75 FR 8315 - Submission for OMB Review; Comment Request; Correction

Science.gov (United States)

2010-02-24

..., a 30-day public comment period notice will be published. The Acting Director, Information Collection... published a 30-day comment period notice in the Federal Register (Page 7264, Column 3) seeking public.... James Hyler, Acting Director, Information Collection Clearance Division, Regulatory Information...

Public comments and responses to the 1989 Hanford cleanup five-year plan

International Nuclear Information System (INIS)

1991-06-01

In April 1990 the US Department of Energy (DOE) issued a site- specific Five-Year Plan (DOE-RL 1989a) on Hanford's cleanup for public review and comment. The plan guides Hanford in carrying out DOE's national plan for environmental restoration and waste management. During the 90-day public comment period, DOE held nine public meetings to answer questions and gather comments on the plan. This report is in three main sections. The first presents consolidated public comments and responses. These were compiled from both verbal comments from public meetings and written comments. The second section contains comments not responded to in this plan. Those comments were outside this plan's scope, related to how we gathered public comments, or intended for and directed to DOE-Headquarters. In the appendixes are the written comment letters we received and a short glossary and list of special terms we use. The source of comments is shown in parentheses after the comment. The individual who made the comment, the city of the public meeting, or the organization name is generally used. When several sources gave the same comment, a source was not listed. 26 refs

75 FR 52345 - Agency Information Collection Request. 60-Day Public Comment Request

Science.gov (United States)

2010-08-25

..., was intended to provide ``assistance to institutions of higher education (or consortia thereof) to... the above e-mail address within 60 days. Proposed Project: Evaluation of the IT Professionals in... Chief Scientist is soliciting comments on a series of data collection efforts for the Evaluation of the...

75 FR 32809 - 30-Day Notice of Submission to the Office of Management and Budget (OMB); Opportunity for Public...

Science.gov (United States)

2010-06-09

...) invites public comments on a proposed new collection of information (OMB 1024-XXXX). DATES: Public...: You may submit comments directly to the Desk Officer for the Department of the Interior (OMB 1024-XXXX...

Centers for Disease Control review panel's recommendations on health effects and epidemiological studies of operations at the Savannah River Plant, Aiken, South Carolina. Public comment and meeting report

International Nuclear Information System (INIS)

1985-05-01

Based on the request of the US Department of Energy, the Centers for Disease Control of the US Department of Health and Human Services organized a panel to review the feasibility and usefulness of conducting further epidemiologic studies of delayed health effects around the Department of Energy's Savannah River Plant. The review and recommendations of the panel were documented in a report entitled Epidemiologic Projects Considered Possible to Undertake in Populations Around the Savannah River Plant. On November 30, 1984, the Department of Energy announced in the Federal Register (49 FR 47095) the conduct of a public meeting and a 30-day public comment period between December 1 and December 30, 1984, on the recommendations of the review panel. Based on the requests of individuals and representatives of organizations attending the December 18, 1984, public meetings, the Department of Energy subsequently announced in the Federal Register on December 31, 1984 (49 FR 50767) an extension of the public comment period to January 31, 1985. This report documents the public meeting and comment process, and provides responses to the public comments that were submitted during this process. In addition, this report contains the Department of Energy's position based on the recommendations of the Centers for Disease Control review panel and the public comments. 23 refs., 16 tabs

Public comments and responses to the 1991 Hanford Cleanup Five-Year Plan

International Nuclear Information System (INIS)

1992-05-01

The Department of Energy (DOE) Richland Field Office (RL) updated its Site-Specific Plan (DOE-RL 1991a) dealing with cleanup and operation of the Hanford Site in September 1991. The plan provides direction as to how DOE will carry out the national strategy for managing and cleaning up the Hanford Site wastes resulting from production of nuclear weapons. The plan is updated annually. We asked the public to comment on the plan during its 60-day public comment period. This report presents the comments and provides responses. The introduction explains how the comments were gathered and how we responded. This report is in four main sections: (1) comments and responses addressed locally; (2) comments forwarded to DOE-Headquarters for their response (these responses will appear in the National Five-Year Plan [DOE 1991a]); (3) comments we did not respond to here because they were outside the scope, or about how we gathered the public's comments; and (4) the appendices, which include a glossary, a list of acronyms used in the document, and the letters and cards we received reproduced in their entirety

Centers for Disease Control review panel's recommendations on health effects and epidemiological studies of operations at the Savannah River Plant, Aiken, South Carolina. Public comment and meeting report

Energy Technology Data Exchange (ETDEWEB)

1985-05-01

Based on the request of the US Department of Energy, the Centers for Disease Control of the US Department of Health and Human Services organized a panel to review the feasibility and usefulness of conducting further epidemiologic studies of delayed health effects around the Department of Energy's Savannah River Plant. The review and recommendations of the panel were documented in a report entitled Epidemiologic Projects Considered Possible to Undertake in Populations Around the Savannah River Plant. On November 30, 1984, the Department of Energy announced in the Federal Register (49 FR 47095) the conduct of a public meeting and a 30-day public comment period between December 1 and December 30, 1984, on the recommendations of the review panel. Based on the requests of individuals and representatives of organizations attending the December 18, 1984, public meetings, the Department of Energy subsequently announced in the Federal Register on December 31, 1984 (49 FR 50767) an extension of the public comment period to January 31, 1985. This report documents the public meeting and comment process, and provides responses to the public comments that were submitted during this process. In addition, this report contains the Department of Energy's position based on the recommendations of the Centers for Disease Control review panel and the public comments. 23 refs., 16 tabs.

77 FR 69865 - 60-Day Proposed Information Collection; Request for Public Comment: Indian Health Service...

Science.gov (United States)

2012-11-21

... collected in a useful and timely fashion; (c) the accuracy of the public burden estimate (this is the amount... facsimile to (301) 443-2316, or send your email requests, comments, and return address to [email protected

78 FR 34700 - Data Collection Available for Public Comments

Science.gov (United States)

2013-06-10

... Finance Center, Small Business Administration, 721 19th Street, 3rd Floor, Denver, CO 80202. FOR FURTHER... SMALL BUSINESS ADMINISTRATION Data Collection Available for Public Comments ACTION: 60-Day Notice... announces the Small Business Administration's intentions to request approval on a new and/or currently...

76 FR 45574 - Agency Information Collection Request: 30-Day Public Comment Request

Science.gov (United States)

2011-07-29

... actuaries at health insurers. Data collection activities will be completed within 60 days (two months) of...-administered web survey Chief Actuary at health insurance 408 1 45/60 306 companies. Mary Forbes, Paperwork...

75 FR 68609 - Agency Information Collection Request; 30-Day Public Comment Request

Science.gov (United States)

2010-11-08

... the Teen Pregnancy Prevention Initiative. OAH is working collaboratively with the Office of the... evidence on effective ways to reduce teen pregnancy. The evaluation will document and test a range of... interest to the general public, to policy-makers, and to organizations interested in teen pregnancy...

76 FR 28986 - Agency Information Collection Request. 30-Day Public Comment Request

Science.gov (United States)

2011-05-19

... through a variety of research methods for developing and testing communications involving health....50 216 Screening for General Public Focus Group 2,160 1 10/60 360 Interviews Web usability testing sessions 144 1 1.50 216 Screening for Web usability testing 2,160 1 10/60 360 Self-Administered Surveys 2...

Final environmental impact statement for the Nevada test site and off-site locations in the State of Nevada. Public comment and response document, Volume 3, Part A comments

International Nuclear Information System (INIS)

1996-08-01

On February 2, 1996, the U.S. Department of Energy (DOE) issued the Draft Environmental Impact Statement for the Nevada Test Site and Off-Site Locations in the State of Nevada (NTS EIS) for review by the state of Nevada, Indian tribes, local governments, other federal agencies, groups and organizations, and the general public. The formal comment period lasted 90 days, ending May 3, 1996. As part of the comment process, the DOE held public hearings in St. George, Utah, and in Pahrump, Reno, and Las Vegas, Nevada. Community Workshops were held in Caliente, Tonopah, Boulder City, and North Las Vegas, Nevada, in conjunction with the University of Nevada Las Vegas to discuss the Draft NTS EIS. Volume 3 of the Final NTS EIS contains 3 chapters. Chapter 1 summarizes the major issues raised by the public. Chapter 2 contains the full text of the public comments on the Draft NTS EIS received by the DOE; it includes public hearing transcripts, written comments, and comments received via a toll-free comment open-quotes hot line.close quotes Chapter 3 contains the DOE's responses to the public comments and describes how the comments were considered in the Final NTS EIS

76 FR 50483 - Submission for OMB Review; Comment Request

Science.gov (United States)

2011-08-15

... energy vulnerability and prevent homelessness as a result of the inability to pay energy bills; (3... having its full effect if OMB receives it within 30 days of publication. Written comments and...

75 FR 12520 - Submission for OMB Review; Comment Request

Science.gov (United States)

2010-03-16

... [insert the 30th day after publication of this notice]. ADDRESSES: Written comments should be addressed to... http://edicsweb.ed.gov , by selecting the ``Browse Pending Collections'' link and by clicking on link...

76 FR 147 - Proposed Data Collections Submitted for Public Comment and Recommendations

Science.gov (United States)

2011-01-03

... technology. Written comments should be received within 60 days of this notice. Proposed Project Healthcare... Healthcare Preparedness Activity, Division of Healthcare Quality Promotion (DHQP) at the Centers for Disease... other public and private organizations to promote collaboration amongst healthcare partners, and to...

Dual axis radiographic hydrodynamic test facility. Final environmental impact statement, Volume 2: Public comments and responses

Energy Technology Data Exchange (ETDEWEB)

NONE

1995-08-01

On May 12, 1995, the U.S. Department of Energy (DOE) issued the draft Dual Axis Radiographic Hydrodynamic Test Facility Environmental Impact Statement (DARHT EIS) for review by the State of New Mexico, Indian Tribes, local governments, other Federal agencies, and the general public. DOE invited comments on the accuracy and adequacy of the draft EIS and any other matters pertaining to their environmental reviews. The formal comment period ran for 45 days, to June 26, 1995, although DOE indicated that late comments would be considered to the extent possible. As part of the public comment process, DOE held two public hearings in Los Alamos and Santa Fe, New Mexico, on May 31 and June 1, 1995. In addition, DOE made the draft classified supplement to the DARHT EIS available for review by appropriately cleared individuals with a need to know the classified information. Reviewers of the classified material included the State of New Mexico, the U.S. Environmental Protection Agency, the Department of Defense, and certain Indian Tribes. Volume 2 of the final DARHT EIS contains three chapters. Chapter 1 includes a collective summary of the comments received and DOE`s response. Chapter 2 contains the full text of the public comments on the draft DARHT EIS received by DOE. Chapter 3 contains DOE`s responses to the public comments and an indication as to how the comments were considered in the final EIS.

75 FR 81615 - Submission for OMB Review; Comment Request

Science.gov (United States)

2010-12-28

... DEPARTMENT OF HEALTH AND HUMAN SERVICES Administration for Children and Families Submission for... Specific Consent. OMB No.: New Collection. Description: The William Wilberforce Trafficking Victims... effect if OMB receives it within 30 days of publication. Written comments and recommendations for the...

77 FR 43412 - 30-Day Notice of Proposed Information Collection: DS 7655, Iraqi Citizens and Nationals Employed...

Science.gov (United States)

2012-07-24

... to 30 days from July 24, 2012. ADDRESSES: You may submit comments by any of the following methods..., biographical information, to include employee name, date(s) of employment, biometric, and other data must be...

78 FR 31940 - Proposed Data Collections Submitted for Public Comment and Recommendations

Science.gov (United States)

2013-05-28

... techniques or other forms of information technology. Written comments should be received within 60 days of this notice. Proposed Project ``So What? Telling a Compelling Story'' Template--New--Office of Public... and Brief Description Background: Stories are difficult to gather and track; therefore, OPHPR must use...

Puget Sound Reinforcement Project : Planning for Peak Power Needs : Scoping Report, Part A, Summary of Public Comments.

Energy Technology Data Exchange (ETDEWEB)

United States. Bonneville Power Administration.

1990-07-01

This report summarizes public participation in the environmental scoping process for the Puget Sound Reinforcement Project, a Bonneville Power Administration (BPA) and Puget Sound area utilities study of voltage stability in northwestern Washington state. The environmental scoping phase of the Puget Sound project consisted of a series of public meetings and a public comment period. The content of these meetings is summarized in 2.0, Public Involvement. In 3.0, Comment Summary, the report summarizes comments received via meetings, mail and phone. The report ends with a description of the next steps in the project. Chapter 4.0, describes the decision process to be used by BPA and area utilities. Chapter 5.0 describes opportunities for public participation in decisions to be made about the future reliability of Puget Sound's electricity supply.

75 FR 69701 - Notice of Public Meeting, John Day/Snake Resource Advisory Council

Science.gov (United States)

2010-11-15

... alternatives, recent information on Sage-grouse and wolf management; set goals for 2011 in a strategic planning... contact the BLM Prineville District at the address below. SUPPLEMENTARY INFORMATION: The JDSRAC will... Transmission Project. Public comment is scheduled from 1 p.m. to 1:15 p.m. (Pacific) November 30, 2010, during...

Summary, analysis, and response to public comments on proposed amendments to 10 CFR Parts 30, 40, 50, 51, 70, and 72: Decommissioning criteria for nuclear facilities

International Nuclear Information System (INIS)

1988-06-01

On February 11, 1985, the NRC issued for public comment proposed rules on decommissioning of nuclear facilities (50 FR 5600). Comment letters were received from 143 organizations and individuals. This report provides a summary and analysis and response to the public comments received

48 CFR 3401.501-2 - Opportunity for public comments.

Science.gov (United States)

2010-10-01

... 48 Federal Acquisition Regulations System 7 2010-10-01 2010-10-01 false Opportunity for public comments. 3401.501-2 Section 3401.501-2 Federal Acquisition Regulations System DEPARTMENT OF EDUCATION ACQUISITION REGULATION GENERAL ED ACQUISITION REGULATION SYSTEM Agency and Public Participation 3401.501-2 Opportunity for public comments. Unless th...

28 CFR 302.1 - Public and private sector comment procedures.

Science.gov (United States)

2010-07-01

... 28 Judicial Administration 2 2010-07-01 2010-07-01 false Public and private sector comment procedures. 302.1 Section 302.1 Judicial Administration FEDERAL PRISON INDUSTRIES, INC., DEPARTMENT OF JUSTICE COMMENTS ON UNICOR BUSINESS OPERATIONS § 302.1 Public and private sector comment procedures. (a...

78 FR 36817 - Proposed Agency Information Collection Activities; Comment Request

Science.gov (United States)

2013-06-19

.... Therefore, respondents should submit their respective comments to OMB within 30 days of publication to best..., and the test results in order to demonstrate compliance with the performance standard. Annual... testing standards are effective. FRA also uses the information collected to alert railroad employees and...

78 FR 21708 - Proposed Collection; Comment Request for Publication 1345

Science.gov (United States)

2013-04-11

... Publication 1345 AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments... Publication 1345, Handbook for Authorized IRS e-file Providers. DATES: Written comments should be received on... [email protected] . SUPPLEMENTARY INFORMATION: Title: Publication 1345, Handbook for Authorized...

76 FR 43355 - Public Comment and Public Meeting on Draft Revisions to the Transportation Element and Federal...

Science.gov (United States)

2011-07-20

... Public Comment, National Capital Planning Commission, 401 9th Street, NW., Suite 500, Washington, DC 20004. The public meeting will be held at 401 9th Street, NW., North Lobby, Suite 500, Washington, DC...: Electronic Access and Filing Addresses You may submit comments electronically at the public comment portal at...

75 FR 29817 - Proposed Collection; Comment Request for Publication 1345

Science.gov (United States)

2010-05-27

... Publication 1345 AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments... Publication 1345, Handbook for Authorized IRS e-file Providers. DATES: Written comments should be received on....gov . SUPPLEMENTARY INFORMATION: Title: Publication 1345, Handbook for Authorized IRS e-file Providers...

Understanding Public Perceptions of the HPV Vaccination Based on Online Comments to Canadian News Articles.

Directory of Open Access Journals (Sweden)

Yael Feinberg

Full Text Available Given the variation in human papillomavirus (HPV vaccine coverage across Canada, and debate regarding delivery of HPV vaccines in Catholic schools, we studied online comments on Canadian news websites to understand public perceptions of HPV and HPV vaccine.We searched English- and French-language Canadian news websites for 2012 articles that contained the terms "HPV" or "human papillomavirus." Articles about HPV vaccinations that contained at least one comment were included. Two researchers independently coded comments, analyzing them for emerging themes.We identified 3073 comments from 1198 individuals in response to 71 news articles; 630 (52.6% individuals expressed positive sentiments about HPV vaccination (2.5 comments/individual, 404 (33.7% were negative (3.0 comments/individual, 34 (2.8% were mixed (1.5 comments/individual and 130 (10.8% were neutral (1.6 comments/individual. Vaccine-supportive commenters believed the vaccine is safe and effective. Common themes in negative comments included concerns regarding HPV vaccine safety and efficacy, distrust of pharmaceutical companies and government, and belief that school-age children are too young for HPV vaccine. Many comments focused on whether the Catholic Church has the right to inform health policy for students, and discussion often evolved into debates regarding HPV and sexual behaviour. We noted that many individuals doubted the credibility of vaccine safety information.The majority of commenters do not appear to be against HPV vaccination, but public health messaging that focuses on both the vaccine's safety profile, and its use as a means to prevent cancer rather than sexually transmitted HPV infection may facilitate its acceptance.

78 FR 65421 - Proposed Agency Information Collection Activities; Comment Request

Science.gov (United States)

2013-10-31

... respective comments to OMB within 30 days of publication to best ensure having their full effect. 5 CFR 1320... information collected with FRA employees, State DOT partners, and law enforcement agencies. Form Number(s... the following: Whether the proposed collection of information is necessary for the proper performance...

77 FR 33243 - Public Comment and Public Meeting on Draft Revisions to the Federal Environment Element of the...

Science.gov (United States)

2012-06-05

... Comprehensive Plan Public Comment, National Capital Planning Commission, 401 9th Street NW., Suite 500, Washington, DC 20004. The public meeting will be held at 401 9th Street NW., North Lobby, Suite 500...: Electronic Access and Filing Addresses You may submit comments electronically at the public comment portal at...

77 FR 1497 - Notice of Proposed Information for Public Comment for: Public/Private Partnerships for the Mixed...

Science.gov (United States)

2012-01-10

... diligence in order to approve the mixed-finance development of public housing prior to a financial closing... Information for Public Comment for: Public/ Private Partnerships for the Mixed-Finance Development of Public... comments on the subject proposal. The 1998 Public Housing Reform Act allowed the Mixed-Finance development...

78 FR 70398 - Proposed Agency Information Collection Activities; Comment Request

Science.gov (United States)

2013-11-25

... information or produce any material acquired as part of the performance of that employee's official duties or..., respondents should submit their respective comments to OMB within 30 days of publication to best ensure having... operating assumption behind C\\3\\RS is that by assuring confidentiality, employees will report events which...

78 FR 36197 - Request for Public Comment: 60-Day Proposed Information Collection: Application for Participation...

Science.gov (United States)

2013-06-17

... function; (b) whether the agency processes the information collected in a useful and timely fashion; (c... requests, comments, and return address to: [email protected] . Comment Due Date: Comments regarding this...

Predicting 7-day, 30-day and 60-day all-cause unplanned readmission: a case study of a Sydney hospital.

Science.gov (United States)

Maali, Yashar; Perez-Concha, Oscar; Coiera, Enrico; Roffe, David; Day, Richard O; Gallego, Blanca

2018-01-04

The identification of patients at high risk of unplanned readmission is an important component of discharge planning strategies aimed at preventing unwanted returns to hospital. The aim of this study was to investigate the factors associated with unplanned readmission in a Sydney hospital. We developed and compared validated readmission risk scores using routinely collected hospital data to predict 7-day, 30-day and 60-day all-cause unplanned readmission. A combination of gradient boosted tree algorithms for variable selection and logistic regression models was used to build and validate readmission risk scores using medical records from 62,235 live discharges from a metropolitan hospital in Sydney, Australia. The scores had good calibration and fair discriminative performance with c-statistic of 0.71 for 7-day and for 30-day readmission, and 0.74 for 60-day. Previous history of healthcare utilization, urgency of the index admission, old age, comorbidities related to cancer, psychosis, and drug-abuse, abnormal pathology results at discharge, and being unmarried and a public patient were found to be important predictors in all models. Unplanned readmissions beyond 7 days were more strongly associated with longer hospital stays and older patients with higher number of comorbidities and higher use of acute care in the past year. This study demonstrates similar predictors and performance to previous risk scores of 30-day unplanned readmission. Shorter-term readmissions may have different causal pathways than 30-day readmission, and may, therefore, require different screening tools and interventions. This study also re-iterates the need to include more informative data elements to ensure the appropriateness of these risk scores in clinical practice.

78 FR 49532 - Request for Public Comment: 30-Day Proposed Information Collection: Application for Participation...

Science.gov (United States)

2013-08-14

... agency processes the information collected in a useful and timely fashion; (c) the accuracy of public...)--443-6048, or send your email requests, and return address to: [email protected] . Direct Your...

75 FR 45121 - Agency Information Collection Request; 30-Day Public Comment Request; 30-Day Notice

Science.gov (United States)

2010-08-02

... location within the United States Code. The Trafficking Victims Protection Act of 2000 (Section 106), as... DEPARTMENT OF HEALTH AND HUMAN SERVICES [Document Identifier OS-4040-0007] Agency Information... of the Secretary (OS), Department of Health and Human Services, is publishing the following summary...

75 FR 17152 - 60-Day Notice of Intention To Request Clearance of Information Collection; Opportunity for Public...

Science.gov (United States)

2010-04-05

... DEPARTMENT OF THE INTERIOR National Park Service 60-Day Notice of Intention To Request Clearance of Information Collection; Opportunity for Public Comment AGENCY: National Park Service, Interior... of such projects; and, when necessary, agency review of a concessioner's books and records related to...

14 CFR 11.75 - Does FAA invite public comment on petitions for rulemaking?

Science.gov (United States)

2010-01-01

... 14 Aeronautics and Space 1 2010-01-01 2010-01-01 false Does FAA invite public comment on petitions... Rulemaking and for Exemption § 11.75 Does FAA invite public comment on petitions for rulemaking? Generally, FAA does not invite public comment on petitions for rulemaking. ...

77 FR 24509 - Notice of Proposed Information Collection for Public Comment Emergency Comment Request; Single...

Science.gov (United States)

2012-04-24

... Information Collection for Public Comment Emergency Comment Request; Single Family Customer Satisfaction... information: Title of Proposal: Single Family Customer Satisfaction Survey. Description of Information... and changes in performance. In addition to the importance HUD management places on the information...

77 FR 13149 - Agency Information Collection Activities: Proposed Collection; Comments Requested: Office of...

Science.gov (United States)

2012-03-05

... State criminal jurisdiction under Public Law 280 (18 U.S.C. 1162(a)) to request that the United States... Collection; Comments Requested: Office of Tribal Justice; Assumption of Concurrent Federal Criminal Jurisdiction in Certain Areas of Indian Country ACTION: 30-Day notice of information collection under review...

76 FR 9004 - Public Comment on Setting Achievement Levels in Writing

Science.gov (United States)

2011-02-16

... DEPARTMENT OF EDUCATION Public Comment on Setting Achievement Levels in Writing AGENCY: U.S... Achievement Levels in Writing. SUMMARY: The National Assessment Governing Board (Governing Board) is... for NAEP in writing. This notice provides opportunity for public comment and submitting...

75 FR 65357 - Request for Public Comment: 30-Day Proposed Information Collection: Office of Urban Indian Health...

Science.gov (United States)

2010-10-22

... reporting on annual trends. Affected Public: Title V funded urban Indian health programs. Type of... information collected in a useful and timely fashion; (c) the accuracy of public burden estimate (the...

78 FR 66670 - Housing Counseling Program: New Certification Requirements; Extension of Public Comment Period

Science.gov (United States)

2013-11-06

... Counseling Program: New Certification Requirements; Extension of Public Comment Period AGENCY: Office of the... inviting public comment on proposed changes to the Housing Counseling Program regulations for the purpose... housing counseling statute. This document announces that HUD is extending the public comment period, for...

Proposed standby gasoline rationing plan: public comments

Energy Technology Data Exchange (ETDEWEB)

1978-12-01

Under the proposed plan, DOE would allocate ration rights (rights to purchase gasoline) to owners of registered vehicles. All vehicles in a given class would receive the same entitlement. Essential services would receive supplemental allotments of ration rights as pririty firms. Once every 3 months, ration checks would be mailed out to all vehicle registrants, allotting them a certain amount of ration rights. These checks would then be cashed at Coupon Issuance Points, where the bearer would receive ration coupons to be used at gasoline stations. Large users of gasoline could deposit their allotment checks in accounts at ration banks. Coupons or checks would be freely exchangeable in a white market. A certain percentage of the gasoline supply would be set aside in reserve for use in national emergencies. When the plan was published in the Federal Register, public comments were requested. DOE also solicited comments from private citizens, public interest groups, business and industry, state and local governments. A total of 1126 responses were reveived and these are analyzed in this paper. The second part of the report describes how the comments were classified, and gives a statistical breakdown of the major responses. The last section is a discussion and analysis of theissue raised by commenting agencies, firms, associations, and individuals. (MCW)

76 FR 32008 - 30-Day Notice of Proposed Information Collections: RPPR Public Diplomacy Surveys

Science.gov (United States)

2011-06-02

... forms of social media and similar collaborative technologies to interact on Public Diplomacy themes in... as needed. Respondents: U.S. public diplomacy participants in select foreign countries. Estimated Number of Respondents: 3,300. Estimated Number of Responses: 3,300. Average Hours Per Response: 30...

IRIS Public Science Meeting (June 2016)

Science.gov (United States)

This June 2016 public meeting is made available to solicit comments on the public comment draft of the IRIS Assessment of tert-Butanol. The draft document was re-opened in the docket for a 60-day public comment period closing on July 16, 2016.

IRIS Toxicological Review of Tert-Butyl Alcohol (Tert-Butanol) (Public Comment Draft)

Science.gov (United States)

EPA is developing an Integrated Risk Information System (IRIS) assessment of tert-butyl Alcohol (tert-butanol) and has released the public comment draft assessment for public comment and external peer review. When final, the assessment will appear on the IRIS databa...

14 CFR 11.85 - Does FAA invite public comment on petitions for exemption?

Science.gov (United States)

2010-01-01

... 14 Aeronautics and Space 1 2010-01-01 2010-01-01 false Does FAA invite public comment on petitions... Rulemaking and for Exemption § 11.85 Does FAA invite public comment on petitions for exemption? Yes, FAA... the reasons for requesting it; and (e) A request for comments to assist FAA in evaluating the petition. ...

75 FR 16139 - Request For Public Comment: 30-Day Proposed Information Collection: Indian Health Service Medical...

Science.gov (United States)

2010-03-31

... mins) 50 Optometry Privileges 21 1 0.33 (20 mins) 7 Psychology Privileges 30 1 0.17 (10 mins) 5..., Attention: Desk Officer for IHS, New Executive Office Building, Room 10235, Washington, DC 20503. Send...

78 FR 36198 - Request for Public Comment: 30-Day Proposed Information Collection: Indian Health Service Medical...

Science.gov (United States)

2013-06-17

... mins) 50 Psychology Privileges 30 1 0.17 (10 mins) 5 Audiology Privileges 7 1 0.08 (5 mins) 1 Podiatry..., Office of Regulatory Affairs, New Executive Office Building, Room 10235, Washington, DC 20503, Attention...

77 FR 52033 - Agency Information Collection Request. 60-Day Public Comment Request

Science.gov (United States)

2012-08-28

... send comments regarding this burden estimate or any other aspect of this collection of information...). ONC intends to revise the project to use the same focus group and cognitive usability interview... per Total burden respondent respondents respondent response hours Cognitive Testing Screening General...

76 FR 20987 - Agency Information Collection Request; 60-Day Public Comment Request

Science.gov (United States)

2011-04-14

... to provide ``assistance to institutions of higher education (or consortia thereof) to establish or.... Proposed Project: Evaluation of the IT Professionals in Health Care: University-Based Training--OMB No... Technology's (ONC) Office of Economic Analysis, Evaluation, and Modeling is soliciting comments on a series...

78 FR 69709 - Notice of Extension to Public Comment Period for Consent Decree Under the Clean Air Act and the...

Science.gov (United States)

2013-11-20

... Clean Air Act and the Emergency Planning and Community Right- To Know Act'' On September 30, 2013, the... lawsuit filed under the Clean Air Act and the Emergency Planning & Community Right to Know Act, the United... would receive comments concerning the settlement for a period of thirty (30) days from the date of...

78 FR 3453 - Public Comment and Public Meeting on Draft Revisions to the Visitors Element of the Comprehensive...

Science.gov (United States)

2013-01-16

... draft revisions to Comprehensive Plan Public Comment, National Capital Planning Commission, 401 9th Street NW., Suite 500, Washington, DC 20004. The public meeting will be held at 401 9th Street NW., North.... SUPPLEMENTARY INFORMATION: Electronic Access and Filing Addresses You may submit comments electronically at the...

30-Day, 90-day and 1-year mortality after emergency colonic surgery

DEFF Research Database (Denmark)

Pedersen, T; Watt, S K; Tolstrup, M-B

2017-01-01

PURPOSE: Emergency surgery is an independent risk factor in colonic surgery resulting in high 30-day mortality. The primary aim of this study was to report 30-day, 90-day and 1-year mortality rates after emergency colonic surgery, and to report factors associated with 30-day, 90-day and 1-year...... mortality. Second, the aim was to report 30-day postoperative complications and their relation to in-hospital mortality. METHODS: All patients undergoing acute colonic surgery in the period from May 2009 to April 2013 at Copenhagen University Hospital Herlev, Denmark, were identified. Perioperative data...... postoperative deaths. CONCLUSION: Mortality and complication rates after emergency colonic surgery are high and associated with patient related risk factors that cannot be modified, but also treatment related outcomes that are modifiable. An increased focus on medical and other preventive measures should...

77 FR 58907 - Proposed Agency Information Collection Activities; Comment Request

Science.gov (United States)

2012-09-24

... hour 30 Inspector Training Reimbursement. 30 States 300 vouchers....... 1 hour 300 Annual Work Plan 30... hours 800 Quiet Zone. Authorities. --Diagnostic Team Rev........ 340 Public 2 team reviews..... 16 hours.... --Comments to FRA on Quiet 715 Railroads/State 20 comments........ 2.5 hours 30 Zone Application. Agencies...

Analysis of public comments on the proposed rule on nuclear power plant license renewal

International Nuclear Information System (INIS)

1991-12-01

This report provides a summary and analysis of public comments on the proposed license renewal rule for the nuclear power plants (10 CFR Part 54) published in the Federal Register on 17 July 1990. It also documents the NRC's resolution of the issues raised by the commenters. Comments from 121 organizations and 76 individuals were reviewed and analyzed to identify the issues, including those pertaining to the adequacy of the licensing basis, the performance of an integrated plant assessment, backfit considerations, and need for public hearings. The analysis included grouping of commenters' views according to the issues raised. The public comments analyzed in this report were taken into consideration in the development of the final rule and revisions to the supporting documents

76 FR 7579 - U.S. Coral Reef Task Force Public Meeting and Public Comment

Science.gov (United States)

2011-02-10

.... Coral Reef Task Force Public Meeting and Public Comment AGENCY: Fish and Wildlife Service, Interior... Service (Service), announce a public business meeting of the U.S. Coral Reef Task Force (USCRTF) [email protected] ); or Liza Johnson, U.S. Coral Reef Task Force Department of the Interior Liaison, U.S...

Text mining analysis of public comments regarding high-level radioactive waste disposal

International Nuclear Information System (INIS)

Kugo, Akihide; Yoshikawa, Hidekazu; Shimoda, Hiroshi; Wakabayashi, Yasunaga

2005-01-01

In order to narrow the risk perception gap as seen in social investigations between the general public and people who are involved in nuclear industry, public comments on high-level radioactive waste (HLW) disposal have been conducted to find the significant talking points with the general public for constructing an effective risk communication model of social risk information regarding HLW disposal. Text mining was introduced to examine public comments to identify the core public interest underlying the comments. The utilized test mining method is to cluster specific groups of words with negative meanings and then to analyze public understanding by employing text structural analysis to extract words from subjective expressions. Using these procedures, it was found that the public does not trust the nuclear fuel cycle promotion policy and shows signs of anxiety about the long-lasting technological reliability of waste storage. To develop effective social risk communication of HLW issues, these findings are expected to help experts in the nuclear industry to communicate with the general public more effectively to obtain their trust. (author)

78 FR 19273 - Proposed Collection; 60-day Comment Request: Quantification of Behavioral and Physiological...

Science.gov (United States)

2013-03-29

.... Written comments and/or suggestions from the public and affected agencies are invited on one or more of... comments in writing, or request more information on the proposed project, contact NIDA Program Official: Dr...-free number (301) 443-6480 or Email your request, including your address to: [email protected

77 FR 39724 - U.S. Coral Reef Task Force Public Meeting and Public Comment

Science.gov (United States)

2012-07-05

...-DS61200000] U.S. Coral Reef Task Force Public Meeting and Public Comment AGENCY: Fish and Wildlife Service... Wildlife Service (Service), announce a public meeting of the U.S. Coral Reef Task Force (USCRTF) and a... strengthen U.S. government actions to better preserve and protect coral reef ecosystems. The Departments of...

78 FR 26639 - Proposed Collection; 60-Day Comment Request: Financial Sustainability of Human Tissue Biobanking...

Science.gov (United States)

2013-05-07

... Comment Request: Financial Sustainability of Human Tissue Biobanking (NCI) Summary: In compliance with the... techniques or other forms of information technology. To Submit Comments and for Further Information: To... this publication. Proposed Collection: Financial Sustainability of Human Tissue Biobanking, 0925-NEW...

In science "there is no bad publicity": papers criticized in comments have high scientific impact.

Science.gov (United States)

Radicchi, Filippo

2012-01-01

Comments are special types of publications whose aim is to correct or criticize previously published papers. For this reason, comments are believed to make commented papers less worthy or trusty to the eyes of the scientific community, and thus predestined to have low scientific impact. Here, we show that such belief is not supported by empirical evidence. We consider thirteen major publication outlets in science, and perform systematic comparisons between the citations accumulated by commented and non commented articles. We find that (i) commented papers are, on average, much more cited than non commented papers, and (ii) commented papers are more likely to be among the most cited papers of a journal. Since comments are published soon after criticized papers, comments should be viewed as early indicators of the future impact of criticized papers.

75 FR 28622 - FDA Transparency Initiative: Draft Proposals for Public Comment Regarding Disclosure Policies of...

Science.gov (United States)

2010-05-21

...] FDA Transparency Initiative: Draft Proposals for Public Comment Regarding Disclosure Policies of the U...: Notice of availability; request for comments. SUMMARY: As part of the second phase of the Transparency... Transparency Initiative: Draft Proposals for Public Comment Regarding Disclosure Policies of the U.S. Food and...

Comments on EPA's LLW preproposal

International Nuclear Information System (INIS)

Littleton, B.K.; Weinstock, L.

1995-01-01

The Environmental Protection Agency (EPA) is currently developing standards for the management, storage, and disposal of Low-Level Radioactive Waste (LLW). The Atomic Energy Act delegated EPA, among other provisions, the authority to establish generally applicable standards for the disposal of radioactive waste to ensure that the public and the environment are adequately protected from potential radiation impacts. As an initial effort to open communications on a standard for LLW, the Agency developed a preproposal draft (Preproposal Draft of 40 CFR Part 193 - 30 Nov 94) and circulated it to interested parties for review and comment. The extended comment period ended April 12, 1995. A summary of the comments received and analyzed to date follows. After all comments have been analyzed, the rule will undergo an Agency clearance process and be sent to the Office of Management and Budget for review. After that review, the formal process of publication of the proposed rule in the Federal Register and the formal public comment period will begin

Public comments and responses to the 1993 Hanford cleanup five-year plan

International Nuclear Information System (INIS)

1993-08-01

In March 1993, the US Department of Energy, Richland Operations Office (DOE-RL) published its annual Site-Specific Five-Year Plan. The Site-Specific Plan is published to inform the public about the background, status, and plans for Environmental Restoration (ER) and Waste Management (WM) activities at the Hanford site. It is the only document that seeks to bring all ER and WM elements together in one document. The Site-Specific Plan is a companion document to the National Five-Year Plan that deals with all the sites within the DOE complex on a summary level. This Response to Comments document does not try to address every question or concern raised during the public comment period. Some questions were outside the scope of the Five-Year Plan, some we could not decipher, others were variations of the same question. The initial round of public meetings was held in Portland, Oregon, and Seattle, Pasco, and Olympia, Washington. At the request of the Oregon Department of Energy (ODOE) and the Washington State Department of Ecology (Ecology), a second round of meetings was held in Portland and Olympia. Both agencies felt that the first two meetings were held with too little advance notice, and before the Plan could be distributed. Once the public meetings were over and the comment period closed, we then compiled the public comments, largely from audio tapes of the meetings. Individual functions within Hanford were asked to consider and respond to the comments

78 FR 27974 - Proposed Collection; 60-Day Comment Request: National Cancer Institute (NCI) Alliance for...

Science.gov (United States)

2013-05-13

... towards clinical translation and technology commercialization, and education and outreach efforts. The... review and approval. Written comments and/or suggestions from the public and affected agencies are... information technology. To Submit Comments and for Further Information: To obtain a copy of the data...

77 FR 13619 - Notice of Proposed Information for Public Comment for: Public Housing Capital Fund Program

Science.gov (United States)

2012-03-07

... that are not subject to Independent Public Accountant (IPA) audit requirements. Agency form numbers, if... Information for Public Comment for: Public Housing Capital Fund Program AGENCY: Office of the Assistant Secretary for Public and Indian Housing, HUD. ACTION: Notice. SUMMARY: The proposed information collection...

78 FR 23980 - Proposed Collection; Comment Request for Publication 1075

Science.gov (United States)

2013-04-23

... Publication 1075 AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments... Publication 1075, Tax Information Security Guidelines for Federal, State, and Local Agencies. DATES: Written... copies of the publication should be directed to Allan Hopkins at Internal Revenue Service, Room 6129...

76 FR 44660 - Proposed Collection; Comment Request for Publication 3319

Science.gov (United States)

2011-07-26

... Publication 3319 AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments... Publication 3319, Low-Income Taxpayer Clinics 2012 Grant Application Package and Guidelines. DATES: Written... or copies of publication should be directed to Joel Goldberger, at (202) 927-9368, or at Internal...

75 FR 5865 - Proposed Collection; Comment Request for Publication 1075

Science.gov (United States)

2010-02-04

... Publication 1075 AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments... Publication 1075, Tax Information Security Guidelines for Federal, State, and Local Agencies. [[Page 5866... information or copies of the publication should be directed to Dawn Bidne at Internal Revenue Service, room...

77 FR 1956 - National Science Board; Notice of Opportunity for Public Comment on the National Science Board...

Science.gov (United States)

2012-01-12

... NATIONAL SCIENCE FOUNDATION National Science Board; Notice of Opportunity for Public Comment on the National Science Board Data Policies Report AGENCY: National Science Board (NSB), NSF. ACTION: Request for public comments. SUMMARY: The National Science Board seeks comments from the public on the...

78 FR 44135 - Proposed Collection; 60-Day Comment Request: Application for the Postdoctoral Research Associate...

Science.gov (United States)

2013-07-23

... comments in writing or request more information on the proposed project, contact Ms. Tammy Dean-Maxwell... public comment on proposed data collection projects, the National Institute of General Medical Sciences (NIGMS), the National Institutes of Health (NIH) will publish periodic summaries of proposed projects to...

78 FR 46347 - Agency Information Collection Activities; Proposed Collection; Comment Request; Medical Devices...

Science.gov (United States)

2013-07-31

... Good Manufacturing Practice Quality System Regulation AGENCY: Food and Drug Administration, HHS. ACTION: Notice. SUMMARY: The Food and Drug Administration (FDA) is announcing an opportunity for public comment... information, and to allow 60 days for public comment in response to the notice. This notice solicits comments...

78 FR 28851 - Agency Information Collection Activities; Proposed Collection; Comment Request; Guidance for...

Science.gov (United States)

2013-05-16

...: Notice. SUMMARY: The Food and Drug Administration (FDA) is announcing an opportunity for public comment... information, and to allow 60 days for public comment in response to the notice. This notice solicits comments... Submission System to Submit Information in Electronic Format using the FDA Electronic Submissions Gateway...

14 CFR 11.38 - What public comment procedures does the FAA follow for Special Conditions?

Science.gov (United States)

2010-01-01

... 14 Aeronautics and Space 1 2010-01-01 2010-01-01 false What public comment procedures does the FAA... § 11.38 What public comment procedures does the FAA follow for Special Conditions? Even though the Administrative Procedure Act does not require notice and comment for rules of particular applicability, FAA does...

75 FR 21641 - Infusion Pumps; Public Meeting; Request for Comments

Science.gov (United States)

2010-04-26

...] Infusion Pumps; Public Meeting; Request for Comments AGENCY: Food and Drug Administration, HHS. ACTION... announcing a public meeting regarding external infusion pumps. The purpose of the meeting is to inform the public about current problems associated with external infusion pump use, to help the agency identify...

Recommendations for resolution of public comments on USI [Unresolved Safety Issues] A-40, ''Seismic Design Criteria''

International Nuclear Information System (INIS)

Philippacopoulos, A.J.

1989-06-01

In June 1988 the Nuclear Regulatory Commission (NRC) issued for public comment the proposed Revision 2 of the Standard Review Plan (SRP) Sections 2.5.2, 3.7.1, 3.7.2. and 3.7.3. Comments were received from six organizations. Brookhaven National Laboratory (BNL) was requested by NRC to provide expert consultation in the seismic and soil-structure interaction areas for the review and resolution of these comments. For this purpose, a panel of consultants was established to assist BNL with the review and evaluation of the public comments. This review was carried out during the period of October 1988 through January 1989. Many of the suggestions given in the public comments were found to be significant and a number of modifications to appropriate SRP sections are recommended. Other public comments were found to have no impact on the proposed Revision 2 of the SRP. Major changes are recommended to the SRP sections dealing with (a) Power Spectral Density (PSD) and ground motion requirements and (b) soil-structure interaction requirements. This report contains specific recommendations to NRC for resolution of the public comments made on the proposed Revision 2 of the SRP

75 FR 14150 - Proposed Rate Adjustment, Public Forum, and Opportunities for Public Review and Comment for...

Science.gov (United States)

2010-03-24

... DEPARTMENT OF ENERGY Southeastern Power Administration Proposed Rate Adjustment, Public Forum, and Opportunities for Public Review and Comment for Georgia-Alabama-South Carolina System of Projects AGENCY: Southeastern Power Administration, DOE. ACTION: Notice to change date and location of the Public Information...

78 FR 66750 - Proposed Collection; 60-Day Comment Request; Customer and Other Partners Satisfaction Surveys

Science.gov (United States)

2013-11-06

... Budget (OMB) for review and approval. Written comments and/or suggestions from the public and affected... collection plans and instruments, submit comments in writing, or request more information on the proposed... (301) 496-3515 or email your request, including your address to: [email protected] . Formal requests for...

78 FR 71624 - Submission for OMB Review; 30-Day Comment Request; Data Collection To Understand How NIH Programs...

Science.gov (United States)

2013-11-29

... control number. Direct Comments to OMB: Written comments and/or suggestions regarding the item(s... organizational effectiveness. The Office of Management and Budget (OMB) and Office of Science and Technology... research programs apply methodologies to improve their organizational effectiveness. The degree of an...

76 FR 18772 - Notice of Extension of Proposed Information Collection for Public Comment; Public Housing...

Science.gov (United States)

2011-04-05

.... Requiring PHAs to report electronically has enabled HUD to provide a comprehensive financial assessment of... Proposed Information Collection for Public Comment; Public Housing Financial Management Template AGENCY... whether the proposed collection of information is necessary for the proper performance of the functions of...

Surplus plutonium disposition environmental impact statement. Public scoping meeting: Comment summary report

International Nuclear Information System (INIS)

1997-09-01

The Department of Energy (DOE) issued a Record of Decision for the Storage and Disposition of Weapons-Usable Fissile Materials Programmatic Environmental Impact Statement (S ampersand D PEIS) (DOE/EIS-0229) on January 14, 1997. In that Record of Decision, DOE stated its decision to pursue a strategy for plutonium disposition that allows for immobilization of surplus weapons plutonium in glass or ceramic forms and irradiating the surplus plutonium as mixed oxide (MOX) fuel in existing reactors, while reserving the option to immobilize all the surplus weapons plutonium. The Department also decided that the extent to which either or both of these disposition approaches would ultimately be deployed would depend in part upon future National Environmental Policy Act (NEPA) review for surplus weapons plutonium disposition. On May 22, 1997, DOE published in the Federal Register (62 FR 28013) a Notice of Intent to prepare an environmental impact statement (tiered from the S ampersand D PEIS) on the disposition of United States' surplus weapons-usable plutonium. The purpose of the Notice of Intent was to describe DOE's proposed action, to solicit public input, and to announce the schedule for the public scoping meetings. During the public scoping period (May 22 - July 22, 1997), the public was invited to submit written comments by U.S. mail, fax, or through the Office of Fissile Materials Disposition's Website, as well as to provide oral comments by voicemail or by participating in public scoping meetings. Written and oral comments on the scope of the SPD EIS that were submitted during the formal comment period have been uniquely identified and have become part of the official record. This is the case whether the comments were submitted via U.S. mail, fax, website, toll-free telephone number, or through participation at a public scoping meeting

76 FR 22740 - Comment Request on Existing Private and Public Efforts To Educate Investors

Science.gov (United States)

2011-04-22

... Existing Private and Public Efforts To Educate Investors AGENCY: Securities and Exchange Commission. ACTION: Request for comment. SUMMARY: In connection with a study regarding financial literacy among investors as... private and public efforts to educate investors. DATES: Comments should be received on or before June 21...

78 FR 41407 - Agency Information Collection Activities; Proposed Collection; Public Comment Request

Science.gov (United States)

2013-07-10

... programs responsible for making award decisions. This announcement is a request for comments on the..., validating and verifying information, processing and maintaining information, and disclosing and providing... Information Collection Activities; Proposed Collection; Public Comment Request AGENCY: Health Resources and...

77 FR 31898 - Proposed Collection; Comment Request

Science.gov (United States)

2012-05-30

... public comment on new or revised data collections, the Railroad Retirement Board (RRB) will publish... Charles Mierzwa, Railroad Retirement Board, 844 North Rush Street, Chicago, Illinois 60611-2092 or emailed to Charles[email protected] . Written comments should be received within 60 days of this notice...

78 FR 76336 - Proposed Collection; Comment Request

Science.gov (United States)

2013-12-17

... public comment on new or revised data collections, the Railroad Retirement Board (RRB) will publish... be addressed to Charles Mierzwa, Railroad Retirement Board, 844 North Rush Street, Chicago, Illinois 60611-2092 or emailed to Charles[email protected] . Written comments should be received within 60 days of...

77 FR 53936 - Proposed Collection; Comment Request

Science.gov (United States)

2012-09-04

... public comment on new or revised data collections, the Railroad Retirement Board (RRB) will publish... addressed to Charles Mierzwa, Railroad Retirement Board, 844 North Rush Street, Chicago, Illinois 60611-2092 or emailed to Charles.[email protected] . Written comments should be received within 60 days of this...

78 FR 64598 - Bank Enterprise Award (BEA) Program; Programmatic and Administrative Aspects; Public Comment Request

Science.gov (United States)

2013-10-29

... DEPARTMENT OF THE TREASURY Community Development Financial Institutions Fund Bank Enterprise Award (BEA) Program; Programmatic and Administrative Aspects; Public Comment Request AGENCY: Community Development Financial Institutions Fund, Department of the Treasury. ACTION: Request for public comment...

75 FR 21685 - Proposed Collection; Comment Request

Science.gov (United States)

2010-04-26

... public comment on new or revised data collections, the Railroad Retirement Board (RRB) will publish...-mail request to Charles[email protected] . Comments regarding the information collection should be... days of this notice. Charles Mierzwa, Clearance Officer. [FR Doc. 2010-9531 Filed 4-23-10; 8:45 am...

75 FR 36451 - Proposed Collection; Comment Request

Science.gov (United States)

2010-06-25

... public comment on new or revised data collections, the Railroad Retirement Board (RRB) will publish... send an e-mail request to Charles[email protected] . Comments regarding the information collection... within 60 days of this notice. Charles Mierzwa, Clearance Officer. [FR Doc. 2010-15449 Filed 6-24-10; 8...

40 CFR 166.24 - Public notice of receipt of application and opportunity for public comment.

Science.gov (United States)

2010-07-01

... 40 Protection of Environment 23 2010-07-01 2010-07-01 false Public notice of receipt of application and opportunity for public comment. 166.24 Section 166.24 Protection of Environment ENVIRONMENTAL... of the applicant's description of the emergency conditions including the pest and the site or crop to...

78 FR 48879 - Proposed Collection; 60-day Comment Request: Outcomes Evaluation of the National Cancer Institute...

Science.gov (United States)

2013-08-12

.... Written comments and/or suggestions from the public and affected agencies are invited to address one or...-free number 240-276-5650 or Email your request, including your address to: [email protected] . Formal requests for additional plans and instruments must be requested in writing. DATES: Comments Due...

75 FR 41557 - Proposed Collection; Comment Request

Science.gov (United States)

2010-07-16

... public comment on new or revised data collections, the Railroad Retirement Board (RRB) will publish...) 751-3363 or send an e-mail request to Charles[email protected] . Comments regarding the information... received within 60 days of this notice. Charles Mierzwa, RRB Clearance Officer. [FR Doc. 2010-17368 Filed 7...

75 FR 57826 - Notice of Public Meeting and Opportunity To Submit Written Comments Concerning the Administration...

Science.gov (United States)

2010-09-22

... soliciting written comments and will hold a public meeting concerning the Administration's review of the U.S... DEPARTMENT OF STATE [Public Notice 7175] Notice of Public Meeting and Opportunity To Submit Written Comments Concerning the Administration's Review of the U.S. National Contact Point for the OECD...

Self-Governance on Trial: A Public Sphere Analysis of News Website Forum Comments

Directory of Open Access Journals (Sweden)

J. David Wolfgang

2016-04-01

Full Text Available The online public sphere offers society an opportunity to pursue self-governance through rational-critical discourse of public issues. However, testing the effectiveness of the sphere involves studying the structure of the online forum (e.g. whether the forum allows for pseudonymous comments or not and the quality of the content in the forum. This research studied online news forums on the topics of gun control and civil unions in Colorado to see what barriers to participating in the forum might exist in the structure of the forum and then what types of content was produced in the forum. The research showed that a forum allowing commenters to use a pseudonym led to comments with more exchange and critique of reasoned normative positions and use of supporting facts. However, neither the pseudonymous forum nor the identified forum had stronger levels of commitment to constructive dialogue in the forum. Also, commenters showed no reflexivity in their comments, meaning that participants were not assessing their own positions or changing their perspectives based on the arguments of others. While this shows that reducing barriers to accessing the forum helps to produce a public sphere environment, there is still work to be done in improving the level of constructive dialogue and stimulating negotiation and consensus building.

Police Incident Blotter (30 Day)

Data.gov (United States)

Allegheny County / City of Pittsburgh / Western PA Regional Data Center — The 30 Day Police Blotter contains the most recent initial crime incident data, updated on a nightly basis. All data is reported at the block/intersection level,...

Comparison of in-hospital versus 30-day mortality assessments for selected medical conditions.

Science.gov (United States)

Borzecki, Ann M; Christiansen, Cindy L; Chew, Priscilla; Loveland, Susan; Rosen, Amy K

2010-12-01

In-hospital mortality measures such as the Agency for Healthcare Research and Quality (AHRQ) Inpatient Quality Indicators (IQIs) are easily derived using hospital discharge abstracts and publicly available software. However, hospital assessments based on a 30-day postadmission interval might be more accurate given potential differences in facility discharge practices. To compare in-hospital and 30-day mortality rates for 6 medical conditions using the AHRQ IQI software. We used IQI software (v3.1) and 2004-2007 Veterans Health Administration (VA) discharge and Vital Status files to derive 4-year facility-level in-hospital and 30-day observed mortality rates and observed/expected ratios (O/Es) for admissions with a principal diagnosis of acute myocardial infarction, congestive heart failure, stroke, gastrointestinal hemorrhage, hip fracture, and pneumonia. We standardized software-calculated O/Es to the VA population and compared O/Es and outlier status across sites using correlation, observed agreement, and kappas. Of 119 facilities, in-hospital versus 30-day mortality O/E correlations were generally high (median: r = 0.78; range: 0.31-0.86). Examining outlier status, observed agreement was high (median: 84.7%, 80.7%-89.1%). Kappas showed at least moderate agreement (k > 0.40) for all indicators except stroke and hip fracture (k ≤ 0.22). Across indicators, few sites changed from a high to nonoutlier or low outlier, or vice versa (median: 10, range: 7-13). The AHRQ IQI software can be easily adapted to generate 30-day mortality rates. Although 30-day mortality has better face validity as a hospital performance measure than in-hospital mortality, site assessments were similar despite the definition used. Thus, the measure selected for internal benchmarking should primarily depend on the healthcare system's data linkage capabilities.

76 FR 18570 - Notice of Proposed Information Collection for Public Comment; HOPE VI Public Housing Programs...

Science.gov (United States)

2011-04-04

... Information Collection for Public Comment; HOPE VI Public Housing Programs: Funding and Program Data... responses. This Notice also lists the following information: Title of Proposal: HOPE VI program. OMB Control... (Pub. L. 105- 276, 112 Stat. 2461, approved October 21, 1998) and revised by the HOPE VI Program...

Review of public comments on proposed seismic design criteria

International Nuclear Information System (INIS)

Philippacopoulos, A.J.; Shaukat, S.K.; Chokshi, N.C.; Bagchi, G.; Nuclear Regulatory Commission, Washington, DC; Nuclear Regulatory Commission, Washington, DC

1989-01-01

During the first quarter of 1988, the Nuclear Regulatory Commission (NRC) prepared a proposed Revision 2 to the NUREG-0800 Standard Review Plan (SRP) Sections 2.5.2 (Vibratory Ground Motion), 3.7.1 (Seismic Design Parameters), 3.7.2 (Seismic Systems Analysis) and 3.7.3 (Seismic Subsystem Analysis). The proposed Revision 2 to the SRP was a result of many years' work carried out by the NRC and the nuclear industry on the Unresolved Safety Issue (USI) A-40: ''Seismic Design Criteria.'' The background material related to NRC's efforts for resolving the A-40 issue is described in NUREG-1233. In June 1988, the proposed Revision 2 of the SRP was issued by NRC for public review and comments. Comments were received from Sargent and Lundy Engineers, Westinghouse Electric Corporation, Stevenson and Associates, Duke Power Company, General Electric Company and Electric Power Research Institute. In September 1988, Brookhaven National Laboratory (BNL) and its consultants (C.J. Costantino, R.P. Kennedy, J. Stevenson, M. Shinozuka and A.S. Veletsos) were requested to carry out a review of the comments received from the above six organizations. The objective of this review was to assist the NRC staff with the evaluation and resolution of the public comments. This review was initiated during October 1988 and it was completed on January 1989. As a result of this review, a set of modifications to the above mentioned sections of the SRP were recommended by BNL and its consultants. This paper summarizes the recommended modifications. 4 refs

78 FR 22891 - Proposed Collection; 60-day Comment Request: Topic-based Studies for the Population Assessment of...

Science.gov (United States)

2013-04-17

.... Written comments and/or suggestions from the public and affected agencies are invited on one or more of... comments in writing, or request more information on the proposed project, contact Kevin P. Conway, Ph.D... or Email your request, including your address to: [email protected] . Formal requests...

78 FR 19723 - Proposed Collection; 60-Day Comment Request; Evaluation of the Brain Disorders in the Developing...

Science.gov (United States)

2013-04-02

... contribute to the long-term goal of building sustainable research capacity in nervous system function and... Comment Request; Evaluation of the Brain Disorders in the Developing World Program of the John E. Fogarty.... Written comments and/or suggestions from the public and affected agencies are invited on one or more of...

Public meetings for views and comments on the conduct of the 1992 Clean Coal Technology Solicitation---Cheyenne, Wyoming, October 30, 1991 and Louisville, Kentucky, November 12, 1991

International Nuclear Information System (INIS)

1991-12-01

Two public meetings were convened by the Department of Energy (DOE) in October and November 1991 in order to obtain views, comments, and recommendations with regard to the forthcoming Clean Coal Technology V solicitation. In the sections that follow, brief descriptions are provided on the background to the CCT solicitation and the public meetings, and how the meetings were conducted. Subsequent chapters of this report present the discussions that ensued at teach of the meetings, and the views, recommendations, and concerns that were expressed by attendees. The report also includes a compilation of the written comments that were received. Finally, an appendix contains attendee registration data and transcripts for opening and closing plenary sessions. (VC)

76 FR 22701 - Notice of Public Information Collection(s) Being Reviewed by the Federal Communications...

Science.gov (United States)

2011-04-22

... access. Needs and Uses: Section 15.615 requires entities operating Access BPL systems shall supply to an... systems for inclusion into a publicly available database, within 30 days prior to installation of service... comments to Nicholas A. Fraser, Office of Management and Budget, via fax at 202-395-5167 or via the...

77 FR 16205 - National Defense Stockpile Market Impact Committee Request for Public Comments on the Potential...

Science.gov (United States)

2012-03-20

.... The Committee is seeking public comments on the potential market impact of the material research and... Defense Stockpile Market Impact Committee Request for Public Comments on the Potential Market Impact of... National Defense Stockpile Market Impact Committee, co-chaired by the Departments of Commerce and State, is...

Fitness for duty in the nuclear power industry: Responses to public comments

International Nuclear Information System (INIS)

Bush, L.L.; Grimes, B.K.

1989-05-01

The Nuclear Regulatory Commission published for public comment a proposed rule concerning the fitness for duty of commercial nuclear power plant workers (53 FR 36795). The proposed rule focused on methods for controlling the use of substances that may affect the trustworthiness and performance of workers. It provides for chemical testing, behavioral observation, employee awareness and education, and employee assistance programs as means for assuring fitness for duty. This report summarizes the comments received on the proposed rule and provides the staff resolutions of the issues raised by the comments. 3 refs

76 FR 18165 - Request for Public Comments Concerning Regulatory Cooperation Activities That Would Help...

Science.gov (United States)

2011-04-01

... DEPARTMENT OF COMMERCE International Trade Administration Request for Public Comments Concerning Regulatory Cooperation Activities That Would Help Eliminate or Reduce Unnecessary Regulatory Divergences in... ``Help'' tab.) All comments and recommendations submitted in response to this notice will be made...

75 FR 1656 - Draft Safety Culture Policy Statement: Request for Public Comments; Extension of Comment Period

Science.gov (United States)

2010-01-12

... culture policy statement, including: (1) development of a common safety culture definition; and (2... NUCLEAR REGULATORY COMMISSION [NRC-2009-0485] Draft Safety Culture Policy Statement: Request for...: Issuance of draft safety culture policy statement and notice of opportunity for public comment; Extension...

Summary and analysis of public comments on NUREG-1317: Regulatory options for nuclear plant license renewal: Final report

International Nuclear Information System (INIS)

Ligon, D.M.; Seth, S.S.

1989-03-01

On August 29, 1988, the US Nuclear Regulatory Commission (NRC) issued an Advance Notice of Proposed Rulemaking on nuclear plant license renewal and solicited public comments on NUREG-1317, ''Regulatory Options for Nuclear Plant License Renewal.'' NUREG-1317 presents a discussion of fifteen topics involving technical, environmental, and procedural issues and poses a set of related questions. As part of its ongoing task for the NRC, The MITRE Corporation has summarized and analyzed the public comments received. Fifty-three written comments were received. Of these, 83 percent were from nuclear industry representatives; the remaining comments represented federal and state agencies, public interest groups, and a private citizen

77 FR 49818 - Agency Information Collection Activities; Proposed Collection; Comment Request; Bar Code Label...

Science.gov (United States)

2012-08-17

...] Agency Information Collection Activities; Proposed Collection; Comment Request; Bar Code Label... allow 60 days for public comment in response to the notice. This notice solicits comments on the bar... technology. Bar Code Label Requirement for Human Drug and Biological Products--(OMB Control Number 0910-0537...

78 FR 26398 - Public Comment and Public Meeting on Draft Revisions to the Foreign Missions and International...

Science.gov (United States)

2013-05-06

....ncpc.gov/compplan by Monday, May 6, 2013. Printed copies are available upon request from the contact... Comprehensive Plan Public Comment, National Capital Planning Commission, 401 9th Street NW., Suite 500, Washington, DC 20004. The public meeting will be held at 401 9th Street NW., North Lobby, Suite 500...

75 FR 74056 - Request for Public Comment on the Proposed Adoption of Administration for Native Americans (ANA...

Science.gov (United States)

2010-11-30

... DEPARTMENT OF HEALTH AND HUMAN SERVICES Administration for Children and Families Request for Public Comment on the Proposed Adoption of Administration for Native Americans (ANA) Program Policies and...) 690-7441. Comments will be available for inspection by members of the public at the Administration for...

76 FR 62389 - Request for Comments and Notice of Public Hearings on the Study of International Patent...

Science.gov (United States)

2011-10-07

...] Request for Comments and Notice of Public Hearings on the Study of International Patent Protection for... international patent protection. Issues for Testimony and/or Written Comment: Interested members of the public... patents: (a) In obtaining international patent rights? (b) In maintaining international patent rights? (c...

78 FR 76311 - Submission for OMB Review; 30-Day Comment Request: Outcomes Evaluation of the National Cancer...

Science.gov (United States)

2013-12-17

... information collection. Thank you for your inquiry, comments and/or suggestions''. The purpose of this notice... 20892-9712 or call non-toll-free number 240-276-5650 or Email your request, including your address to...

75 FR 56561 - Proposed Information Collection Request Submitted for Public Comment and Recommendations...

Science.gov (United States)

2010-09-16

... Conditions Complaints 30 CFR 43.4 and 43.7. DATES: All comments must be received by midnight Eastern Daylight Savings Time on November 15, 2010. ADDRESSES: Comments must clearly be identified with the rule title and... to assure that requested data can be provided in the desired format, reporting burden (time and...

77 FR 65760 - Request for Public Comments To Compile the Reports on Sanitary and Phytosanitary and Technical...

Science.gov (United States)

2012-10-30

... Technical Barriers to Trade (2012 TBT Report) respectively. The TPSC invites written comments from the public on issues that USTR should examine in preparing the SPS and TBT Reports. DATES: Public comments..., Director of Sanitary and Phytosanitary Affairs, USTR (202-395-6127). Questions regarding the TBT Report or...

77 FR 13128 - Agency Information Collection Request; 30-Day Public Comment Request

Science.gov (United States)

2012-03-05

... quality, utility, and clarity of the information to be collected; and (4) the use of automated collection... will collect information on awareness of the ``Make the Call--Don't Miss a Beat'' campaign, knowledge... respondent base will be surveyed only once, as this is a single-wave survey. The sampling plan is to include...

76 FR 81942 - Agency Information Collection Request 30-Day Public Comment Request

Science.gov (United States)

2011-12-29

... Pregnancy Prevention Initiative demonstrate effects on adolescent sexual risk behavior and teenage pregnancy... Pregnancy Prevention Replication Evaluation: Implementation Data Collection--OMB No. OS-0990-NEW--The Office... coordinating adolescent pregnancy prevention evaluation efforts as part of [[Page 81943

76 FR 78012 - Agency Information Collection Request. 30-Day Public Comment Request

Science.gov (United States)

2011-12-15

... PCCC evaluation will assess whether disseminating a diabetes education intervention in a community... notice directly to the OS OMB Desk Officer; faxed to OMB at (202) 395-5806. Proposed Project: Patient... data collection activities for the Patient Centered Care Collaboration to Improve Minority Health...

76 FR 55066 - Agency Information Collection Request. 30-Day Public Comment Request

Science.gov (United States)

2011-09-06

... Survey of Single Parent Caregivers--OMB No. 0990-NEW-OWH; HHS, Office on Women's Health. Abstract: The National Survey of Single Parent Caregivers will measure the size, characteristics, and unmet needs of single parents providing care for an adult family member or friend. Single parent caregivers provide...

76 FR 30363 - Agency Information Collection Request. 30-Day Public Comment Request

Science.gov (United States)

2011-05-25

.... Proposed Project: Multi-Component Evaluation of the BodyWorks Program-- OMB No. 0990-NEW--Office on Women's...-component 3.5 year evaluation of the BodyWorks Program. These forms will support three evaluation tasks: (1... Evaluation. English and 300 8 5/60 200 Spanish Participant Session Feedback Forms-- Full Evaluation. English...

75 FR 66101 - Agency Information Collection Request. 30-Day Public Comment Request

Science.gov (United States)

2010-10-27

... Medicaid Fraud Control Units' Reports--OMB No. 0990-0162-Extension--Office of Inspector General (OIG... collection of information to specifically comply with the requirements in Title 19 of the Social Security Act... Inspector General (OIG) by the fifty established State Medicaid Fraud Control Units (Units). OIG uses the...

76 FR 4905 - Agency Information Collection Request; 30-Day Public Comment Request

Science.gov (United States)

2011-01-27

... information about the company's product through MedicalCountermeasures.gov . Using this information and a... performance of the agency's functions; (2) the accuracy of the estimated burden; (3) ways to enhance the...

76 FR 71036 - Agency Information Collection Request. 30-Day Public Comment Request

Science.gov (United States)

2011-11-16

... referenced above, email your request, including your address, phone number, OMB number, and OS document...-entering Fathers and their Partners (MFS-IP). This demonstration program, funded in 2006 by the Office of... partners, and children. The MFS-IP evaluation will assess the effects of these activities by comparing...

76 FR 59129 - Agency Information Collection Request; 30-Day Public Comment Request

Science.gov (United States)

2011-09-23

... Medicare Prescription Drug, Improvement, and Modernization Act (MMA) of 2003 (Pub. L. 108-173) and became operational on July 1, 2005. The MMA legislation and implementing regulations issued on March 8, 2007 instituted a number of changes in the appeals process. The MMA legislation also directed the U.S. Department...

75 FR 62542 - Agency Information Collection Request. 30-Day Public Comment Request

Science.gov (United States)

2010-10-12

... collection. The American Recovery and Reinvestment Act (ARRA) Prevention and Wellness- Leveraging National...: Category A: Obesity prevention through improved nutrition and increased physical activity Category B... Organizations will work to sustain community prevention efforts beyond Recovery Act CPPW funding and support the...

75 FR 75677 - Agency Information Collection Request. 30-Day Public Comment Request

Science.gov (United States)

2010-12-06

... American Recovery and Reinvestment Act (ARRA) Prevention and Wellness-Leveraging National Organizations is... A: Obesity prevention through improved nutrition and increased physical activity Category B: Tobacco... sustain community prevention efforts beyond Recovery Act CPPW funding and support the National Prevention...

76 FR 79683 - Agency Information Collection Request. 30-Day Public Comment Request

Science.gov (United States)

2011-12-22

... changes among students in the 7 colleges over a two-year project period regarding: (1) Awareness and knowledge of risk factors and prevention methods for HIV/AIDS transmission; (2) the occurrence of high-risk behaviors; and (3) access to HIV/AIDS prevention, counseling, testing and referral services. Implementation...

75 FR 45120 - Agency Information Collection Request; 30-Day Public Comment Request

Science.gov (United States)

2010-08-02

... reflect changes in location within the United States Code. The Trafficking Victims Protection Act of 2000... DEPARTMENT OF HEALTH AND HUMAN SERVICES [Document Identifier OS-4040-0009] Agency Information... Secretary (OS), Department of Health and Human Services, is publishing the following summary of a proposed...

77 FR 10530 - Agency Information Collection Request; 30-Day Public Comment Request

Science.gov (United States)

2012-02-22

... campaign and be used to inform campaign strategies, messages, materials and Web sites. Due to the growing... Clearance for Communications Testing for Comprehensive Communication Campaign for HITECH Act--Revision--OMB... 2009, ONC is proposing to conduct a nationwide communication campaign to meet the Congressional mandate...

75 FR 37811 - Agency Information Collection Request; 30-Day Public Comment Request

Science.gov (United States)

2010-06-30

... of the campaign. The data will be used to inform campaign strategies, messages, materials and Web...: Comprehensive Communication Campaign for HITECH Act--OMB No. 0990-NEW--Office National Coordinator for Health... Health Act (HITECH Act) of 2009, ONC is proposing to conduct a nationwide communication campaign to meet...

77 FR 37407 - Agency Information Collection Request-30-Day Public Comment Request

Science.gov (United States)

2012-06-21

... inform campaign strategies, messages, materials and outreach. OCR will oversee this one year... Project: New Comprehensive Communication Campaign on Right To Non-Discrimination in Certain Health and... conduct a nationwide communication campaign to educate the Latino community, particularly Limited English...

75 FR 13288 - Agency Information Collection Request; 30-Day Public Comment Request

Science.gov (United States)

2010-03-19

...' attitudes toward electronic health information exchange and the extent to which they are interested in... permit us to better understand individuals' attitudes toward electronic health information exchange and... Toward Electronic Health Information Exchange and Associated Privacy and Security Aspects--OMB No. 0990...

75 FR 8953 - Agency Information Collection Request; 30-Day Public Comment Request

Science.gov (United States)

2010-02-26

... responding to a mini-questionnaire and participating in a bulletin board focus group. Participants will self- administer the mini-questionnaire at home on personal computers and will also participate in the focus group... and mini-questionnaire. 13-15. Total 2,160 420 Seleda M. Perryman, Office of the Secretary, Paperwork...

76 FR 71035 - Agency Information Collection Request. 30-Day Public Comment Request

Science.gov (United States)

2011-11-16

.... This data collection effort is crucial to HPP's decision-making process regarding the continued... following subjects: (1) The necessity and utility of the proposed information collection for the proper... quality, utility, and clarity of the information to be collected; and (4) the use of automated collection...

76 FR 4904 - Agency Information Collection Request; 30-Day Public Comment Request

Science.gov (United States)

2011-01-27

... datasets that are not specific to individual's personal health information to improve decision making by... following subjects: (1) The necessity and utility of the proposed information collection for the proper... quality, utility, and clarity of the information to be collected; and (4) the use of automated collection...

76 FR 53902 - Agency Information Collection Request. 30-Day Public Comment Request

Science.gov (United States)

2011-08-30

... performance of the agency's functions; (2) the accuracy of the estimated burden; (3) ways to enhance the... Health and the Centers for Disease Control and Prevention (CDC) are working collaboratively to address the high pregnancy rate of women between the ages of 15-19 by demonstrating the effectiveness of...

76 FR 53901 - Agency Information Collection Request; 30-Day Public Comment Request

Science.gov (United States)

2011-08-30

.... Proposed Project: The Office of Adolescent Health (OAH) Teen Pregnancy Prevention Performance Measure... grantees to conduct teen pregnancy prevention programs. Grantees are funded to either replicate evidence-based teen pregnancy prevention programs (75 OAH grantees) or to implement research and demonstration...

77 FR 506 - Agency Information Collection Request. 30-Day Public Comment Request

Science.gov (United States)

2012-01-05

.... Proposed Project: Teen Pregnancy Prevention Replication Evaluation Study: Baseline Data Collection--OMB No... overseeing and coordinating adolescent pregnancy prevention evaluation efforts as part of the Teen Pregnancy... jointly oversee with ASPE the Teen Pregnancy Prevention Replication Evaluation Study (TPP Replication...

76 FR 40912 - Agency Information Collection Request. 30-Day Public Comment Request

Science.gov (United States)

2011-07-12

... compliance with the requirement of section 3506(c)(2)(A) of the Paperwork Reduction Act of 1995, the Office... grantee staff at all sites and from clients at up to 10 sites (client exam/survey). An Emergency Clearance... SMI Clients Client Exam and Survey- 1,000 1 45/60 750 Baseline. SMI Clients Client Exam and Survey- 1...

75 FR 76468 - Agency Information Collection Request; 30-Day Public Comment Request

Science.gov (United States)

2010-12-08

... Coordinator for Health Information Technology (ONC), HHS. In compliance with the requirement of section 3506(c... members, and competency exam takers; and a Web-based survey of community college faculty. Estimated... Workforce program. Focus groups with Exam takers Competency exam 32 1 1.5 48 takers not enrolled in...

77 FR 18246 - Agency Information Collection Request; 30-Day Public Comment Request

Science.gov (United States)

2012-03-27

... data collection will enable OMH to track progress on this measure over time as necessitated by current... of Minority Health (OMH). Abstract: The proposed survey seeks to collect data for one of OMH's annual..., within and outside of HHS, who are interested in capturing progress made over time as HHS disseminates...

77 FR 24206 - Agency Information Collection Request. 30-Day Public Comment Request

Science.gov (United States)

2012-04-23

... Guide (Attachment B). Enrollment Extraction Form State-level 6 1 40 240 (Attachment C). computer... local-levels). Non-ELE Case Study Protocol Key informants 90 1 1 90 (Attachment D2). (non-ELE states--state- and local- levels). Moderator's Guide (Attachments Focus group 240 1 1.5 360 E1 and E2...

76 FR 28987 - Agency Information Collection Request; 30-Day Public Comment Request

Science.gov (United States)

2011-05-19

... and sustainable CER enterprise. In addition, ARRA established the Federal Coordinating Council on... CER expenditures. This project seeks to evaluate and assess the products and outcomes of ARRA-funded... (SSLA).. Key stakeholders: 600 2 15/60 300 patients/ consumers. Attachment E: Focus group Members of the...

76 FR 66305 - Agency Information Collection Request, 30-Day Public Comment Request

Science.gov (United States)

2011-10-26

...: (1) Community awareness, (2) capacity building, and (3) prevention education. The multisite... participant knowledge and behavior related to sexual health. The multisite evaluation is comprised of two main... activities and (2) Prevention Education Version to be administered to women who receive prevention education...

77 FR 32974 - Agency Information Collection Request. 30-Day Public Comment Request

Science.gov (United States)

2012-06-04

.... The study will explore physicians' level of understanding of oral disease and what constitutes health for the oral cavity, oral health training and support needs, current practices and barriers to further...

76 FR 60840 - Agency Information Collection Request; 30-Day Public Comment Request

Science.gov (United States)

2011-09-30

... collection for the proper performance of the agency's functions; (2) the accuracy of the estimated burden; (3... evaluation efforts as part of the Teen Pregnancy Prevention Initiative. OAH is working collaboratively with... Oklahoma Institute of Child Advocacy/Power 360 1 36/60 216 Through Choices Engender Health/Gender Matters...

77 FR 12305 - Agency Information Collection Request; 30-Day Public Comment Request

Science.gov (United States)

2012-02-29

... performance of the agency's functions; (2) the accuracy of the estimated burden; (3) ways to enhance the... efforts as part of the Teen Pregnancy Prevention Initiative. OAH is working collaboratively with the... Choices. Control Group Youth. Engender Health/Gender Matters Participating 300 1 36/60 180 Youth and...

76 FR 81943 - Agency Information Collection Request. 30-Day Public Comment Request

Science.gov (United States)

2011-12-29

... performance of the agency's functions; (2) the accuracy of the estimated burden; (3) ways to enhance the... is working collaboratively with the Office of the Assistant Secretary for Planning and Evaluation... Engender Health/Gender Matters 375 1 36/60 225 Ohio Health/T.O.P.P 200 1 42/60 140 Live the Life Ministries...

77 FR 32638 - Agency Information Collection Request. 30-Day Public Comment Request

Science.gov (United States)

2012-06-01

... DEPARTMENT OF HEALTH AND HUMAN SERVICES [Document Identifier OS-0990-0388] Agency Information... Secretary (OS), Department of Health and Human Services, is publishing the following summary of a proposed... long-term, sustainable and holistic approach to fighting childhood obesity. This activity is requesting...

78 FR 63170 - Integrated Postsecondary Education Data System (IPEDS) 2013-2016; Extension of Public Comment...

Science.gov (United States)

2013-10-23

... DEPARTMENT OF EDUCATION Integrated Postsecondary Education Data System (IPEDS) 2013-2016; Extension of Public Comment Period; Correction AGENCY: Department of Education. ACTION: Correction notice... entitled, ``Integrated Postsecondary Education Data System (IPEDS) 2013-2016''. The comment period for this...

Is 30-Day Mortality after Admission for Heart Failure an Appropriate Metric for Quality?

Science.gov (United States)

Faillace, Robert T; Yost, Gregory W; Chugh, Yashasvi; Adams, Jeffrey; Verma, Beni R; Said, Zaid; Sayed, Ibrahim Ismail; Honushefsky, Ashley; Doddamani, Sanjay; Berger, Peter B

2018-02-01

The Centers for Medicare and Medicaid Services (CMS) model for publicly reporting national 30-day-risk-adjusted mortality rates for patients admitted with heart failure fails to include clinical variables known to impact total mortality or take into consideration the culture of end-of-life care. We sought to determine if those variables were related to the 30-day mortality of heart failure patients at Geisinger Medical Center. Electronic records were searched for patients with a diagnosis of heart failure who died from any cause during hospitalization or within 30 days of admission. There were 646 heart-failure-related admissions among 530 patients (1.2 admissions/patient). Sixty-seven of the 530 (13%) patients died: 35 (52%) died during their hospitalization and 32 (48%) died after discharge but within 30 days of admission; of these, 27 (40%) had been transferred in for higher-acuity care. Fifty-one (76%) died from heart failure, and 16 (24%) from other causes. Fifty-five (82%) patients were classified as American Heart Association Stage D, 58 (87%) as New York Heart Association Class IV, and 30 (45%) had right-ventricular systolic dysfunction. None of the 32 patients who died after discharge met recommendations for beta-blockers. Criteria for prescribing angiotensin-converting enzyme inhibitors, angiotensin receptor blockers, and mineralocorticoid receptor blockers were not met by 33 of the 34 patients (97%) with heart failure with reduced ejection fraction not on one of those drugs. Fifty-seven patients (85%) had a do-not-resuscitate (DNR) status. A majority of heart failure-related mortality was among patients who opted for a DNR status with end-stage heart failure, limiting the appropriateness of administering evidence-based therapies. No care gaps were identified that contributed to mortality at our institution. The CMS 30-day model fails to take important variables into consideration. Copyright © 2018 Elsevier Inc. All rights reserved.

77 FR 47690 - 30-Day Notice of Proposed Information Collection: Civilian Response Corps Database In-Processing...

Science.gov (United States)

2012-08-09

.... Title of Information Collection: Civilian Response Corps Database In-Processing Electronic Form. OMB... DEPARTMENT OF STATE [Public Notice 7976] 30-Day Notice of Proposed Information Collection: Civilian Response Corps Database In-Processing Electronic Form, OMB Control Number 1405-0168, Form DS-4096...

77 FR 31690 - Proposed Information Collection (Rehabilitation Needs Inventory) Activity: Comment Request

Science.gov (United States)

2012-05-29

...The Veterans Benefits Administration (VBA), Department of Veterans Affairs (VA), is announcing an opportunity for public comment on the proposed collection of certain information by the agency. Under the Paperwork Reduction Act (PRA) of 1995, Federal agencies are required to publish notice in the Federal Register concerning each proposed collection of information, including each proposed revision of a currently approved collection, and allow 60 days for public comment in response to the notice. This notice solicits comments on information needed to determine a claimant's entitlement to vocational rehabilitation services.

75 FR 6793 - Proposed Information Collection (Rehabilitation Needs Inventory) Activity: Comment Request

Science.gov (United States)

2010-02-10

...The Veterans Benefits Administration (VBA), Department of Veterans Affairs (VA), is announcing an opportunity for public comment on the proposed collection of certain information by the agency. Under the Paperwork Reduction Act (PRA) of 1995, Federal agencies are required to publish notice in the Federal Register concerning each proposed collection of information, including each proposed extension of a currently approved collection, and allow 60 days for public comment in response to the notice. This notice solicits comments on information needed to determine a claimant's entitlement to vocational rehabilitation services.

76 FR 9849 - 30-Day Notice of Proposed Information Collection: Refugee Biographic Data, OMB Control Number...

Science.gov (United States)

2011-02-22

... DEPARTMENT OF STATE [Public Notice 7339] 30-Day Notice of Proposed Information Collection: Refugee... accordance with the Paperwork Reduction Act of 1995. Title of Information Collection: Refugee Biographic Data... Originating Office: Bureau of Population, Refugees, and Migration, PRM/A Form Number: N/A Respondents: Refugee...

77 FR 11558 - Request for Public Comment; 60-Day Proposed Information Collection: Indian Health Service; Loan...

Science.gov (United States)

2012-02-27

...) Whether the agency processes the information collected in a useful and timely fashion; (c) The accuracy of... facsimile to (301) 443-2316; or send your email requests, comments, and return address to: [email protected

78 FR 10246 - Data Collection Available for Public Comments and Recommendations

Science.gov (United States)

2013-02-13

... Personal History.'' Description of Respondents: Small Business Lending Companies. Form Number: 1081. Annual... SMALL BUSINESS ADMINISTRATION Data Collection Available for Public Comments and Recommendations... of 1995, this notice announces the Small Business Administration's intentions to request approval on...

75 FR 10798 - Richard J. Stanton; Analysis of Proposed Consent Order to Aid Public Comment

Science.gov (United States)

2010-03-09

... involves respondent's marketing and distribution of a variety of online seal certification marks (``website... contact information for individuals from the public comments it receives before placing those comments on... related products or services. Part VI mandates that respondent file an initial compliance report with the...

78 FR 72682 - Proposed Collection; 60-Day Comment Request; Rapid Throughput Standardized Evaluation of...

Science.gov (United States)

2013-12-03

.... Written comments and/or suggestions from the public and affected agencies are invited on one or more of... 20892, or call non-toll- free number (301) 443-1942 or Email your request, including your address to: [email protected] . Formal request for additional plans and instruments must be requested in writing...

78 FR 17408 - Proposed Data Collections Submitted for Public Comment and Recommendations

Science.gov (United States)

2013-03-21

... technology transfer. The PTCs and CBAs offer classroom and experiential training, web- based training... techniques or other forms of information technology. Written comments should be received within 60 days of...

75 FR 3502 - Data Collection Available for Public Comments and Recommendations

Science.gov (United States)

2010-01-21

..., and management and technical assistance through 7(j) designated funds) to foster the business growth... SMALL BUSINESS ADMINISTRATION Data Collection Available for Public Comments and Recommendations..., this notice announces the Small Business Administration's intentions to request approval on a new and...

Nationwide Estimates of 30-Day Readmission in Patients With Ischemic Stroke.

Science.gov (United States)

Vahidy, Farhaan S; Donnelly, John P; McCullough, Louise D; Tyson, Jon E; Miller, Charles C; Boehme, Amelia K; Savitz, Sean I; Albright, Karen C

2017-05-01

Readmission within 30 days of hospital discharge for ischemic stroke is an important quality of care metric. We aimed to provide nationwide estimates of 30-day readmission in the United States, describe important reasons for readmission, and sought to explore factors associated with 30-day readmission, particularly the association with recanalization therapy. We conducted a weighted analysis of the 2013 Nationwide Readmission Database to represent all US hospitalizations. Adult patients with acute ischemic stroke including those who received intravenous tissue-type plasminogen activator and intra-arterial therapy were identified using International Classification of Diseases -Ninth Revision codes. Readmissions were defined as any readmission during the 30-day post-index hospitalization discharge period for the eligible patient population. Proportions and 95% confidence intervals for overall 30-day readmissions and for unplanned and potentially preventable readmissions are reported. Survey design logistic regression models were fit for determining crude and adjusted odds ratios and 95% confidence interval for association between recanalization therapy and 30-day readmission. Of the 319 317 patients with acute ischemic stroke, 12.1% (95% confidence interval, 11.9-12.3) were readmitted. Of these, 89.6% were unplanned and 12.9% were potentially preventable. More than 20% of all readmissions were attributable to acute cerebrovascular disease. Readmitted patients were older and had a higher comorbidity burden. After controlling for age, sex, insurance status, and comorbidities, patients who underwent recanalization therapy had significantly lower odds of 30-day readmission (odds ratio, 0.82; 95% confidence interval, 0.77-0.89). Up to 12% of patients with ischemic stroke get readmitted within 30 days post-discharge period, and recanalization therapy is associated with 11% to 23% lower odds of 30-day readmission. © 2017 American Heart Association, Inc.

78 FR 26639 - Proposed Collection; 60-Day Comment Request: The Framingham Heart Study (FHS)

Science.gov (United States)

2013-05-07

... 3506(c)(2)(A) of the Paperwork Reduction Act of 1995, for opportunity for public comment on proposed... Total annual respondents respondent (in hours) burden hour I. Participant Components A. Pre-Exam: a. Telephone contact to set up appointment.. 60 1 10/60 10 b. Exam Appointment, Scheduling, Reminder, 55 1 35...

75 FR 40856 - Data Collection Available for Public Comments and Recommendations

Science.gov (United States)

2010-07-14

... extended to a small business concern. SBA uses this information to complied statistics on the SBIC program... SMALL BUSINESS ADMINISTRATION Data Collection Available for Public Comments and Recommendations..., this notice announces the Small Business Administration's intentions to request approval on a new and...

75 FR 67803 - Data Collection Available for Public Comments and Recommendations

Science.gov (United States)

2010-11-03

... used to provide loans to start-up, newly established, and growing small business concerns for working... SMALL BUSINESS ADMINISTRATION Data Collection Available for Public Comments and Recommendations..., this notice announces the Small Business Administration's intentions to request approval on a new and...

77 FR 10533 - Proposed Information Collection Activity; Comment Request

Science.gov (United States)

2012-02-22

... employment and public assistance. The guide will be used to interview respondents in order to learn about...; use of public benefit programs and reasons for using or not using specific benefits; their financial... technology. Consideration will be given to comments and suggestions submitted within 60 days of this...

28 CFR 30.9 - How does the Attorney General receive and respond to comments?

Science.gov (United States)

2010-07-01

... 28 Judicial Administration 1 2010-07-01 2010-07-01 false How does the Attorney General receive and... REVIEW OF DEPARTMENT OF JUSTICE PROGRAMS AND ACTIVITIES § 30.9 How does the Attorney General receive and respond to comments? (a) The Attorney General follows the procedures in § 30.10 if: (1) A state office or...

77 FR 13594 - Proposed Rate Adjustment, Public Forum, and Opportunities for Public Review and Comment for...

Science.gov (United States)

2012-03-07

... Carolina System and applicable to energy from pumping operations at the Carters and Richard B. Russell... Opportunities for Public Review and Comment for Georgia-Alabama-South Carolina System of Projects AGENCY... of power from the Georgia-Alabama-South Carolina System of Projects effective for a 5-year period...

76 FR 54283 - 30-Day Notice of Proposed Information Collections: Language Learning Survey Questions

Science.gov (United States)

2011-08-31

...: Language Learning Survey Questions ACTION: Notice of request for public comment and submission to OMB of... the Paperwork Reduction Act of 1995. Title of Information Collection: Language Learning Programs: Pre... critical language learning instruction. Estimated Number of Respondents: 1,400 annually Estimated Number of...

Medicare FFS 30 Day Readmission Rate PUF

Data.gov (United States)

U.S. Department of Health & Human Services — The hospital readmission rate PUF presents nation-wide information about inpatient hospital stays that occurred within 30 days of a previous inpatient hospital stay...

75 FR 61706 - Request for Public Comments Regarding Small and Medium Enterprises' Understanding of and...

Science.gov (United States)

2010-10-06

... Public Comments Regarding Small and Medium Enterprises' Understanding of and Compliance With the Export... the public regarding small and medium enterprises' (SMEs) understanding of and compliance with export... report, Small and Medium-Sized Enterprises: Overview of Participation in U.S. Exports (USITC Publication...

75 FR 5706 - Federal Housing Administration: Insurance for Manufactured Housing: Reopening of Public Comment...

Science.gov (United States)

2010-02-04

... 2502-AI45 Federal Housing Administration: Insurance for Manufactured Housing: Reopening of Public.... ACTION: Proposed rule; reopening of public comment period. SUMMARY: On September 15, 2008, HUD published a proposed rule entitled ``Federal Housing Administration: Insurance for Manufactured Housing.'' The...

41 CFR 301-52.19 - Will I receive a late payment fee if my agency fails to reimburse me within 30 calendar days...

Science.gov (United States)

2010-07-01

... payment fee if my agency fails to reimburse me within 30 calendar days after I submit a proper travel claim? 301-52.19 Section 301-52.19 Public Contracts and Property Management Federal Travel Regulation... fails to reimburse me within 30 calendar days after I submit a proper travel claim? Yes, your agency...

77 FR 45717 - Proposed Information Collection (Food Service and Nutritional Care Analysis) Activity; Comment...

Science.gov (United States)

2012-08-01

...The Veterans Health Administration (VHA), Department of Veterans Affairs (VA), is announcing an opportunity for public comment on the proposed collection of certain information by the agency. Under the Paperwork Reduction Act (PRA) of 1995, Federal agencies are required to publish notice in the Federal Register concerning each proposed collection of information, including each proposed extension of a currently approved collection, and allow 60 days for public comment in response to the notice. This notice solicits comments on information needed to determine patients' satisfaction with the quality of food and nutrition services.

78 FR 2692 - Agency Information Collection Activities; Proposed New Collection; Comments Requested: COPS...

Science.gov (United States)

2013-01-14

... Collection; Comments Requested: COPS Comparative Assessment of Cost Reduction by Agencies Survey ACTION: 30...; comments requested. (2) Title of the Form/Collection: COPS Comparative Assessment of Cost Reduction by...) Affected public who will be asked or required to respond, as well as a brief abstract: Law enforcement...

76 FR 38108 - Request for Public Comments for Special Supplemental Nutrition Program for Women, Infants and...

Science.gov (United States)

2011-06-29

... additional elements should FNS consider as a component of the selection criteria for this local agency... DEPARTMENT OF AGRICULTURE Food and Nutrition Service Request for Public Comments for Special... Breastfeeding Support Practices AGENCY: Food and Nutrition Service, USDA. ACTION: Notice of request for comments...

Magnitude of Anemia at Discharge Increases 30-Day Hospital Readmissions.

Science.gov (United States)

Koch, Colleen G; Li, Liang; Sun, Zhiyuan; Hixson, Eric D; Tang, Anne; Chagin, Kevin; Kattan, Michael; Phillips, Shannon C; Blackstone, Eugene H; Henderson, J Michael

2017-12-01

Anemia during hospitalization is associated with poor health outcomes. Does anemia at discharge place patients at risk for hospital readmission within 30 days of discharge? Our objectives were to examine the prevalence and magnitude of anemia at hospital discharge and determine whether anemia at discharge was associated with 30-day readmissions among a cohort of hospitalizations in a single health care system. From January 1, 2009, to August 31, 2011, there were 152,757 eligible hospitalizations within a single health care system. The endpoint was any hospitalization within 30 days of discharge. The University HealthSystem Consortium's clinical database was used for demographics and comorbidities; hemoglobin values are from the hospitals' electronic medical records, and readmission status was obtained from the University HealthSystem Consortium administrative data systems. Mild anemia was defined as hemoglobin of greater than 11 to less than 12 g/dl in women and greater than 11 to less than 13 g/dl in men; moderate, greater than 9 to less than or equal to 11 g/dl; and severe, less than or equal to 9 g/dl. Logistic regression was used to assess the association of anemia and 30-day readmissions adjusted for demographics, comorbidity, and hospitalization type. Among 152,757 hospitalizations, 72% of patients were discharged with anemia: 31,903 (21%), mild; 52,971 (35%), moderate; and 25,522 (17%), severe. Discharge anemia was associated with severity-dependent increased odds for 30-day hospital readmission compared with those without anemia: for mild anemia, 1.74 (1.65-1.82); moderate anemia, 2.76 (2.64-2.89); and severe anemia, 3.47 (3.30-3.65), P < 0.001. Anemia at discharge is associated with a severity-dependent increased risk for 30-day readmission. A strategy focusing on anemia treatment care paths during index hospitalization offers an opportunity to influence subsequent readmissions.

Coated-platelets predict stroke at 30 days following TIA.

Science.gov (United States)

Kirkpatrick, Angelia C; Vincent, Andrea S; Dale, George L; Prodan, Calin I

2017-07-11

To examine the potential for coated-platelets, a subset of highly procoagulant platelets observed on dual agonist stimulation with collagen and thrombin, for predicting stroke at 30 days in patients with TIA. Consecutive patients with TIA were enrolled and followed up prospectively. ABCD2 scores were obtained for each patient. Coated-platelet levels, reported as percent of cells converted to coated-platelets, were determined at baseline. The primary endpoint was the occurrence of stroke at 30 days. Receiver operator characteristic (ROC) analysis was used to calculate area under the curve (AUC) values for a model including coated-platelets to predict incident stroke at 30 days. A total of 171 patients with TIA were enrolled, and 10 strokes were observed at 30 days. A cutoff of 51.1% for coated-platelet levels yielded a sensitivity of 0.80 (95% confidence interval [CI] 0.55-1.0), specificity of 0.73 (95% CI 0.66-0.80), positive predictive value of 0.16 (95% CI 0.06-0.26), and negative predictive value of 0.98 (95% CI 0.96-1.0). The adjusted hazard ratio of incident stroke in patients with coated-platelet levels ≥51.1% was 10.72 compared to those with levels TIA. © 2017 American Academy of Neurology.

Predictors of 30-day readmission following pancreatic surgery: A retrospective review.

Science.gov (United States)

Amodu, Leo I; Alexis, Jamil; Soleiman, Aron; Akerman, Meredith; Addison, Poppy; Iurcotta, Toni; Rilo, Horacio L Rodriguez

2018-04-22

Pancreatectomies have been identified as procedures with an increased risk of readmission. In surgical patients, readmissions within 30 days of discharge are usually procedure-related. We sought to determine predictors of 30-day readmission following pancreatic resections in a large healthcare system. We retrospectively collected information from the records of 383 patients who underwent pancreatic resections from 2004-2013. To find the predictors of readmission in the 30 days after discharge, we performed a univariate screen of possible variables using the Fisher's exact test for categorical variables and the Mann-Whitney U test for continuous variables. Multivariate analysis was used to determine the independent factors. Fifty-eight (15.1%) patients were readmitted within 30 days of discharge. Of the patients readmitted, the most common diagnoses at readmission were sepsis (17.2%), and dehydration (8.6%). Multivariate logistic regression found that the development of intra-abdominal fluid collections (OR = 5.32, P readmission within 30 days of discharge. Our data demonstrate that factors predictive of 30-day readmission are a combination of patient characteristics and the development of post-operative complications. Targeted interventions may be used to reduce the risk of readmission. Copyright © 2018. Published by Elsevier B.V.

78 FR 63204 - Proposed Collection; Comment Request

Science.gov (United States)

2013-10-23

... Office of Management and Budget, Attention: Desk Officer for the Federal Housing Finance Agency... FEDERAL HOUSING FINANCE AGENCY [No. 2013-N-12] Proposed Collection; Comment Request AGENCY: Federal Housing Finance Agency. ACTION: 30-day Notice of Submission of Information Collection for Approval...

75 FR 40834 - Proposed Collection; Comment Request

Science.gov (United States)

2010-07-14

... of Management and Budget, Attention: Desk Officer for the Federal Housing Finance Agency, Washington... FEDERAL HOUSING FINANCE AGENCY [No. 2010-N-08] Proposed Collection; Comment Request AGENCY: Federal Housing Finance Agency. ACTION: 30-day Notice of Submission of Information Collection for Approval...

76 FR 39842 - Draft Investigation Report-DuPont Belle; Public Comment Requested

Science.gov (United States)

2011-07-07

... the CSB Web site ( http://www.csb.gov .). Comments may also be sent to CSB Headquarters (see address... public review either at CSB Headquarters or by following directions posted on the CSB Web site. By..., operating [[Page 39843

77 FR 42271 - National Defense Stockpile Market Impact Committee Request for Public Comments on the Potential...

Science.gov (United States)

2012-07-18

... comments on the potential market impact associated with the two material research and development projects... Defense Stockpile Market Impact Committee Request for Public Comments on the Potential Market Impact of... National Defense Stockpile Market Impact Committee, co-chaired by the Departments of Commerce and State, is...

76 FR 9046 - Non-Use Valuation Survey, Klamath Basin; Thirty-Day Notice Requesting Additional Public Comments

Science.gov (United States)

2011-02-16

... send a copy of your comments to the Department of the Interior; Office of Policy Analysis, Attention.... The pilot test was approved by OMB on December 14, 2010. However, the Agency received additional... base for this survey is 10,400 households. The households will be divided into two mailing groups, at a...

75 FR 19297 - Medical Loss Ratios; Request for Comments Regarding Section 2718 of the Public Health Service Act

Science.gov (United States)

2010-04-14

... public comments in advance of future rulemaking. DATES: Submit written or electronic comments by May 14... 2718, and specifies that the Secretary may provide for appropriate penalties. F. Taxation of Certain...

78 FR 38996 - Proposed Collection; 60-Day Comment Request; Family Life, Activity, Sun, Health, and Eating...

Science.gov (United States)

2013-06-28

... DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health Proposed Collection; 60-Day Comment Request; Family Life, Activity, Sun, Health, and Eating (FLASHE) Study (NCI) Summary: In.... Proposed Collection: Family Life, Activity, Sun, Health, and Eating (FLASHE) Study 0925--NEW, National...

78 FR 77690 - Agency Information Collection Activities: Proposed Collection: Public Comment Request

Science.gov (United States)

2013-12-24

... injuries, child abuse, neglect, or maltreatment, and reduction of emergency room visits; (3) improvement in... Administration for Children and Families Agency Information Collection Activities: Proposed Collection: Public Comment Request AGENCY: Health Resources and Services Administration, HHS. Administration for Children and...

76 FR 81944 - Agency Information Collection Activities: Proposed Collection; Comment Request

Science.gov (United States)

2011-12-29

... to collect data on the cost, use and quality of such care. 42 U.S.C. 299b-2; 42 U.S.C. 299a(a)(1), (2... Burden Number of Total burden Average hourly Total cost Activity respondents hours wage rate* burden... Federal Register on November 2nd, 2011 and allowed 60 days for public comment. No comments were received...

78 FR 13394 - 30-Day Notice of Proposed Information Collection: Office of Language Services Contractor...

Science.gov (United States)

2013-02-27

... of Language Services Contractor Application Form ACTION: Notice of request for public comment and...: Title of Information Collection: Office of Language Services Contractor Application Form. OMB Control... States. If candidates successfully become contractors for the U.S. Department of State, Office of...

77 FR 20401 - Proposed Data Collections Submitted for Public Comment and Recommendations

Science.gov (United States)

2012-04-04

... Technology (SART), the American Society for Reproductive Medicine, and RESOLVE: the National Infertility... collection techniques or other forms of information technology. Written comments should be received within 60 days of this notice. Proposed Project Assisted Reproductive Technology (ART) Program Reporting System...

Antimony Trioxide (ATO) - Summary of External Peer Review and Public Comments and Disposition

Science.gov (United States)

This document summarizes the public and external peer review comments that the EPA’s Office of Pollution Prevention and Toxics (OPPT) received for the draft work plan risk assessment for Antimony Trioxide (ATO).

78 FR 78375 - 60-Day Notice of Proposed Information Collection: Certification of Domestic Violence, Dating...

Science.gov (United States)

2013-12-26

...HUD is seeking approval from the Office of Management and Budget (OMB) for the information collection described below. In accordance with the Paperwork Reduction Act, HUD is requesting comment from all interested parties on the proposed collection of information. The purpose of this notice is to allow for 60 days of public comment.

77 FR 42314 - Proposed Data Collections Submitted for Public Comment and Recommendations

Science.gov (United States)

2012-07-18

... characteristics of the work environment, such as the norms, rules, and common understandings that influence employees' perceptions of the importance that the organization places on safety. NIOSH requests OMB approval...] Proposed Data Collections Submitted for Public Comment and Recommendations In compliance with the...

75 FR 8364 - Proposed Data Collections Submitted for Public Comment and Recommendations

Science.gov (United States)

2010-02-24

... on proposed data collection projects, the Centers for Disease Control and Prevention (CDC) will... data base containing identifying death record information submitted annually to NCHS by all the State...] Proposed Data Collections Submitted for Public Comment and Recommendations In compliance with the...

78 FR 35285 - Agency Information Collection Activities; Proposed Collection; Public Comment Request

Science.gov (United States)

2013-06-12

... training, administrative and organizational structures, clinical service, challenges, innovations, costs... for public comment on proposed data collection projects (Section 3506(c)(2)(A) of the Paperwork... 20857. FOR FURTHER INFORMATION CONTACT: To request more information on the proposed project or to obtain...

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

Science.gov (United States)

2013-08-21

... community engagement; including meetings with community agencies and residents and Attendance at or planning... comments from members of the public and affected parties concerning the collection of information described... through the use of appropriate automated collection techniques or other forms of information technology, e...

Worse Prognosis in Heart Failure Patients with 30-Day Readmission

Science.gov (United States)

Tung, Ying-Chang; Chou, Shing-Hsien; Liu, Kuan-Liang; Hsieh, I-Chang; Wu, Lung-Sheng; Lin, Chia-Pin; Wen, Ming-Shien; Chu, Pao-Hsien

2016-01-01

Background Heart failure (HF) readmission results in substantial expenditure on HF management. This study aimed to evaluate the readmission rate, outcome, and predictors of HF readmission. Methods Patients with reduced left ventricular ejection fraction (LVEF readmission rate, mortality and predictors of readmission. Results A total of 433 de novo HF patients with LVEF readmission rates were 10.9% and 27%, respectively. At the end of the 6-month follow-up, the readmission group had higher mortality than the non-readmission group (27.66% vs. 10.36%; p = 0.001). The survivors of the 30-day readmission had similar mortality rates at 6 months, regardless of the cause of readmission (cardiovascular vs. non-cardiovascular: 25% vs. 30.43%, p = 0.677). Among all the parameters, prescription of beta blockers independently reduced the risk of 30-day readmission (odds ratio 0.15; 95% confidence interval 0.02-0.99; p = 0.049). Conclusions Those HF patients who suffered from 30-day readmission had worse prognosis at the 6-month follow-up. Regardless of the readmission causes, the patients surviving the 30-day readmission had similar mortality rates at 6-month follow-up. These results underscored the importance of reducing readmission as a means to improve HF outcome. PMID:27899857

75 FR 53968 - Reverb Communications, Inc.; Analysis of Proposed Consent Order To Aid Public Comment

Science.gov (United States)

2010-09-02

... final the agreement's proposed order. This matter involves the public relations, marketing, and sales... FEDERAL TRADE COMMISSION [File No. 092 3199] Reverb Communications, Inc.; Analysis of Proposed Consent Order To Aid Public Comment AGENCY: Federal Trade Commission. ACTION: Proposed Consent Agreement...

PUBLIC COMMENT ON THE DEPARTMENT OF HEALTH AND HUMAN SERVICES 2018 FEDERAL PHYSICAL ACITIVTY GUIDELINES

Science.gov (United States)

Title: Public Comment on Department of Health and Human Services (DHHS) 2018 Physical Activity Guidelines Author: Wayne E. Cascio, Director, Environmental Public Health Division, US EPA Abstract: In the 2008 Physical Activity Guidelines, the effects of air pollution and advers...

75 FR 58411 - Center for Veterinary Medicine eSubmitter Workshop; Public Workshop; Request for Comments

Science.gov (United States)

2010-09-24

...] Center for Veterinary Medicine eSubmitter Workshop; Public Workshop; Request for Comments AGENCY: Food... Drug Administration (FDA) is announcing a public workshop entitled: ``Center for Veterinary Medicine... be emailed to all registrants. Contact Person: Charles Andres, Center for Veterinary Medicine (HFV...

75 FR 58391 - Proposed Data Collections Submitted for Public Comment and Recommendations

Science.gov (United States)

2010-09-24

... technology. Written comments should be received within 60 days of this notice. Proposed Project Human... Brief Description Cyanobacteria (also called blue-green algae) can be found in terrestrial, fresh... animals (including other mammals, fish, and birds). A number of human health effects, including...

75 FR 21630 - Proposed Data Collections Submitted for Public Comment and Recommendations

Science.gov (United States)

2010-04-26

... infection and attitudes towards HIV testing. This study will provide important epidemiologic information... technology. Written comments should be received within 60 days of this notice. Proposed Project Exploring HIV...--National Center for HIV/AIDS, Viral Hepatitis, STD, and Tuberculosis Prevention (NCHHSTP), Centers for...

76 FR 40918 - Proposed Data Collections Submitted for Public Comment and Recommendations

Science.gov (United States)

2011-07-12

... technology. Written comments should be received within 60 days of this notice. Proposed Project Validation of... United States has increased the demand for Spanish-language occupational safety and health training... into Spanish rather than developing new materials specifically designed for Latino immigrants. Critics...

77 FR 23263 - Proposed Data Collections Submitted for Public Comment and Recommendations

Science.gov (United States)

2012-04-18

... collection techniques or other forms of information technology. Written comments should be received within 60 days of this notice. Proposed Project Targeted Surveillance and Biometric Studies for Enhanced... outcome data collection in select communities. The initial selected studies will address biometric changes...

78 FR 7437 - Proposed Collection; Comment Request (60-Day FRN); The Clinical Trials Reporting Program (CTRP...

Science.gov (United States)

2013-02-01

... for public comment on proposed data collection projects, the National Institutes of Health (NIH) will publish periodic summaries of proposed projects to be submitted to the Office of Management and Budget... proposed collection of information, including the validity of the methodology and assumptions used; (3) The...

75 FR 27574 - United States Park Police; 60-Day Notice of Intention To Request Clearance of Collection of...

Science.gov (United States)

2010-05-17

... DEPARTMENT OF THE INTERIOR National Park Service United States Park Police; 60-Day Notice of... States Park Police, National Park Service, Interior. ACTION: Notice and request for comments. SUMMARY... Keeping Requirements, the United States Park Police (USPP) invites public comments on an extension of a...

78 FR 47479 - 30-Day Notice of Proposed Information Collection: Nonimmigrant Treaty Trader/Investor Application

Science.gov (United States)

2013-08-05

...: Nonimmigrant Treaty Trader/Investor Application ACTION: Notice of request for public comment and submission to.../Investor Application OMB Control Number: OMB-1405-0101 Type of Request: Extension of a Currently Approved... Investor Estimated Number of Respondents: 41,752 Estimated Number of Responses: 41,752 Average Time per...

78 FR 58377 - 30-Day Notice of Proposed Information Collection: Nonimmigrant Fiance(e) Visa Application

Science.gov (United States)

2013-09-23

... conjunction with a personal interview, to determine this eligibility of an alien applicant for a non-immigrant... record. Before including any detailed personal information, you should be aware that your comments as submitted, including your personal information, will be available for public review. Abstract of proposed...

76 FR 17420 - Proposed Data Collections Submitted for Public Comment and Recommendations

Science.gov (United States)

2011-03-29

... in available information about availability, location and capacity of healthcare services provided to... burden of the proposed collection of information; (c) ways to enhance the quality, utility, and clarity... information technology. Written comments should be received within 60 days of this notice. Proposed Project...

77 FR 62517 - Proposed Data Collections Submitted for Public Comment and Recommendations

Science.gov (United States)

2012-10-15

..., by conducting a training program for State and local vital statistics staff to assist in developing... collection techniques or other forms of information technology. Written comments should be received within 60 days of this notice. Proposed Project Vital Statistics Training Application, OMB No. 0920-0217...

75 FR 60854 - 2010 Special 301 Out of Cycle Review of Notorious Markets: Request for Public Comment

Science.gov (United States)

2010-10-01

... result of that discussion, USTR has concluded that it can further publicize and potentially expand on the... infringing materials; any positive progress made. Any comments that include quantitative loss claims should... English. All comments should be sent electronically via http://www.regulations.gov , docket number USTR...

77 FR 56674 - United States v. Humana Inc. and Arcadian Management Services, Inc.; Public Comment and Response...

Science.gov (United States)

2012-09-13

... students in the United States. The AMA's comment states that: MA [Medicare Advantage] plans in competitive... Services, Inc.; Public Comment and Response on Proposed Final Judgment Pursuant to the Antitrust Procedures... on the proposed Final Judgment in United States v. Humana Inc. and Arcadian Management Services, Inc...

78 FR 18612 - Proposed Collection; 60-Day Comment Request; Web-based Media Literacy Parent Training for...

Science.gov (United States)

2013-03-27

.... Written comments and/or suggestions from the public and affected agencies are invited on one or more of..., mechanical, or other technological collection techniques or other forms of information technology. To Submit... Texas. The primary objectives of the study are to assess the efficacy of a media literacy education...

75 FR 39695 - 60-Day Notice; Agency Information Collection Request; 60-Day Public Comment Request

Science.gov (United States)

2010-07-12

... overseeing and coordinating adolescent pregnancy prevention evaluation efforts as part of the Teen Pregnancy... ways to reduce teen pregnancy. The evaluation will document and test a range of pregnancy prevention... public, to policy-makers, and to organizations interested in teen pregnancy prevention. OAH and ACF are...

77 FR 70828 - Proposed Extension of Information Collection Requests Submitted for Public Comment

Science.gov (United States)

2012-11-27

... DEPARTMENT OF LABOR Employee Benefits Security Administration Proposed Extension of Information Collection Requests Submitted for Public Comment AGENCY: Employee Benefits Security Administration... collection requirements and provide the requested data in the desired format. The Employee Benefits Security...

78 FR 30333 - Proposed Extension of Information Collection Requests Submitted for Public Comment

Science.gov (United States)

2013-05-22

... DEPARTMENT OF LABOR Employee Benefits Security Administration Proposed Extension of Information Collection Requests Submitted for Public Comment AGENCY: Employee Benefits Security Administration... collection requirements and provide the requested data in the desired format. The Employee Benefits Security...

Hard-hat day

CERN Multimedia

2003-01-01

CERN will be organizing a special information day on Friday, 27th June, designed to promote the wearing of hard hats and ensure that they are worn correctly. A new prevention campaign will also be launched.The event will take place in the hall of the Main Building from 11.30 a.m. to 2.00 p.m., when you will be able to come and try on various models of hard hat, including some of the very latest innovative designs, ask questions and pass on any comments and suggestions.

Summary of comments received at workshop on use of a Site Specific Advisory Board (SSAB) to facilitate public participation in decommissioning cases

International Nuclear Information System (INIS)

Caplin, J.; Padge, G.; Smith, D.; Wiblin, C.

1995-06-01

The Nuclear Regulatory Commission (NRC) is conducting an enhanced participatory rulemaking to establish radiological criteria for the decommissioning of NRC-licensed facilities. As part of this rulemaking, On August 20, 1994 the NRC published a proposed rule for public comment. Paragraph 20.1406(b) of the proposed rule would require that the licensee convene a Site Specific Advisory Board (SSAB) if the licensee proposed release of the site for restricted use after decommissioning. To encourage comment the NRC held a workshop on the subject of $SABs on December 6, 7, and 8, 1994. This report summarizes the 567 comments categorized from the transcript of the workshop. The commenters at the workshop generally supported public participation in decommissioning cases. Many participants favored promulgating requirements in the NRC's rules. Some industry participants favored relying on voluntary exchanges between the public and the licensees. Many participants indicated that a SSAB or something functionally equivalent is needed in controversial decommissioning cases, but that some lesser undertaking can achieve meaningful public participation in other cases. No analysis or response to the comments is included in this report

Effect of Ambulatory Transitional Care Management on 30-Day Readmission Rates.

Science.gov (United States)

Ballard, Jonathan; Rankin, Wade; Roper, Karen L; Weatherford, Sarah; Cardarelli, Roberto

2018-05-01

A process improvement initiative for transitional care management (TCM) was evaluated for effectiveness in reducing 30-day readmission rates in a retrospective cohort study. Regression models analyzed the association between level of TCM component implementation and readmission rates among patients discharged from a university medical center hospital. Of the 1884 patients meeting inclusion criteria, only 3.7% (70) experienced a 30-day readmission. Patients receiving the full complement of TCM had 86.6% decreased odds of readmission compared with patients who did not receive TCM ( P < .001). However, the complete package of TCM services under Medicare guidelines may not be essential. A postdischarge telephone call did not reduce readmission odds, provided a TCM office visit occurred. Important for risk assessment models targeting patients for TCM, the number of previous hospital admissions, not age, predicted 30-day readmission risk. This study provides evidence that primary care-based TCM can reduce 30-day readmissions even when overall rates are low.

Health literacy and 30-day hospital readmission after acute myocardial infarction

Science.gov (United States)

Bailey, Stacy Cooper; Fang, Gang; Annis, Izabela E; O'Conor, Rachel; Paasche-Orlow, Michael K; Wolf, Michael S

2015-01-01

Objective To assess the validity of a predictive model of health literacy, and to examine the relationship between derived health literacy estimates and 30-day hospital readmissions for acute myocardial infarction (AMI). Design Retrospective cohort study. Setting and participants A National Institute of Aging (NIA) study cohort of 696 adult, English-speaking primary care patients, aged 55–74 years, was used to assess the validity of derived health literacy estimates. Claims from 7733 Medicare beneficiaries hospitalised for AMI in 2008 in North Carolina and Illinois were used to investigate the association between health literacy estimates and 30-day hospital readmissions. Measures The NIA cohort was administered 3 common health literacy assessments (Newest Vital Sign, Test of Functional Health Literacy in Adults, and Rapid Estimate of Adult Literacy in Medicine). Health literacy estimates at the census block group level were derived via a predictive model. 30-day readmissions were measured from Medicare claims data using a validated algorithm. Results Fair agreement was found between derived estimates and in-person literacy assessments (Pearson Correlation coefficients: 0.38–0.51; κ scores: 0.38–0.40). Medicare enrollees with above basic literacy according to derived health literacy estimates had an 18% lower risk of a 30-day readmission (RR=0.82, 95% CI 0.73 to 0.92) and 21% lower incidence rate of 30-day readmission (IRR=0.79, 95% CI 0.68 to 0.87) than patients with basic or below basic literacy. After adjusting for demographic and clinical characteristics, the risk of 30-day readmission was 12% lower (p=0.03), and the incidence rate 16% lower (pliteracy. Conclusions Health literacy, as measured by a predictive model, was found to be a significant, independent predictor of 30-day readmissions. As a modifiable risk factor with evidence-based solutions, health literacy should be considered in readmission reduction efforts. PMID:26068508

76 FR 44014 - Generic Drug User Fee; Public Meeting; Request for Comments

Science.gov (United States)

2011-07-22

... generic drug user fees. New legislation would be required for FDA to establish and collect user fees for... DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration [Docket No. FDA-2010-N-0381] Generic Drug User Fee; Public Meeting; Request for Comments AGENCY: Food and Drug Administration, HHS...

76 FR 24035 - Generic Drug User Fee; Public Meeting; Request for Comments

Science.gov (United States)

2011-04-29

... legislation would be required for FDA to establish and collect user fees for generic drugs, and FDA is... DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration [Docket No. FDA-2010-N-0381] Generic Drug User Fee; Public Meeting; Request for Comments AGENCY: Food and Drug Administration, HHS...

75 FR 20849 - Proposed Data Collections Submitted for Public Comment and Recommendations

Science.gov (United States)

2010-04-21

... requirement of Section 3506(c)(2)(A) of the Paperwork Reduction Act of 1995 for opportunity for public comment... to ensure that program messages/materials, and their placement, can successfully gain the attention... indicated. Other variables for segmentation may include, but not be limited to, geography, language, and...

77 FR 53887 - Proposed Data Collections Submitted for Public Comment and Recommendations

Science.gov (United States)

2012-09-04

... techniques or other forms of information technology. Written comments should be received within 60 days of.... Depending on the specific purpose, data collection methods may be conducted either in-person, by telephone, on paper, or online. Data may be collected in quantitative and/or qualitative forms. Each proposed...

75 FR 36092 - Agency Information Collection Activities; Proposed Collection; Comment Request; Medical Devices...

Science.gov (United States)

2010-06-24

... Good Manufacturing Practice Quality System Regulations AGENCY: Food and Drug Administration, HHS. ACTION: Notice. SUMMARY: The Food and Drug Administration (FDA) is announcing an opportunity for public... existing collection of information, and to allow 60 days for public comment in response to the notice. This...

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

Science.gov (United States)

2013-03-12

... DEPARTMENT OF STATE [Public Notice 8218] 60-Day Notice of Proposed Information Collection: Iran Democracy Program Grants Vetting ACTION: Notice of request for public comment. SUMMARY: The Department of State is seeking Office of Management and Budget (OMB) approval for the information collection described...

[Modern-day slavery as a public health issue].

Science.gov (United States)

Leão, Luís Henrique da Costa

2016-12-01

Modern-day slave labor is one of the most pernicious and persistent social problems in Brazil. In the light of the need to implement a national occupational health policy, this paper discusses slave labor as a public health concern, highlighting possibilities for broadening strategies for vigilance and comprehensive care for this specific working population. Exploratory qualitative research was carried out based on the "social construction of reality" proposed by Lenoir, Berger and Luckmann. The investigation consisted of a theoretical review of modern-day slave labor on the national and international scene within the scope of the human, social and public health sciences and an analysis of social and political practices to tackle modern-day slave labor was conducted in the State of Rio de Janeiro. Semi-structured individual and group interviews with workers and representatives of social movements and public institutions were organized. The results reveal the theoretical and practical dimensions of slave labor and its relations with the health field and highlight the role and potential of public health in the enhancing of vigilance practices and health care of workers subjected to these chronic social conditions.

78 FR 53504 - Submission for OMB Review; Comment Request

Science.gov (United States)

2013-08-29

.... financial system. Affected Public: Private sector: Businesses or other for-profits. Estimated Annual Burden... on or before September 30, 2013 to be assured of consideration. ADDRESSES: Send comments regarding... entire information collection request may be found at www.reginfo.gov . Financial Crimes Enforcement...

78 FR 34309 - Endangered and Threatened Species; Extension of Public Comment Period Soliciting Information...

Science.gov (United States)

2013-06-07

..., Alaska. On May 17, 2013, we published a notice announcing a positive 90-day finding on a petition to list...). Attachments to electronic comments will be accepted in Microsoft Word, Excel, or Adobe PDF file formats only... published a notice (78 FR 29098) announcing a positive 90-day finding on a petition to list harbor seals in...

Drivers and Risk Factors of Unplanned 30-Day Readmission Following Spinal Cord Stimulator Implantation.

Science.gov (United States)

Elsamadicy, Aladine A; Sergesketter, Amanda; Ren, Xinru; Mohammed Qasim Hussaini, Syed; Laarakker, Avra; Rahimpour, Shervin; Ejikeme, Tiffany; Yang, Siyun; Pagadala, Promila; Parente, Beth; Xie, Jichun; Lad, Shivanand P

2018-01-01

Unplanned 30-day readmission rates contribute significantly to growing national healthcare expenditures. Drivers of unplanned 30-day readmission after spinal cord stimulator (SCS) implantation are relatively unknown. The aim of this study was to determine drivers of 30-day unplanned readmission following SCS implantation. The National Readmission Database was queried to identify all patients who underwent SCS implantation for the 2013 calendar year. Patients were grouped by readmission status, "No Readmission" and "Unplanned 30-day Readmission." Patient demographics and comorbidities were collected for each patient. The primary outcome of interest was the rate of unplanned 30-day readmissions and associated driving factors. A multivariate analysis was used to determine independent predictors of unplanned 30-day readmission after SCS implantation. We identified 1521 patients who underwent SCS implantation, with 113 (7.4%) experiencing an unplanned readmission within 30 days. Baseline patient demographics, comorbidities, and hospital characteristics were similar between both cohorts. The three main drivers for 30-day readmission after SCS implantation include: 1) infection (not related to SCS device), 2) infection due to device (limited to only hardware infection), and 3) mechanical complication of SCS device. Furthermore, obesity was found to be an independent predictor of 30-day readmission (OR: 1.86, p = 0.008). Our study suggests that infectious and mechanical complications are the primary drivers of unplanned 30-day readmission after SCS implantation, with obesity as an independent predictor of unplanned readmission. Given the technological advancements in SCS, repeated studies are necessary to identify factors associated with unplanned 30-day readmission rates after SCS implantation to improve patient outcomes and reduce associated costs. © 2017 International Neuromodulation Society.

76 FR 28234 - Proposed Data Collections Submitted for Public Comment and Recommendations

Science.gov (United States)

2011-05-16

... requirement of Section 3506(c)(2)(A) of the Paperwork Reduction Act of 1995 for opportunity for public comment... (CDC). Background and Brief Description Section 212(a), (1) of the Immigration and Nationality Act... an application for waiver is filed and approved by the U.S. Citizenship and Immigration Services...

76 FR 73740 - Submission for OMB Review; Comments Request

Science.gov (United States)

2011-11-29

... technology. DATES: Comments must be received within 60 calendar-days of publication of this Notice. ADDRESSES... investor per project. Type of Respondents: Business or other institution (except farms); not-for-profit... support, significant managerial relationship) to the projects that OPIC finances. Dated: November 21, 2011...

77 FR 8875 - Proposed Data Collections Submitted for Public Comment and Recommendations

Science.gov (United States)

2012-02-15

... technology. Written comments should be received within 60 days of this notice. Proposed Project Foreign... also requested. The CDC form 75.37, ``Notice of Importers of Dogs'' will now be identified as CDC form... has received a booster rabies vaccine, and the responsibility of the government agent in ensuring that...

76 FR 7860 - Proposed Data Collections Submitted for Public Comment and Recommendations

Science.gov (United States)

2011-02-11

... information technology. Written comments should be received within 60 days of this notice. Proposed Project... express itself with mild symptoms for some, and severe symptoms for others. Depending on the severity and............ CBIT Online 50 1 1/60 1 Evaluation. Teachers/Educators Education 210 1 2/60 7 Resource Dissemination...

75 FR 49502 - Medical Device User Fee Act; Public Meeting; Request for Comments

Science.gov (United States)

2010-08-13

... of all stakeholder interest groups. Registrants will receive confirmation once they have been... FDA and a series of panels representing different stakeholder interest groups (such as patient... public meeting, interested persons may submit either electronic or written comments by October 14, 2010...

77 FR 35661 - Proposed Collection; Comment Request

Science.gov (United States)

2012-06-14

... annual financial statement certified by an independent Certified Public Accountant. No specific form is... extension of a public information collection and seeks public comment on the provisions thereof. Comments... policy for comments and other submissions from members of the public is to make these submissions...

Risk Factors for 30-Day Readmission in Adults with Sickle Cell Disease.

Science.gov (United States)

Brodsky, Max A; Rodeghier, Mark; Sanger, Maureen; Byrd, Jeannie; McClain, Brandi; Covert, Brittany; Roberts, Dionna O; Wilkerson, Karina; DeBaun, Michael R; Kassim, Adetola A

2017-05-01

Readmission to the hospital within 30 days is a measure of quality care; however, only few modifiable risk factors for 30-day readmission in adults with sickle cell disease are known. We performed a retrospective review of the medical records of adults with sickle cell disease at a tertiary care center, to identify potentially modifiable risk factors for 30-day readmission due to vasoocclusive pain episodes. A total of 88 patients ≥18 years of age were followed for 3.5 years between 2010 and 2013, for 158 first admissions for vasoocclusive pain episodes. Of these, those subsequently readmitted (cases) or not readmitted (controls) within 30 days of their index admissions were identified. Seven risk factors were included in a multivariable model to predict readmission: age, sex, hemoglobin phenotype, median oxygen saturation level, listing of primary care provider, type of health insurance, and number of hospitalized vasoocclusive pain episodes in the prior year. Mean age at admission was 31.7 (18-59) years; median time to readmission was 11 days (interquartile range 20 days). Absence of a primary care provider listed in the electronic medical record (odds ratio 0.38; 95% confidence interval, 0.16-0.91; P = .030) and the number of vasoocclusive pain episodes requiring hospitalization in the prior year were significant risk factors for 30-day readmission (odds ratio 1.30; 95% confidence interval, 1.16-1.44; P readmission rate in adults with sickle cell disease. Copyright © 2017 Elsevier Inc. All rights reserved.

Record of responses to public comments on proposed general guidelines for recommendation of sites for nuclear waste repositories

International Nuclear Information System (INIS)

1983-01-01

The Nuclear Waste Policy Act of 1982 (Public Law 97-425, referred to in this document as the Act) assigned to the US Department of Energy (DOE) the authority for the disposal of high-level radioactive waste and spent nuclear fuel. Among other provisions, the Act specifies a process and schedule for the siting of two geologic repositories for this purpose. The Act requires that the DOE issue general guidelines for the recommendation of sites for repositories. The guidelines are to be developed in consultation with three Federal agencies (the Council on Environmental Quality, the US Environmental Protection Agency, and the US Geological Survey) and with interested Governors and issued with the concurrence of the US Nuclear Regulatory Commission. To meet this directive, the DOE convened a task force of program experts to develop proposed guidelines, issued the proposed guidelines on February 7, 1983, and invited comments from the specified Federal agencies, interested Governors, and the general public. Public hearings on the proposed guidelines were held in March at the following locations: Chicago, New Orleans, Washington, DC, Salt Lake City, and Seattle. After considering the resulting comments and preparing responses to them, the task force prepared a draft of this comment-response document and a set of alternative guidelines; these documents were issued on May 27, 1983. This document summarizes the record of comments that directly led to the alternative guidelines of May 27, 1983. It contains synopses of comments, presents the responses of the task force to the comments, and briefly describes how the proposed guidelines of February 7, 1983, were revised to produce the alternative guidelines of May 27, 1983. 13 references

76 FR 14018 - Proposed Data Collections Submitted for Public Comment and Recommendations

Science.gov (United States)

2011-03-15

... requirement of Section 3506(c)(2)(A) of the Paperwork Reduction Act of 1995 for opportunity for public comment... of the effort. Although up to 70% of neural tube defects can be prevented if a woman consumes folic... status shall be explored through segmentation of the focus groups. Sixteen focus groups will be conducted...

76 FR 44334 - Proposed Data Collections Submitted for Public Comment and Recommendations

Science.gov (United States)

2011-07-25

... requirement of Section 3506(c)(2)(A) of the Paperwork Reduction Act of 1995 for opportunity for public comment... effort. Although up to 70% of neural tube defects can be prevented if a woman consumes folic acid before... be explored through segmentation of the focus groups. Sixteen focus groups will be conducted in both...

75 FR 4042 - Proposed Information Collection; Comment Request; Survey of Public Perceptions and Attitudes...

Science.gov (United States)

2010-01-26

... DEPARTMENT OF COMMERCE National Oceanic and Atmospheric Administration Proposed Information Collection; Comment Request; Survey of Public Perceptions and Attitudes About Hawaiian Monk Seals AGENCY..., attitudes, beliefs, values, and behaviors regarding the endangered Hawaiian monk seal. The information...

A comment on framing effects in linear public good games

OpenAIRE

Cartwright, Edward

2016-01-01

A number of recent papers have looked at framing effects in linear public good games. In this comment, I argue that, within this literature, the distinction between give-take and positive–negative framing effects has become blurred, and that this is a barrier towards understanding the experimental evidence on framing effects. To make these points, I first illustrate that frames can differ along both an externality and choice dimension. I then argue that the existing evidence is consistent wit...

76 FR 67418 - Request for Comments on NIST Special Publication 500-293, US Government Cloud Computing...

Science.gov (United States)

2011-11-01

...-1659-01] Request for Comments on NIST Special Publication 500-293, US Government Cloud Computing... Publication 500-293, US Government Cloud Computing Technology Roadmap, Release 1.0 (Draft). This document is... (USG) agencies to accelerate their adoption of cloud computing. The roadmap has been developed through...

75 FR 41509 - Notice of Proposed Information Collection for Public Comment; LOCCS Voice Response System Payment...

Science.gov (United States)

2010-07-16

... Information Collection for Public Comment; LOCCS Voice Response System Payment Vouchers for Public and Indian... lists the following information: Title of Proposal: LOCCS Voice Response System Payment Vouchers for... system. The information collected on the payment voucher will also be used as an internal control measure...

30 years of IJPSM publications: an analysis

NARCIS (Netherlands)

Van Thiel, Sandra; Bouwman, Robin

2017-01-01

Purpose By using the analysis of 30 years of publications in the journal International Journal of Public Sector Management, the purpose of this paper is to discover trends in publications, such as single vs joint authorship, topics and country of origin in authorship and readership.

77 FR 27467 - Proposed Information Collection; Request for Public Comment: Indian Health Service Loan Repayment...

Science.gov (United States)

2012-05-10

... fashion; (c) The accuracy of public burden estimate (the estimated amount of time needed for individual... (301) 443-2316; or send your email requests, comments, and return address to: [email protected

Computer Security Day

CERN Multimedia

CERN Bulletin

2010-01-01

  Viruses, phishing, malware and cyber-criminals can all threaten your computer and your data, even at CERN! Experts will share their experience with you and offer solutions to keep your computer secure. Thursday, 10 June 2010, 9.30, Council Chamber Make a note in your diary! Presentations in French and English: How do hackers break into your computer? Quels sont les enjeux et conséquences des attaques informatiques contre le CERN ? How so criminals steal your money on the Internet? Comment utiliser votre ordinateur de manière sécurisée ? and a quiz: test your knowledge and win one of the many prizes that will be on offer! For more information and to follow the day's events via a live webcast go to: http://cern.ch/SecDay.  

75 FR 5621 - Notice of Proposed Information Collection for Public Comment; Multifamily Tenant Characteristics...

Science.gov (United States)

2010-02-03

... DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT [Docket No. FR-5383-N-01] Notice of Proposed Information Collection for Public Comment; Multifamily Tenant Characteristics Family Reporting AGENCY: Office... following information: Title of Proposal: Multifamily Tenant Characteristics Family Report and Moving To...

78 FR 76834 - Request for Public Comment on the Proposed Adoption of Administration for Native Americans...

Science.gov (United States)

2013-12-19

... DEPARTMENT OF HEALTH AND HUMAN SERVICES Administration for Children and Families [CFDA Numbers: 93.581, 93.587, 93.612] Request for Public Comment on the Proposed Adoption of Administration for Native... by members of the public at the Administration for Native Americans, 901 D Street SW., Washington, DC...

30-Day Hospital Readmission Following Otolaryngology Surgery: Analysis of a State Inpatient Database

Science.gov (United States)

Graboyes, Evan M.; Kallogjeri, Dorina; Saeed, Mohammed J.; Olsen, Margaret A.; Nussenbaum, Brian

2017-01-01

Objectives For patients undergoing inpatient otolaryngologic surgery, determine patient and hospital-level risk factors associated with 30-day readmission. Study Design Retrospective cohort study Methods We analyzed the State Inpatient Database (SID) from California for patients who underwent otolaryngologic surgery between 2008 and 2010. Readmission rates, readmission diagnoses, and patient- and hospital-level risk factors for 30-day readmission were determined. Hierarchical logistic regression modeling was performed to identify procedure-, patient-, and hospital-level risk factors for 30-day readmission. Results The 30-day readmission rate following an inpatient otolaryngology procedure was 8.1%. The most common readmission diagnoses were nutrition, metabolic or electrolyte problems (44% of readmissions) and surgical complications (10% of readmissions). New complications after discharge were the major drivers of readmission. Variables associated with 30-day readmission in hierarchical logistic regression modeling were: type of otolaryngologic procedure, Medicare or Medicaid health insurance, chronic anemia, chronic lung disease, chronic renal failure, index admission via the emergency department, in-hospital complication during the index admission, and discharge destination other than home. Conclusions Approximately one out of twelve patients undergoing otolaryngologic surgery had a 30-day readmission. Readmissions occur across a variety of types of procedures and hospitals. Most of the variability was driven by patient-specific factors, not structural hospital characteristics. PMID:27098654

75 FR 17942 - Notice of Proposed Information Collection for Public Comment on the Quality Control for Rental...

Science.gov (United States)

2010-04-08

... Information Collection for Public Comment on the Quality Control for Rental Assistance Subsidy Determinations... respondent burden (e.g., permitting electronic submission of responses). Title of Proposal: Quality Control... covered by the Public Housing and Section 8 housing subsidies. The Quality Control process involves...

75 FR 70940 - Notice of Proposed Information Collection for Public Comment: 2011 Rental Housing Finance Survey

Science.gov (United States)

2010-11-19

...The proposed information collection requirement described below will be submitted to the Office of Management and Budget (OMB) for review, as required by the Paperwork Reduction Act of 1995, Public Law 104-13 (44 U.S.C. 3506(c)(2)(A)). The Department is soliciting public comments on the subject proposal.

Preadmission Use of Glucocorticoids and 30-Day Mortality After Stroke.

Science.gov (United States)

Sundbøll, Jens; Horváth-Puhó, Erzsébet; Schmidt, Morten; Dekkers, Olaf M; Christiansen, Christian F; Pedersen, Lars; Bøtker, Hans Erik; Sørensen, Henrik T

2016-03-01

The prognostic impact of glucocorticoids on stroke mortality remains uncertain. We, therefore, examined whether preadmission use of glucocorticoids is associated with short-term mortality after ischemic stroke, intracerebral hemorrhage (ICH), or subarachnoid hemorrhage (SAH). We conducted a nationwide population-based cohort study using medical registries in Denmark. We identified all patients with a first-time inpatient diagnosis of stroke between 2004 and 2012. We categorized glucocorticoid use as current use (last prescription redemption ≤90 days before admission), former use, and nonuse. Current use was further classified as new or long-term use. We used Cox regression to compute 30-day mortality rate ratios with 95% confidence intervals (CIs), controlling for confounders. We identified 100 042 patients with a first-time stroke. Of these, 83 735 patients had ischemic stroke, 11 779 had ICH, and 4528 had SAH. Absolute mortality risk was higher for current users compared with nonusers for ischemic stroke (19.5% versus 10.2%), ICH (46.5% versus 34.4%), and SAH (35.0% versus 23.2%). For ischemic stroke, the adjusted 30-day mortality rate ratio was increased among current users compared with nonusers (1.58, 95% CI: 1.46-1.71), driven by the effect of glucocorticoids among new users (1.80, 95% CI: 1.62-1.99). Current users had a more modest increase in the adjusted 30-day mortality rate ratio for hemorrhagic stroke (1.26, 95% CI: 1.09-1.45 for ICH and 1.40, 95% CI: 1.01-1.93 for SAH) compared with nonusers. Former use was not substantially associated with mortality. Preadmission use of glucocorticoids was associated with increased 30-day mortality among patients with ischemic stroke, ICH, and SAH. © 2016 American Heart Association, Inc.

76 FR 64367 - Notice of Proposed Information Collection for Public Comment: Pre-Purchase Homeownership...

Science.gov (United States)

2011-10-18

... types of counseling (the remaining 1,700 study participants constitute the control group). Staff of the... Information Collection for Public Comment: Pre-Purchase Homeownership Counseling Demonstration and Impact... Counseling Demonstration and Impact Evaluation. Description of the need for the information and proposed use...

77 FR 71804 - Antiseptic Patient Preoperative Skin Preparation Products; Public Hearing; Request for Comments...

Science.gov (United States)

2012-12-04

...] Antiseptic Patient Preoperative Skin Preparation Products; Public Hearing; Request for Comments; Correction... ``Antiseptic Patient Preoperative Skin Preparation Products.'' The document was published with an incorrect... New Hampshire Ave. Silver Spring, MD 20903, 301-796-3441, Fax: 301-847-8753, email: CDER- Antiseptic...

75 FR 39577 - 30-Day Notice of Intention To Request Clearance of Collection of Information; Opportunity for...

Science.gov (United States)

2010-07-09

... 1995 and 5 CFR Part 1320, Reporting and Record Keeping Requirements, the National Park Service (NPS... Register notice to solicit public comments on these information collection requirements on January 29, 2010... obligations assumed. It also requires that franchise fees be determined with consideration to the opportunity...

78 FR 36012 - 30-Day Notice of Proposed Information Collection: Export Declaration of Defense Technical Data or...

Science.gov (United States)

2013-06-14

... Collection: Export Declaration of Defense Technical Data or Services. OMB Control Number: 1405-0157. Type of... Declaration of Defense Technical Data or Services ACTION: Notice of request for public comment and submission... and brokering of defense articles, defense services and related technical data are licensed by the...

30-Day morbidity after augmentation enterocystoplasty and appendicovesicostomy: A NSQIP pediatric analysis.

Science.gov (United States)

McNamara, Erin R; Kurtz, Michael P; Schaeffer, Anthony J; Logvinenko, Tanya; Nelson, Caleb P

2015-08-01

Augmentation enterocystoplasty and appendicovesicostomy are complex pediatric urologic procedures. Although there is literature identifying long-term outcomes in these patients, the reporting of short-term postoperative outcomes has been limited by small numbers of cases and lack of prospective data collection. Here we report 30-day outcomes from the first nationally based, prospectively assembled cohort of pediatric patients undergoing these procedures. To determine 30-day complication, readmission and reoperation after augmentation enterocystoplasty and appendicovesicostomy in a large national sample of pediatric patients, and to explore the association between preoperative and intraoperative characteristics and occurrence of any 30-day event. We queried the 2012 and 2013 American College of Surgeons National Surgical Quality Improvement Program Pediatric database (ACS-NSQIPP) for all patients undergoing augmentation enterocystoplasty and/or appendicovesicostomy. Surgical risk score was classified on a linear scale using a validated pediatric-specific comorbidity score. Intraoperative characteristics and postoperative 30-day events were reported from prospectively collected data. A composite measure of complication, readmission and/or reoperation was used as primary outcome for the multivariate logistic regression. There were 461 patients included in the analysis: 245 had appendicovesicostomy, 97 had augmentation enterocystoplasty and 119 had both procedures. There were a total of 110 NSQIP complications seen in 87 patients. The most common complication was urinary tract infection (see Table for 30-day outcomes by patient). The composite measure of any 30-day event was seen in 27.8% of the cohort and this was associated with longer operative time, increased number of procedures done at time of primary surgical procedure and higher surgical risk score. The ACS-NSQIPP provides a tool to examine short-term outcomes for these complex urologic procedures that has not

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

Science.gov (United States)

2011-10-04

... DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration [Docket No. FDA-2009-N-0247] Food and Drug Administration Transparency Initiative: Draft Proposals for Public Comment to Increase...: Food and Drug Administration, HHS. [[Page 61367

High Mortality among 30-Day Readmission after Stroke: Predictors and Etiologies of Readmission

Directory of Open Access Journals (Sweden)

Amre M. Nouh

2017-12-01

Full Text Available BackgroundAlthough some risk factors for stroke readmission have been reported, the mortality risk is unclear. We sought to evaluate etiologies and predictors of 30-day readmissions and determine the associated mortality risk.MethodsThis is a retrospective case–control study evaluating 1,544 patients admitted for stroke (hemorrhagic, ischemic, or TIA from January 2013 to December 2014. Of these, 134 patients readmitted within 30 days were identified as cases; 1,418 other patients, with no readmissions were identified as controls. Patients readmitted for hospice or elective surgery were excluded. An additional 248 patients deceased on index admission were included for only a comparison of mortality rates. Factors explored included socio-demographic characteristics, clinical comorbidities, stroke characteristics, and length of stay. Chi-square test of proportions and multivariable logistic regression were used to identify independent predictors of 30-day stroke readmissions. Mortality rates were compared for index admission and readmission and among readmission diagnoses.ResultsAmong the 1,544 patients in the main analysis, 67% of index stroke admissions were ischemic, 22% hemorrhagic, and 11% TIA. The 30-day readmission rate was 8.7%. The most common etiologies for readmission were infection (30%, recurrent stroke and TIA (20%, and cardiac complications (14%. Significantly higher proportion of those readmitted for recurrent strokes and TIAs presented within the first week (p = 0.039 and had a shorter index admission length of stay (p = 0.027. Risk factors for 30-day readmission included age >75 (p = 0.02, living in a facility prior to index stroke (p = 0.01, history of prior stroke (p = 0.03, diabetes (p = 0.03, chronic heart failure (p ≤ 0.001, atrial fibrillation (p = 0.03, index admission to non-neurology service (p < 0.01, and discharge to other than home (p < 0.01. On multivariate analysis, index

75 FR 36120 - Proposed Information Collection Request Submitted for Public Comment and Recommendations; Program...

Science.gov (United States)

2010-06-24

... Submitted for Public Comment and Recommendations; Program To Prevent Smoking Underground and in Hazardous... mine operators are required to develop programs to prevent persons from carrying smoking materials, matches, or lighters underground and to prevent smoking in hazardous areas, such as in or around oil...

Factors associated with readmission to the hospital within 30 days in patients with inflammatory bowel disease

Science.gov (United States)

Gaetano, John N.; Rubin, Jonah N.; Cohen, Russell D.; Sakuraba, Atsushi; Rubin, David T.; Pekow, Joel

2017-01-01

Background Management of inpatients with inflammatory bowel disease (IBD) requires increasing resources. We aimed to identify factors associated with hospital readmissions among individuals with IBD. Materials & methods We collected data from the Healthcare Cost and Utilization Project Nationwide Readmissions Database 2013. We identified individuals with index hospitalizations for IBD. Patient-specific factors, comorbidities and hospitalization characteristics were extracted for the index hospitalization. We performed logistic regression modeling to create adjusted odds ratios (ORs) for 30-day hospital readmission. Subgroup analysis was performed based on disease type and performance of surgery. Results We analyzed a total of 55,942 index hospital discharges; 3037 patients (7.0%) were readmitted to the hospital within 30 days. Increasing patient age (> 65: OR: 0.45; 95% CI 0.39–0.53) was associated with a decreased risk of readmission, while a diagnosis of Crohn’s disease (OR: 1.09; 95% CI 1.00–1.18) and male sex (OR: 1.16; 95% CI 1.07–1.25) were associated with an increased risk of readmission. The comorbidities of smoking (OR: 1.09; 95% CI 1.00–1.19), anxiety (OR: 1.17; 95% CI 1.01–1.36) and opioid dependence (OR: 1.40; 95% CI 1.06–1.86) were associated with an increased risk of 30-day readmission. Individual hospitalization characteristics and disease complications were significantly associated with readmission. Performance of a surgery during the index admission was associated with a decreased risk of readmission (OR: 0.57; 95% CI 0.33–0.96). Conclusion Analyzing data from a US publicly available all-payer inpatient healthcare database, we identified patient and hospitalization risk factors associated with 30-day readmission. Identifying patients at high risk for readmission may allow for interventions during or after the index hospitalization to decrease this risk. PMID:28837634

Factors associated with readmission to the hospital within 30 days in patients with inflammatory bowel disease.

Directory of Open Access Journals (Sweden)

Dejan Micic

Full Text Available Management of inpatients with inflammatory bowel disease (IBD requires increasing resources. We aimed to identify factors associated with hospital readmissions among individuals with IBD.We collected data from the Healthcare Cost and Utilization Project Nationwide Readmissions Database 2013. We identified individuals with index hospitalizations for IBD. Patient-specific factors, comorbidities and hospitalization characteristics were extracted for the index hospitalization. We performed logistic regression modeling to create adjusted odds ratios (ORs for 30-day hospital readmission. Subgroup analysis was performed based on disease type and performance of surgery.We analyzed a total of 55,942 index hospital discharges; 3037 patients (7.0% were readmitted to the hospital within 30 days. Increasing patient age (> 65: OR: 0.45; 95% CI 0.39-0.53 was associated with a decreased risk of readmission, while a diagnosis of Crohn's disease (OR: 1.09; 95% CI 1.00-1.18 and male sex (OR: 1.16; 95% CI 1.07-1.25 were associated with an increased risk of readmission. The comorbidities of smoking (OR: 1.09; 95% CI 1.00-1.19, anxiety (OR: 1.17; 95% CI 1.01-1.36 and opioid dependence (OR: 1.40; 95% CI 1.06-1.86 were associated with an increased risk of 30-day readmission. Individual hospitalization characteristics and disease complications were significantly associated with readmission. Performance of a surgery during the index admission was associated with a decreased risk of readmission (OR: 0.57; 95% CI 0.33-0.96.Analyzing data from a US publicly available all-payer inpatient healthcare database, we identified patient and hospitalization risk factors associated with 30-day readmission. Identifying patients at high risk for readmission may allow for interventions during or after the index hospitalization to decrease this risk.

30-days mortality in patients with perforated peptic ulcer: A national audit

Directory of Open Access Journals (Sweden)

Anne Nakano

2008-11-01

Full Text Available Anne Nakano1,4, Jørgen Bendix2, Sven Adamsen3, Daniel Buck4, Jan Mainz5, Paul Bartels1, Bente Nørgård4,61The Danish National Indicator Project, Regionshuset Aarhus, Aarhus, Denmark; 2Department of Gastrointestinal Surgery L, Aarhus University Hospital, Denmark; 3Digestive Disease Center, Section for Gastrointestinal Surgery, Copenhagen, Denmark; University Hospital Herlev, Denmark; 4Department of Clinical Epidemiology, Aarhus University Hospital, Aarhus, Denmark; 5Department of Psychiatry Region North, Denmark and Institute of Public Health, University of Southern Denmark, Odense, Denmark; 6Center for National Clinical Databases, South, Odense University Hospital, and Epidemiology, Institute of Public Health, University of Southern Denmark, Odense, DenmarkBackground: In 2005, The Danish National Indicator Project (DNIP reported findings on patients hospitalized with perforated ulcer. The indicator “30-days mortality” showed major discrepancy between the observed mortality of 28% and the chosen standard (10%.Rationale: An audit committee was appointed to examine quality problems linked to the high mortality. The purpose was to (i examine patient characteristics, (ii evaluate the appropriateness of the standard, and (iii audit all cases of deaths within 30 days after surgery.Methods: Four hundred and twelve consecutive patients were included and used for the analyses of patient characteristics. The evaluation of the standard was based on a literature review, and a structured audit was performed according to the 115 deaths that occurred.Results: The mean age was 69.1 years, 42.0% had one co-morbid disease and 17.7% had two co-morbid diseases. 45.9% had an American Association of Anaesthetists score of 3–4. We found no results on mortality in studies similar to ours. The audit process indicated that the postoperative observation of patients was insufficient.Discussion: As a result of this study, the standard for mortality was increased to

Indiana application for interim authorization, phase I, hazardous waste management program--Environmental Protection Agency. Notice of public hearing and public comment period.

Science.gov (United States)

1982-04-12

EPA regulations to protect human health and the environment from the improper management of hazardous waste were published in the Federal Register on May 19, 1980 (45 FR 33063). These regulations include provisions for authorization of State programs to operate in lieu of the Federal program. Today EPA is announcing the availability for public review of the Indiana application for Phase I Interim Authorization, inviting public comment, and giving notice of a public hearing to be held on the application.

High Mortality among 30-Day Readmission after Stroke: Predictors and Etiologies of Readmission.

Science.gov (United States)

Nouh, Amre M; McCormick, Lauren; Modak, Janhavi; Fortunato, Gilbert; Staff, Ilene

2017-01-01

Although some risk factors for stroke readmission have been reported, the mortality risk is unclear. We sought to evaluate etiologies and predictors of 30-day readmissions and determine the associated mortality risk. This is a retrospective case-control study evaluating 1,544 patients admitted for stroke (hemorrhagic, ischemic, or TIA) from January 2013 to December 2014. Of these, 134 patients readmitted within 30 days were identified as cases; 1,418 other patients, with no readmissions were identified as controls. Patients readmitted for hospice or elective surgery were excluded. An additional 248 patients deceased on index admission were included for only a comparison of mortality rates. Factors explored included socio-demographic characteristics, clinical comorbidities, stroke characteristics, and length of stay. Chi-square test of proportions and multivariable logistic regression were used to identify independent predictors of 30-day stroke readmissions. Mortality rates were compared for index admission and readmission and among readmission diagnoses. Among the 1,544 patients in the main analysis, 67% of index stroke admissions were ischemic, 22% hemorrhagic, and 11% TIA. The 30-day readmission rate was 8.7%. The most common etiologies for readmission were infection (30%), recurrent stroke and TIA (20%), and cardiac complications (14%). Significantly higher proportion of those readmitted for recurrent strokes and TIAs presented within the first week ( p  = 0.039) and had a shorter index admission length of stay ( p  = 0.027). Risk factors for 30-day readmission included age >75 ( p  = 0.02), living in a facility prior to index stroke ( p  = 0.01), history of prior stroke ( p  = 0.03), diabetes ( p  = 0.03), chronic heart failure ( p  ≤ 0.001), atrial fibrillation ( p  = 0.03), index admission to non-neurology service ( p  readmission ( p  ≤ 0.01). The mortality after a within 30-day readmission after stroke was higher

75 FR 81948 - Use of Various Winemaking Terms on Wine Labels and in Advertisements; Comment Period Extension

Science.gov (United States)

2010-12-29

...In response to a request made on behalf of a wine industry association, TTB is extending for an additional 60 days the comment period prescribed in Notice No. 109, Use of Various Winemaking Terms on Wine Labels and in Advertisements; Request for Public Comment, an advance notice of proposed rulemaking published in the Federal Register on November 3, 2010.

75 FR 75707 - Request for Public Comment on the Draft National Nanotechnology Initiative Strategy for...

Science.gov (United States)

2010-12-06

... Nanotechnology Initiative Strategy for Nanotechnology-Related Environmental, Health, and Safety Research AGENCY..., Engineering, and Technology Subcommittee of the National Science and Technology Council request comments from the public regarding the draft National Nanotechnology Initiative (NNI) Strategy for Nanotechnology...

76 FR 2428 - Request for Public Comment on the Draft National Nanotechnology Initiative Strategy for...

Science.gov (United States)

2011-01-13

... Nanotechnology Initiative Strategy for Nanotechnology-Related Environmental, Health, and Safety Research AGENCY..., Engineering, and Technology Subcommittee of the National Science and Technology Council request comments from the public regarding the draft National Nanotechnology Initiative (NNI) Strategy for Nanotechnology...

77 FR 13258 - Biotechnology Regulatory Services; Changes Regarding the Solicitation of Public Comment for...

Science.gov (United States)

2012-03-06

...] Biotechnology Regulatory Services; Changes Regarding the Solicitation of Public Comment for Petitions for..., Chief of Staff, Biotechnology Regulatory Services, APHIS, 4700 River Road Unit 147, Riverdale, MD 20737... process changes APHIS is making to our petition process, go to http://www.aphis.usda.gov/biotechnology/pet...

75 FR 37806 - Twitter, Inc.; Analysis of Proposed Consent Order to Aid Public Comment

Science.gov (United States)

2010-06-30

... FEDERAL TRADE COMMISSION [File No. 092 3093] Twitter, Inc.; Analysis of Proposed Consent Order to... in paper form. Comments should refer to``Twitter, Inc., File No. 092 3093'' to facilitate the... weblink: ( http://public.commentworks.com/ftc/twitter ) and following the instructions on the web-based...

US pediatric trauma patient unplanned 30-day readmissions.

Science.gov (United States)

Wheeler, Krista K; Shi, Junxin; Xiang, Henry; Thakkar, Rajan K; Groner, Jonathan I

2018-04-01

We sought to determine readmission rates and risk factors for acutely injured pediatric trauma patients. We produced 30-day unplanned readmission rates for pediatric trauma patients using the 2013 National Readmission Database (NRD). In US pediatric trauma patients, 1.7% had unplanned readmissions within 30days. The readmission rate for patients with index operating room procedures was no higher at 1.8%. Higher readmission rates were seen in patients with injury severity scores (ISS)=16-24 (3.4%) and ISS ≥25 (4.9%). Higher rates were also seen in patients with LOS beyond a week, severe abdominal and pelvic region injuries (3.0%), crushing (2.8%) and firearm injuries (4.5%), and in patients with fluid and electrolyte disorders (3.9%). The most common readmission principal diagnoses were injury, musculoskeletal/integumentary diagnoses and infection. Nearly 39% of readmitted patients required readmission operative procedures. Most common were operations on the musculoskeletal system (23.9% of all readmitted patients), the integumentary system (8.6%), the nervous system (6.6%), and digestive system (2.5%). Overall, the readmission rate for pediatric trauma patients was low. Measures of injury severity, specifically length of stay, were most useful in identifying those who would benefit from targeted care coordination resources. This is a Level III retrospective comparative study. Copyright © 2017 Elsevier Inc. All rights reserved.

78 FR 35279 - Agency Information Collection Activities; Proposed Collection; Comment Request; Electronic Products

Science.gov (United States)

2013-06-12

... proposed extension of an existing collection of information, and to allow 60 days for public comment in...)(2)(A) of the PRA (44 U.S.C. 3506(c)(2)(A)) requires Federal Agencies to provide a 60-day notice in... Products'' FDA Form 3646 ``Mercury Vapor Lamp Products Radiation Safety Report'' FDA Form 3647 ``Guide for...

76 FR 17418 - Agency Information Collection Request; 60-Day Public Comment Request

Science.gov (United States)

2011-03-29

... publicly-funded community mental health and other community-based behavioral health settings. The... (ASPE) and the Substance Abuse and Mental Health Services Administration (SAMHSA) are funding an independent evaluation of the Substance Abuse and Mental Health Services Administration/Center for Mental...

76 FR 17129 - Agency Information Collection Request. 60-Day Public Comment Request

Science.gov (United States)

2011-03-28

... publicly-funded community mental health and other community-based behavioral health settings. The... (ASPE) and the Substance Abuse and Mental Health Services Administration (SAMHSA) are funding an independent evaluation of the Substance Abuse and Mental Health Services Administration/Center for Mental...

Examining 30-day COPD readmissions through the emergency department

Directory of Open Access Journals (Sweden)

Rezaee ME

2017-12-01

Full Text Available Michael E Rezaee,1 Charlotte E Ward,2,3 Bonita Nuanez,1 Daniel A Rezaee,4 Jeffrey Ditkoff,1,5 Alexandra Halalau1,6 1Oakland University William Beaumont School of Medicine, Rochester, MI, 2Center for Healthcare Studies, Feinberg School of Medicine, Northwestern University, 3Center for Health Statistics, University of Chicago, Chicago, IL, 4Primary Care, Brigham and Women’s Hospital, Boston, MA, 5Emergency Medicine, 6Internal Medicine, Beaumont Health, Royal Oak, MI, USA Background: Thirty-day readmission in COPD is common and costly, but potentially preventable. The emergency department (ED may be a setting for COPD readmission reduction efforts.Objective: To better understand COPD readmission through the ED, ascertain factors associated with 30-day readmission through the ED, and identify subgroups of patients with COPD for readmission reduction interventions.Patients and methods: A retrospective cohort study was conducted from January 2009 to September 2015 in patients with COPD of age ≥18 years. Electronic health record data were abstracted for information available to admitting providers in the ED. The primary outcome was readmission through the ED within 30 days of discharge from an index admission for COPD. Logistic regression was used to examine the relationship between potential risk factors and 30-day readmission.Results: The study involved 1,574 patients who presented to the ED within 30 days on an index admission for COPD. Of these, 82.2% were readmitted through the ED. Charlson score (odds ratio [OR]: 3.6; 95% CI: 2.9–4.4, a chief complaint of breathing difficulty (OR: 1.6; 95% CI: 1.1–2.6, outpatient utilization of albuterol (OR: 4.1; 95% CI: 2.6–6.4, fluticasone/salmeterol (OR: 2.3; 95% CI: 1.3–4.2, inhaled steroids (OR: 3.8; 95% CI: 1.3–10.7, and tiotropium (OR: 1.8; 95% CI: 1.0–3.2, as well as arterial blood gas (OR: 4.4; 95% CI: 1.3–15.1 and B-type natriuretic peptide (OR: 2.2; 95% CI: 1.4–3.5 testing in the

Risk Factors for 30-Day Mortality in Patients with Methicillin-Resistant Staphylococcus aureus Bloodstream Infections

Directory of Open Access Journals (Sweden)

Pedro Ayau

2017-08-01

Conclusions: Our study identified significant risk factors for 30-day mortality in patients with MRSA BSI. Interestingly, diabetes mellitus, PVD and readmission were protective effects on 30-day mortality. There was no statistically significant variability in 30-day mortality over the 9-year study period.

78 FR 63974 - Student Assistance General Provisions-Subpart K-Cash Management; Extension of Public Comment...

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2013-10-25

... DEPARTMENT OF EDUCATION Student Assistance General Provisions--Subpart K--Cash Management... an information collection entitled, ``Student Assistance General Provisions--Subpart K--Cash Management''. ED is extending the comment period to November 18, 2013 due to the public's inability to access...

75 FR 35843 - Proposed Extension of Information Collection Request Submitted for Public Comment; Form 5500...

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2010-06-23

... welfare plans (collectively referred to as employee benefit plans) to file returns or reports annually... DEPARTMENT OF LABOR Employee Benefits Security Administration Proposed Extension of Information Collection Request Submitted for Public Comment; Form 5500, Annual Return/Report of Employee Benefit Plan...

76 FR 55368 - Notice of Commission Meeting and Public Hearing

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2011-09-07

... special public meeting to be held on October 21, 2011 at 1 p.m. in the Patriots Theater at the War... the draft regulations through April 15, 2011 and received oral comment during six public hearing... ten days prior to the meeting date. Additional public records relating to the dockets may be examined...

76 FR 39966 - 30-Day Notice of Proposed Information Collections: ECA/P/V Youth and Leadership Survey Questions

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2011-07-07

.../V Youth and Leadership Survey Questions ACTION: Notice of request for public comment and submission... following information collection requests to the Office of Management and Budget (OMB) for approval in... Leadership Programs: Pre Program Survey Questions. OMB Control Number: None. Type of Request: New Collection...

76 FR 76164 - Agency Information Collection Request; 60-Day Public Comment Request

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2011-12-06

... prevention evaluation efforts as part of the Teen Pregnancy Prevention Initiative. OAH is working... effective ways to reduce teen pregnancy. The evaluation will document and test a range of pregnancy... the general public, to policymakers, and to organizations interested in teen pregnancy prevention. OAH...

75 FR 67666 - Use of Various Winemaking Terms on Wine Labels and in Advertisements; Request for Public Comment

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2010-11-03

...The Alcohol and Tobacco Tax and Trade Bureau is considering amending the regulations concerning various winemaking terms commonly used on labels and in advertisements to provide consumers with information about the growing or bottling conditions of wine. We invite comments from industry members, consumers, and other interested parties as to whether and to what extent we should propose specific regulatory amendments for further public comment.

75 FR 39694 - Agency Information Collection Request. 60-Day Public Comment Request

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2010-07-12

... overseeing and coordinating adolescent pregnancy prevention evaluation efforts as part of the Teen Pregnancy... ways to reduce teen pregnancy. The evaluation will document and test a range of pregnancy prevention... public, to policy-makers, and to organizations interested in teen pregnancy prevention. OAH and ACF are...

76 FR 68191 - Agency Information Collection Request. 60-Day Public Comment Request

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2011-11-03

.... Proposed Project: Consumer Survey of Attitudes Toward the Privacy and Security Aspects of Electronic Health... collection will permit us to better understand individuals' attitudes toward the privacy and security aspects... DEPARTMENT OF HEALTH AND HUMAN SERVICES [Document Identifier: OS-0990-New; 60-day Notice] Agency...

Increased 30-day mortality in patients with diabetes undergoing surgery for colorectal cancer

DEFF Research Database (Denmark)

Fransgaard, T; Thygesen, L C; Gögenur, I

2016-01-01

with the use of antidiabetic drugs identified through the Danish National Prescription Registry and DCCG. The 30-day mortality was examined by the Kaplan-Meier method with the log-rank test and the Cox regression model used to test statistical significance. RESULTS: The study included 29 353 patients, of whom...... 3250 had preexisting diabetes. The 30-day mortality was significantly increased in patients with CRC and preexisting diabetes (adjusted hazard ratio 1.17, 95% CI 1.01-1.35, P = 0.03). The type of antidiabetic medication used was not associated with 30-day mortality. CONCLUSION: Preexisting diabetes...

76 FR 18225 - Request for Public Comment on Proposed Funding Opportunity Announcement for Special Initiative...

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2011-04-01

... DEPARTMENT OF HEALTH AND HUMAN SERVICES Administration for Children and Families Request for Public Comment on Proposed Funding Opportunity Announcement for Special Initiative Concerning the Assets... of the AFI program and Individual Development Accounts (IDAs). SUMMARY: In FY 2011, the Office of...

76 FR 23328 - Notice of Proposed Information Collection for Public Comment; Indian Community Development Block...

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2011-04-26

... Information Collection for Public Comment; Indian Community Development Block Grant Information Collection... lists the following information: Title of Proposal: Indian Community Development Block Grant Information... Block Grants, requires that grants for Indian Tribes be awarded on a competitive basis. The purpose of...

76 FR 4906 - Agency Information Collection Request; 60-Day Public Comment Request

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2011-01-27

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76 FR 10365 - Agency Information Collection Request. 60-Day Public Comment Request

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2011-02-24

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75 FR 56911 - Request for Public Comment on the United States Standards for Corn

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2010-09-17

... Public Comment on the United States Standards for Corn AGENCY: Grain Inspection, Packers and Stockyards... Standards and grading procedures for corn under the United States Grain Standards Act (USGSA). Since the standards were last revised, the use of corn for ethanol and the number of different varieties of corn has...

MX: Milestone II. Final Environmental Impact Statement. Volume 6. Public Comments

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1978-10-06

8217VPaoli, molyore, ’leming# Daily, Otis, AKrun, Brus , LcKley, "ray, Jos, Id~lia, and Vernon. Thjen tncrc are a nuuber ul CceUCeerleS in tebween witl Ourialz...KS Public Comments VI - 5-101 Grace Eastin Yuma, CO M. H. Eaton Oakley, KS Mr. Dan R. Ebener Dubuque, IA Mr. Tom Eberhart Burlington, CO Elizabeth ...Russell Springs, KS Burlington, CO Rebecca L. Smith Mrs. Elizabeth StevensWinona, KS Potter, NE * r. Ronald L. Smith Mr. Wesley L. Stevens Winona, KS

Why Public Comments Matter: The Case of the National Institutes of Health Policy on Single Institutional Review Board Review of Multicenter Studies.

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Ervin, Ann-Margret; Taylor, Holly A; Ehrhardt, Stephan; Meinert, Curtis L

2018-03-06

In 2014, the National Institutes of Health (NIH) requested public comments on a draft policy requiring NIH-funded, U.S.-based investigators to use a single institutional review board (sIRB) for ethical review of multicenter studies. The authors conducted a directed content analysis and qualitative summary of the comments and discuss how they shaped the final policy. Two reviewers independently assessed support for the policy from a review of comments responding to the draft policy in 2016. A reviewer conducted an open text review to identify prespecified and additional comment themes. A second researcher reviewed 20% of the comments; discrepancies were resolved through discussion. The NIH received 167 comments: 65% (108/167) supportive of the policy, 23% (38/167) not supportive, and 12% (21/167) not indicating support. Clarifications or changes to the policy were suggested in 102/167 comments (61%). Criteria for selecting sIRBs were addressed in 32/102 comments (31%). Also addressed were IRB responsibilities (39/102; 38%), cost (27/102; 26%), the role of local IRBs (14/102; 14%), and allowable policy exceptions (19/102; 19%). The NIH further clarified or provided additional guidance for selection criteria, IRB responsibilities, and cost in the final policy (June 2016). Local IRB reviews and exemptions guidance were unchanged. In this case study, public comments were effective in shaping policy as the NIH modified provisions or planned supplemental guidance in response to comments. Yet critical knowledge gaps remain and empirical data are necessary. The NIH is considering mechanisms to support the establishment of best practices for sIRB implementation.

78 FR 35355 - General Motors, LLC, Grant of Petition for Decision of Inconsequential Noncompliance

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2013-06-12

... 30-day public comment period, on August 9, 2012, in the Federal Register (77 FR 47697). No comments... suppression status telltale lamp on the subject vehicles may remain illuminated during a particular ignition... conditions needed to produce the telltale error will occur on average once every 535 days, or approximately...

75 FR 22577 - Proposed Notice and Comment Policy Version 2.0

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2010-04-29

... Comment Policy 2.0. SUMMARY: The U.S. Election Assistance Commission (EAC) seeks public comment on the... notice for a period of public comment on all policies being considered for adoption by the EAC, that are.... EDT on June 1, 2010. Comments: Public comments are invited on the information contained in the policy...

Predictive factors of mortality within 30 days in patients with nonvariceal upper gastrointestinal bleeding.

Science.gov (United States)

Lee, Yoo Jin; Min, Bo Ram; Kim, Eun Soo; Park, Kyung Sik; Cho, Kwang Bum; Jang, Byoung Kuk; Chung, Woo Jin; Hwang, Jae Seok; Jeon, Seong Woo

2016-01-01

Nonvariceal upper gastrointestinal bleeding (NVUGIB) is a common medical emergency that can be life threatening. This study evaluated predictive factors of 30-day mortality in patients with this condition. A prospective observational study was conducted at a single hospital between April 2010 and November 2012, and 336 patients with symptoms and signs of gastrointestinal bleeding were consecutively enrolled. Clinical characteristics and endoscopic findings were reviewed to identify potential factors associated with 30-day mortality. Overall, 184 patients were included in the study (men, 79.3%; mean age, 59.81 years), and 16 patients died within 30 days (8.7%). Multivariate analyses revealed that comorbidity of diabetes mellitus (DM) or metastatic malignancy, age ≥ 65 years, and hypotension (systolic pressure < 90 mmHg) during hospitalization were significant predictive factors of 30-day mortality. Comorbidity of DM or metastatic malignancy, age ≥ 65 years, and hemodynamic instability during hospitalization were predictors of 30-day mortality in patients with NVUGIB. These results will help guide the management of patients with this condition.

78 FR 4157 - Notice of Proposed Information Collection for Public Comment: Survey of Manufactured (Mobile...

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2013-01-18

... Information Collection for Public Comment: Survey of Manufactured (Mobile) Home Placements AGENCY: Office of.... Chapter 35, as amended). I. Abstract The Survey of Manufactured (Mobile) Home Placements collects data on... affordability. Furthermore, the Survey of Manufactured (Mobile) Home Placements serves as the basis for HUD's...

Modelling the day to day wind variability offshore central Chile at about 30 deg. south

International Nuclear Information System (INIS)

Rutllant, J.

1994-07-01

Cycles of strengthening and relaxation of the winds offshore 30 degrees S at central Chile, are related to the propagation of coastal-lows, a year-round phenomenon occurring with periodicities of about one in five days. Simple physical modelling of the day to day variability of the alongshore wind component at a coastal strip extending offshore up to the Rossby deformation radius of these wave perturbations, is presented in terms of the relevant horizontal pressure gradients and the ageostrophic components arising from the coastal-low propagation. The results of 5-day composites of 8 wind-events each, at the winter and summer halves of the annual cycle, respectively; lead to a good agreement between the observed phase-lag of the winds with respect to the pressure forcing field, stressing the importance of the ageostrophic wind components at the extremes of the pressure wave perturbation associated with the passage of coastal-lows over the Point Lengua de Vaca (30 15 S) area. A possible contribution of the upwelling-favorable wind enhancement at the time of the pressure rise and subsequent fall, ahead of the coastal-low, is postulated through an upwelling-front low-level jet, that would be carried onshore and closer to the surface by the combination of the enhanced coastal upwelling, the coastal depression of the subsidence inversion base and the coastal ageostrophic wind components during the passage of the leading edge of the coastal lows. (author). 26 refs, 5 figs, 1 tab

36 CFR 60.13 - Publication in the Federal Register and other NPS notification.

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2010-07-01

... 36 Parks, Forests, and Public Property 1 2010-07-01 2010-07-01 false Publication in the Federal Register and other NPS notification. 60.13 Section 60.13 Parks, Forests, and Public Property NATIONAL PARK...-day commenting period from date of publication will be provided. When necessary to assist in the...

76 FR 66925 - Guidance for 1-Hour SO2

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2011-10-28

...The EPA is announcing an extension of the public comment period for its draft non-binding guidance titled, ``Guidance for 1-Hour SO2 SIP Submissions.'' The draft of the guidance document is currently on the EPA's Web site. The EPA is extending the comment period for an additional 30-day period and invites public comments on this guidance during this period. The EPA plans to issue an updated version of the guidance after reviewing timely submitted comments.

77 FR 52748 - 60-Day Proposed Information Collection: Indian Health Service (IHS) Sharing What Works-Best...

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2012-08-30

... DEPARTMENT OF HEALTH AND HUMAN SERVICES Indian Health Service 60-Day Proposed Information Collection: Indian Health Service (IHS) Sharing What Works--Best Practice, Promising Practice, and Local Effort (BPPPLE) Form; Request For Public Comment AGENCY: Indian Health Service, HHS. ACTION: Notice...

75 FR 14658 - Invitation for Public Comment on Mitigation Options for Global Positioning System Satellite...

Science.gov (United States)

2010-03-26

... Public Comment on Mitigation Options for Global Positioning System Satellite Vehicle Number 49 AGENCY... options prior to changing the health status of Global Positioning System (GPS) satellite IIR-20M (satellite vehicle number 49--SVN 49) from unhealthy to healthy. The potential mitigations are each designed...

78 FR 76655 - Notice of Receipt of Complaint; Solicitation of Comments Relating to the Public Interest

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2013-12-18

... Trade Commission (USITC): http://edis.usitc.gov . \\3\\ Electronic Document Information System (EDIS... INTERNATIONAL TRADE COMMISSION Notice of Receipt of Complaint; Solicitation of Comments Relating to the Public Interest AGENCY: U.S. International Trade Commission. ACTION: Notice. SUMMARY: Notice...

A systematic review of 30-day readmission after cranial neurosurgery.

Science.gov (United States)

Cusimano, Michael D; Pshonyak, Iryna; Lee, Michael Y; Ilie, Gabriela

2017-08-01

OBJECTIVE The 30-day readmission rate has emerged as an important marker of the quality of in-hospital care in several fields of medicine. This review aims to summarize available research reporting readmission rates after cranial procedures and to establish an association with demographic, clinical, and system-related factors and clinical outcomes. METHODS The authors conducted a systematic review of several databases; a manual search of the Journal of Neurosurgery, Neurosurgery, Acta Neurochirurgica, Canadian Journal of Neurological Sciences; and the cited references of the selected articles. Quality review was performed using the STROBE (Strengthening the Reporting of Observational Studies in Epidemiology) criteria. Findings are reported according to the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. RESULTS A total of 1344 articles published between 1947 and 2015 were identified; 25 were considered potentially eligible, of which 12 met inclusion criteria. The 30-day readmission rates varied from 6.9% to 23.89%. Complications arising during or after neurosurgical procedures were a prime reason for readmission. Race, comorbidities, and longer hospital stay put patients at risk for readmission. CONCLUSIONS Although readmission may be an important indicator for good care for the subset of acutely declining patients, neurosurgery should aim to reduce 30-day readmission rates with improved quality of care through systemic changes in the care of neurosurgical patients that promote preventive measures.

Hip Arthroscopy Surgical Volume Trends and 30-Day Postoperative Complications.

Science.gov (United States)

Cvetanovich, Gregory L; Chalmers, Peter N; Levy, David M; Mather, Richard C; Harris, Joshua D; Bush-Joseph, Charles A; Nho, Shane J

2016-07-01

To determine hip arthroscopy surgical volume trends from 2006 to 2013 using the National Surgical Quality Improvement Program (NSQIP) database, the incidence of 30-day complications of hip arthroscopy, and patient and surgical risk factors for complications. Patients who underwent hip arthroscopy from 2006 to 2013 were identified in the NSQIP database for the over 400 NSQIP participating hospitals from the United States using Current Procedural Terminology and International Classification of Diseases, Ninth Revision codes. Trends in number of hip arthroscopy procedures per year were analyzed. Complications in the 30-day period after hip arthroscopy were identified. Univariate and multivariate regression analyses were performed to identify risk factors for complications. We identified 1,338 patients who underwent hip arthroscopy, with a mean age of 39.5 ± 13.0 years. Female patients comprised 59.6%. Hip arthroscopy procedures became 25 times more common in 2013 than 2006 (P arthroscopy. Hip arthroscopy is an increasingly common procedure, with a 25-fold increase from 2006 to 2013. There is a low incidence of 30-day postoperative complications (1.3%), most commonly bleeding requiring a transfusion, return to the operating room, and superficial infection. Regional/monitored anesthesia care and steroid use were independent risk factors for minor complications. Level III, retrospective comparative study. Copyright © 2016 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.

75 FR 19335 - Premium Review Process; Request for Comments Regarding Section 2794 of the Public Health Service Act

Science.gov (United States)

2010-04-14

... DEPARTMENT OF HEALTH AND HUMAN SERVICES Office of the Secretary 45 CFR Parts 146 and 148 Premium Review Process; Request for Comments Regarding Section 2794 of the Public Health Service Act AGENCY..., which added Section 2794 to the Public Health Service Act (the PHS Act). Section 2794 of the PHS Act...

Powernext Day-AheadTM statistics April 30, 2005

International Nuclear Information System (INIS)

2005-04-01

The introduction of a power exchange in France is a direct response to the opening up of the European electricity markets. Powernext SA is a Multilateral Trading Facility in charge of managing an optional and anonymous organised exchange offering: - Day-ahead contracts for the management of volume risk on Powernext Day-Ahead TM since 21 November 2001, - Medium term contracts for the management of price risk on Powernext Futures TM since 18 June 2004. This document presents in a series of tables and graphics the April 30, 2005 update of Powernext Day-Ahead TM statistics: traded volumes and average prices from November 2001 to April 2005, monthly overview from April 2004 to April 2005 (volumes, prices and price spreads), weekly overview from January to April 2005, daily and hourly overview and market resilience for April 2005, power consumption in March and April 2005 (average consumption, average forecasted consumption and average price on Powernext Day-Ahead TM ), power consumption on the French hub from January to April 2005 and Powernext Day-Ahead TM prices, transfer capacities in April 2005 (daily capacity allocations for France-Germany, France-Switzerland and France-Spain, daily and monthly capacity allocations for France-Belgium, auction on the France-UK Interconnector, daily and yearly capacity allocation for France-Italy), temperature variations in France from November 2004 to April 2005 and average prices on Powernext Day-Ahead TM , and balancing mechanism for March-April 2005 (half-hourly imbalance settlement prices). (J.S.)

Powernext Day-AheadTM statistics - June 30, 2006

International Nuclear Information System (INIS)

2006-01-01

The introduction of a power exchange in France is a direct response to the opening up of the European electricity markets. Powernext SA is a Multilateral Trading Facility in charge of managing an optional and anonymous organised exchange offering: - Day-ahead contracts for the management of volume risk on Powernext Day-Ahead TM since 21 November 2001, - Medium term contracts for the management of price risk on Powernext Futures TM since 18 June 2004. This document presents in a series of tables and graphics the June 30, 2006 update of Powernext Day-Ahead TM statistics: daily traded volumes and base-load prices from November 2001 to June 2006, monthly overview from June 2005 to June 2006 (volumes and prices), weekly overview from March to June 2006 (volumes and prices), daily and hourly overview and market resilience for June 2006, power consumption in May and June 2006 (average consumption, average forecasted consumption and average price on Powernext Day-Ahead TM ), power consumption on the French hub from July 2005 to May 2006 and Powernext Day-Ahead TM prices, transfer capacities in June 2006 (auction results for France-Germany, France-Belgium, France-UK, France-Spain and France-Italy, and daily capacity allocation for France-Switzerland), temperature variations in France from January 2005 to June 2006 and base-load Powernext Day-Ahead TM prices, and balancing mechanism for April, May and June 2006 (half-hourly imbalance settlement prices). (J.S.)

What the public was saying about the H1N1 vaccine: perceptions and issues discussed in on-line comments during the 2009 H1N1 pandemic.

Directory of Open Access Journals (Sweden)

Natalie Henrich

Full Text Available During the 2009 H1N1 pandemic, a vaccine was made available to all Canadians. Despite efforts to promote vaccination, the public's intent to vaccinate remained low. In order to better understand the public's resistance to getting vaccinated, this study addressed factors that influenced the public's decision making about uptake. To do this, we used a relatively novel source of qualitative data--comments posted on-line in response to news articles on a particular topic. This study analysed 1,796 comments posted in response to 12 articles dealing with H1N1 vaccine on websites of three major Canadian news sources. Articles were selected based on topic and number of comments. A second objective was to assess the extent to which on-line comments can be used as a reliable data source to capture public attitudes during a health crisis. The following seven themes were mentioned in at least 5% of the comments (% indicates the percentage of comments that included the theme: fear of H1N1 (18.8%; responsibility of media (17.8%; government competency (17.7%; government trustworthiness (10.7%; fear of H1N1 vaccine (8.1%; pharmaceutical companies (7.6%; and personal protective measures (5.8%. It is assumed that the more frequently a theme was mentioned, the more that theme influenced decision making about vaccination. These key themes for the public were often not aligned with the issues and information officials perceived, and conveyed, as relevant in the decision making process. The main themes from the comments were consistent with results from surveys and focus groups addressing similar issues, which suggest that on-line comments do provide a reliable source of qualitative data on attitudes and perceptions of issues that emerge in a health crisis. The insights derived from the comments can contribute to improved communication and policy decisions about vaccination in health crises that incorporate the public's views.

What the public was saying about the H1N1 vaccine: perceptions and issues discussed in on-line comments during the 2009 H1N1 pandemic.

Science.gov (United States)

Henrich, Natalie; Holmes, Bev

2011-04-18

During the 2009 H1N1 pandemic, a vaccine was made available to all Canadians. Despite efforts to promote vaccination, the public's intent to vaccinate remained low. In order to better understand the public's resistance to getting vaccinated, this study addressed factors that influenced the public's decision making about uptake. To do this, we used a relatively novel source of qualitative data--comments posted on-line in response to news articles on a particular topic. This study analysed 1,796 comments posted in response to 12 articles dealing with H1N1 vaccine on websites of three major Canadian news sources. Articles were selected based on topic and number of comments. A second objective was to assess the extent to which on-line comments can be used as a reliable data source to capture public attitudes during a health crisis. The following seven themes were mentioned in at least 5% of the comments (% indicates the percentage of comments that included the theme): fear of H1N1 (18.8%); responsibility of media (17.8%); government competency (17.7%); government trustworthiness (10.7%); fear of H1N1 vaccine (8.1%); pharmaceutical companies (7.6%); and personal protective measures (5.8%). It is assumed that the more frequently a theme was mentioned, the more that theme influenced decision making about vaccination. These key themes for the public were often not aligned with the issues and information officials perceived, and conveyed, as relevant in the decision making process. The main themes from the comments were consistent with results from surveys and focus groups addressing similar issues, which suggest that on-line comments do provide a reliable source of qualitative data on attitudes and perceptions of issues that emerge in a health crisis. The insights derived from the comments can contribute to improved communication and policy decisions about vaccination in health crises that incorporate the public's views.

Extent of Surgery Does Not Influence 30-Day Mortality in Surgery for Metastatic Bone Disease

DEFF Research Database (Denmark)

Sørensen, Michala Skovlund; Hindsø, Klaus; Hovgaard, Thea Bechmann

2016-01-01

describing the extent of the surgical trauma were found to be associated with 30-day mortality. The 30-day mortality in patients undergoing surgery for MBD is highly dependent on the general health status of the patients as measured by the ASA score and the Karnofsky performance status. The extent of surgery......, measured as duration of surgery, blood loss, and degree of bone resection were not associated with 30-day mortality....

76 FR 34091 - Notice of Proposed Information Collection for Public Comment; FHA Lender Approval, Annual Renewal...

Science.gov (United States)

2011-06-10

... managing its financial risks and protect consumers from lender noncompliance with FHA rules and regulations... Information Collection for Public Comment; FHA Lender Approval, Annual Renewal, Periodic Updates and Noncompliance Reporting by FHA Approved Lenders AGENCY: Office of the Assistant Secretary for Housing, HUD...

77 FR 8253 - Notice of Proposed Settlement Agreement and Opportunity for Public Comment: Hidden Lane Landfill...

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2012-02-14

... ENVIRONMENTAL PROTECTION AGENCY [FRL-9631-3] Notice of Proposed Settlement Agreement and Opportunity for Public Comment: Hidden Lane Landfill Superfund Site ACTION: Notice. SUMMARY: In accordance... (``DOJ'') on behalf of EPA, in connection with the Hidden Lane Landfill Superfund Site, Sterling, Loudoun...

77 FR 54612 - Agency Information Collection Activities: Proposed Collection; Comments Requested: Notice of...

Science.gov (United States)

2012-09-05

... Information Collection Activities: Proposed Collection; Comments Requested: Notice of Appeal to the Board of Immigration Appeals From a Decision of a DHS Officer ACTION: 30-Day notice of information collection. The... This Information Collection (1) Type of Information Collection: Extension of a Currently Approved...

Determinants of Academic Performance in Public Day Secondary ...

African Journals Online (AJOL)

Determinants of Academic Performance in Public Day Secondary Schools, Manga District, Kenya. ... Journal of Technology and Education in Nigeria ... student's discipline, student's entry mark, teacher's teaching experience and level of education among others have significant impact in academic performance of a child.

76 FR 81966 - Agency Information Collection Activities; Proposed Collection; Comments Requested; Assumption of...

Science.gov (United States)

2011-12-29

... Indian country is subject to State criminal jurisdiction under Public Law 280 (18 U.S.C. 1162(a)) to... Collection; Comments Requested; Assumption of Concurrent Federal Criminal Jurisdiction in Certain Areas of Indian Country ACTION: 60-Day notice of information collection under review. The Department of Justice...

Morbidity associated with 30-day surgical site infection following nonshunt pediatric neurosurgery

Science.gov (United States)

Sherrod, Brandon A.; Rocque, Brandon G.

2017-01-01

Objective Morbidity associated with surgical site infection (SSI) following nonshunt pediatric neurosurgical procedures is poorly understood. The purpose of this study was to analyze acute morbidity and mortality associated with SSI after nonshunt pediatric neurosurgery using a nationwide cohort. Methods The authors reviewed data from the American College of Surgeons National Surgical Quality Improvement Program Pediatric (NSQIP-P) 2012–2014 database, including all neurosurgical procedures performed on pediatric patients. Procedures were categorized by Current Procedural Terminology (CPT) codes. CSF shunts were excluded. Deep and superficial SSIs occurring within 30 days of an index procedure were identified. Deep SSIs included deep wound infections, intracranial abscesses, meningitis, osteomyelitis, and ventriculitis. The following outcomes occurring within 30 days of an index procedure were analyzed, along with postoperative time to complication development: sepsis, wound disruption, length of postoperative stay, readmission, reoperation, and death. Results A total of 251 procedures associated with a 30-day SSI were identified (2.7% of 9296 procedures). Superficial SSIs were more common than deep SSIs (57.4% versus 42.6%). Deep SSIs occurred more frequently after epilepsy or intracranial tumor procedures. Superficial SSIs occurred more frequently after skin lesion, spine, Chiari decompression, craniofacial, and myelomeningocele closure procedures. The mean (± SD) postoperative length of stay for patients with any SSI was 9.6 ± 14.8 days (median 4 days). Post-SSI outcomes significantly associated with previous SSI included wound disruption (12.4%), sepsis (15.5%), readmission (36.7%), and reoperation (43.4%) (p neurosurgery. Rates of SSI-associated complications are significantly lower in patients with superficial infection than in those with deep infection. There were no cases of SSI-related mortality within 30 days of the index procedure. PMID:28186474

Sex and racial/ethnic differences in the reason for 30-day readmission after COPD hospitalization.

Science.gov (United States)

Goto, Tadahiro; Faridi, Mohammad Kamal; Gibo, Koichiro; Camargo, Carlos A; Hasegawa, Kohei

2017-10-01

Reduction of 30-day readmissions in patients hospitalized for chronic obstructive pulmonary disease (COPD) is a national objective. However, there is a dearth of research on sex and racial/ethnic differences in the reason for 30-day readmission. We conducted a retrospective cohort study using 2006-2012 data from the State Inpatient Database of eight geographically-diverse US states (Arkansas, California, Florida, Iowa, Nebraska, New York, Utah, and Washington). After identifying all hospitalizations for COPD made by patients aged ≥40 years, we investigated the primary diagnostic code for all-cause readmissions within 30 days after the original COPD hospitalization, among the overall group and by sex and race/ethnicity strata. Between 2006 and 2012, there was a total of 845,465 COPD hospitalizations at risk for 30-day readmissions in the eight states. COPD was the leading diagnostic for 30-day readmission after COPD hospitalization, both overall (28%) and across all sex and race/ethnicity strata. The proportion of respiratory diseases (COPD, pneumonia, respiratory failure, and asthma) as the readmission diagnosis was higher in non-Hispanic black (55%), compared to non-Hispanic white (52%) and Hispanics (51%) (p reason for 30-day readmission in patients hospitalized for COPD. Copyright © 2017 Elsevier Ltd. All rights reserved.

Better Nurse Autonomy Decreases the Odds of 30-Day Mortality and Failure to Rescue

Science.gov (United States)

Rao, Aditi D.; Kumar, Aparna; McHugh, Matthew

2017-01-01

Research Purpose Autonomy is essential to professional nursing practice and is a core component of good nurse work environments. The primary objective of this study was to examine the relationship between nurse autonomy and 30-day mortality and failure to rescue (FTR) in a hospitalized surgical population. Study Design This study was a secondary analysis of cross-sectional data. It included data from three sources: patient discharge data from state administrative databases, a survey of nurses from four states, and the American Hospital Association annual survey from 2006–2007. Methods Survey responses from 20,684 staff nurses across 570 hospitals were aggregated to the hospital level to assess autonomy measured by a standardized scale. Logistic regression models were used to estimate the relationship between nurse autonomy and 30-day mortality and FTR. Patient comorbidities, surgery type, and other hospital characteristics were included as controls. Findings Greater nurse autonomy at the hospital level was significantly associated with lower odds of 30-day mortality and FTR for surgical patients even after accounting for patient risk and structural hospital characteristics. Each additional point on the nurse autonomy scale was associated with approximately 19% lower odds of 30-day mortality (p autonomy place their surgical patients at an increased risk for mortality and FTR. Clinical Relevance Patients receiving care within institutions that promote high levels of nurse autonomy have a lower risk for death within 30 days and complications leading to death within 30 days. Hospitals can actively take steps to encourage nurse autonomy to positively influence patient outcomes. PMID:28094907

Correcting for day of the week and public holiday effects: improving a national daily syndromic surveillance service for detecting public health threats.

Science.gov (United States)

Buckingham-Jeffery, Elizabeth; Morbey, Roger; House, Thomas; Elliot, Alex J; Harcourt, Sally; Smith, Gillian E

2017-05-19

As service provision and patient behaviour varies by day, healthcare data used for public health surveillance can exhibit large day of the week effects. These regular effects are further complicated by the impact of public holidays. Real-time syndromic surveillance requires the daily analysis of a range of healthcare data sources, including family doctor consultations (called general practitioners, or GPs, in the UK). Failure to adjust for such reporting biases during analysis of syndromic GP surveillance data could lead to misinterpretations including false alarms or delays in the detection of outbreaks. The simplest smoothing method to remove a day of the week effect from daily time series data is a 7-day moving average. Public Health England developed the working day moving average in an attempt also to remove public holiday effects from daily GP data. However, neither of these methods adequately account for the combination of day of the week and public holiday effects. The extended working day moving average was developed. This is a further data-driven method for adding a smooth trend curve to a time series graph of daily healthcare data, that aims to take both public holiday and day of the week effects into account. It is based on the assumption that the number of people seeking healthcare services is a combination of illness levels/severity and the ability or desire of patients to seek healthcare each day. The extended working day moving average was compared to the seven-day and working day moving averages through application to data from two syndromic indicators from the GP in-hours syndromic surveillance system managed by Public Health England. The extended working day moving average successfully smoothed the syndromic healthcare data by taking into account the combined day of the week and public holiday effects. In comparison, the seven-day and working day moving averages were unable to account for all these effects, which led to misleading smoothing

The correlation between albumin levels with 30 days mortality in community acquired pneumonia patients

Science.gov (United States)

Damayanti, N.; Abidin, A.; Keliat, E. N.

2018-03-01

The assessment of level severity ofCommunity-Acquired Pneumonia (CAP) patient at the early admission to the hospital is critical because it will determine the severity of the disease and the subsequent management of the plan. Albumin can be used as a biomarker to assess the severity of CAP. To identify the correlation between albumin level at early admission in hospital with 30-day mortality in patients with CAP. It was a cohort study. We had examined of 50 CAP subject with theCURB-65 score (Confusion, Urea, Respiratory rate, Blood pressure, Age >65years), albumin, sputum culture at the early admission at Emergency Room (ER). Then, albumin levels associated with 30-day mortality was assessed using Chi-Square test. Analysis with chi-square test found a significant correlation between albumin level with 30-day mortality (p=0.001) and Relative Risk was 2.376 (95% CI 1.515-3.723). It means that patients with CAP who has severe hypoalbuminemia have a higher risk ofdying in 30 days with 2,376 times more significant than patients with mild to moderate hypoalbuminemia. In conclusion, albumin levels at early admission in the hospital correlate with 30-day mortality in CAP patients.

75 FR 3906 - Request for Public Comment: 30-Day Proposed Information Collection: Indian Health Service...

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2010-01-25

... Proposed Information Collection: Indian Health Service Customer Satisfaction Survey AGENCY: Indian Health...: 0917-NEW, ``Indian Health Service Customer Satisfaction Survey.'' Type of Information Collection... facilities programs will make improvements that will result in improved quality of services. Voluntary...

76 FR 5251 - Agency Information Collection Activities: Submission for OMB Review; Joint Comment Request

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2011-01-28

... March 31, 2011, report date. These proposed changes are described below. \\2\\ Consolidated Financial Statements for Bank Holding Companies, OMB Number: 7100-0128. Discussion of Proposed Revisions to the FFIEC... Financial Institutions Examination Council (FFIEC), requested public comment for 60 days on a proposal to...

Environmental Assessment for the Hercules Tanker Plane Recapitalization at Kirtland Air Force Base, New Mexico

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2011-06-01

methods could be implemented at the project site prior to nesting season, or eggs and nestlings could be relocated following USFWS and NMDGF...Public awareness and participation is an important part of the NEPA EA analysis. Kirtland AFB advertised the 30 day comment period on the EA in the...that ended on 3 November 2010. A copy of that advertisement is in Appendix D following the Public Comment section. # Date Submitted Commenter

Predictors of 30-day readmission after aneurysmal subarachnoid hemorrhage: a case-control study.

Science.gov (United States)

Greenberg, Jacob K; Guniganti, Ridhima; Arias, Eric J; Desai, Kshitij; Washington, Chad W; Yan, Yan; Weng, Hua; Xiong, Chengjie; Fondahn, Emily; Cross, DeWitte T; Moran, Christopher J; Rich, Keith M; Chicoine, Michael R; Dhar, Rajat; Dacey, Ralph G; Derdeyn, Colin P; Zipfel, Gregory J

2017-06-01

OBJECTIVE Despite persisting questions regarding its appropriateness, 30-day readmission is an increasingly common quality metric used to influence hospital compensation in the United States. However, there is currently insufficient evidence to identify which patients are at highest risk for readmission after aneurysmal subarachnoid hemorrhage (SAH). The objective of this study was to identify predictors of 30-day readmission after SAH, to focus preventative efforts, and to provide guidance to funding agencies seeking to risk-adjust comparisons among hospitals. METHODS The authors performed a case-control study of 30-day readmission among aneurysmal SAH patients treated at a single center between 2003 and 2013. To control for geographic distance from the hospital and year of treatment, the authors randomly matched each case (30-day readmission) with approximately 2 SAH controls (no readmission) based on home ZIP code and treatment year. They evaluated variables related to patient demographics, socioeconomic characteristics, comorbidities, presentation severity (e.g., Hunt and Hess grade), and clinical course (e.g., need for gastrostomy or tracheostomy, length of stay). Conditional logistic regression was used to identify significant predictors, accounting for the matched design of the study. RESULTS Among 82 SAH patients with unplanned 30-day readmission, the authors matched 78 patients with 153 nonreadmitted controls. Age, demographics, and socioeconomic factors were not associated with readmission. In univariate analysis, multiple variables were significantly associated with readmission, including Hunt and Hess grade (OR 3.0 for Grade IV/V vs I/II), need for gastrostomy placement (OR 2.0), length of hospital stay (OR 1.03 per day), discharge disposition (OR 3.2 for skilled nursing vs other disposition), and Charlson Comorbidity Index (OR 2.3 for score ≥ 2 vs 0). However, the only significant predictor in the multivariate analysis was discharge to a skilled

Examining the Relationship Between Perceived Quality of Care and Actual Quality of Care as Measured by 30-Day Readmission Rates.

Science.gov (United States)

Salinas, Stanley R

To test the relationship between patient experience, as measured by the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS), and actual quality of care, as measured by 30-day readmission rates. Both HCAHPS data and outcome data reported to the Centers of Medicare & Medicaid Services (CMS). This secondary, nationwide (N = 4060), hospital-level study focused only on acute care hospitals. HCAHPS question 22 "Would you recommend this hospital to your friends and family?" was used to determine level of overall satisfaction, and 30-day readmission rates, as reported to the CMS, was used as a proxy for actual quality of care. A statistically significant relationship was found between patient experience and actual quality outcomes. The results of this study reinforce the inclusion of patient experience in Medicare's Value Based Purchasing program as a matter of good public policy.

78 FR 31972 - Notice of Proposed Information Collection for Public Comment; Request Voucher for Grant Payment...

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2013-05-28

... Information Collection for Public Comment; Request Voucher for Grant Payment and Line of Credit Control System... information: Title Of Proposal: Request Voucher for Grant Payment and Line of Credit Control System (LOCCS... and proposed use: Payment request vouchers for distribution of grant funds using the automated Voice...

75 FR 12251 - Notice of Proposed Information Collection for Public Comment; FHA Lender Approval, Annual Renewal...

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2010-03-15

... Lenders. OMB Control Number, if applicable: 2502-0005. Description of the need for the information and proposed use: The information is used by FHA to verify that lenders meet all approval, renewal, update and... Information Collection for Public Comment; FHA Lender Approval, Annual Renewal, Periodic Updates and...

78 FR 17937 - Notice of Proposed Information Collection for Public Comment; FHA Lender Approval, Annual Renewal...

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2013-03-25

... Lenders. OMB Control Number, if applicable: 2502-0005. Description of the need for the information and proposed use: The information is used by FHA to verify that lenders meet all approval, renewal, update and... Information Collection for Public Comment; FHA Lender Approval, Annual Renewal, Periodic Updates and...

77 FR 63323 - Notice of Proposed Information Collection for Public Comment; FHA Lender Approval, Annual Renewal...

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2012-10-16

... Lenders OMB Control Number, if applicable: 2502-0005. Description of the need for the information and proposed use: The information is used by FHA to verify that lenders meet all approval, renewal, update and... Information Collection for Public Comment; FHA Lender Approval, Annual Renewal, Periodic Updates and...

77 FR 21793 - Notice of Proposed Information Collection for Public Comment; Loan Guarantee for Indian Housing

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2012-04-11

... Number: 2577-0200. Description of the need for the information and proposed use: The information is... service areas. Mortgage lenders approved by HUD provide borrower and lender information to HUD for... Information Collection for Public Comment; Loan Guarantee for Indian Housing AGENCY: Office of the Assistant...

76 FR 5394 - Notice of Proposed Information Collection for Public Comment; Memorandum of Agreement (MOA) and...

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2011-01-31

... Information Collection for Public Comment; Memorandum of Agreement (MOA) and Improvement Plan (IP) in... (this is not a toll-free number) or email Ms. Pollard at [email protected] . Persons with hearing...: Title of Proposal: Memorandum of Agreement (MOA), Progress Report and Improvement Plan (IP). OMB Control...

78 FR 18674 - Invitation for Public Comment on Draft DOT Research, Development and Technology Strategic Plan...

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2013-03-27

... and strategic process to cover the years 2013-2018, and responds to feedback from the National... administrations. Two cross-modal bodies participated in the process: the RD&T Planning Team Council (composed of...-0002] Invitation for Public Comment on Draft DOT Research, Development and Technology Strategic Plan...

78 FR 54867 - Proposed Information Collection; Comment Request; Marine Mammal Health and Stranding Response...

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2013-09-06

... Collection; Comment Request; Marine Mammal Health and Stranding Response Program, Level A Stranding and... governments; not-for-profit institutions; business or other for-profit organizations. Estimated Number of... collection; they also will become a matter of public record. Dated: August 30, 2013. Gwellnar Banks...

Correcting for day of the week and public holiday effects: improving a national daily syndromic surveillance service for detecting public health threats

Directory of Open Access Journals (Sweden)

Elizabeth Buckingham-Jeffery

2017-05-01

Full Text Available Abstract Background As service provision and patient behaviour varies by day, healthcare data used for public health surveillance can exhibit large day of the week effects. These regular effects are further complicated by the impact of public holidays. Real-time syndromic surveillance requires the daily analysis of a range of healthcare data sources, including family doctor consultations (called general practitioners, or GPs, in the UK. Failure to adjust for such reporting biases during analysis of syndromic GP surveillance data could lead to misinterpretations including false alarms or delays in the detection of outbreaks. The simplest smoothing method to remove a day of the week effect from daily time series data is a 7-day moving average. Public Health England developed the working day moving average in an attempt also to remove public holiday effects from daily GP data. However, neither of these methods adequately account for the combination of day of the week and public holiday effects. Methods The extended working day moving average was developed. This is a further data-driven method for adding a smooth trend curve to a time series graph of daily healthcare data, that aims to take both public holiday and day of the week effects into account. It is based on the assumption that the number of people seeking healthcare services is a combination of illness levels/severity and the ability or desire of patients to seek healthcare each day. The extended working day moving average was compared to the seven-day and working day moving averages through application to data from two syndromic indicators from the GP in-hours syndromic surveillance system managed by Public Health England. Results The extended working day moving average successfully smoothed the syndromic healthcare data by taking into account the combined day of the week and public holiday effects. In comparison, the seven-day and working day moving averages were unable to account for all

78 FR 63464 - Notice of Extension of the Public Comment Period on the Draft Toxicological Review of Benzo[a...

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2013-10-24

... from October 21, 2013, to November 21, 2013. The draft assessment will be added to the agenda for the...]pyrene to the Agenda for the December 2013 IRIS Bimonthly Meeting AGENCY: Environmental Protection Agency (EPA). ACTION: Notice of Extension of the Public Comment Period to November 21, 2013, and the Public...

76 FR 72923 - Pool Corporation; Analysis To Aid Public Comment

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2011-11-28

... manufacturers, warehouse them, and then resell the products to pool retail stores, pool service companies and.... ADDRESSES: Interested parties may file a comment online or on paper, by following the instructions in the... 0115'' on your comment, and file your comment online at https://ftcpublic.commentworks.com/ftc...

77 FR 51044 - Cabo Rojo National Wildlife Refuge, PR; Final Comprehensive Conservation Plan and Finding of No...

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2012-08-23

... education and interpretation, and conservation projects); commercial harvesting of sea salt; wildlife... Act. Comments We made copies of the Draft CCP/EA available for a 30-day public review and comment... engineering equipment operators, park ranger (environmental education), volunteer coordinator, GIS specialist...

Predictors of 30-day mortality in patients admitted to ED for acute heart failure.

Science.gov (United States)

Marchetti, Matthieu; Benedetti, Antoine; Mimoz, Olivier; Lardeur, Jean-Yves; Guenezan, Jérémy; Marjanovic, Nicolas

2017-03-01

Acute heart failure (AHF) is a leading cause of admission in emergency departments (ED). It is associated with significant in-hospital mortality, suggesting that there is room for improvement of care. Our aims were to investigate clinical patterns, biological characteristics and determinants of 30-day mortality. We conducted a single site, retrospective review of adult patients (≥18years) admitted to ED for AHF over a 12-month period. Data collected included demographics, clinical, biological and outcomes data. Epidemiologic data were collected at baseline, and patients were followed up during a 30-day period. There were a total of 322 patients. Mean age was 83.9±9.1years, and 47% of the patients were men. Among them, 59 patients (18.3%) died within 30days of admission to the ED. The following three characteristics were associated with increased mortality: age>85years (OR=1.5[95%CI:0.8-2.7], p=0.01), creatinine clearance 5000pg/mL (OR=2.2[95%CI:1.2-4], p<0.001). The best Nt-proBNP cut-off value to predict first-day mortality was 9000pg/mL (area under the curve (AUC) [95%CI] of 0.790 [0.634-0.935], p<0.001). For 7-day mortality, it was 7900pg/mL (0.698 [0.578-0.819], p<0.001) and for 30-day mortality, 5000pg/mL (0.667 [0.576-0.758], p<0.001). Nt-proBNP level on admission, age and creatinine clearance, are predictive of 30-day mortality in adult patients admitted to ED for AHF. Copyright © 2016 Elsevier Inc. All rights reserved.

76 FR 42733 - Agency Information Collection Activities; Submission for OMB Review; Comment Request; Employment...

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2011-07-19

... for OMB Review; Comment Request; Employment and Training Administration Disaster Unemployment... Training Administration Disaster Unemployment Assistance Handbook,'' (Form ETA-902 and ETA-902-A) to the... may be obtained from the RegInfo.gov Web site, http://www.reginfo.gov/public/do/PRAMain , on the day...

78 FR 13351 - Submission for OMB Review; Comment Request: Clinical Mythteries: A Video Game About Clinical Trials

Science.gov (United States)

2013-02-27

...Under the provisions of Section 3507(a)(1)(D) of the Paperwork Reduction Act of 1995, the National Institutes of Health (NIH) has submitted to the Office of Management and Budget (OMB) a request for review and approval of the information collection listed below. This proposed information collection was previously published in the Federal Register on June 13, 2012, page 35407 and allowed 60-days for public comment. No public comments were received. The purpose of this notice is to allow an additional 30 days for public comment. The National Institutes of Health may not conduct or sponsor, and the respondent is not required to respond to, an information collection that has been extended, revised, or implemented on or after October 1, 1995, unless it displays a currently valid OMB control number. Proposed Collection: Title: Clinical Mythteries: A Video Game About Clinical Trials. Type of Information Collection Request: NEW. Need and Use of Information Collection: New England Research Institutes as a contractor for the National Heart Lung and Blood Institute is planning to create an engaging, informational ``serious video game'' for adolescents about clinical studies which: (1) Incorporates core learning objectives; and (2) dispels misconceptions. Two types of information collection are planned: Usability testing to understand game-play/usability. This information will be collected by focus group and will be digitally recorded 90 minute groups. A pre/post randomized trial to measure change in knowledge. This information will be collected electronically through on-line questionnaire. The game will be incorporated with a larger initiative to provide information about clinical research (http://www.nhlbi.nih.gov/ childrenandclinicalstudies/index.php). Frequency of Response: Once. Affected Public: Individuals. Type of Respondents: Adolescents--aged 8- 14. The annual reporting burden is as follows: Estimated Number of Respondents: 280; Estimated Number of Responses per

76 FR 50286 - Request for Comments and Notice of Public Hearing Concerning China's Compliance With WTO Commitments

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2011-08-12

...., subsidies, standards and technical regulations, sanitary and phytosanitary measures, government procurement... Concerning China's Compliance With WTO Commitments AGENCY: Office of the United States Trade Representative. ACTION: Request for comments and notice of public hearing concerning China's compliance with its WTO...

IRIS Toxicological Review of Hexahydro-1,3,5-Trinitro-1,3,5-Triazine (RDX) (Public Comment Draft)

Science.gov (United States)

EPA is developing an Integrated Risk Information System (IRIS) assessment of hexahydro-1,3,5-trinitro-1,3,5-triazine (RDX) and has released the draft assessment for public comment. When final, the assessment will appear on the IRIS database.

14 CFR 298.30 - Public disclosure of policy on consumer protection.

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2010-01-01

... 14 Aeronautics and Space 4 2010-01-01 2010-01-01 false Public disclosure of policy on consumer protection. 298.30 Section 298.30 Aeronautics and Space OFFICE OF THE SECRETARY, DEPARTMENT OF TRANSPORTATION... Limitations and Conditions on Exemptions and Operations § 298.30 Public disclosure of policy on consumer...

36 CFR 801.4 - Council comments.

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2010-07-01

... 36 Parks, Forests, and Public Property 3 2010-07-01 2010-07-01 false Council comments. 801.4 Section 801.4 Parks, Forests, and Public Property ADVISORY COUNCIL ON HISTORIC PRESERVATION HISTORIC PRESERVATION REQUIREMENTS OF THE URBAN DEVELOPMENT ACTION GRANT PROGRAM § 801.4 Council comments. The following...

Effect of spironolactone on 30-day death and heart failure rehospitalization (from the COACH Study).

Science.gov (United States)

Maisel, Alan; Xue, Yang; van Veldhuisen, Dirk J; Voors, Adriaan A; Jaarsma, Tiny; Pang, Peter S; Butler, Javed; Pitt, Bertram; Clopton, Paul; de Boer, Rudolf A

2014-09-01

The aim of our study is to investigate the effect of spironolactone on 30-day outcomes in patients with acute heart failure (AHF) and the association between treatment and outcomes stratified by biomarkers. We conducted a secondary analysis of the biomarker substudy of the multicenter COACH (Co-ordinating Study Evaluating Outcomes of Advising and Counseling in Heart Failure) trial involving 534 AHF patients for 30-day mortality and HF rehospitalizations. Spironolactone therapy was initiated and terminated at the discretion of the treating physician; 30-day outcomes were compared between patients who were treated with spironolactone and those who were not. Outcomes with spironolactone therapy were explored based on N-terminal pro-B-type natriuretic peptide, ST2, galectin-3, and creatinine levels. Spironolactone was prescribed to 297 (55.6%) patients at discharge (158 new and 139 continued). There were 19 deaths and 30 HF rehospitalizations among 46 patients by 30 days. Patients discharged on spironolactone had significantly less 30-day event (hazard ratio 0.538, p = 0.039) after adjustment for multiple risk factors. Initiation of spironolactone in patients who were not on spironolactone before admission was associated with a significant reduction in event rate (hazard ratio 0.362, p = 0.027). The survival benefit of spironolactone was more prominent in patient groups with elevations of creatinine, N-terminal pro-B-type natriuretic peptide, ST2, or galectin-3. In conclusion, AHF patients who received spironolactone during hospitalization had significantly fewer 30-day mortality and HF rehospitalizations, especially in high-risk patients. Copyright © 2014 Elsevier Inc. All rights reserved.

EARLY PREDICTORS OF 30-DAY MORTALITY INNON-ST-ELEVATION ACUTE CORONARY SYNDROME PATIENTS

Directory of Open Access Journals (Sweden)

Suzana Rožič

2008-09-01

30-day mortality was 4.3 %. Between nonsurvivors and survivors there were significantdifferences in mean age, the incidence of arterial hypertension, positive family history ofcoronary artery disease, in mean admission systolic and diastolic blood pressure, pulse,mean admission troponin T, leukocyte count, CRP, creatinine and the incidence of admission heart failure. Multivariate logistic regression proved that most significant independent early predictor of 30-day mortality was admission heart failure (OR 41.21, 95 %CI 3.50 to 484.66, p = 0.003, followed by admission serum creatinine (OR 0.989, 95 %CI 0.981 to 0.997, p = 0.008 and troponin T (OR 0.263, 95 % CI 0.080 to 0.861.Conclusion Most significant independent predictor of 30-day mortality of patients with non-ST-elevation ACS, being 4.5 %, was heart failure on admission

49 CFR 30.15 - Restrictions on Federal public works projects.

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2010-10-01

... 49 Transportation 1 2010-10-01 2010-10-01 false Restrictions on Federal public works projects. 30... CONTRACTS TO SUPPLIERS OF GOODS AND SERVICES OF COUNTRIES THAT DENY PROCUREMENT MARKET ACCESS TO U.S. CONTRACTORS § 30.15 Restrictions on Federal public works projects. The contracting officer shall insert the...

Public comments and Task Force responses regarding the environmental survey of the reprocessing and waste management portions of the LWR fuel cycle

International Nuclear Information System (INIS)

1977-03-01

This document contains responses by the NRC Task Force to comments received on the report ''Environmental Survey of the Reprocessing and Waste Management Portions of the LWR Fuel Cycle'' (NUREG-0116). These responses are directed at all comments, inclding those received after the close of the comment period. Additional information on the environmental impacts of reprocessing and waste management which has either become available since the publication of NUREG-0116 or which adds requested clarification to the information in that document

76 FR 68791 - Notice of Availability for Public Comment on the Interagency Ocean Observing Committee Draft...

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2011-11-07

.... This criteria was developed in response to a requirement in the Integrated Coastal Ocean Observation....us . For the public unable to access the internet, printed copies can be requested by contacting the.... Comments may be submitted in writing to the Consortium for Ocean Leadership, Attention: IOOC Support Office...

78 FR 59720 - Agency Information Collection Activities: Proposed Collection; Comments Requested; Training...

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2013-09-27

... Request for Non-ATF Employees ACTION: 30-Day notice. The Department of Justice (DOJ), Bureau of Alcohol... Management and Budget, Attn: DOJ Desk Officer. The best way to ensure your comments are received is to email... information is necessary for the proper performance of the functions of the agency, including whether the...

41 CFR 301-71.209 - Must we pay a late payment fee if we fail to reimburse the employee within 30 calendar days after...

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2010-07-01

... payment fee if we fail to reimburse the employee within 30 calendar days after receipt of a proper travel claim? 301-71.209 Section 301-71.209 Public Contracts and Property Management Federal Travel Regulation System TEMPORARY DUTY (TDY) TRAVEL ALLOWANCES AGENCY RESPONSIBILITIES 71-AGENCY TRAVEL ACCOUNTABILITY...

75 FR 45693 - Request for Comments and Notice of Public Hearing Concerning China's Compliance With WTO Commitments

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2010-08-03

..., government procurement, trade-related investment measures, taxes and charges levied on imports and exports... Concerning China's Compliance With WTO Commitments AGENCY: Office of the United States Trade Representative. ACTION: Request for comments and notice of public hearing concerning China's compliance with its WTO...

77 FR 50206 - Request for Comments and Notice of Public Hearing Concerning China's Compliance With WTO Commitments

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2012-08-20

..., government procurement, trade-related investment measures, taxes and charges levied on imports and exports... Concerning China's Compliance With WTO Commitments AGENCY: Office of the United States Trade Representative. ACTION: Request for comments and notice of public hearing concerning China's compliance with its WTO...

28 CFR 30.8 - How does the Attorney General provide an opportunity to comment on proposed Federal financial...

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2010-07-01

... 28 Judicial Administration 1 2010-07-01 2010-07-01 false How does the Attorney General provide an... PROGRAMS AND ACTIVITIES § 30.8 How does the Attorney General provide an opportunity to comment on proposed... Attorney General gives state processes or directly affected state, areawide, regional, and local officials...

76 FR 50809 - Notice of Availability of a Draft Environmental Assessment for a Proposed Airport Traffic Control...

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2011-08-16

... National Environmental Policy Act of 1969 (NEPA) and FAA Order 1050.1E, Environmental Impacts: Policies and... is available for public review during a 30-day public comment period at Swanton Pubic Library, 305...

77 FR 8841 - Proposed Collection; Comment Request

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2012-02-15

... Force Academy announces a proposed public information collection and seeks public comment on the...://www.regulations.gov . Follow the instructions for submitting comments. Mail: Federal Docket Management... Air Force Academy. Each student's background and aptitude is reviewed to determine eligibility. If the...

Public comments and Task Force responses regarding the environmental survey of the reprocessing and waste management portions of the LWR fuel cycle

Energy Technology Data Exchange (ETDEWEB)

1977-03-01

This document contains responses by the NRC Task Force to comments received on the report ''Environmental Survey of the Reprocessing and Waste Management Portions of the LWR Fuel Cycle'' (NUREG-0116). These responses are directed at all comments, inclding those received after the close of the comment period. Additional information on the environmental impacts of reprocessing and waste management which has either become available since the publication of NUREG-0116 or which adds requested clarification to the information in that document.

77 FR 3003 - Agency Information Collection Activities: Proposed Collection; Comments Requested: Notice of...

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2012-01-20

... Collection; Comments Requested: Notice of Appeal From a Decision of an Immigration Judge ACTION: 30-Day...) Type of Information Collection: Revision of a Currently Approved Collection. (2) Title of the Form/Collection: Notice of Appeal from a Decision of an Immigration Judge. (3) Agency form number, if any, and the...

78 FR 49789 - Request for Comments and Notice of Public Hearing Concerning Russia's Implementation of Its WTO...

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2013-08-15

... its obligations as a Member of the World Trade Organization (WTO). SUMMARY: The interagency Trade... the WTO are contained in the Marrakesh Agreement Establishing the World Trade Organization (WTO... OFFICE OF THE UNITED STATES TRADE REPRESENTATIVE Request for Comments and Notice of Public Hearing...

75 FR 66773 - Notice of Proposed Information Collection for Public Comment; FY 2010 Capital Fund Community and...

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2010-10-29

... Information Collection for Public Comment; FY 2010 Capital Fund Community and Education Training Facilities... 2010 Capital Fund Community and Education Training Facilities NOFA. OMB Control Number: 2577-0268...) enhance the quality, utility, and clarity of the information to be collected; and (4) minimize the burden...

78 FR 9428 - Agency Information Collection Activities; Proposed Collection; Comments Requested: Claims of U.S...

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2013-02-08

... Collection; Comments Requested: Claims of U.S. Nationals for Compensation for Serious Personal Injuries Against the Government of Iraq and Referred to the Foreign Claims Settlement Commission by the Department of State Legal Adviser ACTION: 30-day notice. The Foreign Claims Settlement Commission (Commission...

Incidence and predictors of 30-day readmissions in patients hospitalized with chronic pancreatitis: A nationwide analysis.

Science.gov (United States)

Shah, Rushikesh; Haydek, Christopher; Mulki, Ramzi; Qayed, Emad

2018-04-23

Patients with chronic pancreatitis are prone to frequent readmissions. The aim of this study is to evaluate the rate and predictors of 30-day readmissions in patients with chronic pancreatitis using the Nationwide Readmission Database (NRD). We performed a retrospective analysis of all adult patients with the principal discharge diagnosis of chronic pancreatitis from 2010 through 2014. We excluded patients who died during the hospitalization. Multivariate Cox proportional hazard regression was performed to identify demographic, clinical, and hospital factors that associated with 30-day unplanned readmissions. During the study period, 25,259 patients had the principal discharge diagnosis of chronic pancreatitis and survived the index hospitalization. Of these, 6477 (26.7%) were readmitted within 30 days. Younger age group, males, length of stay >5 days, admission to a large, metropolitan hospital, and several comorbidities (renal failure, rheumatic disease, chronic anemia, heart failure, depression, drug abuse, psychosis, and diabetes) were independently associated with increased risk of 30-day readmission. ERCP, pancreatic surgery, and obesity were associated with lower risk. The most common reasons for readmissions were acute pancreatitis (30%), chronic pancreatitis (17%), pseudocyst (2%), and abdominal pain (6%). One in four patients with chronic pancreatitis is readmitted within 30 days (26.7%). Pancreatic disease accounts for at least half of all readmissions. Several baseline comorbidities and characteristics are associated with 30-day readmission risk after index admission. Knowledge of these predictors can help design interventions to target high-risk patients and reduce readmissions and costs of care. Copyright © 2018 IAP and EPC. Published by Elsevier B.V. All rights reserved.

77 FR 21997 - Agency Information Collection Activities: Proposed Collection; Comments Requested: September 11th...

Science.gov (United States)

2012-04-12

... filing of a claim by a purported personal representative of a deceased victim. Abstract: This form is to... Collection; Comments Requested: September 11th Victim Compensation Fund Objection Form ACTION: 30-Day Notice... 11th Victim Compensation Fund, will be submitting the following information collection request to the...

NRC Task Force report on review of the Federal/State program for regulation of commercial low-level radioactive waste burial grounds. Analysis of public comments

International Nuclear Information System (INIS)

1977-09-01

Correspondence after publication of NUREG-0217 in the Federal Register is listed by docket. A summary of the comments is given. Comments on the task force conclusions on federal/state roles, comprehensive regulator program, and need to study alternatives, provide adequate capacity, and avoid proliferation are analyzed. A breakdown of the comments of states, industry, and others on the task force conclusions and recommendations is tabulated

77 FR 71593 - Robert Bosch GmbH; Analysis of Agreement Containing Consent Orders To Aid Public Comment

Science.gov (United States)

2012-12-03

..., Inc., Dkt. No. 9302, 2006 FTC LEXIS 101 (Aug. 20, 2006), rev'd, Rambus Inc. v. F.T.C., 522 F.3d 456 (D... Order to Aid Public Comment Sec. V.B. \\12\\ See, e.g., In re Rambus, Inc., Dkt. No. 9302 (FTC Aug. 2...

Reporting of MMR evidence in professional publications: 1988–2007

Science.gov (United States)

Hilton, S; Hunt, K; Langan, M; Hamilton, V; Petticrew, M

2009-01-01

Objective: To examine how journals and magazines disseminate research evidence and guidance on best practice to health professionals by aligning commentaries on measles, mumps, and rubella vaccine (MMR) evidence in journals with key events in the MMR controversy. Design: Content analysis. Data sources: Comment articles in six commonly read UK publications. Main outcome measures: Number of comment pieces by publication, year and article type; trends in the focus, tone and inclusion of recommendations on MMR. Results: 860 articles met the inclusion criteria (BMJ n = 104, Community Practitioner n = 45, Health Visitor n = 24, Practice Nurse n = 61, Nursing Standard n = 61 and Pulse n = 565). Of these 860 comment pieces, 264 made some reference to evidence endorsing the safety of MMR. Around one in 10 were rated as negative (10.9%, n = 29) or neutral (11.3%, n = 30) in relation to MMR safety, and nearly a quarter (22.7%, n = 60) were rated as mixed. Following the publication of Wakefield et al’s 1998 paper there was a period of neutrality. In 2000, despite growing public concerns and widespread media coverage, fewer than 20 comment pieces were published. Less than a quarter of comment pieces (n = 196, 22.7%) included recommendations. Conclusion: While a period of neutrality may reflect a professional response to uncertainty by holding back until consensus emerges, it may also represent a missed opportunity to promote evidence-based practice. PMID:19414434

78 FR 41035 - Proposed Collection; Comment Request

Science.gov (United States)

2013-07-09

...; Comment Request AGENCY: Defense Finance and Accounting Service, DoD. ACTION: Notice. SUMMARY: In compliance with Section 3506(c)(2)(A) of the Paperwork Reduction Act of 1995, the Defense Finance and Accounting Service (DFAS) announces a proposed public information collection and seeks public comment on the...

78 FR 43864 - Proposed Collection; Comment Request

Science.gov (United States)

2013-07-22

...; Comment Request AGENCY: Defense Finance and Accounting Service, DoD. ACTION: Notice. SUMMARY: In compliance with Section 3506(c)(2)(A) of the Paperwork Reduction Act of 1995, the Defense Finance and Accounting Service announces a proposed public information collection and seeks public comment on the...

Incidence and cost analysis of hospital admission and 30‐day readmission among patients with cirrhosis

Science.gov (United States)

Chirapongsathorn, Sakkarin; Krittanawong, Chayakrit; Enders, Felicity T.; Pendegraft, Richard; Mara, Kristin C.; Borah, Bijan J.; Visscher, Sue L.; Loftus, Conor G.; Shah, Vijay H.; Talwalkar, Jayant A.

2018-01-01

We examined risks for first hospitalization and the rate, risk factors, costs, and 1‐year outcome of 30‐day readmission among patients admitted for complications of cirrhosis. Data were retrospectively analyzed for adult patients with cirrhosis residing in Minnesota, Iowa, or Wisconsin and admitted from 2010 through 2013 at both campuses of the Mayo Clinic Hospital in Rochester, MN. Readmission was captured at the two hospitals as well as at community hospitals in the tristate area within the Mayo Clinic Health System. The incidence of hospitalization for complications of cirrhosis was 100/100,000 population, with increasing age and male sex being the strongest risks for hospitalization. For the 2,048 hospitalized study patients, the overall 30‐day readmission rate was 32%; 498 (24.3%) patients were readmitted to Mayo Clinic hospitals and 157 (7.7%) to community hospitals, mainly for complications of portal hypertension (52%) and infections (30%). Readmission could not be predicted accurately. There were 146 deaths during readmission and an additional 105 deaths up to 1 year of follow‐up (50.4% total mortality). Annual postindex hospitalization costs for those with a 30‐day readmission were substantially higher ($73,252) than those readmitted beyond 30 days ($62,053) or those not readmitted ($5,719). At 1‐year follow‐up, only 20.4% of patients readmitted within 30 days were at home. In conclusion, patients with cirrhosis have high rates of hospitalization, especially among men over 65 years, and of unscheduled 30‐day readmission. Readmission cannot be accurately predicted. Postindex hospitalization costs are high; nationally, the annual costs are estimated to be more than $4.45 billion. Only 20% of patients readmitted within 30 days are home at 1 year. (Hepatology Communications 2018;2:188–198) PMID:29404526

Final environmental impact statement: US Spent Fuel Policy. Comment letters on draft statements and major comments with DOE responses

International Nuclear Information System (INIS)

1980-05-01

Notice of availability of the draft environmental impact statement for storage of US spent power reactor fuel was published by DOE in the Federal Register on September 6, 1978. A subsequent notice was published in the Federal Register on December 14, 1978, on the availability of the draft EISs on storage of foreign fuel, on charge for spent fuel storage, and a supplement to the draft EIS on storage of US fuel. Copies of the draft EISs were distributed for review and comment by appropriate Federal agencies, state governments, and other organizations and individuals who were known to have an interest in spent fuel storage activities and those who requested them. Comments and views concerning the draft EISs were requested from other interested agencies, organizations, and individuals by means of the Federal Register notices. Approximately 1600 copies each of the draft Domestic, Foreign, and Charge EISs were distributed for comment. The closing date for comments to be received on the draft EISs was February 15, 1979. Copies of the EISs (upon publication) and comment letters received were placed for public inspection in DOE public document rooms at 10 locations throughout the country. To the extent practicable, comments received after the closing date were also considered in the preparation of the final EIS. A total of 78 comment letters (some with supplements) were received. These comment letters are reproduced in their entirety in Section I of this volume. Approximately 600 specific comments were identified in these letters

Use of risk-adjusted CUSUM charts to monitor 30-day mortality in Danish hospitals

Directory of Open Access Journals (Sweden)

Rasmussen TB

2018-04-01

Full Text Available Thomas Bøjer Rasmussen, Sinna Pilgaard Ulrichsen, Mette Nørgaard Department of Clinical Epidemiology, Aarhus University Hospital, Aarhus N, Denmark Background: Monitoring hospital outcomes and clinical processes as a measure of clinical performance is an integral part of modern health care. The risk-adjusted cumulative sum (CUSUM chart is a frequently used sequential analysis technique that can be implemented to monitor a wide range of different types of outcomes.Objective: The aim of this study was to describe how risk-adjusted CUSUM charts based on population-based nationwide medical registers were used to monitor 30-day mortality in Danish hospitals and to give an example on how alarms of increased hospital mortality from the charts can guide further in-depth analyses.Materials and methods: We used routinely collected administrative data from the Danish National Patient Registry and the Danish Civil Registration System to create risk-adjusted CUSUM charts. We monitored 30-day mortality after hospital admission with one of 77 selected diagnoses in 24 hospital units in Denmark in 2015. The charts were set to detect a 50% increase in 30-day mortality, and control limits were determined by simulations.Results: Among 1,085,576 hospital admissions, 441,352 admissions had one of the 77 selected diagnoses as their primary diagnosis and were included in the risk-adjusted CUSUM charts. The charts yielded a total of eight alarms of increased mortality. The median of the hospitals’ estimated average time to detect a 50% increase in 30-day mortality was 50 days (interquartile interval, 43;54. In the selected example of an alarm, descriptive analyses indicated performance problems with 30-day mortality following hip fracture surgery and diagnosis of chronic obstructive pulmonary disease.Conclusion: The presented implementation of risk-adjusted CUSUM charts can detect significant increases in 30-day mortality within 2 months, on average, in most

Open Data Day Hackathon 2014 at Edmonton Public Library

Directory of Open Access Journals (Sweden)

Alex Carruthers

2014-12-01

Full Text Available Edmonton Public Library (EPL hosted its first hackathon for International Open Data Day 2014. International Open Data Day promotes open data policies in local, regional, and national governments worldwide, in the spirit of transparency and civic innovation. The open data movement, like public libraries, values access to information and civic engagement, and it offers opportunities for public libraries to improve their efficiency, transparency, and programming. Celebrating the event provided the Library with the additional benefit of strengthening our relationship to local government. This case study provides a practical introduction to hosting an open data hackathon as a first step to engaging the open data movement. Two follow-up surveys, one immediately after the hackathon and another five months later, were used to assess the event and determine how the Library could better support the open data community in the future. The majority of hackathon participants labelled themselves beginner programmers, were not regular library users, and appreciated the opportunity to meet city employees and other hackers who shared their interests. The Library was encouraged to increase our output of open data and to host more hackathons. Results also suggested room for improvement in the areas of developing a more formal structure to the event, connecting participants with similar interests, and providing long term support for app development. By hosting a hackathon for International Open Data Day, EPL gained both the information and the relationships necessary to release meaningful datasets and put itself in an excellent position to understand and respond to the interests and needs of the open data community.

75 FR 16819 - Notice of Proposed Information Collection for Public Comment Civil Rights Front End and Limited...

Science.gov (United States)

2010-04-02

... Information Collection for Public Comment Civil Rights Front End and Limited Monitoring Review AGENCY: Office... Office of Management and Budget (OMB) for review, as required by the Paperwork Reduction Act. The...-free Federal Information Relay Service at 800-877-8339. (Other than the HUD USER information line and...

Cholesterol Levels Are Associated with 30-day Mortality from Ischemic Stroke in Dialysis Patients.

Science.gov (United States)

Wang, I-Kuan; Liu, Chung-Hsiang; Yen, Tzung-Hai; Jeng, Jiann-Shing; Hsu, Shih-Pin; Chen, Chih-Hung; Lien, Li-Ming; Lin, Ruey-Tay; Chen, An-Chih; Lin, Huey-Juan; Chi, Hsin-Yi; Lai, Ta-Chang; Sun, Yu; Lee, Siu-Pak; Sung, Sheng-Feng; Chen, Po-Lin; Lee, Jiunn-Tay; Chiang, Tsuey-Ru; Lin, Shinn-Kuang; Muo, Chih-Hsin; Ma, Henry; Wen, Chi-Pang; Sung, Fung-Chang; Hsu, Chung Y

2017-06-01

We investigated the impact of serum cholesterol levels on 30-day mortality after ischemic stroke in dialysis patients. From the Taiwan Stroke Registry data, we identified 46,770 ischemic stroke cases, including 1101 dialysis patients and 45,669 nondialysis patients from 2006 to 2013. Overall, the 30-day mortality was 1.46-fold greater in the dialysis group than in the nondialysis group (1.75 versus 1.20 per 1000 person-days). The mortality rates were 1.64, .62, 2.82, and 2.23 per 1000 person-days in dialysis patients with serum total cholesterol levels of cholesterol levels of 120-159 mg/dL, the corresponding adjusted hazard ratios of mortality were 4.20 (95% confidence interval [CI] = 1.01-17.4), 8.06 (95% CI = 2.02-32.2), and 6.89 (95% CI = 1.59-29.8) for those with cholesterol levels of cholesterol levels of ≥160 mg/dL or <120 mg/dL on admission are at an elevated hazard of 30-day mortality after ischemic stroke. Copyright © 2017 National Stroke Association. Published by Elsevier Inc. All rights reserved.

78 FR 44188 - Paperwork Reduction Act of 1995, as Amended by Public Law 104-13; Proposed Collection, Comment...

Science.gov (United States)

2013-07-23

... TENNESSEE VALLEY AUTHORITY Paperwork Reduction Act of 1995, as Amended by Public Law 104-13; Proposed Collection, Comment Request AGENCY: Tennessee Valley Authority. ACTION: Proposed Collection... preference. The information is used to make comparative appraisals and to assist in selections. The affected...

75 FR 27863 - Paperwork Reduction Act of 1995, as Amended by Public Law 104-13; Proposed Collection, Comment...

Science.gov (United States)

2010-05-18

... TENNESSEE VALLEY AUTHORITY Paperwork Reduction Act of 1995, as Amended by Public Law 104-13; Proposed Collection, Comment Request AGENCY: Tennessee Valley Authority. ACTION: Proposed collection... preference. The information is used to make comparative appraisals and to assist in selections. The affected...

Prediction of 30-day morbidity after primary cytoreductive surgery for advanced stage ovarian cancer.

Science.gov (United States)

Gerestein, C G; Nieuwenhuyzen-de Boer, G M; Eijkemans, M J; Kooi, G S; Burger, C W

2010-01-01

Treatment in advanced stage epithelial ovarian cancer (EOC) is based on primary cytoreductive surgery followed by platinum-based chemotherapy. Successful cytoreduction to minimal residual tumour burden is the most important determinant of prognosis. However, extensive surgical procedures to achieve maximal debulking are inevitably associated with postoperative morbidity and mortality. The objective of this study is to determine predictors of 30-day morbidity after primary cytoreductive surgery for advanced stage EOC. All patients in the South Western part of the Netherlands who underwent primary cytoreductive surgery for advanced stage EOC between January 2004 and December 2007 were identified from the Rotterdam Cancer Registry database. All peri- and postoperative complications within 30 days after surgery were registered and classified according to the definitions of the National Surgical Quality Improvement Programme (NSQIP). To investigate independent predictors of 30-day morbidity, a Cox proportional hazards model with backward stepwise elimination was utilised. The identified predictors were entered into a nomogram. Two hundred and ninety-three patients entered the study protocol. Optimal cytoreduction was achieved in 136 (46%) patients. 30-day morbidity was seen in 99 (34%) patients. Postoperative morbidity could be predicted by age (P=0.007; odds ratio [OR] 1.034), WHO performance status (P=0.046; OR 1.757), extent of surgery (P=0.1308; OR=2.101), and operative time (P=0.017; OR 1.007) with an optimism corrected c-statistic of 0.68. 30-day morbidity could be predicted by age, WHO performance status, operative time and extent of surgery. The generated nomogram could be valuable for predicting operative risk in the individual patient.

75 FR 17151 - Agency Information Collection Activities: Submission for OMB Review; Comment Request, OMB No...

Science.gov (United States)

2010-04-05

... to enhance and/or improve site security and the actions jurisdictions undertake in their BZP to... Agency, DHS. ACTION: Notice; 30-day notice and request for comments; new information collection; OMB No. 1660--NEW; FEMA Form 089-23, Buffer Zone Plan; FEMA Form 089-23A, Vulnerability Reduction Purchasing...

Clinical predictors of port infections within the first 30 days of placement.

Science.gov (United States)

Bamba, Ravinder; Lorenz, Jonathan M; Lale, Allison J; Funaki, Brian S; Zangan, Steven M

2014-03-01

To identify risk factors for port infections within 30 days of placement. A retrospective chart review of port placements from 2002-2009 was conducted. Patients who had port removals secondary to infection within the first 30 days of placement were included. This group of patients was compared with a control group of patients with ports with no evidence of infection. For every one patient with a port infection, two control subjects were chosen of the same gender and new port placement during the same month as the corresponding patient with an infected port. From 2002-2009, 4,404 ports were placed. Of the 4,404 patients, 33 (0.7%) were found to have a port infection within 30 days of placement. Compared with the control group, the early infection group had a higher prevalence of leukopenia (21.2% vs 6.1%, P = .039) and thrombocytopenia (33% vs 12%, P = .0158). There was also a higher prevalence of an inpatient hospital stay during port placement and high international normalized ratio in the early infection group. Low preoperative white blood cell and platelet counts were risk factors for early infection. Abnormal coagulation profiles and inpatient access of ports after placement could be additional risk factors. Copyright © 2014 SIR. Published by Elsevier Inc. All rights reserved.

77 FR 39459 - Fisheries of the United States; National Standard 1 Guidelines; Extension of Public Comment Period

Science.gov (United States)

2012-07-03

.... 120425420-2420-01] RIN 0648-BB92 Fisheries of the United States; National Standard 1 Guidelines; Extension... adjustments to the National Standard 1 Guidelines, one of 10 national standards for fishery conservation and... National Standard 1 Guidelines. The ANPR provides the public with a formal opportunity to comment on the...

76 FR 62066 - Phusion Projects, LLC, et al.; Analysis of Proposed Consent Order To Aid Public Comment

Science.gov (United States)

2011-10-06

..., including routine uses permitted by the Privacy Act, in the Commission's privacy policy, at http://www.ftc.gov/ftc/privacy.htm . Analysis of Agreement Containing Consent Order To Aid Public Comment The Federal... servings of alcohol in the container. Part II of the proposed order further prohibits, commencing six (6...

77 FR 75177 - Impact of Approved Drug Labeling on Chronic Opioid Therapy; Public Hearing; Request for Comments

Science.gov (United States)

2012-12-19

... DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration [Docket No. FDA-2012-N-1172] Impact of Approved Drug Labeling on Chronic Opioid Therapy; Public Hearing; Request for Comments AGENCY... impact the entire class of opioid drugs or a large subcategory thereof (e.g., ER/LA opioids), such as the...

76 FR 21742 - Wireless Telecommunications Bureau Extends Period for Filing Comments and Reply Comments on...

Science.gov (United States)

2011-04-18

...In this document, the Wireless Telecommunications Bureau extends the deadline for filing comments and reply comments in response to the Public Notice seeking comment on the December 3, 2010 petition for declaratory ruling (Petition) filed by CTIA--The Wireless Association (Petitioners). The Petitioners asked the Federal Communications Commission (Commission) to clarify ``the scope of Section 332(c)(3)(A)'s ban on state and local entry regulation.''

78 FR 59757 - Submission for OMB Review; Comment Request

Science.gov (United States)

2013-09-27

..., Public Law 104-13, on or after the date of publication of this notice. DATES: Comments should be received on or before October 28, 2013 to be assured of consideration. ADDRESSES: Send comments regarding the... carry out its contracts. Affected Public: Private Sector: Businesses or other for-profits. Estimated...

Southeast Regional Wastewater Treatment Plant Facilities Improvements Project and Geysers Effluent Pipeline Project. Final EIR/EIS

International Nuclear Information System (INIS)

1994-01-01

On May 26, 1994, the Lake County Sanitation District and the US Bureau of Land Management released for public review a Draft Environmental Impact Report/Environmental Impact Statement (EIR/EIS) on the proposed Southeast Regional Wastewater Treatment Plant Facilities Improvements Project and Geysers Effluent Pipeline Project. A minimum 45-day review and comment period began on that date and notices were published in the Federal Register. The public review and comment period closed on July 26, 1994. Public hearings on the Draft EIMIS were held in Lakeport, CA, on June 30 and July 14, 1994. The first part of this document contains copies of the written comments submitted on the Draft EIR/EIS. It also contains summary paraphrased comments of the public hearings. The second part of this document contains responses to the comments

77 FR 34010 - Notice of Opportunity To Submit Comment on the Public Release Time of Several Major USDA...

Science.gov (United States)

2012-06-08

... Statistics Service and Office of the Chief Economist, Department of Agriculture. ACTION: Notice and request... the Chief Economist are currently accepting stakeholder input on the public release time and... the Chief Economist are seeking comments on the release time of several of their major statistical...

77 FR 41406 - Request for Public Comment on a Nomination to the Office of Health Assessment and Translation

Science.gov (United States)

2012-07-13

..., which was nominated for a possible evaluation by the Office of Health Assessment and Translation (OHAT... substances, or mixtures (collectively referred to as ``substances'') cause adverse health effects and... DEPARTMENT OF HEALTH AND HUMAN SERVICES Request for Public Comment on a Nomination to the Office...

Influence of Sacubitril/Valsartan (LCZ696) on 30-Day Readmission After Heart Failure Hospitalization.

Science.gov (United States)

Desai, Akshay S; Claggett, Brian L; Packer, Milton; Zile, Michael R; Rouleau, Jean L; Swedberg, Karl; Shi, Victor; Lefkowitz, Martin; Starling, Randall; Teerlink, John; McMurray, John J V; Solomon, Scott D

2016-07-19

Patients with heart failure (HF) are at high risk for hospital readmission in the first 30 days following HF hospitalization. This study sought to determine if treatment with sacubitril/valsartan (LCZ696) reduces rates of hospital readmission at 30-days following HF hospitalization compared with enalapril. We assessed the risk of 30-day readmission for any cause following investigator-reported hospitalizations for HF in the PARADIGM-HF trial, which randomized 8,399 participants with HF and reduced ejection fraction to treatment with LCZ696 or enalapril. Accounting for multiple hospitalizations per patient, there were 2,383 investigator-reported HF hospitalizations, of which 1,076 (45.2%) occurred in subjects assigned to LCZ696 and 1,307 (54.8%) occurred in subjects assigned to enalapril. Rates of readmission for any cause at 30 days were 17.8% in LCZ696-assigned subjects and 21.0% in enalapril-assigned subjects (odds ratio: 0.74; 95% confidence interval: 0.56 to 0.97; p = 0.031). Rates of readmission for HF at 30-days were also lower in subjects assigned to LCZ696 (9.7% vs. 13.4%; odds ratio: 0.62; 95% confidence interval: 0.45 to 0.87; p = 0.006). The reduction in both all-cause and HF readmissions with LCZ696 was maintained when the time window from discharge was extended to 60 days and in sensitivity analyses restricted to adjudicated HF hospitalizations. Compared with enalapril, treatment with LCZ696 reduces 30-day readmissions for any cause following discharge from HF hospitalization. Copyright © 2016 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.

78 FR 55062 - Western Pacific Fishery Management Council; Public Meetings

Science.gov (United States)

2013-09-09

... addressed may change. The meetings will run as late as necessary to complete scheduled business. Schedule...-commercial fisheries in the Western Pacific a. Historical overview b. Recreational fishing today 5. Data... 15. Other Business 16. Public Comment 17. Discussion and Recommendations from Day 2 Although non...

78 FR 2412 - Request for Public Comment: 30-Day Proposed Information Collection: Indian Health Service Forms...

Science.gov (United States)

2013-01-11

... Accounting of Disclosures,'' is used to document an individual's request for an accounting of disclosures of...-2) Request for Accounting of Disclosures (OMB Form 15,000 1 10/60 2,500 No. 0917-0030, IHS-913... receive a valid authorization for its use or disclosure of protected health information for other than for...

Relationship of boreal summer 10-20-day and 30-60-day intraseasonal oscillation intensity over the tropical western North Pacific to tropical Indo-Pacific SST

Science.gov (United States)

Wu, Renguang; Cao, Xi

2017-06-01

The present study contrasts interannual variations in the intensity of boreal summer 10-20-day and 30-60-day intraseasonal oscillations (ISOs) over the tropical western North Pacific and their factors. A pronounced difference is found in the relationship of the two ISOs to El Niño-Southern Oscillation. The 10-20-day ISO intensity is enhanced during El Niño developing summer, whereas the 30-60-day ISO intensity is enhanced during La Niña decaying summer. The above different relationship is interpreted as follows. The equatorial central and eastern Pacific SST anomalies modify vertical wind shear, lower-level moisture, and vertical motion in a southeast-northwest oriented band from the equatorial western Pacific to the tropical western North Pacific where the 10-20-day ISOs originate and propagate. These background field changes modulate the amplitude of 10-20-day ISOs. Preceding equatorial central and eastern Pacific SST anomalies induce SST anomalies in the North Indian Ocean in summer, which in turn modify vertical wind shear and vertical motion over the tropical western North Pacific. The modified background fields influence the amplitude of the 30-60-day ISOs when they reach the tropical western North Pacific from the equatorial region. A feedback of ISO intensity on local SST change is identified in the tropical western North Pacific likely due to a net effect of ISOs on surface heat flux anomalies. This feedback is more prominent from the 10-20-day than the 30-60-day ISO intensity change.

Effects of Online Comments on Smokers' Perception of Anti-Smoking Public Service Announcements.

Science.gov (United States)

Shi, Rui; Messaris, Paul; Cappella, Joseph N

2014-07-01

On YouTube anti-smoking PSAs are widely viewed and uploaded; they also receive extensive commentary by viewers. This study examined whether such evaluative comments with or without uncivil expressions influence evaluations by subsequent viewers. Results showed PSAs with positive (i.e. anti-smoking) comments were perceived by smokers as more effective than PSAs with negative (pro smoking) comments. Smokers in the no comment condition gave the highest perceived effectiveness score to PSAs. Smokers' readiness to quit smoking moderated the effect of comments on PSA evaluation. Smokers reading negative uncivil comments reported more negative attitude toward quitting and a lower level of perceived risk of smoking than those reading negative civil comments but positive civil and positive uncivil comments didn't elicit different responses.

Effects of Online Comments on Smokers’ Perception of Anti-Smoking Public Service Announcements

Science.gov (United States)

Shi, Rui; Messaris, Paul; Cappella, Joseph N.

2014-01-01

On YouTube anti-smoking PSAs are widely viewed and uploaded; they also receive extensive commentary by viewers. This study examined whether such evaluative comments with or without uncivil expressions influence evaluations by subsequent viewers. Results showed PSAs with positive (i.e. anti-smoking) comments were perceived by smokers as more effective than PSAs with negative (pro smoking) comments. Smokers in the no comment condition gave the highest perceived effectiveness score to PSAs. Smokers’ readiness to quit smoking moderated the effect of comments on PSA evaluation. Smokers reading negative uncivil comments reported more negative attitude toward quitting and a lower level of perceived risk of smoking than those reading negative civil comments but positive civil and positive uncivil comments didn't elicit different responses. PMID:25561825

78 FR 64236 - Notice of Public Meeting for the John Day; Snake Resource Advisory Council

Science.gov (United States)

2013-10-28

...] Notice of Public Meeting for the John Day; Snake Resource Advisory Council AGENCY: Bureau of Land... Interior, Bureau of Land Management (BLM), the John Day--Snake Resource Advisory Council (RAC) will meet as indicated below: DATES: The John Day--Snake RAC will hold a public meeting Thursday and Friday, November 14...

75 FR 22890 - Notice of Extension of Public Comment Period for the Proposed Keystone XL Pipeline Project Draft...

Science.gov (United States)

2010-04-30

... notice that listed the public comment meetings and additional information on the DEIS was published in.... By mail addressed to: Elizabeth Orlando, Keystone XL Project Manager, U.S. Department of State, OES... screening. Fax to: (202) 647-1052, attention Elizabeth Orlando. FOR FURTHER INFORMATION CONTACT: For...

77 FR 13175 - Proposed Collection: Comment Request

Science.gov (United States)

2012-03-05

... required by the Paperwork Reduction Act of 1995, Public Law 104-13 (44 U.S.C. 3506(c)(2)(A). Currently the... written comments to Bureau of the Public Debt, Bruce A. Sharp, 200 Third Street A4-A, Parkersburg, WV 26106-1328, or bruce.sharp@bpd.treas.gov . The opportunity to make comments online is also available at...

77 FR 65248 - Proposed Collection: Comment Request

Science.gov (United States)

2012-10-25

... required by the Paperwork Reduction Act of 1995, Public Law 104-13 (44 U.S.C. 3506(c)(2)(A). Currently the... consideration. ADDRESSES: Direct all written comments to Bureau of the Public Debt, Bruce A. Sharp, 200 Third Street A4-A, Parkersburg, WV 26106-1328, or bruce.sharp@bpd.treas.gov . The opportunity to make comments...

77 FR 43430 - Proposed Collection: Comment Request

Science.gov (United States)

2012-07-24

... required by the Paperwork Reduction Act of 1995, Public Law 104-13 (44 U.S.C. 3506(c)(2)(A). Currently the... consideration. ADDRESSES: Direct all written comments to Bureau of the Public Debt, Bruce A. Sharp, 200 Third Street A4-A, Parkersburg, WV 26106-1328, or bruce.sharp@bpd.treas.gov . The opportunity to make comments...

77 FR 19057 - Proposed Collection: Comment Request

Science.gov (United States)

2012-03-29

... required by the Paperwork Reduction Act of 1995, Public Law 104-13 (44 U.S.C. 3506(c)(2)(A). Currently the... comments to Bureau of the Public Debt, Bruce A. Sharp, 200 Third Street A4-A, Parkersburg, WV 26106-1328, or bruce.sharp@bpd.treas.gov . The opportunity to make comments online is also available at www...

77 FR 19058 - Proposed Collection: Comment Request

Science.gov (United States)

2012-03-29

... required by the Paperwork Reduction Act of 1995, Public Law 104-13 (44 U.S.C. 3506(c)(2)(A). Currently the...: Direct all written comments to Bureau of the Public Debt, Bruce A. Sharp, 200 Third Street A4-A, Parkersburg, WV 26106-1328, or bruce.sharp@bpd.treas.gov . The opportunity to make comments online is also...

77 FR 32178 - Proposed Collection: Comment Request

Science.gov (United States)

2012-05-31

... required by the Paperwork Reduction Act of 1995, Public Law 104-13 (44 U.S.C. 3506(c)(2)(A). Currently the... comments to Bureau of the Public Debt, Bruce A. Sharp, 200 Third Street A4-A, Parkersburg, WV 26106-1328, or bruce.sharp@bpd.treas.gov . The opportunity to make comments online is also available at www...

76 FR 61479 - Proposed Collection: Comment Request

Science.gov (United States)

2011-10-04

... required by the Paperwork Reduction Act of 1995, Public Law 104-13 (44 U.S.C. 3506(c)(2)(A). Currently the... written comments to Bureau of the Public Debt, Bruce A. Sharp, 200 Third Street A4-A, Parkersburg, WV 26106-1328, or bruce.sharp@bpd.treas.gov . The opportunity to make comments online is also available at...

77 FR 74053 - Proposed Collection: Comment Request

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2012-12-12

... required by the Paperwork Reduction Act of 1995, Public Law 104-13 (44 U.S.C. 3506(c)(2)(A). Currently the... consideration. ADDRESSES: Direct all written comments to Bureau of the Public Debt, Bruce A. Sharp, 200 Third Street A4-A, Parkersburg, WV 26106-1328, or bruce.sharp@bpd.treas.gov . The opportunity to make comments...

77 FR 19754 - Proposed Collection: Comment Request

Science.gov (United States)

2012-04-02

... required by the Paperwork Reduction Act of 1995, Public Law 104-13 (44 U.S.C. 3506(c)(2)(A). Currently the... all written comments to Bureau of the Public Debt, Bruce A. Sharp, 200 Third Street A4-A, Parkersburg, WV 26106-1328, or bruce.sharp@bpd.treas.gov . The opportunity to make comments online is also...

78 FR 25535 - Proposed Collection; Comment Request

Science.gov (United States)

2013-05-01

... required by the Paperwork Reduction Act of 1995, Public Law 104-13 (44 U.S.C. 3506(c)(2)(A). Currently the... written comments to Bureau of the Public Debt, Bruce A. Sharp, 200 Third Street A4-A, Parkersburg, WV 26106-1328, or bruce.sharp@bpd.treas.gov . The opportunity to make comments online is also available at...

77 FR 5090 - Proposed Collection: Comment Request

Science.gov (United States)

2012-02-01

... required by the Paperwork Reduction Act of 1995, Public Law 104-13 (44 U.S.C. 3506(c)(2)(A)). Currently the... all written comments to Bureau of the Public Debt, Bruce A. Sharp, 200 Third Street A4-A, Parkersburg, WV 26106-1328, or bruce.sharp@bpd.treas.gov . The opportunity to make comments online is also...

78 FR 149 - Proposed Collection: Comment Request

Science.gov (United States)

2013-01-02

... required by the Paperwork Reduction Act of 1995, Public Law 104-13 (44 U.S.C. 3506(c)(2)(A). Currently the... consideration. ADDRESSES: Direct all written comments to Bureau of the Public Debt, Bruce A. Sharp, 200 Third Street A4-A, Parkersburg, WV 26106-1328, or bruce.sharp@bpd.treas.gov . The opportunity to make comments...

78 FR 76175 - Notice of Public Meeting for the John Day-Snake Resource Advisory Council

Science.gov (United States)

2013-12-16

...] Notice of Public Meeting for the John Day-Snake Resource Advisory Council AGENCY: Bureau of Land... Interior, Bureau of Land Management (BLM), the John Day-Snake Resource Advisory Council (RAC) will meet as indicated below: DATES: The John Day-Snake RAC will hold a public meeting Thursday and Friday, January 9 and...

Randomised controlled pragmatic clinical trial evaluating the effectiveness of a discharge follow-up phone call on 30-day hospital readmissions: balancing pragmatic and explanatory design considerations

Science.gov (United States)

Yiadom, Maame Yaa A B; Domenico, Henry; Byrne, Daniel; Hasselblad, Michele Marie; Gatto, Cheryl L; Kripalani, Sunil; Choma, Neesha; Tucker, Sarah; Wang, Li; Bhatia, Monisha C; Morrison, Johnston; Harrell, Frank E; Hartert, Tina; Bernard, Gordon

2018-01-01

Introduction Hospital readmissions within 30 days are a healthcare quality problem associated with increased costs and poor health outcomes. Identifying interventions to improve patients’ successful transition from inpatient to outpatient care is a continued challenge. Methods and analysis This is a single-centre pragmatic randomised and controlled clinical trial examining the effectiveness of a discharge follow-up phone call to reduce 30-day inpatient readmissions. Our primary endpoint is inpatient readmission within 30 days of hospital discharge censored for death analysed with an intention-to-treat approach. Secondary endpoints included observation status readmission within 30 days, time to readmission, all-cause emergency department revisits within 30 days, patient satisfaction (measured as mean Hospital Consumer Assessment of Healthcare Providers and Systems scores) and 30-day mortality. Exploratory endpoints include the need for assistance with discharge plan implementation among those randomised to the intervention arm and reached by the study nurse, and the number of call attempts to achieve successful intervention delivery. Consistent with the Learning Healthcare System model for clinical research, timeliness is a critical quality for studies to most effectively inform hospital clinical practice. We are challenged to apply pragmatic design elements in order to maintain a high-quality practicable study providing timely results. This type of prospective pragmatic trial empowers the advancement of hospital-wide evidence-based practice directly affecting patients. Ethics and dissemination Study results will inform the structure, objective and function of future iterations of the hospital’s discharge follow-up phone call programme and be submitted for publication in the literature. Trial registration number NCT03050918; Pre-results. PMID:29444787

Comparing performance of 30-day readmission risk classifiers among hospitalized primary care patients.

Science.gov (United States)

Garrison, Gregory M; Robelia, Paul M; Pecina, Jennifer L; Dawson, Nancy L

2017-06-01

Hospital readmission within 30 days of discharge occurs in almost 20% of US Medicare patients and may be a marker of poor quality inpatient care, ineffective hospital to home transitions, or disease severity. Within a patient centered medical home, care transition interventions may only be practical from cost and staffing perspectives if targeted at patients with the greatest risk of readmission. Various scoring algorithms attempt to predict patients at risk for 30-day readmission, but head-to-head comparison of performance is lacking. Compare published scoring algorithms which use generally available electronic medical record data on the same set of hospitalized primary care patients. The LACE index, the LACE+ index, the HOSPITAL score, and the readmission risk score were computed on a consecutive cohort of 26,278 hospital admissions. Classifier performance was assessed by plotting receiver operating characteristic curves comparing the computed score with the actual outcome of death or readmission within 30 days. Statistical significance of differences in performance was assessed using bootstrapping techniques. Correct readmission classification on this cohort was moderate with the following c-statistics: Readmission risk score 0.666; LACE 0.680; LACE+ 0.662; and HOSPITAL 0.675. There was no statistically significant difference in performance between classifiers. Logistic regression based classifiers yield only moderate performance when utilized to predict 30-day readmissions. The task is difficult due to the variety of underlying causes for readmission, nonlinearity, and the arbitrary time period of concern. More sophisticated classification techniques may be necessary to increase performance and allow patient centered medical homes to effectively focus efforts to reduce readmissions. © 2016 John Wiley & Sons, Ltd.

78 FR 44117 - Notice of a Public Comment Period on the Draft IRIS Carcinogenicity Assessment for Ethylene Oxide

Science.gov (United States)

2013-07-23

... Public Comment Period on the Draft IRIS Carcinogenicity Assessment for Ethylene Oxide AGENCY... Carcinogenicity of Ethylene Oxide'' (EPA/635/R-13/128a) and on the draft peer review charge questions. The draft... on the draft Evaluation of the Inhalation Carcinogenicity of Ethylene Oxide and on the draft peer...

75 FR 70903 - Eastern North Pacific Gray Whale; Notice of Extension of Public Comment Period on Marine Mammal...

Science.gov (United States)

2010-11-19

... North Pacific Gray Whale; Notice of Extension of Public Comment Period on Marine Mammal Protection Act... whales (Eschrichtius robustus) as a depleted stock under the Marine Mammal Protection Act (MMPA) and... report for Eastern North Pacific gray whales is available on the Internet at the following address: http...

Risk factors for nonelective 30-day readmission in pediatric assault victims.

Science.gov (United States)

Buicko, Jessica L; Parreco, Joshua; Willobee, Brent A; Wagenaar, Amy E; Sola, Juan E

2017-10-01

Hospital readmission in trauma patients is associated with significant morbidity and increased healthcare costs. There is limited published data on early hospital readmission in pediatric trauma patients. As presently in healthcare outcomes and readmissions rates are increasingly used as hospital quality indicators, it is paramount to recognize risk factors for readmission. We sought to identify national readmission rates in pediatric assault victims and identify the most common readmission diagnoses among these patients. The Nationwide Readmission Database (NRD) for 2013 was queried for all patients under 18years of age with a non-elective admission with an E-code that is designed as assault using National Trauma Data Bank Standards. Multivariate logistic regression was implemented using 18 variables to determine the odds ratios (OR) for non-elective readmission within 30-days. There were 4050 pediatric victims of assault and 92 (2.27%) died during the initial admission. Of the surviving patients 128 (3.23%) were readmitted within 30days. Of these readmitted patients 24 (18.75%) were readmitted to a different hospital and 31 (24.22%) were readmitted for repeated assault. The variables associated with the highest risk for non-elective readmission within 30-days were: length of stay (LOS) >7days (OR 3.028, preadmission diagnosis groups were bipolar disorders (8.2%), post-operative, posttraumatic, or other device infections (6.2%), or major depressive disorders and other/unspecified psychoses (5.2%). Readmission after pediatric assault represents a significant resource burden and almost a quarter of those patients are readmitted after a repeated assault. Understanding risk factors and reasons for readmission in pediatric trauma assault victims can improve discharge planning, family education, and outpatient support, thereby decreasing overall costs and resource burden. Psychoses, weight loss, and prolonged hospitalization are independent prognostic indicators of

Energy days: RTE opens the public the doors of more than 30 electric power transport installations in France; Journees de l'energie: RTE ouvre au public les portes de plus de 30 installations de transport d'electricite en France

Energy Technology Data Exchange (ETDEWEB)

NONE

2001-07-01

From the 14 to the 20 may 2001, the RTE (Electric power Transportation Network) proposed many visits of its installations in France to inform the public on the missions, the jobs and the participation to a durable economic development of this electric utility. This operation participates to the Energy Days organized by the Economy, Finance and Industry Department. (A.L.B.)

30 CFR 780.33 - Relocation or use of public roads.

Science.gov (United States)

2010-07-01

... 30 Mineral Resources 3 2010-07-01 2010-07-01 false Relocation or use of public roads. 780.33... PLAN § 780.33 Relocation or use of public roads. Each application shall describe, with appropriate maps... line of any public road, except where mine access or haul roads join that right-of-way; or (b...

Predictors of 30- and 90-day readmission following craniotomy for malignant brain tumors: analysis of nationwide data.

Science.gov (United States)

Donoho, Daniel A; Wen, Timothy; Babadjouni, Robin M; Schwartzman, William; Buchanan, Ian A; Cen, Steven Y; Zada, Gabriel; Mack, William J; Attenello, Frank J

2018-01-01

Hospital readmissions are a major contributor to increased health care costs and are associated with worse patient outcomes after neurosurgery. We used the newly released Nationwide Readmissions Database (NRD) to describe the association between patient, hospital and payer factors with 30- and 90-day readmission following craniotomy for malignant brain tumor. All adult inpatients undergoing craniotomy for primary and secondary malignant brain tumors in the NRD from 2013 to 2014 were included. We identified all cause readmissions within 30- and 90-days following craniotomy for tumor, excluding scheduled chemotherapeutic procedures. We used univariate and multivariate models to identify patient, hospital and administrative factors associated with readmission. We identified 27,717 admissions for brain tumor craniotomy in 2013-2014, with 3343 (13.2%) 30-day and 5271 (25.7%) 90-day readmissions. In multivariate analysis, patients with Medicaid and Medicare were more likely to be readmitted at 30- and 90-days compared to privately insured patients. Patients with two or more comorbidities were more likely to be readmitted at 30- and 90-days, and patients discharged to skilled nursing facilities or home health care were associated with increased 90-day readmission rates. Finally, hospital procedural volume above the 75th percentile was associated with decreased 90-day readmission rates. Patients treated at high volume hospitals are less likely to be readmitted at 90-days. Insurance type, non-routine discharge and patient comorbidities are predictors of postoperative non-scheduled readmission. Further studies may elucidate potentially modifiable risk factors when attempting to improve outcomes and reduce cost associated with brain tumor surgery.

Multicentre clinical trial experience with the HeartMate 3 left ventricular assist device: 30-day outcomes.

Science.gov (United States)

Zimpfer, Daniel; Netuka, Ivan; Schmitto, Jan D; Pya, Yuriy; Garbade, Jens; Morshuis, Michiel; Beyersdorf, Friedhelm; Marasco, Silvana; Rao, Vivek; Damme, Laura; Sood, Poornima; Krabatsch, Thomas

2016-09-01

The objective of this study was to describe the operative experience and 30-day outcomes of patients implanted with the HeartMate 3 Left Ventricular Assist System (LVAS) during the Conformité Européenne (CE) Mark clinical trial. Adult patients met inclusion and exclusion criteria defining advanced-stage heart failure and included the indications of bridge to transplant and destination therapy. Operative parameters, outcomes, adverse events, physical status and quality-of-life parameters were assessed in the first 30 days after LVAS implant. Fifty patients were implanted with the HeartMate 3 at 10 centres in 6 countries. The 30-day survival rate was 98%. The median operative and cardiopulmonary bypass times were 200 (range: 95-585) min and 84 (range: 47-250) min, respectively. Patients required transfusion with packed red blood cells (3.6 ± 2.3 units), fresh frozen plasma (6.5 ± 5 units) and platelets (2 ± 1 units). Six patients (12%) required reoperation for postoperative bleeding and 10 patients (20%) did not require blood transfusion. The median intensive care time was 6 days (range: 1-112 days) and the total hospital stay was 28 days (range: 14-116 days). The most common adverse events were bleeding (15, 30%), arrhythmia (14, 28%) and infection (10, 20%). There were 2 (4%) strokes. The 30-day outcomes following implantation of the HeartMate 3 demonstrates excellent survival with low adverse event rates. The LVAD performed as intended with no haemolysis or device failure. NCT02170363. HeartMate 3™ CE Mark Clinical Investigation Plan (HM3 CE Mark). © The Author 2016. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.

77 FR 69547 - Proposed Collection: Comment Request

Science.gov (United States)

2012-11-19

... required by the Paperwork Reduction Act of 1995, Public Law 104-13 (44 U.S.C. 3506(c)(2)(A). Currently the.... ADDRESSES: Direct all written comments to Bureau of the Public Debt, Bruce A. Sharp, 200 Third Street A4-A, Parkersburg, WV 26106-1328, or bruce.sharp@bpd.treas.gov . The opportunity to make comments online is also...

78 FR 25533 - Proposed Collection; Comment Request

Science.gov (United States)

2013-05-01

... required by the Paperwork Reduction Act of 1995, Public Law 104-13 (44 U.S.C. 3506(c)(2)(A). Currently the.... ADDRESSES: Direct all written comments to Bureau of the Public Debt, Bruce A. Sharp, 200 Third Street A4-A, Parkersburg, WV 26106-1328, or bruce.sharp@bpd.treas.gov . The opportunity to make comments online is also...

34 CFR 222.30 - What is “free public education”?

Science.gov (United States)

2010-07-01

... Section 8003(b) and (e) of the Act § 222.30 What is “free public education”? In addition to the terms defined in § 222.2, the following definition applies to this part: Free public education. (1) The term... provide a free public education to the children claimed under section 8003. (5) For the purpose of...

30 CFR 784.18 - Relocation or use of public roads.

Science.gov (United States)

2010-07-01

... 30 Mineral Resources 3 2010-07-01 2010-07-01 false Relocation or use of public roads. 784.18... PLAN § 784.18 Relocation or use of public roads. Each application shall describe, with appropriate maps...-of-way line of any public road, except where mine access or haul roads join that right-of-way; or (b...

78 FR 78341 - Extension of Comment Period for Public Comments on Department of Commerce Green Paper, Copyright...

Science.gov (United States)

2013-12-26

... policy issues critical to economic growth, job creation, and cultural development that were identified in...-meeting comments. DATES: To be ensured of consideration, post-meeting comments are due on or before... confidential business information or otherwise sensitive or protected information. The Task Force will accept...

30 CFR 282.4 - Opportunities for review and comment.

Science.gov (United States)

2010-07-01

... OPERATIONS IN THE OUTER CONTINENTAL SHELF FOR MINERALS OTHER THAN OIL, GAS, AND SULPHUR General § 282.4... potential impacts on the environment and to provide comments and recommendations for the disposition of the...

77 FR 66483 - Public Comment on the Draft Federal Urban Design Element and the Draft Update to the Federal...

Science.gov (United States)

2012-11-05

... NCPC review required by law. The new Federal Urban Design Element provides policies that will guide the... public comment a draft new Federal Urban Design Element and draft revisions to the Preservation and... Features Element articulates policies that guide federal actions preserving Washington's historic character...

Public Comments on the proposed 10 CFR Part 51 rule for renewal of nuclear power plant operating licenses and supporting documents: Review of concerns and NRC staff response. Appendices

Energy Technology Data Exchange (ETDEWEB)

NONE

1996-05-01

This volume contains several appendices. Appendix A contains the list of individuals and organizations providing comments at various stages of the rulemaking process. The names of commenters at the public meetings are listed in the order that they spoke at the meeting; those who submitted written comments are listed by docket number. Appendix B contains the summaries of comments made. Each comment summary is identified by a unique comment number. Appendix C presents the concerns and NRC staff responses. Each concern embodies one or more comments on similar or related issues. The associated comment numbers are referenced for each concern. The concerns are organized by topic areas. A three-letter identifier for the topic, followed by a number, is assigned to each concern.

Public Comments on the proposed 10 CFR Part 51 rule for renewal of nuclear power plant operating licenses and supporting documents: Review of concerns and NRC staff response. Appendices

International Nuclear Information System (INIS)

1996-05-01

This volume contains several appendices. Appendix A contains the list of individuals and organizations providing comments at various stages of the rulemaking process. The names of commenters at the public meetings are listed in the order that they spoke at the meeting; those who submitted written comments are listed by docket number. Appendix B contains the summaries of comments made. Each comment summary is identified by a unique comment number. Appendix C presents the concerns and NRC staff responses. Each concern embodies one or more comments on similar or related issues. The associated comment numbers are referenced for each concern. The concerns are organized by topic areas. A three-letter identifier for the topic, followed by a number, is assigned to each concern

Do Online Comments Influence the Public's Attitudes Toward an Organization? Effects of Online Comments Based on Individuals' Prior Attitudes.

Science.gov (United States)

Sung, Kang Hoon; Lee, Moon J

2015-01-01

The authors investigated the effects of reading different types of online comments about a company on people's attitude change based on individual's prior attitude toward the company. Based on Social Judgment Theory, several hypotheses were tested. The results showed that the effects of online comments interact with individuals' prior attitudes toward a corporation. People with a strong negative attitude toward a corporation were less influenced by other's online comments than people with a neutral attitude in general. However, people with a prior negative attitude were more affected by refutational two-sided comments than one-sided comments. The results suggest that the effects of user generated content should be studied in a holistic manner, not only by investigating the effects of online content itself, but also by examining how others' responses to the content shape or change individuals' attitudes based on their prior attitudes.

Comparison of motor and cognitive performance of children attending public and private day care centers

Directory of Open Access Journals (Sweden)

Mariana M. Santos

2013-12-01

Full Text Available BACKGROUND: Given that environmental factors, such as the school environment, can influence child development, more attention should be paid to the development of children attending day care centers. OBJECTIVE: Todetermine whether there are differences in the gross motor, fine motor, or cognitive performances of children between 1 and3 years-old of similar socioeconomic status attending public and private day care centers full time. METHOD: Participants were divided into 2 groups, 1 of children attending public day care centers (69 children and another of children attending private day care centers (47 children. All children were healthy and regularly attended day care full time for over 4 months. To assess cognitive, gross and fine motor performance, the Bayley Scales of Infant and Toddler Development III was used. The Mann-Whitney test was used for comparative analyses between groups of children between 13 and 24 months, 25 and 41 months, and 13 and 41 months. RESULTS: Children in public day care centers exhibited lower scores on the cognitive development scale beginning at 13 months old. The fine and gross motor performance scores were lower in children over the age of 25 months attending public centers. Maternal education was not related to the performance of children in either group. CONCLUSION: The scores of cognitive performance as well as fine and gross motor performance of children of similar socioeconomic status who attend public day care centers are lower than children attending private daycare centers.

76 FR 71346 - Public Meeting and Request for Information: Carcinogen and Recommended Exposure Limit (REL...

Science.gov (United States)

2011-11-17

... participate in the audio conferencing due to the extra clearance involved with in-person attendance. To attend... electronic docket containing all comments submitted will be available within 30 days of the closing date on...

76 FR 56226 - Meeting of the Public Safety Officer Medal of Valor Review Board

Science.gov (United States)

2011-09-12

... those advisory functions specified in 42 U.S.C. 15202. Pursuant to 42 U.S.C. 15201, the President of the..., members of the public who wish to participate must register at least seven (7) days in advance of the... least seven (7) days in advance of the meeting. Please submit any comments or written statements for...

49 CFR 397.71 - Federal standards.

Science.gov (United States)

2010-10-01

... Enforcement and Compliance (MC-EC), 1200 New Jersey Ave., SE., Washington, DC 20590-0001. (2) Public... 30-day period in which to comment. At any time during this period or following review of the comments... left to the discretion of the State or Indian tribe. (iii) The State or Indian tribe shall attempt to...

Human comment dynamics in on-line social systems

Science.gov (United States)

Wu, Ye; Zhou, Changsong; Chen, Maoying; Xiao, Jinghua; Kurths, Jürgen

2010-12-01

Human comment is studied using data from ‘tianya’ which is one of the most popular on-line social systems in China. We found that the time interval between two consecutive comments on the same topic, called inter-event time, follows a power-law distribution. This result shows that there is no characteristic decay time on a topic. It allows for very long periods without comments that separate bursts of intensive comments. Furthermore, the frequency of a different ID commenting on a topic also follows a power-law distribution. It indicates that there are some “hubs” in the topic who lead the direction of the public opinion. Based on the personal comments habit, a model is introduced to explain these phenomena. The numerical simulations of the model fit well with the empirical results. Our findings are helpful for discovering regular patterns of human behavior in on-line society and the evolution of the public opinion on the virtual as well as real society.

Prediction modelling for trauma using comorbidity and 'true' 30-day outcome.

Science.gov (United States)

Bouamra, Omar; Jacques, Richard; Edwards, Antoinette; Yates, David W; Lawrence, Thomas; Jenks, Tom; Woodford, Maralyn; Lecky, Fiona

2015-12-01

Prediction models for trauma outcome routinely control for age but there is uncertainty about the need to control for comorbidity and whether the two interact. This paper describes recent revisions to the Trauma Audit and Research Network (TARN) risk adjustment model designed to take account of age and comorbidities. In addition linkage between TARN and the Office of National Statistics (ONS) database allows patient's outcome to be accurately identified up to 30 days after injury. Outcome at discharge within 30 days was previously used. Prospectively collected data between 2010 and 2013 from the TARN database were analysed. The data for modelling consisted of 129 786 hospital trauma admissions. Three models were compared using the area under the receiver operating curve (AuROC) for assessing the ability of the models to predict outcome, the Akaike information criteria to measure the quality between models and test for goodness-of-fit and calibration. Model 1 is the current TARN model, Model 2 is Model 1 augmented by a modified Charlson comorbidity index and Model 3 is Model 2 with ONS data on 30 day outcome. The values of the AuROC curve for Model 1 were 0.896 (95% CI 0.893 to 0.899), for Model 2 were 0.904 (0.900 to 0.907) and for Model 3 0.897 (0.896 to 0.902). No significant interaction was found between age and comorbidity in Model 2 or in Model 3. The new model includes comorbidity and this has improved outcome prediction. There was no interaction between age and comorbidity, suggesting that both independently increase vulnerability to mortality after injury. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

Licensing reform: a case study in public participation in the nuclear field