WorldWideScience

Sample records for program integrity rules

  1. Organizational integrity of entities that are implementing programs and activities under the Leadership Act. Final rule.

    Science.gov (United States)

    2010-04-13

    The Department is issuing a final rule establishing the organizational integrity requirements for Federal funding recipients under the United States Leadership Against HIV/AIDS, Tuberculosis, and Malaria Act of 2003 (Leadership Act). This rule requires that funding announcements and agreements with funding recipients include a clause that states that the recipient is opposed to prostitution and sex trafficking because of the psychological and physical risks they pose for women, men and children. This rule also modifies the requirements for recipient-affiliate separation and eliminates the requirement for an additional certification by funding recipients.

  2. Verification of business rules programs

    CERN Document Server

    Silva, Bruno Berstel-Da

    2013-01-01

    Rules represent a simplified means of programming, congruent with our understanding of human brain constructs. With the advent of business rules management systems, it has been possible to introduce rule-based programming to nonprogrammers, allowing them to map expert intent into code in applications such as fraud detection, financial transactions, healthcare, retail, and marketing. However, a remaining concern is the quality, safety, and reliability of the resulting programs.  This book is on business rules programs, that is, rule programs as handled in business rules management systems. Its

  3. Rule-based Information Integration

    NARCIS (Netherlands)

    de Keijzer, Ander; van Keulen, Maurice

    2005-01-01

    In this report, we show the process of information integration. We specifically discuss the language used for integration. We show that integration consists of two phases, the schema mapping phase and the data integration phase. We formally define transformation rules, conversion, evolution and

  4. Integration rules for scattering equations

    Energy Technology Data Exchange (ETDEWEB)

    Baadsgaard, Christian; Bjerrum-Bohr, N.E.J.; Bourjaily, Jacob L.; Damgaard, Poul H. [Niels Bohr International Academy and Discovery Center,Niels Bohr Institute, University of Copenhagen,Blegdamsvej 17, DK-2100 Copenhagen Ø (Denmark)

    2015-09-21

    As described by Cachazo, He and Yuan, scattering amplitudes in many quantum field theories can be represented as integrals that are fully localized on solutions to the so-called scattering equations. Because the number of solutions to the scattering equations grows quite rapidly, the contour of integration involves contributions from many isolated components. In this paper, we provide a simple, combinatorial rule that immediately provides the result of integration against the scattering equation constraints for any Möbius-invariant integrand involving only simple poles. These rules have a simple diagrammatic interpretation that makes the evaluation of any such integrand immediate. Finally, we explain how these rules are related to the computation of amplitudes in the field theory limit of string theory.

  5. Rule of Thumb and Dynamic Programming

    NARCIS (Netherlands)

    Lettau, M.; Uhlig, H.F.H.V.S.

    1995-01-01

    This paper studies the relationships between learning about rules of thumb (represented by classifier systems) and dynamic programming. Building on a result about Markovian stochastic approximation algorithms, we characterize all decision functions that can be asymptotically obtained through

  6. 77 FR 66052 - Program Access Rules

    Science.gov (United States)

    2012-10-31

    ... challenging exclusive contracts involving cable-affiliated programming; and amendments to its rules to ensure that buying groups utilized by small and medium-sized multichannel video programming distributors..., identified by MB Docket No. 12-68, by any of the following methods: Federal Communications Commission's Web...

  7. Development of decision making: sequential versus integrative rules

    NARCIS (Netherlands)

    Jansen, B.R.J.; van Duijvenvoorde, A.C.K.; Huizenga, H.M.

    2012-01-01

    Decisions can be made by applying a variety of decision-making rules-sequential rules in which decisions are based on a sequential evaluation of choice dimensions and the integrative normative rule in which decisions are based on an integration of choice dimensions. In this study, we investigated

  8. Steam generator tube integrity program

    Energy Technology Data Exchange (ETDEWEB)

    Dierks, D.R.; Shack, W.J. [Argonne National Laboratory, IL (United States); Muscara, J.

    1996-03-01

    A new research program on steam generator tubing degradation is being sponsored by the U.S. Nuclear Regulatory Commission (NRC) at Argonne National Laboratory. This program is intended to support a performance-based steam generator tube integrity rule. Critical areas addressed by the program include evaluation of the processes used for the in-service inspection of steam generator tubes and recommendations for improving the reliability and accuracy of inspections; validation and improvement of correlations for evaluating integrity and leakage of degraded steam generator tubes, and validation and improvement of correlations and models for predicting degradation in steam generator tubes as aging occurs. The studies will focus on mill-annealed Alloy 600 tubing, however, tests will also be performed on replacement materials such as thermally-treated Alloy 600 or 690. An overview of the technical work planned for the program is given.

  9. Renewable Fuel Standard Program (RFS1): Final Rule Additional Resources

    Science.gov (United States)

    The final rule of fuels and fuel additives: renewable fuel standard program is published on May 1, 2007 and is effective on September 1, 2007. You will find the links to this final rule and technical amendments supporting this rule.

  10. State Program Integrity Reviews

    Data.gov (United States)

    U.S. Department of Health & Human Services — State program integrity reviews play a critical role in how CMS provides effective support and assistance to states in their efforts to combat provider fraud and...

  11. Dynamic Programming Approach for Construction of Association Rule Systems

    KAUST Repository

    Alsolami, Fawaz

    2016-11-18

    In the paper, an application of dynamic programming approach for optimization of association rules from the point of view of knowledge representation is considered. The association rule set is optimized in two stages, first for minimum cardinality and then for minimum length of rules. Experimental results present cardinality of the set of association rules constructed for information system and lower bound on minimum possible cardinality of rule set based on the information obtained during algorithm work as well as obtained results for length.

  12. 14 CFR 91.1075 - Training program: Special rules.

    Science.gov (United States)

    2010-01-01

    ... Operations Program Management § 91.1075 Training program: Special rules. Other than the program manager, only... approved curriculums, curriculum segments, and portions of curriculum segments applicable for use in...

  13. Basic health program: state administration of basic health programs; eligibility and enrollment in standard health plans; essential health benefits in standard health plans; performance standards for basic health programs; premium and cost sharing for basic health programs; federal funding process; trust fund and financial integrity. Final rule.

    Science.gov (United States)

    2014-03-12

    This final rule establishes the Basic Health Program (BHP), as required by section 1331 of the Affordable Care Act. The BHP provides states the flexibility to establish a health benefits coverage program for low-income individuals who would otherwise be eligible to purchase coverage through the Affordable Insurance Exchange (Exchange, also called Health Insurance Marketplace). The BHP complements and coordinates with enrollment in a QHP through the Exchange, as well as with enrollment in Medicaid and the Children's Health Insurance Program (CHIP). This final rule also sets forth a framework for BHP eligibility and enrollment, benefits, delivery of health care services, transfer of funds to participating states, and federal oversight. Additionally, this final rule amends another rule issued by the Secretary of the Department of Health and Human Services (Secretary) in order to clarify the applicability of that rule to the BHP.

  14. Integrated Association Rules Complete Hiding Algorithms

    Directory of Open Access Journals (Sweden)

    Mohamed Refaat Abdellah

    2017-01-01

    Full Text Available This paper presents database security approach for complete hiding of sensitive association rules by using six novel algorithms. These algorithms utilize three new weights to reduce the needed database modifications and support complete hiding, as well as they reduce the knowledge distortion and the data distortions. Complete weighted hiding algorithms enhance the hiding failure by 100%; these algorithms have the advantage of performing only a single scan for the database to gather the required information to form the hiding process. These proposed algorithms are built within the database structure which enables the sanitized database to be generated on run time as needed.

  15. Yangians, integrable quantum systems and Dorey's rule

    Science.gov (United States)

    Chari, Vyjayanthi; Pressley, Andrew

    1996-11-01

    It was pointed out by P. Dorey that the three-point couplings between the quantum particles in affine Toda field theories have a remarkable Lie-theoretic interpretation. It is also well known that such theories admit quantum affine algebras as “quantum symmetry groups,” and widely believed that the quantum particles correspond to the so-called fundamental representations of these algebras. This led to the conjecture that Dorey's rule should describe when a fundamental representation occurs with non-zero multiplicity in a tensor product of two other fundamental representations. The purpose of this paper is to prove this conjecture, both for quantum affine algebras and for Yangians. The result reveals a hitherto unsuspected role played by Coxeter elements (and their twisted analogues) in the representation theory of these algebras.

  16. 32 CFR 552.62 - Advertising rules and educational programs.

    Science.gov (United States)

    2010-07-01

    ... military publication will request the advertiser to observe them. The advertising of credit will conform to... 32 National Defense 3 2010-07-01 2010-07-01 true Advertising rules and educational programs. 552... Reservations § 552.62 Advertising rules and educational programs. (a) The Department of the Army expects that...

  17. Implementing embedded artificial intelligence rules within algorithmic programming languages

    Science.gov (United States)

    Feyock, Stefan

    1988-01-01

    Most integrations of artificial intelligence (AI) capabilities with non-AI (usually FORTRAN-based) application programs require the latter to execute separately to run as a subprogram or, at best, as a coroutine, of the AI system. In many cases, this organization is unacceptable; instead, the requirement is for an AI facility that runs in embedded mode; i.e., is called as subprogram by the application program. The design and implementation of a Prolog-based AI capability that can be invoked in embedded mode are described. The significance of this system is twofold: Provision of Prolog-based symbol-manipulation and deduction facilities makes a powerful symbolic reasoning mechanism available to applications programs written in non-AI languages. The power of the deductive and non-procedural descriptive capabilities of Prolog, which allow the user to describe the problem to be solved, rather than the solution, is to a large extent vitiated by the absence of the standard control structures provided by other languages. Embedding invocations of Prolog rule bases in programs written in non-AI languages makes it possible to put Prolog calls inside DO loops and similar control constructs. The resulting merger of non-AI and AI languages thus results in a symbiotic system in which the advantages of both programming systems are retained, and their deficiencies largely remedied.

  18. Medicaid program; cost limit for providers operated by units of government and provisions to ensure the integrity of federal-state financial partnership. Final rule with comment period.

    Science.gov (United States)

    2007-05-29

    This regulation clarifies that entities involved in the financing of the non-Federal share of Medicaid payments must be a unit of government; clarifies the documentation required to support a Medicaid certified public expenditure; limits Medicaid reimbursement for health care providers that are operated by units of government to an amount that does not exceed the health care provider's cost of providing services to Medicaid individuals; requires all health care providers to receive and retain the full amount of total computable payments for services furnished under the approved Medicaid State plan; and makes conforming changes to provisions governing the State Child Health Insurance Program (SCHIP) to make the same requirements applicable, with the exception of the cost limit on reimbursement. The Medicaid cost limit provision of this regulation does not apply to: Stand-alone SCHIP program payments made to governmentally-operated health care providers; Indian Health Service (IHS) facilities and tribal 638 facilities that are paid at the all-inclusive IHS rate; Medicaid Managed Care Organizations (MCOs), Prepaid Inpatient Health Plans (PIHPs), and Prepaid Ambulatory Health Plans (PAHPs); Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs). Moreover, disproportionate share hospital (DSH) payments and payments authorized under Section 701(d) and Section 705 of the Benefits Improvement Protection Act of 2000 are not subject to the newly established Medicaid cost limit for governmentally-operated health care providers. Except as noted above, all Medicaid payments and SCHIP payments made under the authority of the State plan and under waiver and demonstration authorities, as well as associated State Medicaid and SCHIP financing arrangements, are subject to all provisions of this regulation. Finally, this regulation solicits comments from the public on issues related to the definition of the Unit of Government.

  19. Logical Rules and the Classification of Integral-Dimension Stimuli

    Science.gov (United States)

    Little, Daniel R.; Nosofsky, Robert M.; Donkin, Christopher; Denton, Stephen E.

    2013-01-01

    A classic distinction in perceptual information processing is whether stimuli are composed of separable dimensions, which are highly analyzable, or integral dimensions, which are processed holistically. Previous tests of a set of logical-rule models of classification have shown that separable-dimension stimuli are processed serially if the…

  20. Integrated Financial Management Program

    Science.gov (United States)

    Pho, Susan

    2004-01-01

    Having worked in the Employees and Commercial Payments Branch of the Financial Management Division for the past 3 summers, I have seen the many changes that have occurred within the NASA organization. As I return each summer, I find that new programs and systems have been adapted to better serve the needs of the Center and of the Agency. The NASA Agency has transformed itself the past couple years with the implementation of the Integrated Financial Management Program (IFMP). IFMP is designed to allow the Agency to improve its management of its Financial, Physical, and Human Resources through the use of multiple enterprise module applications. With my mentor, Joseph Kan, being the branch chief of the Employees and Commercial Payments Branch, I have been exposed to several modules, such as Travel Manager, WebTads, and Core Financial/SAP, which were implemented in the last couple of years under the IFMP. The implementation of these agency-wide systems has sometimes proven to be troublesome. Prior to IFMP, each NASA Center utilizes their own systems for Payroll, Travel, Accounts Payable, etc. But with the implementation of the Integrated Financial Management Program, all the "legacy" systems had to be eliminated. As a result, a great deal of enhancement and preparation work is necessary to ease the transformation from the old systems to the new. All this work occurs simultaneously; for example, e-Payroll will "go live" in several months, but a system like Travel Manager will need to have information upgraded within the system to meet the requirements set by Headquarters. My assignments this summer have given me the opportunity to become involved with such work. So far, I have been given the opportunity to participate in projects resulting from a congressional request, several bankcard reconciliations, updating routing lists for Travel Manager, updating the majordomo list for Travel Manager approvers and point of contacts, and a NASA Headquarters project involving

  1. 76 FR 60675 - Revision of the Commission's Program Carriage Rules

    Science.gov (United States)

    2011-09-29

    ... rules pertaining to carriage of video programming vendors by multichannel video programming distributors... promoting competition and diversity in the video programming and video distribution markets. In this.... Federal Communications Commission's Web site: http://www.fcc.gov/cgb/ecfs/ . Follow the instructions for...

  2. 14 CFR 121.402 - Training program: Special rules.

    Science.gov (United States)

    2010-01-01

    ... subpart to provide flight training, testing, and checking under contract or other arrangement to those... 14 Aeronautics and Space 3 2010-01-01 2010-01-01 false Training program: Special rules. 121.402... REQUIREMENTS: DOMESTIC, FLAG, AND SUPPLEMENTAL OPERATIONS Training Program § 121.402 Training program: Special...

  3. Design and Analysis of Decision Rules via Dynamic Programming

    KAUST Repository

    Amin, Talha M.

    2017-04-24

    The areas of machine learning, data mining, and knowledge representation have many different formats used to represent information. Decision rules, amongst these formats, are the most expressive and easily-understood by humans. In this thesis, we use dynamic programming to design decision rules and analyze them. The use of dynamic programming allows us to work with decision rules in ways that were previously only possible for brute force methods. Our algorithms allow us to describe the set of all rules for a given decision table. Further, we can perform multi-stage optimization by repeatedly reducing this set to only contain rules that are optimal with respect to selected criteria. One way that we apply this study is to generate small systems with short rules by simulating a greedy algorithm for the set cover problem. We also compare maximum path lengths (depth) of deterministic and non-deterministic decision trees (a non-deterministic decision tree is effectively a complete system of decision rules) with regards to Boolean functions. Another area of advancement is the presentation of algorithms for constructing Pareto optimal points for rules and rule systems. This allows us to study the existence of “totally optimal” decision rules (rules that are simultaneously optimal with regards to multiple criteria). We also utilize Pareto optimal points to compare and rate greedy heuristics with regards to two criteria at once. Another application of Pareto optimal points is the study of trade-offs between cost and uncertainty which allows us to find reasonable systems of decision rules that strike a balance between length and accuracy.

  4. State Program Integrity Assessment (SPIA)

    Data.gov (United States)

    U.S. Department of Health & Human Services — The State Program Integrity Assessment (SPIA) is the Centers for Medicare and Medicaid Services (CMS) first national data collection on state Medicaid program...

  5. Rules for Integrals over Products of Distributions from Coordinate Independence of Path Integrals

    OpenAIRE

    Kleinert, H.; Chervyakov, A.

    2000-01-01

    In perturbative calculations of quantum mechanical path integrals in curvilinear coordinates, Feynman diagrams involve multiple temporal integrals over products of distributions, which are mathematically undefined. We derive simple rules for their evaluation from the requirement of coordinate independence of path integrals.

  6. Integrity Checking and Maintenance with Active Rules in XML Databases

    DEFF Research Database (Denmark)

    Christiansen, Henning; Rekouts, Maria

    2007-01-01

    While specification languages for integrity constraints for XML data have been considered in the literature, actual technologies and methodologies for checking and maintaining integrity are still in their infancy. Triggers, or active rules, which are widely used in previous technologies for the p......While specification languages for integrity constraints for XML data have been considered in the literature, actual technologies and methodologies for checking and maintaining integrity are still in their infancy. Triggers, or active rules, which are widely used in previous technologies...... for the purpose are still rather untested in XML databases. We present the first steps towards a methodology for design and verification of triggers that maintain integrity in XML databases. Starting from a specification of the integrity constraints plus a collection of XPath expressions describing the possible...... updates, the method indicates trigger conditions and correctness criteria to be met by the trigger code supplied by a developer or possibly automatic methods. We show examples developed in the Sedna XML database system which provides a running implementation of XML triggers....

  7. 77 FR 66025 - Program Access Rules

    Science.gov (United States)

    2012-10-31

    ... programming beyond its October 5, 2012 expiration date. Instead of this prohibition, the Commission will address exclusive contracts involving satellite-delivered, cable-affiliated programming on a case-by-case...). Summary of the Report and Order and Order on Reconsideration I. Introduction 1. In this Report and Order...

  8. Tools for Ensuring Program Integrity.

    Science.gov (United States)

    Office of Student Financial Assistance (ED), Washington, DC.

    This training document for financial assistance professionals discusses ensuring program integrity in student financial aid and describes some tools for ensuring internal and external program integrity. The training focuses on these tools and resources: (1) the Federal Student Aid (FSA) Schools Portal; (2) the Information for Financial Aid…

  9. Dynamic programming approach to optimization of approximate decision rules

    KAUST Repository

    Amin, Talha

    2013-02-01

    This paper is devoted to the study of an extension of dynamic programming approach which allows sequential optimization of approximate decision rules relative to the length and coverage. We introduce an uncertainty measure R(T) which is the number of unordered pairs of rows with different decisions in the decision table T. For a nonnegative real number β, we consider β-decision rules that localize rows in subtables of T with uncertainty at most β. Our algorithm constructs a directed acyclic graph Δβ(T) which nodes are subtables of the decision table T given by systems of equations of the kind "attribute = value". This algorithm finishes the partitioning of a subtable when its uncertainty is at most β. The graph Δβ(T) allows us to describe the whole set of so-called irredundant β-decision rules. We can describe all irredundant β-decision rules with minimum length, and after that among these rules describe all rules with maximum coverage. We can also change the order of optimization. The consideration of irredundant rules only does not change the results of optimization. This paper contains also results of experiments with decision tables from UCI Machine Learning Repository. © 2012 Elsevier Inc. All rights reserved.

  10. Health Care for Homeless Veterans program. Final rule.

    Science.gov (United States)

    2015-05-01

    The Department of Veterans Affairs (VA) amends its medical regulations concerning eligibility for the Health Care for Homeless Veterans (HCHV) program. The HCHV program provides per diem payments to non-VA community-based facilities that provide housing, outreach services, case management services, and rehabilitative services, and may provide care and/or treatment to homeless veterans who are enrolled in or eligible for VA health care. The rule modifies VA's HCHV regulations to conform to changes enacted in the Honoring America's Veterans and Caring for Camp Lejeune Families Act of 2012. Specifically, the rule removes the requirement that homeless veterans be diagnosed with a serious mental illness or substance use disorder to qualify for the HCHV program. This change makes the program available to all homeless veterans who are enrolled in or eligible for VA health care. The rule also updates the definition of homeless to match in part the one used by the Department of Housing and Urban Development (HUD). The rule further clarifies that the services provided by the HCHV program through non-VA community-based providers must include case management services, including non-clinical case management, as appropriate.

  11. Medicaid program: rescission of School-Based Administration/Transportation final rule, Outpatient Hospital Services final rule, and partial rescission of Case Management Interim final rule. Final rule.

    Science.gov (United States)

    2009-06-30

    This rule finalizes our proposal to rescind the December 28, 2007 final rule entitled, "Elimination of Reimbursement under Medicaid for School Administration Expenditures and Costs Related to Transportation of School-Age Children Between Home and School;" the November 7, 2008 final rule entitled, "Clarification of Outpatient Hospital Facility (Including Outpatient Hospital Clinic) Services Definition;" and certain provisions of the December 4, 2007 interim final rule entitled, "Optional State Plan Case Management Services." These regulations have been the subject of Congressional moratoria and have not yet been implemented (or, with respect to the case management interim final rule, have only been partially implemented) by CMS. In light of concerns raised about the adverse effects that could result from these regulations, in particular, the potential restrictions on services available to beneficiaries and the lack of clear evidence demonstrating that the approaches taken in the regulations are warranted, CMS is rescinding the two final rules in full, and partially rescinding the interim final rule. Rescinding these provisions will permit further opportunity to determine the best approach to further the objectives of the Medicaid program in providing necessary health benefits coverage to needy individuals.

  12. Dynamic Programming Approach for Exact Decision Rule Optimization

    KAUST Repository

    Amin, Talha

    2013-01-01

    This chapter is devoted to the study of an extension of dynamic programming approach that allows sequential optimization of exact decision rules relative to the length and coverage. It contains also results of experiments with decision tables from UCI Machine Learning Repository. © Springer-Verlag Berlin Heidelberg 2013.

  13. 14 CFR 135.324 - Training program: Special rules.

    Science.gov (United States)

    2010-01-01

    ... chapter is eligible under this subpart to conduct training, testing, and checking under contract or other... contract with, or otherwise arrange to use the services of, a training center certificated under part 142... 14 Aeronautics and Space 3 2010-01-01 2010-01-01 false Training program: Special rules. 135.324...

  14. Derivative-Based Trapezoid Rule for the Riemann-Stieltjes Integral

    Directory of Open Access Journals (Sweden)

    Weijing Zhao

    2014-01-01

    Full Text Available The derivative-based trapezoid rule for the Riemann-Stieltjes integral is presented which uses 2 derivative values at the endpoints. This kind of quadrature rule obtains an increase of two orders of precision over the trapezoid rule for the Riemann-Stieltjes integral and the error term is investigated. At last, the rationality of the generalization of derivative-based trapezoid rule for Riemann-Stieltjes integral is demonstrated.

  15. Musical expertise induces audiovisual integration of abstract congruency rules.

    Science.gov (United States)

    Paraskevopoulos, Evangelos; Kuchenbuch, Anja; Herholz, Sibylle C; Pantev, Christo

    2012-12-12

    Perception of everyday life events relies mostly on multisensory integration. Hence, studying the neural correlates of the integration of multiple senses constitutes an important tool in understanding perception within an ecologically valid framework. The present study used magnetoencephalography in human subjects to identify the neural correlates of an audiovisual incongruency response, which is not generated due to incongruency of the unisensory physical characteristics of the stimulation but from the violation of an abstract congruency rule. The chosen rule-"the higher the pitch of the tone, the higher the position of the circle"-was comparable to musical reading. In parallel, plasticity effects due to long-term musical training on this response were investigated by comparing musicians to non-musicians. The applied paradigm was based on an appropriate modification of the multifeatured oddball paradigm incorporating, within one run, deviants based on a multisensory audiovisual incongruent condition and two unisensory mismatch conditions: an auditory and a visual one. Results indicated the presence of an audiovisual incongruency response, generated mainly in frontal regions, an auditory mismatch negativity, and a visual mismatch response. Moreover, results revealed that long-term musical training generates plastic changes in frontal, temporal, and occipital areas that affect this multisensory incongruency response as well as the unisensory auditory and visual mismatch responses.

  16. Optimization of decision rules based on dynamic programming approach

    KAUST Repository

    Zielosko, Beata

    2014-01-14

    This chapter is devoted to the study of an extension of dynamic programming approach which allows optimization of approximate decision rules relative to the length and coverage. We introduce an uncertainty measure that is the difference between number of rows in a given decision table and the number of rows labeled with the most common decision for this table divided by the number of rows in the decision table. We fix a threshold γ, such that 0 ≤ γ < 1, and study so-called γ-decision rules (approximate decision rules) that localize rows in subtables which uncertainty is at most γ. Presented algorithm constructs a directed acyclic graph Δ γ T which nodes are subtables of the decision table T given by pairs "attribute = value". The algorithm finishes the partitioning of a subtable when its uncertainty is at most γ. The chapter contains also results of experiments with decision tables from UCI Machine Learning Repository. © 2014 Springer International Publishing Switzerland.

  17. Dynamic programming approach for partial decision rule optimization

    KAUST Repository

    Amin, Talha

    2012-10-04

    This paper is devoted to the study of an extension of dynamic programming approach which allows optimization of partial decision rules relative to the length or coverage. We introduce an uncertainty measure J(T) which is the difference between number of rows in a decision table T and number of rows with the most common decision for T. For a nonnegative real number γ, we consider γ-decision rules (partial decision rules) that localize rows in subtables of T with uncertainty at most γ. Presented algorithm constructs a directed acyclic graph Δ γ(T) which nodes are subtables of the decision table T given by systems of equations of the kind "attribute = value". This algorithm finishes the partitioning of a subtable when its uncertainty is at most γ. The graph Δ γ(T) allows us to describe the whole set of so-called irredundant γ-decision rules. We can optimize such set of rules according to length or coverage. This paper contains also results of experiments with decision tables from UCI Machine Learning Repository.

  18. Integrating Microcomputing into Preparation Programs.

    Science.gov (United States)

    Peseau, Bruce A.

    This paper presents an example of a course syllabus that integrates the use of microcomputers as part of a recommendation that administrators become specialists in microcomputing in their preparatory programs. Computers' dramatically reduced costs, in combination with increased power, has made them easily available in the form of microcomputers.…

  19. Probabilistic Abductive Logic Programming in Constraint Handling Rules

    DEFF Research Database (Denmark)

    Christiansen, Henning

    probabilistic versions of abductive logic programming, the approach is characterized by higher generality and a flexible and adaptable architecture which incorporates integrity constraints and interaction with external constraint solvers. % A PALP is translated in a systematic way into a CHR program which...

  20. 75 FR 47444 - Amendments to the Informal and Other Procedures, Rules of Organization and Program Management...

    Science.gov (United States)

    2010-08-06

    ... Organization and Program Management, and Rules of Practice; Interim Commission Review of Public Company... of 2002 (the ``Act''), and its Rules of Organization and Program Management and Rules of Practice to... Organization and Program Management \\3\\ to provide delegations of authority to the Chief Accountant related to...

  1. EPRI fuel cladding integrity program

    Energy Technology Data Exchange (ETDEWEB)

    Yang, R. [Electric Power Research Institute, Palo Alto, CA (United States)

    1997-01-01

    The objectives of the EPRI fuel program is to supplement the fuel vendor research to assure that utility economic and operational interests are met. To accomplish such objectives, EPRI has conducted research and development efforts to (1) reduce fuel failure rates and mitigate the impact of fuel failures on plant operation, (2) provide technology to extend burnup and reduce fuel cycle cost. The scope of R&D includes fuel and cladding. In this paper, only R&D related to cladding integrity will be covered. Specific areas aimed at improving fuel cladding integrity include: (1) Fuel Reliability Data Base; (2) Operational Guidance for Defective Fuel; (3) Impact of Water Chemistry on Cladding Integrity; (4) Cladding Corrosion Data and Model; (5) Cladding Mechanical Properties; and (6) Transient Fuel Cladding Response.

  2. Rule-Based and Information-Integration Category Learning in Normal Aging

    OpenAIRE

    Maddox, W. Todd; Pacheco, Jennifer; Reeves, Maia; Zhu, Bo; Schnyer, David M.

    2010-01-01

    The basal ganglia and prefrontal cortex play critical roles in category learning. Both regions evidence age-related structural and functional declines. The current study examined rule-based and information-integration category learning in a group of older and younger adults. Rule-based learning is thought to involve explicit, frontally mediated processes, whereas information-integration is thought to involve implicit, striatally mediated processes. As a group, older adults showed rule-based a...

  3. Veterans Employment Pay for Success Grant Program. Interim final rule.

    Science.gov (United States)

    2016-08-10

    The Department of Veterans Affairs (VA) is establishing a grant program (Veterans Employment Pay for Success (VEPFS)) under the authority of the U.S.C. to award grants to eligible entities to fund projects that are successful in accomplishing employment rehabilitation for Veterans with service-connected disabilities. VA will award grants on the basis of an eligible entity's proposed use of a Pay for Success (PFS) strategy to achieve goals. This interim final rule establishes regulations for awarding a VEPFS grant, including the general process for awarding the grant, criteria and parameters for evaluating grant applications, priorities related to the award of a grant, and general requirements and guidance for administering a VEPFS grant program.

  4. Implementing Probabilistic Abductive Logic Programming with Constraint Handling Rules

    DEFF Research Database (Denmark)

    Christiansen, Henning

    2008-01-01

    A class of Probabilistic Abductive Logic Programs (PALPs) is introduced and an implementation is developed in CHR for solving abductive problems, providing minimal explanations with their probabilities. Both all-explanations and most-probable-explanations versions are given. Compared with other...... probabilistic versions of abductive logic programming, the approach is characterized by higher generality and a flexible and adaptable architecture which incorporates integrity constraints and interaction with external constraint solvers. A PALP is transformed in a systematic way into a CHR program which serves...

  5. Medicaid program; cost limit for providers operated by units of government and provisions to ensure the integrity of federal-state financial partnership. Final rule; implementation of court orders.

    Science.gov (United States)

    2010-11-30

    This final rule amends Medicaid regulations to conform with the decision by the United States District Court for the District of Columbia on May 23, 2008 in Alameda County Medical Center, et al. v. Michael O. Leavitt, Secretary, U.S. Department of Health and Human Services, et al., 559 F. Supp. 2d (2008) that vacated a final rule with comment period published in the Federal Register in May 29, 2007. This regulatory action takes ministerial steps to remove the vacated provisions from the Code of Federal Regulations and reinstate the prior regulatory language impacted by the May 29, 2007 final rule with comment period.

  6. Application of modified integration rule to time-domain finite-element acoustic simulation of rooms.

    Science.gov (United States)

    Okuzono, Takeshi; Otsuru, Toru; Tomiku, Reiji; Okamoto, Noriko

    2012-08-01

    The applicability of the modified integration rule for time-domain finite-element analysis is tested in sound field analysis of rooms involving rectangular elements, distorted elements, and finite impedance boundary conditions. Dispersion error analysis in three dimensions is conducted to evaluate the dispersion error in time-domain finite-element analysis using eight-node hexahedral elements. The results of analysis confirmed that fourth-order accuracy with respect to dispersion error is obtainable using the Fox-Goodwin method (FG) with a modified integration rule, even for rectangular elements. The stability condition in three-dimensional analysis using the modified integration rule is also presented. Numerical experiments demonstrate that FG with a modified integration rule performs much better than FG with the conventional integration rule for problems with rectangular elements, distorted elements, and with finite impedance boundary conditions. Further, as another advantage, numerical results revealed that the use of modified integration rule engenders faster convergence of the iterative solver than a conventional rule for problems with the same degrees of freedom.

  7. Qualitative Effects of Knowledge Rules in Probabilistic Data Integration

    NARCIS (Netherlands)

    van Keulen, Maurice; de Keijzer, Ander

    2008-01-01

    One of the problems in data integration is data overlap: the fact that different data sources have data on the same real world entities. Much development time in data integration projects is devoted to entity resolution. Often advanced similarity measurement techniques are used to remove semantic

  8. 24 CFR 5.350 - Mandatory pet rules for housing programs.

    Science.gov (United States)

    2010-04-01

    ... and Urban Development GENERAL HUD PROGRAM REQUIREMENTS; WAIVERS Pet Ownership for the Elderly or Persons With Disabilities Pet Ownership Requirements for Housing Programs § 5.350 Mandatory pet rules for... 24 Housing and Urban Development 1 2010-04-01 2010-04-01 false Mandatory pet rules for housing...

  9. A study of diverse clinical decision support rule authoring environments and requirements for integration

    Directory of Open Access Journals (Sweden)

    Zhou Li

    2012-11-01

    Full Text Available Abstract Background Efficient rule authoring tools are critical to allow clinical Knowledge Engineers (KEs, Software Engineers (SEs, and Subject Matter Experts (SMEs to convert medical knowledge into machine executable clinical decision support rules. The goal of this analysis was to identify the critical success factors and challenges of a fully functioning Rule Authoring Environment (RAE in order to define requirements for a scalable, comprehensive tool to manage enterprise level rules. Methods The authors evaluated RAEs in active use across Partners Healthcare, including enterprise wide, ambulatory only, and system specific tools, with a focus on rule editors for reminder and medication rules. We conducted meetings with users of these RAEs to discuss their general experience and perceived advantages and limitations of these tools. Results While the overall rule authoring process is similar across the 10 separate RAEs, the system capabilities and architecture vary widely. Most current RAEs limit the ability of the clinical decision support (CDS interventions to be standardized, sharable, interoperable, and extensible. No existing system meets all requirements defined by knowledge management users. Conclusions A successful, scalable, integrated rule authoring environment will need to support a number of key requirements and functions in the areas of knowledge representation, metadata, terminology, authoring collaboration, user interface, integration with electronic health record (EHR systems, testing, and reporting.

  10. A study of diverse clinical decision support rule authoring environments and requirements for integration.

    Science.gov (United States)

    Zhou, Li; Karipineni, Neelima; Lewis, Janet; Maviglia, Saverio M; Fairbanks, Amanda; Hongsermeier, Tonya; Middleton, Blackford; Rocha, Roberto A

    2012-11-12

    Efficient rule authoring tools are critical to allow clinical Knowledge Engineers (KEs), Software Engineers (SEs), and Subject Matter Experts (SMEs) to convert medical knowledge into machine executable clinical decision support rules. The goal of this analysis was to identify the critical success factors and challenges of a fully functioning Rule Authoring Environment (RAE) in order to define requirements for a scalable, comprehensive tool to manage enterprise level rules. The authors evaluated RAEs in active use across Partners Healthcare, including enterprise wide, ambulatory only, and system specific tools, with a focus on rule editors for reminder and medication rules. We conducted meetings with users of these RAEs to discuss their general experience and perceived advantages and limitations of these tools. While the overall rule authoring process is similar across the 10 separate RAEs, the system capabilities and architecture vary widely. Most current RAEs limit the ability of the clinical decision support (CDS) interventions to be standardized, sharable, interoperable, and extensible. No existing system meets all requirements defined by knowledge management users. A successful, scalable, integrated rule authoring environment will need to support a number of key requirements and functions in the areas of knowledge representation, metadata, terminology, authoring collaboration, user interface, integration with electronic health record (EHR) systems, testing, and reporting.

  11. Extraction of Static and Dynamic Reservoir Operation Rules by Genetic Programming

    Directory of Open Access Journals (Sweden)

    Habib Akbari Alashti

    2014-11-01

    Full Text Available Considering the necessity of desirable operation of limited water resources and assuming the significant role of dams in controlling and consuming the surface waters, highlights the advantageous of suitable operation rules for optimal and sustainable operation of dams. This study investigates the hydroelectric supply of a one-reservoir system of Karoon3 using nonlinear programming (NLP, genetic algorithm (GA, genetic programming (GP and fixed length gen GP (FLGGP in real-time operation of dam considering two approaches of static and dynamic operation rules. In static operation rule, only one rule curve is extracted for all months in a year whereas in dynamic operation rule, monthly rule curves (12 rules are extracted for each month of a year. In addition, nonlinear decision rule (NLDR curves are considered, and the total deficiency function as the target (objective function have been used for evaluating the performance of each method and approach. Results show appropriate efficiency of GP and FLGGP methods in extracting operation rules in both approaches. Superiority of these methods to operation methods yielded by GA and NLP is 5%. Moreover, according to the results, it can be remarked that, FLGGP method is an alternative for GP method, whereas the GP method cannot be used due to its limitations. Comparison of two approaches of static and dynamic operation rules demonstrated the superiority of dynamic operation rule to static operation rule (about 10% and therefore this method has more capabilities in real-time operation of the reservoirs systems.

  12. Towards a flexible service integration through separation of business rules

    NARCIS (Netherlands)

    Asuncion, C.H.; Iacob, Maria Eugenia; van Sinderen, Marten J.

    2010-01-01

    Driven by dynamic market demands, enterprises are continuously exploring collaborations with others to add value to their services and seize new market opportunities. Achieving enterprise collaboration is facilitated by Enterprise Application Integration and Business-to-Business approaches that

  13. Yangians, integrable quantum systems and Dorey`s rule

    Energy Technology Data Exchange (ETDEWEB)

    Chari, V. [California Univ., Riverside (United States). Dept. of Mathematics; Pressley, A. [King`s Coll., London (United Kingdom). Dept. of Mathematics

    1996-11-01

    It was pointed out by P. Dorey that the three-point couplings between the quantum particles in affine Toda field theories have a remarkable Lie-theoretic interpretation. It is also well known that such theories admit quantum affine algebras as ``quantum symmetry groups, `` and widely believed that the quantum particles correspond to the so-called fundamental representations of these algebras. This led to the conjecture that Dorey`s rule should describe when a fundamental representation occurs with non-zero multiplicity in a tensor product of two other fundamental representations. The purpose of this paper is to prove this conjecture, both for quantum affine algebras and for Yangians. The result reveals a hitherto unsuspected role played by Coxeter elements (and their twisted analogues) in the representation theory of these algebras. (orig.)

  14. 340B Drug Pricing Program Ceiling Price and Manufacturer Civil Monetary Penalties Regulation. Final rule.

    Science.gov (United States)

    2017-01-05

    The Health Resources and Services Administration (HRSA) administers section 340B of the Public Health Service Act (PHSA), referred to as the "340B Drug Pricing Program" or the "340B Program." This final rule will apply to all drug manufacturers that are required to make their drugs available to covered entities under the 340B Program. This final rule sets forth the calculation of the 340B ceiling price and application of civil monetary penalties (CMPs).

  15. Ontology-based Policy Rule Specification and Integration

    OpenAIRE

    Barrett, Keara

    2006-01-01

    A formal transformation between knowledge contained in Operations Support Systems (OSS) views is required to automate the deployment of OSS. This paper details progress towards the integration of policy languages at the business view of the TeleManagement Forum (TMF) Next Generation Operations Support System (NGOSS), with the specification of a formal language for the TMF’s Shared Information and Data Policy Aggregated Business Entities.

  16. State Program Integrity Review Reports List

    Data.gov (United States)

    U.S. Department of Health & Human Services — Comprehensive state program integrity (PI) review reports (and respective follow-up review reports) provide CMS assessment of the effectiveness of the states PI...

  17. Marine Structural Integrity Programs (MSIP).

    Science.gov (United States)

    1991-10-01

    Assuming a useful lifetime of 20 years, PFoa (average annual) = 2 x 10-3 or 0.2 % per year. The MSIP IMR program that could develop Pfoa in the range of...Basar and Roderick B. Hulla 1990 SSC-362 Shipboard Wave Height Sensor by R. Atwater 1990 SSC-363 Uncertainties in Stress Analysis on Marine Structures

  18. A study on maintenance rule program and its application at Korean NPPs

    Energy Technology Data Exchange (ETDEWEB)

    Hwang, Mee Jeong; Kim, Kil Yoo; Kang, Dae Il; Yang, Joon Eon; Ha, Jae Joo

    2000-11-01

    The objective of the Maintenance Rule is to require monitoring of the overall continuing effectiveness of licensee maintenance programs to ensure that safety related and certain nonsafety-related SSCs are capable of performing their intended functions and, for nonsafety-related equipment failures will not occur that prevent the fulfillment of safety-related functions, and failures resulting in scrams and unnecessary actuations of safety-related systems are minimized. That is, proper maintenance is essential to plant safety. U.S. Maintenance Rule, which was effective July 1996 in USA., was not officially adopted in Korea by Korean regulatory body. However, since many PSA and IPE have been performed for NPPs, the philosophy and usefulness of the Maintenance Rule as well as performance-based regulation are being acceptable. We survey the Maintenance Rule program and applications in the USA, and also developed the Maintenance Rule program to apply to Korean NPPs. In addition, we applied the Maintenance Rule Program apply to Ulchin 3,4 Units roughly with the Maintenance Rule Program developed in this project.

  19. [An integrated program for psychosis].

    Science.gov (United States)

    Marconi Tassara, J; Diaz, J P; Mourgues, C

    1980-09-01

    The reciprocal balance between the cognitive normal awareness of reality and the cognitive psychotic awareness of reality in schizophrenia, is proposed, on the basis of the structural psychopathological theory of psychoses of the author. This balance points to the dominance of the operant conditioning of psychotic reality over normal reality during the invasion period of the disease, an equilibrium of both aspects during the steady period, and a dominance of normal reality during the residual period. A comprehensive program for secondary and terciary prevention of schizophrenia is outlined, with five levels of function delegation: D1, psychiatrists and psychologists; D2, nurses and social workers; D3, auxiliary nurses; D4, family co-therapist; D5, patients and other relatives. The functions delegated to D5 include the recognition of symptoms, causes and course, and attitudes conducing to secondary handicaps in patients. To D4, are delegate the administration of psychotropic drugs at home and technique for reinforcing normal reality. To D3, are delegated notions on epidemiology, the supervision of the psychopharmacological treatment and of reinforcement programs for normal reality, attitudes and its change, and notions of urgencies in psychosis. The D2 and D1 levels indicate treatment at all levels and treat the more complicated cases in institutions. The efficacy of the program in 36 cases, after a year, indicates a reduction of acute psychotic productivity from 72 to 6% of the patients, and a rate of hospitalization of only 8%.

  20. 24 CFR 5.356 - Housing programs: Pet rule violation procedures.

    Science.gov (United States)

    2010-04-01

    ... of Housing and Urban Development GENERAL HUD PROGRAM REQUIREMENTS; WAIVERS Pet Ownership for the Elderly or Persons With Disabilities Pet Ownership Requirements for Housing Programs § 5.356 Housing... 24 Housing and Urban Development 1 2010-04-01 2010-04-01 false Housing programs: Pet rule...

  1. A RuleML Study on Integrating Geographical and Health Information

    DEFF Research Database (Denmark)

    Gao, Sheng; Mioc, Darka; Boley, Harold

    2008-01-01

    To facilitate health surveillance, flexible ways to represent, integrate, and deduce health information become increasingly important. In this paper, an ontology is used to support the semantic definition of spatial, temporal and thematic factors of health information. The ontology is realized...... operations and supports health information roll-up and visualization. The eHealthGeo study demonstrates a RuleML approach to supporting semantic health information integration and management....

  2. Weighted compound integration rules with higher order convergence for all N

    OpenAIRE

    Hickernell, Fred J.; Kritzer, Peter; Kuo, Frances Y.; Nuyens, Dirk

    2009-01-01

    Quasi-Monte Carlo integration rules, which are equal-weight sample averages of function values, have been popular for approximating multivariate integrals due to their superior convergence rate of order close to $1/N$ or better, compared to the order $1/\\sqrt{N}$ of simple Monte Carlo algorithms. For practical applications, it is desirable to be able to increase the total number of sampling points $N$ one at a time until a desired accuracy is met, while keeping all existing ...

  3. Domain XML semantic integration based on extraction rules and ontology mapping

    Directory of Open Access Journals (Sweden)

    Huayu LI

    2016-08-01

    Full Text Available A plenty of XML documents exist in petroleum engineering field, but traditional XML integration solution can’t provide semantic query, which leads to low data use efficiency. In light of WeXML(oil&gas well XML data semantic integration and query requirement, this paper proposes a semantic integration method based on extraction rules and ontology mapping. The method firstly defines a series of extraction rules with which elements and properties of WeXML Schema are mapped to classes and properties in WeOWL ontology, respectively; secondly, an algorithm is used to transform WeXML documents into WeOWL instances. Because WeOWL provides limited semantics, ontology mappings between two ontologies are then built to explain class and property of global ontology with terms of WeOWL, and semantic query based on global domain concepts model is provided. By constructing a WeXML data semantic integration prototype system, the proposed transformational rule, the transfer algorithm and the mapping rule are tested.

  4. Varieties of integrative scholarship: why rules of evidence, criteria, and standards matter.

    Science.gov (United States)

    McGaghie, William C

    2015-03-01

    Integrative scholarship involves the aggregation of data and evidence in a way that allows the research community to comprehend and value the connections and perspectives that unite isolated facts and research studies. Integrative scholarship summarizes data, enlightens and informs readers broadly, and sets the stage for subsequent research. This article describes five approaches to integrative scholarship--narrative, systematic, scoping, critical-realist, open peer commentary--and argues that each approach uses different methods and rules of evidence to combine data and report their meaning. Different forms of integrative scholarship use methods, criteria, and standards that are matched to the integrative approach and data being evaluated. There is no one best strategy to conduct or judge integrative scholarship. Researchers who perform integrative scholarship should openly express the values that underlie their work.

  5. Establishment of the permanent certification program for health information technology. Final rule.

    Science.gov (United States)

    2011-01-07

    This final rule establishes a permanent certification program for the purpose of certifying health information technology (HIT). This final rule is issued pursuant to the authority granted to the National Coordinator for Health Information Technology (the National Coordinator) by section 3001(c)(5) of the Public Health Service Act (PHSA), as added by the Health Information Technology for Economic and Clinical Health (HITECH) Act. The permanent certification program will eventually replace the temporary certification program that was previously established by a final rule. The National Coordinator will use the permanent certification program to authorize organizations to certify electronic health record (EHR) technology, such as Complete EHRs and/or EHR Modules. The permanent certification program could also be expanded to include the certification of other types of HIT.

  6. Explicit Time Integrators for Nonlinear Dynamics Derived from the Midpoint Rule

    Directory of Open Access Journals (Sweden)

    P. Krysl

    2004-01-01

    Full Text Available We address the design of time integrators for mechanical systems that are explicit in the forcing evaluations. Our starting point is the midpoint rule, either in the classical form for the vector space setting, or in the Lie form for the rotation group. By introducing discrete, concentrated impulses we can approximate the forcing impressed upon the system over the time step, and thus arrive at first-order integrators. These can then be composed to yield a second order integrator with very desirable properties: symplecticity and momentum conservation. 

  7. GenMiner: mining non-redundant association rules from integrated gene expression data and annotations.

    Science.gov (United States)

    Martinez, Ricardo; Pasquier, Nicolas; Pasquier, Claude

    2008-11-15

    GenMiner is an implementation of association rule discovery dedicated to the analysis of genomic data. It allows the analysis of datasets integrating multiple sources of biological data represented as both discrete values, such as gene annotations, and continuous values, such as gene expression measures. GenMiner implements the new NorDi (normal discretization) algorithm for normalizing and discretizing continuous values and takes advantage of the Close algorithm to efficiently generate minimal non-redundant association rules. Experiments show that execution time and memory usage of GenMiner are significantly smaller than those of the standard Apriori-based approach, as well as the number of extracted association rules. The GenMiner software and supplementary materials are available at http://bioinfo.unice.fr/publications/genminer_article/ and http://keia.i3s.unice.fr/?Implementations:GenMiner Supplementary data are available at Bioinformatics online.

  8. 24 CFR 5.353 - Housing programs: Procedure for development of pet rules.

    Science.gov (United States)

    2010-04-01

    ... development of pet rules. 5.353 Section 5.353 Housing and Urban Development Office of the Secretary, Department of Housing and Urban Development GENERAL HUD PROGRAM REQUIREMENTS; WAIVERS Pet Ownership for the Elderly or Persons With Disabilities Pet Ownership Requirements for Housing Programs § 5.353 Housing...

  9. 77 FR 24301 - Revision of the Commission's Program Access Rules

    Science.gov (United States)

    2012-04-23

    ..., movie studio, and other businesses with some of Comcast's cable programming and online content... number of cable subscribers and homes passed by a single MSO in particular markets (accomplished via...

  10. Integrating reasoning and clinical archetypes using OWL ontologies and SWRL rules.

    Science.gov (United States)

    Lezcano, Leonardo; Sicilia, Miguel-Angel; Rodríguez-Solano, Carlos

    2011-04-01

    Semantic interoperability is essential to facilitate the computerized support for alerts, workflow management and evidence-based healthcare across heterogeneous electronic health record (EHR) systems. Clinical archetypes, which are formal definitions of specific clinical concepts defined as specializations of a generic reference (information) model, provide a mechanism to express data structures in a shared and interoperable way. However, currently available archetype languages do not provide direct support for mapping to formal ontologies and then exploiting reasoning on clinical knowledge, which are key ingredients of full semantic interoperability, as stated in the SemanticHEALTH report [1]. This paper reports on an approach to translate definitions expressed in the openEHR Archetype Definition Language (ADL) to a formal representation expressed using the Ontology Web Language (OWL). The formal representations are then integrated with rules expressed with Semantic Web Rule Language (SWRL) expressions, providing an approach to apply the SWRL rules to concrete instances of clinical data. Sharing the knowledge expressed in the form of rules is consistent with the philosophy of open sharing, encouraged by archetypes. Our approach also allows the reuse of formal knowledge, expressed through ontologies, and extends reuse to propositions of declarative knowledge, such as those encoded in clinical guidelines. This paper describes the ADL-to-OWL translation approach, describes the techniques to map archetypes to formal ontologies, and demonstrates how rules can be applied to the resulting representation. We provide examples taken from a patient safety alerting system to illustrate our approach. Copyright © 2010 Elsevier Inc. All rights reserved.

  11. Servicemembers' Group Life Insurance Traumatic Injury Protection Program--genitourinary losses. Final rule.

    Science.gov (United States)

    2012-06-01

    The Department of Veterans Affairs (VA) is issuing this final rule that amends the regulations governing the Servicemembers' Group Life Insurance Traumatic Injury Protection (TSGLI) program by adding certain genitourinary (GU) system losses to the TSGLI Schedule of Losses and defining terms relevant to these new losses. This amendment is necessary to make qualifying GU losses a basis for paying TSGLI benefits to servicemembers with severe GU injuries. The intended effect is to expand the list of losses for which TSGLI payments can be made. This document adopts as a final rule, without change, the interim final rule published in the Federal Register on December 2, 2011.

  12. Systems Engineering and Integration for Technology Programs

    Science.gov (United States)

    Kennedy, Kruss J.

    2006-01-01

    The Architecture, Habitability & Integration group (AH&I) is a system engineering and integration test team within the NASA Crew and Thermal Systems Division (CTSD) at Johnson Space Center. AH&I identifies and resolves system-level integration issues within the research and technology development community. The timely resolution of these integration issues is fundamental to the development of human system requirements and exploration capability. The integration of the many individual components necessary to construct an artificial environment is difficult. The necessary interactions between individual components and systems must be approached in a piece-wise fashion to achieve repeatable results. A formal systems engineering (SE) approach to define, develop, and integrate quality systems within the life support community has been developed. This approach will allow a Research & Technology Program to systematically approach the development, management, and quality of technology deliverables to the various exploration missions. A tiered system engineering structure has been proposed to implement best systems engineering practices across all development levels from basic research to working assemblies. These practices will be implemented through a management plan across all applicable programs, projects, elements and teams. While many of the engineering practices are common to other industries, the implementation is specific to technology development. An accounting of the systems engineering management philosophy will be discussed and the associated programmatic processes will be presented.

  13. Integrating Pareto Optimization into Dynamic Programming

    Directory of Open Access Journals (Sweden)

    Thomas Gatter

    2016-01-01

    Full Text Available Pareto optimization combines independent objectives by computing the Pareto front of the search space, yielding a set of optima where none scores better on all objectives than any other. Recently, it was shown that Pareto optimization seamlessly integrates with algebraic dynamic programming: when scoring schemes A and B can correctly evaluate the search space via dynamic programming, then so can Pareto optimization with respect to A and B. However, the integration of Pareto optimization into dynamic programming opens a wide range of algorithmic alternatives, which we study in substantial detail in this article, using real-world applications in biosequence analysis, a field where dynamic programming is ubiquitous. Our results are two-fold: (1 We introduce the operation of a “Pareto algebra product” in the dynamic programming framework of Bellman’s GAP. Users of this framework can now ask for Pareto optimization with a single keystroke. Careful evaluation of the implementation alternatives by means of an extended Bellman’s GAP compiler demonstrates the dependence of the best implementation choice on the application at hand. (2 We extract from our experiments several pieces of advice to programmers who do not use a system such as Bellman’s GAP, but who choose to hand-craft their dynamic programming recurrences, incorporating Pareto optimization from scratch.

  14. Conforming STOP Violence Against Women Formula Grant Program Regulations to Statutory Change; Definitions and Confidentiality Requirements Applicable to All OVW Grant Programs. Final rule.

    Science.gov (United States)

    2016-11-29

    This rule amends the regulations for the STOP (ServicesTrainingOfficersProsecutors) Violence Against Women Formula Grant Program (STOP Program) and the general provisions governing Office on Violence Against Women (OVW) programs to comply with statutory changes and reduce repetition of statutory language. Also, this rule implements statutory requirements for nondisclosure of confidential or private information relating to all OVW grant programs.

  15. Integrated Data Base Program: a status report

    Energy Technology Data Exchange (ETDEWEB)

    Notz, K.J.; Klein, J.A.

    1984-06-01

    The Integrated Data Base (IDB) Program provides official Department of Energy (DOE) data on spent fuel and radioactive waste inventories, projections, and characteristics. The accomplishments of FY 1983 are summarized for three broad areas: (1) upgrading and issuing of the annual report on spent fuel and radioactive waste inventories, projections, and characteristics, including ORIGEN2 applications and a quality assurance plan; (2) creation of a summary data file in user-friendly format for use on a personal computer and enhancing user access to program data; and (3) optimizing and documentation of the data handling methodology used by the IDB Program and providing direct support to other DOE programs and sites in data handling. Plans for future work in these three areas are outlined. 23 references, 11 figures.

  16. Evaluating Pain Education Programs: An Integrated Approach

    Directory of Open Access Journals (Sweden)

    Adam Dubrowski

    2011-01-01

    Full Text Available Evaluation of educational programs and assessment of learning are essential to maintain high-standard health science education, which includes pain education. Current models of program evaluations applied to the education of the health professions, such as the Kirkpatrick model, are mainly outcome based. More recently, efforts have been made to examine other process-based models such as the Context Input Process Product model. The present article proposes an approach that integrates both outcome- and process-based models with models of clinical performance assessment to provide a deeper understanding of a program function. Because assessment instruments are a critical part of program evaluation, it is suggested that standardization and rigour should be used in their selection, development and adaptation. The present article suggests an alternative to currently used models in pain education evaluation.

  17. Model Development to Establish Integrated Operational Rule Curves for Hungry Horse and Libby Reservoirs - Montana, 1996 Final Report.

    Energy Technology Data Exchange (ETDEWEB)

    Marotz, Brian; Althen, Craig; Gustafson, Daniel

    1996-01-01

    Hungry Horse and Libby dams have profoundly affected the aquatic ecosystems in two major tributaries of the Columbia River by altering habitat and water quality, and by imposing barriers to fish migration. In 1980, the U.S. Congress passed the Pacific Northwest Electric Power Planning and Conservation Act, designed in part to balance hydropower development with other natural resources in the Columbia System. The Act formed the Northwest Power Planning Council (Council) who developed a program to protect, mitigate and enhance fish and wildlife on the Columbia River and its tributaries. Pursuant to the Council`s Fish and Wildlife Program for the Columbia River System (1987), we constructed computer models to simulate the trophic dynamics of the reservoir biota as related to dam operation. Results were used to develop strategies to minimize impacts and enhance the reservoir and riverine fisheries, following program measures 903(a)(1-4) and 903(b)(1-5). Two FORTRAN simulation models were developed for Hungry Horse and Libby reservoirs located in northwestern Montana. The models were designed to generate accurate, short-term predictions specific to two reservoirs and are not directly applicable to other waters. The modeling strategy, however, is portable to other reservoir systems where sufficient data are available. Reservoir operation guidelines were developed to balance fisheries concerns in the headwaters with anadromous species recovery actions in the lower Columbia (Biological Rule Curves). These BRCs were then integrated with power production and flood control to reduce the economic impact of basin-wide fisheries recovery actions. These Integrated Rule Curves (IRCs) were developed simultaneously in the Columbia Basin System Operation Review (SOR), the Council`s phase IV amendment process and recovery actions associated with endangered Columbia Basin fish species.

  18. Extracting classification rules from an informatic security incidents repository by genetic programming

    Directory of Open Access Journals (Sweden)

    Carlos Javier Carvajal Montealegre

    2015-04-01

    Full Text Available This paper describes the data mining process to obtain classification rules over an information security incident data collection, explaining in detail the use of genetic programming as a mean to model the incidents behavior and representing such rules as decision trees. The described mining process includes several tasks, such as the GP (Genetic Programming approach evaluation, the individual's representation and the algorithm parameters tuning to upgrade the performance. The paper concludes with the result analysis and the description of the rules obtained, suggesting measures to avoid the occurrence of new informatics attacks. This paper is a part of the thesis work degree: Information Security Incident Analytics by Data Mining for Behavioral Modeling and Pattern Recognition (Carvajal, 2012.

  19. 77 FR 26154 - Interstate Land Sales Registration Program, Special Rules of Practice; Correction

    Science.gov (United States)

    2012-05-03

    ... PROTECTION 12 CFR Part 1012 RIN 3170-AA06 Interstate Land Sales Registration Program, Special Rules of... substantially equivalent state law, Filing assistance, Purchasers' revocation rights, Land registration... (76 FR 79486), republishing implementing regulations under the Interstate Land Sales Full Disclosure...

  20. Evolving Rule-Based Systems in two Medical Domains using Genetic Programming

    DEFF Research Database (Denmark)

    Tsakonas, A.; Dounias, G.; Jantzen, Jan

    2004-01-01

    We demonstrate, compare and discuss the application of two genetic programming methodologies for the construction of rule-based systems in two medical domains: the diagnosis of Aphasia's subtypes and the classification of Pap-Smear Test examinations. The first approach consists of a scheme that c...

  1. 76 FR 14777 - National Dairy Promotion and Research Program; Final Rule on Amendments to the Order

    Science.gov (United States)

    2011-03-18

    ... (Act) to mean all States, the District of Columbia, and the Commonwealth of Puerto Rico. Producers in... an independent analysis of the dairy checkoff programs. The independent analysis, conducted by... thereof, on dairy products imported into the United States. This final rule, in accordance with the 2008...

  2. 24 CFR 5.380 - Public housing programs: Procedure for development of pet rules.

    Science.gov (United States)

    2010-04-01

    ... for development of pet rules. 5.380 Section 5.380 Housing and Urban Development Office of the Secretary, Department of Housing and Urban Development GENERAL HUD PROGRAM REQUIREMENTS; WAIVERS Pet Ownership for the Elderly or Persons With Disabilities Pet Ownership Requirements for Public Housing...

  3. Aspects of the TVA RCM program that address the maintenance rule

    Energy Technology Data Exchange (ETDEWEB)

    Hartly, L. (Tennessee Valley Authority, Chattanooga (United States)); Sonnett, D.E.; Barnard, D.D. (Life Cycle Technical Services, Inc., Charleston, SC (United States))

    1992-01-01

    Tennessee Valley Authority (TVA) initiated a pilot reliability-centered maintenance (RCM) program at the Sequoyah nuclear plant in 1990. A straightforward methodology using failure modes and effects analysis (but not modeling) was followed. The pilot established that RCM was a viable approach resulting in improved maintenance practices that justified the cost and effort of the program. TVA obtained a corporate commitment to continue and expand the program to include all nuclear stations. About the same time TVA committed to RCM, the US Nuclear Regulatory Commission (NRC) announced that a maintenance rule would be issued, and TVA personnel became active in industry committees formed to respond to this rule. Certain modifications to the methodology, and especially improvements in documentation of TVA's RCM program, were identified and made as a result. This paper discusses aspects of TVA's RCM program that improved the utility's position to respond to the maintenance rule and also to support future plant license renewal programs.

  4. National School Lunch Program and School Breakfast Program: Nutrition Standards for All Foods Sold in School as Required by the Healthy, Hunger-Free Kids Act of 2010. Final rule and interim final rule.

    Science.gov (United States)

    2016-07-29

    This rule adopts as final, with some modifications, the National School Lunch Program and School Breakfast Program regulations set forth in the interim final rule published in the Federal Register on June 28, 2013. The requirements addressed in this rule conform to the provisions in the Healthy, Hunger-Free Kids Act of 2010 regarding nutrition standards for all foods sold in schools, other than food sold under the lunch and breakfast programs. Most provisions of this final rule were implemented on July 1, 2014, a full year subsequent to publication of the interim final rule. This was in compliance with section 208 of the Healthy, Hunger-Free Kids Act of 2010, which required that State and local educational agencies have at least one full school year from the date of publication of the interim final rule to implement the competitive food provisions. Based on comments received on the interim final rule and implementation experience, this final rule makes a few modifications to the nutrition standards for all foods sold in schools implemented on July 1, 2014. In addition, this final rule codifies specific policy guidance issued after publication of the interim rule. Finally, this rule retains the provision related to the standard for total fat as interim and requests further comment on this single standard.

  5. Sexual Assault Prevention and Response (SAPR) Program procedures. Interim final rule.

    Science.gov (United States)

    2013-04-11

    This rule implements policy, assigns responsibilities, and provides guidance and procedures for the SAPR Program; establishes the processes and procedures for the Sexual Assault Forensic Examination (SAFE) Kit; establishes the multidisciplinary Case Management Group (CMG) and provides guidance on how to handle sexual assault; establishes SAPR minimum program standards, SAPR training requirements, and SAPR requirements for the DoD Annual Report on Sexual Assault in the Military. The Department of Defense Sexual Assault Prevention and Response (SAPR) program continues to evolve, and the Department is committed to incorporating best practices and Congressional requirements to ensure that sexual assault victims receive the services they need. As part of this commitment and in addition to the Interim Final Rule, the Department is exploring the feasibility and advisability of extending the Restricted Reporting option to DoD civilians and contractors serving overseas.

  6. In Situ Remediation Integrated Program: FY 1994 program summary

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1995-04-01

    The US Department of Energy (DOE) established the Office of Technology Development (EM-50) as an element of the Office of Environmental Management (EM) in November 1989. In an effort to focus resources and address priority needs, EM-50 introduced the concept of integrated programs (IPs) and integrated demonstrations (IDs). The In Situ Remediation Integrated Program (ISR IP) focuses research and development on the in-place treatment of contaminated environmental media, such as soil and groundwater, and the containment of contaminants to prevent the contaminants from spreading through the environment. Using in situ remediation technologies to clean up DOE sites minimizes adverse health effects on workers and the public by reducing contact exposure. The technologies also reduce cleanup costs by orders of magnitude. This report summarizes project work conducted in FY 1994 under the ISR IP in three major areas: treatment (bioremediation), treatment (physical/chemical), and containment technologies. Buried waste, contaminated soils and groundwater, and containerized waste are all candidates for in situ remediation. Contaminants include radioactive waste, volatile and nonvolatile organics, heavy metals, nitrates, and explosive materials.

  7. Surrogate-Assisted Genetic Programming With Simplified Models for Automated Design of Dispatching Rules.

    Science.gov (United States)

    Nguyen, Su; Zhang, Mengjie; Tan, Kay Chen

    2017-09-01

    Automated design of dispatching rules for production systems has been an interesting research topic over the last several years. Machine learning, especially genetic programming (GP), has been a powerful approach to dealing with this design problem. However, intensive computational requirements, accuracy and interpretability are still its limitations. This paper aims at developing a new surrogate assisted GP to help improving the quality of the evolved rules without significant computational costs. The experiments have verified the effectiveness and efficiency of the proposed algorithms as compared to those in the literature. Furthermore, new simplification and visualisation approaches have also been developed to improve the interpretability of the evolved rules. These approaches have shown great potentials and proved to be a critical part of the automated design system.

  8. An integrated scheduling and program management system

    Science.gov (United States)

    Porter, D.; Gibson, J. D.; Williams, G. G.

    2012-09-01

    An integrated scheduling and program management system is being developed for the MMT Observatory (MMTO), Arizona, USA. A systems engineering approach is used to combine existing and new relational databases, spreadsheets, file storage systems, and web-based user interfaces into a single unified system. An overview of software design, data management, user interfaces, and techniques for performance assessment is presented. Goals of this system include streamlined data management and an optimized user experience. The MMTO has over a dozen different telescope configurations, including three secondary mirrors and a wide range of observing instruments. Scheduling is complex for the varying telescope configurations, limited available observing time, and appropriate astronomic conditions (e.g., lunar phase) for each science project. Scheduled telescope configurations can be used to perform safety checks of actual configuration during telescope operations. Programmatic information is automatically input into nightly telescope operator (TO) logs by the system. The TO's provide additional information into the system on telescope usage, observing conditions (e.g., weather conditions), and observatory closure (e.g., from instrument malfunction or inclement weather). All of this information is synthesized to assess telescope and observatory performance. Web interfaces to the system can be used by observers to submit information, such as travel plans, instrumentation requirements, and observing catalogs. A service request (SR) (i.e., trouble report) system has also been developed for tracking operational issues. The specific needs of the MMTO have been met through in-house software development of this integrated scheduling and program management system.

  9. Variability in Integrated Cardiothoracic Training Program Curriculum.

    Science.gov (United States)

    Stephens, Elizabeth H; Walters, Dustin M; Eilers, Amanda L; Tchantchaleishvili, Vakhtang; Goldstone, Andrew B; Gillaspie, Erin A; Fiedler, Amy; LaPar, Damien J

    2017-06-01

    Development of curricula that appropriately progress a resident from medical school graduate to fully trained cardiothoracic surgeon is a key challenge for integrated cardiothoracic training programs. This study examined variability and perceived challenges in integrated curricula. Responses to the 2016 TSDA/TSRA survey that accompanies the annual in-training exam taken by current cardiothoracic surgery residents were analyzed. Standard statistical methods were utilized to examine trends in participant responses. General surgery experience decreased with post-graduate year, whereas cardiac operative experience increased. Rotations in a wide variety of adjunct fields were common. The majority (87%) of respondents reported had dedicated cardiothoracic intensive care unit (ICU) rotations, and surgical ICU and cardiac care unit rotations were less common (68% and 42%, respectively). The most common surgical subspecialty rotations were vascular (94%) and acute care surgery (88%), with a wide range of clinical exposure (ie, 3-44 weeks for vascular). Importantly, 52% felt competition with general surgery residents for experience and 22.5% of general surgery rotations were at hospitals without general surgery residents. Perceived challenges included optimization of rotations (78%), faculty allowing residents to perform case components (60%), faculty teaching in the operating room (29%), and improving surgical experience on general surgery rotations (19%). Significant variation exists in integrated cardiothoracic surgery curricula. Optimization of rotations, access to surgical experience, and integration with general surgery appear to be the most significant perceived challenges. These data suggest that optimization of early clinical and surgical experience within institutions could improve trainee preparedness for senior cardiothoracic surgery training. Copyright © 2017 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.

  10. Expertise and adventure: In/formalization processes within EU rule of law capacity building programs

    Directory of Open Access Journals (Sweden)

    Filippo M. Zerilli

    2017-12-01

    Full Text Available This paper explores dynamics of formalization and informalization as interlinked social processes as a contribution to a critical understanding of rule of law capacity building programs in the framework of EU enlargement process. It also challenges the assumption according to which informality would be a modality characteristic of countries of the “Global South”.

  11. Feedback can be superior to observational training for both rule-based and information-integration category structures.

    Science.gov (United States)

    Edmunds, C E R; Milton, Fraser; Wills, Andy J

    2015-01-01

    The effects of two different types of training on rule-based and information-integration category learning were investigated in two experiments. In observational training, a category label is presented, followed by an example of that category and the participant's response. In feedback training, the stimulus is presented, and the participant assigns it to a category and then receives feedback about the accuracy of that decision. Ashby, Maddox, and Bohil (2002. Observational versus feedback training in rule-based and information-integration category learning. Memory & Cognition, 30, 666-677) reported that feedback training was superior to observational training when learning information-integration category structures, but that training type had little effect on the acquisition of rule-based category structures. These results were argued to support the COVIS (competition between verbal and implicit systems) dual-process account of category learning. However, a number of nonessential differences between their rule-based and information-integration conditions complicate interpretation of these findings. Experiment 1 controlled between-category structures for participant error rates, category separation, and the number of stimulus dimensions relevant to the categorization. Under these more controlled conditions, rule-based and information-integration category structures both benefited from feedback training to a similar degree. Experiment 2 maintained this difference in training type when learning a rule-based category that had otherwise been matched, in terms of category overlap and overall performance, with the rule-based categories used in Ashby et al. These results indicate that differences in dimensionality between the category structures in Ashby et al. is a more likely explanation for the interaction between training type and category structure than the dual-system explanation that they offered.

  12. Medicare Program; Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2018. Final rule.

    Science.gov (United States)

    2017-08-03

    This final rule updates the prospective payment rates for inpatient rehabilitation facilities (IRFs) for federal fiscal year (FY) 2018 as required by the statute. As required by section 1886(j)(5) of the Social Security Act (the Act), this rule includes the classification and weighting factors for the IRF prospective payment system's (IRF PPS) case-mix groups and a description of the methodologies and data used in computing the prospective payment rates for FY 2018. This final rule also revises the International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) diagnosis codes that are used to determine presumptive compliance under the "60 percent rule," removes the 25 percent payment penalty for inpatient rehabilitation facility patient assessment instrument (IRF-PAI) late transmissions, removes the voluntary swallowing status item (Item 27) from the IRF-PAI, summarizes comments regarding the criteria used to classify facilities for payment under the IRF PPS, provides for a subregulatory process for certain annual updates to the presumptive methodology diagnosis code lists, adopts the use of height/weight items on the IRF-PAI to determine patient body mass index (BMI) greater than 50 for cases of single-joint replacement under the presumptive methodology, and revises and updates measures and reporting requirements under the IRF quality reporting program (QRP).

  13. 20 CFR 404.1503a - Program integrity.

    Science.gov (United States)

    2010-04-01

    ... procedures for reasons bearing on professional competence, professional conduct, or financial integrity; or... 20 Employees' Benefits 2 2010-04-01 2010-04-01 false Program integrity. 404.1503a Section 404... INSURANCE (1950- ) Determining Disability and Blindness Determinations § 404.1503a Program integrity. We...

  14. 20 CFR 416.903a - Program integrity.

    Science.gov (United States)

    2010-04-01

    ... for reasons bearing on professional competence, professional conduct, or financial integrity; or who... 20 Employees' Benefits 2 2010-04-01 2010-04-01 false Program integrity. 416.903a Section 416.903a... DISABLED Determining Disability and Blindness Determinations § 416.903a Program integrity. We will not use...

  15. Drug Pricing Program Ceiling Price and Manufacturer Civil Monetary Penalties Regulation. Final rule; further delay of effective date.

    Science.gov (United States)

    2017-09-29

    The Health Resources and Services Administration (HRSA) administers section 340B of the Public Health Service Act (PHSA), known as the "340B Drug Pricing Program" or the "340B Program." HRSA published a final rule on January 5, 2017, that set forth the calculation of the ceiling price and application of civil monetary penalties. The final rule applied to all drug manufacturers that are required to make their drugs available to covered entities under the 340B Program. On August 21, 2017, HHS solicited comments on further delaying the effective date of the January 5, 2017, final rule to July 1, 2018 (82 FR 39553). HHS proposed this action to allow a more deliberate process of considering alternative and supplemental regulatory provisions and to allow for sufficient time for additional rulemaking. After consideration of the comments received on the proposed rule, HHS is delaying the effective date of the January 5, 2017, final rule, to July 1, 2018.

  16. Inside Out: Program Integrity and Effectiveness of the Cognitive-Behavioural Program EQUIP for Incarcerated Youth

    NARCIS (Netherlands)

    Helmond, P.E.

    2013-01-01

    In correctional facilities intervention programs are used to reduce behavioral problems and recidivism. Intervention programs can be effective when they contain effective ingredients and are implemented with high levels of program integrity. Program integrity is the degree to which programs are

  17. Medicare Program; CY 2018 Updates to the Quality Payment Program; and Quality Payment Program: Extreme and Uncontrollable Circumstance Policy for the Transition Year. Final rule with comment period and interim final rule with comment period.

    Science.gov (United States)

    2017-11-16

    The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) established the Quality Payment Program for eligible clinicians. Under the Quality Payment Program, eligible clinicians can participate via one of two tracks: Advanced Alternative Payment Models (APMs); or the Merit-based Incentive Payment System (MIPS). We began implementing the Quality Payment Program through rulemaking for calendar year (CY) 2017. This final rule with comment period provides updates for the second and future years of the Quality Payment Program. In addition, we also are issuing an interim final rule with comment period (IFC) that addresses extreme and uncontrollable circumstances MIPS eligible clinicians may face as a result of widespread catastrophic events affecting a region or locale in CY 2017, such as Hurricanes Irma, Harvey and Maria.

  18. Simulation of operating rules and discretional decisions using a fuzzy rule-based system integrated into a water resources management model

    Science.gov (United States)

    Macian-Sorribes, Hector; Pulido-Velazquez, Manuel

    2013-04-01

    Water resources systems are operated, mostly, using a set of pre-defined rules not regarding, usually, to an optimal allocation in terms of water use or economic benefits, but to historical and institutional reasons. These operating policies are reproduced, commonly, as hedging rules, pack rules or zone-based operations, and simulation models can be used to test their performance under a wide range of hydrological and/or socio-economic hypothesis. Despite the high degree of acceptation and testing that these models have achieved, the actual operation of water resources systems hardly follows all the time the pre-defined rules with the consequent uncertainty on the system performance. Real-world reservoir operation is very complex, affected by input uncertainty (imprecision in forecast inflow, seepage and evaporation losses, etc.), filtered by the reservoir operator's experience and natural risk-aversion, while considering the different physical and legal/institutional constraints in order to meet the different demands and system requirements. The aim of this work is to expose a fuzzy logic approach to derive and assess the historical operation of a system. This framework uses a fuzzy rule-based system to reproduce pre-defined rules and also to match as close as possible the actual decisions made by managers. After built up, the fuzzy rule-based system can be integrated in a water resources management model, making possible to assess the system performance at the basin scale. The case study of the Mijares basin (eastern Spain) is used to illustrate the method. A reservoir operating curve regulates the two main reservoir releases (operated in a conjunctive way) with the purpose of guaranteeing a high realiability of supply to the traditional irrigation districts with higher priority (more senior demands that funded the reservoir construction). A fuzzy rule-based system has been created to reproduce the operating curve's performance, defining the system state (total

  19. 75 FR 1617 - Cross-Media Electronic Reporting Rule State Authorized Program Revision Approval: State of New York

    Science.gov (United States)

    2010-01-12

    ... AGENCY Cross-Media Electronic Reporting Rule State Authorized Program Revision Approval: State of New...'s approval, under regulations for Cross-Media Electronic Reporting, of the State of New York's..., the final Cross-Media Electronic Reporting Rule (CROMERR) was published in the Federal Register (70 FR...

  20. Genetic Programming for the Generation of Crisp and Fuzzy Rule Bases in Classification and Diagnosis of Medical Data

    DEFF Research Database (Denmark)

    Dounias, George; Tsakonas, Athanasios; Jantzen, Jan

    2002-01-01

    This paper demonstrates two methodologies for the construction of rule-based systems in medical decision making. The first approach consists of a method combining genetic programming and heuristic hierarchical rule-base construction. The second model is composed by a strongly-typed genetic progra...

  1. Improved model reduction and tuning of fractional-order PI(λ)D(μ) controllers for analytical rule extraction with genetic programming.

    Science.gov (United States)

    Das, Saptarshi; Pan, Indranil; Das, Shantanu; Gupta, Amitava

    2012-03-01

    Genetic algorithm (GA) has been used in this study for a new approach of suboptimal model reduction in the Nyquist plane and optimal time domain tuning of proportional-integral-derivative (PID) and fractional-order (FO) PI(λ)D(μ) controllers. Simulation studies show that the new Nyquist-based model reduction technique outperforms the conventional H(2)-norm-based reduced parameter modeling technique. With the tuned controller parameters and reduced-order model parameter dataset, optimum tuning rules have been developed with a test-bench of higher-order processes via genetic programming (GP). The GP performs a symbolic regression on the reduced process parameters to evolve a tuning rule which provides the best analytical expression to map the data. The tuning rules are developed for a minimum time domain integral performance index described by a weighted sum of error index and controller effort. From the reported Pareto optimal front of the GP-based optimal rule extraction technique, a trade-off can be made between the complexity of the tuning formulae and the control performance. The efficacy of the single-gene and multi-gene GP-based tuning rules has been compared with the original GA-based control performance for the PID and PI(λ)D(μ) controllers, handling four different classes of representative higher-order processes. These rules are very useful for process control engineers, as they inherit the power of the GA-based tuning methodology, but can be easily calculated without the requirement for running the computationally intensive GA every time. Three-dimensional plots of the required variation in PID/fractional-order PID (FOPID) controller parameters with reduced process parameters have been shown as a guideline for the operator. Parametric robustness of the reported GP-based tuning rules has also been shown with credible simulation examples. Copyright © 2011 ISA. Published by Elsevier Ltd. All rights reserved.

  2. Impact of integrated programs on general surgery operative volume.

    Science.gov (United States)

    Jensen, Amanda R; Nickel, Brianne L; Dolejs, Scott C; Canal, David F; Torbeck, Laura; Choi, Jennifer N

    2017-03-01

    Integrated residencies are now commonplace, co-existing with categorical general surgery residencies. The purpose of this study was to define the impact of integrated programs on categorical general surgery operative volume. Case logs from categorical general, integrated plastics, vascular, and thoracic surgery residents from a single institution from 2008 to 2016 were collected and analyzed. Integrated residents have increased the number of cases they perform that would have previously been general surgery resident cases from 11 in 2009-2010 to 1392 in 2015-2016. Despite this, there was no detrimental effect on total major cases of graduating chief residents. Multiple integrated programs can co-exist with a general surgery program through careful collaboration and thoughtful consideration to longitudinal needs of individual trainees. As additional programs continue to be created, both integrated and categorical program directors must continue to collaborate to insure the integrity of training for all residents. Copyright © 2017 Elsevier Inc. All rights reserved.

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

    Science.gov (United States)

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

    2014-12-01

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

  4. 42 CFR 438.602 - Basic rule.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 4 2010-10-01 2010-10-01 false Basic rule. 438.602 Section 438.602 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL ASSISTANCE PROGRAMS MANAGED CARE Certifications and Program Integrity § 438.602 Basic rule. As a condition...

  5. A multiaspect program integrity assessment of the cognitive-behavioral program EQUIP for incarcerated offenders

    NARCIS (Netherlands)

    Helmond, P.; Overbeek, G.; Brugman, D.

    2014-01-01

    Studies on the effectiveness of correctional treatment have widely failed to assess program integrity. This study examined the program integrity of EQUIP in 34 treatment groups of incarcerated offenders, using a new multiaspect program integrity instrument (MIPIE). The first aim of our study was to

  6. In Situ Remediation Integrated Program: Technology summary

    Energy Technology Data Exchange (ETDEWEB)

    1994-02-01

    The In Situ Remediation Integrated Program (ISR IP) was instituted out of recognition that in situ remediation could fulfill three important criteria: significant cost reduction of cleanup by eliminating or minimizing excavation, transportation, and disposal of wastes; reduced health impacts on workers and the public by minimizing exposure to wastes during excavation and processing; and remediation of inaccessible sites, including: deep subsurfaces, in, under, and around buildings. Buried waste, contaminated soils and groundwater, and containerized wastes are all candidates for in situ remediation. Contaminants include radioactive wastes, volatile and non-volatile organics, heavy metals, nitrates, and explosive materials. The ISR IP intends to facilitate development of in situ remediation technologies for hazardous, radioactive, and mixed wastes in soils, groundwater, and storage tanks. Near-term focus is on containment of the wastes, with treatment receiving greater effort in future years. ISR IP is an applied research and development program broadly addressing known DOE environmental restoration needs. Analysis of a sample of 334 representative sites by the Office of Environmental Restoration has shown how many sites are amenable to in situ remediation: containment--243 sites; manipulation--244 sites; bioremediation--154 sites; and physical/chemical methods--236 sites. This needs assessment is focused on near-term restoration problems (FY93--FY99). Many other remediations will be required in the next century. The major focus of the ISR EP is on the long term development of permanent solutions to these problems. Current needs for interim actions to protect human health and the environment are also being addressed.

  7. Rules Mothers and Sons Use to Integrate Intent and Damage Information in Their Moral Judgments.

    Science.gov (United States)

    Leon, Manuel

    1984-01-01

    The similarity between rules used by mothers and those used by sons was extensive. Results suggest that research should emphasize the process by which children come to employ multidimensional rules and the role of parental models in this process. Current research in moral judgments largely ignores the rule-governed nature of children's judgments.…

  8. 75 FR 9691 - Review of the Commission's Program Access Rules and Examination of Programming Tying Arrangements

    Science.gov (United States)

    2010-03-03

    ... competition is an increase in employment in the video programming sector of the economy. The relationship... on Commission precedent in which the Commission has considered certain Regional Sports Networks.... Conversely, when programming is non- replicable and valuable to consumers, such as regional sports...

  9. Integrated rural development programs: a skeptical perspective.

    Science.gov (United States)

    Ruttan, V W

    1975-11-01

    In examining integrated rural development programs the question that arises is why is it possible to identify several relatively successful small-scale or pilot rural development projects yet so difficult to find examples of successful rural development programs. 3 bodies of literature offer some insight into the morphology of rural development projects, programs, and processes: the urban-industrial impact hypothesis; the theory of induced technical change; and the new models of institutional change that deal with institution building and the economics of bureaucratic behavior. The urban-industrial impact hypothesis helps in the clarification of the relationships between the development of rural areas and the development of the total society of which rural areas are a part. It is useful in understanding the spatial dimensions of rural development where rural development efforts are likely to be most successful. Formulation of the hypothesis generated a series of empirical studies designed to test its validity. The effect of these studies has been the development of a rural development model in which the rural community is linked to the urban-industrial economy through a series of market relationships. Both the urban economy's rate of growth and the efficiency of the intersector product and factor markets place significant constraints on the possibilities of rural area development. It is not possible to isolate development processes in the contemporary rural community in a developing society from development processes in the larger society. The induced technical change theory provides a guide as to what must be done to gain access to efficient sources of economic growth, the new resources and incomes that are necessary to sustain rural development. Design of a successful rural development strategy involves a combination of technical and institutional change. The ability of rural areas to respond to the opportunities for economic growth generated by local urban

  10. Designing driver assistance systems with crossmodal signals: multisensory integration rules for saccadic reaction times apply.

    Directory of Open Access Journals (Sweden)

    Rike Steenken

    Full Text Available Modern driver assistance systems make increasing use of auditory and tactile signals in order to reduce the driver's visual information load. This entails potential crossmodal interaction effects that need to be taken into account in designing an optimal system. Here we show that saccadic reaction times to visual targets (cockpit or outside mirror, presented in a driving simulator environment and accompanied by auditory or tactile accessories, follow some well-known spatiotemporal rules of multisensory integration, usually found under confined laboratory conditions. Auditory nontargets speed up reaction time by about 80 ms. The effect tends to be maximal when the nontarget is presented 50 ms before the target and when target and nontarget are spatially coincident. The effect of a tactile nontarget (vibrating steering wheel was less pronounced and not spatially specific. It is shown that the average reaction times are well-described by the stochastic "time window of integration" model for multisensory integration developed by the authors. This two-stage model postulates that crossmodal interaction occurs only if the peripheral processes from the different sensory modalities terminate within a fixed temporal interval, and that the amount of crossmodal interaction manifests itself in an increase or decrease of second stage processing time. A qualitative test is consistent with the model prediction that the probability of interaction, but not the amount of crossmodal interaction, depends on target-nontarget onset asynchrony. A quantitative model fit yields estimates of individual participants' parameters, including the size of the time window. Some consequences for the design of driver assistance systems are discussed.

  11. Optimization and analysis of decision trees and rules: Dynamic programming approach

    KAUST Repository

    Alkhalid, Abdulaziz

    2013-08-01

    This paper is devoted to the consideration of software system Dagger created in KAUST. This system is based on extensions of dynamic programming. It allows sequential optimization of decision trees and rules relative to different cost functions, derivation of relationships between two cost functions (in particular, between number of misclassifications and depth of decision trees), and between cost and uncertainty of decision trees. We describe features of Dagger and consider examples of this systems work on decision tables from UCI Machine Learning Repository. We also use Dagger to compare 16 different greedy algorithms for decision tree construction. © 2013 Taylor and Francis Group, LLC.

  12. Optimization and analysis of decision trees and rules: dynamic programming approach

    Science.gov (United States)

    Alkhalid, Abdulaziz; Amin, Talha; Chikalov, Igor; Hussain, Shahid; Moshkov, Mikhail; Zielosko, Beata

    2013-08-01

    This paper is devoted to the consideration of software system Dagger created in KAUST. This system is based on extensions of dynamic programming. It allows sequential optimization of decision trees and rules relative to different cost functions, derivation of relationships between two cost functions (in particular, between number of misclassifications and depth of decision trees), and between cost and uncertainty of decision trees. We describe features of Dagger and consider examples of this system's work on decision tables from UCI Machine Learning Repository. We also use Dagger to compare 16 different greedy algorithms for decision tree construction.

  13. Servicemembers' Group Life Insurance Traumatic Injury Protection program--genitourinary losses. Interim final rule.

    Science.gov (United States)

    2011-12-02

    The Department of Veterans Affairs (VA) is issuing this interim final rule that amends the regulations governing the Servicemembers' Group Life Insurance Traumatic Injury Protection (TSGLI) program by adding certain genitourinary (GU) system losses to the TSGLI Schedule of Losses and defining terms relevant to these new losses. This amendment is necessary to make qualifying GU losses a basis for paying GU-injured Servicemembers TSGLI benefits. The intended effect is to expand the list of losses for which TSGLI payments can be made.

  14. Grants for adaptive sports programs for disabled veterans and disabled members of the Armed Forces. Final rule.

    Science.gov (United States)

    2015-05-04

    This final rule amends Department of Veterans Affairs (VA) regulations to establish a new program to provide grants to eligible entities to provide adaptive sports activities to disabled veterans and disabled members of the Armed Forces. This rulemaking is necessary to implement a change in the law that authorizes VA to make grants to entities other than the United States Olympic Committee for adaptive sports programs. It establishes procedures for evaluating grant applications under this grant program, and otherwise administering the grant program. This rule implements section 5 of the VA Expiring Authorities Extension Act of 2013.

  15. Grants for adaptive sports programs for disabled veterans and disabled members of the Armed Forces. Interim final rule.

    Science.gov (United States)

    2014-07-01

    This interim final rule amends Department of Veterans Affairs (VA) regulations to establish a new program to provide grants to eligible entities to provide adaptive sports activities to disabled veterans and disabled members of the Armed Forces. This rulemaking is necessary to implement a change in the law that authorizes VA to make grants to entities other than the United States Olympic Committee for adaptive sports programs. It establishes procedures for evaluating grant applications under this grant program, and otherwise administering the grant program. This rule implements section 5 of the VA Expiring Authorities Extension Act of 2013.

  16. Use of conditional rule structure to automate clinical decision support: a comparison of artificial intelligence and deterministic programming techniques.

    Science.gov (United States)

    Friedman, R H; Frank, A D

    1983-08-01

    A rule-based computer system was developed to perform clinical decision-making support within a medical information system, oncology practice, and clinical research. This rule-based system, which has been programmed using deterministic rules, possesses features of generalizability, modularity of structure, convenience in rule acquisition, explanability, and utility for patient care and teaching, features which have been identified as advantages of artificial intelligence (AI) rule-based systems. Formal rules are primarily represented as conditional statements; common conditions and actions are stored in system dictionaries so that they can be recalled at any time to form new decision rules. Important similarities and differences exist in the structure of this system and clinical computer systems utilizing artificial intelligence (AI) production rule techniques. The non-AI rule-based system possesses advantages in cost and ease of implementation. The degree to which significant medical decision problems can be solved by this technique remains uncertain as does whether the more complex AI methodologies will be required.

  17. A description and functional taxonomy of rule-based decision support content at a large integrated delivery network.

    Science.gov (United States)

    Wright, Adam; Goldberg, Howard; Hongsermeier, Tonya; Middleton, Blackford

    2007-01-01

    This study sought to develop a functional taxonomy of rule-based clinical decision support. The rule-based clinical decision support content of a large integrated delivery network with a long history of computer-based point-of-care decision support was reviewed and analyzed along four functional dimensions: trigger, input data elements, interventions, and offered choices. A total of 181 rule types were reviewed, comprising 7,120 different instances of rule usage. A total of 42 taxa were identified across the four categories. Many rules fell into multiple taxa in a given category. Entered order and stored laboratory result were the most common triggers; laboratory result, drug list, and hospital unit were the most frequent data elements used. Notify and log were the most common interventions, and write order, defer warning, and override rule were the most common offered choices. A relatively small number of taxa successfully described a large body of clinical knowledge. These taxa can be directly mapped to functions of clinical systems and decision support systems, providing feature guidance for developers, implementers, and certifiers of clinical information systems.

  18. 42 CFR 460.68 - Program integrity.

    Science.gov (United States)

    2010-10-01

    ... convicted of physical, sexual, drug, or alcohol abuse. (b) Direct or indirect interest in contracts. The...) PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE...

  19. A novel way of integrating rule-based knowledge into a web ontology language framework.

    Science.gov (United States)

    Gamberger, Dragan; Krstaçić, Goran; Jović, Alan

    2013-01-01

    Web ontology language (OWL), used in combination with the Protégé visual interface, is a modern standard for development and maintenance of ontologies and a powerful tool for knowledge presentation. In this work, we describe a novel possibility to use OWL also for the conceptualization of knowledge presented by a set of rules. In this approach, rules are represented as a hierarchy of actionable classes with necessary and sufficient conditions defined by the description logic formalism. The advantages are that: the set of the rules is not an unordered set anymore, the concepts defined in descriptive ontologies can be used directly in the bodies of rules, and Protégé presents an intuitive tool for editing the set of rules. Standard ontology reasoning processes are not applicable in this framework, but experiments conducted on the rule sets have demonstrated that the reasoning problems can be successfully solved.

  20. Integrating Agents into a Collaborative Knowledge-based System for Business Rules Consistency Management

    OpenAIRE

    Nawal Sad Houari; Noria Taghezout

    2016-01-01

    Capitalization and reuse of expert knowledge are very important for the survival of an enterprise. This paper presents a collaborative approach that utilizes domain ontology and agents. Thanks to our knowledge formalizing process, we give to domain expert an opportunity to store different forms of retrieved knowledge from experiences, design rules, business rules, decision processes, etc. The ontology is built to support business rules management. The global architecture is mainly composed of...

  1. Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs. Final rule with comment period.

    Science.gov (United States)

    2017-12-14

    This final rule with comment period revises the Medicare hospital outpatient prospective payment system (OPPS) and the Medicare ambulatory surgical center (ASC) payment system for CY 2018 to implement changes arising from our continuing experience with these systems. In this final rule with comment period, we describe the changes to the amounts and factors used to determine the payment rates for Medicare services paid under the OPPS and those paid under the ASC payment system. In addition, this final rule with comment period updates and refines the requirements for the Hospital Outpatient Quality Reporting (OQR) Program and the ASC Quality Reporting (ASCQR) Program.

  2. Mathematica as program support in the integral calculations

    OpenAIRE

    Zlatanovska, Biljana; Stojanova, Aleksandra; Kocaleva, Mirjana; Stojkovic, Natasa; Krstev, Aleksandar

    2016-01-01

    In this paper, we give а connection between the mathematical notions and using the computer as educational support at university level. Specifically, mathematical notions used in integral calculations will be explained with help of computer program. The notions, indefinite and definite integral, their calculations and their applications can be easily understand using the computer programs for their presentation. Images obtained with computer programs allows the students to better understand a...

  3. The New Rule Paradigm Shift: Transforming At-Risk Programs by Matching Business Archetypes Strategies in the Global Market

    Science.gov (United States)

    Stark, Paul S.

    2007-01-01

    The challenge was given to transform aviation-related programs to keep them from being eliminated. These programs were to be discontinued due to enrollment declines, costs, legislative mandates, lack of administrative support, and drastic state budget reductions. The New Rule was a paradigm shift of focus to the global market for program…

  4. 340B Drug Pricing Program Ceiling Price and Manufacturer Civil Monetary Penalties Regulation. Final rule; further delay of effective date.

    Science.gov (United States)

    2017-05-19

    The Health Resources and Services Administration (HRSA) administers section 340B of the Public Health Service Act (PHSA), referred to as the "340B Drug Pricing Program" or the "340B Program." HRSA published a final rule on January 5, 2017, that set forth the calculation of the ceiling price and application of civil monetary penalties. The final rule applied to all drug manufacturers that are required to make their drugs available to covered entities under the 340B Program. In accordance with a January 20, 2017, memorandum from the Assistant to the President and Chief of Staff, entitled "Regulatory Freeze Pending Review," HRSA issued an interim final rule that delayed the effective date of the final rule published in the Federal Register (82 FR 1210, (January 5, 2017)) to May 22, 2017. HHS invited commenters to provide their views on whether a longer delay of the effective date to October 1, 2017, would be more appropriate. After consideration of the comments received on the interim final rule, HHS is delaying the effective date of the January 5, 2017 final rule, to October 1, 2017.

  5. 75 FR 66831 - Program Integrity Issues

    Science.gov (United States)

    2010-10-29

    ... Education (TEACH) Grant Program in part 686, the Federal Pell Grant Program, and the Academic... on satisfactory academic progress, Marty Guthrie or Marianna Deeken. Telephone: (202) 219-7031 or via... (FRS), toll free, at 1-800-877-8339. Individuals with disabilities can obtain this document in an...

  6. 76 FR 20534 - Program Integrity Issues

    Science.gov (United States)

    2011-04-13

    ... the Federal Register and the Code of Federal Regulations is available via the Federal Digital System... educational programs or those that provide marketing, advertising, recruiting, or admissions services. We have... the institution to provide services, such as food service, other than educational programs, marketing...

  7. Integrating Robot Task Planning into Off-Line Programming Systems

    DEFF Research Database (Denmark)

    Sun, Hongyan; Kroszynski, Uri

    1988-01-01

    The addition of robot task planning in off-line programming systems aims at improving the capability of current state-of-the-art commercially available off-line programming systems, by integrating modeling, task planning, programming and simulation together under one platform. This article proposes...... a system architecture for integrated robot task planning. It identifies and describes the components considered necessary for implementation. The focus is on functionality of these elements as well as on the information flow. A pilot implementation of such an integrated system architecture for a robot...

  8. 78 FR 65045 - Patient Protection and Affordable Care Act; Program Integrity: Exchange, Premium Stabilization...

    Science.gov (United States)

    2013-10-30

    ...). Specifically, this final rule outlines financial integrity and oversight standards with respect to Affordable...). This final rule sets forth oversight and financial integrity standards with respect to Exchanges... Affordable Care Act, provides the Secretary with the authority to oversee financial integrity, compliance...

  9. 78 FR 37031 - Patient Protection and Affordable Care Act; Program Integrity: Exchange, SHOP, Premium...

    Science.gov (United States)

    2013-06-19

    ... Services (CMS), HHS. ACTION: Proposed rule. SUMMARY: This proposed rule sets forth financial integrity and... standards, which include financial integrity provisions and protections against fraud and abuse, are... forth oversight and financial integrity standards with respect to Exchanges, QHP issuers in Federally...

  10. Medicare program; Medicare depreciation, useful life guidelines--HCFA. Final rule.

    Science.gov (United States)

    1983-08-18

    These final rules amend Medicare regulations to clarify which useful life guidelines may be used by providers of health care services to determine the useful life of a depreciable asset for Medicare reimbursement purposes. Current regulations state that providers must utilize the Departmental useful life guidelines or, if none have been published by the Department, either the American Hospital Association (AHA) useful life guidelines of 1973 of IRS guidelines. We are eliminating the reference to IRS guidelines because these are now outdated for Medicare purposes since they have been rendered obsolete either by the IRS or by statutory change. We are also deleting the specific reference to the 1973 AHA guidelines since these guidelines are updated by the AHA periodically. In addition, we are clarifying that certain tax legislation on accelerated depreciation, passed by Congress, does not apply to the Medicare program.

  11. Vocational rehabilitation and employment program--changes to subsistence allowance. Final rule.

    Science.gov (United States)

    2012-01-12

    This document adopts as final, without change, the interim final rule amending regulations of the Department of Veterans Affairs (VA) to reflect changes made by the Post-9/11 Veterans Educational Assistance Improvements Act of 2010, effective August 1, 2011, that affect payment of vocational rehabilitation benefits for certain service-disabled veterans. Pursuant to these changes, a veteran, who is eligible for a subsistence allowance under chapter 31 of title 38, United States Code, and educational assistance under chapter 33 of title 38, United States Code, may participate in a rehabilitation program under chapter 31 and elect to receive a payment equal in amount to an applicable military housing allowance payable under title 37, United States Code, instead of the regular subsistence allowance under chapter 31. In addition, payments of subsistence allowances during periods between school terms are discontinued, and payments during periods of temporary school closings are modified.

  12. Enhancing Usefulness of Declarative Programming Frameworks through Complete Integration

    OpenAIRE

    Falkman, Goran; Torgersson, Olof

    2002-01-01

    The Gisela framework for declarative programming was developed with the specific aim of providing a tool that would be useful for knowledge representation and reasoning within real-world applications. To achieve this, a complete integration into an object-oriented application development environment was used. The framework and methodology developed provide two alternative application programming interfaces (APIs): Programming using objects or programming using a traditional equational declara...

  13. Integrating association rules and case-based reasoning to predict retinopathy

    Directory of Open Access Journals (Sweden)

    Vimala Balakrishnan

    Full Text Available This study proposes a retinopathy prediction system based on data mining,particularly association rules using Apriori algorithm, and case-based reasoning. The association rules are used to analyse patterns in the data set and to calculate retinopathy probability whereas case-based reasoning is used to retrieve similar cases. This paper discusses the proposed system. It is believed that great improvements can be provided to medical practitioners and also to diabetics with the implementation of this system.

  14. 75 FR 43615 - Program Integrity: Gainful Employment

    Science.gov (United States)

    2010-07-26

    ... would develop proposed regulations governing foreign institutions, including the implementation of the... foreign institutions. A second committee would develop proposed regulations to improve integrity in the... stigma of default can send an unfortunate message to others--that seeking an education can have...

  15. Program Collaboration and Service Integration At-a-Glance

    Centers for Disease Control (CDC) Podcasts

    2010-09-15

    Dr. Kevin A. Fenton, Director of CDC's National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, discusses program collaboration and service integration, a strategy that promotes better collaboration between public health programs and supports appropriate service integration at the point-of-care.  Created: 9/15/2010 by National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention.   Date Released: 9/15/2010.

  16. COHERENT INTEGRATION OF STRATEGIC PROGRAM MANAGEMENT SUBSYSTEMS OF CITY DEVELOPMENT

    Directory of Open Access Journals (Sweden)

    Дмитро Заурійович БЕРУЛАВА

    2015-06-01

    Full Text Available Considered by the scientific task of developing and implementing an effective strategic development program of the modern city. Proposes a model of coherent integration of management program subsystem on the stages of its development and implementation. Identified the element subsystems that must be synchronized for the coherent integration. Was concluded about the effectiveness of this approach, outlined the direction of its development.

  17. A stochastic-programming approach to integrated asset and liability ...

    African Journals Online (AJOL)

    This increase in complexity has provided an impetus for the investigation into integrated asset- and liability-management frameworks that could realistically address dynamic portfolio allocation in a risk-controlled way. In this paper the authors propose a multi-stage dynamic stochastic-programming model for the integrated ...

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

    Science.gov (United States)

    Weiss, Caroline R.; Jamieson, Nancy B.

    1987-01-01

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

  19. What's New in Software? Integrated Computer Programs and Daily Living.

    Science.gov (United States)

    Hedley, Carolyn N.

    1989-01-01

    Various kinds of electronic information media can now be integrated to plan educational programs, through use of computer videodiscs, hypercards, and hypertexts. Discussed are the components of integrative technology, including audio technology, video technology, and electronic text and graphics, and possibilities for interfacing the various…

  20. Integrating Ethics in Community Colleges' Accounting Programs.

    Science.gov (United States)

    Clarke, Clifton

    1990-01-01

    Argues that two-year college business programs need to provide moral guidance and leadership to students to help stem the proliferation of fraudulent and questionable financial reporting practices. Reviews amoral and moral unity theories of business ethics. Discusses barriers to ethical instruction in business curricula, and ways to overcome them.…

  1. 78 FR 17598 - Program Integrity Issues

    Science.gov (United States)

    2013-03-22

    ... Education Act of 1965, as amended (HEA) (October 29, 2010, final regulations). This document revises the...), toll free, at 1-800-877-8339. Individuals with disabilities can obtain this document in an accessible..., the Federal Pell Grant Program, and the Academic Competitiveness Grant (AGC) and National Science and...

  2. Integrating Linear Programming and Analytical Hierarchical ...

    African Journals Online (AJOL)

    A comprehensive Linear Programming model established, including 106 variables and 43 ecological-socio-economic constraints. Land capability and suitability evaluation accomplished using ecological factors and Comparative Advantages of the uses and the factors, respectively. Analytical Hierarchical Process followed ...

  3. Evaluation of the Integrated Services Pilot Program from Western Australia

    Science.gov (United States)

    Hancock, Peter; Cooper, Trudi; Bahn, Susanne

    2009-01-01

    Independent evaluation of refugee-focused programs in developed nations is increasingly a mandatory requirement of funding bodies and government agencies. This paper presents an evaluation of the Integrated Services Centre (ISC) Pilot Project that was conducted in Australia in 2007 and early 2008. The purpose of the ISC program was to provide…

  4. Forest productivity: an integrated research and development program

    Science.gov (United States)

    Daniel C. Dey; Thomas R. Crow; Don E. Riemenschneider

    2003-01-01

    In 2000, the North Central Research Station initiated the Forest Productivity Integrated Research Program (North Central Research Station 2001). This program combines the efforts of scientists from across the Station's 13 research work units to examine the current condition of the forests in the North Central Region and their prospects for producing wood and fiber...

  5. Using Research to Design Integrated Education and Training Programs

    Science.gov (United States)

    Pappalardo, Michele; Schaffer, William R.

    2016-01-01

    With the passage of the Workforce Innovation and Opportunity Act (WIOA) of 2014, Northampton Community College began the creation of Integrated Education and Training (IE&T) programs in October 2015. After a needs assessment was conducted with the partners, programs were created to address the needs in the hospitality and healthcare sectors.…

  6. Fiscal rules as a challenge of the Republic of Kosovo towards the European integration

    Directory of Open Access Journals (Sweden)

    Burim Haliti

    2016-07-01

    Full Text Available In modern and functional democracies there are different and numerous parameters for a stable and sustainable state; however we must also pay special attention to the way that a country breathes in a fiscal sense. Therefore the treatment of financial rules with special care and applied-theoretical skills indicates the possession of those financial rules that create a financial and fiscal stability in the country in order to maintain stable governance and to affect the development of all the other areas as well. Fiscal rules direct fiscal policies about the best options and procedures that must be pursued in order to develop finances as good as possibly toward the accomplishment of the revenue and budget expenditures. However, only the creation and the functionality of those rules is not enough, therefore they must also be monitored and communicated in front of the public since it is considered to be a very significant aspect in the life of modern democracies. Particularly, we must pay special attention to those fiscal rules that deal with public debt, budget deficit and budget expenditures.

  7. Integrating computer programs for engineering analysis and design

    Science.gov (United States)

    Wilhite, A. W.; Crisp, V. K.; Johnson, S. C.

    1983-01-01

    The design of a third-generation system for integrating computer programs for engineering and design has been developed for the Aerospace Vehicle Interactive Design (AVID) system. This system consists of an engineering data management system, program interface software, a user interface, and a geometry system. A relational information system (ARIS) was developed specifically for the computer-aided engineering system. It is used for a repository of design data that are communicated between analysis programs, for a dictionary that describes these design data, for a directory that describes the analysis programs, and for other system functions. A method is described for interfacing independent analysis programs into a loosely-coupled design system. This method emphasizes an interactive extension of analysis techniques and manipulation of design data. Also, integrity mechanisms exist to maintain database correctness for multidisciplinary design tasks by an individual or a team of specialists. Finally, a prototype user interface program has been developed to aid in system utilization.

  8. Promoting respect for the rules and injury prevention in ice hockey: evaluation of the fair-play program.

    Science.gov (United States)

    Brunelle, J P; Goulet, C; Arguin, H

    2005-09-01

    To reduce the number of transgressions to the rule, the occurrence of violent acts and to prevent injuries, Hockey Québec adopted the Fair-Play Program (FPP). The objective of the present study was to evaluate the effectiveness of the FPP. 52 Bantam (14-15 years) teams participated in this cohort study. In total, 49 games (13 with the FPP, 36 without FPP) were systematically assessed for transgressions to the rule. Body checking was allowed in all games. Transgressions to the rule data were obtained using a real time observation system in a natural setting, while injury data were collected through a self-administered questionnaire. Data were analysed using generalised linear models with generalised estimating equations accounting for potential team effect. The number of penalties per game was significantly lower (p hockey world promote fair play values. Moreover, this project clearly showed the importance of program evaluation and the value of direct observation in a natural setting.

  9. 75 FR 66665 - Program Integrity: Gainful Employment-New Programs

    Science.gov (United States)

    2010-10-29

    ... regulations for Institutional Eligibility Under the Higher Education Act of 1965, as amended (HEA), to... recommendations and decisions by Department employees who lack expertise in the labor markets. The commenters... online program, regional or national market needs by, for example, consulting BLS data or State labor...

  10. Wide Area Recovery and Resiliency Program (WARRP) Integrated Program Plan

    Science.gov (United States)

    2011-06-01

    on National Planning Scenarios. 15. SUBJECT TERMS WARRP, Program Management 16. SECURITY CLASSIFICATION OF: 17. LIMITATION OF ABSTRACT UU 18...Agent YELLOW, which is a mixture of the chemical warfare agents Sulfur Mustard and Lewisite, is a liquid with a garlic -like odor. Sulfur mustard

  11. Integrated population-development program performance: the Malaysian Felda experience.

    Science.gov (United States)

    Fong, C O

    1985-01-01

    Program performance of the Malaysian Felda program, an integrated population development program, is examined in this report. It also evaluates the relationship of the performance of this program with its organizational, integrational, and community support factors. Starting in 1956, Felda had, by the end of 1981, developed 308 land schemes covering an area of 1.4 million acres planted predominantly with oil palm (59.4%) and rubber (31.6%). The land schemes have settled a total of 70,600 families or over 400,000 people. The integrated programs existing in the Felda schmes are the focus of analysis for this study. Out of the universe of 308 Felda schemes, 26 schemes were randomly selected for the study. In each scheme, 2 surveys were conducted: first, the staff surveys to gather information on the organizational factors and extent of integration in existence in the scheme and then household surveys to gather information on the extent of community support for the integrated program and the performance of the program. In the case of the performance variables, the information gathered from the household survey was supplemented by the records from the Felda scheme office. In the sample of 26 schemes, a total of 1641 settler households were selected for the household survey and 363 staff were selected for the staff survey. The surveys were conducted in the 1st quarter of 1982. The results indicate that the Felda mode of delivering population and community development services has been very effective. Over 55.2% of the eligible women were found to be practicing family planning (compared to about 35.5% for the national rural average), while over 78.9% of the eligible women utilized postnatal health care facilities. About 1 in 3 of the eligible children in Felda schemes attend kindergarten classes, while over 46.9% of the Felda households are involved in some form of extramural income generating activities. The more integrated the program in a particular community, the more

  12. Formal selection rules for Brillouin scattering in integrated waveguides and structured fibers

    CERN Document Server

    Wolff, C; Poulton, C G

    2014-01-01

    We derive formal selection rules for Stimulated Brillouin Scattering (SBS) in structured waveguides. Using a group-theoretical approach, we show how the waveguide symmetry determines which optical and acoustic modes interact for both forward and backward SBS. We present a general framework for determining this interaction and give important examples for SBS in waveguides with rectangular, triangular and hexagonal symmetry. The important role played by degeneracy of the optical modes is illustrated. These selection rules are important for SBS-based device design and for a full understanding the physics of SBS in structured waveguides.

  13. A Hybrid Approach for NER System for Scarce Resourced Language-URDU: Integrating n-gram with Rules and Gazetteers

    Directory of Open Access Journals (Sweden)

    Saeeda Naz

    2015-10-01

    Full Text Available We present a hybrid NER (Name Entity Recognition system for Urdu script by integration of n-gram model (unigram and bigram, rules and gazetteers. We used prefix and suffix characters for rule construction instead of first name and last name lists or potential terms on the output list that is produced by n-gram model. Evaluation of the system is performed on two corpora, the IJCNLP NE (Named Entity corpus and CRL NE corpus in Urdu text. The system achieved 92.65 and 87.6% using hybrid unigram and 92.47 and 86.83% using hybrid bigram on IJCNLP NE corpus and CRL NE corpus, respectively.

  14. DOE`s integrated low-level waste management program and strategic planning

    Energy Technology Data Exchange (ETDEWEB)

    Duggan, G. [Dept. of Energy, Washington, DC (United States). Office of Environmental Restoration and Waste Management; Hwang, J. [Science Applications International Corp., Germantown, MD (United States)

    1993-03-01

    To meet the DOE`s commitment to operate its facilities in a safe, economic, and environmentally sound manner, and to comply with all applicable federal, state, and local rules, regulations, and agreements, DOE created the Office of Environmental Restoration and Waste Management (EM) in 1989 to focus efforts on controlling waste management and cleaning up contaminated sites. In the first few years of its existence, the Office of Waste Management (EM-30) has concentrated on operational and corrective activities at the sites. In 1992, the Office of Waste Management began to apply an integrated approach to managing its various waste types. Consequently, DOE established the Low-Level Waste Management Program (LLWMP) to properly manage its complex-wide LLW in a consistent manner. The objective of the LLWMP is to build and operate an integrated, safe, and cost-effective program to meet the needs of waste generators. The program will be based on acceptable risk and sound planning, resulting in public confidence and support. Strategic planning of the program is under way and is expected to take two to three years before implementation of the integrated waste management approach.

  15. Mining Context-Aware Association Rules Using Grammar-Based Genetic Programming.

    Science.gov (United States)

    Luna, Jose Maria; Pechenizkiy, Mykola; Del Jesus, Maria Jose; Ventura, Sebastian

    2017-09-25

    Real-world data usually comprise features whose interpretation depends on some contextual information. Such contextual-sensitive features and patterns are of high interest to be discovered and analyzed in order to obtain the right meaning. This paper formulates the problem of mining context-aware association rules, which refers to the search for associations between itemsets such that the strength of their implication depends on a contextual feature. For the discovery of this type of associations, a model that restricts the search space and includes syntax constraints by means of a grammar-based genetic programming methodology is proposed. Grammars can be considered as a useful way of introducing subjective knowledge to the pattern mining process as they are highly related to the background knowledge of the user. The performance and usefulness of the proposed approach is examined by considering synthetically generated datasets. A posteriori analysis on different domains is also carried out to demonstrate the utility of this kind of associations. For example, in educational domains, it is essential to identify and understand contextual and context-sensitive factors that affect overall and individual student behavior and performance. The results of the experiments suggest that the approach is feasible and it automatically identifies interesting context-aware associations from real-world datasets.

  16. Model Servqual Rule Base Asean University Network untuk Penilaian Kualitas Program Studi

    Directory of Open Access Journals (Sweden)

    Esti Wijayanti

    2016-05-01

    Full Text Available As well known that AUN (Asean University Network.AUN and ABET (Accreditation Boardb for Enginnering and Technology are non-profit organitatinon which have. AUN (Asean University Network were using variable with refer to AUN’s criteria’s there consist of fifteen which are: Expected Learning Outcomes, Programme Specification, Programme Structure and Content, Teaching and Learning Strategy, Student Assessment, Academic Staff Quality, Support Staff Quality, Student Quality, Student Advice and Support, Facilities and Infrastructure, Quality Assurance of Teaching/Learning Process, Staff Development Activities, Stakeholders Feedback, Output, Stakeholders Satisfaction,and adopted score's scale 7. In there here, we discuss the fifteen AUN’s of AUN in the criterias. There servqual of as can be into five dimensions, assurance, empathy, responsive, reliability and facilty in order to make the assessment's process easier. This research outcome indicated that this proposed method can be used to evaluate an education program. The validation result by using AUN's data and the analysis of servqual rule base Asean University Network almost have the same pattern with correlation value is 0,985 and this is can be accepted because its validity have reach 97%.

  17. Integrating proven falls prevention interventions into government programs.

    Science.gov (United States)

    Day, Lesley; Donaldson, Alex; Thompson, Catherine; Thomas, Margaret

    2014-04-01

    To identify Department of Health programs with high potential to integrate evidence-based interventions to prevent falls among older people. Broad consultation within the Department followed by structured decision making. This work was informed by an analysis of Victorian hospital separations data and a Cochrane Systematic Review to identify relevant target groups and interventions. Ranking of the integration potential of interventions for a broad range of Department program areas was achieved through a facilitated workshop. A short list of program areas was then developed and scored, using pre-defined criteria, for their match with the interventions. The ranked order of interventions, from most to least suitable for integration, were: multifactorial risk assessment and intervention; multi-component group exercise; medication review; occupational therapy-based home safety; home-based exercise; and first eye cataract surgery. Four of six program areas had a strong match (a score of ≥75% of the maximum score) with one or more of three interventions. Two program areas (Primary Care Partnerships, and Home and Community Care) had strong matches with three interventions (group- and home-based exercise; occupational therapy-based home safety) and were selected as priority areas. The Hospital Admissions Risk Program had strong and good matches respectively with home-based exercise and medication review, and was also selected. Our systematic methods identified Department programs with strong potential for integration of proven falls prevention interventions. Matching departmental programs and evidence-based interventions for integration may lead to more efficient resource allocation for falls prevention in Victoria. © 2014 The Authors. ANZJPH © 2014 Public Health Association of Australia.

  18. Optimization of approximate decision rules relative to number of misclassifications: Comparison of greedy and dynamic programming approaches

    KAUST Repository

    Amin, Talha

    2013-01-01

    In the paper, we present a comparison of dynamic programming and greedy approaches for construction and optimization of approximate decision rules relative to the number of misclassifications. We use an uncertainty measure that is a difference between the number of rows in a decision table T and the number of rows with the most common decision for T. For a nonnegative real number γ, we consider γ-decision rules that localize rows in subtables of T with uncertainty at most γ. Experimental results with decision tables from the UCI Machine Learning Repository are also presented. © 2013 Springer-Verlag.

  19. Light Water Reactor Sustainability Program Integrated Program Plan

    Energy Technology Data Exchange (ETDEWEB)

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

    2012-01-01

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

  20. The New Rules of PR and Marketing: A Teaching Unit for College Public Relations Programs

    Science.gov (United States)

    Mauldin, Candice

    2011-01-01

    The purpose of this lesson plan is to introduce the importance of social media and the Internet on public relations and marketing. The lesson describes the new rules for public relations versus the old rules. It is a more in depth look at how, and why, to use blogging, social media, and the Internet for promoting a company and appealing to buyers.…

  1. Report on the FY17 Development of Computer Program for ASME Section III, Division 5, Subsection HB, Subpart B Rules

    Energy Technology Data Exchange (ETDEWEB)

    Swindeman, M. J. [Argonne National Lab. (ANL), Argonne, IL (United States); Jetter, R. I. [Argonne National Lab. (ANL), Argonne, IL (United States); Sham, T. -L. [Argonne National Lab. (ANL), Argonne, IL (United States)

    2017-01-01

    One of the objectives of the high temperature design methodology activities is to develop and validate both improvements and the basic features of ASME Boiler and Pressure Vessel Code, Section III, Rules for Construction of Nuclear Facility Components, Division 5, High Temperature Reactors, Subsection HB, Subpart B (HBB). The overall scope of this task is to develop a computer program to aid assessment procedures of components under specified loading conditions in accordance with the elevated temperature design requirements for Division 5 Class A components. There are many features and alternative paths of varying complexity in HBB. The initial focus of this computer program is a basic path through the various options for a single reference material, 316H stainless steel. However, the computer program is being structured for eventual incorporation all of the features and permitted materials of HBB. This report will first provide a description of the overall computer program, particular challenges in developing numerical procedures for the assessment, and an overall approach to computer program development. This is followed by a more comprehensive appendix, which is the draft computer program manual for the program development. The strain limits rules have been implemented in the computer program. The evaluation of creep-fatigue damage will be implemented in future work scope.

  2. Light Water Reactor Sustainability Program: Integrated Program Plan

    Energy Technology Data Exchange (ETDEWEB)

    None, None

    2017-05-01

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

  3. An object-oriented programming system for the integration of internet-based bioinformatics resources.

    Science.gov (United States)

    Beveridge, Allan

    2006-01-01

    The Internet consists of a vast inhomogeneous reservoir of data. Developing software that can integrate a wide variety of different data sources is a major challenge that must be addressed for the realisation of the full potential of the Internet as a scientific research tool. This article presents a semi-automated object-oriented programming system for integrating web-based resources. We demonstrate that the current Internet standards (HTML, CGI [common gateway interface], Java, etc.) can be exploited to develop a data retrieval system that scans existing web interfaces and then uses a set of rules to generate new Java code that can automatically retrieve data from the Web. The validity of the software has been demonstrated by testing it on several biological databases. We also examine the current limitations of the Internet and discuss the need for the development of universal standards for web-based data.

  4. Boosting program integrity and effectiveness of the cognitive behavioral program EQUIP for incarcerated youth in The Netherlands

    NARCIS (Netherlands)

    Helmond, P.; Overbeek, G.; Brugman, D.

    2014-01-01

    This study examined whether a "program integrity booster" could improve the low to moderate program integrity and effectiveness of the EQUIP program for incarcerated youth as practiced in The Netherlands. Program integrity was assessed in EQUIP groups before and after the booster. Youth residing in

  5. Light Water Reactor Sustainability Program Integrated Program Plan

    Energy Technology Data Exchange (ETDEWEB)

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

    2013-04-01

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

  6. Light Water Reactor Sustainability Program Integrated Program Plan

    Energy Technology Data Exchange (ETDEWEB)

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

    2014-04-01

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

  7. Integrating Program Theory and Systems-Based Procedures in Program Evaluation: A Dynamic Approach to Evaluate Educational Programs

    Science.gov (United States)

    Grammatikopoulos, Vasilis

    2012-01-01

    The current study attempts to integrate parts of program theory and systems-based procedures in educational program evaluation. The educational program that was implemented, called the "Early Steps" project, proposed that physical education can contribute to various educational goals apart from the usual motor skills improvement. Basic…

  8. Rules of calculus in the path integral representation of white noise Langevin equations: the Onsager-Machlup approach

    Science.gov (United States)

    Cugliandolo, Leticia F.; Lecomte, Vivien

    2017-08-01

    The definition and manipulation of Langevin equations with multiplicative white noise require special care (one has to specify the time discretisation and a stochastic chain rule has to be used to perform changes of variables). While discretisation-scheme transformations and non-linear changes of variable can be safely performed on the Langevin equation, these same transformations lead to inconsistencies in its path-integral representation. We identify their origin and we show how to extend the well-known Ito prescription (dB2 = dt ) in a way that defines a modified stochastic calculus to be used inside the path-integral representation of the process, in its Onsager-Machlup form.

  9. Transcranial infrared laser stimulation improves rule-based, but not information-integration, category learning in humans.

    Science.gov (United States)

    Blanco, Nathaniel J; Saucedo, Celeste L; Gonzalez-Lima, F

    2017-03-01

    This is the first randomized, controlled study comparing the cognitive effects of transcranial laser stimulation on category learning tasks. Transcranial infrared laser stimulation is a new non-invasive form of brain stimulation that shows promise for wide-ranging experimental and neuropsychological applications. It involves using infrared laser to enhance cerebral oxygenation and energy metabolism through upregulation of the respiratory enzyme cytochrome oxidase, the primary infrared photon acceptor in cells. Previous research found that transcranial infrared laser stimulation aimed at the prefrontal cortex can improve sustained attention, short-term memory, and executive function. In this study, we directly investigated the influence of transcranial infrared laser stimulation on two neurobiologically dissociable systems of category learning: a prefrontal cortex mediated reflective system that learns categories using explicit rules, and a striatally mediated reflexive learning system that forms gradual stimulus-response associations. Participants (n=118) received either active infrared laser to the lateral prefrontal cortex or sham (placebo) stimulation, and then learned one of two category structures-a rule-based structure optimally learned by the reflective system, or an information-integration structure optimally learned by the reflexive system. We found that prefrontal rule-based learning was substantially improved following transcranial infrared laser stimulation as compared to placebo (treatment X block interaction: F(1, 298)=5.117, p=0.024), while information-integration learning did not show significant group differences (treatment X block interaction: F(1, 288)=1.633, p=0.202). These results highlight the exciting potential of transcranial infrared laser stimulation for cognitive enhancement and provide insight into the neurobiological underpinnings of category learning. Copyright © 2017 Elsevier Inc. All rights reserved.

  10. Danish integrated antimicrobial in resistance monitoring and research program

    DEFF Research Database (Denmark)

    Hammerum, Anette Marie; Heuer, Ole Eske; Emborg, Hanne-Dorthe

    2007-01-01

    Resistance to antimicrobial agents is an emerging problem worldwide. Awareness of the undesirable consequences of its widespread occurrence has led to the initiation of antimicrobial agent resistance monitoring programs in several countries. In 1995, Denmark was the first country to establish...... a systematic and continuous monitoring program of antimicrobial drug consumption and antimicrobial agent resistance in animals, food, and humans, the Danish Integrated Antimicrobial Resistance Monitoring and Research Program (DANMAP). Monitoring of antimicrobial drug resistance and a range of research...... activities related to DANMAP have contributed to restrictions or bans of use of several antimicrobial agents in food animals in Denmark and other European Union countries....

  11. DOE SunShot System Integration Program. Accomplishments and Impacts

    Energy Technology Data Exchange (ETDEWEB)

    Boynton, Shannon [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Ellis, Abraham [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States)

    2016-02-01

    During FY15, Sandia National Laboratories executed research and development (R&D) work on a portfolio of 16 SunShot Program Systems Integration (SI) agreements, with a total FY15 budget of $13.2 million. This document summarizes the impact of the Sandia contributions based on Sandia’s direct contributions by DOE.

  12. A mixed integer linear program for an integrated fishery | Hasan ...

    African Journals Online (AJOL)

    We develop a mixed integer linear programming (MILP) model to co-ordinate trawler scheduling, fishing, processing, and labour allocation of quota based integrated fisheries. We demonstrate the workability of our model with a numerical example and sensitivity analysis based on data obtained from one of the major ...

  13. What is Program Collaboration and Service Integration (PCSI)?

    Centers for Disease Control (CDC) Podcasts

    2009-12-07

    This podcast provides a description of Program Collaboration and Service Integration (PCSI).  Created: 12/7/2009 by National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention (NCHHSTP).   Date Released: 12/7/2009.

  14. Integrating Global Content into Special Education Teacher Preparation Programs

    Science.gov (United States)

    Xin, Joy F.; Accardo, Amy L.; Shuff, Midge; Cormier, Mary; Doorman, Diane

    2016-01-01

    Globalization affects many aspects of our lives in the 21st century and requires us to adopt an international perspective. For this study, global content was integrated into one course of an undergraduate special education teacher education program. A total of 118 teacher candidates were enrolled in the course over two semesters. A pre-post test…

  15. Integral Fast Reactor Program. Annual progress report, FY 1992

    Energy Technology Data Exchange (ETDEWEB)

    Chang, Y.I.; Walters, L.C.; Laidler, J.J.; Pedersen, D.R.; Wade, D.C.; Lineberry, M.J.

    1993-06-01

    This report summarizes highlights of the technical progress made in the Integral Fast Reactor (IFR) Program in FY 1992. Technical accomplishments are presented in the following areas of the IFR technology development activities: (1) metal fuel performance, (2) pyroprocess development, (3) safety experiments and analyses, (4) core design development, (5) fuel cycle demonstration, and (6) LMR technology R&D.

  16. Planning integration FY 1996 program plan. Revision 1

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1995-09-01

    This Multi-Year Program Plan (MAP) Planning Integration Program, Work Breakdown Structure (WBS) Element 1.8.2, is the primary management tool to document the technical, schedule, and cost baseline for work directed by the US Department of Energy (DOE), Richland Operations Office (RL). As an approved document, it establishes an agreement between RL and the performing contractors for the work to be performed. It was prepared by Westinghouse Hanford Company (WHC) and Pacific Northwest Laboratory (PNL). The MYPPs for the Hanford Site programs are to provide a picture from fiscal year (FY) 1996 through FY 2002. At RL Planning and Integration Division (PID) direction, only the FY 1996 Planning Integration Program work scope has been planned and presented in this MAP. Only those known significant activities which occur after FY 1996 are portrayed in this MAP. This is due to the uncertainty of who will be accomplishing what work scope when, following the award of the Management and Integration (M&I) contract.

  17. Hawaii Integrated Biofuels Research Program: Final Subcontract Report, Phase III

    Energy Technology Data Exchange (ETDEWEB)

    1992-05-01

    This report is a compilation of studies done to develop an integrated set of strategies for the production of energy from renewable resources in Hawaii. Because of the close coordination between this program and other ongoing DOE research, the work will have broad-based applicability to the entire United States.

  18. Integral Fast Reactor Program annual progress report, FY 1991

    Energy Technology Data Exchange (ETDEWEB)

    1992-06-01

    This report summarizes highlights of the technical progress made in the Integral Fast Reactor (IFR) Program in FY 1991. Technical accomplishments are presented in the following areas of the IFR technology development activities: (1) metal fuel performance, (2) pyroprocess development, (3) safety experiments and analyses, (4) core design development, (5) fuel cycle demonstration, and (6) LMR technology R&D.

  19. Integral Fast Reactor Program annual progress report, FY 1991

    Energy Technology Data Exchange (ETDEWEB)

    1992-06-01

    This report summarizes highlights of the technical progress made in the Integral Fast Reactor (IFR) Program in FY 1991. Technical accomplishments are presented in the following areas of the IFR technology development activities: (1) metal fuel performance, (2) pyroprocess development, (3) safety experiments and analyses, (4) core design development, (5) fuel cycle demonstration, and (6) LMR technology R D.

  20. Integral Fast Reactor Program annual progress report, FY 1994

    Energy Technology Data Exchange (ETDEWEB)

    Chang, Y.I.; Walters, L.C.; Laidler, J.J.; Pedersen, D.R.; Wade, D.C.; Lineberry, J.J.

    1994-12-01

    This report summarizes highlights of the technical progress made in the Integral Fast Reactor (IFR) Program in FY 1994. Technical accomplishments are presented in the following areas of the IFR technology development activities: metal fuel performance; pyroprocess development; safety experiments and analyses; core design development; fuel cycle demonstration; and LMR technology R&D.

  1. Biomass Program 2007 Peer Review - Integrated Biorefinery Platform Summary

    Energy Technology Data Exchange (ETDEWEB)

    none,

    2009-10-27

    This document discloses the comments provided by a review panel at the U.S. Department of Energy Office of the Biomass Program Peer Review held on November 15-16, 2007 in Baltimore, MD and the Integrated Biorefinery Platform Review held on August 13-15, 2007 in Golden, Colorado.

  2. Exclusion of orphan drugs for certain covered entities under 340B Program. Final rule.

    Science.gov (United States)

    2013-07-23

    HHS is issuing this final rule to clarify how section 340B(e) of the Public Health Service Act (PHSA) will be implemented. The final rule applies section 340B(e) of the PHSA only to drugs transferred, prescribed, sold, or otherwise used for the rare condition or disease for which the orphan drug was designated under section 526 of the Federal Food, Drug, and Cosmetic Act (FFDCA). The final rule also sets forth that it is the responsibility of the 340B covered entity to maintain auditable records that demonstrate compliance with the terms of the orphan drug exclusion requirements. This rule will provide clarity in the marketplace, maintain the 340B savings for newly-eligible covered entities, and protect the financial incentives for manufacturing orphan drugs designated for a rare disease or condition as indicated in the Affordable Care Act and intended by Congress.

  3. 75 FR 36506 - Final Rule Regarding Amendment of the Temporary Liquidity Guarantee Program To Extend the...

    Science.gov (United States)

    2010-06-28

    .... II. Interim Rule While the immediate financial crisis that led to the creation of the TLGP in October... a limited universe of IDIs would not create a significant burden that would outweigh its...

  4. 25 CFR 39.132 - Can a school integrate Language Development programs into its regular instructional program?

    Science.gov (United States)

    2010-04-01

    ... 25 Indians 1 2010-04-01 2010-04-01 false Can a school integrate Language Development programs into... Language Development Programs § 39.132 Can a school integrate Language Development programs into its regular instructional program? A school may offer Language Development programs to students as part of its...

  5. Modified Gauss rules for approximate calculation of some strongly singular integrals

    OpenAIRE

    Berriochoa Esnaola, Elias Manuel Maria; Cachafeiro López, María Alicia; Illán González, Jesús Ricardo; Rebollido Lorenzo, José Manuel

    2013-01-01

    The approach we follow consists in transforming the numerical evaluation of hyper-singular integrals into the calculation of a nearly singular integral whose mass is distributed according to a positive parameter ε. To evaluate the latter we apply a Gauss quadrature formula associated with a nearly singular weight function. It is estimated the error in terms of ε. Some numerical results are presented. Ministerio de Educación | Ref. MTM2011-22713

  6. Achieving High Reliability Operations Through Multi-Program Integration

    Energy Technology Data Exchange (ETDEWEB)

    Holly M. Ashley; Ronald K. Farris; Robert E. Richards

    2009-04-01

    Over the last 20 years the Idaho National Laboratory (INL) has adopted a number of operations and safety-related programs which has each periodically taken its turn in the limelight. As new programs have come along there has been natural competition for resources, focus and commitment. In the last few years, the INL has made real progress in integrating all these programs and are starting to realize important synergies. Contributing to this integration are both collaborative individuals and an emerging shared vision and goal of the INL fully maturing in its high reliability operations. This goal is so powerful because the concept of high reliability operations (and the resulting organizations) is a masterful amalgam and orchestrator of the best of all the participating programs (i.e. conduct of operations, behavior based safety, human performance, voluntary protection, quality assurance, and integrated safety management). This paper is a brief recounting of the lessons learned, thus far, at the INL in bringing previously competing programs into harmony under the goal (umbrella) of seeking to perform regularly as a high reliability organization. In addition to a brief diagram-illustrated historical review, the authors will share the INL’s primary successes (things already effectively stopped or started) and the gaps yet to be bridged.

  7. The implication of integrated training program for medical history education

    Directory of Open Access Journals (Sweden)

    Shun-Sheng Chen

    2015-02-01

    Full Text Available Background: A full spectrum of medical education requires not only clinical skills but also humanistic qualities in the medical professionals, which can be facilitated by an integrated training program. An integrated project was created to improve one's medical intellectual and communication competence and to enable them to become docents who can perform well, as well as for development of their humanitarian nature. The aim of this study was to suggest an integrated program that provided approaches for creating positive effects in medical history education. Methods: Taiwan Medical Museum conducted a project on medical history lessons and docent training program; 51 participants (24 male and 27 female attended this plan. Targets took pre-tests before lectures, attended courses of medical history, and then took post-tests. Next, they received a series of lessons on presentation skills and practiced for guiding performance. After all the training processes, the attendees succeeded in all evaluations in order to guide exhibition visitors. Data were analyzed using paired t test. Results: Two types of assessments were followed, i.e., cognitive examination and guiding practice, and both were related to good performance. Reliability (Cronbach's α was 0.737 for the cognitive examination and 0.87 for the guiding evaluation. It indicated that the integrated program for docent training resulted in a significant difference (p ≦ 0.0001. Conclusion: The participants demonstrated better achievement and knowledge acquisition through the entire process, which led to great performance when approached by the visitors. The whole project helped to shape up a good docent and to accumulate positive learning experiences for medical professionals as well. Therefore, an integrated program is recommended to medical history education in the future.

  8. National School Lunch Program and School Breakfast Program: Eliminating Applications Through Community Eligibility as Required by the Healthy, Hunger-Free Kids Act of 2010. Final rule.

    Science.gov (United States)

    2016-07-29

    This final rule establishes requirements for State agencies, local educational agencies, and schools operating the Community Eligibility Provision, a reimbursement option that allows the service of school meals to all children at no-cost in high poverty schools without collecting household applications. By eliminating the household application process and streamlining meal counting and claiming procedures through the Community Eligibility Provision, local educational agencies may substantially reduce administrative burden related to operating the National School Lunch and School Breakfast Programs. This rule codifies many requirements that were implemented through policy guidance following enactment of the Healthy, Hunger-Free Kids Act of 2010, as well as provisions of the proposed rule. These requirements will result in consistent, national implementation of the Community Eligibility Provision.

  9. International Piping Integrity Research Group (IPIRG) Program. Final report

    Energy Technology Data Exchange (ETDEWEB)

    Wilkowski, G.; Schmidt, R.; Scott, P. [and others

    1997-06-01

    This is the final report of the International Piping Integrity Research Group (IPIRG) Program. The IPIRG Program was an international group program managed by the U.S. Nuclear Regulatory Commission and funded by a consortium of organizations from nine nations: Canada, France, Italy, Japan, Sweden, Switzerland, Taiwan, the United Kingdom, and the United States. The program objective was to develop data needed to verify engineering methods for assessing the integrity of circumferentially-cracked nuclear power plant piping. The primary focus was an experimental task that investigated the behavior of circumferentially flawed piping systems subjected to high-rate loadings typical of seismic events. To accomplish these objectives a pipe system fabricated as an expansion loop with over 30 meters of 16-inch diameter pipe and five long radius elbows was constructed. Five dynamic, cyclic, flawed piping experiments were conducted using this facility. This report: (1) provides background information on leak-before-break and flaw evaluation procedures for piping, (2) summarizes technical results of the program, (3) gives a relatively detailed assessment of the results from the pipe fracture experiments and complementary analyses, and (4) summarizes advances in the state-of-the-art of pipe fracture technology resulting from the IPIRG program.

  10. Efficient quadrature rules for illumination integrals from quasi Monte Carlo to Bayesian Monte Carlo

    CERN Document Server

    Marques, Ricardo; Santos, Luís Paulo; Bouatouch, Kadi

    2015-01-01

    Rendering photorealistic images is a costly process which can take up to several days in the case of high quality images. In most cases, the task of sampling the incident radiance function to evaluate the illumination integral is responsible for an important share of the computation time. Therefore, to reach acceptable rendering times, the illumination integral must be evaluated using a limited set of samples. Such a restriction raises the question of how to obtain the most accurate approximation possible with such a limited set of samples. One must thus ensure that sampling produces the highe

  11. Medicare program; revisions to payment policies under the physician fee schedule, clinical laboratory fee schedule & other revisions to Part B for CY 2014. Final rule with comment period.

    Science.gov (United States)

    2013-12-10

    This major final rule with comment period addresses changes to the physician fee schedule, clinical laboratory fee schedule, and other Medicare Part B payment policies to ensure that our payment systems are updated to reflect changes in medical practice and the relative value of services. This final rule with comment period also includes a discussion in the Supplementary Information regarding various programs. (See the Table of Contents for a listing of the specific issues addressed in the final rule with comment period.)

  12. Integral urban solid waste management program in a Mexican university.

    Science.gov (United States)

    Espinosa, R M; Turpin, S; Polanco, G; De Latorre, A; Delfín, I; Raygoza, I

    2008-01-01

    The Azcapotzalco campus of the Universidad Autónoma Metropolitana (UAM-A) has implemented an Integral Urban Solid Waste Management Program, "Segregation for a Better UAM Environment" (Separacción por un mejor UAMbiente). This program is directed to create awareness and involve the academic community of the UAM-A concerning the problem of solid wastes, at the same time fulfilling the local environmental legislation. The program consists in separating solid wastes into two classes: (1) recoverable wastes (glass and PET bottles, aluminum cans, Tetrapak packages) and (2) other wastes (non-recoverable). During the past three years, thanks to this program, the amount of solid wastes delivered monthly to municipal collecting services has been considerably reduced. In this period, UAM-A has sent to recycling: 2.2 tons of glass bottles; 2.3 tons of PET bottles; 1.2 tons of Tetrapak packages and 27.5 kg of aluminum cans.

  13. Logical-rules and the classification of integral dimensions: individual differences in the processing of arbitrary dimensions

    Science.gov (United States)

    Blunden, Anthea G.; Wang, Tony; Griffiths, David W.; Little, Daniel R.

    2015-01-01

    A variety of converging operations demonstrate key differences between separable dimensions, which can be analyzed independently, and integral dimensions, which are processed in a non-analytic fashion. A recent investigation of response time distributions, applying a set of logical rule-based models, demonstrated that integral dimensions are pooled into a single coactive processing channel, in contrast to separable dimensions, which are processed in multiple, independent processing channels. This paper examines the claim that arbitrary dimensions created by factorially morphing four faces are processed in an integral manner. In two experiments, 16 participants completed a categorization task in which either upright or inverted morph stimuli were classified in a speeded fashion. Analyses focused on contrasting different assumptions about the psychological representation of the stimuli, perceptual and decisional separability, and the processing architecture. We report consistent individual differences which demonstrate a mixture of some observers who demonstrate coactive processing with other observers who process the dimensions in a parallel self-terminating manner. PMID:25620941

  14. Logical-rules and the classification of integral dimensions: Individual differences in the processing of arbitrary dimensions

    Directory of Open Access Journals (Sweden)

    Anthea G. Blunden

    2015-01-01

    Full Text Available A variety of converging operations demonstrate key differences between separable dimensions, which can be analyzed independently, and integral dimensions, which are processed in a non-analytic fashion. A recent investigation of response time distributions, applying a set of logical rule-based models, demonstrated that integral dimensions are pooled into a single coactive processing channel, in contrast to separable dimensions, which are processed in multiple, independent processing channels. This paper examines the claim that arbitrary dimensions created by factorially morphing four faces are processed in an integral manner (i.e., coactively. In two experiments, sixteen participants completed a categorization task in which either upright or inverted morph stimuli were classified in a speeded fashion. Analyses focused on contrasting different assumptions about the psychological representation of the stimuli, perceptual and decisional separability, and the processing architecture. We report consistent individual differences which demonstrate a mixture of some observers who demonstrate coactive processing with other observers who process the dimensions in a parallel self-terminating manner.

  15. Report of the Integrated Program Planning Activity for the DOE Fusion Energy Sciences Program

    Energy Technology Data Exchange (ETDEWEB)

    None

    2000-12-01

    This report of the Integrated Program Planning Activity (IPPA) has been prepared in response to a recommendation by the Secretary of Energy Advisory Board that, ''Given the complex nature of the fusion effort, an integrated program planning process is an absolute necessity.'' We, therefore, undertook this activity in order to integrate the various elements of the program, to improve communication and performance accountability across the program, and to show the inter-connectedness and inter-dependency of the diverse parts of the national fusion energy sciences program. This report is based on the September 1999 Fusion Energy Sciences Advisory Committee's (FESAC) report ''Priorities and Balance within the Fusion Energy Sciences Program''. In its December 5,2000, letter to the Director of the Office of Science, the FESAC has reaffirmed the validity of the September 1999 report and stated that the IPPA presents a framework and process to guide the achievement of the 5-year goals listed in the 1999 report. The National Research Council's (NRC) Fusion Assessment Committee draft final report ''An Assessment of the Department of Energy's Office of Fusion Energy Sciences Program'', reviewing the quality of the science in the program, was made available after the IPPA report had been completed. The IPPA report is, nevertheless, consistent with the recommendations in the NRC report. In addition to program goals and the related 5-year, 10-year, and 15-year objectives, this report elaborates on the scientific issues associated with each of these objectives. The report also makes clear the relationships among the various program elements, and cites these relationships as the reason why integrated program planning is essential. In particular, while focusing on the science conducted by the program, the report addresses the important balances between the science and energy goals of the program, between the

  16. AN INTEGRATIVE GROUP PSYCHOTHERAPY PROGRAM FOR CHILDREN. THE WIZARDING SCHOOL

    Directory of Open Access Journals (Sweden)

    Oana Maria Popescu

    2012-02-01

    Full Text Available One of the most important tendencies in child psychotherapy is the integration of various psychotherapeutic approaches and technical interventions belonging to different orientations. Based on the Harry Potter stories, the „Wizarding School” structured group therapy program is a 12-step integratively oriented program applicable in personal development, individual and group therapy for children aged 6 to 13 (at present being adapted for adult psychotherapy. The program takes place within a fairy tale, being therefore a type of informal hypnotic trance. The interventions are drawn from the lessons described in Harry Potter’s story at Hogwarts, based on the fundamental principles of child psychotherapy and including elements of play therapy, art therapy, hypnotherapy, cognitive- behavioural therapy, transactional analysis, supportive therapy, family therapy and person centred therapy. From a theoretical point of view the program is based on elements from a number of psychotherapeutic approaches, the main concept being that we need to create a therapeutic myth that is acceptable to a child. The program is not suitable for children with structural deficits, who have difficulties in making the difference between fantasy and reality.

  17. Overcoming the sign problem in 1-dimensional QCD by new integration rules with polynomial exactness

    Energy Technology Data Exchange (ETDEWEB)

    Ammon, A. [IVU-Traffic Technologies AG, Berlin (Germany); Hartung, T. [King' s College London (United Kingdom). Dept. of Mathematics; Jansen, K.; Volmer, J. [Deutsches Elektronen-Synchrotron (DESY), Zeuthen (Germany). John von Neumann-Inst. fuer Computing NIC; Leoevey, H. [Humboldt-Universitaet, Berlin (Germany). Inst. fuer Mathematik

    2016-08-15

    In this paper we describe a new integration method for the groups U(N) and SU(N), for which we verified numerically that it is polynomially exact for N≤3. The method is applied to the example of 1-dimensional QCD with a chemical potential. We explore, in particular, regions of the parameter space in which the sign problem appears due the presence of the chemical potential. While Markov Chain Monte Carlo fails in this region, our new integration method still provides results for the chiral condensate on arbitrary precision, demonstrating clearly that it overcomes the sign problem. Furthermore, we demonstrate that our new method leads to orders of magnitude reduced errors also in other regions of parameter space.

  18. A Call for an Integrated Program of Assessment

    Science.gov (United States)

    Regehr, Glenn

    2017-01-01

    An integrated curriculum that does not incorporate equally integrated assessment strategies is likely to prove ineffective in achieving the desired educational outcomes. We suggest it is time for colleges and schools of pharmacy to re-engineer their approach to assessment. To build the case, we first discuss the challenges leading to the need for curricular developments in pharmacy education. We then turn to the literature that informs how assessment can influence learning, introduce an approach to learning assessment that is being used by several medical education programs, and provide some examples of this approach in operation. Finally, we identify some of the challenges faced in adopting such an integrated approach to assessment and suggest that this is an area ripe with research opportunities for pharmacy educators. PMID:28630518

  19. Final Rule for Control of Air Pollution From New Motor Vehicles and New Motor Vehicle Engines: State Commitments to National Low Emission Vehicle Program

    Science.gov (United States)

    The Environmental Protection Agency (EPA) is issuing a final rule representing the next step in establishing a voluntary nationwide program to make new cars significantly cleaner burning than today’s current cars.

  20. Faculty perceptions of the integration of SAP in academic programs

    Directory of Open Access Journals (Sweden)

    Sam Khoury

    2012-08-01

    Full Text Available In order to prepare students for the workforce, academic programs incorporate a variety of tools that students are likely to use in their future careers. One of these tools employed by business and technology programs is the integration of live software applications such as SAP through the SAP University Alliance (SAP UA program. Since the SAP UA program has been around for only about 10 years and the available literature on the topic is limited, research is needed to determine the strengths and weaknesses of the SAP UA program. A collaborative study of SAP UA faculty perceptions of their SAP UAs was conducted in the fall of 2011. Of the faculty invited to participate in the study, 31% completed the online survey. The results indicate that most faculty experienced difficulty implementing SAP into their programs and report that a need exists for more standardized curriculum and training, while a large percentage indicated that they are receiving the support they need from their schools and SAP.

  1. Optimal operating rules definition in complex water resource systems combining fuzzy logic, expert criteria and stochastic programming

    Science.gov (United States)

    Macian-Sorribes, Hector; Pulido-Velazquez, Manuel

    2016-04-01

    This contribution presents a methodology for defining optimal seasonal operating rules in multireservoir systems coupling expert criteria and stochastic optimization. Both sources of information are combined using fuzzy logic. The structure of the operating rules is defined based on expert criteria, via a joint expert-technician framework consisting in a series of meetings, workshops and surveys carried out between reservoir managers and modelers. As a result, the decision-making process used by managers can be assessed and expressed using fuzzy logic: fuzzy rule-based systems are employed to represent the operating rules and fuzzy regression procedures are used for forecasting future inflows. Once done that, a stochastic optimization algorithm can be used to define optimal decisions and transform them into fuzzy rules. Finally, the optimal fuzzy rules and the inflow prediction scheme are combined into a Decision Support System for making seasonal forecasts and simulate the effect of different alternatives in response to the initial system state and the foreseen inflows. The approach presented has been applied to the Jucar River Basin (Spain). Reservoir managers explained how the system is operated, taking into account the reservoirs' states at the beginning of the irrigation season and the inflows previewed during that season. According to the information given by them, the Jucar River Basin operating policies were expressed via two fuzzy rule-based (FRB) systems that estimate the amount of water to be allocated to the users and how the reservoir storages should be balanced to guarantee those deliveries. A stochastic optimization model using Stochastic Dual Dynamic Programming (SDDP) was developed to define optimal decisions, which are transformed into optimal operating rules embedding them into the two FRBs previously created. As a benchmark, historical records are used to develop alternative operating rules. A fuzzy linear regression procedure was employed to

  2. Development of integrated programs for Aerospace-vehicle Design (IPAD): Product program management systems

    Science.gov (United States)

    Isenberg, J. M.; Southall, J. W.

    1979-01-01

    The Integrated Programs for Aerospace Vehicle Design (IPAD) is a computing system to support company-wide design information processing. This document presents a brief description of the management system used to direct and control a product-oriented program. This document, together with the reference design process (CR 2981) and the manufacture interactions with the design process (CR 2982), comprises the reference information that forms the basis for specifying IPAD system requirements.

  3. Integrating Oncology Massage Into Chemoinfusion Suites: A Program Evaluation.

    Science.gov (United States)

    Mao, Jun J; Wagner, Karen E; Seluzicki, Christina M; Hugo, Audra; Galindez, Laura K; Sheaffer, Heather; Fox, Kevin R

    2017-03-01

    This article reports on the development, implementation, and evaluation of an integrative clinical oncology massage program for patients undergoing chemotherapy for breast cancer in a large academic medical center. We describe the development and implementation of an oncology massage program embedded into chemoinfusion suites. We used deidentified program evaluation data to identify specific reasons individuals refuse massage and to evaluate the immediate impact of massage treatments on patient-reported outcomes using a modified version of the Distress Thermometer delivered via iPad. We analyzed premassage and postmassage data from the Distress Thermometer using paired t test and derived qualitative data from participants who provided written feedback on their massage experiences. Of the 1,090 massages offered, 692 (63%) were accepted. We observed a significant decrease in self-reported anxiety (from 3.9 to 1.7), nausea (from 2.5 to 1.2), pain (from 3.3 to 1.9), and fatigue (from 4.8 to 3.0) premassage and postmassage, respectively (all P massage, and 649 (94%) would recommend it to another patient undergoing treatment. Spontaneous patient responses overwhelmingly endorsed the massage as relaxing. No adverse events were reported. Among the 398 patients (36%) who declined a massage, top reasons were time concerns and lack of interest. A clinical oncology massage program can be safely and effectively integrated into chemoinfusion units to provide symptom control for patients with breast cancer. This integrative approach overcomes patient-level barriers of cost, time, and travel, and addresses the institutional-level barrier of space.

  4. Factors Influencing Learning Environments in an Integrated Experiential Program

    Science.gov (United States)

    Koci, Peter

    The research conducted for this dissertation examined the learning environment of a specific high school program that delivered the explicit curriculum through an integrated experiential manner, which utilized field and outdoor experiences. The program ran over one semester (five months) and it integrated the grade 10 British Columbian curriculum in five subjects. A mixed methods approach was employed to identify the students' perceptions and provide richer descriptions of their experiences related to their unique learning environment. Quantitative instruments were used to assess changes in students' perspectives of their learning environment, as well as other supporting factors including students' mindfulness, and behaviours towards the environment. Qualitative data collection included observations, open-ended questions, and impromptu interviews with the teacher. The qualitative data describe the factors and processes that influenced the learning environment and give a richer, deeper interpretation which complements the quantitative findings. The research results showed positive scores on all the quantitative measures conducted, and the qualitative data provided further insight into descriptions of learning environment constructs that the students perceived as most important. A major finding was that the group cohesion measure was perceived by students as the most important attribute of their preferred learning environment. A flow chart was developed to help the researcher conceptualize how the learning environment, learning process, and outcomes relate to one another in the studied program. This research attempts to explain through the consideration of this case study: how learning environments can influence behavioural change and how an interconnectedness among several factors in the learning process is influenced by the type of learning environment facilitated. Considerably more research is needed in this area to understand fully the complexity learning

  5. Medicare and Medicaid programs: hospital outpatient prospective payment and ambulatory surgical center payment systems and quality reporting programs; Hospital Value-Based Purchasing Program; organ procurement organizations; quality improvement organizations; Electronic Health Records (EHR) Incentive Program; provider reimbursement determinations and appeals. Final rule with comment period and final rules.

    Science.gov (United States)

    2013-12-10

    : This final rule with comment period revises the Medicare hospital outpatient prospective payment system (OPPS) and the Medicare ambulatory surgical center (ASC) payment system for CY 2014 to implement applicable statutory requirements and changes arising from our continuing experience with these systems. In this final rule with comment period, we describe the changes to the amounts and factors used to determine the payment rates for Medicare services paid under the OPPS and those paid under the ASC payment system. In addition, this final rule with comment period updates and refines the requirements for the Hospital Outpatient Quality Reporting (OQR) Program, the ASC Quality Reporting (ASCQR) Program, and the Hospital Value-Based Purchasing (VBP) Program. In the final rules in this document, we are finalizing changes to the conditions for coverage (CfCs) for organ procurement organizations (OPOs); revisions to the Quality Improvement Organization (QIO) regulations; changes to the Medicare fee-for-service Electronic Health Record (EHR) Incentive Program; and changes relating to provider reimbursement determinations and appeals.

  6. Integrated care programs for patients with psychological comorbidity : A systematic review and meta-analysis

    NARCIS (Netherlands)

    Lemmens, Lidwien C.; Molema, C.C. M.; Versnel, Nathalie; Baan, C.A.; de Bruin, Simone R.

    2015-01-01

    Objective Presently, little is known about the characteristics and impact of integrated care programs for patients with psychological comorbidity. The aim was to provide an overview of these integrated care programs and their effectiveness. Methods Systematic literature review including papers

  7. Medicare Program; Medicare Shared Savings Program: Extreme and Uncontrollable Circumstances Policies for Performance Year 2017. Interim final rule with comment period.

    Science.gov (United States)

    2017-12-26

    This interim final rule with comment period establishes policies for assessing the financial and quality performance of Medicare Shared Savings Program (Shared Savings Program) Accountable Care Organizations (ACOs) affected by extreme and uncontrollable circumstances during performance year 2017, including the applicable quality reporting period for the performance year. Under the Shared Savings Program, providers of services and suppliers that participate in ACOs continue to receive traditional Medicare fee-for-service (FFS) payments under Parts A and B, but the ACO may be eligible to receive a shared savings payment if it meets specified quality and savings requirements. ACOs in performance-based risk agreements may also share in losses. This interim final rule with comment period establishes extreme and uncontrollable circumstances policies for the Shared Savings Program that will apply to ACOs subject to extreme and uncontrollable events, such as Hurricanes Harvey, Irma, and Maria, and the California wildfires, effective for performance year 2017, including the applicable quality data reporting period for the performance year.

  8. Integrated flexible manufacturing program for manufacturing automation and rapid prototyping

    Science.gov (United States)

    Brooks, S. L.; Brown, C. W.; King, M. S.; Simons, W. R.; Zimmerman, J. J.

    1993-01-01

    The Kansas City Division of Allied Signal Inc., as part of the Integrated Flexible Manufacturing Program (IFMP), is developing an integrated manufacturing environment. Several systems are being developed to produce standards and automation tools for specific activities within the manufacturing environment. The Advanced Manufacturing Development System (AMDS) is concentrating on information standards (STEP) and product data transfer; the Expert Cut Planner system (XCUT) is concentrating on machining operation process planning standards and automation capabilities; the Advanced Numerical Control system (ANC) is concentrating on NC data preparation standards and NC data generation tools; the Inspection Planning and Programming Expert system (IPPEX) is concentrating on inspection process planning, coordinate measuring machine (CMM) inspection standards and CMM part program generation tools; and the Intelligent Scheduling and Planning System (ISAPS) is concentrating on planning and scheduling tools for a flexible manufacturing system environment. All of these projects are working together to address information exchange, standardization, and information sharing to support rapid prototyping in a Flexible Manufacturing System (FMS) environment.

  9. INTEGRATION OPPORTUNITIES OF MIGRANTS, WITH ESPECIAL REGARDS TO SENSITIZATION PROGRAMS

    Directory of Open Access Journals (Sweden)

    Krisztina DAJNOKI

    2017-06-01

    Full Text Available As a result of the migration wave appearing in summer 2015, the issue of immigrant integration has more often become conspicuous. Although a significant decline has been recorded in the number of immigrants, social-economic-labor market integration is still a challenge for experts and a task to be resolved. In our opinion, the key to the success of migration strategies and integration-aimed programs depends on the attitude and awareness of society (public opinion and – on the organizational level – the manager and future colleagues as well as on the organizational culture and the approach of a proper human resource expert. Besides adequate information, the recognition of international ‘best practices’ and the adaptation of operational diversity-management, one of the possible methods of facilitating integration is the utilization of sensitization trainings. The article introduces partial results of a questionnaire survey involving 220 employees with respect to attributes associated with migrants and emphasizing the peculiarity and significance of sensitization trainings.

  10. Critical Care Organizations: Building and Integrating Academic Programs.

    Science.gov (United States)

    Moore, Jason E; Oropello, John M; Stoltzfus, Daniel; Masur, Henry; Coopersmith, Craig M; Nates, Joseph; Doig, Christopher; Christman, John; Hite, R Duncan; Angus, Derek C; Pastores, Stephen M; Kvetan, Vladimir

    2017-12-16

    Academic medical centers in North America are expanding their missions from the traditional triad of patient care, research, and education to include the broader issue of healthcare delivery improvement. In recent years, integrated Critical Care Organizations have developed within academic centers to better meet the challenges of this broadening mission. The goal of this article was to provide interested administrators and intensivists with the proper resources, lines of communication, and organizational approach to accomplish integration and Critical Care Organization formation effectively. The Academic Critical Care Organization Building section workgroup of the taskforce established regular monthly conference calls to reach consensus on the development of a toolkit utilizing methods proven to advance the development of their own academic Critical Care Organizations. Relevant medical literature was reviewed by literature search. Materials from federal agencies and other national organizations were accessed through the Internet. The Society of Critical Care Medicine convened a taskforce entitled "Academic Leaders in Critical Care Medicine" on February 22, 2016 at the 45th Critical Care Congress using the expertise of successful leaders of advanced governance Critical Care Organizations in North America to develop a toolkit for advancing Critical Care Organizations. Key elements of an academic Critical Care Organization are outlined. The vital missions of multidisciplinary patient care, safety, and quality are linked to the research, education, and professional development missions that enhance the value of such organizations. Core features, benefits, barriers, and recommendations for integration of academic programs within Critical Care Organizations are described. Selected readings and resources to successfully implement the recommendations are provided. Communication with medical school and hospital leadership is discussed. We present the rationale for critical

  11. Integrating medical simulation programs into the Turkish undergraduate medical curriculum

    Directory of Open Access Journals (Sweden)

    Kitapçıoğlu D

    2016-01-01

    Full Text Available Dilek Kitapçıoğlu, Mehmet Emin Aksoy Medical Education Department, Faculty of Medicine, Acibadem University, CASE - Center of Advanced Simulation and Education, Istanbul, TurkeyThe letter by Ah-kee and Khan1 arguing that a mandatory year for studying leadership management within an already overcrowded undergraduate curriculum is not realistic and feasible drew our attention. We strongly support this idea because of the difficulties we met during integration of simulation programs into the undergraduate curriculum in Turkey.View the original paper by Ah-kee and Khan.

  12. The integration of an educational program into a treatment facility.

    Science.gov (United States)

    Schuckit, M A; Berger, F

    1989-02-01

    This paper reviews the integration of an active teaching program into a busy treatment facility. All first and second year medical students at the University of California, San Diego take part in a series of didactic lectures and small group discussions, while third and fourth year students have the opportunity of joining a treatment team for 4 to 6 weeks. All psychiatric residents spend a minimum of 8 weeks working on the unit, and one fourth year resident is chosen to work with the staff for a year. The interactions between treatment teams and students in various stages of development help maximize enthusiasm and the commitment to the best patient care possible.

  13. Structural Integrity Program for INTEC Calcined Solids Storage Facilities

    Energy Technology Data Exchange (ETDEWEB)

    Jeffrey Bryant

    2008-08-30

    This report documents the activities of the structural integrity program at the Idaho Nuclear Technology and Engineering Center relevant to the high-level waste Calcined Solids Storage Facilities and associated equipment, as required by DOE M 435.1-1, 'Radioactive Waste Management Manual'. Based on the evaluation documented in this report, the Calcined Solids Storage Facilities are not leaking and are structurally sound for continued service. Recommendations are provided for continued monitoring of the Calcined Solids Storage Facilities.

  14. Aeronautics Research Mission Directorate Integrated Systems Research Program (ISRP) and UAS Integration in the NAS Project

    Science.gov (United States)

    Wolfe, Jean

    2010-01-01

    Program Goal: Conduct research at an integrated system-level on promising concepts and technologies and explore, assess, or demonstrate the benefits in a relevant environment.Criteria for selection of projects for Integrated Systems Research: a) Technology has attained enough maturity in the foundational research program that they merit more in-depth evaluation at an integrated system level in a relevant environment. b) Technologies which systems analysis indicates have the most potential for contributing to the simultaneous attainment of goals. c) Technologies identified through stakeholder input as having potential for simultaneous attainment of goals. d) Research not being done by other government agencies and appropriate for NASA to conduct. e) Budget augmentation. Environmentally Responsible Aviation (ERA) Project Explore and assess new vehicle concepts and enabling technologies through system-level experimentation to simultaneously reduce fuel burn, noise, and emissions Unmanned Aircraft Systems (UAS) Integration in the National Airspace System (NAS) Project Contribute capabilities that reduce technical barriers related to the safety and operational challenges associated with enabling routine UAS access to the NAS Innovative Concepts for Green Aviation (ICGA) Project Spur innovation by offering research opportunities to the broader aeronautics community through peer-reviewed proposals, with a focus on making aviation more eco-friendly. Establish incentive prizes similar to the Centennial Challenges and sponsor innovation demonstrations of selected technologies that show promise of reducing aviation s impact on the environment

  15. 49 CFR 192.911 - What are the elements of an integrity management program?

    Science.gov (United States)

    2010-10-01

    ... 49 Transportation 3 2010-10-01 2010-10-01 false What are the elements of an integrity management... Transmission Pipeline Integrity Management § 192.911 What are the elements of an integrity management program? An operator's initial integrity management program begins with a framework (see § 192.907) and...

  16. Aging Evaluation Programs for Jet Transport Aircraft Structural Integrity

    Directory of Open Access Journals (Sweden)

    Borivoj Galović

    2012-10-01

    Full Text Available The paper deals with criteria and procedures in evaluationof timely preventive maintenance recommendations that willsupport continued safe operation of aging jet transports untiltheir retirement from service. The active service life of commercialaircraft has increased in recent years as a result of low fuelcost, and increasing costs and delivery times for fleet replacements.Air transport industry consensus is that older jet transportswill continue in service despite anticipated substantial increasesin required maintenance. Design concepts, supportedby testing, have worked well due to the system that is used to ensureflying safety. Continuing structural integrity by inspectionand overhaul recommendation above the level contained inmaintenance and service bulletins is additional requirement, insuch cases. Airplane structural safety depends on the performanceof all participants in the system and the responsibility forsafety cannot be delegated to a single participant. This systemhas three major participants: the manufacturers who design,build and support airplanes in service, the airlines who operate,inspect and mantain airplanes and the airworthiness authoritieswho establish rules and regulations, approve the design andpromote airline maintenance performance.

  17. Integrated research training program of excellence in radiochemistry

    Energy Technology Data Exchange (ETDEWEB)

    Lapi, Suzanne [Washington Univ., St. Louis, MO (United States)

    2015-09-18

    The overall goal of this “Integrated Research Training Program of Excellence in Radiochemistry” is to provide a rich and deep research experience in state-of-the-art radiochemistry and in the fundamentals of radioisotopic labeling and tracer methodology to develop researchers who are capable of meeting the challenges of designing and preparing radiotracers of broad applicability for monitoring and imaging diverse biological systems and environmental processes. This program was based in the Departments of Radiology and Radiation Oncology at Washington University Medical School and the Department of Chemistry at the University of Illinois at Urbana Champaign, and it was initially directed by Professor Michael J. Welch as Principal Investigator. After his passing in 2012, the program was led by Professor Suzanne E. Lapi. Programmatic content and participant progress was overseen by an Internal Advisory Committee of senior investigators consisting of the PIs, Professor Mach from the Department of Radiology at Washington University and Professor John A. Katzenellenbogen of the Department of Chemistry at the University of Illinois. A small External Advisory Committee to give overall program guidance was also constituted of experts in radiolabeled compounds and in their applications in environmental and plant science.

  18. How Long Should a Training Program Be? A Field Study of "Rules-of-Thumb"

    Science.gov (United States)

    Cole, Nina

    2008-01-01

    Purpose: This study aims to examine the question of how long a behavioral skills training program should be in order to result in measurable behavioral change. Design/methodology/approach: An empirical field study was conducted to compare two different lengths of time for a managerial skills training program aimed at achieving behavioral change.…

  19. Integrated Risk Management Within NASA Programs/Projects

    Science.gov (United States)

    Connley, Warren; Rad, Adrian; Botzum, Stephen

    2004-01-01

    As NASA Project Risk Management activities continue to evolve, the need to successfully integrate risk management processes across the life cycle, between functional disciplines, stakeholders, various management policies, and within cost, schedule and performance requirements/constraints become more evident and important. Today's programs and projects are complex undertakings that include a myriad of processes, tools, techniques, management arrangements and other variables all of which must function together in order to achieve mission success. The perception and impact of risk may vary significantly among stakeholders and may influence decisions that may have unintended consequences on the project during a future phase of the life cycle. In these cases, risks may be unintentionally and/or arbitrarily transferred to others without the benefit of a comprehensive systemic risk assessment. Integrating risk across people, processes, and project requirements/constraints serves to enhance decisions, strengthen communication pathways, and reinforce the ability of the project team to identify and manage risks across the broad spectrum of project management responsibilities. The ability to identify risks in all areas of project management increases the likelihood a project will identify significant issues before they become problems and allows projects to make effective and efficient use of shrinking resources. By getting a total team integrated risk effort, applying a disciplined and rigorous process, along with understanding project requirements/constraints provides the opportunity for more effective risk management. Applying an integrated approach to risk management makes it possible to do a better job at balancing safety, cost, schedule, operational performance and other elements of risk. This paper will examine how people, processes, and project requirements/constraints can be integrated across the project lifecycle for better risk management and ultimately improve the

  20. Integrating Research and Education in NSF's Office of Polar Programs

    Science.gov (United States)

    Wharton, R. A.; Crain, R. D.

    2003-12-01

    The National Science Foundation invests in activities that integrate research and education, and that develop reward systems to support teaching, mentoring and outreach. Effective integration of research and education at all levels can infuse learning with the excitement of discovery. It can also ensure that the findings and methods of research are quickly and effectively communicated in a broader context and to a larger audience. This strategy is vital to the accomplishment of NSF's strategic goals of ensuring a world-class science and engineering workforce, new knowledge across the frontiers of science and engineering, and the tools to get the job done efficiently and effectively. The NSF's Office of Polar Programs sponsors educational projects at all levels of learning, making full use of the variety of disciplinary and interdisciplinary studies in the polar regions to attract and invigorate students. An array of efforts from the Arctic and Antarctic scientific communities link research activities with education. There has been an advance from the beneficial but isolated impacts of individual researcher visits to K-12 classrooms to large-scale developments, such as field research experiences for teachers and undergraduate students, online sharing of polar field experiences with rural classrooms, the institution of interdisciplinary graduate research programs through NSF initiatives, and opportunities for minority and underrepresented groups in polar sciences. The NSF's criterion for evaluating proposals based upon the broader impacts of the research activity has strengthened efforts to link research and education, resulting in partnerships and innovations that infuse research into education from kindergarten through postdoctoral studies and reaching out to the general public. In addition, the Office of Polar Programs partners with other directorates at NSF to broaden OPP's efforts and benefit from resources and experience in the Education and Human Resources

  1. Integrated method of mask data checking and inspection data prep for manufacturable mask inspection: inspection rule violations

    Science.gov (United States)

    McCall, Joan; Reddy, Vinod; Kim, Hyung M.; Babasa, Mark

    2002-03-01

    Many mask patterns contain small un-inspectable features (Inspection Rule Violations or IRVs) that create significant through-put time (TPT) impact at mask inspection due to excessive false defects. These small features include a) drawn test designs purposely intended to be small for evaluating process capabilities, and b) un-intended small features that result from errors such as overlap of designs, gaps between cells or synthesis errors. Typically, an IRV is a feature smaller than the minimum feature size capability of the mask inspection tool. This paper describes an integrated method to find such IRVs in the data and either fix them or declare that area as not inspectable. The method includes documented drawn size limits for inspectability, data checks at drawn level, data checks at post-fracture, and functions to define 'Do Not Inspect Regions (DNIRs)' for any remaining IRVs in the data. Data checking at post-fracture must comprehend Optical Proximity Correction (OPC), which generates small features that are not IRVs. The defined DNIRs are listed in the jobdeck for automated inspection data preparation with no engineering intervention. The result is improved mask inspection TPT as well as early detection and correction of certain design or synthesis errors.

  2. Medicare program; inpatient rehabilitation facility prospective payment system for federal fiscal year 2010. Final rule.

    Science.gov (United States)

    2009-08-07

    This final rule updates the payment rates for inpatient rehabilitation facilities (IRFs) for Federal fiscal year (FY) 2010 (for discharges occurring on or after October 1, 2009 and on or before September 30, 2010) as required under section 1886(j)(3)(C) of the Social Security Act (the Act). Section 1886(j)(5) of the Act requires the Secretary to publish in the Federal Register on or before the August 1 that precedes the start of each fiscal year, the classification and weighting factors for the IRF prospective payment system's (PPS) case-mix groups and a description of the methodology and data used in computing the prospective payment rates for that fiscal year. We are revising existing policies regarding the IRF PPS within the authority granted under section 1886(j) of the Act.

  3. Medicare program; inpatient rehabilitation facility prospective payment system for federal fiscal year 2009. Final rule.

    Science.gov (United States)

    2008-08-08

    This final rule updates the prospective payment rates for inpatient rehabilitation facilities (IRFs) for Federal fiscal year (FY) 2009 (for discharges occurring on or after October 1, 2008 and on or before September 30, 2009) as required under section 1886(j)(3)(C) of the Social Security Act (the Act). Section 1886(j)(5) of the Act requires the Secretary to publish in the Federal Register on or before the August 1 that precedes the start of each fiscal year, the classification and weighting factors for the IRF prospective payment system's (PPS) case-mix groups and a description of the methodology and data used in computing the prospective payment rates for that fiscal year. We are revising existing policies regarding the PPS within the authority granted under section 1886(j) of the Act.

  4. Integrated Safety Program for the Nuclear Electric Propulsion Space Test Program

    Science.gov (United States)

    Marshall, Albert C.; Mehlman, William F.; Kompanietz, G.

    1994-07-01

    The Nuclear Electric Propulsion Space Test Program (NEPSTP) is sponsored by the Ballistic Missile Defense Office (BMDO) to demonstrate and evaluate the Russian-built TOPAZ II nuclear reactor as a power source for an electric propulsion system in space. From its inception, safety has been a central feature of the NEPSTP program. This paper addresses the work done to define the safety organizational relationships, responsibilities, management, engineering requirements, and documentation to assure an integrated safety program that coordinates the various safety activities in Mission Safety, Range Safety and Nuclear Safety. Because the United States has not launched a nuclear reactor since 1965, much of the focus of the safety program has been directed toward the unique safety considerations of using a nuclear reactor in space. Our preliminary findings indicate that the safe use of the TOPAZ II for the NEPSTP space mission is feasible.

  5. 76 FR 4948 - Program for Allocation of Regulatory Responsibilities Pursuant to Rule 17d-2; Notice of Filing...

    Science.gov (United States)

    2011-01-27

    ..., methodologies, procedures, or technology, whether or not patentable; (2) trademarks, copyrights, literary works... Article 8, Rule 3 (Fraudulent Acts) CHX Article 9, Rule 2 (Just & Equitable Trade Principles) CHX Article 11, Rule 2 (Maintenance of Books and Records) CHX Article 6, Rule 5 (Supervision of Registered...

  6. 75 FR 64755 - Program for Allocation of Regulatory Responsibilities Pursuant to Rule 17d-2; Notice of Filing...

    Science.gov (United States)

    2010-10-20

    ..., methodologies, procedures, or technology, whether or not patentable; (2) trademarks, copyrights, literary works... Condition) CHX Article 8, Rule 3 (Fraudulent Acts) CHX Article 9, Rule 2 (Just & Equitable Trade Principles) CHX Article 11, Rule 2 (Maintenance of Books and Records) CHX Article 6, Rule 5 (Supervision of...

  7. 76 FR 79714 - Program for Allocation of Regulatory Responsibilities Pursuant to Rule 17d-2; Notice of Filing...

    Science.gov (United States)

    2011-12-22

    ..., methodologies, procedures, or technology, whether or not patentable; (2) trademarks, copyrights, literary works... Article 8, Rule 3 (Fraudulent Acts) CHX Article 9, Rule 2 (Just & Equitable Trade Principles) CHX Article 11, Rule 2 (Maintenance of Books and Records) CHX Article 6, Rule 5 (Supervision of Registered...

  8. VA Health Professional Scholarship and Visual Impairment and Orientation and Mobility Professional Scholarship Programs. Final rule.

    Science.gov (United States)

    2013-08-20

    The Department of Veterans Affairs (VA) is amending its VA Health Professional Scholarship Program (HPSP) regulations. VA is also establishing regulations for a new program, the Visual Impairment and Orientation and Mobility Professional Scholarship Program (VIOMPSP). These regulations comply with and implement sections 302 and 603 of the Caregivers and Veterans Omnibus Health Services Act of 2010 (the 2010 Act). Section 302 of the 2010 Act established the VIOMPSP, which authorizes VA to provide financial assistance to certain students seeking a degree in visual impairment or orientation or mobility, in order to increase the supply of qualified blind rehabilitation specialists for VA and the United States. Section 603 of the 2010 Act reauthorized and modified HPSP, a program that provides scholarships for education or training in certain health care occupations.

  9. HomeRules: A Tangible End-User Programming Interface for Smart Homes

    OpenAIRE

    De Russis, Luigi; Corno, Fulvio

    2015-01-01

    A considerable amount of research has been carried out towards enabling average users to customize their smart homes through trigger-action ("if... then...") programming. However, inhabitants of such smart environments keep having problems understanding, administering, troubleshooting, and deriving benefits from the technologies employed in their homes. By synthesizing a broad body of research on end-user programming in smart homes with observations of commercial products and our own experien...

  10. Integrative Reiki for cancer patients: a program evaluation.

    Science.gov (United States)

    Fleisher, Kimberly A; Mackenzie, Elizabeth R; Frankel, Eitan S; Seluzicki, Christina; Casarett, David; Mao, Jun J

    2014-01-01

    This mixed methods study sought to evaluate the outcomes of an integrative Reiki volunteer program in an academic medical oncology center setting. We used de-identified program evaluation data to perform both quantitative and qualitative analyses of participants' experiences of Reiki sessions. The quantitative data were collected pre- and postsession using a modified version of the distress thermometer. The pre- and postsession data from the distress assessment were analyzed using a paired Student's : test. The qualitative data were derived from written responses to open-ended questions asked after each Reiki session and were analyzed for key words and recurring themes. Of the 213 pre-post surveys of first-time sessions in the evaluation period, we observed a more than 50% decrease in self-reported distress (from 3.80 to 1.55), anxiety (from 4.05 to 1.44), depression (from 2.54 to 1.10), pain (from 2.58 to 1.21), and fatigue (from 4.80 to 2.30) with P Reiki, we found 176 (82.6%) of participants liked the Reiki session, 176 (82.6%) found the Reiki session helpful, 157 (73.7%) plan to continue using Reiki, and 175 (82.2%) would recommend Reiki to others. Qualitative analyses found that individuals reported that Reiki induced relaxation and enhanced spiritual well-being. An integrative Reiki volunteer program shows promise as a component of supportive care for cancer patients. More research is needed to evaluate and understand the impact that Reiki may have for patients, caregivers, and staff whose lives have been affected by cancer.

  11. Brazilian Air Force aircraft structural integrity program: An overview

    Directory of Open Access Journals (Sweden)

    Alberto W. S. Mello Junior

    2009-01-01

    Full Text Available This paper presents an overview of the activities developed by the Structural Integrity Group at the Institute of Aeronautics and Space - IAE, Brazil, as well as the status of ongoing work related to the life extension program for aircraft operated by the Brazilian Air Force BAF. The first BAF-operated airplane to undergo a DTA-based life extension was the F-5 fighter, in the mid 1990s. From 1998 to 2001, BAF worked on a life extension project for the BAF AT- 26 Xavante trainer. All analysis and tests were performed at IAE. The fatigue critical locations (FCLs were presumed based upon structural design and maintenance data and also from exchange of technical information with other users of the airplane around the world. Following that work, BAF started in 2002 the extension of the operational life of the BAF T-25 “Universal”. The T-25 is the basic training airplane used by AFA - The Brazilian Air Force Academy. This airplane was also designed under the “safe-life” concept. As the T-25 fleet approached its service life limit, the Brazilian Air Force was questioning whether it could be kept in flight safely. The answer came through an extensive Damage Tolerance Analysis (DTA program, briefly described in this paper. The current work on aircraft structural integrity is being performed for the BAF F-5 E/F that underwent an avionics and weapons system upgrade. Along with the increase in weight, new configurations and mission profiles were established. Again, a DTA program was proposed to be carried out in order to establish the reliability of the upgraded F-5 fleet. As a result of all the work described, the BAF has not reported any accident due to structural failure on aircraft submitted to Damage Tolerance Analysis.

  12. Integrating New Technologies and Existing Tools to Promote Programming Learning

    Directory of Open Access Journals (Sweden)

    Álvaro Santos

    2010-04-01

    Full Text Available In recent years, many tools have been proposed to reduce programming learning difficulties felt by many students. Our group has contributed to this effort through the development of several tools, such as VIP, SICAS, OOP-Anim, SICAS-COL and H-SICAS. Even though we had some positive results, the utilization of these tools doesn’t seem to significantly reduce weaker student’s difficulties. These students need stronger support to motivate them to get engaged in learning activities, inside and outside classroom. Nowadays, many technologies are available to create contexts that may help to accomplish this goal. We consider that a promising path goes through the integration of solutions. In this paper we analyze the features, strengths and weaknesses of the tools developed by our group. Based on these considerations we present a new environment, integrating different types of pedagogical approaches, resources, tools and technologies for programming learning support. With this environment, currently under development, it will be possible to review contents and lessons, based on video and screen captures. The support for collaborative tasks is another key point to improve and stimulate different models of teamwork. The platform will also allow the creation of various alternative models (learning objects for the same subject, enabling personalized learning paths adapted to each student knowledge level, needs and preferential learning styles. The learning sequences will work as a study organizer, following a suitable taxonomy, according to student’s cognitive skills. Although the main goal of this environment is to support students with more difficulties, it will provide a set of resources supporting the learning of more advanced topics. Software engineering techniques and representations, object orientation and event programming are features that will be available in order to promote the learning progress of students.

  13. Evaluation of Integrated Child Development Services program in Gujarat, India.

    Science.gov (United States)

    Chudasama, Rajesh K; Kadri, A M; Verma, Pramod B; Patel, Umed V; Joshi, Nirav; Zalavadiya, Dipesh; Bhola, Chirag

    2014-09-01

    To evaluate Integrated Child Development Services (ICDS) program in terms of infrastructure of Anganwadi centers, inputs, process, coverage and utilization of services, and issues related to program operation in twelve districts of Gujarat, India. Facility (Anganwadi) based study. Twelve districts of Gujarat, India (April 1, 2012 to March 31, 2013). ICDS service providers (60 Anganwadi workers from 46 rural and 14 urban Anganwadi centers) and their beneficiaries. Coverage of supplementary nutrition, pre-school education, immunization and referral services. Supplementary nutrition coverage was reported in 48.3% in children. Interruption in supply of supplementary nutrition during last six months was reported in 61.7% Anganwadi centers. Only 20% centers reported 100% pre-school education coverage among children. Immunization of all children was recorded in only 10% Anganwadi centers, while in 76.7% centers, no such records were available. Regular health checkup of beneficiaries was done in 30% centers. Referral slips were available in 18.3% Anganwadi centers and referral of sick children was done from only 8.3% centers. There are program gaps in coverage of supplementary nutrition in children, its regular supply to the beneficiaries, in pre-school activities coverage, recording of immunization, and regular health check-up of beneficiaries and referral of sick children.

  14. An examination of program integrity and recidivism of a cognitive-behavioral program for incarcerated youth in The Netherlands

    NARCIS (Netherlands)

    Helmond, P.; Overbeek, G.; Brugman, D.

    2015-01-01

    The present study examined whether the cognitive behavioral program EQUIP for incarcerated youth would reduce recidivism and whether higher levels of program integrity - the extent to which a program is implemented as intended - would strengthen the effectiveness of EQUIP on recidivism. Program

  15. A new stochastic mixed integer programming to design integrated cellular manufacturing system: A supply chain framework

    Directory of Open Access Journals (Sweden)

    Vahid Reza Ghezavati

    2011-01-01

    Full Text Available This research defines a new application of mathematical modeling to design a cellular manufacturing system integrated with group scheduling and layout aspects in an uncertain decision space under a supply chain characteristics. The aim is to present a mixed integer programming (MIP which optimizes cell formation, scheduling and layout decisions, concurrently where the suppliers are required to operate exceptional products. For this purpose, the time in which parts need to be operated on machines and also products' demand are uncertain and explained by set of scenarios. This model tries to optimize expected holding cost and the costs regarded to the suppliers network in a supply chain in order to outsource exceptional operations. Scheduling decisions in a cellular manufacturing framework is treated as group scheduling problem, which assumes that all parts in a part group are operated in the same cell and no inter-cellular transfer is required. An efficient hybrid method made of genetic algorithm (GA and simulated annealing (SA will be proposed to solve such a complex problem under an optimization rule as a sub-ordinate section. This integrative combination algorithm is compared with global solutions and also, a benchmark heuristic algorithm introduced in the literature. Finally, performance of the algorithm will be verified through some test problems.

  16. Child and Adult Care Food Program: Meal Pattern Revisions Related to the Healthy, Hunger-Free Kids Act of 2010. Final rule.

    Science.gov (United States)

    2016-04-25

    This final rule updates the meal pattern requirements for the Child and Adult Care Food Program to better align them with the Dietary Guidelines for Americans, as required by the Healthy, Hunger-Free Kids Act of 2010. This rule requires centers and day care homes participating in the Child and Adult Care Food Program to serve more whole grains and a greater variety of vegetables and fruit, and reduces the amount of added sugars and solid fats in meals. In addition, this final rule supports mothers who breastfeed and improves consistency with the Special Supplemental Nutrition Program for Women, Infants, and Children and with other Child Nutrition Programs. Several of the changes are extended to the National School Lunch Program, School Breakfast Program, and Special Milk Program. These changes are based on the Dietary Guidelines for Americans, science-based recommendations made by the National Academy of Medicine (formerly the Institute of Medicine of the National Academies), cost and practical considerations, and stakeholder's input. This is the first major revision of the Child and Adult Care Food Program meal patterns since the Program's inception in 1968. These improvements to the meals served in the Child and Adult Care Food Program are expected to safeguard the health of young children by ensuring healthy eating habits are developed early, and improve the wellness of adult participants.

  17. 76 FR 62306 - Countermeasures Injury Compensation Program (CICP): Administrative Implementation, Final Rule

    Science.gov (United States)

    2011-10-07

    ... countermeasures; (7) pandemic influenza diagnostics, personal respiratory devices, and respiratory support devices... medical records of an individual who applied to both programs. ] Justification for Waiver of Delayed... affect the following elements of family well-being. Family safety, family stability, marital commitment...

  18. 77 FR 24139 - State Community Development Block Grant Program: Administrative Rule Changes

    Science.gov (United States)

    2012-04-23

    ... the unit of general local government's most recently awarded open grant. If the unit of general local government has no open grants, the program income retained by the unit of general local government will be.... Nonentitlement areas include those units of general local government that do not receive CDBG funds directly...

  19. 32 CFR 220.13 - Special rules for workers' compensation programs.

    Science.gov (United States)

    2010-07-01

    ... workers' compensation program or plan generally has an obligation to pay the United States the reasonable charges for healthcare services provided in or through any facility of the Uniformed Services to a... DEFENSE (CONTINUED) MISCELLANEOUS COLLECTION FROM THIRD PARTY PAYERS OF REASONABLE CHARGES FOR HEALTHCARE...

  20. 77 FR 4654 - Senior Community Service Employment Program; Final Rule, Additional Indicator on Volunteer Work

    Science.gov (United States)

    2012-01-31

    ... from improved physical well-being, enhanced self-esteem, and a greater sense of personal accomplishment... the Federal poverty level. The program offers participants training at community service assignments... in community service activities and to also move SCSEP participants into unsubsidized employment...

  1. Integrated Data Collection Analysis (IDCA) Program — Ammonium Nitrate

    Energy Technology Data Exchange (ETDEWEB)

    Sandstrom, Mary M. [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Brown, Geoffrey W. [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Preston, Daniel N. [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Pollard, Colin J. [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Warner, Kirstin F. [Naval Surface Warfare Center (NSWC), Indian Head, MD (United States). Indian Head Division; Sorensen, Daniel N. [Naval Surface Warfare Center (NSWC), Indian Head, MD (United States). Indian Head Division; Remmers, Daniel L. [Naval Surface Warfare Center (NSWC), Indian Head, MD (United States). Indian Head Division; Phillips, Jason J. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Shelley, Timothy J. [Bureau of Alcohol, Tobacco and Firearms, Redstone Arsenal, AL (United States); Reyes, Jose A. [Applied Research Associates, Tyndall AFB, FL (United States); Hsu, Peter C. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Reynolds, John G. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States)

    2013-05-17

    The Integrated Data Collection Analysis (IDCA) program is conducting a proficiency study for Small- Scale Safety and Thermal (SSST) testing of homemade explosives (HMEs). Described here are the results for impact, friction, electrostatic discharge, and differential scanning calorimetry analysis of ammonium nitrate (AN). AN was tested, in most cases, as both received from manufacturer and dried/sieved. The participants found the AN to be: 1) insensitive in Type 12A impact testing (although with a wide range of values), 2) completely insensitive in BAM friction testing, 3) less sensitive than the RDX standard in ABL friction testing, 4) less sensitive than RDX in ABL ESD testing, and 5) less sensitive than RDX and PETN in DSC thermal analyses.

  2. Steam generator tube integrity program. Phase I report. [PWR

    Energy Technology Data Exchange (ETDEWEB)

    Alzheimer, J.M.; Clark, R.A.; Morris, C.J.; Vagins, M.

    1979-09-01

    The results are presented of the pressure tests performed as part of Phase I of the Steam Generator Tube Integrity (SGTI) program at Battelle Pacific Northwest Laboratory. These tests were performed to establish margin-to-failure predictions for mechanically defected Pressurized Water Reactor (PWR) steam generator tubing under operating and accident conditions. Defect geometries tested were selected because they simulate known or expected defects in PWR steam generators. These defect geometries are Electric Discharge Machining (EDM) slots, elliptical wastage, elliptical wastage plus through-wall slot, uniform thinning, denting, denting plus uniform thinning, and denting plus elliptical wastage. All defects were placed in tubing representative of that currently used in PWR steam generators.

  3. Residual-energy-applications program: support and integration report

    Energy Technology Data Exchange (ETDEWEB)

    1980-11-01

    The proposed government-owned EAST Facility at the Savannah River Plant in Aiken, South Carolina, would provide capabilities for development and confidence testing of industrial heat pumps, high temperature bottoming cycles, low temperature Rankine cycle power generation systems, and absorption chillers. This work is one component of the Residual Energy Applications Program (REAP). Other documents provide initial considerations concerning the heat pump and power generation systems to be tested at EAST, policy, objectives and guidelines for operation of the facility, a preliminary conceptual design, and environmental data. This report describes support and integration activities that were performed during the contract year. The various elements that impact on the EAST Facility are discussed and an assessment of the EAST Facility mission is given. The report concludes with proposed milestones, schedules, and costs for design, construction, and operation of the facility.

  4. Integrated Data Analysis (IDCA) Program - PETN Class 4 Standard

    Energy Technology Data Exchange (ETDEWEB)

    Sandstrom, Mary M. [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Brown, Geoffrey W. [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Preston, Daniel N. [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Pollard, Colin J. [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Warner, Kirstin F. [Naval Surface Warfare Center (NSWC), Indian Head, MD (United States). Indian Head Division; Sorensen, Daniel N. [Naval Surface Warfare Center (NSWC), Indian Head, MD (United States). Indian Head Division; Remmers, Daniel L. [Naval Surface Warfare Center (NSWC), Indian Head, MD (United States). Indian Head Division; Shelley, Timothy J. [Air Force Research Lab. (AFRL), Tyndall AFB, FL (United States); Reyes, Jose A. [Applied Research Associates, Tyndall AFB, FL (United States); Phillips, Jason J. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Hsu, Peter C. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Reynolds, John G. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States)

    2012-08-01

    The Integrated Data Collection Analysis (IDCA) program is conducting a proficiency study for Small- Scale Safety and Thermal (SSST) testing of homemade explosives (HMEs). Described here are the results for impact, friction, electrostatic discharge, and differential scanning calorimetry analysis of PETN Class 4. The PETN was found to have: 1) an impact sensitivity (DH50) range of 6 to 12 cm, 2) a BAM friction sensitivity (F50) range 7 to 11 kg, TIL (0/10) of 3.7 to 7.2 kg, 3) a ABL friction sensitivity threshold of 5 or less psig at 8 fps, 4) an ABL ESD sensitivity threshold of 0.031 to 0.326 j/g, and 5) a thermal sensitivity of an endothermic feature with Tmin = ~ 141 °C, and a exothermic feature with a Tmax = ~205°C.

  5. Lessons from the National Mental Health Integration Program.

    Science.gov (United States)

    Eagar, Kathy; Pirkis, Jane E; Owen, Alan; Burgess, Philip M; Posner, Natasha; Perkins, David A

    2005-05-01

    Three projects were funded under the national Mental Health Integration Program (MHIP) in 1999, each of which employed a different model aimed at improving linkages between disparate parts of the mental health system. A national evaluation framework guided local evaluations of these projects, and this paper presents a synthesis of the findings. For providers, the projects improved working relationships, created learning opportunities and increased referral and shared care opportunities. For consumers and carers, the projects resulted in a greater range of options and increased continuity of care. For the wider system, the projects achieved significant structural and cultural change. Cost-wise, there were no increases in expenditure, and even some reductions. Many of the lessons from the projects (and their evaluations) may be generalised to other mental health settings and beyond.

  6. Computer Program of SIE ASME-NH Code for Structural Integrity Evaluation of Next Generation Reactors Subjecting to Elevated Temperature Operations

    Energy Technology Data Exchange (ETDEWEB)

    Koo, Gyeong Hoi; Lee, J. H

    2006-03-15

    In this report, the SIE ASME (Structural Integrity Evaluations by ASME-NH), which has a computerized implementation of ASME Pressure Vessels and Piping Code Section III Subsection NH rules, is developed to apply to the next generation reactor design subjecting to the elevated temperature operations over 500 .deg. C and over 30 years design lifetime, and the user's manual for this program is described in detail.

  7. Intra-Day Trading System Design Based on the Integrated Model of Wavelet De-Noise and Genetic Programming

    Directory of Open Access Journals (Sweden)

    Hongguang Liu

    2016-12-01

    Full Text Available Technical analysis has been proved to be capable of exploiting short-term fluctuations in financial markets. Recent results indicate that the market timing approach beats many traditional buy-and-hold approaches in most of the short-term trading periods. Genetic programming (GP was used to generate short-term trade rules on the stock markets during the last few decades. However, few of the related studies on the analysis of financial time series with genetic programming considered the non-stationary and noisy characteristics of the time series. In this paper, to de-noise the original financial time series and to search profitable trading rules, an integrated method is proposed based on the Wavelet Threshold (WT method and GP. Since relevant information that affects the movement of the time series is assumed to be fully digested during the market closed periods, to avoid the jumping points of the daily or monthly data, in this paper, intra-day high-frequency time series are used to fully exploit the short-term forecasting advantage of technical analysis. To validate the proposed integrated approach, an empirical study is conducted based on the China Securities Index (CSI 300 futures in the emerging China Financial Futures Exchange (CFFEX market. The analysis outcomes show that the wavelet de-noise approach outperforms many comparative models.

  8. Getting ready for identity theft rules: creating a prevention program for your medical practice.

    Science.gov (United States)

    Cascardo, Debra

    2009-01-01

    Identity theft worries have found their way into medical practices. By August 1, 2009, all "creditors" must have a written program to prevent, detect, and minimize damage from identity theft. Any medical practice that bills patients is considered a creditor. Like HIPAA, these new Red Flag guidelines will serve to protect your practice from lawsuits as well as protect your patients from identity theft of their financial, personal, and medical information.

  9. Integrated Data Collection Analysis (IDCA) Program - SSST Testing Methods

    Energy Technology Data Exchange (ETDEWEB)

    Sandstrom, Mary M. [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Brown, Geoffrey W. [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Preston, Daniel N. [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Pollard, Colin J. [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Warner, Kirstin F. [Naval Surface Warfare Center (NSWC), Indian Head, MD (United States). Indian Head Division; Remmers, Daniel L. [Naval Surface Warfare Center (NSWC), Indian Head, MD (United States). Indian Head Division; Sorensen, Daniel N. [Naval Surface Warfare Center (NSWC), Indian Head, MD (United States). Indian Head Division; Whinnery, LeRoy L. [Sandia National Lab. (SNL-CA), Livermore, CA (United States); Phillips, Jason J. [Sandia National Lab. (SNL-CA), Livermore, CA (United States); Shelley, Timothy J. [Bureau of Alcohol, Tobacco and Firearms (ATF), Huntsville, AL (United States); Reyes, Jose A. [Applied Research Associates, Tyndall AFB, FL (United States); Hsu, Peter C. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Reynolds, John G. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States)

    2013-03-25

    The Integrated Data Collection Analysis (IDCA) program is conducting a proficiency study for Small- Scale Safety and Thermal (SSST) testing of homemade explosives (HMEs). Described here are the methods used for impact, friction, electrostatic discharge, and differential scanning calorimetry analysis during the IDCA program. These methods changed throughout the Proficiency Test and the reasons for these changes are documented in this report. The most significant modifications in standard testing methods are: 1) including one specified sandpaper in impact testing among all the participants, 2) diversifying liquid test methods for selected participants, and 3) including sealed sample holders for thermal testing by at least one participant. This effort, funded by the Department of Homeland Security (DHS), is putting the issues of safe handling of these materials in perspective with standard military explosives. The study is adding SSST testing results for a broad suite of different HMEs to the literature. Ultimately the study will suggest new guidelines and methods and possibly establish the SSST testing accuracies needed to develop safe handling practices for HMEs. Each participating testing laboratory uses identical test materials and preparation methods wherever possible. The testing performers involved are Lawrence Livermore National Laboratory (LLNL), Los Alamos National Laboratory (LANL), Indian Head Division, Naval Surface Warfare Center, (NSWC IHD), Sandia National Laboratories (SNL), and Air Force Research Laboratory (AFRL/RXQL). These tests are conducted as a proficiency study in order to establish some consistency in test protocols, procedures, and experiments and to compare results when these testing variables cannot be made consistent.

  10. [Adolescent social integration through the "Cuidar cuidando" program].

    Science.gov (United States)

    Vasen, Juan; Massei, Hugo

    2006-01-01

    The "Care Caring program" is a device of social reinsertion, carried out by a multidisciplinary and a multi-institutional practice of more than fifteen years. Those who sustain it, have always presented the necessity of articulating the cure with social reinsertion, therefore the purpose of the Program itself is not only to favour a clinical psychiatric recovery, but also to prompt changes in the manner of social liaison of the children and youngsters taking part. Animal contact in many way produce therapeutic effects. We describe here those we have seen and discuss the "popular" term zootherapy. After 16 years of non stop activity, more than 500 children and adolescents benefited from this innovative experience. We learned also that without broad social integration policies, the devices of reinsertion are limited in their long term effects. Breaking the differentiation circuit is impossible only with these resources. Working out these difficulties will allow us to answer if it is possible to think of strategies of rehabilitation in psychology and psychiatry for infancy and adolescence using communal resources.

  11. Integrated Healthcare Delivery: A Qualitative Research Approach to Identifying and Harmonizing Perspectives of Integrated Neglected Tropical Disease Programs.

    Directory of Open Access Journals (Sweden)

    Arianna Rubin Means

    2016-10-01

    Full Text Available While some evidence supports the beneficial effects of integrating neglected tropical disease (NTD programs to optimize coverage and reduce costs, there is minimal information regarding when or how to effectively operationalize program integration. The lack of systematic analyses of integration experiences and of integration processes may act as an impediment to achieving more effective NTD programming. We aimed to learn about the experiences of NTD stakeholders and their perceptions of integration.We evaluated differences in the definitions, roles, perceived effectiveness, and implementation experiences of integrated NTD programs among a variety of NTD stakeholder groups, including multilateral organizations, funding partners, implementation partners, national Ministry of Health (MOH teams, district MOH teams, volunteer rural health workers, and community members participating in NTD campaigns. Semi-structured key informant interviews were conducted. Coding of themes involved a mix of applying in-vivo open coding and a priori thematic coding from a start list.In total, 41 interviews were conducted. Salient themes varied by stakeholder, however dominant themes on integration included: significant variations in definitions, differential effectiveness of specific integrated NTD activities, community member perceptions of NTD programs, the influence of funders, perceived facilitators, perceived barriers, and the effects of integration on health system strength. In general, stakeholder groups provided unique perspectives, rather than contrarian points of view, on the same topics. The stakeholders identified more advantages to integration than disadvantages, however there are a number of both unique facilitators and challenges to integration from the perspective of each stakeholder group.Qualitative data suggest several structural, process, and technical opportunities that could be addressed to promote more effective and efficient integrated NTD

  12. Integrated Pest Management: A Curriculum for Early Care and Education Programs

    Science.gov (United States)

    California Childcare Health Program, 2011

    2011-01-01

    This "Integrated Pest Management Toolkit for Early Care and Education Programs" presents practical information about using integrated pest management (IPM) to prevent and manage pest problems in early care and education programs. This curriculum will help people in early care and education programs learn how to keep pests out of early…

  13. 75 FR 21051 - Program for Allocation of Regulatory Responsibilities Pursuant to Rule 17d-2; Notice of Filing...

    Science.gov (United States)

    2010-04-22

    ..., methodologies, procedures, or technology, whether or not patentable; (2) trademarks, copyrights, literary works...) (Books and Records; Financial Condition) CHX Article 8, Rule 3 (Fraudulent Acts) CHX Article 9, Rule 2 (Just & Equitable Trade Principles) CHX Article 11, Rule 2 (Maintenance of Books and Records) CHX...

  14. 76 FR 81015 - Notice of Public Webinar on Implementation of Distribution Integrity Management Programs

    Science.gov (United States)

    2011-12-27

    ... Distribution Integrity Management Programs AGENCY: Pipeline and Hazardous Materials Safety Administration... have prepared and implemented distribution integrity management plans (DIMP) by August 2, 2011. Federal....regulations.gov including any personal information provided. Please see the Privacy Act statement immediately...

  15. Integrating scientific knowledge into large-scale restoration programs: the CALFED Bay-Delta Program experience

    Science.gov (United States)

    Taylor, K.A.; Short, A.

    2009-01-01

    Integrating science into resource management activities is a goal of the CALFED Bay-Delta Program, a multi-agency effort to address water supply reliability, ecological condition, drinking water quality, and levees in the Sacramento-San Joaquin Delta of northern California. Under CALFED, many different strategies were used to integrate science, including interaction between the research and management communities, public dialogues about scientific work, and peer review. This paper explores ways science was (and was not) integrated into CALFED's management actions and decision systems through three narratives describing different patterns of scientific integration and application in CALFED. Though a collaborative process and certain organizational conditions may be necessary for developing new understandings of the system of interest, we find that those factors are not sufficient for translating that knowledge into management actions and decision systems. We suggest that the application of knowledge may be facilitated or hindered by (1) differences in the objectives, approaches, and cultures of scientists operating in the research community and those operating in the management community and (2) other factors external to the collaborative process and organization.

  16. Medicare and Medicaid programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs; electronic reporting pilot; Inpatient Rehabilitation Facilities Quality Reporting Program; revision to Quality Improvement Organization regulations. Final rule with comment period.

    Science.gov (United States)

    2012-11-15

    This final rule with comment period revises the Medicare hospital outpatient prospective payment system (OPPS) and the Medicare ambulatory surgical center (ASC) payment system for CY 2013 to implement applicable statutory requirements and changes arising from our continuing experience with these systems. In this final rule with comment period, we describe the changes to the amounts and factors used to determine the payment rates for Medicare services paid under the OPPS and those paid under the ASC payment system. In addition, this final rule with comment period updates and refines the requirements for the Hospital Outpatient Quality Reporting (OQR) Program, the ASC Quality Reporting (ASCQR) Program, and the Inpatient Rehabilitation Facility (IRF) Quality Reporting Program. We are continuing the electronic reporting pilot for the Electronic Health Record (EHR) Incentive Program, and revising the various regulations governing Quality Improvement Organizations (QIOs), including the secure transmittal of electronic medical information, beneficiary complaint resolution and notification processes, and technical changes. The technical changes to the QIO regulations reflect CMS' commitment to the general principles of the President's Executive Order on Regulatory Reform, Executive Order 13563 (January 18, 2011).

  17. Enabling Valuation of Nutrition Integration into MBBS Program

    Directory of Open Access Journals (Sweden)

    Niikee Schoendorfer

    2015-01-01

    Full Text Available Good nutrition is the foundation for good health. While basic nutritional assessment is part of many medical consultations, it remains underutilized despite becoming increasingly recognized as important for chronic disease prevention and management. Many studies identify shortfalls in physicians’ knowledge and attitudes toward nutrition as a result of inadequate emphasis in medical school. Additional teaching about nutrition and nutritional assessment procedures was integrated within a first year module of a MBBS program. Blended learning techniques were employed to facilitate student engagement and sessions were evaluated via student response system technology (clickers or minute paper feedback. The initial survey to all medical students (n=1037 documented that less than half (45% felt they could discuss nutrition with patients. The majority (n=606 regularly consulted the internet for nutrition information, while only 163 utilised peer-reviewed journals. With the first year cohort (n=297 “clickers” revealed that 91% felt nutrition important to health care and 82% felt it important in general practice. 71% found using clickers an interesting enhancement, whilst 70% noted the nutrition content informative. Early nutrition teaching was well received by students. Long-term increases in nutritional information dissemination, particularly by influential health care workers, might benefit not only economies but also the health of society as a whole.

  18. Rules, culture, and fitness

    OpenAIRE

    Baum, William M

    1995-01-01

    Behavior analysis risks intellectual isolation unless it integrates its explanations with evolutionary theory. Rule-governed behavior is an example of a topic that requires an evolutionary perspective for a full understanding. A rule may be defined as a verbal discriminative stimulus produced by the behavior of a speaker under the stimulus control of a long-term contingency between the behavior and fitness. As a discriminative stimulus, the rule strengthens listener behavior that is reinforce...

  19. Medicare Program; End-Stage Renal Disease Prospective Payment System, Payment for Renal Dialysis Services Furnished to Individuals With Acute Kidney Injury, and End-Stage Renal Disease Quality Incentive Program. Final rule.

    Science.gov (United States)

    2017-11-01

    This rule updates and makes revisions to the end-stage renal disease (ESRD) prospective payment system (PPS) for calendar year (CY) 2018. It also updates the payment rate for renal dialysis services furnished by an ESRD facility to individuals with acute kidney injury (AKI). This rule also sets forth requirements for the ESRD Quality Incentive Program (QIP), including for payment years (PYs) 2019 through 2021.

  20. Part 2 -- current program integrating strategies and lubrication technology

    Energy Technology Data Exchange (ETDEWEB)

    Johnson, B.

    1996-12-01

    This paper is the second of two that describe the Predictive Maintenance Program for rotating machinery at the Palo Verde Nuclear Generating Station. The Predictive Maintenance program has been enhanced through organizational changes and improved interdisciplinary usage of technology. This paper will discuss current program strategies that have improved the interaction between the Vibration and Lube Oil programs. The {open_quotes}Lube Oil{close_quotes} view of the combined program along with case studies will then be presented.

  1. International Polar Year 2007: An Integrated Heliospheric and Oceanographic Program?

    Science.gov (United States)

    Johnson, G.; Davila, J.

    An international symposium SPerspectives of Modern Polar ResearchT was convened - in Bad Durkeim, Germany 2001 to celebrated the 175the anniversary of the birth of Georg von Neumayer. At that symposium the Nermayer Declaration was adopted to commemorate the 125th anniversary of the IPY in 2007. SA 125th year IPY program be initiated using new and present technologies to determine: 1 . Causes and effects of climatic variability-air/sea/ice interactins, and 2. Lithosphere dynamicsUevolution and history of crust and sedimentary cover. The po lar regions would be the focus.T Polar oceanographic contributions to global climate change are still a matter of conjecture, and to a large extent so are the extraterrestrial contributions. The proposed IPY would focus on these issues. As part of the global heat engine, the polar regions hav a major role in the worldSs transfer of energy, and the ocean/stmosphere system is known to be both an indicator and a componenet of climate change. It is clear that acomplex suite of significant, interrelated, atmospheric, oceanic and terrestrial changes has occurred in the the polsar regions in recent decades. These events are affecting every part of the polar environment and are having repercussions on society. In a similar vein an International Heliophysical Year (IHY) has been proposed to obtain a coordinated set of observations to study at the largest scale the solar genergated events that affect life and climate on Earth as has been documented in the Holocene sedimentary recofd. A modeling capability is the ultimate goal so the physical process can be tracked throughout the entire Sun-Earth system. This program will require an integrated, holistic system approach encompassing a side range of disciplines with new and improved technologies for long term measurements on the seabed, in the water column and in space over all seasons. Coordination, collaboration and documentation of an interated science plan with international scientific

  2. Integrated Task And Data Parallel Programming: Language Design

    Science.gov (United States)

    Grimshaw, Andrew S.; West, Emily A.

    1998-01-01

    his research investigates the combination of task and data parallel language constructs within a single programming language. There are an number of applications that exhibit properties which would be well served by such an integrated language. Examples include global climate models, aircraft design problems, and multidisciplinary design optimization problems. Our approach incorporates data parallel language constructs into an existing, object oriented, task parallel language. The language will support creation and manipulation of parallel classes and objects of both types (task parallel and data parallel). Ultimately, the language will allow data parallel and task parallel classes to be used either as building blocks or managers of parallel objects of either type, thus allowing the development of single and multi-paradigm parallel applications. 1995 Research Accomplishments In February I presented a paper at Frontiers '95 describing the design of the data parallel language subset. During the spring I wrote and defended my dissertation proposal. Since that time I have developed a runtime model for the language subset. I have begun implementing the model and hand-coding simple examples which demonstrate the language subset. I have identified an astrophysical fluid flow application which will validate the data parallel language subset. 1996 Research Agenda Milestones for the coming year include implementing a significant portion of the data parallel language subset over the Legion system. Using simple hand-coded methods, I plan to demonstrate (1) concurrent task and data parallel objects and (2) task parallel objects managing both task and data parallel objects. My next steps will focus on constructing a compiler and implementing the fluid flow application with the language. Concurrently, I will conduct a search for a real-world application exhibiting both task and data parallelism within the same program m. Additional 1995 Activities During the fall I collaborated

  3. Medicaid program; reductions in payments to the states--Health Care Financing Administration. Interim final rule with comment period.

    Science.gov (United States)

    1981-09-30

    This rule amends current Medicaid regulations to implement section 2161 of the Omnibus Budget Reconciliation Act of 1981 (Pub. L 97-35) which imposes reductions in Federal matching payments for fiscal years 1982 through 1984. In the regulations, we describe the conditions and specify minimum criteria under which States may lower the reduction. The conditions are the existence of the qualified hospital cost review program, a specific level of unemployment in a State, and a specific amount of fraud and abuse recoveries by a State or, for fiscal year 1982 only, a combination of fraud and abuse and third party liability recoveries. We intend these regulations to provide guidance as to when the reductions, and offsets against the reductions, will be made and how States can qualify for the offsets. In addition, we have issued a notice of proposed rulemaking elsewhere in this issue of the Federal Register that contains proposed policies concerning recoveries from liable third parties for purposes of implementing section 2161.

  4. 1988 Underground Storage Tanks; Technical Requirements; Final Rule and Underground Storage Tanks Containing Petroleum-Financial Responsibility Requirements and State Program Approval Objective; Final Rule

    Science.gov (United States)

    EPA's 1988 regulations concerning USTs are contained in 40 CFR Part 280, 40 CFR Part 281 and 40 CFR Parts 282.50-282.105 and divided into three sections: technical requirements, financial responsibility requirements, and state program approval objectives.

  5. Time-to-event analysis with artificial neural networks: an integrated analytical and rule-based study for breast cancer.

    Science.gov (United States)

    Lisboa, Paulo J G; Etchells, Terence A; Jarman, Ian H; Hane Aung, M S; Chabaud, Sylvie; Bachelot, Thomas; Perol, David; Gargi, Thérèse; Bourdès, Valérie; Bonnevay, Stéphane; Négrier, Sylvie

    2008-01-01

    This paper presents an analysis of censored survival data for breast cancer specific mortality and disease-free survival. There are three stages to the process, namely time-to-event modelling, risk stratification by predicted outcome and model interpretation using rule extraction. Model selection was carried out using the benchmark linear model, Cox regression but risk staging was derived with Cox regression and with Partial Logistic Regression Artificial Neural Networks regularised with Automatic Relevance Determination (PLANN-ARD). This analysis compares the two approaches showing the benefit of using the neural network framework especially for patients at high risk. The neural network model also has results in a smooth model of the hazard without the need for limiting assumptions of proportionality. The model predictions were verified using out-of-sample testing with the mortality model also compared with two other prognostic models called TNG and the NPI rule model. Further verification was carried out by comparing marginal estimates of the predicted and actual cumulative hazards. It was also observed that doctors seem to treat mortality and disease-free models as equivalent, so a further analysis was performed to observe if this was the case. The analysis was extended with automatic rule generation using Orthogonal Search Rule Extraction (OSRE). This methodology translates analytical risk scores into the language of the clinical domain, enabling direct validation of the operation of the Cox or neural network model. This paper extends the existing OSRE methodology to data sets that include continuous-valued variables.

  6. Algorithms and FORTRAN programs to calculate classical collision integrals for realistic intermolecular potentials. [Classical transport integrals; SCAN; Coll

    Energy Technology Data Exchange (ETDEWEB)

    Taylor, W.L.

    1979-11-29

    Numerical methods and computer programs are given to evaluate, for an arbitrary intermolecular potential, the classical transport collision integrals which appear in the kinetic theory of dilute gases. The method of Gaussian quadrature was employed to integrate the triple integral. A detailed discussion is given of the mathematics necessary to determine the boundaries of the individual integrations as well as a detailed analysis of errors introduced by the numerical procedures. Results for a recently published helium potential, the HFDHE2, are given. 5 references.

  7. Using the integrated nurse leadership program to reduce sepsis mortality.

    Science.gov (United States)

    Kliger, Julie; Singer, Sara J; Hoffman, Frank H

    2015-06-01

    The Integrated Nurse Leadership Program (INLP) is a collaborative improvement model focused on developing practical leadership skills of nurses and other frontline clinicians to lead quality improvement efforts. Sepsis is a major challenge to treat because it arises unpredictably and can progress rapidly. Nine San Francisco Bay Area hospitals participated in a 22-month INLP Sepsis Mortality Reduction Project to improve sepsis detection and management. The INLP focused on developing leadership and process improvement skills of nurses and other frontline clinicians. Teams of trained clinicians then implemented three strategies to improve early identification and timely treatment of sepsis: (1) sepsis screening of all patients, with diagnostic testing according to protocol; (2) timely treatment on the basis of key elements of Early Goal-Directed Therapy (EGDT); and (3) ongoing data review. Each hospital agreed to pursue the goal of reducing sepsis mortality by 15% by the end of the project. In the data collection period (baseline, July-December 2008 and project completion, January-June 2011), team members showed strong improvement in perceived leadership skills, team effectiveness, and ability to improve care quality. During this period, sepsis mortality for eight of the participating hospitals (Hospital 9 joined the project six months after it began) decreased by 43.7%-from 28% in the baseline period to 16% at project completion. Sepsis mortality rates trended downward for all hospitals, significantly decreasing (pone hospital, pmanagement of septic patients, hospitals participating in the INLP Sepsis Mortality Reduction Project achieved reductions in sepsis mortality during the study period and sustained reductions for more than one year later. The INLP model can be readily applied beyond sepsis management and mortality to other quality problems.

  8. Integrated Research on Midwestern Landscape Change: A Program Description and Progress Report

    Science.gov (United States)

    Paul H. Gobster; Robert G. Haight; David S. Shriner

    2000-01-01

    The USDA Forest Service North Central Research Station has embarked on a new integrated research and development program to identify and understand the development-related aspects of Midwestern landscape change. This paper describes the framework and scope of the Landscape Change Integrated Program and highlights projects begun during the first two years. Partnerships...

  9. Automatic inference of indexing rules for MEDLINE

    Directory of Open Access Journals (Sweden)

    Shooshan Sonya E

    2008-11-01

    Full Text Available Abstract Background: Indexing is a crucial step in any information retrieval system. In MEDLINE, a widely used database of the biomedical literature, the indexing process involves the selection of Medical Subject Headings in order to describe the subject matter of articles. The need for automatic tools to assist MEDLINE indexers in this task is growing with the increasing number of publications being added to MEDLINE. Methods: In this paper, we describe the use and the customization of Inductive Logic Programming (ILP to infer indexing rules that may be used to produce automatic indexing recommendations for MEDLINE indexers. Results: Our results show that this original ILP-based approach outperforms manual rules when they exist. In addition, the use of ILP rules also improves the overall performance of the Medical Text Indexer (MTI, a system producing automatic indexing recommendations for MEDLINE. Conclusion: We expect the sets of ILP rules obtained in this experiment to be integrated into MTI.

  10. Automatic inference of indexing rules for MEDLINE.

    Science.gov (United States)

    Névéol, Aurélie; Shooshan, Sonya E; Claveau, Vincent

    2008-11-19

    Indexing is a crucial step in any information retrieval system. In MEDLINE, a widely used database of the biomedical literature, the indexing process involves the selection of Medical Subject Headings in order to describe the subject matter of articles. The need for automatic tools to assist MEDLINE indexers in this task is growing with the increasing number of publications being added to MEDLINE. In this paper, we describe the use and the customization of Inductive Logic Programming (ILP) to infer indexing rules that may be used to produce automatic indexing recommendations for MEDLINE indexers. Our results show that this original ILP-based approach outperforms manual rules when they exist. In addition, the use of ILP rules also improves the overall performance of the Medical Text Indexer (MTI), a system producing automatic indexing recommendations for MEDLINE. We expect the sets of ILP rules obtained in this experiment to be integrated into MTI.

  11. 75 FR 57998 - Program for Allocation of Regulatory Responsibilities Pursuant to Rule 17d-2; Notice of Filing of...

    Science.gov (United States)

    2010-09-23

    ... public interest and for the protection of investors; to foster cooperation and coordination among the... activity, conduct, or output in relation to such provision or rule; provided, however, Common Rules shall...., EDGA Exchange, Inc., EDGX Exchange, Inc., Financial Industry Regulatory Authority, Inc., International...

  12. 49 CFR 192.909 - How can an operator change its integrity management program?

    Science.gov (United States)

    2010-10-01

    ... Transmission Pipeline Integrity Management § 192.909 How can an operator change its integrity management... 49 Transportation 3 2010-10-01 2010-10-01 false How can an operator change its integrity management program? 192.909 Section 192.909 Transportation Other Regulations Relating to Transportation...

  13. Software-Programmed Optical Networking with Integrated NFV Service Provisioning

    DEFF Research Database (Denmark)

    Mehmeri, Victor; Wang, Xi; Basu, Shrutarshi

    2017-01-01

    We showcase demonstrations of “program & compile” styled optical networking as well as open platforms & standards based NFV service provisioning using a proof-of-concept implementation of the Software-Programmed Networking Operating System (SPN OS).......We showcase demonstrations of “program & compile” styled optical networking as well as open platforms & standards based NFV service provisioning using a proof-of-concept implementation of the Software-Programmed Networking Operating System (SPN OS)....

  14. General and Child and Adolescent Psychiatry Resident Training in Integrated Care: a Survey of Program Directors.

    Science.gov (United States)

    Reardon, Claudia L; Bentman, Adrienne; Cowley, Deborah S; Dunaway, Kristen; Forstein, Marshall; Girgis, Christina; Han, Jaesu; Hung, Erick; Jones, Jeralyn; Keeble, Tanya; McCarron, Robert M; Varley, Christopher K

    2015-08-01

    Integrated care models are an evidence-based approach for integrating physical and behavioral health services. The American Association of Directors of Psychiatric Residency Training Integrated Care Task Force sought to describe current practices for providing training in integrated care to general and child and adolescent psychiatry residents. Directors of US general and child and adolescent psychiatric residency training programs were anonymously surveyed to examine current practices in educating their residents in integrated care. Based on themes that emerged from the survey, the authors make recommendations for integrated care education of general and child and adolescent psychiatry residents. Fifty-two of 197 (26%) general and 36 of 111 (32%) child and adolescent program directors responded. Results demonstrate that a majority of responding general psychiatry (78%) and child and adolescent psychiatry (CAP) (72%) training programs offer integrated care rotations, many of which are electives for senior residents. The Veterans Health Administration (VA) and Federally Qualified Health Centers are common venues for such rotations. Sustainable funding of these rotations is a concern. Fewer than half of programs offer integrated care didactics. This report is intended to help program directors consider options for starting or optimizing their own integrated care curricula. Future research should examine the educational value, and the overall value to health care systems, of training in the integrated care model.

  15. Montana Integrated Carbon to Liquids (ICTL) Demonstration Program

    Energy Technology Data Exchange (ETDEWEB)

    Fiato, Rocco A. [Accelergy Corporation, Houston, TX (United States); Sharma, Ramesh [Univ. of North Dakota, Grand Forks, ND (United States). Energy & Environmental Research Center (EERC); Allen, Mark [Accelergy Corporation, Houston, TX (United States). Integrated Carbon Solutions; Peyton, Brent [Montana State Univ., Bozeman, MT (United States); Macur, Richard [Montana State Univ., Bozeman, MT (United States). Dept. of Land Resources and Environmental Sciences; Cameron, Jemima [Australian Energy Company Ltd., Hovea (Australia). Australian American Energy Corporation (AAEC)

    2013-12-01

    Integrated carbon-to-liquids technology (ICTL) incorporates three basic processes for the conversion of a wide range of feedstocks to distillate liquid fuels: (1) Direct Microcatalytic Coal Liquefaction (MCL) is coupled with biomass liquefaction via (2) Catalytic Hydrodeoxygenation and Isomerization (CHI) of fatty acid methyl esters (FAME) or trigylceride fatty acids (TGFA) to produce liquid fuels, with process derived (3) CO2 Capture and Utilization (CCU) via algae production and use in BioFertilizer for added terrestrial sequestration of CO2, or as a feedstock for MCL and/or CHI. This novel approach enables synthetic fuels production while simultaneously meeting EISA 2007 Section 526 targets, minimizing land use and water consumption, and providing cost competitive fuels at current day petroleum prices. ICTL was demonstrated with Montana Crow sub-bituminous coal in MCL pilot scale operations at the Energy and Environmental Research Center at the University of North Dakota (EERC), with related pilot scale CHI studies conducted at the University of Pittsburgh Applied Research Center (PARC). Coal-Biomass to Liquid (CBTL) Fuel samples were evaluated at the US Air Force Research Labs (AFRL) in Dayton and greenhouse tests of algae based BioFertilizer conducted at Montana State University (MSU). Econometric modeling studies were also conducted on the use of algae based BioFertilizer in a wheat-camelina crop rotation cycle. We find that the combined operation is not only able to help boost crop yields, but also to provide added crop yields and associated profits from TGFA (from crop production) for use an ICTL plant feedstock. This program demonstrated the overall viability of ICTL in pilot scale operations. Related work on the Life Cycle Assessment (LCA) of a Montana project indicated that CCU could be employed very effectively to reduce the overall carbon footprint of the MCL/CHI process. Plans are currently being made to conduct larger

  16. Civilian Health and Medical Program of the Uniformed Services (CHAMPUS)/TRICARE: Refills of Maintenance Medications Through Military Treatment Facility Pharmacies or National Mail Order Pharmacy Program. Final rule.

    Science.gov (United States)

    2016-11-02

    This final rule implements section 702 (c) of the Carl Levin and Howard P. "Buck" McKeon National Defense Authorization Act for Fiscal Year 2015 which states that beginning October 1, 2015, the pharmacy benefits program shall require eligible covered beneficiaries generally to refill non-generic prescription maintenance medications through military treatment facility pharmacies or the national mail-order pharmacy program. An interim final rule is in effect. Section 702(c) of the National Defense Authorization Act for Fiscal Year 2015 also terminates the TRICARE For Life Pilot Program on September 30, 2015. The TRICARE For Life Pilot Program described in section 716(f) of the National Defense Authorization Act for Fiscal Year 2013, was a pilot program which began in March 2014 requiring TRICARE For Life beneficiaries to refill non-generic prescription maintenance medications through military treatment facility pharmacies or the national mail-order pharmacy program. TRICARE for Life beneficiaries are those enrolled in the Medicare wraparound coverage option of the TRICARE program. This rule includes procedures to assist beneficiaries in transferring covered prescriptions to the mail order pharmacy program.

  17. 47 CFR 76.504 - Limits on carriage of vertically integrated programming.

    Science.gov (United States)

    2010-10-01

    ... programming. 76.504 Section 76.504 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) BROADCAST... Limits on carriage of vertically integrated programming. (a) Except as otherwise provided in this section... national video programming services owned by the cable operator or in which the cable operator has an...

  18. An Integrative Suicide Prevention Program for Visitor Charcoal Burning Suicide and Suicide Pact

    Science.gov (United States)

    Wong, Paul W. C.; Liu, Patricia M. Y.; Chan, Wincy S. C.; Law, Y. W.; Law, Steven C. K.; Fu, King-Wa; Li, Hana S. H.; Tso, M. K.; Beautrais, Annette L.; Yip, Paul S. F.

    2009-01-01

    An integrative suicide prevention program was implemented to tackle an outbreak of visitor charcoal burning suicides in Cheung Chau, an island in Hong Kong, in 2002. This study evaluated the effectiveness of the program. The numbers of visitor suicides reduced from 37 deaths in the 51 months prior to program implementation to 6 deaths in the 42…

  19. Active Participation of Integrated Development Environments in the Teaching of Object-Oriented Programming

    Science.gov (United States)

    Depradine, Colin; Gay, Glenda

    2004-01-01

    With the strong link between programming and the underlying technology, the incorporation of computer technology into the teaching of a programming language course should be a natural progression. However, the abstract nature of programming can make such integration a difficult prospect to achieve. As a result, the main development tool, the…

  20. Adding Value through Program Integration: A Kayaking Model (Rental, Retail, Repair, Clinics and Outings).

    Science.gov (United States)

    Poff, Raymond

    Outdoor programs can offset initial investment costs in services and products by developing integrated program areas. The experience of Outdoors Unlimited, a recently created kayaking program at Brigham Young University (Utah), is provided as a model. The purchase of 11 kayaks for rental was followed by the introduction of retail sales, repair…

  1. The Performance Enhancement Group Program: Integrating Sport Psychology and Rehabilitation

    OpenAIRE

    Granito, Vincent J.; Hogan, Jeffery B.; Varnum, Lisa K.

    1995-01-01

    In an effort to improve the psychological health of the athlete who has sustained an injury, the Performance Enhancement Group program for injured athletes was created. This paper will offer a model for the Performance Enhancement Group program as a way to: 1) support the athlete, both mentally and physically; 2) deal with the demands of rehabilitation; and 3) facilitate the adjustments the athlete has to make while being out of the competitive arena. The program consists of responsibilities ...

  2. Academic Autonomy for Adult Degree Programs: Independence with Integration

    Science.gov (United States)

    Curry, Judson

    2012-01-01

    North Park University's adult program has moved steadily from a centralized governance structure toward a more distributed structure in many ways. The School of Adult Learning hires its own faculty, some of whom are full time in the adult program. The school also has autonomy over academic policy. Ultimately, this academic autonomy has fostered…

  3. The engineering design integration (EDIN) system. [digital computer program complex

    Science.gov (United States)

    Glatt, C. R.; Hirsch, G. N.; Alford, G. E.; Colquitt, W. N.; Reiners, S. J.

    1974-01-01

    A digital computer program complex for the evaluation of aerospace vehicle preliminary designs is described. The system consists of a Univac 1100 series computer and peripherals using the Exec 8 operating system, a set of demand access terminals of the alphanumeric and graphics types, and a library of independent computer programs. Modification of the partial run streams, data base maintenance and construction, and control of program sequencing are provided by a data manipulation program called the DLG processor. The executive control of library program execution is performed by the Univac Exec 8 operating system through a user established run stream. A combination of demand and batch operations is employed in the evaluation of preliminary designs. Applications accomplished with the EDIN system are described.

  4. Integrating Relational Databases and Constraint Languages

    DEFF Research Database (Denmark)

    Hansen, Michael Reichhardt; Hansen, Bo S.; Lucas, Peter

    1989-01-01

    for sharing among different applications than procedural or functional rules because these latter rules always determine inputs and outputs.To support such a repository, an extended relational algebra is explored. This algebra serves as the semantic model for a proposed rules language and is the basis......A new structure of application programs is suggested, which separates the algorithmic parts from factual information (data and rules). The latter is to be stored in a repository that can be shared among multiple applications. It is argued that rules stating pure relations are better suited...... for a seamless integration of data and rules. The paper focuses on equational rules. A number of potentially useful algebraic laws are stated. Examples will demonstrate the use of these algebraic laws in query evaluation and optimization.The paper elaborates the Rules/Database system from a programming language...

  5. INDDGO: Integrated Network Decomposition & Dynamic programming for Graph Optimization

    Energy Technology Data Exchange (ETDEWEB)

    Groer, Christopher S [ORNL; Sullivan, Blair D [ORNL; Weerapurage, Dinesh P [ORNL

    2012-10-01

    It is well-known that dynamic programming algorithms can utilize tree decompositions to provide a way to solve some \\emph{NP}-hard problems on graphs where the complexity is polynomial in the number of nodes and edges in the graph, but exponential in the width of the underlying tree decomposition. However, there has been relatively little computational work done to determine the practical utility of such dynamic programming algorithms. We have developed software to construct tree decompositions using various heuristics and have created a fast, memory-efficient dynamic programming implementation for solving maximum weighted independent set. We describe our software and the algorithms we have implemented, focusing on memory saving techniques for the dynamic programming. We compare the running time and memory usage of our implementation with other techniques for solving maximum weighted independent set, including a commercial integer programming solver and a semi-definite programming solver. Our results indicate that it is possible to solve some instances where the underlying decomposition has width much larger than suggested by the literature. For certain types of problems, our dynamic programming code runs several times faster than these other methods.

  6. The impact of the State Children's Health Insurance Program's unborn child ruling expansions on foreign-born Latina prenatal care and birth outcomes, 2000-2007.

    Science.gov (United States)

    Drewry, Jonathan; Sen, Bisakha; Wingate, Martha; Bronstein, Janet; Foster, E Michael; Kotelchuck, Milton

    2015-07-01

    The 2002 "unborn child ruling" resulted in State Children's Health Insurance Program (SCHIP) expansion for states to cover prenatal care for low-income women without health insurance. Foreign-born Latinas who do not qualify for Medicaid coverage theoretically should have benefited most from the policy ruling given their documented low rates of prenatal care utilization. This study compares prenatal care utilization and subsequent birth outcomes among foreign-born Latinas in six states that used the unborn child ruling to expand coverage to those in ten states that did not implement the expansion. This policy analysis examines cross-sectional pooled US natality data from the pre-enactment years (2000-2003) versus post-enactment years (2004-2007) to estimate the effect of the UCR on prenatal care utilization and birth outcome measures for foreign-born Latinas. Then using a difference-in-difference estimator, we assessed these differences across time for states that did or did not enact the unborn child ruling. Analyses were then replicated on a high-risk subset of the population (single foreign-born Latinas with lower levels of education). The SCHIP unborn child ruling policy expansion increased PNCU over time in the six enacting states. Foreign-born Latinas in expansion enacting states experienced increases in prenatal care utilization though only the high-risk subset were statistically significant. Birth outcomes did not change. The SCHIP unborn child ruling policy was associated with enhanced PNC for a subset of high-risk foreign-born Latinas.

  7. Generic multiset programming for language-integrated querying

    DEFF Research Database (Denmark)

    Henglein, Fritz; Larsen, Ken Friis

    2010-01-01

    This paper demonstrates how relational algebraic programming based on efficient symbolic representations of multisets and operations on them can be applied to the query sublanguage of SQL in a type-safe fashion. In essence, it provides a library for naïve programming with multisets in a generalized...... SQL-style fashion, but avoids many cases of asymptotically inefficient nested iteration through cross-products....

  8. Integrating a Supplemental Vocabulary Instruction Program into an EFL Curriculum

    OpenAIRE

    ヒューバート, ラッセル ポール; ゴーベル, ピーター

    2012-01-01

    This article describes a supplemental vocabulary instruction program piloted in the KSU Faculty of Cultural Studies during the 2011 academic year. The program was created to enhance the depth of vocabulary knowledge and active usage of English vocabulary of first-year students (N=230). Initial student vocabulary knowledge levels were evaluated by a Vocabulary Levels Test (VLT) examination at the beginning of the academic year. A vocabulary textbook series was selected for the required reading...

  9. Medicare and Medicaid programs: hospital outpatient prospective payment; ambulatory surgical center payment; hospital value-based purchasing program; physician self-referral; and patient notification requirements in provider agreements. Final rule with comment period.

    Science.gov (United States)

    2011-11-30

    This final rule with comment period revises the Medicare hospital outpatient prospective payment system (OPPS) for CY 2012 to implement applicable statutory requirements and changes arising from our continuing experience with this system. In this final rule with comment period, we describe the changes to the amounts and factors used to determine the payment rates for Medicare hospital outpatient services paid under the OPPS. In addition, this final rule with comment period updates the revised Medicare ambulatory surgical center (ASC) payment system to implement applicable statutory requirements and changes arising from our continuing experience with this system. In this final rule with comment period, we set forth the relative payment weights and payment amounts for services furnished in ASCs, specific HCPCS codes to which these changes apply, and other ratesetting information for the CY 2012 ASC payment system. We are revising the requirements for the Hospital Outpatient Quality Reporting (OQR) Program, adding new requirements for ASC Quality Reporting System, and making additional changes to provisions of the Hospital Inpatient Value-Based Purchasing (VBP) Program. We also are allowing eligible hospitals and CAHs participating in the Medicare Electronic Health Record (EHR) Incentive Program to meet the clinical quality measure reporting requirement of the EHR Incentive Program for payment year 2012 by participating in the 2012 Medicare EHR Incentive Program Electronic Reporting Pilot. Finally, we are making changes to the rules governing the whole hospital and rural provider exceptions to the physician self-referral prohibition for expansion of facility capacity and changes to provider agreement regulations on patient notification requirements.

  10. Building relationships and facilitating immigrant community integration: An evaluation of a Cultural Navigator Program.

    Science.gov (United States)

    Thomas, Rebecca L; Chiarelli-Helminiak, Christina M; Ferraj, Brunilda; Barrette, Kyle

    2016-04-01

    Despite the long history of immigration in the United States, communities around the country struggle to integrate newcomers into the economic, cultural, and political spheres of society. Utilizing results from the program evaluation of one public library's Cultural Navigator Program, the authors illustrate how communities and public institutions can promote integration and relationship-building between newly arrived immigrants and long-time residents. Existing social networks within receiving communities, conceptualized in this article as social capital, were leveraged to build capacity among newly arrived immigrants and foster inclusivity and integration at the community level. As a place of intervention, public libraries are suggested as a safe and shared space where community integration can be fostered. Insights derived from the evaluation inform a discussion on engaging approaches to immigrant integration. Lessons learned and recommendations for program evaluators and administrators are provided. Copyright © 2015 Elsevier Ltd. All rights reserved.

  11. Lessons learned from the scaling-up of a weekly multimicronutrient supplementation program in the integrated food security program (PISA).

    Science.gov (United States)

    Lechtig, Aarón; Gross, Rainer; Vivanco, Oscar Aquino; Gross, Ursula; López de Romaña, Daniel

    2006-01-01

    Weekly multimicronutrient supplementation was initiated as an appropriate intervention to protect poor urban populations from anemia. To identify the lessons learned from the Integrated Food Security Program (Programa Integrado de Seguridad Alimentaria [PISA]) weekly multimicronutrient supplementation program implemented in poor urban populations of Chiclayo, Peru. Data were collected from a 12-week program in which multimicronutrient supplements were provided weekly to women and adolescent girls 12 through 44 years of age and children under 5 years of age. A baseline survey was first conducted. Within the weekly multimicronutrient supplementation program, information was collected on supplement distribution, compliance, biological effectiveness, and cost. Supplementation, fortification, and dietary strategies can be integrated synergistically within a micronutrient intervention program. To ensure high cost-effectiveness of a weekly multimicronutrient supplementation program, the following conditions need to be met: the program should be implemented twice a year for 4 months; the program should be simultaneously implemented at the household (micro), community (meso), and national (macro) levels; there should be governmental participation from health and other sectors; and there should be community and private sector participation. Weekly multimicronutrient supplementation programs are cost effective options in urban areas with populations at low risk of energy deficiency and high risk of micronutrient deficiencies.

  12. Integrating the IEP and SOI with Educational Programing for the Gifted.

    Science.gov (United States)

    Hedbring, Charles; Rubenzer, Ronald

    1979-01-01

    The paper investigates a strategy for integrating the IEP (individualized educational plan) and J. Guilford's Structure-of-Intellect (SOI) in order to promote an accountability based approach to differentiated programing for the gifted classroom student. (Author/PHR)

  13. Postpartum Family Planning During Sociopolitical Transition: Findings from an Integrated Community-Based Program in Egypt

    National Research Council Canada - National Science Library

    Chelsea M. Cooper; Elaine Charurat; Issam El-Adawi; Young-Mi Kim; Mark R. Emerson; Wael Zaki; Anne Schuster

    2016-01-01

    .... : A quasi-experimental evaluation of an integrated reproductive and maternal and child health program implemented in selected sites in Upper and Lower Egypt was conducted between 2012 and 2014...

  14. Glutaminolysis and Fumarate Accumulation Integrate Immunometabolic and Epigenetic Programs in Trained Immunity

    NARCIS (Netherlands)

    Arts, R.J; Novakovic, B.; Horst, R; Carvalho, A.; Bekkering, S.; Lachmandas, E.; Rodrigues, F.; Silvestre, R.; Cheng, S.C.; Wang, S.; Habibi, E.; Goncalves, L.G.; Mesquita, I.; Cunha, C.; Laarhoven, A van; Veerdonk, F.L van de; Williams, D.L.; Meer, J.W van der; Logie, C.; O'Neill, L.A.; Dinarello, C.A.; Riksen, N.P; Crevel, R. van; Clish, C.; Notebaart, R.A; Joosten, L.A.; Stunnenberg, H.G.; Xavier, R.J.; Netea, M.G

    2016-01-01

    Induction of trained immunity (innate immune memory) is mediated by activation of immune and metabolic pathways that result in epigenetic rewiring of cellular functional programs. Through network-level integration of transcriptomics and metabolomics data, we identify glycolysis, glutaminolysis, and

  15. Technology Integration: A Research-Based Professional Development Program

    Science.gov (United States)

    Faulder, Tori Rose

    2011-01-01

    This research-based thesis project explains the governmental acts and policies, investors, and other stakeholders who have worked to promote, question, and explore the use of information and communication technologies (ICT) in the classroom. Research suggests that best-practice ICT integration requires using ICT alongside constructivist pedagogy.…

  16. Optimising an integrated crop-livestock farm using risk programming ...

    African Journals Online (AJOL)

    Numerous studies have analysed farm planning decisions focusing on producer risk preferences. Few studies have focussed on the farm planning decisions in an integrated croplivestock farm context. Income variability and means of managing risk continues to receive much attention in farm planning research. Different risk ...

  17. Learning SQL Programming with Interactive Tools: From Integration to Personalization

    Science.gov (United States)

    Brusilovsky, Pete; Sosnovsky, Sergey; Yudelson, Michael V.; Lee, Danielle H.; Zadorozhny, Vladimir; Zhou, Xin

    2010-01-01

    Rich, interactive eLearning tools receive a lot of attention nowadays from both practitioners and researchers. However, broader dissemination of these tools is hindered by the technical difficulties of their integration into existing platforms. This article explores the technical and conceptual problems of using several interactive educational…

  18. Sustainable Procurement: Integrating Classroom Learning with University Sustainability Programs

    Science.gov (United States)

    Goldschmidt, Kyle; Harrison, Terry; Holtry, Matthew; Reeh, Jeremy

    2013-01-01

    Organizations are facing increased pressure from various stakeholders to address issues of sustainability, resulting in a growing demand for sustainability education and training. Procurement groups remain the key drivers of many sustainability-related strategies, placing pressure on universities to integrate sustainability concepts into the…

  19. Integration of Academic and Vocational Programs in Illinois Community Colleges. The Status of Integration Activities Funded through the Quality Assurance Program.

    Science.gov (United States)

    Illinois Univ., Urbana. Dept. of Vocational and Technical Education.

    Quality Assurance Program (QAP) integration activities were studied at eight Illinois community and junior colleges. Data collection involved telephone interviews with career deans at the colleges, 11 follow-up site observations, and attendance at a regional vocational education system directors meeting. When classroom observations occurred,…

  20. 76 FR 34541 - Child and Adult Care Food Program Improving Management and Program Integrity

    Science.gov (United States)

    2011-06-13

    ... Law 106-472, the Grain Standards and Warehouse Act of 2000, further amended one provision in Sec. 17... information contained in its original application. The second interim rule also consolidated or cross... the public's, health or safety. In addition, Section 307(c) of the Grain Standards and Warehouse...

  1. 2015 Edition Health Information Technology (Health IT) Certification Criteria, 2015 Edition Base Electronic Health Record (EHR) Definition, and ONC Health IT Certification Program Modifications. Final rule.

    Science.gov (United States)

    2015-10-16

    This final rule finalizes a new edition of certification criteria (the 2015 Edition health IT certification criteria or "2015 Edition'') and a new 2015 Edition Base Electronic Health Record (EHR) definition, while also modifying the ONC Health IT Certification Program to make it open and accessible to more types of health IT and health IT that supports various care and practice settings. The 2015 Edition establishes the capabilities and specifies the related standards and implementation specifications that Certified Electronic Health Record Technology (CEHRT) would need to include to, at a minimum, support the achievement of meaningful use by eligible professionals (EPs), eligible hospitals, and critical access hospitals (CAHs) under the Medicare and Medicaid EHR Incentive Programs (EHR Incentive Programs) when such edition is required for use under these programs.

  2. Clinical capabilities of graduates of an outcomes-based integrated medical program

    Directory of Open Access Journals (Sweden)

    Scicluna Helen A

    2012-06-01

    Full Text Available Abstract Background The University of New South Wales (UNSW Faculty of Medicine replaced its old content-based curriculum with an innovative new 6-year undergraduate entry outcomes-based integrated program in 2004. This paper is an initial evaluation of the perceived and assessed clinical capabilities of recent graduates of the new outcomes-based integrated medical program compared to benchmarks from traditional content-based or process-based programs. Method Self-perceived capability in a range of clinical tasks and assessment of medical education as preparation for hospital practice were evaluated in recent graduates after 3 months working as junior doctors. Responses of the 2009 graduates of the UNSW’s new outcomes-based integrated medical education program were compared to those of the 2007 graduates of UNSW’s previous content-based program, to published data from other Australian medical schools, and to hospital-based supervisor evaluations of their clinical competence. Results Three months into internship, graduates from UNSW’s new outcomes-based integrated program rated themselves to have good clinical and procedural skills, with ratings that indicated significantly greater capability than graduates of the previous UNSW content-based program. New program graduates rated themselves significantly more prepared for hospital practice in the confidence (reflective practice, prevention (social aspects of health, interpersonal skills (communication, and collaboration (teamwork subscales than old program students, and significantly better or equivalent to published benchmarks of graduates from other Australian medical schools. Clinical supervisors rated new program graduates highly capable for teamwork, reflective practice and communication. Conclusions Medical students from an outcomes-based integrated program graduate with excellent self-rated and supervisor-evaluated capabilities in a range of clinically-relevant outcomes. The program

  3. Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs; Short Inpatient Hospital Stays; Transition for Certain Medicare-Dependent, Small Rural Hospitals Under the Hospital Inpatient Prospective Payment System; Provider Administrative Appeals and Judicial Review. Final rule with comment period; final rule.

    Science.gov (United States)

    2015-11-13

    This final rule with comment period revises the Medicare hospital outpatient prospective payment system (OPPS) and the Medicare ambulatory surgical center (ASC) payment system for CY 2016 to implement applicable statutory requirements and changes arising from our continuing experience with these systems. In this final rule with comment period, we describe the changes to the amounts and factors used to determine the payment rates for Medicare services paid under the OPPS and those paid under the ASC payment system. In addition, this final rule with comment period updates and refines the requirements for the Hospital Outpatient Quality Reporting (OQR) Program and the ASC Quality Reporting (ASCQR) Program. Further, this document includes certain finalized policies relating to the hospital inpatient prospective payment system: Changes to the 2-midnight rule under the short inpatient hospital stay policy; and a payment transition for hospitals that lost their status as a Medicare-dependent, small rural hospital (MDH) because they are no longer in a rural area due to the implementation of the new Office of Management and Budget delineations in FY 2015 and have not reclassified from urban to rural before January 1, 2016. In addition, this document contains a final rule that finalizes certain 2015 proposals, and addresses public comments received, relating to the changes in the Medicare regulations governing provider administrative appeals and judicial review relating to appropriate claims in provider cost reports.

  4. The Human Factor: Student Reactions to the Integration of Personal Dispositions into a Counseling Program

    Science.gov (United States)

    Gibbons, Melinda M.; Cochran, Jeff L.; Spurgeon, Shawn; Diambra, Joel F.

    2013-01-01

    The authors explored student reactions to the integration of personal dispositions, or characteristic attitudes, into a counseling program. Results suggested participants liked focusing on personal dispositions and were able to identify areas of personal growth related to these characteristics. Integrating humanistic principles by using…

  5. Views on and Practices of Integrating Theory and Practice in Teacher Education Programs in Atlantic Canada

    Science.gov (United States)

    Falkenberg, Thomas; Goodnough, Karen; MacDonald, Ronald J.

    2014-01-01

    The need for and lack of integration of theory and practice in initial teacher education programs has been discussed as a central issue for teacher education. This article reports on a study that surveyed university-based teacher educators in Atlantic Canada on their perspectives regarding how theory and practice can be integrated, how they and…

  6. Changing Personal Epistemologies in Early Childhood Pre-Service Teachers Using an Integrated Teaching Program

    Science.gov (United States)

    Brownlee, Jo; Petriwskyj, Anne; Thorpe, Karen; Stacey, Phillip; Gibson, Megan

    2011-01-01

    This study investigated changes in pre-service teachers' personal epistemologies as they engaged in an integrated teaching program. Personal epistemology refers to individual beliefs about the nature of knowing and knowledge and has been shown to influence teaching practice. An integrated approach to teaching, based on both an "implicit"…

  7. A Critical Agency Network Model for Building an Integrated Outreach Program

    Science.gov (United States)

    Kiyama, Judy Marquez; Lee, Jenny J.; Rhoades, Gary

    2012-01-01

    This study considers a distinct case of a college outreach program that integrates student affairs staff, academic administrators, and faculty across campus. The authors find that social networks and critical agency help to understand the integration of these various professionals and offer a critical agency network model of enacting change.…

  8. Wave of the Future?: Integrating IR, Outcomes Assessment, Planning, Program Review, and Accreditation

    Science.gov (United States)

    Leimer, Christina

    2010-01-01

    Integrating institutional research, outcomes assessment, program review, strategic planning, and accreditation can be a powerful means of creating a culture of evidence-based decision making and continuous improvement. This study examined how this "integrated" model is organized in practice, how such offices began, why this approach was chosen,…

  9. Enhancing creative problem solving in an integrated visual art and geometry program: A pilot study

    NARCIS (Netherlands)

    Schoevers, E.M.; Kroesbergen, E.H.; Pitta-Pantazi, D.

    2017-01-01

    This article describes a new pedagogical method, an integrated visual art and geometry program, which has the aim to increase primary school students' creative problem solving and geometrical ability. This paper presents the rationale for integrating visual art and geometry education. Furthermore

  10. Integrated predictive maintenance program vibration and lube oil analysis: Part I - history and the vibration program

    Energy Technology Data Exchange (ETDEWEB)

    Maxwell, H.

    1996-12-01

    This paper is the first of two papers which describe the Predictive Maintenance Program for rotating machines at the Palo Verde Nuclear Generating Station. The organization has recently been restructured and significant benefits have been realized by the interaction, or {open_quotes}synergy{close_quotes} between the Vibration Program and the Lube Oil Analysis Program. This paper starts with the oldest part of the program - the Vibration Program and discusses the evolution of the program to its current state. The {open_quotes}Vibration{close_quotes} view of the combined program is then presented.

  11. Rationale, design, and implementation protocol of an electronic health record integrated clinical prediction rule (iCPR randomized trial in primary care

    Directory of Open Access Journals (Sweden)

    Wisnivesky Juan

    2011-09-01

    Full Text Available Abstract Background Clinical prediction rules (CPRs represent well-validated but underutilized evidence-based medicine tools at the point-of-care. To date, an inability to integrate these rules into an electronic health record (EHR has been a major limitation and we are not aware of a study demonstrating the use of CPR's in an ambulatory EHR setting. The integrated clinical prediction rule (iCPR trial integrates two CPR's in an EHR and assesses both the usability and the effect on evidence-based practice in the primary care setting. Methods A multi-disciplinary design team was assembled to develop a prototype iCPR for validated streptococcal pharyngitis and bacterial pneumonia CPRs. The iCPR tool was built as an active Clinical Decision Support (CDS tool that can be triggered by user action during typical workflow. Using the EHR CDS toolkit, the iCPR risk score calculator was linked to tailored ordered sets, documentation, and patient instructions. The team subsequently conducted two levels of 'real world' usability testing with eight providers per group. Usability data were used to refine and create a production tool. Participating primary care providers (n = 149 were randomized and intervention providers were trained in the use of the new iCPR tool. Rates of iCPR tool triggering in the intervention and control (simulated groups are monitored and subsequent use of the various components of the iCPR tool among intervention encounters is also tracked. The primary outcome is the difference in antibiotic prescribing rates (strep and pneumonia iCPR's encounters and chest x-rays (pneumonia iCPR only between intervention and control providers. Discussion Using iterative usability testing and development paired with provider training, the iCPR CDS tool leverages user-centered design principles to overcome pervasive underutilization of EBM and support evidence-based practice at the point-of-care. The ongoing trial will determine if this collaborative

  12. National School Lunch Program and School Breakfast Program: nutrition standards for all foods sold in school as required by the Healthy, Hunger-Free Kids Act of 2010. Interim final rule.

    Science.gov (United States)

    2013-06-28

    This interim final rule amends the National School Lunch Program and School Breakfast Program regulations to establish nutrition standards for all foods sold in schools, other than food sold under the lunch and breakfast programs. Amendments made by Section 208 of the Healthy, Hunger-Free Kids Act of 2010 (HHFKA) require the Secretary to establish nutrition standards for such foods, consistent with the most recent Dietary Guidelines for Americans, and directs the Secretary to consider authoritative scientific recommendations for nutrition standards; existing school nutrition standards, including voluntary standards for beverages and snack foods; current State and local standards; the practical application of the nutrition standards; and special exemptions for infrequent school-sponsored fundraisers (other than fundraising through vending machines, school stores, snack bars, à la carte sales and any other exclusions determined by the Secretary). In addition, this interim final rule requires schools participating in the National School Lunch Program and School Breakfast Program to make potable water available to children at no charge in the place where lunches are served during the meal service, consistent with amendments made by section 203 of the HHFKA, and in the cafeteria during breakfast meal service. This interim final rule is expected to improve the health and well-being of the Nation's children, increase consumption of healthful foods during the school day, and create an environment that reinforces the development of healthy eating habits.

  13. Let's get technical: Enhancing program evaluation through the use and integration of internet and mobile technologies.

    Science.gov (United States)

    Materia, Frank T; Miller, Elizabeth A; Runion, Megan C; Chesnut, Ryan P; Irvin, Jamie B; Richardson, Cameron B; Perkins, Daniel F

    2016-06-01

    Program evaluation has become increasingly important, and information on program performance often drives funding decisions. Technology use and integration can help ease the burdens associated with program evaluation by reducing the resources needed (e.g., time, money, staff) and increasing evaluation efficiency. This paper reviews how program evaluators, across disciplines, can apply internet and mobile technologies to key aspects of program evaluation, which consist of participant registration, participant tracking and retention, process evaluation (e.g., fidelity, assignment completion), and outcome evaluation (e.g., behavior change, knowledge gain). In addition, the paper focuses on the ease of use, relative cost, and fit with populations. An examination on how these tools can be integrated to enhance data collection and program evaluation is discussed. Important limitations of and considerations for technology integration, including the level of technical skill, cost needed to integrate various technologies, data management strategies, and ethical considerations, are highlighted. Lastly, a case study of technology use in an evaluation conducted by the Clearinghouse for Military Family Readiness at Penn State is presented and illustrates how technology integration can enhance program evaluation. Copyright © 2016 Elsevier Ltd. All rights reserved.

  14. Social Skill Training in an Integrated Preschool Program

    Science.gov (United States)

    Guglielmo, Hindi M.; Tryon, Georgiana Shick

    2001-01-01

    This study examined the effectiveness of a commercially available social skills training program plus classroom reinforcement for use with preschoolers with developmental delays. Two groups of 19 participants each received either the combined treatment package or classroom reinforcement of target behaviors only. An additional 20 participants…

  15. Integrating Research into an Undergraduate Family Sciences Program

    Science.gov (United States)

    Khelifa, Maher; Sonleitner, Nancy; Wooldridge, Deborah; Mayers, Gloysis

    2004-01-01

    The authors report the outcomes of introducing undergraduate research to family science majors at Zayed University, United Arab Emirates. The program has enriched students' educational experiences and has had tangible benefits. In addition to acquiring research skills, students improved in critical analysis, originality, independent learning,…

  16. 76 FR 34385 - Program Integrity: Gainful Employment-Debt Measures

    Science.gov (United States)

    2011-06-13

    ... unprecedented public engagement is stronger regulations that (1) Are based on careful consideration of both the.... Programs that offer a rewarding education at an affordable price will prosper, and institutions will... Engineering Institution, Washington, DC, who testified that ``the purely material rewards of continued...

  17. Efficiency of Social Studies Integrated Character Education Program

    Science.gov (United States)

    Katilmis, Ahmet; Eksi, Halil; Ozturk, Cemil

    2011-01-01

    In this research, it is aimed to find out (i) the efficiency of a character education program based on overt values of Turkish 7th grade social studies lesson, and (ii) its hidden effects on the academic success. This research employed a semi-experimental design with pre-test, post-test and control group For this research primarily character…

  18. How to Integrate International Financial Reporting Standards into Accounting Programs

    Science.gov (United States)

    Singer, Robert A.

    2012-01-01

    It is expected the SEC will require U.S. domestic companies to prepare and file their annual 10Ks in accordance with international financial reporting standards (IFRS) by 2016. Given the probability that the FASB-IASB convergence project (i.e., Norwalk Agreement) will continue subsequent to mandatory adoption, US accounting programs will be…

  19. CF-integrals: A new family of pre-aggregation functions with application to fuzzy rule-based classification systems

    Czech Academy of Sciences Publication Activity Database

    Lucca, G.; Sanz, A.; Dimuro, G. P.; Bedregal, B.; Bustince, H.; Mesiar, Radko

    2018-01-01

    Roč. 435, č. 1 (2018), s. 94-110 ISSN 0020-0255 Institutional support: RVO:67985556 Keywords : CF-integral * classification problems * pre-aggregation Subject RIV: BA - General Mathematics Impact factor: 4.832, year: 2016 http:// library .utia.cas.cz/separaty/2018/E/mesiar-0485363.pdf

  20. The effectiveness and cost-effectiveness of an integrated cardiometabolic risk assessment and treatment program in primary care (the INTEGRATE study).

    NARCIS (Netherlands)

    Stol, D.; Badenbroek, I.; Hollander, M.; Nielen, M.; Schellevis, F.; Wit, N. de

    2014-01-01

    The effectiveness and cost-effectiveness of an integrated cardiometabolic risk assessment and treatment program in primary care (the INTEGRATE study): a stepped-wedge randomized controlled trial protocol. Rationale: The increasing prevalence of cardiometabolic disease (CMD), including cardiovascular

  1. An Examination of the Feasibility of Integrating Motivational Interviewing Techniques into FCS Cooperative Extension Programming

    Science.gov (United States)

    Radunovich, Heidi Liss; Ellis, Sarah; Spangler, Taylor

    2017-01-01

    Demonstrating program impact through behavior change is critical for the continued success of Family and Consumer Sciences (FCS) Cooperative Extension programming. However, the literature suggests that simply providing information to participants does not necessarily lead to behavior change. This study pilot tested the integration of Motivational…

  2. Integrated Program on Malaria in sub-Saharan Africa (IPMA) : Call ...

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

    The Integrated Program on Malaria in sub-Saharan Africa (IPMA) will offer a shared and synergistic approach to existing malaria control programs. It will do so by supporting research aimed at understanding the complex societal and environmental dynamics affecting malaria in the region, and testing interventions that ...

  3. Programming of endogenous and exogenous saccades: Evidence for a competitive integration model

    NARCIS (Netherlands)

    Godijn, R.J.; Theeuwes, J.

    2002-01-01

    Participant's were required to make a saccade to a uniquely colored target while ignoring the presentation of an onset distractor. The results provide evidence for a competitive integration model of saccade programming that assumes endogenous and exogenous saccades are programmed in a common saccade

  4. School-Based Childhood Sexual Abuse Prevention Programs: An Integrative Review

    Science.gov (United States)

    Fryda, Candice M.; Hulme, Polly A.

    2015-01-01

    One prevention strategy for childhood sexual abuse (CSA) involves educational programs delivered to children in the school environment. The purpose of this integrative literature review was to determine the state of the science on school-based CSA prevention programs. The authors extracted data from 26 articles that fit inclusion criteria to…

  5. Shifting Views: Exploring the Potential for Technology Integration in Early Childhood Education Programs

    Science.gov (United States)

    Dietze, Beverlie; Kashin, Diane

    2013-01-01

    Using technology with children in play-based early learning programs creates questions for some within the Early Childhood Education (ECE) community. This paper presents how two faculty who teach in ECE-related degree programs integrated educational technology into their teaching pedagogy as a way to model to their students how it can be used to…

  6. Partnerships and Learning Communities in Work-Integrated Learning: Designing a Community Services Student Placement Program

    Science.gov (United States)

    Harris, Lisa; Jones, Martyn; Coutts, Sally

    2010-01-01

    The paper describes and analyses the design and implementation of a higher education student placement program in the community services sector. Principally ideas about partnerships and social learning informed the design. The placement program represents a significant innovation in work-integrated learning, achieved through collaboration between…

  7. The Outcomes of an Alcohol Prevention Program on Parents’ Rule Setting and Self-efficacy: A Bi-directional Model

    NARCIS (Netherlands)

    Koning, H.M.; Glatz, T.

    2016-01-01

    Most adolescents have their first encounter with alcohol in early or middle adolescence. Parents’ rule setting about alcohol has been shown to be important to delay the onset and reduce the frequency of adolescents’ alcohol drinking, but less is known about the potential role of parents’ beliefs

  8. 75 FR 18920 - Program for Allocation of Regulatory Responsibilities Pursuant to Rule 17d-2; Notice of Filing of...

    Science.gov (United States)

    2010-04-13

    ... and for the protection of investors; to foster cooperation and coordination among the SROs; to remove... application of the such provisions or rule, or a Dual Member's activity, conduct, or output in relation to... Exchange, Inc., Chicago Stock Exchange, Inc., Financial Industry Regulatory Authority, Inc., International...

  9. 75 FR 18915 - Program for Allocation of Regulatory Responsibilities Pursuant to Rule 17d-2; Notice of Filing of...

    Science.gov (United States)

    2010-04-13

    ... and for the protection of investors; to foster cooperation and coordination among the SROs; to remove... application of the such provisions or rule, or a Dual Member's activity, conduct, or output in relation to... Exchange, Inc., Chicago Stock Exchange, Inc., Financial Industry Regulatory Authority, Inc., International...

  10. Integrating Reproductive Health Services Into Intimate Partner and Sexual Violence Victim Service Programs.

    Science.gov (United States)

    Gmelin, Theresa; Raible, Claire A; Dick, Rebecca; Kukke, Surabhi; Miller, Elizabeth

    2017-12-01

    This study assessed the feasibility of integrating reproductive health services into intimate partner violence/sexual violence (IPV/SV) programs. After a training for victim service agencies on integration of health services, we conducted semistructured interviews with IPV/SV program leadership. Leadership reported advocates were more likely to recognize the need to refer clients to health services, and revealed challenges operationalizing partnerships with health care centers. Training to integrate basic health assessment into victim services may be one way to address women's urgent health needs. Formal partnership agreements, protocols to facilitate referrals, and opportunities to cross-train are needed to nurture these cross-sector collaborations.

  11. Syntax-Directed Editing: Towards Integrated Programming Environments

    Science.gov (United States)

    1982-03-01

    Center, June, 1979. Stallman , Richard M. EMACS, the extensible, customizable, self documenting display editor. In Proceedings of the ACM SIGPLAN/SIGOA...display-oriented text editors such as EMACS [ Stallman 61] and UNixtm EMACS [Gosling 81a]. Within the programming task, these text editors are still...EMACS [ Stallman 81]. To experiment with these decisions and to provide the flexibility necessary for different kinds of users, both forms are

  12. Hawaii Integrated Energy Assessment. Volume V. Rules, regulations, permits and policies affecting the development of alternate energy sources in Hawaii

    Energy Technology Data Exchange (ETDEWEB)

    1980-01-01

    A comprehensive presentaton of the major permits, regulations, rules, and controls which are likely to affect the development of alternate energy sources in Hawaii is presented. An overview of the permit process, showing the major categories and types of permits and controls for energy alternatives is presented. This is followed by a brief resume of current and projected changes designed to streamline the permit process. The permits, laws, regulations, and controls that are applicable to the development of energy alternatives in Hawaii are described. The alternate energy technologies affected, a description of the permit or control, and the requirements for conformance are presented for each applicable permit. Federal, state, and county permits and controls are covered. The individual energy technologies being considered as alternatives to the State's present dependence on imported fossil fuels are emphasized. The alternate energy sources covered are bioconversion, geothermal, ocean thermal, wind, solar (direct), and solid waste. For each energy alternative, the significant permits are summarized with a brief explanation of why they may be necessary. The framework of policy development at each of the levels of government with respect to the alternate energy sources is covered.

  13. Trauma Center Based Youth Violence Prevention Programs: An Integrative Review.

    Science.gov (United States)

    Mikhail, Judy Nanette; Nemeth, Lynne Sheri

    2016-12-01

    Youth violence recidivism remains a significant public health crisis in the United States. Violence prevention is a requirement of all trauma centers, yet little is known about the effectiveness of these programs. Therefore, this systematic review summarizes the effectiveness of trauma center-based youth violence prevention programs. A systematic review of articles from MEDLINE, CINAHL, and PsychINFO databases was performed to identify eligible control trials or observational studies. Included studies were from 1970 to 2013, describing and evaluating an intervention, were trauma center based, and targeted youth injured by violence (tertiary prevention). The social ecological model provided the guiding framework, and findings are summarized qualitatively. Ten studies met eligibility requirements. Case management and brief intervention were the primary strategies, and 90% of the studies showed some improvement in one or more outcome measures. These results held across both social ecological level and setting: both emergency department and inpatient unit settings. Brief intervention and case management are frequent and potentially effective trauma center-based violence prevention interventions. Case management initiated as an inpatient and continued beyond discharge was the most frequently used intervention and was associated with reduced rearrest or reinjury rates. Further research is needed, specifically longitudinal studies using experimental designs with high program fidelity incorporating uniform direct outcome measures. However, this review provides initial evidence that trauma centers can intervene with the highest of risk patients and break the youth violence recidivism cycle. © The Author(s) 2015.

  14. Chapters of a Story: the STF ruling about same-sex unions in the light of law as integrity

    Directory of Open Access Journals (Sweden)

    Antonio Moreira Maués

    2015-06-01

    Full Text Available this work analyses the STF rulingthat recognized same-sex unions, based on lawas integrity theory of R. Dworkin and on documentary research about the subject. It criticizesthe use of legislative intent as a ground to con-clude that the Constitution prohibits same-sexunions and argues that the construction of theright to equality in the field of sexual orienta-tion in Brazilian law authorizes the judiciary torecognize these unions.

  15. Integrating research and education into clinical practice: the multi-organ transplant student research training program.

    Science.gov (United States)

    Famure, Olusegun; Li, Anna; Ross, Heather; Kim, S Joseph

    2012-01-01

    Given the increased student interest in health research and the need to implement health research initiatives, the Multi-Organ Transplant Student Research Training Program provides student trainees with the opportunity to contribute to health research initiatives in transplant care. Program quality initiatives achieved include the development of a clinical research database, knowledge exchange, performance measurement tools, and health research projects. The program promotes collaboration between academic and healthcare institutions to integrate research and education into clinical practice.

  16. DITTY - a computer program for calculating population dose integrated over ten thousand years

    Energy Technology Data Exchange (ETDEWEB)

    Napier, B.A.; Peloquin, R.A.; Strenge, D.L.

    1986-03-01

    The computer program DITTY (Dose Integrated Over Ten Thousand Years) was developed to determine the collective dose from long term nuclear waste disposal sites resulting from the ground-water pathways. DITTY estimates the time integral of collective dose over a ten-thousand-year period for time-variant radionuclide releases to surface waters, wells, or the atmosphere. This document includes the following information on DITTY: a description of the mathematical models, program designs, data file requirements, input preparation, output interpretations, sample problems, and program-generated diagnostic messages.

  17. Integrated care programs for patients with psychological comorbidity: A systematic review and meta-analysis.

    Science.gov (United States)

    Lemmens, Lidwien C; Molema, Claudia C M; Versnel, Nathalie; Baan, Caroline A; de Bruin, Simone R

    2015-12-01

    Presently, little is known about the characteristics and impact of integrated care programs for patients with psychological comorbidity. The aim was to provide an overview of these integrated care programs and their effectiveness. Systematic literature review including papers published between 1995 and 2014. An integrated care program had to consist of interventions related to at least two out of the six components of the Chronic Care Model. Programs had to address patients with psychological comorbidity, which is a psychological disease next to a somatic chronic disease. A meta-analysis was performed on depression treatment response and a best evidence synthesis was performed on other outcomes. Ten programs were identified, which mostly addressed comorbid depression and consisted of interventions related to three to five components of the Chronic Care Model. Meta-analysis showed significantly higher odds for depression treatment response for patients receiving integrated care (OR: 2.49, 95%CI [1.66-3.75]). Best evidence synthesis suggested moderate evidence for cost-effectiveness and for a beneficial effect on patient satisfaction and emotional well-being. Insufficient evidence was found for a beneficial effect on health-related quality of life, medication adherence, Hb1Ac levels and mortality. There are few studies evaluating integrated care programs for patients with psychological comorbidity. Although these studies suggest that integrated care programs could positively affect several patient outcomes and could be cost-effective, additional studies are recommended to further assess the value of integrated care for this patient group. This is especially important since the number of people with psychological comorbidity is rising. Copyright © 2015 Elsevier Inc. All rights reserved.

  18. Unpacking vertical and horizontal integration: childhood overweight/obesity programs and planning, a Canadian perspective.

    Science.gov (United States)

    Maclean, Lynne M; Clinton, Kathryn; Edwards, Nancy; Garrard, Michael; Ashley, Lisa; Hansen-Ketchum, Patti; Walsh, Audrey

    2010-05-17

    Increasingly, multiple intervention programming is being understood and implemented as a key approach to developing public health initiatives and strategies. Using socio-ecological and population health perspectives, multiple intervention programming approaches are aimed at providing coordinated and strategic comprehensive programs operating over system levels and across sectors, allowing practitioners and decision makers to take advantage of synergistic effects. These approaches also require vertical and horizontal (v/h) integration of policy and practice in order to be maximally effective. This paper examines v/h integration of interventions for childhood overweight/obesity prevention and reduction from a Canadian perspective. It describes the implications of v/h integration for childhood overweight and obesity prevention, with examples of interventions where v/h integration has been implemented. An application of a conceptual framework for structuring v/h integration of an overweight/obesity prevention initiative is presented. The paper concludes with a discussion of the implications of vertical/horizontal integration for policy, research, and practice related to childhood overweight and obesity prevention multiple intervention programs. Both v/h integration across sectors and over system levels are needed to fully support multiple intervention programs of the complexity and scope required by obesity issues. V/h integration requires attention to system structures and processes. A conceptual framework is needed to support policy alignment, multi-level evaluation, and ongoing coordination of people at the front lines of practice. Using such tools to achieve integration may enhance sustainability, increase effectiveness of prevention and reduction efforts, decrease stigmatization, and lead to new ways to relate the environment to people and people to the environment for better health for children.

  19. Unpacking vertical and horizontal integration: childhood overweight/obesity programs and planning, a Canadian perspective

    Directory of Open Access Journals (Sweden)

    Ashley Lisa

    2010-05-01

    Full Text Available Abstract Background Increasingly, multiple intervention programming is being understood and implemented as a key approach to developing public health initiatives and strategies. Using socio-ecological and population health perspectives, multiple intervention programming approaches are aimed at providing coordinated and strategic comprehensive programs operating over system levels and across sectors, allowing practitioners and decision makers to take advantage of synergistic effects. These approaches also require vertical and horizontal (v/h integration of policy and practice in order to be maximally effective. Discussion This paper examines v/h integration of interventions for childhood overweight/obesity prevention and reduction from a Canadian perspective. It describes the implications of v/h integration for childhood overweight and obesity prevention, with examples of interventions where v/h integration has been implemented. An application of a conceptual framework for structuring v/h integration of an overweight/obesity prevention initiative is presented. The paper concludes with a discussion of the implications of vertical/horizontal integration for policy, research, and practice related to childhood overweight and obesity prevention multiple intervention programs. Summary Both v/h integration across sectors and over system levels are needed to fully support multiple intervention programs of the complexity and scope required by obesity issues. V/h integration requires attention to system structures and processes. A conceptual framework is needed to support policy alignment, multi-level evaluation, and ongoing coordination of people at the front lines of practice. Using such tools to achieve integration may enhance sustainability, increase effectiveness of prevention and reduction efforts, decrease stigmatization, and lead to new ways to relate the environment to people and people to the environment for better health for children.

  20. Integrating electron microscopy into nanoscience and materials engineering programs

    Science.gov (United States)

    Cormia, Robert D.; Oye, Michael M.; Nguyen, Anh; Skiver, David; Shi, Meng; Torres, Yessica

    2014-10-01

    Preparing an effective workforce in high technology is the goal of both academic and industry training, and has been the engine that drives innovation and product development in the United States for over a century. During the last 50 years, technician training has comprised a combination of two-year academic programs, internships and apprentice training, and extensive On-the-Job Training (OJT). Recently, and especially in Silicon Valley, technicians have four-year college degrees, as well as relevant hands-on training. Characterization in general, and microscopy in particular, is an essential tool in process development, manufacturing and QA/QC, and failure analysis. Training for a broad range of skills and practice is challenging, especially for community colleges. Workforce studies (SRI/Boeing) suggest that even four year colleges often do not provide the relevant training and experience in laboratory skills, especially design of experiments and analysis of data. Companies in high-tech further report difficulty in finding skilled labor, especially with industry specific experience. Foothill College, in partnership with UCSC, SJSU, and NASA-Ames, has developed a microscopy training program embedded in a research laboratory, itself a partnership between university and government, providing hands-on experience in advanced instrumentation, experimental design and problem solving, with real-world context from small business innovators, in an environment called `the collaboratory'. The program builds on AFM-SEM training at Foothill, and provides affordable training in FE-SEM and TEM through a cost recovery model. In addition to instrument and engineering training, the collaboratory also supports academic and personal growth through a multiplayer social network of students, faculty, researchers, and innovators.

  1. Sensitivity Analysis of the Integrated Medical Model for ISS Programs

    Science.gov (United States)

    Goodenow, D. A.; Myers, J. G.; Arellano, J.; Boley, L.; Garcia, Y.; Saile, L.; Walton, M.; Kerstman, E.; Reyes, D.; Young, M.

    2016-01-01

    Sensitivity analysis estimates the relative contribution of the uncertainty in input values to the uncertainty of model outputs. Partial Rank Correlation Coefficient (PRCC) and Standardized Rank Regression Coefficient (SRRC) are methods of conducting sensitivity analysis on nonlinear simulation models like the Integrated Medical Model (IMM). The PRCC method estimates the sensitivity using partial correlation of the ranks of the generated input values to each generated output value. The partial part is so named because adjustments are made for the linear effects of all the other input values in the calculation of correlation between a particular input and each output. In SRRC, standardized regression-based coefficients measure the sensitivity of each input, adjusted for all the other inputs, on each output. Because the relative ranking of each of the inputs and outputs is used, as opposed to the values themselves, both methods accommodate the nonlinear relationship of the underlying model. As part of the IMM v4.0 validation study, simulations are available that predict 33 person-missions on ISS and 111 person-missions on STS. These simulated data predictions feed the sensitivity analysis procedures. The inputs to the sensitivity procedures include the number occurrences of each of the one hundred IMM medical conditions generated over the simulations and the associated IMM outputs: total quality time lost (QTL), number of evacuations (EVAC), and number of loss of crew lives (LOCL). The IMM team will report the results of using PRCC and SRRC on IMM v4.0 predictions of the ISS and STS missions created as part of the external validation study. Tornado plots will assist in the visualization of the condition-related input sensitivities to each of the main outcomes. The outcomes of this sensitivity analysis will drive review focus by identifying conditions where changes in uncertainty could drive changes in overall model output uncertainty. These efforts are an integral

  2. Medicare Program; Revisions to Payment Policies Under the Physician Fee Schedule and Other Revisions to Part B for CY 2017; Medicare Advantage Bid Pricing Data Release; Medicare Advantage and Part D Medical Loss Ratio Data Release; Medicare Advantage Provider Network Requirements; Expansion of Medicare Diabetes Prevention Program Model; Medicare Shared Savings Program Requirements. Final rule.

    Science.gov (United States)

    2016-11-15

    This major final rule addresses changes to the physician fee schedule and other Medicare Part B payment policies, such as changes to the Value Modifier, to ensure that our payment systems are updated to reflect changes in medical practice and the relative value of services, as well as changes in the statute. This final rule also includes changes related to the Medicare Shared Savings Program, requirements for Medicare Advantage Provider Networks, and provides for the release of certain pricing data from Medicare Advantage bids and of data from medical loss ratio reports submitted by Medicare health and drug plans. In addition, this final rule expands the Medicare Diabetes Prevention Program model.

  3. Medicare program; revisions to payment policies under the physician fee schedule for calendar year 2004. Final rule with comment period.

    Science.gov (United States)

    2003-11-07

    This final rule will refine the resource-based practice expense relative value units (RVUs) and make other changes to Medicare Part B payment policy. The policy changes concern: Medicare Economic Index, practice expense for professional component services, definition of diabetes for diabetes self-management training, supplemental survey data for practice expense, geographic practice cost indices, and several coding issues. In addition, this rule updates the codes subject to the physician self-referral prohibition. We also make revisions to the sustainable growth rate and the anesthesia conversion factor. These changes will ensure that our payment systems are updated to reflect changes in medical practice and the relative value of services. We are also finalizing the calendar year (CY) 2003 interim RVUs and are issuing interim RVUs for new and revised procedure codes for CY 2004. As required by the statute, we are announcing that the physician fee schedule update for CY 2004 is -4.5 percent, the initial estimate of the sustainable growth rate for CY 2004 is 7.4 percent, and the conversion factor for CY 2004 is $35.1339. We published a proposed rule (68 FR 50428) in the Federal Register on Part B drug payment reform on August 20, 2003. This proposed rule would also make changes to Medicare payment for furnishing or administering certain drugs and biologicals. We have not finalized these proposals to take into account that the Congress is considering legislation that would address these issues. We will continue to monitor legislative activity that would reform the Medicare Part B drug payment system. If legislation is not enacted soon on this issue, we remain committed to completing the regulatory process.

  4. Integration of design and manufacturing in a virtual enterprise using enterprise rules, intelligent agents, STEP, and work flow

    Science.gov (United States)

    Gilman, Charles R.; Aparicio, Manuel; Barry, J.; Durniak, Timothy; Lam, Herman; Ramnath, Rajiv

    1997-12-01

    An enterprise's ability to deliver new products quickly and efficiently to market is critical for competitive success. While manufactureres recognize the need for speed and flexibility to compete in this market place, companies do not have the time or capital to move to new automation technologies. The National Industrial Information Infrastructure Protocols Consortium's Solutions for MES Adaptable Replicable Technology (NIIIP SMART) subgroup is developing an information infrastructure to enable the integration and interoperation among Manufacturing Execution Systems (MES) and Enterprise Information Systems within an enterprise or among enterprises. The goal of these developments is an adaptable, affordable, reconfigurable, integratable manufacturing system. Key innovative aspects of NIIIP SMART are: (1) Design of an industry standard object model that represents the diverse aspects of MES. (2) Design of a distributed object network to support real-time information sharing. (3) Product data exchange based on STEP and EXPRESS (ISO 10303). (4) Application of workflow and knowledge management technologies to enact manufacturing and business procedures and policy. (5) Application of intelligent agents to support emergent factories. This paper illustrates how these technologies have been incorporated into the NIIIP SMART system architecture to enable the integration and interoperation of existing tools and future MES applications in a 'plug and play' environment.

  5. Integrated Risk and Knowledge Management Program -- IRKM-P

    Science.gov (United States)

    Lengyel, David M.

    2009-01-01

    The NASA Exploration Systems Mission Directorate (ESMD) IRKM-P tightly couples risk management and knowledge management processes and tools to produce an effective "modern" work environment. IRKM-P objectives include: (1) to learn lessons from past and current programs (Apollo, Space Shuttle, and the International Space Station); (2) to generate and share new engineering design, operations, and management best practices through preexisting Continuous Risk Management (CRM) procedures and knowledge-management practices; and (3) to infuse those lessons and best practices into current activities. The conceptual framework of the IRKM-P is based on the assumption that risks highlight potential knowledge gaps that might be mitigated through one or more knowledge management practices or artifacts. These same risks also serve as cues for collection of knowledge particularly, knowledge of technical or programmatic challenges that might recur.

  6. Gore-Mbeki Binational Commission integrated housing program. Final report

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1998-12-31

    This report documents the work done under Grant DE-FG36-97GO10209, Innovative Renewable Energy Technology Transfer Program. PEER Consultants, PC, and its subcontractor, PEER Africa (Pty.) Ltd., received an $88,000.00 grant to plan and build two energy efficient homes in the black township of Gugulethu in Cape Town, South Africa. These demonstration homes were given to the people of South Africa as a gesture of goodwill by the US government as part of the Gore-Mbeki Binational Commission (BNC) agreements and cooperation. The BNC is the term used to describe the agreement to work together by the US and the South African governments for economic development of South Africa in the areas of energy, commerce, agriculture, housing, and transportation. The BNC was formed in 1995. This project under the auspices of the BNC started in September 1996. The DOE-funded portion was performed between January 11, 1997 and February 28, 1997.

  7. Sustainability Science Educational Program as Integrated Disciplinary Education : Practices and Lessons at Osaka University

    Science.gov (United States)

    Uwasu, Michinori; Shimoda, Yoshiyuki

    As global threats such as climate change and economic crisis have been emerging, the demand for the establishment of integrated disciplinary education programs is increasing. The Research Institute for Sustainability Science (RISS) at Osaka University started a new program on sustainability in October 2007. The RISS program addresses the ways to utilize knowledge effectively to understand the dynamic interactions between nature and human society. This paper first overviews the RISS Program for Sustainability Science. The paper then discusses the main problems as well as attempts and efforts to challenge those issues. Although issues including institutional barriers and faculty development yet remain in promoting integrated education, the RISS program functions as a platform to disseminate the idea of sustainability science across the university.

  8. Processes and Outcomes from a Medical Student Research Training Program in Integrative, Complementary, and Alternative Medicine.

    Science.gov (United States)

    Dicianno, Brad E; Glick, Ronald M; Sowa, Gwendolyn A; Boninger, Michael L

    2016-10-01

    In response to the growing need to train a new generation of clinician scientists, a research program was developed to train medical students in integrative, complementary, and alternative medicine (ICAM) research early in their careers. A total of 25 students (100%) successfully completed a 10-week program. Students reported significantly increased levels of knowledge in all 7 integrative, complementary, and alternative medicine topics at the conclusion of the program. All students presented their work at one or more local research symposia. In addition, the average number of quality research outputs, which included manuscripts, awards, and abstracts presented at national and international meetings, was 1.5 per student, which exceeded benchmarks based on prior program outcomes. Results from this program may be useful when planning larger or longer-term projects aimed at attracting physicians who will become our next generation of academicians, researchers, and healers.

  9. Human health risk comparisons for environmental management baseline program and integration opportunities (discussion draft)

    Energy Technology Data Exchange (ETDEWEB)

    Eide, S.A.; Jones, J.L.; Wierman, T.E.

    1998-02-01

    This report documents the process and results of human health risk assessments of the US Department of Energy (DOE) complex-wide programs for high-level waste, transuranic waste, low-level waste, mixed low-level waste, and spent nuclear fuel. The DOE baseline programs and alternatives for these five material types were characterized by disposition maps (system flow diagrams) and supporting information in the May 1997 report A Contractor Report to the Department of Energy on Environmental Baseline Programs and Integration Opportunities (Discussion Draft). Risk analyses were performed using the Simplified Risk Model (SRM), developed to support DOE Environmental Management (EM) integration studies. The SRM risk analyses consistently and comprehensively cover the entire programs for the five material types, from initial storage through final disposition. Risk results are presented at several levels: DOE complex-wide, material type program, individual DOE sites, and DOE site activities.

  10. Medicare Program; Medicare Shared Savings Program; Accountable Care Organizations--Revised Benchmark Rebasing Methodology, Facilitating Transition to Performance-Based Risk, and Administrative Finality of Financial Calculations. Final rule.

    Science.gov (United States)

    2016-06-10

    Under the Medicare Shared Savings Program (Shared Savings Program), providers of services and suppliers that participate in an Accountable Care Organization (ACO) continue to receive traditional Medicare fee-for-service (FFS) payments under Parts A and B, but the ACO may be eligible to receive a shared savings payment if it meets specified quality and savings requirements. This final rule addresses changes to the Shared Savings Program, including: Modifications to the program's benchmarking methodology, when resetting (rebasing) the ACO's benchmark for a second or subsequent agreement period, to encourage ACOs' continued investment in care coordination and quality improvement; an alternative participation option to encourage ACOs to enter performance-based risk arrangements earlier in their participation under the program; and policies for reopening of payment determinations to make corrections after financial calculations have been performed and ACO shared savings and shared losses for a performance year have been determined.

  11. Functional Integration of mRNA Translational Control Programs

    Directory of Open Access Journals (Sweden)

    Melanie C. MacNicol

    2015-07-01

    Full Text Available Regulated mRNA translation plays a key role in control of cell cycle progression in a variety of physiological and pathological processes, including in the self-renewal and survival of stem cells and cancer stem cells. While targeting mRNA translation presents an attractive strategy for control of aberrant cell cycle progression, mRNA translation is an underdeveloped therapeutic target. Regulated mRNAs are typically controlled through interaction with multiple RNA binding proteins (RBPs but the mechanisms by which the functions of distinct RBPs bound to a common target mRNA are coordinated are poorly understood. The challenge now is to gain insight into these mechanisms of coordination and to identify the molecular mediators that integrate multiple, often conflicting, inputs. A first step includes the identification of altered mRNA ribonucleoprotein complex components that assemble on mRNAs bound by multiple, distinct RBPs compared to those recruited by individual RBPs. This review builds upon our knowledge of combinatorial control of mRNA translation during the maturation of oocytes from Xenopus laevis, to address molecular strategies that may mediate RBP diplomacy and conflict resolution for coordinated control of mRNA translational output. Continued study of regulated ribonucleoprotein complex dynamics promises valuable new insights into mRNA translational control and may suggest novel therapeutic strategies for the treatment of disease.

  12. The biology of lysine acetylation integrates transcriptional programming and metabolism

    Directory of Open Access Journals (Sweden)

    Mujtaba Shiraz

    2011-03-01

    Full Text Available Abstract The biochemical landscape of lysine acetylation has expanded from a small number of proteins in the nucleus to a multitude of proteins in the cytoplasm. Since the first report confirming acetylation of the tumor suppressor protein p53 by a lysine acetyltransferase (KAT, there has been a surge in the identification of new, non-histone targets of KATs. Added to the known substrates of KATs are metabolic enzymes, cytoskeletal proteins, molecular chaperones, ribosomal proteins and nuclear import factors. Emerging studies demonstrate that no fewer than 2000 proteins in any particular cell type may undergo lysine acetylation. As described in this review, our analyses of cellular acetylated proteins using DAVID 6.7 bioinformatics resources have facilitated organization of acetylated proteins into functional clusters integral to cell signaling, the stress response, proteolysis, apoptosis, metabolism, and neuronal development. In addition, these clusters also depict association of acetylated proteins with human diseases. These findings not only support lysine acetylation as a widespread cellular phenomenon, but also impel questions to clarify the underlying molecular and cellular mechanisms governing target selectivity by KATs. Present challenges are to understand the molecular basis for the overlapping roles of KAT-containing co-activators, to differentiate between global versus dynamic acetylation marks, and to elucidate the physiological roles of acetylated proteins in biochemical pathways. In addition to discussing the cellular 'acetylome', a focus of this work is to present the widespread and dynamic nature of lysine acetylation and highlight the nexus that exists between epigenetic-directed transcriptional regulation and metabolism.

  13. Integrating Enhancer Mechanisms to Establish a Hierarchical Blood Development Program

    Directory of Open Access Journals (Sweden)

    Charu Mehta

    2017-09-01

    Full Text Available Hematopoietic development requires the transcription factor GATA-2, and GATA-2 mutations cause diverse pathologies, including leukemia. GATA-2-regulated enhancers increase Gata2 expression in hematopoietic stem/progenitor cells and control hematopoiesis. The +9.5-kb enhancer activates transcription in endothelium and hematopoietic stem cells (HSCs, and its deletion abrogates HSC generation. The −77-kb enhancer activates transcription in myeloid progenitors, and its deletion impairs differentiation. Since +9.5−/− embryos are HSC deficient, it was unclear whether the +9.5 functions in progenitors or if GATA-2 expression in progenitors solely requires −77. We further dissected the mechanisms using −77;+9.5 compound heterozygous (CH mice. The embryonic lethal CH mutation depleted megakaryocyte-erythrocyte progenitors (MEPs. While the +9.5 suffices for HSC generation, the −77 and +9.5 must reside on one allele to induce MEPs. The −77 generated burst-forming unit-erythroid through the induction of GATA-1 and other GATA-2 targets. The enhancer circuits controlled signaling pathways that orchestrate a GATA factor-dependent blood development program.

  14. Investigation for integration of the German Public Health Service in catastrophe and disaster prevention programs in Germany; Untersuchung zur Einbindung des Oeffentlichen Gesundheitsdienstes in die katastrophenmedizinische Vesorgung in der Bundesrepublik Deutschland

    Energy Technology Data Exchange (ETDEWEB)

    Pfenninger, E.; Koenig, S. [Universitaetsklinik fuer Anaesthesiologie, Ulm (Germany); Himmelseher, S. [Klinikum rechts der Isar, Technische Univ. Muenchen (Germany)

    2004-07-01

    This research project aimed at investigating the integration of the GPHS into the plans for civil defence and protection as well as catastrophe prevention of the Federal Republic of Germany. Following a comprehensive analysis of the current situation, potential proposals for an improved integrative approach will be presented. In view of the lack of topics relevant for medical care in disaster medicine in educational curricula and training programs for medical students and postgraduate board programs for public health physicians, a working group of the Civil Protection Board of the German Federal Ministry of the Interior already complained in their 'Report on execution of legal rules for protection and rescue of human life as well as restitution of public health after disaster' in 1999, that the integration of the GPHS into catastrophe and disaster prevention programs has insufficiently been solved. On a point-by-point approach, our project analysed the following issues: - Legislative acts for integration of the German Public Health Service into medical care in catastrophes and disasters to protect the civilian population of Germany and their implementation and execution. - Administrative rules and directives on state and district levels that show relationship to integration of the German Public Health Service into preparedness programs for catastrophe prevention and management and their implementation and execution. - Education and postgraduate training options for physicians and non-physician employees of the German Public health Service to prepare for medical care in catastrophes and disasters. - State of knowledge and experience of the German Public Health Service personnel in emergency and disaster medicine. - Evaluation of the German administrative catastrophe prevention authorities with regard to their integration of the German Public Health Service into preparedness programs for catastrophe prevention and management. - Development of a concept to

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

    OpenAIRE

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

    2012-01-01

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

  16. Programming and Training Booklet 6: How to Integrate Programming and Training.

    Science.gov (United States)

    Peace Corps, Washington, DC. Information Collection and Exchange Div.

    This booklet, one of six that compose the Peace Corp's programming and training (P&T) guidelines, provides information and ideas on ways to increase each post's effectiveness through linking P&T. An introduction discusses the direct impact that P&T have on the success of each other, since, at the Peace Corps, programming drives…

  17. Integrated agriculture programs to address malnutrition in northern Malawi.

    Science.gov (United States)

    Kerr, Rachel Bezner; Chilanga, Emmanuel; Nyantakyi-Frimpong, Hanson; Luginaah, Isaac; Lupafya, Esther

    2016-11-28

    were some of the reasons that respondents named for changed gender norms. Participatory education that explicitly addresses hegemonic masculinities related to child nutrition, such as women's roles in child care, can begin to change dominant gender norms. Involving male leaders, participatory methods and integrating agriculture and food security concerns with nutrition appear to be key components in the context of agrarian communities.

  18. Integrated agriculture programs to address malnutrition in northern Malawi

    Directory of Open Access Journals (Sweden)

    Rachel Bezner Kerr

    2016-11-01

    agriculture and food security, alongside involving male leaders were some of the reasons that respondents named for changed gender norms. Conclusions Participatory education that explicitly addresses hegemonic masculinities related to child nutrition, such as women’s roles in child care, can begin to change dominant gender norms. Involving male leaders, participatory methods and integrating agriculture and food security concerns with nutrition appear to be key components in the context of agrarian communities.

  19. An integrative theory-driven framework for evaluating travel training programs.

    Science.gov (United States)

    Park, Chul Hyun; Welch, Eric W; Sriraj, P S

    2016-12-01

    Since the 1970s, travel training programs, which provide a short-term training to people with disabilities and older people to teach them independent travel skills required to use fixed-route transportation, have spread across the United States. But the authors note that currently, there is no integrative framework for evaluating the training programs, although it is crucial for improving program implementation and developing knowledge and theories related to travel training. Therefore, this research aims to build an integrative theory-driven evaluation framework of the programs on the basis of prior studies on travel training and the literature on program evaluation and learning and training theories. The framework considers (1) a wide range of key elements related to the delivery systems and outcomes of travel training; (2) diverse stakeholders that engage in designing, operating, and assessing travel training; and (3) the short-term, intermediate, and long-term outcomes of the programs. Based on the framework, the authors develop a flexible logic model for travel training programs to help scholars and practitioners design and conduct actual evaluation studies. Thus, this research is expected to make theoretical and practical contributions to theory-driven program evaluation and travel training programs. Copyright © 2016 Elsevier Ltd. All rights reserved.

  20. Implementing preventive chemotherapy through an integrated National Neglected Tropical Disease Control Program in Mali.

    Directory of Open Access Journals (Sweden)

    Massitan Dembélé

    Full Text Available BACKGROUND: Mali is endemic for all five targeted major neglected tropical diseases (NTDs. As one of the five 'fast-track' countries supported with the United States Agency for International Development (USAID funds, Mali started to integrate the activities of existing disease-specific national control programs on these diseases in 2007. The ultimate objectives are to eliminate lymphatic filariasis, onchocerciasis and trachoma as public health problems and to reduce morbidity caused by schistosomiasis and soil-transmitted helminthiasis through regular treatment to eligible populations, and the specific objectives were to achieve 80% program coverage and 100% geographical coverage yearly. The paper reports on the implementation of the integrated mass drug administration and the lessons learned. METHODOLOGY/PRINCIPAL FINDINGS: The integrated control program was led by the Ministry of Health and coordinated by the national NTD Control Program. The drug packages were designed according to the disease endemicity in each district and delivered through various platforms to eligible populations involving the primary health care system. Treatment data were recorded and reported by the community drug distributors. After a pilot implementation of integrated drug delivery in three regions in 2007, the treatment for all five targeted NTDs was steadily scaled up to 100% geographical coverage by 2009, and program coverage has since been maintained at a high level: over 85% for lymphatic filariasis, over 90% for onchocerciasis and soil-transmitted helminthiasis, around 90% in school-age children for schistosomiasis, and 76-97% for trachoma. Around 10 million people have received one or more drug packages each year since 2009. No severe cases of adverse effects were reported. CONCLUSIONS/SIGNIFICANCE: Mali has scaled up the drug treatment to national coverage through integrated drug delivery involving the primary health care system. The successes and lessons

  1. Integrating information from disparate sources: the Walter Reed National Surgical Quality Improvement Program Data Transfer Project.

    Science.gov (United States)

    Nelson, Victoria; Nelson, Victoria Ruth; Li, Fiona; Green, Susan; Tamura, Tomoyoshi; Liu, Jun-Min; Class, Margaret

    2008-11-06

    The Walter Reed National Surgical Quality Improvement Program Data Transfer web module integrates with medical and surgical information systems, and leverages outside standards, such as the National Library of Medicine's RxNorm, to process surgical and risk assessment data. Key components of the project included a needs assessment with nurse reviewers and a data analysis for federated (standards were locally controlled) data sources. The resulting interface streamlines nurse reviewer workflow by integrating related tasks and data.

  2. Integrated use of computer programs for analysis and optimization of aircraft structures

    Science.gov (United States)

    Moon, Young IN

    1990-01-01

    The objective is to present results from investigating the integrated use of five computer programs: ANALYZE, ASTROS, NASTRAN, OPTSTAT, and VAASEL for analysis and optimization of a given structure. The structure designated for study purposes was the F-15E vertical tail. The concept of integrated use is limited to the capability of using a NASTRAN structural model to run each of the other specified programs. This was actually accomplished in practice by converting a NASTRAN model of the designated structure into an appropriate analysis model. For optimization purposes, the torque-box of the F-15E vertical tail was used.

  3. Integrating forensically and civilly committed adult inpatients in a treatment mall program at a state hospital.

    Science.gov (United States)

    Webster, Steven L; Sheitman, Brian B; Barboriak, Peter N; Harmon, Susan H; Paesler, Betty T; Gordon, Pamela A; Kelly, Shirley Y; Geller, Jeffrey L

    2009-02-01

    This brief report presents outcome data from a 350-bed state psychiatric hospital that integrated its adult forensically and civilly committed inpatient populations within one rehabilitative program. Dorothea Dix Hospital, located in Raleigh, North Carolina, used the "treatment mall" model to offer all of its resources to all adult patients in a centralized setting. Program participation of 100 patients from two long-term civil units was compared with program participation of 94 patients from the hospital's medium- and maximum-security forensic units. The forensic patients were significantly less likely to refuse to join or to leave a group, and they were better engaged in their treatment. The use of restrictive interventions and the incidence of assault were minimal for both groups. The experience at Dorothea Dix Hospital suggests that integrating these populations in rehabilitative programming is not only fiscally responsible but also clinically promising, with no evidence of greater disruptiveness attributable to forensic patients.

  4. Integrative Review of Admission Factors Related to Associate Degree Nursing Program Success.

    Science.gov (United States)

    Olsen, Jeanette M

    2017-02-01

    High attrition in associate degree nursing (ADN) programs contributes to the nursing shortage and causes hardship for students, families, faculty, colleges, and taxpayers. The purpose of this integrative literature review is to identify admission criteria related to ADN program success to inform evidence-based admission policies and reduce attrition. Integrative review methodology, suggested by Whittemore and Knafl, was used. A systematic search of existing professional literature was conducted using five databases and key word searches. The final sample included 26 documents that were analyzed and synthesized with the matrix method. Five categories of admission criteria and factors related to success in ADN programs were revealed from the analysis of findings: academic aptitude, demographic factors, psychological hardiness, specialty skills and experience, and socioeconomic support. ADN programs with a goal of decreasing attrition may want to implement admission selection guidelines that consider applicant criteria and attributes across all five dimensions. [J Nurs Educ. 2017;56(2):85-93.]. Copyright 2017, SLACK Incorporated.

  5. In Situ Remediation Integrated Program, Evaluation and assessment of containment technology

    Energy Technology Data Exchange (ETDEWEB)

    Gerber, M.A.; Fayer, M.J.

    1994-04-01

    The In Situ Remediation Integrated Program (ISRIP) was established by the US Department of Energy (DOE) to advance the state-of-the art of innovative in situ remediation technologies to the point of demonstration and to broaden the applicability of these technologies to the widely varying site remediation requirements throughout the DOE complex. This program complements similar ongoing integrated demonstration programs being conducted at several DOE sites. The ISRIP has been conducting baseline assessments on in situ technologies to support program planning. Pacific Northwest Laboratory conducted an assessment and evaluation of subsurface containment barrier technology in support of ISRIP`s Containment Technology Subprogram. This report summarizes the results of that activity and provides a recommendation for priortizing areas in which additional research and development is needed to advance the technology to the point of demonstration in support of DOE`s site restoration activities.

  6. NIF Programs Directorate: Integrated Safety Management System Implementation Plan October 2000

    Energy Technology Data Exchange (ETDEWEB)

    Fischer, L

    2001-09-17

    Lawrence Livermore National Laboratory (LLNL) has developed a work structure that serves to ensure work is performed safely and in compliance with applicable environment, safety, and health (ES&H) requirements. Safety begins and ends with the worker ''on the floor'' conducting the work activity. The primary focus of the NIF Programs Integrated Safety Management System (ISMS) is to provide the worker with a sound work environment, necessary resources to perform the job, and adequate procedures and controls to ensure the work is performed safely. It is to this end that the ES&H roles, responsibilities, and authorities are developed and practiced. NIF Programs recognizes and understands the Department of Energy (DOE)/University of California (UC) Contract requirements for ISMS at LLNL and the opportunities and values of the system. NIF Programs understands and supports the DOE Integrated Safety Management (ISM) objective, guiding principles, core functions, and the institutional requirements contained in the LLNL ISMS Description document. NIF Programs is committed to implementing and utilizing ISMS in all of its programs, operations, facilities, and activities and to continuing to assess its successful implementation and use. NIF Programs ISMS has been developed consistent with the requirements of the ''LLNL Integrated Safety Management System Description'' document and specific ISMS implementation needs of NIF Programs. The purpose of this document is to define for NIF Programs' workers and communicate to both senior LLNL management and DOE how and where NIF Programs satisfies the institutional ISM requirements. This document consists of: (1) A NIF Programs document hierarchy that illustrates the flow of ES&H requirements from the directorate level to the worker. (2) A roles, responsibilities, and authorities section for ES&H management chain positions, (3) An ISM implementation matrix that references specific

  7. 20 CFR 641.859 - What other special rules govern the classification of costs as administrative costs or program...

    Science.gov (United States)

    2010-04-01

    ... documented distributions of actual time worked or other equitable cost allocation methods. (d) Specific costs charged to an overhead or indirect cost pool that can be identified directly as a program cost must be... classification of costs as administrative costs or program costs? 641.859 Section 641.859 Employees' Benefits...

  8. Rapid Health Care Improvement Science Curriculum Integration Across Programs in a School of Nursing.

    Science.gov (United States)

    Oliver, Brant J; Potter, Mertie; Pomerleau, Mimi; Phillips, Andrew; O'Donnell, Mimi; Cowley, Connie; Sipe, Margie

    This article describes the systematic efforts undertaken by a school of nursing in the Northeastern United States to foster innovation in health professions education. We present an application of modified team coaching and plan-do-study-act improvement methods in an educational context to rapidly integrate a quality and safety curriculum across programs. We discuss applications in generalist, advanced practice, doctoral, residency, and advanced fellowship programs and provide examples of each.

  9. ePortfolio Integration in Teacher Education Programs: Does Context Matter from a Student Perspective?

    OpenAIRE

    Ndoye, Abdou; Parker, Michele A; Albert D. Ritzhaupt

    2012-01-01

    Though ePortfolios have grown in acceptance by teacher education programs across the United States, there still remain many questions regarding whether the tools are meeting student and teacher education program needs. This chapter will address this concern by first describing ePortfolios within teacher education. Next, the chapter will present a stakeholder interaction model and identify the individuals involved in an ePortfolio system. Then, a series of integration questions will be high...

  10. Student and Faculty Perceptions of iPad Integration in a Prelicensure Program.

    Science.gov (United States)

    Rubenstein, Cynthia D; Schubert, Carolyn F

    This article provides an overview of strategies for integration of iPads into a prelicensure nursing program. The study evaluated the actual use of iPads in the classroom, skills and simulation laboratories, and clinical settings and examined the satisfaction of students and faculty with the iPad platform. The study findings provide guidance for a phased-in iPad implementation for prelicensure nursing programs.

  11. Analysis to develop a program for energy-integrated farm systems

    Energy Technology Data Exchange (ETDEWEB)

    Eakin, D.E.; Clark, M.A.; Inaba, L.K.; Johnson, K.I.

    1981-09-01

    A program to use renewable energy resources and possibly develop decentralization of energy systems for agriculture is discussed. The purpose of the research presented is to establish the objective of the program and identify guidelines for program development. The program's objective is determined by: (1) an analysis of the technologies that could be utilized to transform renewable farm resources to energy by the year 2000, (2) the quantity of renewable farm resources that are available, and (3) current energy-use patterns. Individual research, development, and demonstration projects are fit into a national program of energy-integrated farm systems on the basis of: (1) market need, (2) conversion potential, (3) technological opportunities, and (4) acceptability. Quantification of these factors for the purpose of establishing program guidelines is conducted using the following four precepts: (1) market need is identified by current use of energy for agricultural production; (2) conversion potential is determined by the availability of renewable resources; and (3) technological opportunities are determined by the state-of-the-art methods, techniques, and processes that can convert renewable resources into farm energy. Each of these factors is analyzed in Chapters 2 to 4. Chapter 5 draws on the analysis of these factors to establish the objective of the program and identify guidelines for the distribution of program funds. Chapter 6 then discusses the acceptability of integrated farm systems, which can not be quantified like the other factors.

  12. Integrative psychotherapeutic nursing home program to reduce multiple psychiatric symptoms of cognitively impaired patients and caregiver burden: randomized controlled trial

    NARCIS (Netherlands)

    Bakker, T.J.; Duivenvoorden, H.J.; Lee, J. van der; Olde Rikkert, M.G.M.; Beekman, A.T.; Ribbe, M.W.

    2011-01-01

    OBJECTIVE: To test the effectiveness of an integrative psychotherapeutic nursing home program (integrative reactivation and rehabilitation [IRR]) to reduce multiple neuropsychiatry symptoms (MNPS) of cognitively impaired patients and caregiver burden (CB). DESIGN: Randomized controlled trial.

  13. Working together – integration of information literacy in educational programs at Blekinge Institute of Technology

    Directory of Open Access Journals (Sweden)

    Jenny Gunnarsson

    2013-12-01

    • The library can, together with the Schools, create and offer IL modules adapted to the educational programs Today IL education at BTH is quite extensive, but also irregular and highly dependent on contacts with individual teachers, which makes IL education vulnerable. In order to bring this problem to light, and inspired by the Borås model (presented at Creating knowledge VI, as well as Sydostmodellen, the library at BTH contacted the Board of Education during the winter of 2012, and presented a plan on how the library and Schools at BTH could cooperate in order to integrate IL education within all educational programs. Suggestions regarding content, extent, progression, timing, assessment and learning outcomes of the IL education are the focal point of the presented plan. As the first result of the proposal, the library has been commissioned by the BTH Quality Assurance Council to review the situation regarding IL education at BTH together with the educational program directors. In cooperation with the programs, the library should also make a plan for each program on how to integrate IL education as a part of generic skills. At the conference, the following themes were addressed and discussed during our presentation: sustainability of IL education, collaboration within the academy regarding IL education and how integration of IL education at university educational programs is reflected in research on IL in general.

  14. Do Plastic Surgery Programs with Integrated Residencies or Subspecialty Fellowships Have Increased Academic Productivity?

    Science.gov (United States)

    Duquette, Stephen P.; Valsangkar, Nakul P.; Sood, Rajiv; Socas, Juan; Zimmers, Teresa A.

    2016-01-01

    Background: The aim of this study was to evaluate the effect of different surgical training pathways on the academic performance of plastic surgical divisions. Methods: Eighty-two academic parameters for 338 plastic surgeons (PS), 1737 general surgeons (GS), and 1689 specialist surgeons (SS) from the top 55 National Institutes of Health (NIH)-funded academic departments of surgery were examined using data gathered from websites, SCOPUS, and NIH Research Portfolio Online Reporting Tools. Results: The median size of a PS division was 7 faculty members. PS faculty had lower median publications (P)/citations (C) (ie, P/C) than GS and SS (PS: 25/328, GS: 35/607, and SS: 40/713, P < 0.05). Publication and citation differences were observed at all ranks: assistant professor (PS: 11/101, GS: 13/169, and SS: 19/249), associate professor (PS: 33/342, GS: 40/691, and SS: 44/780), and professor (PS: 57/968, GS: 97/2451, and SS: 101/2376). PS had a lower percentage of faculty with current/former NIH funding (PS: 13.5%, GS: 22.8%, and SS: 25.1%, P < 0.05). Academic productivity for PS faculty was improved in integrated programs. P/C for PS faculty from divisions with traditional 3-year fellowships was 19/153, integrated 6-year residency was 25/329, and both traditional and 6-year programs were 27/344, P < 0.05. Craniofacial and hand fellowships increased productivity within the integrated residency programs. P/C for programs with a craniofacial fellowship were 32/364 and for those that additionally had a hand fellowship were 45/536. PS faculty at divisions with integrated training programs also had a higher frequency of NIH funding. Conclusions: PS divisions vary in degree of academic productivity. Dramatically improved scholarly output is observed with integrated residency training programs and advanced specialty fellowships. PMID:27014543

  15. Phonological Rules

    Directory of Open Access Journals (Sweden)

    Iman Mingher Obied

    2017-03-01

    Full Text Available The study sheds light on the phonological rules as part of communication used through language. It tackles the reasons behind them, types, characteristics and functions. Finally, it focuses on conclusion that reaches at.

  16. 77 FR 74351 - Fees for Reviews of the Rule Enforcement Programs of Designated Contract Markets and Registered...

    Science.gov (United States)

    2012-12-14

    ... oversight program costs, they are in line with the pro rata percentage for that SRO of United States... recent three years, plus a pro rata share (based on average trading volume for the most recent three...

  17. Formal verification and testing: An integrated approach to validating Ada programs

    Science.gov (United States)

    Cohen, Norman H.

    1986-01-01

    An integrated set of tools called a validation environment is proposed to support the validation of Ada programs by a combination of methods. A Modular Ada Validation Environment (MAVEN) is described which proposes a context in which formal verification can fit into the industrial development of Ada software.

  18. Integrating Social Responsibility into an Entrepreneurship Education Program: A Case Study

    Science.gov (United States)

    Maistry, Suriamurthee Moonsamy; Ramdhani, Jugathambal

    2010-01-01

    Entrepreneurship education in South Africa is often presented as a neutral discipline. Yet fundamental to any entrepreneurship education program should be the integration of key issues, such as ethics, values and social responsibility. This paper reports on a study that set out to explore student teachers experiences of engaging in an…

  19. 10 CFR 70.62 - Safety program and integrated safety analysis.

    Science.gov (United States)

    2010-01-01

    ... to the technology of the process, and information pertaining to the equipment in the process. (c... have experience in nuclear criticality safety, radiation safety, fire safety, and chemical process... this safety program; namely, process safety information, integrated safety analysis, and management...

  20. Integrating Instructional Technology into a Teacher Education Program: A Three-Tiered Approach

    Science.gov (United States)

    Truesdell, Elizabeth; Birch, Rebecca

    2013-01-01

    This project description examines how a teacher education program integrated new instructional technology through the creation of a Technology Facilitator position in the department. The project proceeded through a three-tiered system of learning "literacy" to establish a knowledge base amongst faculty members, "augmenting"…

  1. Vertical and Horizontal Integration of Laboratory Curricula and Course Projects across the Electronic Engineering Technology Program

    Science.gov (United States)

    Zhan, Wei; Goulart, Ana; Morgan, Joseph A.; Porter, Jay R.

    2011-01-01

    This paper discusses the details of the curricular development effort with a focus on the vertical and horizontal integration of laboratory curricula and course projects within the Electronic Engineering Technology (EET) program at Texas A&M University. Both software and hardware aspects are addressed. A common set of software tools are…

  2. Integrating Science in Applied Psychology Programs: A Student-Operated Journal

    Science.gov (United States)

    Antonius, Daniel; Brown, Adam D.; Todman, McWelling; Safran, Jeremy D.

    2007-01-01

    As a requirement of APA accreditation, many PhD programs in applied psychology subscribe to some variant of the scientist-practitioner model. However, critics have argued that integrating science into an applied psychology curriculum may be too challenging a task. This article describes the development of The New School Psychology Bulletin, a…

  3. Curriculum-Integrated Information Literacy (CIIL) in a Community College Nursing Program: A Practical Model

    Science.gov (United States)

    Argüelles, Carlos

    2016-01-01

    This article describes a strategy to integrate information literacy into the curriculum of a nursing program in a community college. The model is articulated in four explained phases: preparatory, planning, implementation, and evaluation. It describes a collaborative process encouraging librarians to work with nursing faculty, driving students to…

  4. A Integracao de Ensino das Ciencias da Saude (An Integrated Medical Education Program [in Brazil]).

    Science.gov (United States)

    Pourchet-Campos, M. A.; Guimaraes Junior, Paulino

    At the Sixth Annual Reunion of the Brazilian Association of Medical Schools (VI Reuniao Anual da Associacao Brasileira de Escolas Medicas) leaders in the Brazilian medical profession proposed an integrated educational program for training students in the fields of medicine and public health. Under Brazil's present system of education, all…

  5. Preparing Teachers for Technology Integration: Programs, Competencies, and Factors from the Literature

    Science.gov (United States)

    Oliver, Kevin; Townsend, Latricia

    2013-01-01

    This article presents a review of recent literature about preparing teachers for technology integration. The review found six types of training programs are commonly implemented: pre-service training, long-term courses, short-term workshops and institutes, coaching/mentoring, learning communities, and product/assessment approaches. The review…

  6. Integrating Clinical Experiences in a TESOL Teacher Education Program: Curriculum Mapping as Process

    Science.gov (United States)

    Baecher, Laura

    2012-01-01

    Across all certification areas, teacher education is being challenged to better integrate clinical experiences with coursework. This article describes the process of curriculum mapping and its impact on the organization of clinical experiences in a master's TESOL program over a 1-year redesign process. Although curriculum mapping has been employed…

  7. Work-Integrated Learning Process in Tourism Training Programs in Vietnam: Voices of Education and Industry

    Science.gov (United States)

    Khuong, Cam Thi Hong

    2016-01-01

    This paper addresses the work-integrated learning (WIL) initiative embedded in selected tourism training programs in Vietnam. The research was grounded on the framework of stakeholder ethos. Drawing on tourism training curriculum analysis and interviews with lecturers, institutional leaders, industry managers and internship supervisors, this study…

  8. Integrating naive Bayes and FOIL

    OpenAIRE

    Landwehr, Niels; Kersting, Kristian; De Raedt, Luc

    2007-01-01

    A novel relational learning approach that tightly integrates the naive Bayes learning scheme with the inductive logic programming rule-learner FOIL is presented. In contrast to previous combinations that have employed naive Bayes only for post-processing the rule sets, the presented approach employs the naive Bayes criterion to guide its search directly. The proposed technique is implemented in the NFOIL and TFOIL systems, which employ standard naive Bayes and tree augmented naive Bayes model...

  9. Integration of Digital Dentistry into a Predoctoral Implant Program: Program Description, Rationale, and Utilization Trends.

    Science.gov (United States)

    Afshari, Fatemeh S; Sukotjo, Cortino; Alfaro, Maria F; McCombs, Jeri; Campbell, Stephen D; Knoernschild, Kent L; Yuan, Judy Chia-Chun

    2017-08-01

    A recently revised predoctoral implant curriculum at the University of Illinois at Chicago College of Dentistry integrated digital dentistry into both the preclinical dental implant course and clinical activities. Traditionally, competence in the didactic and clinical parts of predoctoral education in single tooth implant restorations has emphasized the analog impression technique and subsequent mounting of soft tissue working casts. However, computer-aided design/computer-aided manufacturing (CAD/CAM) implant restorations can play a significant role in predoctoral dental education utilizing digital technologies. The goal of the curriculum expansion is to transition from analog to partially digital and, finally, complete digital workflow. The aim of this article is to describe the specific components, implementation, and rationale for the new digitally integrated implant curriculum and present short-term clinical utilization trends.

  10. Site selection for managed aquifer recharge using fuzzy rules: integrating geographical information system (GIS) tools and multi-criteria decision making

    Science.gov (United States)

    Malekmohammadi, Bahram; Ramezani Mehrian, Majid; Jafari, Hamid Reza

    2012-11-01

    One of the most important water-resources management strategies for arid lands is managed aquifer recharge (MAR). In establishing a MAR scheme, site selection is the prime prerequisite that can be assisted by geographic information system (GIS) tools. One of the most important uncertainties in the site-selection process using GIS is finite ranges or intervals resulting from data classification. In order to reduce these uncertainties, a novel method has been developed involving the integration of multi-criteria decision making (MCDM), GIS, and a fuzzy inference system (FIS). The Shemil-Ashkara plain in the Hormozgan Province of Iran was selected as the case study; slope, geology, groundwater depth, potential for runoff, land use, and groundwater electrical conductivity have been considered as site-selection factors. By defining fuzzy membership functions for the input layers and the output layer, and by constructing fuzzy rules, a FIS has been developed. Comparison of the results produced by the proposed method and the traditional simple additive weighted (SAW) method shows that the proposed method yields more precise results. In conclusion, fuzzy-set theory can be an effective method to overcome associated uncertainties in classification of geographic information data.

  11. Process safety management in the pipeline industry: parallels and differences between the pipeline integrity management (IMP) rule of the Office of Pipeline Safety and the PSM/RMP approach for process facilities.

    Science.gov (United States)

    DeWolf, Glenn B

    2003-11-14

    In 2001, the Federal Office of Pipeline Safety promulgated its pipeline integrity management rule for hazardous liquid pipelines. A notice of proposed rule making for a similar rule for gas pipelines was issued in January 2003. A final rule must be in place by the end of 2003. These rules derive from formal risk management initiatives of both the pipeline industry and the regulators beginning in the early to mid-1990s. The initiatives and resulting rules built on many of the process safety and risk management concepts and frameworks of the process industries, as modified for pipelines. Looking closely at the parallels and the differences is an interesting study of how the technical, public and industry-specific requirements affect the types of regulations, supporting management system frameworks and the technical activities for improving hazardous materials process safety. This paper is based on the experience of the author in project work with federal and state regulators and with industry groups and companies, in both the process and pipeline industries over the last 17 years. It provides insights into various alternative pathways for communicating process safety concepts and improving process safety as the concepts are translated into specific company and even individual employee actions. It specifically highlights how the commonalities and differences in the types and configurations of physical assets and operating practices of the pipeline companies and process facilities affect respective cultures, language and actions for process safety management.

  12. National strategy for the integration of pharmacovigilance in the Moroccan TB Control Program.

    Science.gov (United States)

    Tanani, Driss Soussi; Serragui, Samira; Hammi, Sanae; Moussa, Latifa Ait; Soulaymani, Abdelmajid; Soulaymani, Rachida; Cherrah, Yahia

    2017-01-01

    The objective of this work is to demonstrate the interest of integration of pharmacovigilance in Moroccan Tuberculosis Control Program (MTCP). The integration of pharmacovigilance in MTCP was conducted in October 2012with the Global Fund support. We compared the reports notified before and after this integration (period 1: January 2010-October2012; period 2: October 2012-December 2013). The detection of signals was based on the Information Component available inVigiMine. We used the SPSS version 10.0 and Med Calc version 7.3 for data analysis. The average number of spontaneous reports increased from 3.6 to 37.4 cases/month (Ppharmacovigilance in Moroccan Tuberculosis Control Program improved the management of ADRs and detected new signals of antituberculosis drugs.

  13. Longitudinal integration of cultural components into a physician assistant program's clinical year may improve cultural competency.

    Science.gov (United States)

    Bahrke, Barbara; De Oliveira, Kathleen; Scheel, Matthew H; Beck, Barbra; Hopp, Jane

    2014-01-01

    This study assessed the efficacy of longitudinal integration of cultural components into the clinical year of a 2-year master of science in physician assistant studies (MSPAS) program. Students submitted cultural reflection papers, gave a medical case/cultural presentation, and participated in cultural awareness discussion groups throughout the clinical year. Students completed the same cultural awareness survey at the conclusion of their clinical year that they had completed at benchmarked intervals during their didactic year. Additionally, cultural competency was assessed during the students' summative objective structured clinical examination (OSCE) using a combination of the program's objectives and established professional standards. Qualitative data suggested that students recognized the importance of cultural competency in providing quality patient care and recognized that remaining culturally competent is an ongoing process. Linear trend analyses revealed significant positive relationships between survey response scores and time in the program. The OSCE's cultural assessment scores indicated cultural competency in broad, general categories, but scores declined as cultural categories narrowed and became more detailed. Continued integration of cultural awareness training and assessment throughout the clinical year of a physician assistant (PA) program may have a positive impact on improving cultural competency. PA programs seeking to improve cultural competency in their students should consider continued integration of cultural components throughout the clinical year.

  14. US Department of Energy Integrated Resource Planning Program: Accomplishments and opportunities

    Energy Technology Data Exchange (ETDEWEB)

    White, D.L. [Oak Ridge National Lab., TN (United States); Mihlmester, P.E. [Aspen Systems Corp., Oak Ridge, TN (United States)

    1993-12-17

    The US Department of Energy Integrated Resource Planning Program supports many activities and projects that enhance the process by which utilities assess demand and supply options and, subsequently, evaluate and select resources. The US Department of Energy program coordinates integrated resource planning in risk and regulatory analysis; utility and regional planning; evaluation and verification; information transfer/technological assistance; and demand-side management. Professional staff from the National Renewable Energy Laboratory, Oak Ridge National Laboratory, Lawrence Berkeley Laboratory, and Pacific Northwest Laboratories collaborate with peers and stakeholders, in particular, the National Association of Regulatory Utility Commissioners, and conduct research and activities for the US Department of Energy. Twelve integrated resource planning activities and projects are summarized in this report. The summaries reflect the diversity of planning and research activities supported by the Department. The summaries also reflect the high levels of collaboration and teaming that are required by the Program and practiced by the researchers. It is concluded that the Program is achieving its objectives by encouraging innovation and improving planning and decision making. Furthermore, as the Department continues to implement planned improvements in the Program, the Department is effectively positioned to attain its ambitious goals.

  15. Integrated neuroscience program: an alternative approach to teaching neurosciences to chiropractic students.

    Science.gov (United States)

    He, Xiaohua; La Rose, James; Zhang, Niu

    2009-01-01

    Most chiropractic colleges do not offer independent neuroscience courses because of an already crowded curriculum. The Palmer College of Chiropractic Florida has developed and implemented an integrated neuroscience program that incorporates neurosciences into different courses. The goals of the program have been to bring neurosciences to students, excite students about the interrelationship of neuroscience and chiropractic, improve students' understanding of neuroscience, and help the students understand the mechanisms underpinning the chiropractic practice. This study provides a descriptive analysis on how the integrated neuroscience program is taught via students' attitudes toward neuroscience and the comparison of students' perceptions of neuroscience content knowledge at different points in the program. A questionnaire consisting of 58 questions regarding the neuroscience courses was conducted among 339 students. The questionnaire was developed by faculty members who were involved in teaching neuroscience and administered in the classroom by faculty members who were not involved in the study. Student perceptions of their neuroscience knowledge, self-confidence, learning strategies, and knowledge application increased considerably through the quarters, especially among the 2nd-year students. The integrated neuroscience program achieved several of its goals, including an increase in students' confidence, positive attitude, ability to learn, and perception of neuroscience content knowledge. The authors believe that such gains can expand student ability to interpret clinical cases and inspire students to become excited about chiropractic research. The survey provides valuable information for teaching faculty to make the course content more relevant to chiropractic students.

  16. Implementation of an integrity management program in a crude oil pipeline system

    Energy Technology Data Exchange (ETDEWEB)

    Martinez, Maria; Tomasella, Marcelo [Oleoductos del Valle, General Roca (Argentina); Rossi, Juan; Pellicano, Adolfo [SINTEC S.A. , Mar del Plata, Buenos Aires (Argentina)

    2005-07-01

    The implementation of an Integrity Management Program (IMP) in a crude oil pipeline system is focused on the accomplishment of two primary corporative objectives: to increase safety operation margins and to optimize available resources. A proactive work philosophy ensures the safe and reliable operation of the pipeline in accordance with current legislation. The Integrity Management Program is accomplished by means of an interdisciplinary team that defines the strategic objectives that complement and are compatible with the corporative strategic business plan. The implementation of the program is based on the analysis of the risks due to external corrosion, third party damage, design and operations, and the definition of appropriate mitigation, inspection and monitoring actions, which will ensure long-term integrity of the assets. By means of a statistical propagation model of the external defects, reported by high-resolution magnetic inspection tool (MFL), together with the information provided by corrosion sensors, field repair interventions, close internal surveys and operation data, projected defect depth; remaining strength and failure probability distributions were obtained. From the analysis, feasible courses of action were established, including the inspection and repair plan, the internal inspection program and both corrosion monitoring and mitigation programs. (author)

  17. Planning integration FY 1995 Multi-Year Program Plan (MYPP)/Fiscal Year Work Plan (FYWP)

    Energy Technology Data Exchange (ETDEWEB)

    1994-09-01

    This Multi-Year Program Plan (MYPP) for the Planning Integration Program, Work Breakdown structure (WBS) Element 1.8.2, is the primary management tool to document the technical, schedule, and cost baseline for work directed by the US Department of Energy (DOE), Richland Operations Office (RL). As an approved document, it establishes a binding agreement between RL and the performing contractors for the work to be performed. It was prepared by the Westinghouse Hanford Company (WHC) and the Pacific Northwest Laboratory (PNL). This MYPP provides a picture from fiscal year 1995 through FY 2001 for the Planning Integration Program. The MYPP provides a window of detailed information for the first three years. It also provides `execution year` work plans. The MYPP provides summary information for the next four years, documenting the same period as the Activity Data Sheets.

  18. Developing the Adversity Quotient of Mathayomsuksa 3 Students using the Integrated Group Counseling Program

    Directory of Open Access Journals (Sweden)

    Pantheetra Samart

    2017-11-01

    Full Text Available The purposes of this study were (1 to study the definitions, and components of the adversity quotient ; (2 to develop the integrated group counseling program ; and, (3 to compare the results of using the integrated group counseling program to develop the adversity quotient of students. The samples of study consisted of 16 students who enrolled in Mathayomsuksa 3 in an academic year 2015 at Mahasarakham University Demonstration School (secondary. They were randomly selected and divided into two groups: an experimental group and a control group, each of which contained 8 students. The instruments were the 5 rating scale adversity quotient test, integrated group counseling program, behavioral observation and recording form. The data were analyzed by using the Friedman Test, the Wilcoxon Match Pair Signed – Ranks Test and the Mann - Whitney U – Test, respectively. The results of this study indicated that the adversity quotient was defined as the expression of the students on understanding, embracing and responsibility to the adversity, planning and controlling to deal the adversity with patience, perseverance and overcoming the adversity There were four components of the adversity quotient, that is, controlling, responsibility, adversity accessing and analyzing, and motivation and patience. These components were put in the integrated group counseling program to develop the adversity quotient of students. This program was validated by the experts with known appropriate values of 4.00 to 4.80 and standard deviation values of 0.00 to 0.89. After this program was implemented, it was found that the mean scores of the adversity quotient in the experimental group after participating in the program were higher than those before participating in the program at the statistically significance level of .05. When considering the retention behaviors, it was found that the mean scores of the adversity quotient in the experimental group during the follow-up 1

  19. Crispen's Five Antivirus Rules.

    Science.gov (United States)

    Crispen, Patrick Douglas

    2000-01-01

    Explains five rules to protect computers from viruses. Highlights include commercial antivirus software programs and the need to upgrade them periodically (every year to 18 months); updating virus definitions at least weekly; scanning attached files from email with antivirus software before opening them; Microsoft Word macro protection; and the…

  20. Crispen's Five Antivirus Rules.

    Science.gov (United States)

    Crispen, Patrick Douglas

    2000-01-01

    Provides rules for protecting computers from viruses, Trojan horses, or worms. Topics include purchasing commercial antivirus programs and keeping them updated; updating virus definitions weekly; precautions before opening attached files; macro virus protection in Microsoft Word; and precautions with executable files. (LRW)

  1. Medicare and Medicaid Programs; CY 2017 Home Health Prospective Payment System Rate Update; Home Health Value-Based Purchasing Model; and Home Health Quality Reporting Requirements. Final rule.

    Science.gov (United States)

    2016-11-03

    This final rule updates the Home Health Prospective Payment System (HH PPS) payment rates, including the national, standardized 60-day episode payment rates, the national per-visit rates, and the non-routine medical supply (NRS) conversion factor; effective for home health episodes of care ending on or after January 1, 2017. This rule also: Implements the last year of the 4-year phase-in of the rebasing adjustments to the HH PPS payment rates; updates the HH PPS case-mix weights using the most current, complete data available at the time of rulemaking; implements the 2nd-year of a 3-year phase-in of a reduction to the national, standardized 60-day episode payment to account for estimated case-mix growth unrelated to increases in patient acuity (that is, nominal case-mix growth) between CY 2012 and CY 2014; finalizes changes to the methodology used to calculate payments made under the HH PPS for high-cost "outlier" episodes of care; implements changes in payment for furnishing Negative Pressure Wound Therapy (NPWT) using a disposable device for patients under a home health plan of care; discusses our efforts to monitor the potential impacts of the rebasing adjustments; includes an update on subsequent research and analysis as a result of the findings from the home health study; and finalizes changes to the Home Health Value-Based Purchasing (HHVBP) Model, which was implemented on January 1, 2016; and updates to the Home Health Quality Reporting Program (HH QRP).

  2. Analisis Efektivitas Perangkat pada Program Desa Broadband Terpadu [Analysis of Device Effectiveness in Integrated Broadband Village Program

    Directory of Open Access Journals (Sweden)

    Hilarion Hamjen

    2016-12-01

    Full Text Available Pemerintah berkomitmen mendukung pertumbuhan e-commerce dan ekonomi digital di Indonesia untuk mencapai visi Indonesia 2020 sebagai negara ekonomi digital terbesar di Asia Tenggara. Secara fundamental diperlukan dukungan konektivitas nasional dari tingkat pusat sampai ke tingkat lokal, salah satunya melalui program KPU/USO yaitu program DBT (Desa Broadband Terpadu. Penelitian ini bertujuan untuk mengetahui efektivitas perangkat pada program DBT phase 1 dan keterkaitannya dengan konektivitas, dengan menggunakan metode analisis kepentingan kinerja dan uji statistik Chi square. Berdasarkan hasil penelitian diketahui bahwa efektivitas perangkat meliputi variabel kondisi, fungsi, pemeliharaan dan pemanfaatan rata-rata adalah 84,5 persen. Dengan nilai efektivitas tersebut diketahui bahwa keseluruhan variabel kondisi perangkat, fungsi dan pemanfaatannya tidak mempengaruhi konektivitas.  *****The Indonesian government has a strong commitment in supporting the growth of e-commerce and Digital Economy in Indonesia to attain Indonesia’s vision by 2020 as the largest digital economy nation in Southeast Asia. Fundamentally, the national connectivity supports from central level to local level are needed, where one of them comes from Integrated Broadband Village program. This research determines the effectiveness of devices in the DBT program and its correlation to the connectivity, by using importance-performance analysis method and Chi-square statistical test. It is known from the result that the effectiveness of devices, including condition, function, maintenance, and utilization variables, achieves 84.5 percent on average. The value shows that all mentioned variables have insignificant correlations to the connectivity.

  3. A Program to Protect Integrity of Body-Mind-Spirit: Mindfulness Based Stress Reduction Program

    Directory of Open Access Journals (Sweden)

    Oznur Korukcu

    2015-03-01

    Full Text Available Mindfulness-based applications allow health care staffs to understand themselves as well as other individuals. Awareness based applications are not only stress reduction techniques but also a way of understanding the life and human existence, and it should not be only used to cope with the diseases. Emotions, thoughts and judgments of people might give direction to their life sometimes. Accessing a life without judgment and negative feelings brings a peaceful and happy life together. Mindfulness based stress reduction exercises may help to enjoy the present time, to cope with the challenges, stress and diseases and accept the negative life experiences rather than to question their reasons. About three decades ago, Kabat-Zin conducted the first investigation of Mindfulness-Based Stress Reduction program which is used commonly all around the world. The 8-weeks program, which contains mindful living exercises (such as eating, walking, cooking, etc., yoga, body scan and meditation practices, requires doing daily life activity and meditation with attention, openness and acceptance. The aim of this review article is to give information about Mindfulness Based Stress Reduction program and to emphasize its importance. [Psikiyatride Guncel Yaklasimlar - Current Approaches in Psychiatry 2015; 7(1: 68-80

  4. Integrating Buprenorphine Into an Opioid Treatment Program: Tailoring Care for Patients With Opioid Use Disorders

    Science.gov (United States)

    Polydorou, Soteri; Ross, Stephen; Coleman, Peter; Duncan, Laura; Roxas, Nichole; Thomas, Anil; Mendoza, Sonia; Hansen, Helena

    2016-01-01

    Objectives This report identifies the institutional barriers to, and benefits of, buprenorphine maintenance treatment (BMT) integration in an established hospital-based opioid treatment program (OTP). Methods This case study presents the authors’ experiences at the clinic, hospital, and corporation levels during efforts to integrate BMT into a hospital-based OTP in New York City and a descriptive quantitative analysis of the characteristics of hospital outpatients treated with buprenorphine from 2006 to 2013 (N=735). Results Integration of BMT into an OTP offered patients the flexibility to transition between intensive structured care and primary care or outpatient psychiatry according to need. Main barriers encountered were regulations, clinical logistics of dispensing medications, internal cost and reimbursement issues, and professional and cultural resistance. Conclusions Buprenorphine integration offers a model for other OTPs to facilitate partnerships among primary care and mental health clinics to better serve diverse patients with varying clinical needs and with varying levels of social support. PMID:27745534

  5. Human Research Program Integrated Research Plan: December 20, 2007, Interim Baseline

    Science.gov (United States)

    2008-01-01

    The Human Research Program (HRP) delivers human health and performance countermeasures, knowledge, technologies, and tools to enable safe, reliable, and productive human space exploration. This Integrated Research Plan (IRP) describes the program s research activities that are intended to address the needs of human space exploration and serve HRP customers. The timescale of human space exploration is envisioned to take many decades. The IRP illustrates the program s research plan through the timescale of early lunar missions of extended duration. The document serves several purposes for the Human Research Program: The IRP provides a means to assure that the most significant risks to human space explorers are being adequately mitigated and/or addressed, The IRP shows the relationship of research activities to expected outcomes and need dates, The IRP shows the interrelationships among research activities that may interact to produce products that are integrative or cross defined research disciplines, The IRP illustrates the non-deterministic nature of research and technology activities by showing expected decision points and potential follow-on activities, The IRP shows the assignments of responsibility within the program organization and, as practical, the intended solicitation approach, The IRP shows the intended use of research platforms such as the International Space Station, NASA Space Radiation Laboratory, and various space flight analogs. The IRP does not show all budgeted activities of the Human research program, as some of these are enabling functions, such as management, facilities and infrastructure

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

    Science.gov (United States)

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

    2009-01-01

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

  7. Educating Social Workers for Practice in Integrated Health Care: A Model Implemented in a Graduate Social Work Program

    Science.gov (United States)

    Mattison, Debra; Weaver, Addie; Zebrack, Brad; Fischer, Dan; Dubin, Leslie

    2017-01-01

    This article introduces a curricular innovation, the Integrated Health Scholars Program (IHSP), developed to prepare master's-level social work students for practice in integrated health care settings, and presents preliminary findings related to students' self-reported program competencies and perceptions. IHSP, implemented in a…

  8. An Integrated Constraint Programming Approach to Scheduling Sports Leagues with Divisional and Round-robin Tournaments

    Energy Technology Data Exchange (ETDEWEB)

    Carlsson, Mats; Johansson, Mikael; Larson, Jeffrey

    2014-01-01

    Previous approaches for scheduling a league with round-robin and divisional tournaments involved decomposing the problem into easier subproblems. This approach, used to schedule the top Swedish handball league Elitserien, reduces the problem complexity but can result in suboptimal schedules. This paper presents an integrated constraint programming model that allows to perform the scheduling in a single step. Particular attention is given to identifying implied and symmetry-breaking constraints that reduce the computational complexity significantly. The experimental evaluation of the integrated approach takes considerably less computational effort than the previous approach.

  9. Progress and status of the Integral Fast Reactor (IFR) development program

    Energy Technology Data Exchange (ETDEWEB)

    Chang, Yoon I.

    1992-01-01

    In the Integral Fast Reactor (IFR) development program, the entire reactor system -- reactor, fuel cycle, and waste process is being developed and optimized at the same time as a single integral entity. The ALMR reactor plant design is being developed by an industrial team headed by General Electric and is presented in a companion paper. Detailed discussions on the present status of the IFR technology development activities in the areas of fuels, pyroprocessing, safety, core design, and fuel cycle demonstration are presented in the other two companion papers that follows this.

  10. Progress and status of the Integral Fast Reactor (IFR) development program

    Energy Technology Data Exchange (ETDEWEB)

    Chang, Yoon I.

    1992-04-01

    In the Integral Fast Reactor (IFR) development program, the entire reactor system -- reactor, fuel cycle, and waste process is being developed and optimized at the same time as a single integral entity. The ALMR reactor plant design is being developed by an industrial team headed by General Electric and is presented in a companion paper. Detailed discussions on the present status of the IFR technology development activities in the areas of fuels, pyroprocessing, safety, core design, and fuel cycle demonstration are presented in the other two companion papers that follows this.

  11. Integrated Data Collection Analysis (IDCA) Program — IDCA Quarterly Program Review, September 14 and 15, 2010

    Energy Technology Data Exchange (ETDEWEB)

    Sandstrom, Mary M. [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Brown, Geoffrey W. [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Warner, Kirstin F. [Naval Surface Warfare Center (IHD-NSWC), Indian Head, MD (United States). Indian Head Division; Remmers, Daniel L. [Naval Surface Warfare Center (IHD-NSWC), Indian Head, MD (United States). Indian Head Division; Shelley, Timothy J. [Air Force Research Lab. (AFRL/RXQF), Tyndall AFB, FL (United States); Reyes, Jose A. [Applied Research Associates, Inc., Tyndall AFB, FL (United States); Hsu, Peter C. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Reynolds, John G. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States)

    2012-02-07

    The IDCA conducted a program review at Los Alamos National Laboratory, September 14 and 15, 2010. The review was divided into three parts: 1) an update on the current status of the program, 2) an information exchange and discussion on technical details for current issues and future planning, and 3) a tour of the SSST testing facilities at LANL. The meeting started with an update from DHS by Laura Parker and a restating of some of the objectives of the Proficiency Test of which the IDCA is currently engaged. This update was followed by a discussion of some high level programmatic issues particularly about ways of communicating the overall goals of the IDCA to non-technical representatives. The final topic focused on the difficulty of releasing information, including the DHS approval process, ITAR, and open publication. Next JGR presented a technical summary of accomplishments, schedule, milestones, and future directions. These key points made were: 1) about 1/3 of the materials have been tested, 2) some participants are behind others causing a lag in report writing, 3) method reports have been assigned to various participants to speed up the process of reporting, 4) the SSST Compendium needs reformatting and restructuring, and 5) the Compendium needs a web site to house with access control. After the technical update, some of the Proficiency Test results were shown comparing data from the various laboratories. These results included comparisons of the RDX standard, KC/sugar mixtures (-100 mesh and as received), KC/dodecane, KP/Al, and KP/C. Impact, friction, ESD, and DSC results were the focus. All the participants were involved in these discussions. This report includes summary notes, presentations, and explanatory information.

  12. 34 CFR 425.1 - What is the Demonstration Projects for the Integration of Vocational and Academic Learning Program?

    Science.gov (United States)

    2010-07-01

    ... 34 Education 3 2010-07-01 2010-07-01 false What is the Demonstration Projects for the Integration... EDUCATION DEMONSTRATION PROJECTS FOR THE INTEGRATION OF VOCATIONAL AND ACADEMIC LEARNING PROGRAM General § 425.1 What is the Demonstration Projects for the Integration of Vocational and Academic Learning...

  13. 49 CFR 192.915 - What knowledge and training must personnel have to carry out an integrity management program?

    Science.gov (United States)

    2010-10-01

    ...: MINIMUM FEDERAL SAFETY STANDARDS Gas Transmission Pipeline Integrity Management § 192.915 What knowledge... to the integrity management program possesses and maintains a thorough knowledge of the integrity... 49 Transportation 3 2010-10-01 2010-10-01 false What knowledge and training must personnel have to...

  14. Renewable Fuel Standard (RFS2): Final Rule Additional Resources

    Science.gov (United States)

    The final rule of fuels and fuel additives: renewable fuel standard program is published on March 26, 2010 and is effective on July 1, 2010. You will find the links to this final rule and technical amendments supporting this rule.

  15. Mixed Waste Integrated Program: A technology assessment for mercury-containing mixed wastes

    Energy Technology Data Exchange (ETDEWEB)

    Perona, J.J.; Brown, C.H.

    1993-03-01

    The treatment of mixed wastes must meet US Environmental Protection Agency (EPA) standards for chemically hazardous species and also must provide adequate control of the radioactive species. The US Department of Energy (DOE) Office of Technology Development established the Mixed Waste Integrated Program (MWIP) to develop mixed-waste treatment technology in support of the Mixed Low-Level Waste Program. Many DOE mixed-waste streams contain mercury. This report is an assessment of current state-of-the-art technologies for mercury separations from solids, liquids, and gases. A total of 19 technologies were assessed. This project is funded through the Chemical-Physical Technology Support Group of the MWIP.

  16. Integrating the Jewish Dietary Laws into a dietetics program. Kashruth in a dietetics curriculum.

    Science.gov (United States)

    Natow, A B; Heslin, J A; Raven, B C

    1975-07-01

    A clinical and community dietetics program integrates Kashruth, the Jewish Dietary Laws, into its curriculum. Simply defined, kosher means fit for consumption. Emblems used throughout the United States and Canada to indicate a program of rabbinic endoresment and supervision of canned, boxed, and bottled products are included. An existing kosher unit is described, and guidelines for establishing a kosher food science laboratory unit are offered. Suggestions for instituting kosher foodservice in health care facilities are given. Therapeutic applications of Kashruth are suggested, and approved therapeutic food products are listed.

  17. Annual Report of the Integrated Status and Effectiveness Monitoring Program: Fiscal Year 2008

    Energy Technology Data Exchange (ETDEWEB)

    Terraqua, Inc. (Wauconda, WA)

    2009-07-20

    This document was created as an annual report detailing the accomplishments of the Integrated Status and Effectiveness Monitoring Program (ISEMP) in the Upper Columbia Basin in fiscal year 2008. The report consists of sub-chapters that reflect the various components of the program. Chapter 1 presents a report on programmatic coordination and accomplishments, and Chapters 2 through 4 provide a review of how ISEMP has progressed during the 2008 fiscal year in each of the pilot project subbasins: the John Day (Chapter 2), Wenatchee/Entiat (Chapter 3) and Salmon River (Chapter 4). Chapter 5 presents a report on the data management accomplishments in 2008.

  18. Space station integrated propulsion and fluid systems study. Space station program fluid management systems databook

    Science.gov (United States)

    Bicknell, B.; Wilson, S.; Dennis, M.; Lydon, M.

    1988-01-01

    Commonality and integration of propulsion and fluid systems associated with the Space Station elements are being evaluated. The Space Station elements consist of the core station, which includes habitation and laboratory modules, nodes, airlocks, and trusswork; and associated vehicles, platforms, experiments, and payloads. The program is being performed as two discrete tasks. Task 1 investigated the components of the Space Station architecture to determine the feasibility and practicality of commonality and integration among the various propulsion elements. This task was completed. Task 2 is examining integration and commonality among fluid systems which were identified by the Phase B Space Station contractors as being part of the initial operating capability (IOC) and growth Space Station architectures. Requirements and descriptions for reference fluid systems were compiled from Space Station documentation and other sources. The fluid systems being examined are: an experiment gas supply system, an oxygen/hydrogen supply system, an integrated water system, the integrated nitrogen system, and the integrated waste fluids system. Definitions and descriptions of alternate systems were developed, along with analyses and discussions of their benefits and detriments. This databook includes fluid systems descriptions, requirements, schematic diagrams, component lists, and discussions of the fluid systems. In addition, cost comparison are used in some cases to determine the optimum system for a specific task.

  19. Narrowing the Retention Gap of High School Females in an Integrated STEM Program

    Science.gov (United States)

    Seigworth, Clifton F.

    This study examined the differences in the overall sense of belonging of female high school students in an integrated STEM program in comparison to gender, ethnicity, and socio-economic status. The researcher surveyed female and male students in grades 8 through 12 to determine if there were differences in attitudes toward STEM. Additionally, the researcher assessed the STEM teachers to determine if a relationship existed between the teachers' years of experience and level of education to their self-efficacy and attitudes pertaining to STEM. Lastly, the administrators and counselors of both the middle and high schools were surveyed using a written evaluation to understand and gain their perspective of an integrated STEM program with regard to increasing female participation in STEM-related courses.

  20. Constellation Program Human-System Integration Requirements. Revision E, Nov. 19, 2010

    Science.gov (United States)

    Dory, Jonathan

    2010-01-01

    The Human-Systems Integration Requirements (HSIR) in this document drive the design of space vehicles, their systems, and equipment with which humans interface in the Constellation Program (CxP). These requirements ensure that the design of Constellation (Cx) systems is centered on the needs, capabilities, and limitations of the human. The HSIR provides requirements to ensure proper integration of human-to-system interfaces. These requirements apply to all mission phases, including pre-launch, ascent, Earth orbit, trans-lunar flight, lunar orbit, lunar landing, lunar ascent, Earth return, Earth entry, Earth landing, post-landing, and recovery. The Constellation Program must meet NASA's Agency-level human rating requirements, which are intended to ensure crew survival without permanent disability. The HSIR provides a key mechanism for achieving human rating of Constellation systems.

  1. Glutaminolysis and Fumarate Accumulation Integrate Immunometabolic and Epigenetic Programs in Trained Immunity.

    Science.gov (United States)

    Arts, Rob J W; Novakovic, Boris; Ter Horst, Rob; Carvalho, Agostinho; Bekkering, Siroon; Lachmandas, Ekta; Rodrigues, Fernando; Silvestre, Ricardo; Cheng, Shih-Chin; Wang, Shuang-Yin; Habibi, Ehsan; Gonçalves, Luís G; Mesquita, Inês; Cunha, Cristina; van Laarhoven, Arjan; van de Veerdonk, Frank L; Williams, David L; van der Meer, Jos W M; Logie, Colin; O'Neill, Luke A; Dinarello, Charles A; Riksen, Niels P; van Crevel, Reinout; Clish, Clary; Notebaart, Richard A; Joosten, Leo A B; Stunnenberg, Hendrik G; Xavier, Ramnik J; Netea, Mihai G

    2016-12-13

    Induction of trained immunity (innate immune memory) is mediated by activation of immune and metabolic pathways that result in epigenetic rewiring of cellular functional programs. Through network-level integration of transcriptomics and metabolomics data, we identify glycolysis, glutaminolysis, and the cholesterol synthesis pathway as indispensable for the induction of trained immunity by β-glucan in monocytes. Accumulation of fumarate, due to glutamine replenishment of the TCA cycle, integrates immune and metabolic circuits to induce monocyte epigenetic reprogramming by inhibiting KDM5 histone demethylases. Furthermore, fumarate itself induced an epigenetic program similar to β-glucan-induced trained immunity. In line with this, inhibition of glutaminolysis and cholesterol synthesis in mice reduced the induction of trained immunity by β-glucan. Identification of the metabolic pathways leading to induction of trained immunity contributes to our understanding of innate immune memory and opens new therapeutic avenues. Copyright © 2016 Elsevier Inc. All rights reserved.

  2. Integration of simulation in postgraduate studies in Saudi Arabia: The current practice in anesthesia training program

    Science.gov (United States)

    Arab, Abeer; Alatassi, Abdulaleem; Alattas, Elias; Alzoraigi, Usamah; AlZaher, Zaki; Ahmad, Abdulaziz; Albabtain, Hesham; Boker, Abdulaziz

    2017-01-01

    The educational programs in the Saudi Commission for Health Specialties are developing rapidly in the fields of technical development. Such development is witnessed, particularly in the scientific areas related to what is commonly known as evidence-based medicine. This review highlights the critical need and importance of integrating simulation into anesthesia training and assessment. Furthermore, it describes the current utilization of simulation in anesthesia and critical care assessment process. PMID:28442961

  3. Evaluation Of Model Based Systems Engineering Processes For Integration Into Rapid Acquisition Programs

    Science.gov (United States)

    2016-09-01

    integration of new capabilities seamlessly into an existing software baseline or architecture  the ability to effectively assess performance at... software development,” (b) “model driven development,” (c) “ architecture centric development,” (d) “specification-driven development,” and (e) “generative...Development Process Like the MK54 program, this Radar project utilized an agile Vee process, in a Scrum environment. However, in this case, the software

  4. Single session of integrated "Silver Yoga" program improves cardiovascular parameters in senior citizens

    Directory of Open Access Journals (Sweden)

    Ananda Balayogi Bhavanani

    2015-06-01

    Conclusion: There is a healthy reduction in HR, BP and derived cardiovascular indices following a single yoga session in geriatric subjects. These changes may be attributed to enhanced harmony of cardiac autonomic function as a result of coordinated breath-body work and mind-body relaxation due to an integrated and #8220;Silver Yoga and #8221; program. [J Intercult Ethnopharmacol 2015; 4(2.000: 134-137

  5. Integration of Wind Energy Systems into Power Engineering Education Program at UW-Madison

    Energy Technology Data Exchange (ETDEWEB)

    Venkataramanan, Giri [Univ. of Wisconsin, Madison, WI (United States); Lesieutre, Bernard [Univ. of Wisconsin, Madison, WI (United States); Jahns, Thomas [Univ. of Wisconsin, Madison, WI (United States); Desai, Ankur R [Univ. of Wisconsin, Madison, WI (United States)

    2012-09-01

    This project has developed an integrated curriculum focused on the power engineering aspects of wind energy systems that builds upon a well-established graduate educational program at UW- Madison. Five new courses have been developed and delivered to students. Some of the courses have been offered on multiple occasions. The courses include: Control of electric drives for Wind Power applications, Utility Applications of Power Electronics (Wind Power), Practicum in Small Wind Turbines, Utility Integration of Wind Power, and Wind and Weather for Scientists and Engineers. Utility Applications of Power Electronics (Wind Power) has been provided for distance education as well as on-campus education. Several industrial internships for students have been organized. Numerous campus seminars that provide discussion on emerging issues related to wind power development have been delivered in conjunction with other campus events. Annual student conferences have been initiated, that extend beyond wind power to include sustainable energy topics to draw a large group of stakeholders. Energy policy electives for engineering students have been identified for students to participate through a certificate program. Wind turbines build by students have been installed at a UW-Madison facility, as a test-bed. A Master of Engineering program in Sustainable Systems Engineering has been initiated that incorporates specializations that include in wind energy curricula. The project has enabled UW-Madison to establish leadership at graduate level higher education in the field of wind power integration with the electric grid.

  6. Open pre-schools at integrated health services - A program theory

    Directory of Open Access Journals (Sweden)

    Agneta Abrahamsson

    2013-04-01

    Full Text Available Introduction: Family centres in Sweden are integrated services that reach all prospective parents and parents with children up to their sixth year, because of the co-location of the health service with the social service and the open pre-school. The personnel on the multi-professional site work together to meet the needs of the target group. The article explores a program theory focused on the open pre-schools at family centres.Method: A multi-case design is used and the sample consists of open pre-schools at six family centres. The hypothesis is based on previous research and evaluation data. It guides the data collection which is collected and analysed stepwise. Both parents and personnel are interviewed individually and in groups at each centre.Findings: The hypothesis was expanded to a program theory. The compliance of the professionals was the most significant element that explained why the open access service facilitated positive parenting. The professionals act in a compliant manner to meet the needs of the children and parents as well as in creating good conditions for social networking and learning amongst the parents. Conclusion: The compliance of the professionals in this program theory of open pre-schools at family centres can be a standard in integrated and open access services, whereas the organisation form can vary. The best way of increasing the number of integrative services is to support and encourage professionals that prefer to work in a compliant manner.

  7. Open pre-schools at integrated health services - A program theory

    Directory of Open Access Journals (Sweden)

    Agneta Abrahamsson

    2013-04-01

    Full Text Available Introduction: Family centres in Sweden are integrated services that reach all prospective parents and parents with children up to their sixth year, because of the co-location of the health service with the social service and the open pre-school. The personnel on the multi-professional site work together to meet the needs of the target group. The article explores a program theory focused on the open pre-schools at family centres. Method: A multi-case design is used and the sample consists of open pre-schools at six family centres. The hypothesis is based on previous research and evaluation data. It guides the data collection which is collected and analysed stepwise. Both parents and personnel are interviewed individually and in groups at each centre. Findings: The hypothesis was expanded to a program theory. The compliance of the professionals was the most significant element that explained why the open access service facilitated positive parenting. The professionals act in a compliant manner to meet the needs of the children and parents as well as in creating good conditions for social networking and learning amongst the parents. Conclusion: The compliance of the professionals in this program theory of open pre-schools at family centres can be a standard in integrated and open access services, whereas the organisation form can vary. The best way of increasing the number of integrative services is to support and encourage professionals that prefer to work in a compliant manner.

  8. Epistemology, development, and integrity in a science education professional development program

    Science.gov (United States)

    Hancock, Elizabeth St. Petery

    This research involved interpretive inquiry to understand changes in the notion of "self" as expressed by teachers recently enrolled as graduate students in an advanced degree program in science education at Florida State University. Teachers work in a context that integrates behavior, social structure, culture, and intention. Within this context, this study focused on the intentional realm that involves interior understandings, including self-epistemology, professional self-identity, and integrity. Scholarship in adult and teacher development, especially ways of knowing theory, guided my efforts to understand change in these notions of self. The five participants in this study were interviewed in depth to explore their "self"-related understandings in detail. The other primary data sources were portfolios and work the participants submitted as part of the program. Guided by a constructivist methodology, I used narrative inquiry and grounded theory to conduct data analysis. As learners and teachers, these individuals drew upon epistemological orientations emphasizing a procedural orientation to knowledge. They experienced varying degrees of interior and exterior development in self and epistemology. They created integrity in their efforts to align their intentions with their actions with a dynamic relationship to context. This study suggests that professional development experiences in science education include consideration of the personal and the professional, recognize and honor differing perspectives, facilitate development, and assist individuals to recognize and articulate their integrity.

  9. Impact of a Post-Discharge Integrated Disease Management Program on COPD Hospital Readmissions.

    Science.gov (United States)

    Russo, Ashlee N; Sathiyamoorthy, Gayathri; Lau, Chris; Saygin, Didem; Han, Xiaozhen; Wang, Xiao-Feng; Rice, Richard; Aboussouan, Loutfi S; Stoller, James K; Hatipoğlu, Umur

    2017-11-01

    Readmission following a hospitalization for COPD is associated with significant health-care expenditure. A multicomponent COPD post-discharge integrated disease management program was implemented at the Cleveland Clinic to improve the care of patients with COPD and reduce readmissions. This retrospective study reports our experience with the program. Groups of subjects who were exposed to different components of the program were compared regarding their readmission rates. Multivariate logistic regression analysis was performed to build predictive models for 30- and 90-d readmission. One hundred sixty subjects completed a 90-d follow-up, of which, 67 attended the exacerbation clinic, 16 subjects received care coordination, 51 subjects completed both, and 26 subjects did not participate in any component despite referral. Thirty- and 90-d readmission rates for the entire group were 18.1 and 46.2%, respectively. Thirty- and 90-d readmission rates for the individual groups were: exacerbation clinic, 11.9 and 35.8%; care coordination, 25.0 and 50.0%; both, 19.6 and 41.2%; and neither, 26.9 and 80.8%, respectively. The model with the best predictive ability for 30-d readmission risk included the number of hospitalizations within the previous year and use of noninvasive ventilation (C statistic of 0.84). The model for 90-d readmission risk included receiving any component of the post-discharge integrated disease management program, the number of hospitalizations, and primary care physician visits within the previous year (C statistic of 0.87). Receiving any component of a post-discharge integrated disease management program was associated with reduced 90-d readmission rate. Previous health-care utilization and lung function impairment were strong predictors of readmission. Copyright © 2017 by Daedalus Enterprises.

  10. The Efficiency of an Integrated Program Using Falconry to Deter Gulls from Landfills

    Directory of Open Access Journals (Sweden)

    Ericka Thiériot

    2015-04-01

    Full Text Available Gulls are commonly attracted to landfills, and managers are often required to implement cost-effective and socially accepted deterrence programs. Our objective was to evaluate the effectiveness of an intensive program that integrated the use of trained birds of prey, pyrotechnics, and playback of gull distress calls at a landfill located close to a large ring-billed gull (Larus delawarensis colony near Montreal, Quebec, Canada. We used long-term survey data on bird use of the landfill, conducted behavioral observations of gulls during one season and tracked birds fitted with GPS data loggers. We also carried out observations at another landfill located farther from the colony, where less refuse was brought and where a limited culling program was conducted. The integrated program based on falconry resulted in a 98% decrease in the annual total number of gulls counted each day between 1995 and 2014. A separate study indicated that the local breeding population of ring-billed gulls increased and then declined during this period but remained relatively large. In 2010, there was an average (±SE of 59 ± 15 gulls/day using the site with falconry and only 0.4% ± 0.2% of these birds were feeding. At the other site, there was an average of 347 ± 55 gulls/day and 13% ± 3% were feeding. Twenty-two gulls tracked from the colony made 41 trips towards the landfills: twenty-five percent of the trips that passed by the site with falconry resulted in a stopover that lasted 22 ± 7 min compared to 85% at the other landfill lasting 63 ± 15 min. We concluded that the integrated program using falconry, which we consider more socially acceptable than selective culling, was effective in reducing the number of gulls at the landfill.

  11. The experience of primary care providers with an integrated mental health care program in safety-net clinics.

    Science.gov (United States)

    Bentham, Wayne D; Ratzliff, Anna; Harrison, David; Chan, Ya-Fen; Vannoy, Steven; Unützer, Jürgen

    2015-01-01

    Primary care providers participating in a statewide implementation of an integrated mental health care program for "safety-net" patients in primary care clinics were surveyed to elicit their experiences and level of satisfaction. Quantitative analyses were performed to identify respondent characteristics and satisfaction with the program. Qualitative analyses were done to identify common themes in response to the question "How could psychiatric consultation [in the program] be improved?" Primary care providers were generally satisfied with the integrated mental health care program and raised several concerns that suggest important principles for successful future implementations of these types of programs.

  12. Integrating prevention of mother-to-child HIV transmission programs to improve uptake: a systematic review.

    Directory of Open Access Journals (Sweden)

    Lorainne Tudor Car

    Full Text Available BACKGROUND: We performed a systematic review to assess the effect of integrated perinatal prevention of mother-to-child transmission of HIV interventions compared to non- or partially integrated services on the uptake in low- and middle-income countries. METHODS: We searched for experimental, quasi-experimental and controlled observational studies in any language from 21 databases and grey literature sources. RESULTS: Out of 28 654 citations retrieved, five studies met our inclusion criteria. A cluster randomized controlled trial reported higher probability of nevirapine uptake at the labor wards implementing HIV testing and structured nevirapine adherence assessment (RRR 1.37, bootstrapped 95% CI, 1.04-1.77. A stepped wedge design study showed marked improvement in antiretroviral therapy (ART enrolment (44.4% versus 25.3%, p<0.001 and initiation (32.9% versus 14.4%, p<0.001 in integrated care, but the median gestational age of ART initiation (27.1 versus 27.7 weeks, p = 0.4, ART duration (10.8 versus 10.0 weeks, p = 0.3 or 90 days ART retention (87.8% versus 91.3%, p = 0.3 did not differ significantly. A cohort study reported no significant difference either in the ART coverage (55% versus 48% versus 47%, p = 0.29 or eight weeks of ART duration before the delivery (50% versus 42% versus 52%; p = 0.96 between integrated, proximal and distal partially integrated care. Two before and after studies assessed the impact of integration on HIV testing uptake in antenatal care. The first study reported that significantly more women received information on PMTCT (92% versus 77%, p<0.001, were tested (76% versus 62%, p<0.001 and learned their HIV status (66% versus 55%, p<0.001 after integration. The second study also reported significant increase in HIV testing uptake after integration (98.8% versus 52.6%, p<0.001. CONCLUSION: Limited, non-generalizable evidence supports the effectiveness of integrated PMTCT programs. More research measuring coverage and

  13. Evaluation of a Integral School-Sports Program first year development

    Directory of Open Access Journals (Sweden)

    González Pascual, Marta

    2012-01-01

    Full Text Available This paper provides the results of the evaluation carried out at the end of the first year of implementation of an integrated municipal scholar-sports project, especially focusing on the satisfaction ratings provided by various stakeholders (students, parents, teachers and monitors. A questionnaire was designed «ad hoc» for each of the four people involved in the development of the program: students, families, teachers and monitors. It was applied in the last two weeks of the program. Data were analyzed with SPSS 15.0. The results show that, overall, the integrated program of scholar-sport has generated very high satisfaction rates in all participating groups. We analyze the strengths and weaknesses of the project on the following aspects: the Friday meetings, use of facilities, attitude and methodology used by the monitors, an approach that is given to exercise regularly (AFD and information received about the project. Conclusion: The performance evaluation of the program shows a very high satisfaction rate in all the agents involved, although there are some weaknesses that should be improved in the following application

  14. Alberta Healthy Living Program--a model for successful integration of chronic disease management services.

    Science.gov (United States)

    Morrin, Louise; Britten, Judith; Davachi, Shahnaz; Knight, Holly

    2013-08-01

    The most common presentation of chronic disease is multimorbidity. Disease management strategies are similar across most chronic diseases. Given the prevalence of multimorbidity and the commonality in approaches, fragmented single disease management must be replaced with integrated care of the whole person. The Alberta Healthy Living Program, a community-based chronic disease management program, supports adults with, or at risk for, chronic disease to improve their health and well being. Participants gain confidence and skills in how to manage their chronic disease(s) by learning to understand their health condition, make healthy eating choices, exercise safely and cope emotionally. The program includes 3 service pillars: disease-specific and general health patient education, disease-spanning supervised exercise and Better Choices, Better Health(TM) self-management workshops. Services are delivered in the community by an interprofessional team and can be tailored to target specific diverse and vulnerable populations, such as Aboriginal, ethno-cultural and francophone groups and those experiencing homelessness. Programs may be offered as a partnership between Alberta Health Services, primary care and community organizations. Common standards reduce provincial variation in care, yet maintain sufficient flexibility to meet local and diverse needs and achieve equity in care. The model has been implemented successfully in 108 communities across Alberta. This approach is associated with reduced acute care utilization and improved clinical indicators, and achieves efficiencies through an integrated, disease-spanning patient-centred approach. Crown Copyright © 2013. Published by Elsevier Inc. All rights reserved.

  15. STARS: An Integrated, Multidisciplinary, Finite-Element, Structural, Fluids, Aeroelastic, and Aeroservoelastic Analysis Computer Program

    Science.gov (United States)

    Gupta, K. K.

    1997-01-01

    A multidisciplinary, finite element-based, highly graphics-oriented, linear and nonlinear analysis capability that includes such disciplines as structures, heat transfer, linear aerodynamics, computational fluid dynamics, and controls engineering has been achieved by integrating several new modules in the original STARS (STructural Analysis RoutineS) computer program. Each individual analysis module is general-purpose in nature and is effectively integrated to yield aeroelastic and aeroservoelastic solutions of complex engineering problems. Examples of advanced NASA Dryden Flight Research Center projects analyzed by the code in recent years include the X-29A, F-18 High Alpha Research Vehicle/Thrust Vectoring Control System, B-52/Pegasus Generic Hypersonics, National AeroSpace Plane (NASP), SR-71/Hypersonic Launch Vehicle, and High Speed Civil Transport (HSCT) projects. Extensive graphics capabilities exist for convenient model development and postprocessing of analysis results. The program is written in modular form in standard FORTRAN language to run on a variety of computers, such as the IBM RISC/6000, SGI, DEC, Cray, and personal computer; associated graphics codes use OpenGL and IBM/graPHIGS language for color depiction. This program is available from COSMIC, the NASA agency for distribution of computer programs.

  16. Evidence and Feasibility of Implementing an Integrated Wellness Program in Northeast Georgia.

    Science.gov (United States)

    Flanigan, Amber; Salm Ward, Trina

    2017-08-01

    Evidence for the connection between physical and mental health is growing, as is interest in providing a holistic, mind-body approach to improving mental health and wellness. A needs assessment in northeast Georgia identified several regional health priorities, including mental health and substance abuse, access to care, and cardiovascular health. The study's purpose is threefold: to (1) review evidence for integrated mind-body wellness services, (2) explore the feasibility of implementing wellness services in a small mental health agency serving northeast Georgia, and (3) conduct a brief survey assessing interest in a wellness program. The literature search identified articles within the past 10 years with these key words: "yoga," "mental health," "wellness program," "complementary alternative medicine," "tai chi," "mindfulness," "meditation," and "nutrition." The survey was distributed to the agency's affiliates. The literature review identified strong evidence for an integrated mind-body wellness program that includes yoga, tai chi, mindfulness meditation, and nutrition education. Among 73 survey respondents, 86 percent indicated interest in wellness services, and 85 percent agreed that wellness services are important to mental health and well-being. Authors suggest a model to incorporate a holistic wellness program to complement mental health services and help facilitate physical and mental health. © 2017 National Association of Social Workers.

  17. THE INTEGRATION ARTICULATION BETWEEN THE EDUCATION AND HEALTH ACTIONS IN THE FAMILY HEALTH PROGRAM – PSF

    Directory of Open Access Journals (Sweden)

    Cesar Cavalcanti da Silva

    2006-04-01

    Full Text Available ABSTRACT: The article discusses the practical actions of a team of the Family Health Program-PSF in a city of the Northeastern Brazilian region and, it reveals the lack of integration/articulation of those actions with the educational dimension. The disarticulation of the team members’ knowledge of health on the theoretical, methodological and philosophical principles of PSF is pointed as one of the determinant of the little involvement of the team work with the educational area. the analysis of the collected data was accomplished through the technique of the critical Analysis of the speeches that led to the empiric category: contradiction theoretical x practice in the actions of the health teams of the Family Health Program. KEY WORDS: Health Education, Family Health Program; Public Health Nursing.

  18. Treating prison inmates with co-occurring disorders: an integrative review of existing programs.

    Science.gov (United States)

    Edens, J F; Peters, R H; Hills, H A

    1997-01-01

    The tremendous growth in state and federal correctional populations has focused greater attention on the needs of mentally ill and substance abusing inmates. Although an estimated 3-11% of prison inmates have co-occurring mental health (psychotic and major mood) disorders and substance abuse disorders, few treatment programs are described in the literature and there is little available information regarding effective treatment strategies for this population. The current study provides an integrative review of seven 'dual diagnosis' treatment programs that recently have been developed in state and federal prisons. Many of these have evolved from existing substance abuse treatment programs and approaches. Key program components include an extended assessment period, orientation/motivational activities, psychoeducational groups, cognitive-behavioral interventions such as restructuring of 'criminal thinking errors', self-help groups, medication monitoring, relapse prevention, and transition into institution or community-based aftercare facilities. Many programs use therapeutic community approaches that are modified to provide (a) greater individual counseling and support, (b) less confrontation, (c) smaller staff caseloads, and (d) cross-training of staff. Research is underway in three of the seven sites to examine the effectiveness of these new programs.

  19. [Multicenter program for the integrated care of newborns with perinatal hypoxic-ischemic insult (ARAHIP)].

    Science.gov (United States)

    Arnáez, J; Vega, C; García-Alix, A; Gutiérrez, E P; Caserío, S; Jiménez, M P; Castañón, L; Esteban, I; Hortelano, M; Hernández, N; Serrano, M; Prada, T; Diego, P; Barbadillo, F

    2015-03-01

    Newborns with perinatal indicators of a potential hypoxic-ischemic event require an integrated care in order to control the aggravating factors of brain damage, and the early identification of candidates for hypothermia treatment. The application of a prospective, populational program that organizes and systematizes medical care during the first 6 hours of life to all newborns over 35 weeks gestational age born with indicators of a perinatal hypoxic-ischemic insult. The program includes 12 hospitals (91,217 m(2)); two level i centers, five level ii centers, and five level iii hospitals. The program establishes four protocols: a) detection of the newborn with a potential hypoxic-ischemic insult, b) surveillance of the neurological repercussions and other organ involvement, c) control and treatment of complications, d) procedures and monitoring during transport. From June 2011 to June 2013, 213 of 32325 newborns above 35 weeks gestational age met the criteria of a potential hypoxic-ischemic insult (7.4/1000), with 92% of them being cared for following the program specifications. Moderate-severe hypoxic-ischemic encephalopathy was diagnosed in 33 cases (1/1,000), and 31 out of the 33 received treatment with hypothermia (94%). The program for the Integrated Care of Newborns with Perinatal Hypoxic-Ischemic Insult has led to providing a comprehensive care to the newborns with a suspected perinatal hypoxic-ischemic insult. Aggravators of brain damage have been controlled, and cases of moderate-severe hypoxic-ischemic encephalopathy have been detected, allowing the start of hypothermia treatment within the first six hours of life. Populational programs are fundamental to reducing the mortality and morbidity of hypoxic-ischemic encephalopathy. Copyright © 2014 Asociación Española de Pediatría. Published by Elsevier España, S.L.U. All rights reserved.

  20. Pharmacy characteristics associated with the provision of medication management services within an integrated care management program.

    Science.gov (United States)

    Smith, Megan G; Shea, Christopher M; Brown, Patrick; Wines, Kristen; Farley, Joel F; Ferreri, Stefanie P

    To examine pharmacy operational and personnel characteristics that influence engagement in providing a community pharmacy medication management service within a statewide integrated care management program. Before the program launch, all of the pharmacies were surveyed to collect demographic, operational, and personnel characteristics such as weekly prescription volume and number of staff, respectively. Those data were then compared with engagement in the program. Engagement was defined as providing initial comprehensive medication review as part of the medication management service. Three months after program launch, pharmacies were dichotomized as consistently engaged or inconsistently engaged. Data were analyzed with the use of descriptive statistics and chi-square and t tests to test for statistical significance between consistent and inconsistent engagement groups. A baseline survey was collected for all 123 pharmacies who joined the integrated care management program. After the first 3 months, 50 pharmacies were consistently engaged in the program. Compared with inconsistently engaged pharmacies, consistently engaged pharmacies employed more full-time pharmacists (mean 2.1 vs. 1.8; P = 0.05) and more full-time technicians (mean 4.0 vs. 3.0; P <0.01), allocated more nondispensing hours for pharmacists (88% vs 60%; P <0.01), were more likely to employ a dedicated clinical pharmacist (20% vs 5%; P = 0.013), and hosted more pharmacy residents (78% vs 22%; P = 0.02). Years of pharmacy operation (P = 0.05) and pharmacy store type (P = 0.05) also were significantly associated with level of engagement. Neither prescription volume dispensed per week, number of hours of pharmacist overlap, nor hosting pharmacy students was statistically different between consistent and inconsistent pharmacies. Engagement in clinical activities in community pharmacy appears to improve with adequate staffing, availability of time for nondispensing activities, and having 1 or more

  1. Working Together: Building Successful Policy and Program Partnerships for Immigrant Integration

    Directory of Open Access Journals (Sweden)

    Els de Graauw

    2017-03-01

    Full Text Available Supporting and investing in the integration of immigrants and their children is critically important to US society. Successful integration contributes to the nation’s economic vitality, its civic and political health, and its cultural diversity. But although the United States has a good track record on immigrant integration, outcomes could be better. A national, coherent immigrant integration policy infrastructure is needed. This infrastructure can build on long-standing partnerships between civil society and US public institutions. Such partnerships, advanced under Republican- and Democratic-led administrations, were initially established to facilitate European immigrants’ integration in large American cities, and later extended to help refugees fleeing religious persecution and war. In the twenty-first century, we must expand this foundation by drawing on the growing activism by cities and states, new civil society initiatives, and public-private partnerships that span the country. A robust national integration policy infrastructure must be vertically integrated to include different levels of government and horizontally applied across public and private sector actors and different types of immigrant destinations. The resultant policy should leverage public-private partnerships, drawing on the energy, ideas, and work of community-based nonprofit organizations as well as the leadership and support of philanthropy, business, education, faith-based, and other institutions. A new coordinating office to facilitate interagency cooperation is needed in the executive branch; the mandate and programs of the Office of Refugee Resettlement need to be secured and where possible expanded; the outreach and coordinating role of the Office of Citizenship needs to be extended, including through a more robust grant program to community-based organizations; and Congress needs to develop legislation and appropriate funding for a comprehensive integration

  2. Indicators of integration of oncology and palliative care programs: an international consensus

    Science.gov (United States)

    Hui, D.; Bansal, S.; Strasser, F.; Morita, T.; Caraceni, A.; Davis, M.; Cherny, N.; Kaasa, S.; Currow, D.; Abernethy, A.; Nekolaichuk, C.; Bruera, E.

    2015-01-01

    Background Recently, the concept of integrating oncology and palliative care has gained wide professional and scientific support; however, a global consensus on what constitutes integration is unavailable. We conducted a Delphi Survey to develop a consensus list of indicators on integration of specialty palliative care and oncology programs for advanced cancer patients in hospitals with ≥100 beds. Methods International experts on integration rated a list of indicators on integration over three iterative rounds under five categories: clinical structure, processes, outcomes, education, and research. Consensus was defined a priori by an agreement of ≥70%. Major criteria (i.e. most relevant and important indicators) were subsequently identified. Results Among 47 experts surveyed, 46 (98%), 45 (96%), and 45 (96%) responded over the three rounds. Nineteen (40%) were female, 24 (51%) were from North America, and 14 (30%) were from Europe. Sixteen (34%), 7 (15%), and 25 (53%) practiced palliative care, oncology, and both specialties, respectively. After three rounds of deliberation, the panelists reached consensus on 13 major and 30 minor indicators. Major indicators included two related to structure (consensus 95%–98%), four on processes (88%–98%), three on outcomes (88%–91%), and four on education (93%–100%). The major indicators were considered to be clearly stated (9.8/10), objective (9.4/10), amenable to accurate coding (9.5/10), and applicable to their own countries (9.4/10). Conclusions Our international experts reached broad consensus on a list of indicators of integration, which may be used to identify centers with a high level of integration, and facilitate benchmarking, quality improvement, and research. PMID:26088196

  3. Sperm chromatin maturity and integrity correlated to zygote development in ICSI program.

    Science.gov (United States)

    Asmarinah; Syauqy, Ahmad; Umar, Liya Agustin; Lestari, Silvia Werdhy; Mansyur, Eliza; Hestiantoro, Andon; Paradowszka-Dogan, Agnieszka

    2016-10-01

    This study aimed to evaluate sperm chromatin maturity and integrity of that injected into good-quality oocytes in an in vitro fertilization-intra cytoplasmic sperm injection (IVF-ICSI) program. A cut-off value of sperm chromatin maturity and integrity was developed as a function of their correlation to the zygote development, i.e., embryo formation and cleavage rate. The study assessed sperm chromatin maturity using aniline blue (AB) staining, whereas toluidine blue (TB) staining was used to assess sperm chromatin integrity. Ejaculates from 59 patients undergoing ICSI and 46 fertile normozoospermic donors for determination of normal values of sperm chromatin status were used in this study. Embryo formation and cleavage rates were observed for the period of 3 days after ICSI. There was a significant difference in the percentage of sperm with mature chromatin between ejaculate from ICSI patients and fertile donor (p=0.020); while there was no significant difference in sperm chromatin integrity of both samples (p=0.120). There was no significant correlation between sperm chromatin maturity and either embryo formation or cleavage rate; as well as sperm chromatin integrity to both parameters of zygote development (p>0.05). Furthermore, we found that the cut-off value of sperm chromatin maturity and integrity of the fertile normozoospermic ejaculates were 87.2% and 80.2%, respectively. Using the cut-offs, we found that low sperm chromatin maturity at the level of chromatin integrity at the level of chromatin (AB<87% and TB<80%, respectively), could affect zygote development following ICSI. AB: aniline blue; CMA3: chromomycin A3; ICSI: intra cytoplasmic sperm injection; IVF: in vitro fertilization; PBS: phosphate buffer saline; SPSS: Statistical Package for Social Science; TB: toluidine blue; WHO: World Health Organization.

  4. Integrating an internet-mediated walking program into family medicine clinical practice: a pilot feasibility study.

    Science.gov (United States)

    Goodrich, David E; Buis, Lorraine R; Janney, Adrienne W; Ditty, Megan D; Krause, Christine W; Zheng, Kai; Sen, Ananda; Strecher, Victor J; Hess, Michael L; Piette, John D; Richardson, Caroline R

    2011-06-24

    Regular participation in physical activity can prevent many chronic health conditions. Computerized self-management programs are effective clinical tools to support patient participation in physical activity. This pilot study sought to develop and evaluate an online interface for primary care providers to refer patients to an Internet-mediated walking program called Stepping Up to Health (SUH) and to monitor participant progress in the program. In Phase I of the study, we recruited six pairs of physicians and medical assistants from two family practice clinics to assist with the design of a clinical interface. During Phase II, providers used the developed interface to refer patients to a six-week pilot intervention. Provider perspectives were assessed regarding the feasibility of integrating the program into routine care. Assessment tools included quantitative and qualitative data gathered from semi-structured interviews, surveys, and online usage logs. In Phase I, 13 providers used SUH and participated in two interviews. Providers emphasized the need for alerts flagging patients who were not doing well and the ability to review participant progress. Additionally, providers asked for summary views of data across all enrolled clinic patients as well as advertising materials for intervention recruitment. In response to this input, an interface was developed containing three pages: 1) a recruitment page, 2) a summary page, and 3) a detailed patient page. In Phase II, providers used the interface to refer 139 patients to SUH and 37 (27%) enrolled in the intervention. Providers rarely used the interface to monitor enrolled patients. Barriers to regular use of the intervention included lack of integration with the medical record system, competing priorities, patient disinterest, and physician unease with exercise referrals. Intention-to-treat analyses showed that patients increased walking by an average of 1493 steps/day from pre- to post-intervention (t = (36) = 4.13, p

  5. Starting and resourcing family and internal medicine residency programs as integral mission

    Directory of Open Access Journals (Sweden)

    Stephen P Merry

    2016-01-01

    Full Text Available Graduate medical education is an excellent means of building the capacity of health care systems in low and middle Income Countries (LMIC and a growing way for physicians in the U.S to get involved in integral mission – the proclamation and demonstration of the Gospel. This white paper purposes to provide a “best practices” recommendations on family and internal medicine (“medical” residency program development in majority world settings. An expert panel of residency educators convened in November 2015 at the Global Missions Health Conference (GMHC in Louisville, Kentucky and through an iterative process identified themes that were then further defined and clarified by medical residency faculty unable to be present. Participants largely agreed that integration and cooperation with the country’s Ministry of Health (MOH is essential for sustainable residency development. Recognition of family medicine as a specialty will enable graduates to succeed in the country’s physician job market and health systems leadership. Recognition by the national church of the unique needs of their mission hospitals’ educational programs to control their revenue in order to fund their programs’ growth and development exemplifies the common wisdom to provide authority and resources where responsibility for good outcomes is expected. Co-training of general surgeons and medical residents who can provide essential surgical call coverage may lead to on-going synergies. Teaching by medical and surgical subspecialists is essential in medical residencies to provide the depth of instruction residents need to develop as excellent clinicians. Dependable scheduling of their specialty instruction allows residency program directors to assure inclusion of their content in the residency curriculum. In summary, participants agreed that teaching in medical residency programs in LMIC present excellent opportunities for national and expat Christian physician educators

  6. The Anne Frank Haven: A case of an alternative educational program in an integrative Kibbutz setting

    Science.gov (United States)

    Ben-Peretz, Miriam; Giladi, Moshe; Dror, Yuval

    1992-01-01

    The essential features of the programme of the Anne Frank Haven are the complete integration of children from low SES and different cultural backgrounds with Kibbutz children; a holistic approach to education; and the involvement of the whole community in an "open" residential school. After 33 years, it is argued that the experiment has proved successful in absorbing city-born youth in the Kibbutz, enabling at-risk populations to reach significant academic achievements, and ensuring their continued participation in the dominant culture. The basic integration model consists of "layers" of concentric circles, in dynamic interaction. The innermost circle is the class, the learning community. The Kibbutz community and the foster parents form a supportive, enveloping circle, which enables students to become part of the outer community and to intervene in it. A kind of meta-environment, the inter-Kibbutz partnership and the Israeli educational system, influence the program through decision making and guidance. Some of the principles of the Haven — integration, community involvement, a year's induction for all new students, and open residential settings — could be useful for cultures and societies outside the Kibbutz. The real "secret" of success of an alternative educational program is the dedicated, motivated and highly trained staff.

  7. Maternal substance use and integrated treatment programs for women with substance abuse issues and their children: a meta-analysis.

    Science.gov (United States)

    Milligan, Karen; Niccols, Alison; Sword, Wendy; Thabane, Lehana; Henderson, Joanna; Smith, Ainsley; Liu, Jennifer

    2010-09-01

    The rate of women with substance abuse issues is increasing. Women present with a unique constellation of risk factors and presenting needs, which may include specific needs in their role as mothers. Numerous integrated programs (those with substance use treatment and pregnancy, parenting, or child services) have been developed to specifically meet the needs of pregnant and parenting women with substance abuse issues. This synthesis and meta-analysis reviews research in this important and growing area of treatment. We searched PsycINFO, MedLine, PubMed, Web of Science, EMBASE, Proquest Dissertations, Sociological Abstracts, and CINAHL and compiled a database of 21 studies (2 randomized trials, 9 quasi-experimental studies, 10 cohort studies) of integrated programs published between 1990 and 2007 with outcome data on maternal substance use. Data were summarized and where possible, meta-analyses were performed, using standardized mean differences (d) effect size estimates. In the two studies comparing integrated programs to no treatment, effect sizes for urine toxicology and percent using substances significantly favored integrated programs and ranged from 0.18 to 1.41. Studies examining changes in maternal substance use from beginning to end of treatment were statistically significant and medium sized. More specifically, in the five studies measuring severity of drug and alcohol use, the average effect sizes were 0.64 and 0.40, respectively. In the four cohort studies of days of use, the average effect size was 0.52. Of studies comparing integrated to non-integrated programs, four studies assessed urine toxicology and two assessed self-reported abstinence. Overall effect sizes for each measure were not statistically significant (d = -0.09 and 0.22, respectively). Findings suggest that integrated programs are effective in reducing maternal substance use. However, integrated programs were not significantly more effective than non-integrated programs. Policy

  8. Structure and practices of the video relay service program; telecommunications relay services and speech-to-speech services for individuals with hearing and speech disabilities. Final rule.

    Science.gov (United States)

    2013-07-05

    In this document, the Commission adopts further measures to improve the structure, efficiency, and quality of the video relay service (VRS) program, reducing the inefficiencies in the program, as well as reducing the risk of waste, fraud, and abuse, and ensuring that the program makes full use of advances in commercially-available technology. These measures involve a fundamental restructuring of the program to support innovation and competition, drive down ratepayer and provider costs, eliminate incentives for waste that have burdened the Telecommunications Relay Services (TRS) Fund in the past, and further protect consumers. The Commission adopts several measures in order to: ensure that VRS users can easily select their provider of choice by promoting the development of interoperability and portability standards; enable consumers to use off-the-shelf devices and deploying a VRS application to work with these devices; create a centralized TRS User Registration Database to ensure VRS user eligibility; encourage competition and innovation in VRS call handling services; spur research and development on VRS services by entering into a Memorandum of Understanding with the National Science Foundation; and pilot a National Outreach Program to educate the general public about relay services. In this document, the Commission also adopts new VRS compensation rates that move these rates toward actual costs over the next four years which will better approximate the actual, reasonable costs of providing VRS, and will reduce the costs of operating the program. The Commission takes these steps to ensure the integrity of the TRS Fund while providing stability and certainty to providers.

  9. Plagiarism, Cheating and Research Integrity: Case Studies from a Masters Program in Peru.

    Science.gov (United States)

    Carnero, Andres M; Mayta-Tristan, Percy; Konda, Kelika A; Mezones-Holguin, Edward; Bernabe-Ortiz, Antonio; Alvarado, German F; Canelo-Aybar, Carlos; Maguiña, Jorge L; Segura, Eddy R; Quispe, Antonio M; Smith, Edward S; Bayer, Angela M; Lescano, Andres G

    2017-08-01

    Plagiarism is a serious, yet widespread type of research misconduct, and is often neglected in developing countries. Despite its far-reaching implications, plagiarism is poorly acknowledged and discussed in the academic setting, and insufficient evidence exists in Latin America and developing countries to inform the development of preventive strategies. In this context, we present a longitudinal case study of seven instances of plagiarism and cheating arising in four consecutive classes (2011-2014) of an Epidemiology Masters program in Lima, Peru, and describes the implementation and outcomes of a multifaceted, "zero-tolerance" policy aimed at introducing research integrity. Two cases involved cheating in graded assignments, and five cases correspond to plagiarism in the thesis protocol. Cases revealed poor awareness of high tolerance to plagiarism, poor academic performance, and widespread writing deficiencies, compensated with patchwriting and copy-pasting. Depending on the events' severity, penalties included course failure (6/7) and separation from the program (3/7). Students at fault did not engage in further plagiarism. Between 2011 and 2013, the Masters program sequentially introduced a preventive policy consisting of: (i) intensified research integrity and scientific writing education, (ii) a stepwise, cumulative writing process; (iii) honor codes; (iv) active search for plagiarism in all academic products; and (v) a "zero-tolerance" policy in response to documented cases. No cases were detected in 2014. In conclusion, plagiarism seems to be widespread in resource-limited settings and a greater response with educational and zero-tolerance components is needed to prevent it.

  10. Unit and integration testing of Lustre programs: a case study from the nuclear industry

    Energy Technology Data Exchange (ETDEWEB)

    Thevenod-Fosse, P

    1998-12-31

    LUSTRE belongs to the class of synchronous data flow languages which have been designed for programming reactive and real-time systems having safety-critical requirements. It is implemented in the SCADE tool. SCADE is a software development environment for real-time systems which consists of a graphical and textual editor, and a C code generator. In previous work, a testing approach specific to LUSTRE programs has been defined, which may be applied at either the unit or integration testing levels of a gradual testing process. The paper reports on an industrial case study we have performed to exemplify the feasibility of the testing strategy. The software module, called SRIC (Source Range Instrumentation channel), was developed by SCHNEIDER ELECTRIC in the SCADE environment. SRIC is extracted from a monitoring software system of a nuclear reactor: it approximates 2600 lines of C code automatically generated by SCADE. Section 2 outlines the testing strategy. Then, Section 3 presents the results related to the program SRIC, for which four testing levels were defined (unit testing followed by three successive integration testing levels). First conclusions and direction for future work are proposed in Section 4. (author)

  11. Integrating Science Communication Training and Public Outreach Activities into the Juneau Icefield Research Program

    Science.gov (United States)

    Timm, K.; Kavanaugh, J. L.; Beedle, M. J.

    2012-12-01

    and challenges to integrating a science communication training program and outreach campaign into a field-based program were documented using ethnographic methods and student surveys. The results and lessons learned provide an avenue to explore the methods by which to integrate science communication training into remote, field-based, research training programs.

  12. Integrating an internet-mediated walking program into family medicine clinical practice: a pilot feasibility study

    Directory of Open Access Journals (Sweden)

    Sen Ananda

    2011-06-01

    Full Text Available Abstract Background Regular participation in physical activity can prevent many chronic health conditions. Computerized self-management programs are effective clinical tools to support patient participation in physical activity. This pilot study sought to develop and evaluate an online interface for primary care providers to refer patients to an Internet-mediated walking program called Stepping Up to Health (SUH and to monitor participant progress in the program. Methods In Phase I of the study, we recruited six pairs of physicians and medical assistants from two family practice clinics to assist with the design of a clinical interface. During Phase II, providers used the developed interface to refer patients to a six-week pilot intervention. Provider perspectives were assessed regarding the feasibility of integrating the program into routine care. Assessment tools included quantitative and qualitative data gathered from semi-structured interviews, surveys, and online usage logs. Results In Phase I, 13 providers used SUH and participated in two interviews. Providers emphasized the need for alerts flagging patients who were not doing well and the ability to review participant progress. Additionally, providers asked for summary views of data across all enrolled clinic patients as well as advertising materials for intervention recruitment. In response to this input, an interface was developed containing three pages: 1 a recruitment page, 2 a summary page, and 3 a detailed patient page. In Phase II, providers used the interface to refer 139 patients to SUH and 37 (27% enrolled in the intervention. Providers rarely used the interface to monitor enrolled patients. Barriers to regular use of the intervention included lack of integration with the medical record system, competing priorities, patient disinterest, and physician unease with exercise referrals. Intention-to-treat analyses showed that patients increased walking by an average of 1493 steps

  13. KOC's integrity management program for non-piggable pipelines, a case study

    Energy Technology Data Exchange (ETDEWEB)

    Khera, Ashish [Allied Engineers, New Delhi (India)], email: akhera@alliedengineer.com; Al-Mithin, Abdul Wahab; Safri, Shabbir T.; Al-Sulaiman, Saleh [Kuwait Oil Company, Ahmadi (Kuwait)], email: amithin@kockw.com, email: ssafri@kockw.com, email: ssulaima@kockw.com; Marr, James E. [TransCanada Pipeline Ltd., Calgary, AB (Canada)], email: jim_marr@transcanada.com

    2010-07-01

    The Kuwait Oil Company (KOC) has a network consisting of 420 transmission pipelines. It realized that current integrity management techniques could not all be applied to each pipeline in its system. After completing a risk assessment analysis, KOC separated the pipelines into two categories, namely piggable and non-piggable lines. This paper deals with risk analysis for non-piggable pipelines, which represent more than 60% of the system. The External Corrosion Direct Assessment (ECDA) process is iterative and includes four steps: integration of data from available line histories; multiple indirect field surveys; direct examination; post-assessment of the documented results. Some measures are recommended as a result of this case study; for example, the ECDA program should be implemented on a per-line basis; pipelines should be further subdivided into unique ECDA regions; customized or innovative techniques should be implemented for each ECDA region.

  14. Archive of Core and Site/Hole Data and Photographs from the Integrated Ocean Drilling Program (IODP)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The US Science Operator for the Integrated Ocean Drilling Program (IODP) operated the drilling vessel JOIDES Resolution from 2004-2013 for worldwide expeditions...

  15. Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities for FY 2018, SNF Value-Based Purchasing Program, SNF Quality Reporting Program, Survey Team Composition, and Correction of the Performance Period for the NHSN HCP Influenza Vaccination Immunization Reporting Measure in the ESRD QIP for PY 2020. Final rule.

    Science.gov (United States)

    2017-08-04

    This final rule updates the payment rates used under the prospective payment system (PPS) for skilled nursing facilities (SNFs) for fiscal year (FY) 2018. It also revises and rebases the market basket index by updating the base year from 2010 to 2014, and by adding a new cost category for Installation, Maintenance, and Repair Services. The rule also finalizes revisions to the SNF Quality Reporting Program (QRP), including measure and standardized resident assessment data policies and policies related to public display. In addition, it finalizes policies for the Skilled Nursing Facility Value-Based Purchasing Program that will affect Medicare payment to SNFs beginning in FY 2019. The final rule also clarifies the regulatory requirements for team composition for surveys conducted for investigating a complaint and aligns regulatory provisions for investigation of complaints with the statutory requirements. The final rule also finalizes the performance period for the National Healthcare Safety Network (NHSN) Healthcare Personnel (HCP) Influenza Vaccination Reporting Measure included in the End-Stage Renal Disease (ESRD) Quality Incentive Program (QIP) for Payment Year 2020.

  16. Integrating interdisciplinary pain management into primary care: development and implementation of a novel clinical program.

    Science.gov (United States)

    Dorflinger, Lindsey M; Ruser, Christopher; Sellinger, John; Edens, Ellen L; Kerns, Robert D; Becker, William C

    2014-12-01

    The aims of this study were to develop and implement an interdisciplinary pain program integrated in primary care to address stakeholder-identified gaps. Program development and evaluation project utilizing a Plan-Do-Study-Act (PDSA) approach to address the identified problem of insufficient pain management resources within primary care. A large Healthcare System within the Veterans Health Administration, consisting of two academically affiliated medical centers and six community-based outpatients clinics. An interprofessional group of stakeholders participated in a Rapid Process Improvement Workshop (RPIW), a consensus-building process to identify systems-level gaps and feasible solutions and obtain buy-in. Changes were implemented in 2012, and in a 1-year follow-up, we examined indicators of engagement in specialty and multimodal pain care services as well as patient and provider satisfaction. In response to identified barriers, RPIW participants proposed and outlined two readily implementable, interdisciplinary clinics embedded within primary care: 1) the Integrated Pain Clinic, providing in-depth assessment and triage to targeted resources; and 2) the Opioid Reassessment Clinic, providing assessment and structured monitoring of patients with evidence of safety, efficacy, or misuse problems with opioids. Implementation of these programs led to higher rates of engagement in specialty and multimodal pain care services; patients and providers reported satisfaction with these services. Our PDSA cycle engaged an interprofessional group of stakeholders that recommended introduction of new systems-based interventions to better integrate pain resources into primary care to address reported barriers. Early data suggest improved outcomes; examination of additional outcomes is planned. Wiley Periodicals, Inc.

  17. Towards the integration of mental practice in rehabilitation programs. A critical review

    Directory of Open Access Journals (Sweden)

    Francine eMalouin

    2013-09-01

    Full Text Available Many clinical studies have investigated the use of mental practice (MP through motor imagery (MI to enhance functional recovery of patients with diverse physical disabilities. Although beneficial effects have been generally reported for training motor functions in persons with chronic stroke (e.g. reaching, writing, walking, attempts to integrate MP within rehabilitation programs have been met with mitigated results. These findings have stirred further questioning about the value of MP in neurological rehabilitation. In fact, despite abundant systematic reviews, which customarily focused on the methodological merits of selected studies, several questions about factors underlying observed effects remain to be addressed. This review discusses these issues in an attempt to identify factors likely to hamper the integration of MP within rehabilitation programs. First, the rationale underlying the use of MP for training motor function is briefly reviewed. Second, three modes of MI delivery are proposed based on the analysis of the research protocols from 27 studies in persons with stroke and Parkinson’s disease. Third, for each mode of MI delivery, a general description of MI training is provided. Fourth, the review discusses factors influencing MI training outcomes such as: the adherence to MI training, the amount of training and the interaction between physical and mental rehearsal; the use of relaxation, the selection of reliable, valid and sensitive outcome measures, the heterogeneity of the patient groups, the selection of patients and the mental rehearsal procedures. To conclude, the review proposes a framework for integrating MP in rehabilitation programs and suggests research targets for steering the implementation of MP in the early stages of the rehabilitation process. The challenge has now shifted towards the demonstration that MI training can enhance the effects of regular therapy in persons with subacute stroke during the period of

  18. Results of the NASP Ames Integrated Mixing Hypersonic Engine (AIMHYE) Scramjet Test Program

    Science.gov (United States)

    Cavolowsky, John A.; Loomis, Mark P.; Deiwert, George S.

    1995-01-01

    This paper describes the test techniques and results from the National Aerospace Plane Government Work Package 53, the Ames Integrated Mixing Hypersonic Engine (AIMHYE) Scramjet Test program conducted in the NASA Ames 16-Inch Combustion Driven Shock Tunnel. This was a series of near full-scale scramjet combustor tests with the objective to obtain high speed combustor and nozzle data from an engine with injector configurations similar to the NASP E21 and E22a designs. The experimental test approach was to use a large combustor model (80-100% throat height) designed and fabricated for testing in the semi-free jet mode. The conditions tested were similar to the "blue book" conditions at Mach 12, 14, and 16. GWP 53 validated use of large, long test time impulse facilities, specifically the Ames 16-Inch Shock Tunnel, for high Mach number scramjet propulsion testing an integrated test rig (inlet, combustor, and nozzle). Discussion of key features of the test program will include: effects of the 2-D combustor inlet pressure profile; performance of large injectors' fueling system that included nozzlettes, base injection, and film cooling; and heat transfer measurements to the combustor. Significant instrumentation development and application efforts include the following: combustor force balance application for measurement of combustor drag for comparison with integrated point measurements of skin friction; nozzle metric strip for measuring thrust with comparison to integrated pressure measurements; and nonintrusive optical fiber-based diode laser absorption measurements of combustion products for determination of combustor performance. Direct measurements will be reported for specific test article configurations and compared with CFD solutions.

  19. The VIS-AD data model: Integrating metadata and polymorphic display with a scientific programming language

    Science.gov (United States)

    Hibbard, William L.; Dyer, Charles R.; Paul, Brian E.

    1994-01-01

    The VIS-AD data model integrates metadata about the precision of values, including missing data indicators and the way that arrays sample continuous functions, with the data objects of a scientific programming language. The data objects of this data model form a lattice, ordered by the precision with which they approximate mathematical objects. We define a similar lattice of displays and study visualization processes as functions from data lattices to display lattices. Such functions can be applied to visualize data objects of all data types and are thus polymorphic.

  20. Integrated Data Collection Analysis (IDCA) Program - RDX Standard Data Set 2

    Energy Technology Data Exchange (ETDEWEB)

    Sandstrom, Mary M. [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Brown, Geoffrey W. [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Preston, Daniel N. [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Pollard, Colin J. [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Warner, Kirstin F. [Naval Surface Warfare Center (NSWC), Indian Head, MD (United States). Indian Head Division; Sorensen, Daniel N. [Naval Surface Warfare Center (NSWC), Indian Head, MD (United States). Indian Head Division; Remmers, Daniel L. [Naval Surface Warfare Center (NSWC), Indian Head, MD (United States). Indian Head Division; Phillips, Jason J. [Air Force Research Lab. (AFRL), Tyndall Air Force Base, FL (United States); Shelley, Timothy J. [Applied Research Associates, Tyndall Air Force Base, FL (United States); Reyes, Jose A. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Hsu, Peter C. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Reynolds, John G. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States)

    2013-02-20

    The Integrated Data Collection Analysis (IDCA) program is conducting a proficiency study for Small- Scale Safety and Thermal (SSST) testing of homemade explosives (HMEs). Described here are the results for impact, friction, electrostatic discharge, and differential scanning calorimetry analysis of the RDX Type II Class 5 standard, from testing the second time in the Proficiency Test. This RDX testing (Set 2) compared to the first (Set 1) was found to have about the same impact sensitivity, have more BAM friction sensitivity, less ABL friction sensitivity, similar ESD sensitivity, and same DSC sensitivity.

  1. Preventive Dental Care: An Educational Program to Integrate Oral Care Into Pediatric Oncology
.

    Science.gov (United States)

    Hartnett, Erin; Krainovich-Miller, Barbara

    2017-10-01

    Early childhood dental caries (dental cavities) is an infectious process. The development of oral problems during cancer care results in pain, fever, and delay in treatment. 
. The objective of this project was to integrate preventive oral care into pediatric oncology care. 
. This project consisted of an educational program for pediatric oncology providers who completed pre- and postprogram surveys assessing oral health knowledge, attitudes, and practice; attended an oral health education session; and performed oral assessment and fluoride varnish application on children during cancer treatment. 
. Three major outcomes resulted from this project.

  2. Integrated Data Collection Analysis (IDCA) Program — Bullseye® Smokeless Powder

    Energy Technology Data Exchange (ETDEWEB)

    Sandstrom, Mary M. [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Brown, Geoffrey W. [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Preston, Daniel N. [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Pollard, Colin J. [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Warner, Kirstin F. [Naval Surface Warfare Center (NSWC), Indian Head, MD (United States). Indian Head Division; Sorensen, Daniel N. [Naval Surface Warfare Center (NSWC), Indian Head, MD (United States). Indian Head Division; Remmers, Daniel L. [Naval Surface Warfare Center (NSWC), Indian Head, MD (United States). Indian Head Division; Phillips, Jason J. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Shelley, Timothy J. [Bureau of Alcohol, Tobacco and Firearms, Redstone Arsenal, AL (United States); Reyes, Jose A. [Applied Research Associates, Tyndall AFB, FL (United States); Hsu, Peter C. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Reynolds, John G. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States)

    2013-05-30

    The Integrated Data Collection Analysis (IDCA) program is conducting a proficiency study for Small- Scale Safety and Thermal (SSST) testing of homemade explosives (HMEs). Described here are the results for impact, friction, electrostatic discharge, and differential scanning calorimetry analysis of Bullseye® smokeless powder (Gunpowder). The participants found the Gunpowder: 1) to have a range of sensitivity to impact, from less than RDX to almost as sensitive as PETN, 2) to be moderately sensitive to BAM and ABL friction, 3) have a range for ESD, from insensitive to more sensitive than PETN, and 4) to have thermal sensitivity about the same as PETN and RDX.

  3. Effects of an Integrated Stress Management Program (ISMP) for Psychologically Distressed Students: A Randomized Controlled Trial.

    Science.gov (United States)

    Kim, Sunah; Lee, Hyangkyu; Kim, Hyunlye; Noh, Dabok; Lee, Hyunhwa

    2016-07-01

    This study aimed to evaluate the effects of an integrated stress management program (ISMP) on college life stress, stress coping, psychological distress, and cortisol among male college students. Out of 137 initially enrolled students, 99 participants were identified as distressed subjects and randomly assigned to either the ISMP or control group. Ultimately, 84 participants (43: experimental, 41: control) completed pretest-posttest. The experimental group received eight 2-hr sessions over 4 weeks. Stress and psychological distress decreased significantly, whereas stress coping and cortisol did not improve significantly. Further studies with longer follow-up periods and physiological interventions are required. © 2015 Wiley Periodicals, Inc.

  4. Monitoring of persistent accreting pulsating neutron stars observed during the INTEGRAL Core Program

    DEFF Research Database (Denmark)

    Sidoli, L.; Wilms, J.; Paizis, A.

    2004-01-01

    The INTEGRAL satellite is performing regular scans of the Galactic plane (CPS) every 12 days together with a deep exposure of the Galactic Center region (GCDE). Our collaboration is processing the data from this survey on a regular basis in order to monitor the evolution of the spectral and timin...... properties of the pulsating persistent neutron star sources observed. We present here an overview over the whole monitoring program and the status of the project and we report on the preliminary results of the analysis of the few scans already performed....

  5. Systems Analysis Programs for Hands-on Integrated Reliability Evaluations (SAPHIRE) Quality Assurance Manual

    Energy Technology Data Exchange (ETDEWEB)

    C. L. Smith; R. Nims; K. J. Kvarfordt; C. Wharton

    2008-08-01

    The Systems Analysis Programs for Hands-on Integrated Reliability Evaluations (SAPHIRE) is a software application developed for performing a complete probabilistic risk assessment using a personal computer running the Microsoft Windows operating system. SAPHIRE is primarily funded by the U.S. Nuclear Regulatory Commission (NRC). The role of the INL in this project is that of software developer and tester. This development takes place using formal software development procedures and is subject to quality assurance (QA) processes. The purpose of this document is to describe how the SAPHIRE software QA is performed for Version 6 and 7, what constitutes its parts, and limitations of those processes.

  6. Effect of an Integrated Health Management Program Based on Successful Aging in Korean Women.

    Science.gov (United States)

    Ahn, Okhee; Cha, Hye Gyeong; Chang, Soo Jung; Cho, Hyun-Choul; Kim, Hee Sun

    2015-01-01

    This study evaluates the efficacy of an integrated health management program (IHMP) based on successful aging in older women. A single group pretest and posttest research design was employed, with a sample of 33 older Korean women over 60 years registered in a public health center. The intervention, including exercise, health education, and social activities, was performed 3 hr per week for 12 weeks. Demographic characteristics, body composition, physical fitness, biomarkers, depression, and social support were measured. Data were analyzed with a Wilcoxon signed-rank test, statistical significance levels were set at p successful aging in older Korean women. © 2014 Wiley Periodicals, Inc.

  7. A cost effectiveness study of integrated care in health services delivery: a diabetes program in Australia

    Directory of Open Access Journals (Sweden)

    Snow Jill

    2008-10-01

    Full Text Available Abstract Background Type 2 diabetes is rapidly growing as a proportion of the disease burden in Australia as elsewhere. This study addresses the cost effectiveness of an integrated approach to assisting general practitioners (GPs with diabetes management. This approach uses a centralized database of clinical data of an Australian Division of General Practice (a network of GPs to co-ordinate care according to national guidelines. Methods Long term outcomes for patients in the program were derived using clinical parameters after 5 years of program participation, and the United Kingdom Prospective Diabetes Study (UKPDS Outcomes Model, to project outcomes for 40 years from the time of diagnosis and from 5 years post-diagnosis. Cost information was obtained from a range of sources. While program costs are directly available, and costs of complications can be estimated from the UKPDS model, other costs are estimated by comparing costs in the Division with average costs across the state or the nation. The outcome and cost measures are used derive incremental cost-effectiveness ratios. Results The clinical data show that the program is effective in the short term, with improvement or no statistical difference in most clinical measures over 5 years. Average HbA1c levels increased by less than expected over the 5 year period. While the program is estimated to generate treatment cost savings, overall net costs are positive. However, the program led to projected improvements in expected life years and Quality Adjusted Life Expectancy (QALE, with incremental cost effectiveness ratios of $A8,106 per life-year saved and $A9,730 per year of QALE gained. Conclusions The combination of an established model of diabetes progression and generally available data has provided an opportunity to establish robust methods of testing the cost effectiveness of a program for which a formal control group was not available. Based on this methodology, integrated health care

  8. Education, outreach, and inclusive engagement: Towards integrated indicators of successful program outcomes in participatory science.

    Science.gov (United States)

    Haywood, Benjamin K; Besley, John C

    2014-01-01

    The use and utility of science in society is often influenced by the structure, legitimacy, and efficacy of the scientific research process. Public participation in scientific research (PPSR) is a growing field of practice aimed at enhancing both public knowledge and understanding of science (education outreach) and the efficacy and responsiveness of scientific research, practice, and policy (participatory engagement). However, PPSR objectives focused on "education outreach" and "participatory engagement" have each emerged from diverse theoretical traditions that maintain distinct indicators of success used for program development and evaluation. Although areas of intersection and overlap among these two traditions exist in theory and practice, a set of comprehensive standards has yet to coalesce that supports the key principles of both traditions in an assimilated fashion. To fill this void, a comprehensive indicators framework is proposed with the goal of promoting a more integrative and synergistic PPSR program development and assessment process.

  9. DOE In Situ Remediation Integrated Program. In situ manipulation technologies subprogram plan

    Energy Technology Data Exchange (ETDEWEB)

    Yow, J.L. Jr.

    1993-12-22

    The In Situ Remediation Integrated Program (ISRP) supports and manages a balanced portfolio of applied research and development activities in support of DOE environmental restoration and waste management needs. ISRP technologies are being developed in four areas: containment, chemical and physical treatment, in situ bioremediation, and in situ manipulation (including electrokinetics). the focus of containment is to provide mechanisms to stop contaminant migration through the subsurface. In situ bioremediation and chemical and physical treatment both aim to destroy or eliminate contaminants in groundwater and soils. In situ manipulation (ISM) provides mechanisms to access contaminants or introduce treatment agents into the soil, and includes other technologies necessary to support the implementation of ISR methods. Descriptions of each major program area are provided to set the technical context of the ISM subprogram. Typical ISM needs for major areas of in situ remediation research and development are identified.

  10. Integrated Status and Effectiveness Monitoring Program - Entiat River Snorkel Surveys and Rotary Screw Trap, 2007.

    Energy Technology Data Exchange (ETDEWEB)

    Nelle, R.D.

    2008-01-01

    The USFWS Mid-Columbia River Fishery Resource Office conducted snorkel surveys at 24 sites during the summer and fall periods of 2006 survey periods as part of the Integrated Status and Effectiveness Monitoring Program in the Entiat River. A total of 37,938 fish from 15 species/genera and an unknown category were enumerated. Chinook salmon were the overall most common fish observed and comprised 15% of fish enumerated followed by rainbow trout (10%) and mountain whitefish (7%). Day surveys were conducted during the summer period 2007 (August), while night surveys were conducted during the fall 2007 (October) surveys. The USFWS Mid-Columbia River Fishery Resource Office (MCFRO) operated two rotary screw traps on the Entiat River as part of the Integrated Status and Effectiveness Monitoring Program (ISEMP) program from August through November of 2007. Along with the smolt traps, juvenile emigrants were also captured at remote locations throughout the Entiat watershed and its major tributary, the Mad River. A total of 999 wild Oncorhynchus mykiss and 5,107 wild run O. tshawytscha were PIT tagged during the study period. Rotary screw trap efficiencies averaged 22.3% for juvenile O. tshawytscha and 9.0% for juvenile O. mykiss. Rotary screw traps operated 7 days a week and remote capture operations were conducted when flow and temperature regimes permitted. This is third annual progress report to Bonneville Power Administration for the snorkel surveys conducted in the Entiat River as related to long-term effectiveness monitoring of restoration programs in this watershed. The objective of this study is to monitor the fish habitat utilization of planned in-stream restoration efforts in the Entiat River by conducting pre- and post-construction snorkel surveys at selected treatment and control sites.

  11. Integrated Cooling System for Induction Motor Traction Drives, CARAT Program Phase Two Final Report

    Energy Technology Data Exchange (ETDEWEB)

    Konrad, Charles E. [VPT, Inc., Blacksburg, VA (United States)

    2002-12-03

    This Program is directed toward improvements in electric vehicle/hybrid electric vehicle traction systems, and in particular, the development of a low cost, highly efficient, compact traction motor-controller system targeted for high volume automotive use. Because of the complex inter-relationships between the motor and the controller, the combination of motor and controller must be considered as a system in the design and evaluation of overall cost and performance. The induction motor is ideally suited for use as a traction motor because of its basic ruggedness, low cost, and high efficiency. As one can see in Figure 1.1, the induction motor traction drive has been continually evolving through a succession of programs spanning the past fifteen years. VPT marketed an induction motor-based traction drive system, the EV2000, which proved to be a reliable, high performance system that was used in a wide range of vehicles. The EV2000 drives evolved from the Modular Electric Vehicle Program (MEVP) and has been used in vehicles ranging in size from 3,000 lb. autos and utility vans, to 32,000 lb. city transit buses. Vehicles powered by the EV2000 induction motor powertrain have accumulated over 2 million miles of service. The EV2000 induction motor system represents 1993 state-of-the-art technology, and evolved from earlier induction motor programs that drove induction motor speeds up to 15,000 rpm to reduce the motor size and cost. It was recognized that the improvements in power density and motor cost sought in the PNGV program could only be achieved through increases in motor speed. Esson’s Rule for motor power clearly states that the power obtainable from a given motor design is the product of motor speed and volume. In order to meet the CARAT Program objectives, the maximum speed goal of the induction motor designed in this Program was increased from 15,000 rpm to 20,000 rpm while maintaining the efficiency and durability demonstrated by lower speed designs done in

  12. Integration

    DEFF Research Database (Denmark)

    Emerek, Ruth

    2004-01-01

    Bidraget diskuterer de forskellige intergrationsopfattelse i Danmark - og hvad der kan forstås ved vellykket integration......Bidraget diskuterer de forskellige intergrationsopfattelse i Danmark - og hvad der kan forstås ved vellykket integration...

  13. Medicaid and Title IV-E programs; revision to the definition of an unemployed parent--Administration for Children and Families (ACF) and HCFA. Final rule with comment period.

    Science.gov (United States)

    1998-08-07

    The Personal Responsibility and Work Opportunity Reconciliation Act of 1996 (PRWORA) transformed the nation's welfare system into one that requires work in exchange for time-limited assistance. The law eliminated the Aid to Families with Dependent Children (AFDC) program and replaced it with the Temporary Assistance for Needy Families (TANF) program. The law provides States flexibility to design their TANF programs in ways that strengthen families and promote work, responsibility, and self-sufficiency while holding them accountable for results. Many States are using this flexibility to provide welfare to work assistance to two parent families, which was more difficult to do under the old welfare rules. However, pre-existing regulations regarding the definition of "unemployed parent" prevent some States from providing intact families with health insurance to help them stay employed. This rule will eliminate this vestige of the old welfare system in order to promote work, strengthen families, and simplify State program administration. In general under PRWORA, States must ensure that families who would have qualified for Medicaid health benefits under the prior welfare law are still eligible. While under the previous law receipt of AFDC qualified families for Medicaid, the new statute does not tie receipt of TANF to Medicaid. Instead, subject to some exceptions, Medicaid eligibility for families and children now depends upon whether a family would have qualified for AFDC under the rules in effect on July 16, 1996. Similarly, Federal foster care eligibility depends on whether the child would have qualified for AFDC under the rules in effect on July 16, 1996. In order for a family to qualify for assistance under the pre-PRWORA AFDC rules, its child had to be deprived of parental support or care due to the death, absence, incapacity, or unemployment of a parent. Two parent families generally qualified only under the "unemployment" criterion which was narrowly defined in

  14. Fuels planning: science synthesis and integration; social issues fact sheet 08: The "Golden Rule" and other lessons on communicating about hazards

    Science.gov (United States)

    Rocky Mountain Research Station USDA Forest Service

    2004-01-01

    Other fact sheets identified considerations for communicating about hazards, talked about the importance of working locally, and discussed the seven laws of effective hazard communication. This fact sheet introduces the "Golden Rule" of hazard communication and shares some final lessons from hazard educators.

  15. Automated generation of lattice QCD Feynman rules

    Science.gov (United States)

    Hart, A.; von Hippel, G. M.; Horgan, R. R.; Müller, E. H.

    2009-12-01

    free to use or modify the code for their own calculations. As part of the licensing, we ask that any publications including results from the use of this code or of modifications of it cite Refs. [1,2] as well as this paper. Finally, we also ask that details of these publications, as well as of any bugs or required or useful improvements of this core code, would be communicated to us. Running time: Very problem specific, depending on the complexity of the Feynman rules and the number of integration points. Typically between a few minutes and several weeks. The installation tests provided with the program code take only a few seconds to run. References:A. Hart, G.M. von Hippel, R.R. Horgan, L.C. Storoni, Automatically generating Feynman rules for improved lattice eld theories, J. Comput. Phys. 209 (2005) 340-353, doi:10.1016/j.jcp.2005.03.010, arXiv:hep-lat/0411026. M. Lüscher, P. Weisz, Efficient Numerical Techniques for Perturbative Lattice Gauge Theory Computations, Nucl. Phys. B 266 (1986) 309, doi:10.1016/0550-3213(86)90094-5.

  16. Rule-based topology system for spatial databases to validate complex geographic datasets

    Science.gov (United States)

    Martinez-Llario, J.; Coll, E.; Núñez-Andrés, M.; Femenia-Ribera, C.

    2017-06-01

    A rule-based topology software system providing a highly flexible and fast procedure to enforce integrity in spatial relationships among datasets is presented. This improved topology rule system is built over the spatial extension Jaspa. Both projects are open source, freely available software developed by the corresponding author of this paper. Currently, there is no spatial DBMS that implements a rule-based topology engine (considering that the topology rules are designed and performed in the spatial backend). If the topology rules are applied in the frontend (as in many GIS desktop programs), ArcGIS is the most advanced solution. The system presented in this paper has several major advantages over the ArcGIS approach: it can be extended with new topology rules, it has a much wider set of rules, and it can mix feature attributes with topology rules as filters. In addition, the topology rule system can work with various DBMSs, including PostgreSQL, H2 or Oracle, and the logic is performed in the spatial backend. The proposed topology system allows users to check the complex spatial relationships among features (from one or several spatial layers) that require some complex cartographic datasets, such as the data specifications proposed by INSPIRE in Europe and the Land Administration Domain Model (LADM) for Cadastral data.

  17. Health informatics and analytics - building a program to integrate business analytics across clinical and administrative disciplines.

    Science.gov (United States)

    Tremblay, Monica Chiarini; Deckard, Gloria J; Klein, Richard

    2016-07-01

    Health care organizations must develop integrated health information systems to respond to the numerous government mandates driving the movement toward reimbursement models emphasizing value-based and accountable care. Success in this transition requires integrated data analytics, supported by the combination of health informatics, interoperability, business process design, and advanced decision support tools. This case study presents the development of a master's level cross- and multidisciplinary informatics program offered through a business school. The program provides students from diverse backgrounds with the knowledge, leadership, and practical application skills of health informatics, information systems, and data analytics that bridge the interests of clinical and nonclinical professionals. This case presents the actions taken and challenges encountered in navigating intra-university politics, specifying curriculum, recruiting the requisite interdisciplinary faculty, innovating the educational format, managing students with diverse educational and professional backgrounds, and balancing multiple accreditation agencies. © The Author 2016. Published by Oxford University Press on behalf of the American Medical Informatics Association. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  18. Integrating between Malay culture and conservation in Green campus program: Best practices from Universitas Riau, Indonesia

    Science.gov (United States)

    Suwondo, Darmadi, Yunus, Mohd.

    2017-11-01

    Green campus program (GCP) is a policy to optimize the role of the University of Riau in implementing sustainable development. Green campus development is done by integrating Malay culture and conservation in every implementation of the program. We identify the biophysical, economic and socio-cultural characteristics as well as the problems encountered in the campus environment. This study uses desk study, survey, and focus group discussion (FGD). GCP analysis is divided into several stages, namely assess problem, design, implementation, monitor, evaluate and adjust. Bina Widya Campus of Universitas Riau has a good biodiversity of flora and fauna with species characteristics in lowland tropical forest ecosystems. Plant species of the Dipterocarpaceae family are the dominant species, whereas fauna is from reptile, leaves, and mammals. Efforts to maintain and enhance species diversity are undertaken by designing and constructing Arboretum and Ecoedupark for the ex situ conservation of flora and fauna. The enrichment of species is carried out by planting vegetation types that are closely related to Malay culture. On the other hand, the management of the green campus faces challenges in the diverse perceptions of stakeholders with low levels of academic participation. Economically the existence of the campus provides a multiplier effect on the emergence of various economic activities of the community around the campus. Implementation of green university campus of Riau University by integrating Melayu culture and conservation contributes to the creation of green open space which is increasingly widespread and able to support sustainable development, especially in Pekanbaru City.

  19. SAMPLE RESULTS FROM THE INTEGRATED SALT DISPOSITION PROGRAM MACROBATCH 4 TANK 21H QUALIFICATION SAMPLES

    Energy Technology Data Exchange (ETDEWEB)

    Peters, T.; Fink, S.

    2011-06-22

    Savannah River National Laboratory (SRNL) analyzed samples from Tank 21H to qualify them for use in the Integrated Salt Disposition Program (ISDP) Batch 4 processing. All sample results agree with expectations based on prior analyses where available. No issues with the projected Salt Batch 4 strategy are identified. This revision includes additional data points that were not available in the original issue of the document, such as additional plutonium results, the results of the monosodium titanate (MST) sorption test and the extraction, scrub strip (ESS) test. This report covers the revision to the Tank 21H qualification sample results for Macrobatch (Salt Batch) 4 of the Integrated Salt Disposition Program (ISDP). A previous document covers initial characterization which includes results for a number of non-radiological analytes. These results were used to perform aluminum solubility modeling to determine the hydroxide needs for Salt Batch 4 to prevent the precipitation of solids. Sodium hydroxide was then added to Tank 21 and additional samples were pulled for the analyses discussed in this report. This work was specified by Task Technical Request and by Task Technical and Quality Assurance Plan (TTQAP).

  20. Establishing an Integrative Medicine Program Within an Academic Health Center: Essential Considerations.

    Science.gov (United States)

    Eisenberg, David M; Kaptchuk, Ted J; Post, Diana E; Hrbek, Andrea L; O'Connor, Bonnie B; Osypiuk, Kamila; Wayne, Peter M; Buring, Julie E; Levy, Donald B

    2016-09-01

    Integrative medicine (IM) refers to the combination of conventional and "complementary" medical services (e.g., chiropractic, acupuncture, massage, mindfulness training). More than half of all medical schools in the United States and Canada have programs in IM, and more than 30 academic health centers currently deliver multidisciplinary IM care. What remains unclear, however, is the ideal delivery model (or models) whereby individuals can responsibly access IM care safely, effectively, and reproducibly in a coordinated and cost-effective way.Current models of IM across existing clinical centers vary tremendously in their organizational settings, principal clinical focus, and services provided; practitioner team composition and training; incorporation of research activities and educational programs; and administrative organization (e.g., reporting structure, use of medical records, scope of clinical practice) and financial strategies (i.e., specific business plans and models for sustainability).In this article, the authors address these important strategic issues by sharing lessons learned from the design and implementation of an IM facility within an academic teaching hospital, the Brigham and Women's Hospital at Harvard Medical School; and review alternative options based on information about IM centers across the United States.The authors conclude that there is currently no consensus as to how integrative care models should be optimally organized, implemented, replicated, assessed, and funded. The time may be right for prospective research in "best practices" across emerging models of IM care nationally in an effort to standardize, refine, and replicate them in preparation for rigorous cost-effectiveness evaluations.

  1. An integrated malaria control program with community participation on the Pacific Coast of Colombia

    Directory of Open Access Journals (Sweden)

    William Rojas

    Full Text Available The study focuses on integrated malaria control in 23 communities on the Pacific Coast of Colombia, with several elements of an ecosystem approach to human health, including malaria-related sociopolitical, ecological, and economic factors. The program fostered community participation. The program presented here had 2 components: implementation and research. The first was conducted in 23 communities, 21 of which lacked adequate health services in terms of education, community participation, prompt diagnosis and complete treatment, and vector control. Research focused on specific vector control measures and the current national health services decentralization process. The project: 1 created a malaria prevention culture in the community; 2 avoided deaths from malaria (no fatal cases in the 3-year period, compared to 5-8 deaths a year previously; 3 avoided cases of cerebral malaria (no cases, as compared to 90-110 per year previously; 4 reduced malaria incidence by 45.36%; 5 decreased length of sick leave from 7.52 to 3.7 days; 6 established a permanent network of microscope technicians and 2-way radio communications; 7 integrated work by local, regional, and outside institutions; 8 demonstrated efficacy of insecticide-impregnated bednets to reduce malaria transmission.

  2. An integrated malaria control program with community participation on the Pacific Coast of Colombia

    Directory of Open Access Journals (Sweden)

    Rojas William

    2001-01-01

    Full Text Available The study focuses on integrated malaria control in 23 communities on the Pacific Coast of Colombia, with several elements of an ecosystem approach to human health, including malaria-related sociopolitical, ecological, and economic factors. The program fostered community participation. The program presented here had 2 components: implementation and research. The first was conducted in 23 communities, 21 of which lacked adequate health services in terms of education, community participation, prompt diagnosis and complete treatment, and vector control. Research focused on specific vector control measures and the current national health services decentralization process. The project: 1 created a malaria prevention culture in the community; 2 avoided deaths from malaria (no fatal cases in the 3-year period, compared to 5-8 deaths a year previously; 3 avoided cases of cerebral malaria (no cases, as compared to 90-110 per year previously; 4 reduced malaria incidence by 45.36%; 5 decreased length of sick leave from 7.52 to 3.7 days; 6 established a permanent network of microscope technicians and 2-way radio communications; 7 integrated work by local, regional, and outside institutions; 8 demonstrated efficacy of insecticide-impregnated bednets to reduce malaria transmission.

  3. Education and leisure: analyzing the Integrated School Program in Belo Horizonte

    Directory of Open Access Journals (Sweden)

    Marcília de Sousa Silva

    2015-01-01

    Full Text Available This article aims to analyze the concepts of leisure and education that permeate the documents in the Integrated School Program in Belo Horizonte. The analysis was based on the Policy cycle approach and emphasized the contexts of influence and the policy text production. Thus, the formation of the political agenda, the Political Pedagogical Project Program and the Strategic Plan 2010-2030 BH were investigated. The policy context is not organized in a linear fashion; it is a process of groups of interest interaction. With the discourse of coping with school failure, revealed by the students’ yield and flow evaluation indices (approval, repetition and dropout, the Integrated School education documents announce education and leisure as forms of production, strengthening links between public and private. The right to education is restricted to children’s and youth’s access and permanence in school without creating a perspective of universalization and quality. The documents address the leisure with a simplistic view of construction and maintenance of equipment and the idea of activity

  4. Real-world program evaluation of integrated behavioral health care: Improving scientific rigor.

    Science.gov (United States)

    Funderburk, Jennifer S; Shepardson, Robyn L

    2017-06-01

    Designing systematic, scientifically rigorous program evaluations (PE) is 1 way to contribute to the significant need to build best practices and a stronger evidence base for integrated behavioral health care. However, there are many potential pitfalls when conducting PE in real-world settings, and many clinicians and administrators may be hesitant to engage in PE due to lack of training or resources. Rigorous PE can be achieved feasibly and efficiently. This article discusses common challenges that arise when conducting PE in integrated behavioral health care settings and illustrates ways to increase the methodological quality of PE efforts using lessons learned from 2 real-world case examples. The first example included a PE of a training program for brief alcohol interventions, and the second example included a PE of a depression medication monitoring service. The case examples demonstrate the need for strategic planning beforehand, including the use of a conceptual framework as well as appropriate study designs/methodology, measurement, and the need for consistency to achieve a well-designed PE. Using the recommendations within this article, it is hoped that the quality of PEs can be improved resulting in more generalizable data that can be used to inform organizations and policymakers to improve health care delivery. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

  5. Botswana water and surface energy balance research program. Part 1: Integrated approach and field campaign results

    Science.gov (United States)

    Vandegriend, A. A.; Owe, M.; Vugts, H. F.; Ramothwa, G. K.

    1992-01-01

    The Botswana water and surface energy balance research program was developed to study and evaluate the integrated use of multispectral satellite remote sensing for monitoring the hydrological status of the Earth's surface. Results of the first part of the program (Botswana 1) which ran from 1 Jan. 1988 - 31 Dec. 1990 are summarized. Botswana 1 consisted of two major, mutually related components: a surface energy balance modeling component, built around an extensive field campaign; and a passive microwave research component which consisted of a retrospective study of large scale moisture conditions and Nimbus scanning multichannel microwave radiometer microwave signatures. The integrated approach of both components in general are described and activities performed during the surface energy modeling component including the extensive field campaign are summarized. The results of the passive microwave component are summarized. The key of the field campaign was a multilevel approach, whereby measurements by various similar sensors were made at several altitudes and resolution. Data collection was performed at two adjacent sites of contrasting surface character. The following measurements were made: micrometeorological measurements, surface temperatures, soil temperatures, soil moisture, vegetation (leaf area index and biomass), satellite data, aircraft data, atmospheric soundings, stomatal resistance, and surface emissivity.

  6. Length and coverage of inhibitory decision rules

    KAUST Repository

    Alsolami, Fawaz

    2012-01-01

    Authors present algorithms for optimization of inhibitory rules relative to the length and coverage. Inhibitory rules have a relation "attribute ≠ value" on the right-hand side. The considered algorithms are based on extensions of dynamic programming. Paper contains also comparison of length and coverage of inhibitory rules constructed by a greedy algorithm and by the dynamic programming algorithm. © 2012 Springer-Verlag.

  7. Integrated programs for mothers with substance abuse issues: A systematic review of studies reporting on parenting outcomes.

    Science.gov (United States)

    Niccols, Alison; Milligan, Karen; Sword, Wendy; Thabane, Lehana; Henderson, Joanna; Smith, Ainsley

    2012-03-19

    Integrated treatment programs (those that include on-site pregnancy-, parenting-, or child-related services with addiction services) were developed to break the intergenerational cycle of addiction, dysfunctional parenting, and poor outcomes for mothers and children, yet there has been no systematic review of studies of parenting outcomes. As part of larger systematic review to examine the effectiveness of integrated programs for mothers with substance abuse issues, we performed a systematic review of studies published from 1990 to 2011 with data on parenting outcomes. Literature search strategies included online bibliographic database searches, checking printed sources, and requests to researchers. Studies were included if all participants were mothers with substance abuse problems at baseline, the treatment program included at least one specific substance use treatment and at least one parenting or child service, and there were quantitative data on parenting outcomes. We summarized data on parenting skills and capacity outcomes. There were 24 cohort studies, 3 quasi-experimental studies, and 4 randomized trials. In the three randomized trials comparing integrated programs to addiction treatment-as-usual (N = 419), most improvements in parenting skills favored integrated programs and most effect sizes indicated that this advantage was small, ds = -0.02 to 0.94. Results for child protection services involvement did not differ by group. In the three studies that examined factors associated with treatment effects, parenting improvements were associated with attachment-based parenting interventions, children residing in the treatment facility, and improvements in maternal mental health. This is the first systematic review of studies evaluating the effectiveness of integrated programs on parenting. The limited available evidence supports integrated programs, as findings suggest that they are associated with improvements in parenting skills. However, more research is

  8. Evaluation of NSF's Program of Grants and Vertical Integration of Research and Education in the Mathematical Sciences (VIGRE)

    Science.gov (United States)

    National Academies Press, 2009

    2009-01-01

    In 1998, the National Science Foundation (NSF) launched a program of Grants for Vertical Integration of Research and Education in the Mathematical Sciences (VIGRE). These grants were designed for institutions with PhD-granting departments in the mathematical sciences, for the purpose of developing high-quality education programs, at all levels,…

  9. Approaches to Work-Integrated Learning and Engaging Industry in Vocational ICT Courses: Evaluation of an Australian Pilot Program

    Science.gov (United States)

    Armatas, Christine; Papadopoulos, Theo

    2013-01-01

    Evaluation of a government-sponsored program for promoting work-integrated learning (WIL) in information communication technology (ICT) courses offered to vocational education students is discussed in this paper. The program provided the opportunity to incorporate WIL in the curriculum which had not previously been a feature of these ICT courses.…

  10. BEfree: A new psychological program for binge eating that integrates psychoeducation, mindfulness, and compassion.

    Science.gov (United States)

    Pinto-Gouveia, José; Carvalho, Sérgio A; Palmeira, Lara; Castilho, Paula; Duarte, Cristiana; Ferreira, Cláudia; Duarte, Joana; Cunha, Marina; Matos, Marcela; Costa, Joana

    2017-09-01

    Binge eating disorder (BED) is associated with several psychological and medical problems, such as obesity. Approximately 30% of individuals seeking weight loss treatments present binge eating symptomatology. Moreover, current treatments for BED lack efficacy at follow-up assessments. Developing mindfulness and self-compassion seem to be beneficial in treating BED, although there is still room for improvement, which may include integrating these different but complimentary approaches. BEfree is the first program integrating psychoeducation-, mindfulness-, and compassion-based components for treating women with binge eating and obesity. To test the acceptability and efficacy up to 6-month postintervention of a psychological program based on psychoeducation, mindfulness, and self-compassion for obese or overweight women with BED. A controlled longitudinal design was followed in order to compare results between BEfree (n = 19) and waiting list group (WL; n = 17) from preintervention to postintervention. Results from BEfree were compared from preintervention to 3- and 6-month follow-up. BEfree was effective in eliminating BED; in diminishing eating psychopathology, depression, shame and self-criticism, body-image psychological inflexibility, and body-image cognitive fusion; and in improving obesity-related quality of life and self-compassion when compared to a WL control group. Results were maintained at 3- and 6-month follow-up. Finally, participants rated BEfree helpful for dealing with impulses and negative internal experiences. These results seem to suggest the efficacy of BEfree and the benefit of integrating different components such as psychoeducation, mindfulness, and self-compassion when treating BED in obese or overweight women. The current study provides evidence of the acceptability of a psychoeducation, mindfulness, and compassion program for binge eating in obesity (BEfree); Developing mindfulness and self-compassionate skills is an effective way of

  11. Integrative Curriculum Development in Nuclear Education and Research Vertical Enhancement Program

    Energy Technology Data Exchange (ETDEWEB)

    Egarievwe, Stephen U.; Jow, Julius O.; Edwards, Matthew E.; Montgomery, V. Trent [Nuclear Engineering and Radiological Science Center, Alabama A and M University, Huntsville, AL (United States); James, Ralph B.; Blackburn, Noel D. [Nonproliferation and National Security Department, Brookhaven National Laboratory, Upton, NY (United States); Glenn, Chance M. [College of Engineering, Technology and Physical Sciences, Alabama A and M University, Huntsville, AL (United States)

    2015-07-01

    Using a vertical education enhancement model, a Nuclear Education and Research Vertical Enhancement (NERVE) program was developed. The NERVE program is aimed at developing nuclear engineering education and research to 1) enhance skilled workforce development in disciplines relevant to nuclear power, national security and medical physics, and 2) increase the number of students and faculty from underrepresented groups (women and minorities) in fields related to the nuclear industry. The program uses multi-track training activities that vertically cut across the several education domains: undergraduate degree programs, graduate schools, and post-doctoral training. In this paper, we present the results of an integrative curriculum development in the NERVE program. The curriculum development began with nuclear content infusion into existing science, engineering and technology courses. The second step involved the development of nuclear engineering courses: 1) Introduction to Nuclear Engineering, 2) Nuclear Engineering I, and 2) Nuclear Engineering II. The third step is the establishment of nuclear engineering concentrations in two engineering degree programs: 1) electrical engineering, and 2) mechanical engineering. A major outcome of the NERVE program is a collaborative infrastructure that uses laboratory work, internships at nuclear facilities, on-campus research, and mentoring in collaboration with industry and government partners to provide hands-on training for students. The major activities of the research and education collaborations include: - One-week spring training workshop at Brookhaven National Laboratory: The one-week training and workshop is used to enhance research collaborations and train faculty and students on user facilities/equipment at Brookhaven National Laboratory, and for summer research internships. Participants included students, faculty members at Alabama A and M University and research collaborators at BNL. The activities include 1) tour and

  12. A mixed-methods evaluation of an Integrated Medication Management program and implications for implementation.

    Science.gov (United States)

    Fischer, Shira H; Armstrong, Courtney K; Duffy, Erin L; Hussey, Peter S

    Improving medication adherence is a common and challenging issue. Taking medications as prescribed becomes particularly difficult for individuals with multiple chronic conditions. Poor adherence can lead to exacerbated health issues and prolonged disease severity. Medication Therapy Management is increasingly being used to help clinics improve medication adherence and reduce adverse events, but factors that enable implementation of such programs are not well identified. To describe the factors associated with implementation of an innovative pharmacy program and to measure the impact of the intervention. This mixed-methods cohort study in a federal qualified health center with its own pharmacy examined the implementation and the impact of a broad program including MTM. The intervention included appointments with pharmacists, communication between pharmacists and physicians, and, for some, monthly pre-packaged medications. Semi-structured interviews with patients and staff were recorded, transcribed, and analyzed for themes relating to implementation, satisfaction, and challenges. Quantitative methods using data collected by the pharmacists at each visit were used to compare the first visit to those at later visits and provided measures of impact on diabetes control, statin use, and medication-related problems (MRPs). Qualitative interviews identified enabling factors that contributed to successful implementation of this program, including: program factors such as data access, communication with patients, and dedicated staff; organizational factors such as culture of integration, leadership support, and staffing; and lastly, environmental factors such as the availability of 340B funding. Quantitative analyses were limited by poor retention and lack of a similarly-documented comparison group. Health outcomes were not found to be significantly better, though there was a significant decrease in some kinds of MRPs. This program was well received by patients and staff and

  13. Integrating Hydrology and Historical Geography in an Interdisciplinary Environmental Masters Program in Northern Ontario, Canada

    Science.gov (United States)

    Greer, Kirsten; James, April

    2016-04-01

    Research in hydrology and other sciences are increasingly calling for new collaborations that "…simultaneously explore the biogeophysical, social and economic forces that shape an increasingly human-dominated global hydrologic system…" (Vorosmarty et al. 2015, p.104). With many environmental programs designed to help students tackle environmental problems, these initiatives are not without fundamental challenges (for example, they are often developed around a single epistemology of positivism). Many environmental graduate programs provide narrow interdisciplinary training (within the sciences, or bridging to the social sciences) but do not necessarily engage with the humanities. Geography however, has a long tradition and history of bridging the geophysical, social sciences, and humanities. In this paper, we reflect on new programming in an Interdisciplinary Master's program in Northern Ontario, Canada, inspired by the rich tradition of geography. As Canada Research Chairs trained in different geographical traditions (historical geography and hydrology), we aim to bring together approaches in the humanities and geophysical sciences to understand hydrological and environmental change over time. We are teaching in a small, predominantly undergraduate University located in Northern Ontario, Canada, a region shaped significantly by colonial histories and resource development. The Masters of Environmental Studies/Masters of Environmental Sciences (MES/MESc) program was conceived from a decade of interdisciplinary dialogue across three undergraduate departments (Geography, Biology and Chemistry, History) to promote an understanding of both humanistic and scientific approaches to environmental issues. In the fall of 2015, as part of our 2015-2020 Canada Research Chair mandates, we introduced new initiatives to further address the integration of humanities and sciences to our graduate program. We believe the new generation of environmental scientists and practioners

  14. Payment for Physician and Other Health Care Professional Services Purchased by Indian Health Programs and Medical Charges Associated With Non-Hospital-Based Care. Final rule with comment period.

    Science.gov (United States)

    2016-03-21

    The Secretary of the Department of Health and Human Services (HHS) hereby issues this final rule with comment period to implement a methodology and payment rates for the Indian Health Service (IHS) Purchased/Referred Care (PRC), formerly known as the Contract Health Services (CHS), to apply Medicare payment methodologies to all physician and other health care professional services and non-hospital-based services. Specifically, it will allow the health programs operated by IHS, Tribes, Tribal organizations, and urban Indian organizations (collectively, I/T/U programs) to negotiate or pay non-I/T/U providers based on the applicable Medicare fee schedule, prospective payment system, Medicare Rate, or in the event of a Medicare waiver, the payment amount will be calculated in accordance with such waiver; the amount negotiated by a repricing agent, if applicable; or the provider or supplier's most favored customer (MFC) rate. This final rule will establish payment rates that are consistent across Federal health care programs, align payment with inpatient services, and enable the I/T/U to expand beneficiary access to medical care. A comment period is included, in part, to address Tribal stakeholder concerns about the opportunity for meaningful consultation on the rule's impact on Tribal health programs.

  15. Plagiarism, Cheating and Research Integrity: Case Studies from a Masters Program in Peru

    Science.gov (United States)

    Carnero, Andres M.; Mayta-Tristan, Percy; Konda, Kelika A.; Mezones-Holguin, Edward; Bernabe-Ortiz, Antonio; Alvarado, German F.; Canelo-Aybar, Carlos; Maguiña, Jorge L.; Segura, Eddy R.; Quispe, Antonio M.; Smith, Edward S.; Bayer, Angela M.; Lescano, Andres G.

    2017-01-01

    Plagiarism is a serious, yet widespread type of research misconduct, and is often neglected in developing countries. Despite its far-reaching implications, plagiarism is poorly acknowledged and discussed in the academic setting, and insufficient evidence exists in Latin America and developing countries to inform the development of preventive strategies. In this context, we present a longitudinal case study of seven instances of plagiarism and cheating arising in four consecutive classes (2011–2014) of an Epidemiology Masters program in Lima, Peru, and describes the implementation and outcomes of a multifaceted, “zero-tolerance” policy aimed at introducing research integrity. Two cases involved cheating in graded assignments, and five cases correspond to plagiarism in the thesis protocol. Cases revealed poor awareness of high tolerance to plagiarism, poor academic performance, and widespread writing deficiencies, compensated with patchwriting and copy-pasting. Depending on the events’ severity, penalties included course failure (6/7) and separation from the program (3/7). Students at fault did not engage in further plagiarism. Between 2011 and 2013, the Masters program sequentially introduced a preventive policy consisting of: (i) intensified research integrity and scientific writing education, (ii) a stepwise, cumulative writing process; (iii) honor codes; (iv) active search for plagiarism in all academic products; and (v) a “zero-tolerance” policy in response to documented cases. No cases were detected in 2014. In conclusion, plagiarism seems to be widespread in resource-limited settings and a greater response with educational and zero-tolerance components is needed to prevent it. PMID:27848191

  16. Integrated experimental test program on waterhammer pressure pulses and associated structural responses within a feedwater sparger

    Energy Technology Data Exchange (ETDEWEB)

    Nurkkala, P.; Hoikkanen, J. [Imatran Voima Oy, Vantaa (Finland)

    1997-12-31

    This paper describes the methods and systems as utilized in an integrated experimental thermohydraulic/mechanics analysis test program on waterhammer pressure pulses within a revised feedwater sparger of a Loviisa generation VVER-440-type reactor. This program was carried out in two stages: (1) measurements with a strictly limited set of operating parameters at Loviisa NPP, and (2) measurements with the full set of operating parameters on a test article simulating the revised feedwater sparger. The experiments at Loviisa NPS served as an invaluable source of information on the nature of waterhammer pressure pulses and structural responses. These tests thus helped to set the objectives and formulate the concept for series of tests on a test article to study the water hammer phenomena. The heavily instrumented full size test article of a steam generator feedwater sparger was placed within a pressure vessel simulating the steam generator. The feedwater sparger was subjected to the full range of operating parameters which were to result in waterhammer pressure pulse trains of various magnitudes and duration. Two different designs of revised feedwater sparger were investigated (i.e. `grounded` and `with goose neck`). The following objects were to be met within this program: (1) establish the thermohydraulic parameters that facilitate the occurrence of water hammer pressure pulses, (2) provide a database for further analysis of the pressure pulse phenomena, (3) establish location and severity of these water hammer pressure pulses, (4) establish the structural response due to these pressure pulses, (5) provide input data for structural integrity analysis. (orig.). 3 refs.

  17. EM-54 Technology Development In Situ Remediation Integrated Program. Annual report

    Energy Technology Data Exchange (ETDEWEB)

    1993-08-01

    The Department of Energy (DOE) established the Office of Technology Development (EM-50) as an element of Environmental Restoration and Waste Management (EM) in November 1989. EM manages remediation of all DOE sites as well as wastes from current operations. The goal of the EM program is to minimize risks to human health, safety and the environment, and to bring all DOE sites into compliance with Federal, state, and local regulations by 2019. EM-50 is charged with developing new technologies that are safer, more effective and less expensive than current methods. The In Situ Remediation Integrated Program (the subject of this report) is part of EM-541, the Environmental Restoration Research and Development Division of EM-54. The In Situ Remediation Integrated Program (ISR IP) was instituted out of recognition that in situ remediation could fulfill three important criteria: Significant cost reduction of cleanup by eliminating or minimizing excavation, transportation, and disposal of wastes; reduced health impacts on workers and the public by minimizing exposure to wastes during excavation and processing; and remediation of inaccessible sites, including: deep subsurfaces; in, under, and around buildings. Buried waste, contaminated soils and groundwater, and containerized wastes are all candidates for in situ remediation. Contaminants include radioactive wastes, volatile and non-volatile organics, heavy metals, nitrates, and explosive materials. The ISR IP tends to facilitate development of in situ remediation technologies for hazardous, radioactive, and mixed wastes in soils, groundwater, and storage tanks. Near-term focus is on containment of the wastes, with treatment receiving greater effort in future years.

  18. Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs; Organ Procurement Organization Reporting and Communication; Transplant Outcome Measures and Documentation Requirements; Electronic Health Record (EHR) Incentive Programs; Payment to Nonexcepted Off-Campus Provider-Based Department of a Hospital; Hospital Value-Based Purchasing (VBP) Program; Establishment of Payment Rates Under the Medicare Physician Fee Schedule for Nonexcepted Items and Services Furnished by an Off-Campus Provider-Based Department of a Hospital. Final rule with comment period and interim final rule with comment period.

    Science.gov (United States)

    2016-11-14

    This final rule with comment period revises the Medicare hospital outpatient prospective payment system (OPPS) and the Medicare ambulatory surgical center (ASC) payment system for CY 2017 to implement applicable statutory requirements and changes arising from our continuing experience with these systems. In this final rule with comment period, we describe the changes to the amounts and factors used to determine the payment rates for Medicare services paid under the OPPS and those paid under the ASC payment system. In addition, this final rule with comment period updates and refines the requirements for the Hospital Outpatient Quality Reporting (OQR) Program and the ASC Quality Reporting (ASCQR) Program. Further, in this final rule with comment period, we are making changes to tolerance thresholds for clinical outcomes for solid organ transplant programs; to Organ Procurement Organizations (OPOs) definitions, outcome measures, and organ transport documentation; and to the Medicare and Medicaid Electronic Health Record Incentive Programs. We also are removing the HCAHPS Pain Management dimension from the Hospital Value-Based Purchasing (VBP) Program. In addition, we are implementing section 603 of the Bipartisan Budget Act of 2015 relating to payment for certain items and services furnished by certain off-campus provider-based departments of a provider. In this document, we also are issuing an interim final rule with comment period to establish the Medicare Physician Fee Schedule payment rates for the nonexcepted items and services billed by a nonexcepted off-campus provider-based department of a hospital in accordance with the provisions of section 603.

  19. Medicare Program; hospital inpatient prospective payment systems for acute care hospitals and the long-term care hospital prospective payment system changes and FY2011 rates; provider agreements and supplier approvals; and hospital conditions of participation for rehabilitation and respiratory care services; Medicaid program: accreditation for providers of inpatient psychiatric services. Final rules and interim final rule with comment period.

    Science.gov (United States)

    2010-08-16

    : We are revising the Medicare hospital inpatient prospective payment systems (IPPS) for operating and capital-related costs of acute care hospitals to implement changes arising from our continuing experience with these systems and to implement certain provisions of the Affordable Care Act and other legislation. In addition, we describe the changes to the amounts and factors used to determine the rates for Medicare acute care hospital inpatient services for operating costs and capital-related costs. We also are setting forth the update to the rate-of-increase limits for certain hospitals excluded from the IPPS that are paid on a reasonable cost basis subject to these limits. We are updating the payment policy and the annual payment rates for the Medicare prospective payment system (PPS) for inpatient hospital services provided by long-term care hospitals (LTCHs) and setting forth the changes to the payment rates, factors, and other payment rate policies under the LTCH PPS. In addition, we are finalizing the provisions of the August 27, 2009 interim final rule that implemented statutory provisions relating to payments to LTCHs and LTCH satellite facilities and increases in beds in existing LTCHs and LTCH satellite facilities under the LTCH PPS. We are making changes affecting the: Medicare conditions of participation for hospitals relating to the types of practitioners who may provide rehabilitation services and respiratory care services; and determination of the effective date of provider agreements and supplier approvals under Medicare. We are also setting forth provisions that offer psychiatric hospitals and hospitals with inpatient psychiatric programs increased flexibility in obtaining accreditation to participate in the Medicaid program. Psychiatric hospitals and hospitals with inpatient psychiatric programs will have the choice of undergoing a State survey or of obtaining accreditation from a national accrediting organization whose hospital accreditation

  20. [Integrity].

    Science.gov (United States)

    Gómez Rodríguez, Rafael Ángel

    2014-01-01

    To say that someone possesses integrity is to claim that that person is almost predictable about responses to specific situations, that he or she can prudentially judge and to act correctly. There is a closed interrelationship between integrity and autonomy, and the autonomy rests on the deeper moral claim of all humans to integrity of the person. Integrity has two senses of significance for medical ethic: one sense refers to the integrity of the person in the bodily, psychosocial and intellectual elements; and in the second sense, the integrity is the virtue. Another facet of integrity of the person is la integrity of values we cherish and espouse. The physician must be a person of integrity if the integrity of the patient is to be safeguarded. The autonomy has reduced the violations in the past, but the character and virtues of the physician are the ultimate safeguard of autonomy of patient. A field very important in medicine is the scientific research. It is the character of the investigator that determines the moral quality of research. The problem arises when legitimate self-interests are replaced by selfish, particularly when human subjects are involved. The final safeguard of moral quality of research is the character and conscience of the investigator. Teaching must be relevant in the scientific field, but the most effective way to teach virtue ethics is through the example of the a respected scientist.