldera volcaniclastic breccia, and 523 m of Paleozoic carbonates, sandstones, and shales. A previously unknown obsidian flow was encountered at 160 m depth underlying the Battleship Rock Tuff in the caldera moat zone. Hydrothermal alteration is concentrated in sheared, brecciated, and fractured zones from the volcaniclastic breccia to total depth with both the intensity and rank of alterations increasing with depth. Alteration assemblages consist primarily of clays, calcite, pyrite, quartz, and chlorite, but chalcopyrite and sphalerite have been identified as high as 450 m and molybdenite has been identified in a fractured zone at 847 m. Carbon 13 and oxygen 18 analyses of core show that the most intense zones of hydrothermal alteration occur in the Madera Limestone above 550 m and in the Madera and Sandia formations below 700 m. This corresponds with zones of most intense calcite and quartz veining. Thermal aquifers were penetrated at the 480-, 540-, and 845-m intervals. Although these intervals are associated with alteration, brecciation, and veining, they are also intervals where clastic layers occur in the Paleozoic sedimentary rocks.

  20. 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.