WorldWideScience

Sample records for providing technical assistance

  1. 75 FR 48273 - Technical Service Provider Assistance

    Science.gov (United States)

    2010-08-10

    ... provisions by expanding the definition Technical Service Provider Assistance, which contained an error in the omission of ``Indian Tribe'' in the definition of Technical Service Provider. DATES: Effective Date: This amendment is effective on August 10, 2010. FOR FURTHER INFORMATION CONTACT: Angel Figueroa, Team Leader...

  2. 75 FR 6839 - Technical Service Provider Assistance

    Science.gov (United States)

    2010-02-12

    ... Conservation Service 7 CFR Part 652 RIN 0578-AA48 Technical Service Provider Assistance AGENCY: Natural... Final rule amends the Natural Resources Conservation Service (NRCS) regulations for technical service provider (TSP) provisions under the Food Security Act of 1985. The Food, Conservation, and Energy Act of...

  3. 13 CFR 120.714 - How are grants made to non-lending technical assistance providers (NTAP)?

    Science.gov (United States)

    2010-01-01

    ... entity that is not an Intermediary may apply to SBA for a grant to provide marketing, management and... 13 Business Credit and Assistance 1 2010-01-01 2010-01-01 false How are grants made to non-lending technical assistance providers (NTAP)? 120.714 Section 120.714 Business Credit and Assistance SMALL BUSINESS...

  4. 34 CFR 86.302 - What are the procedures used by the Secretary for providing information or technical assistance?

    Science.gov (United States)

    2010-07-01

    ... 34 Education 1 2010-07-01 2010-07-01 false What are the procedures used by the Secretary for providing information or technical assistance? 86.302 Section 86.302 Education Office of the Secretary, Department of Education DRUG AND ALCOHOL ABUSE PREVENTION Responses and Sanctions Issued or Imposed by the...

  5. S-Chip Technical Assistance

    Data.gov (United States)

    U.S. Department of Health & Human Services — The page will provide access to reports and other published products designed to assist states with complicated S-Chip technical issues. The reports and products...

  6. Superfund Technical Assistance Grants

    Data.gov (United States)

    U.S. Environmental Protection Agency — This asset includes data related to the Superfund Technical Assistance Grant program, including grant number, award amounts, award dates, period of performance,...

  7. Subsurface Contaminants Focus Area (SCFA) Lead Laboratory Providing Technical Assistance to the DOE Weapons Complex in Subsurface Contamination

    Energy Technology Data Exchange (ETDEWEB)

    Wright, J. A. Jr.; Corey, J. C.

    2002-02-27

    The Subsurface Contaminants Focus Area (SCFA), a DOE-HQ EM-50 organization, is hosted and managed at the Savannah River Site in Aiken, South Carolina. SCFA is an integrated program chartered to find technology and scientific solutions to address DOE subsurface environmental restoration problems throughout the DOE Weapons Complex. Since its inception in 1989, the SCFA program has resulted in a total of 269 deployments of 83 innovative technologies. Until recently, the primary thrust of the program has been to develop, demonstrate, and deploy those remediation technology alternatives that are solutions to technology needs identified by the DOE Sites. Over the last several years, the DOE Sites began to express a need not only for innovative technologies, but also for technical assistance. In response to this need, DOE-HQ EM-50, in collaboration with and in support of a Strategic Lab Council recommendation directed each of its Focus Areas to implement a Lead Laboratory Concept to enhance their technical capabilities. Because each Focus Area is unique as defined by the contrast in either the type of contaminants involved or the environments in which they are found, the Focus Areas were given latitude in how they set up and implemented the Lead Lab Concept. The configuration of choice for the SCFA was a Lead-Partner Lab arrangement. Savannah River Technology Center (SRTC) teamed with the SCFA as the Focus Area's Lead Laboratory. SRTC then partnered with the DOE National Laboratories to create a virtual consulting function within DOE. The National Laboratories were established to help solve the Nation's most difficult problems, drawing from a resource pool of the most talented and gifted scientists and engineers. Following that logic, SRTC, through the Lead-Partner Lab arrangement, has that same resource base to draw from to provide assistance to any SCFA DOE customer throughout the Complex. This paper briefly describes how this particular arrangement is

  8. Solar technical assistance provided to Forest City military communities in Hawaii for incorporation of 20-30 MW of solar energy generation to power family housing for US Navy personnel.

    Energy Technology Data Exchange (ETDEWEB)

    Dominick, Jeff (National Renewable Energy Laboratory, Golden, CO); Merrigan, Tim (National Renewable Energy Laboratory, Golden, CO); Boudra, Will (Forest City Military Communities, Honolulu, HI); Miller, Ryan (CH2M Hill, Englewood, CO); Cisneros, Gabriela (New Mexico State University, Las Cruces, NM); Rosenthal, Andrew L. (New Mexico State University, Las Cruces, NM); Kuszmaul, Scott S.; Gupta, Vipin P.

    2010-06-01

    In May 2007, Forest City Military Communities won a US Department of Energy Solar America Showcase Award. As part of this award, executives and staff from Forest City Military Communities worked side-by-side with a DOE technical assistance team to overcome technical obstacles encountered by this large-scale real estate developer and manager. This paper describes the solar technical assistance that was provided and the key solar experiences acquired by Forest City Military Communities over an 18 month period.

  9. TADS: Technical Assistance Development System.

    Science.gov (United States)

    Epting, Rosemary, Ed.

    Described is the Technical Assistance Development System (TADS), a component of the Frank Porter Graham Child Development Center of the University of North Carolina at Chapel Hill which offers support services to preschool demonstration centers for handicapped children in the First Chance Network. Discussed are the four types of services offered:…

  10. The Relationship of Repeated Technical Assistance Support Visits to the Delivery of Positive Health, Dignity, and Prevention (PHDP) Messages by Healthcare Providers in Mozambique: A Longitudinal Multilevel Analysis.

    Science.gov (United States)

    Gutin, Sarah A; Amico, K Rivet; Hunguana, Elsa; Munguambe, António Orlando; Rose, Carol Dawson

    Positive health, dignity, and prevention (PHDP) is Mozambique's strategy to engage clinicians in the delivery of prevention messages to their HIV-positive clients. This national implementation strategy uses provider trainings on offering key messages and focuses on intervening on 9 evidence-based risk reduction areas. We investigated the impact of longitudinal technical assistance (TA) as an addition to this basic training. We followed 153 healthcare providers in 5 Mozambican provinces over 6 months to evaluate the impact of on-site, observation-based TA on PHDP implementation. Longitudinal multilevel models were estimated to model change in PHDP message delivery over time among individual providers. With each additional TA visit, providers delivered about 1 additional PHDP message ( P < .001); clinicians and nonclinicians started at about the same baseline level, but clinicians improved more quickly ( P = .004). Message delivery varied by practice sector; maternal and child health sectors outperformed other sectors. Longitudinal TA helped reach the programmatic goals of the PHDP program in Mozambique.

  11. Solar Technical Assistance Team (Fact Sheet)

    Energy Technology Data Exchange (ETDEWEB)

    2012-07-01

    The Solar Technical Assistance Team (STAT) is a team of solar technology and deployment experts who ensure that the best information on policies, regulations, financing, and other issues is getting into the hands of state government decision makers whey they need it. This fact sheet provides information about STAT and the STAT webinar series for the summer of 2012.

  12. Clean Cities Technical Assistance Project (Tiger Teams)

    Energy Technology Data Exchange (ETDEWEB)

    2016-02-01

    This two-page fact sheet describes Clean Cities' technical assistance (Tiger Teams) capabilities and projects, both completed and ongoing. Tiger Teams are a critical element of the Clean Cities program, providing on-the-ground consultation to help inform program strategies. The knowledge Tiger Team experts gain from these experiences often helps inform other alternative fuels activities, such as needed research, codes and standards revisions, and new training resources.

  13. 38 CFR 61.55 - Technical assistance reports.

    Science.gov (United States)

    2010-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 2 2010-07-01 2010-07-01 false Technical assistance reports. 61.55 Section 61.55 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS (CONTINUED) VA HOMELESS PROVIDERS GRANT AND PER DIEM PROGRAM § 61.55 Technical assistance reports. Each...

  14. 38 CFR 61.54 - Awarding technical assistance grants.

    Science.gov (United States)

    2010-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 2 2010-07-01 2010-07-01 false Awarding technical assistance grants. 61.54 Section 61.54 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS (CONTINUED) VA HOMELESS PROVIDERS GRANT AND PER DIEM PROGRAM § 61.54 Awarding technical assistance grants. (a...

  15. The Effect of Technical Assistance on Involvement and Use: The Case of a Research, Evaluation, and Technical Assistance Project

    Science.gov (United States)

    Roseland, Denise; Volkov, Boris B.; Callow-Heusser, Catherine

    2011-01-01

    In contrast to typical National Science Foundation program evaluations, the Utah State Math Science Partnership-Research, Evaluation and Technical Assistance Project (MSP-RETA) provided technical assistance (TA) in two forms: direct TA for up to 10 projects a year, and professional development sessions for a larger number of project staff. Not…

  16. 34 CFR 200.40 - Technical assistance.

    Science.gov (United States)

    2010-07-01

    ... Programs Operated by Local Educational Agencies Lea and School Improvement § 200.40 Technical assistance. (a) An LEA that identifies a school for improvement under § 200.32 must ensure that the school receives technical assistance as the school develops and implements its improvement plan under § 200.41 and...

  17. Technical Assistance Contractor management plan. Revision 1

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1995-08-01

    The Technical Assistance Contractor (TAC) for the Uranium Mill Tailings Remedial Action (UMTRA) Project comprises Jacobs Engineering Group Inc. (JEG) as the prime contractor and three teaming partner subcontractors: Roy F. Weston, Inc. (RFW), AGRA Earth and Environmental, Inc. (AGRA), and Geraghty and Miller, Inc. (G and M). The TAC contract`s scope is to provide technical, analytical, environmental, engineering, design, inspection, and management support services to the US Department of Energy (DOE) for both Surface and Ground Water Projects. The TAC team supports the DOE in completing surface remedial action and initiating ground water remediation work for start-up, characterization, compliance planning, design, construction oversight, and remedial operations. The TAC provides the DOE UMTRA Project Team with a dedicated management, scientific, and technical resource base in Albuquerque, New Mexico, which is supplemented by corporate resources. A carefully developed and maintained staff of technical experts is available to assess, analyze, develop, and execute cost-effective solutions to the demanding technical and institutional problems presented by the UMTRA Project.

  18. State Operations and Technical Assistance (SOTA) Contacts

    Data.gov (United States)

    U.S. Department of Health & Human Services — The State Operations and Technical Assistance (SOTA) initiative was created to work through policy and operational changes required in Medicaid by the Affordable...

  19. NREL technical assistance to Argentina

    Energy Technology Data Exchange (ETDEWEB)

    Lilienthal, P. [National Renewable Energy Lab., Golden, CO (United States)

    1997-12-01

    This paper describes assistance to Argentina from the National Renewable Energy Laboratory which has touched on four programs: tariff analysis for rural concessions programs; wind/diesel hybrid retrofits in Patagonia; small hybrid systems designs for rural schools; an assessment of wind resources. The paper expands briefly on the first two points.

  20. 38 CFR 61.51 - Applications for technical assistance grants.

    Science.gov (United States)

    2010-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 2 2010-07-01 2010-07-01 false Applications for technical assistance grants. 61.51 Section 61.51 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS (CONTINUED) VA HOMELESS PROVIDERS GRANT AND PER DIEM PROGRAM § 61.51 Applications for...

  1. Technical Assistance Program: Off to a Running Start (Newsletter)

    Energy Technology Data Exchange (ETDEWEB)

    2012-02-01

    This newsletter describes key activities of the DOE Office of Indian Energy Policy and Programs for Winter 2012. Between December 2, 2011, and January 15, 2012, 46 American Indian and Alaska Native Tribes submitted applications to receive technical assistance through the program, which provides Tribes with on-the-ground technical support from DOE and National Renewable Energy Laboratory (NREL) staff to help move tribal energy efficiency and renewable energy projects forward. The applications are being considered through the Strategic Technical Assistance Response Team (START) selection process, which incorporates expert reviews and outreach to Tribes who present a need for assistance with their community-based energy efficiency and renewable energy projects. The final successful applicants will be selected based on the clarity of their requests for technical assistance and the ability of START to successfully work with each unique project or community. At least three selected Tribes in Alaska will receive technical assistance between March and May 2012, and up to five selected Tribes in the contiguous United States will receive technical assistance between March and August 2012. During the months of START Program activity, DOE and NREL experts will work in the two locations. In Alaska, START experts will work directly with community-based project teams to analyze local energy issues and provide assistance with energy projects and cost savings initiatives. This effort will be bolstered by DOE-IE's partnership with the Denali Commission, which will provide further assistance and expertise. In the lower 48 states, NREL experts will work with the selected renewable energy START projects to evaluate financial and technical feasibility and provide early development technical assistance to better position the projects for financing and construction. This on-the-ground technical assistance is part of a broader DOE-IE effort to make reliable, accurate technical

  2. Providing Language Instructor with Artificial Intelligence Assistant

    Directory of Open Access Journals (Sweden)

    K. Pietroszek

    2007-12-01

    Full Text Available Abstract—This paper presents the preliminary results ofdeveloping HAL for CALL, an artificial intelligenceassistant for language instructor. The assistant consists of achatbot, an avatar (a three-dimensional visualization of thechatbot, a voice (text-to-speech engine interface andinterfaces to external sources of language knowledge. Sometechniques used in adapting freely available chatbot for theneed of a language learning system are presented.Integration of HAL with Second Life virtual world isproposed. We will discuss technical challenges and possiblefuture work directions.

  3. Technical assistance contractor management plan: Surface and ground water

    Energy Technology Data Exchange (ETDEWEB)

    1994-09-01

    This report presents the general management structure of the Technical Assistance Contractor (TAC) for the Uranium Mill Tailings Remedial Action (UMTRA) Project. This team is a partnership of four major private subcontractors, which teamed together, are striving to be the leader in environmental restoration of uranium mining and milling operations. It will provide a pool of experts in various aspects of the technologies necessary to accomplish this goal, available to DOE to deal with mission concerns. The report expands on goals from TAC`s mission statement, which include management concerns, environment, safety, and health, quality, technical support, communications, and personnel.

  4. Mobile-assisted ESP learning in technical education

    Directory of Open Access Journals (Sweden)

    Šimonová Ivana

    2015-09-01

    Full Text Available This paper presents research results from the field of mobile-assisted instruction of English for specific purposes for technical and engineering students. The research was structured in three phases: (1 Questionnaire 1 was applied to detect what sources of information students use in higher education, what types of mobile devices they own, what purposes they use them for, (2 how the process of instruction, particularly students´ autonomous work supported by mobile devices ran, (3 students´ feedback was collected by Questionnaire 2 to evaluate the mobile-assisted learning and provide proposals for future exploitation of mobile devices in higher technical language education. The results show students are sufficiently equipped with mobile technologies and exploit them for various purposes, including education and ESP. At the end, examples of helpful mobile applications are presented.

  5. Technical Assistance for Southwest Solar Technologies Inc. Final Report

    Energy Technology Data Exchange (ETDEWEB)

    Munoz-Ramos, Karina [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States). Energy Surety Engineering and Analysis; Brainard, James Robert [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States). National Security Applications; McIntyre, Annie [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States). Energy Surety Engineering and Analysis; Bauer, Stephen J. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States). Geomechanics; Akin, Lili A. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States). Structural and Thermal Analysis; Nicol, Katherine [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States). Energy Surety Engineering and Analysis; Hayden, Herb [Southwest Solar Technologies, Inc., Phoenix, AZ (United States)

    2012-07-01

    Southwest Solar Technologies Inc. is constructing a Solar-Fuel Hybrid Turbine energy system. This innovative energy system combines solar thermal energy with compressed air energy storage and natural gas fuel backup capability to provide firm, non-intermittent power. In addition, the energy system will have very little impact on the environment since, unlike other Concentrated Solar Power (CSP) technologies, it requires minimal water. In 2008 Southwest Solar Technologies received a Solar America Showcase award from the Department of Energy for Technical Assistance from Sandia National Laboratories. This report details the work performed as part of the Solar America Showcase award for Southwest Solar Technologies. After many meetings and visits between Sandia National Labs and Southwest Solar Technologies, several tasks were identified as part of the Technical Assistance and the analysis and results for these are included here.

  6. 24 CFR 570.402 - Technical assistance awards.

    Science.gov (United States)

    2010-04-01

    ..., OMB Circulars), increasing program management or capacity building skills, attracting business or... area. (2) Technical assistance means the facilitating of skills and knowledge in planning, developing... 24 Housing and Urban Development 3 2010-04-01 2010-04-01 false Technical assistance awards. 570...

  7. Technical assistance for Meharry Medical College Energy Efficiency Project. Final project status and technical report

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1996-05-08

    This report presents the results of a program to provide technical assistance to Meharry Medical College. The purpose of the program is to facilitate Meharry`s effort to finance a campus-wide facility retrofit. The US Department of Energy (USDOE) funded the program through a grant to the Tennessee Department of Economic and Community Development (TECD). The University of Memphis-Technology and Energy Services (UM-TES), under contract to TECD, performed program services. The report has three sections: (1) introduction; (2) project definition, financing, and participants; and (3) opportunities for federal participation.

  8. Outreach and Technical Assistance Network. Two Year Evaluation Report. December 1, 1989 - November 30, 1991.

    Science.gov (United States)

    Hacienda La Puente Unified School District, City of Industry, CA.

    The staff development component of the Outreach and Technical Assistance Network (OTAN) began the second year of operation with all 11 resource centers active. Constant emphasis and assistance was given to providing staff development through the centers. English as a Second Language (ESL) Institutes for Experienced Teachers were scheduled on a…

  9. 77 FR 47495 - Final Priority; Technical Assistance on State Data Collection, Analysis, and Reporting-National...

    Science.gov (United States)

    2012-08-08

    ... August 8, 2012 Part II Department of Education 34 CFR Chapter III Final Priority; Technical Assistance on State Data Collection, Analysis, and Reporting--National IDEA Technical Assistance Center on Early...; Technical Assistance on State Data Collection, Analysis, and Reporting--National IDEA Technical Assistance...

  10. Technical advances in robot-assisted laparoscopic radical prostatectomy

    Science.gov (United States)

    Turpen, Ryan; Atalah, Hany; Su, Li-Ming

    2009-01-01

    Since it was introduced in 1999, the da Vinci Surgical System has become an integral tool in urologic surgery, specifically in the management of localized prostate cancer. The original technique of robot-assisted laparoscopic prostatectomy (RALP) was developed and standardized in 2000 at the Institut Mutualiste Monsouris. Since that time, the technique of RALP has undergone various modifications. The driving force behind the evolution of the RALP technique in the past decade has been based on efforts to improve upon the three main objectives of surgery, namely the ‘trifecta’ of cancer cure and the preservation of potency and of urinary continence. In this review, we aim to provide an update on the midterm oncologic outcomes of RALP and focus specifically on two technical modifications that have been introduced in an effort to optimize the outcomes of potency and earlier return of urinary continence. PMID:21789072

  11. Technical assistance. Final report, 15 August 1978-14 July 1979

    Energy Technology Data Exchange (ETDEWEB)

    Culver, G.

    1979-07-14

    Under the technical assistance program up to 100 man hours of consultation can be provided, at no cost, to private, public, or corporate entities intending the direct utilization of geothermal energy. Application areas include but are not limited to, space heating and cooling, district heating, aquaculture, food production and processing, drying, chemical and pharmaceutical processes, animal husbandry, etc. Assistance is given primarily for projects in the Pacific Region states of Alaska, Washington, Oregon, California, Nevada, Arizona, and Hawaii. Activities of the technical assistance program for the reporting period are listed by state.

  12. 38 CFR 61.53 - Rating criteria for technical assistance grant applications.

    Science.gov (United States)

    2010-07-01

    ... DEPARTMENT OF VETERANS AFFAIRS (CONTINUED) VA HOMELESS PROVIDERS GRANT AND PER DIEM PROGRAM § 61.53 Rating... homeless veterans; (2) Ability to find and offer technical assistance to entities eligible for such... 38 Pensions, Bonuses, and Veterans' Relief 2 2010-07-01 2010-07-01 false Rating criteria for...

  13. The New Politics of Diversity: Lessons from a Federal Technical Assistance Grant

    Science.gov (United States)

    Frankenberg, Erica; McDermott, Kathryn A.; DeBray, Elizabeth; Blankenship, Ann Elizabeth

    2015-01-01

    In 2009, the U.S. Department of Education distributed $2,500,000 via a competitive grant program, the Technical Assistance for Student Assignment Plans, to 11 school districts. The grants and their local effects provide an opportunity to examine the new politics of diversity in public education. Participants cited a wide range of conceptions of…

  14. Final priority. Rehabilitation Training: Job-Driven Vocational Rehabilitation Technical Assistance Center. Final priority.

    Science.gov (United States)

    2014-08-19

    The Assistant Secretary for Special Education and Rehabilitative Services announces a priority under the Rehabilitation Training program to establish a Job-Driven Vocational Rehabilitation Technical Assistance Center (JDVRTAC). The Assistant Secretary may use this priority for competitions in fiscal year (FY) 2014 and later years. We take this action to focus on training in an area of national need. Specifically, this priority responds to the Presidential Memorandum to Federal agencies directing them to take action to address job-driven training for the Nation's workers. The JDVRTAC will provide technical assistance (TA) to State vocational rehabilitation (VR) agencies to help them develop for individuals with disabilities training and employment opportunities that meet the needs of today's employers.

  15. 77 FR 47501 - Applications for New Awards; Technical Assistance on State Data Collection, Analysis, and...

    Science.gov (United States)

    2012-08-08

    ... State Data Collection, Analysis, and Reporting--National IDEA Technical Assistance Center on Early... State Data Collection, Analysis, and Reporting--National IDEA Technical Assistance Center on Early..., Analysis, and Reporting--National IDEA Technical Assistance Center on Early Childhood Longitudinal Data...

  16. Home care as change of the technical-assistance model.

    Science.gov (United States)

    Silva, Kênia Lara; de Sena, Roseni Rosângela; Seixas, Clarissa Terenzi; Feuerwerker, Laura Camargo Macruz; Merhy, Emerson Elias

    2010-02-01

    To analyze home care practices of outpatient and hospital services and their constitution as a substitute healthcare network. A qualitative study was carried out using tracer methodology to analyze four outpatient home care services from the Municipal Health Department and one service from a philanthropic hospital in the municipality of Belo Horizonte, Southeastern Brazil, between 2005 and 2007. The following procedures were carried out: interviews with the home care services' managers and teams, analysis of documents and follow-up of cases, holding interviews with patients and caregivers. The analysis was guided by the analytical categories home care integration into the healthcare network and technical-assistance model. Home care implementation was preceded by a political-institutional decision, both with a rationalizing orientation, intending to promote cost reduction, and also with the aim of carrying out the technical-assistance rearrangement of the healthcare networks. These two types of orientation were found to be in conflict, which implies difficulties for conciliating interests of the different players involved in the network, and also the creation of shared management spaces. It was possible to identify technological innovation and families' autonomy in the implementation of the healthcare projects. The teams proved to be cohesive, constructing, in the daily routine, new forms of integrating different perspectives so as to transform the healthcare practices. Challenges were observed in the proposal of integrating the different substitutive healthcare services, as the home care services' capacity to change the technical-assistance model is limited. Home care has potential for constituting a substitutive network by producing new care modalities that cross the projects of users, family members, social network, and home care professionals. Home care as a substitute healthcare modality requires political, conceptual and operational sustainability, as well as

  17. Assistance dogs provide a useful behavioral model to enrich communicative skills of assistance robots.

    Science.gov (United States)

    Gácsi, Márta; Szakadát, Sára; Miklósi, Adám

    2013-01-01

    These studies are part of a project aiming to reveal relevant aspects of human-dog interactions, which could serve as a model to design successful human-robot interactions. Presently there are no successfully commercialized assistance robots, however, assistance dogs work efficiently as partners for persons with disabilities. In Study 1, we analyzed the cooperation of 32 assistance dog-owner dyads performing a carrying task. We revealed typical behavior sequences and also differences depending on the dyads' experiences and on whether the owner was a wheelchair user. In Study 2, we investigated dogs' responses to unforeseen difficulties during a retrieving task in two contexts. Dogs displayed specific communicative and displacement behaviors, and a strong commitment to execute the insoluble task. Questionnaire data from Study 3 confirmed that these behaviors could successfully attenuate owners' disappointment. Although owners anticipated the technical competence of future assistance robots to be moderate/high, they could not imagine robots as emotional companions, which negatively affected their acceptance ratings of future robotic assistants. We propose that assistance dogs' cooperative behaviors and problem solving strategies should inspire the development of the relevant functions and social behaviors of assistance robots with limited manual and verbal skills.

  18. [Technical aspects of laparoscopic robot-assisted pyeloplasty].

    Science.gov (United States)

    Ferhi, K; Rouprêt, M; Rode, J; Misraï, V; Lebeau, T; Richard, F; Vaessen, C

    2009-10-01

    From 2000, the robot-assisted laparoscopic approach has been developed for the management of ureteropelvic junction obstruction (UJO) with equivalent outcomes to conventional laparoscopic access regarding functional results. This system has simplified the suturing and has improved the precision of operative technique. The main surgical steps of the transperitoneal laparoscopic robot-assisted pyeloplasty are as follows: four or five port arrangement; initial dissection and early identification of the ureteropelvic junction; renal pelvis section; transection of the ureter and preparation of a spatula; continuous posterior suture; confection of a handle racket suture; placement of a double J stent; ending of the anastomosis. Outcomes after robotic and pure laparoscopic pyeloplasties are equivalent nowadays. Despite the financial cost, it seems easier and technically feasible and accessible for surgeons accustomed to the laparoscopic techniques and even beginners to learn the robotic technique if the system is available in their institution with success rate (radiologic and clinical) almost similar with those obtain with open techniques.

  19. The Technical Baccalaureate: Providing Excellence in Vocational Education?

    Science.gov (United States)

    Acquah, Daniel K.; Malpass, Debra

    2017-01-01

    Proposals for a technical baccalaureate have received cross-party support in England. The technical baccalaureate is intended to deliver the necessary training to enable young people to fill the UK's skills gap in intermediate-level occupations in STEM and other sectors. This paper explores how to design and implement a high-quality technical…

  20. [Change management: An analysis of actors; perceptions about technical assistance in the Democratic Republic of Congo].

    Science.gov (United States)

    Ribesse, Nathalie; Iyeti, Alain; Macq, Jean

    2015-01-01

    Technical assistance (TA) is a common component of health system strengthening interventions. This type of intervention is too often designed and evaluated according to a logic that fails to take into account social complexity. Actors' perceptions are one element of this complexity. This article presents a study conducted in the Democratic Republic of Congo designed to identify perceptions concerning two types of technical support providers for health system strengthening: long-term technical assistants (agents of development agencies) and provincial technical advisors (agents of the Ministry of Health). Interviews were conducted with an innovative tool inspired by the principles of systems thinking. Interviewees were actors involved in a TA intervention in the province of Bandundu. Their expectations regarding TA providers were identified in terms of personal characteristics (knowledge, know-how and interpersonal skills), roles, and styles of interaction for capacity building ("interventionist/ prescriptive axes"). Interviewees emphasized the importance of mutual learning and the quality of interactions, which depends on TA provider's interpersonal skills and mutual willingness. Perceptions of TA provider's characteristics tend to be similar, but several differences were observed concerning the expectations about the roles of TAs, and the style that should be adopted for capacity building. Ignoring these differences in expectations may be a threat to the effectiveness of TA.

  1. National Institute of Justice (NIJ) Center Requirements Definition, Technical Assistance, and Analysis

    National Research Council Canada - National Science Library

    Frantz, Frederick

    2003-01-01

    .... The current technology thrust areas for the Northeast Region are Concealed Weapons Detection, Secure Communications, Computer Forensics, Information Management, AGILE, and various technical assistance projects...

  2. 10 CFR 455.110 - Grant application submittals for technical assistance and energy conservation measures.

    Science.gov (United States)

    2010-01-01

    ... energy conservation measures. 455.110 Section 455.110 Energy DEPARTMENT OF ENERGY ENERGY CONSERVATION... Grant application submittals for technical assistance and energy conservation measures. (a) Each... assistance for energy conservation measures, including renewable resource measures, shall include the...

  3. State “Technical Assistance Programs” for nursing home quality improvement: variations and potential implications

    Science.gov (United States)

    Li, Yue; Spector, Williams D.; Glance, Laurent G.; Mukamel, Dana B.

    2013-01-01

    Context To improve nursing home quality, many states developed “Technical Assistance Programs” that provide on-site consultation and training for nursing facility staff. Methods We conducted a national survey on these state programs to collect data on program design, operations, financing, and perceived effectiveness. Results As of 2010, 17 states have developed such programs. Compared to existing state nursing home quality regulations, these programs represent a collaborative, rather than enforcement-oriented, approach to quality. However, existing programs vary substantially in key structural features such as staffing patterns, funding levels, and relationship with state survey and certification agencies. Perceived effectiveness by program officials on quality was high, although few states have performed formal evaluations. Perceived barriers to program effectiveness included lack of appropriate staff and funding, among others. Conclusion State “Technical Assistance Programs” for nursing homes varies in program design and perceived effectiveness. Future comparative evaluations are needed to inform evidence-based quality initiatives. PMID:23216345

  4. Program of technical assistance to the Organization for the Prohibition of Chemical Weapons - lessons learned from the U.S. program of technical assistance to IAEA safeguards. Final report

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1995-06-01

    The Defense Nuclear Agency is sponsoring a technical study of the requirements of a vehicle to meet the OPCW`s future needs for enhanced chemical weapons verification capabilities. This report provides information about the proven mechanisms by which the U.S. provided both short- and long-term assistance to the IAEA to enhance its verification capabilities. Much of the technical assistance has generic application to international organizations verifying compliance with disarmament treaties or conventions. In addition, some of the equipment developed by the U.S. under the existing arrangements can be applied in the verification of other disarmament treaties or conventions. U.S. technical assistance to IAEA safeguards outside of the IAEA`s regular budget proved to be necessary. The U.S. technical assistance was successful in improving the effectiveness of IAEA safeguards for its most urgent responsibilities and in providing the technical elements for increased IAEA {open_quotes}readiness{close_quotes} for the postponed responsibilities deemed important for U.S. policy objectives. Much of the technical assistance was directed to generic subjects and helped to achieve a system of international verification. It is expected that the capabilities of the Organization for the Prohibition of Chemical Weapons (OPCW) to verify a state`s compliance with the {open_quotes}Chemical Weapons Convention{close_quotes} will require improvements. This report presents 18 important lessons learned from the experience of the IAEA and the U.S. Program of Technical Assistance to IAEA Safeguards (POTAS), organized into three tiers. Each lesson is presented in the report in the context of the difficulty, need and history in which the lesson was learned. Only the most important points are recapitulated in this executive summary.

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

    Science.gov (United States)

    2017-09-01

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

  6. 10 CFR 455.111 - Applicant certifications for technical assistance and energy conservation measure grants to...

    Science.gov (United States)

    2010-01-01

    ... Energy DEPARTMENT OF ENERGY ENERGY CONSERVATION GRANT PROGRAMS FOR SCHOOLS AND HOSPITALS AND BUILDINGS... for technical assistance programs and energy conservation measures, including renewable resource... 10 Energy 3 2010-01-01 2010-01-01 false Applicant certifications for technical assistance and...

  7. 32 CFR Appendix A to Part 203 - Technical Assistance for Public Participation Request Form

    Science.gov (United States)

    2010-07-01

    ... 32 National Defense 2 2010-07-01 2010-07-01 false Technical Assistance for Public Participation Request Form A Appendix A to Part 203 National Defense Department of Defense (Continued) OFFICE OF THE SECRETARY OF DEFENSE (CONTINUED) MISCELLANEOUS TECHNICAL ASSISTANCE FOR PUBLIC PARTICIPATION (TAPP) IN DEFENSE ENVIRONMENTAL RESTORATION ACTIVITIES...

  8. 7 CFR Exhibit D to Subpart I of... - Self-Help Technical Assistance Grant Predevelopment Agreement

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 13 2010-01-01 2009-01-01 true Self-Help Technical Assistance Grant Predevelopment... SERVICE AGENCY, DEPARTMENT OF AGRICULTURE (CONTINUED) PROGRAM REGULATIONS (CONTINUED) HOUSING Self-Help Technical Assistance Grants Pt. 1944, Subpt. I, Exh. D Exhibit D to Subpart I of Part 1944—Self-Help...

  9. 10 CFR 455.62 - Contents of a technical assistance program.

    Science.gov (United States)

    2010-01-01

    ... 10 Energy 3 2010-01-01 2010-01-01 false Contents of a technical assistance program. 455.62 Section... BUILDINGS OWNED BY UNITS OF LOCAL GOVERNMENT AND PUBLIC CARE INSTITUTIONS Technical Assistance Programs for Schools, Hospitals, Units of Local Government, and Public Care Institutions § 455.62 Contents of a...

  10. 48 CFR 9.505-1 - Providing systems engineering and technical direction.

    Science.gov (United States)

    2010-10-01

    ... engineering and technical direction. 9.505-1 Section 9.505-1 Federal Acquisition Regulations System FEDERAL... of Interest 9.505-1 Providing systems engineering and technical direction. (a) A contractor that provides systems engineering and technical direction for a system but does not have overall contractual...

  11. Outreach and Technical Assistance Network. Third Year Evaluation Report. February 1, 1992-January 31, 1993. An Adult Education 2000 Project.

    Science.gov (United States)

    Hacienda La Puente Unified School District, City of Industry, CA. Outreach and Technical Assistance Network.

    The Outreach and Technical Assistance Network (OTAN) was developed to disseminate resources to California adult educators. During the project's third year, staff development and information services were provided to 321 funded agencies. In collaboration with the Educational Telecommunications Network, OTAN staff organized the Adult Learning…

  12. 7 CFR Exhibit B to Subpart I of... - Evaluation Report of Self-Help Technical Assistance (TA) Grants

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 13 2010-01-01 2009-01-01 true Evaluation Report of Self-Help Technical Assistance... Self-Help Technical Assistance Grants Pt. 1944, Subpt. I, Exh. B Exhibit B to Subpart I of Part 1944—Evaluation Report of Self-Help Technical Assistance (TA) Grants Evaluation for Quarter Ending:(1...

  13. American Recovery and Reinvestment Act (ARRA) FEMP Technical Assistance for Geothermal Resource Evaluation Projects

    Energy Technology Data Exchange (ETDEWEB)

    Robert P. Breckenridge; Thomas R. Wood; Joel Renner

    2010-09-01

    The purpose of this document is to report on the evaluation of geothermal resource potential on and around three different United States (U. S.) Air Force Bases (AFBs): Nellis AFB and Air Force Range (AFR) in the State of Nevada (see maps 1 and 5), Holloman AFB in the State of New Mexico (see map 2), and Mountain Home AFB in the State of Idaho (see map 3). All three sites are located in semi-arid parts of the western U. S. The U. S. Air Force, through its Air Combat Command (ACC) located at Langley AFB in the State of Virginia, asked the Federal Energy Management Program (FEMP) for technical assistance to conduct technical and feasibility evaluations for the potential to identify viable geothermal resources on or around three different AFBs. Idaho National Laboratory (INL) is supporting FEMP in providing technical assistance to a number of different Federal Agencies. For this report, the three different AFBs are considered one project because they all deal with potential geothermal resource evaluations. The three AFBs will be evaluated primarily for their opportunity to develop a geothermal resource of high enough quality grade (i.e., temperature, productivity, depth, etc.) to consider the possibility for generation of electricity through a power plant. Secondarily, if the resource for the three AFBs is found to be not sufficient enough for electricity generation, then they will be described in enough detail to allow the base energy managers to evaluate if the resource is suitable for direct heating or cooling. Site visits and meetings by INL personnel with the staff at each AFB were held in late FY-2009 and FY-2010. This report provides a technical evaluation of the opportunities and challenges for developing geothermal resources on and around the AFBs. An extensive amount of literature and geographic information was evaluated as a part of this assessment. Resource potential maps were developed for each of the AFBs.

  14. Providing Assistive Technology Applications as a Service Through Cloud Computing.

    Science.gov (United States)

    Mulfari, Davide; Celesti, Antonio; Villari, Massimo; Puliafito, Antonio

    2015-01-01

    Users with disabilities interact with Personal Computers (PCs) using Assistive Technology (AT) software solutions. Such applications run on a PC that a person with a disability commonly uses. However the configuration of AT applications is not trivial at all, especially whenever the user needs to work on a PC that does not allow him/her to rely on his / her AT tools (e.g., at work, at university, in an Internet point). In this paper, we discuss how cloud computing provides a valid technological solution to enhance such a scenario.With the emergence of cloud computing, many applications are executed on top of virtual machines (VMs). Virtualization allows us to achieve a software implementation of a real computer able to execute a standard operating system and any kind of application. In this paper we propose to build personalized VMs running AT programs and settings. By using the remote desktop technology, our solution enables users to control their customized virtual desktop environment by means of an HTML5-based web interface running on any computer equipped with a browser, whenever they are.

  15. Tribal Colleges and Universities/American Indian Research and Education Initiatives Advanced Manufacturing Technical Assistance Project

    Energy Technology Data Exchange (ETDEWEB)

    Atcitty, Stanley [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States)

    2017-02-01

    The overall goal of this project is to establish a network of TCUs with essential advanced manufacturing (AM) facilities, associated training and education programs, and private sector and federal agency partnerships to both prepare an American Indian AM workforce and create economic and employment opportunities within Tribal communities through design, manufacturing, and marketing of high quality products. Some examples of high quality products involve next generation grid components such as mechanical energy storage, cabling for distribution of energy, and electrochemical energy storage enclosures. Sandia National Laboratories (Sandia) is tasked to provide technical advising, planning, and academic program development support for the TCU/American Indian Higher Education Consortium (AIHEC) Advanced Manufacturing Project. The TCUs include Bay Mills Community College (BMCC), Cankdeska Cikana Community College (CCCC), Navajo Technical University (NTU), Southwestern Indian Polytechnic Institute (SIPI), and Salish Kooteani College. AIHEC and Sandia, with collaboration from SIPI, will be establishing an 8-week summer institute on the SIPI campus during the summer of 2017. Up to 20 students from TCUs are anticipated to take part in the summer program. The goal of the program is to bring AM science, technology, engineering, and mathematics (STEM) awareness and opportunities for the American Indian students. Prior to the summer institute, Sandia will be providing reviews on curriculum plans at the each of the TCUs to ensure the content is consistent with current AM design and engineering practice. In addition, Sandia will provide technical assistance to each of the TCUs in regards to their current AM activities.

  16. 76 FR 78969 - National Technical Assistance Center for Senior Transportation: Solicitation for Proposals

    Science.gov (United States)

    2011-12-20

    ... transportation coordination, better understanding of regulations and policies regarding cost-sharing and funding... established close working relationships with the Federal Transit Administration and the Administration on... within their communities throughout the United States. Technical assistance, research toward solutions...

  17. Damariscotta, Maine to Receive EPA Technical Assistance to Meet their Sustainability Goals and Foster Economic Development

    Science.gov (United States)

    Damariscotta, ME is among 22 towns & cities nationwide chosen to receive technical assistance from the EPA. Damariscotta will receive help identifying sustainable strategies for meeting housing needs for different ages and incomes.

  18. Does Technical Assistance Matter?: An Impact Evaluation Approach to Estimate its Value Added

    OpenAIRE

    Luis Marcano; Inder J. Ruprah

    2009-01-01

    Many public programs and operations by multilateral organisations include technical assistance to the direct beneficiaries of the program in addition to pure financing. However, there is no substantial body of studies that calculates the additional impact; in the sense of exclusively attributable to, of technical assistance on the outcome of interest of the program. We propose the use of multi-treatment impact evaluation method -propensity score combined with exact matching for dosage and dou...

  19. 40 CFR 52.798 - Small business stationary source technical and environmental compliance assistance program.

    Science.gov (United States)

    2010-07-01

    ... 40 Protection of Environment 3 2010-07-01 2010-07-01 false Small business stationary source technical and environmental compliance assistance program. 52.798 Section 52.798 Protection of Environment... PLANS Indiana § 52.798 Small business stationary source technical and environmental compliance...

  20. 40 CFR 52.460 - Small business stationary source technical and environmental compliance assistance program.

    Science.gov (United States)

    2010-07-01

    ... 40 Protection of Environment 3 2010-07-01 2010-07-01 false Small business stationary source technical and environmental compliance assistance program. 52.460 Section 52.460 Protection of Environment... PLANS Delaware § 52.460 Small business stationary source technical and environmental compliance...

  1. 40 CFR 52.744 - Small business stationary source technical and environmental compliance assistance program.

    Science.gov (United States)

    2010-07-01

    ... 40 Protection of Environment 3 2010-07-01 2010-07-01 false Small business stationary source technical and environmental compliance assistance program. 52.744 Section 52.744 Protection of Environment... PLANS Illinois> § 52.744 Small business stationary source technical and environmental compliance...

  2. 40 CFR 52.1184 - Small business stationary source technical and environmental compliance assistance program.

    Science.gov (United States)

    2010-07-01

    ... 40 Protection of Environment 4 2010-07-01 2010-07-01 false Small business stationary source technical and environmental compliance assistance program. 52.1184 Section 52.1184 Protection of Environment... PLANS (CONTINUED) Michigan § 52.1184 Small business stationary source technical and environmental...

  3. 40 CFR 52.2586 - Small business stationary source technical and environmental compliance assistance program.

    Science.gov (United States)

    2010-07-01

    ... 40 Protection of Environment 4 2010-07-01 2010-07-01 false Small business stationary source technical and environmental compliance assistance program. 52.2586 Section 52.2586 Protection of Environment... PLANS (CONTINUED) Wisconsin § 52.2586 Small business stationary source technical and environmental...

  4. 40 CFR 52.1110 - Small business stationary source technical and environmental compliance assistance program.

    Science.gov (United States)

    2010-07-01

    ... 40 Protection of Environment 4 2010-07-01 2010-07-01 false Small business stationary source technical and environmental compliance assistance program. 52.1110 Section 52.1110 Protection of Environment... PLANS (CONTINUED) Maryland § 52.1110 Small business stationary source technical and environmental...

  5. 40 CFR 52.1889 - Small business stationary source technical and environmental compliance assistance program.

    Science.gov (United States)

    2010-07-01

    ... 40 Protection of Environment 4 2010-07-01 2010-07-01 false Small business stationary source technical and environmental compliance assistance program. 52.1889 Section 52.1889 Protection of Environment... PLANS (CONTINUED) Ohio § 52.1889 Small business stationary source technical and environmental compliance...

  6. Text processing for technical reports (direct computer-assisted origination, editing, and output of text)

    Energy Technology Data Exchange (ETDEWEB)

    De Volpi, A.; Fenrick, M. R.; Stanford, G. S.; Fink, C. L.; Rhodes, E. A.

    1980-10-01

    Documentation often is a primary residual of research and development. Because of this important role and because of the large amount of time consumed in generating technical reports, particularly those containing formulas and graphics, an existing data-processing computer system has been adapted so as to provide text-processing of technical documents. Emphasis has been on accuracy, turnaround time, and time savings for staff and secretaries, for the types of reports normally produced in the reactor development program. The computer-assisted text-processing system, called TXT, has been implemented to benefit primarily the originator of technical reports. The system is of particular value to professional staff, such as scientists and engineers, who have responsibility for generating much correspondence or lengthy, complex reports or manuscripts - especially if prompt turnaround and high accuracy are required. It can produce text that contains special Greek or mathematical symbols. Written in FORTRAN and MACRO, the program TXT operates on a PDP-11 minicomputer under the RSX-11M multitask multiuser monitor. Peripheral hardware includes videoterminals, electrostatic printers, and magnetic disks. Either data- or word-processing tasks may be performed at the terminals. The repertoire of operations has been restricted so as to minimize user training and memory burden. Spectarial staff may be readily trained to make corrections from annotated copy. Some examples of camera-ready copy are provided.

  7. 38 CFR 61.50 - Technical assistance grants-general.

    Science.gov (United States)

    2010-07-01

    ... grants-general. 61.50 Section 61.50 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS... relating to the provision of assistance for homeless veterans. The recipients are to use the grants to... assistance to homeless veterans in order to help such groups apply for grants under 38 CFR part 61 or apply...

  8. 76 FR 50474 - Special Demonstration Programs-National Technical Assistance Projects To Improve Employment...

    Science.gov (United States)

    2011-08-15

    ... Materials (NCRTM), the regional Technical Assistance and Continuing Education (TACE) centers, and State VR... Assistance and Continuing Education (TACE) centers to identify issues that may affect State VR agency service... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF EDUCATION...

  9. Speech-Assisted Learning Provides Unique Braille Instruction.

    Science.gov (United States)

    Mangold, Sally S.

    2003-01-01

    This article describes Speech Assisted Learning (SAL), a portable, interactive Braille learning station that combines synthesized speech, full-page paper Braille exercises, and bar-code technology. Findings from field-testing of SAL with 25 individuals with visual impairments (grades K-adult) and 12 teachers indicate students acquired new…

  10. 75 FR 5779 - Notice Providing Agenda for Technical Conference on RTO/ISO Responsiveness

    Science.gov (United States)

    2010-02-04

    ... Energy Regulatory Commission Notice Providing Agenda for Technical Conference on RTO/ISO Responsiveness.... ER09-1050-000, ER09- 1192-000. ISO New England, Inc. and New England Docket No. ER09-1051-000. Power... , (202) 502-8048. Kimberly D. Bose, Secretary. Agenda--Technical Conference on RTO/ISO Responsiveness...

  11. Guide to Federal Funding, Financing, and Technical Assistance for Plug-in Electric Vehicles and Charging Stations

    Energy Technology Data Exchange (ETDEWEB)

    None, None

    2016-07-29

    The U.S. Department of Energy and the U.S. Department of Transportation have published a guide to highlight examples of federal support and technical assistance for plug-in electric vehicles (PEVs) and charging stations. The guide provides a description of each opportunity and a point of contact to assist those interested in advancing PEV technology. The Department of Energy’s Alternative Fuels Data Center provides a comprehensive database of federal and state programs that support plug-in electric vehicles and infrastructure.

  12. Systems engineering and technical assistance in support of digital gallium arsenide insertion projects

    Science.gov (United States)

    Butler, Daniel H.

    1992-04-01

    Booz-Allen provided a high level of support, including systems engineering analyses and technical assistance for systems insertion efforts using digital Gallium Arsenide (GaAs). Once insertion candidates were chosen, Booz-Allen supported the insertion efforts by acting as a liaison between the government and GaAs contractors, attending and arranging contractor reviews, providing meeting facilities, and producing presentation materials. A major accomplishment under this contract was the development of a methodology for appraising the likelihood of a successful technology insertion. This methodology is described in detail. Systems analyses and other work performed according to the terms of the statement of work is described as well. The conclusion discusses accomplishments under this project and of the DARPA digital GaAs insertion program generally.

  13. Pollution prevention opportunity assessment approach, training, and technical assistance for DOE contractors. FY 1995 report

    Energy Technology Data Exchange (ETDEWEB)

    Pemberton, S.

    1996-02-01

    The Department of Energy and its contractors are faced with environmental concerns and large waste management costs. Federal legislation and DOE Orders require sites to develop waste minimization/pollution prevention programs. In response to these requirements, the Kansas City Plant developed a pollution prevention tool called a pollution prevention opportunity assessment (PPOA). Pilot assessments resulted in the development of a graded approach to reduce the amount of effort required for activities that utilized nonhazardous and/or low-volume waste streams. The project`s objectives in FY95 were to validate DOE`s PPOA Graded Approach methodology, provide PPOA training and technical assistance to interested DOE personnel and DOE contractors, enhance the methodology with energy analysis and tools for environmental restoration activities, implement a DOE-wide PPOA database, and provide support to DOE EM-334 in the completion of a report which estimates the future potential for pollution prevention and waste minimization in the DOE complex.

  14. SCFA lead lab technical assistance at Lawrence Berkeley National Laboratory: Baseline review of three groundwater plumes

    Energy Technology Data Exchange (ETDEWEB)

    Hazen, Terry; et al.

    2002-09-26

    During the closeout session, members of the technical assistance team conveyed to the site how impressed they were at the thoroughness of the site's investigation and attempts at remediation. Team members were uniformly pleased at the skilled detection work to identify sources, make quick remediation decisions, and change course when a strategy did not work well. The technical assistance team also noted that, to their knowledge, this is the only DOE site at which a world-class scientist has had primary responsibility for the environmental restoration activities. This has undoubtedly contributed to the successes observed and DOE should take careful note. The following overall recommendations were agreed upon: (1) The site has done a phenomenal job of characterization and identifying and removing source terms. (2) Technologies selected to date are appropriate and high impact, e.g. collection trenches are an effective remedial strategy for this complicated geology. The site should continue using technology that is adapted to the site's unique geology, such as the collection trenches. (3) The site should develop a better way to determine the basis of cleanup for all sites. (4) The sentinel well system should be evaluated and modified, if needed, to assure that the sentinel wells provide coverage to the current site boundary. Potential modifications could include installation, abandonment or relocation of wells based on the large amount of data collected since the original sentinel well system was designed. (5) Modeling to assist in remedial design and communication should continue. (6) The site should develop a plan to ensure institutional memory. (7) The most likely possibility for improving closure to 2006 is by removing the residual source of the Old Town plume and establishing the efficacy of remediation for the 51/64 plume.

  15. Pollution prevention opportunity assessment approach, training, and technical assistance for DOE contractors

    Energy Technology Data Exchange (ETDEWEB)

    Pemberton, S.

    1997-03-01

    One of the tools used in a successful pollution prevention program is a pollution prevention opportunity assessment (PPOA). PPOAs can be used to identify the nature and amounts of waste and energy usage from processes and projects within a site`s operations, identify the opportunities that exist for pollution prevention and energy conservation, and then evaluate those opportunities for feasible implementation. The purpose of this project is to share the Kansas City Plant`s (KCP`s) PPOA methodology and experience with other DOE personnel and DOE contractors. This consisted of three major activities in FY96: (1) completing the PPOA training module specific to Environmental Restoration activities; (2) providing PPOA training and technical assistance to interested DOE personnel and DOE contractors, and (3) implementing and maintaining the DOE-wide PPOA database. This report documents the FY96 efforts, lessons learned, and future plans for all of the PPOA-related activities.

  16. Discovering Hidden Resources: Assistive Technology Recycling, Refurbishing, and Redistribution. RESNA Technical Assistance Project.

    Science.gov (United States)

    RESNA: Association for the Advancement of Rehabilitation Technology, Arlington, VA.

    This monograph discusses the benefits of recycling and reusing assistive technology for students with disabilities. It begins by discussing the benefits of recycled assistive technology for suppliers, students, and consumers, and then profiles programmatic models for assistive technology recycling programs. The advantages and disadvantages for…

  17. Technical Evaluation Report 37: Assistive Software for Disabled Learners

    Directory of Open Access Journals (Sweden)

    Jon Baggaley

    2004-11-01

    Full Text Available Previous reports in this series (#32 and 36 have discussed online software features of value to disabled learners in distance education. The current report evaluates four specific assistive software products with useful features for visually and hearing impaired learners: ATutor, ACollab, Natural Voice, and Just Vanilla. The evaluative criteria discussed include the purpose, uses, costs, and features of each software product, all considered primarily from the accessibility perspective.

  18. Technical improvements in diode-laser-assisted skin welding

    Science.gov (United States)

    Chiarugi, C.; Martini, L.; Borgognoni, L.; Reali, Umberto M.; Gori, F.; Pini, Roberto; Toncelli, F.

    1996-01-01

    We performed diode-laser assisted skin welding on Wistar rats by using a sodium hyaluronate gel mixed with Indocyanine Cadio-green (ICG) as photoenhancing chromophore. Laser treatment was accomplished with a 'side' irradiation technique, taking advantage of the fact that diode laser radiation at 810 nm is well transmitted by tissue on distances of some millimeters. Clinical and histological results were compared with those of conventionally sutured wounds.

  19. Scituate and Newburyport, Mass. to Receive EPA Technical Assistance to Meet their Sustainability Goals and Foster Economic Development

    Science.gov (United States)

    Newburyport and Scituate, Mass. are among 22 towns and cities nationwide chosen to receive technical assistance from the EPA. The two MA communities will receive assistance in identifying approaches they can take to become more resilient to flooding.

  20. Some administrative features for maintaining the material and technical base of medical centers providing transplant care to Russian citizens

    Directory of Open Access Journals (Sweden)

    I. I. Antoshina

    2017-01-01

    Full Text Available In this article, the authors defined the procedure for maintaining the material and technical base of medical centers providing high-tech assistance (especially, transplant care to Russian citizens. The current regulatory and methodological base determining the procedure for repairs of fixed assets is evaluated, the main issues of capital repair planning in budgetary medical centers providing high-tech medical care are considered. The innovations introduced at the present time into the legislation determining the procedure for capital repairs are defined; the applicable concepts and scope of regulation are disclosed; the procedure for the implementation of major repairs in accordance with the current regulations is considered; the key issues that make it difficult to start capital repairs of the premises in budgetary medical centers providing high-tech medical care to Russian citizens are identified. Administrative and financial discipline while ensuring the working conditions of the material and technical base has been strengthened. Considerable attention should be paid to the medium-term planning of works, preparation of technical documentation, and procurement of funds for preparatory works. Whereas it is necessary to coordinate such decisions with the Ministry of Healthcare of Russia and other governmental institutions in Russia the timing of the implementation of such projects has significantly increased.

  1. 45 CFR 96.89 - Exemption from standards for providing energy crisis intervention assistance.

    Science.gov (United States)

    2010-10-01

    ... crisis intervention assistance. 96.89 Section 96.89 Public Welfare DEPARTMENT OF HEALTH AND HUMAN... from standards for providing energy crisis intervention assistance. The performance standards in... Reauthorization Act of 1986 (Pub. L. 99-425)—concerning provision of energy crisis assistance within specified...

  2. RESEARCH OF PROBLEMS OF DESIGN OF COMPLEX TECHNICAL PROVIDING AND THE GENERALIZED MODEL OF THEIR DECISION

    Directory of Open Access Journals (Sweden)

    A. V. Skrypnikov

    2015-01-01

    Full Text Available Summary. In this work the general ideas of a method of V. I. Skurikhin taking into account the specified features develop and questions of the analysis and synthesis of a complex of technical means, with finishing them to the level suitable for use in engineering practice of design of information management systems are in more detail considered. In work the general system approach to the solution of questions of a choice of technical means of the information management system is created, the general technique of the sys tem analysis and synthesis of a complex of the technical means and its subsystems providing achievement of extreme value of criterion of efficiency of functioning of a technical complex of the information management system is developed. The main attention is paid to the applied party of system researches of complex technical providing, in particular, to definition of criteria of quality of functioning of a technical complex, development of methods of the analysis of information base of the information management system and definition of requirements to technical means, and also methods of structural synthesis of the main subsystems of complex technical providing. Thus, the purpose is research on the basis of system approach of complex technical providing the information management system and development of a number of methods of the analysis and the synthesis of complex technical providing suitable for use in engineering practice of design of systems. The well-known paradox of development of management information consists of that parameters of the system, and consequently, and requirements to the complex hardware, can not be strictly reasonable to development of algorithms and programs, and vice versa. The possible method of overcoming of these difficulties is prognostication of structure and parameters of complex hardware for certain management informations on the early stages of development, with subsequent clarification and

  3. Weatherization Innovation Pilot Program (WIPP): Technical Assistance Summary

    Energy Technology Data Exchange (ETDEWEB)

    Hollander, A.

    2014-09-01

    The U.S. Department of Energy (DOE) Energy Efficiency and Renewable Energy (EERE) Weatherization and Intergovernmental Programs Office (WIPO) launched the Weatherization Innovation Pilot Program (WIPP) to accelerate innovations in whole-house weatherization and advance DOE's goal of increasing the energy efficiency and health and safety of low-income residences without the utilization of additional taxpayer funding. Sixteen WIPP grantees were awarded a total of $30 million in Weatherization Assistance Program (WAP) funds in September 2010. These projects focused on: including nontraditional partners in weatherization service delivery; leveraging significant non-federal funding; and improving the effectiveness of low-income weatherization through the use of new materials, technologies, behavior-change models, and processes.

  4. 77 FR 39226 - Applications for New Awards: Technical Assistance and Dissemination To Improve Services and...

    Science.gov (United States)

    2012-07-02

    ... Positive Behavior Support. School Psychology Review, 35(2), 245-259. Turnbull, A., Edmonson, H., Griggs, P...). Evaluation blueprint for school-wide positive behavior support. Eugene, OR: National Technical Assistance Center on Positive Behavior Interventions and Support. Retrieved from www.pbis.org/evaluation/evaluation...

  5. 6 CFR 27.120 - Designation of a coordinating official; Consultations and technical assistance.

    Science.gov (United States)

    2010-01-01

    ..., OFFICE OF THE SECRETARY CHEMICAL FACILITY ANTI-TERRORISM STANDARDS General § 27.120 Designation of a... facilities regarding compliance with this Part and shall, as necessary and to the extent that resources... covered facility shall submit a written request for consultation or technical assistance to the...

  6. 15 CFR 40.3 - Cooperation with bilateral technical assistance programs of the United States.

    Science.gov (United States)

    2010-01-01

    ... 15 Commerce and Foreign Trade 1 2010-01-01 2010-01-01 false Cooperation with bilateral technical assistance programs of the United States. 40.3 Section 40.3 Commerce and Foreign Trade Regulations Relating to Commerce and Foreign Trade BUREAU OF THE CENSUS, DEPARTMENT OF COMMERCE TRAINING OF FOREIGN...

  7. 77 FR 20369 - Applications for New Awards; Centers for Independent Living-Training and Technical Assistance

    Science.gov (United States)

    2012-04-04

    ..., empowerment, independence, and productivity of individuals with significant disabilities, and to integrate... also increase the efficiency of the training and technical assistance by reducing administrative costs...: (a) The Education Department General Administrative Regulations (EDGAR) in 34 CFR parts 74, 75, 77...

  8. Robotic Arm-Assisted Sonography: Review of Technical Developments and Potential Clinical Applications.

    Science.gov (United States)

    Swerdlow, Daniel R; Cleary, Kevin; Wilson, Emmanuel; Azizi-Koutenaei, Bamshad; Monfaredi, Reza

    2017-04-01

    Ultrasound imaging requires trained personnel. Advances in robotics and data transmission create the possibility of telesonography. This review introduces clinicians to current technical work in and potential applications of this developing capability. Telesonography offers advantages in hazardous or remote environments. Robotically assisted ultrasound can reduce stress injuries in sonographers and has potential utility during robotic surgery and interventional procedures.

  9. 78 FR 39260 - Applications for New Awards; Technical Assistance and Dissemination To Improve Services and...

    Science.gov (United States)

    2013-07-01

    ... Rehabilitative Services, Department of Education. ACTION: Notice. Overview Information: Technical Assistance and... are supported by scientifically based research. Priority: In accordance with 34 CFR 75.105(b)(2)(v... least a portion of their day in a regular classroom in their local school (National Consortium on Deaf...

  10. Continuous-flow Left Ventricular Assist Devices: Clinical and Technical Aspects

    NARCIS (Netherlands)

    Martina, J.R.

    2013-01-01

    In view of the shortage of donor hearts, continuous-flow Left Ventricular Assist Devices (cf-LVADs) have become an effective therapeutic option to bridge heart failure patients to heart transplantation. The subject of this thesis is the clinical and technical aspects of continuous-flow Left

  11. 78 FR 14517 - Agency Information Collection Activities; Comment Request; Technical Assistance To Promote the...

    Science.gov (United States)

    2013-03-06

    ... for Out-of- School Youth.'' The information will be used by the Department of Education and its... Agency Information Collection Activities; Comment Request; Technical Assistance To Promote the Implementation of Re-Engagement Centers for Out-of-School Youth AGENCY: Office of Elementary and Secondary...

  12. Irrigation endoscopic assisted percutaneous pars repair: technical note.

    Science.gov (United States)

    Soliman, Hesham Magdi

    2016-10-01

    Spondylolysis is a common source of low back pain in children and adolescents. Despite the benign natural history of the pathology, however, it should be noted that as part of conservative management many young individuals are forced to discontinue their routine sports activities. In cases resistant to conservative management, direct repair of a pars defect is considered a safe and effective option in young adults with preserved discs. Recently, some reports of minimally invasive pars repair have been described, aiming at preservation of the paraspinal muscles and improvement of the postoperative course. The study aimed to present a new minimally invasive endoscopic technique for pars repair. This is a technical note. Seven consecutive patients complaining of back pain due to spondylolysis and resistant to conservative management were included. Outcome was assessed using the modified Macnab criteria, and bone union was assessed on postoperative radiographs. Two portals of 0.5 cm were used on each side, 1 cm lateral to the midline. One portal is used for the endoscope and the second for the surgical instruments. Following endoscopic debridement of the defect, the inferior portal was used for percutaneous placement of the Buck screw. There was no source for external funding for this study and no potential conflict of interest to disclose. Outcome was excellent in six cases and good in one case. All patients returned back to their normal level of activities. Complete radiographic union was seen in all patients. The mean period of postoperative hospital stay and follow-up was 8 hours and 21 months, respectively. The irrigation endoscopic technique has previously shown promising results in lumbar discectomy and laminectomy. Similar results were observed in the current study on the ability to achieve minimally invasive pars defect debridement and a smooth postoperative course. This is a pilot study and larger patient series and different surgeons' experience are

  13. 7 CFR Exhibit C to Subpart I of... - Amendment to Self-Help Technical Assistance Grant Agreement

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 13 2010-01-01 2009-01-01 true Amendment to Self-Help Technical Assistance Grant... SERVICE AGENCY, DEPARTMENT OF AGRICULTURE (CONTINUED) PROGRAM REGULATIONS (CONTINUED) HOUSING Self-Help... agency under Public Law 103-354, amends the “Self-Help Technical Assistance Grant Agreement” between the...

  14. City of Pittsburgh 2012 Technical Assistance Project Documents

    Science.gov (United States)

    Each report describes a design for a section of the City of Pittsburgh that was chosen in partnership with 3 Rivers Wet Wet Weather to address stormwater management and provide other green infrastructure benefits.

  15. 16 CFR 1401.5 - Providing performance and technical data to purchasers by labeling.

    Science.gov (United States)

    2010-01-01

    ... 16 Commercial Practices 2 2010-01-01 2010-01-01 false Providing performance and technical data to purchasers by labeling. 1401.5 Section 1401.5 Commercial Practices CONSUMER PRODUCT SAFETY COMMISSION... identification and warning statement may appear on a firmly affixed tag, tape, card, or sticker or similar...

  16. Organising, Providing and Evaluating Technical Training for Early Career Researchers: A Case Study

    Science.gov (United States)

    van Besouw, Rachel M.; Rogers, Katrine S.; Powles, Christopher J.; Papadopoulos, Timos; Ku, Emery M.

    2013-01-01

    This paper considers the importance of providing technical training opportunities for Early Career Researchers (ECRs) worldwide through the case study of a MATLAB training programme, which was proposed, organised, managed and evaluated by a team of five ECRs at the University of Southampton. The effectiveness of the programme in terms of the…

  17. Industry Perceptions of Industry-Based Training Provided by Technical Colleges.

    Science.gov (United States)

    Dahlgren, Judith; Stone, James R., III

    1990-01-01

    Focus groups and interviews with representatives of 36 businesses explored business and industry perceptions regarding industry-based training (IBT) provided by technical colleges. The study found that several types of programs were being used; the more successful models were personalized or standardized generic occupational training. (JOW)

  18. 16 CFR 1407.3 - Providing performance and technical data to purchasers by labeling.

    Science.gov (United States)

    2010-01-01

    ... 16 Commercial Practices 2 2010-01-01 2010-01-01 false Providing performance and technical data to purchasers by labeling. 1407.3 Section 1407.3 Commercial Practices CONSUMER PRODUCT SAFETY COMMISSION... the portable generator that cannot be removed without the use of tools, and (B) On a location that is...

  19. Computer-assisted client assessment survey for mental health: patient and health provider perspectives.

    Science.gov (United States)

    Ferrari, Manuela; Ahmad, Farah; Shakya, Yogendra; Ledwos, Cliff; McKenzie, Kwame

    2016-09-23

    The worldwide rise in common mental disorders (CMDs) is posing challenges in the provision of and access to care, particularly for immigrant, refugee and racialized groups from low-income backgrounds. eHealth tools, such as the Interactive Computer-Assisted Client Assessment Survey (iCCAS) may reduce some barriers to access. iCCAS is a tablet-based, touch-screen self-assessment completed by clients while waiting to see their family physician (FP) or nurse practitioner (NP). In an academic-community initiative, iCCAS was made available in English and Spanish at a Community Health Centre in Toronto through a mixed-method trial. This paper reports the perspectives of clients in the iCCAS group (n = 74) collected through an exit survey, and the perspectives of 9 providers (four FP and five NP) gathered through qualitative interviews. Client acceptance of the tool was assessed for cognitive and technical dimensions of their experience. They rated twelve items for perceived Benefits and Barriers and four questions for the technical quality. Most clients reported that the iCCAS completion time was acceptable (94.5 %), the touch-screen was easy to use (97.3 %), and the instructions (93.2 %) and questions (94.6 %) were clear. Clients endorsed the tool's Benefits, but were unsure about Barriers to information privacy and provider interaction (mean 4.1, 2.6 and 2.8, respectively on a five-point scale). Qualitative analysis of the provider interviews identified five themes: challenges in Assessing Mental Health Services, such as case complexity, time, language and stigma; the Tool's Benefits, including non-intrusive prompting of clients to discuss mental health, and facilitation of providers' assessment and care plans; the Tool's Integration into everyday practice; Challenges for Use (e.g. time); and Promoting Integration Effectively, centered on the timing of screening, setting readiness, language diversity, and technological advances. Participant clients and

  20. Characteristics of informal caregivers who provide transportation assistance to older adults.

    Science.gov (United States)

    Eby, David W; Molnar, Lisa J; Kostyniuk, Lidia P; St Louis, Renée M; Zanier, Nicole

    2017-01-01

    The study aim was to gain a better understanding of the characteristics of informal caregivers who provide transportation assistance and to explore the types and frequency of this assistance. A telephone survey was administered to a representative sample of 268 informal caregivers (age 45-80) who provide transportation assistance to older adults (age 70 and older) in Michigan. Responses were analyzed overall and by the caregiver sex and care recipient age. Informal transportation caregivers were: most often women; on average 61 years old; generally college educated; employed full- or part-time jobs; relatively healthy; providing care to a parent/family member 1-4 times per week, living close to the care recipient; and providing assistance by giving rides. Less than one-half of caregivers sought information to help them provide assistance. No significant burden was reported and there were few differences by sex of the caregiver of the age group of the care recipient.

  1. Characteristics of informal caregivers who provide transportation assistance to older adults.

    Directory of Open Access Journals (Sweden)

    David W Eby

    Full Text Available The study aim was to gain a better understanding of the characteristics of informal caregivers who provide transportation assistance and to explore the types and frequency of this assistance. A telephone survey was administered to a representative sample of 268 informal caregivers (age 45-80 who provide transportation assistance to older adults (age 70 and older in Michigan. Responses were analyzed overall and by the caregiver sex and care recipient age. Informal transportation caregivers were: most often women; on average 61 years old; generally college educated; employed full- or part-time jobs; relatively healthy; providing care to a parent/family member 1-4 times per week, living close to the care recipient; and providing assistance by giving rides. Less than one-half of caregivers sought information to help them provide assistance. No significant burden was reported and there were few differences by sex of the caregiver of the age group of the care recipient.

  2. US technical assistance to the IAEA and the chemical weapons convection (CWC) - a review and look to the future

    Energy Technology Data Exchange (ETDEWEB)

    Indusi, J.; Parsick, R.J.; Reisman, A.W.

    1997-08-01

    This paper reviews the Safeguards mandate of the International Atomic Energy Agency (IAEA) and describes U.S. technical support programs. We also review the mandate of the Chemical Weapons Convention (CWC) and speculate on the technical areas where U.S. assistance may prove useful. The IAEA was organized in 1957 in response to President Eisenhower`s {open_quotes}Atoms for Peace{close_quotes} initiative presented to the UN General Assembly on December 8, 1953. The Organization for the Prohibition of Chemical Weapons (OPCW) has been organized by a Preparatory Commission (PREPCOM) to prepare for the entry-into-force of this new convention which prohibits the development, production, stockpiling and use of chemical weapons and on their destruction. The safeguards mandate of the IAEA is to carry out verifications of nuclear material pursuant to the Treaty on the Non-Proliferation of Nuclear Weapons (NPT) and other voluntary but legally binding agreements. U.S. technical support programs have provided and continue to provide assistance in the form of Cost-Free Experts (CFE`s), systems studies on new safeguards approaches, training, computerized information systems, and equipment for nuclear materials measurements and containment and surveillance systems. Because the CWC just recently entered into force (April 29, 1997), verification procedures of the OPCW are not yet fully developed. However, it is expected, and can already be seen for many aspects of the technical task, that there are many similarities between the verification activities of the OPCW and those carried out by the IAEA. This paper will discuss potential technical support areas that can help strengthen the OPCW. 9 refs.

  3. American Recovery and Reinvestment Act (ARRA) FEMP Technical Assistance

    Energy Technology Data Exchange (ETDEWEB)

    Robert P. Breckenridge; Thomas R. Wood

    2010-08-01

    The purpose of this document is to evaluate the opportunity for Letterkenny Army Depot (LEAD or the Depot) to utilize biogenic methane, which may be available in shale formations under the Depot, to provide a supplemental source of natural gas that could allow the Depot to increase energy independence. Both the Director and Deputy of Public Works at the Depot are supportive in general of a methane production project, but wanted to better understand the challenges prior to embarking on such a project. This report will cover many of these issues. A similar project has been successfully developed by the U. S. Army at Ft. Knox, KY, which will be explained and referred to throughout this report as a backdrop to discussing the challenges and opportunities at LEAD, because the geologic formations and possibilities at both sites are similar. Prior to discussing the opportunity at LEAD, it is important to briefly discuss the successful methane recovery operation at Ft. Knox, because it is applicable to the projected approach for the LEAD methane system. The Ft. Knox project is an excellent example of how the U. S. Army can use an onsite renewable resource to provide a secure energy source that is not dependent on regional energy networks and foreign oil. At Ft. Knox, the U. S. Army contracted (through a utility co-op) with an energy production company to drill wells, establish a distribution infrastructure, and provide the equipment needed to prepare and compress the produced methane gas for use by base operations. The energy production company agreed to conduct the exploratory investigation at Ft. Knox with no cost to the government, as long as they could be granted a long-term contract if a reliable energy resource was established. The Depot is located, in part, over an Ordovician Age shale formation that may have the potential for producing biogenic methane, similar to the Devonian Age shale found beneath Ft. Knox. However, the Ordovician Age Shale beneath the

  4. Security Assistance International Logistics, Training, and Technical Assistance Support Policy and Responsibilities

    Science.gov (United States)

    2000-01-24

    assessment will be drawn from a variety of sources, such as checklists prepared by the in-country SAO, in-country surveys, and security assistance re...activity will prepare, coordinate, and execute the lease agreement with industry after HQDA (SAUS-IA- DSE ) obtains ASA(AL&T) approval as appropriate. d

  5. Technical assistance for development of thermally conductive nitride filler for epoxy molding compounds

    Energy Technology Data Exchange (ETDEWEB)

    Ryu, Ho Jin; Song, Kee Chan; Jung, In Ha

    2005-07-15

    Technical assistance was carried out to develop nitride filler for thermally conductive epoxy molding compounds. Carbothermal reduction method was used to fabricate silicon nitride powder from mixtures of silica and graphite powders. Microstructure and crystal structure were observed by using scanning electron microscopy and x-ray diffraction technique. Thermal properties of epoxy molding compounds containing silicon nitride were measured by using laser flash method. Fabrication process of silicon nitride nanowire was developed and was applied to a patent.

  6. Important Non-Technical Skills in Video-Assisted Thoracoscopic Surgery Lobectomy: Team Perspectives.

    Science.gov (United States)

    Gjeraa, Kirsten; Mundt, Anna S; Spanager, Lene; Hansen, Henrik J; Konge, Lars; Petersen, René H; Østergaard, Doris

    2017-07-01

    Safety in the operating room is dependent on the team's non-technical skills. The importance of non-technical skills appears to be different for minimally invasive surgery as compared with open surgery. The aim of this study was to identify which non-technical skills are perceived by team members to be most important for patient safety, in the setting of video-assisted thoracoscopic surgery (VATS) lobectomy. This was an explorative, semistructured interview-based study with 21 participants from all four thoracic surgery centers in Denmark that perform VATS lobectomy. Data analysis was deductive, and directed content analysis was used to code the text into the Oxford Non-Technical Skills system for evaluating operating teams' non-technical skills. The most important non-technical skills described by the VATS teams were planning and preparation, situation awareness, problem solving, leadership, risk assessment, and teamwork. These non-technical skills enabled the team to achieve shared mental models, which in turn facilitated their efforts to anticipate next steps. This was viewed as important by the participants as they saw VATS lobectomy as a high-risk procedure with complementary and overlapping scopes of practice between surgical and anesthesia subteams. This study identified six non-technical skills that serve as the foundation for shared mental models of the patient, the current situation, and team resources. These findings contribute three important additions to the shared mental model construct: planning and preparation, risk assessment, and leadership. Shared mental models are crucial for patient safety because they enable VATS teams to anticipate problems through adaptive patterns of both implicit and explicit coordination. Copyright © 2017 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.

  7. DESIGNING AND BUILDING EXERCISE MODEL OF TECHNICAL ENGLISH VOCABULARIES USING CALL (COMPUTER ASSISTED LANGUAGE LEARNING

    Directory of Open Access Journals (Sweden)

    Yogi Widiawati

    2017-11-01

    Full Text Available The research is aimed to assist and facilitate the students of Electrical and Electronics Department of Politeknik Negeri Jakarta (State Polytechnics of Jakarta, Indonesia, in learning technical English vocabulary. As technical students, they study ESP (English for Specific Purposes and they find some obstacles in memorizing technical vocabularies which are very important in order to read and understand manual books for laboratory and workshop. Some English technical vocabularies among others are “generate”, “pile”, “bench”, et cetera. The research outcome is software which will be beneficial for technical students, especially electrical and electronics students. This software can be used to practice their vocabulary skills, so they will be more skillful and knowledgeable. This software is designed by using the program of Rapid E-Learning Suite Version 5.2 and Flash CS3. The software practice contains some exercises on reading text and reading comprehension questions and presented with the multiple answers. This software is handy and flexible because students can bring it anywhere and be studied anytime. It is handy because this software is put and saved in CD (compact disc, so the students can take it with them anywhere and anytime they want to learn. In other words, they have flexibility to learn and practice English Technical Vocabularies. As a result, the students are found one of the ways to overcome their problems of memorizing vocabularies. The product is a kind of software which is easily used and portable so that the students can use the software anywhere and anytime. It consists of 3 (three sections of exercises. At the end of each exercise, the students are evaluated automatically by looking at the scoring system. These will encourage them to get good score by repeating it again and again. So the technical words are not problem for them. Furthermore, the students can practice technical English vocabulary both at home and

  8. Occupational Safety Management Framework for Healthcare and Social Assistance Service Providers

    OpenAIRE

    Edorisiagbon, James

    2015-01-01

    This thesis focuses on improving safety management for healthcare and social assistance service providers who deliver healthcare for patients and client in Healthcare and Social centers and homes. The quality of these provided services is dependent heavily on attitudes and well-being of its care workers and staff. Therefore, healthcare and social assistant workers’ (HCSA) safety is crucial to the quality of patient care, though it remains a challenge in countries of various levels of developm...

  9. Technical and economic analysis of Soft Starter Providing in LV Electrical Installation

    Directory of Open Access Journals (Sweden)

    Virgil Maier

    2014-09-01

    Full Text Available The main aim of this paper is to identify the consequences magnitude of providing electronic starters, also called Soft Starters, in AC electrical motors with largest powers and the economical appreciation of this measure. Through this, it aims not only to identify the technical and economic arguments for applying more decided the provision of electronic starters, but also the limits of its application, given the great diversity of receivers rated power. Thus, it is appreciated that there is no question of applying Soft Starters for the whole power range of asynchronous motors.In context of the proposed analysis, a summary of electronic starters issues is made which may be a guide of their choice and application, facilitating the specialists access in the technical manuals of the companies producing Soft Starters.

  10. Technology for dementia: attitudes and practices of occupational therapists in providing assistive technology for way finding.

    Science.gov (United States)

    Jarvis, Fiona; Clemson, Lindy Maxted; Mackenzie, Lynette

    2017-05-01

    One of the many difficulties a person with dementia can experience is difficulty with way finding and subsequently getting lost in the community. Prescriptions of assistive technology are a key role for occupational therapists. This study aimed to describe the attitudes and practices of occupational therapists in recommending and using assistive technology for persons with dementia who have difficulties with way finding in the community. An online survey was distributed to members of Occupational Therapy Australia NSW and included 25 items on demographics, frequency of use of assistive technology and assessment. A total of 85 occupational therapists responded to the survey. Significant differences were identified in the approaches used, the types of assistive technology used and the evaluation of outcomes, between community-based and hospital-based occupational therapists. Over half of the participants had never prescribed any of the assistive devices listed in the survey for people with dementia. The most frequently prescribed assistive devices were low-tech items that were already freely available to carers and other professions. Therapists used a conservative approach to problem solving with their clients with dementia. There is a limited understanding from occupational therapists about available interventions for people with dementia. Implications for Rehabilitation There is limited awareness on how assistive technology might be used to support occupational performance for persons with dementia. This survey suggests that occupational therapists experience barriers in identifying and providing appropriate assistive technology for this group. Access to targeted education and online resources for occupational therapists is recommended to provide better awareness of the types of assistive technology available to assist persons with dementia and their caregivers.

  11. Endoscopic and keyhole endoscope-assisted neurosurgical approaches: a qualitative survey on technical challenges and technological solutions.

    Science.gov (United States)

    Marcus, Hani J; Cundy, Thomas P; Hughes-Hallett, Archie; Yang, Guang-Zhong; Darzi, Ara; Nandi, Dipankar

    2014-10-01

    The literature reflects a resurgence of interest in endoscopic and keyhole endoscope-assisted neurosurgical approaches as alternatives to conventional microsurgical approaches in carefully selected cases. The aim of this study was to assess the technical challenges of neuroendoscopy, and the scope for technological innovations to overcome these barriers. All full members of the Society of British Neurosurgeons (SBNS) were electronically invited to participate in an online survey. The open-ended structured survey asked three questions; firstly, whether the surgeon presently utilises or has experience with endoscopic or endoscope-assisted approaches; secondly, what they consider to be the major technical barriers to adopting such approaches; and thirdly, what technological advances they foresee improving safety and efficacy in the field. Responses were subjected to a qualitative research method of multi-rater emergent theme analysis. Three clear themes emerged: 1) surgical approach and better integration with image-guidance systems (20%), 2) intra-operative visualisation and improvements in neuroendoscopy (49%), and 3) surgical manipulation and improvements in instruments (74%). The analysis of responses to our open-ended survey revealed that although opinion was varied three major themes could be identified. Emerging technological advances such as augmented reality, high-definition stereo-endoscopy, and robotic joint-wristed instruments may help overcome the technical difficulties associated with neuroendoscopic approaches. Results of this qualitative survey provide consensus amongst the technology end-user community such that unambiguous goals and priorities may be defined. Systems integrating these advances could improve the safety and efficacy of endoscopic and endoscope-assisted neurosurgical approaches.

  12. SCFA lead lab technical assistance review of the Pit 7 Complex source containment

    Energy Technology Data Exchange (ETDEWEB)

    Eaton, D.; Janeday, D.; Woodward, D.; Imrich, J.; Evans, J.; Morris, M.; Reimus, P.; Hazen, T.

    2001-01-29

    On January 29-30, 2001 a technical assistance team (TAT) met with the Pit 7 project team at Lawrence Livermore National Laboratory (LLNL) to review technologies being evaluated for remediation in the Site 300 Pit 7 Complex and the process for selecting these technologies. Specifically, the project team presented the TAT with a core need to identify technically and economically practicable technologies and methods to stabilize, contain, or control the tritium and uranium in the source areas at the Pits 3 and 5 landfill area to prevent further releases of these contaminants to groundwater and the migration of tritiated and uranium-contaminated groundwater. The approaches and needs for the systems surrounding the landfills were also presented and discussed. With encouragement from the project team, the TAT expanded its focus to include additional site characterization, a water balance model, and computational models. The TAT was comprised of leading technical and regulatory experts from around the country and was assembled by SCFA's Lead Lab in response to a technical assistance request from John Ziagos, Project Manager for the Pit 7 Area (Technical Assistance Request: LLNL No.1). A list of the TAT members is included below and contact information the TAT members and site participants is in Appendix B. To familiarize the TAT assistance team with Pit 7 Complex issues, the project team gave a presentation outlining the site geology, contaminant hydrogeology, land-use issues, stakeholder concerns, regulatory requirements, groundwater flow and transport modeling efforts, pit source characterization efforts, and remedial options. Time for clarification and questions between the TAT and the site team was integrated into the presentation schedule. On the morning of the second day, the TAT reconvened with the site team and John Evans of the TAT presented information about a helium soil gas survey method that could potentially be used to locate and characterize tritium

  13. Continued benefits of a technical assistance web site to local tobacco control coalitions during a state budget shortfall.

    Science.gov (United States)

    Buller, David B; Young, Walter F; Bettinghaus, Erwin P; Borland, Ron; Walther, Joseph B; Helme, Donald; Andersen, Peter A; Cutter, Gary R; Maloy, Julie A

    2011-01-01

    A state budget shortfall defunded 10 local tobacco coalitions during a randomized trial but defunded coalitions continued to have access to 2 technical assistance Web sites. To test the ability of Web-based technology to provide technical assistance to local tobacco control coalitions. Randomized 2-group trial with local tobacco control coalitions as the unit of randomization. Local communities (ie, counties) within the State of Colorado. Leaders and members in 34 local tobacco control coalitions funded by the state health department in Colorado. Two technical assistance Web sites: A Basic Web site with text-based information and a multimedia Enhanced Web site containing learning modules, resources, and communication features. Use of the Web sites in minutes, pages, and session and evaluations of coalition functioning on coalition development, conflict resolution, leadership satisfaction, decision-making satisfaction, shared mission, personal involvement, and organization involvement in survey of leaders and members. Coalitions that were defunded but had access to the multimedia Enhanced Web site during the Fully Funded period and after defunding continued to use it (treatment group × funding status × period, F(3,714) = 3.18, P = .0234). Coalitions with access to the Basic Web site had low Web site use throughout and use by defunded coalitions was nearly zero when funding ceased. Members in defunded Basic Web site coalitions reported that their coalitions functioned worse than defunded Enhanced Web site coalitions (coalition development: group × status, F(1,360) = 4.81, P = .029; conflict resolution: group × status, F(1,306) = 5.69, P = .018; leadership satisfaction: group × status, F(1,342) = 5.69, P = .023). The Enhanced Web site may have had a protective effect on defunded coalitions. Defunded coalitions may have increased their capacity by using the Enhanced Web site when fully funded or by continuing to use the available online resources after defunding

  14. Loads Providing Ancillary Services: Review of InternationalExperience-- Technical Appendix: Market Descriptions

    Energy Technology Data Exchange (ETDEWEB)

    Grayson Heffner, Charles Goldman, Kintner-Meyer, M; Kirby, Brendan

    2007-05-01

    In this study, we examine the arrangements for andexperiences of end-use loads providing ancillary services (AS) in fiveelectricity markets: Australia, the United Kingdom (UK), the Nordicmarket, and the ERCOT and PJM markets in the United States. Our objectivein undertaking this review of international experience was to identifyspecific approaches or market designs that have enabled customer loads toeffectively deliver various ancillary services (AS) products. We hopethat this report will contribute to the ongoing discussion in the U.S.and elsewhere regarding what institutional and technical developments areneeded to ensure that customer loads can meaningfully participate in allwholesale electricity markets.

  15. Non-technical skills of anaesthesia providers in Rwanda: an ethnography.

    Science.gov (United States)

    Livingston, Patricia; Zolpys, Lauren; Mukwesi, Christian; Twagirumugabe, Theogene; Whynot, Sara; MacLeod, Anna

    2014-01-01

    Patient safety depends on excellent practice of anaesthetists' non-technical skills (ANTS). The ANTS framework has been validated in developed countries but there is no literature on the practice of ANTS in low-income countries. This study examines ANTS in this unexplored context. This qualitative ethnographic study used observations of Rwandan anaesthesia providers and in-depth interviews with both North American and Rwandan anaesthesia providers to understand practice of ANTS in Rwanda. Communication is central to the practice of ANTS. Cultural factors in Rwanda, such as lack of assertiveness and discomfort taking leadership, and the strains of working in a resource-limited environment hinder the unfettered and focused communication needed for excellent anaesthesia practice. Despite the challenges, anaesthesia providers are able to coordinate activities when good communication is actively encouraged. Future teaching interventions should address leadership and communication skills through encouraging both role definition and speaking up for patient safety.

  16. An Evaluation of the Federal Energy Management Program Technical Assistance Workshops: Results of a 1998 Customer Survey

    Energy Technology Data Exchange (ETDEWEB)

    G. B. Gordon; N. Hall

    1999-04-01

    This report presents the results of a customer telephone survey of the participants of six workshops provided by the U. S. Department of Energy Federal Energy Management Program (FEMP) during calendar years 1995 and 1996. The primary purpose for the survey was to provide the Team Leader for FEMP Technical Assistance and members of the team with detailed customer feedback pertaining to how well selected FEMP workshops are doing and to identify areas for improvement. The information presented enables managers to see both the strengths of their workshops, as well as workshop components that can be improved. In addition, the report identifies the questions included in the survey that were the most productive for obtaining customers experiences, opinions and recommendations. The experiences gained during this survey provide a platform from which to launch an annual FEMP customer survey.

  17. Technical assistance to Ohio closure sites; Recommendations toaddress contaminated soils, concrete, and corrective action managementunit/groundwater contamination at Ashtabula, Ohio

    Energy Technology Data Exchange (ETDEWEB)

    Charoglu, Emily; Eddy-Dilek, Carol; Gombert, Dirk; Hazen, Terry; Johnson, Bob; Looney, Brian; Krstich, Michael A.; Rautman, Chris; Tripp,Julia; Whitmill, Larry

    2002-08-26

    The Ashtabula Environmental Management Project (AEMP) at Department of Energy-Ohio (DOE-OH) requested technical assistance from the EM-50 Lead Lab to aid in defining new cost and time effective approaches in the following problem areas: soils, concrete, and groundwater/Corrective Action Management Unit (CAMU) at RMIES in Ashtabula, Ohio. Attachment 1 provides the site request for assistance. The technical assistance team assembled for this request is provided in Attachment 2. These individuals reviewed key site information prior to convening with DOE and contractor personnel (RMIES and Earthline) for a three-and-a-half-day meeting to better understand baseline technologies, limitations, and site-specific issues. After listening to presentations about the nature and extent of known contamination, the team broke out into several groups to brainstorm ideas and develop viable solutions. This executive summary details unresolved issues requiring management attention as well as recommendations to address soils, concrete, and groundwater/CAMU. It also provides a summary of additional technical assistance that could be provided to the site. More details are presented in the body of this report.

  18. Non-technical skills of anaesthetic assistants in the perioperative period: a literature review.

    Science.gov (United States)

    Rutherford, J S; Flin, R; Mitchell, L

    2012-07-01

    Non-technical skills (NTS), which include communication, teamwork, leadership, decision-making, and situation awareness, are important in the maintenance of patient safety. NTS frameworks have been developed for anaesthetists, surgeons, and scrub practitioners. Most studies of NTS in operating theatres to date have focused on anaesthetists and surgeons. We have attempted to identify the NTS used by anaesthetic assistants in the perioperative period. An electronic search of the NHS e-library, PubMed, BioMed Central, ScienceDirect, and Scopus databases was performed in December 2010. The abstracts of the papers identified were checked for relevance and the article examined. Out of 308 papers initially identified, there were only three papers describing the use of NTS by anaesthetic assistants. Communication and situation awareness were described in three papers, teamwork and decision-making in two, and leadership in one. This search did not reveal any comprehensive description of the NTS required by anaesthetic assistants. The benefits of developing an NTS taxonomy for anaesthetic assistants are discussed.

  19. 7 CFR Exhibit B-1 to Subpart I of... - Instructions for Preparation of Evaluation Report of Self-Help Technical Assistance Grants

    Science.gov (United States)

    2010-01-01

    ... Self-Help Technical Assistance Grants B Exhibit B-1 to Subpart I of Part 1944 Agriculture Regulations... REGULATIONS (CONTINUED) HOUSING Self-Help Technical Assistance Grants Pt. 1944, Subpt. I, Exh. B-1 Exhibit B-1 to Subpart I of Part 1944—Instructions for Preparation of Evaluation Report of Self-Help Technical...

  20. 7 CFR Exhibit E to Subpart I of... - Guidance for Recipients of Self-Help Technical Assistance Grants (Section 523 of Housing Act of...

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 13 2010-01-01 2009-01-01 true Guidance for Recipients of Self-Help Technical... REGULATIONS (CONTINUED) HOUSING Self-Help Technical Assistance Grants Pt. 1944, Subpt. I, Exh. E Exhibit E to Subpart I of Part 1944—Guidance for Recipients of Self-Help Technical Assistance Grants (Section 523 of...

  1. Determining an Individual Student's Need for Extended School Year Services. Technical Assistance Paper.

    Science.gov (United States)

    Florida State Dept. of Education, Tallahassee. Bureau of Instructional Support and Community Services.

    This paper provides assistance to Florida school districts regarding the development of their extended school year (ESY) policies and procedures for students with disabilities as required under the Individuals with Disabilities Education (IDEA) Act and Florida statutes. Following a brief section providing background information, 27 questions and…

  2. 75 FR 13521 - Centers for Independent Living Program-Training and Technical Assistance

    Science.gov (United States)

    2010-03-22

    ... of Program: The purpose of the CIL program is to maximize independence, productivity, empowerment... transition from school to living independently, and two provide general, comprehensive training and technical... from school to postsecondary education, employment, and IL; and to better serve individuals with...

  3. Using Model-Based System Engineering to Provide Artifacts for NASA Project Life-Cycle and Technical Reviews Presentation

    Science.gov (United States)

    Parrott, Edith L.; Weiland, Karen J.

    2017-01-01

    This is the presentation for the AIAA Space conference in September 2017. It highlights key information from Using Model-Based Systems Engineering to Provide Artifacts for NASA Project Life-cycle and Technical Reviews paper.

  4. Assisting Frail Seniors With Toileting in a Home Bathroom: Approaches Used by Home Care Providers.

    Science.gov (United States)

    King, Emily C; Boscart, Veronique M; Weiss, Brett M; Dutta, Tilak; Callaghan, Jack P; Fernie, Geoff R

    2017-04-01

    Home care providers experience high occupational injury rates. Improving safety is becoming increasingly urgent as this sector expands to support the aging population. Caregivers identify assisting with toileting as a particularly frequent and difficult activity. This mixed-methods observational study identified and analyzed the toileting subactivities that place care providers at the greatest risk of musculoskeletal injury. Eight personal support workers (home care aides) assisted a frail older adult (actor) in a simulated home bathroom. Overall technique and body postures were analyzed. Exposure to musculoskeletal injury risk factors (low back loads and time in extreme trunk postures) was greatest when removing/replacing clothing and providing posterior perineal care; high loads were also possible during transfers. Exposures can be reduced by lowering the pants only to knee level or squatting to raise them. A bidet seat or attachment can perform perineal cleaning, which accounted for 32% of time in severe trunk flexion.

  5. Providing Total Quality Fundamentals: 1995 Workshops for the NASA Lewis Research Center's Technical Services Directorate

    Science.gov (United States)

    Antczak, Paul; Jacinto,Gilda; Simek, Jimmy

    1997-01-01

    The National Aeronautics and Space Administration's (NASA) agency-wide movement to cultivate a quality workplace is the basis for Lewis Research Center to implement Total Quality Fundamentals (TQF) initiatives. The Lewis Technical Services Directorate (TSD) introduced the Total Quality Fundamentals (TQF) workshops to its work force as an opportunity to introduce the concepts and principles of TQF. These workshops also provided the participants with the opportunity to dialogue with fellow TSD employees and managers. This report describes, through the perspective of the Lewis TSD TQF Coaches, how the TQF work- shop process was accomplished in TSD. It describes the structure for addressing the need, implementation process, input the TSD Coaches provided, common themes and concerns raised, conclusions, and recommendations. The Coaches concluded that these types of workshops could be the key to open the communication channels that are necessary to help everyone at Lewis understand where they fit in the organization. TQF workshops can strengthen the participant's connection with the Mission, Vision of the Center, and Vision of the Agency. Reconunendations are given based on these conclusions that can help the TSD Quality Board develop attainable measures towards a quality workplace.

  6. 20 CFR 628.325 - Incentive grants, capacity building, and technical assistance.

    Science.gov (United States)

    2010-04-01

    ... process specified in the GCSSP; (ii) Ensure that the use of funds will assist front line staff providing... directly to the local level; (iii) Ensure that expenditures for the purchase of hardware/software are only... National Network. States and SDA's retain the flexibility to tailor Network products to their own needs and...

  7. National Institute of Justice Center Requirements Definition, Technical Assistance, Agile Test and Evaluation and Cyber Science Analysis

    National Research Council Canada - National Science Library

    Frantz, Frederick

    2003-01-01

    This task provided for assembly, definition, and completion of technical enhancements in coordination with the National Law Enforcement and Corrections Technology Center -Northeast Region (NLECTC-NE...

  8. Technical Reference Suite Addressing Challenges of Providing Assurance for Fault Management Architectural Design

    Science.gov (United States)

    Fitz, Rhonda; Whitman, Gerek

    2016-01-01

    Research into complexities of software systems Fault Management (FM) and how architectural design decisions affect safety, preservation of assets, and maintenance of desired system functionality has coalesced into a technical reference (TR) suite that advances the provision of safety and mission assurance. The NASA Independent Verification and Validation (IV&V) Program, with Software Assurance Research Program support, extracted FM architectures across the IV&V portfolio to evaluate robustness, assess visibility for validation and test, and define software assurance methods applied to the architectures and designs. This investigation spanned IV&V projects with seven different primary developers, a wide range of sizes and complexities, and encompassed Deep Space Robotic, Human Spaceflight, and Earth Orbiter mission FM architectures. The initiative continues with an expansion of the TR suite to include Launch Vehicles, adding the benefit of investigating differences intrinsic to model-based FM architectures and insight into complexities of FM within an Agile software development environment, in order to improve awareness of how nontraditional processes affect FM architectural design and system health management. The identification of particular FM architectures, visibility, and associated IV&V techniques provides a TR suite that enables greater assurance that critical software systems will adequately protect against faults and respond to adverse conditions. Additionally, the role FM has with regard to strengthened security requirements, with potential to advance overall asset protection of flight software systems, is being addressed with the development of an adverse conditions database encompassing flight software vulnerabilities. Capitalizing on the established framework, this TR suite provides assurance capability for a variety of FM architectures and varied development approaches. Research results are being disseminated across NASA, other agencies, and the

  9. Native American Technical Assistance and Training for Renewable Energy Resource Development and Electrical Generation Facilities Management

    Energy Technology Data Exchange (ETDEWEB)

    A. David Lester

    2008-10-17

    The Council of Energy Resource Tribes (CERT) will facilitate technical expertise and training of Native Americans in renewable energy resource development for electrical generation facilities, and distributed generation options contributing to feasibility studies, strategic planning and visioning. CERT will also provide information to Tribes on energy efficiency and energy management techniques.This project will provide facilitation and coordination of expertise from government agencies and private industries to interact with Native Americans in ways that will result in renewable energy resource development, energy efficiency program development, and electrical generation facilities management by Tribal entities. The intent of this cooperative agreement is to help build capacity within the Tribes to manage these important resources.

  10. Outreach and Technical Assistance Network. Four Year Evaluation Report December 1, 1989-January 31, 1994. An Education 2000 Project.

    Science.gov (United States)

    Hacienda La Puente Unified School District, City of Industry, CA. Outreach and Technical Assistance Network.

    The Outreach and Technical Assistance Network (OTAN) has made a significant contribution to meeting the needs of California adult educators. During 4 years of operation, OTAN has organized and implemented a wide range of communication linkages, information and training resources, nationally recognized electronic communication systems,…

  11. 25 CFR 30.111 - When should the tribal governing body or school board request technical assistance?

    Science.gov (United States)

    2010-04-01

    ... 25 Indians 1 2010-04-01 2010-04-01 false When should the tribal governing body or school board... When should the tribal governing body or school board request technical assistance? In order to maximize the time the tribal governing body or school board has to develop an alternative definition of AYP...

  12. Organizational Structures and Processes to Support and Sustain Effective Technical Assistance in a State-Wide Multi-Tiered System of Support Initiative

    Science.gov (United States)

    Morrison, Julie Q.; Russell, Christine; Dyer, Stephanie; Metcalf, Terri; Rahschulte, Rebecca L.

    2014-01-01

    Despite the national proliferation of technical assistance as a driver for school reform and as a model for embedded and sustained professional development, very little is known about the organizational structures and processes needed to support technical assistance. The purpose of this paper is to describe a structured needs assessment process…

  13. Evaluation of a Prototype Hybrid Vacuum Pump to Provide Vacuum-Assisted Suspension for Above-Knee Prostheses.

    Science.gov (United States)

    Major, Matthew J; Caldwell, Ryan; Fatone, Stefania

    2015-12-01

    Vacuum-assisted suspension (VAS) of prosthetic sockets utilizes a pump to evacuate air from between the prosthetic liner and socket, and are available as mechanical or electric systems. This technical note describes a hybrid pump that benefits from the advantages of mechanical and electric systems, and evaluates a prototype as proof-of-concept. Cyclical bench testing of the hybrid pump mechanical system was performed using a materials testing system to assess the relationship between compression cycles and vacuum pressure. Phase 1 in vivo testing of the hybrid pump was performed by an able-bodied individual using prosthesis simulator boots walking on a treadmill, and phase 2 involved an above-knee prosthesis user walking with the hybrid pump and a commercial electric pump for comparison. Bench testing of 300 compression cycles produced a maximum vacuum of 24 in-Hg. In vivo testing demonstrated that the hybrid pump continued to pull vacuum during walking, and as opposed to the commercial electric pump, did not require reactivation of the electric system during phase 2 testing. The novelty of the hybrid pump is that while the electric system provides rapid, initial vacuum suspension, the mechanical system provides continuous air evacuation while walking to maintain suspension without reactivation of the electric system, thereby allowing battery power to be reserved for monitoring vacuum levels.

  14. Modification of the BioMedicus centrifugal pump to provide continuous irrigation for neuroendoscopy: technical note.

    Science.gov (United States)

    Koueik, Joyce; Rocque, Brandon G; Henry, Jordan; Bragg, Taryn; Paul, Jennifer; Iskandar, Bermans J

    2018-02-01

    Continuous irrigation is an important adjunct for successful intraventricular endoscopy, particularly for complex cases. It allows better visualization by washing out blood and debris, improves navigation by expanding the ventricles, and assists with tissue dissection. A method of irrigation delivery using a centrifugal pump designed originally for cardiac surgery is presented. The BioMedicus centrifugal pump has the desirable ability to deliver a continuous laminar flow of fluid that excludes air from the system. A series of modifications to the pump tubing was performed to adapt it to neuroendoscopy. Equipment testing determined flow and pressure responses at various settings and simulated clinical conditions. The pump was then studied clinically in 11 endoscopy cases and eventually used in 310 surgical cases. Modifications of the pump tubing allowed for integration with different endoscopy systems. Constant flow rates were achieved with and without surgical instruments through the working ports. Optimal flow rates ranged between 30 and 100 ml/min depending on endoscope size. Intraoperative use was well tolerated with no permanent morbidity and showed consistent flow rates, minimal air accumulation, and seamless irrigation bag replacement during prolonged surgery. Although the pump is equipped with an internal safety mechanism to protect against pressure buildup when outflow obstructions occur, equipment testing revealed that flow cessation is not instantaneous enough to protect against sudden intracranial pressure elevation. A commonly available cardiac pump system was modified to provide continuous irrigation for intraventricular endoscopy. The system alleviates the problems of inconsistent flow rates, air in the irrigation lines, and delays in changing irrigation bags, thereby optimizing patient safety and surgical efficiency. Safe use of the pump requires good ventricular outflow and, clearly, sound surgical judgment.

  15. Comprehensive Training of Personnel and Technical Assistance in Establishment of Home Intervention Programs for Families of Infants, Toddlers, and Preschool-Aged Children with Hearing Impairments. Project SKI*HI Outreach. Final Report.

    Science.gov (United States)

    Barringer, Donald; Johnson, Dorothy

    This monograph reports achievements of the SKI*HI project, a 3-year outreach project to improve access and development of services to presently unserved or underserved infants and young children with hearing impairments as well as to provide leadership and technical assistance to agencies implementing the SKI*HI model. The project provided direct…

  16. Financial assistance for investments in wind power in Germany. Business incentives provided by the Deutsche Ausgleichsbank

    Energy Technology Data Exchange (ETDEWEB)

    Koch, M. [Deutsche Ausgleichsbank, Bonn (Germany)

    1995-12-31

    Within a generous financial framework investments in wind energy power have rapidly increased in Germany since the late 1980`s. In addition to direct subsidies or incentive stipulated by statutory provisions the DtA has encouraged investments in wind energy projects by loans at preferential interest rates with tremendous success and it will continue to do so. At present especially new ways of supporting environmental investments are being seek which have a cross-border environmental impact. The goal is to provide financial assistance both to domestic and foreign companies willing to invest in transboundary projects which may be located in East European Countries

  17. Totally robot-assisted biliary pancreatic diversion with duodenal switch: single dock technique and technical outcomes.

    Science.gov (United States)

    Sudan, Ranjan; Podolsky, Erica

    2015-01-01

    The biliopancreatic diversion with duodenal switch (BPD/DS) requires operating in three different abdominal quadrants. Previous techniques have used either two docks or a hybrid technique in which the robot is used only to suture the duodeno-ileal anastomosis, while the rest of the operation was performed laparoscopically. Recently, a modification in technique has allowed all operative steps to be completed robotically with a single dock. The operative technique and its technical results are described. Operative technique is described. Baseline demographics, operative duration, length of stay, and adverse events (intraoperative, 30-days, and 1-year) of all primary totally robot BPD/DS cases are reported. From Nov. 2011 to Jan. 2014, 59 totally robotic BPD/DS operations were attempted. One was completed hybrid, and the rest were totally robotic. No robotic operation was converted to an open operation. Five trocars were placed, the small bowel was anchored to the anterior abdominal wall, and the robot was docked. Mean age was 44 ± 10 years with a mean preoperative BMI of 56 ± 9 kg/m(2). 69 % was female, and 71 % was Caucasian. Mean operative duration was 306 ± 80 min (60 min less than the hybrid technique). There were no mortality, leaks, venous thromboembolism, or bleeding requiring transfusion. Mean length of stay was 4.6 ± 4.3 days. Three patients were readmitted for nausea and vomiting. There was one superficial wound infection, and three patients needed reoperations in the first year, two for strictures, and one for debriding a suture abscess. All key technical components of the BPD/DS were performed with low morbidity and mortality with a single dock. Since the surgeon performed all key parts of the operation from the console, the need for experienced bedside assistance was minimized, resulting in shorter operative duration compared to the hybrid technique.

  18. Estimating the development assistance for health provided to faith-based organizations, 1990-2013.

    Directory of Open Access Journals (Sweden)

    Annie Haakenstad

    Full Text Available Faith-based organizations (FBOs have been active in the health sector for decades. Recently, the role of FBOs in global health has been of increased interest. However, little is known about the magnitude and trends in development assistance for health (DAH channeled through these organizations.Data were collected from the 21 most recent editions of the Report of Voluntary Agencies. These reports provide information on the revenue and expenditure of organizations. Project-level data were also collected and reviewed from the Bill & Melinda Gates Foundation and the Global Fund to Fight AIDS, Tuberculosis and Malaria. More than 1,900 non-governmental organizations received funds from at least one of these three organizations. Background information on these organizations was examined by two independent reviewers to identify the amount of funding channeled through FBOs.In 2013, total spending by the FBOs identified in the VolAg amounted to US$1.53 billion. In 1990, FB0s spent 34.1% of total DAH provided by private voluntary organizations reported in the VolAg. In 2013, FBOs expended 31.0%. Funds provided by the Global Fund to FBOs have grown since 2002, amounting to $80.9 million in 2011, or 16.7% of the Global Fund's contributions to NGOs. In 2011, the Gates Foundation's contributions to FBOs amounted to $7.1 million, or 1.1% of the total provided to NGOs.Development assistance partners exhibit a range of preferences with respect to the amount of funds provided to FBOs. Overall, estimates show that FBOS have maintained a substantial and consistent share over time, in line with overall spending in global health on NGOs. These estimates provide the foundation for further research on the spending trends and effectiveness of FBOs in global health.

  19. Predictors of providing informed consent or assent for research participation in assisted living residents.

    Science.gov (United States)

    Black, Betty S; Brandt, Jason; Rabins, Peter V; Samus, Quincy M; Steele, Cynthia D; Lyketsos, Constantine G; Rosenblatt, Adam

    2008-01-01

    This study's goal was to identify factors associated with providing either informed consent or assent for research in individuals at high risk for cognitive impairment. Cross-sectional baseline data were used to identify predictors of consent or assent status. The study was conducted at 22 assisted living facilities in Maryland. A stratified random sample of 198 assisted living residents participated in the study. Residents' consent or assent status was documented as providing informed consent, written assent, or verbal assent/no objection. Potential predictors included residents' demographic characteristics, measures of physical and mental health status, and neuropsychological test performance. Most participants provided written assent (32.8%) or verbal assent/no objection (30.3%) rather than informed consent (36.9%). Although many resident characteristics correlated with consent or assent status based on bivariate analyses, few variables distinguished those who provided written assent from those in the verbal assent/no objection group. On the basis of multiple discriminant analysis, the best predictors of consent or assent status were Mini-Mental State Exam scores, impairments in instrumental activities of daily living, and dementia diagnosis, which together classified correctly 63.6% of residents. The relatively small proportion of participants who could provide informed consent highlights the importance of assessing decisional capacity for research in a high-risk population and identifying an appropriate surrogate decision maker to provide proxy consent if needed. Consensus on how to define assent is lacking, and specific measures of assent capabilities are needed to better characterize the assent capacity continuum.

  20. Technical assistance as a prevention capacity-building tool: a demonstration using the getting to outcomes framework.

    Science.gov (United States)

    Hunter, Sarah B; Chinman, Matthew; Ebener, Patricia; Imm, Pam; Wandersman, Abraham; Ryan, Gery W

    2009-10-01

    Demands on community-based prevention programs for performance accountability and positive outcomes are ever increasing in the face of constrained resources. Relatively little is known about how technical assistance (TA) should be structured to benefit community-based organizations and to lead to better outcomes. In this study, data from multiple sources were used to describe an effective TA model designed to improve the capacity of community-based organizations to plan, implement, and evaluate prevention programming. This article is the first of its kind to provide detailed analyses of the TA delivered to community-based organizations to build substance abuse prevention capacity. The results of this study describe the range of TA services provided and the importance of two-way communication between the TA provider and recipient. TA recipients reported high satisfaction and an improved understanding of targeted TA activities. However, achieving these benefits requires significant program staff time, and not all skills were successfully transferred. Results from this study suggest how TA may be structured to be effective in supporting quality prevention programming in community settings.

  1. 43 CFR 404.12 - Can Reclamation provide assistance with the construction of a rural water supply project under...

    Science.gov (United States)

    2010-10-01

    ... the construction of a rural water supply project under this program? 404.12 Section 404.12 Public... RECLAMATION RURAL WATER SUPPLY PROGRAM Overview § 404.12 Can Reclamation provide assistance with the construction of a rural water supply project under this program? Reclamation may provide assistance with the...

  2. Technical assistance offered to community health programs through a resource model.

    Science.gov (United States)

    Merino, R; Fischer, E; Bosch, S J

    1985-01-01

    A multidisciplinary unit in the Department of Community Medicine, Mount Sinai School of Medicine, consists of a core group of specialists who plan, develop, and evaluate community health care programs. The primary tools used by the staff of the Services Coordination Unit, epidemiology and behavioral and management sciences, result in improved organization and coordination of health services and community resources. The small unit of specialists functions as a resource group, helping community groups address the complex problems of planning, organization, delivery, and financing of health services. By offering technical assistance rather than day-to-day health care services, the unit has established an education and training program in New York's East Harlem, which surrounds the medical school. Over the last 10 years, that approach has enhanced the administrative and financial viability of existing health programs in East Harlem. Since the unit's establishment, it has collaborated with a broad variety of community groups. More than 20 programs have resulted. The income generated by the unit completely covers the expenses and has done so since 1976; "seed money" was used for startup and the first 3 years of operation. The unit is paid for long-term services and for most consultations.

  3. Robot-assisted pyeloplasty for pelvi-ureteric junction obstruction of lower moiety in partial duplex system: A technical challenge

    Directory of Open Access Journals (Sweden)

    Girdhar S Bora

    2016-01-01

    Full Text Available Management of pelvi-ureteric junction obstruction (PUJO in a duplex system is technically challenging as dissection at the pelvis may jeopardize the vascularity of the normal moiety ureter. Anastomosing the pelvis to the one single ureter will have a risk of future development of stricture which then will risk both the moieties. Robotic assistance enables appropriate tissue dissection; minimal handling of normal ureter and precision in suturing, overcoming the potential challenges involved in the minimally invasive management of such complex cases. We report the feasibility and efficacy of robot-assisted laparoscopic pyeloplasty in such case.

  4. An automated tool for evaluating compliance and providing assistance with building energy standards during design

    Energy Technology Data Exchange (ETDEWEB)

    Quadrel, R.W.; Brambley, M.R.; Stratton, R.C.

    1992-04-30

    In an effort to encourage the maximum cost-effective level of energy efficiency in new building design, energy-efficiency standards have become more location-specific and performance-based. As a result, standards often provide more than one path for ensuring and demonstrating that a design complies, but at the cost of increased complexity. In addition, the burden of remedying a noncompliant design rests on the designers' knowledge and experience, with only general guidance provided by the standards. As part of efforts in the US Department of Energy's (DOE's) Advanced Energy Design and Operation Technologies (AEDOT) project, a team at DOE's Pacific Northwest Laboratory is developing a computer program known as the Energy Standards Intelligent Design Tool (ES-IDT). The ES-IDT is one component of a prototype computer-based building design environment. It performs automatic compliance checking for parts of ASHRAE/IES Standard 90.1-1989 and provides designers assistance in bringing noncomplying designs into compliance. This paper describes the ES-IDT, the functions it provides, and how it is integrated into the design process via the AEDOT prototype building design environment. 9 refs.

  5. An automated tool for evaluating compliance and providing assistance with building energy standards during design

    Energy Technology Data Exchange (ETDEWEB)

    Quadrel, R.W.; Brambley, M.R.; Stratton, R.C.

    1992-04-30

    In an effort to encourage the maximum cost-effective level of energy efficiency in new building design, energy-efficiency standards have become more location-specific and performance-based. As a result, standards often provide more than one path for ensuring and demonstrating that a design complies, but at the cost of increased complexity. In addition, the burden of remedying a noncompliant design rests on the designers` knowledge and experience, with only general guidance provided by the standards. As part of efforts in the US Department of Energy`s (DOE`s) Advanced Energy Design and Operation Technologies (AEDOT) project, a team at DOE`s Pacific Northwest Laboratory is developing a computer program known as the Energy Standards Intelligent Design Tool (ES-IDT). The ES-IDT is one component of a prototype computer-based building design environment. It performs automatic compliance checking for parts of ASHRAE/IES Standard 90.1-1989 and provides designers assistance in bringing noncomplying designs into compliance. This paper describes the ES-IDT, the functions it provides, and how it is integrated into the design process via the AEDOT prototype building design environment. 9 refs.

  6. The Earth Resources Observation Systems data center's training technical assistance, and applications research activities

    Science.gov (United States)

    Sturdevant, J.A.

    1981-01-01

    The Earth Resources Observation Systems (EROS) Data Center (EDO, administered by the U.S. Geological Survey, U.S. Department of the Interior, provides remotely sensed data to the user community and offers a variety of professional services to further the understanding and use of remote sensing technology. EDC reproduces and sells photographic and electronic copies of satellite images of areas throughout the world. Other products include aerial photographs collected by 16 organizations, including the U.S. Geological Survey and the National Aeronautics and Space Administration. Primary users of the remotely sensed data are Federal, State, and municipal government agencies, universities, foreign nations, and private industries. The professional services available at EDC are primarily directed at integrating satellite and aircraft remote sensing technology into the programs of the Department of the Interior and its cooperators. This is accomplished through formal training workshops, user assistance, cooperative demonstration projects, and access to equipment and capabilities in an advanced data analysis laboratory. In addition, other Federal agencies, State and local governments, universities, and the general public can get assistance from the EDC Staff. Since 1973, EDC has contributed to the accelerating growth in development and operational use of remotely sensed data for land resource problems through its role as educator and by conducting basic and applied remote sensing applications research. As remote sensing technology continues to evolve, EDC will continue to respond to the increasing demand for timely information on remote sensing applications. Questions most often asked about EDC's research and training programs include: Who may attend an EDC remote sensing training course? Specifically, what is taught? Who may cooperate with EDC on remote sensing projects? Are interpretation services provided on a service basis? This report attempts to define the goals and

  7. Can branding by health care provider organizations drive the delivery of higher technical and service quality?

    Science.gov (United States)

    Snihurowych, Roman R; Cornelius, Felix; Amelung, Volker Eric

    2009-01-01

    Despite the widespread use of branding in nearly all other major industries, most health care service delivery organizations have not fully embraced the practices and processes of branding. Facilitating the increased and appropriate use of branding among health care delivery organizations may improve service and technical quality for patients. This article introduces the concepts of branding, as well as making the case that the use of branding may improve the quality and financial performance of organizations. The concepts of branding are reviewed, with examples from the literature used to demonstrate their potential application within health care service delivery. The role of branding for individual organizations is framed by broader implications for health care markets. Branding strategies may have a number of positive effects on health care service delivery, including improved technical and service quality. This may be achieved through more transparent and efficient consumer choice, reduced costs related to improved patient retention, and improved communication and appropriateness of care. Patient satisfaction may be directly increased as a result of branding. More research into branding could result in significant quality improvements for individual organizations, while benefiting patients and the health system as a whole.

  8. 25 CFR 20.102 - What is the Bureau's policy in providing financial assistance and social services under this part?

    Science.gov (United States)

    2010-04-01

    ..., DEPARTMENT OF THE INTERIOR HUMAN SERVICES FINANCIAL ASSISTANCE AND SOCIAL SERVICES PROGRAMS Definitions... this part to eligible Indians when comparable financial assistance or social services are either not... 25 Indians 1 2010-04-01 2010-04-01 false What is the Bureau's policy in providing financial...

  9. Communal management of drinking water and municipal technical assistance in rural areas. Experience in the district of San Marcos, Ancash

    OpenAIRE

    Escate Cavero, Juan; Universidad Nacional Mayor de San Marcos. Lima - Perú.

    2014-01-01

    This study addresses the communal management of the drinking water service and municipal technical assistance, based on three rural communities located in the district of San Marcos during the period 2006 - 2009. The study suggests that the municipality - communal organization relation enhances the sustainability of the drinking water service because it reinforces the local management dynamic, legitimizes local authorities and fosters communal membership Este estudio aborda la gestión comu...

  10. Important Non-Technical Skills in Video-Assisted Thoracoscopic Surgery Lobectomy

    DEFF Research Database (Denmark)

    Gjeraa, Kirsten; Mundt, Anna S; Spanager, Lene

    2017-01-01

    , problem solving, leadership, risk assessment, and teamwork. These non-technical skills enabled the team to achieve shared mental models, which in turn facilitated their efforts to anticipate next steps. This was viewed as important by the participants as they saw VATS lobectomy as a high-risk procedure......BACKGROUND: Safety in the operating room is dependent on the team's non-technical skills. The importance of non-technical skills appears to be different for minimally invasive surgery as compared with open surgery. The aim of this study was to identify which non-technical skills are perceived...... analysis was deductive, and directed content analysis was used to code the text into the Oxford Non-Technical Skills system for evaluating operating teams' non-technical skills. RESULTS: The most important non-technical skills described by the VATS teams were planning and preparation, situation awareness...

  11. The da Vinci robotic surgical assisted anterior lumbar interbody fusion: technical development and case report.

    Science.gov (United States)

    Beutler, William J; Peppelman, Walter C; DiMarco, Luciano A

    2013-02-15

    Technique development to use the da Vince Robotic Surgical System for anterior lumbar interbody fusion at L5-S1 is detailed. A case report is also presented. To evaluate and develop the da Vinci robotic assisted laparoscopic anterior lumbar stand-alone interbody fusion procedure. Anterior lumbar interbody fusion is a common procedure associated with potential morbidity related to the surgical approach. The da Vinci robot provides intra-abdominal dissection and visualization advantages compared with the traditional open and laparoscopic approach. The surgical techniques for approach to the anterior lumbar spine using the da Vinci robot were developed and modified progressively beginning with operative models followed by placement of an interbody fusion cage in the living porcine model. Development continued to progress with placement of fusion cage in a human cadaver, completed first in the laboratory setting and then in the operating room. Finally, the first patient with fusion completed using the da Vinci robot-assisted approach is presented. The anterior transperitoneal approach to the lumbar spine is accomplished with enhanced visualization and dissection capability, with maintenance of pneumoperitoneum using the da Vinci robot. Blood loss is minimal. The visualization inside the disc space and surrounding structures was considered better than current open and laparoscopic techniques. The da Vinci robot Surgical System technique continues to develop and is now described for the transperitoneal approach to the anterior lumbar spine. 4.

  12. Final Report. SFAA No. DEFC02-98CH10961. Technical assistance for joint implementation and other supporting mechanisms and measures for greenhouse gas emissions mitigation

    Energy Technology Data Exchange (ETDEWEB)

    Knight, Denise

    2001-10-15

    IIEC, a division of CERF, has developed an extensive base of experience implementing activities that support climate action by developing USIJI projects in transitional countries within Asia, Latin America, Central and Eastern Europe, and southern Africa. IIEC has been able to provide a range of technical and policy assistance to governments and industry in support of sustainable energy use. IIEC continues to work in key countries with local partners to develop and implement energy efficiency policies and standards, develop site-specific projects, and assist governing bodies to establish national priorities and evaluation criteria for approving GHG-mitigation projects. As part of this project, IIEC focused on promoting a series of activities in Thailand and South Africa in order to identify GHG mitigation projects and work within the national approval process of those countries. The sections of this report outline the activities conducted in each country in order to achieve that goal.

  13. Renewable Electricity Benefits Quantification Methodology: A Request for Technical Assistance from the California Public Utilities Commission

    Energy Technology Data Exchange (ETDEWEB)

    Mosey, G.; Vimmerstedt, L.

    2009-07-01

    The California Public Utilities Commission (CPUC) requested assistance in identifying methodological alternatives for quantifying the benefits of renewable electricity. The context is the CPUC's analysis of a 33% renewable portfolio standard (RPS) in California--one element of California's Climate Change Scoping Plan. The information would be used to support development of an analytic plan to augment the cost analysis of this RPS (which recently was completed). NREL has responded to this request by developing a high-level survey of renewable electricity effects, quantification alternatives, and considerations for selection of analytic methods. This report addresses economic effects and health and environmental effects, and provides an overview of related analytic tools. Economic effects include jobs, earnings, gross state product, and electricity rate and fuel price hedging. Health and environmental effects include air quality and related public-health effects, solid and hazardous wastes, and effects on water resources.

  14. Critical Analysis of the Quality, Readability, and Technical Aspects of Online Information Provided for Neck-Lifts.

    Science.gov (United States)

    Rayess, Hani; Zuliani, Giancarlo F; Gupta, Amar; Svider, Peter F; Folbe, Adam J; Eloy, Jean Anderson; Carron, Michael A

    2017-03-01

    The number of patients using the internet to obtain health information is growing. This material is unregulated and heterogeneous and can influence patient decisions. To compare the quality, readability, and technical aspects of online information about neck-lifts provided by private practice websites vs academic medical centers and reference sources. In this cross-sectional analysis conducted between November 2015 and January 2016, a Google search of the term neck-lift was performed, and the first 45 websites were evaluated. The websites were categorized as private practice vs other. Private websites (PWs) included sites created by private practice physicians. Other websites (OWs) were created by academic medical centers or reference sources. Quality, readability, and technical aspects of online websites related to neck-lifts. Quality was assessed using the DISCERN criteria and the Health on the Net principles (HONcode). Readability was assessed using 7 validated and widely used criteria. Consensus US reading grade level readability was provided by a website (readabilityformulas.com). Twelve technical aspects were evaluated based on criteria specified by medical website creators. Forty-five websites (8 OWs [18%] and 37 PWs [82%]) were analyzed. There was a significant difference in quality between OWs and PWs based on the DISCERN criteria and HONcode principles. The DISCERN overall mean (SD) scores were 2.3 (0.5) for OWs and 1.3 (0.3) for PWs (P analysis, the mean (SD) was 8.6 (1.8) (range, 5-11) for OW, and the mean (SD) was 5.8 (1.7) (range, 2-9) for PW. The mean (SD) readability consensus reading grade level scores were 11.7 (1.9) for OWs and 10.6 (1.9) for PWs. Of a total possible score of 12, the mean (SD) technical scores were 6.3 (1.8) (range, 4-9) for OWs and 6.4 (1.5) (range, 3-9) for PWs. Compared with PWs, OWs had a significantly higher quality score based on both the DISCERN criteria and HONcode principles. The mean readability for OWs and PWs was

  15. Formative evaluation of a telemedicine model for delivering clinical neurophysiology services part I: Utility, technical performance and service provider perspective

    Directory of Open Access Journals (Sweden)

    Breen Patricia

    2010-09-01

    Full Text Available Abstract Background Formative evaluation is conducted in the early stages of system implementation to assess how it works in practice and to identify opportunities for improving technical and process performance. A formative evaluation of a teleneurophysiology service was conducted to examine its technical and sociological dimensions. Methods A teleneurophysiology service providing routine EEG investigation was established. Service use, technical performance and satisfaction of clinical neurophysiology personnel were assessed qualitatively and quantitatively. These were contrasted with a previously reported analysis of the need for teleneurophysiology, and examination of expectation and satisfaction with clinical neurophysiology services in Ireland. A preliminary cost-benefit analysis was also conducted. Results Over the course of 40 clinical sessions during 20 weeks, 142 EEG investigations were recorded and stored on a file server at a satellite centre which was 130 miles away from the host clinical neurophysiology department. Using a virtual private network, the EEGs were accessed by a consultant neurophysiologist at the host centre for interpretation. The model resulted in a 5-fold increase in access to EEG services as well as reducing average waiting times for investigation by a half. Technically the model worked well, although a temporary loss of virtual private network connectivity highlighted the need for clarity in terms of responsibility for troubleshooting and repair of equipment problems. Referral quality, communication between host and satellite centres, quality of EEG recordings, and ease of EEG review and reporting indicated that appropriate organisational processes were adopted by the service. Compared to traditional CN service delivery, the teleneurophysiology model resulted in a comparable unit cost per EEG. Conclusion Observations suggest that when traditional organisational boundaries are crossed challenges associated with the

  16. An educational strategy for using physician assistant students to provide health promotion education to community adolescents.

    Science.gov (United States)

    Ruff, Cathy C

    2012-01-01

    The "Competencies for the Physician Assistant Profession" identify core competencies that physician assistants (PAs) are expected to acquire and maintain throughout their career (see http://www.nccpa.net/pdfs/Definition%20of%20PA%20Competencies% 203.5%20for%20Publication.pdf). Two categories of competencies relate to patient care and interpersonal and communication skills and articulate the need for PAs to be effective communicators and patient educators. The value of a health education curriculum for the adolescent population has been recognized since the early 1900s. PA student-designed health promotion presentations aimed at the adolescent population are an innovative educational strategy involving students in community education. PA student-designed presentations based upon previously identified topics were presented in the community. Students presented topics including Smoking Cessation, The Effects of Drugs and Alcohol, Self-Esteem, and others to adolescents. Community audiences were varied and included alternative high schools and teens within the Department of Youth Corrections facilities. PA students created 17 portable presentations for community adolescents. Two hundred sixty-eight students gave presentations to more than 700 adolescents ranging from 11-22 years of age between the years 2005-2010. Eighty-two percent (646/791) of adolescent participants either strongly agreed or agreed that they learned at least one new piece of information from the presentations. Sixty percent (12/20) of community leaders requested that the PA students return to give additional health promotion presentations. Analysis of comments by PA students revealed that 98% of students found the experience beneficial. Students identified the experience as helping them better understand how to design presentations to meet the needs of their audience, feel more comfortable with adolescents, and gain confidence in communicating. Seventy-five percent stated they would continue to be

  17. The effect of environmental factors on technical and scale efficiency of primary health care providers in Greece

    Directory of Open Access Journals (Sweden)

    Aletras Vassilis H

    2007-11-01

    Full Text Available Abstract Background The purpose of this study was to compare technical and scale efficiency of primary care centers from the two largest Greek providers, the National Health System (NHS and the Social Security Foundation (IKA and to determine if, and how, efficiency is affected by various exogenous factors such as catchment population and location. Methods The sample comprised of 194 units (103 NHS and 91 IKA. Efficiency was measured with Data Envelopment Analysis (DEA using three inputs, -medical staff, nursing/paramedical staff, administrative/other staff- and two outputs, which were the aggregated numbers of scheduled/emergency patient visits and imaging/laboratory diagnostic tests. Facilities were categorized as small, medium and large (30,000 respectively to reflect catchment population and as urban/semi-urban or remote/island to reflect location. In a second stage analysis, technical and scale efficiency scores were regressed against facility type (NHS or IKA, size and location using multivariate Tobit regression. Results Regarding technical efficiency, IKA performed better than the NHS (84.9% vs. 70.1%, Mann-Whitney P P P = 0.103. As for scale efficiency, IKA again outperformed the NHS (89.7% vs. 85.9%, Mann-Whitney P = 0.080, but results were reversed in respect to facility size and location. Specifically, larger units performed better (96.3% vs. 90.9% vs. 75.9%, Kruskal-Wallis P P Conclusion Variations appeared to exist in the productive performance of the NHS and IKA as the two main primary care providers in Greece. These variations reflect differences in primary care organization, economical incentives, financial constraints, sociodemographic and local peculiarities. In all technical efficiency comparisons, IKA facilities appeared to outperform NHS ones irrespective of facility size or location. In respect to scale efficiency, the results were to some extent inconclusive and observed differences were mostly insignificant, although

  18. Report: EPA Needs an Agency-Wide Plan to Provide Tribal Solid Waste Management Capacity Assistance

    Science.gov (United States)

    Report #11-P-0171, March 21, 2011. EPA cannot determine whether its efforts are assisting tribal governments in developing the capacity to manage solid waste or reduce the risks of open dumps in Indian country.

  19. Technical support for universal health coverage pilots in Karnataka ...

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

    The project team will provide technical assistance to these early adopter states to assist with UHC intervention activities. The project ... They provided technical assistance to help officials design and develop their universal health coverage action plans based on an extensive baseline assessment and top health priorities.

  20. 75 FR 34249 - Centers for Independent Living Program-Training and Technical Assistance

    Science.gov (United States)

    2010-06-16

    ... program is to maximize independence, productivity, empowerment, and leadership of individuals with... alternatives to institutionalization; assisting transition-age youths to succeed after secondary school; and...

  1. Experiences Providing Medical Assistance during the Sewol Ferry Disaster Using Traditional Korean Medicine

    OpenAIRE

    Kyeong Han Kim; Soobin Jang; Ju Ah Lee; Bo-Hyoung Jang; Ho-Yeon Go; Sunju Park; Hee-Guen Jo; Myeong Soo Lee; Seong-Gyu Ko

    2017-01-01

    Background. This study aimed to investigate medical records using traditional Korean medicine (TKM) in Sewol Ferry disaster in 2014 and further explore the possible role of traditional medicine in disaster situation. Methods. After Sewol Ferry accident, 3 on-site tents for TKM assistance by the Association of Korean Medicine (AKOM) in Jindo area were installed. The AKOM mobilized volunteer TKM doctors and assistants and dispatched each on-site tent in three shifts within 24 hours. Anyone coul...

  2. Providing assistive technology in Italy: the perceived delivery process quality as affecting abandonment.

    Science.gov (United States)

    Federici, Stefano; Borsci, Simone

    2016-01-01

    The study brings together three aspects rarely observed at once in assistive technology (AT) surveys: (i) the assessment of user interaction/satisfaction with AT and service delivery, (ii) the motivational analysis of AT abandonment, and (iii) the management/design evaluation of AT delivery services. 15 health professionals and 4 AT experts were involved in modelling and assessing four AT Local Health Delivery Service (Centres) in Italy through a SWOT analysis and a Cognitive Walkthrough. In addition 558 users of the same Centres were interviewed in a telephone survey to rate their satisfaction and AT use. The overall AT abandonment was equal to 19.09%. Different Centres' management strategies resulted in different percentages of AT disuse, with a range from 12.61% to 24.26%. A significant difference between the declared abandonment and the Centres' management strategies (p = 0.012) was identified. A strong effect on abandonment was also found due to professionals' procedures (p = 0.005) and follow-up systems (p = 0.002). The user experience of an AT is affected not only by the quality of the interaction with the AT, but also by the perceived quality of the Centres in support and follow-up. Implications for Rehabilitation AT abandonment surveys provide useful information for modelling AT assessment and delivery process. SWOT and Cognitive Walkthrough analyses have shown suitable methods for exploring limits and advantages in AT service delivery systems. The study confirms the relevance of person centredness for a successful AT assessment and delivery process.

  3. Impact of advanced practice providers (nurse practitioners and physician assistants) on surgical residents' critical care experience.

    Science.gov (United States)

    Kahn, Steven A; Davis, Sarah A; Banes, Caroline T; Dennis, Bradley M; May, Addison K; Gunter, Oliver D

    2015-11-01

    Teaching hospitals often employ advanced practice providers (nurse practitioners and physician assistants or APPs) to counteract residents' work-hour restrictions. With increased utilization of APPs in labor-intense areas, such as intensive care units (ICUs), APPs may have an impact on resident education and experience. No studies have investigated the direct role an APP plays on the training experience of a surgical resident in the ICU. An institutional review board-approved survey was emailed to residents in Accreditation Council for Graduate Medical Education-accredited general surgery programs. Surveys asked about demographics, residency and/or ICU characteristics, and the effects of APPs on patient care, workflow, and educational experience. Regression analysis determined predictors of resident perception. A total of 354 of 1178 residents responded to the survey (30%). Some residents felt that nurses calling APPs preferentially for patient-care issues interfered with education (17%) and residents' ability to follow patients (12%) and was associated with overall detrimental effects to ICU experience on regression (odds ratio, 3.7; confidence interval, 1.5-9.1). Most residents reported positive effects of APPs, such as reduced resident workload (79.8%), teaching protocols and/or guidelines (60.3%), enhanced patient care (60.3%), and enhanced communication (50.5%). When asked how APPs affected their overall ICU experience, 48.4% reported positive effects, 20.6% reported "no effect," and 31% reported detrimental effects. Only a minority of residents perceived that APPs detract from training, particularly those who felt excluded when nurses preferentially contact APPs with patient-care issues. APPs have the potential to enhance training and ICU experience, as reflected in many of the responses. Strategies to maintain direct nurse and resident communication might preserve residents' perception of the educational value of APPs. Copyright © 2015 Elsevier Inc. All

  4. 75 FR 29366 - ``Homeless Veterans' Reintegration Program (HVRP) National Technical Assistance Center...

    Science.gov (United States)

    2010-05-25

    ... of the Assistant Secretary for Veterans' Employment and Training ``Homeless Veterans' Reintegration... the Homeless Veterans' Reintegration Program (HVRP) to include the Homeless Female Veterans and... to expedite the reintegration of homeless Veterans into the labor force. In order to assist the USDOL...

  5. 75 FR 26193 - Notice of Funds Availability: Inviting Applications for the Technical Assistance for Specialty...

    Science.gov (United States)

    2010-05-11

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF AGRICULTURE Commodity Credit Corporation Notice of Funds Availability: Inviting Applications for the Technical... should demonstrably benefit the represented industry rather than a specific company or brand; and...

  6. Pilot Survey of Physician Assistants Regarding Lesbian, Gay, Bisexual, and Transgender Providers Suggests Role for Workplace Nondiscrimination Policies.

    Science.gov (United States)

    Ewton, Tiffany A; Lingas, Elena O

    2015-12-01

    Lesbian, gay, bisexual, and transgender (LGBT) medical providers in the United States have historically faced discrimination from their peers. To assess current workplace culture and attitudes, and to evaluate awareness of workplace and professional policies regarding LGBT discrimination, we sent a cross-sectional survey to 163 PAs (Physician Assistants). Respondents had an overall positive attitude towards LGBT providers, yet the majority was not aware of relevant policy statements (>60%). A significant association existed between policy awareness and LGBT inclusivity (PLGBT providers, non-discriminatory work environments for LGBT physician assistants may relate to greater awareness of specific workplace policy standards.

  7. FAR EAST TECHNICAL ASSISTANCE PROGRAMS OF U.S. NON-PROFIT ORGANIZATIONS (INCLUDING VOLUNTARY AGENCIES, MISSIONS, AND FOUNDATIONS), DIRECTORY - 1966.

    Science.gov (United States)

    BURGESS, MARY ELLEN, ED.

    PART 1 OF THIS PROGRAM GUIDE LISTS TECHNICAL ASSISTANCE AGENCIES AND OTHER ORGANIZATIONS FOR THE FAR EAST, TOGETHER WITH ADDRESSES, TELEPHONE NUMBERS, EXECUTIVE OFFICERS, PROGRAM DIRECTORS, COUNTRIES SERVED, AND ESTIMATED COSTS. PART 2 GIVES PROGRAM DATA (ORGANIZATIONS, OPERATING AND SUPPORT PROGRAMS, TYPES OF ASSISTANCE, REGIONAL REPRESENTATIVES,…

  8. TECHNICAL NOTE: Observations on the use of a viscoelastic joint to provide noise reduced sonar domes

    Science.gov (United States)

    House, J. R.

    1997-10-01

    This paper concerns the noise and vibration advantages of an energy absorbing composite joint and its relevance to noise reduced glass reinforced polyester (GRP) sonar domes. Once installed on an operational boat, hydrodynamic flow and supporting structural induced vibrations cause the dome to vibrate, thus radiating noise and interfering with sonar sensor response. The results of a vibration transmissibility study on a GRP - steel interface are discussed as the first step in designing a composite viscoelastic joint that can act as a vibration sink to absorb flow generated and structure borne noise within GRP sonar domes. Preliminary investigations concerning the absorption of compressional waves by use of a tapered viscoelastic interlayer are discussed. It is shown that a tapered viscoelastic interlayer placed between a GRP beam and steel supporting substrate can produce a significant absorption of vibrational energy, reducing water borne radiated noise and providing a significantly quieter noise platform than conventional sonar jointing technology.

  9. American Recovery and Reinvestment Act (ARRA) FEMP Technical Assistance U.S. Army – Project 214 Analysis of Regulations Associated with Implementation of a Rocky Mountain Secure Smart-Grid

    Energy Technology Data Exchange (ETDEWEB)

    Warwick, William M.

    2010-09-30

    This document describes technical assistance provided by PNNL to further develop a smart grid technologies concept to provide a basis for policies and plans for the US Army. The effort was to analyze the potential to utilize emerging smart grid technologies along with indigenous renewable and other resources to meet the emergency and other power needs of Department of Defense facilities in Colorado and Wyoming.

  10. Experiences Providing Medical Assistance during the Sewol Ferry Disaster Using Traditional Korean Medicine.

    Science.gov (United States)

    Kim, Kyeong Han; Jang, Soobin; Lee, Ju Ah; Jang, Bo-Hyoung; Go, Ho-Yeon; Park, Sunju; Jo, Hee-Guen; Lee, Myeong Soo; Ko, Seong-Gyu

    2017-01-01

    This study aimed to investigate medical records using traditional Korean medicine (TKM) in Sewol Ferry disaster in 2014 and further explore the possible role of traditional medicine in disaster situation. After Sewol Ferry accident, 3 on-site tents for TKM assistance by the Association of Korean Medicine (AKOM) in Jindo area were installed. The AKOM mobilized volunteer TKM doctors and assistants and dispatched each on-site tent in three shifts within 24 hours. Anyone could use on-site tent without restriction and TKM treatments including herb medicine were administered individually. The total of 1,860 patients were treated during the periods except for medical assistance on the barge. Most patients were diagnosed in musculoskeletal diseases (66.4%) and respiratory diseases (7.4%) and circulatory diseases (8.4%) followed. The most frequently used herbal medicines were Shuanghe decoction (80 days), Su He Xiang Wan (288 pills), and Wuji powder (73 days). TKM in medical assistance can be helpful to rescue worker or group life people in open shelter when national disasters occur. Therefore, it is important to construct a rapid respond system using TKM resources based on experience.

  11. Experiences Providing Medical Assistance during the Sewol Ferry Disaster Using Traditional Korean Medicine

    Directory of Open Access Journals (Sweden)

    Kyeong Han Kim

    2017-01-01

    Full Text Available Background. This study aimed to investigate medical records using traditional Korean medicine (TKM in Sewol Ferry disaster in 2014 and further explore the possible role of traditional medicine in disaster situation. Methods. After Sewol Ferry accident, 3 on-site tents for TKM assistance by the Association of Korean Medicine (AKOM in Jindo area were installed. The AKOM mobilized volunteer TKM doctors and assistants and dispatched each on-site tent in three shifts within 24 hours. Anyone could use on-site tent without restriction and TKM treatments including herb medicine were administered individually. Results. The total of 1,860 patients were treated during the periods except for medical assistance on the barge. Most patients were diagnosed in musculoskeletal diseases (66.4% and respiratory diseases (7.4% and circulatory diseases (8.4% followed. The most frequently used herbal medicines were Shuanghe decoction (80 days, Su He Xiang Wan (288 pills, and Wuji powder (73 days. Conclusions. TKM in medical assistance can be helpful to rescue worker or group life people in open shelter when national disasters occur. Therefore, it is important to construct a rapid respond system using TKM resources based on experience.

  12. 38 CFR 21.382 - Training and staff development for personnel providing assistance under Chapter 31.

    Science.gov (United States)

    2010-07-01

    ... disability; (4) Counseling theory and techniques; (5) Personal and vocational adjustment; (6) Occupational...: (1) Employ the services of consultants; (2) Make grants to and contract with public and private... shall coordinate with the Commissioner of the Rehabilitation Services Administration and the Assistant...

  13. Spotlight on Working Adults: Congress Threatens Tax-Exempt Status of Employer-Provided Tuition Assistance.

    Science.gov (United States)

    Brown, J. Noah

    1996-01-01

    The future of employee tuition benefits under the federal Employee Educational Assistance Act is again threatened unless Congress acts to preserve it. Research shows this benefit to have been successful in achieving its principal goal of promoting equity among beneficiaries. The act has expired and been reenacted 8 times in 17 years, illustrating…

  14. Directory of On-Line Networks, Databases and Bulletin Boards on Assistive Technology. Second Edition. RESNA Technical Assistance Project.

    Science.gov (United States)

    RESNA: Association for the Advancement of Rehabilitation Technology, Washington, DC.

    This resource directory provides a selective listing of electronic networks, online databases, and bulletin boards that highlight technology-related services and products. For each resource, the following information is provided: name, address, and telephone number; description; target audience; hardware/software needs to access the system;…

  15. Vacuum-assisted closure of necrotic and infected cranial wound with loss of dura mater: A technical note.

    Science.gov (United States)

    Ahmed, Osama; Storey, Christopher M; Zhang, Shihao; Chelly, Marjorie R; Yeoh, Melvin S; Nanda, Anil

    2015-01-01

    Complex cranial wounds can be a problematic occurrence for surgeons. Vacuum-assisted closure devices have a wide variety of applications and have recently been used in neurosurgical cases involving complex cranial wounds. There is only one report regarding the use of a vacuum-assisted closure device with loss of dura mater. We report a complicated case of a necrotic cranial wound with loss of dura mater. A 68-year-old female underwent an evacuation of a subdural hematoma. Postoperatively, the patient developed a wound infection that required removal of the bone flap. The wound developed a wedge-shaped necrosis of the scalp with exposure of brain tissue due to loss of dura mater from previous surgeries. She underwent debridement and excision of the necrotic tissue with placement of a synthetic dural graft (Durepair®, Medtronic, Inc.) and placement of a wound vac. The patient underwent a latissismus dorsi muscle flap reconstruction that subsequently failed. After the wound vac was replaced, the synthetic dural graft was replaced with a fascia lata graft and an anterolateral thigh free flap reconstruction. We describe the technical nuances of this complicated case, how the obstacles were handled, and the literature that discusses the utility. We describe a case of a complex cranial wound and technical nuances on how to utilize a wound-vac with loss of dura mater.

  16. Development of a technical assistance framework for building organizational capacity of health programs in resource-limited settings.

    Science.gov (United States)

    Reyes, E Michael; Sharma, Anjali; Thomas, Kate K; Kuehn, Chuck; Morales, José Rafael

    2014-09-17

    Little information exists on the technical assistance needs of local indigenous organizations charged with managing HIV care and treatment programs funded by the US President's Emergency Plan for AIDS Relief (PEPFAR). This paper describes the methods used to adapt the Primary Care Assessment Tool (PCAT) framework, which has successfully strengthened HIV primary care services in the US, into one that could strengthen the capacity of local partners to deliver priority health programs in resource-constrained settings by identifying their specific technical assistance needs. Qualitative methods and inductive reasoning approaches were used to conceptualize and adapt the new Clinical Assessment for Systems Strengthening (ClASS) framework. Stakeholder interviews, comparisons of existing assessment tools, and a pilot test helped determine the overall ClASS framework for use in low-resource settings. The framework was further refined one year post-ClASS implementation. Stakeholder interviews, assessment of existing tools, a pilot process and the one-year post- implementation assessment informed the adaptation of the ClASS framework for assessing and strengthening technical and managerial capacities of health programs at three levels: international partner, local indigenous partner, and local partner treatment facility. The PCAT focus on organizational strengths and systems strengthening was retained and implemented in the ClASS framework and approach. A modular format was chosen to allow the use of administrative, fiscal and clinical modules in any combination and to insert new modules as needed by programs. The pilot led to refined pre-visit planning, informed review team composition, increased visit duration, and restructured modules. A web-based toolkit was developed to capture three years of experiential learning; this kit can also be used for independent implementation of the ClASS framework. A systematic adaptation process has produced a qualitative framework that can

  17. 77 FR 24164 - Notice of Funds Availability: Inviting Applications for the Technical Assistance for Specialty...

    Science.gov (United States)

    2012-04-23

    ... Commodity Credit Corporation Notice of Funds Availability: Inviting Applications for the Technical... Federal Register rescinding this Notice of Funds Availability. DATES: To be considered for funding... industry rather than a specific company or brand; Projects must address barriers to exports of commercially...

  18. 78 FR 23886 - Notice of Funds Availability: Inviting Applications for the Technical Assistance for Specialty...

    Science.gov (United States)

    2013-04-23

    ... Commodity Credit Corporation Notice of Funds Availability: Inviting Applications for the Technical... Federal Register rescinding this Notice of Funds Availability. DATES: To be considered for funding... benefit the represented industry rather than a specific company or brand; Projects must address barriers...

  19. Archeology in the Classroom: A Case Study From Arizona. Archeological Assistance Program Technical Brief No. 4.

    Science.gov (United States)

    Rogge, A. E.; Bell, Patti

    The federal archeological community views public outreach programs as necessary for the continued preservation of archeological resources. This technical brief outlines ways to have archeology programs in the public schools. The efforts of the Arizona Archeological Council (AAC) to place archeological concepts and values within the context of the…

  20. Assisting Scientific and Technical Research Through Subject Oriented Bibliographies of NTIS Reports.

    Science.gov (United States)

    Schwarzwalder, Robert N., Jr.

    A program combining cost-free searching of the National Technical Information Service (NTIS) database and document delivery to faculty members was offered at the Kansas State University Libraries. NTIS report usage was monitored from May 1987, five months prior to the onset of the study, until May 1988, at which time the program was terminated.…

  1. Two port video-assisted gastrostomy and jejunostomy: technical simplification and clinical results.

    Science.gov (United States)

    Volpe, Paula; Domene, Carlos Eduardo; Santo, Marco Aurélio; Cecconello, Ivan

    2015-01-01

    Patients presenting upper gastrointestinal obstruction, difficulty or inability in swallowing, may need nutritional support which can be obtained through gastrostomy and jejunostomy. To describe the methods of gastrostomy and jejunostomy video-assisted, and to compare surgical approaches for video-assisted laparoscopy and laparotomy in patients with advanced cancer of the esophagus and stomach, to establish enteral nutritional access. Were used the video-assisted laparoscopic techniques for jejunostomy and gastrostomy and the same procedures performed by laparotomies. Comparatively, were analyzed the distribution of patients according to demographics, diagnosis and type of procedure. There were 36 jejunostomies (18 by laparotomy and 17 laparoscopy) and 42 gastrostomies (21 on each side). In jejunostomy, relevant data were operating time of 132 min vs. 106 min (p = 0.021); reintroduction of diet: 3.3 days vs 2.1 days (p = 0.009); discharge: 5.8 days vs 4.3 days (p = 0.044). In gastrostomy, relevant data were operative time of 122.6 min vs 86.2 min (p = 0.012 and hospital discharge: 5.1 days vs 3.7 days (p = 0.016). The comparative analysis of laparotomy and video-assisted access to jejunostomies and gastrostomies concluded that video-assisted approach is feasible method, safe, fast, simple and easy, requires shorter operative time compared to laparotomy, enables diet start soon in compared to laparotomy, and also enables lower length of stay compared to laparotomy.

  2. Emotional Literacy Support Assistants' Views on Supervision Provided by Educational Psychologists: What EPs Can Learn from Group Supervision

    Science.gov (United States)

    Osborne, Cara; Burton, Sheila

    2014-01-01

    The Educational Psychology Service in this study has responsibility for providing group supervision to Emotional Literacy Support Assistants (ELSAs) working in schools. To date, little research has examined this type of inter-professional supervision arrangement. The current study used a questionnaire to examine ELSAs' views on the supervision…

  3. Using Model-Based Systems Engineering to Provide Artifacts for NASA Project Life-cycle and Technical Reviews

    Science.gov (United States)

    Parrott, Edith L.; Weiland, Karen J.

    2017-01-01

    This paper is for the AIAA Space Conference. The ability of systems engineers to use model-based systems engineering (MBSE) to generate self-consistent, up-to-date systems engineering products for project life-cycle and technical reviews is an important aspect for the continued and accelerated acceptance of MBSE. Currently, many review products are generated using labor-intensive, error-prone approaches based on documents, spreadsheets, and chart sets; a promised benefit of MBSE is that users will experience reductions in inconsistencies and errors. This work examines features of SysML that can be used to generate systems engineering products. Model elements, relationships, tables, and diagrams are identified for a large number of the typical systems engineering artifacts. A SysML system model can contain and generate most systems engineering products to a significant extent and this paper provides a guide on how to use MBSE to generate products for project life-cycle and technical reviews. The use of MBSE can reduce the schedule impact usually experienced for review preparation, as in many cases the review products can be auto-generated directly from the system model. These approaches are useful to systems engineers, project managers, review board members, and other key project stakeholders.

  4. Using Model-Based Systems Engineering To Provide Artifacts for NASA Project Life-Cycle and Technical Reviews

    Science.gov (United States)

    Parrott, Edith L.; Weiland, Karen J.

    2017-01-01

    The ability of systems engineers to use model-based systems engineering (MBSE) to generate self-consistent, up-to-date systems engineering products for project life-cycle and technical reviews is an important aspect for the continued and accelerated acceptance of MBSE. Currently, many review products are generated using labor-intensive, error-prone approaches based on documents, spreadsheets, and chart sets; a promised benefit of MBSE is that users will experience reductions in inconsistencies and errors. This work examines features of SysML that can be used to generate systems engineering products. Model elements, relationships, tables, and diagrams are identified for a large number of the typical systems engineering artifacts. A SysML system model can contain and generate most systems engineering products to a significant extent and this paper provides a guide on how to use MBSE to generate products for project life-cycle and technical reviews. The use of MBSE can reduce the schedule impact usually experienced for review preparation, as in many cases the review products can be auto-generated directly from the system model. These approaches are useful to systems engineers, project managers, review board members, and other key project stakeholders.

  5. User modeling and adaptation for daily routines providing assistance to people with special needs

    CERN Document Server

    Martín, Estefanía; Carro, Rosa M

    2013-01-01

    User Modeling and Adaptation for Daily Routines is motivated by the need to bring attention to how people with special needs can benefit from adaptive methods and techniques in their everyday lives. Assistive technologies, adaptive systems and context-aware applications are three well-established research fields. There is, in fact, a vast amount of literature that covers HCI-related issues in each area separately. However, the contributions in the intersection of these areas have been less visible, despite the fact that such synergies may have a great impact on improving daily living.Presentin

  6. Dutch technical specification (NTA 8070) on devices for assisted reproductive technologies.

    NARCIS (Netherlands)

    Wetzels, A.M.M.; Kastrop, P.M.

    2010-01-01

    In 2006 the Dutch Society for Clinical Embryologists (KLEM) approached the Netherlands Standardisation Institute (NEN) for advice regarding the lack of safety and quality specifications for medical devices used in assisted reproductive technology. A project plan was drafted in accordance with

  7. Providing care to people on social assistance: how dentists in Montreal, Canada, respond to organisational, biomedical, and financial challenges.

    Science.gov (United States)

    Bedos, Christophe; Loignon, Christine; Landry, Anne; Richard, Lucie; Allison, Paul J

    2014-10-10

    Dentists report facing difficulties and experiencing frustrations with people on social assistance, one of the social groups with the most dental needs. Scientists ignore how they deal with these difficulties and whether they are able to overcome them. Our objective was to understand how dentists deal with critical issues encountered with people on social assistance. We conducted in-depth, semi-structured interviews with 33 dentists practicing in Montreal, Canada. The interview guides included questions on dentists' experiences with people on social assistance and potential strategies developed for this group of people. Analyses consisted of interview debriefing, transcript coding, and data interpretation. Dentists described strategies to resolve three critical issues: missed appointments (organisational issue); difficulty in performing non-covered treatments (biomedical issue); and low government fees (financial issue). With respect to missed appointments, dentists developed strategies to maximise attendance, such as motivating their patients, and to minimise the impact of non-attendance, like booking two people at the same time. With respect to biomedical and financial issues, dentists did not find any satisfactory solutions and considered that it was the government's duty to resolve them. Overall, dentists seem reluctant to exclude people on social assistance but develop solutions that may discriminate against them. The efforts and failures experienced by dentists with people on social assistance should encourage us to rethink how dental services are provided and financed.

  8. Assistance Focus: Africa (Brochure)

    Energy Technology Data Exchange (ETDEWEB)

    2014-12-01

    The Clean Energy Solutions Center Ask an Expert service connects governments seeking policy information and advice with one of more than 30 global policy experts who can provide reliable and unbiased quick-response advice and information. The service is available at no cost to government agency representatives from any country and the technical institutes assisting them. This publication presents summaries of assistance provided to African governments, including the benefits of that assistance.

  9. Training for Technical Assistants: Technical Assistance Program

    Science.gov (United States)

    1986-09-01

    brush and oressurized water. Next it is disinfactel and then a perfumed deoderant is sprayed into the cabinet and the bowl is dried. This may be a...quiestionnaire - Itself was proof teeted andclear3e with to# management a-na supervisory levels within the. • Laboratory. .T addition an advancv notice

  10. Renewable Energy Project Development Assistance (Fact Sheet)

    Energy Technology Data Exchange (ETDEWEB)

    2013-07-01

    This fact sheet provides information on the Tribes selected to receive assistance from the U.S. Department of Energy Office of Indian Energy 2013 Strategic Technical Assistance Response Team (START) Program, which provides technical expertise to support the development of next-generation energy projects on tribal lands.

  11. Tribal Colleges and Universitie/American Indian Higher Education Consortium Advanced Manufacturing Technical Assistance Project

    Energy Technology Data Exchange (ETDEWEB)

    Atcitty, Stanley [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States)

    2017-09-01

    The National Nuclear Security Agency (NNSA) created a Minority Serving Institution Partnership Plan (MSIPP) to 1) align investments in a university capacity and workforce development with the NNSA mission to develop the needed skills and talent for NNSA’s enduring technical workforce at the laboratories and production plants and 2) to enhance research and education at under-represented colleges and universities. Out of this effort, MSIPP launched a new program in early FY17 focused on Tribal Colleges and Universities (TCUs). The following report summarizes the project focus and status update during this reporting period.

  12. Assistance to the states with risk based data management. Quarterly technical progress report, January 1, 1995--March 31, 1995

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1995-06-01

    This report describes activities associated with the risk based data management systems (RBDMS) project. The RBDMS applies to data pertaining to injection well operations. This report describes assistance provided to the states of ALaska, Mississippi, Montana, and Nebraska for the conversion of data from existing data management systems, coding and internal testing of the RBDMS, document preparation, training, technology transfer, and project management.

  13. 76 FR 50202 - National Technical Assistance and Dissemination Center for Children Who Are Deaf-Blind; Final...

    Science.gov (United States)

    2011-08-12

    ..., employers, and others and develop their knowledge about and skills in self-advocacy and self-empowerment...-advocacy and self-empowerment. (e) Assist personnel preparation training programs to work collaboratively with each other to increase the number of teachers and paraprofessionals who are prepared to provide...

  14. Monitoring energy intake: a hand-held personal digital assistant provides accuracy comparable to written records.

    Science.gov (United States)

    McClung, Holly L; Sigrist, Lori D; Smith, Tracey J; Karl, J Philip; Rood, Jennifer C; Young, Andrew J; Bathalon, Gaston P

    2009-07-01

    New approaches to assess energy intake (EI) may have advantages over traditional written methods, but validity of these emerging methodologies must be demonstrated. This exploratory study compared EI obtained using a hand-held personal digital assistant (PDA) and traditional written records with total energy expenditure measured by doubly labeled water (TEE(DLW)). Twenty-six volunteers (aged 23+/-4 years, body mass index [calculated as kg/m(2)] 24+/-2) participated in a randomized (either PDA or written record group) and matched (for sex, age, and body mass index) study for 7 consecutive days between June 2005 and April 2006 to record EI. Group comparisons were made with t and Mann-Whitney U tests. Bland-Altman plots were used to compare limits of agreement between methods. Volunteers remained weight stable during the study period (0.2+/-0.8 kg; P>0.05). Reported EI by written record and PDA were similar to TEE(DLW); 105% vs 92% of TEE(DLW), respectively (P>0.05). There was a significant relationship between reported EI by PDA and TEE(DLW) (r=0.60, Precord (r=0.45, P>0.05). Limits of agreement indicated both written record and PDA had large variability (range 1,394 to -1,472 kcal/day). Findings suggest the bias in using a PDA is similar to that observed when using a written record for estimation of EI in weight-stable volunteers.

  15. Technical Results of Vacuum-Assisted Thrombectomy for Arterial Clot Removal in Patients with Acute Limb Ischemia.

    Science.gov (United States)

    Baumann, Frederic; Sharpe, Emerson; Peña, Constantino; Samuels, Shaun; Benenati, James F

    2016-03-01

    To assess the efficacy and safety of a vacuum-assisted thrombectomy (VAT) catheter system for treating patients with acute limb ischemia (ALI). A retrospective study evaluated VAT systems (Penumbra, Alameda, California) in a consecutive series of 30 patients with ALI. ALI was defined as clinical symptoms within 2 weeks of presentation. The primary endpoint was improvement in blood flow across a lesion by improvement in Thrombolysis in Myocardial Infarction (TIMI) score that was adapted to peripheral arteries. Concomitant balloon angioplasty or stent placement in addition to VAT was considered a complementary treatment. Additional thrombectomy treatments, such as thrombolysis and mechanical thrombectomy, were considered technical failures. Target lesions were grouped anatomically into above-the-knee (ATK) or below-the-knee (BTK) lesions. In 30 patients, 33 lesions (ATK, n = 13; BTK, n = 20) were treated. No complications were attributed to the VAT systems. The primary endpoint was obtained in 24/33 (72.7%) lesions (BTK, 17/20 [85.0%]; ATK, 7/13 [53.9%]; P = .050 by χ(2) test). TIMI scores were similar at baseline but differed after VAT between the ATK and BTK groups (P < .025 by t test). ATK lesions required more concomitant angioplasty or stent placement, or both (P < .015 by χ(2) test). VAT is a safe, technically successful short-term therapeutic option for thrombus removal in patients with ALI. Copyright © 2016 SIR. Published by Elsevier Inc. All rights reserved.

  16. Measuring to Improve: Peer and Crowd-sourced Assessments of Technical Skill with Robot-assisted Radical Prostatectomy.

    Science.gov (United States)

    Ghani, Khurshid R; Miller, David C; Linsell, Susan; Brachulis, Andrew; Lane, Brian; Sarle, Richard; Dalela, Deepansh; Menon, Mani; Comstock, Bryan; Lendvay, Thomas S; Montie, James; Peabody, James O

    2016-04-01

    Because surgical skill may be a key determinant of patient outcomes, there is growing interest in skill assessment. In the Michigan Urological Surgery Improvement Collaborative (MUSIC), we assessed whether peer and crowd-sourced (ie, layperson) video review of robot-assisted radical prostatectomy (RARP) could distinguish technical skill among practicing surgeons. A total of 76 video clips from 12 MUSIC surgeons consisted of one of four parts of RARP and underwent blinded review by MUSIC peer surgeons and prequalified crowd-sourced reviewers. Videos were rated for global skill (Global Evaluation Assessment of Robotic Skills) and procedure-specific skill (Robotic Anastomosis and Competency Evaluation). We fit linear mixed-effects models to estimate mean peer and crowd ratings for each video. Individual video ratings were aggregated to calculate surgeon skill scores. Peers (n=25) completed 351 video ratings over 15 d, whereas crowd-sourced reviewers (n=680) completed 2990 video ratings in 38 h. Surgeon global skill scores ranged from 15.8 to 21.7 (peer) and from 19.2 to 20.9 (crowd). Peer and crowd ratings demonstrated strong correlation for both global (r=0.78) and anastomosis (r=0.74) skills. The two groups consistently agreed on the rank order of lower scoring surgeons, suggesting a potential role for crowd-sourced methodology in the assessment of surgical performance. Lack of patient outcomes is a limitation and forms the basis of future study. We demonstrated the large-scale feasibility of assessing the technical skill of robotic surgeons and found that online crowd-sourced reviewers agreed with experts on the rank order of surgeons with the lowest technical skill scores. Published by Elsevier B.V.

  17. Judicial review of the management of assistance provided by the European Social Fund for the promotion of employment

    Directory of Open Access Journals (Sweden)

    Dimitrios V. Skiadas

    2002-01-01

    Full Text Available This article considers the matters arising during the judicial review of the management of the assistance provided through the European Social Fund for the promotion of employment. Issues such as the direct actions for annulment, the actions for failure to act, the enforcement actions, the preliminary rulings and the actions for damages are examined in detail. The analysis focuses on topics like the identity of the reviewable acts, the standing of the applicants, the grounds of review, etc.

  18. Judicial review of the management of assistance provided by the European Social Fund for the promotion of employment

    OpenAIRE

    Dimitrios V. Skiadas

    2002-01-01

    This article considers the matters arising during the judicial review of the management of the assistance provided through the European Social Fund for the promotion of employment. Issues such as the direct actions for annulment, the actions for failure to act, the enforcement actions, the preliminary rulings and the actions for damages are examined in detail. The analysis focuses on topics like the identity of the reviewable acts, the standing of the applicants, the grounds of review, etc.

  19. X-Ray Equipment and Protective Devices of Dental Assistant Programs in Pennsylvania Vocational Technical Schools. Vocational-Technical Education Research Report, Health Occupations, Monograph No. 7, Vol. 16, No. 1.

    Science.gov (United States)

    Hominsky, Dolores J.; Hole, F. Marvin

    Objectives of a Pennsylvania study were (1) to investigate the ways in which the vocational technical schools of the state have met the recommendations of the Pennsylvania Department of Environmental Resources for classroom structural design and dental x-ray machines in dental assistant training programs and (2) to collect data on the methods by…

  20. Formative evaluation of a telemedicine model for delivering clinical neurophysiology services part I: utility, technical performance and service provider perspective.

    LENUS (Irish Health Repository)

    Breen, Patricia

    2010-01-01

    Formative evaluation is conducted in the early stages of system implementation to assess how it works in practice and to identify opportunities for improving technical and process performance. A formative evaluation of a teleneurophysiology service was conducted to examine its technical and sociological dimensions.

  1. Patients with continuous-flow left ventricular assist devices provide insight in human baroreflex physiology.

    Science.gov (United States)

    Tank, Jens; Heusser, Karsten; Malehsa, Doris; Hegemann, Katrin; Haufe, Sven; Brinkmann, Julia; Tegtbur, Uwe; Diedrich, André; Bara, Christoph; Jordan, Jens; Strüber, Martin

    2012-09-01

    The superior clinical outcome of new continuous-flow left ventricular assist devices (LVADs) challenges the physiological dogma that cardiovascular autonomic homeostasis requires pulsatile blood flow and pressure. We tested the hypothesis that continuous-flow LVADs impair baroreflex control of sympathetic nerve traffic, thus further exacerbating sympathetic excitation. We included 9 male heart failure patients (26-61 years; 18.9-28.3 kg/m(2)) implanted with a continuous-flow LVAD. We recorded ECG, respiration, finger blood pressure, brachial blood pressure, and muscle sympathetic nerve activity. After baseline measurements had been taken, patients underwent autonomic function testing including deep breathing, a Valsalva maneuver, and 15° head-up tilt. Finally, we increased the LVAD speed in 7 patients. Spontaneous sympathetic baroreflex sensitivity was analyzed. Brachial blood pressure was 99±4 mm Hg with 14±2 mm Hg finger pulse pressure. Muscle sympathetic nerve activity bursts showed a normal morphology, were linked to the cardiac cycle, and were suppressed during blood pressure increases. Mean burst frequency was lower compared with age- and body mass index-matched controls in 2 patients, slightly increased in 4 patients, and increased in 2 patients (P=0.11). Muscle sympathetic nerve activity burst latency and the median values of the burst amplitude distribution were similar between groups. Muscle sympathetic nerve activity increased 4±1 bursts per minute with head-up tilt (P<0.0003) and decreased 3±4 bursts per minute (P<0.031) when LVAD speed was raised. The mean sympathetic baroreflex slope was -3.75±0.79%/mm Hg in patients and -3.80±0.55%/mm Hg in controls. We conclude that low pulse pressure levels are sufficient to restrain sympathetic nervous system activity through baroreflex mechanisms.

  2. Benefits and costs of load management: a technical assistance and resource material handbook

    Energy Technology Data Exchange (ETDEWEB)

    Mueller, Ronald; Ackerman, Gary; Lau, Ronald; Patmore, James; Ma, Fred; Sechan, Neil; Schoor, Alan; Simon, Lois; Bleiweis, Bruce; Lloyd, Kevin

    1980-06-01

    This handbook will assist state regulatory authorities and electric utilities in complying with the Load Management Standard of the Public Utility Regulatory Policies Act of 1978. The handbook has two major sections. The first discusses load-management techniques in terms of equipment, customer applications, combinations of techniques, etc. Key steps for evaluating the costs and benefits of load management options also are presented. These steps are intended to sequentially eliminate ineffective load-management options as the cost-benefit calculation becomes more detailed. The second section includes up-to-date information on available load-management technologies, models for utility costing, load-management data transfer, prescreening of load-management options, and the load-management literature.

  3. Diplomacy Through Earth Sciences: An Overview of US Geological Survey Technical Assistance Regarding the Ongoing LUSI Mud Eruption, East Java, Indonesia

    Science.gov (United States)

    Casadevall, T. J.

    2009-12-01

    In June 2007, the US Department of State (DOS) requested assistance from the USGS to provide technical guidance and advice to the US Mission in Indonesia regarding the Lumpur Sidoarjo (LUSI) mud crisis. In May 2006, LUSI began as a mud eruption from a series of mud springs adjacent to an oil and gas exploration well being drilled near Surabaya, East Java, Indonesia. The production of mud and waters from the LUSI crater area has now continued for more than 3 years with no significant change in mud production rate (~110,000 cubic meters per day) nor in temperature of the mud (70-80 degrees C). Engineers suggest that mud production will continue at these rates for years to decades to come. Regardless of future activity at LUSI, the current mud accumulation of more than 100 million cubic meters poses a physical and environmental hazard which requires continuous monitoring and observation. The first response to the 2007 DOS request involved a site visit to Indonesia in September 2007. The result of that visit was to recommend to the Government of Indonesia (GOI) that they focus on long-term management of the mud rather than focus on the controversy as to the cause of the eruption or the debate about stopping the flow. Other recommendations from the initial 2007 technical visit included contracting for a US scientist to be co-located with engineers of the Sidoarjo Mud Management Board (BPLS) in Surabaya, East Java, to advise and consult on day-to-day developments at the site of the mud eruption. A second technical team visit by USGS scientists and an engineer from the US Army Corps of Engineers in October-November 2008 made additional recommendations on the long-term management of the mud and was followed in December by the start of a 6 month contract for the US mud adviser. From the start of activity in mid-2006 through late-2008, there was a clear sense of urgency at the US Mission in Indonesia to provide guidance and advice and included the personal intervention of

  4. THE TECHNICAL SKILLS OF THE NURSES ON THE ASSISTANCE OF THE NEWBORN

    Directory of Open Access Journals (Sweden)

    Ana Leticia Monteiro Gomes

    2013-08-01

    Full Text Available Objetivos: Caracterizar o perfil profissional do enfermeiro e analisar os conhecimentos e habilidades essenciais dos enfermeiros que atuam no atendimento ao recém-nascido. Método: Quantitativo, transversal, descritivo, aplicado um formulário a 12 enfermeiros selecionados com técnica de amostragem por conglomerados. Os dados foram processados no Microsoft Office Excel 2007 e analisados através de manuais da Confederação Internacional das Parteiras e do Ministério da Saúde. Aprovado pelo comitê de ética da Secretaria Municipal de Saúde e Defesa Civil, CAAE:0265.0.314.000-10. Resultados: Identificou-se que 66,66% dos enfermeiros têm todos os 8 conhecimentos avaliados. E quanto às habilidades básicas, especialmente nos procedimentos de emergência, temos aproximadamente 46% de enfermeiros não treinados e 79% que não realizam os procedimentos. Conclusão: A ausência de conhecimento e habilidades estabelecidos pela Confederação Internacional das Parteiras confere um risco ao recém-nascido na assistência básica, principalmente nos casos de emergência, devendo o profissional ter um treinamento que assegure sua competência.procedimentos de emergência, temos aproximadamente 46% de enfermeiros não treinados e 79% que não realizam os procedimentos. Conclusão: A ausência de conhecimento e habilidades estabelecidos pela Confederação Internacional das Parteiras confere um risco ao recém-nascido na assistência básica, principalmente nos casos de emergência, devendo o profissional ter um treinamento que assegure sua competência.

  5. Diffuse intrinsic pontine gliomas in children: Interest of robotic frameless assisted biopsy. A technical note.

    Science.gov (United States)

    Coca, H A; Cebula, H; Benmekhbi, M; Chenard, M P; Entz-Werle, N; Proust, F

    2016-12-01

    Diffuse intrinsic pontine gliomas (DIPG) constitute 10-15% of all brain tumors in the pediatric population; currently prognosis remains poor, with an overall survival of 7-14 months. Recently the indication of DIPG biopsy has been enlarged due to the development of molecular biology and various ongoing clinical and therapeutic trials. Classically a biopsy is performed using a stereotactic frame assisted procedure but the workflow may sometimes be heavy and more complex especially in children. In this study the authors present their experience with frameless robotic-guided biopsy of DIPG in a pediatric population. Retrospective study on a series of five consecutive pediatric patients harboring DIPG treated over a 4-year period. All patients underwent frameless robotic-guided biopsy via a transcerebellar approach. Among the 5 patients studied 3 were male and 2 female with a median age of 8.6 years [range 5 to 13 years]. Clinical presentation included ataxia, hemiparesis and cranial nerve palsy in all patients. MRI imaging of the lesion showed typical DIPG features (3 of them located in the pons) with hypo-intensity on T1 and hyper-intensity signal on T2 sequences and diffuse gadolinium enhancement. The mean procedure time was 56minutes (range 45 to 67minutes). No new postoperative neurological deficits were recorded. Histological diagnosis was achieved in all cases as follows: two anaplastic astrocytomas (grade III), two glioblastomas, and one diffuse astrocytoma (grade III). Frameless robotic assisted biopsy of DIPG in pediatric population is an easier, effective, safe and highly accurate method to achieve diagnosis. Copyright © 2016 Elsevier Masson SAS. All rights reserved.

  6. Educating Healthcare Providers Regarding LGBT Patients and Health Issues: The Special Case of Physician Assistants

    Science.gov (United States)

    Compton, David A.; Whitehead, Michael B.

    2015-01-01

    Much is written about the availability of healthcare services among elements of the U.S. population, with a large proportion of the literature focusing on access. Although physical access is an overarching issue for many, educators must remember that a key factor in providing complete and competent healthcare is to understand the patient and any…

  7. E-Mail Writing: Providing Background Information in the Core of Computer Assisted Instruction

    Science.gov (United States)

    Nazari, Behzad; Ninknejad, Sahar

    2015-01-01

    The present study highly supported the effective role of providing background information via email by the teacher to write e-mail by the students in learners' writing ability. A total number of 50 EFL advanced male students aged between 25 and 40 at different branches of Iran Language Institute in Tehran, Tehran. Through the placement test of…

  8. Private Assistance in Outdoor Recreation. A Directory of Organizations Providing Aid to Individuals and Public Groups.

    Science.gov (United States)

    Bureau of Outdoor Recreation (Dept. of Interior), Washington, DC.

    In an effort to aid private recreation area developers and operators, and other individuals interested in outdoor recreation, this Bureau of Outdoor Recreation publication lists a number of professional societies and national organizations providing low-cost publications and other aids to planning, development, and operation of outdoor recreation…

  9. Electrifying Pinnacles: FEMP technical assistance detailed case study fact sheet[Pinnacles National Monument

    Energy Technology Data Exchange (ETDEWEB)

    McIntyre, M.

    1998-10-27

    A hybrid photovoltaic system provides Pinnacles National Monument with electrical services in an environmentally sensitive area. This quite, unobtrusive system provides the Chapparral area with clean, reliable electricity. Installing renewable energy projects at Federal facilities provides Federal agencies an opportunity to fulfill their mandate for responsible stewardship of national resources with cost-effective environmentally benign technologies.

  10. [Nasojejunal enteral feeding tubes in critically ill patients. Successful placement without technical assistance].

    Science.gov (United States)

    Schröder, S; van Hülst, S; Raabe, W; Bein, B; Wolny, A; von Spiegel, T

    2007-12-01

    Critically ill patients with early enteral feeding seem to profit from post-pyloric administration. Two feeding tubes were studied that, due to their construction, are able to move into the duodenum without the necessity of technical support. The duration until successful positioning, time until total enteral feeding and possible complications were compared. Patients with naso-gastric tubes and early enteral feeding, who had an increased reflux despite head of bed elevation and prokinetic drugs, were randomly assigned to either a Tiger tube (Cook) or a Bengmark tube (Pfrimmer Nutricia). A total of 28 patients from the surgical intensive care ward were included. Of the 16 Tiger tubes 14 could be successfully placed but only 2 out of the 12 Bengmark tubes. With Tiger tubes total enteral feeding was established within 6 days (median), with Bengmark tubes within 4 days. In comparison to the Bengmark tube the Tiger tube has a higher success rate in terms of positioning in intensive care patients with impaired abdominal motility.

  11. Guidebook for Providing Economic Assistance at the Tactical Level During Stability Operations

    Science.gov (United States)

    2009-01-01

    updated annually and can be purchased directly from the World Bank through the inter- net site at http://publications.worldbank.org/ ecommerce /catalog...publications.worldbank.org/ ecommerce /catalog/product?item_id=5363808. CIA’s • World Factbook, available at https://www.cia.gov/library/publications/the-world... ecommerce / catalog/product?item_id=5363808.) International Monetary Fund, • Balance of Payments Statistics Yearbook, annual. (This doc- ument provides

  12. Quality of assistance provided to children with sickle cell disease by primary healthcare services

    Directory of Open Access Journals (Sweden)

    Ludmila Mourão Xavier Gomes

    2011-01-01

    Full Text Available OBJECTIVE: To evaluate the quality of healthcare provided to sickle cell disease children by primary healthcare services in a region of high prevalence. METHODS: A cross-sectional, descriptive study was performed by interviewing members of families with sickle cell disease children. The children had been identified from the Neonatal Screening Program in Minas Gerais state over the last 12 years in towns of the Montes Claros-Bocaiuva microregion. A structured questionnaire specially developed for this study and based on three axes was used: indicators of the child's health (immunization, growth and development, prophylaxis antibiotic therapy, perception of care by the family (health education and accessibility and knowledge of the family about the disease. RESULTS: Sixty-three of 71 families with children identified as having sickle cell disease were interviewed. The predominant genotypes were Hb SS (44.4% and Hb SC (41.2%. Adequate monitoring of growth and development was recorded for the first year of life in 23 children (36.6% and for the second year of life in 18 children (28.6%. The basic vaccination schedule was completed by 44 children (69.8% but 62 vaccination record cards (98.4% identified delays of special vaccines. Regular use of prophylactic penicillin was reported by 55 caregivers (87.3%. The family's perception of the care provided suggests poor accessibility to health services and lack of opportunities to answer doubts. The average performance of families in knowledge testing was 59.8%. CONCLUSION: The quality of healthcare is unsatisfactory. The care provided to children with sickle cell disease in primary healthcare services needs improvements.

  13. Endoscopically assisted sagittal split osteotomy for mandibular lengthening: technical note and initial experience.

    Science.gov (United States)

    Mommaerts, Maurice Y

    2010-03-01

    To demonstrate the feasibility of carrying out a sagittal split osteotomy with rigid osteosynthesis via a small oral incision, working in two distinct tunnels and one corridor, using a standard 30 degrees 4-mm Ø endoscope. The procedure can be classified as minimally invasive, allowing for ambulatory treatment and return to daily activities within a week. Thirty-one bilateral procedures were performed on selected patients, all of whom needed mandibular lengthening to obtain a functional occlusion and enhanced facial profile. Transoral osteosynthesis was performed in all but one patient, in whom a transbuccal approach was required to fix the beginning of a "bad" split. Three screws were placed in each of 50 mandibular sides; two screws were placed in each of 10 sides (six screws along the upper border, and four above and below the mandibular canal). Two sides required additional plate osteosynthesis. In four patients, there was fixation instability, either bilaterally with opening of the bite, or unilaterally with protrusion of the mandible; these instabilities were managed conservatively with intermaxillary elastics. In the cases of mandibular lengthening only, oedema was minimal after one week, allowing patients to return to normal daily activities. Endoscopically assisted mandibular lengthening with bilateral sagittal split osteotomies and transoral osteosynthesis reduces periosteal degloving and consequent oedema. The minimal surface available for screw osteosynthesis contributes to the difficulty of the procedure.

  14. United States Gulf Coast Geopressured Geothermal Program: special projects research and coordination assistance. Final report, October 1, 1977-November 30, 1978

    Energy Technology Data Exchange (ETDEWEB)

    Dorfman, M.H.; Bebout, D.G.

    1979-04-01

    The activities involved in the coordination assistance function are reviewed including: technical assistance and liaison; technical assistance for review and evaluation of proposals and contract results; technical assistance and coordination for geopressure geothermal test well; technical assistance, coordination, and planning of surface component test facility; legal research in geopressure geothermal resource development; and operation of geopressure geothermal information service. This function takes the form of providing liaison with various industrial components that participate in the program and with state and local agencies. (MHR)

  15. AWG, Enhancing Professional Skills, Providing Resources and Assistance for Women in the Geosciences

    Science.gov (United States)

    Sundermann, C.; Cruse, A. M.; AssociationWomen Geoscientists

    2011-12-01

    The Association for Women Geoscientists (AWG) was founded in 1977. AWG is an international organization, with ten chapters, devoted to enhancing the quality and level of participation of women in geosciences, and introducing women and girls to geoscience careers. Our diverse interests and expertise cover the entire spectrum of geoscience disciplines and career paths, providing unexcelled networking and mentoring opportunities to develop leadership skills. Our membership is brought together by a common love of earth, atmospheric and ocean sciences, and the desire to ensure rewarding opportunities for women in the geosciences. AWG offers a variety of scholarships, including the Chrysalis scholarship for women who are returning to school after a life-changing interruption, and the Sands and Takken awards for students to make presentations at professional meetings. AWG promotes professional development through workshops, an online bi-monthly newsletter, more timely e-mailed newsletters, field trips, and opportunities to serve in an established professional organization. AWG recognizes the work of outstanding women geoscientists and of outstanding men supporters of women in the geosciences. The AWG Foundation funds ten scholarships, a Distinguished Lecture Program, the Geologist-in-the-Parks program, Science Fair awards, and numerous Girl Scout programs. Each year, AWG sends a contingent to Congressional Visits Day, to help educate lawmakers about the unique challenges that women scientists face in the geoscience workforce.

  16. 77 FR 37060 - Critical Infrastructure and Key Resources (CIKR) Asset Protection Technical Assistance Program...

    Science.gov (United States)

    2012-06-20

    ... information provided. SUPPLEMENTARY INFORMATION: The Critical Infrastructure and Key Resources (CIKR) Asset..., Office of Infrastructure Protection, Infrastructure Information Collection Division. Title: Critical...] [FR Doc No: 2012-15014] DEPARTMENT OF HOMELAND SECURITY [Docket No. DHS-2012-0002] Critical...

  17. Cooperativismo e assistência técnica: novos parâmetros para ação Cooperatives and technical assistance: new parameters for action

    Directory of Open Access Journals (Sweden)

    Marcelo Machado de Luca Oliveira Ribeiro

    2001-05-01

    Full Text Available A questão da modernização dos sistemas de produção e da comercialização de produtos agropecuários encontra, nas empresas cooperativas, contornos bastante específicos. Embora estejam submetidas ao mesmo movimento de competição em que estão todas as empresas capitalistas, particularmente no processo de globalização de mercados ora em curso, estas empresas situam-se em processos de reorganização de suas estruturas que apontam para redefinições tecnológicas e de inserção no mercado, cujas soluções são enormemente conflitantes no âmbito da manutenção de princípios cooperativos, importantes para sua unidade e coerência internas. Nestes termos, a assistência técnica e a extensão assumem relevância ao oferecer, para os cooperados, serviços que busquem a sua integração às novas dinâmicas das cadeias produtivas. Para além da função de transmissor de tecnologias, o “Projeto Latão Cheio” busca constituir espaço de construção de novas identidades empresariais entre os produtores de leite.The issue on the modernization of the production systems and commercialization of agricultural and cattle breeding products has very peculiar features for associated companies. Although they have been sujected to new competitive pressure, similarly to what happened in all capitalist companies, particularly in the current globalization process, these companies are reorganizing their structures and focusing on technological and market insertion redefinition. Undoubtedly they have hit on very conflicting solutions for maintaining the cooperative principles essential to their unity and internal coherence. The technical assistance and extension are relevant in offering services aimed at integrating the new production dynamics. Beyond being a mere technological transfer, the Projeto Latão Cheio aims at opening opportunities for constructing new corporate identities among dairy producers.

  18. Trade Adjustment Assistance for Firms: Economic, Program, and Policy Issues

    National Research Council Canada - National Science Library

    Hornbeck, J. F

    2007-01-01

    .... This report focuses on the trade adjustment assistance (TAA) program for firms, which provides technical assistance to help them develop strategies to remain competitive in the changing international economy...

  19. Native American Business Participation in E-Commerce: An Assessment of Technical Assistance and Training Needs.

    Science.gov (United States)

    Bregendahl, Corry; Flora, Cornelia

    A combined outreach and research initiative addressed the participation of Native American business owners in electronic commerce. E-commerce can provide many benefits to producers and consumers but does not ensure unmitigated economic success. It is only one part of a development process leading to achievement of tribes' broader social goals,…

  20. Permitting Best Practices Make Installing Solar Easier: Technical Assistance (Fact Sheet)

    Energy Technology Data Exchange (ETDEWEB)

    2013-01-01

    NREL's deployment and market transformation activities encompass the laboratory's full range of technologies, which span the energy efficiency and renewable energy spectrum. This fact sheet educates partners on how they can advance sustainable energy applications and also provide clients with best practices for reducing barriers to innovation and market transformation.

  1. 77 FR 54877 - Request for Proposals (RFP): Farm Labor Housing Technical Assistance Grants

    Science.gov (United States)

    2012-09-06

    ... and activities on the basis of race, color, national origin, age, disability, and where applicable... (Spanish Federal--Relay). ``USDA is an equal opportunity provider, employer, and lender.'' Dated: August 28... origin, or disability, be excluded from participation in, be denied the proceeds of, or be subject to...

  2. Addiction Counseling Competencies: The Knowledge, Skills, and Attitudes of Professional Practice. Technical Assistance Publication Series.

    Science.gov (United States)

    1999

    This document presents knowledge, skills, and attitudes that are needed for achieving and practicing the competencies listed in Addiction Counseling Competencies, as written by the National Curriculum Committee of the Addiction Technology Transfer Center Program. The document is intended to provide guidance for the professional treatment of…

  3. 77 FR 36501 - Applications for New Awards: Technical Assistance and Dissemination To Improve Services and...

    Science.gov (United States)

    2012-06-19

    ... environments and inclusive settings that promote positive developmental and learning outcomes. Effective... State and local systems and build the capacity of providers to improve developmental and learning... early childhood programs and services through such initiatives as the Race To the Top-- Early Learning...

  4. Developing Effective Messages and Materials for Hispanic/Latino Audiences. Communications Technical Assistance Bulletin.

    Science.gov (United States)

    Ramirez, Amelie G.; Baraona, Miguel

    This guide provides information to help program planners meet the challenges of communicating effectively with Hispanic/Latino audiences. It is important that any communication programs and materials designed for Hispanic and Latino audiences with substance abuse problem prevention messages be based on proven health communication principles,…

  5. 78 FR 23234 - Applications for New Awards; Technical Assistance and Dissemination To Improve Services and...

    Science.gov (United States)

    2013-04-18

    ... between the parents and these entities and encouraging early resolution of disputes so that disagreements... disabilities and their parents and to provide parents with mechanisms for resolving, at the earliest point in... agencies (SEAs), local educational agencies (LEAs), schools, Part C State lead agencies, and early...

  6. Technical Evaluation Report 30: Vendor-Assisted Evaluation of a Learning Management System

    Directory of Open Access Journals (Sweden)

    Adrienne De Schutter

    2004-04-01

    Full Text Available A product evaluation was conducted of Desire2Learn, an online learning management system gaining popularity in educational institutions. Since an online trial version of the software was not available for evaluation, an inspection meeting with the vendor was arranged. This provided the evaluation team with an opportunity to examine the precautions necessary for ensuring the objectivity of a product evaluation based on vendor-supplied information. The report outlines the team’s use of evaluator-driven enquiry and a triangulated approach to information checking. The Desire2Learn product is assessed as a flexible and useful addition to the range of learning management system options.

  7. Tiger Teams Technical Assistance: Reliable, Universal Open Architecture for Card Access to Dispense Alternative Fuels

    Energy Technology Data Exchange (ETDEWEB)

    2002-03-01

    Report discusses the dilemma of incorporating consistent, convenient, universal card access (or ''pay-at-the-pump'') systems into alternative fueling stations across the country. The state of California continues to be in the forefront of implementing alternative fuels for transportation applications. Aggressive efforts to deploy alternative fuel vehicles (AFVs) in California have highlighted the need to provide adequate fueling stations and develop appropriate, user-friendly means to purchase fuel at the pump. Since these fuels are not typically provided by petroleum companies at conventional fueling stations, and acceptance of cash is often not an option, a payment method must be developed that is consistent with the way individual AFV operators are accustomed to purchasing automotive fuels--with a credit card. At the same time, large fleets like the California Department of General Services must be able to use a single fuel card that offers comprehensive fleet management services. The Gas Technology Institute's Infrastructure Working Group (IWG) and its stakeholders have identified the lack of a common card reader system as a hurdle to wider deployment of AFVs in California and the United States. In conjunction with the U.S. Department of Energy's (DOE) National Clean Cities Program, the IWG has outlined a multi-phased strategy to systematically address the barriers to develop a more ''open'' architecture that's similar to the way gasoline and diesel are currently dispensed. Under the auspices of the IWG, survey results were gathered (circa 1999) from certain fuel providers, as a means to more carefully study card reader issues and their potential solutions. Pilot programs featuring card reader systems capable of accepting wider payment options have been attempted in several regions of the United States with mixed success. In early 2001, DOE joined the National Renewable Energy Laboratory (NREL), the

  8. DHS National Technical Nuclear Forensics Program FY 10 Summary Report: Graduate Mentoring Assistance Program (GMAP)

    Energy Technology Data Exchange (ETDEWEB)

    Martha R. Finck Ph.D.

    2011-10-01

    This program provides practical training to DHS graduate fellows in the DOE laboratory complex. It involves coordinating students, their thesis advisors, and their laboratory project mentors in establishing a meaningful program of research which contributes to the graduate student's formation as a member of the nuclear forensics community. The summary report details the student/mentor experience and future plans after the first summer practicum. This program provides practical training to DHS graduate fellows in the DOE laboratory complex. It involves coordinating students, their thesis advisors, and their laboratory project mentors in establishing a meaningful program of research which contributes to the graduate student's formation as a member of the nuclear forensics community. This final written report includes information concerning the overall mentoring experience, including benefits (to the lab, the mentors, and the students), challenges, student research contributions, and lab mentor interactions with students home universities. Idaho National Laboratory hosted two DHS Nuclear Forensics graduate Fellows (nuclear engineering) in summer 2011. Two more Fellows (radiochemistry) are expected to conduct research at the INL under this program starting in 2012. An undergraduate Fellow (nuclear engineering) who worked in summer 2011 at the laboratory is keenly interested in applying for the NF Graduate Fellowship this winter with the aim of returning to INL. In summary, this program appears to have great potential for success in supporting graduate level students who pursue careers in nuclear forensics. This relatively specialized field may not have been an obvious choice for some who have already shown talent in the traditional areas of chemistry or nuclear engineering. The active recruiting for this scholarship program for candidates at universities across the U.S. brings needed visibility to this field. Not only does this program offer critical

  9. Neurologist consistency in interpreting information provided by an interactive visualization software for deep brain stimulation postoperative programming assistance.

    Science.gov (United States)

    Pallavaram, Srivatsan; Phibbs, Fenna T; Tolleson, Christopher; Davis, Thomas L; Fang, John; Hedera, Peter; Li, Rui; Koyama, Tatsuki; Dawant, Benoit M; D'Haese, Pierre-François

    2014-01-01

    Postoperative programming in deep brain stimulation (DBS) therapy for movement disorders can be challenging and time consuming. Providing the neurologist with tools to visualize the electrode location relative to the patient's anatomy along with models of tissue activation and statistical data can therefore be very helpful. In this study, we evaluate the consistency between neurologists in interpreting and using such information provided by our DBS programming assistance software. Five neurologists experienced in DBS programming were each given a dataset of 29 leads implanted in 17 patients. For each patient, probabilistic maps of stimulation response, anatomical images, models of tissue activation volumes, and electrode positions were presented inside a software framework called CRAnialVault Explorer (CRAVE) developed in house. Consistency between neurologists in optimal contact selection using the software was measured. With only the efficacy map, the average consistency among the five neurologists with respect to the mode and mean of their selections was 97% and 95%, respectively, while these numbers were 93% and 89%, respectively, when both efficacy and an adverse effect map were used simultaneously. Fleiss' kappa statistic also showed very strong agreement among the neurologists (0.87 when using one map and 0.72 when using two maps). Our five neurologists demonstrated high consistency in interpreting information provided by the CRAVE interactive visualization software for DBS postoperative programming assistance. Three of our five neurologists had no prior experience with the software, which suggests that the software has a short learning curve and contact selection is not dependent on familiarity with the program tools. © 2013 Vanderbilt University.

  10. Methodological approach and tools for systems thinking in health systems research: technical assistants' support of health administration reform in the Democratic Republic of Congo as an application.

    Science.gov (United States)

    Ribesse, Nathalie; Bossyns, Paul; Marchal, Bruno; Karemere, Hermes; Burman, Christopher J; Macq, Jean

    2017-03-01

    In the field of development cooperation, interest in systems thinking and complex systems theories as a methodological approach is increasingly recognised. And so it is in health systems research, which informs health development aid interventions. However, practical applications remain scarce to date. The objective of this article is to contribute to the body of knowledge by presenting the tools inspired by systems thinking and complexity theories and methodological lessons learned from their application. These tools were used in a case study. Detailed results of this study are in process for publication in additional articles. Applying a complexity 'lens', the subject of the case study is the role of long-term international technical assistance in supporting health administration reform at the provincial level in the Democratic Republic of Congo. The Methods section presents the guiding principles of systems thinking and complex systems, their relevance and implication for the subject under study, and the existing tools associated with those theories which inspired us in the design of the data collection and analysis process. The tools and their application processes are presented in the results section, and followed in the discussion section by the critical analysis of their innovative potential and emergent challenges. The overall methodology provides a coherent whole, each tool bringing a different and complementary perspective on the system.

  11. Logistic support provided to Australian disaster medical assistance teams: results of a national survey of team members

    Science.gov (United States)

    Aitken, Peter; Leggat, Peter; Harley, Hazel; Speare, Richard; Leclercq, Muriel

    2012-01-01

    Background It is likely that calls for disaster medical assistance teams (DMATs) continue in response to international disasters. As part of a national survey, the present study was designed to evaluate the Australian DMAT experience and the need for logistic support. Methods Data were collected via an anonymous mailed survey distributed via State and Territory representatives on the Australian Health Protection Committee, who identified team members associated with Australian DMAT deployments from the 2004 Asian Tsunami disaster. Results The response rate for this survey was 50% (59/118). Most of the personnel had deployed to the South East Asian Tsunami affected areas. The DMAT members had significant clinical and international experience. There was unanimous support for dedicated logistic support with 80% (47/59) strongly agreeing. Only one respondent (2%) disagreed with teams being self sufficient for a minimum of 72 hours. Most felt that transport around the site was not a problem (59%; 35/59), however, 34% (20/59) felt that transport to the site itself was problematic. Only 37% (22/59) felt that pre-deployment information was accurate. Communication with local health providers and other agencies was felt to be adequate by 53% (31/59) and 47% (28/59) respectively, while only 28% (17/59) felt that documentation methods were easy to use and reliable. Less than half (47%; 28/59) felt that equipment could be moved easily between areas by team members and 37% (22/59) that packaging enabled materials to be found easily. The maximum safe container weight was felt to be between 20 and 40 kg by 58% (34/59). Conclusions This study emphasises the importance of dedicated logistic support for DMAT and the need for teams to be self sufficient for a minimum period of 72 hours. There is a need for accurate pre deployment information to guide resource prioritisation with clearly labelled pre packaging to assist access on site. Container weights should be restricted to between

  12. Quality of information about success rates provided on assisted reproductive technology clinic websites in Australia and New Zealand.

    Science.gov (United States)

    Hammarberg, Karin; Prentice, Tess; Purcell, Isabelle; Johnson, Louise

    2017-11-12

    Many factors influence the chance of having a baby with assisted reproductive technologies (ART). A 2016 Australian Competition and Consumer Commission (ACCC) investigation concluded that ART clinics needed to improve the quality of information they provide about chance of ART success. To evaluate changes in the quality of information about success rates provided on the websites of ART clinics in Australia and New Zealand before and after the ACCC investigation. Desktop audits of websites of ART clinics in Australia and New Zealand were conducted in 2016 and 2017 and available information about success rates was scored using a matrix with eight variables and a possible range of scores of 0-9. Of the 54 clinic websites identified in 2016, 32 had unique information and were eligible to be audited. Of these, 29 were also eligible to be audited in 2017. While there was a slight improvement in the mean score from 2016 to 2017 (4.93-5.28), this was not statistically significantly different. Of the 29 clinics, 14 had the same score on both occasions, 10 had a higher and five a lower information quality score in 2017. To allow people who consider ART to make informed decisions about treatment they need comprehensive and accurate information about what treatment entails and what the likely outcomes are. As measured by a scoring matrix, most ART clinics had not improved the quality of the information about success rates following the ACCC investigation. © 2017 The Royal Australian and New Zealand College of Obstetricians and Gynaecologists.

  13. Evaluation of the prototype Anaesthetic Non-technical Skills for Anaesthetic Practitioners (ANTS-AP) system: a behavioural rating system to assess the non-technical skills used by staff assisting the anaesthetist.

    Science.gov (United States)

    Rutherford, J S; Flin, R; Irwin, A; McFadyen, A K

    2015-08-01

    This study tested the reliability, validity and usability of a prototype behavioural rating system for the non-technical skills of assistants working with the anaesthetist. Anaesthetic nurses and operating department practitioners (n = 48) used the prototype Anaesthetic Non-technical Skills for Anaesthetic Practitioners (ANTS-AP) system to rate the non-technical skills of anaesthetic assistants in 12 videos of simulated theatre work. Test-retest reliability was assessed with a sub-sample (n = 12). The skill categories assessed were 'situation awareness', 'teamwork and communication' and 'task management'. The internal consistency for the ratings of elements in categories was acceptable (Cronbach's α of 0.78, 0.77 and 0.69, respectively), with more modest inter-rater reliability (intraclass correlations for categories 0.54, 0.70, 0.86), test-retest reliability (intraclass correlations 0.68, 0.58, 0.38) and accuracy (weighted kappa 0.39). Most participants considered the system complete (n = 42, 87%), the wording clear (n = 48, 100%) and the system useful for structuring observation (n = 48, 100%). © 2015 The Association of Anaesthetists of Great Britain and Ireland.

  14. A dynamic neuro-fuzzy model providing bio-state estimation and prognosis prediction for wearable intelligent assistants.

    Science.gov (United States)

    Wang, Yu; Winters, Jack M

    2005-06-28

    Intelligent management of wearable applications in rehabilitation requires an understanding of the current context, which is constantly changing over the rehabilitation process because of changes in the person's status and environment. This paper presents a dynamic recurrent neuro-fuzzy system that implements expert-and evidence-based reasoning. It is intended to provide context-awareness for wearable intelligent agents/assistants (WIAs). The model structure includes the following types of signals: inputs, states, outputs and outcomes. Inputs are facts or events which have effects on patients' physiological and rehabilitative states; different classes of inputs (e.g., facts, context, medication, therapy) have different nonlinear mappings to a fuzzy "effect." States are dimensionless linguistic fuzzy variables that change based on causal rules, as implemented by a fuzzy inference system (FIS). The FIS, with rules based on expertise and evidence, essentially defines the nonlinear state equations that are implemented by nuclei of dynamic neurons. Outputs, a function of weighing of states and effective inputs using conventional or fuzzy mapping, can perform actions, predict performance, or assist with decision-making. Outcomes are scalars to be extremized that are a function of outputs and states. The first example demonstrates setup and use for a large-scale stroke neurorehabilitation application (with 16 inputs, 12 states, 5 outputs and 3 outcomes), showing how this modelling tool can successfully capture causal dynamic change in context-relevant states (e.g., impairments, pain) as a function of input event patterns (e.g., medications). The second example demonstrates use of scientific evidence to develop rule-based dynamic models, here for predicting changes in muscle strength with short-term fatigue and long-term strength-training. A neuro-fuzzy modelling framework is developed for estimating rehabilitative change that can be applied in any field of rehabilitation

  15. A Dynamic Neuro-Fuzzy Model Providing Bio-State Estimation and Prognosis Prediction for Wearable Intelligent Assistants

    Directory of Open Access Journals (Sweden)

    Winters Jack M

    2005-06-01

    Full Text Available Abstract Background Intelligent management of wearable applications in rehabilitation requires an understanding of the current context, which is constantly changing over the rehabilitation process because of changes in the person's status and environment. This paper presents a dynamic recurrent neuro-fuzzy system that implements expert-and evidence-based reasoning. It is intended to provide context-awareness for wearable intelligent agents/assistants (WIAs. Methods The model structure includes the following types of signals: inputs, states, outputs and outcomes. Inputs are facts or events which have effects on patients' physiological and rehabilitative states; different classes of inputs (e.g., facts, context, medication, therapy have different nonlinear mappings to a fuzzy "effect." States are dimensionless linguistic fuzzy variables that change based on causal rules, as implemented by a fuzzy inference system (FIS. The FIS, with rules based on expertise and evidence, essentially defines the nonlinear state equations that are implemented by nuclei of dynamic neurons. Outputs, a function of weighing of states and effective inputs using conventional or fuzzy mapping, can perform actions, predict performance, or assist with decision-making. Outcomes are scalars to be extremized that are a function of outputs and states. Results The first example demonstrates setup and use for a large-scale stroke neurorehabilitation application (with 16 inputs, 12 states, 5 outputs and 3 outcomes, showing how this modelling tool can successfully capture causal dynamic change in context-relevant states (e.g., impairments, pain as a function of input event patterns (e.g., medications. The second example demonstrates use of scientific evidence to develop rule-based dynamic models, here for predicting changes in muscle strength with short-term fatigue and long-term strength-training. Conclusion A neuro-fuzzy modelling framework is developed for estimating

  16. Factors Associated With Having a Physician, Nurse Practitioner, or Physician Assistant as Primary Care Provider for Veterans With Diabetes Mellitus.

    Science.gov (United States)

    Morgan, Perri; Everett, Christine M; Smith, Valerie A; Woolson, Sandra; Edelman, David; Hendrix, Cristina C; Berkowitz, Theodore S Z; White, Brandolyn; Jackson, George L

    2017-01-01

    Expanded use of nurse practitioners (NPs) and physician assistants (PAs) is a potential solution to workforce issues, but little is known about how NPs and PAs can best be used. Our study examines whether medical and social complexity of patients is associated with whether their primary care provider (PCP) type is a physician, NP, or PA. In this national retrospective cohort study, we use 2012-2013 national Veterans Administration (VA) electronic health record data from 374 223 veterans to examine whether PCP type is associated with patient, clinic, and state-level factors representing medical and social complexity, adjusting for all variables simultaneously using a generalized logit model. Results indicate that patients with physician PCPs are modestly more medically complex than those with NP or PA PCPs. For the group having a Diagnostic Cost Group (DCG) score >2.0 compared with the group having DCG <0.5, odds of having an NP or a PA were lower than for having a physician PCP (NP odds ratio [OR] = 0.83, 95% confidence interval [CI]: 0.79-0.88; PA OR = 0.85, CI: 0.80-0.89). Social complexity is not consistently associated with PCP type. Overall, we found minor differences in provider type assignment. This study improves on previous work by using a large national dataset that accurately ascribes the work of NPs and PAs, analyzing at the patient level, analyzing NPs and PAs separately, and addressing social as well as medical complexity. This is a requisite step toward studies that compare patient outcomes by provider type.

  17. Effect of a Physician Assistant as Triage Liaison Provider on Patient Throughput in an Academic Emergency Department

    Science.gov (United States)

    Nestler, David M.; Fratzke, Alesia R.; Church, Christopher J.; Scanlan-Hanson, Lori; Sadosty, Annie T.; Halasy, Michael P.; Finley, Janet L.; Boggust, Andy; Hess, Erik P.

    2012-01-01

    Objectives Overcapacity issues plague emergency departments (EDs). Studies suggest triage liaison providers (TLPs) may shorten patient length of stay (LOS) and reduce the proportion of patients who leave without being seen (LWBS), but these results are not universal. Previous studies used physicians as TLPs. We evaluated whether a physician assistant (PA), acting as a TLP, would shorten LOS and decrease LWBS rates. Methods The authors used an observational cohort controlled before-and-after study design with predefined outcome measures, comparing eight pilot days to eight control days. The TLP evaluated all Emergency Severity Index (ESI) level 3, 4, and 5 patients, excluding pediatric and behavioral health patients. Results Three hundred fifty-three patients were included on pilot days, and 371 on control days. LOS was shorter on pilot days than control days (median 229 minutes [IQR 168 to 303 minutes] vs. 270 minutes [IQR 187 to 372 minutes], p < 0.001). Waiting room times were similar between pilot and control days (median 69 minutes [IQR 20 to 119 minutes] vs. 70 minutes [IQR 19 to 137 minutes], p = 0.408), but treatment room times were shorter (median 151 minutes [IQR 92 to 223 minutes] vs. 187 minutes [IQR 110 to 254 minutes], p < 0.001). Finally, a lower proportion of patients LWBS on pilot days (1.4% vs. 9.7%, p < 0.001). Conclusions The addition of a PA as a TLP was associated with a 41 minute decrease in median total LOS, and a lower proportion of patients who LWBS. The decrease in total LOS is likely attributable to the addition of the TLP, with patients having shorter duration in treatment rooms on pilot days compared to control days. PMID:23167853

  18. 16 CFR 1406.4 - Requirements to provide performance and technical notice to prospective purchasers and purchasers.

    Science.gov (United States)

    2010-01-01

    ... recommends the use of this 2 label format in order to provide more consumer awareness of the operation and... any identification of the manufacturer, brand, model, and similar designations. At the manufacturer's...

  19. Providing solutions to energy and environmental problems. Quarterly technical progress report, July 1, 1997--September 30, 1997

    Energy Technology Data Exchange (ETDEWEB)

    1997-10-01

    The Jointly Sponsored Research Program emphasizes technology commercialization and continues to be highly successful and supported strongly and enthusiastically by WRI`s industrial clientele. All of the available Department of Energy (USDOE) funding for each of the first seven years has been committed to projects. This report provides a description of projects and expenditures on fossil projects and environmental monitoring.

  20. An Assessment of Musculoskeletal Knowledge in Graduating Medical and Physician Assistant Students and Implications for Musculoskeletal Care Providers

    Science.gov (United States)

    Grunfeld, Robert; Banks, Sharon; Fox, Edward; Levy, Bruce A.; Craig, Clifford; Black, Kevin

    2012-01-01

    Background: The purpose of the present study was to evaluate musculoskeletal knowledge among graduating medical students and physician assistant students with use of a National Board of Medical Examiners (NBME) examination. We hypothesized that there would be no difference in scores between the two groups. In addition, we looked for relationships between examination scores and both the student-reported musculoskeletal experiences and the school-reported musculoskeletal curriculum. Methods: One hundred and forty-four students from three medical schools and ninety-one students from four physician assistant schools were included in the present study; both groups were graduating students in the final semester of education. The National Board of Medical Examiners Musculoskeletal Subject Examination (NBME MSK) was utilized to assess musculoskeletal knowledge. Results: The mean examination score (and standard deviation) was 73.8% ± 9.7% for medical students and 62.3% ± 11% for physician assistant students (95% confidence interval [CI], −13.8 to 0.00; p < 0.05). Medical students with an interest in orthopaedics as a career scored significantly higher than those without an expressed orthopaedic interest, and medical students without an expressed career interest in orthopaedics scored significantly higher than physician assistant students (p < 0.05). Among medical students, a longer duration of a clinical rotation in orthopaedics was associated with a higher examination score (p < 0.05). The average number of hours of preclinical musculoskeletal education in the first two years of school was significantly higher for medical schools (122.1 ± 25.1 hours) than for physician assistant schools (89.8 ± 74.8 hours) (p < 0.05). Conclusions: Graduating medical students scored significantly higher than graduating physician assistant students on the NBME MSK. This may be related to multiple factors, and further studies are necessary to evaluate the overall musculoskeletal

  1. Technical Assistance Document for Complying with the Toxicity Characteristics Rule and Implementing the Toxicity Characteristic Leaching Procedure

    Science.gov (United States)

    The goal of this document is to assist the regulated community to make proper utilization of the Toxicity Characteristic Leaching Procedure (TCLP) to demonstrate compliance with the Toxicity Characteristic (TC) and Land Ban Regulations.

  2. Satellite provided customer premise services: A forecast of potential domestic demand through the year 2000. Volume 2: Technical report

    Science.gov (United States)

    Kratochvil, D.; Bowyer, J.; Bhushan, C.; Steinnagel, K.; Al-Kinani, G.

    1983-01-01

    The potential United States domestic telecommunications demand for satellite provided customer premises voice, data and video services through the year 2000 were forecast, so that this information on service demand would be available to aid in NASA program planning. To accomplish this overall purpose the following objectives were achieved: development of a forecast of the total domestic telecommunications demand, identification of that portion of the telecommunications demand suitable for transmission by satellite systems, identification of that portion of the satellite market addressable by Computer premises services systems, identification of that portion of the satellite market addressabble by Ka-band CPS system, and postulation of a Ka-band CPS network on a nationwide and local level. The approach employed included the use of a variety of forecasting models, a market distribution model and a network optimization model. Forecasts were developed for; 1980, 1990, and 2000; voice, data and video services; terrestrial and satellite delivery modes; and C, Ku and Ka-bands.

  3. Using High-Technology Simulators to Prepare Anesthesia Providers Before Implementation of a New Electronic Health Record Module: A Technical Report.

    Science.gov (United States)

    Weintraub, Ari Y; Deutsch, Ellen S; Hales, Roberta L; Buchanan, Newton A; Rock, Whitney L; Rehman, Mohamed A

    2017-06-01

    Learning to use a new electronic anesthesia information management system can be challenging. Documenting anesthetic events, medication administration, and airway management in an unfamiliar system while simultaneously caring for a patient with the vigilance required for safe anesthesia can be distracting and risky. This technical report describes a vendor-agnostic approach to training using a high-technology manikin in a simulated clinical scenario. Training was feasible and valued by participants but required a combination of electronic and manual components. Further exploration may reveal simulated patient care training that provides the greatest benefit to participants as well as feedback to inform electronic health record improvements.

  4. Vicarious Violence on the Screen: A Challenge to Educators and Families. Technical Assistance Bulletin No. 16. [Updated Version].

    Science.gov (United States)

    Hepburn, Mary A.

    This technical bulletin poses questions of concern to law-related educators (LRE) and citizenship educators working to reduce violence among students and the larger community. Maintaining that the sociological implications of violence on television and in video games should be a serious concern to all educators, the bulletin describes the…

  5. Assistance Focus: Latin America/Caribbean (Brochure)

    Energy Technology Data Exchange (ETDEWEB)

    2015-01-01

    The Clean Energy Solutions Center Ask an Expert service connects governments seeking policy information and advice with one of more than 30 global policy experts who can provide reliable and unbiased quick-response advice and information. The service is available at no cost to government agency representatives from any country and the technical institutes assisting them. This publication presents summaries of assistance provided to African governments, including the benefits of that assistance.

  6. The Technical and Biological Reproducibility of Matrix-Assisted Laser Desorption Ionization-Time of Flight Mass Spectrometry (MALDI-TOF MS) Based Typing: Employment of Bioinformatics in a Multicenter Study.

    Science.gov (United States)

    Oberle, Michael; Wohlwend, Nadia; Jonas, Daniel; Maurer, Florian P; Jost, Geraldine; Tschudin-Sutter, Sarah; Vranckx, Katleen; Egli, Adrian

    2016-01-01

    The technical, biological, and inter-center reproducibility of matrix-assisted laser desorption ionization-time of flight mass spectrometry (MALDI TOF MS) typing data has not yet been explored. The aim of this study is to compare typing data from multiple centers employing bioinformatics using bacterial strains from two past outbreaks and non-related strains. Participants received twelve extended spectrum betalactamase-producing E. coli isolates and followed the same standard operating procedure (SOP) including a full-protein extraction protocol. All laboratories provided visually read spectra via flexAnalysis (Bruker, Germany). Raw data from each laboratory allowed calculating the technical and biological reproducibility between centers using BioNumerics (Applied Maths NV, Belgium). Technical and biological reproducibility ranged between 96.8-99.4% and 47.6-94.4%, respectively. The inter-center reproducibility showed a comparable clustering among identical isolates. Principal component analysis indicated a higher tendency to cluster within the same center. Therefore, we used a discriminant analysis, which completely separated the clusters. Next, we defined a reference center and performed a statistical analysis to identify specific peaks to identify the outbreak clusters. Finally, we used a classifier algorithm and a linear support vector machine on the determined peaks as classifier. A validation showed that within the set of the reference center, the identification of the cluster was 100% correct with a large contrast between the score with the correct cluster and the next best scoring cluster. Based on the sufficient technical and biological reproducibility of MALDI-TOF MS based spectra, detection of specific clusters is possible from spectra obtained from different centers. However, we believe that a shared SOP and a bioinformatics approach are required to make the analysis robust and reliable.

  7. 78 FR 57264 - Final Waiver and Extension of the Project Period for the Technical Assistance Coordination Center

    Science.gov (United States)

    2013-09-18

    ... Register, in text or Adobe Portable Document Format (PDF). To use PDF you must have Adobe Acrobat Reader... the advanced search feature at this site, you can limit your search to documents published by the... Rehabilitative Services, delegated the authority to perform the functions and duties of the Assistant Secretary...

  8. 76 FR 32969 - National Technical Assistance and Dissemination Center for Children Who Are Deaf-Blind; Proposed...

    Science.gov (United States)

    2011-06-07

    ... skills in self- advocacy and self-empowerment. The NCDB accomplishes this mission through a combination... and skills in self-advocacy and self-empowerment. (e) Assist personnel preparation training programs to work collaboratively with each other to increase the number of teachers and paraprofessionals who...

  9. Comparison of three-dimensional, assist-as-needed robotic arm/hand movement training provided with Pneu-WREX to conventional tabletop therapy after chronic stroke.

    Science.gov (United States)

    Reinkensmeyer, David J; Wolbrecht, Eric T; Chan, Vicky; Chou, Cathy; Cramer, Steven C; Bobrow, James E

    2012-11-01

    Robot-assisted movement training can help individuals with stroke reduce arm and hand impairment, but robot therapy is typically only about as effective as conventional therapy. Refining the way that robots assist during training may make them more effective than conventional therapy. Here, the authors measured the therapeutic effect of a robot that required individuals with a stroke to achieve virtual tasks in three dimensions against gravity. The robot continuously estimated how much assistance patients needed to perform the tasks and provided slightly less assistance than needed to reduce patient slacking. Individuals with a chronic stroke (n = 26; baseline upper limb Fugl-Meyer score, 23 ± 8) were randomized into two groups and underwent 24 one-hour training sessions over 2 mos. One group received the assist-as-needed robot training and the other received conventional tabletop therapy with the supervision of a physical therapist. Training helped both groups significantly reduce their motor impairment, as measured by the primary outcome measure, the Fugl-Meyer score, but the improvement was small (3.0 ± 4.9 points for robot therapy vs. 0.9 ± 1.7 for conventional therapy). There was a trend for greater reduction for the robot-trained group (P = 0.07). The robot group largely sustained this gain at the 3-mo follow-up. The robot-trained group also experienced significant improvements in Box and Blocks score and hand grip strength, whereas the control group did not, but these improvements were not sustained at follow-up. In addition, the robot-trained group showed a trend toward greater improvement in sensory function, as measured by the Nottingham Sensory Test (P = 0.06). These results suggest that in patients with chronic stroke and moderate-severe deficits, assisting in three-dimensional virtual tasks with an assist-as-needed controller may make robotic training more effective than conventional tabletop training.

  10. Changing the attitudes and practices of professional developers through a constructivist model: The Technical Assistance Academy for Mathematics and Science Services

    Science.gov (United States)

    Charles, Karen Jungblut

    For much of this century, mathematics and science have been taught in a didactic manner that is characterized by a passive student and a lecturing teacher. Since the late eighties national standards have encouraged professional developers specializing in mathematics and science education to deliver the messages of inquiry-based learning, active student engagement, and learner-constructed knowledge to the teachers they support. Follow-up studies of professional development programs, however, found that telling teachers was no more effective than telling students. Information transmitted in a passive setting was not transferring into effective classroom practices. This phenomenological case study was conducted to determine the effects of a constructivist-oriented professional development experience, the Technical Assistance Academy, in changing the practices and attitudes of mathematics and science professional developers regarding the use of constructivist strategies in workshop design. This study focused on 45 professional developers who participated in the Technical Assistance Academy. Data from a 2 1/2 year period were collected from session evaluations, journal reflections, a follow-up interview, and site visits that included observations and collaborative planning. Content analysis procedures were used to find common themes among the data. Use of new skills developed as a result of participation in the Technical Assistance Academy was determined using the Concerns-Based Adoption Model Levels of Use framework (Hall & Hord, 1987). Changes in attitude were determined by examining participants' journal reflections related to common constructivist themes such as those discussed by Fosnot (1996c): learning is developmental, disequilibrium and reflection facilitate learning, and the construction of "big ideas" results from the opportunity to struggle with new information. Results verified that all 45 participants demonstrated some level of use, and that most were in

  11. SCFA lead lab technical assistance at Oak Ridge Y-12 nationalsecurity complex: Evaluation of treatment and characterizationalternatives of mixed waste soil and debris at disposal area remedialaction DARA solids storage facility (SSF)

    Energy Technology Data Exchange (ETDEWEB)

    Hazen, Terry

    2002-08-26

    On July 17-18, 2002, a technical assistance team from the U.S. Department of Energy (DOE) Subsurface Contaminants Focus Area (SCFA) met with the Bechtel Jacobs Company Disposal Area Remedial Action (DARA) environmental project leader to review treatment and characterization options for the baseline for the DARA Solids Storage Facility (SSF). The technical assistance request sought suggestions from SCFA's team of technical experts with experience and expertise in soil treatment and characterization to identify and evaluate (1) alternative treatment technologies for DARA soils and debris, and (2) options for analysis of organic constituents in soil with matrix interference. Based on the recommendations, the site may also require assistance in identifying and evaluating appropriate commercial vendors.

  12. Disease management apps and technical assistance systems for bipolar disorder: Investigating the patients´ point of view.

    Science.gov (United States)

    Daus, Henning; Kislicyn, Natalia; Heuer, Stephan; Backenstrass, Matthias

    2018-01-02

    Smartphone-based disease management has become increasingly interesting for research in the field of bipolar disorders. This article investigates the attitudes of persons affected by this disorder towards the appropriation of mobile apps or assistance systems for the management of their disease. We conducted two separate studies. Study 1 was an online survey with 88 participants. In study 2 we consulted 15 participants during a semi-structured interview. All the participants had formerly been diagnosed with bipolar disorder. More than half of the participants of study 1 and most participants of study 2 agreed with the use of an app or assistance system for self-ratings, third party ratings and an objective symptom monitoring. Potential interventions that were popular in both groups included a regular feedback, the visualization of monitored data and advice in crises. With study 1 we were not able to ensure correct diagnoses or to interact in a flexible way. In Study 2 those issues were resolved, but the small number of participants raises the question of a possible generalisability of the results. Furthermore, for both studies a selection bias could not be excluded. Our results indicate positive attitudes of bipolar patients towards disease management apps and assistance systems. Even new and innovative features such as partner apps or the analysis of facial expressions in video data were appreciated and daily interactions were favoured. However, the variety of answers calls for flexible systems which allow activating or deactivating certain features. Copyright © 2018 Elsevier B.V. All rights reserved.

  13. Technical feasibility of robot-assisted minimally-invasive neurolysis of the lateral cutaneous nerve of thigh: About a case.

    Science.gov (United States)

    Bruyere, A; Hidalgo Diaz, J J; Vernet, P; Salazar Botero, S; Facca, S; Liverneaux, P-A

    2016-12-01

    To limit the risk of iatrogenic neuroma and recurrence after surgical treatment of meralgia paresthetica, some authors have recently developed a technique of endoscopic neurolysis of the lateral cutaneous nerve of thigh (LCNT) below the level of the inguinal ligament. We report the case of a robot-assisted endoscopic technique underneath the inguinal ligament. A 62-year-old patient suffering of idiopathic meralgia paresthetica for the past 18 months received a Da Vinci robot-assisted minimally-invasive 10cm long neurolysis, of which 1/3 was situated above the level of the inguinal ligament and 2/3 below it. The patient was discharged the following day without complications. At 6-months follow-up the pain was rated 0/10 compared to 5/10 pre-operatively. Robot-assisted endoscopic neurolysis of the LCNT retains the advantages of conventional endoscopy and enables to approach the nerve in the most frequently compressed zone underneath the inguinal ligament. The three-dimensional view offered by robotic surgery facilitates the dissection. The superiority of this technique remains to be demonstrated by comparing it to conventional techniques. Copyright © 2016 Elsevier Masson SAS. All rights reserved.

  14. Technical Support for Contaminated Sites | Science Inventory ...

    Science.gov (United States)

    In 1987, the U.S. Environmental Protection Agency’s (EPA) Office of Research and Development (ORD), Office of Land and Emergency Management, and EPA Regional waste management offices established the Technical Support Project. The creation of the Technical Support Project enabled ORD to provide effective technical assistance by ensuring ORD scientists and engineers were accessible to the Agency’s Office and Regional decision makers, including Remedial Project Managers, On-Scene Coordinators, and corrective action staff. Five ORD Technical Support Centers (TSCs) were created to facilitate this technical assistance. Three of the five TSCs are supported by the Sustainable and Healthy Communities Research Program, and are summarized in the poster being presented:• Engineering Technical Support Center (ETSC) in Cincinnati, Ohio• Ground Water Technical Support Center (GWTSC) in Ada, Oklahoma• Site Characterization and Monitoring Technical Support Center (SCMTSC) in Atlanta, GeorgiaOver the past 29 years, the Technical Support Centers have provided numerous influential products to its internal Agency clients and to those at the State level (through the EPA Regions). These products include, but are not limited to the following: Annual TSC reports from the three Centers, a hard-rock mining conference every other year, PRO-UCL software development for site characterization statistics, groundwater modeling using state-of-the-art modeling software, numerical mo

  15. Dilemmas in providing resilience-enhancing social services to long-term social assistance clients. A qualitative study of Swedish social workers

    Science.gov (United States)

    2012-01-01

    Background Long-term recipients of social assistance face barriers to social and economic inclusion, and have poorer health and more limited opportunities for improving their health than many other groups in the population. During recent decades there have been changes in Swedish social policy, with cutbacks in public benefits and a re-emphasis on means-tested policies. In this context, it is important to investigate the necessary conditions for social workers to offer social assistance and services, as well as the mediating role of social workers between public policies and their clients. Swedish social services aim to promote social inclusion by strengthening the individual´s own resources. We investigated the issues that arise when providing social services to long-term social assistance clients within the framework of resilience, which focuses on the processes leading to positive functioning in adverse conditions. Methods Interviews were conducted with 23 social workers in Stockholm and analysed by qualitative content analysis. Results The main theme to emerge from the interviews concerned the constraints that the social workers faced in providing social services to social assistance clients. The first subtheme focused on dilemmas in the interaction between social workers and clients resulting from the dual role of exercising authority and supporting and building trust with clients. Working conditions of social workers also played a crucial role. The second subtheme addressed the impact of the societal context, such as labour market opportunities and coordination between authorities. Conclusions Overall, we found that social workers to a great extent tried to find individual solutions to structural problems. To provide resilience-enhancing social services to long-term social assistance clients with varying obstacles and needs requires a constructive working environment, supportive societal structures and inter-sectoral cooperation between different authorities

  16. THE UNIFICATION OF THE CODE LISTS PROVIDED WITHIN THE DATA MODEL ORIGINATING FROM THE INSPIRE TECHNICAL GUIDELINES AND THE ONES PROVIDED FOR GESUT DATABASES IN THE CONTEXT OF POTENTIAL EXPLOITATION IN THE MINING INDUSTRY

    Directory of Open Access Journals (Sweden)

    Andrzej ZYGMUNIAK

    2016-07-01

    Full Text Available This study is aimed at exposing differences between two data models in case of code lists values provided there. The first of them is an obligatory one for managing Geodesic Register of Utility Networks databases in Poland [9] and the second is the model originating from the Technical Guidelines issued to the INSPIRE Directive. Since the second one mentioned is the basis for managing spatial databases among European parties, correlating these two data models has an effect in easing the way of harmonizing and, in consequence, exchanging spatial data. Therefore, the study presents the possibilities of increasing compatibility between the values of the code lists concerning attributes for objects provid-ed in both models. In practice, it could lead to an increase of the competitiveness of entities managing or processing such databases and to greater involvement in scientific or research projects when it comes to the mining industry. More-over, since utility networks located on mining areas are under particular protection, the ability of making them more fitted to their own needs will make it possible for mining plants to exchange spatial data in a more efficient way.

  17. 44 CFR 18.300 - Professional and technical services.

    Science.gov (United States)

    2010-10-01

    ..., communications with the intent to influence made by a professional (such as a licensed lawyer) or a technical... lawyer is not providing professional legal services. Similarly, communications with the intent to... 44 Emergency Management and Assistance 1 2010-10-01 2010-10-01 false Professional and technical...

  18. The acquisition of dangerous biological materials: Technical facts sheets to assist risk assessments of 46 potential BW agents

    Energy Technology Data Exchange (ETDEWEB)

    Aceto, Donato Gonzalo [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Astuto-Gribble, Lisa M. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Gaudioso, Jennifer M. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States)

    2007-11-01

    Numerous terrorist organizations have openly expressed interest in producing and deploying biological weapons. However, a limiting factor for many terrorists has been the acquisition of dangerous biological agents, as evidenced by the very few successful instances of biological weapons use compared to the number of documented hoaxes. Biological agents vary greatly in their ability to cause loss of life and economic damage. Some agents, if released properly, can kill many people and cause an extensive number of secondary infections; other agents will sicken only a small number of people for a short period of time. Consequently, several biological agents can potentially be used to perpetrate a bioterrorism attack but few are likely capable of causing a high consequence event. It is crucial, from a US national security perspective, to more deeply understand the likelihood that terrorist organizations can acquire the range of these agents. Few studies have attempted to comprehensively compile the technical information directly relevant to the acquisition of dangerous bacteria, viruses and toxins. In this report, technical fact sheets were assembled for 46 potentially dangerous biological agents. Much of the information was taken from various research sources which could ultimately and significantly expedite and improve bioterrorism threat assessments. By systematically examining a number of specific agent characteristics included in these fact sheets, it may be possible to detect, target, and implement measures to thwart future terrorist acquisition attempts. In addition, the information in these fact sheets may be used as a tool to help laboratories gain a rudimentary understanding of how attractive a method laboratory theft is relative to other potential acquisition modes.

  19. International Technical Communication: Beyond Translation, Localization.

    Science.gov (United States)

    Klein, Fred

    1993-01-01

    Offers a personal view of international technical communication. Discusses computer-assisted translation, machine translation, machine interpreting, and the future of international technical communication. (SR)

  20. 45 CFR 264.1 - What restrictions apply to the length of time Federal TANF assistance may be provided?

    Science.gov (United States)

    2010-10-01

    ... provided? (a)(1) Subject to the exceptions in this section, no State may use any of its Federal TANF funds..., or attempts at, physical or sexual abuse; (vi) Mental abuse; or (vii) Neglect or deprivation of...

  1. [Laparoscopy-assisted jejunostomy in neurological patients with chronic malnutrition and GERD. Technical considerations and analysis of the results].

    Science.gov (United States)

    Esposito, C; Alicchio, F; Escolino, M; Ascione, G; Settimi, A

    2013-01-01

    Feeding difficulties and gastroesophageal reflux (GER) are major problems in severely neurologically impaired children. Many patients are managed with a simple gastrostomy, with or without fundoplication. Unfortunately, fundoplication and gastrostomy are not devoid of complications, indicating the need for other options in the management of these patients. Between January 2002 and June 2010, ten patients (age range, 18 months-14 years) have been treated by creating a jejunostomy with the laparoscopic-assisted procedure. The procedure was performed using 2-3 trocars. The technique consists of identifying the first jeujnal loop, grasping it 20-30 cm away from the Treitz ligament, and exteriorizing it to the trocar orifice under visual guide. The jejunostomy was created outside the abdominal cavity during open surgery. At the end of the jejunostomy, the correct position of the intestinal loops was evaluated via laparoscopy. Surgery lasted 40 min on average, the laparoscopic portion about 10 min. Hospital stay was 3 or 7 days for all patients. At the longest follow-up (8 years), all patients had experienced a significant weight gain. One patient died 1 year after the procedure of unknown causes. As for the other complications: 4/10 patients experienced peristomal heritema, 2/10 device's dislocation and 1 patient a peristomal granuloma. Laparoscopic-assisted jejunostomy is a safe and effective procedure to adopt in neurologically impaired children with feeding problems and GER. We advocate the use of this procedure in neurologically impaired patients with feeding problems and reflux due to its overall practicability and because there is minimal surgical trauma. The improvement in the quality of life of these children after the jejunostomy seems to be the major advantage of this procedure. However the management of jejunostomy can be difficult for parents above all in the first postoperative months.

  2. Food Assistance: Research Provides Limited Information on the Effectiveness of Specific WIC Nutrition Services. Report to Congressional Committees.

    Science.gov (United States)

    Robertson, Robert E.

    The Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) is a federally funded program providing supplemental food and nutrition services to lower-income pregnant, breastfeeding, and postpartum women and also serves infants and children up to age 5 who are at nutritional risk. Included in these services are nutrition…

  3. The impact of providing medical assistance to local people of medical unit of the Royal Thai Army task force in East Timor.

    Science.gov (United States)

    Cheeranont, Piyapan

    2009-02-01

    The Royal Thai Army deployed a large troop overseas to join the United Nation Peace Operation in East Timor in October 1999. The operations included recovering peace, providing security and humanitarian assistance in the area of operations in Baucau and Viqueque. Our level 2 medical unit provided medical assistance to the Timoreses by opening consultation at our medical unit and sending mobile clinics into remote areas. This mission made Thailand uphold its good reputation and good relationship with the Timoreses. To reduce any conflicts and to ensure a high success of UN peacekeeping missions, enhancing a collaborative work and relationship with the NGO who previously pursued health service activities in that area are needed. Additionally, concerning negative impacts to the local people should be considered after implementation of the health service system. They had to adapt themselves to the limitation of their own local health service after the humanitarian assistance was over. There is a need to improve the training of military personnel with internationally accepted guidelines and they understand their potential roles within armed forces and improve the coverage of humanitarian needs for the next mission.

  4. Procedures to Assist Health Care Providers to Determine When Home Assessments for Potential Mold Exposure Are Warranted.

    Science.gov (United States)

    Chew, Ginger L; Horner, W Elliott; Kennedy, Kevin; Grimes, Carl; Barnes, Charles S; Phipatanakul, Wanda; Larenas-Linnemann, Désirée; Miller, J David

    2016-01-01

    Drawing evidence from epidemiology and exposure assessment studies and recommendations from expert practice, we describe a process to guide health care providers helping their patients who present with symptoms that might be associated with living in damp housing. We present the procedures in the form of a guided 2-part interview. The first part has 5 questions that triage the patient toward a more detailed questionnaire that reflects features of housing conditions known to be reliably associated with exposures to mold and dampness contaminants. We chose the questions based on the conditions associated with moisture problems in homes across the United States and Canada. The goal is to facilitate the clinician's effort to help patients reduce exposure to environmental triggers that elicit symptoms to better manage their disease. Published by Elsevier Inc.

  5. Quelles aides les formations hybrides en langues proposent-elles à l'apprenant pour favoriser son autonomie ? What kind of assistance do blended language learning courses provide to learners in order to foster their autonomy?

    Directory of Open Access Journals (Sweden)

    Elke Nissen

    2007-11-01

    Full Text Available L'apprenant qui suit une formation hybride en langues travaille partiellement à distance, ce qui lui demande une certaine autonomie. La question alors est de savoir si ces formations soutiennent l'apprenant dans le développement de son autonomie et si oui, comment. Les réponses des concepteurs de huit formations hybrides à un questionnaire auto-administré montrent que les nécessaires développement et soutien de l'autonomie sont toujours respectés ; ainsi, ces huit formations proposent des aides pour favoriser l'autonomie dans les domaines technique, méthodologique, social et, bien sûr, langagier. Développer ces autonomies semble donc être devenu un standard dans le cadre des formations observées. En revanche, les autonomies de type psycho-affectif, informationnel, cognitif et métacognitif ne sont pas prises en considération dans toutes les formations.When taking a blended learning course, a learner works partially at a distance, which requires some autonomy. The aim of this study is to find out whether blended learning courses sustain the development of learner autonomy and if they do so, how they do it. The statements that 8 course designers made in a questionnaire show that their courses always help the learners to become or to be autonomous. All 8 courses provide assistance (advice, information and activities in order to foster technical, methodological, social and, of course, language autonomy. Consequently, sustaining these four types of autonomy seems to have become a standard in blended learning courses. But, on the contrary, assistance for other types of autonomy is not systematically provided: only several of these courses help the learners to develop psycho affective, informational, cognitive and metacognive autonomy.

  6. Killing Bugs at the Bedside: A prospective hospital survey of how frequently personal digital assistants provide expert recommendations in the treatment of infectious diseases

    Directory of Open Access Journals (Sweden)

    Richardson W Scott

    2004-10-01

    Full Text Available Abstract Background Personal Digital Assistants (PDAS are rapidly becoming popular tools in the assistance of managing hospitalized patients, but little is known about how often expert recommendations are available for the treatment of infectious diseases in hospitalized patients. Objective To determine how often PDAs could provide expert recommendations for the management of infectious diseases in patients admitted to a general medicine teaching service. Design Prospective observational cohort study Setting Internal medicine resident teaching service at an urban hospital in Dayton, Ohio Patients 212 patients (out of 883 patients screened were identified with possible infectious etiologies as the cause for admission to the hospital. Measurements Patients were screened prospectively from July 2002 until October 2002 for infectious conditions as the cause of their admissions. 5 PDA programs were assessed in October 2002 to see if treatment recommendations were available for managing these patients. The programs were then reassessed in January 2004 to evaluate how the latest editions of the software would perform under the same context as the previous year. Results PDAs provided treatment recommendations in at least one of the programs for 100% of the patients admitted over the 4 month period in the 2004 evaluation. Each of the programs reviewed improved from 2002 to 2004, with five of the six programs offering treatment recommendations for over 90% of patients in the study. Conclusion Current PDA software provides expert recommendations for a great majority of general internal medicine patients presenting to the hospital with infectious conditions.

  7. 10 CFR 455.113 - Grantee records and reports for technical assistance and energy conservation measure grants to...

    Science.gov (United States)

    2010-01-01

    ... Energy DEPARTMENT OF ENERGY ENERGY CONSERVATION GRANT PROGRAMS FOR SCHOOLS AND HOSPITALS AND BUILDINGS... energy conservation measure, including renewable resource measures, shall keep all the records required... identify each building and provide data on energy use for that building for the relevant 12-month period...

  8. Developing School Policies and Procedures for Physical Restraint and Seclusion in Nebraska Schools. A Technical Assistance Document

    Science.gov (United States)

    Peterson, Reece L.

    2010-01-01

    The purpose of this document is to provide information and guidance for Nebraska School districts in creating new, or revising existing policies and procedures related to the use of physical restraint and seclusion in school settings. The goal is to create policies that are informed by national policy directions, research, good practice and…

  9. Understanding Systems Change in Early Implementation of Housing First in Canadian Communities: An Examination of Facilitators/Barriers, Training/Technical Assistance, and Points of Leverage.

    Science.gov (United States)

    Worton, S Kathleen; Hasford, Julian; Macnaughton, Eric; Nelson, Geoffrey; MacLeod, Timothy; Tsemberis, Sam; Stergiopoulos, Vicky; Goering, Paula; Aubry, Tim; Distasio, Jino; Richter, Tim

    2017-12-18

    We present interim findings of a cross-site case study of an initiative to expand Housing First (HF) in Canada through training and technical assistance (TTA). HF is an evidence-based practice designed to end chronic homelessness for consumers of mental health services. We draw upon concepts from implementation science and systems change theory to examine how early implementation occurs within a system. Case studies examining HF early implementation were conducted in six Canadian communities receiving HF TTA. The primary data are field notes gathered over 1.5 years and evaluations from site-specific training events (k = 5, n = 302) and regional network training events (k = 4, n = 276). We report findings related to: (a) the facilitators of and barriers to early implementation, (b) the influence of TTA on early implementation, and (c) the "levers" used to facilitate broader systems change. Systems change theory enabled us to understand how various "levers" created opportunities for change within the communities, including establishing system boundaries, understanding how systems components can function as causes of or solutions to a problem, and assessing and changing systems interactions. We conclude by arguing that systems theory adds value to existing implementation science frameworks and can be helpful in future research on the implementation of evidence-based practices such as HF which is a complex community intervention. Implications for community psychology are discussed. © Society for Community Research and Action 2017.

  10. What Providers Should Know about Child Care Assistance for Families: A Targeted Effort to Reach Hispanic Families and Providers = Lo que Deben Saber los Proveedores Sobre el Programa de Ayuda de Cuidado Infantil para las Familias: Un Esfuerzo Especial para Alcanzar Familias y Proveedores Hispanos

    Science.gov (United States)

    Child Care Bureau, 2004

    2004-01-01

    Federal and State governments can help families pay for child care. The families one serves may be eligible for this assistance, and one may receive this funding for services one provides, thus becoming a "participating provider." This paper provides answers to the following questions: (1) How can parents receive child care assistance?; (2) How do…

  11. United States Program for Technical assistance to IAEA Standards. Concept Paper: Knowledge Acquisition, Skills training for enhanced IAEA safeguards inspections

    Energy Technology Data Exchange (ETDEWEB)

    Morris, F.A.; Toquam, J.L.

    1993-11-01

    This concept paper explores the potential contribution of ``Knowledge Acquisition Skills`` in enhancing the effectiveness of international safeguards inspections by the International Atomic energy Agency (IAEA, or Agency) and identifies types of training that could be provided to develop or improve such skills. For purposes of this concept paper, Knowledge Acquisition Skills are defined broadly to include all appropriate techniques that IAEA safeguards inspectors can use to acquire and analyze information relevant to the performance of successful safeguards inspections. These techniques include a range of cognitive, analytic, judgmental, interpersonal, and communications skills that have the potential to help IAEA safeguards inspectors function more effectively.

  12. Technical Guidance for Hazardous Analysis, Emergency Planning for Extremely Hazardous Substances

    Science.gov (United States)

    This current guide supplements NRT-1 by providing technical assistance to LEPCs to assess the lethal hazards related to potential airborne releases of extremely hazardous substances (EHSs) as designated under Section 302 of Title Ill of SARA.

  13. Referencing of markerless CT data sets with cone beam subvolume including registration markers to ease computer-assisted surgery - a clinical and technical research.

    Science.gov (United States)

    Essig, Harald; Rana, Majeed; Kokemueller, Horst; Zizelmann, Christoph; von See, Constantin; Ruecker, Martin; Tavassol, Frank; Gellrich, Nils-Claudius

    2013-09-01

    As a prerequisite in navigation-assisted surgery, a three-dimensional image data set with registration marker is necessary. Often patients are presented, not being aware of facing a computer-assisted surgical intervention (CAS), with an already performed computed tomography (CT) data set without marker. The aim of this study was to evaluate the accuracy of a new method which allows performing CAS by enhancing the initial markerless data set with a marked subvolume gained by cone beam (CBCT) scan. Therefore four registration markers are inserted and afterwards the patient is strongly limited to the field of interest scanned by CBCT scan (marked data set). Superimposed with the initial data set, a data set with reference markers and with full information is obtained. Registration procedure was performed with group A (25 patients, superimposed marked CBCT scan) and group B (25 patients, initially marked CT scan) using BrainLab® navigation by two observers and overall system accuracy was measured using the registration landmarks and additional intraoperative landmarks (tooth cusps). Adequate image quality assumed, no significant difference between group A and B was detected. Enhancing an initially performed data set with registration marker by using a marked subvolume could improve the workflow for navigation-assisted surgery due to the availability of cone beam scan technology, provide excellent resolution with reduced metal artifacts nearby dental restorations, and reduce radiation dose for the patient. Regarding the advantages of the new method which allows performing CAS by enhancing the initial markerless data set with a marked subvolume gained by cone beam (CBCT) scan, this technique will play a major part in navigation-assisted surgery and will address widespread general methodological solutions that are of great interest in multidisciplinary treatment. Copyright © 2013 John Wiley & Sons, Ltd.

  14. Technical Support and Transfer of Geothrmal Technical Knowledge and Information

    Energy Technology Data Exchange (ETDEWEB)

    John W. Lund; Toni" Boyd

    2007-11-14

    The Geo-Heat Center (GHC) staff provided responses to 1442 technical support requests during the contract period (April 1, 2006 to September 30, 2007), which were six quarters under this contract. Our website, consisting of 1900 files, also contributes to our technical assistance activity. Downloaded files were 1,889,323 (3,448 per day) from our website, the total number of users was 1,365,258 (2,491 per day), and the total number of hits were 6,008,500 (10,064 per day). The GHC staff attended 60 workshops, short course and professional meeting and made 29 technical presentations. The staff also prepared and mailed out 2,000 copies of each of five issues of the GHC Quaterly Bulletin which contained 26 articles. We also mailed out approximately 5,000 papers and publications to interested individuals and organizations.

  15. 77 FR 77217 - Fiscal Year 2012 Annual Report to Congress on the Trade Adjustment Assistance for Firms Program

    Science.gov (United States)

    2012-12-31

    ... firm eligibility--provided under the Trade and Globalization Adjustment Assistance Act of 2009 (TGAAA... program effectively targeted small and medium-sized firms in FY 2012. TAACs provided technical assistance...-assisted firms. It should be noted that TAAF clients are operating in the same economic environment as...

  16. Predicting substance-abuse treatment providers' communication with clients about medication assisted treatment: a test of the theories of reasoned action and planned behavior.

    Science.gov (United States)

    Roberto, Anthony J; Shafer, Michael S; Marmo, Jennifer

    2014-01-01

    The purpose of this investigation is to determine if the theory of reasoned action (TRA) and theory of planned behavior (TPB) can retrospectively predict whether substance-abuse treatment providers encourage their clients to use medicated-assisted treatment (MAT) as part of their treatment plan. Two-hundred and ten substance-abuse treatment providers completed a survey measuring attitudes, subjective norms, perceived behavioral control, intentions, and behavior. Results indicate that substance-abuse treatment providers have very positive attitudes, neutral subjective norms, somewhat positive perceived behavioral control, somewhat positive intentions toward recommending MAT as part of their clients' treatment plan, and were somewhat likely to engage in the actual behavior. Further, the data fit both the TRA and TPB, but with the TPB model having better fit and predictive power for this target audience and behavior. The theoretical and practical implications for the developing messages for substance-abuse treatment providers and other health-care professionals who provide treatment to patients with substance use disorders are discussed. Copyright © 2014 Elsevier Inc. All rights reserved.

  17. Does video-assisted thoracic surgery provide a safe alternative to conventional techniques in patients with limited pulmonary function who are otherwise suitable for lung resection?

    Science.gov (United States)

    Oparka, Jonathan; Yan, Tristan D; Ryan, Eilise; Dunning, Joel

    2013-07-01

    A best evidence topic in thoracic surgery was written according to a structured protocol. The question addressed was: does video-assisted thoracic surgery provide a safe alternative to conventional techniques in patients with limited pulmonary function who are otherwise suitable for lung resection? Altogether, more than 280 papers were found using the reported search, of which 7 represented the best evidence to answer the clinical question. The authors, journal, date and country of publication, patient group studied, study type, relevant outcomes and results of these papers are tabulated. One of the largest studies reviewed was a retrospective review of the Society of Thoracic Surgeons database. The authors compared 4531 patients who underwent lobectomy by video-assisted thoracic surgery (VATS) with 8431 patients who had thoracotomy. In patients with a predicted postoperative forced expiratory volume in 1 s (ppoFEV1%) of surgery is performed via VATS compared with traditional open techniques. The literature also suggests that patients in whom pulmonary function is poor have similar perioperative outcomes to those with normal function when a VATS approach to resection is adopted.

  18. Geothermal Direct-Heat Utilization Assistance - Final Report

    Energy Technology Data Exchange (ETDEWEB)

    J. W. Lund

    1999-07-14

    The Geo-Heat Center provided (1) direct-use technical assistance, (2) research, and (3) information dissemination on geothermal energy over an 8 1/2 year period. The center published a quarterly bulletin, developed a web site and maintained a technical library. Staff members made 145 oral presentations, published 170 technical papers, completed 28 applied research projects, and gave 108 tours of local geothermal installations to 500 persons.

  19. Providers with Limited Experience Perform Better in Advanced Life Support with Assistance Using an Interactive Device with an Automated External Defibrillator Linked to a Ventilator.

    Science.gov (United States)

    Busch, Christian Werner; Qalanawi, Mohammed; Kersten, Jan Felix; Kalwa, Tobias Johannes; Scotti, Norman Alexander; Reip, Wikhart; Doehn, Christoph; Maisch, Stefan; Nitzschke, Rainer

    2015-10-01

    Medical teams with limited experience in performing advanced life support (ALS) or with a low frequency of cardiopulmonary resuscitation (CPR) while on duty, often have difficulty complying with CPR guidelines. This study evaluated whether the quality of CPR of trained medical students, who served as an example of teams with limited experience in ALS, could be improved with device assistance. The primary outcome was the hands-off time (i.e., the percentage of the entire CPR time without chest compressions). The secondary outcome was seven time intervals, which should be as short as possible, and the quality of ventilations and chest compressions on the mannequin. We compared standard CPR equipment to an interactive device with visual and acoustic instructions for ALS workflow measures to guide briefly trained medical students through the ALS algorithm in a full-scale mannequin simulation study with a randomized crossover study design. The study equipment consisted of an automatic external defibrillator and ventilator that were electronically linked and communicating as a single system. Included were regular medical students in the third to sixth years of medical school of one class who provided written informed consent for voluntary participation and for the analysis of their CPR performance data. No exclusion criteria were applied. For statistical measures of evaluation we used an analysis of variance for crossover trials accounting for treatment effect, sequence effect, and carry-over effect, with adjustment for prior practical experience of the participants. Forty-two medical students participated in 21 CPR sessions, each using the standard and study equipment. Regarding the primary end point, the study equipment reduced the hands-off time from 40.1% (95% confidence interval [CI] 36.9-43.4%) to 35.6% (95% CI 32.4-38.9%, p = 0.031) compared with the standard equipment. Within the prespecified secondary end points, study equipment reduced the time interval until

  20. Usefulness of MRI-assisted metabolic volumetric parameters provided by simultaneous {sup 18}F-fluorocholine PET/MRI for primary prostate cancer characterization

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Yong-il [Seoul National University Hospital, Department of Nuclear Medicine, Seoul (Korea, Republic of); Seoul National University, Department of Molecular Medicine and Biopharmaceutical Sciences, Graduate School of Convergence Science and Technology, Seoul (Korea, Republic of); Seoul National University College of Medicine, Cancer Research Institute, Seoul (Korea, Republic of); Cheon, Gi Jeong [Seoul National University Hospital, Department of Nuclear Medicine, Seoul (Korea, Republic of); Seoul National University College of Medicine, Cancer Research Institute, Seoul (Korea, Republic of); Seoul National University College of Medicine, Radiological Science Research Institute, Seoul (Korea, Republic of); Seoul National University College of Medicine, Department of Nuclear Medicine, 101 Daehak-ro, Chongno-gu, Seoul (Korea, Republic of); Paeng, Jin Chul [Seoul National University Hospital, Department of Nuclear Medicine, Seoul (Korea, Republic of); Cho, Jeong Yeon [Seoul National University College of Medicine, Radiological Science Research Institute, Seoul (Korea, Republic of); Seoul National University Hospital, Department of Radiology, Seoul (Korea, Republic of); Seoul National University College of Medicine, Department of Radiology, 101 Daehak-ro, Chongno-gu, Seoul (Korea, Republic of); Kwak, Cheol [Seoul National University Hospital, Department of Urology, Seoul (Korea, Republic of); Kang, Keon Wook; Chung, June-Key [Seoul National University Hospital, Department of Nuclear Medicine, Seoul (Korea, Republic of); Seoul National University College of Medicine, Cancer Research Institute, Seoul (Korea, Republic of); Seoul National University College of Medicine, Radiological Science Research Institute, Seoul (Korea, Republic of); Kim, Euishin Edmund [Seoul National University, Department of Molecular Medicine and Biopharmaceutical Sciences, Graduate School of Convergence Science and Technology, Seoul (Korea, Republic of); University of California, Department of Radiological Sciences, Irvine, CA (United States); Lee, Dong Soo [Seoul National University Hospital, Department of Nuclear Medicine, Seoul (Korea, Republic of); Seoul National University, Department of Molecular Medicine and Biopharmaceutical Sciences, Graduate School of Convergence Science and Technology, Seoul (Korea, Republic of)

    2015-07-15

    The aim of this study was to determine the usefulness of MRI-assisted positron emission tomography (PET) parameters provided by simultaneous {sup 18}F-fluorocholine (FCH) PET/MRI for characterization of primary prostate cancer. Thirty patients with localized prostate cancer (mean age 69.4 ± 6.7 years) confirmed by biopsy were prospectively enrolled for simultaneous PET/MRI imaging. The patients underwent {sup 18}F-FCH PET/MRI 1 week before undergoing total prostatectomy. Multiple parameters of diffusion-weighted MRI [minimum and mean apparent diffusion coefficient (ADC{sub min} and ADC{sub mean})], metabolic PET [maximum and mean standardized uptake value (SUV{sub max} and SUV{sub mean})], and metabolic volumetric PET [metabolic tumor volume (MTV) and uptake volume product (UVP)] were compared with laboratory, pathologic, and immunohistochemical (IHC) features of the prostate cancer specimen. PET parameters were divided into two categories as follows: volume of interest (VOI) of prostate by SUV cutoff 2.5 (SUV{sub max}, SUV{sub mean}, MTV{sub SUV}, and UVP{sub SUV}) and MRI-assisted VOI of prostate cancer (SUV{sub maxMRI}, SUV{sub meanMRI}, MTV{sub MRI}, and UVP{sub MRI}). The rates of prostate cancer-positive cases identified by MRI alone, {sup 18}F-FCH PET alone, and {sup 18}F-FCH PET/MRI were 83.3, 80.0, and 93.3 %, respectively. Among the multiple PET/MRI parameters, MTV{sub MRI} showed fair correlation with serum prostate-specific antigen (PSA; r = 0.442, p = 0.014) and highest correlation with tumor volume (r = 0.953, p < 0.001). UVP{sub MRI} showed highest correlation with serum PSA (r = 0.531, p = 0.003), good correlation with tumor volume (r = 0.908, p < 0.001), and it was significantly associated with Gleason score (p = 0.041). High MTV{sub MRI} and UVP{sub MRI} values were significant for perineural invasion, lymphatic invasion, extracapsular extension, seminal vesicle invasion, and positive B-cell lymphoma 2 (Bcl-2) expression (all p < 0

  1. Media Advocacy. Technical Assistance Packet.

    Science.gov (United States)

    Join Together, Boston, MA.

    Media advocacy is an environmental strategy that can be used to support alcohol and other drug prevention and policy development efforts. It helps shift the focus from understanding public health issues as individual problems to understanding them as social conditions that require collective behavior changes. Successful media advocacy uses the…

  2. Housing Assistance

    Directory of Open Access Journals (Sweden)

    Emma Baker

    2013-07-01

    Full Text Available In Australia, an increasing number of households face problems of access to suitable housing in the private market. In response, the Federal and State Governments share responsibility for providing housing assistance to these, mainly low-income, households. A broad range of policy instruments are used to provide and maintain housing assistance across all housing tenures, for example, assisting entry into homeownership, providing affordability assistance in the private rental market, and the provision of socially owned and managed housing options. Underlying each of these interventions is the premise that secure, affordable, and appropriate housing provides not only shelter but also a number of nonshelter benefits to individuals and their households. Although the nonshelter outcomes of housing are well acknowledged in Australia, the understanding of the nonshelter outcomes of housing assistance is less clear. This paper explores nonshelter outcomes of three of the major forms of housing assistance provided by Australian governments—low-income mortgage assistance, social housing, and private rent assistance. It is based upon analysis of a survey of 1,353 low-income recipients of housing assistance, and specifically measures the formulation of health and well-being, financial stress, and housing satisfaction outcomes across these three assistance types. We find clear evidence that health, finance, and housing satisfaction outcomes are associated with quite different factors for individuals in these three major housing assistance types.

  3. What is the quality of information on social oocyte cryopreservation provided by websites of Society for Assisted Reproductive Technology member fertility clinics?

    Science.gov (United States)

    Avraham, Sarit; Machtinger, Ronit; Cahan, Tal; Sokolov, Amit; Racowsky, Catherine; Seidman, Daniel S

    2014-01-01

    To evaluate adequacy and adherence to American Society for Reproductive Medicine (ASRM) guidelines of internet information provided by Society for Assisted Reproductive Technology (SART)-affiliated clinics regarding social oocyte cryopreservation (SOC). Systematic evaluation of websites of all SART member fertility clinics. The internet. None. All websites offering SOC services were scored using a 0-13 scale, based on 10 questions designed to assess website quality and adherence to the ASRM/SART guidelines. The websites were analyzed independently by two authors. Whenever disagreement occurred, a third investigator determined the score. Scores defined website quality as excellent, ≥9; moderate, 5-8; or poor, ≤4 points. Of the 387 clinics registered as SART members, 200 offered oocyte cryopreservation services for either medical or social reasons; 147 of these advertised SOC. The average website scores of those clinics offering SOC was 3.4 ± 2.1 (range, 2-11) points. There was no significant difference in scores between private versus academic clinics or clinics performing more or less than 500 cycles per year. The majority of the websites do not follow the SART/ASRM guidelines for SOC, indicating that there is a need to improve the type and quality of information provided on SOC by SART member websites. Copyright © 2014 American Society for Reproductive Medicine. Published by Elsevier Inc. All rights reserved.

  4. The impact of technical conditions of X-ray imaging on reproducibility and precision of digital computer-assisted X-ray radiogrammetry (DXR).

    Science.gov (United States)

    Malich, A; Boettcher, J; Pfeil, A; Sauner, D; Heyne, J P; Petrovitch, A; Hansch, A; Linss, W; Kaiser, W A

    2004-12-01

    To evaluate the reproducibility of imaging and analysis for bone mineral density (BMD) determination using digital computer-assisted X-ray radiogrammetry (DXR; Pronosco X-posure, version V.2, Sectra Pronosco, Denmark); to verify potential factors that influence BMD extrapolation such as tube voltage, film-focus distance (FFD), film quality and brand (Kodak T-MAT-Plus, Konika SRH, Agfa Scopix), imaging technology (conventional, digital), imaging system (Kodak, Agfa) and exposure level (mAs); and to clarify whether DXR analysis based on printouts of digital images is comparable to analysis of conventional images. The hand of a cadaver was X-rayed using varied parameters: 4-8 mAs, 40-52 kV, 90-130 cm FFD. Radiographs under standardised conditions were performed 10 times using a conventional machine (Philips Super 80 CP) and the printouts of a digital system (Digital Diagnost Philips Optimus) for the analysis of reproducibility. One image was scanned and analysed 10 times additionally for imaging reproducibility. Reliability error of the system for the imaging process using conventional radiographs-rays was 0.49% (standard conditions: 6 mAs, 40 kV, 1 m FFD), using printouts of digital images was 2.89% (4 mAs, 42 kV, 1 m FFD) and regarding the analysis process was 0.22%. BMD calculation is not affected by alterations in FFD (precision error 1.21%), mAs (0.83%) or film quality/brand (0.38%), but differs significantly depending on tube voltage (2.70%). The system was not able to analyse conventional images with tube voltages of 49/52 kV. DXR technology is stable with most of the tested parameters. Normative data should exclusively be used for calculations using similar tube voltage or correction factors. All other parameters had no significant influence on the BMD calculation. Reproducibility is high. For technical reasons it is not recommended to use the printouts of digital images for BMD determination.

  5. Geothermal direct-heat utilization assistance. Quarterly project progress report, January--March 1994

    Energy Technology Data Exchange (ETDEWEB)

    1994-05-01

    The Geo-Heat Center provides technical assistance on geothermal direct heat applications to developers, consultants and the public which could include: data and information on low-temperature (< 1500 C) resources, space and district heating, geothermal heat pumps, greenhouses, aquaculture, industrial processes and other technologies. This assistance could include preliminary engineering feasibility studies, review of direct-use project plans, assistance in project material and equipment selection, analysis and solutions of project operating problems, and information on resources and utilization. The following are brief descriptions of technical assistance provided during the second quarter of the program.

  6. Following Surgically Assisted Rapid Palatal Expansion, Do Tooth-Borne or Bone-Borne Appliances Provide More Skeletal Expansion and Dental Expansion?

    Science.gov (United States)

    Hamedi-Sangsari, Adrien; Chinipardaz, Zahra; Carrasco, Lee

    2017-10-01

    The aim of this study was to compare outcome measurements of skeletal and dental expansion with bone-borne (BB) versus tooth-borne (TB) appliances after surgically assisted rapid palatal expansion (SARPE). This study was performed to provide quantitative measurements that will help the oral surgeon and orthodontist in selecting the appliance with, on average, the greatest amount of skeletal expansion and the least amount of dental expansion. A computerized database search was performed using PubMed, EBSCO, Cochrane, Scopus, Web of Science, and Google Scholar on publications in reputable oral surgery and orthodontic journals. A systematic review and meta-analysis was completed with the predictor variable of expansion appliance (TB vs BB) and outcome measurement of expansion (in millimeters). Of 487 articles retrieved from the 6 databases, 5 articles were included, 4 with cone-beam computed tomographic (CBCT) data and 1 with non-CBCT 3-dimensional cast data. There was a significant difference in skeletal expansion (standardized mean difference [SMD], 0.92; 95% confidence interval [CI], 0.54-1.30; P < .001) in favor of BB rather than TB appliances. However, there was no significant difference in dental expansion (SMD, 0.05; 95% CI, -0.24 to 0.34; P = .03). According to the literature, to achieve more effective skeletal expansion and minimize dental expansion after SARPE, a BB appliance should be favored. Copyright © 2017 American Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved.

  7. Services provided by volunteer psychiatrists after 9/11 at the New York City family assistance center: September 12-November 20, 2001.

    Science.gov (United States)

    Pandya, Anand; Katz, Craig L; Smith, Rebecca; Ng, Anthony T; Tafoya, Michael; Holmes, Anastasia; North, Carol S

    2010-05-01

    To characterize the experience of volunteer disaster psychiatrists who provided pro bono psychiatric services to 9/11 survivors in New York City, from September 12, 2001 to November 20, 2001. Disaster Psychiatry Outreach (DPO) is a non-profit organization founded in 1998 to provide volunteer psychiatric care to people affected by disasters and to promote education and research in support of this mission. Data for this study were collected from one-page clinical encounter forms completed by 268 DPO psychiatrists for 2 months after 9/11 concerning 848 patients served by the DPO 9/11 response program at the New York City Family Assistance Center. In this endeavor, 268 psychiatrist volunteers evaluated 848 individuals and provided appropriate interventions. The most commonly recorded clinical impressions indicated stress-related and adjustment disorders, but other conditions such as bereavement, major depression, and substance abuse/dependence were also observed. Free samples were available for one sedative and one anxiolytic agent; not surprisingly, these were the most commonly prescribed medications. Nearly half of those evaluated received psychotropic medications. In the acute aftermath of the attacks of September 11, 2001, volunteer psychiatrists were able to provide services in a disaster response setting, in which they were co-located with other disaster responders. These services included psychiatric assessment, provision of medication, psychological first aid, and referrals for ongoing care. Although systematic diagnoses could not be confirmed, the fact that most patients were perceived to have a psychiatric diagnosis and a substantial proportion received psychotropic medication suggests potential specific roles for psychiatrists that are unique and different from roles of other mental health professionals in the early post-disaster setting. In addition to further characterizing post-disaster mental health needs and patterns of service provision, future

  8. Active assistive forced exercise provides long-term improvement to gait velocity and stride length in patients bilaterally affected by Parkinson's disease.

    Science.gov (United States)

    Stuckenschneider, T; Helmich, I; Raabe-Oetker, A; Froböse, I; Feodoroff, B

    2015-10-01

    Forced exercise training presents a valid method of improving symptoms of Parkinson's disease such as rigor, dyskinesia and gait dysfunctions. Brain imaging data suggest that use of active assistive forced exercise could improve Parkinsonian symptoms more effectively than passive assistive forced exercise. However, the long-term effects of active versus passive assistive forced exercise on the symptoms of Parkinson's disease are unknown. Here, 24 patients showing bilateral effects of Parkinson's disease underwent a 12 week intervention of either passive or active assistive forced exercise. We analyzed tremor scores, gait patterns, and scores on the Unified Parkinson's Disease Rating Scale-III from three timepoints--before beginning the intervention, upon completion of the intervention, and twelve weeks after completion of the intervention. Participation in both passive and active assistive forced exercise increased gait velocity (0.5 km/h), swing phase (2%), monopedal stance phase (2%), elongated stride length (11 cm) and decreased double stance phase (4%). However, with participation in active assistive forced exercise, postural and kinetic tremor were also reduced and gait velocity and stride length were increased long-term. Given these findings, we conclude that future treatment for patients bilaterally affected by Parkinson's disease should carefully consider the type of assistive forced exercise intervention to be used. Copyright © 2015 Elsevier B.V. All rights reserved.

  9. Which level of evidence does the US National Toxicology Program provide? Statistical considerations using the Technical Report 578 on Ginkgo biloba as an example.

    Science.gov (United States)

    Gaus, Wilhelm

    2014-09-02

    The US National Toxicology Program (NTP) is assessed by a statistician. In the NTP-program groups of rodents are fed for a certain period of time with different doses of the substance that is being investigated. Then the animals are sacrificed and all organs are examined pathologically. Such an investigation facilitates many statistical tests. Technical Report TR 578 on Ginkgo biloba is used as an example. More than 4800 statistical tests are possible with the investigations performed. Due to a thought experiment we expect >240 false significant tests. In actuality, 209 significant pathological findings were reported. The readers of Toxicology Letters should carefully distinguish between confirmative and explorative statistics. A confirmative interpretation of a significant test rejects the null-hypothesis and delivers "statistical proof". It is only allowed if (i) a precise hypothesis was established independently from the data used for the test and (ii) the computed p-values are adjusted for multiple testing if more than one test was performed. Otherwise an explorative interpretation generates a hypothesis. We conclude that NTP-reports - including TR 578 on Ginkgo biloba - deliver explorative statistics, i.e. they generate hypotheses, but do not prove them. Copyright © 2014 The Authors. Published by Elsevier Ireland Ltd.. All rights reserved.

  10. Ambiguidades e contradições no atendimento de mulheres que sofrem violência Ambiguity and contradictions in the assistance provided for women who suffer violence

    Directory of Open Access Journals (Sweden)

    Wilza Vieira Villela

    2011-03-01

    Full Text Available Este artigo discute o atendimento a mulheres em situações de violência por serviços de saúde e de segurança pública. Tem como pressuposto que as atuais políticas de enfrentamento da violência contra as mulheres preveem ações dessas duas instituições. Baseia-se na análise de três elementos que compõem a prática: o espaço físico, o fluxo dos serviços e a percepção dos profissionais em relação às usuárias. Seus dados foram obtidos em estudo qualitativo realizado em unidades básicas de saúde, serviços de emergência de hospitais públicos, delegacias especializadas no atendimento a mulheres e distritos policiais de uma região da cidade de São Paulo. A coleta de dados incluiu observação não participante e entrevistas com profissionais. Os resultados apontam que o atendimento às mulheres que sofrem violência é marcado por ambiguidades e contradições; os espaços e fluxos de trabalho são pouco adequados à tarefa tão sensível e a percepção dos profissionais é permeada por estereótipos de gênero. Isso sugere que o enfrentamento da violência contra as mulheres exige a reconfiguração das práticas de trabalho, com educação permanente para os profissionais e mudanças nos processos de trabalho.This article discusses the assistance provided by healthcare services and public security services for women who suffer violence. It presupposes that the current policies targeted at violence against women expect actions from these two institutions. It is based on the three elements that constitute the practice: the setting, the services flows and the professionals' perceptions about users. Data were extracted from a qualitative study that was carried out in primary healthcare units, emergency services of public hospitals, women's police stations and police departments in a region of the city of São Paulo. Data collection included non-participant observation and interviews with professionals. The results show that

  11. Perceived effective and feasible strategies to promote healthy eating in young children: focus groups with parents, family child care providers and daycare assistants.

    Science.gov (United States)

    Vandeweghe, Laura; Moens, Ellen; Braet, Caroline; Van Lippevelde, Wendy; Vervoort, Leentje; Verbeken, Sandra

    2016-10-04

    The aim of the current study is to identify strategies to promote healthy eating in young children that can be applied by caregivers, based on their own perceptions of effectiveness and feasibility. Whereas previous research mainly focused on parental influences on children's eating behavior, the growing role of other caregivers in the upbringing of children can no longer be denied. Four focus groups were conducted with three types of caregivers of post-weaning children under 6 years old: parents (n = 14), family child care providers (n = 9), and daycare assistants (n = 10). The audiotaped focus group discussions were transcribed and imported into Nvivo 10.0 for thematic analysis. The behaviors put forward by the caregivers were categorized within three broad dimensions: global influences, general behaviors, and specific feeding practices. Perceived effective strategies to promote healthy eating behavior in children included rewards, verbal encouragement, a taste-rule, sensory sensations, involvement, variation, modeling, repeated exposure, and a peaceful atmosphere. Participants mainly disagreed on the perceived feasibility of each strategy, which largely depended on the characteristics of the caregiving setting (e.g. infrastructure, policy). Based on former research and the current results, an intervention to promote healthy eating behaviors in young children should be adapted to the caregiving setting or focus on specific feeding practices, since these involve simple behaviors that are not hindered by the limitations of the caregiving setting. Due to various misconceptions regarding health-promoting strategies, clear instructions about when and how to use these strategies are necessary.

  12. Perceived effective and feasible strategies to promote healthy eating in young children: focus groups with parents, family child care providers and daycare assistants

    Directory of Open Access Journals (Sweden)

    Laura Vandeweghe

    2016-10-01

    Full Text Available Abstract Background The aim of the current study is to identify strategies to promote healthy eating in young children that can be applied by caregivers, based on their own perceptions of effectiveness and feasibility. Whereas previous research mainly focused on parental influences on children’s eating behavior, the growing role of other caregivers in the upbringing of children can no longer be denied. Methods Four focus groups were conducted with three types of caregivers of post-weaning children under 6 years old: parents (n = 14, family child care providers (n = 9, and daycare assistants (n = 10. The audiotaped focus group discussions were transcribed and imported into Nvivo 10.0 for thematic analysis. The behaviors put forward by the caregivers were categorized within three broad dimensions: global influences, general behaviors, and specific feeding practices. Results Perceived effective strategies to promote healthy eating behavior in children included rewards, verbal encouragement, a taste-rule, sensory sensations, involvement, variation, modeling, repeated exposure, and a peaceful atmosphere. Participants mainly disagreed on the perceived feasibility of each strategy, which largely depended on the characteristics of the caregiving setting (e.g. infrastructure, policy. Conclusions Based on former research and the current results, an intervention to promote healthy eating behaviors in young children should be adapted to the caregiving setting or focus on specific feeding practices, since these involve simple behaviors that are not hindered by the limitations of the caregiving setting. Due to various misconceptions regarding health-promoting strategies, clear instructions about when and how to use these strategies are necessary.

  13. A Feasibility Study and Technical Tips for the Use of an Articulating Bipolar Vessel Sealer in da Vinci Robot-Assisted Gastrectomy.

    Science.gov (United States)

    Kong, Seong-Ho; Kim, Tae Han; Huh, Yeon Ju; Oh, Seung-Young; Ahn, Hye Seong; Park, So Yong; Choi, Yun Suk; Suh, Yun-Suhk; Lee, Hyuk-Joon; Yang, Han-Kwang

    2017-11-01

    The aim of this study was to evaluate the efficacy and safety of a new articulating bipolar energy device, the EndoWrist® One™ Vessel Sealer (VS), in da Vinci® robot-assisted gastrectomy. Patients (n = 17) with cT1/2 gastric cancer who underwent robotic gastrectomy using the VS were prospectively enrolled in the study group (VS group). The clinicopathological outcomes, including operative time, intraoperative blood loss, amount of postoperative drainage, postoperative biochemical analysis results, and complication rates, were prospectively collected and compared with those of patients who underwent robotic gastrectomy using conventional ultrasonic shear force ([US] group, n = 52) during the same time period. Although the VS provided a good direction for dissection because of the articulating function, the ancillary use of conventional bipolar coagulation was occasionally needed due to the blunt, nonactive end tip of the VS. The operative time, intraoperative blood loss, postoperative drainage, and absence of complication rates did not differ between the VS and US groups, but the C-reactive protein levels on the second postoperative day (8.06 versus 11.7, P = .002) and serum albumin levels on the fifth postoperative day (3.51 versus 3.32, P = .019) were superior in the VS group. Use of the VS in robotic gastrectomy was feasible and provided good configuration in the direction of dissection. The learning process for use of the VS in the initial series was relatively rapid, resulting in comparable results between the VS and US groups. Reduced inflammation and albumin loss were identified as possible benefits of the VS.

  14. Computer-assisted surgery and intraoral welding technique for immediate implant-supported rehabilitation of the edentulous maxilla: case report and technical description.

    Science.gov (United States)

    Albiero, Alberto Maria; Benato, Renato

    2016-09-01

    Complications are frequently reported when combining computer assisted flapless surgery with an immediate loaded prefabricated prosthesis. The authors have combined computer-assisted surgery with the intraoral welding technique to obtain a precise passive fit of the immediate loading prosthesis. An edentulous maxilla was rehabilitated with four computer assisted implants welded together intraorally and immediately loaded with a provisional restoration. A perfect passive fit of the metal framework was obtained that enabled proper osseointegration of implants. Computer assisted preoperative planning has been shown to be effective in reducing the intraoperative time of the intraoral welding technique. No complications were observed at 1 year follow-up. This guided-welded approach is useful to achieve a passive fit of the provisional prosthesis on the inserted implants the same day as the surgery, reducing intraoperative time with respect to the traditional intraoral welding technique. Copyright © 2015 John Wiley & Sons, Ltd. Copyright © 2015 John Wiley & Sons, Ltd.

  15. Works Technical Department progress report, August 1965

    Energy Technology Data Exchange (ETDEWEB)

    1965-09-17

    This document details the activities of the Savannah River Works Technical Department during the month of August 1965. Topics discussed are: Reactor Technology, Separations Technology, Engineering Assistance, Health Physics, Laboratories Overview, and Technical Papers Issued.

  16. Works Technical Department progress report, March 1961

    Energy Technology Data Exchange (ETDEWEB)

    None

    1961-04-19

    This document details the activities of the Savannah River Works Technical Department during the month of March 1961. Topics discussed are: Reactor Technology, Separations Technology, Engineering Assistance, Health Physics, Laboratories Overview, and Technical Papers Issued.

  17. Assistance Focus: Asia/Pacific Region; Clean Energy Solutions Center (CESC)

    Energy Technology Data Exchange (ETDEWEB)

    None

    2015-05-11

    The Clean Energy Solutions Center Ask an Expert service connects governments seeking policy information and advice with one of more than 30 global policy experts who can provide reliable and unbiased quick-response advice and information. The service is available at no cost to government agency representatives from any country and the technical institutes assisting them. This publication presents summaries of assistance provided to governments in the Asia/Pacific region, including the benefits of that assistance.

  18. Providing Hearing-Impaired Students with Learning Care after Classes through Smart Phones and the GPRS Network

    Science.gov (United States)

    Liu, Chen-Chung; Hong, Yi-Ching

    2007-01-01

    Although computers and network technology have been widely utilised to assist students learn, few technical supports have been developed to help hearing-impaired students learn in Taiwan. A significant challenge for teachers is to provide after-class learning care and assistance to hearing-impaired students that sustain their motivation to…

  19. A case study review of technical and technology issues for transition of a utility load management program to provide system reliability resources in restructured electricity markets

    Energy Technology Data Exchange (ETDEWEB)

    Weller, G.H.

    2001-07-15

    Utility load management programs--including direct load control and interruptible load programs--were employed by utilities in the past as system reliability resources. With electricity industry restructuring, the context for these programs has changed; the market that was once controlled by vertically integrated utilities has become competitive, raising the question: can existing load management programs be modified so that they can effectively participate in competitive energy markets? In the short run, modified and/or improved operation of load management programs may be the most effective form of demand-side response available to the electricity system today. However, in light of recent technological advances in metering, communication, and load control, utility load management programs must be carefully reviewed in order to determine appropriate investments to support this transition. This report investigates the feasibility of and options for modifying an existing utility load management system so that it might provide reliability services (i.e. ancillary services) in the competitive markets that have resulted from electricity industry restructuring. The report is a case study of Southern California Edison's (SCE) load management programs. SCE was chosen because it operates one of the largest load management programs in the country and it operates them within a competitive wholesale electricity market. The report describes a wide range of existing and soon-to-be-available communication, control, and metering technologies that could be used to facilitate the evolution of SCE's load management programs and systems to provision of reliability services. The fundamental finding of this report is that, with modifications, SCE's load management infrastructure could be transitioned to provide critical ancillary services in competitive electricity markets, employing currently or soon-to-be available load control technologies.

  20. Writer`s guide for technical procedures

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1998-12-01

    A primary objective of operations conducted in the US Department of Energy (DOE) complex is safety. Procedures are a critical element of maintaining a safety envelope to ensure safe facility operation. This DOE Writer`s Guide for Technical Procedures addresses the content, format, and style of technical procedures that prescribe production, operation of equipment and facilities, and maintenance activities. The DOE Writer`s Guide for Management Control Procedures and DOE Writer`s Guide for Emergency and Alarm Response Procedures are being developed to assist writers in developing nontechnical procedures. DOE is providing this guide to assist writers across the DOE complex in producing accurate, complete, and usable procedures that promote safe and efficient operations that comply with DOE orders, including DOE Order 5480.19, Conduct of Operations for DOE Facilities, and 5480.6, Safety of Department of Energy-Owned Nuclear Reactors.

  1. Perspectives of Introduction of the Mobile-Assisted Language Learning (MALL) Technology

    Science.gov (United States)

    Wagner, Monica-Nataliia Laurensovna; Donskaya, Maryana Vladimirovna; Kupriyanova, Milana Evgenievna; Ovezova, Umeda Akparovna

    2016-01-01

    Present article addresses methodological and technical (instrumental) aspects of creation and implementation of mobile-assisted learning, which is oriented to the process of foreign languages learning. We provide the interpretation of the main definitions of mobile-assisted learning, as well as propose recommendations for using mobile devices in…

  2. Tag, You're It: Hiring, Training, and Managing Student Assistants

    Science.gov (United States)

    Farrell, Sandy L.; Driver, Carol

    2010-01-01

    Library student assistants account for approximately one-fourth of the staffing in academic libraries in the United States. Each student assistant plays an important role in the daily operations of today's college libraries by providing desk coverage, technical support, and customer service. This article discusses the advantages/disadvantages of…

  3. [Technical improvement of cohort constitution in administrative health databases: Providing a tool for integration and standardization of data applicable in the French National Health Insurance Database (SNIIRAM)].

    Science.gov (United States)

    Ferdynus, C; Huiart, L

    2016-09-01

    Administrative health databases such as the French National Heath Insurance Database - SNIIRAM - are a major tool to answer numerous public health research questions. However the use of such data requires complex and time-consuming data management. Our objective was to develop and make available a tool to optimize cohort constitution within administrative health databases. We developed a process to extract, transform and load (ETL) data from various heterogeneous sources in a standardized data warehouse. This data warehouse is architected as a star schema corresponding to an i2b2 star schema model. We then evaluated the performance of this ETL using data from a pharmacoepidemiology research project conducted in the SNIIRAM database. The ETL we developed comprises a set of functionalities for creating SAS scripts. Data can be integrated into a standardized data warehouse. As part of the performance assessment of this ETL, we achieved integration of a dataset from the SNIIRAM comprising more than 900 million lines in less than three hours using a desktop computer. This enables patient selection from the standardized data warehouse within seconds of the request. The ETL described in this paper provides a tool which is effective and compatible with all administrative health databases, without requiring complex database servers. This tool should simplify cohort constitution in health databases; the standardization of warehouse data facilitates collaborative work between research teams. Copyright © 2016 Elsevier Masson SAS. All rights reserved.

  4. Training and Technical Assistance to Develop, Revise and Supplement Indian Tribal Codes and Court Procedures on Child Abuse and Neglect. Final Report.

    Science.gov (United States)

    New Mexico Univ., Albuquerque. American Indian Law Center.

    Chosen on the basis of geographic location, population, economic status, and land base size, 10 American Indian reservations received a 5-day training session and a 3-day follow-up session re: juvenile law as it pertains to child abuse and neglect. An American Indian Law Center staff attorney assisted by a law student conducted the training…

  5. Y stenting assisted coiling using a new low profile visible intraluminal support device for wide necked basilar tip aneurysms: a technical report.

    Science.gov (United States)

    Conrad, Marcelo D; Brasiliense, Leonardo B C; Richie, Alexa N; Hanel, Ricardo A

    2014-05-01

    Many endovascular techniques have been described in recent years for the management of wide necked aneurysms. The Y stent assisted technique has been generally used for coil embolization of wide necked bifurcation aneurysms. This technique was first described for the treatment of basilar tip aneurysms in combination with several different devices, demonstrating encouraging results. We report the results of the first two cases of wide necked basilar tip aneurysms treated with Y stent assisted coil embolization using a new low profile visible intraluminal stent (LVIS Jr; MicroVention, Tustin, California, USA) delivered through a 0.017 inch microcatheter. We also reviewed the literature comparing other endovascular techniques (coiling alone, stent assisted coiling, and Y stent assisted coiling) for wide necked aneurysms. The LVIS Jr device offers a new option for the treatment of these challenging lesions, with clear advantages over currently available intracranial stents. Larger series and long term results are needed to confirm the applicability and durability of this technique/technology.

  6. 78 FR 27963 - Reliability Technical Conference; Notice of Technical Conference

    Science.gov (United States)

    2013-05-13

    ... Energy Regulatory Commission Reliability Technical Conference; Notice of Technical Conference Take notice that the Federal Energy Regulatory Commission will hold a Technical Conference on Tuesday, July 9, 2013... to the webcast. The Capitol Connection provides technical support for webcasts and offers the option...

  7. Technical Note: Using a high finesse optical resonator to provide a long light path for differential optical absorption spectroscopy: CE-DOAS

    Directory of Open Access Journals (Sweden)

    J. Meinen

    2010-04-01

    Full Text Available Cavity enhanced methods in absorption spectroscopy have seen a considerable increase in popularity during the past decade. Especially Cavity Enhanced Absorption Spectroscopy (CEAS established itself in atmospheric trace gas detection by providing tens of kilometers of effective light path length using a cavity as short as 1 m. In this paper we report on the construction and testing of a compact and power efficient light emitting diode based broadband Cavity Enhanced Differential Optical Absorption Spectrometer (CE-DOAS for in situ observation of atmospheric NO3. This device combines the small size of the cavity with the advantages of the DOAS approach in terms of sensitivity, specificity and insensivity to intensity fluctuations of the light source. In particular, no selective removal of the analyte (here NO3 is necessary for calibration of the instrument if appropriate corrections are applied to the CEAS theory. Therefore the CE-DOAS technique can – in principle – measure any gas detectable by DOAS. We will discuss the advantages of using a light emitting diode (LED as light source particularly the precautions which have to be considered for the use of LEDs with a broad wavelength range. The instrument was tested in the lab by detecting NO3 formed by mixing of NO2 and O3 in air. It was then compared to other trace gas detection techniques in an intercomparison campaign in the atmosphere simulation chamber SAPHIR at Forschungszentrum Jülich at NO3 concentrations as low as 6.3 ppt.

  8. [Digital electroencephalography in brain death diagnostics : Technical requirements and results of a survey on the compatibility with medical guidelines of digital EEG systems from providers in Germany].

    Science.gov (United States)

    Walter, U; Noachtar, S; Hinrichs, H

    2018-02-01

    The guidelines of the German Medical Association and the German Society for Clinical Neurophysiology and Functional Imaging (DGKN) require a high procedural and technical standard for electroencephalography (EEG) as an ancillary method for diagnosing the irreversible cessation of brain function (brain death). Nowadays, digital EEG systems are increasingly being applied in hospitals. So far it is unclear to what extent the digital EEG systems currently marketed in Germany meet the guidelines for diagnosing brain death. In the present article, the technical und safety-related requirements for digital EEG systems and the EEG documentation for diagnosing brain death are described in detail. On behalf of the DGKN, the authors sent out a questionnaire to all identified distributors of digital EEG systems in Germany with respect to the following technical demands: repeated recording of the calibration signals during an ongoing EEG recording, repeated recording of all electrode impedances during an ongoing EEG recording, assessability of intrasystem noise and galvanic isolation of measurement earthing from earthing conductor (floating input). For 15 of the identified 20 different digital EEG systems the specifications were provided by the distributors (among them all distributors based in Germany). All of these EEG systems are provided with a galvanic isolation (floating input). The internal noise can be tested with all systems; however, some systems do not allow repeated recording of the calibration signals and/or the electrode impedances during an ongoing EEG recording. The majority but not all of the currently available digital EEG systems offered for clinical use are eligible for use in brain death diagnostics as per German guidelines.

  9. Novel Humanitarian Aid Program: The Glivec International Patient Assistance Program-Lessons Learned From Providing Access to Breakthrough Targeted Oncology Treatment in Low- and Middle-Income Countries.

    Science.gov (United States)

    Garcia-Gonzalez, Pat; Boultbee, Paula; Epstein, David

    2015-10-01

    Imatinib was the first targeted therapy approved for the treatment of cancer. With its approval, it was immediately clear to Novartis that this breakthrough therapy would require an innovative approach to worldwide access, with special consideration of low- and middle-income countries. Lack of government reimbursement, universal health care, or health insurance coverage, few trained specialty physicians or diagnostic services, and poor health care infrastructure were, and continue to be, contributing barriers to access to treatment in low- and middle-income countries. The Glivec International Patient Assistance Program (GIPAP) is an international drug donation program established by Novartis Pharma AG and implemented in partnership with The Max Foundation, a nonprofit, nongovernmental organization. GIPAP was established in 2001, essentially in parallel with the first approval of imatinib for chronic myeloid leukemia. Since 2001, GIPAP has made imatinib accessible to all medically and financially eligible patients within 80 countries on an ongoing basis as long as their physicians prescribe it and no other means of access exists. To date, more than 49,000 patients have benefited from GIPAP, and 2.3 million monthly doses of imatinib have been approved through the program. GIPAP represents an innovative drug donation model that has set the standard for access programs for other targeted or innovative therapies. The purpose of this article is to describe the structure of GIPAP, as well as important lessons that have contributed to the success of the program. This article may assist other companies with the development of successful and far-reaching patient assistance programs in the future.

  10. Asleep Robot-Assisted Surgery for the Implantation of Subthalamic Electrodes Provides the Same Clinical Improvement and Therapeutic Window as Awake Surgery.

    Science.gov (United States)

    Lefranc, Michel; Zouitina, Yassine; Tir, Mélissa; Merle, Philippe; Ouendo, Martial; Constans, Jean-Marc; Godefroy, Olivier; Peltier, Johann; Krystkowiak, Pierre

    2017-10-01

    To study the impact of not performing awake clinical evaluation during the robot-assisted implantation of subthalamic nucleus deep brain stimulation (STN-DBS) electrodes on the stimulation parameters and clinical outcomes in patients with Parkinson disease (PD). A total of 23 patients with PD underwent robot-assisted surgery for the bilateral implantation of STN-DBS electrodes. Thirteen patients received general anesthesia (GA) and a limited intraoperative evaluation (side effects only), and the other 10 patients received local anesthesia (LA) and a full evaluation. The primary endpoint was the therapeutic window (TW), defined as the difference between the mean voltage threshold for motor improvement and the mean voltage threshold for side effects in the active contacts at 12 months after surgery. Motor scores were measured as well. The TW was similar in the LA and GA groups, with mean ± standard deviation values of 2.06 ± 0.53 V and 2.28 ± 0.99 V, respectively (P = 0.32). In the short term, the Unified Parkinson Disease Rating Scale (UPDRS) III score in the "off-drug, on-stim" condition fell to a similar extent in the LA and GA groups (by 40.3% and 49%, respectively; P = 0.336), as did the UPDRS III score in the "on-stim, on-drug" condition (by 57% and 70.7%, respectively; P = 0.36). Asleep, robot-assisted implantation of STN-DBS electrodes (with accurate identification of the STN and positioning of the DBS lead) produced the same motor results and TW as awake surgery. Copyright © 2017 Elsevier Inc. All rights reserved.

  11. Being the parent of a ventilator-assisted child: perceptions of the family-health care provider relationship when care is offered in the family home.

    Science.gov (United States)

    Lindahl, Berit; Lindblad, Britt-Marie

    2013-11-01

    The number of medically fragile children cared for at home is increasing; however, there are few studies about the professional support these families receive in their homes. The aim of the study was to understand the meanings that parents had about the support they received from health care professionals who offered care for their ventilator-assisted child in the family home. A phenomenological-hermeneutic method was used. Data included the narratives of five mother-father couples living in Sweden who were receiving professional support for their ventilator-assisted child. The findings indicate that receiving professional support meant being at risk of and/or exposed to the exercise of control over family privacy. The professional support system in the families' homes worked more by chance than by competent and sensible planning. In good cases, caring encounters were characterized by a mutual relationship where various occupational groups were embraced as a part of family life. The findings are discussed in light of compassionate care, exercise of power, and the importance of holistic educational programs.

  12. Reflexões sobre a assistência de enfermagem prestada à parturiente Reflexiones sobre la asistencia de enfermería prestada a la parturienta Reflections on nursing assistance provided to the parturient

    Directory of Open Access Journals (Sweden)

    Manuela Beatriz Velho

    2010-08-01

    Full Text Available Pesquisa bibliográfica com objetivo de identificar estado da arte da produção publicada sobre atuação da enfermeira obstétrica no processo do nascimento, contribuir para futuras investigações e auxiliar nas reflexões sobre esta temática. Levantamento bibliográfico no LILACS, MEDLINE, Biblioteca Cochrane, SciELO. Descritores utilizados: enfermeiras obstétricas, trabalho de parto, parto, assistência de Enfermagem. Selecionados 05 trabalhos, posteriormente catalogados em fichas bibliográficas. Temas selecionados: regulamentação da profissão; atendimento; assistência prestada; vínculo estabelecido; ações educativas; atividades administrativas; dificuldades. Embora os estudos reconheçam esta profissional como capacitada, respaldada legalmente, prestando assistência humanizada, resgatando o parto normal, proporcionando dignidade, segurança e autonomia à parturiente, muito ainda precisa ser escrito para que a mesma adquira autonomia e respeito ético-legal por parte dos profissionais de saúde e clientela.Investigación bibliográfica con el objetivo de identificar el estado del arte de las publicaciones sobre la labor de la enfermera obstétrica en el proceso del parto, contribuir para futuras investigaciones y ayudar en las reflexiones sobre este tema. Los datos bibliográficos se recopilaron en las bases LILACS, MEDLINE, Biblioteca Cochrane, SciELO. Las palabras clave son: enfermera obstétrica, trabajo de parto, parto, atención de enfermería. Se seleccionaron cinco trabajos, los cuales fueron catalogados en fichas bibliográficas. Los temas seleccionados son: regulación de la profesión, atención, asistencia prestada, vínculo establecido, acciones educativas, actividades administrativas, dificultades. Aunque los estudios examinados reconocen que el profesional está calificado, tiene respaldo legal, está preparado para prestar una atención humanizada, valoriza el parto normal, proporcionando dignidad, seguridad y

  13. Solar-assisted heat pumps for the heating and cooling of buildings. Six month technical report, November 6, 1978-May 5, 1979

    Energy Technology Data Exchange (ETDEWEB)

    1979-05-01

    Phase I of this study deals with the determination of the most cost-effective SAHP (Solar-assisted Heat Pump) system. The series (solar-assisted), parallel (solar-boosted), and standard heat pump systems with electric resistance heat backup are emphasized. Performance characteristics of all major SAHP components are determined and used in conjunction with the TRNSYS simulation program to obtain heating and cooling system performance for four different climates: Phoenix, Arizona; New York, New York; Fort Worth, Texas; and Madison, Wisconsin. Material and installation costs are obtained for the SAHP components and are used in a life-cycle cost analysis to determine the economic viability of the various systems. Ground coupling, evacuated tube collectors, and power demand distributions are studied. A marketing analysis is performed to assess the potential of SAHP systems in the residential marketplace. The results of this study indicate that solar-boosted heat pumps (parallel) will be more cost effective than solar-assisted (series) heat pumps for the foreseeable future. Since all components for solar-boosted heat pumps are now commercially available, no further development work is needed to optimize the heat pumps for such a system. Furthermore, SAHP systems are not currently cost effective when compared to standard air-to-air heat pumps, nor is there evidence that they will be in the foreseeable future.

  14. American Samoa Initial Technical Assessment Report

    Energy Technology Data Exchange (ETDEWEB)

    Busche, S.; Conrad, M.; Funk, K.; Kandt, A.; McNutt, P.

    2011-09-01

    This document is an initial energy assessment for American Samoa, the first of many steps in developing a comprehensive energy strategy. On March 1, 2010, Assistant Secretary of the Interior Tony Babauta invited governors and their staff from the Interior Insular Areas to meet with senior principals at the National Renewable Energy Laboratory (NREL). Meeting discussions focused on ways to improve energy efficiency and increase the deployment of renewable energy technologies in the U.S. Pacific Territories. In attendance were Governors Felix Camacho (Guam), Benigno Fitial (Commonwealth of the Northern Mariana Islands), and Togiola Tulafono, (American Samoa). This meeting brought together major stakeholders to learn and understand the importance of developing a comprehensive strategic plan for implementing energy efficiency measures and renewable energy technologies. For several decades, dependence on fossil fuels and the burden of high oil prices have been a major concern but never more at the forefront as today. With unstable oil prices, the volatility of fuel supply and the economic instability in American Samoa, energy issues are a high priority. In short, energy security is critical to American Samoa's future economic development and sustainability. Under an interagency agreement, funded by the Department of Interior's Office of Insular Affairs, NREL was tasked to deliver technical assistance to the islands of American Samoa. Technical assistance included conducting an initial technical assessment to define energy consumption and production data, establish an energy consumption baseline, and assist with the development of a strategic plan. The assessment and strategic plan will be used to assist with the transition to a cleaner energy economy. NREL provided an interdisciplinary team to cover each relevant technical area for the initial energy assessments. Experts in the following disciplines traveled to American Samoa for on-island site assessments: (1

  15. Assistant Personal Robot (APR): Conception and Application of a Tele-Operated Assisted Living Robot.

    Science.gov (United States)

    Clotet, Eduard; Martínez, Dani; Moreno, Javier; Tresanchez, Marcel; Palacín, Jordi

    2016-04-28

    This paper presents the technical description, mechanical design, electronic components, software implementation and possible applications of a tele-operated mobile robot designed as an assisted living tool. This robotic concept has been named Assistant Personal Robot (or APR for short) and has been designed as a remotely telecontrolled robotic platform built to provide social and assistive services to elderly people and those with impaired mobility. The APR features a fast high-mobility motion system adapted for tele-operation in plain indoor areas, which incorporates a high-priority collision avoidance procedure. This paper presents the mechanical architecture, electrical fundaments and software implementation required in order to develop the main functionalities of an assistive robot. The APR uses a tablet in order to implement the basic peer-to-peer videoconference and tele-operation control combined with a tactile graphic user interface. The paper also presents the development of some applications proposed in the framework of an assisted living robot.

  16. Taking care of you and care for others: an analysis of the activity of the work of technical and nursing assistants of a psychiatric institution for children and adolescents.

    Science.gov (United States)

    Mendes, Davidson Passos; Moraes, Geraldo Fabiano de Souza; Mendes, Juliana Cristina de Lima

    2012-01-01

    Our objective in this study, the analysis of potential fields of risk management in nursing work in psychiatric care to adolescents and children, while settings that go from the relationship between technical and organizational determinants of work activity and the skills of operators. It was established focus on the work process of the Technical and Nursing Assistants to seek for response elements in an attempt to understand the health-disease process experienced by these workers. It was used for analysis and data collection, through the method of Ergonomic Work Analysis (EWA), fifteen workers of nursing staff - T&NA, between effectives and contractors, and the strategies of action and regulation of these workers in relation to the interface that they deal with. The results show that the workers are exposed to all charges in an intense and specific way, causing physical and mental wear, as it approaches the psychological distress, exposure to the psychic pressure, not only through contact with the object of work, but the complexity of these relationships that are involved in nursing staff.

  17. Comparative genome analysis of a thermotolerant Escherichia coli obtained by Genome Replication Engineering Assisted Continuous Evolution (GREACE) and its parent strain provides new understanding of microbial heat tolerance.

    Science.gov (United States)

    Luan, Guodong; Bao, Guanhui; Lin, Zhao; Li, Yang; Chen, Zugen; Li, Yin; Cai, Zhen

    2015-12-25

    Heat tolerance of microbes is of great importance for efficient biorefinery and bioconversion. However, engineering and understanding of microbial heat tolerance are difficult and insufficient because it is a complex physiological trait which probably correlates with all gene functions, genetic regulations, and cellular metabolisms and activities. In this work, a novel strain engineering approach named Genome Replication Engineering Assisted Continuous Evolution (GREACE) was employed to improve the heat tolerance of Escherichia coli. When the E. coli strain carrying a mutator was cultivated under gradually increasing temperature, genome-wide mutations were continuously generated during genome replication and the mutated strains with improved thermotolerance were autonomously selected. A thermotolerant strain HR50 capable of growing at 50°C on LB agar plate was obtained within two months, demonstrating the efficiency of GREACE in improving such a complex physiological trait. To understand the improved heat tolerance, genomes of HR50 and its wildtype strain DH5α were sequenced. Evenly distributed 361 mutations covering all mutation types were found in HR50. Closed material transportations, loose genome conformation, and possibly altered cell wall structure and transcription pattern were the main differences of HR50 compared with DH5α, which were speculated to be responsible for the improved heat tolerance. This work not only expanding our understanding of microbial heat tolerance, but also emphasizing that the in vivo continuous genome mutagenesis method, GREACE, is efficient in improving microbial complex physiological trait. Copyright © 2015 Elsevier B.V. All rights reserved.

  18. Assessment of Robotic Console Skills (ARCS): construct validity of a novel global rating scale for technical skills in robotically assisted surgery.

    Science.gov (United States)

    Liu, May; Purohit, Shreya; Mazanetz, Joshua; Allen, Whitney; Kreaden, Usha S; Curet, Myriam

    2017-07-01

    Skill assessment during robotically assisted surgery remains challenging. While the popularity of the Global Evaluative Assessment of Robotics Skills (GEARS) has grown, its lack of discrimination between independent console skills limits its usefulness. The purpose of this study was to evaluate construct validity and interrater reliability of a novel assessment designed to overcome this limitation. We created the Assessment of Robotic Console Skills (ARCS), a global rating scale with six console skill domains. Fifteen volunteers who were console surgeons for 0 ("novice"), 1-100 ("intermediate"), or >100 ("experienced") robotically assisted procedures performed three standardized tasks. Three blinded raters scored the task videos using ARCS, with a 5-point Likert scale for each skill domain. Scores were analyzed for evidence of construct validity and interrater reliability. Group demographics were indistinguishable except for the number of robotically assisted procedures performed (p = 0.001). The mean scores of experienced subjects exceeded those of novices in dexterity (3.8 > 1.4, p  1.8, p  2.2, p  1.9, p = 0.001), and force sensitivity (4.3 > 2.6, p  1.4, p = 0.002), field of view (2.8 > 1.8, p = 0.021), instrument visualization (3.2 > 2.2, p = 0.045), manipulator workspace (3.1 > 1.9, p = 0.004), and force sensitivity (3.7 > 2.6, p = 0.033). The mean scores of experienced subjects exceeded those of intermediates in dexterity (3.8 > 2.8, p = 0.003), field of view (4.1 > 2.8, p  3.2, p = 0.044). Rater agreement in each domain demonstrated statistically significant concordance (p skills plateau faster than others. Therefore, ARCS may be more useful than GEARS to evaluate distinct console skills. Future studies will examine why some domains did not adequately differentiate between subjects and applications for intraoperative use.

  19. Impact of a computer-assisted, provider-delivered intervention on sexual risk behaviors in HIV-positive men who have sex with men (MSM) in a primary care setting.

    Science.gov (United States)

    Bachmann, Laura H; Grimley, Diane M; Gao, Hongjiang; Aban, Inmaculada; Chen, Huey; Raper, James L; Saag, Michael S; Rhodes, Scott D; Hook, Edward W

    2013-04-01

    Innovative strategies are needed to assist providers with delivering secondary HIV prevention in the primary care setting. This longitudinal HIV clinic-based study conducted from 2004-2007 in a Birmingham, Alabama HIV primary care clinic tested a computer-assisted, provider-delivered intervention designed to increase condom use with oral, anal and vaginal sex, decrease numbers of sexual partners and increase HIV disclosure among HIV-positive men-who-have-sex-with-men (MSM). Significant declines were found for the number of unprotected insertive anal intercourse acts with HIV+ male partners during the intervention period (p = 0.0003) and with HIV-/UK male partners (p = 0.0007), as well as a 47% reduction in the number of male sexual partners within the preceding 6 months compared with baseline (p = 0.0008). These findings confirm and extend prior reports by demonstrating the effectiveness of computer-assisted, provider-delivered messaging to accomplish risk reduction in patients in the HIV primary care setting.

  20. Scientific and Technical English.

    Science.gov (United States)

    Vaclavik, Jaroslav

    Technical English differs from everyday English because of the specialized contexts in which it is used and because of the specialized interests of scientists and engineers. This text provides exercises in technical and scientific exposition in the following fields: mathematics, physics, temperature effects, mechanics, dynamics, conservation of…

  1. Using existing programs as vehicles to disseminate knowledge, provide opportunities for scientists to assist educators, and to engage students in using real data

    Science.gov (United States)

    Smith, S. C.; Wegner, K.; Branch, B. D.; Miller, B.; Schulze, D. G.

    2013-12-01

    Many national and statewide programs throughout the K-12 science education environment teach students about science in a hands-on format, including programs such as Global Learning and Observations to Benefit the Environment (GLOBE), Project Learning Tree (PLT), Project Wild, Project Wet, and Hoosier River Watch. Partnering with one or more of these well-known programs can provide many benefits to both the scientists involved in disseminating research and the K-12 educators. Scientists potentially benefit by broader dissemination of their research by providing content enrichment for educators. Educators benefit by gaining understanding in content, becoming more confident in teaching the concept, and increasing their enthusiasm in teaching the concepts addressed. This presentation will discuss an innovative framework for professional development that was implemented at Purdue University, Indiana in July 2013. The professional development incorporated GLOBE protocols with iPad app modules and interactive content sessions from faculty and professionals. By collaborating with the GLOBE program and scientists from various content areas, the Department of Earth, Atmospheric, and Planetary Sciences at Purdue University successfully facilitated a content rich learning experience for educators. Such activity is promoted and supported by Purdue University Libraries where activities such as Purdue's GIS Day are efforts of making authentic learning sustainable in the State of Indiana and for national consideration. Using iPads to visualize soil transitions on a field trip. Testing Water quality in the field.

  2. A Modified Translaminar Osseous Channel-Assisted Percutaneous Endoscopic Lumbar Discectomy for Highly Migrated and Sequestrated Disc Herniations of the Upper Lumbar: Clinical Outcomes, Surgical Indications, and Technical Considerations

    Directory of Open Access Journals (Sweden)

    Zhijun Xin

    2017-01-01

    Full Text Available Objective is to describe a safe and effective percutaneous endoscopic approach for removal of highly migrated and sequestrated disc herniations of the upper lumbar spine and to report the results, surgical indications, and technical considerations of the new technique. Eleven patients who had highly migrated and sequestrated disc herniations in the upper lumbar were included in this study. A retrospective study was performed for all patients after translaminar osseous channel-assisted PELD was performed. Radiologic findings were investigated, and pre-and postoperative visual analog scale (VAS assessments for back and leg pain and Oswestry disability index (ODI evaluations were performed. Surgical outcomes were evaluated under modified MacNab criteria. All of the patients were followed for more than 1 year. The preoperative and postoperative radiologic findings revealed that the decompression of the herniated nucleus pulposus (HNP was complete. After surgery, the mean VAS scores for back and leg pain immediately improved from 8.64 (range, 7–10 and 8.00 (range, 6–10 to 2.91 (range, 2–4 and 2.27 (range, 1–3, respectively. The mean preoperative ODI was 65.58 (range, 52.2–86, which decreased to 7.51 (range, 1.8–18 at the 12-month postoperative follow-up. The MacNab scores at the final follow-up included nine excellent, one good, and one fair. The modified translaminar osseous channel-assisted PELD could be a safe and effective option for the treatment of highly migrated and sequestrated disc herniations of the upper lumbar.

  3. A Modified Translaminar Osseous Channel-Assisted Percutaneous Endoscopic Lumbar Discectomy for Highly Migrated and Sequestrated Disc Herniations of the Upper Lumbar: Clinical Outcomes, Surgical Indications, and Technical Considerations

    Science.gov (United States)

    Xin, Zhijun; Ao, Jun; Qin, Jianpu; Chen, Fang; Ye, Zhiyuan; Cai, Yuqiang

    2017-01-01

    Objective is to describe a safe and effective percutaneous endoscopic approach for removal of highly migrated and sequestrated disc herniations of the upper lumbar spine and to report the results, surgical indications, and technical considerations of the new technique. Eleven patients who had highly migrated and sequestrated disc herniations in the upper lumbar were included in this study. A retrospective study was performed for all patients after translaminar osseous channel-assisted PELD was performed. Radiologic findings were investigated, and pre-and postoperative visual analog scale (VAS) assessments for back and leg pain and Oswestry disability index (ODI) evaluations were performed. Surgical outcomes were evaluated under modified MacNab criteria. All of the patients were followed for more than 1 year. The preoperative and postoperative radiologic findings revealed that the decompression of the herniated nucleus pulposus (HNP) was complete. After surgery, the mean VAS scores for back and leg pain immediately improved from 8.64 (range, 7–10) and 8.00 (range, 6–10) to 2.91 (range, 2–4) and 2.27 (range, 1–3), respectively. The mean preoperative ODI was 65.58 (range, 52.2–86), which decreased to 7.51 (range, 1.8–18) at the 12-month postoperative follow-up. The MacNab scores at the final follow-up included nine excellent, one good, and one fair. The modified translaminar osseous channel-assisted PELD could be a safe and effective option for the treatment of highly migrated and sequestrated disc herniations of the upper lumbar. PMID:28466008

  4. International challenges in patient-centred care in fertility clinics offering assisted reproductive technology: providers' gaps and attitudes towards addressing the patients' psychological needs

    Directory of Open Access Journals (Sweden)

    Suzanne Murray

    2015-06-01

    Full Text Available Introduction. Psychosocial care provided to patients undergoing fertility treatment has focused on a small proportion of patients with major psychosocial problems, leaving the remaining patients impacted by psychosocial stressors without follow-up. Factors that could influence the ability or willingness of physicians treating infertility to assess and address patients’ psychosocial needs have not been investigated. This study aimed to identify the practice gaps and educational needs of physicians treating and managing patients with infertility, with the aim of informing future educational interventions. Methods. A cross-sectional, exploratory, mixed-methods study incorporating semi-structured qualitative telephone interviews and a quantitative online survey was designed and deployed to actively practising physicians treating infertile couples from 15 countries across the Americas, Europe, Asia, and the Middle East Region. Triangulation of qualitative and quantitative data was used to increase trustworthiness of findings. Results. Forty-five participants completed a qualitative interview and 271 participants completed the quantitative online survey (response rates were 4 and 9%, respectively. A majority (74% of respondents reported needing improvement in their psychological assessment skill, which was considered essential to the provision of optimal care by less than half (41% of respondents. A need for improvement in their skill to assess patients’ parenting skills was reported in 72% of respondents, and this skill was considered as essential by 32% of participants. Similarly, 72% reported needing improvement in their ability to identify the needs of patients for psychological and emotional support, and this ability was considered essential by 45%. Statistical differences were observed between countries (p<0.05. Conclusion. Addressing the gaps highlighted in this study, through educational or performance improvement activities, could

  5. Organizations with Resources Relevant to Addressing Barriers to Student Learning: A Catalogue of Clearinghouses, Technical Assistance Centers, and Other Agencies. A Resource Aid Packet.

    Science.gov (United States)

    California Univ., Los Angeles. Center for Mental Health in Schools.

    This catalogue has been created as part of the UCLA Center for Mental Health in Schools' effort to compile and disseminate a set of resources useful to addressing barriers to student learning. This resource packet categorizes and provides contact information on organizations focusing on children's mental health, education and schools, school-based…

  6. Humanitarian and Development Assistance: Project Evaluations and Better Information Sharing Needed to Manage the Military’s Efforts

    Science.gov (United States)

    2012-02-01

    education on performing development assistance-type work in foreign nations.51 • European Command officials said that DOD had built a hospice care center...provision of medical, dental, surgical, and veterinary care (including education , training, and technical assistance) in rural or underserved areas...purposes of our analysis, we defined health care efforts as providing medical care , assistance, and education on basic health care issues, building

  7. Guam Initial Technical Assessment Report

    Energy Technology Data Exchange (ETDEWEB)

    Baring-Gould, I.; Conrad, M.; Haase, S.; Hotchkiss, E.; McNutt, P.

    2011-04-01

    Under an interagency agreement, funded by the Department of Interior's (DOI) Office of Insular Affairs (OIA), the National Renewable Energy Laboratory (NREL) was tasked to deliver technical assistance to the island of Guam by conducting an island initial technical assessment that would lay out energy consumption and production data and establish a baseline. This assessment will be used to conduct future analysis and studies by NREL that will estimate energy efficiency and renewable energy potential for the island of Guam.

  8. ForeignAssistance.gov

    Data.gov (United States)

    US Agency for International Development — ForeignAssistance.gov provides a view of U.S. Government foreign assistance funds across agencies and enables users to explore, analyze, and review aid investments...

  9. American Recovery and Reinvestment Act (ARRA) FEMP Technical Assistance US General Serices Administration - Project 193, John W. Bricker Federal Building, Columbus, OH

    Energy Technology Data Exchange (ETDEWEB)

    Arends, J.; Sandusky, William F.

    2010-05-31

    This report documents the findings from an onsite audit of the John W. Bricker Federal building located in Columbus, Ohio. The Federal landlord for this building is the General Services Administration (GSA). The focus of the audit was to identify various no-cost or low-cost energy efficiency opportunities that, once implemented, would either reduce electrical and gas consumption or increase the operational efficiency of the building. This audit also provided an opportunity to identify potential capital cost projects that should be considered in the future to acquire additional energy (electric and gas) and water savings to further increase the operational efficiency of the building.

  10. American Recovery and Reinvestment Act ( ARRA) FEMP Technical Assistance, U.S. General Services Administration - Project 194 U.S. Custom Cargo Inspection Facility, Detroit, MI

    Energy Technology Data Exchange (ETDEWEB)

    Arends, J.; Sandusky, William F.

    2010-05-31

    This report documents the findings of an on-site audit of the U.S. Customs Cargo Inspection Facility (CIF) in Detroit, Michigan. The federal landlord for this building is the General Services Administration (GSA). The focus of the audit was to identify various no-cost or low-cost energy-efficiency opportunities that, once implemented, would reduce electrical and gas consumption and increase the operational efficiency of the building. This audit also provided an opportunity to identify potential capital cost projects that should be considered in the future to acquire additional energy (electric and gas) and water savings to further increase the operational efficiency of the building.

  11. American Recovery and Reinvestment Act (ARRA) Federal Energy Management Program Technical Assistance Project 282 Renewable Energy Opportunities at Fort Gordon, Georgia

    Energy Technology Data Exchange (ETDEWEB)

    Boyd, Brian K.; Gorrissen, Willy J.; Hand, James R.; Horner, Jacob A.; Orrell, Alice C.; Russo, Bryan J.; Weimar, Mark R.; Williamson, Jennifer L.; Nesse, Ronald J.

    2010-09-30

    This document provides an overview of renewable resource potential at Fort Gordon, based primarily upon analysis of secondary data sources supplemented with limited on-site evaluations. This effort focuses on grid-connected generation of electricity from renewable energy sources and also on ground source heat pumps for heating and cooling buildings. The effort was funded by the American Recovery and Reinvestment Act (ARRA) as follow-on to the 2005 Department of Defense (DoD) Renewables Assessment. The site visit to Fort Gordon took place on March 9, 2010.

  12. American Recovery and Reinvestment Act Federal Energy Management Program Technical Assistance Project 184 U.S. Customs and Border Protection Laboratory, Houston, Texas

    Energy Technology Data Exchange (ETDEWEB)

    Arends, J.; Sandusky, William F.

    2010-09-30

    This report documents the findings of an on-site energy audit of the U.S. Customs and Border Protection (CBP) Laboratory in Houston, Texas. The focus of the audit was to identify various no-cost and low-cost energy efficiency opportunities that, once implemented, would reduce electricity and gas consumption and increase the operational efficiency of the building. This audit also provided an opportunity to identify potential capital cost projects that should be considered in the future to acquire additional energy (electric and gas) and water savings to further increase the operational efficiency of the building.

  13. American Recovery and Reinvestment Act (ARRA) Federal Energy Management Program Technical Assistance Project 281 Solar Hot Water Application Assessment for U.S. Army IMCOM-Southeast Region

    Energy Technology Data Exchange (ETDEWEB)

    Russo, Bryan J.; Chvala, William D.

    2010-09-30

    The Energy Independence and Security Act of 2007 requires installations (EISA) to install solar systems of sufficient capacity to provide 30% of service hot water in new construction and renovations where cost-effective. However, installations are struggling with how to implement solar hot water, and while several installations are installing solar hot water on a limited basis, paybacks remain long. Pacific Northwest National Laboratory (PNNL) was tasked to address this issue to help determine how best to implement solar hot water projects. This documents discusses the results of that project.

  14. The perfect surgical assistant: Calm, confident, competent and courageous.

    Science.gov (United States)

    Hall, Susan; Quick, Julie; Hall, Andrew William

    2016-09-01

    Poor surgical assistance has been identified as a major stressor in surgeons, making the ability to provide effective surgical assistance an important skill which will have a lifelong impact on the surgical patient. Knowledge and technical ability are clearly important, but strong personal qualities are more so in the long run. This applies to all who provide assistance either as a surgical first assistant or surgical care practitioner. These skills and attributes are needed to provide a safe service that meets the expectations of both the professional regulatory authorities and surgical Royal Colleges. Advice is given in this article as to how non-medical practitioners may acquire these skills. Copyright the Association for Perioperative Practice.

  15. Tribal Energy Program, Assisting Tribes to Realize Their Energy Visions (Brochure), Energy Efficiency & Renewable Energy (EERE)

    Energy Technology Data Exchange (ETDEWEB)

    2013-06-01

    This 12-page brochure provides an overview of the U.S. Department of Energy Office of Energy Efficiency and Renewable Energy's Tribal Energy Program and describes the financial, technical, and educational assistance it provides to help tribes develop their renewable energy resources and reduce their energy consumption.

  16. Technical noise supplement : TeNS : a technical supplement to the Traffic Noise Analysis Protocol.

    Science.gov (United States)

    1998-10-01

    The purpose of this Technical Noise Supplement (TeNS) is to provide technical background : information on transportation-related noise in general and highway traffic noise in : particular. It is designed to elaborate on technical concepts and procedu...

  17. ERLN Technical Support for Labs

    Science.gov (United States)

    The Environmental Response Laboratory Network provides policies and guidance on lab and data requirements, Standardized Analytical Methods, and technical support for water and radiological sampling and analysis

  18. Technical Network

    CERN Multimedia

    2007-01-01

    In order to optimise the management of the Technical Network (TN), to facilitate understanding of the purpose of devices connected to the TN and to improve security incident handling, the Technical Network Administrators and the CNIC WG have asked IT/CS to verify the "description" and "tag" fields of devices connected to the TN. Therefore, persons responsible for systems connected to the TN will receive e-mails from IT/CS asking them to add the corresponding information in the network database at "network-cern-ch". Thank you very much for your cooperation. The Technical Network Administrators & the CNIC WG

  19. Technical Network

    CERN Multimedia

    2007-01-01

    In order to optimize the management of the Technical Network (TN), to ease the understanding and purpose of devices connected to the TN, and to improve security incident handling, the Technical Network Administrators and the CNIC WG have asked IT/CS to verify the "description" and "tag" fields of devices connected to the TN. Therefore, persons responsible for systems connected to the TN will receive email notifications from IT/CS asking them to add the corresponding information in the network database. Thank you very much for your cooperation. The Technical Network Administrators & the CNIC WG

  20. Imagining Technicities

    DEFF Research Database (Denmark)

    Liboriussen, Bjarke; Plesner, Ursula

    2011-01-01

    to the elements of taste and skill. In the final analysis those references were synthesized as five imagined technicities: the architect, the engineer, the client, the Chinese, and the Virtual World native. Because technicities are often assumed and rarely discussed as actants who influence practice, their role......, this article focuses on innovative uses of virtual worlds in architecture. We interviewed architects, industrial designers and other practitioners. Conceptually supported by an understanding of technicity found in Cultural Studies, the interviews were then coded with a focus on interviewees’ references...

  1. American Recovery and Reinvestment Act (ARRA) FEMP Technical Assistance - United States Pacific Command (PACOM) Guam, Task 3.3: Building Retuning Training

    Energy Technology Data Exchange (ETDEWEB)

    Hatley, Darrel D.; Underhill, Ronald M.

    2010-09-30

    Document describes an onsite workshop and building retuning training conducted in Guam in August 2010. Document reports on issues identified during an audit of several buildings and recommendations to save energy throughout the site. During the workshop, it became apparent that as site personnel maintain the facilities at Guam, the following retuning efforts and strategies should be prioritized: (1) Controlling the mechanical systems operational hours and zone temperature set points appeared to present the best opportunities for savings; (2) Zone temperature set points in some buildings are excessively low, especially at night, when the zone temperatures are so cold that they approached the dewpoint; and (3) Manually-set outside air dampers are providing excessive outside air, especially for spaces that are unoccupied. Two of the larger schools, one on the Naval Base and one on Anderson AFB, are in need of a significant recommissioning effort. These facilities are relatively new, with direct digital controls (DDC) but are significantly out of balance. The pressure in one school is extremely negative, which is pulling humid air through the facility each time a door is opened. The draft can be felt several feet down the halls. The pressure in the other school is extremely positive relative to the outside, and you can stand 20-feet outside and still feel cool drafts of air exiting the building. It is recommended that humidity sensors be installed in all new projects and retrofitted into exist facilities. In this humid climate, control of humidity is very important. There are significant periods of time when the mechanical systems in many buildings can be unloaded and dehumidification is not required. The use of CO{sub 2} sensors should also be considered in representative areas. CO{sub 2} sensors determine whether spaces are occupied so that fresh air is only brought into the space when needed. By reducing the amount of outside air brought into the space, the humidity

  2. Robotic assisted kidney transplantation

    Directory of Open Access Journals (Sweden)

    Pranjal Modi

    2014-01-01

    Full Text Available Kidney transplantation is the standard of care for patients with end stage renal disease. While open surgery remains the gold standard, minimally invasive surgery has recently been introduced for the recipient undergoing kidney transplantation. We review the evolution of techniques of minimally invasive surgery for kidney transplantation with specific emphasis on technical aspects of robotic assisted kidney transplantation.

  3. Southwest Region Experiment Station - Final Technical Report

    Energy Technology Data Exchange (ETDEWEB)

    Rosenthal, A

    2011-08-19

    Southwest Technology Development Institute (SWTDI), an independent, university-based research institute, has been the operator of the Southwest Region Photovoltaic Experiment Station (SWRES) for almost 30 years. The overarching mission of SWTDI is to position PV systems and solar technologies to become cost-effective, major sources of energy for the United States. Embedded in SWTDI's general mission has been the more-focused mission of the SWRES: to provide value added technical support to the DOE Solar Energy Technologies Program (SETP) to effectively and efficiently meet the R&D needs and targets specified in the SETP Multi-Year Technical Plan. : The DOE/SETP goals of growing U.S. PV manufacturing into giga-watt capacities and seeing tera-watt-hours of solar energy production in the U.S. require an infrastructure that is under development. The staff of the SWRES has supported DOE/SETP through a coherent, integrated program to address infrastructural needs inhibiting wide-scale PV deployment in three major technical categories: specialized engineering services, workforce development, and deployment facilitation. The SWRES contract underwent three major revisions during its five year period-of- performance, but all tasks and deliverables fell within the following task areas: Task 1: PV Systems Assistance Center 1. Develop a Comprehensive multi-year plan 2. Provide technical workforce development materials and workshops for PV stakeholder groups including university, professional installers, inspectors, state energy offices, Federal agencies 3. Serve on the NABCEP exam committee 4. Provide on-demand technical PV system design reviews for U.S. PV stakeholders 5. Provide PV system field testing and instrumentation, technical outreach (including extensive support for the DOE Market Transformation program) Task 2: Design-for-Manufacture PV Systems 1. Develop and install 18 kW parking carport (cost share) and PV-thermal carport (Albuquerque) deriving and publishing

  4. Geothermal direct-heat utilization assistance. Quarterly project progress report, April--June 1993

    Energy Technology Data Exchange (ETDEWEB)

    Lienau, P.

    1993-06-01

    Technical assistance was provided to 60 requests from 19 states. R&D progress is reported on: evaluation of lineshaft turbine pump problems, geothermal district heating marketing strategy, and greenhouse peaking analysis. Two presentations and one tour were conducted, and three technical papers were prepared. The Geothermal Progress Monitor reported: USGS Forum on Mineral Resources, Renewable Energy Tax Credits Not Working as Congress Intended, Geothermal Industry Tells House Panel, Newberry Pilot Project, and Low-Temperature Geothermal Resources in Nevada.

  5. Tendências curriculares nas escola de formação técnica para o SUS Curricular trends in the schools providing technical training for the SUS

    Directory of Open Access Journals (Sweden)

    Isabel Brasil Pereira

    2004-03-01

    Full Text Available Este artigo mapeia e analisa tendências curriculares das escolas de educação profissional em nível técnico para o Sistema Único de Saúde (SUS. Trata-se de, mediante resgate da literatura sobre currículo, analisar a organização, a seleção e a hierarquização de conhecimentos, fatores que estão articulados às lutas entre projetos educacionais. É significativo para o estudo o fato de que a educação profissional é chamada a responder às questões advindas do mundo do trabalho. Neste sentido, recuperam-se contradições existentes no campo educacional, como a idéia de que, por um lado, é verdade que 'a experiência ensina', consistindo em ponto significativo para a aprendizagem, mas que, por outro, é necessário fazer a crítica na fé incomensurável na experiência cotidiana como um processo que, por si só, garante a aprendizagem qualificada.This article outlines and analyses the curricular trends in the schools providing professional technical education for the Brazilian Health System's workers (Sistema Único de Saúde - SUS. With the help of a close survey of the literature on curricula, it analyses the organization, selection and hierarchical gradation of knowledge, all of which are connected with the struggle between educational projects. For the study, the fact that professional education is called to respond to the issues originating in the labour world is highly significant. In this sense, we attempted to rescue the contradictions existing in the educational field, such as, for instance, the idea that, even if it is true that "experience is the best teacher" and an important stage in the learning process, it is also important to criticize an exaggerated faith on the everyday experience and the presumption that experience can, by itself, provide qualified learning.

  6. Sexual Minority Students. Technical Assistance Sampler On.

    Science.gov (United States)

    California Univ., Los Angeles. Center for Mental Health in Schools.

    This booklet discusses issues facing sexual minority students. An introduction presents the National Association of School Psychologists' (NASP's) position statement on gay, lesbian, and bisexual youth. Section 1 highlights: "Violence, Homophobia, and Prejudice" (e.g., anti-gay harassment in schools documented, violence prevention, and a…

  7. Community Empowerment via Economic and Technical Assistance ...

    African Journals Online (AJOL)

    Forty-five and thirty two percent gains in income were made by processing hybrid plantain fruits into flour and chips instead of local cultivars. Farmers preferred workshops and services of extension agents to other channels of communication with respect to transfer of innovations. It was recommended among other things ...

  8. The Technical Assistance Program: A Program Plan.

    Science.gov (United States)

    1985-09-01

    other communities: a talking computer was built for a young woman with cerebral palsy ; a solar heating system was designed for * a municipal swimming pool...for publication in the Technology Transfer Journal on TAP implementation process. 3. k presentation will be considered, by the ORTA at one of the...institutes of higher education, and Indian tribal governments. o Assignments are management-initiated and based on needs of partici- pating

  9. FVB Energy Inc. Technical Assistance Project

    Energy Technology Data Exchange (ETDEWEB)

    DeSteese, John G.

    2011-05-17

    The request made by FVB asked for advice and analysis regarding the value of recapturing the braking energy of trains operating on electric light rail transit systems. A specific request was to evaluate the concept of generating hydrogen by electrolysis. The hydrogen would, in turn, power fuel cells that could supply electric energy back into the system for train propulsion or, possibly, also to the grid. To allow quantitative assessment of the potential resource, analysis focused on operations of the SoundTransit light rail system in Seattle, Washington. An initial finding was that the full cycle efficiency of producing hydrogen as the medium for capturing and reusing train braking energy was quite low (< 20%) and, therefore, not likely to be economically attractive. As flywheel energy storage is commercially available, the balance of the analysis focused the feasibility of using this alternative on the SoundTransit system. It was found that an investment in a flywheel with a 25-kWh capacity of the type manufactured by Beacon Power Corporation (BPC) would show a positive 20-year net present value (NPV) based on the current frequency of train service. The economic attractiveness of this option would increase initially if green energy subsidies or rebates were applicable and, in the future, as the planned frequency of train service grows.

  10. Community Empowerment via Economic and Technical Assistance ...

    African Journals Online (AJOL)

    Forty contact farmers directly involved in the project were selected. Primary and ... Results showed that implementation strategies and approaches were tailored towards overcoming constraints to the success of the project. ... Key words: Community empowerment; Hybrid Plantain/Bananas; Small-Scale Enterprise; Nigeria.

  11. Why technical-market research?

    Science.gov (United States)

    Lauglaug, A S

    1992-01-01

    Customers frequently need assistance in knowing what they want or might need. One process, technical-market research, helps understand the mind of the consumer so that the voice of the customer can be better translated into new products by designers, engineers, and marketers.

  12. Design mentoring tool : [technical summary].

    Science.gov (United States)

    2011-01-01

    In 2004 a design engineer on-line mentoring tool was developed and implemented The purpose of the tool was to assist senior engineers mentoring new engineers to the INDOT design process and improve their technical competency. This approach saves seni...

  13. Socio-technical Betwixtness

    DEFF Research Database (Denmark)

    Bossen, Claus

    2017-01-01

    the intrinsically social and technical interwovenness of design, and the necessity of including affected people and stakeholders in the design process. This betwixtness of socio-technical design is demonstrated by the analysis of two IT systems for healthcare: a foundational model for electronic healthcare records......This chapter focusses on two challenges for socio-technical design: Having to choose between different rationales for design, and the adequate understanding and depiction of the work to be redesigned. These two challenges betwixt the otherwise strong tenets of socio-technical design of pointing out......, and an IT system organizing hospital porters’ work. The conceptual background for the analysis of the cases is provided by a short introduction to different rationales for organizational design, and by pointing to the differences between a linear, rationalistic versus an interactional depiction of work....

  14. Technical report writing today

    CERN Document Server

    Riordan, Daniel G

    2014-01-01

    "Technical Report Writing Today" provides thorough coverage of technical writing basics, techniques, and applications. Through a practical focus with varied examples and exercises, students internalize the skills necessary to produce clear and effective documents and reports. Project worksheets help students organize their thoughts and prepare for assignments, and focus boxes highlight key information and recent developments in technical communication. Extensive individual and collaborative exercises expose students to different kinds of technical writing problems and solutions. Annotated student examples - more than 100 in all - illustrate different writing styles and approaches to problems. Numerous short and long examples throughout the text demonstrate solutions for handling writing assignments in current career situations. The four-color artwork in the chapter on creating visuals keeps pace with contemporary workplace capabilities. The Tenth Edition offers the latest information on using electronic resum...

  15. OSH technical reference manual

    Energy Technology Data Exchange (ETDEWEB)

    1993-11-01

    In an evaluation of the Department of Energy (DOE) Occupational Safety and Health programs for government-owned contractor-operated (GOCO) activities, the Department of Labor`s Occupational Safety and Health Administration (OSHA) recommended a technical information exchange program. The intent was to share written safety and health programs, plans, training manuals, and materials within the entire DOE community. The OSH Technical Reference (OTR) helps support the secretary`s response to the OSHA finding by providing a one-stop resource and referral for technical information that relates to safe operations and practice. It also serves as a technical information exchange tool to reference DOE-wide materials pertinent to specific safety topics and, with some modification, as a training aid. The OTR bridges the gap between general safety documents and very specific requirements documents. It is tailored to the DOE community and incorporates DOE field experience.

  16. Final Technical Report

    Energy Technology Data Exchange (ETDEWEB)

    Joseph Junker; Greg Wheeler

    2007-02-26

    Since 1986 the Oregon State University Industrial Assessment Center (OSU IAC) has worked to increase the energy efficiency, productivity, sustainability, and competitiveness of US manufacturers; provide engineering students an education not available in the classroom; keep engineering faculty in contact with technology and challenges in Northwest industry; and reduce dependence on nonrenewable energy resources, both imported and domestic. Project Objective: Over the duration of this project (2002-2006), the OSU IAC worked to directly support and influence industrial decisions primarily regarding energy but also regarding sustainability and profitability through: Assessments & Follow-up: The OSU IAC performed 111 Industrial Assessments in Oregon, Washington, Idaho and Nevada to help industry identify and implement opportunities to increase energy efficiency, productivity, sustainability, and competitiveness Workshops Seminars Forums Etc: OSU IAC staff worked with regional peers to offer appropriate workshops and trainings as opportunities availed themselves. Graduating Excellent Energy Aware Professional Alumni: As technically capable, skilled written and verbal communicators, our alumni contributed to OSU IAC influence from their positions within industry, consulting organizations, utilities, and governmental and non governmental agencies. Tool Development: Analysis tools and guides originated at the OSU IAC extended our reach. The center continually worked to develop computer based analysis tools, evaluation checklists, analysis guide sheets for internal use and general sharing with industry, energy, and other professionals to assist them in efforts to improve US Industry. Impact: Over 20 years of activity the OSU IAC has typically performed 25 Industrial Assessments a year. On average, each year of 25 assessments has resulted in implemented projects that saved industry a total of: 25.3 TBTU in annual energy and $4.5 Million annually, with an average investment

  17. CERN Technical Training Programme: Learning for the LHC!

    CERN Multimedia

    2003-01-01

    In collaboration with AS and AC divisions, the Technical Training Programme is launching EVM Hands-on Tutorials specifically designed for those people involved in the current EVM for LHC exercise. The goal of the EVM Hands-on Training Sessions is to provide insight in Earned Value Management as implemented at CERN. Following this course will enable you to understand the EVM methodology, the tools used at CERN, the procedures used for the data-collection and data-reporting and assist you in analysing cost & schedule variances. The course is an intensive 2-hour 'hands-on' training session. If you are interested in this course, please discuss with your supervisor or your DTO. More information and online registration by EDH are available from the Technical Training web pages: http://www.cern.ch/TechnicalTraining/

  18. CERN Technical Training Programme: Learning for the LHC !

    CERN Multimedia

    2003-01-01

    In collaboration with AS and AC divisions, the Technical Training Programme is launching EVM Hands-on Tutorials specifically designed for those people involved in the current EVM for LHC exercise. The goal of the EVM Hands-on Training Sessions is to provide insight in Earned Value Management as implemented at CERN. Following this course will enable you to understand the EVM methodology, the tools used at CERN, the procedures used for the data-collection and data-reporting and assist you in analysing cost & schedule variances. The course is an intensive 2-hour 'hands-on' training session. If you are interested in this course, please discuss with your supervisor or your DTO. More information and online registration by EDH are available from the Technical Training web pages: http://www.cern.ch/TechnicalTraining/

  19. Research in Technical Communication. A Bibliographic Sourcebook.

    Science.gov (United States)

    Moran, Michael G., Ed.; Journet, Debra, Ed.

    The essays in this volume enunciate the pressing need for a theoretical framework for the study of technical communication. The first part of the volume provides an overview of extensive ways to study technical communication. Subsequent chapters discuss humanistic approaches to technical communication, the history of technical communication,…

  20. Technical interventions to increase adenoma detection rate in colonoscopy.

    Science.gov (United States)

    Rondonotti, Emanuele; Andrealli, Alida; Amato, Arnaldo; Paggi, Silvia; Conti, Clara Benedetta; Spinzi, Giancarlo; Radaelli, Franco

    2016-12-01

    Adenoma detection rate (ADR) is the most robust colonoscopy quality metric and clinical studies have adopted it as the ideal method to assess the impact of technical interventions. Areas covered: We reviewed papers focusing on the impact of colonoscopy technical issues on ADR, including withdrawal time and technique, second evaluation of the right colon, patient positional changes, gastrointestinal assistant participation during colonoscopy, water-aided technique, optimization of bowel preparation and antispasmodic administration. Expert commentary: Overall, technical interventions are inexpensive, available worldwide and easy to implement. Some of them, such as the adoption of split dose regimen and slow scope withdrawal to allow a careful inspection, have been demonstrated to significantly improve ADR. Emerging data support the use of water-exchange colonoscopy. According to published studies, other technical interventions seem to provide only marginal benefit to ADR. Unfortunately, the available evidence has methodological limitations, such as small sample sizes, the inclusion of expert endoscopists only and the evaluation of single technical interventions. Additionally, larger studies are needed to clarify whether these interventions might have a higher benefit on low adenoma detectors and whether the implementation of a bundle of them, instead of a single technical maneuver, might have a greater impact on ADR.

  1. The Solar Thermal Design Assistance Center report of its activities and accomplishments in Fiscal Year 1993

    Energy Technology Data Exchange (ETDEWEB)

    Menicucci, D.F.

    1994-03-01

    The Solar Thermal Design Assistance Center (STDAC) at Sandia National Laboratories is a resource provided by the US Department of Energy`s Solar Thermal Program. Its major objectives are to accelerate the use of solar thermal systems through (a) direct technical assistance to users, (b) cooperative test, evaluation, and development efforts with private industry, and (c) educational outreach activities. This report outlines the major activities and accomplishments of the STDAC in Fiscal Year 1993. The report also contains a comprehensive list of persons who contacted the STDAC by telephone for information or technical consulting.

  2. TECHNICAL COORDINATION

    CERN Multimedia

    A. Ball

    2010-01-01

    Operational Experience At the end of the first full-year running period of LHC, CMS is established as a reliable, robust and mature experiment. In particular common systems and infrastructure faults accounted for <0.6 % CMS downtime during LHC pp physics. Technical operation throughout the entire year was rather smooth, the main faults requiring UXC access being sub-detector power systems and rack-cooling turbines. All such problems were corrected during scheduled technical stops, in the shadow of tunnel access needed by the LHC, or in negotiated accesses or access extensions. Nevertheless, the number of necessary accesses to the UXC averaged more than one per week and the technical stops were inevitably packed with work packages, typically 30 being executed within a few days, placing a high load on the coordination and area management teams. It is an appropriate moment for CMS Technical Coordination to thank all those in many CERN departments and in the Collaboration, who were involved in CMS techni...

  3. TECHNICAL COORDINATION

    CERN Multimedia

    A. Ball

    2010-01-01

    Operational Experience Since the closure of the detector in February, the technical operation of CMS has been quite smooth and reliable. Some minor interventions in UXC were required to cure failures of power supplies, fans, readout boards and rack cooling connections, but all these failures were repaired in scheduled technical stops or parasitically during access dedicated to fixing LHC technical problems. The only occasion when CMS had to request an access between fills was to search for the source of an alarm from the leak-detection cables mounted in the DT racks. After a few minutes of diagnostic search, a leaking air-purge was found. Replacement was complete within 2 hours. This incident demonstrated once more the value of these leak detection cables; the system will be further extended (during the end of year technical stop) to cover more racks in UXC and the floor beneath the detector. The magnet has also been operating reliably and reacted correctly to the 14s power cut on 29 May (see below). In or...

  4. Technical Training: Technical Training Seminar

    CERN Multimedia

    2004-01-01

    TECHNICAL TRAINING Monique Duval tel. 74924 technical.training@cern.ch Monday 9 February 2004 From 10:00 to 12:00 - IT Auditorium - bldg. 31, 3rd floor ANSOFT High-Frequency Seminar David Prestaux, Application Engineer, ANSOFT F-78535 BUC, France This Technical Training seminar will present two Ansoft application products: Ansoft HFSS and Ansoft Designer. Ansoft HFSS makes use of the Finite Element Method (FEM) to calculate field solutions from first principles. It can accurately predict all high-frequency behaviours such as dispersion, mode conversion, and losses due to materials and radiation. Ansoft Designer is a suite of design tools to fully integrate high-frequency, physics-based electromagnetic simulations into a seamless system-level simulation environment. Ansoft Designer uses a simple interface to give complete control over every design task, by a method allowing multiple solvers, Solver on Demand. • Introduction • Overview of the Ansoft Total solution • Ansoft HFSS 9...

  5. Incorporating a Computer Assisted Reading Program into an Adult Vocational Basic Skills Lab.

    Science.gov (United States)

    Vescial, Ann; And Others

    A computer-assisted reading program was implemented in the VESL (Vocational English as a Second Language) Center at Hacienda La Puente Adult Schools (California), which provides support services to adult special needs vocational students. The purpose of the program was to improve the technical reading skills of the vocational students. The basic…

  6. Commingled uranium-tailings study. Volume II. Technical report

    Energy Technology Data Exchange (ETDEWEB)

    None

    1982-06-30

    Public Law 96-540, Section 213, directs the Secretary of Energy to develop a plan for a cooperative program to provide assistance in the stabilization and management of defense-related uranium mill tailings commingled with other tailings. In developing the plan, the Secretary is further directed to: (1) establish the amount and condition of tailings generated under federal contracts; (2) examine appropriate methodologies for establishing the extent of federal assistance; and (3) consult with the owners and operators of each site. This technical report summarizes US Department of Energy (DOE) and contractor activities in pursuit of items (1), (2), and (3) above. Recommendations regarding policy and a cooperative plan for federal assistance are under separate cover as Volume I.

  7. Raw material monitoring assists companies. German Mineral Resources Agency at BGR provides information on global developments in resource markets; Rohstoffmonitoring hilft Unternehmen. Die Deutsche Rohstoffagentur in der BGR informiert ueber weltweite Entwicklungen auf den Rohstoffmaerkten

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2016-05-15

    Germany is dependent on imports for its metalliferous natural resources. Although prices have been declining significantly in recent months, numerous raw materials such as platinum, cobalt and rare earth elements continue to be exposed to price and supply risks. To ensure that German industry can respond better to this situation in their procurement activities, the German Mineral Resources Agency (DERA) at BGR has developed a raw material monitoring system on behalf of the German government. DERA experts have con figured a screening method for the early identification of possible procurement risks. This is the platform which enables German companies to gain the specific advice they require. All of the most important information on this issue is bundled within DERA 's internet portal (www.deutsche-rohstoffagentur.de). BGR also provides its expertise in other important fields with great societal relevance. BGR has been advising the national commission on ''Storage of High-level Radioactive Waste'' since 2014. Due to their comprehensive research activities in the field of radioactive waste disposal, BGR scientists are important technical experts to which the commission can turn to for geological information and advice.

  8. Fuel Element Technical Manual

    Energy Technology Data Exchange (ETDEWEB)

    Burley, H.H. [ed.

    1956-08-01

    It is the purpose of the Fuel Element Technical Manual to Provide a single document describing the fabrication processes used in the manufacture of the fuel element as well as the technical bases for these processes. The manual will be instrumental in the indoctrination of personnel new to the field and will provide a single data reference for all personnel involved in the design or manufacture of the fuel element. The material contained in this manual was assembled by members of the Engineering Department and the Manufacturing Department at the Hanford Atomic Products Operation between the dates October, 1955 and June, 1956. Arrangement of the manual. The manual is divided into six parts: Part I--introduction; Part II--technical bases; Part III--process; Part IV--plant and equipment; Part V--process control and improvement; and VI--safety.

  9. Atenção domiciliar como mudança do modelo tecnoassistencial Atención domiciliar como cambio del modelo tecnoasistencial Home care as change of the technical-assistance model

    Directory of Open Access Journals (Sweden)

    Kênia Lara Silva

    2010-02-01

    . CONCLUSIONES: La atención domiciliar posee potencial para constitución de una red sustitutiva al producir nuevos modos de cuidar que atraviesan los proyectos de los usuarios, de los familiares, de la red social y de los trabajadores de la atención domiciliar. La atención domiciliar como modalidad sustitutiva de atención a la salud requiere sustentabilidad política, conceptual y operacional, así como reconocimiento de los nuevos arreglos y articulación de las propuestas en curso.OBJECTIVE: To analyze home care practices of outpatient and hospital services and their constitution as a substitute healthcare network. METHODOLOGICAL PROCEDURES: A qualitative study was carried out using tracer methodology to analyze four outpatient home care services from the Municipal Health Department and one service from a philanthropic hospital in the municipality of Belo Horizonte, Southeastern Brazil, between 2005 and 2007. The following procedures were carried out: interviews with the home care services' managers and teams, analysis of documents and follow-up of cases, holding interviews with patients and caregivers. The analysis was guided by the analytical categories home care integration into the healthcare network and technical-assistance model. RESULTS: Home care implementation was preceded by a political-institutional decision, both with a rationalizing orientation, intending to promote cost reduction, and also with the aim of carrying out the technical-assistance rearrangement of the healthcare networks. These two types of orientation were found to be in conflict, which implies difficulties for conciliating interests of the different players involved in the network, and also the creation of shared management spaces. It was possible to identify technological innovation and families' autonomy in the implementation of the healthcare projects. The teams proved to be cohesive, constructing, in the daily routine, new forms of integrating different perspectives so as to transform the

  10. Mechanical engineering department technical review

    Energy Technology Data Exchange (ETDEWEB)

    Carr, R.B. Denney, R.M. (eds.)

    1981-01-01

    The Mechanical Engineering Department Technical Review is published to: (1) inform the readers of various technical activities within the department, (2) promote exchange of ideas, and (3) give credit to the personnel who are achieving the results. The report is formatted into two parts: technical acievements and publication abstracts. The first is divided into eight sections, one for each division in the department providing the reader with the names of the personnel and the division accomplishing the work.

  11. Effects of DoD Engagements in Collaborative Humanitarian Assistance

    Science.gov (United States)

    2013-09-01

    are defined as (U.S.C. Title X): (1) Medical , surgical, dental, and veterinary care provided in areas of a country that are rural or are underserved...by medical , surgical, dental, and veterinary professionals, respectively, including education, training, and technical assistance related to the...nation citizens Health-Eye/Ear Care General eye/ear checkups and minor surgeries were performed for host nation citizens Health-General Care

  12. Technical Support Essentials Advice to Succeed in Technical Support

    CERN Document Server

    Sanchez, Andrew

    2010-01-01

    Technical Support Essentials is a book about the many facets of technical support. It attempts to provide a wide array of topics to serve as points of improvement, discussion, or simply topics that you might want to learn. The topics range from good work habits to the way technical supportgroups establish their own style of work. This book applies theories, models, and concepts synthesized from existing research in other fields-such as management, economics, leadership, and psychology-and connects them to technical support. The goal is to build on the work of others and allow their success to

  13. Perfil e processo da assistência prestada ao recém-nascido de risco no Sul do Brasil Profile and process of the care provided to high-risk newborns in southern Brazil

    Directory of Open Access Journals (Sweden)

    Willian Augusto de Melo

    2011-06-01

    Full Text Available OBJETIVO: Caracterizar os recém-nascidos (RN de risco e verificar o processo de assistência dispensado pelo Programa de Vigilância ao Recém-nascido de Risco do município de Maringá, PR. METODOLOGIA: Os dados foram coletados dos prontuários e das Fichas de Acompanhamento de uma amostragem estratificada composta por 505 RN de risco nascidos em 2007. As variáveis maternas, neonatais e assistenciais foram analisadas descritivamente utilizando o software Statistica 7.1. RESULTADOS: O Programa considerou somente os riscos biológicos como critério de inclusão, podendo os mesmos estar isolados (63,2% ou associados entre si (36,8%. Sobre as mães, 71,5% eram adultas, 78,2% com escolaridade > 8 anos de estudo, 57,2% sem companheiro, 55,3% com ocupação não remunerada, 69,5% com > 6 consultas pré-natal, 87,3% de gravidez única e 65,4% realizaram parto cesáreo. Sobre os RN de risco, 51% eram masculinos, 50,3% com baixo peso ao nascer, 51,5% a termo, 95,8% sem anomalias congênitas e 90,3% com Apgar > 7 no 5º minuto. Sobre a assistência prestada às crianças de risco 69,5% foram acompanhadas pelo Programa, 71% dos prontuários foram localizados, 82,6% com nenhuma visita domiciliar, 8,9% receberam > 12 consultas médicas, 33,1% não receberam nenhuma orientação, 5,8% foram hospitalizados, 18,7% apresentaram > 12 pesagens, e 19,8% apresentaram registro de imunização completa. CONCLUSÃO: Faz-se necessário reorganizar a atenção básica que assegure a integralidade da assistência e à continuidade do acompanhamento do desenvolvimento e crescimento biopsicossocial da criança de risco.OBJECTIVE: To describe newborns at risk and check the process of care provided by the High Risk Newborn Surveillance Program in Maringá-PR. METHODS: Data were collected from medical records and monitoring sheets of a stratified sample consisting of 505 newborns at risk, born in 2007. Maternal and neonatal care were analyzed descriptively using Statistica

  14. Aviation System Analysis Capability Executive Assistant Design

    Science.gov (United States)

    Roberts, Eileen; Villani, James A.; Osman, Mohammed; Godso, David; King, Brent; Ricciardi, Michael

    1998-01-01

    In this technical document, we describe the design developed for the Aviation System Analysis Capability (ASAC) Executive Assistant (EA) Proof of Concept (POC). We describe the genesis and role of the ASAC system, discuss the objectives of the ASAC system and provide an overview of components and models within the ASAC system, and describe the design process and the results of the ASAC EA POC system design. We also describe the evaluation process and results for applicable COTS software. The document has six chapters, a bibliography, three appendices and one attachment.

  15. 7 CFR 610.24 - Responsibilities of State Technical Committees.

    Science.gov (United States)

    2010-01-01

    ... CONSERVATION SERVICE, DEPARTMENT OF AGRICULTURE CONSERVATION OPERATIONS TECHNICAL ASSISTANCE State Technical... programs under Title XII of the Food Security Act of 1985 including, but not limited to, the Conservation... 7 Agriculture 6 2010-01-01 2010-01-01 false Responsibilities of State Technical Committees. 610.24...

  16. Federal disaster assistance programs

    Science.gov (United States)

    William J. Patterson

    1995-01-01

    The Robert T. Stafford Disaster Relief and Emergency Assistance Act—Public Law 93-288, as amended—is designed to provide support and assistance to citizens, state, and local government from catastrophic disasters and emergencies. The law provides support in three distinct phases, including preparedness in avoiding or minimizing the effect of a disaster, response...

  17. Service water assistance program

    Energy Technology Data Exchange (ETDEWEB)

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

    1995-09-01

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

  18. Final Technical Report

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

    Tommy Ngai

    2014-03-31

    Mar 31, 2014 ... capacity building activities) to upgrade the technical and management capacities of governments and NGOs .... Furthermore, as described in the original proposal, CAWST provided practical perspectives in ..... when a funder or manager refuses to include important and central issues in the evaluation.

  19. TECHNICAL COORDINATION

    CERN Multimedia

    A. Ball

    Overview From a technical perspective, CMS has been in “beam operation” state since 6th November. The detector is fully closed with all components operational and the magnetic field is normally at the nominal 3.8T. The UXC cavern is normally closed with the radiation veto set. Access to UXC is now only possible during downtimes of LHC. Such accesses must be carefully planned, documented and carried out in agreement with CMS Technical Coordination, Experimental Area Management, LHC programme coordination and the CCC. Material flow in and out of UXC is now strictly controlled. Access to USC remains possible at any time, although, for safety reasons, it is necessary to register with the shift crew in the control room before going down.It is obligatory for all material leaving UXC to pass through the underground buffer zone for RP scanning, database entry and appropriate labeling for traceability. Technical coordination (notably Stephane Bally and Christoph Schaefer), the shift crew and run ...

  20. TECHNICAL COORDINATION

    CERN Multimedia

    A. Ball and W. Zeuner

    2011-01-01

    In this report we will review the main achievements of the Technical Stop and the progress of several centrally-managed projects to support CMS operation and maintenance and prepare the way for upgrades. Overview of the extended Technical Stop  The principal objectives of the extended Technical Stop affecting the detector itself were the installation of the TOTEM T1 telescopes on both ends, the readjustment of the alignment link-disk in YE-2, the replacement of the light-guide sleeves for all PMs of both HFs, and some repairs on TOTEM T2 and CASTOR. The most significant tasks were, however, concentrated on the supporting infrastructure. A detailed line-by-line leak search was performed in the C6F14 cooling system of the Tracker, followed by the installation of variable-frequency drives on the pump motors of the SS1 and SS2 tracker cooling plants to reduce pressure transients during start-up. In the electrical system, larger harmonic filters were installed in ...

  1. Medicare Provider Data - Hospice Providers

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Hospice Utilization and Payment Public Use File provides information on services provided to Medicare beneficiaries by hospice providers. The Hospice PUF...

  2. Hanford Waste Vitrification Plant technical manual

    Energy Technology Data Exchange (ETDEWEB)

    Larson, D.E. [ed.; Watrous, R.A.; Kruger, O.L. [and others

    1996-03-01

    A key element of the Hanford waste management strategy is the construction of a new facility, the Hanford Waste Vitrification Plant (HWVP), to vitrify existing and future liquid high-level waste produced by defense activities at the Hanford Site. The HWVP mission is to vitrify pretreated waste in borosilicate glass, cast the glass into stainless steel canisters, and store the canisters at the Hanford Site until they are shipped to a federal geological repository. The HWVP Technical Manual (Manual) documents the technical bases of the current HWVP process and provides a physical description of the related equipment and the plant. The immediate purpose of the document is to provide the technical bases for preparation of project baseline documents that will be used to direct the Title 1 and Title 2 design by the A/E, Fluor. The content of the Manual is organized in the following manner. Chapter 1.0 contains the background and context within which the HWVP was designed. Chapter 2.0 describes the site, plant, equipment and supporting services and provides the context for application of the process information in the Manual. Chapter 3.0 provides plant feed and product requirements, which are primary process bases for plant operation. Chapter 4.0 summarizes the technology for each plant process. Chapter 5.0 describes the engineering principles for designing major types of HWVP equipment. Chapter 6.0 describes the general safety aspects of the plant and process to assist in safe and prudent facility operation. Chapter 7.0 includes a description of the waste form qualification program and data. Chapter 8.0 indicates the current status of quality assurance requirements for the Manual. The Appendices provide data that are too extensive to be placed in the main text, such as extensive tables and sets of figures. The Manual is a revision of the 1987 version.

  3. KSC Technical Capabilities Website

    Science.gov (United States)

    Nufer, Brian; Bursian, Henry; Brown, Laurette L.

    2010-01-01

    This document is the website pages that review the technical capabilities that the Kennedy Space Center (KSC) has for partnership opportunities. The purpose of this information is to make prospective customers aware of the capabilities and provide an opportunity to form relationships with the experts at KSC. The technical capabilities fall into these areas: (1) Ground Operations and Processing Services, (2) Design and Analysis Solutions, (3) Command and Control Systems / Services, (4) Materials and Processes, (5) Research and Technology Development and (6) Laboratories, Shops and Test Facilities.

  4. The Digital technical documentation handbook

    CERN Document Server

    Schultz, Susan I; Kavanagh, Frank X; Morse, Marjorie J

    1993-01-01

    The Digital Technical Documentation Handbook describes the process of developing and producing technical user information at Digital Equipment Corporation. * Discusses techniques for making user information _more effective * Covers the draft and reviewprocess, the production and distribution of printed and electronic media, archiving, indexing, testing for usability, and many other topics * Provides quality assurance checklists, contains a glossary and a bibliography of resources for technicalcommunicators

  5. NFC based provisioning of instructional videos to assist with instrumental activities of daily living.

    Science.gov (United States)

    Rafferty, Joseph; Nugent, Chris; Liming Chen; Jun Qi; Dutton, Rachael; Zirk, Anna; Boye, Lars Thomas; Kohn, Michael; Hellman, Riitta

    2014-01-01

    Existing assistive living and prompting based solutions have adopted a relatively complex approach to supporting individuals. These solutions have involved sensor based monitoring, activity recognition and assistance provisioning. Traditionally they have suffered from a number of issues rooted in scalability and performance levels associated with the activity recognition process. This paper introduces a simplistic approach to assistive living within a user's residence through the use of NFC tags and smart devices. The core concept of this approach is presented and is subsequently placed within the context of related work. A description of the architecture is provided and results following technical evaluation of the first system prototype are discussed.

  6. Technical Training: Technical Training Seminar

    CERN Multimedia

    2004-01-01

    Tuesday 30 March TECHNICAL TRAINING SEMINAR From 9:00 to 12:00 and from 13:00 to 16:00 hrs - Council Chamber, Salle B, Salle des Pas Perdus National Instruments (NI) on Tour 2004 Claudia Jüngel, Evrem Yarkin, Joel Clerc, Hervé Baour / NATIONAL INSTRUMENTS The special event NI on Tour 2004, run in Germany, Austria and Switzerland, will be at CERN on March 30. Technical seminars and free introductory courses will be offered all day long in the Council Chamber, Salle B, and Salle des Pas Perdus (buildings 61 and 503). Technical conferences: 09:00 - 12:00 Data acquisition systems on PCs. Industrial measurement and control techniques. 13:00 - 16:00 Advanced LabVIEW software and PXI instrumentation. Measuring instruments and system components for teststand automation. Introductory courses: 09:00 - 12:00 DIAdem: Data analysis and presentation 13:00 - 16:00 Data acquisition with LabVIEW Language: English and French Free special seminar. Registration is recommended with National Instruments Switzerland (please sp...

  7. Technical Training: Technical Training Seminar

    CERN Multimedia

    2004-01-01

    Tuesday 30 March TECHNICAL TRAINING SEMINAR From 9:00 to 12:00 and from 13:00 to 16:00 hrs - Council Chamber, Salle B, Salle des Pas Perdus National Instruments (NI) on Tour 2004 Claudia Jüngel, Evrem Yarkin, Joel Clerc, Hervé Baour / NATIONAL INSTRUMENTS The special event NI on Tour 2004, run in Germany, Austria and Switzerland, will be at CERN on March 30. Technical seminars and free introductory courses will be offered all day long in the Council Chamber, Salle B, and Salle des Pas Perdus (buildings 61 and 503). Technical conferences: 09:00 - 12:00 Data acquisition systems on PCs. Industrial measurement and control techniques. 13:00 - 16:00 Advanced LabVIEW software and PXI instrumentation. Measuring instruments and system components for teststand automation. Introductory courses: 09:00 - 12:00 DIAdem: Data analysis and presentation 13:00 - 16:00 Data acquisition with LabVIEW Language: English and French Free special seminar. Registration is recommended with National Instruments Swi...

  8. 48 CFR 227.7102-2 - Rights in technical data.

    Science.gov (United States)

    2010-10-01

    ... 48 Federal Acquisition Regulations System 3 2010-10-01 2010-10-01 false Rights in technical data... Technical Data 227.7102-2 Rights in technical data. (a) The clause at 252.227-7015, Technical Data—Commercial Items, provides the Government specific license rights in technical data pertaining to commercial...

  9. U.S. Department of Energy Program of International Technical Cooperation for Research Reactor Utilization

    Energy Technology Data Exchange (ETDEWEB)

    Chong, D.; Manning, M.; Ellis, R.; Apt, K.; Flaim, S.; Sylvester, K.

    2004-10-03

    The U.S. Department of Energy, National Nuclear Security Administration (DOE/NNSA) has initiated collaborations with the national nuclear authorities of Egypt, Peru, and Romania for the purpose of advancing the commercial potential and utilization of their respective research reactors. Under its Office of International Safeguards ''Sister Laboratory'' program, DOE/NNSA has undertaken numerous technical collaborations over the past decade intended to promote peaceful applications of nuclear technology. Among these has been technical assistance in research reactor applications, such as neutron activation analysis, nuclear analysis, reactor physics, and medical radioisotope production. The current collaborations are intended to provide the subject countries with a methodology for greater commercialization of research reactor products and services. Our primary goal is the transfer of knowledge, both in administrative and technical issues, needed for the establishment of an effective business plan and utilization strategy for the continued operation of the countries' research reactors. Technical consultation, cooperation, and the information transfer provided are related to: identification, evaluation, and assessment of current research reactor capabilities for products and services; identification of opportunities for technical upgrades for new or expanded products and services; advice and consultation on research reactor upgrades and technical modifications; characterization of markets for reactor products and services; identification of competition and estimation of potential for market penetration; integration of technical constraints; estimation of cash flow streams; and case studies.

  10. Percepções de enfermeiras sobre a assistência prestada a mulheres diante do óbito fetal Percepciones de enfermeros acerca de la atención a la mujeres delante de la muerte del feto Nurses' perception on the assistance provided to women facing fetal death

    Directory of Open Access Journals (Sweden)

    Camila da Silva Santos

    2012-06-01

    los recursos humanos, las cuestiones estructurales de los servicios de salud.This study aimed to assess the nurses' perception on the nursing care provided to women facing the diagnosis of fetal death. Research with qualitative approach carried out in a maternity school in Fortaleza-CE , Brazil, from September to October 2009. The sample was composed of nine nurses who worked in the service of high-risk pregnancy.The results showed that the focus of assistance offered was the provision of psychological support, through the permission given to women or family members to see the dead fetus. The difficulties most frequently mentioned were associated with the structural issue of motherhood that did not have a specific ward for mothers with a diagnosis of fetal death. They also mentioned the heavy workload, once they had functions that were not part of the procedures of praxis. Thus, we emphasize the need for a different assistance to women facing fetal death covering, in addition to human resources, structural issues of health services.

  11. TECHNICAL COORDINATION

    CERN Multimedia

    A. Ball and W. Zeuner

    2013-01-01

    For the reporting period, the CMS common systems and infrastructure worked well, without failures that caused significant data losses. One more disconnection of the magnet cold box occurred in the shadow of interruptions in data taking, caused by a series of technical faults. The recognition during 2012 that re-connection can only safely be done at around 2 T implies a minimum magnet recovery time of 12 hours and raises serious concerns about the number of ramping cycles of the magnet these incidents cause. This has triggered studies of how to make the cryo-system of the magnet more robust against failures. The proton-proton run ended just before the end-of-year CERN closure, during which CASTOR was installed on the negative end of CMS and both ZDC calorimeters were installed in TAN absorbers the LHC tunnel, in preparation for the heavy-ion run. The installation of CASTOR was an excellent “engineering test” of procedures for working in an activated environment. Despite some technical pr...

  12. TECHNICAL COORDINATION

    CERN Multimedia

    A. Ball and W. Zeuner

    2011-01-01

      Operational experience 2011 CMS is approaching the end of a very successful year of operation. Proton- proton running ended in the late afternoon of 30th October with a stunning 5.73 fb–1 delivered by LHC, of which CMS recorded 5.22 fb–1. During heavy-ion operation, which continues until 7th December, both the accelerator and the CMS detector have also performed very well. Despite the encouraging overall reliability of technical operation, several infrastructure failures which occurred since the last Bulletin are worthy of mention, with one leading for the first time to significant data-loss. On 10th July, a CERN-wide power failure brought down essentially all services including the magnet, due to an MCS setting being left in “manual” after the recent technical stop, but there was no significant damage and the detector was operational before the LHC, despite a slow and tortuous recovery (one of several indications this year that there is room for improve...

  13. TECHNICAL COORDINATION

    CERN Multimedia

    Austin Ball

    Summary of progress since last CMS week. Ten years of construction work have been completed. CMS is closed, in very close to the ideal low luminosity configuration, and performed well in the first tests with LHC beam. Behind this encouraging news is the story of a summer of intense commitment by many teams (from the collaboration and 3 CERN departments) working together, against the clock and despite many minor setbacks, to ensure that the experiment was ready to play a leading role in the excitement of September 10. Following beampipe bakeout and refill with pure neon, a magnificent effort by the ECAL group and the pt 5 technical crew made it possible to install and commission all 4 ECAL endcap Dees before the end of August. In the shadow of this activity, the barrel and forward pixel trackers and part of the beam monitoring were installed within the vac tank. The pt 5 technical teams then succeeded in safely removing the 20t installation tables and their support blocks from beneath the already installed ...

  14. Engineering Technical Support Center (ETSC)

    Science.gov (United States)

    ETSC is EPA’s technical support and resource centers responsible for providing specialized scientific and engineering support to decision-makers in the Agency’s ten regional offices, states, communities, and local businesses.

  15. Technical Service Agreement (TSA) | FNLCR

    Science.gov (United States)

    Frederick National Laboratory for Cancer Research (FNLCR) scientists provide services and solutions to collaborators through the Technical Services Program, whose portfolio includes more than 200 collaborations with more than 80 partners. FNLCR’s u

  16. Análise da continuidade da assistência à saúde de adolescentes portadores de diabetes Analysis of the continuity of health care provided to diabetic adolescents

    Directory of Open Access Journals (Sweden)

    Ederline Suelly Vanini de Brito

    2012-12-01

    Full Text Available OBJETIVOS: analisar a continuidade assistencial de adolescentes diabéticos nos serviços de saúde em Recife, na perspectiva de pacientes e profissionais envolvidos no cuidado. MÉTODOS: estudo qualitativo-descritivo. Realizaram-se 27 entrevistas entre mães de adolescentes e profissionais de saúde dos diferentes níveis de complexidade. Os dados foram analisados através da técnica de análise narrativa de conteúdo. RESULTADOS: na continuidade da gestão, os informantes consideram coerentes os objetivos e o tratamento realizado entre profissionais dos serviços especializados, embora não mencionassem a utilização de planos de cuidados ou protocolos. Na continuidade da informação, alguns entrevistados referiram haver comunicação entre profissionais especialistas, porém, inexiste comunicação entre profissionais da atenção básica. Como principais barreiras para a transfe-rência de informações estão a grande demanda dos serviços e a demora na entrega dos resultados. Finalmente, na continuidade da relação, todas as mães mencionaram a importância e a existência do vínculo e da confiança entre os profissionais e usuários, identificando como responsáveis pela assistência ao adolescente os profissionais especia-listas. CONCLUSÕES: a continuidade assistencial é mais percebida nos serviços de média e alta complexidade. Esses achados podem estar relacionados à qualificação dos profissionais e melhor infra-estrutura dos serviços especializados, indicando a necessidade de ampliar os investimentos na atenção básica como coordenadora da assistência.OBJECTIVES: to analyze the continuity of care for diabetic adolescents in health services in Recife, from the perspective of patients and professionals involved with the care. METHODS: a descriptive qualitative study. 27 interviews were conducted with the mothers of adolescents and a variety of health professionals responsible for different levels of care. The data was

  17. Technical Advisory Team (TAT) report on the rocket sled test accident of October 9, 2008.

    Energy Technology Data Exchange (ETDEWEB)

    Stofleth, Jerome H.; Dinallo, Michael Anthony; Medina, Anthony J.

    2009-01-01

    This report summarizes probable causes and contributing factors that led to a rocket motor initiating prematurely while employees were preparing instrumentation for an AIII rocket sled test at SNL/NM, resulting in a Type-B Accident. Originally prepared by the Technical Advisory Team that provided technical assistance to the NNSA's Accident Investigation Board, the report includes analyses of several proposed causes and concludes that the most probable source of power for premature initiation of the rocket motor was the independent battery contained in the HiCap recorder package. The report includes data, evidence, and proposed scenarios to substantiate the analyses.

  18. Proper interpretation of chronic toxicity studies and their statistics: A critique of "Which level of evidence does the US National Toxicology Program provide? Statistical considerations using the Technical Report 578 on Ginkgo biloba as an example".

    Science.gov (United States)

    Kissling, Grace E; Haseman, Joseph K; Zeiger, Errol

    2015-09-02

    A recent article by Gaus (2014) demonstrates a serious misunderstanding of the NTP's statistical analysis and interpretation of rodent carcinogenicity data as reported in Technical Report 578 (Ginkgo biloba) (NTP, 2013), as well as a failure to acknowledge the abundant literature on false positive rates in rodent carcinogenicity studies. The NTP reported Ginkgo biloba extract to be carcinogenic in mice and rats. Gaus claims that, in this study, 4800 statistical comparisons were possible, and that 209 of them were statistically significant (pGinkgo biloba extract cannot be definitively established. However, his assumptions and calculations are flawed since he incorrectly assumes that the NTP uses no correction for multiple comparisons, and that significance tests for discrete data operate at exactly the nominal level. He also misrepresents the NTP's decision making process, overstates the number of statistical comparisons made, and ignores the fact that the mouse liver tumor effects were so striking (e.g., p<0.0000000000001) that it is virtually impossible that they could be false positive outcomes. Gaus' conclusion that such obvious responses merely "generate a hypothesis" rather than demonstrate a real carcinogenic effect has no scientific credibility. Moreover, his claims regarding the high frequency of false positive outcomes in carcinogenicity studies are misleading because of his methodological misconceptions and errors. Published by Elsevier Ireland Ltd.

  19. Technical information management in an emergency response

    Energy Technology Data Exchange (ETDEWEB)

    Berry, H.A.; Greve, C.; Best, R.G.; Phillipson, D.S.

    1991-01-01

    Through many experiences in responding to real radiation accidents and emergency response exercises, the Department of Energy (DOE) has developed a technical information management system that will be used in the Federal Radiological Monitoring and Assessment Center (FRMAC) in the event of a major radiological accident. The core of the system is the Data Center in the FRMAC, utilizing a computerized database of all off-site environmental radiological data. The information contained and managed by the Data Center will be comprehensive, accountable, and traceable, providing information to the assessors for immediate health and safety needs as well as for long-term documentation requirements. A DOE task force has been formed to develop compatibility guidelines for video, automated data processing, and communication systems. An electronic mail, information status, and bulletin board system is also being developed to assist in the dissemination of information. Geographic Information Systems (GIS) offer a giant step forward in displaying and analyzing information in a geographically referenced system.

  20. Dental Assistants

    Science.gov (United States)

    ... State & Area Data Explore resources for employment and wages by state and area for dental assistants. Similar Occupations Compare the job duties, education, job growth, and pay of dental assistants with ...

  1. Assistive Technology

    Science.gov (United States)

    ... Page Resize Text Printer Friendly Online Chat Assistive Technology Assistive technology (AT) is any service or tool that helps ... be difficult or impossible. For older adults, such technology may be a walker to improve mobility or ...

  2. Technical presentation

    CERN Multimedia

    FP Department

    2009-01-01

    07 April 2009 Technical presentation by Leuze Electronics: 14.00 – 15.00, Main Building, Room 61-1-017 (Room A) Photoelectric sensors, data identification and transmission systems, image processing systems. We at Leuze Electronics are "the sensor people": we have been specialising in optoelectronic sensors and safety technology for accident prevention for over 40 years. Our dedicated staff are all highly customer oriented. Customers of Leuze Electronics can always rely on one thing – on us! •\tFounded in 1963 •\t740 employees •\t115 MEUR turnover •\t20 subsidiaries •\t3 production facilities in southern Germany Product groups: •\tPhotoelectric sensors •\tIdentification and measurements •\tSafety devices

  3. TECHNICAL COORDINATION

    CERN Multimedia

    A. Ball and W. Zeuner

    2010-01-01

    Overview Once again, the bulk of this article reviews the intense activity of a recently completed shutdown, which, although quite unforeseeable until a few weeks before it started, proved by its success that our often advertised capability to conduct major maintenance within a two month period is real. Although safely completed, on-time to remarkable precision, the activity was not without incident, and highlighted our dependence on many experienced, specialist teams and their precise choreography. Even after the yoke was safely closed, magnet re-commissioning and beampipe pumpdown showed new and thought-provoking behaviour. The struggle to maintain adequate technical resources will be a pre-occupation over the coming months, in parallel with the start of truly sustained operation, for which various procedures are still being put in place. Planning for future shutdowns must now become a high priority, with many working groups and task forces already in existence to prepare infrastructure improvements and to...

  4. Technical presentation

    CERN Multimedia

    FI Department

    2008-01-01

    RADIOSPARES, the leading catalogue distributor of components (electronic, electrical, automation, etc.) and industrial supplies will be at CERN on Friday 3 October 2008 (Main Building, Room B, from 9.00 a.m. to 3.00 p.m.) to introduce its new 2008/2009 catalogue. This will be the opportunity for us to present our complete range of products in more detail: 400 000 part numbers available on our web site (Radiospares France, RS International, extended range of components from other manufacturers); our new services: quotations, search for products not included in the catalogue, SBP products (Small Batch Production: packaging in quantities adapted to customers’ requirements); partnership with our focus manufacturers; demonstration of the on-line purchasing tool implemented on our web site in conjunction with CERN. RADIOSPARES will be accompanied by representatives of FLUKE and TYCO ELECTRONICS, who will make presentations, demonstrate materials and answer any technical questio...

  5. Technical presentation

    CERN Multimedia

    GS Department

    2010-01-01

    10 March 2010 DYNEOS 10:00 – 12:00 - Main Building, Room B, 61-1-009 Dyneos AG is active in the fields of photonics, laser and high-precision positioning. Our highly qualified engineer team has more than 30 years of experience in electro-optical solutions sales. The engineers are supported by a technical and administrative team. We are focused on the Swiss market and represent six suppliers (Coherent, PI Physik Instrumente, SIOS, Nanonics Imaging, APE, Ekspla) in order to give a qualified sales and service support to our customers. Our products are dedicated to the research field as well as to industry. In addition to standard catalog products, we offer custom designs to fulfill the specific needs of OEM customers or specific applications.

  6. Assistant Personal Robot (APR: Conception and Application of a Tele-Operated Assisted Living Robot

    Directory of Open Access Journals (Sweden)

    Eduard Clotet

    2016-04-01

    Full Text Available This paper presents the technical description, mechanical design, electronic components, software implementation and possible applications of a tele-operated mobile robot designed as an assisted living tool. This robotic concept has been named Assistant Personal Robot (or APR for short and has been designed as a remotely telecontrolled robotic platform built to provide social and assistive services to elderly people and those with impaired mobility. The APR features a fast high-mobility motion system adapted for tele-operation in plain indoor areas, which incorporates a high-priority collision avoidance procedure. This paper presents the mechanical architecture, electrical fundaments and software implementation required in order to develop the main functionalities of an assistive robot. The APR uses a tablet in order to implement the basic peer-to-peer videoconference and tele-operation control combined with a tactile graphic user interface. The paper also presents the development of some applications proposed in the framework of an assisted living robot.

  7. Technical Training: Technical Training Seminar

    CERN Multimedia

    2004-01-01

    TECHNICAL TRAINING Monique Duval tel. 74924 technical.training@cern.ch Tuesday 3 February 2004 From 09:00 to 13:30 - Training Centre Auditorium - bldg. 593, room 11 USB (Universal Serial Bus) CYPRESS Seminar Claudia Colombini, Field Application Engineer CYPRESS ActiveComp Electronic GmbH D-85077 MANCHING, Germany As a pioneer in USB, CYPRESS sets the standard for cost-effective solutions without sacrificing functionality, performance or reliability. Having shipped over 200 million USB devices, Cypress is the undisputed market leader and demonstrates unmatched USB expertise. With the industry's broadest selection of USB solutions, Cypress has the right silicon, software and support for every USB application, from Low-speed to High-Speed and USB On-The-Go (OTG). 9:00 - 10:30 Overview of USB systems. USB CYPRESS product overview. Peripherals: Low Speed, Full Speed, High Speed (1.1 and 2.0). Hub Solutions, Embedded Host Solutions, On-The-Go (OTG) and wireless USB. USB Development Tools (first part) 10:30 -...

  8. 2011 PERFORMANCE ASSESSMENT COMMUNITY OF PRACTICE TECHNICAL EXCHANGE - SUMMARY

    Energy Technology Data Exchange (ETDEWEB)

    Seitz, R.

    2011-12-30

    The Performance Assessment Community of Practice (PA CoP) was developed in 2008 to improve consistency and quality in the preparation of performance assessments (PAs) and risk assessments across the Department of Energy (DOE) Complex. The term, PA, is used to represent all of these modeling applications in this report. The PA CoP goals are to foster the exchange of information among PA practitioners and to share lessons learned from PAs conducted for DOE, commercial disposal facilities, and international entities. Technical exchanges and workshops are a cornerstone of PA CoP activities. Previous technical exchanges have addressed Engineered Barriers (2009 - http://www.cresp.org/education/workshops/pacop/), the Advanced Simulation Capability for Environmental Management and the Cementitious Barriers Partnership (2010 - http://srnl.doe.gov/copexchange/links.htm). Each technical exchange also includes summary presentations regarding activities at DOE, the Nuclear Regulatory Commission (NRC) and other organizations (e.g., International Atomic Energy Agency (IAEA)) as well as a number of presentations from selected sites to provide insight and perspective from on-going modeling activities. Through the deployment of PA Assistance Teams, the PA CoP has also been engaged in the development of new PAs across the DOE Complex. As a way of improving consistency in the preparation of new PAs, the teams provide technical advice and share experiences, noteworthy practices, and lessons learned from previous Low-Level Waste Disposal Facility Federal Review Group (LFRG) reviews. Teams have provided support for PAs at Hanford, Idaho, Paducah and Portsmouth. The third annual PA CoP Technical Exchange was held on May 25-26, 2011 in Atlanta, GA. The PA CoP Steering Committee Meeting held its first meeting on May 24 prior to the Technical Exchange. Decision making using models and software quality assurance were the topical emphasis for the exchange. A new feature at the 2011 technical

  9. 78 FR 29239 - Final Priority; Technical Assistance To Improve State Data Capacity-National Technical Assistance...

    Science.gov (United States)

    2013-05-20

    ... available to the project officer in current TA and dissemination activity (c); (e) Clarified that the... stakeholders about their TA needs as they relate to the outcomes and activities of the Data Center; and (f... problematic in all States and that data errors are a result of the complexity of the Department's data...

  10. Assistive Technologies

    Science.gov (United States)

    Auat Cheein, Fernando A., Ed.

    2012-01-01

    This book offers the reader new achievements within the Assistive Technology field made by worldwide experts, covering aspects such as assistive technology focused on teaching and education, mobility, communication and social interactivity, among others. Each chapter included in this book covers one particular aspect of Assistive Technology that…

  11. 48 CFR 12.211 - Technical data.

    Science.gov (United States)

    2010-10-01

    ... 48 Federal Acquisition Regulations System 1 2010-10-01 2010-10-01 false Technical data. 12.211... ACQUISITION OF COMMERCIAL ITEMS Special Requirements for the Acquisition of Commercial Items 12.211 Technical data. Except as provided by agency-specific statutes, the Government shall acquire only the technical...

  12. Technical Support Services to the Office of Major Project Management. Final report. [DOE demonstration plants

    Energy Technology Data Exchange (ETDEWEB)

    This document represents the final report on Contract No. DE-AC01-76ET13053, Technical Support Services to the Office of Major Project Management. The report provides brief technical summaries of contract activities. The purpose was for Radian Corporation to provide the Energy Research and Development Administration (ERDA) with environmental technical support for the development of fossil fuel demonstration plants. Since that time, Radian has provided environmental technical support services to ERDA, and now to DOE, in a variety of areas supporting the fossil fuel demonstration programs. Also Radian provided DOE with quick reviews of environmental documents, technology transfer requests, and/or quick studies to provide timely technical input to a DOE decision-making process. Because some task orders were expressly designed to provide quick-response, as-needed assistance, they did not generate any major reports. Task orders are listed and brief descriptions of work done are given; seventeen report titles in response to these task orders are listed.

  13. Seeing Your Health Care Provider

    Science.gov (United States)

    ... Reduce Font Size 100% Increase Font Size Positive Spin Basics Federal Response Digital Tools Events Blog Home ... that may assist you. Be on time. Most healthcare providers have full appointment schedules—if you are ...

  14. Independent technical review, handbook

    Energy Technology Data Exchange (ETDEWEB)

    1994-02-01

    Purpose Provide an independent engineering review of the major projects being funded by the Department of Energy, Office of Environmental Restoration and Waste Management. The independent engineering review will address questions of whether the engineering practice is sufficiently developed to a point where a major project can be executed without significant technical problems. The independent review will focus on questions related to: (1) Adequacy of development of the technical base of understanding; (2) Status of development and availability of technology among the various alternatives; (3) Status and availability of the industrial infrastructure to support project design, equipment fabrication, facility construction, and process and program/project operation; (4) Adequacy of the design effort to provide a sound foundation to support execution of project; (5) Ability of the organization to fully integrate the system, and direct, manage, and control the execution of a complex major project.

  15. Final Technical Report

    Energy Technology Data Exchange (ETDEWEB)

    Maxwell, Mike, J., P.E.

    2012-08-30

    The STI product is the Final Technical Report from ReliOn, Inc. for contract award DE-EE0000487: Recovery Act PEM Fuel Cell Systems Providing Emergency Reserve and Backup Power. The program covered the turnkey deployment of 431 ReliOn fuel cell systems at 189 individual sites for AT&T and PG&E with ReliOn functioning as the primary equipment supplier and the project manager. The Final Technical Report provides an executive level summary, a comparison of the actual accomplishments vs. the goals and objectives of the project, as well as a summary of the project activity from the contract award date of August 1, 2009 through the contract expiration date of December 31, 2011. Two photos are included in the body of the report which show hydrogen storage and bulk hydrogen refueling technologies developed as a result of this program.

  16. Transportation Observations, Considerations and Recommendations for Wichita Mountains Wildlife Refuge Provided by the Interagency Transportation Assistance Group (TAG) / Paul Sarbanes Transit in the Parks (Sarbanes) Program May 31 - June 2, 2009 Indiahoma

    Science.gov (United States)

    2009-05-31

    At the request of the U.S. Fish and Wildlife Service (FWS), an inter-agency : Transportation Assistance Group (TAG) site review was conducted at the Wichita : Mountains Wildlife Refuge (WMWR) in southwest Oklahoma. : This report details the status of...

  17. Medical Assistants

    Science.gov (United States)

    ... Requirements » Productivity » Labor Productivity & Costs Multifactor Productivity Productivity Research Productivity Overview International » International Technical Cooperation Import/Export Price ...

  18. DENSO Technical Communication Education

    Science.gov (United States)

    Isogai, Emiko; Suzuki, Takamasa

    We developed technical communication education from beginning to managerial levels to enhance communication skills necessary for engineers. The courses in this program progressed from theory to hands-on training and discussion, providing an opportunity for fact-finding and problem-solving. After the courses were completed, the engineers applied what they had learned on the job. The courses proved to be useful, satisfying participating engineers.

  19. 75 FR 49526 - Freescale Semiconductor, Inc., Technical Information Center, Tempe, AZ; Freescale Semiconductor...

    Science.gov (United States)

    2010-08-13

    ... Employment and Training Administration Freescale Semiconductor, Inc., Technical Information Center, Tempe, AZ; Freescale Semiconductor, Inc., Technical Information Center, Woburn, MA; Amended Certification Regarding... to Apply for Worker Adjustment Assistance on October 1, 2009, applicable to workers of Freescale...

  20. 1997 DOE technical standards program workshop: Proceedings

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1997-10-01

    The Department of Energy held its annual Technical Standards Program Workshop on July 8--10, 1997, at the Loews L`Enfant Plaza Hotel in Washington, DC. The workshop focused on aspects of implementation of the National Technology Transfer and Advancement Act of 1995 [Public Law (PL) 104-113] and the related revision (still pending) to OMB Circular A119 (OMB A119), Federal Participation in the Development and Use of Voluntary Standards. It also addressed DOE`s efforts in transitioning to a standards-based operating culture, and, through this transition, to change from a developer of internal technical standards to a customer of external technical standards. The workshop was designed to provide a forum to better understand how the new law is affecting Department activities. Panel topics such as ``Public Law 104-113 and Its Influence on Federal Agency Standards Activities`` and ``Update on Global Standards Issues`` provided insight on both the internal and external effects of the new law. Keynote speaker Richard Meier of Meadowbrook International (and formerly the Deputy Assistant US Trade Representative) addressed the subject of international trade balance statistics. He pointed out that increases in US export figures do not necessarily indicate increases in employment. Rather, increased employment results from product growth. Mr Meier also discussed issues such as the US migration to the sue of the metric system, the impact of budget limitations on Government participation in voluntary standards organizations, international standards ISO 9000 and ISO 14000, and DOE`s role in the worldwide transition from weapons production to cleanup.

  1. Robot-assisted partial nephrectomy in contemporary practice

    Directory of Open Access Journals (Sweden)

    Youssef S. Tanagho

    2013-01-01

    Full Text Available Laparoscopic renal surgery is associated with reduced blood loss, shorter hospital stay, enhanced cosmesis, and more rapid convalescence relative to open renal surgery. Laparoscopic partial nephrectomy is a minimally invasive, nephron-sparing alternative to laparoscopic radical nephrectomy for the management of small renal masses. While offering similar oncological outcomes to laparoscopic radical nephrectomy, the technical challenges and prolonged learning curve associated with laparoscopic partial nephrectomy limit its wider dissemination. Robot-assisted partial nephrectomy, although still an evolving procedure with no long-term data, has emerged as a viable alternative to laparoscopic partial nephrectomy, with favorable preliminary outcomes. This article provides an overview of the role of robot-assisted partial nephrectomy in the management of renal cell carcinoma. The clinical indications and principles of surgical technique for this procedure are discussed. The oncological, renal functional, and perioperative outcomes of robot-assisted partial nephrectomy are also evaluated, as are complication rates.

  2. TECHNICAL COORDINATION

    CERN Multimedia

    Austin Ball

    2013-01-01

      Since the last report, much visible progress has been made, as the LS1 programme approaches the halfway point. From early October, technical and safety shift-crew have been present around the clock, allowing detectors to stay switched on overnight, ensuring that safety systems are operational and instructions for non-expert shift-crew are clear. LS1 progress Throughout the summer, whilst the solenoid vacuum tank and YB0 surfaces were accessible, an extensive installation programme took place to prepare for Tracker colder operation and the PLT installation, in 2014, the Phase 1 Pixel Tracker installation, in 2016–’17, and the HCAL Phase 1 upgrade completion, ending in LS2. This included pipework for N2 or dry air to flush the Tracker bulkhead region, many sensors to monitor temperature and dew point in the Tracker and its service channels, heating wires outside the Tracker cooling bundles, supports for the new vacuum-jacketed, concentric, CO2 Pixel cooling lines, the PLT cool...

  3. TECHNICAL COORDINATION

    CERN Multimedia

    A. Ball and W. Zeuner

    2012-01-01

      UXC + detectors As explained in detail in the November 2011 bulletin, the bellows unit at −18.5 m from the CMS interaction point was identified as a prime candidate for the regularly occurring pressure spikes which occasionally led to sustained severe background conditions in 2011, affecting dead time and data quality. Similar regions in LHC with vacuum instabilities were observed to be close to bellows, which radiography showed to have distorted RF-fingers — on removal, they proved to have been severely overheated. The plans for the Year-End Technical Stop were adapted to prioritise radiography of the bellows at 16 m to 18 m either end of CMS. Excellent work by the beam pipe, survey and heavy mechanical teams allowed the X-rays to be taken as planned on 20th December, showing that the bellow at −18.5m had an obvious non-conformity. The RF-fingers were found inside the end of the opposing flared pipe instead of outside. In addition, the overlap between fingers and...

  4. Assisted suicide and euthanasia.

    Science.gov (United States)

    van der Heide, Agnes

    2013-01-01

    Several countries have adopted laws that regulate physician assistance in dying. Such assistance may consist of providing a patient with a prescription of lethal medication that is self-administered by the patient, which is usually referred to as (physician) assistance in suicide, or of administering lethal medication to a patient, which is referred to as euthanasia. The main aim of regulating physician assistance in dying is to bring these practices into the open and to provide physicians with legal certainty. A key condition in all jurisdictions that have regulated either assistance in suicide or euthanasia is that physicians are only allowed to engage in these acts upon the explicit and voluntary request of the patient. All systems that allow physician assistance in dying have also in some way included the notion that physician assistance in dying is only accepted when it is the only means to address severe suffering from an incurable medical condition. Arguments against the legal regulation of physician assistance in dying include principled arguments, such as the wrongness of hastening death, and arguments that emphasize the negative consequences of allowing physician assistance in dying, such as a devaluation of the lives of older people, or people with chronic disease or disabilities. Opinion polls show that some form of accepting and regulating euthanasia and physician assistance in suicide is increasingly supported by the general population in most western countries. Studies in countries where physician assistance in dying is regulated suggest that practices have remained rather stable in most jurisdictions and that physicians adhere to the legal criteria in the vast majority of cases. © 2013 Elsevier B.V. All rights reserved.

  5. Recovering ethics after 'technics': developing critical text on technology.

    Science.gov (United States)

    Marck, P B

    2000-01-01

    Much modern science and ethics debate is on high-profile problems such as animal organ transplantation, genetic engineering and fetal tissue research, in discourse that assumes technical tones. Other work, such as narrative ethics, expresses the failed promise of technology in the vivid detail of human experience. However, the essential nature of contemporary technology remains largely opaque to our present ethical lens on health care and on society. The limited controversies of modern science and ethics perpetuate 'technics', a technical, problem-solving mindset that fails to grapple successfully with the complexity of technology. A critical dialectic between practice and scholarship widens the ethical conversation in nursing to consider technology as an ongoing set of daily and fundamental moral choices on how we live. Critical text on technology recovers ethics from the limits of technics, and assists nurses to develop an inherent knowledge of technology that is needed to provide ethical care in a technological world. There are overlooked ethical challenges in the mundane, everyday routine activities of professional practice, and these have gone largely unexamined. Ethical behavior is not the display of one's moral rectitude in times of crisis. It is the day-to-day expression of one's commitment to other persons and the ways in which human beings relate to one another in their daily interactions.

  6. American Recovery and Reinvestment Act (ARRA) FEMP Technical Assistance U.S. Army – Project 276 Renewable Resource Development on Department of Defense Bases in Alaska: Challenges and Opportunities

    Energy Technology Data Exchange (ETDEWEB)

    Warwick, William M.

    2010-09-30

    The potential to increase utilization of renewable energy sources among military facilities in Alaska through coordinated development and operation is the premise of this task. The US Army Pacific Command requested assistance from PNNL to help develop a more complete understanding of the context for wheeling power within Alaska, including legal and regulatory barriers that may prohibit the DOD facilities from wheeling power among various locations to optimize the development and use of renewable resources.

  7. 76 FR 54072 - Emergency Assistance for Livestock, Honeybees, and Farm-Raised Fish Program, Livestock Indemnity...

    Science.gov (United States)

    2011-08-31

    ... to the Supplemental Agricultural Disaster Assistance Programs, authorized by the Food, Conservation... Agricultural Disaster Assistance Programs AGENCY: Farm Service Agency, USDA. ACTION: Final rule, technical... This rule makes a technical correction to 7 CFR 760, subpart C, ``Emergency Assistance for Livestock...

  8. GENDER PARTICIPATION IN TECHNICAL TRAINING INSTITUTIONS

    African Journals Online (AJOL)

    The paper focuses on skill training opportunities for females in Technical Education Programmes (TEP) in Kenya. In Africa, labour markets have become so competitive that females need to be assisted to enter such markets. Expanding skill-training opportunities for females in training institutions could meet this demand.

  9. Technical infrastructure monitoring at CERN

    CERN Document Server

    Stowisek, Jan; Suwalska, Anna

    2006-01-01

    The Technical Infrastructure Monitoring system (TIM) is used to monitor and control CERN's technical services from the CERN Control Centre (CCC). The system's primary function is to provide CCC operators with reliable real-time information about the state of the laboratory's extensive and widely distributed technical infrastructure. TIM is also used to monitor all general services required for the operation of CERN's accelerator complex and the experiments. A flexible data acquisition mechanism allows TIM to interface with a wide range of technically diverse installations, using industry standard protocols wherever possible and custom designed solutions where needed. The complexity of the data processing logic, including persistence, logging, alarm handling, command execution and the evaluation of datadriven business rules is encapsulated in the system's business layer. Users benefit from a suite of advanced graphical applications adapted to operations (synoptic views, alarm consoles, data analysis tools etc....

  10. STDAC: Solar Thermal Design Assistance Center annual report fiscal year 1994

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1994-12-31

    The Solar Thermal Design Assistance Center (STDAC) at Sandia is a resource provided by the DOE Solar Thermal Program. The STDAC`s major objective is to accelerate the use of solar thermal systems by providing direct technical assistance to users in industry, government, and foreign countries; cooperating with industry to test, evaluate, and develop renewable energy systems and components; and educating public and private professionals, administrators, and decision makers. This FY94 report highlights the activities and accomplishments of the STDAC. In 1994, the STDAC continued to provide significant direct technical assistance to domestic and international organizations in industry, government, and education, Applying solar thermal technology to solve energy problems is a vital element of direct technical assistance. The STDAC provides information on the status of new, existing, and developing solar technologies; helps users screen applications; predicts the performance of components and systems; and incorporates the experience of Sandia`s solar energy personnel and facilities to provide expert guidance. The STDAC directly enhances the US solar industry`s ability to successfully bring improved systems to the marketplace. By collaborating with Sandia`s Photovoltaic Design Assistance Center and the National Renewable Energy Laboratory the STDAC is able to offer each customer complete service in applying solar thermal technology. At the National Solar Thermal Test Facility the STDAC tests and evaluates new and innovative solar thermal technologies. Evaluations are conducted in dose cooperation with manufacturers, and the results are used to improve the product and/or quantify its performance characteristics. Manufacturers, in turn, benefit from the improved design, economic performance, and operation of their solar thermal technology. The STDAC provides cost sharing and in-kind service to manufacturers in the development and improvement of solar technology.

  11. Home Background Variables and Technical Vocational Training of ...

    African Journals Online (AJOL)

    Also, parental occupations had facilitatory influence on students' technical vocational training. We suggest that school guidance/counselors be well vested with technical vocational guidance information through training and retraining in order to assist students make good career choices and escape poverty in the prevailing ...

  12. 44 CFR 18.205 - Professional and technical services.

    Science.gov (United States)

    2010-10-01

    ... contract is allowable. However, communications with the intent to influence made by a professional (such as... 44 Emergency Management and Assistance 1 2010-10-01 2010-10-01 false Professional and technical... Professional and technical services. (a) The prohibition on the use of appropriated funds, in § 18.100 (a...

  13. Final Technical Report

    Energy Technology Data Exchange (ETDEWEB)

    Sobecky, Patricia A; Taillefert, Martial

    2013-03-29

    This final technical report describes results and findings from a research project to examine the role of microbial phosphohydrolase enzymes in naturally occurring subsurface microorganisms for the purpose of promoting the immobilization of the radionuclide uranium through the production of insoluble uranium phosphate minerals. The research project investigated the microbial mechanisms and the physical and chemical processes promoting uranium biomineralization and sequestration in oxygenated subsurface soils. Uranium biomineralization under aerobic conditions can provide a secondary biobarrier strategy to immobilize radionuclides should the metal precipitates formed by microbial dissimilatory mechanisms remobilize due to a change in redox state.

  14. Technical note

    DEFF Research Database (Denmark)

    Hermansen, Jonas S; Fonslet, Jesper; Søndergaard, Lasse R

    2017-01-01

    PURPOSE: To provide a faster and more intuitive way of designing shielding for PET facilities, while still relying on the principles of the AAPM 108 Taskforce guidelines, as well as illustrating the calculation output using dose maps that are easily evaluated. METHODS: A graphical user interface...... was developed, implementing an inverse AAPM method, wherein radiation sources and shield barriers are manually defined. Simulations are calculated using a user defined control mesh grid. DoseMapper simulations were verified against manual calculations using the AAPM guidelines, as well as compared with in......-situ dose rate measurements using four different dosemeters. RESULTS: DoseMapper simulations were virtually identical to manual calculations using AAPM guidelines, with a maximum relative error of

  15. Computer Education Assistance Act of 1987. Hearing on S. 838 To Provide Financial Assistance to the States for Computer Education Programs, and for Other Purposes before the Subcommittee on Education, Arts and Humanities of the Committee on Labor and Human Resources. United States Senate, One Hundredth Congress, First Session.

    Science.gov (United States)

    Congress of the U.S., Washington, DC. Senate Committee on Labor and Human Resources.

    This hearing on the Computer Education Act of 1987, which is intended to encourage schools to develop and strengthen programs for using computers and to assist less well-off schools and students, includes prepared statements by: (1) Katherine Borsecnik, Software Publishers Association; (2) Jay N. Goldberg, ADAPSO, the Computer Software and…

  16. Technical Report

    Energy Technology Data Exchange (ETDEWEB)

    ,; ,; ,

    2012-02-01

    The 2011 World Materials Summit, held on 10/9-12/2011 in Washington DC, provided a forum for top decision makers and energy experts from aropund the world to focus on the materials research needs for the growing energy economy. Organized jointly by the Materials Research Society (MRS), the European MRS (E-MRS), and the Chinese MRS (C-MRS), the goal of the Summit was to explore how the different regions of the world can work together on the critical issue of clean energy, including its relation to environmental sustainability and water. The participants considered the area of materials research as well as advocacy, economics, outreach, and education. Realizing that the concerns are long-term and that young players will ultimately be the ones who are going to need to solve the energy challenges, the chairs of the Summit inaugurated a Student Congress, a program for graduate students and postdoctoral scholars in fields directly related to energy and environmental science, engineering, and/or policy. The top 45 candidates coming from 18 countries were selected on a competititve basis to participate in the Student Congress. The four-day effort culminated in a 2011 Worlds Materials Summit Declaration delineating materials directions related to global access to clean energy and water in a sustainable way.

  17. Technical Report

    Energy Technology Data Exchange (ETDEWEB)

    Jonathan D. Istok

    2008-06-01

    ‘Bioimmobilization’ of redox-sensitive metals and radionuclides is being investigated as a way to remediate contaminated groundwater and sediments. In this approach, growth-limiting substrates are added to stimulate the activity of targeted groups of indigenous microorganisms and create conditions favorable for the microbially-mediated precipitation (‘bioimmobilization’) of targeted contaminants. This project investigated a fundamentally new approach for modeling this process that couples thermodynamic descriptions for microbial growth with associated geochemical reactions. In this approach, a synthetic microbial community is defined as a collection of defined microbial groups; each with a growth equation derived from bioenergetic principles. The growth equations and standard-state free energy yields are appended to a thermodynamic database for geochemical reactions and the combined equations are solved simultaneously to predict the effect of added substrates on microbial biomass, community composition, and system geochemistry. This approach, with a single set of thermodynamic parameters (one for each growth equation), was used to predict the results of laboratory and field bioimmobilization experiments at two geochemically diverse research sites. Predicted effects of ethanol or acetate addition on uranium and technetium solubility, major ion geochemistry, mineralogy, microbial biomass and community composition were in general agreement with experimental observations although the available experimental data precluded rigorous model testing. Model simulations provide insight into the long-standing difficulty in transferring experimental results from the laboratory to the field and from one field site to the next, especially if the form, concentration, or delivery of growth substrate is varied from one experiment to the next. Although originally developed for use in better understanding bioimmobilization of uranium and technetium via reductive precipitation

  18. 13 CFR 125.3 - Subcontracting assistance.

    Science.gov (United States)

    2010-01-01

    ... 13 Business Credit and Assistance 1 2010-01-01 2010-01-01 false Subcontracting assistance. 125.3... § 125.3 Subcontracting assistance. (a) General. The purpose of the subcontracting assistance program is to provide the maximum practicable subcontracting opportunities for small business concerns...

  19. Application requirements for Robotic Nursing Assistants in hospital environments

    Science.gov (United States)

    Cremer, Sven; Doelling, Kris; Lundberg, Cody L.; McNair, Mike; Shin, Jeongsik; Popa, Dan

    2016-05-01

    In this paper we report on analysis toward identifying design requirements for an Adaptive Robotic Nursing Assistant (ARNA). Specifically, the paper focuses on application requirements for ARNA, envisioned as a mobile assistive robot that can navigate hospital environments to perform chores in roles such as patient sitter and patient walker. The role of a sitter is primarily related to patient observation from a distance, and fetching objects at the patient's request, while a walker provides physical assistance for ambulation and rehabilitation. The robot will be expected to not only understand nurse and patient intent but also close the decision loop by automating several routine tasks. As a result, the robot will be equipped with sensors such as distributed pressure sensitive skins, 3D range sensors, and so on. Modular sensor and actuator hardware configured in the form of several multi-degree-of-freedom manipulators, and a mobile base are expected to be deployed in reconfigurable platforms for physical assistance tasks. Furthermore, adaptive human-machine interfaces are expected to play a key role, as they directly impact the ability of robots to assist nurses in a dynamic and unstructured environment. This paper discusses required tasks for the ARNA robot, as well as sensors and software infrastructure to carry out those tasks in the aspects of technical resource availability, gaps, and needed experimental studies.

  20. Sustainable hydropower in Lower Mekong Countries: Technical assessment and training travel report

    Energy Technology Data Exchange (ETDEWEB)

    Hadjerioua, Boualem [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Witt, Adam M. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States)

    2015-08-01

    The U.S. Agency for International Development (USAID), through their partnership with the U.S. Department of the Interior (DOI), requested the support of Oak Ridge National Laboratory (ORNL) to provide specialized technical assistance as part of the Smart Infrastructure for the Mekong (SIM) Program in Thailand. Introduced in July 2013 by U.S. Secretary of State John Kerry, SIM is a U.S. Government Inter-Agency program that provides Lower Mekong partner countries with targeted, demand-driven technical and scientific assistance to support environmentally sound, climate conscious and socially equitable infrastructure, clean energy development, and water resources optimization. The U.S. Government is committed to supporting sustainable economic development within the region by providing tools, best practices, technical assistance, and lessons learned for the benefit of partner countries. In response to a request from the Electricity Generating Authority of Thailand (EGAT), a SIM project was developed with two main activities: 1) to promote hydropower sustainability and efficiency through technical assessment training at two existing hydropower assets in Thailand, and 2) the design and implementation of one national and two or three regional science and policy workshops, to be co-hosted with EGAT, to build common understanding of and commitment to environmental and social safeguards for Mekong Basin hydropower projects. The U.S. Department of Energy (DOE) is leading the technical assessment (Activity 1), and has contracted ORNL to provide expert technical assistance focused on increasing efficiency at existing projects, with the goal of increasing renewable energy generation at little to no capital cost. ORNL is the leading national laboratory in hydropower analysis, with a nationally recognized and highly qualified team of scientists addressing small to large-scale systems (basin-, regional-, and national-scale) energy generation optimization analysis for DOE. The

  1. Teaching Technical Writing - Towards Technical Writing

    DEFF Research Database (Denmark)

    Kastberg, Peter

    2000-01-01

    In this paper I will present key aspects of the curriculum for the university degree in technical translation that I have designed for and subsequently implemented at the German Department of the Aarhus School of Business, Denmark. My starting point will be a critical discussion of the norm that ...... of technical writing....

  2. Computer-assisted Orthopaedic Surgery.

    Science.gov (United States)

    Hernandez, David; Garimella, Roja; Eltorai, Adam E M; Daniels, Alan H

    2017-05-01

    Nowadays, operating rooms can be inefficient and overcrowded. Patient data and images are at times not well integrated and displayed in a timely fashion. This lack of coordination may cause further reductions in efficiency, jeopardize patient safety, and increase costs. Fortunately, technology has much to offer the surgical disciplines and the ongoing and recent operating room innovations have advanced preoperative planning and surgical procedures by providing visual, navigational, and mechanical computerized assistance. The field of computer-assisted surgery (CAS) broadly refers to surgical interface between surgeons and machines. It is also part of the ongoing initiatives to move away from invasive to less invasive or even noninvasive procedures. CAS can be applied preoperatively, intraoperatively, and/or postoperatively to improve the outcome of orthopaedic surgical procedures as it has the potential for greater precision, control, and flexibility in carrying out surgical tasks, and enables much better visualization of the operating field than conventional methods have afforded. CAS is an active research discipline, which brings together orthopaedic practitioners with traditional technical disciplines such as engineering, computer science, and robotics. However, to achieve the best outcomes, teamwork, open communication, and willingness to adapt and adopt new skills and processes are critical. Because of the relatively short time period over which CAS has developed, long-term follow-up studies have not yet been possible. Consequently, this review aims to outline current CAS applications, limitations, and promising future developments that will continue to impact the operating room (OR) environment and the OR in the future, particularly within orthopedic and spine surgery. © 2017 Chinese Orthopaedic Association and John Wiley & Sons Australia, Ltd.

  3. Area of Interest 4.Technical Interest to Electric Infrastructure Planners on Other Subjects

    Energy Technology Data Exchange (ETDEWEB)

    Eto, Joseph H. [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States)

    2015-07-01

    In 2010, the U.S. Department of Energy (DOE) provided $60M in funding to five regional entities to conduct interregional transmission planning activities: the Eastern Interconnection Planning Collaborative (EIPC); the Eastern Interconnection States Planning Council (EISPC); the Transmission Expansion Planning and Policy Committee (TEPPC); the State Provincial Steering Committee (SPSC);and the Electricity Reliability Council of Texas (ERCOT). DOE also provided funding to the Lawrence Berkeley National Laboratory (LBNL) to support aspects of these interregional transmission planning activities. LBNL’s support involved both technical assistance to DOE in its oversight of the activities conducted by the five regional entities and the preparation of six, standalone technical studies that were conducted in direct support for specific entities. This is the final report on LBNL’s activities. It consists of summaries of each activity; references are provided to each of the stand-alone studies.

  4. Previsão de demanda: uma aplicação dos modelos Box-Jenkins na área de assistência técnica de computadores pessoais Demand forecasting: an application of the Box-Jenkins models in the technical assistance of personal computer

    Directory of Open Access Journals (Sweden)

    Liane Werner

    2003-04-01

    Full Text Available A previsão de demanda é uma atividade importante para auxiliar na determinação dos recursos necessários para a empresa. Neste artigo, a metodologia de Box-Jenkins foi utilizada para analisar dados históricos de uma empresa de assistência técnica de computadores pessoais e obter previsões do número de atendimentos. A empresa estudada apresenta três tipos de clientes diferenciados: contratos, garantia e avulsos. Como cada segmento de clientes tem suas peculiaridades, a previsão de demanda foi direcionada a cada tipo, buscando representar o comportamento de tendência e a sazonalidade por meio dos modelos de Box-Jenkins. A obtenção dos modelos mais adequados foi baseada na análise de gráficos e em testes estatísticos próprios da metodologia, os quais subsidiaram a decisão de adotar o modelo AR(1 para prever o número de atendimentos dos clientes tipo contrato, o modelo ARIMA(2,1,0 para os clientes tipo garantia e um modelo sazonal SARIMA(0,1,0(0,1,112 para os clientes tipo avulsos.Demand forecasting is an important tool to aid on the determination of necessary resources of a given company. In this paper, the Box-Jenkins methodology was applied to analyze historical data of a personal computer repair company and provide a forecast for the number of service calls. The company studied presents three segments of clients: contracts, warranty, and on-call. As each client has it own characteristics, in order to better represent tendency and seasonality behavior through the Box-Jenkins models, a specific forecasting model was developed for each segment. The choice of the optimum models were based into graphic analysis and statistical tests, which lead to the decision of adopting the AR(1 model to foresee the number of contract clients, the ARIMA(2,1,0 model for warranty clients and the SARIMA(0,1,0(0,1,112 seasonal model for on-call clients.

  5. Canadian assistance to southern African utilities to improve operational hydrology

    Energy Technology Data Exchange (ETDEWEB)

    Dyer, L. [SNC Group, Montreal, PQ (Canada)

    1995-12-31

    Various hydroelectric power projects in southern African countries that have benefited from Canadian expertise and assistance under the Southern African Development Community (SADC) AAA.3.4 Hydroelectric Hydrological Assistance Project, were described. The project aims to upgrade the operational hydrology units of the SADC hydroelectric utilities in the Zambezi River Basin, focusing particularly on improving the quality, availability, accessibility and utility of the hydrometric data used for inflow forecasting and inventory purposes. The data is also used for planning and operations. A current usage is to assess the sustainability of the systems implemented under the program. BC Hydro, and the Water Survey of Canada are the principal Canadian agencies involved in providing the technical expertise. Increased confidence in inflow forecasts, increased energy production, reduced loss of water due to unnecessary spilling, improved ability to safely route floods, and to cope with droughts, and improved data for design and dam safety studies are just some of the benefits derived from this example of Canadian technical assistance in the developing countries. 12 refs., 6 tabs., 4 figs.

  6. Geothermal direct-heat utilization assistance. Quarterly report, July--September 1993

    Energy Technology Data Exchange (ETDEWEB)

    1993-11-01

    This report details activities from July through September 1993, Topics addressed are: Technical Assistance; Research and Development Activities; Technology Transfer; Geothermal Progress Monitor; and Personnel.

  7. 76 FR 4612 - Community Trade Adjustment Assistance Program Fiscal Year 2010 Annual Report

    Science.gov (United States)

    2011-01-26

    ... entrepreneurship by implementing economic gardening, business development, instructional technical assistance, and... Economic Development Administration Community Trade Adjustment Assistance Program Fiscal Year 2010 Annual Report AGENCY: Economic Development Administration, Commerce ACTION: Notice. SUMMARY: This report is...

  8. Technical Report Writing Today

    DEFF Research Database (Denmark)

    Riordan, Daniel G.

    2014-01-01

    Section 1: Technical Communication Basics (8 chapters on tech com, audiences, tech com process, tech com style, researching, designing pages, using visual aids, describing). Section 2: Technical Communication Applications (7 chapters on sets of instructions, informal reports and email, developing...

  9. Technical training: places available

    CERN Multimedia

    2013-01-01

    If you would like more information on a course, or for any other inquiry/suggestions, please contact Technical.Training@cern.ch. Eva Stern and Elise Romero, Technical Training Administration (Tel: 74924)

  10. Technical training: places available

    CERN Document Server

    2014-01-01

    If you would like more information on a course, or have any other inquiry/suggestions, please contact Technical.Training@cern.ch. Eva Stern and Elise Romero, Technical Training Administration (Tel: 74924)

  11. Technical training - places available

    CERN Multimedia

    2013-01-01

    If you would like more information on a course, or have any other inquiry/suggestions, please contact Technical.Training@cern.ch. Eva Stern and Elise Romero, Technical Training Administration (Tel: 74924)

  12. Technical training: places available

    CERN Multimedia

    2014-01-01

    If you would like more information on a course, or have any other inquiry/suggestions, please contact Technical.Training@cern.ch. Eva Stern and Marie Lahchimi, Technical Training Administration (Tel: 74924)

  13. Technical training: places available

    CERN Document Server

    2013-01-01

    If you would like more information on a course, or for any other inquiry/suggestions, please contact Technical.Training@cern.ch. Eva Stern and Elise Romero, Technical Training Administration (Tél : 74924)  

  14. 2013 Technical Roundtable

    Science.gov (United States)

    On December 9, 2013, EPA reconvened the study’s Technical Roundtable. Subject-matter experts discussed the outcomes of the 2013 Technical Workshops, stakeholder engagement, and plans for draft assessment report.

  15. United States: Ukraine Technical Exchange II trip report

    Energy Technology Data Exchange (ETDEWEB)

    Moak, D.J.; Wendling, M.A.

    1995-02-01

    May 15--21, 1994, the first technical conference was held at Hanford between Ukraine-Chornobyl, Westinghouse Hanford, and SAIC, to exchange technical information and experience gained in cleanup and stabilization of radioactive contamination at Hanford and Chornobyl. Protocol was signed for a second exchange and technology demonstration program in Kiev and near Chornobyl power plants. Technical Exchange No. 2 was held from August 28--September 9, 1994, with 3 focus areas: field demonstration of DOE-Hanford technologies and application to cleanup of contaminated lands resulting from 1986 Chornobyl accident; application of other US DOE-technologies; and observation/evaluation of Ukraine-developed technologies for potential application in USA. Three radiological mapping systems were demonstrated near Chornobyl: man-carried Ultrasonic Ranging and Data System, a mobile radiological data system, and NOMAD field gamma spectroscopy system. The Ukraine-Chornobyl team hosted technical presentations, discussions and field trips for 4.5 days, providing insight on the Chornobyl problem and allowing the US team to present overviews on DOE technologies that may be applicable to the Chornobyl situation. It is concluded that Ukrainian scientists have tremendous talent and expended considerable energy in attempting to tackle such a problem, but economic and cultural conditions with Ukraine have prevented them from acquiring the resources to implement basic aspects of characterization and remediation activities. Most of their publications are in Russian only. Their translation, plus resources to carry out proposals for bench scale and field demonstration projects, could benefit the DOE complex and other nuclear programs. The considerable cultural and economic change occurring in Ukraine, is providing opportunities for private industries to assist in the changes and for DOE, others to apply cleanup technologies, and it is essential that close institutional relations be established.

  16. Defense Technical Information Center thesaurus

    Energy Technology Data Exchange (ETDEWEB)

    Dickert, J.H. [ed.] [comp.

    1996-10-01

    This DTIC Thesaurus provides a basic multidisciplinary subject term vocabulary used by DTIC to index and retrieve scientific and technical information from its various data bases and to aid DTIC`s users in their information storage and retrieval operations. It includes an alphabetical posting term display, a hierarchy display, and a Keywork Out of Context (KWOC) display.

  17. Scientific and technical reports how to write and illustrate

    CERN Document Server

    Sharma, B C

    2014-01-01

    Scientific and technical reports: How to Write and Illustrate provides step-by-step advice on tackling various tasks associated with report writing like gathering information, analyzing information, preparing an outline, writing a rough draft and revising. Many examples illustrate the processes involved at various steps. A stepwise approach to computer-assisted preparation of tables and various types of figures like line drawings, bar charts, histograms, flowcharts, etc., is provided. Also presented are suggestions about how to use commonly available computer programs to give visual shape to ideas, concepts, processes and cause and effect relations described in the text. Use of readability tests is explained as a screening system for checking comprehensibility of language used. Readers are alerted to some of the common pitfalls in science writing like redundancy, overuse of nouns, noun chains, excessive use of passive voice, use of overlong sentences and ambiguity. Checklist at the end of each chapter sums up...

  18. Technical justifications for the tests and criteria in the waste form technical position appendix on cement stabilization

    Energy Technology Data Exchange (ETDEWEB)

    Siskind, B.; Cowgill, M.G.

    1992-01-01

    As part of its technical assistance to the Nuclear Regulatory Commission (NRC), Brookhaven National Laboratory (BNL) developed a background document for the cement stabilization appendix, Appendix A, to Rev. 1 of the Technical Position on Waste Form (TP). Here we present an overview of this background document, which provides technical justification for the stability tests to be performed on cement-stabilized waste forms and for the criteria posed in each test, especially for those tests which have been changed from their counterparts in the May 1983 Rev. 0 TP. We address guidelines for procedures from Appendix A which are considered in less detail or not at all in the Rev. 0 of the TP, namely, qualification specimen preparation (mixing, curing, storage), statistical sampling and analysis, process control program specimen preparation and examination, and surveillance specimens. For each waste form qualification test, criterion or procedural guidelines, we consider the reason for its inclusion in Appendix A, the changes from Rev. 0 of the TP (if applicable), and a discussion of the justification or rationale for these changes.

  19. Technical justifications for the tests and criteria in the waste form technical position appendix on cement stabilization

    Energy Technology Data Exchange (ETDEWEB)

    Siskind, B.; Cowgill, M.G.

    1992-04-01

    As part of its technical assistance to the Nuclear Regulatory Commission (NRC), Brookhaven National Laboratory (BNL) developed a background document for the cement stabilization appendix, Appendix A, to Rev. 1 of the Technical Position on Waste Form (TP). Here we present an overview of this background document, which provides technical justification for the stability tests to be performed on cement-stabilized waste forms and for the criteria posed in each test, especially for those tests which have been changed from their counterparts in the May 1983 Rev. 0 TP. We address guidelines for procedures from Appendix A which are considered in less detail or not at all in the Rev. 0 of the TP, namely, qualification specimen preparation (mixing, curing, storage), statistical sampling and analysis, process control program specimen preparation and examination, and surveillance specimens. For each waste form qualification test, criterion or procedural guidelines, we consider the reason for its inclusion in Appendix A, the changes from Rev. 0 of the TP (if applicable), and a discussion of the justification or rationale for these changes.

  20. California Child Care Workforce Study: Family Child Care Providers and Assistants in Alameda County, Kern County, Monterey County, San Benito County, San Francisco County, San Mateo County, Santa Cruz County, and Santa Clara County.

    Science.gov (United States)

    Whitebook, Marcy; Almaraz, Mirella; Jo-Yung, Joon; Sakai, Laura; Boots, Shelley Waters; Voisin, Irene; Young, Marci; Burton, Alice; Duff, Brian; Laverty, Kassin; Bellm, Dan; Jay, E. Deborah; Krishnaswamy, Nandini; Kipnis, Fran

    An important first step toward more effectively addressing the complexities of child care as a service for families and as an employment setting for workers in California is to develop a detailed picture of the child care workforce. On this premise, a study examined licensed family child care provider demographics, professional preparation, length…

  1. Assessing scrub practitioner non-technical skills: a literature review.

    Science.gov (United States)

    McClelland, Guy

    2015-01-01

    A review by Catchpole et al (2009) into the causes and types of harm experienced by the surgical patient emphasised the high risk nature of the perioperative period. Investigations into recent failures at NHS organisations have emphasised the relevance of non-technical skills education in improving clinical performance and patient outcomes. However, scrub practitioner non-technical skills are often developed on a tacit basis, making assessment of performance difficult. This literature review identifies strategies that facilitate assessment of non-technical skills during surgery. Recommendations are made that will assist scrub practitioners in using a validated scrub practitioner non-technical skills assessment framework reliably.

  2. Technical Excellence: A Requirement for Good Engineering

    Science.gov (United States)

    Gill, Paul S.; Vaughan, William W.

    2008-01-01

    Technical excellence is a requirement for good engineering. Technical excellence has many different ways of expressing itself within engineering. NASA has initiatives that address the enhancement of the Agency's technical excellence and thrust to maintain the associated high level of performance by the Agency on current programs/projects and as it moves into the Constellation Program and the return to the Moon with plans to visit Mars. This paper addresses some of the key initiatives associated with NASA's technical excellence thrust. Examples are provided to illustrate some results being achieved and plans to enhance these initiatives.

  3. Management of technical information department

    Energy Technology Data Exchange (ETDEWEB)

    Kim, T. H.; Han, D. H.; Moon, H. W. [and others

    1997-03-01

    This report introduces technical information activities in 1996. They are composed of basic tasks and applied tasks. 1. Basic activities - acquisition, cataloging, and Information services 2. Management of KAERI-TIPS (Technical Information Processing System) 3. Construction of the database for nuclear-related Information 4. Role of Specialized Nuclear Information Center in the field of nuclear energy and cooperation with INIS section of IAEA 5. Beside above activities, in 1996 TID homepage was opened and online document delivery service was provided. (author). 25 tabs., 17 figs.

  4. Technical aspects of data communication

    CERN Document Server

    MacNamara, John E

    1988-01-01

    Technical Aspects of Data Communication, Third Edition provides information pertinent to the technical aspects of data communication. This book discusses a simple asynchronous interface implemented with a specialized integrated circuit called a UART.Organized into 28 chapters, this edition begins with an overview of the interface standards ranging from the classic EIA-232-D to the EIA-530. This text then describes modems and modem control, with material on high-speed modems and error-correcting modems. Other chapters discuss hardware and software methods. This book discusses as well digital tr

  5. 7 CFR 1780.54 - Technical services.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 12 2010-01-01 2010-01-01 false Technical services. 1780.54 Section 1780.54 Agriculture Regulations of the Department of Agriculture (Continued) RURAL UTILITIES SERVICE, DEPARTMENT OF..., Constructing and Inspections § 1780.54 Technical services. Owners are responsible for providing the engineering...

  6. Selling Technical Sales to Engineering Learners

    Science.gov (United States)

    Bumblauskas, Daniel P.; Carberry, Adam R.; Sly, David P.

    2017-01-01

    Sales engineering or technical sales programs bridge engineering and business to educate engineering students in sales specific to their discipline. Students develop business awareness through such programs, providing the sales workforce with technically knowledgeable salespeople. The following study analyzed cohorts of students enrolled in a…

  7. 76 FR 64083 - Reliability Technical Conference; Notice of Technical Conference

    Science.gov (United States)

    2011-10-17

    ... Energy Regulatory Commission Reliability Technical Conference; Notice of Technical Conference Take notice that the Federal Energy Regulatory Commission will hold a Technical Conference on Tuesday, November 29... addressing risks to reliability that were identified in earlier Commission technical conferences. The...

  8. Crew Transportation Technical Standards and Design Evaluation Criteria

    Science.gov (United States)

    Lueders, Kathryn L.; Thomas, Rayelle E. (Compiler)

    2015-01-01

    Crew Transportation Technical Standards and Design Evaluation Criteria contains descriptions of technical, safety, and crew health medical processes and specifications, and the criteria which will be used to evaluate the acceptability of the Commercial Providers' proposed processes and specifications.

  9. Students seeking technical internships as part of an exchange program

    OpenAIRE

    Nystrom, Lynn A.

    2004-01-01

    Virginia Tech students are seeking the support of research centers, academic departments, and area businesses to provide opportunities for technical internships through the International Association for the Exchange of Students for Technical Experience (IAESTE).

  10. Technical Support Documents Used to Develop the Chesapeake Bay TMDL

    Science.gov (United States)

    The Chesapeake Bay TMDL development was supported by several technical documents for water quality standards and allocation methodologies specific to the Chesapeake Bay. This page provides the technical support documents.

  11. Translating Technical Support Into Country Action: The Role of the Interagency Task Team on the Prevention and Treatment of HIV Infection in Pregnant Women, Mothers, and Children in the Global Plan Era.

    Science.gov (United States)

    Luo, Chewe; Hirnschall, Gottfried; Rodrigues, Jessica; Romano, Sostena; Essajee, Shaffiq; Rogers, Braeden; McCarthy, Elizabeth; Mwango, Albert; Sangrujee, Nalinee; Adler, Michelle R; Houston, James C; Langa, Judite O; Urso, Marilena; Bolu, Omotayo; Tene, Gilbert; Elat Nfetam, Jean B; Kembou, Etienne; Phelps, Benjamin R

    2017-05-01

    While the Interagency Task Team on the Prevention and Treatment of HIV Infection in Pregnant Women, Mothers, and Children (IATT) partnership existed before the Global Plan Towards the Elimination of New HIV Infections Among Children by 2015 and Keeping Their Mothers Alive (Global Plan), its reconfiguration was critical to coordinating provision of technical assistance that positively influenced country decision-making and program performance. This article describes how the Global Plan anchored the work of the IATT and, in turn, how the IATT's technical assistance helped to accelerate achievement of the Global Plan targets and milestones. The technical assistance that will be discussed addressed a broad range of priority actions and milestones described in the Global Plan: (1) planning for and implementing Option B+; (2) strengthening monitoring and evaluation systems; (3) translating evidence into action and advocacy; and (4) promoting community engagement. This article also reviews the ongoing challenges and opportunities of providing technical assistance in a rapidly evolving environment that calls for ever more flexible and contextualized responses. The effectiveness of technical assistance facilitated by the IATT was defined by its timeliness, evidence base, and unique global perspective that built on the competencies of its partners and promoted synergies across program areas. Reaching the final goal of eliminating vertical transmission of HIV infection and achieving an AIDS-free generation in countries with the highest HIV burden requires that the IATT partnership and technical assistance remain responsive to country-specific needs while aligning with the current programmatic reality and new global goals such as the Sustainable Development Goals and 90-90-90 targets.

  12. Technical area status report for low-level mixed waste final waste forms. Volume 1

    Energy Technology Data Exchange (ETDEWEB)

    Mayberry, J.L.; DeWitt, L.M. [Science Applications International Corp., Idaho Falls, ID (United States); Darnell, R. [EG and G Idaho, Inc., Idaho Falls, ID (United States)] [and others

    1993-08-01

    The Final Waste Forms (FWF) Technical Area Status Report (TASR) Working Group, the Vitrification Working Group (WG), and the Performance Standards Working Group were established as subgroups to the FWF Technical Support Group (TSG). The FWF TASR WG is comprised of technical representatives from most of the major DOE sites, the Nuclear Regulatory Commission (NRC), the EPA Office of Solid Waste, and the EPA`s Risk Reduction Engineering Laboratory (RREL). The primary activity of the FWF TASR Working Group was to investigate and report on the current status of FWFs for LLNM in this TASR. The FWF TASR Working Group determined the current status of the development of various waste forms described above by reviewing selected articles and technical reports, summarizing data, and establishing an initial set of FWF characteristics to be used in evaluating candidate FWFS; these characteristics are summarized in Section 2. After an initial review of available information, the FWF TASR Working Group chose to study the following groups of final waste forms: hydraulic cement, sulfur polymer cement, glass, ceramic, and organic binders. The organic binders included polyethylene, bitumen, vinyl ester styrene, epoxy, and urea formaldehyde. Section 3 provides a description of each final waste form. Based on the literature review, the gaps and deficiencies in information were summarized, and conclusions and recommendations were established. The information and data presented in this TASR are intended to assist the FWF Production and Assessment TSG in evaluating the Technical Task Plans (TTPs) submitted to DOE EM-50, and thus provide DOE with the necessary information for their FWF decision-making process. This FWF TASR will also assist the DOE and the MWIP in establishing the most acceptable final waste forms for the various LLMW streams stored at DOE facilities.

  13. Why not Commercial Assistance for Suicide? On the Question of Argumentative Coherence of Endorsing Assisted Suicide.

    Science.gov (United States)

    Kipke, Roland

    2015-09-01

    Most people who endorse physician-assisted suicide are against commercially assisted suicide - a suicide assisted by professional non-medical providers against payment. The article questions if this position - endorsement of physician-assisted suicide on the one hand and rejection of commercially assisted suicide on the other hand - is a coherent ethical position. To this end the article first discusses some obvious advantages of commercially assisted suicide and then scrutinizes six types of argument about whether they can justify the rejection of commercially assisted suicide while simultaneously endorsing physician-assisted suicide. The conclusion is that they cannot provide this justification and that the mentioned position is not coherent. People who endorse physician-assisted suicide have to endorse commercially assisted suicide as well, or they have to revise their endorsement of physician-assisted suicide. © 2014 John Wiley & Sons Ltd.

  14. Review of Literature for Model Assisted Probability of Detection

    Energy Technology Data Exchange (ETDEWEB)

    Meyer, Ryan M. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Crawford, Susan L. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Lareau, John P. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Anderson, Michael T. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States)

    2014-09-30

    This is a draft technical letter report for NRC client documenting a literature review of model assisted probability of detection (MAPOD) for potential application to nuclear power plant components for improvement of field NDE performance estimations.

  15. Towards Wearable Cognitive Assistance

    Science.gov (United States)

    2013-12-01

    Nokia -Siemens Networks announced the availability of a “mobile edge computing platform” [1]. Wearable cognitive assistance can be viewed as a “killer...first step, providing an open-source foundation for exploring this exciting new domain. References [1] IBM and Nokia Siemens Networks Announce World’s

  16. Hispanics' Awareness of Assistive Technology

    Science.gov (United States)

    Guzman, Alberto; Ostrander, Noam

    2009-01-01

    This study compared Hispanics' awareness of services available to acquire assistive technology and whether they actually sought help to the findings from a national sample. The study assists the field by providing information on a group largely ignored in the literature. The authors sought to answer the following research questions: Are there…

  17. Credit with Education: A Promising Title II Microfinance Strategy--Supporting Integrated Food Security and Nutrition Programs To Improve Health and Well-Being of Women and Children). Food and Nutrition Technical Assistance.

    Science.gov (United States)

    Dunford, Christopher; Denman, Vicki

    This paper introduces the reader to microfinance integrated with health and nutrition education as a promising strategy for Title II practitioners. The paper provides an overview of how microfinance, particularly village banking, can contribute to the food-security objectives of Title II. It describes a variant of village banking, called…

  18. [Barriers upon providing assistance with making arrangements for discharging and changing from hospitals while a patient is undergoing cancer therapy--when he is in the state of depression (from the perspective of psycho- oncologist)].

    Science.gov (United States)

    Takayanagi, Hideo; Motokawa, Nahomi; Takahashi, Kenta; Hanawa, Kazue; Kimura, Tomoko

    2010-12-01

    During a cancer therapy, a fine-tuned response is necessary for a patient to stay home with family for a longer period of time. Especially the patient is near the end of life. Based on the Basic Plan to Promote Cancer Control programs, our hospital established a cancer consulting support center and a palliative care team in June 2009, and staffed them with multidisciplinary personnel. With medical staffs involved as a team, we considered a shared decision making repeatedly in compliance with inpatient 's wishes for home care. One of the problems the author experienced frequently was that a patient would take a long time for a decision making due to the state of mental depression. Hence, we simply couldn't send him home, or we would fail to make a right timing for sending him home. Due to a patient's inability to make own decision, a home care period could not be shortened, so that a careful daily observation is desired to keep an eye for signs of depression and to provide appropriate responses.

  19. Independent technical review of the Pinellas Plant

    Energy Technology Data Exchange (ETDEWEB)

    1994-07-01

    This report documents an Independent Technical Review (ITR) of facilities, organizations, plans, activities and various other elements required to successfully transition the Pinellas Plant from Defense Program (DP) funded operation to either community developed reuse or safe deactivation leading to decontamination and decommissioning (D&D). The review was conducted at the request of the Department of Energy (DOE) Deputy Assistant Secretary for Facility Transition and Management (EM-60) and is a consensus of the nine member ITR Team.

  20. Mobile Autonomous Humanoid Assistant

    Science.gov (United States)

    Diftler, M. A.; Ambrose, R. O.; Tyree, K. S.; Goza, S. M.; Huber, E. L.

    2004-01-01

    A mobile autonomous humanoid robot is assisting human co-workers at the Johnson Space Center with tool handling tasks. This robot combines the upper body of the National Aeronautics and Space Administration (NASA)/Defense Advanced Research Projects Agency (DARPA) Robonaut system with a Segway(TradeMark) Robotic Mobility Platform yielding a dexterous, maneuverable humanoid perfect for aiding human co-workers in a range of environments. This system uses stereo vision to locate human team mates and tools and a navigation system that uses laser range and vision data to follow humans while avoiding obstacles. Tactile sensors provide information to grasping algorithms for efficient tool exchanges. The autonomous architecture utilizes these pre-programmed skills to form human assistant behaviors. The initial behavior demonstrates a robust capability to assist a human by acquiring a tool from a remotely located individual and then following the human in a cluttered environment with the tool for future use.

  1. Ozone Layer Research and Technical Resources

    Science.gov (United States)

    Access information on research and technical resources related to ozone layer science. This page provides links to research efforts led by organizations such as the National Oceanic and Atmospheric Administration, the United Nations Environment Program, an

  2. INDOT Technical Training Plan : Appendix D

    Science.gov (United States)

    2012-04-01

    The study provides the background documents necessary for the development of a Technical Training Plan and makes recommendations for the content and structure of such a plan for the District Operations, Operations, Capital Program Management, and Eng...

  3. INDOT Technical Training Plan : Appendix L

    Science.gov (United States)

    2012-04-01

    The study provides the background documents necessary for the development of a Technical Training Plan and makes recommendations for the content and structure of such a plan for the District Operations, Operations, Capital Program Management, and Eng...

  4. INDOT Technical Training Plan : Appendix E

    Science.gov (United States)

    2012-04-01

    The study provides the background documents necessary for the development of a Technical Training Plan and makes recommendations for the content and structure of such a plan for the District Operations, Operations, Capital Program Management, and Eng...

  5. INDOT Technical Training Plan : Appendix J

    Science.gov (United States)

    2012-04-01

    The study provides the background documents necessary for the development of a Technical Training Plan and makes recommendations for the content and structure of such a plan for the District Operations, Operations, Capital Program Management, and Eng...

  6. Technical Service Agreement (TSA) | FNLCR Staging

    Science.gov (United States)

    Frederick National Lab for Cancer Research (FNLCR)scientists provide services and solutions to collaborators through the Technical Services Program, whose portfolio includes more than200 collaborations with more than 80 partners such as t

  7. Technical Reports and Non-Depository Publications.

    Science.gov (United States)

    Taylor, Suzanne N.

    1993-01-01

    This annotated bibliography lists 45 nondepository publications and CD-ROM databases disseminated by the National Technical Information Service (NTIS) during 1992. A brief history of recent federal legislation affecting the Government Printing Office (GPO) is provided. (LRW)

  8. Interculturalizing the Technical or Business Communications Course.

    Science.gov (United States)

    Tippens, Dora

    1993-01-01

    Claims that technical or business communications courses need to be interculturalized to prepare students for the global marketplace. Defines three problems: ethnocentrism, language barriers, and cultural differences. Provides strategies, assignments, and resources for implementing an interculturalized communications course. (HB)

  9. INDOT Technical Training Plan : Appendix C

    Science.gov (United States)

    2012-04-01

    The study provides the background documents necessary for the development of a Technical Training Plan and makes recommendations for the content and structure of such a plan for the District Operations, Operations, Capital Program Management, and Eng...

  10. INDOT Technical Training Plan : Appendix K

    Science.gov (United States)

    2012-04-01

    The study provides the background documents necessary for the development of a Technical Training Plan and makes recommendations for the content and structure of such a plan for the District Operations, Operations, Capital Program Management, and Eng...

  11. Optimal Corrosion Control Treatment Evaluation Technical Recommendations

    Science.gov (United States)

    This document provides technical recommendations that both systems and primacy agencies can use to comply with LCR CCT requirements and effective evaluation and designation of optimal corrosion control treatment (OCCT).

  12. DOE technical standards list. Department of Energy standards index

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1995-08-01

    This document was prepared for use by personnel involved in the selection and use of DOE technical standards and other Government and non-Government standards. This TSL provides listing of current DOE technical standards, non-Government standards that have been adopted by DOE, other Government documents in which DOE has a recorded interest, and canceled DOE technical standards. Information on new DOE technical standards projects, technical standards released for coordination, recently published DOE technical standards, and activities of non-Government standards bodies that may be of interest to DOE is published monthly in Standards Actions.

  13. Industrial espionage and technical surveillance counter measurers

    CERN Document Server

    Androulidakis, Iosif

    2016-01-01

    This book examines technical aspects of industrial espionage and its impact in modern companies, organizations, and individuals while emphasizing the importance of intellectual property in the information era. The authors discuss the problem itself and then provide statistics and real world cases. The main contribution provides a detailed discussion of the actual equipment, tools and techniques concerning technical surveillance in the framework of espionage. Moreover, they present the best practices and methods of detection (technical surveillance counter measures) as well as means of intellectual property protection.

  14. Feasibility and safety of augmented reality-assisted urological surgery using smartglass.

    Science.gov (United States)

    Borgmann, H; Rodríguez Socarrás, M; Salem, J; Tsaur, I; Gomez Rivas, J; Barret, E; Tortolero, L

    2017-06-01

    To assess the feasibility, safety and usefulness of augmented reality-assisted urological surgery using smartglass (SG). Seven urological surgeons (3 board urologists and 4 urology residents) performed augmented reality-assisted urological surgery using SG for 10 different types of operations and a total of 31 urological operations. Feasibility was assessed using technical metadata (number of photographs taken/number of videos recorded/video time recorded) and structured interviews with the urologists on their use of SG. Safety was evaluated by recording complications and grading according to the Clavien-Dindo classification. Usefulness of SG for urological surgery was queried in structured interviews and in a survey. The implementation of SG use during urological surgery was feasible with no intrinsic (technical defect) or extrinsic (inability to control the SG function) obstacles being observed. SG use was safe as no grade 3-5 complications occurred for the series of 31 urological surgeries of different complexities. Technical applications of SG included taking photographs/recording videos for teaching and documentation, hands-free teleconsultation, reviewing patients' medical records and images and searching the internet for health information. Overall usefulness of SG for urological surgery was rated as very high by 43 % and high by 29 % of surgeons. Augmented reality-assisted urological surgery using SG is both feasible and safe and also provides several useful functions for urological surgeons. Further developments and investigations are required in the near future to harvest the great potential of this exciting technology for urological surgery.

  15. American Recovery and Reinvestment Act (ARRA) FEMP Technical Assistance U.S. General Services Administration – Project 195 John Seiberling Federal Office Building and U.S. Courthouse, Akron, Ohio

    Energy Technology Data Exchange (ETDEWEB)

    Arends, J.; Sandusky, William F.

    2010-05-28

    This report documents the findings from an onsite audit of the John Seiberling Federal building located in Akron, Ohio. The Federal landlord for this building is the General Services Administration (GSA). The focus of the audit was to identify various no-cost or low-cost energy efficiency opportunities that, once implemented, would reduce in either electrical and gas consumption and increase the operational efficiency of the building. This audit also provided an opportunity to identify potential capital cost projects that should be considered in the to acquire additional energy (electric and gas) and water savings to further increase the operational efficiency of the building.

  16. Drop tube technical tasks

    Science.gov (United States)

    Workman, G. L.

    1986-01-01

    Criteria, using fundamental thermochemical dynamics, were developed to assist a scientist using the Drop Tube Facility in designing a good experiment. The types of parameters involved in designing the experiments include the type of furnace, the type of atmosphere, and in general which materials are better behaved than others as determined by past experience in the facility. One of the major advantages of the facility lies in its ability to provide large undercoolings in the cooling curve during the drops. A beginning was to consider the effect of oxygen and other gases upon the amount of undercooling observed. The starting point of the thermochemistry was given by Ellingham and later transformed into what is known as the Richardson Chart. The effect of surface oxidations upon the nucleation phenomena can be observed in each specimen.

  17. Proof assistants: History, ideas and future

    Indian Academy of Sciences (India)

    Proof assistant; verification; logic; software correctness; formalized mathematics. ... Institute for Computing and Information Science, Faculty of Science, Radboud University Nijmegen, P. O. Box 9010, 6500 GL Nijmegen, The Netherlands; Faculty of Mathematics and Computer Science, Technical University Eindhoven, NL ...

  18. FY 1989 scientific and technical reports, articles, papers, and presentations

    Science.gov (United States)

    Turner, Joyce E. (Compiler)

    1989-01-01

    A compendium of bibliographic references to papers presented by Marshall Space Flight Center (MSFC) personnel and contractors during FY 1989 is provided. The papers include formal NASA technical reports, memoranda, papers which were published in technical journals, and presentations by MSFC personnel. The formal NASA technical reports and memoranda have abstracts included. Sources for obtaining these documents are also included.

  19. Engineering Technical Support Center Annual Report Fiscal Year 2015

    Science.gov (United States)

    The United States Environmental Protection Agency (EPA or Agency) Office of Research and Development (ORD) created the Engineering Technical Support Center (ETSC) in 1987, one of several technical support centers created as part of the Technical Support Project (TSP). ETSC provid...

  20. Common Career Technical Core: Common Standards, Common Vision for CTE

    Science.gov (United States)

    Green, Kimberly

    2012-01-01

    This article provides an overview of the National Association of State Directors of Career Technical Education Consortium's (NASDCTEc) Common Career Technical Core (CCTC), a state-led initiative that was created to ensure that career and technical education (CTE) programs are consistent and high quality across the United States. Forty-two states,…