WorldWideScience

Sample records for reference service update

  1. Marketing Reference Services.

    Science.gov (United States)

    Norman, O. Gene

    1995-01-01

    Relates the marketing concept to library reference services. Highlights include a review of the literature and an overview of marketing, including research, the marketing mix, strategic plan, marketing plan, and marketing audit. Marketing principles are applied to reference services through the marketing mix elements of product, price, place, and…

  2. Hospitality Services Reference Book.

    Science.gov (United States)

    Texas Tech Univ., Lubbock. Home Economics Curriculum Center.

    This reference book provides information needed by employees in hospitality services occupations. It includes 29 chapters that cover the following topics: the hospitality services industry; professional ethics; organization and management structures; safety practices and emergency procedures; technology; property maintenance and repair; purchasing…

  3. Bibliography of references to avian botulism: Update

    Science.gov (United States)

    Wilson, Sonoma S.; Locke, Louis N.

    1982-01-01

    This bibliography, first compiled in 1970 (Allen and Wilson 1977) and published in 1977 in response to many requests for information on avian botulism, has been updated to include the literature published through 1980.In general, only articles dealing primarily with the avian disease are included, as opposed to those concerned with the various aspects of the biology of Clostridium botulinum, either type C or E. A few exceptions, such as Bengtson's report of the first isolation and description of the type C organism, are included for their historical interest. Progress reports and other administrative documents not available for distribution on request are excluded, as are most textbook accounts, which are generally summaries of work published elsewhere.This bibliography was a cooperative effort by the National Wildlife Health Laboratory, U.S. Fish and Wildlife Service, and the U.S. National Park Service. The National Park Service provided partial funding for the work through Contract No. 89100-0491.Although the authors attempted to list every important reference, they make no claim to complete coverage of the published literature. The authors will be grateful to users of the bibliography who call attention to errors or omissions.Wayne I. Jensen (Retired)Milton Friend, Director, National Wildlife Health Laboratory

  4. 75 FR 62501 - Senior Executive Service Performance Review Board: Update

    Science.gov (United States)

    2010-10-12

    ... AGENCY FOR INTERNATIONAL DEVELOPMENT Senior Executive Service Performance Review Board: Update... Development, Office of Inspector General's Senior Executive Service Performance Review Board. DATES: September... reference-- USAID OIG Senior Executive Service (SES) Performance Review Board). SUPPLEMENTARY INFORMATION: 5...

  5. Global Reference Tables Services Architecture

    Data.gov (United States)

    Social Security Administration — This database stores the reference and transactional data used to provide a data-driven service access method to certain Global Reference Table (GRT) service tables.

  6. Knowledge Management and Reference Services

    Science.gov (United States)

    Gandhi, Smiti

    2004-01-01

    Many corporations are embracing knowledge management (KM) to capture the intellectual capital of their employees. This article focuses on KM applications for reference work in libraries. It defines key concepts of KM, establishes a need for KM for reference services, and reviews various KM initiatives for reference services.

  7. Virtual Reference Services.

    Science.gov (United States)

    Brewer, Sally

    2003-01-01

    As the need to access information increases, school librarians must create virtual libraries. Linked to reliable reference resources, the virtual library extends the physical collection and library hours and lets students learn to use Web-based resources in a protected learning environment. The growing number of virtual schools increases the need…

  8. "In Your Face" Reference Service.

    Science.gov (United States)

    Lipow, Anne Grodzins

    1999-01-01

    Discusses changes in library reference service that have occurred with growing Internet use. Topics include the human factor that is still needed; the nature of reference questions; the goal of user self-sufficiency; the invisible nature of much of librarians' work; and providing real-time, interactive point-of-need service to remote users. (LRW)

  9. Reference Services: A Handmaid's Tale.

    Science.gov (United States)

    Beck, Clare

    1991-01-01

    Discussion of problems in library reference services focuses on the influence of gender roles. A historical overview of gender roles in the development of American librarianship is presented that highlights stereotyped views of and attitudes toward women, which the author suggests still have influences on librarianship today. (17 references) (LRW)

  10. Expert Systems in Reference Services.

    Science.gov (United States)

    Roysdon, Christine, Ed.; White, Howard D., Ed.

    1989-01-01

    Eleven articles introduce expert systems applications in library and information science, and present design and implementation issues of system development for reference services. Topics covered include knowledge based systems, prototype development, the use of artificial intelligence to remedy current system inadequacies, and an expert system to…

  11. An overview of digital reference services

    OpenAIRE

    Hemnani, Anita

    2009-01-01

    Digital reference service is an emerging trend of traditional reference service. Easily accessible digital reference service has become one of the hallmark of the library and information services. The paper highlights how new visage of traditional reference service is developing as a natural solution to keep pace with comprehensive technological environment. It discusses about the basic concepts, elements of digital reference service and give in detail modes, the advantages, limitations, and...

  12. SAM Photovoltaic Model Technical Reference 2016 Update

    Energy Technology Data Exchange (ETDEWEB)

    Gilman, Paul [National Renewable Energy Laboratory (NREL), Golden, CO (United States); DiOrio, Nicholas A [National Renewable Energy Laboratory (NREL), Golden, CO (United States); Freeman, Janine M [National Renewable Energy Laboratory (NREL), Golden, CO (United States); Janzou, Steven [National Renewable Energy Laboratory (NREL), Golden, CO (United States); Dobos, Aron [No longer NREL employee; Ryberg, David [No longer NREL employee

    2018-03-19

    This manual describes the photovoltaic performance model in the System Advisor Model (SAM) software, Version 2016.3.14 Revision 4 (SSC Version 160). It is an update to the 2015 edition of the manual, which describes the photovoltaic model in SAM 2015.1.30 (SSC 41). This new edition includes corrections of errors in the 2015 edition and descriptions of new features introduced in SAM 2016.3.14, including: 3D shade calculator Battery storage model DC power optimizer loss inputs Snow loss model Plane-of-array irradiance input from weather file option Support for sub-hourly simulations Self-shading works with all four subarrays, and uses same algorithm for fixed arrays and one-axis tracking Linear self-shading algorithm for thin-film modules Loss percentages replace derate factors. The photovoltaic performance model is one of the modules in the SAM Simulation Core (SSC), which is part of both SAM and the SAM SDK. SAM is a user-friedly desktop application for analysis of renewable energy projects. The SAM SDK (Software Development Kit) is for developers writing their own renewable energy analysis software based on SSC. This manual is written for users of both SAM and the SAM SDK wanting to learn more about the details of SAM's photovoltaic model.

  13. Roaming Reference: Reinvigorating Reference through Point of Need Service

    Directory of Open Access Journals (Sweden)

    Kealin M. McCabe

    2011-11-01

    Full Text Available Roaming reference service was pursued as a way to address declining reference statistics. The service was staffed by librarians armed with iPads over a period of six months during the 2010-2011 academic year. Transactional statistics were collected in relation to query type (Research, Facilitative or Technology, location and approach (librarian to patron, patron to librarian or via chat widget. Overall, roaming reference resulted in an additional 228 reference questions, 67% (n=153 of which were research related. Two iterations of the service were implemented, roaming reference as a standalone service (Fall 2010 and roaming reference integrated with traditional reference desk duties (Winter 2011. The results demonstrate that although the Weller Library’s reference transactions are declining annually, they are not disappearing. For a roaming reference service to succeed, it must be a standalone service provided in addition to traditional reference services. The integration of the two reference models (roaming reference and reference desk resulted in a 56% decline in the total number of roaming reference questions from the previous term. The simple act of roaming has the potential to reinvigorate reference services as a whole, forcing librarians outside their comfort zones, allowing them to reach patrons at their point of need.

  14. Spatial Updating Strategy Affects the Reference Frame in Path Integration.

    Science.gov (United States)

    He, Qiliang; McNamara, Timothy P

    2018-06-01

    This study investigated how spatial updating strategies affected the selection of reference frames in path integration. Participants walked an outbound path consisting of three successive waypoints in a featureless environment and then pointed to the first waypoint. We manipulated the alignment of participants' final heading at the end of the outbound path with their initial heading to examine the adopted reference frame. We assumed that the initial heading defined the principal reference direction in an allocentric reference frame. In Experiment 1, participants were instructed to use a configural updating strategy and to monitor the shape of the outbound path while they walked it. Pointing performance was best when the final heading was aligned with the initial heading, indicating the use of an allocentric reference frame. In Experiment 2, participants were instructed to use a continuous updating strategy and to keep track of the location of the first waypoint while walking the outbound path. Pointing performance was equivalent regardless of the alignment between the final and the initial headings, indicating the use of an egocentric reference frame. These results confirmed that people could employ different spatial updating strategies in path integration (Wiener, Berthoz, & Wolbers Experimental Brain Research 208(1) 61-71, 2011), and suggested that these strategies could affect the selection of the reference frame for path integration.

  15. Who's Who? Memory updating and character reference in children's narratives.

    Science.gov (United States)

    Whitely, Cristy; Colozzo, Paola

    2013-10-01

    The capacity to update and monitor the contents of working memory is an executive function presumed to play a critical role in language processing. The current study used an individual differences approach to consider the relationship between memory updating and accurate reference to story characters in the narratives of typically developing children. English-speaking children from kindergarten to grade 2 ( N = 63; M age = 7.0 years) completed updating tasks, short-term memory tasks, and narrative productions. The authors used multiple regression to test whether updating accounted for independent variability in referential adequacy. The capacity to update working memory was related to adequate character reference beyond the effects of age and of short-term memory capacity, with the strongest relationship emerging for maintaining reference over multiple utterances. This individual differences study is the first to show a link between updating and performance in a discourse production task for young school-age children. The findings contribute to the growing body of research investigating the role of working memory in shaping language production. This study invites extension to children of different ages and language abilities as well as to other language production tasks.

  16. The International Reference Ionosphere: Model Update 2016

    Science.gov (United States)

    Bilitza, Dieter; Altadill, David; Reinisch, Bodo; Galkin, Ivan; Shubin, Valentin; Truhlik, Vladimir

    2016-04-01

    The International Reference Ionosphere (IRI) is recognized as the official standard for the ionosphere (COSPAR, URSI, ISO) and is widely used for a multitude of different applications as evidenced by the many papers in science and engineering journals that acknowledge the use of IRI (e.g., about 11% of all Radio Science papers each year). One of the shortcomings of the model has been the dependence of the F2 peak height modeling on the propagation factor M(3000)F2. With the 2016 version of IRI, two new models will be introduced for hmF2 that were developed directly based on hmF2 measurements by ionosondes [Altadill et al., 2013] and by COSMIC radio occultation [Shubin, 2015], respectively. In addition IRI-2016 will include an improved representation of the ionosphere during the very low solar activities that were reached during the last solar minimum in 2008/2009. This presentation will review these and other improvements that are being implemented with the 2016 version of the IRI model. We will also discuss recent IRI workshops and their findings and results. One of the most exciting new projects is the development of the Real-Time IRI [Galkin et al., 2012]. We will discuss the current status and plans for the future. Altadill, D., S. Magdaleno, J.M. Torta, E. Blanch (2013), Global empirical models of the density peak height and of the equivalent scale height for quiet conditions, Advances in Space Research 52, 1756-1769, doi:10.1016/j.asr.2012.11.018. Galkin, I.A., B.W. Reinisch, X. Huang, and D. Bilitza (2012), Assimilation of GIRO Data into a Real-Time IRI, Radio Science, 47, RS0L07, doi:10.1029/2011RS004952. Shubin V.N. (2015), Global median model of the F2-layer peak height based on ionospheric radio-occultation and ground-based Digisonde observations, Advances in Space Research 56, 916-928, doi:10.1016/j.asr.2015.05.029.

  17. Benchmarking reference services: an introduction.

    Science.gov (United States)

    Marshall, J G; Buchanan, H S

    1995-01-01

    Benchmarking is based on the common sense idea that someone else, either inside or outside of libraries, has found a better way of doing certain things and that your own library's performance can be improved by finding out how others do things and adopting the best practices you find. Benchmarking is one of the tools used for achieving continuous improvement in Total Quality Management (TQM) programs. Although benchmarking can be done on an informal basis, TQM puts considerable emphasis on formal data collection and performance measurement. Used to its full potential, benchmarking can provide a common measuring stick to evaluate process performance. This article introduces the general concept of benchmarking, linking it whenever possible to reference services in health sciences libraries. Data collection instruments that have potential application in benchmarking studies are discussed and the need to develop common measurement tools to facilitate benchmarking is emphasized.

  18. User Preferences in Reference Services: Virtual Reference and Academic Libraries

    Science.gov (United States)

    Cummings, Joel; Cummings, Lara; Frederiksen, Linda

    2007-01-01

    This study examines the use of chat in an academic library's user population and where virtual reference services might fit within the spectrum of public services offered by academic libraries. Using questionnaires, this research demonstrates that many within the academic community are open to the idea of chat-based reference or using chat for…

  19. ADC Catalog Services: an Update

    Science.gov (United States)

    Gass, J. E.; Roman, N. G.; Schneider, G. L.; Blackwell, J. H.; Kuin, N. P. M.; Larkin, M. C.; Lyu, C.-C. J.; Cheung, C. Y.

    1996-12-01

    The Astronomical Data Center (ADC) at the NASA Goddard Space Flight Center is a major archive and distribution center for computer-readable versions of astronomical catalogs and journal data tables. The ADC's archives contain more than 1600 catalogs and tables of astrometry, photometry, spectroscopy, radio, high energy, and other miscellaneous data for stellar and non-stellar objects. These data files are documented in a standardized manner, developed in cooperation with the Centre de Donnees astronomiques de Strasbourg (CDS). The ADC's data collection is available via anonymous FTP from node adc.gsfc.nasa.gov in the /pub/adc/archives directory. The holdings can also be accessed from the ADC's WWW site, http://adc.gsfc.nasa.gov/. This site permits users to search the text of the documentation files to locate catalogs and tables of interest or to browse the archives. Hypertext author and keyword indices, and other browsing tools have recently been developed as additional aids to navigating the ADC's large collection of data sets. The ADC is currently developing services to allow researchers to easily locate data fields of interest within files in its archives. The ADC has also prepared three volumes of CD-ROMs that contain several hundred of the largest and most requested catalogs in both ASCII and FITS table formats.

  20. Important update of CERN Mail Services

    CERN Multimedia

    IT Department

    2009-01-01

    The CERN Mail Services are evolving. In the course of June and July 2009, all CERN mailboxes will be updated with a new infrastructure for hosting mailboxes, running Exchange 2007. This update is taking place in order to provide the capacity upgrade for the constantly growing volume of CERN mailboxes. It is also the opportunity to provide a number of improvements to CERN mailboxes: new and improved Outlook Web Access (the web interface used to access your mailbox from a web browser, also known as "webmail"), new features in the Out-of-Office auto-reply assistant, easier spam management... The update will preserve the mailbox configuration and no specific action is required by users. During the next weeks, each mailbox will be individually notified of the upcoming update the day before it takes place. We invite all users to carefully read this notification as it will contain the latest information for this update. The mailbox will be unavailable for a short time during the ni...

  1. 76 FR 8989 - Federal Acquisition Regulation; Updated Financial Accounting Standards Board Accounting References

    Science.gov (United States)

    2011-02-16

    ... Acquisition Regulation; Updated Financial Accounting Standards Board Accounting References AGENCIES... Acquisition Regulation (FAR) to update references to authoritative accounting standards owing to the Financial... Accounting Principles (GAAP) (``Codification of GAAP''). DATES: Interested parties should submit written...

  2. Virtual Reference, Real Money: Modeling Costs in Virtual Reference Services

    Science.gov (United States)

    Eakin, Lori; Pomerantz, Jeffrey

    2009-01-01

    Libraries nationwide are in yet another phase of belt tightening. Without an understanding of the economic factors that influence library operations, however, controlling costs and performing cost-benefit analyses on services is difficult. This paper describes a project to develop a cost model for collaborative virtual reference services. This…

  3. Mission IM-Possible: Starting an Instant Message Reference Service Using Trillian

    Science.gov (United States)

    Ciocco, Ronalee; Huff, Alice

    2007-01-01

    The authors, both of whom are working at the Musselman library, relate how they are always looking for ways to improve and update their reference service. When they introduced a chat reference service to their online library services, they received only four inquiries in the entire year 2002-2003. The authors found out later that the paltry number…

  4. User satisfaction with referrals at a collaborative virtual reference service Virtual reference services, Reference services, Referrals, User satisfaction

    Directory of Open Access Journals (Sweden)

    Nahyun Kwon

    2006-01-01

    Full Text Available Introduction. This study investigated unmonitored referrals in a nationwide, collaborative chat reference service. Specifically, it examined the extent to which questions are referred, the types of questions that are more likely to be referred than others, and the level of user satisfaction with the referrals in the collaborative chat reference service. Method. The data analysed for this study were 420 chat reference transaction transcripts along with corresponding online survey questionnaires submitted by the service users. Both sets of data were collected from an electronic archive of a southeastern state public library system that has participated in 24/7 Reference of the Metropolitan Cooperative Library System (MCLS. Results. Referrals in the collaborative chat reference service comprised approximately 30% of the total transactions. Circulation-related questions were the most often referred among all question types, possibly because of the inability of 'outside' librarians to access patron accounts. Most importantly, user satisfaction with referrals was found to be significantly lower than that of completed answers. Conclusion. The findings of this study addressed the importance of distinguishing two types of referrals: the expert research referrals conducive to collaborative virtual reference services; and the re-directional local referrals that increase unnecessary question traffic, thereby being detrimental to effective use of collaborative reference. Continuing efforts to conceptualize referrals in multiple dimensions are anticipated to fully grasp complex phenomena underlying referrals.

  5. Collective Management of Reference Services.

    Science.gov (United States)

    Comer, Cynthia H.; And Others

    1988-01-01

    Describes a one-year experiment with collective management--i.e., management in which decision-making rests with the department as a whole--in the Oberlin College Library reference department. The planning process, problems, and advantages and disadvantages of this style of management are discussed. Several questions are raised about the…

  6. S. R. Ranganathan's Theory of Reference Service.

    Science.gov (United States)

    Varghese, Manoj M.

    A study of S. R. Ranganathan's theory of reference service is undertaken by using an historical methodology. It was evident from the literature review that Ranganathan had established that reference service was the most important work and served as the hub of all library practices. There were six factors that were repeatedly considered by…

  7. Uncertainty in Reference and Information Service

    Science.gov (United States)

    VanScoy, Amy

    2015-01-01

    Introduction: Uncertainty is understood as an important component of the information seeking process, but it has not been explored as a component of reference and information service. Method: Interpretative phenomenological analysis was used to examine the practitioner perspective of reference and information service for eight academic research…

  8. Evaluation of Reference Services--A Review

    Science.gov (United States)

    Kuruppu, Pali U.

    2007-01-01

    Understanding the inherent deficiencies in reference service as provided is critical to providing effective, high quality service. Quantitative and qualitative research methodologies, as well as a combination of both, are being used to evaluate these services. The identification of appropriate research methodology is critical to an effective…

  9. Asynchronous Message Service Reference Implementation

    Science.gov (United States)

    Burleigh, Scott C.

    2011-01-01

    This software provides a library of middleware functions with a simple application programming interface, enabling implementation of distributed applications in conformance with the CCSDS AMS (Consultative Committee for Space Data Systems Asynchronous Message Service) specification. The AMS service, and its protocols, implement an architectural concept under which the modules of mission systems may be designed as if they were to operate in isolation, each one producing and consuming mission information without explicit awareness of which other modules are currently operating. Communication relationships among such modules are self-configuring; this tends to minimize complexity in the development and operations of modular data systems. A system built on this model is a society of generally autonomous, inter-operating modules that may fluctuate freely over time in response to changing mission objectives, modules functional upgrades, and recovery from individual module failure. The purpose of AMS, then, is to reduce mission cost and risk by providing standard, reusable infrastructure for the exchange of information among data system modules in a manner that is simple to use, highly automated, flexible, robust, scalable, and efficient. The implementation is designed to spawn multiple threads of AMS functionality under the control of an AMS application program. These threads enable all members of an AMS-based, distributed application to discover one another in real time, subscribe to messages on specific topics, and to publish messages on specific topics. The query/reply (client/server) communication model is also supported. Message exchange is optionally subject to encryption (to support confidentiality) and authorization. Fault tolerance measures in the discovery protocol minimize the likelihood of overall application failure due to any single operational error anywhere in the system. The multi-threaded design simplifies processing while enabling application nodes to

  10. The Supercontinuum Laser Source Fundamentals with Updated References

    CERN Document Server

    Alfano, Robert R

    2006-01-01

    Photonics and nonlinear optics are important areas of science, engineering and technology. One of the most important ultrafast nonlinear optical processes is the supercontinuum (SC) – the production of intense white light pulses covering: uv, visible, NIR, MIR, and IR. It is produced using ultrashort laser pulses (ps/fs) to produce the ultrabroad band of frequencies. This book covers the fundamental principles and surveys research of current thinkers and experts in the field with updated references of the key breakthroughs over the past decade and a half. The application of SC are time-resolved pump-SC probe absorption and excitation spectroscopy for chemistry, biology and physics fundamental processes; optical coherence tomography; ultrashort pulse generation in femtosecond and attosecond regions; frequency clocks; phase stabilization; optical communication; atmospheric science; lightning control; optical medical imaging; biological cell imaging; and metrology standards.

  11. Using Instant Messaging for Online Reference Service

    Science.gov (United States)

    Forster, Shirley

    2006-01-01

    Many libraries are using co-browsing chat products to provide reference services to their patrons, whilst their patrons are online and using the internet. The concept of such an online service is highly desirable, but many libraries are concerned that they will never be able to afford such a system. This may have changed: Instant Messaging (IM)…

  12. EARS: Electronic Access to Reference Service.

    Science.gov (United States)

    Weise, F O; Borgendale, M

    1986-10-01

    Electronic Access to Reference Service (EARS) is a front end to the Health Sciences Library's electronic mail system, with links to the online public catalog. EARS, which became operational in September 1984, is accessed by users at remote sites with either a terminal or microcomputer. It is menu-driven, allowing users to request: a computerized literature search, reference information, a photocopy of a journal article, or a book. This paper traces the history of EARS and discusses its use, its impact on library staff and services, and factors that influence the diffusion of new technology.

  13. Information services directory: An Update of 5/87

    International Nuclear Information System (INIS)

    1989-03-01

    The Information Services Directory is intended to facilitate dissemination of information. The Directory is produced by the Information Services Division of OCRWM's Office of External Relations and Policy and will be updated periodically. This is the second such update since its issuance in August 1986. It is a reference document that lists the sources of program information available to States, Indian Tribes and the public. Chapter I of this Directory describes current program information sources, including the OCRWM Bulletin, the Electronic Bulletin Board (INFOLINK) and other periodic publications produced by OCRWM and DOE's Office of Scientific and Technical Information (OSTI). Chapter II is an index of DOE, State and Federal Agency contacts. Chapter III provides a directory of DOE technical information and includes descriptions of computerized data bases and other resources. Chapter IV enumerates Congressional Committees and Subcommittees that have jurisdiction over various components of the Civilian Radioactive Waste Management Program, and Chapter V lists DOE Reading Rooms and Information Offices, NRC Local Public Document Rooms, and public libraries in the State of Nevada that are on one or more of OCRWM's mailing lists. Chapter VI is an index of systems and Chapter VII offers listings of selected publications

  14. Updated Reference Model for Heat Generation in the Lithosphere

    Science.gov (United States)

    Wipperfurth, S. A.; Sramek, O.; Roskovec, B.; Mantovani, F.; McDonough, W. F.

    2017-12-01

    Models integrating geophysics and geochemistry allow for characterization of the Earth's heat budget and geochemical evolution. Global lithospheric geophysical models are now constrained by surface and body wave data and are classified into several unique tectonic types. Global lithospheric geochemical models have evolved from petrological characterization of layers to a combination of petrologic and seismic constraints. Because of these advances regarding our knowledge of the lithosphere, it is necessary to create an updated chemical and physical reference model. We are developing a global lithospheric reference model based on LITHO1.0 (segmented into 1°lon x 1°lat x 9-layers) and seismological-geochemical relationships. Uncertainty assignments and correlations are assessed for its physical attributes, including layer thickness, Vp and Vs, and density. This approach yields uncertainties for the masses of the crust and lithospheric mantle. Heat producing element abundances (HPE: U, Th, and K) are ascribed to each volume element. These chemical attributes are based upon the composition of subducting sediment (sediment layers), composition of surface rocks (upper crust), a combination of petrologic and seismic correlations (middle and lower crust), and a compilation of xenolith data (lithospheric mantle). The HPE abundances are correlated within each voxel, but not vertically between layers. Efforts to provide correlation of abundances horizontally between each voxel are discussed. These models are used further to critically evaluate the bulk lithosphere heat production in the continents and the oceans. Cross-checks between our model and results from: 1) heat flux (Artemieva, 2006; Davies, 2013; Cammarano and Guerri, 2017), 2) gravity (Reguzzoni and Sampietro, 2015), and 3) geochemical and petrological models (Rudnick and Gao, 2014; Hacker et al. 2015) are performed.

  15. Effectiveness of Reference Services in Providing Students ...

    African Journals Online (AJOL)

    after spending lots of money due to some reason and the other. .... services include various forms of current awareness and selective dissemination of ... the users. Personal attention is at the very heart of the reference desk, and the goal of the.

  16. Towards Dynamic Updates in Service Composition

    Directory of Open Access Journals (Sweden)

    Mario Bravetti

    2015-12-01

    Full Text Available We survey our results about verification of adaptable processes. We present adaptable processes as a way of overcoming the limitations that process calculi have for describing patterns of dynamic process evolution. Such patterns rely on direct ways of controlling the behavior and location of running processes, and so they are at the heart of the adaptation capabilities present in many modern concurrent systems. Adaptable processes have named scopes and are sensible to actions of dynamic update at runtime; this allows to express dynamic and static topologies of adaptable processes as well as different evolvability patterns for concurrent processes. We introduce a core calculus of adaptable processes and consider verification problems for them: first based on specific properties related to error occurrence, that we call bounded and eventual adaptation, and then by considering a simple yet expressive temporal logic over adaptable processes. We provide (undecidability results of such verification problems over adaptable processes considering the spectrum of topologies/evolvability patterns introduced. We then consider distributed adaptability, where a process can update part of a protocol by performing dynamic distributed updates over a set of protocol participants. Dynamic updates in this context are presented as an extension of our work on choreographies and behavioural contracts in multiparty interactions. We show how update mechanisms considered for adaptable processes can be used to extend the theory of choreography and orchestration/contracts, allowing them to be modified at run-time by internal (self-adaptation or external intervention.

  17. Dissociating Working Memory Updating and Automatic Updating: The Reference-Back Paradigm

    Science.gov (United States)

    Rac-Lubashevsky, Rachel; Kessler, Yoav

    2016-01-01

    Working memory (WM) updating is a controlled process through which relevant information in the environment is selected to enter the gate to WM and substitute its contents. We suggest that there is also an automatic form of updating, which influences performance in many tasks and is primarily manifested in reaction time sequential effects. The goal…

  18. Providing quality reference services at a special library

    OpenAIRE

    Semertzaki, Eva

    2006-01-01

    The paper deals with the traditional vs. modern reference service and with the reference interview and its value. It analyzes new channels of communication: the virtual reference service. It explores the advantages and disadvantages of face-to-face vs. virtual reference and touches issues of user education, information literacy, user satisfaction and evaluation of reference services. Finally, it highlights the competencies of the reference librarian.

  19. Comprehensive T-Matrix Reference Database: A 2012 - 2013 Update

    Science.gov (United States)

    Mishchenko, Michael I.; Videen, Gorden; Khlebtsov, Nikolai G.; Wriedt, Thomas

    2013-01-01

    The T-matrix method is one of the most versatile, efficient, and accurate theoretical techniques widely used for numerically exact computer calculations of electromagnetic scattering by single and composite particles, discrete random media, and particles imbedded in complex environments. This paper presents the fifth update to the comprehensive database of peer-reviewed T-matrix publications initiated by us in 2004 and includes relevant publications that have appeared since 2012. It also lists several earlier publications not incorporated in the original database, including Peter Waterman's reports from the 1960s illustrating the history of the T-matrix approach and demonstrating that John Fikioris and Peter Waterman were the true pioneers of the multi-sphere method otherwise known as the generalized Lorenz - Mie theory.

  20. Vidyo@CERN: A Service Update

    CERN Document Server

    Fernandes, J

    2015-01-01

    We will present an overview of the current real-time video service offering for the LHC, in particular the operation of the CERN Vidyo service will be described in terms of consolidated performance and scale: The service is an increasingly critical part of the daily activity of the LHC collaborations, topping recently more than 50 million minutes of communication in one year, with peaks of up to 852 simultaneous connections. We will elaborate on the improvement of some front-end key features such as the integration with CERN Indico, or the enhancements of the Unified Client and also on new ones, released or in the pipeline, such as a new WebRTC client and CERN SSO/Federated SSO integration. An overview of future infrastructure improvements, such as virtualization techniques of Vidyo routers and geo-location mechanisms for load-balancing and optimum user distribution across the service infrastructure will also be discussed. The work done by CERN to improve the monitoring of its Vidyo network will also be prese...

  1. Current status of digital reference services in academic libraries in ...

    African Journals Online (AJOL)

    This paper investigates the extent of the application of digital reference services in academic libraries in Nigeria, highlighting the emerging formats and models of digital reference services, to include email and web forms, Ask A librarian services, online chat reference, video conferencing, digital robots, and collaborative ...

  2. Updated reference design of a liquid metal cooled tandem mirror fusion breeder

    Energy Technology Data Exchange (ETDEWEB)

    Berwald, D.H.; Whitley, R.H.; Garner, J.K.; Gromada, R.J.; McCarville, T.J.; Moir, R.W.; Lee, J.D.; Bandini, B.R.; Fulton, F.J.; Wong, C.P.C.; Maya, I.; Hoot, C.G.; Schultz, K.R.; Miller, L.G.; Beeston, J.M.; Harris, B.L.; Westman, R.A.; Ghoniem, N.M.; Orient, G.; Wolfer, M.; DeVan, J.H.; Torterelli, P.

    1985-09-01

    Detailed studies of key techinical issues for liquid metal cooled fusion breeder (fusion-fission hybrid blankets) have been performed during the period 1983-4. Based upon the results of these studies, the 1982 reference liquid metal cooled tandem mirror fusion breeder blanket design was updated and is described. The updated reference blankets provides increased breeding and lower technological risk in comparison with the original reference blanket. In addition to the blanket design revisions, a plant concept, cost, and fuel cycle economics assessment is provided. The fusion breeder continues to promise an economical source of fissile fuel for the indefinite future.

  3. Updated reference design of a liquid metal cooled tandem mirror fusion breeder

    International Nuclear Information System (INIS)

    Berwald, D.H.; Whitley, R.H.; Garner, J.K.

    1985-09-01

    Detailed studies of key techinical issues for liquid metal cooled fusion breeder (fusion-fission hybrid blankets) have been performed during the period 1983-4. Based upon the results of these studies, the 1982 reference liquid metal cooled tandem mirror fusion breeder blanket design was updated and is described. The updated reference blankets provides increased breeding and lower technological risk in comparison with the original reference blanket. In addition to the blanket design revisions, a plant concept, cost, and fuel cycle economics assessment is provided. The fusion breeder continues to promise an economical source of fissile fuel for the indefinite future

  4. An Update to the NASA Reference Solar Sail Thrust Model

    Science.gov (United States)

    Heaton, Andrew F.; Artusio-Glimpse, Alexandra B.

    2015-01-01

    An optical model of solar sail material originally derived at JPL in 1978 has since served as the de facto standard for NASA and other solar sail researchers. The optical model includes terms for specular and diffuse reflection, thermal emission, and non-Lambertian diffuse reflection. The standard coefficients for these terms are based on tests of 2.5 micrometer Kapton sail material coated with 100 nm of aluminum on the front side and chromium on the back side. The original derivation of these coefficients was documented in an internal JPL technical memorandum that is no longer available. Additionally more recent optical testing has taken place and different materials have been used or are under consideration by various researchers for solar sails. Here, where possible, we re-derive the optical coefficients from the 1978 model and update them to accommodate newer test results and sail material. The source of the commonly used value for the front side non-Lambertian coefficient is not clear, so we investigate that coefficient in detail. Although this research is primarily designed to support the upcoming NASA NEA Scout and Lunar Flashlight solar sail missions, the results are also of interest to the wider solar sail community.

  5. Cost Analysis Sources and Documents Data Base Reference Manual (Update)

    Science.gov (United States)

    1989-06-01

    M: Refcrence Manual PRICE H: Training Course Workbook 11. Use in Cost Analysis. Important source of cost estimates for electronic and mechanical...Nature of Data. Contains many microeconomic time series by month or quarter. 5. Level of Detail. Very detailed. 6. Normalization Processes Required...Reference Manual. Moorestown, N.J,: GE Corporation, September 1986. 64. PRICE Training Course Workbook . Moorestown, N.J.: GE Corporation, February 1986

  6. The University of Texas at Arlington's Virtual Reference Service: An Evaluation by the Reference Staff

    Science.gov (United States)

    Casebier, Katherine D.

    2006-01-01

    The University of Texas at Arlington's Library began using an online chat reference in 2002. The service, called Collaborative Digital Reference Service, later became "Ask a Librarian." Slightly over one year later, the library joined the University of Texas System's "Ask a Librarian" service. Both services are powered by…

  7. Updating of visual orientation in a gravity-based reference frame.

    Science.gov (United States)

    Niehof, Nynke; Tramper, Julian J; Doeller, Christian F; Medendorp, W Pieter

    2017-10-01

    The brain can use multiple reference frames to code line orientation, including head-, object-, and gravity-centered references. If these frames change orientation, their representations must be updated to keep register with actual line orientation. We tested this internal updating during head rotation in roll, exploiting the rod-and-frame effect: The illusory tilt of a vertical line surrounded by a tilted visual frame. If line orientation is stored relative to gravity, these distortions should also affect the updating process. Alternatively, if coding is head- or frame-centered, updating errors should be related to the changes in their orientation. Ten subjects were instructed to memorize the orientation of a briefly flashed line, surrounded by a tilted visual frame, then rotate their head, and subsequently judge the orientation of a second line relative to the memorized first while the frame was upright. Results showed that updating errors were mostly related to the amount of subjective distortion of gravity at both the initial and final head orientation, rather than to the amount of intervening head rotation. In some subjects, a smaller part of the updating error was also related to the change of visual frame orientation. We conclude that the brain relies primarily on a gravity-based reference to remember line orientation during head roll.

  8. Behind the Appearance of Reference Services at the Library University

    Directory of Open Access Journals (Sweden)

    Lailatur Rahmi

    2016-12-01

    Full Text Available This study aims to describe the development of reference services at the Library of Universitas Indonesia. The research discussed about innovation in the development of new activities in the reference services. Analyzing reference services from librarians’ point of view concerning the new activities in reference services, including attitudes and policies toward activities. This research takes a descriptive qualitative approach and uses semiotic analysis refering to Semiology of Roland Bathes concerning significance from two stage,  denotation and connotation, for analyzing the result of interviews. The results showed that the Universitas Indonesia Library reference service provides some new activities. Librarians become more active, revealed to be closer  to users, and transformation of information technology is seen as one of the competitive need to accompany the development of knowledge. Transfer media eventually have implications not on technology but rather to communication of reference services in the Universitas Indonesia Library.

  9. Behind the Appearance of Reference Services at the Library University

    Directory of Open Access Journals (Sweden)

    Lailatur Rahmi

    2018-01-01

    Full Text Available This study aims to describe the development of reference services at the Library of Universitas Indonesia. The research discussed about innovation in the development of new activities in the reference services. Analyzing reference services from librarians’ point of view concerning the new activities in reference services, including attitudes and policies toward activities. This research takes a descriptive qualitative approach and uses semiotic analysis refering to Semiology of Roland Bathes concerning significance from two stage,  denotation and connotation, for analyzing the result of interviews. The results showed that the Universitas Indonesia Library reference service provides some new activities. Librarians become more active, revealed to be closer  to users, and transformation of information technology is seen as one of the competitive need to accompany the development of knowledge. Transfer media eventually have implications not on technology but rather to communication of reference services in the Universitas Indonesia Library.

  10. From a Distance: Robust Reference Service via Instant Messaging

    Science.gov (United States)

    Meulemans, Yvonne Nalani; Carr, Allison; Ly, Pearl

    2010-01-01

    Reference service via instant messaging (IM) has significant potential to benefit distance learners. There has been wide experimentation with IM to expand reference services in libraries across the US, with mixed results. Concern has been expressed that IM cannot provide the same reference experience as face-to-face interactions. One academic…

  11. Medicare Preventive Services Quick Reference Tool

    Data.gov (United States)

    U.S. Department of Health & Human Services — This educational tool provides the following information on Medicare preventive services Healthcare Common Procedure Coding System (HCPCS)-Current Procedural...

  12. Patron Preference in Reference Service Points.

    Science.gov (United States)

    Morgan, Linda

    1980-01-01

    Behavior of patrons choosing between a person sitting at a counter and one sitting at a desk at each of two reference points was observed at the reference department during remodeling at the M. D. Anderson Library of the University of Houston. Results showed a statistically relevant preference for the counter. (Author/JD)

  13. Blending the Trends: A Holistic Approach to Reference Services

    Science.gov (United States)

    Dempsey, Megan

    2011-01-01

    The growing trends of tiered reference, roving librarians, and virtual reference offer academic libraries several options for providing the most effective reference service. Increased enrollment at community colleges has prompted a reconsideration of how librarians can balance reference, teaching, and faculty responsibilities. This article…

  14. Digital reference service : libraries online 24/7

    OpenAIRE

    Vijayakumar, Manju; Vijayakumar, J. K.

    2005-01-01

    The integration of the Internet Technology in to Libraries has not changed its mission of providing excellent information service to users but it has added several new dimensions and opened new avenues to their tasks. Reference librarians, while assisting users in the library, now have an additional set of remote users, who access the reference service online, who are more demanding, less patient users who have greater expectations. This paper discusses the methods in Online Reference service...

  15. Influence of Public Relations and Reference Services on Academic ...

    African Journals Online (AJOL)

    ... infrastructure. Keywords: Academic Library, library services, Public relations, Reference Services ... books and journal articles for writing them and doing class assignment. ..... the present economic situation in the country is having adverse ...

  16. Digital reference services: an overview | Oluwabiyi | Information ...

    African Journals Online (AJOL)

    Technological development in the world has brought many changes to libraries and their service deliveries. Many Libraries are trying to improve on their services by moving from face to face interaction to a digital environment. In this era of information explosion, many people rely on the internet for information and less ...

  17. Analysis of E-mail Transactions in Virtual Reference Services

    Directory of Open Access Journals (Sweden)

    Astutik Nur Qomariyah

    2016-01-01

    Full Text Available Today, the use of traditional reference desk in the academic libraries has been rarely used, thus expanding or even move to a virtual reference service. A minimum level of virtual reference services are provided in the academic library is currently in general is the electronic mail (e-mail. One of the academic library specifically provide virtual reference services via e-mail is a Petra Christian University (PCU Library (ref-desk@petra.ac.id.. In such services librarians provide assistance to users in finding information and answer questions. This study aimed to analyze the transaction reference services virtually through e-mail at the PCU Library, with a view of the types of questions based on user background, the writing style of language communication interaction used based on user background, and cultural values are revealed behind the user in virtual reference services (e-mail. This study uses content analysis (content analysis of the transcript e-mail received librarians of reference services began March 10 until June 16, 2015. The results showed that the types of questions asked in reference service virtual (e-mail in the Library UK Petra include: specific search, access online resources, operation of online resources, policies and procedures for services, and library holdings with background the student (PCU and non-PCU, faculty, and librarians. Based on the background of users found that overall more types of questions asked in virtual reference services (e-mail is a problem of access to online resources, and generally submitted by the students. Then, the writing style of the user's language in interaction reference service virtual (e-mail tends to be formal, which includes the word greeting, the message will be delivered, and regards cover, either by the student (PCU and non-PCU, lecturer, or librarians. While cultural values that revealed the background behind the user in virtual reference services (e-mail is obedience, courtesy and

  18. Information Brokers/Free-Lance Librarians: An Alternative Reference Service.

    Science.gov (United States)

    Hogan, Matthew

    This paper examines the profession of information brokerage through a look at types of services provided, and through a discussion of major issues, including that of fee for service. The types of information broker and free-lance librarian services are identified: (1) non-profit reference and research services administered by public libraries and…

  19. June, 2015 Utilization of Reference Resources and Services

    African Journals Online (AJOL)

    Department of Library and Information Science, MAUTECH, Yola ... reference resources and services mostly for their course work and research works. ... business settings; reference services provided ..... Table 5: Strategies to be adopted to overcome the problems of provision and .... American Library Association, p.782.

  20. Models of Reference Services in Australian Academic Libraries

    Science.gov (United States)

    Burke, Liz

    2008-01-01

    This article reports on a project which was undertaken in 2006 to investigate the current modes and methods for delivering reference services in Australian academic libraries. The project included a literature review to assist in providing a definition of reference services as well as a snapshot of statistics showing staff and patron numbers from…

  1. A Usability Evaluation of Academic Virtual Reference Services

    Science.gov (United States)

    Chow, Anthony S.; Croxton, Rebecca A.

    2014-01-01

    This study examined the usability of five virtual reference services--instant messenger chat, e-mail, telephone, text messaging, and Skype videoconferencing--by having 31 undergraduate and graduate students evaluate the usability of the virtual reference services of two different universities. The study's results suggest that user preference and…

  2. Librarians without Borders? Virtual Reference Service to Unaffiliated Users

    Science.gov (United States)

    Kibbee, Jo

    2006-01-01

    The author investigates issues faced by academic research libraries in providing virtual reference services to unaffiliated users. These libraries generally welcome visitors who use on-site collections and reference services, but are these altruistic policies feasible in a virtual environment? This paper reviews the use of virtual reference…

  3. Awareness and perception of reference sources and services by ...

    African Journals Online (AJOL)

    ... e-mail, telephone and social media (e.g. facebook). It was also revealed that 228 (70.45%) have good knowledge of what reference source are; 192 (59.08%) have good understanding of what reference services are, and 241 (74.15%) make use of reference sources in the Federal University of Technology, Owerri library.

  4. User Satisfaction with Referrals at a Collaborative Virtual Reference Service

    Science.gov (United States)

    Kwon, Nahyun

    2006-01-01

    Introduction: This study investigated unmonitored referrals in a nationwide, collaborative chat reference service. Specifically, it examined the extent to which questions are referred, the types of questions that are more likely to be referred than others, and the level of user satisfaction with the referrals in the collaborative chat reference…

  5. Analysis of E-mail Transactions in Virtual Reference Services

    Directory of Open Access Journals (Sweden)

    Astutik Nur Qomariyah

    2018-01-01

    Full Text Available Today, the use of traditional reference desk in the academic libraries has been rarely used, thus expanding or even move to a virtual reference service. A minimum level of virtual reference services are provided in the academic library is currently in general is the electronic mail (e-mail. One of the academic library specifically provide virtual reference services via e-mail is a Petra Christian University (PCU Library (refdesk@petra.ac.id.. In such services librarians provide assistance to users in finding information and answer questions. This study aimed to analyze the transaction reference services virtually through e-mail at the PCU Library, with a view of the types of questions based on user background, the writing style of language communication interaction used based on user background, and cultural values are revealed behind the user in virtual reference services (e-mail. This study uses content analysis (content analysis of the transcript e-mail received librarians of reference services began March 10 until June 16, 2015. The results showed that the types of questions asked in reference service virtual (e-mail in the Library UK Petra include: specific search, access online resources, operation of online resources, policies and procedures for services, and library holdings with background the student (PCU and non-PCU, faculty, and librarians. Based on the background of users found that overall more types of questions asked in virtual reference services (e-mail is a problem of access to online resources, and generally submitted by the students. Then, the writing style of the user's language in interaction reference service virtual (e-mail tends to be formal, which includes the word greeting, the message will be delivered, and regards cover, either by the student (PCU and non-PCU, lecturer, or librarians. While cultural values that revealed the background behind the user in virtual reference services (e-mail is obedience, courtesy and

  6. Marketing of Healthcare Services with reference to Laboratory services

    OpenAIRE

    Ajotikar, Vaishali M.; Ali, Dr.M. M

    2015-01-01

    The paper attempts to study empirically dealers point of view on the 7ps i.e. marketing mix for laboratory services. The primary data was collected from dealers by administering interview schedules on 7ps of laboratory service marketing. This data collected was tabulated, analyzed and intepretated so as to suitably arrive at findings. High score for statements: laboratory services are prompt, services are rendered on cash basis to patients, laboratory has collection centers in different area...

  7. Virtual Reference Service in Academic Libraries in West Africa

    Science.gov (United States)

    Sekyere, Kwabena

    2011-01-01

    As technology continues to advance, libraries in Europe and America continue to improve upon their virtual reference services by employing new Web technologies and applying them to existing services. West African academic libraries have begun providing resources electronically to their users but still typically lag behind in the services they…

  8. Cost update technology, safety, and costs of decommissioning a reference uranium hexafluoride conversion plant

    International Nuclear Information System (INIS)

    Miles, T.L.; Liu, Y.

    1995-08-01

    The purpose of this study is to update the cost estimates developed in a previous report, NUREG/CR-1757 (Elder 1980) for decommissioning a reference uranium hexafluoride conversion plant from the original mid-1981 dollars to values representative of January 1993. The cost updates were performed by using escalation factors derived from cost index trends over the past 11.5 years. Contemporary price quotes wee used for costs that have increased drastically or for which is is difficult to find a cost trend. No changes were made in the decommissioning procedures or cost element requirements assumed in NUREG/CR-1757. This report includes only information that was changed from NUREG/CR-1757. Thus, for those interested in detailed descriptions and associated information for the reference uranium hexafluoride conversion plant, a copy of NUREG/CR-1757 will be needed

  9. The Mobile Reference Service: a case study of an onsite reference service program at the School of Public Health.

    Science.gov (United States)

    Tao, Donghua; McCarthy, Patrick G; Krieger, Mary M; Webb, Annie B

    2009-01-01

    The School of Public Health at Saint Louis University is located at a greater distance from the library than other programs on the main medical center campus. Physical distance diminishes the ease of access to direct reference services for public health users. To bridge the gap, the library developed the Mobile Reference Service to deliver on-site information assistance with regular office hours each week. Between September 2006 and April 2007, a total of 57 in-depth reference transactions took place over 25 weeks, averaging 2 transactions per week in a 2-hour period. Overall reference transactions from public health users went up 28%, while liaison contacts with public health users doubled compared to the same period the year before. The Mobile Reference Service program has improved library support for research and scholarship, cultivated and strengthened liaison relationships, and enhanced marketing and delivery of library resources and services to the Saint Louis University School of Public Health.

  10. The Mobile Reference Service: a case study of an onsite reference service program at the school of public health*

    Science.gov (United States)

    Tao, Donghua; McCarthy, Patrick G.; Krieger, Mary M.; Webb, Annie B.

    2009-01-01

    The School of Public Health at Saint Louis University is located at a greater distance from the library than other programs on the main medical center campus. Physical distance diminishes the ease of access to direct reference services for public health users. To bridge the gap, the library developed the Mobile Reference Service to deliver onsite information assistance with regular office hours each week. Between September 2006 and April 2007, a total of 57 in-depth reference transactions took place over 25 weeks, averaging 2 transactions per week in a 2-hour period. Overall reference transactions from public health users went up 28%, while liaison contacts with public health users doubled compared to the same period the year before. The Mobile Reference Service program has improved library support for research and scholarship, cultivated and strengthened liaison relationships, and enhanced marketing and delivery of library resources and services to the Saint Louis University School of Public Health. PMID:19159004

  11. Influence of ICT on Reference Services in Selected University ...

    African Journals Online (AJOL)

    Journal Home > Vol 14, No 1-2 (2014) > ... What are the challenges of ICT on reference collections and services in the selected academic libraries? ... incomplete automation, reduced patronage (because of the availability of search engines), ...

  12. Digital reference service: trends in academic health science libraries.

    Science.gov (United States)

    Dee, Cheryl R

    2005-01-01

    Two years after the initial 2002 study, a greater number of academic health science libraries are offering digital reference chat services, and this number appears poised to grow in the coming years. This 2004 follow-up study found that 36 (27%) of the academic health science libraries examined provide digital chat reference services; this was an approximately 6% increase over the 25 libraries (21%) located in 2002. Trends in digital reference services in academic health science libraries were derived from the exploration of academic health science library Web sites and from digital correspondence with academic health science library personnel using e-mail and chat. This article presents an overview of the current state of digital reference service in academic health science libraries.

  13. Online Reference Service--How to Begin: A Selected Bibliography.

    Science.gov (United States)

    Shroder, Emelie J., Ed.

    1982-01-01

    Materials in this bibliography were selected and recommended by members of the Use of Machine-Assisted Reference in Public Libraries Committee, Reference and Adult Services Division, American Library Association. Topics include: financial aspects, equipment and communications considerations, comparing databases and database systems, advertising…

  14. Using the Wisconsin-Ohio Reference Evaluation Program (WOREP) to Improve Training and Reference Services

    Science.gov (United States)

    Novotny, Eric; Rimland, Emily

    2007-01-01

    This article discusses a service quality study conducted in the Pennsylvania State University Libraries. The Wisconsin-Ohio Reference Evaluation Program survey was selected as a valid, standardized instrument. We present our results, highlighting the impact on reference training. A second survey a year later demonstrated that focusing on…

  15. Update on the Health Services Research Doctoral Core Competencies.

    Science.gov (United States)

    Burgess, James F; Menachemi, Nir; Maciejewski, Matthew L

    2018-03-13

    To present revised core competencies for doctoral programs in health services research (HSR), modalities to deliver these competencies, and suggested methods for assessing mastery of these competencies. Core competencies were originally developed in 2005, updated (but unpublished) in 2008, modestly updated for a 2016 HSR workforce conference, and revised based on feedback from attendees. Additional feedback was obtained from doctoral program directors, employer/workforce experts and attendees of presentation on these competencies at the AcademyHealth's June 2017 Annual Research Meeting. The current version (V2.1) competencies include the ethical conduct of research, conceptual models, development of research questions, study designs, data measurement and collection methods, statistical methods for analyzing data, professional collaboration, and knowledge dissemination. These competencies represent a core that defines what HSR researchers should master in order to address the complexities of microsystem to macro-system research that HSR entails. There are opportunities to conduct formal evaluation of newer delivery modalities (e.g., flipped classrooms) and to integrate new Learning Health System Researcher Core Competencies, developed by AHRQ, into the HSR core competencies. Core competencies in HSR are a continually evolving work in progress because new research questions arise, new methods are developed, and the trans-disciplinary nature of the field leads to new multidisciplinary and team building needs. © Health Research and Educational Trust.

  16. Digital Library and Digital Reference Service: Integration and Mutual Complementarity

    Science.gov (United States)

    Liu, Jia

    2008-01-01

    Both the digital library and the digital reference service were invented and have been developed under the networked environment. Among their intersections, the fundamental thing is their symbiotic interest--serving the user in a more efficient way. The article starts by discussing the digital library and its service and the digital reference…

  17. University Library Virtual Reference Services: Best Practices and Continuous Improvement

    Science.gov (United States)

    Shaw, Kate; Spink, Amanda

    2009-01-01

    The inclusion or not of chat services within Virtual Reference (VR) is an important topic for university libraries. Increasingly, email supported by a Frequently Asked Questions (FAQ) database is suggested in the scholarly literature as the preferred, cost-effective means for providing university VR services. This paper examines these issues and…

  18. Evaluating Electronic Reference Services: Issues, Approaches and Criteria.

    Science.gov (United States)

    Novotny, Eric

    2001-01-01

    Discussion of electronic library reference services focuses on an overview of the chief methodologies available for conducting assessments of electronic services. Highlights include quantitative measures and benchmarks, including equity and access; quality measures; behavioral aspects of quality, including librarian-patron interaction; and future…

  19. Making It Work for Everyone: An Evolving Reference Service.

    Science.gov (United States)

    Feldman, Jonquil D; Lopez, Emme; Gaspard, Christine S; Barton, Karen D; Barcenes, Luis F

    2018-01-01

    At an academic health science center, librarians identified problems, weaknesses, and strengths in reference services. The on-call reference schedule was discontinued and a question flowchart was developed for circulation staff. Only research questions were referred to librarians, who would respond if available. Circulation staff perceived the unscheduled, voluntary model was not working well for the patrons or the staff. After two months, the schedule was reinstated with a hybrid version of the previous on-call format. In the process of changing the service model, the library staff also underwent a cultural change.

  20. A reference model for space data system interconnection services

    Science.gov (United States)

    Pietras, John; Theis, Gerhard

    1993-01-01

    The widespread adoption of standard packet-based data communication protocols and services for spaceflight missions provides the foundation for other standard space data handling services. These space data handling services can be defined as increasingly sophisticated processing of data or information received from lower-level services, using a layering approach made famous in the International Organization for Standardization (ISO) Open System Interconnection Reference Model (OSI-RM). The Space Data System Interconnection Reference Model (SDSI-RM) incorporates the conventions of the OSIRM to provide a framework within which a complete set of space data handling services can be defined. The use of the SDSI-RM is illustrated through its application to data handling services and protocols that have been defined by, or are under consideration by, the Consultative Committee for Space Data Systems (CCSDS).

  1. International Laser Ranging Service (ILRS): Terms of Reference

    Science.gov (United States)

    Husson, Van; Noll, Carey

    2000-01-01

    The International Laser Ranging Service (ILRS) is an established Service within Section II , Advanced Space Technology, of the International Association of Geodesy (IAG). The primary objective of the ILRS is to provide a service to support, through Satellite and Lunar Laser Ranging data and related products, geodetic and geophysical research activities as well as International Earth Rotation Service (IERS) products important to the maintenance of an accurate International Terrestrial Reference Frame (ITRF). The service also develops the necessary standards/specifications and encourages international adherence to its conventions.

  2. Computer Aided Reference Services in the Academic Library: Experiences in Organizing and Operating an Online Reference Service.

    Science.gov (United States)

    Hoover, Ryan E.

    1979-01-01

    Summarizes the development of the Computer-Aided Reference Services (CARS) division of the University of Utah Libraries' reference department. Development, organizational structure, site selection, equipment, management, staffing and training considerations, promotion and marketing, budget and pricing, record keeping, statistics, and evaluation…

  3. An innovative service process development based on a reference model

    Directory of Open Access Journals (Sweden)

    Lorenzo Sanfelice Frazzon

    2015-06-01

    Full Text Available This article examines the new service development (NSD process, focusing specifically in a case of a financial service, guided by the following research questions: what are the processes and practices used in the development and design of new financial services? How the results of the financial NSD proposal reflects on the NSD are as a whole? Therefore, the study aims to show and describe a financial service development, conducted at Helpinveste. The paper focuses on the Conceptual Design service (activities: definition of specifications and development of alternative solutions for the service and Service Process Design (Service Representation phases. The methodological procedures are based on the process approach, using a reference model for developing new services. In order to operationalize the model, several techniques for the various stages of the project were used, e.g. QFD and Service Blueprint. Lastly, conclusions report contributions from the reference model application, both theoretical and practical contributions, as well the limitations and further research recommendations.

  4. Allocentrically implied target locations are updated in an eye-centred reference frame.

    Science.gov (United States)

    Thompson, Aidan A; Glover, Christopher V; Henriques, Denise Y P

    2012-04-18

    When reaching to remembered target locations following an intervening eye movement a systematic pattern of error is found indicating eye-centred updating of visuospatial memory. Here we investigated if implicit targets, defined only by allocentric visual cues, are also updated in an eye-centred reference frame as explicit targets are. Participants viewed vertical bars separated by varying distances, and horizontal lines of equivalently varying lengths, implying a "target" location at the midpoint of the stimulus. After determining the implied "target" location from only the allocentric stimuli provided, participants saccaded to an eccentric location, and reached to the remembered "target" location. Irrespective of the type of stimulus reaching errors to these implicit targets are gaze-dependent, and do not differ from those found when reaching to remembered explicit targets. Implicit target locations are coded and updated as a function of relative gaze direction with respect to those implied locations just as explicit targets are, even though no target is specifically represented. Copyright © 2012 Elsevier Ireland Ltd. All rights reserved.

  5. New Global Precipitation Products and Data Service Updates at the NASA GES DISC

    Science.gov (United States)

    Liu, Z.; Ostrenga, D.; Savtchenko, A.; DeShong, B.; Greene, M.; Vollmer, B.; Kempler, S.

    2016-01-01

    This poster describes recent updates of the ongoing GPM data service activities at the NASA Goddard Earth Sciences (GES) Data and Information Services Center(DISC) to facilitate access and exploration of GPM, TRMM and other NASA precipitation datasets for the global community. The poster contains -Updates on GPM products and data services -New features in Giovanni for precipitation data visualization -Precipitation data and service outreach activities.

  6. An Appraisal of Digital Reference Services in Nigerian University ...

    African Journals Online (AJOL)

    This study examined digital reference services in Nigeria university libraries. A descriptive research design of the ex-post facto was adopted in the study. The instrument used in collecting data for this study was the questionnaire. One hundred and twenty respondents were randomly selected from six Nigerian universities ...

  7. Exploring the influence of reference situations and reference pricing on mobile service user behaviour

    DEFF Research Database (Denmark)

    Blechar, Jennifer; Constantiou, Ioanna; Damsgaard, Jan

    2006-01-01

    Despite widespread proliferation of mobile devices providing access to a variety of advanced and data-rich services, adoption of those services remains low in most of the Western world. Thus, research related to the acceptance and use of mobile technology and services continues to develop. Tradit...... situations and reference prices. The article suggests that users cognitive referencing is an influential factor that must be considered when exploring their usage behaviour in the mobile services market.......Despite widespread proliferation of mobile devices providing access to a variety of advanced and data-rich services, adoption of those services remains low in most of the Western world. Thus, research related to the acceptance and use of mobile technology and services continues to develop....... Traditional research in this domain has been useful for exploring adoption and use related to individual technologies or novel services. However, our research efforts indicate that users often reflect on former experiences with similar technologies or services when choosing mobile services. This suggests...

  8. Cost update: Technology, safety, and costs of decommissioning a reference uranium fuel fabrication plant

    International Nuclear Information System (INIS)

    Miles, T.L.; Liu, Y.

    1994-06-01

    The cost estimates originally developed in NUREG/CR-1266 for commissioning a reference low-enrichment uranium fuel fabrication plant are updated from 1978 to early 1993 dollars. During this time, the costs for labor and materials increased approximately at the rate of inflation, the cost of energy increased more slowly than the rate of inflation, and the cost of low-level radioactive waste disposal increased much more rapidly than the rate of inflation. The results of the analysis indicate that the estimated costs for the immediate dismantlement and decontamination for unrestricted facility release (DECON) of the reference plant have increased from the mid-1978 value of $3.57 million to $8.08 million in 1993 with in-compact low-level radioactive waste disposal at the US Ecoloay facility near Richland, Washington. The cost estimate rises to $19.62 million with out-of-compact radioactive waste disposal at the Chem-Nuclear facility near Barnwell, South Carolina. A methodology and a formula are presented for estimating the cost of decommissioning the reference uranium fuel fabrication plant at some future time, based on these early 1993 cost estimates. The formula contains essentially the same elements as the formula given in 10 CFR 50.75 for escalating the decommissioning costs for nuclear power reactors to some future time

  9. Reference projection energy and emissions. 2012 Update. Energy and emissions for the years 2012, 2020 and 2030

    International Nuclear Information System (INIS)

    Verdonk, M.; Wetzels, W.

    2012-08-01

    This report contains estimates of greenhouse gas emissions and air pollutants and the use of renewable energy for the year 2020. An outlook is presented for the year 2030. This estimate is an update of the Reference Projection Energy and Emissions 2010-2020, published in 2010. The goal of the update is to provide insight into the progress in realizing the targets for Dutch policies with regard to climate, air and energy. [nl

  10. Reference architecture of application services for personal wellbeing information management.

    Science.gov (United States)

    Tuomainen, Mika; Mykkänen, Juha

    2011-01-01

    Personal information management has been proposed as an important enabler for individual empowerment concerning citizens' wellbeing and health information. In the MyWellbeing project in Finland, a strictly citizen-driven concept of "Coper" and related architectural and functional guidelines have been specified. We present a reference architecture and a set of identified application services to support personal wellbeing information management. In addition, the related standards and developments are discussed.

  11. Analytical quality control service programme, intercomparison runs, certified reference materials, reference materials 1987-88

    International Nuclear Information System (INIS)

    1986-12-01

    The purpose of the Analytical Quality Control Services (AQCS) programme provided by the IAEA, is to assist laboratories engaged in the analysis of nuclear, environmental, biological, and materials of marine origin for radionuclide, major, minor and trace elements, as well as stable isotopes using atomic and nuclear analytical techniques, to check the quality of their work. The tables give details of the intercomparison samples and reference materials distributed by the IAEA in the period 1987 to 1988. 2 tabs

  12. USA hCG reference service, 10-year report.

    Science.gov (United States)

    Cole, Laurence A; Laidler, Laura L; Muller, Carolyn Y

    2010-08-01

    The USA hCG Reference Service has been dealing with cases of persistent low levels of hCG and gestational trophoblastic diseases for 10years. Here we present the complete experience. Total hCG in serum and urine was measured using the Siemen's Immulite 1000 assay. Hyperglycosylated hCG, nicked hCG, free ss-subunit and ss-core fragment were measured using microtiterplate assays with antibodies B152, B151, FBT11 and B210, respectively. The USA hCG Reference Service has identified 83 cases of false-positive hCG, 71 cases of aggressive gestational trophoblastic disease (GTD), 52 cases of minimally invasive GTD, 168 cases of quiescent GTD and 22 cases of placenta site trophoblastic tumor (PSTT). In addition, 103 cases of pituitary hCG have been identified, 60 cases of nontrophoblastic tumor, 4 cases of inherited hCG and 2 cases of Munchausen's syndrome. This is 565 cases total. Multiple new methods are described and tested for diagnosing all of these disorders. The USA hCG Reference Service experience shows new methods for detecting multiple hCG-related disorders and recommends new approaches for detecting these hCG-related disorders. 2010 The Canadian Society of Clinical Chemists. Published by Elsevier Inc. All rights reserved.

  13. [Unnecessary routine laboratory tests in patients referred for surgical services].

    Science.gov (United States)

    Mata-Miranda, María del Pilar; Cano-Matus, Norberto; Rodriguez-Murrieta, Margarita; Guarneros-Zapata, Idalia; Ortiz, Mario

    2016-01-01

    To question the usefulness of the lab analysis considered routine testing for the identification of abnormalities in the surgical care. To determine the percentage of unnecessary laboratory tests in the preoperative assessment as well as to estimate the unnecessary expenses. A descriptive, cross-sectional study of patients referred for surgical evaluation between January 1st and March 31st 2013. The database of laboratory testing and electronic files were reviewed. Reference criteria from surgical services were compared with the tests requested by the family doctor. In 65% of the patients (n=175) unnecessary examinations were requested, 25% (n=68) were not requested the tests that they required, and only 10% of the patients were requested laboratory tests in accordance with the reference criteria (n=27). The estimated cost in unnecessary examinations was $1,129,552 in a year. The results were similar to others related to this theme, however, they had not been revised from the perspective of the first level of attention regarding the importance of adherence to the reference criteria which could prevent major expenditures. It is a priority for leaders and operational consultants in medical units to establish strategies and lines of action that ensure compliance with institutional policies so as to contain spending on comprehensive services, and which in turn can improve the medical care. Copyright © 2015 Academia Mexicana de Cirugía A.C. Published by Masson Doyma México S.A. All rights reserved.

  14. Repositioning reference new methods and new services for a new age

    CERN Document Server

    Rozaklis, Lillian

    2014-01-01

    Repositioning Reference reimagines reference services in libraries and information organizations and the role of reference librarians, taking into account rapid developments in technology and information-specific services in non-library sectors.

  15. Applying Service-Orientation Through a Reference Architecture

    Directory of Open Access Journals (Sweden)

    Helge Hofmeister

    2008-02-01

    Full Text Available This article investigates the application of the service-oriented architectural style in the context of large organizations. It introduces an architectural reference framework that allows for a business process-centered development of composite applications. The framework groups artifacts of similar abstraction levels as well as concerns at five distinguished layers. This way, the service-oriented principles of abstraction and autonomy can be respected when designing applications. The layers also correspond to phases of a design methodology and cover the aspects of composite applications from process-centered orchestration, over transactional coordination to data transformation and connectivity. Based on the framework this article shows as well how an integration design methodology can be used to leverage the application systems in the context of a given business process.

  16. Evaluating a Chat Reference Service at the University of South Alabama's Baugh Biomedical Library

    Science.gov (United States)

    Clanton, Clista C.; Staggs, Geneva B.; Williams, Thomas L.

    2006-01-01

    The University of South Alabama's Baugh Biomedical Library recently initiated a chat reference service targeted at distance education students in the biomedical sciences. After one year of service, the library conducted an evaluation of the chat reference to assess the success of this mode of reference service. Both traditional reference and…

  17. Areva - Updated Reference Document 2015 Including the 2016 half-year financial report

    International Nuclear Information System (INIS)

    2016-01-01

    Areva supplies high added-value products and services to support the operation of the global nuclear fleet. The company is present throughout the entire nuclear cycle, from uranium mining to used fuel recycling, including nuclear reactor design and operating services. Areva is recognized by utilities around the world for its expertise, its skills in cutting-edge technologies and its dedication to the highest level of safety. Areva's 40,000 employees are helping build tomorrow's energy model: supplying ever safer, cleaner and more economical energy to the greatest number of people. This Reference Document contains information on Areva's objectives, prospects and development strategies. It contains estimates of the markets, market shares and competitive position of Areva. Contents: 1 - Persons responsible; 2 - Information on operations and recent events (Overview of the Group's operations, Simplified organization chart of the Group, Implementation of the Group's strategic roadmap and Restructuring Plan, Deployment of the performance plan, Other significant transactions since the filing of the Reference Document, Review of third quarter 2016 operations, Press releases); 3 - Financial information (2016 Half-year financial report, Statutory auditors' report on the half-year financial information for the period January 1 to June 30, 2016, Unaudited consolidated pro-forma financial information, Statutory auditors' report on the pro-forma financial information); 4 - Risk factors (Risks related to the Restructuring Plan, Legal risks, Industrial and environmental risks, Operational risks, Liquidity and market risks); 5 - Cash and capital resources (Financial outlook, 12-month liquidity); 6 - Governance; 7 - Workforce - jobs (Voluntary departure plan and change in the Group's workforce, Signature of a memorandum of understanding ensuring the stability of labor agreements, Reorganization and refinancing of the Group); 8 - Share

  18. Comprehensive Thematic T-matrix Reference Database: a 2013-2014 Update

    Science.gov (United States)

    Mishchenko, Michael I.; Zakharova, Nadezhda T.; Khlebtsov, Nikolai G.; Wriedt, Thomas; Videen, Gorden

    2014-01-01

    This paper is the sixth update to the comprehensive thematic database of peer-reviewedT-matrix publications initiated by us in 2004 and includes relevant publications that have appeared since 2013. It also lists several earlier publications not incorporated in the original database and previous updates.

  19. Improvements in the Protein Identifier Cross-Reference service.

    Science.gov (United States)

    Wein, Samuel P; Côté, Richard G; Dumousseau, Marine; Reisinger, Florian; Hermjakob, Henning; Vizcaíno, Juan A

    2012-07-01

    The Protein Identifier Cross-Reference (PICR) service is a tool that allows users to map protein identifiers, protein sequences and gene identifiers across over 100 different source databases. PICR takes input through an interactive website as well as Representational State Transfer (REST) and Simple Object Access Protocol (SOAP) services. It returns the results as HTML pages, XLS and CSV files. It has been in production since 2007 and has been recently enhanced to add new functionality and increase the number of databases it covers. Protein subsequences can be Basic Local Alignment Search Tool (BLAST) against the UniProt Knowledgebase (UniProtKB) to provide an entry point to the standard PICR mapping algorithm. In addition, gene identifiers from UniProtKB and Ensembl can now be submitted as input or mapped to as output from PICR. We have also implemented a 'best-guess' mapping algorithm for UniProt. In this article, we describe the usefulness of PICR, how these changes have been implemented, and the corresponding additions to the web services. Finally, we explain that the number of source databases covered by PICR has increased from the initial 73 to the current 102. New resources include several new species-specific Ensembl databases as well as the Ensembl Genome ones. PICR can be accessed at http://www.ebi.ac.uk/Tools/picr/.

  20. A new reference implementation of the PSICQUIC web service.

    Science.gov (United States)

    del-Toro, Noemi; Dumousseau, Marine; Orchard, Sandra; Jimenez, Rafael C; Galeota, Eugenia; Launay, Guillaume; Goll, Johannes; Breuer, Karin; Ono, Keiichiro; Salwinski, Lukasz; Hermjakob, Henning

    2013-07-01

    The Proteomics Standard Initiative Common QUery InterfaCe (PSICQUIC) specification was created by the Human Proteome Organization Proteomics Standards Initiative (HUPO-PSI) to enable computational access to molecular-interaction data resources by means of a standard Web Service and query language. Currently providing >150 million binary interaction evidences from 28 servers globally, the PSICQUIC interface allows the concurrent search of multiple molecular-interaction information resources using a single query. Here, we present an extension of the PSICQUIC specification (version 1.3), which has been released to be compliant with the enhanced standards in molecular interactions. The new release also includes a new reference implementation of the PSICQUIC server available to the data providers. It offers augmented web service capabilities and improves the user experience. PSICQUIC has been running for almost 5 years, with a user base growing from only 4 data providers to 28 (April 2013) allowing access to 151 310 109 binary interactions. The power of this web service is shown in PSICQUIC View web application, an example of how to simultaneously query, browse and download results from the different PSICQUIC servers. This application is free and open to all users with no login requirement (http://www.ebi.ac.uk/Tools/webservices/psicquic/view/main.xhtml).

  1. Which Individuals To Choose To Update the Reference Population? Minimizing the Loss of Genetic Diversity in Animal Genomic Selection Programs

    Directory of Open Access Journals (Sweden)

    Sonia E. Eynard

    2018-01-01

    Full Text Available Genomic selection (GS is commonly used in livestock and increasingly in plant breeding. Relying on phenotypes and genotypes of a reference population, GS allows performance prediction for young individuals having only genotypes. This is expected to achieve fast high genetic gain but with a potential loss of genetic diversity. Existing methods to conserve genetic diversity depend mostly on the choice of the breeding individuals. In this study, we propose a modification of the reference population composition to mitigate diversity loss. Since the high cost of phenotyping is the limiting factor for GS, our findings are of major economic interest. This study aims to answer the following questions: how would decisions on the reference population affect the breeding population, and how to best select individuals to update the reference population and balance maximizing genetic gain and minimizing loss of genetic diversity? We investigated three updating strategies for the reference population: random, truncation, and optimal contribution (OC strategies. OC maximizes genetic merit for a fixed loss of genetic diversity. A French Montbéliarde dairy cattle population with 50K SNP chip genotypes and simulations over 10 generations were used to compare these different strategies using milk production as the trait of interest. Candidates were selected to update the reference population. Prediction bias and both genetic merit and diversity were measured. Changes in the reference population composition slightly affected the breeding population. Optimal contribution strategy appeared to be an acceptable compromise to maintain both genetic gain and diversity in the reference and the breeding populations.

  2. Which Individuals To Choose To Update the Reference Population? Minimizing the Loss of Genetic Diversity in Animal Genomic Selection Programs.

    Science.gov (United States)

    Eynard, Sonia E; Croiseau, Pascal; Laloë, Denis; Fritz, Sebastien; Calus, Mario P L; Restoux, Gwendal

    2018-01-04

    Genomic selection (GS) is commonly used in livestock and increasingly in plant breeding. Relying on phenotypes and genotypes of a reference population, GS allows performance prediction for young individuals having only genotypes. This is expected to achieve fast high genetic gain but with a potential loss of genetic diversity. Existing methods to conserve genetic diversity depend mostly on the choice of the breeding individuals. In this study, we propose a modification of the reference population composition to mitigate diversity loss. Since the high cost of phenotyping is the limiting factor for GS, our findings are of major economic interest. This study aims to answer the following questions: how would decisions on the reference population affect the breeding population, and how to best select individuals to update the reference population and balance maximizing genetic gain and minimizing loss of genetic diversity? We investigated three updating strategies for the reference population: random, truncation, and optimal contribution (OC) strategies. OC maximizes genetic merit for a fixed loss of genetic diversity. A French Montbéliarde dairy cattle population with 50K SNP chip genotypes and simulations over 10 generations were used to compare these different strategies using milk production as the trait of interest. Candidates were selected to update the reference population. Prediction bias and both genetic merit and diversity were measured. Changes in the reference population composition slightly affected the breeding population. Optimal contribution strategy appeared to be an acceptable compromise to maintain both genetic gain and diversity in the reference and the breeding populations. Copyright © 2018 Eynard et al.

  3. LibAnswers: Analyzing tickets (questions) to improve our library's virtual reference service(s)

    KAUST Repository

    Ramli, Rindra M.; Ba-Rayyan, Faten A.

    2017-01-01

    Analyze the questions received in LibAnswers (ticketing system) in order to improve the quality of our virtual reference services. Tickets that were received between June 2015 to April 2017 were analyzed and categorized. It was noted that most questions asked revolved around electronic resources issues as well as circulation/access issues.

  4. LibAnswers: Analyzing tickets (questions) to improve our library's virtual reference service(s)

    KAUST Repository

    Ramli, Rindra M.

    2017-05-01

    Analyze the questions received in LibAnswers (ticketing system) in order to improve the quality of our virtual reference services. Tickets that were received between June 2015 to April 2017 were analyzed and categorized. It was noted that most questions asked revolved around electronic resources issues as well as circulation/access issues.

  5. 77 FR 202 - Federal Acquisition Regulation; Updated Financial Accounting Standards Board Accounting References

    Science.gov (United States)

    2012-01-03

    ... 9000-AM00 Federal Acquisition Regulation; Updated Financial Accounting Standards Board Accounting... accounting standards owing to the Financial Accounting Standards Board's Accounting Standards Codification of Generally Accepted Accounting Principles. DATES: Effective Date: February 2, 2012. FOR FURTHER INFORMATION...

  6. Targeted Evolution of Embedded Librarian Services: Providing Mobile Reference and Instruction Services Using iPads.

    Science.gov (United States)

    Stellrecht, Elizabeth; Chiarella, Deborah

    2015-01-01

    The University at Buffalo Health Sciences Library provides reference and instructional services to support research, curricular, and clinical programs of the University at Buffalo. With funding from an NN/LM MAR Technology Improvement Award, the University at Buffalo Health Sciences Library (UBHSL) purchased iPads to develop embedded reference and educational services. Usage statistics were collected over a ten-month period to measure the frequency of iPad use for mobile services. While this experiment demonstrates that the iPad can be used to meet the library user's needs outside of the physical library space, this article will also offer advice for others who are considering implementing their own program.

  7. Analysis of the Questions Asked through Digital and Face-to-Face Reference Services

    Science.gov (United States)

    Tsuji, Keita; Arai, Shunsuke; Suga, Reina; Ikeuchi, Atsushi; Yoshikane, Fuyuki

    2013-01-01

    In Japan, only a few public libraries provide e-mail reference services. To help public libraries start e-mail reference services, the authors investigated reference questions received by libraries via e-mail and traditional face-to-face services. The authors found that research questions are more frequently observed among e-mail questions and…

  8. 15 CFR 230.7 - Description of services and list of fees, incorporation by reference.

    Science.gov (United States)

    2010-01-01

    ... STANDARD REFERENCE MATERIALS STANDARD REFERENCE MATERIALS Description of Services and List of Fees § 230.7 Description of services and list of fees, incorporation by reference. (a) The text of NIST Special Publication... 15 Commerce and Foreign Trade 1 2010-01-01 2010-01-01 false Description of services and list of...

  9. [East coast activity : updates and opportunities for service companies

    International Nuclear Information System (INIS)

    Smithers, F.

    1998-01-01

    A review of the business principles of major suppliers to the petroleum industry operating in the Atlantic offshore was presented. Secunda Marine Services Ltd. is a major supplier to the development of the Sable Offshore Energy Project (SOEP). The company was also actively involved in the development of the Panuke Cohasset Field in 1990. Involvement in that project was a stepping stone to the current involvement in the SOEP and to their successful bidding on the Terra Nova Project. It is predicted that given the potential of the various major plays off Atlantic Canada, expenditures over the next decade or so could be in the tens of billions of dollars. Quality, service and price will continue to be the factors that determine the success or failure of service companies. Secunda expects to continue having a large share of that development and positive impact on the local economy in Nova Scotia

  10. 77 FR 64521 - Updated OGE Senior Executive Service Performance Review Board

    Science.gov (United States)

    2012-10-22

    ... Ethics, Environmental Protection Agency; Melinda Loftin, Director of Interior Ethics Office, Department... OFFICE OF GOVERNMENT ETHICS Updated OGE Senior Executive Service Performance Review Board AGENCY: Office of Government Ethics (OGE). ACTION: Notice. SUMMARY: Notice is hereby given of the appointment of...

  11. Library Services and Construction Act. Long Range Plan, 1982-1986 Updates.

    Science.gov (United States)

    Seidenberg, Edward

    This 1982-86 update to long-range planning designed to continue the improvement of library facilities and services in Texas includes a review of how the plan developed, the various environmental factors affecting library operations, the present development of libraries, information needs and approaches to satisfying those needs, and methods for…

  12. DOD Service Academies. Update on Extent of Sexual Harassment. Report to Congressional Requesters.

    Science.gov (United States)

    General Accounting Office, Washington, DC. National Security and International Affairs Div.

    This report provides an update on the nature and extent of sexual harassment at the three Department of Defense (DOD) service academies. It is based on a stratified random survey of 430 Military Academy cadets, 470 Naval Academy midshipmen, and 428 Air Force Academy cadets, which oversampled women to ensure that a statistically significant number…

  13. An Update on the Epidemiology of Schizophrenia with a Special Reference to Clinically Important Risk Factors

    Science.gov (United States)

    El-Missiry, Ahmed; Aboraya, Ahmed Sayed; Manseur, Hader; Manchester, Johnna; France, Cheryl; Border, Katherine

    2011-01-01

    Schizophrenia is a chronic mental illness which poses a tremendous burden on the families, caregivers and the society. The purpose of this paper is to provide an updated review of the epidemiology of schizophrenia with a special attention to the clinically important risk factors such as drug abuse, hormonal factors and the new advances in genetic…

  14. ISSAS guidelines. Reference report for IAEA SSAC advisory service

    International Nuclear Information System (INIS)

    2005-01-01

    All comprehensive safeguards agreements between the IAEA and Member States concluded on the basis of INFCIRC/153 (Corrected) require the Member State to establish and maintain a system of accounting for and control of nuclear material subject to safeguards. In the years following the negotiation of INFCIRC/153, the IAEA's Secretariat and a large group of experts from Member States collaborated in the production of a set of guidelines to assist Member States in establishing their State system of accounting for and control of nuclear materials (SSAC). These guidelines, termed 'Guidelines for States' Systems of Accounting for and Control of Nuclear Materials', were published in 1980 as part of the IAEA's information series on the then developing safeguards system (IAEA/SG/INF/2). However, events over the past decade have changed the circumstances and requirements of the safeguards system. The IAEA, with support and assistance from Member States, embarked on an extensive multiyear effort to strengthen the safeguards system by increasing the IAEA's capability to detect undeclared nuclear material and activities. The centre-piece of this effort is the Model Protocol Additional to Safeguards Agreements (referred to as the 'additional protocol' and contained in INFCIRC/540 (Corrected)) approved by the Board of Governors in May 1997. The central components of strengthened safeguards and the additional protocol are increased access to information and increased physical access. The effective and efficient implementation of the strengthened safeguards system requires the SSACs to be effective and to cooperate closely with the IAEA. To achieve this aim the IAEA is, inter alia, revising IAEA/SG/INF/2, providing training and equipment to SSAC Authorities and providing an advisory service to Member States known as the IAEA SSAC Advisory Service (ISSAS). Accounting for and control of nuclear material is also key for nuclear security. General Conference resolutions (e.g. GC(48)/RES

  15. Analysis of data relative to the update of diagnostic reference levels in radiology and nuclear medicine. 2011-2012 review

    International Nuclear Information System (INIS)

    2014-01-01

    Applying the Order of 24 October 2011 on diagnostic reference levels, departments of radiology and nuclear medicine must send a sample of 'patient' dosimetric data to the IRSN each year. The results of the analysis of dosimetric data performed between the 1 January 2011 and the 31 December 2012 presented in this report should enable the authority to define the needs for updating regulations. Professional involvement in DRLs improved globally over the 2011-2012 period but is heterogeneous according to the imaging area considered. The participation of conventional radiology professionals is still low, with less than 30% against over 75% in CT and 85% in nuclear medicine. Data collection in pediatrics, considering all the fields of medical imaging, remains extremely limited. This shows almost no dose assessment for children by imaging departments, and has the effect of not allowing authorities to provide professionals with DRLs representative of pediatric practices. The analysis of radiology doses and nuclear medicine administered activities by IRSN shows an overall decrease of statistical indicators on which DRLs are indexed. These results lead to proposals for updating reference values for a large number of examinations. In addition to the analysis of data collected for examinations currently mentioned in regulatory texts, IRSN recommends to update DRLs in a more general way by changing the strategy for collecting and updating pediatric DRLs, by including interventional radiology - specialty in which the radiation protection presents a major challenge - by introducing a more ambitious indicator than the 75. percentile in conventional radiology and nuclear medicine - the 25. percentile statistical indicator, and by taking into account new technologies inducing additional exposures to the patient as CT-scan associated with the PET. (authors)

  16. Chat reference service in medical libraries: part 2--Trends in medical school libraries.

    Science.gov (United States)

    Dee, Cheryl R

    2003-01-01

    An increasing number of medical school libraries offer chat service to provide immediate, high quality information at the time and point of need to students, faculty, staff, and health care professionals. Part 2 of Chat Reference Service in Medical Libraries presents a snapshot of the current trends in chat reference service in medical school libraries. In late 2002, 25 (21%) medical school libraries provided chat reference. Trends in chat reference services in medical school libraries were compiled from an exploration of medical school library Web sites and informal correspondence from medical school library personnel. Many medical libraries are actively investigating and planning new chat reference services, while others have decided not to pursue chat reference at this time. Anecdotal comments from medical school library staff provide insights into chat reference service.

  17. 36 CFR 1501.1 - Cross reference to National Park Service regulations.

    Science.gov (United States)

    2010-07-01

    ... NATIONAL MEMORIAL TRUST GENERAL PROVISIONS § 1501.1 Cross reference to National Park Service regulations... (the Trust) adopts by cross reference the provisions of the National Park Service in 36 CFR chapter I... 36 Parks, Forests, and Public Property 3 2010-07-01 2010-07-01 false Cross reference to National...

  18. Crack Characterisation for In-service Inspection Planning - An Update

    Energy Technology Data Exchange (ETDEWEB)

    Waale, Jan [lnspecta Technology AB, Stockholm (Sweden)

    2006-05-15

    One important factor to optimize the NDT equipment and NDT procedure is to know the characteristics of the specific defects being sought for in each case. Thus, access is necessary to reliable morphology data of defects from all possible degradation mechanisms in all existing materials of the components that are subject to the NDT. In 1994 the Swedish Nuclear Power Inspectorate (SKI) initiated a project for compiling crack morphology data based on systematic studies of cracks that have been observed in different plants (nuclear and non-nuclear) in order to determine typical as well as more extreme values of e.g. orientation, width and surface roughness. Although, a large number of identified cracking incidents was covered by the work it was recognised that further studies were needed to increase the data base, and thereby getting more confidence in the use of different crack characteristic data for NDT development and qualification purposes. That is the major reason why the present work was initiated. A thorough review of the SKI archives was performed aiming to find useful material from the time period between 1994 and today to compile complementary data and produce an update. Furthermore, older material was collected and evaluated. Thus, the data cover cracking found within the time period 1977-2003. In addition, useful material was supplied by the Swedish nuclear power plants. The evaluation and presentation of the results are similar to the 1994 study, with a few exceptions. The base for the evaluation is failure analysis reports, where the crack morphology parameters were measured from photos on cracked surfaces or cross sections through cracks. The resulting data were divided into seven groups depending on the cracking mechanism/material group combination. The data groups are: IGSCC in austenitic stainless steels; IGSCC in nickel base alloys; IDSCC in nickel base weld metal; TGSCC in austenitic stainless steels Thermal fatigue in austenitic stainless steels

  19. Crack Characterisation for In-service Inspection Planning - An Update

    International Nuclear Information System (INIS)

    Waale, Jan

    2006-05-01

    One important factor to optimize the NDT equipment and NDT procedure is to know the characteristics of the specific defects being sought for in each case. Thus, access is necessary to reliable morphology data of defects from all possible degradation mechanisms in all existing materials of the components that are subject to the NDT. In 1994 the Swedish Nuclear Power Inspectorate (SKI) initiated a project for compiling crack morphology data based on systematic studies of cracks that have been observed in different plants (nuclear and non-nuclear) in order to determine typical as well as more extreme values of e.g. orientation, width and surface roughness. Although, a large number of identified cracking incidents was covered by the work it was recognised that further studies were needed to increase the data base, and thereby getting more confidence in the use of different crack characteristic data for NDT development and qualification purposes. That is the major reason why the present work was initiated. A thorough review of the SKI archives was performed aiming to find useful material from the time period between 1994 and today to compile complementary data and produce an update. Furthermore, older material was collected and evaluated. Thus, the data cover cracking found within the time period 1977-2003. In addition, useful material was supplied by the Swedish nuclear power plants. The evaluation and presentation of the results are similar to the 1994 study, with a few exceptions. The base for the evaluation is failure analysis reports, where the crack morphology parameters were measured from photos on cracked surfaces or cross sections through cracks. The resulting data were divided into seven groups depending on the cracking mechanism/material group combination. The data groups are: IGSCC in austenitic stainless steels; IGSCC in nickel base alloys; IDSCC in nickel base weld metal; TGSCC in austenitic stainless steels Thermal fatigue in austenitic stainless steels

  20. Adding a Feature: Can a Pop-Up Chat Box Enhance Virtual Reference Services?

    Science.gov (United States)

    Fan, Suhua Caroline; Fought, Rick L; Gahn, Paul C

    2017-01-01

    Online users seek help from virtual reference services via email, phone, texting, and live chat. Technologies have enabled new features in library websites to help make this service more accessible and effective. This article is an evaluation of an experimental pop-up live chat box on the website of a health sciences library to see whether the feature would enhance virtual reference services.

  1. A Survey of the Usability of Digital Reference Services on Academic Health Science Library Web Sites

    Science.gov (United States)

    Dee, Cheryl; Allen, Maryellen

    2006-01-01

    Reference interactions with patrons in a digital library environment using digital reference services (DRS) has become widespread. However, such services in many libraries appear to be underutilized. A study surveying the ease and convenience of such services for patrons in over 100 academic health science library Web sites suggests that…

  2. Updating Photonuclear Data Library and Generating a Reference Database for Photon Strength Functions. 1st Research Coordination Meeting. Summary Report

    International Nuclear Information System (INIS)

    Goriely, S.; Dimitriou, P.

    2016-07-01

    A summary is given of the 1 st Research Coordination Meeting of the new IAEA Co-ordinated Research Project (CRP) on Updating the Photonuclear Data Library and Generating a Reference Database for Photon Strength Functions. Participants presented their work, reviewed the current status of the field with regards to measurements, theoretical models and evaluations, discussed the scope of the work to be undertaken and agreed on a list of priorities and task assignments necessary to achieve the goals of the CRP. A summary of the presentations and discussions is presented in this report. (author)

  3. 78 FR 37696 - Federal Acquisition Regulation; Updated Postretirement Benefit (PRB) References

    Science.gov (United States)

    2013-06-21

    ... that were deleted in the Financial Accounting Standards Board's (FASB's) Accounting Standards Codification (ASC) of Generally Accepted Accounting Principles (GAAP). The references no longer exist in the..., 2012, to replace the obsolete references to paragraphs 110, 112, and 113 of Financial Accounting...

  4. Charging of mobile services by mobile payment reference model

    OpenAIRE

    Pousttchi, Key; Wiedemann, Dietmar Georg

    2005-01-01

    The purpose of the paper is to analyze mobile payments in the mobile commerce scenario. Therefore, we first classify the mobile payment in the mobile commerce scenario by explaining general offer models, charging concepts, and intermediaries. Second, we describe the mobile payment reference model, especially, the mobile payment reference organization model and different mobile payment standard types. Finally, we conclude our findings.

  5. Reference Service and Bounded Rationality: Helping Students with Research.

    Science.gov (United States)

    Chu, Felix T.

    1994-01-01

    In university libraries, reference librarians often get ambiguous questions to which they try to give appropriate answers. Because of limitations on resources, time, and mental capability for information processing, the decision-making process involved in answering reference questions becomes bounded by the rationality of these constraints.…

  6. Comprehensive T-matrix Reference Database: A 2009-2011 Update

    Science.gov (United States)

    Zakharova, Nadezhda T.; Videen, G.; Khlebtsov, Nikolai G.

    2012-01-01

    The T-matrix method is one of the most versatile and efficient theoretical techniques widely used for the computation of electromagnetic scattering by single and composite particles, discrete random media, and particles in the vicinity of an interface separating two half-spaces with different refractive indices. This paper presents an update to the comprehensive database of peer-reviewed T-matrix publications compiled by us previously and includes the publications that appeared since 2009. It also lists several earlier publications not included in the original database.

  7. Comprehensive Thematic T-Matrix Reference Database: A 2014-2015 Update

    Science.gov (United States)

    Mishchenko, Michael I.; Zakharova, Nadezhda; Khlebtsov, Nikolai G.; Videen, Gorden; Wriedt, Thomas

    2015-01-01

    The T-matrix method is one of the most versatile and efficient direct computer solvers of the macroscopic Maxwell equations and is widely used for the computation of electromagnetic scattering by single and composite particles, discrete random media, and particles in the vicinity of an interface separating two half-spaces with different refractive indices. This paper is the seventh update to the comprehensive thematic database of peer-reviewed T-matrix publications initiated by us in 2004 and includes relevant publications that have appeared since 2013. It also lists a number of earlier publications overlooked previously.

  8. Comprehensive T-Matrix Reference Database: A 2007-2009 Update

    Science.gov (United States)

    Mishchenko, Michael I.; Zakharova, Nadia T.; Videen, Gorden; Khlebtsov, Nikolai G.; Wriedt, Thomas

    2010-01-01

    The T-matrix method is among the most versatile, efficient, and widely used theoretical techniques for the numerically exact computation of electromagnetic scattering by homogeneous and composite particles, clusters of particles, discrete random media, and particles in the vicinity of an interface separating two half-spaces with different refractive indices. This paper presents an update to the comprehensive database of T-matrix publications compiled by us previously and includes the publications that appeared since 2007. It also lists several earlier publications not included in the original database.

  9. Analysis of data relative to the update of diagnosis reference levels in radiology and nuclear medicine. Situation 2004-2006

    International Nuclear Information System (INIS)

    2008-01-01

    This report presents the results of the analysis of patients dosimetry data the radiology and nuclear medicine institutions have to transmit yearly to I.R.S.N. in application of the 12. february decree disposal relative to the diagnosis reference levels in radiology and nuclear medicine. The analysed dosimetry data concern the evaluations realised between the date of decree publication, the 16. march 2004 and 31. december 2006. The so considered results have to allow to the Nuclear Safety Authority to define the evolution needs of the regulation. Particularly, the analysis of delivered doses in radiology and the activities given in nuclear medicine lead to propositions on the possible update of reference values of some examination types. (N.C.)

  10. Implementing an inclusive staffing model for today's reference services a practical guide for librarians

    CERN Document Server

    Nims, Julia K; Stevens, Robert

    2013-01-01

    Reference service remains a core function of modern libraries. However, how and where we provide assistance has evolved with changing technologies and the shifting habits and preferences of our users. One way libraries can provide the on-demand, in-person assistance while managing and developing new services and resources that will benefit current and future users is to reconsider how their reference points and services are staffed and adopt a staff-based reference model. In Implementing an Inclusive Staffing Model for Today's Reference Services, Nims, Storm, and Stevens describe step-by-step

  11. 2007 Electronic Reference Services In Nigerian Law Libraries.

    African Journals Online (AJOL)

    ezra

    interaction or interviewing techniques. The ... change. Abid, (2002), observed it is now common to find reference resources such as dictionaries .... Com,) Live Helper http:www. Wehelper. ..... sources, resources and strategies for legal research ...

  12. Towards a commitment-based reference ontology for services

    NARCIS (Netherlands)

    Nardi, Julio Cesar; de Almeida Falbo, Ricardo; Andrade Almeida, João; Guizzardi, Giancarlo; Ferreira Pires, Luis; van Sinderen, Marten J.; Guarino, Nicola; Gašević, Dragan; Hatala, Marek; Motahari Nezhad, Hamid R.; Reichert, Manfred

    The concept of “service” has been characterized by different disciplines and authors from various points of view. The variety of characterizations reveals that this notion, although an intuitive one, is far from trivial. Given the importance of services in enterprise computing and Service Science in

  13. A Service-Oriented E-Commerce Reference Architecture

    OpenAIRE

    Aulkemeier, Fabian; Schramm, Milan; Iacob, Maria Eugenia; van Hillegersberg, Jos

    2016-01-01

    Electronic commerce (e-commerce) is getting more and more important in people's every day shopping routines. Vendors who want to establish an online channel besides their traditional retail practice have to integrate the two supply chains. The underlying information technology systems should be able to support the integration of the new and old processes. While reference models are a popular means in designing this type of systems, the existing reference models in the field of e-commerce only...

  14. An update: choice architecture as a means to change eating behaviour in self-service settings

    DEFF Research Database (Denmark)

    Skov, Laurits Rohden; Perez-Cueto, Armando

    2014-01-01

    Objective: The primary objective of this review was to update the current evidence-base for the use of choice architecture as a means to change eating behaviour in self-service eating settings, hence potentially reducing energy intake. Methodology: 12 databases were searched systematically for ex...... in the topic of choice architecture and nudging has increased the scientific output since the last review. There is a clear limitation in the lack of a clear definitions and theoretical foundation....

  15. Digital chat reference in health science libraries: challenges in initiating a new service.

    Science.gov (United States)

    Dee, Cheryl R; Newhouse, Joshua D

    2005-01-01

    Digital reference service adds a valuable new dimension to health science reference services, but the road to implementation can present questions that require carefully considered decisions. This article incorporates suggestions from the published literature, provides tips from interviews with practicing academic health science librarians, and reports on data from students' exploration of academic health science library Web sites' digital reference services. The goal of this study is to provide guidelines to plan new services, assess user needs, and select software, and to showcase potential benefits of collaboration and proactive and user-friendly marketing. In addition, tips for successful operation and evaluation of services are discussed.

  16. Cost update: Technology, safety, and costs of decommissioning reference independent spent fuel storage installations

    International Nuclear Information System (INIS)

    Miles, T.L.

    1994-07-01

    The cost estimates originally developed in NUREG/CR-2210 for decommissioning five conceptual Independent Spent Fuel Storage Installations (ISFSIs) and their supporting ancillaries (hot cell and transporter) are updated from 1981 to 1993 dollars. The costs for labor and materials increased approximately at the rate of inflation, the cost of energy increased more slowly than the rate of inflation, and the cost of low-level radioactive waste disposal increased much more rapidly than the rate of inflation. A methodology and a formula are presented for estimating the cost of decommissioning the ISFSIs at some future time, based on these current cost estimates. The formula contains essentially the same elements as the formula given in 10 CFR 50.75 for escalating the decommissioning costs for nuclear power reactors to some future time

  17. Service update

    Science.gov (United States)

    Zhang, Changjun

    2018-04-01

    Professor M Stanley Whittingham is a pioneering researcher in the development of lithium-ion batteries at Binghamton University and Kent Snyder leads battery research and development at Ford Motor Company. Nature Energy caught up with both during the Nature Conference on Materials Electrochemistry: Fundamentals and Applications held in China in January 2018.

  18. Proper use of reference materials for trace element analysis and updates on their availability

    International Nuclear Information System (INIS)

    Snell, J.P.

    2009-01-01

    Full text: As different spectroscopic methods are used to certify reference materials (RMs) for element content, there is close interrelation between development of new methods and availability of new certified reference materials (CRMs). The Institute for Reference Materials and Measurements (IRMM) monitors changing scientific and regulatory interests, and adapts materials to current and predicted needs. This includes the development of CRMs with new matrices, or changing analytes and concentration levels for existing types of CRMs. Recent examples are CRMs to support the EC Directives on air quality and water, for nanoparticle characterization, and progressing international standards for biofuel measurements. User guidance including appropriate CRM selection, and use of uncertainties in comparing results will be highlighted. (author)

  19. Polycyclic aromatic hydrocarbons (PAHs) in a coal tar standard reference material - SRM 1597a updated

    Energy Technology Data Exchange (ETDEWEB)

    Wise, Stephen A.; Poster, Dianne L.; Rimmer, Catherine A.; Schubert, Patricia; Sander, Lane C.; Schantz, Michele M. [National Institute of Standards and Technology (NIST), Analytical Chemistry Division, Gaithersburg, MD (United States); Leigh, Stefan D. [National Institute of Standards and Technology (NIST), Statistical Engineering Division, Gaithersburg, MD (United States); Moessner, Stephanie [National Institute of Standards and Technology (NIST), Analytical Chemistry Division, Gaithersburg, MD (United States); GMP/Comparator Labs, Werthenstein Chemie AG, Industrie Nord, Schachen (Switzerland)

    2010-09-15

    SRM 1597 Complex Mixture of Polycyclic Aromatic Hydrocarbons from Coal Tar, originally issued in 1987, was recently reanalyzed and reissued as SRM 1597a with 34 certified, 46 reference, and 12 information concentrations (as mass fractions) for polycyclic aromatic hydrocarbons (PAHs) and polycyclic aromatic sulfur heterocycles (PASHs) including methyl-substituted PAHs and PASHs. The certified and reference concentrations (as mass fractions) were based on results of analyses of the coal tar material using multiple analytical techniques including gas chromatography/mass spectrometry on four different stationary phases and reversed-phase liquid chromatography. SRM 1597a is currently the most extensively characterized SRM for PAHs and PASHs. (orig.)

  20. Analysis of data relative to the update of diagnostic reference levels in radiology and nuclear medicine. 2013-2015 review

    International Nuclear Information System (INIS)

    2016-11-01

    Applying the Order of 24 October 2011 on diagnostic reference levels, departments of radiology and nuclear medicine must send a sample of 'patient' dosimetric data to the IRSN each year. The results of the analysis of dosimetric data performed between the 1 January 2013 and the 31 December 2015 presented in this report should enable the authority to define the needs for updating regulation. This assessment takes place in a national and international context particularly rich and active since the last years. More than 20 years after the official introduction of the DRL concept by ICRP and the first regulation requirements at a European level, the good and the bad sides of the DRLs systems implemented by several countries, including France, has shown the necessity of complementary actions regarding some specific practices (pediatrics, interventional radiology). On one hand, from a national point of view, the current collection and analysis system is highly efficient for evaluation of practices in France and for DRL update ability. On the other hand, as an optimization implementation tool, regarding the lack of professionals involvement, the current system should not be considered as fully effective in radiology. However, when the professionals carry out DRL data collection and analysis, optimization actions are implemented for nearly all the cases. During the 2013-2015 period, professionals involvement in DRLs globally improved but is heterogeneous according to the imaging area considered. The participation of conventional radiology professionals is still low, with less than 30% against about 80% in CT and more than 85% in nuclear medicine. From a dosimetric point of view, the national analysis shows an overall decrease of statistical indicators in radiology, computed tomography and nuclear medicine on which DRLs are indexed. These results lead to proposals for updating reference values for a large number of examinations. In addition to the analysis of data collected

  1. 77 FR 29305 - Federal Acquisition Regulation; Updated Postretirement Benefit (PRB) References

    Science.gov (United States)

    2012-05-17

    ... remove references to specific paragraphs in an accounting standard that were deleted in the Financial... Accounting Principles (GAAP). The immediate and delayed recognition procedures for the initial application transition obligation in paragraphs 111, 112, and 113, respectively, of superseded Financial Accounting...

  2. 78 FR 13243 - Updates to Standards Incorporated by Reference; Reapproved ASTM Standards; Technical Amendment

    Science.gov (United States)

    2013-02-27

    ... Characteristics of Plastic Film 2009)[egr]1. and Sheeting. Standard Specification for F682-82a F682-82a 46 56.01-2... (Reapproved Standard Test Method for Determining Gas 2009)[egr]1. Permeability Characteristics of Plastic Film... Permeability Characteristics of Plastic Film and Sheeting (approved May 1, 2009), incorporation by reference...

  3. Motion Pictures: An Update Survey of Reference Sources, 1982-1988.

    Science.gov (United States)

    Block, Eleanor S.

    1989-01-01

    Surveys motion picture reference materials published since 1982. Materials are presented in the following categories: encyclopedic works about films, filmmakers and the industry; film criticism; people on the screen and behind it; horror, science fiction and Westerns; literature on film; catalogs and filmographies; and special collections. (70…

  4. Apparel and Textiles Production, Management, and Services. Reference Book.

    Science.gov (United States)

    Texas Tech Univ., Lubbock. Home Economics Curriculum Center.

    Developed with input from personnel in the industries, this reference book complements a matching curriculum guide for a course on the textiles and apparel industries. The book emphasizes job skills and the attitudes and interpersonal skills needed for successful employment in the textiles/apparel industry. Each of the 22 chapters of the book…

  5. The Value of Chat Reference Services: A Pilot Study

    Science.gov (United States)

    Jacoby, JoAnn; Ward, David; Avery, Susan; Marcyk, Emilia

    2016-01-01

    This article explores student, instructor, and librarian perceptions of chat reference in the context of an introductory composition course. Participants in a mixed-method study responded to an anonymized chat transcript. While student respondents valued speed and efficiency, they were willing to receive instruction and open to questions that…

  6. The Knowledge Base as an Extension of Distance Learning Reference Service

    Science.gov (United States)

    Casey, Anne Marie

    2012-01-01

    This study explores knowledge bases as extension of reference services for distance learners. Through a survey and follow-up interviews with distance learning librarians, this paper discusses their interest in creating and maintaining a knowledge base as a resource for reference services to distance learners. It also investigates their perceptions…

  7. Improving Reference Service: The Case for Using a Continuous Quality Improvement Method.

    Science.gov (United States)

    Aluri, Rao

    1993-01-01

    Discusses the evaluation of library reference service; examines problems with past evaluations, including the lack of long-term planning and a systems perspective; and suggests a method for continuously monitoring and improving reference service using quality improvement tools such as checklists, cause and effect diagrams, Pareto charts, and…

  8. "Librarian's Anxiety"? How Community College Librarians Feel about Their Reference Desk Service

    Science.gov (United States)

    Powers, Anne

    2010-01-01

    A survey of community college librarians in California reveals that the nature of reference service required of them, limitations on budget, staffing, technical support, resources, decision-making ability, and professional development opportunities, affect their professional attitudes. Librarians see reference service as primarily a teaching role.…

  9. 76 FR 53492 - South Carolina Public Service Authority (Also Referred to as Santee Cooper); Combined Licenses...

    Science.gov (United States)

    2011-08-26

    ... Carolina Public Service Authority (Also Referred to as Santee Cooper); Combined Licenses for Virgil C... as Santee Cooper), for two Title 10 of the Code of Federal Regulations (10 CFR) part 52 combined... Service Authority (Also Referred to as Santee Cooper) Application for the Virgil C. Summer Nuclear Station...

  10. Numeric data services and sources for the general reference librarian

    CERN Document Server

    Kellam, Lynda

    2011-01-01

    The proliferation of online access to social science statistical and numeric data sources, such as the U.S. Census Bureau's American Fact Finder, has lead to an increased interest in supporting these sources in academic libraries. Many large libraries have been able to devote staff to data services for years, and recently smaller academic libraries have recognized the need to provide numeric data services and support. This guidebook serves as a primer to developing and supporting social science statistical and numerical data sources in the academic library. It provides strategies for the estab

  11. Analysis of 17 STR data on 5362 southern Portuguese individuals-an update on reference database.

    Science.gov (United States)

    Cabezas Silva, Raquel; Ribeiro, Teresa; Lucas, Isabel; Porto, Maria João; Costa Santos, Jorge; Dario, Paulo

    2016-03-01

    The main objective of this work consisted of the updating of allele frequencies and other relevant forensic parameters for the 17 autosomal STR loci provided by the combination of the two types of kits used routinely in our laboratory casework: AmpF/STR Identifiler(®) and the Powerplex(®) 16 Systems. This aim was of significant importance, given that the last study on these kits within the southern Portuguese population dates back to 2006, and, as a consequence, it was necessary to correct the deviation caused by population evolution over the last ten years so that they might be better applied to our forensic casework. For this reason genetic data from 5362 unrelated Caucasian Portuguese individuals from the south of Portugal who were involved in paternity testing casework from 2005 to 2014 was used. Of all the markers, TPOX proved to be the least polymorphic, and Penta E the most. Secondly, this up-to-date southern Portuguese population was compared not only with the northern and central Portuguese populations, but also with that of southern Portugal in 2006, along with populations from Spain, Italy, Greece, Romania, Morocco, Angola and Korea in order to infer information about the relatedness of these respective populations, and the variation of the southern Portuguese population over time. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

  12. Consumer willingness to pay for pharmacy services: An updated review of the literature.

    Science.gov (United States)

    Painter, Jacob T; Gressler, Laura; Kathe, Niranjan; Slabaugh, S Lane; Blumenschein, Karen

    2018-02-02

    Quantifying the value of pharmacy services is imperative for the profession as it works to establish an expanded role within evolving health care systems. The literature documents the work that many have contributed toward meeting this goal. To date, however, the preponderance of evidence evaluates the value of pharmacist services to third-party payers; few published studies address the value that consumers place on these services. In 1999, a review of studies that used the contingent valuation method to value pharmacy services was published. The objective of this manuscript is to provide an update of that review. Relevant studies published in the English language were identified searching MEDLINE, ECONLIT and International Pharmaceutical Abstracts databases from January 1999 to November 2017. Only studies that specifically elicited willingness to pay for a community pharmacist provided service from actual or potential consumers were included. Thirty-one studies using the contingent valuation method to value pharmacy services were identified using the search strategy outlined. These studies included surveys in different demographic and geographic populations and valuing various pharmacy services. Improving the quality of studies using contingent valuation to value pharmacy services will aid the profession in marketing pharmacy services to consumers, and may assist practitioners who wish to implement various pharmacy services in their practice settings. A limited number of studies have been conducted, but the quality of contingent valuation studies valuing pharmacist services is improving. Understanding the pharmacy services that consumers value, and understanding the level of their monetary willingness to pay for those services will be crucial as the profession continues to work toward establishing a sustainable and economically viable role within the evolving health care systems. Copyright © 2018. Published by Elsevier Inc.

  13. Extent of reference services to users in Ebonyi State Public Libraary ...

    African Journals Online (AJOL)

    Users are very satisfied with the extent of reference services provided to them by the public library studied. Findings further show that the reference section of Ebonyi State Public Library, Abakiliki is faced with the problems of inadequate reading space, equipment and furniture, reference information sources, unconducive ...

  14. An update to the analysis of the Canadian Spatial Reference System

    Science.gov (United States)

    Ferland, R.; Piraszewski, M.; Craymer, M.

    2015-12-01

    The primary objective of the Canadian Spatial Reference System (CSRS) is to provide users access to a consistent geo-referencing infrastructure over the Canadian landmass. Global Navigation Satellite System (GNSS) positioning accuracy requirements ranges from meter level to mm level (e.g.: crustal deformation). The highest level of the Canadian infrastructure consist of a network of continually operating GPS and GNSS receivers, referred to as active control stations. The network includes all Canadian public active control stations, some bordering US CORS and Alaska stations, Greenland active control stations, as well as a selection of IGS reference frame stations. The Bernese analysis software is used for the daily processing and the combination into weekly solutions which form the basis for this analysis. IGS weekly final orbit, Earth Rotation parameters (ERP's) and coordinates products are used in the processing. For the more demanding users, the time dependant changes of station coordinates is often more important.All station coordinate estimates and related covariance information is used in this analysis. For each input solution, variance factor, translation, rotation and scale (and if needed their rates) or subsets of these are estimated. In the combination of these weekly solutions, station positions and velocities are estimated. Since the time series from the stations in these networks often experience changes in behavior, new (or reuse of) parameters are generally used in these situations. As is often the case with real data, unrealistic coordinates may occur. Automatic detection and removal of outliers is used in these cases. For the transformation, position and velocity parameters loose apriori estimates and uncertainties are provided. Alignment using the usual Helmert transformation to the latest IGb08 realization of ITRF is also performed during the adjustment.

  15. Effectiveness of Asynchronous Reference Services for Distance Learning Students within Florida's Community College System

    Science.gov (United States)

    Profeta, Patricia C.

    2007-01-01

    The provision of equitable library services to distance learning students emerged as a critical area during the 1990s. Library services available to distance learning students included digital reference and instructional services, remote access to online research tools, database and research tutorials, interlibrary loan, and document delivery.…

  16. Benchmarking Reference Desk Service in Academic Health Science Libraries: A Preliminary Survey.

    Science.gov (United States)

    Robbins, Kathryn; Daniels, Kathleen

    2001-01-01

    This preliminary study was designed to benchmark patron perceptions of reference desk services at academic health science libraries, using a standard questionnaire. Responses were compared to determine the library that provided the highest-quality service overall and along five service dimensions. All libraries were rated very favorably, but none…

  17. Virtual Reference Services: Connecting Users with Experts and Supporting the Development of Skills

    Directory of Open Access Journals (Sweden)

    Trix Bakker

    2002-04-01

    Full Text Available Virtual reference - a service that allows librarians and patrons to communicate with each other in real time through the Internet by e-mail, chat or instant messaging - is currently a hot topic in libraries. In a way the commercial sector has challenged the reference function by offering Question & Answer services. To librarians this represents a threat and an opportunity. They can benefit from technologies and service models developed for the commercial arena by adapting these to virtual reference applications that will more effectively meet the needs of libraries on the Web. The literature provides many examples of pilots and experiments in taking reference into cyberspace. After an introduction to the in-and-outs of virtual reference, follows a short exposition of a virtual tour in the Netherlands where 7 of the 13 university libraries and the Royal Library have a basic ‚virtual helpdesk’. One thing is clear: virtual reference services are definitely put high on the agenda of the Dutch libraries. The Royal Library is one of the Dutch libraries, which is going to participate with QuestionPoint, formerly called Collaborative Digital Reference Service (CDRS, jointly developed by the Library of Congress and OCLC, which will provide web-based reference service to researchers anytime, anywhere, through an international, online network of member libraries.

  18. Foundations for Tools as a Service Workspace: A Reference Architecture

    DEFF Research Database (Denmark)

    Chauhan, Muhammad Aufeef

    S). However, providing the resources corresponding to a domain following *aaS requires specific challenges associated with the domain to be addressed. Software as a Service (SaaS) model enables software vendors to offer their software solutions to end users following pay-per-use model. SaaS also enables end...... users to have access to the software system without being bound into long-term license commitments and without incurring additional infrastructure and maintenance overheads. Though SaaS has been successful in providing stand-alone applications where users can perform a specific set of activities using...... an application, applicability of SaaS for scenarios where users need to use a number of software systems to perform activities and associated tasks is limited. A typical such use case is the activities associated with software engineering domains in general and software architecting domain in particular...

  19. Eliminating traditional reference services in an academic health sciences library: a case study

    Science.gov (United States)

    Schulte, Stephanie J

    2011-01-01

    Question: How were traditional librarian reference desk services successfully eliminated at one health sciences library? Setting: The analysis was done at an academic health sciences library at a major research university. Method: A gap analysis was performed, evaluating changes in the first eleven months through analysis of reference transaction and instructional session data. Main Results: Substantial increases were seen in the overall number of specialized reference transactions and those conducted by librarians lasting more than thirty minutes. The number of reference transactions overall increased after implementing the new model. Several new small-scale instructional initiatives began, though perhaps not directly related to the new model. Conclusion: Traditional reference desk services were eliminated at one academic health sciences library without negative impact on reference and instructional statistics. Eliminating ties to the confines of the physical library due to staffing reference desk hours removed one significant barrier to a more proactive liaison program. PMID:22022221

  20. Reference-based pricing: an evidence-based solution for lab services shopping.

    Science.gov (United States)

    Melton, L Doug; Bradley, Kent; Fu, Patricia Lin; Armata, Raegan; Parr, James B

    2014-01-01

    To determine the effect of reference-based pricing (RBP) on the percentage of lab services utilized by members that were at or below the reference price. Retrospective, quasi-experimental, matched, case-control pilot evaluation of an RBP benefit for lab services. The study group included employees of a multinational grocery chain covered by a national health insurance carrier and subject to RBP for lab services; it had access to an online lab shopping tool and was informed about the RBP benefit through employer communications. The reference group was covered by the same insurance carrier but not subject to RBP. The primary end point was lab compliance, defined as the percentage of lab claims with total charges at or below the reference price. Difference-in-difference regression estimation evaluated changes in lab compliance between the 2 groups. Higher compliance per lab claim was evident for the study group compared with the reference group (69% vs 57%; Ponline shopping tool was used by 7% of the matched-adjusted study group prior to obtaining lab services. Lab compliance was 76% for study group members using the online tool compared with 68% among nonusers who were subject to RBP (P<.01). RBP can promote cost-conscious selection of lab services. Access to facilities that offer services below the reference price and education about RBP improve compliance. Evaluation of the effect of RBP on higher-cost medical services, including radiology, outpatient specialty, and elective inpatient procedures, is needed.

  1. Emerging solutions in reference services implications for libraries in the new millennium

    CERN Document Server

    Edwards, John D

    2013-01-01

    How can you enhance reference services without adding staff?Modern law librarians are under growing pressure to keep up with new technologies, deal instantly with the demands of patrons, keep the library safe and user-friendly, and generally offer the best possible service while keeping costs down. Emerging Solutions in Reference Services: Implications for Libraries in the New Millennium is a very practical guide for coping with rapidly changing technology and increasing demands for services. Its sane, well-researched advice and suggestions can help you deal with the hectic days and

  2. Quality assurance in CT: implementation of the updated national diagnostic reference levels using an automated CT dose monitoring system.

    Science.gov (United States)

    Appel, E; Kröpil, P; Bethge, O T; Aissa, J; Thomas, C; Antoch, G; Boos, J

    2018-03-20

    To evaluate the implementation of the updated computed tomography (CT) diagnostic reference levels (DRLs) from the German Federal Office for Radiation Protection into clinical routine using an automatic CT dose monitoring system. CT radiation exposure was analysed before and after implementing the updated national DRLs into routine clinical work in 2016. After the implementation process, institutional CT protocols were mapped to the anatomical regions for which DRLs were provided. Systematically, protocols that exceeded the thresholds were optimised and analysed in detail. The CT radiation output parameters analysed were volumetric CT dose index (CTDIvol) and dose-length product (DLP). Three radiologists evaluated subjective image quality using a three-point Likert scale. The study included 94,258 CT series (from 27,103 CT examinations) in adult patients performed in 2016. When averaged over all body regions with available DRL, institutional CTDIvol/DLP values were always below the DRLs (65.2±32.9%/67.3±41.5% initially; 59.4±32%/60.5±39.9% after optimisation). Values exceeding the national DRLs were found for pelvis (n=268; CTDIvol 107.7±65.7%/DLP 106.3±79.3%), lumbar spine (n=91; 160.8±74.7%/175.2±104.1%), and facial bones (n=527; 108±39%/152.7±75.7%). After optimisation, CTDIvol and DLP were 87.9±73%/87.8±80.8% for the pelvis, 67.8±33.2%/74.5±50.6% for the lumbar spine and 95.1±45.8%/133.3±74.6% for the viscerocranium. An automatic CT dose monitoring system enabled not only comprehensive monitoring of a DRL implementation process but can also help to optimise radiation exposure. Copyright © 2018 The Royal College of Radiologists. Published by Elsevier Ltd. All rights reserved.

  3. Reference model of future ubiquitous convergent network and context-aware telecommunication service platform

    Institute of Scientific and Technical Information of China (English)

    QIAO Xiu-quan; LI Xiao-feng; LIANG Shou-qing

    2006-01-01

    A reference model for future ubiquitous convergent network is analyzed. To provide user-centric, intelligent,personalized service, this article presents a context-aware telecommunication service platform (CaTSP) to adapt to dynamically changing context. This article focuses on the new design method of context-aware telecommunication service platform and its architecture. Through the use of model-driven architecture (MDA) and semantic web technologies, CaTSP can enable context reasoning and service personalization adaption.This article explores a new approach for service intelligence,personalization, and adaptability in the semantic web service computing era.

  4. Virtual Reference Services through Web Search Engines: Study of Academic Libraries in Pakistan

    Directory of Open Access Journals (Sweden)

    Rubia Khan

    2017-03-01

    Full Text Available Web search engines (WSE are powerful and popular tools in the field of information service management. This study is an attempt to examine the impact and usefulness of web search engines in providing virtual reference services (VRS within academic libraries in Pakistan. The study also attempts to investigate the relevant expertise and skills of library professionals in providing digital reference services (DRS efficiently using web search engines. Methodology used in this study is quantitative in nature. The data was collected from fifty public and private sector universities in Pakistan using a structured questionnaire. Microsoft Excel and SPSS were used for data analysis. The study concludes that web search engines are commonly used by librarians to help users (especially research scholars by providing digital reference services. The study also finds a positive correlation between use of web search engines and quality of digital reference services provided to library users. It is concluded that although search engines have increased the expectations of users and are really big competitors to a library’s reference desk, they are however not an alternative to reference service. Findings reveal that search engines pose numerous challenges for librarians and the study also attempts to bring together possible remedial measures. This study is useful for library professionals to understand the importance of search engines in providing VRS. The study also provides an intellectual comparison among different search engines, their capabilities, limitations, challenges and opportunities to provide VRS effectively in libraries.

  5. Update of computer applications associated to measuring equipment of the services of internal dosimetry of NPPS and Tecnatom

    International Nuclear Information System (INIS)

    Bravo, B.; Sollet, E.; Serrano, E.

    2014-01-01

    Within the continuous improvement processes that take place in all the activities taking place in the Spanish nuclear power plants, and as a result of implementation of ISO Standards for Internal Dosimetry, has undertaken a review, improvement and updating INDAC ALEDIN and applications associated with measuring equipment and DIYs Quicky kind Personal Internal Dosimetry Services of the Spanish nuclear power plants and Tecnatom This paper presents updates capacities both tools. (Author)

  6. What words and where? Applying usability testing techniques to name a new live reference service.

    Science.gov (United States)

    Duncan, Vicky; Fichter, Darlene M

    2004-04-01

    A user-focused design approach was taken to develop a new "live reference" service at the Health Sciences Library, University of Saskatchewan. The name of the service, the placement of the links, and the design of a graphical button were seen as key elements in creating service awareness and its subsequent use. To ensure library users recognized and understood the label for the new service, selected library users were given an opportunity to choose a phrase that would best describe the service. The top two preferred phrases were then placed on the library Web pages as text and graphic images for further testing. Some pages had links in multiple locations to determine which placement worked best. Task-based usability testing was carried out with participants who were unaware of the new service. Participants were observed as they completed seven Website tasks arranged in increasing levels of difficulty to see whether they would notice the live reference service and seek assistance. The high level of recognition and use of the service indicate that the label name and link placement were effective with library Website users. Using user-centered design methodology helped ensure that the new live reference service was visible and used and demonstrated the effectiveness of the user-centered design approach for adding new services to an existing Website.

  7. Redefining Roles and Responsibilities: Implementing a Triage Reference Model at a Single Service Point

    Science.gov (United States)

    LaMagna, Michael; Hartman-Caverly, Sarah; Marchetti, Lori

    2016-01-01

    As academic institutions continue to renovate and remodel existing libraries to include colocated services, it is important to understand how this new environment requires the redefining of traditional library roles and responsibilities. This case study examines how Delaware County Community College redefined reference and research service by…

  8. References in the Digital Age: Marketing and Services in Virtual Worlds

    Directory of Open Access Journals (Sweden)

    Octavia-Luciana Porumbeanu

    2008-01-01

    Full Text Available The digital age has brought major changes at the level of the reference services offered by libraries. The emergence of competition, represented by numerous organizations that also provide information services, has necessitated the reorganization of reference services so that they function according to the market laws. In this context marketing has become an essential tool for libraries. They must develop strategies to make sure that users will continue to ask for their services. The number of those attracted to online information services is growing and many traditional users of libraries may be encountered at present in virtual environments where the possibilities for communication and interaction, for sharing information and generating knowledge are clearly better. Many libraries have already taken the step towards the virtual world and offer now assistance and information services in environments such as Second Life where there are possible both games and educational activities.

  9. Personal technology use by U.S. military service members and veterans: an update.

    Science.gov (United States)

    Bush, Nigel E; Wheeler, William M

    2015-04-01

    Although personal electronic devices, such as mobile phones, computers, and tablets, increasingly are being leveraged as vehicles for health in the civilian world, almost nothing is known about personal technology use in the U.S. military. In 2012 we conducted a unique survey of personal technologies used by U.S. military service members. However, with the rapidly growing sophistication of personal technology and changes in consumer habits, that knowledge must be continuously updated to be useful. Accordingly, we recently surveyed new samples of active duty service members, National Guard and Reserve, and veterans. We collected data by online surveys in 2013 from 239 active, inactive, and former service members. Online surveys were completed in-person via laptop computers at a large military installation and remotely via Web-based surveys posted on the Army Knowledge Online Web site and on a Defense Center Facebook social media channel. We measured high rates of personal technology use by service members at home across popular electronic media. The most dramatic change since our earlier survey was the tremendous increase in mobile phone use at home for a wide variety of purposes. Participants also reported moderate non-work uses of computers and tablets while on recent deployment to Iraq and Afghanistan, but almost no mobile phone use, ostensibly because of military restrictions in the war zone. These latest results will enable researchers and technology developers target their efforts on the most promising and popular technologies for psychological health in the military.

  10. Investigation of Service Quality of Measurement Reference Points for the Internet Services on Mobile Networks

    Science.gov (United States)

    Lipenbergs, E.; Bobrovs, Vj.; Ivanovs, G.

    2016-10-01

    To ensure that end-users and consumers have access to comprehensive, comparable and user-friendly information regarding the Internet access service quality, it is necessary to implement and regularly renew a set of legislative regulatory acts and to provide monitoring of the quality of Internet access services regarding the current European Regulatory Framework. The actual situation regarding the quality of service monitoring solutions in different European countries depends on national regulatory initiatives and public awareness. The service monitoring solutions are implemented using different measurement methodologies and tools. The paper investigates the practical implementations for developing a harmonising approach to quality monitoring in order to obtain objective information on the quality of Internet access services on mobile networks.

  11. Analysis of Static and Dynamic E-Reference Content at a Multi-Campus University Shows, that Updated Content is Associated with Greater Annual Usage

    Directory of Open Access Journals (Sweden)

    Laura Costello

    2016-03-01

    Full Text Available Objective – To discover whether there is a difference in use over time between dynamically updated and changing subscription e-reference titles and collections, and static purchased e-reference titles and collections. Design – Case study. Setting – A multi-campus Canadian university with 9,200 students enrolled in both graduate and undergraduate programs. Subjects – E-reference book packages and individual e-reference titles. Methods – The author compared data from individual e-reference books and packages. First, individual subscription e-reference books that periodically added updated content were compared to individually purchased e-reference books that remained static after purchase. The author then compared two e-reference book packages that provided new and updated content to two static e-reference book packages. The author compared data from patron usage to new content added over time using regression analysis. Main Results – As the library acquired e-reference titles, dynamic title subscriptions added to the collection were associated with 2,246 to 4,635 views per subscription while static title additions were associated with 8 to 123 views per purchase. The author also found that there was a strong linear relationship between views and dynamic titles added to the collection (R2=0.79 and a very weak linear relationship (R2=0.18 with views when static titles are added to the collection. Regression analysis of dynamic e-reference collections revealed that the number of titles added to each collection was strongly associated with views of the material (R2=0.99, while static e-reference collections were less strongly linked (R2=0.43. Conclusion – Dynamic e-reference titles and collections experienced increases in usage each year while static titles and collections experienced decreases in usage. This indicates that collections and titles that offer new content to users each year will continue to see growth in usage while static

  12. HIV/AIDS reference questions in an AIDS service organization special library.

    Science.gov (United States)

    Deevey, Sharon; Behring, Michael

    2005-01-01

    Librarians in many venues may anticipate a wide range of reference questions related to HIV and AIDS. Information on HIV/ AIDS is now available in medical, academic, and public libraries and on the Internet, and ranges from the most complex science to the most private disclosures about personal behavior. In this article, the 913 reference questions asked between May 2002 and August 2004 in a special library in a mid-western community-based AIDS service organization are described and analyzed.

  13. A Reference Architecture for a Cloud-Based Tools as a Service Workspace

    DEFF Research Database (Denmark)

    Chauhan, Aufeef; Babar, Muhammad Ali; Sheng, Quan Z.

    2015-01-01

    Software Architecture (SA) plays a critical role in developing and evolving cloud-based applications. We present a Reference Architecture (RA) for designing Cloud-based Tools as a service work SPACE (TSPACE) - a platform for provisioning chain of tools following the Software as a Service (SaaS...... evaluate the RA in terms of completeness and feasibility. Our proposed RA can provide valuable guidance and insights for designing and implementing concrete software architectures of TSPACE....

  14. Curry’s Study on the Quality of Public Library Reference Service to LGBTQ Youth

    Directory of Open Access Journals (Sweden)

    Gregg A Stevens

    2018-02-01

    Full Text Available A Review of: Curry, A. (2005. If I ask, will they answer? Evaluating public library reference service to gay and lesbian youth. Reference & User Services Quarterly, 45(1, 65-75. Retrieved from https://www.jstor.org/journal/refuseserq Abstract Objective - To assess the quality of service provided by reference staff in public libraries when presented with a request for LGBTQ information by a young person. Design - Unobtrusive observation without informed consent. Setting - Public library branches in the greater Vancouver area, British Columbia, Canada. Subjects - Reference librarians. Methods - A 19-year-old posing as a high school student approached reference desk staff at 20 public library branches. The student proxy, “Angela”, was instructed to ask for books on forming a gay-straight alliance at her school and, if there was a full reference interview, to also ask for recommendations of novels that the group might read. She recorded the reactions, both verbal and nonverbal, using Reference and User Services Association guidelines as a template. Library administrators were aware of the potential visits and permitted the research, but the reference desk staff were not aware of a potential visit by the student proxy. The researcher claimed that her method, while deceptive, was necessary to obtain authentic reactions from the library staff. Main Results - Most reference librarians approached by Angela made adequate attempts to assist her, although a few library staff reacted negatively to her query. Half of the librarians reacted positively to the patron’s request, with most of the others providing neutral responses. Very few of the librarians actually taught the patron how to use the library’s catalog to search for materials, and most of the librarians were unable to find appropriate materials due to not knowing the appropriate search terms. Only three library staff showed overt disapproval of the search topic, such as frowning or rushing

  15. Evolution in reference and information services the impact of the Internet

    CERN Document Server

    Katz, Linda S

    2013-01-01

    Explore ways to bring and keep your library's electronic services up to date!From editor Di Su: "Some years ago, if you were told that a library's catalog would be available on a 24/7/365 basis, you'd think it was just another fiction. Perhaps as influential as Johannes Gutenberg's invention of movable type printing, the Internet is one of the most significant happenings in the information world in modern times."In addition to showing you how library services have been influenced and enhanced by the advent of the Internet, Evolution in Reference and Information Services: Th

  16. Oh! Web 2.0, Virtual Reference Service 2.0, Tools & Techniques (II)

    Science.gov (United States)

    Arya, Harsh Bardhan; Mishra, J. K.

    2012-01-01

    The paper describes the theory and definition of the practice of librarianship, specifically addressing how Web 2.0 technologies (tools) such as synchronous messaging, collaborative reference service and streaming media, blogs, wikis, social networks, social bookmarking tools, tagging, RSS feeds, and mashups might intimate changes and how…

  17. Now It's Necessary: Virtual Reference Services at Washington State University, Pullman

    Science.gov (United States)

    Nicol, Erica Carlson; Crook, Linda

    2013-01-01

    While virtual reference services (VRS) are becoming more and more common in academic libraries, implementing and maintaining well-used and effective VRS can be a challenge in the face of competing demands on time, staffing, and funding. Between 2011 and 2012, librarians at Washington State University, Pullman (WSU) have overhauled and reorganized…

  18. A Survey and Empirical Study of Virtual Reference Service in Academic Libraries

    Science.gov (United States)

    Mu, Xiangming; Dimitroff, Alexandra; Jordan, Jeanette; Burclaff, Natalie

    2011-01-01

    Virtual Reference Services (VRS) have high user satisfaction. The main problem is its low usage. We surveyed 100 academic library web sites to understand how VRS are presented. We then conducted a usability study to further test an active VRS model regarding its effectiveness.

  19. Evaluating Remote Reference Service: A Practical Guide to Problems and Solutions

    Science.gov (United States)

    Pomerantz, Jeffrey; Mon, Lorri; McClure, Charles R.

    2008-01-01

    This paper identifies key methodological issues affecting quality of data in the evaluation of remote reference services. Despite a growing number of studies in this area, no comprehensive effort has been made to identify potential problems and suggest solutions. The strategies proposed in this paper offer practical ways in which libraries can…

  20. Finding and Addressing the Gaps: Two Evaluations of Archival Reference Services

    Science.gov (United States)

    Battley, Belinda; Wright, Alicia

    2012-01-01

    Regular evaluation of archival reference services is essential to ensure that users have appropriate access to the information they need. Archives New Zealand has been measuring customer satisfaction for many years using self-completion questionnaires but recently trialed two new methods of evaluation, using external research companies. One…

  1. Patient and referring health care provider satisfaction with a physiotherapy spinal triage assessment service.

    Science.gov (United States)

    Bath, Brenna; Janzen, Bonnie

    2012-01-01

    To evaluate participant and referring care provider satisfaction associated with a spinal triage assessment service delivered by physiotherapists in collaboration with orthopedic surgeons. People with low back-related complaints were recruited from those referred to a spinal triage assessment program delivered by physiotherapists. Measures of patient and provider satisfaction were completed at approximately 4 weeks after the assessment. The satisfaction surveys were analyzed quantitatively with descriptive statistics and qualitatively with an inductive thematic approach of open and axial coding. A total of 108/115 participants completed the posttest satisfaction survey. Sixty-six percent of participants were "very satisfied" with the service and 55% were "very satisfied" with the recommendations that were made. Only 18% of referring care providers completed the satisfaction survey and 90.5% of those were "very satisfied" with the recommendations. Sixty-one participants and 14 care providers provided comments which revealed a diverse range of themes which were coded into positive (ie, understanding the problem, communication, customer service, efficiency, and management direction), negative (ie, lack of detail, time to follow-up, cost) and neutral related to the triage service, and an "other" category unrelated to the service (ie, chronic symptoms, comorbidities, and limited access to health care.) The quantitative results of the participant survey demonstrated very high levels of satisfaction with the service and slightly less satisfaction with the recommendations that were made. Satisfaction of referring care providers with the recommendations and report was also high, but given the low response rate, these results should be interpreted with caution. Qualitative analysis of participant and provider comments revealed a diverse range of themes. These other issues may be important contextual factors that have the potential to impact patient relevant outcomes.

  2. Updated Value of Service Reliability Estimates for Electric Utility Customers in the United States

    Energy Technology Data Exchange (ETDEWEB)

    Sullivan, Michael [Nexant Inc., Burlington, MA (United States); Schellenberg, Josh [Nexant Inc., Burlington, MA (United States); Blundell, Marshall [Nexant Inc., Burlington, MA (United States)

    2015-01-01

    This report updates the 2009 meta-analysis that provides estimates of the value of service reliability for electricity customers in the United States (U.S.). The meta-dataset now includes 34 different datasets from surveys fielded by 10 different utility companies between 1989 and 2012. Because these studies used nearly identical interruption cost estimation or willingness-to-pay/accept methods, it was possible to integrate their results into a single meta-dataset describing the value of electric service reliability observed in all of them. Once the datasets from the various studies were combined, a two-part regression model was used to estimate customer damage functions that can be generally applied to calculate customer interruption costs per event by season, time of day, day of week, and geographical regions within the U.S. for industrial, commercial, and residential customers. This report focuses on the backwards stepwise selection process that was used to develop the final revised model for all customer classes. Across customer classes, the revised customer interruption cost model has improved significantly because it incorporates more data and does not include the many extraneous variables that were in the original specification from the 2009 meta-analysis. The backwards stepwise selection process led to a more parsimonious model that only included key variables, while still achieving comparable out-of-sample predictive performance. In turn, users of interruption cost estimation tools such as the Interruption Cost Estimate (ICE) Calculator will have less customer characteristics information to provide and the associated inputs page will be far less cumbersome. The upcoming new version of the ICE Calculator is anticipated to be released in 2015.

  3. Towards a Reference Architecture to Provision Tools as a Service for Global Software Development

    DEFF Research Database (Denmark)

    Chauhan, Aufeef; Babar, Muhammad Ali

    2014-01-01

    Organizations involve in Global Software Development (GSD) face challenges in terms of having access to appropriate set of tools for performing distributed engineering and development activities, integration between heterogeneous desktop and web-based tools, management of artifacts developed...... distributed environment. In this paper, we argue the need to have a cloud-enabled platform for supporting GSD and propose reference architecture of a cloud based Platform for providing support to provision ecosystem of the Tools as a Service (PTaaS)....

  4. 探思參考服務的畸形發展 Rethinking of the Development of Reference Service

    Directory of Open Access Journals (Sweden)

    Sheue-fang Song

    1997-03-01

    Full Text Available 無This article explains what's wrong with reference service. Users often have low inspections of what the reference librarian have to offer. Perhaps limited to a belief that librarians know where things are. Perhaps limited to a understanding what can the reference librarian do. But be a reference librarian, she (he has a lot of stuffs need to do, has a lot of plains try to design. She doesn't have any break. Everytime we talk about the number of increasing reference services, increasing the number of reference books. But we seldom talk about the increasing depression on the reference librarian. this paper talks about coping with success and failure on reference service in Taiwan.

  5. Social Q&A’s Enlightenment to the Library Virtual Reference Service

    Directory of Open Access Journals (Sweden)

    Yang Yukun

    2017-10-01

    Full Text Available [Purpose/significance] Under the circumstance of Web2.0, the social Q&As, possessing the similar functions of the library virtual reference services, emerge consequently and enjoy tremendous prosperity. Thus, conducting the research of its success could shed light on the sustainable development of the library’s virtual reference services. [Method/process] According to the present-day situation that Social Q&A’s prosperity challenged the library virtual reference service, a literature review of domestic and foreign relevant research was completed. On the base of this review, typical Internet Q&A websites such as Baidu Knows and Yahoo Answers, social network-oriented Q&A websites such as Zhihu and Quora, were selected as the research objects. Then, the paper analyzed the traits of four representative SQA platforms from the perspectives of the Internet interlocution mode, the information organization mode and the user interaction and management mode. In addition, an experiment between SQAs and VRS was conducted as empirical research. [Result/conclusion] Finally, on the base of the research status, the platform investigation and experimental outcomes, the improvement suggestions for library VRS are proposed.

  6. Comparison of Updated Weight and Height Percentiles with Previous References in 6-17-Year-Old Children in Kayseri, Turkey.

    Science.gov (United States)

    Zararsız, Gökmen; Çiçek, Betül; Kondolot, Meda; Mazıcıoğlu, M Mümtaz; Öztürk, Ahmet; Kurtoğlu, Selim

    2017-03-01

    To compare updated weight and height percentiles of 6-17-year-old children from all socio-economic levels in Kayseri with previous local references and other national/international data. The second study "Determination of Anthropometric Measurements of Turkish Children and Adolescents study (DAMTCA II)" was conducted in Kayseri, between October 2007 and April 2008. Weight and height measurements from 4321 (1926 boys, 2395 girls) school children aged between 6 to 17 years were included in this cross-sectional study. Using these data, weight and height percentile curves were produced with generalized additive models for location, scale and shape (GAMLSS) and compared with the most recent references. Smoothed percentile curves including the 3 rd , 5 th , 10 th , 15 th , 25 th , 50 th , 75 th , 85 th , 90 th , 95 th , and 97 th percentiles were obtained for boys and girls. These results were compared with DAMTCA I study and with two national (İstanbul and Ankara) and international data from Asia and from Europe. This study provides updated weight and height references for Turkish school children aged between 6 and 17 years residing in Kayseri.

  7. Establishment of reference costs for occupational health services and implementation of cost management in Japanese manufacturing companies.

    Science.gov (United States)

    Nagata, Tomohisa; Mori, Koji; Aratake, Yutaka; Ide, Hiroshi; Nobori, Junichiro; Kojima, Reiko; Odagami, Kiminori; Kato, Anna; Hiraoka, Mika; Shiota, Naoki; Kobayashi, Yuichi; Ito, Masato; Tsutsumi, Akizumi; Matsuda, Shinya

    2016-07-22

    We developed a standardized cost estimation method for occupational health (OH) services. The purpose of this study was to set reference OH services costs and to conduct OH services cost management assessments in two workplaces by comparing actual OH services costs with the reference costs. Data were obtained from retrospective analyses of OH services costs regarding 15 OH activities over a 1-year period in three manufacturing workplaces. We set the reference OH services costs in one of the three locations and compared OH services costs of each of the two other workplaces with the reference costs. The total reference OH services cost was 176,654 Japanese yen (JPY) per employee. The personnel cost for OH staff to conduct OH services was JPY 47,993, and the personnel cost for non-OH staff was JPY 38,699. The personnel cost for receipt of OH services-opportunity cost-was JPY 19,747, expense was JPY 25,512, depreciation expense was 34,849, and outsourcing cost was JPY 9,854. We compared actual OH services costs from two workplaces (the total OH services costs were JPY 182,151 and JPY 238,023) with the reference costs according to OH activity. The actual costs were different from the reference costs, especially in the case of personnel cost for non-OH staff, expense, and depreciation expense. Using our cost estimation tool, it is helpful to compare actual OH services cost data with reference cost data. The outcomes help employers make informed decisions regarding investment in OH services.

  8. Alanine dosimetry at NPL - the development of a mailed reference dosimetry service at radiotherapy dose levels

    International Nuclear Information System (INIS)

    Sharpe, P.H.G.; Sephton, J.P.

    1999-01-01

    In this paper we describe the work that has been carried out at National Physical Laboratory (NPL) to develop a mailed alanine reference dosimetry service for radiotherapy dose levels. The service is based on alanine/paraffin wax dosimeters produced at NPL. Using a data analysis technique based on spectrum fitting, it has been possible to achieve a precision of dose measurement better than ±0.05 Gy (1σ). A phantom set has been developed for use in high energy photon beams, which enables simultaneous irradiation of alanine dosimeters and ionisation chambers in a well defined geometry. Studies in photon beams of energies between 60 Co and 20 MeV have shown no significant energy dependence (<1%) for alanine relative to dose determination using a graphite calorimeter. Work is underway to extend the service to electron beams, and preliminary results are presented on the direct calibration of alanine in electron beams using a graphite calorimeter. (author)

  9. Laying a Foundation for Comparing Departmental Structures between Reference and Instructional Services: Analysis of a Nationwide Survey.

    Science.gov (United States)

    Johnson, Kristin; Fountain, Kathleen Carlisle

    2002-01-01

    Describes a survey of midsized academic libraries that measured the departmental relationship between librarians who provide reference services and librarians who provide instructional services. Discusses satisfaction levels with various organizational arrangements as well as pros and cons of integrated or separate reference and instruction…

  10. Accuracy of Answers Provided by Digital/Face-to-Face Reference Services in Japanese Public Libraries and Q & A Sites

    Science.gov (United States)

    Tsuji, Keita; To, Haruna; Hara, Atsuyuki

    2011-01-01

    We asked the same 60 questions using DRS (digital reference services) in Japanese public libraries, face-to-face reference services and Q & A (question and answer) sites. It was found that: (1) The correct answer ratio of DRS is higher than that of Q & A sites; (2) DRS takes longer to provide answers as compared to Q & A sites; and (3)…

  11. Patient and referring health care provider satisfaction with a physiotherapy spinal triage assessment service

    Directory of Open Access Journals (Sweden)

    Bath B

    2011-12-01

    Full Text Available Brenna Bath1, Bonnie Janzen21School of Physical Therapy, College of Medicine, University of Saskatchewan, 2Community Health and Epidemiology, College of Medicine, University of Saskatchewan, Saskatoon, Saskatchewan, CanadaPurpose: To evaluate participant and referring care provider satisfaction associated with a spinal triage assessment service delivered by physiotherapists in collaboration with orthopedic surgeons.Methods: People with low back-related complaints were recruited from those referred to a spinal triage assessment program delivered by physiotherapists. Measures of patient and provider satisfaction were completed at approximately 4 weeks after the assessment. The satisfaction surveys were analyzed quantitatively with descriptive statistics and qualitatively with an inductive thematic approach of open and axial coding.Results: A total of 108/115 participants completed the posttest satisfaction survey. Sixty-six percent of participants were “very satisfied” with the service and 55% were “very satisfied” with the recommendations that were made. Only 18% of referring care providers completed the satisfaction survey and 90.5% of those were “very satisfied” with the recommendations. Sixty-one participants and 14 care providers provided comments which revealed a diverse range of themes which were coded into positive (ie, understanding the problem, communication, customer service, efficiency, and management direction, negative (ie, lack of detail, time to follow-up, cost and neutral related to the triage service, and an “other” category unrelated to the service (ie, chronic symptoms, comorbidities, and limited access to health care.Conclusion: The quantitative results of the participant survey demonstrated very high levels of satisfaction with the service and slightly less satisfaction with the recommendations that were made. Satisfaction of referring care providers with the recommendations and report was also high, but given

  12. IAEA biological reference materials

    International Nuclear Information System (INIS)

    Parr, R.M.; Schelenz, R.; Ballestra, S.

    1988-01-01

    The Analytical Quality Control Services programme of the IAEA encompasses a wide variety of intercomparisons and reference materials. This paper reviews only those aspects of the subject having to do with biological reference materials. The 1988 programme foresees 13 new intercomparison exercises, one for major, minor and trace elements, five for radionuclides, and seven for stable isotopes. Twenty-two natural matrix biological reference materials are available: twelve for major, minor and trace elements, six for radionuclides, and four for chlorinated hydrocarbons. Seven new intercomparisons and reference materials are in preparation or under active consideration. Guidelines on the correct use of reference materials are being prepared for publication in 1989 in consultation with other major international producers and users of biological reference materials. The IAEA database on available reference materials is being updated and expanded in scope, and a new publication is planned for 1989. (orig.)

  13. Bilingual children referred for psychiatric services: associations of language disorders, language skills, and psychopathology.

    Science.gov (United States)

    Toppelberg, Claudio O; Medrano, Laura; Peña Morgens, Liana; Nieto-Castañon, Alfonso

    2002-06-01

    To investigate (1) the prevalence of language deficits and disorders and (2) the relationship of bilingual language skills and psychopathology, in Spanish-English bilingual children referred for child and adolescent psychiatry services. Bilingual language skills, emotional/behavioral problems, sociodemographics, immigration variables, and nonverbal IQ were studied in 50 consecutively referred children. Estimated prevalence was high for language deficits (48%) and disorders (41%), with most cases (>79%) being of the mixed receptive-expressive type. In children with clinically significant emotional/behavioral problems, bilingual language skills were strongly and inversely correlated with problem scores, particularly global problems (r = -0.67, p or = -0.54; p language disorders and delays and (2) the close tie between poor language skills and emotional/behavioral problems. The data strongly suggest the clinical importance and feasibility of language assessment and the significance of receptive problems in bilingual children referred for psychiatric services. A safe approach is to fully assess language skills, rather than misattributing these children's language delays to normal bilingual acquisition processes.

  14. Smart City Reference Model: Interconnectivity for On-Demand User to Service Authentication

    Directory of Open Access Journals (Sweden)

    Michael Strasser

    2016-05-01

    Full Text Available The Internet of Things and Services (IoTS has encouraged the development of service provisioning systems in respect to Smart City topics. Most of them are operated as heterogeneous systems which limits end customers’ access and contradicts with IoTS principles. In this paper, we discuss and develop a reference model of an interconnected service marketplace ecosystem. The prototypical implementation incorporates findings from an empirical study and lessons learned from research projects. The elaborated ecosystem enables service request roaming between different parties across system boundaries. The paper presents a feasible centralized architecture, introduces involved parties and parts of a developed message protocol. Why a contracting mechanism is indispensable for request roaming is also outlined. The model’s feasibility is demonstrated by means of a current electric mobility use case: providing access to foreign charging infrastructure without multiple registrations. This work contributes to simplify the data exchange between service platforms to improve Smart City solutions and to support travelers with intelligent mobility applications.

  15. Analysis and lessons learned instituting an instant messaging reference service at an academic health sciences library: the first year.

    Science.gov (United States)

    Kipnis, Daniel G; Kaplan, Gary E

    2008-01-01

    In February 2006, Thomas Jefferson University went live with a new instant messaging (IM) service. This paper reviews the first 102 transcripts to examine question types and usage patterns. In addition, the paper highlights lessons learned in instituting the service. IM reference represents a small proportion of reference questions, but based on user feedback and technological improvements, the library has decided to continue the service.

  16. Reference Services in Australian Academic Libraries are Becoming More Multifaceted, A Review of: Burke, L. “Models of Reference Services in Australian Academic Libraries.” Journal of Librarianship and Information Science 40.4 (2008: 269‐86.

    Directory of Open Access Journals (Sweden)

    David Herron

    2009-09-01

    Full Text Available Objective – To investigate the current organizational models for reference work in Australian academic libraries, and how these reference services are staffed.Design – Mixed methods.Setting – Academic universities in Australia.Subjects – Forty Council of Australian University Librarians (CAUL member libraries.Methods – A literature study was undertaken to (1 find a definition of reference services and (2 explore the development of reference service models over time. Statistics from the CAUL member libraries were studied for trends in student population and number of academic and library staff. A web‐based survey, with questions based on the findings in the literature study, was then distributed to the 40 Australian university libraries in 2006. Respondents were asked when the library commenced different reference services in five areas: formats in which the library received and responded to reference queries, information literacy, subject specialization, liaison activities, and collection development. Respondents also answered questions about the organization of the reference department, including: whether they had a separate or integrated model; the size of the reference collections; if they had a librarian dedicated to supporting students studying in remote or distant mode; if the interlibrary loans department was part of the suite of reference services; and if they had a mission or statement of purpose for their reference services department.Main Results – Based on the literature study, the working definition of reference services (1 for the project was “all activities which assist in providing relevant and appropriate information services to patrons” (270, including:•All interactions with patrons to assist them in their searches for information in all media types.•All training by librarians of patrons to be able to access information for themselves.•Activities to help the library stay informed of relevant developments

  17. Social Question and Answer Services versus Library Virtual Reference: Evaluation and Comparison from the Users' Perspective

    Science.gov (United States)

    Zhang, Yin; Deng, Shengli

    2014-01-01

    Introduction: In recent years, the introduction of social question and answer services and other Internet tools have expanded the ways in which people have their questions answered. There has been speculation and debate over whether such services and other Internet tools are replacing library virtual reference services. Method: Most previous…

  18. A Process Framework for Designing Software Reference Architectures for Providing Tools as a Service

    DEFF Research Database (Denmark)

    Chauhan, Muhammad Aufeef; Babar, Muhammad Ali; Probst, Christian W.

    2016-01-01

    of software systems need customized and systematic SRA design and evaluation methods. In this paper, we present a software Reference Architecture Design process Framework (RADeF) that can be used for analysis, design and evaluation of the SRA for provisioning of Tools as a Service as part of a cloud......Software Reference Architecture (SRA), which is a generic architecture solution for a specific type of software systems, provides foundation for the design of concrete architectures in terms of architecture design guidelines and architecture elements. The complexity and size of certain types......-enabled workSPACE (TSPACE). The framework is based on the state of the art results from literature and our experiences with designing software architectures for cloud-based systems. We have applied RADeF SRA design two types of TSPACE: software architecting TSPACE and software implementation TSPACE...

  19. Development of picture quality monitoring system for IPTV service based on the reduced reference framework

    Science.gov (United States)

    Sugimoto, Osamu; Kawada, Ryoichi; Koike, Atsushi

    2006-01-01

    The authors developed a software-based realtime IPTV monitoring system based on Reduced Reference framework, and evaluated the proposed system. One of the quality issues of the IPTV service is the picture quality degradation caused by packet loss. The proposed system precisely estimates the PSNR of the corrupted received picture by extracting and comparing image features from transmission and receiver side. Computer simulations show that PSNR estimation with a 0.945 correlation coefficient at a data channel bitrate of 36kbps is possible using the proposed system.

  20. A Reference Architecture for Providing Tools as a Service to Support Global Software Development

    DEFF Research Database (Denmark)

    Chauhan, Aufeef

    2014-01-01

    -computing paradigm for addressing above-mentioned issues by providing a framework to select appropriate tools as well as associated services and reference architecture of the cloud-enabled middleware platform that allows on demand provisioning of software engineering Tools as a Service (TaaS) with focus......Global Software Development (GSD) teams encounter challenges that are associated with distribution of software development activities across multiple geographic regions. The limited support for performing collaborative development and engineering activities and lack of sufficient support......-based solutions. The restricted ability of the organizations to have desired alignment of tools with software engineering and development processes results in administrative and managerial overhead that incur increased development cost and poor product quality. Moreover, stakeholders involved in the projects have...

  1. TLD Postal service for quality audits of beams of Co-60 in reference conditions in Cuba

    International Nuclear Information System (INIS)

    Gutierrez L, S.; Walwyn S, G.; Alonso V, G.

    2006-01-01

    Purpose: To describe the methodology and experience of the Secondary Laboratory of Dosimetric Calibration of Cuba in the establishment of the TLD Postal Service for quality audits of beams of Co-60 in reference conditions. Materials and methods: Through the Coordinated Project of Research (Contract 10794) its was bought 200 solid thermoluminescent detectors of LiF: Mg, Ti (TLD-100) in micro bars form with dimensions of 6 x 1 x 1 mm and of the JR 1152F type manufactured in China. All these detectors were identified individually with a serial number on one of its faces, using a graphite fine sheet. Those detectors for its irradiation are introduced in cylindrical plastic capsules developed and used by the International Atomic Energy Agency (IAEA) in the Audit Postal Service of Dose IAEA/WHO, the capsules have one cavity equal to 3 mm for that is necessary to recover this cavity with a fine plastic tube so that the detectors remain immobile during the irradiation. The method used to determine the individual sensitivity of the thermoluminescent detectors is: to irradiate a detectors group (100 micro bars) 4 times in those same geometric conditions, with the same irradiation history and reading, then it is determine for each detector a sensitivity factor equal to the average of those readings obtained for the 4 irradiation cycles for each i detector among the average of all the reading values obtained during the 4 cycles. The thermoluminescent signal is obtained with a Harshaw 2000C/B reader manual. Results: The satisfactory results obtained in the verification of the calibration of the TLD system, using the reference irradiation service of the Seibersdorf Dosimetry Laboratory of the IAEA in three different years are shown. The results of the audits carried out to the different radiotherapy services of the country in different years are also presented. Conclusions: The experience with the detectors acquired in the project demonstrates that with an appropriate

  2. [Personalizing the reference level: gold standard to evaluate the quality of service perceived].

    Science.gov (United States)

    Rodrigo-Rincón, I; Reyes-Pérez, M; Martínez-Lozano, M E

    2014-01-01

    To know the cutoff point at which in-house Nuclear Medicine Department (MND) customers consider that the quality of service is good (personalized cutoff). We conducted a survey of the professionals who had requested at least 5 tests to the Nuclear Medicine Department. A total of 71 doctors responded (response rate: 30%). A question was added to the questionnaire for the user to establish a cutoff point for which they would consider the quality of service as good. The quality non-conformities, areas of improvement and strong points of the six questions measuring the quality of service (Likert scale 0 to 10) were compared with two different thresholds: personalized cutoff and one proposed by the service itself a priori. Test statistics: binomial and Student's t-test for paired data. A cutoff value of 7 was proposed by the service as a reference while 68.1% of respondents suggested a cutoff above 7 points (mean 7.9 points). The 6 elements of perceived quality were considered strong points with the cutoff proposed by the MND, while there were 3 detected with the personalized threshold. Thirteen percent of the answers were nonconformities with the service cutoff versus 19.2% with the personalized one, the differences being statistically significant (difference 95% CI 6.44%:0,83-12.06). The final image of the perceived quality of an in-house customer is different when using the cutoff established by the Department versus the personalized cutoff given by the respondent. Copyright © 2013 Elsevier España, S.L. and SEMNIM. All rights reserved.

  3. 75 FR 81335 - Reasonable Charges for Medical Care or Services; 2011 Calendar Year Update

    Science.gov (United States)

    2010-12-27

    ... Veterans Health Administration Chief Business Office's Intranet and Internet Web sites. These changes are... hereby updated as described below. These changes are effective January 1, 2011. We note that in cases... amounts for the following types of charges: Acute inpatient facility charges; skilled nursing facility and...

  4. Analysis of References on the Plastic Surgery In-Service Training Exam.

    Science.gov (United States)

    Silvestre, Jason; Zhang, Alicia; Lin, Samuel J

    2016-06-01

    The Plastic Surgery In-Service Training Exam is a knowledge assessment tool widely used during plastic surgery training in the United States. This study analyzed literature supporting correct answer choices to determine highest yield sources, journal publication lag, and journal impact factors. Digital syllabi of 10 consecutive Plastic Surgery In-Service Training Exam administrations (2006 to 2015) were reviewed. The most-referenced articles, journals, and textbooks were determined. Mean journal impact factor and publication lag were calculated and differences were elucidated by section. Two thousand questions and 5386 references were analyzed. From 2006 to 2015, the percentage of journal citations increased, whereas textbook references decreased (p < 0.001). Plastic and Reconstructive Surgery was cited with greatest frequency (38.5 percent), followed by Clinics in Plastic Surgery (5.6 percent), Journal of Hand Surgery (American volume) (5.1 percent), and Annals of Plastic Surgery (3.8 percent). There was a trend toward less publication lag over the study period (p = 0.05), with a mean publication lag of 9.1 ± 9.0 years for all journal articles. Mean journal impact factor was 2.3 ± 4.3 and lowest for the hand and lower extremity section (1.7 ± 2.8; p < 0.001). The highest yield textbooks were elucidated by section. Plastic surgery faculty and residents may use these data to facilitate knowledge acquisition during residency.

  5. Oncogenetics service and the Brazilian public health system: the experience of a reference Cancer Hospital.

    Science.gov (United States)

    Palmero, Edenir I; Galvão, Henrique C R; Fernandes, Gabriela C; Paula, André E de; Oliveira, Junea C; Souza, Cristiano P; Andrade, Carlos E; Romagnolo, Luis G C; Volc, Sahlua; C Neto, Maximiliano; Sabato, Cristina; Grasel, Rebeca; Mauad, Edmundo; Reis, Rui M; Michelli, Rodrigo A D

    2016-05-13

    The identification of families at-risk for hereditary cancer is extremely important due to the prevention potential in those families. However, the number of Brazilian genetic services providing oncogenetic care is extremely low for the continental dimension of the country and its population. Therefore, at-risk patients do not receive appropriate assistance. This report describes the creation, structure and management of a cancer genetics service in a reference center for cancer prevention and treatment, the Barretos Cancer Hospital (BCH). The Oncogenetics Department (OD) of BCH offers, free of charge, to all patients/relatives with clinical criteria, the possibility to perform i) genetic counseling, ii) preventive examinations and iii) genetic testing with the best quality standards. The OD has a multidisciplinary team and is integrated with all specialties. The genetic counseling process consists (mostly) of two visits. In 2014, 614 individuals (371 families) were seen by the OD. To date, over 800 families were referred by the OD for genetic testing. The support provided by the Oncogenetics team is crucial to identify at-risk individuals and to develop preventive and personalized behaviors for each situation, not only to the upper-middle class population, but also to the people whose only possibility is the public health system.

  6. Which individuals to choose to update the reference population? Minimizing the loss of genetic diversity in animal genomic selection programs

    NARCIS (Netherlands)

    Eynard, Sonia E.; Croiseau, Pascal; Laloë, Denis; Fritz, Sebastien; Calus, Mario P.L.; Restoux, Gwendal

    2018-01-01

    Genomic selection (GS) is commonly used in livestock and increasingly in plant breeding. Relying on phenotypes and genotypes of a reference population, GS allows performance prediction for young individuals having only genotypes. This is expected to achieve fast high genetic gain but with a

  7. Complete internal audit of a mammography service in a reference institution for breast imaging.

    Science.gov (United States)

    Badan, Gustavo Machado; Roveda Júnior, Décio; Ferreira, Carlos Alberto Pecci; de Noronha Junior, Ozeas Alves

    2014-01-01

    Undertaking of a complete audit of the service of mammography, as recommended by BI-RADS(®), in a private reference institution for breast cancer diagnosis in the city of São Paulo, SP, Brazil, and comparison of results with those recommended by the literature. Retrospective, analytical and cross-sectional study including 8,000 patients submitted to mammography in the period between April 2010 and March 2011, whose results were subjected to an internal audit. The patients were followed-up until December 2012. The radiological classification of 7,249 screening mammograms, according to BI-RADS, was the following: category 0 (1.43%), 1 (7.82%), 2 (80.76%), 3 (8.35%), 4 (1.46%), 5 (0.15%) and 6 (0.03%). The breast cancer detection ratio was 4.8 cases per 1,000 mammograms. Ductal carcinoma in situ was found in 22.8% of cases. Positive predictive values for categories 3, 4 and 5 were 1.3%, 41.3% and 100%, respectively. In the present study, the sensitivity of the method was 97.1% and specificity, 97.4%. The complete internal audit of a service of mammography is essential to evaluate the quality of such service, which reflects on an early breast cancer detection and reduction of mortality rates.

  8. A Survey on the Infrastructures and Skills Necessary to Establish Electronic Reference Services at Ferdowsi University of Mashhad

    Directory of Open Access Journals (Sweden)

    Mehri Parirokh

    2014-12-01

    The study population were all librarians working in the Reference Services, information and Public services in Libraries of Ferdowsi University of Mashhad (32 person. Interviews were conducted with one of the administrative staff at the Central Library. The checklist was completed with the help of the head of each library. The findings showed that about 35% of reference librarians using less electronic reference services. in this field, Others evaluate themselves as moderate. And all the librarians (100 percent were mentioned that offer of electronic reference services is necessary. Meanwhile, only 28% believed that librarians have the Technology skills and nearly 50% believe that they have the searching skills. In this regard, more than 60% of librarians said they have suitable skills. Based on the finding and the gap between present and ideal situation it seems that the usage rate of technology in its ideal form has the deepest gap and with the librarian's individual skills has not it.

  9. Interchangeability of biosimilar and biological reference product: updated regulatory positions and pre- and post-marketing evidence.

    Science.gov (United States)

    Trifirò, Gianluca; Marcianò, Ilaria; Ingrasciotta, Ylenia

    2018-03-01

    Since 2006, biosimilars have been available in several countries worldwide, thus allowing for potential savings in pharmaceutical expenditure. However, there have been numerous debates about the interchangeability of biosimilars and reference products based on concerns of immunogenicity by switching between biological products, which may cause lack of effect and toxicity. Areas covered: The authors provide the reader with an overview of the different positions of regulatory authorities on the interchangeability and automatic substitution of biosimilars and reference products. Presently, the FDA allows automatic substitution without prescriber intervention if the biosimilar is interchangeable with reference products, while the European Medicines Agency delegate to each single EU member state. Expert opinion: Different approaches in defining interchangeability and automatic substitution call for harmonization to increase confidence of healthcare professionals and patients about the clinical impact of switching. Networks of electronic healthcare records and administrative databases, potentially linkable to clinical charts and registries may rapidly assess frequency and benefit-risk profile of different switching patterns in routine care at different levels, thus integrating and strengthening pre-marketing evidence.

  10. 77 FR 62211 - Senior Executive Services (SES) Performance Review Board: Update

    Science.gov (United States)

    2012-10-12

    ... AGENCY FOR INTERNATIONAL DEVELOPMENT Senior Executive Services (SES) Performance Review Board... International Development, Office of Inspector General's Senior Executive Service Performance Review Board... Performance Review Boards. The board shall review and evaluate the initial appraisal of each USAID OIG senior...

  11. Midwives' experiences of referring obese women to either a community or home-based antenatal weight management service: Implications for service providers and midwifery practice.

    Science.gov (United States)

    Atkinson, Lou; French, David P; Ménage, Diane; Olander, Ellinor K

    2017-06-01

    a variety of services to support women to undertake weight management behaviours during pregnancy have recently been implemented as a means to reduce the risks to mother and infant. In the UK, midwives lead the care of the majority of pregnant women and are seen as the ideal source of referral into antenatal services. However, midwives have reported concerns regarding raising the topic of weight with obese women and negative referral experiences have been cited as a reason not to engage with a service. This study explored midwives' experiences of referring women to one of two antenatal weight management services. qualitative, cross-sectional interview and focus group study, with data analysed thematically. midwifery teams in the West Midlands, England. midwives responsible for referring to either a home-based, one to one service (N=12), or a community-based, group service (N=11). four themes emerged from the data. Participants generally had a positive View of the service, but their Information needs were not fully met, as they wanted more detail about the service and feedback regarding the women they had referred. Approaches to referral differed, with some participants referring all women who met the eligibility criteria, and some offering women a choice to be referred or not. Occasionally the topic was not raised at all when a negative reception was anticipated. Reasons for poor uptake of the services included pragmatic barriers, and their perception of women's lack of interest in weight management. midwives' differing views on choice and gaining agreement to refer means referral practices vary, which could increase the risk that obese women have inequitable access to weight management services. However, midwives' confidence in the services on offer may be increased with more detailed information about the service and feedback on referrals, which would additionally act as prompts to refer. weight management services need to improve communication with their

  12. Making Decisions: Using Electronic Data Collection to Re-Envision Reference Services at the USF Tampa Libraries

    Science.gov (United States)

    Todorinova, Lily; Huse, Andy; Lewis, Barbara; Torrence, Matt

    2011-01-01

    Declining reference statistics, diminishing human resources, and the desire to be more proactive and embedded in academic departments, prompted the University of South Florida Library to create a taskforce for re-envisioning reference services. The taskforce was charged with examining the staffing patterns at the desk and developing…

  13. New nuclear data service at CNEA: retrieval of the update libraries from a local Web-Server

    International Nuclear Information System (INIS)

    Suarez, Patricia M.; Pepe, Maria E.; Sbaffoni, Maria M.

    2000-01-01

    A new On-line Nuclear Data Service was implemented at National Atomic Energy Commission (CNEA) Web-Site. The information usually issued by the Nuclear Data Section of IAEA (NDS-IAEA) on CD-ROM, as well as complementary libraries periodically downloaded from the a mirror server of NDS-IAEA Service located at IPEN, Brazil are available on the new CNEA Web page. In the site, users can find numerical data on neutron, charged-particle, and photonuclear reactions, nuclear structure, and decay data, with related bibliographic information. This data server is permanently maintained and updated by CNEA staff members. This crew also offers assistance on the use and retrieval of nuclear data to local users. (author)

  14. Analysis of data related to the update of diagnosis reference levels in radiology and nuclear medicine. Assessment 2009-2010

    International Nuclear Information System (INIS)

    Roch, Patrice; Celier, David

    2012-10-01

    This report presents and comments the results of the analysis of 'patient' dosimetric data which radiology and nuclear medicine establishments had to transmit to the IRSN. The first part concerns conventional radiology and the analysis is made from a general point of view, and then by examination type (in the case of adults and of children). A synthesis of results since 2004 is proposed in terms of transmitted data, of data representativeness, of influence of detection technology on the delivered dose, of evolution of diagnosis reference level. With the same approach, the next parts address scanography examinations and nuclear medicine

  15. Analysis of data related to the updating of diagnosis reference levels in radiology and nuclear medicine. Assessment 2007-2008

    International Nuclear Information System (INIS)

    2010-01-01

    This report presents the results of the analysis of 'patient' dosimetric data which radiology and nuclear medicine establishments must supply every year to the IRSN (the French Radioprotection and Nuclear Safety Institute) according to a decree related to diagnosis reference levels in radiology and nuclear medicine. The analysed dosimetric data concern assessments performed during 2007 and 2008. For the different concerned practices (radiology, scanography, nuclear medicine), the report proposes a presentation and a discussion of global data, and then a presentation of data either for different types of examination on adults and on children, or for the different parts of the body

  16. Congenital heart diseases in a reference service: clinical evolution and associated illnesses.

    Science.gov (United States)

    Huber, Janaína; Peres, Vivian Catarino; Santos, Tiago Jeronimo dos; Beltrão, Lauro da Fontoura; Baumont, Angélica Cerveira de; Cañedo, Andrés Delgado; Schaan, Beatriz D'Agord; Pellanda, Lucia Campos

    2010-03-01

    Several factors, which include prenatal diagnosis and availability of new therapeutic procedures, have contributed to change the profile of patients with congenital heart disease (CHD). Knowing these changes is important to a better health care. Description of profile of patients with CHD in a reference service in the State of Rio Grande do Sul, Brazil. It is a cross-sectional study including 684 patients with CHD in a service of pediatric cardiology from January 2007 to May 2008. We interviewed the patients (and/or their parents) and examined these patients (congenital malformations, anthropometric measures). Moreover, their charts were reviewed in order to detail heart diseases, procedures and echocardiography. Patients were from 16 days to 66 years old, 51.8% were female, and 93.7% were Caucasian. The mean age at diagnosis was 15.8 +/- 46.8 months. Ventricular septal defect, patent ductus arteriosus and Tetralogy of Fallot were the most prevalent CHD. 59.1% of examined patients, whose average age was 44.3 +/- 71.2 months, have been undergoing therapeutic procedures; 30.4% had congenital extracardiac malformations; and 12 patients had genetic syndrome. Regarding development, 46.6% had low weight and height gain, and 13.7% had neuropsychomotor delay. Furthermore, 18.4% had family history of congenital heart disease. Neuropsychomotor delay and low weight and height gain may be related to CHD. Establishing a profile of patients with CHD, who were treated at an institution of reference, may function as a basis in which health care of this population can be planed appropriately.

  17. Formative evaluation of a telemedicine model for delivering clinical neurophysiology services part II: the referring clinician and patient perspective.

    LENUS (Irish Health Repository)

    Breen, Patricia

    2010-01-01

    Feedback from service users will provide insight into opportunities for improvement so that performance can be optimised. In the context of a formative evaluation referring clinician and patient satisfaction with a teleneurophysiology service was examined during a 20 week pilot period.

  18. Body composition, symptoms, and survival in advanced cancer patients referred to a phase I service.

    Science.gov (United States)

    Parsons, Henrique A; Baracos, Vickie E; Dhillon, Navjot; Hong, David S; Kurzrock, Razelle

    2012-01-01

    Body weight and body composition are relevant to the outcomes of cancer and antineoplastic therapy. However, their role in Phase I clinical trial patients is unknown. We reviewed symptom burden, body composition, and survival in 104 patients with advanced cancer referred to a Phase I oncology service. Symptom burden was analyzed using the MD Anderson Symptom Assessment Inventory(MDASI); body composition was evaluated utilizing computerized tomography(CT) images. A body mass index (BMI)≥25 kg/m² was considered overweight. Sarcopenia, severe muscle depletion, was assessed using CT-based criteria. Most patients were overweight (n = 65, 63%); 53 patients were sarcopenic (51%), including 79% of patients with a BMIbody composition: 215 (71-358) (BMIcancer diagnosis predicted longer survival in multivariate analysis after controlling for age, gender, performance status, and fat index. Patients referred to a Phase I clinic had a high frequency of sarcopenia and a BMI≥25 kg/m², independent of symptom burden. Body composition variables were predictive of clinically relevant survival differences, which is potentially important in developing Phase I studies.

  19. Delay in Diagnosis and Treatment of Breast Cancer among Women Attending a Reference Service in Brazil

    Science.gov (United States)

    Romeiro Lopes, Tiara Cristina; Gravena, Angela Andréia França; Demitto, Marcela de Oliveira; Borghesan, Deise Helena Pelloso; Dell`Agnolo, Cátia Millene; Brischiliari, Sheila Cristina Rocha; Carvalho, Maria Dalva de Barros; Pelloso, Sandra Marisa

    2017-11-26

    Background: Cancer is a major public health problem. Early diagnosis and treatment are essential for reducing mortality. This study aimed to analyze factors associated with delay in breast cancer diagnosis and treatment among women attending a reference cancer service. Methods: This retrospective, cross-sectional study was performed with data collected from medical records and interviews conducted with women diagnosed with breast cancer and treated from October 2013 to October 2014 at a cancer reference hospital in Paraná, Southern Brazil. Results: A total of 82 participants were enrolled during the study period; their average age was 58.2 ± 11.5 years. The average time taken for final diagnosis of breast cancer was 102.5 ± 165.5 days. Treatment onset was delayed in the majority of cases, and the average time elapsing from diagnostic biopsy to onset of primary treatment was 72.3 ± 54.0 days. The odds of treatment delay were higher among the women with a low educational level. Conclusions: The results underline the need for proposals aimed at early detection, identification of risk factors and timely provision of treatment by health managers that focus on this group. Creative Commons Attribution License

  20. Profile of usage of a reference diagnostic service on oral pathology: a 10-year evaluation.

    Science.gov (United States)

    Oliveira e Silva, Karla Rachel; Siqueira, Ana Luísa Lara; Caldeira, Patrícia Carlos; de Abreu, Mauro Henrique Nogueira Guimarães; de Aguiar, Maria Cássia Ferreira

    2014-12-20

    Despite the professional and academic relevance of the Brazilian oral pathology diagnostic laboratories, no information about their usage profile is available in the English literature. The objective of the present study is to report data about the histopathological and immunohistochemical exams performed in a Brazilian regional reference laboratory of oral pathology, as well as its main users. Information about all histopathological exams performed between 2002 and 2012 was retrieved from the files of the Oral and Maxillofacial Pathology Service of the School of Dentistry of Universidade Federal de Minas Gerais. Data collected included: 1) requestor of exam; 2) diagnosis classification; and 3) immunohistochemical tests. Descriptive statistical analyses were done. 13,522 histopathological exams were performed, mean 1,229/year. The Public Health System of the city of Belo Horizonte was the main requestor of exams (77.13%), followed by private professionals (19.26%), and other cities (2.03%). Most lesions were considered benign (12,599/ 93.17%), with 854 malignant lesions (6.32%). 469 immunohistochemical tests were performed; 324 (69.08%) were from benign diagnosis, and 145 (30.92%) from malignant diagnosis. The most used antibodies were against S100, vimentin, smooth muscle actin, actin muscle specific HHF-35, and pan-cytokeratin AE1/AE3. Public Health System is the major user of the diagnostic service on oral pathology in our institution. Most diagnoses were of benign lesions, although many malignant lesions were detected. Immunohistochemistry was particularly important in solving challenging cases.

  1. A Reference Architecture for Provisioning of Tools as a Service: Meta-Model, Ontologies and Design Elements

    DEFF Research Database (Denmark)

    Chauhan, Muhammad Aufeef; Babar, Muhammad Ali; Sheng, Quan Z.

    2016-01-01

    Software Architecture (SA) plays a critical role in designing, developing and evolving cloud-based platforms that can be used to provision different types of services to consumers on demand. In this paper, we present a Reference Architecture (RA) for designing cloud-based Tools as a service SPACE...... (TSPACE) for provisioning a bundled suite of tools by following the Software as a Service (SaaS) model. The reference architecture has been designed by leveraging information structuring approaches and by using well-known architecture design principles and patterns. The RA has been documented using view...

  2. 78 FR 63208 - UPDATE-Meeting of the Community Preventive Services Task Force (Task Force)

    Science.gov (United States)

    2013-10-23

    ... of the Community Preventive Services Task Force (Task Force) AGENCY: Centers for Disease Control and... Community Preventive Services Task Force (Task Force). The in-person Task Force meeting is being replaced by... CDC's ability to complete the necessary scientific and logistical support for the meeting. The Task...

  3. Deliverable D.8.4. Social data visualization and navigation services -3rd Year Update-

    NARCIS (Netherlands)

    Bitter-Rijpkema, Marlies; Brouns, Francis; Drachsler, Hendrik; Fazeli, Soude; Sanchez-Alonso, Salvador; Rajabi, Enayat; Kolovou, Lamprini

    2015-01-01

    Within the Open Discovery Space our study (T.8.4) focused on ”Enhanced Social Data Visualization & Navigation Services. This deliverable provides the prototype report regarding the deployment of adapted visualization and navigation services to be integrated in the ODS Social Data Management Layer.

  4. The marketing-finance interface towards financial services with special reference to the new services provided by futures exchanges

    NARCIS (Netherlands)

    Pennings, J.M.E.; Wetzels, M.G.M.; Meulenberg, M.T.G.

    1999-01-01

    The financial services industry is one of the fastest growing service industries. The financial services industry includes financial derivatives markets such as options and futures markets. In order to ensure survival, firms providing financial services show a rapid product innovation. However, for

  5. The Marketing-Finance Interface Towards Financial Services: with Special Reference to New Services Provided by Futures Exchanges

    NARCIS (Netherlands)

    Pennings, J.M.E.; Wetzels, M.G.M.; Meulenberg, M.T.G.

    1999-01-01

    The financial services industry is one of the fastest growing service industries. The financial services industry includes financial derivatives markets such as options and futures markets. In order to ensure survival, firms providing financial services show a rapid product innovation. However, for

  6. Congregations and Social Services: An Update from the Third Wave of the National Congregations Study

    Directory of Open Access Journals (Sweden)

    Mark Chaves

    2016-05-01

    Full Text Available Congregations and other religious organizations are an important part of the social welfare system in the United States. This article uses data from the 2012 National Congregations Study to describe key features of congregational involvement in social service programs and projects. Most congregations (83%, containing 92% of religious service attendees, engage in some social or human service activities intended to help people outside of their congregation. These programs are primarily oriented to food, health, clothing, and housing provision, with less involvement in some of the more intense and long-term interventions such as drug abuse recovery, prison programs, or immigrant services. The median congregation involved in social services spent $1500 per year directly on these programs, and 17% had a staff member who worked on them at least a quarter of the time. Fewer than 2% of congregations received any government financial support of their social service programs and projects within the past year; only 5% had applied for such funding. The typical, and probably most important, way in which congregations pursue social service activity is by providing small groups of volunteers to engage in well-defined and bounded tasks on a periodic basis, most often in collaboration with other congregations and community organizations.

  7. Body composition, symptoms, and survival in advanced cancer patients referred to a phase I service.

    Directory of Open Access Journals (Sweden)

    Henrique A Parsons

    Full Text Available Body weight and body composition are relevant to the outcomes of cancer and antineoplastic therapy. However, their role in Phase I clinical trial patients is unknown.We reviewed symptom burden, body composition, and survival in 104 patients with advanced cancer referred to a Phase I oncology service. Symptom burden was analyzed using the MD Anderson Symptom Assessment Inventory(MDASI; body composition was evaluated utilizing computerized tomography(CT images. A body mass index (BMI≥25 kg/m² was considered overweight. Sarcopenia, severe muscle depletion, was assessed using CT-based criteria.Most patients were overweight (n = 65, 63%; 53 patients were sarcopenic (51%, including 79% of patients with a BMI<25 kg/m² and 34% of those with BMI≥25 kg/m². Sarcopenic patients were older and less frequently African-American. Symptom burden did not differ among patients classified according to BMI and presence of sarcopenia. Median (95% confidence interval survival (days varied according to body composition: 215 (71-358 (BMI<25 kg/m²; sarcopenic, 271 (99-443 (BMI<25 kg/m²; non-sarcopenic, 484 (286-681 (BMI≥25 kg/m²; sarcopenic; 501 d (309-693 (BMI≥25 kg/m²; non-sarcopenic. Higher muscle index and gastrointestinal cancer diagnosis predicted longer survival in multivariate analysis after controlling for age, gender, performance status, and fat index.Patients referred to a Phase I clinic had a high frequency of sarcopenia and a BMI≥25 kg/m², independent of symptom burden. Body composition variables were predictive of clinically relevant survival differences, which is potentially important in developing Phase I studies.

  8. Limb-body wall defect: experience of a reference service of fetal medicine from Southern Brazil.

    Science.gov (United States)

    Gazolla, Ana C; da Cunha, André C; Telles, Jorge A B; Betat, Rosilene da S; Romano, Mayara A; Marshall, Isabel; Gobatto, Amanda M; de H Bicca, Anna M; Arcolini, Camila P; Dal Pai, Thaís K V; Vieira, Luciane R; Targa, Luciano V; Betineli, Ildo; Zen, Paulo R G; Rosa, Rafael F M

    2014-10-01

    Limb-body wall defect is a rare condition characterized by a combination of large and complex defects of the ventral thorax and abdominal wall with craniofacial and limb anomalies. The aim of this study was to describe the experience of our fetal medicine service, a reference from Southern Brazil, with prenatally diagnosed patients with a limb-body wall defect in a 3 years period. Only patients who fulfilled the criteria suggested by Hunter et al. (2011) were included in the study. Clinical data and results of radiological and cytogenetic evaluation were collected from their medical records. Our sample was composed of 8 patients. Many of their mothers were younger than 25 years (50%) and in their first pregnancy (62.5%). It is noteworthy that one patient was referred due to suspected anencephaly and another due to a twin pregnancy with an embryonic sac. Craniofacial defects were verified in three patients (37.5%), thoracic/abdominal abnormalities in 6 (75%) and limb defects in eight (100%). Congenital heart defects were observed in five patients (62.5%). One of them presented a previously undescribed complex heart defect. The results disclosed that complementary exams, such as MRI and echocardiography, are important to better define the observed defects. Some of them, such as congenital heart defects, may be more common than previously reported. This definition is essential for the proper management of the pregnancy and genetic counseling of the family. The birth of these children must be planned with caution and for the prognosis a long survival possibility, despite unlikely and rare, must be considered. © 2014 Wiley Periodicals, Inc.

  9. Patterns of workplace harassment, gender, and use of services: an update.

    Science.gov (United States)

    Rospenda, Kathleen M; Richman, Judith A; Shannon, Candice A

    2006-10-01

    Using three waves of data from an ongoing study of current and former university employees (N = 1,656), the authors reexamined the roles of sexual (SH) and generalized (GWH) workplace harassment and gender in predicting use of professional services by focusing on patterning (chronic, remission, onset, intermittent, and never harassed). The authors also reexamined whether services moderated relationships between SH and GWH patterns and drinking and mental health outcomes. All patterns of SH, but only chronic GWH, predicted increased odds of services use. Services use did not moderate relationship between SH patterns and outcomes, but was associated with lower alcohol consumption for men with GWH remission or chronicity, reduced escape drinking for those with GWH remission, and reduced hostility for those with intermittent GWH.

  10. TLD postal dose quality audit service for Co-60 beams in reference conditions in Cuba

    International Nuclear Information System (INIS)

    Gutierrez Lores, S.; Walwyn Salas, G.; Alonso Villanueva, G.

    2008-01-01

    This report presents the methodology and experience of the Cuban's Secondary Standard Dosimetry Laboratory for the implementation of postal dose quality audits service for Co-60 beams in reference conditions, using TLDs. Under coordinated research project (Contract 10794) were bought (TLD -100) Tl rods type JR 1152F made in China, with dimensions of 6 mm x 1 mm x 1 mm. All of these rods were identified individually with a consecutive number made over one of its sides, using a fine tip of graphite. The method used to determinate the individual sensibility of the TL detectors was: irradiating a group of them, with the same history of irradiation and readout (100 rods approximately), four serial times in the same geometrical conditions, to read them out and to attribute to each of them a sensitivity factor. This sensitivity factor is equal to average for the 4 cycle of irradiation and readout of the quote between the TL readout from dosimeter i and the mean of all values for each cycle. The TLD signal was read using HARSHAW 2000C/B reader. The results obtained in the external verification of the accuracy of the dose determination by the TLD system were performed in cooperation with IAEA Dosimetry Laboratory at Seibersdorf in different years are shown, the results obtained of the quality audits carried out to the different services of radiotherapy of the country are analysed also. The quality audits are an useful tool for the improvement of the accuracy in the dosimetry of clinical beams of radiotherapy with Co-60, contributing this way to the improvement of the life quality to cancer patients of the Cuban system of health. (author)

  11. Mammographic Screening of Women Attending a Reference Service Center in Southern Brazil.

    Science.gov (United States)

    Romeiro Lopes, Tiara Cristina; Franca Gravena, Angela Andreia; Demitto, Marcela de Oliveira; Brischiliari, Sheila Cristina Rocha; Borghesan, Deise Helena Pelloso; Dell Agnolo, Catia Millene; Carvalho, Maria Dalva de Barros; Pelloso, Sandra Marisa

    2016-01-01

    To investigate the prevalence of and factors associated with performance of annual mammography by women above 40 years of age. This cross-sectional retrospective study was conducted at an oncology reference service in Southern Brazil from October 2013 to October 2014 with 525 women aged 40 years or older. The prevalence of annual mammography was 54.1%; annual mammographic screening was performed for women without private medical insurance, who were under hormone replacement therapy and who had used contraception in the past. An association was found between non-performance of breast clinical and self-examination and non-performance of mammographic screening. Use of mammography for breast cancer screening in the public health care setting proved to be accessible; nevertheless, the proportion of screened women was low, and they exhibited poor adherence to the basic measures of care recommended for breast assessment. Thus, control of breast cancer requires implementing actions targeting the population most vulnerable to non-adherence to screening in addition to continuously monitoring and assessing that population to reduce the prevalence of this disease.

  12. Birth order and sibling sex ratio of children and adolescents referred to a gender identity service.

    Directory of Open Access Journals (Sweden)

    Doug P Vanderlaan

    Full Text Available In adult male samples, homosexuality is associated with a preponderance of older brothers (i.e., the fraternal birth order effect. In several studies comparing gender dysphoric youth, who are likely to be homosexual in adulthood, to clinical or non-clinical control groups, the findings have been consistent with the fraternal birth order effect in males; however, less is known about unique sibship characteristics of gender dysphoric females. The current study investigated birth order and sibling sex ratio in a large sample of children and adolescents referred to the same Gender Identity Service (N = 768. Probands were classified as heterosexual males, homosexual males, or homosexual females based on clinical diagnostic information. Groups differed significantly in age and sibship size, and homosexual females were significantly more likely to be only children. Subsequent analyses controlled for age and for sibship size. Compared to heterosexual males, homosexual males had a significant preponderance of older brothers and homosexual females had a significant preponderance of older sisters. Similarly, the older sibling sex ratio of homosexual males showed a significant excess of brothers whereas that of homosexual females showed a significant excess of sisters. Like previous studies of gender dysphoric youth and adults, these findings were consistent with the fraternal birth order effect. In addition, the greater frequency of only children and elevated numbers of older sisters among the homosexual female group adds to a small literature on sibship characteristics of potential relevance to the development of gender identity and sexual orientation in females.

  13. Birth order and sibling sex ratio of children and adolescents referred to a gender identity service.

    Science.gov (United States)

    Vanderlaan, Doug P; Blanchard, Ray; Wood, Hayley; Zucker, Kenneth J

    2014-01-01

    In adult male samples, homosexuality is associated with a preponderance of older brothers (i.e., the fraternal birth order effect). In several studies comparing gender dysphoric youth, who are likely to be homosexual in adulthood, to clinical or non-clinical control groups, the findings have been consistent with the fraternal birth order effect in males; however, less is known about unique sibship characteristics of gender dysphoric females. The current study investigated birth order and sibling sex ratio in a large sample of children and adolescents referred to the same Gender Identity Service (N = 768). Probands were classified as heterosexual males, homosexual males, or homosexual females based on clinical diagnostic information. Groups differed significantly in age and sibship size, and homosexual females were significantly more likely to be only children. Subsequent analyses controlled for age and for sibship size. Compared to heterosexual males, homosexual males had a significant preponderance of older brothers and homosexual females had a significant preponderance of older sisters. Similarly, the older sibling sex ratio of homosexual males showed a significant excess of brothers whereas that of homosexual females showed a significant excess of sisters. Like previous studies of gender dysphoric youth and adults, these findings were consistent with the fraternal birth order effect. In addition, the greater frequency of only children and elevated numbers of older sisters among the homosexual female group adds to a small literature on sibship characteristics of potential relevance to the development of gender identity and sexual orientation in females.

  14. Screening for Syphilis: Updated Evidence Report and Systematic Review for the US Preventive Services Task Force.

    Science.gov (United States)

    Cantor, Amy G; Pappas, Miranda; Daeges, Monica; Nelson, Heidi D

    2016-06-07

    Screening for syphilis infection is currently recommended for high-risk individuals, including those with previous syphilis infection, an infected sexual partner, HIV infection, or more than 4 sex partners in the preceding year. To update a 2004 systematic review of studies of syphilis screening effectiveness, test accuracy, and screening harms in nonpregnant adults and adolescents. Cochrane Central Register of Controlled Trials and Cochrane Database of Systematic Reviews through October 2015 and Ovid MEDLINE (January 2004 to October 2015), with updated search through March 2016. English-language trials and observational studies of screening effectiveness, test accuracy, and screening harms in nonpregnant adults and adolescents. One investigator abstracted data, a second checked data for accuracy, and 2 investigators independently assessed study quality using predefined criteria. Transmission of disease, including HIV; complications of syphilis; diagnostic accuracy; and harms of screening. No evidence was identified regarding the effectiveness of screening on clinical outcomes or the effectiveness of risk assessment instruments; the harms of screening; or the effectiveness of screening in average-risk, nonpregnant adolescents or adults or high-risk individuals other than men who have sex with men (MSM) or men who are HIV positive. Four non-US studies indicated higher rates of syphilis detection with screening every 3 months vs 6 or 12 months for early syphilis in HIV-positive men or MSM. For example, there was an increased proportion of asymptomatic, higher-risk MSM in Australia (n = 6789 consultations) receiving a diagnosis of early syphilis when tested every 3 months vs annually (53% vs 16%, P = .001), but no difference among low-risk MSM. Treponemal and nontreponemal tests were accurate in asymptomatic individuals (sensitivity >85%, specificity >91%) in 3 studies but required confirmatory testing. Reverse sequence testing with an initial automated

  15. Update Dosimetry Service internal staff Tecnatom; Actualizacion del servicio de dosimetria personal interna de TECNATOM

    Energy Technology Data Exchange (ETDEWEB)

    Bravo, B.; Marchena, P.; Alonso, A.; Navarro, E.; Serrano, E.

    2010-07-01

    The beginning of decommissioning of nuclear facilities and other industrial national context conditions have been a very significant increase in the need for such services, which have been almost overwhelmed by the demand. To provide a solution to this situation, Tecnatom decided to run as a new internal dosimetry service indirect measures to complement its renowned capabilities of direct measures. To perform this task, Tecnatom has signed a collaboration agreement with the Laboratory of Radiochemistry of Geocisa, all with the objective of characterizing contamination by alpha emitters or beta different analytical techniques.

  16. Mapping the literature of pediatric nursing: update and implications for library services

    Directory of Open Access Journals (Sweden)

    Carol L. Watwood, MLS, MPH, AHIP

    2017-01-01

    Conclusions: Compared with the 2006 study, the list of top-cited journals referenced by pediatric nursing researchers has remained relatively stable, but the number of cited journal titles has increased. Book citations have declined, and Internet and government document references have increased. These findings suggest that librarians should retain subscriptions to frequently cited journal titles, provide efficient document delivery of articles from infrequently used journals, deemphasize but not eliminate books, and connect patrons with useful open-access Internet resources.

  17. 15 CFR 200.115 - Description of services and list of fees, incorporation by reference.

    Science.gov (United States)

    2010-01-01

    ... COMMERCE MEASUREMENT SERVICES POLICIES, SERVICES, PROCEDURES, AND FEES § 200.115 Description of services.... Department of Commerce. (4) Federal Depository Libraries. (c) Revisions of SP 250 will be issued from time to... concerning policies, procedures, services, and fees may be obtained by writing the Office of Measurement...

  18. The perceived value of mandatory qualifications held by Johannesburg Emergency Services personnel with reference to vocational applicability and promotability

    OpenAIRE

    2008-01-01

    This study aimed to investigate and describe perceptions Fire Fighters and Platoon Commanders from Johannesburg Emergency Services have of educational offerings offered by and / or deemed applicable to the emergency service, with specific reference to their vocational applicability and value in relation to promotion. It is argued in this report that such perceptions may affect the motivation experienced by adult learners to engage in further study and thus may influence the learning process a...

  19. Information Services Directory

    International Nuclear Information System (INIS)

    1986-08-01

    The Information Services Directory is intended to facilitate participation by states, affected Indian tribes and the public in the Civilian Radioactive Waste Management Program. The Directory is produced by the Information Services Division of the OCRWM's Office of Policy and Outreach and will be updated periodically. It is a reference document that identifies the sources of available program information

  20. Information Services Directory

    International Nuclear Information System (INIS)

    1985-11-01

    The Information Services directory is intended to facilitate participation by states, affected Indian tribes and the public in the Civilian Radioactive Waste Management program. The Directory is produced by the Information Services Division of the OCRWM's Office of Policy and Outreach and will be updated periodically. It is a reference document that identifies the sources of available program information

  1. Population and harvest trends of big game and small game species: a technical document supporting the USDA Forest Service Interim Update of the 2000 RPA Assessment

    Science.gov (United States)

    Curtis H. Flather; Michael S. Knowles; Stephen J. Brady

    2009-01-01

    This technical document supports the Forest Service's requirement to assess the status of renewable natural resources as mandated by the Forest and Rangeland Renewable Resources Planning Act of 1974 (RPA). It updates past reports on national and regional trends in population and harvest estimates for species classified as big game and small game. The trends...

  2. Geographic patterns of at-risk species: A technical document supporting the USDA Forest Service Interim Update of the 2000 RPA Assessment

    Science.gov (United States)

    Curtis H. Flather; Michael S. Knowles; Jason McNees

    2008-01-01

    This technical document supports the Forest Service's requirement to assess the status of renewable natural resources as mandated by the Forest and Rangeland Renewable Resources Planning Act of 1974. It updates past reports on the trends and geographic patterns of species formally listed as threatened or endangered under the Endangered Species Act of 1973. We...

  3. UPDATING RUSSIAN FRANCHISING LEGISLATIVE CONTROL IN SERVICE SECTORS WITH DUE ACCOUNT OF FOREIGN EXPERIENCE

    OpenAIRE

    M. I. Kolinchenko

    2012-01-01

    Insufficient use of franchising is one of the major factors hampering the development of services in Russia. Main problems of franchising in Russia concentrate currently in the legislative and legal spheres. There is no specific law on franchising in the domestic legislation system. Russia is substantially behind the U.S. and Europe, so far as laws and operating practices related to franchising are concerned. Urgent adjustments are needed for current legislation in Russia, first of all to bri...

  4. [Evaluation of financial status of public hospitals considering the updated costs of their services].

    Science.gov (United States)

    Cid P, Camilo; Bastías S, Gabriel

    2014-02-01

    In 2011 the Chilean National Health Fund (FONASA) commissioned a study to assess the costs of the 120 most relevant hospital care services with an established fee, in a large sample of public hospitals. We herein report the cost evaluation results of such study, considering the financial condition of those hospitals in the year of the study. Based on the premise that the expenses derived from the provision of institutional and appraised hospital services should be identical to the billing of hospitals to FONASA, the prices are undervalued, since they cover only 56% of billing, generating a gap between expenses and invoicing. This gap shows an important limitation of tariffs, since their prices do not cover the real costs. However not all hospitals behave in the same way. While the provision of services of some hospitals is even higher than their billing, most hospitals do not completely justify their invoicing. These assumptions would imply that, generally speaking, hospital debts are justified by the costs incurred. However, hospitals have heterogeneous financial situations that need to be analyzed carefully. In particular, nothing can be said about their relative efficiency if cost estimations are not adjusted by the complexity of patients attended and comparison groups are not defined.

  5. A Software Reference Architecture for Service-Oriented 3D Geovisualization Systems

    Directory of Open Access Journals (Sweden)

    Dieter Hildebrandt

    2014-12-01

    Full Text Available Modern 3D geovisualization systems (3DGeoVSs are complex and evolving systems that are required to be adaptable and leverage distributed resources, including massive geodata. This article focuses on 3DGeoVSs built based on the principles of service-oriented architectures, standards and image-based representations (SSI to address practically relevant challenges and potentials. Such systems facilitate resource sharing and agile and efficient system construction and change in an interoperable manner, while exploiting images as efficient, decoupled and interoperable representations. The software architecture of a 3DGeoVS and its underlying visualization model have strong effects on the system’s quality attributes and support various system life cycle activities. This article contributes a software reference architecture (SRA for 3DGeoVSs based on SSI that can be used to design, describe and analyze concrete software architectures with the intended primary benefit of an increase in effectiveness and efficiency in such activities. The SRA integrates existing, proven technology and novel contributions in a unique manner. As the foundation for the SRA, we propose the generalized visualization pipeline model that generalizes and overcomes expressiveness limitations of the prevalent visualization pipeline model. To facilitate exploiting image-based representations (IReps, the SRA integrates approaches for the representation, provisioning and styling of and interaction with IReps. Five applications of the SRA provide proofs of concept for the general applicability and utility of the SRA. A qualitative evaluation indicates the overall suitability of the SRA, its applications and the general approach of building 3DGeoVSs based on SSI.

  6. Patron Survey of User Satisfaction with Library Services: Relationship between Librarian Behaviors during the Reference Interview and User Satisfaction.

    Science.gov (United States)

    Nichols, Mary Ellen

    This study examined whether user satisfaction with library services is affected by certain objective and subjective librarian behaviors exhibited during the reference interview. A patron survey was conducted during July 1993 in three branches of Cuyahoga County Public Library, located in northeastern Ohio. The sample was determined by the patrons…

  7. CREATE-IP and CREATE-V: Data and Services Update

    Science.gov (United States)

    Carriere, L.; Potter, G. L.; Hertz, J.; Peters, J.; Maxwell, T. P.; Strong, S.; Shute, J.; Shen, Y.; Duffy, D.

    2017-12-01

    The NASA Center for Climate Simulation (NCCS) at the Goddard Space Flight Center and the Earth System Grid Federation (ESGF) are working together to build a uniform environment for the comparative study and use of a group of reanalysis datasets of particular importance to the research community. This effort is called the Collaborative REAnalysis Technical Environment (CREATE) and it contains two components: the CREATE-Intercomparison Project (CREATE-IP) and CREATE-V. This year's efforts included generating and publishing an atmospheric reanalysis ensemble mean and spread and improving the analytics available through CREATE-V. Related activities included adding access to subsets of the reanalysis data through ArcGIS and expanding the visualization tool to GMAO forecast data. This poster will present the access mechanisms to this data and use cases including example Jupyter Notebook code. The reanalysis ensemble was generated using two methods, first using standard Python tools for regridding, extracting levels and creating the ensemble mean and spread on a virtual server in the NCCS environment. The second was using a new analytics software suite, the Earth Data Analytics Services (EDAS), coupled with a high-performance Data Analytics and Storage System (DASS) developed at the NCCS. Results were compared to validate the EDAS methodologies, and the results, including time to process, will be presented. The ensemble includes selected 6 hourly and monthly variables, regridded to 1.25 degrees, with 24 common levels used for the 3D variables. Use cases for the new data and services will be presented, including the use of EDAS for the backend analytics on CREATE-V, the use of the GMAO forecast aerosol and cloud data in CREATE-V, and the ability to connect CREATE-V data to NCCS ArcGIS services.

  8. UPDATING RUSSIAN FRANCHISING LEGISLATIVE CONTROL IN SERVICE SECTORS WITH DUE ACCOUNT OF FOREIGN EXPERIENCE

    Directory of Open Access Journals (Sweden)

    M. I. Kolinchenko

    2012-01-01

    Full Text Available Insufficient use of franchising is one of the major factors hampering the development of services in Russia. Main problems of franchising in Russia concentrate currently in the legislative and legal spheres. There is no specific law on franchising in the domestic legislation system. Russia is substantially behind the U.S. and Europe, so far as laws and operating practices related to franchising are concerned. Urgent adjustments are needed for current legislation in Russia, first of all to bring it in line with accepted standards of franchising in the West, particularly relating to theprotection of franchisers and franchisee.

  9. Health care delivery update: Part 1. Trends: less and more integration, bundled services, rethinking IPAs.

    Science.gov (United States)

    Ellwood, P M

    1988-01-01

    Vertical integration of national medical firms that contract with physicians has slowed dramatically. At the same time, several top-level group practices, taking advantage of reputations for excellence, are integrating vertically on a national or regional scale. A shift from buying well to actually managing medical care will separate the "prospective supermeds" that learned to collaborate with physicians from those that are attempting to manipulate them. In view of the budget deficit and the needs for long-term care, Congress is likely to espouse more drastic Part B cost-cutting measures such as a physician PPO or an indexed relative-value scale. An emerging feature in health care is the growing variety of prospective payment arrangements in which the price for various combination services is set in advance. To be truly competitive, medical care organizations will have to be more selective, choosing physicians because they are cooperative and economical and because they are capable practitioners.

  10. The Implications of Library Anxiety for Academic Reference Services: A Review of the Literature

    Science.gov (United States)

    Carlile, Heather

    2007-01-01

    Academic reference librarians continually observe that many students are embarrassed about not knowing how to use the library and are reluctant to approach the reference desk. The theory of library anxiety offers an explanation, proposing that a fear of being in and using libraries serves as a psychological barrier, hindering many university…

  11. Reference Reviewed and Re-Envisioned: Revamping Librarian and Desk-Centric Services with LibStARs and LibAnswers

    Science.gov (United States)

    Stevens, Christy R.

    2013-01-01

    The first section of this article reviews the literature on the changing face of reference, beginning with a discussion of the national decline in reference transactions, its causes, and the likelihood that online reference services might one day halt or reverse the decline. It then analyzes definitions of the term "reference," pointing…

  12. FE Model Updating on an In-Service Self-Anchored Suspension Bridge with Extra-Width Using Hybrid Method

    Directory of Open Access Journals (Sweden)

    Zhiyuan Xia

    2017-02-01

    Full Text Available Nowadays, many more bridges with extra-width have been needed for vehicle throughput. In order to obtain a precise finite element (FE model of those complex bridge structures, the practical hybrid updating method by integration of Gaussian mutation particle swarm optimization (GMPSO, Kriging meta-model and Latin hypercube sampling (LHS was proposed. By demonstrating the efficiency and accuracy of the hybrid method through the model updating of a damaged simply supported beam, the proposed method was applied to the model updating of a self-anchored suspension bridge with extra-width which showed great necessity considering the results of ambient vibration test. The results of bridge model updating showed that both of the mode frequencies and shapes had relatively high agreement between the updated model and experimental structure. The successful model updating of this bridge fills in the blanks of model updating of a complex self-anchored suspension bridge. Moreover, the updating process enables other model updating issues for complex bridge structures

  13. The Semantic Automated Discovery and Integration (SADI Web service Design-Pattern, API and Reference Implementation

    Directory of Open Access Journals (Sweden)

    Wilkinson Mark D

    2011-10-01

    Full Text Available Abstract Background The complexity and inter-related nature of biological data poses a difficult challenge for data and tool integration. There has been a proliferation of interoperability standards and projects over the past decade, none of which has been widely adopted by the bioinformatics community. Recent attempts have focused on the use of semantics to assist integration, and Semantic Web technologies are being welcomed by this community. Description SADI - Semantic Automated Discovery and Integration - is a lightweight set of fully standards-compliant Semantic Web service design patterns that simplify the publication of services of the type commonly found in bioinformatics and other scientific domains. Using Semantic Web technologies at every level of the Web services "stack", SADI services consume and produce instances of OWL Classes following a small number of very straightforward best-practices. In addition, we provide codebases that support these best-practices, and plug-in tools to popular developer and client software that dramatically simplify deployment of services by providers, and the discovery and utilization of those services by their consumers. Conclusions SADI Services are fully compliant with, and utilize only foundational Web standards; are simple to create and maintain for service providers; and can be discovered and utilized in a very intuitive way by biologist end-users. In addition, the SADI design patterns significantly improve the ability of software to automatically discover appropriate services based on user-needs, and automatically chain these into complex analytical workflows. We show that, when resources are exposed through SADI, data compliant with a given ontological model can be automatically gathered, or generated, from these distributed, non-coordinating resources - a behaviour we have not observed in any other Semantic system. Finally, we show that, using SADI, data dynamically generated from Web services

  14. The Semantic Automated Discovery and Integration (SADI) Web service Design-Pattern, API and Reference Implementation

    Science.gov (United States)

    2011-01-01

    Background The complexity and inter-related nature of biological data poses a difficult challenge for data and tool integration. There has been a proliferation of interoperability standards and projects over the past decade, none of which has been widely adopted by the bioinformatics community. Recent attempts have focused on the use of semantics to assist integration, and Semantic Web technologies are being welcomed by this community. Description SADI - Semantic Automated Discovery and Integration - is a lightweight set of fully standards-compliant Semantic Web service design patterns that simplify the publication of services of the type commonly found in bioinformatics and other scientific domains. Using Semantic Web technologies at every level of the Web services "stack", SADI services consume and produce instances of OWL Classes following a small number of very straightforward best-practices. In addition, we provide codebases that support these best-practices, and plug-in tools to popular developer and client software that dramatically simplify deployment of services by providers, and the discovery and utilization of those services by their consumers. Conclusions SADI Services are fully compliant with, and utilize only foundational Web standards; are simple to create and maintain for service providers; and can be discovered and utilized in a very intuitive way by biologist end-users. In addition, the SADI design patterns significantly improve the ability of software to automatically discover appropriate services based on user-needs, and automatically chain these into complex analytical workflows. We show that, when resources are exposed through SADI, data compliant with a given ontological model can be automatically gathered, or generated, from these distributed, non-coordinating resources - a behaviour we have not observed in any other Semantic system. Finally, we show that, using SADI, data dynamically generated from Web services can be explored in a manner

  15. The Semantic Automated Discovery and Integration (SADI) Web service Design-Pattern, API and Reference Implementation.

    Science.gov (United States)

    Wilkinson, Mark D; Vandervalk, Benjamin; McCarthy, Luke

    2011-10-24

    The complexity and inter-related nature of biological data poses a difficult challenge for data and tool integration. There has been a proliferation of interoperability standards and projects over the past decade, none of which has been widely adopted by the bioinformatics community. Recent attempts have focused on the use of semantics to assist integration, and Semantic Web technologies are being welcomed by this community. SADI - Semantic Automated Discovery and Integration - is a lightweight set of fully standards-compliant Semantic Web service design patterns that simplify the publication of services of the type commonly found in bioinformatics and other scientific domains. Using Semantic Web technologies at every level of the Web services "stack", SADI services consume and produce instances of OWL Classes following a small number of very straightforward best-practices. In addition, we provide codebases that support these best-practices, and plug-in tools to popular developer and client software that dramatically simplify deployment of services by providers, and the discovery and utilization of those services by their consumers. SADI Services are fully compliant with, and utilize only foundational Web standards; are simple to create and maintain for service providers; and can be discovered and utilized in a very intuitive way by biologist end-users. In addition, the SADI design patterns significantly improve the ability of software to automatically discover appropriate services based on user-needs, and automatically chain these into complex analytical workflows. We show that, when resources are exposed through SADI, data compliant with a given ontological model can be automatically gathered, or generated, from these distributed, non-coordinating resources - a behaviour we have not observed in any other Semantic system. Finally, we show that, using SADI, data dynamically generated from Web services can be explored in a manner very similar to data housed in

  16. Conflicts of Interest in Clinical Guidelines: Update of U.S. Preventive Services Task Force Policies and Procedures.

    Science.gov (United States)

    Ngo-Metzger, Quyen; Moyer, Virginia; Grossman, David; Ebell, Mark; Woo, Meghan; Miller, Therese; Brummer, Tana; Chowdhury, Joya; Kato, Elisabeth; Siu, Albert; Phillips, William; Davidson, Karina; Phipps, Maureen; Bibbins-Domingo, Kirsten

    2018-01-01

    The U.S. Preventive Services Task Force (USPSTF) provides independent, objective, and scientifically rigorous recommendations for clinical preventive services. A primary concern is to avoid even the appearance of members having special interests that might influence their ability to judge evidence and formulate unbiased recommendations. The conflicts of interest policy for the USPSTF is described, as is the formal process by which best practices were incorporated to update the policy. The USPSTF performed a literature review, conducted key informant interviews, and reviewed conflicts of interest policies of ten similar organizations. Important findings included transparency and public accessibility; full disclosure of financial relationships; disclosure of non-financial relationships (that create the potential for bias and compromise a member's objective judgment); disclosure of family members' conflicts of interests; and establishment of appropriate reporting periods. Controversies in best practices include the threshold of financial disclosures, ease of access to conflicts of interest policies and declarations, vague definition of non-financial biases, and request for family members' conflicts of interests (particularly those that are non-financial in nature). The USPSTF conflicts of interest policy includes disclosures for immediate family members, a clear non-financial conflicts of interest definition, long look-back period and application of the policy to prospective members. Conflicts of interest is solicited from all members every 4 months, formally reviewed, adjudicated, and made publicly available. The USPSTF conflicts of interest policy is publicly available as part of the USPSTF Procedure Manual. A continuous improvement process can be applied to conflicts of interest policies to enhance public trust in members of panels, such as the USPSTF, that produce clinical guidelines and recommendations. Copyright © 2018 American Journal of Preventive Medicine

  17. Financial risk-sharing in updating the National List of Health Services in Israel: stakeholders' perceived interests.

    Science.gov (United States)

    Hammerman, Ariel; Feder-Bubis, Paula; Greenberg, Dan

    2012-01-01

    Risk-sharing is being considered by many health care systems to address the financial risk associated with the adoption of new technologies. We explored major stakeholders' views toward the potential implementation of a financial risk-sharing mechanism regarding budget-impact estimates for adding new technologies to the Israeli National List of Health Services. According to our proposed scheme, health plans will be partially compensated by technology sponsors if the actual use of a technology is substantially higher than what was projected and health plans will refund the government for budgets that were not fully utilized. By using a semi-structured protocol, we interviewed major stakeholders involved in the process of updating the National List of Health Services (N = 31). We inquired into participants' views toward our proposed risk-sharing mechanism, whether the proposed scheme would achieve its purpose, its feasibility of implementation, and their opinion on the other stakeholders' incentives. Participants' considerations were classified into four main areas: financial, administrative/managerial, impact on patients' health, and influence on public image. Most participants agreed that the conceptual risk-sharing scheme will improve the accuracy of early budget estimates and were in favor of the proposed scheme, although Ministry of Finance officials tended to object to it. The successful implementation of risk-sharing schemes depends mainly on their perception as a win-win situation by all stakeholders. The perception exposed by our participants that risk-sharing can be a tool for improving the accuracy of early budget-impact estimates and the challenges pointed by them are relevant to other health care systems also and should be considered when implementing similar schemes. Copyright © 2012 International Society for Pharmacoeconomics and Outcomes Research (ISPOR). Published by Elsevier Inc. All rights reserved.

  18. Rhode Island Flood Plain Management Services; Bench & Reference Mark Catalogue Portsmouth, Newport and Warwick, Rhode Island

    National Research Council Canada - National Science Library

    Hatfield, Christopher

    1994-01-01

    This study, which developed a catalog of bench and reference marks for several communities in Rhode Island, was conducted by the Long Range Planning Branch, Planning Directorate, New England Division, U.S...

  19. The AskA Starter Kit: How To Build and Maintain Digital Reference Services.

    Science.gov (United States)

    Lankes, R. David; Kasowitz, Abby S.

    This Starter Kit is designed to help organizations and individuals who wish to offer human-mediated information services via the Internet to users in the K-12 community. A six-step process is proposed for organizations to follow in creating an "AskA" service. This process addresses all aspects involved in building and maintaining an AskA…

  20. Engineering Flexible and Agile Services : A Reference Architecture for Administrative Processes

    NARCIS (Netherlands)

    Gong, Y.

    2012-01-01

    To provide up-to-date services towards citizens and businesses, administrative organizations need to make sure their business services and processes and supporting applications are flexible and agile enough to deal with changing situations and ensure legal compliance all the time. The research

  1. The relationship between healthcare services and the political economy with reference to the Jamaican experience.

    Science.gov (United States)

    Maharaj, S R

    2010-12-01

    The availability of and equitable access to, health services have challenged healthcare providers with a greater degree of urgency since the end of World War II. Prior to that time, concepts such as equity and social justice were just that, concepts but no real attempts were ever made to operationalize them. Goods and services were still produced and distributed based on market forces, that is, one's ability and willingness to pay for something. Health in that context was a service, some say a commodity, to be bought and sold, hence its availability was not necessarily commensurate with its accessibility.

  2. After-sales service of engineering industrial assets a reference framework for warranty management

    CERN Document Server

    González-Prida Díaz, Vicente

    2014-01-01

    This book explores the practical implementation of an advanced after-sales management framework devoted to warranty management. The framework is intended for companies producing either standardized or customized products, and such a management tool will facilitate organizational improvement and support innovative decision making processes for technical assistance in after-sales services.  “After–sales Service of Engineering Industrial Assets” comprises a proposal for a warranty management framework, with an account of the different methods that can be used to improve decision making in the different stages of the after-sales service management process, and strategies for strengthening the structure and foundations of the framework. A review of the fundamental issues and current research topics in warranty management and after sales services is also provided, which is exemplified by a case study. This book is intended for postgraduates, researchers and engineers who are interested in aftersales manageme...

  3. The Relationship between Cultural Diversity and User Needs in Virtual Reference Services

    Science.gov (United States)

    Shachaf, Pnina; Snyder, Mary

    2007-01-01

    While the racial diversity of academic library users continues to grow, research on the effects of this diversity remains scarce. This study looks at similarities and differences between non-traditional Caucasian and African American library users through content analysis of ninety-four virtual reference transactions.

  4. STUDIES REFERED TO SERVICES IN THE 2005-2010 ENANPADS: A BIBLIOMETRIC SURVEY

    Directory of Open Access Journals (Sweden)

    José Antônio Menezes Varanda

    2014-12-01

    Full Text Available This bibliometric survey concerns articles published in the Marketing Academic Division of the EnANPADs with the word service(s in the title from 2005 to 2010. The research selected 51 articles with the following characteristics: number of authors per article, their respective institutions of affiliation, the frequency of attendance to the events, the methodological approaches, the means and ends of the researches and the data collection tools used. Data were tabulated and processed with descriptive statistics, and results showed that services are a relevant theme in Marketing research, either with a central or peripheral position. In the conclusions, five alerts were thrown, including the imbalance of research between private and public institutions and the geographic concentration of the participating institutions. Future studies are suggested.

  5. DSRS guidelines. Reference document for the IAEA Design Safety Review Services

    International Nuclear Information System (INIS)

    1999-01-01

    The publication covers the general topic of design safety review of a nuclear power plant. It is intended to make Member States aware of the possibility of a service through which they can have a better appreciation of the overall design of a facility or of a plant already in operation. It includes a generic and procedural part followed by a technical part corresponding to different systems of a nuclear power plant. It is intended to be used mainly in preparation and execution of a design review service by the IAEA and to provide information to potential recipients of the service regarding the effort involved and the topics that can be covered. it is expected to be useful if Member States decide to conduct such reviews themselves either through regulatory authorities or as part of self assessment activities by plant management

  6. Perceptions of inpatient rehabilitation changes after the Centers for Medicare and Medicaid Service 2010 regulatory updates contrasted with actual performance.

    Science.gov (United States)

    Riggs, Richard V; Roberts, Pamela S; DiVita, Margaret A; Niewczyk, Paulette; Granger, Carl V

    2014-01-01

    To compare and contrast subjective perceptions with objective compliance of the impact of the 2010 Centers for Medicare and Medicaid Service updates of the Medicare Benefit Policy Manual. Cross-sectional survey. An electronic survey was sent by the Uniform Data System for Medical Rehabilitation to all enrolled inpatient rehabilitation facility subscribers (n = 817). The survey was sent April 15, 2011, and responses were tabulated if they were received by May 15, 2011. Comparing and contrasting of the subjective perception to objective evaluation and/or compliance with the Medicare Benefit Policy Manual on case mix index, length of stay, admissions by diagnostic category as well as perception of preadmission screening, postadmission evaluation, plan of care, and interdisciplinary conferencing. Twenty-five percent of the 817 facilities responded, for a total of 209 responses. Complete data were present in 148 of the respondents. For most diagnostic categories, perception of change did not mirror reality of change; neither did the perception between change in case mix index and length of stay. Perception did match reality in stroke and multiple trauma cases; respondents perceived an increase in admissions for the 2 impairments, and there was an overall increase in reality. Comparison with actual data identified that gaps exist between diagnostic category perceptions and actual diagnostic category admission performance. Regulations such as the 75%-60% rule and audit focus on non-neurologic conditions as well as actual inpatient rehabilitation facility program payment reports may have influenced respondents perceptions to change associated with the Medicare Benefit Policy Manual modifications. This disparity between perception and actual data may have implications for programmatic planning, forecasting, and resource allocation. Copyright © 2014 American Academy of Physical Medicine and Rehabilitation. Published by Elsevier Inc. All rights reserved.

  7. Application of air traffic control competence reference models as a mean of air navigation services provider’s charge optimization

    Directory of Open Access Journals (Sweden)

    В.П. Харченко

    2010-01-01

    Full Text Available  The issue of application of Air Traffic Control (ATC competence reference models as a mean of air navigation services provider’s charge optimization is described in the article, and this issue is interpretated as an optimization task. The data relating to the significant growth of aviation traffic, especially using the airspace of Ukraine, given by authors, and the statement of fact that Air Traffic Management (ATM system’s technical component reliability increasement takes place on the basis of practically invariable psychophysiological abilities of aviation controller, make the substantiation of ANSP provision with the most trained ATC controllers for the work on the working places of ATC Unit actual. The ‘mechanism’ of ATC controllers competence reference model creation is defined step-by step. There is an example of candidate’s for the working place competence quantitative individual model forming as a common criteria of competence, which, in its turn, is the compressed format of all parameters of its working activity, received at the stage of control. The approach, according to which the individual parameters of graduating student’s output model’s professional characteristics, which he received after the examination of his work as Tower controller (ATM Unit of aerodrome control service, approach controller or area control service controller, are compared with the predetermined specialist’s competence reference model, relating to the special working place in ATM system, is supposed here. Notably, the conception, relating to the correspondence of the graduating student’s competence output level to the defined reference model of ATC controller, relating to the special working place of ATM Unit, is realised.

  8. An Electronic Service Quality Reference Model for Designing E-Commerce Websites Which Maximizes Customer Satisfaction

    Science.gov (United States)

    Shaheen, Amer N.

    2011-01-01

    This research investigated Electronic Service Quality (E-SQ) features that contribute to customer satisfaction in an online environment. The aim was to develop an approach which improves E-CRM processes and enhances online customer satisfaction. The research design adopted mixed methods involving qualitative and quantitative methods to…

  9. Hospitality Services. Curriculum Guide [and] Student Activity Book [and] Reference Book.

    Science.gov (United States)

    Texas Tech Univ., Lubbock. Curriculum Center for Family and Consumer Sciences.

    These three publications comprise a course that provides occupationally specific training designed to develop knowledge and skills for employment in the multifaceted hospitality services industry. The curriculum guide is the teacher component of the series. Contents include the Texas Essential Knowledge and Skills (TEKS); sample course outlines;…

  10. 42 CFR 4.6 - Reference, bibliographic, reproduction, and consultation services.

    Science.gov (United States)

    2010-10-01

    ... Director may publish and make available for general distribution by the Library, bibliographic searches... libraries. (b) Specialized bibliographic services. The Director may provide bibliographies on individually... determined in each case by the Director to be necessary to assure more effective distribution of the...

  11. Reference framework for integrating web resources as e-learning services in .LRN

    Directory of Open Access Journals (Sweden)

    Fabinton Sotelo Gómez

    2015-11-01

    Full Text Available The learning management platforms (LMS as Dot LRN (.LRN have been widely disseminated and used as a teaching tool. However, despite its great potential, most of these platforms do not allow easy integration of common services on the Web. Integration of external resources in LMS is critical to extend the quantity and quality of educational services LMS. This article presents a set of criteria and architectural guidelines for the integration of Web resources for e-learning in the LRN platform. To this end, three steps are performed: first; the possible integration technologies to be used are described, second; the Web resources that provide educational services and can be integrated into LMS platforms are analyzed, finally; some architectural aspects of the relevant platform are identified for integration. The main contributions of this paper are: a characterization of Web resources and educational services available today on the Web; and the definition of criteria and guidelines for the integration of Web resources to .LRN.

  12. Becoming Embedded: Incorporating Instant Messaging and the Ongoing Evolution of a Virtual Reference Service

    Science.gov (United States)

    Stormont, Sam

    2010-01-01

    The creation of an instant messaging (IM) service is described. The challenges encountered in developing, launching, and maintaining the project are examined and include technical support, archiving, balancing different formats, privacy, assessment, training, and the effectiveness of the IM channel. The process of choosing an aggregator and a…

  13. The International GPS Service (IGS) as a Continuous Reference System for Precise GPS Positioning

    Science.gov (United States)

    Neilan, Ruth; Heflin, Michael; Watkins, Michael; Zumberge, James

    1996-01-01

    The International GPS Service for Geodynamics (IGS) is an organization which operates under the auspices of the International Association of Geodesy (IAG) and has been operational since January 1994. The primary objective of the IGS is to provide precise GPS data and data products to support geodetic and geophysical research activities.

  14. Reading and the reference librarian the importance to library service of staff reading habits

    CERN Document Server

    Dilevko, Juris

    2003-01-01

    ""Informative""--Midwest Book Review; ""interesting and important...a page turner""--Catholic Library World; ""detailed...required reading...valuable...extensive body of very detailed information...outstanding""--LISR: Science Direct; ""thought-provoking...informative...solid, sensitive research...an important new primary resource""--Colorado Libraries; ""most remarkable and thought provoking...well done...articulate and insightful...fascinating...interesting...important and worthwhile""--Library & Information Science Research. The authors surveyed both academic reference librarians and publ

  15. A Software Reference Architecture for Service-Oriented 3D Geovisualization Systems

    OpenAIRE

    Hildebrandt, Dieter

    2014-01-01

    Modern 3D geovisualization systems (3DGeoVSs) are complex and evolving systems that are required to be adaptable and leverage distributed resources, including massive geodata. This article focuses on 3DGeoVSs built based on the principles of service-oriented architectures, standards and image-based representations (SSI) to address practically relevant challenges and potentials. Such systems facilitate resource sharing and agile and efficient system construction and change in an interoperable ...

  16. Special immunobiologicals’ schedule applied to infants at a reference service in Ceará

    Directory of Open Access Journals (Sweden)

    Joselany Áfio Caetano

    2010-06-01

    Full Text Available Objective: To analyze the vaccine schedule for preterm infants in a program of special immunobiologicals. Methods: A documental study conducted at a Reference Center of Special Immunobiologicals (CREATE situated in a general hospital of tertiary care in pediatrics. The sample consisted of 112 newborns with gestational age below 37 weeks and weighing less than 2500g, suitable for vaccination, assisted in 2006-2007. Data collection was done from registration forms, reference records and registers of control of special immunobiologicals’ administration, in year 2008. Results: The results showed that 22 (20% newborns were weighing between 1000 and 1499g. Regarding gestational age, 39 (35% were born between 30 and 34 weeks of pregnancy. Most proceeded from public institutions, 37 (69%. The vaccination schedule of most children, 68 (61%, was incomplete. The main clinical indications for special immunobiologicals were prematurity and bronchopulmonary dysplasia. It was observed that 89% (n = 100 of preterm infants received the pneumococcal vaccine (Prevenar. For preterm infants who were at risk of developing serious events related to the tetravalent vaccine, it was elected the scheme Prevenar + DTPa + Hib. Simultaneous administration of meningococcal conjugate vaccines - C (MncC with Prevenar was indicated for candidates for cochlear implants. Conclusion: The integral care to the preterm newborn involves early immunization, that is, the one that starts in the neonatal unit, and requires the inclusion of special immunobiologicals, which should be criteriously recommended.

  17. Stats Don't Tell the Whole Story: Using Qualitative Data Analysis of Chat Reference Transcripts to Assess and Improve Services

    Science.gov (United States)

    Mungin, Michael

    2017-01-01

    In the five years following implementation of a chat reference service at James Madison University (JMU), the service proved very popular but was not closely assessed for quality of service. Using grounded theory and qualitative data analysis techniques, a comprehensive assessment effort was begun in earnest and is in progress. Preliminary results…

  18. Recommendation of a More Effective Alternative to the NASA Launch Services Program Mission Integration Reporting System (MIRS) and Implementation of Updates to the Mission Plan

    Science.gov (United States)

    Dunn, Michael R.

    2014-01-01

    Over the course of my internship in the Flight Projects Office of NASA's Launch Services Program (LSP), I worked on two major projects, both of which dealt with updating current systems to make them more accurate and to allow them to operate more efficiently. The first project dealt with the Mission Integration Reporting System (MIRS), a web-accessible database application used to manage and provide mission status reporting for the LSP portfolio of awarded missions. MIRS had not gone through any major updates since its implementation in 2005, and it was my job to formulate a recommendation for the improvement of the system. The second project I worked on dealt with the Mission Plan, a document that contains an overview of the general life cycle that is followed by every LSP mission. My job on this project was to update the information currently in the mission plan and to add certain features in order to increase the accuracy and thoroughness of the document. The outcomes of these projects have implications in the orderly and efficient operation of the Flight Projects Office, and the process of Mission Management in the Launch Services Program as a whole.

  19. Proposing Telecardiology Services on Cloud for Different Medical Institutions: A Model of Reference.

    Science.gov (United States)

    de la Torre-Díez, Isabel; Garcia-Zapirain, Begoña; López-Coronado, Miguel; Rodrigues, Joel J P C

    2017-08-01

    For a cloud-based telecardiology solution to be established in any scenario, it is necessary to ensure optimum levels of security, as patient's data will not be in the same place from where access is gained. The main objective of this article is to present a secure, cloud-based solution for a telecardiology service in different scenarios: a hospital, a health center in a city, and a group of health centers in a rural area. iCanCloud software is used to simulate the scenarios. The first scenario will be a city hospital with over 220,000 patients at its emergency services, and ∼1 million outpatient consultations. For the health center in a city, it serves ∼107,000 medical consultations and 16,700 pediatric consultations/year. In the last scenario, a group of health centers in a rural area serve an average 437.08 consultations/month and around 15.6 a day. Each one of the solutions proposed shares common features including the following: secure authentication through smart cards, the use of StorageGRID technology, and load balancers. For all cases, the cloud is private and the estimated price of the solution would cost around 450 €/month. Thanks to the research conducted in this work, it has been possible to provide an adapted solution in the form of a telecardiology service for a hospital, city health center, and rural health centers that offer security, privacy, and robustness, and is also optimum for a large number of cloud requests.

  20. Perceived Need for Treatment and Engagement in Mental Health Services Among Community-Referred Racial/Ethnic Minority Adolescents.

    Science.gov (United States)

    Fisher, Jacqueline Horan; Lichvar, Emily; Hogue, Aaron; Dauber, Sarah

    2018-03-10

    This study examines clinical and family predictors of perceived need for treatment and engagement in mental health treatment services among community-referred racial/ethnic minority adolescents and their primary caregivers. Findings indicated that the majority of families perceived a need for treatment, but that perceived need was not associated with treatment engagement. Family factors (i.e., low cohesion and high conflict within the family) predicted perceived need for treatment among adolescents, whereas clinical factors (i.e., adolescent internalizing and externalizing symptomatology) predicted caregiver perceived need for adolescent treatment. Neither clinical nor family factors predicted treatment engagement.

  1. Clinical, epidemiological and therapeutic profile of patients with brachioradial pruritus in a reference service in dermatology.

    Science.gov (United States)

    Pinto, Ana Cecília Versiani Duarte; Wachholz, Patrick Alexander; Masuda, Paula Yoshiko; Martelli, Antonio Carlos Ceribelli

    2016-01-01

    This is a cross-sectional study, conducted from May to November/2014, in a dermatology reference unit, through review of medical records and interviews. In a sample of 49 patients with brachioradial pruritus, we observed higher prevalence of Caucasian (81.6%) and women (73.5 %), with a mean age of 56.1 years. Pruritus occurred in the topography of brachioradialis muscle in 87.8% of cases; 59.2% of the sample reported worsening of pruritus with sun exposure; the mean intensity of this symptom before treatment was 8.63. Therapy effectiveness was described as "very good/good" in 79.2% of cases, and for 55.3% relapses were categorized as "uncommon".

  2. Reference projection energy and emissions. 2012 Update. Energy and emissions for the years 2012, 2020 and 2030; Referentieraming energie en emissies. Actualisatie 2012. Energie en emissies in de jaren 2012, 2020 en 2030

    Energy Technology Data Exchange (ETDEWEB)

    Verdonk, M. [Planbureau voor de Leefomgeving PBL, Den Haag (Netherlands); Wetzels, W. [ECN Beleidsstudies, Petten (Netherlands)

    2012-08-15

    This report contains estimates of greenhouse gas emissions and air pollutants and the use of renewable energy for the year 2020. An outlook is presented for the year 2030. This estimate is an update of the Reference Projection Energy and Emissions 2010-2020, published in 2010. The goal of the update is to provide insight into the progress in realizing the targets for Dutch policies with regard to climate, air and energy. [Dutch] Dit rapport bevat de ramingen van de uitstoot van broeikasgassen en luchtverontreinigende stoffen en van het gebruik van hernieuwbare energie voor het jaar 2020. Voor het jaar 2030 wordt een doorkijk gegeven. Deze raming is een actualisatie van de Referentieraming energie en emissies 2010-2020 uit 2010. Het doel van de actualisatie is om inzicht te geven in de voortgang bij het realiseren van de Nederlandse doelstellingen voor klimaat, lucht en energie.

  3. No Reference Video-Quality-Assessment Model for Monitoring Video Quality of IPTV Services

    Science.gov (United States)

    Yamagishi, Kazuhisa; Okamoto, Jun; Hayashi, Takanori; Takahashi, Akira

    Service providers should monitor the quality of experience of a communication service in real time to confirm its status. To do this, we previously proposed a packet-layer model that can be used for monitoring the average video quality of typical Internet protocol television content using parameters derived from transmitted packet headers. However, it is difficult to monitor the video quality per user using the average video quality because video quality depends on the video content. To accurately monitor the video quality per user, a model that can be used for estimating the video quality per video content rather than the average video quality should be developed. Therefore, to take into account the impact of video content on video quality, we propose a model that calculates the difference in video quality between the video quality of the estimation-target video and the average video quality estimated using a packet-layer model. We first conducted extensive subjective quality assessments for different codecs and video sequences. We then model their characteristics based on parameters related to compression and packet loss. Finally, we verify the performance of the proposed model by applying it to unknown data sets different from the training data sets used for developing the model.

  4. Cohort of Patients Referred for Brugada Syndrome Investigation in an Electrophysiology Service - 19-Year Registry

    Directory of Open Access Journals (Sweden)

    Stefan Warpechowski Neto

    2018-06-01

    Full Text Available Abstract Background: Brugada syndrome (SBr is an arrhythmic condition characterized by ST-T segment abnormalities in the right precordial leads associated with a high risk of ventricular arrhythmias and sudden death. Local data regarding the clinical characteristics of patients with a typical electrocardiographic (ECG pattern undergoing electrophysiological study are scarce. Objective: To evaluate patients with an ECG pattern suggestive of SBr referred for electrophysiological evaluation in a specialized center. Methods: Cohort study of patients referred for electrophysiological study because of an ECG pattern compatible with SBr between January 1998 and March 2017. Results: Of the 5506 procedures, 35 (0.64% were for SBr investigation, 25 of which (71.42% were performed in men. The mean age was 43.89 ± 13.1 years. The ECG patterns were as follows: type I, 22 (62.85%; type II, 12 (34.30%; and type III, 1 (2.85%. Twenty-three patients (65.7% were asymptomatic, 6 (17.14% had palpitations, 5 (14.3% had syncope, and 3 (8.6% had a family history of sudden death. Electrophysiological study induced ventricular tachyarrhythmias in 16 cases (45.7%, the mean ventricular refractory period being 228 ± 36 ms. Ajmaline / procainamide was used in 11 cases (31.4%, changing the ECG pattern to type I in 7 (63.6%. Sixteen cases (45.7% received an implantable cardioverter defibrillator (ICD. In a mean 5-year follow-up, 1 of the 16 patients (6.25% with ICD had appropriate therapy for ventricular fibrillation. There was no death. Other arrhythmias occurred in 4 (11.4% cases. Conclusions: Most patients are men, and a type I ECG pattern is the main indication for electrophysiological study. Class IA drugs have a high ECG conversion rate. The ICD event rate was 6%. (Arq Bras Cardiol. 2018; [online].ahead print, PP.0-0

  5. Serologic Screening for Genital Herpes: An Updated Evidence Report and Systematic Review for the US Preventive Services Task Force.

    Science.gov (United States)

    Feltner, Cynthia; Grodensky, Catherine; Ebel, Charles; Middleton, Jennifer C; Harris, Russell P; Ashok, Mahima; Jonas, Daniel E

    2016-12-20

    Genital herpes simplex virus (HSV) infection is a prevalent sexually transmitted infection. Vertical transmission of HSV can lead to fetal morbidity and mortality. To assess the evidence on serologic screening and preventive interventions for genital HSV infection in asymptomatic adults and adolescents to support the US Preventive Services Task Force for an updated recommendation statement. MEDLINE, Cochrane Library, EMBASE, and trial registries through March 31, 2016. Surveillance for new evidence in targeted publications was conducted through October 31, 2016. English-language randomized clinical trials (RCTs) comparing screening with no screening in persons without past or current symptoms of genital herpes; studies evaluating accuracy and harms of serologic screening tests for HSV-2; RCTs assessing preventive interventions in asymptomatic persons seropositive for HSV-2. Dual review of abstracts, full-text articles, and study quality; pooled sensitivities and specificities of screening tests using a hierarchical summary receiver operating characteristic curve analysis when at least 3 similar studies were available. Accuracy of screening tests, benefits of screening, harms of screening, reduction in genital herpes outbreaks. A total of 17 studies (n = 9736 participants; range, 24-3290) in 19 publications were included. No RCTs compared screening with no screening. Most studies of the accuracy of screening tests were from populations with high HSV-2 prevalence (greater than 40% based on Western blot). Pooled estimates of sensitivity and specificity of the most commonly used test at the manufacturer's cutpoint were 99% (95% CI, 97%-100%) and 81% (95% CI, 68%-90%), respectively (10 studies; n = 6537). At higher cutpoints, pooled estimates were 95% (95% CI, 91%-97%) and 89% (95% CI, 82%-93%), respectively (7 studies; n = 5516). Use of this test at the manufacturer's cutpoint in a population of 100 000 with a prevalence of HSV-2 of 16% (the

  6. Update of telephone exchange

    CERN Multimedia

    2006-01-01

    As part of the upgrade of telephone services, the CERN switching centre will be updated on Monday 3 July between 8.00 p.m. and 3.00 a.m. Telephone services may be disrupted and possibly even interrupted during this operation.We apologise in advance for any inconvenience this may cause. CERN TELECOM Service

  7. Update of telephone exchange

    CERN Multimedia

    2006-01-01

    As part of the upgrade of telephone services, the CERN switching centre will be updated on Wednesday 14 June between 8.00 p.m. and midnight. Telephone services may be disrupted and possibly even interrupted during this operation. We apologise in advance for any inconvenience this may cause. CERN TELECOM Service

  8. Update of telephone exchange

    CERN Multimedia

    2006-01-01

    As part of the upgrade of telephone services, the CERN switching centre will be updated on between Monday 23 October 8.00 p.m. and Tuesday 24 October 2.00 a.m. Telephone services may be disrupted and possibly even interrupted during this operation. We apologise in advance for any inconvenience this may cause. CERN TELECOM Service

  9. Update of telephone exchange

    CERN Multimedia

    2006-01-01

    As part of the upgrade of telephone services, the CERN switching centre will be updated on Monday 3 July between 8.00 p.m. and 3.00 a.m. Telephone services may be disrupted and possibly even interrupted during this operation. We apologise in advance for any inconvenience this may cause. CERN TELECOM Service

  10. Association between psychological distress and cancer type in patients referred to a psycho-oncology service

    LENUS (Irish Health Repository)

    Lavelle, C

    2017-06-01

    Psychological distress is common in patients with cancer and psychological well-being is increasingly seen as an important component of cancer care. The aim of this study was to examine the relationship between cancer type and subjective distress. The following data were collected from a database of consecutive psycho-oncology referrals to the Liaison Psychiatry service in Cork University Hospital from 2006 to 2015: demographics, cancer diagnosis, Distress Thermometer (DT) score. 2102 out of 2384 referrals were assessed. Of those assessed, the most common cancer diagnoses were breast (23%, n=486) followed by haematological (21%, n=445). There were significant difference in DT score between the different cancer types, (χ2(13)=33.685, p=0.001, Kruskal–Wallis test). When adjusted for age, gender and whether or not the cancer was recently diagnosed, there was no significant association between cancer type and psychological distress. In conclusion, cancer type is not associated with level of distress in cancer.

  11. Changes in the frequency of food intake among children and teenagers: monitoring in a reference service.

    Science.gov (United States)

    Mariz, Larissa Soares; Medeiros, Carla Campos Muniz; Vieira, Caroline Evelin Nascimento Kluczynik; Enders, Bertha Cruz; Coura, Alexsandro Silva

    2013-01-01

    to identify changes in the food intake patterns among overweight children and teenagers, treated at a reference medical centre. the method used is that of a cohort study, between April 2010 and April 2011. A total of 109 children and teenagers, either obese or overweight, took part in the study. The population was divided into two subgroups depending on the permanence period (more than 6 months, and less than 6 months off the treatment). The chi-square test and logistic regression were carried out. the group which had been longer off the treatment tended to consume more soft drinks, pasta and fried foods, and less fruit and vegetables. The group with less time showed an improvement, with a reduction of consumption of soft drinks and other goodies. There was confirmation of an increased risk for consumption of soft drinks, pasta and goodies in general, as also detachment from the treatment in adolescence. The group with a longer period of monitoring has had a positive change in food intake frequency. The main contribution made by this study is that of showing that multiprofessional treatment, including some nursing care, is efficient in progressively changing the food intake of children and adolescents who are overweight.

  12. Stress and quality of life among parents of children with congenital heart disease referred for psychological services.

    Science.gov (United States)

    Kaugars, Astrida; Shields, Clarissa; Brosig, Cheryl

    2018-01-01

    The study examined parent stress and health-related quality of life (HRQOL) among families of children with congenital heart disease (CHD) referred for psychological services. Parents of 54 children (85% boys) aged 3 to 13 (M age  = 7.48, SD = 2.38) completed measures to assess parenting stress (Parenting Stress Index - Short Form; Pediatric Inventory for Parents) and the PedsQL Family Impact Module. Medical information was retrieved from medical record review. Half of parents of children with single ventricle anatomy had clinically significant levels of parenting stress. Parents of children with single ventricle anatomy reported more frequent illness-related stress and more difficulty dealing with illness-related stress than parents of children with two ventricle anatomy. Younger gestational age at birth and referral for attention or behavior problems were associated with greater likelihood of parent at-risk psychosocial functioning. Among children referred for psychological services, many parents report significant stress and significant negative impact of the child's medical condition on the family. Results underscore the need to consider assessing parent psychosocial functioning and providing additional support for parents of children with CHD. © 2017 Wiley Periodicals, Inc.

  13. UPDATING UNDER RISK CONDITION

    Directory of Open Access Journals (Sweden)

    VĂDUVA CECILIA ELENA

    2018-02-01

    Full Text Available The foundation for future firm development is investment. Agents have a risk aversion requiring higher returns as the risks associated with the project will be greater. The investment decision determines the market firm's affirmation, increasing the market share, dominating the market. Making an investment at a certain point will determine certain cash flows throughout the life of the project, and a residual value can be obtained when it is taken out of service. The flows and payments for the investment project can be more easily tracked if we are proposing a constant update rate. We will be able to analyze, based on various factors, three techniques for determining the discount rate for investment projects: the opportunity cost, the risk-free rate, and a series of risk premiums, the weighted average cost of capital. People without financial training make value judgments for investment projects based on other market opportunities, comparing the returns that any investment offers to other pay options. An investor has a sum of money he wants to make - if he does not invest in a project, he will invest in another, that will bring him a certain amount of money, choosing the most advantageous project by comparison. All projects are characterized by identical risks, and the agents are considered indifferent to the risks. The answer given by financial theory and practice to the disadvantage of rates in the opportunity cost category is the discount rate calculated as a sum of the risk-free rate and a risk premium, defining the risk as a factor whose action may cause a possible decrease in cash of the available flows. Higher objectivity is presented by the opportunity cost update rates of update because it refers to known variables but cannot be perfectly matched to the performance of the investment process.

  14. Clinical features and prevalence of gastroesophageal reflux disease in infants attending a pediatric gastroenterology reference service.

    Science.gov (United States)

    Koda, Yu Kar Ling; Ozaki, Marcos J; Murasca, Kelly; Vidolin, Eliana

    2010-01-01

    In infants, it is not always easy to distinguish between pathological and physiological gastroesophageal reflux based only on clinical criteria. In Brazil, studies about gastroesophageal reflux disease in infants are few and are even rare those that used prolonged esophageal pH monitoring for its evaluation. To describe the clinical features of gastroesophageal reflux disease and to determine its prevalence in infants with gastroesophageal reflux attending a tertiary Pediatric Gastroenterology Service and submitted to esophageal pH monitoring for investigation. Descriptive study in 307 infants in whom esophageal pH monitoring (Mark III Digitrapper, Synectics Medical AB, Sweden) was performed during the period December, 1998-December, 2008. The clinical features studied were age group (1-12 months and 13-24 months), and clinical manifestations that motivated the indication of pH monitoring. One hundred twenty-four (40.4%) were female and 183 (59.6%) male with mean age 12.2 +/- 6.2 months (1-23 months). The prevalence of gastroesophageal reflux disease was 18.2% (56/307). One hundred forty-eight (48.2%) were 1-12 months old and 159 (51.8%), 13-24 months. No significant difference was found between the prevalence of these two age groups (P = 0.3006). Gastroesophageal reflux disease was more frequent in those with digestive manifestations (24.2%), crisis of cyanosis/apnea (23.8%) and mixed manifestations (21.5%). Respiratory manifestations were the most frequent indication (39.1%) of pH monitoring. However, the prevalence of gastroesophageal reflux disease was lower (12.5%) in this group compared with in those with digestive manifestations (P = 0.0574), crisis of cyanosis/apnea (P = 0.0882) and mixed manifestations (P = 0.1377). All infants that presented clinical manifestations as crisis of cyanosis/apnea and abnormal pH-metry were Service, the prevalence of gastroesophageal reflux disease associated with acid reflux in infants revealed elevated. Infants with crisis

  15. IPPAS guidelines. Reference document for the IAEA International Physical Protection Advisory Service

    International Nuclear Information System (INIS)

    1999-01-01

    The IAEA International Physical protection Advisory Service (IPPAS) provides advice to Member States to assist them in strengthening the effectiveness of their national physical protection system whilst recognizing the ultimate responsibility for physical protection is that of the Member State. The IPPAS is available to all countries with nuclear materials and facilities. The basic concepts, purposes and functions of physical protection are provided in INFCIR/225, 'The Physical Protection of Nuclear Material and Nuclear Facilities' as amended from time to time and 'the Convention on the Physical Protection of Nuclear Material (INFCIR/247/Rev.1). The guidance given in INFCIR/225 recognizes that implementation of these requirements vary from country to country depending on their existing constitutional, legal and administrative systems; the assessment of the threat for the potential theft of nuclear material or sabotage of nuclear facilities; the technical skills and professional and financial resources available to the competent authority; and social customs and cultural traditions. IPPAS missions are performance oriented in that they accept different approaches to the implementation of national physical protection system

  16. Heparin-induced thrombocytopenia: reducing misdiagnosis via collaboration between an inpatient anticoagulation pharmacy service and hospital reference laboratory.

    Science.gov (United States)

    Burnett, Allison E; Bowles, Harmony; Borrego, Matthew E; Montoya, Tiffany N; Garcia, David A; Mahan, Charles

    2016-11-01

    Misdiagnosis of heparin-induced thrombocytopenia (HIT) is common and exposes patients to high-risk therapies and potentially serious adverse events. The primary objective of this study was to evaluate the impact of collaboration between an inpatient pharmacy-driven anticoagulation management service (AMS) and hospital reference laboratory to reduce inappropriate HIT antibody testing via pharmacist intervention and use of the 4T pre-test probability score. Secondary objectives included clinical outcomes and cost-savings realized through reduced laboratory testing and decreased unnecessary treatment of HIT. This was a single center, pre-post, observational study. The hospital reference laboratory contacted the AMS when they received a blood sample for an enzyme-linked immunosorbent HIT antibody (HIT Ab). Trained pharmacists prospectively scored each HIT Ab ordered by using the 4T score with subsequent communication to physicians recommending for or against processing and reporting of lab results. Utilizing retrospective chart review and a database for all patients with a HIT Ab ordered during the study period, we compared the incidence of HIT Ab testing before and after implementation of the pharmacy-driven 4T score intervention. Our intervention significantly reduced the number of inappropriate HIT Ab tests processed (176 vs. 63, p reference laboratories can result in reduction of misdiagnosis of HIT and significant cost savings with similar safety.

  17. Forest Resources of the United States, 2012: a technical document supporting the Forest Service 2010 update of the RPA Assessment

    Science.gov (United States)

    Sonja N. Oswalt; W. Brad Smith; Patrick D. Miles; Scott A. Pugh

    2014-01-01

    Forest resource statistics from the 2010 Resources Planning Act (RPA) Assessment were updated to provide current information on the Nation's forests as a baseline for the 2015 national assessment. Resource tables present estimates of forest area, volume, mortality, growth, removals, and timber products output in various ways, such as by ownership, region, or State...

  18. The impact of patient participation direct enhanced service on patient reference groups in primary care: a qualitative study.

    Science.gov (United States)

    Pollard, Lorraine; Agarwal, Shona; Harrad, Fawn; Lester, Louise; Cross, Ainsley; Wray, Paula; Smith, Gordon; Locke, Anthony; Sinfield, Paul

    2014-01-01

    NHS policy documents continue to make a wide-ranging commitment to patient involvement. The Patient Participation Direct Enhanced Service (PP-DES), launched in 2011, aimed to ensure patients are involved in decisions about the range and quality of services provided and commissioned by their practice through patient reference groups (PRGs). The aim of this exploratory study is to review the impact of the PP-DES (2011-13) on a sample of PRGs and assess how far it has facilitated their involvement in decisions about the services of their general practices. A qualitative methods design, using semi- structured interviews and focus groups, was employed to explore the experiences and views of GP practice staff (n = 24), PRG members (n = 80) at 12 GP practices, and other stakeholders (n = 4). Wide variation in the role and remit of the participating PRGs was found, which broadly ranged from activities to improve practice resources to supporting health promotion activities. The majority of PRG members were unfamiliar with the PP-DES scheme and its aims and purpose. Stakeholders and practice staff felt strongly that the main success of the PP-DES was that it had led to an increase in the number of PRGs being established in the locality. The PP-DES scheme has been a catalyst to establish PRGs. However, the picture was mixed in terms of the PRGs involvement in decisions about the services provided at their general practice as there was wide variation in the PRGs role and remit. The financial incentive alone, provided via the DES scheme, did not secure greater depth of PRG activity and power, however, as social factors were identified as playing an important role in PRGs' level of participation in decision making. Many PRGs have to become more firmly established before they are involved as partners in commissioning decisions at their practice.

  19. Reference Assessment

    Science.gov (United States)

    Bivens-Tatum, Wayne

    2006-01-01

    This article presents interesting articles that explore several different areas of reference assessment, including practical case studies and theoretical articles that address a range of issues such as librarian behavior, patron satisfaction, virtual reference, or evaluation design. They include: (1) "Evaluating the Quality of a Chat Service"…

  20. Reported exposure to trauma among adult patients referred for psychological services at the Free State Psychiatric Complex, Bloemfontein

    Directory of Open Access Journals (Sweden)

    Laurisa van Zyl

    2017-10-01

    Objective: The study aimed to explore and describe the extent and nature of reported potentially traumatic events and associated variables in adult patients referred for psychological services at the Free State Psychiatric Complex (FSPC, Bloemfontein. Methods: In this cross-sectional study, demographic information, diagnostic morbidity and co-morbidity, and presence and type of reported trauma exposure reported by patients during the initial assessment were obtained from files of adult patients seen during a one-year period (2010 at the out-patient unit and the in-patient affective ward at the FSPC. Data were captured on data record forms by the researchers and analysed by means of descriptive statistics, univariate analysis and logistic regression (SAS version 9.1. Results: Of the 192 adults (71.9% White and 67.2% female referred for psychological services,75.5% were diagnosed with mood disorders, 17.2% with anxiety disorders, 22.4% with substance-related disorders and 20.9% with cluster B personality disorders or traits. A total of 145 (75.5% reported past trauma exposure. The most frequently reported types of trauma exposure were traumatic death/injury of a loved one (37.0%, physical assault (24.5%, witnessed/threatened violence (19.3%, and sexual assault (17.7%. Women were more likely to have been exposed to trauma than men (OR 4.02, 95% CI 1.87–8.62, in particular to traumatic death of a loved one (OR 3.13, physical assault (OR 4.08, or sexual assault (OR 5.43. Conclusions: The findings of this study contribute to current data regarding the prevalence of exposure to trauma and its possible association with mental illness. The importance of comprehensive trauma exposure screening in routine psychiatric interviewing practices is highlighted.

  1. Why do women not return family history forms when referred to breast cancer genetics services? A mixed-method study.

    Science.gov (United States)

    Hanning, Kirstie A; Steel, Michael; Goudie, David; McLeish, Lorna; Dunlop, Jackie; Myring, Jessica; Sullivan, Frank; Berg, Jonathan; Humphris, Gerry; Ozakinci, Gozde

    2015-10-01

    Personal and family data forms, completed by women referred to breast cancer genetics clinics, are valuable tools for verification and extension of family history, crucial steps in accurate risk evaluation. A significant minority of women do not complete and return these forms, despite reminders, even when completion is a pre-requisite for a clinic appointment. To facilitate access of women at increased familial risk of breast cancer to screening and counselling services by investigating reasons for non-return of the forms. Based on a single regional 'breast cancer family' service in the UK, Analysis of quantitative data comparing women who did not return forms (n = 55) with those who had done so (n = 59), together with qualitative evaluation of potential barriers to form-completion through semi-structured telephone interviews with a random subset of 'non-returners' (n = 23). Non-returners have higher proportions of the very young (below the age at which surveillance could be offered) and of women from lower social deprivation categories. Interviews revealed that the majority of non-returners are anxious, rather than unconcerned about their breast cancer risk and circumstances and attitudes contributed to non-compliance. Twenty-one participants confirmed that they would welcome an appointment at a 'breast cancer family' clinic, but nine did not attend for the appointment. They were significantly younger than those who attend, but were not at lower familial risk. Many women who fail to complete and return a family history form would benefit from risk assessment and genetic counselling. Several steps are suggested that might help them access the relevant services. © 2014 John Wiley & Sons Ltd.

  2. Standard Reference Tables -

    Data.gov (United States)

    Department of Transportation — The Standard Reference Tables (SRT) provide consistent reference data for the various applications that support Flight Standards Service (AFS) business processes and...

  3. Neither snow nor rain: contingency planning by a clinical reference laboratory courier service for weather related emergencies.

    Science.gov (United States)

    Bankson, Daniel D; Heim, Joseph A

    2014-01-01

    To optimize transportation processes, we present herein a contingency plan that coordinates interim measures used to ensure continued and timely services when climate based events might cause an interruption of the usual specimen transportation processes. As an example, we outline the implementation and effectiveness of a contingency plan for network laboratory courier automobile transportation during times of mountain pass highway closure. Data available from an approximately 3-year period from October 10, 2010 through August 29, 2013 revealed a total of 690 complete closures in the eastbound or westbound lanes of the Interstate-90 highway in the Snoqualmie Pass area in the state of Washington. Despite the frequency of closures, the Washington State Department of Transportation was effective in limiting the duration of closures. Road closures of less than 1 hour accounted for 58.7% of the total closures. No recorded closures prevented dispatched couriers from completing a prescheduled Snoqualmie Pass route. We identified no delays as being clinically significant, despite that there were 5 instances of delays greater than 4 hours. We implemented a contingency plan of aiding courier logistics during all times of pass closure. The plan includes an easy to interpret Condition Dashboard as a status indicator and a Decision Tree that references and summarizes information. Overall, the contingency plan allows for an objective, robust, proactive decision support system that has enabled operational flexibility and has contributed to continued safe, on-time specimen transportation; clients and courier and reference laboratory staff have appreciated these features and associated outcomes. Copyright© by the American Society for Clinical Pathology (ASCP).

  4. Palliative Care Edema: Patient Population, Causal Factors, and Types of Edema Referred to a Specialist Palliative Care Edema Service.

    Science.gov (United States)

    Real, Shirley; Cobbe, Sinead; Slattery, Sinead

    2016-07-01

    Edema in palliative care patients is a common symptom, however, the research base for all aspects of its care is extremely poor. To evaluate a specialist palliative care edema service in order to report on the patient population referred, the types of edema encountered, and the causes of edema. Prior to study, three different edema types were described for evaluation: lymphedema, nonlymphatic edema, and a combination of the two. Retrospective chart evaluation was completed from August 2013 through January 2014. Patients with edema assessed by the specialist palliative care physiotherapy edema service. Sixty-three cases were included, comprising 10.5% of all new palliative care referrals during the study period. Ninety-two percent (n = 58) had a diagnosis of cancer and 57% (n = 36) were female. Age ranged from 45-97 years. The most common edema type was a mixed edema (46%, n = 29), followed by lymphedema (27%, n = 18) and nonlymphatic edema (16%, n = 10). Lymphorrhea occurred in 9.5% of cases. The most common reasons for edema, based on clinical opinion, were blocked lymphatics (33%) and dependency from immobility (27%). The most common site for edema was in the lower limbs (89%, n = 56). The time lapse from the last treatment to death ranged from 1-225 days. Having a mixed edema type or lymphorrhea was a relatively poor prognostic sign. This is the first study to describe in detail the occurrence of edema in palliative care patients. Edema may be present for many months prior to death making the search for effective treatments imperative.

  5. Correlation between Serum Aldosterone Level and Hearing Condition of Elderly Patients Referred to Otolaryngology Services of Hamadan, Western Iran

    Directory of Open Access Journals (Sweden)

    Dr. Farhad Farahani

    2010-06-01

    Full Text Available Background and Aim: Recently, more attention was paid to the direct protective effect of aldosterone against hearing impairment in elderly patients. The aim of this study was determination of possible correlation between serum aldosterone level and hearing condition of elderly patients that referred to the Otolaryngology services of Hamadan in 2005-2006.Methods: In this case control study 54 (27 males,27 females persons above 60 years old were evaluated. They contained twenty eight cases with normal hearing and 26 cases with presbycusis. Persons with any abnormal biochemical finding or history of conditions that predispose them to the sensorineural hearing loss (SNHL were excluded. In both groups serum level of sodium, potassium and aldosterone were measured and hearing condition evaluated by puretone, speech and immitance audiometry.Results: Statistical relationship between serum aldostrone level and hearing condition, sex, configuration of audiogram and speech discrimination score (SDS were not significant. In addition, no significant relationship between sodium and potassium levels with hearing condition was found (p>0.05.Conclusion: This study could not confirm protective effect of aldostrone against presbycusis. This discrepancy may originate from epidemiologic differences, laboratory errors or small sample size.

  6. O serviço de referência online nas bibliotecas virtuais da região nordeste Service of reference online in the libraries online of the Northeast area

    Directory of Open Access Journals (Sweden)

    Alzira Karla Araújo da Silva

    2005-01-01

    Full Text Available Identifica as bibliotecas virtuais da Região Nordeste do Brasil diagnosticando o serviço de referência online e sua estrutura. Destaca os tipos de bibliotecas e o papel da biblioteca virtual omo guia e orientador dos usuários remotos da Internet, através do atendimento pelo correio eletrônico. Ressalta o Serviço de Referência Virtual como um serviço que permite a interação entre informação-bibliotecário-usuário no ambiente virtual. Tem como abordagem metodológica um estudo qualitativo, realizado através da observação dos sites da Biblioteca Central Reitor Macedo Costa (Bahia, Biblioteca Temática do Empreendedor–SEBRAE (Paraíba, Sistema de Bibliotecas da Universidade Federal da Paraíba (Paraíba e Biblioteca da Universidade de Fortaleza – Unifor (Ceará e das informações coletadas a partir de um questionário respondido pelos responsáveis por essas bibliotecas. Os resultados apontam a presença do serviço de referência e do bibliotecário nas duas primeiras bibliotecas virtuais e apenas do bibliotecário nas duas últimas. Confirma o fato de que nas bibliotecas virtuais da Região Nordeste os serviços de referência online estão ganhando espaço e utilizando as ferramentas tecnológicas, com destaque para o correio eletrônico. Fortalece a afirmação de que essas bibliotecas precisam do uso das novas tecnologias, a fim de atender as solicitações dos usuários remotos com eficiência e precisão. Contribui para a análise e futuras implantações de serviços de referência online e para o repensar do papel do serviço nas bibliotecas virtuais.It identifies the libraries online of the Northeast Area of Brazil diagnosing the service of reference online and its operation structure. It highlights the types of libraries and the paper of librarie online as guide the remote users' of the Internet, through the attendance by mail electronic. It stands out the Service of Reference Online as a service that allows the

  7. Libraries Demonstrate Low Adherence to Virtual Reference Service Guidelines. A Review of: Shachaf, Pnina, and Sarah M. Horowitz. “Virtual Reference Service Evaluation: Adherence to RUSA Behavioral Guidelines and IFLA Digital Reference Guidelines.” Library & Information Science Research 30.2 (2008: 122-37.

    Directory of Open Access Journals (Sweden)

    Elise Cogo

    2009-06-01

    Full Text Available Objectives – This study evaluates the level to which virtual (asynchronous e-mail reference services adhere to professional guidelines. Specifically, it addresses the following research questions:1 To what extent do virtual reference services adhere to the American Library Association (ALA Reference and User Services Association (RUSA and the International Federation of Library Associations (IFLA guidelines?2 How does the level of adherence to RUSA or IFLA guidelines vary based on request type, user name, and institution?3 Is there a correlation between outcome measures of reference transactions (accuracy, completeness, and satisfaction and the level of adherence to RUSA or IFLA guidelines?Design – Unobtrusive evaluation of researcher-generated queries.Setting – Fifty-four academic libraries in North America.Subjects – A total of 324 queries were sent to the 54 libraries, with each library receiving six different types of requests from six different user names.Methods – Researchers developed two coding schemes for the guidelines (34 codes and 12 attributes for the RUSA guidelines and 33 codes and 10 attributes for the IFLA guidelines. Each of the six user names used represented an ethnic and/or religious group identity: Mary Anderson (Caucasian, Christian, Moshe Cohen (Caucasian, Jewish, Ahmed Ibrahim (Arab, Latoya Johnson (African American, Rosa Manuz (Hispanic, and Chang Su (Asian. The six request types were designed so that three would be answered (questions 1-3 and three would be out of scope and not answered (questions 4-6. The following queries were sent, individualized for each institution: 1 Dissertation query; 2 Sports team query; 3 Population query; 4 Subject query; 5 Article query; 6 Request for a PDF copy. The 324 queries were uploaded into NVivo 2 software, and all e-mail transactions were coded and analyzed.Main Results – Analysis of the 324 transactions from 54 libraries showed the following results:1 Low levels of

  8. Correlation between Mental Health and Incidence of Sudden Hearing Loss in Referred Patients to Otolaryngology Services of Hamadan City

    Directory of Open Access Journals (Sweden)

    F. Farahani

    2008-01-01

    Full Text Available Introduction & Objective: In recent years mental health attracts attention of many researchers, and severe emotional stress that can interfere in creation of different organic diseases is one of the most prominent of this aspects. Sudden hearing loss (S.H.L. is one of these disorders that could followed after stress and eventually may heal completely, relatively or lead to permanent deafness. S.H.L. could influence on interpersonal relationships and in this way could change quality of life negatively, so enough and appropriate attention is necessary. In this research by determination of level of stress we intended to study relationship between mental health and incidence of S.H.L.Materials & Methods: In this case – control study 65 patients that referred to otolaryngology services of Hamadan during 2005-2006 with S.H.L. (case group compared to 89 healthy subjects (control group. Control group were free from any systemic diseases and were matched from sex and age aspects to the case group. In case group after complete audiometric evaluation and confirmation of S.H.L, stress level was assessed using GHQ-28 questionnaire. This questionnaire contained 28 questions in 4 different fields: somatic symptoms, anxiety and insomnia, social problems and depression. Linkert scoring method was used for scoring of questionnaires and all data were analyzed using T-Test and chi-square test.Results: During 4 months incidence of S.H.L. in referred patients were 5.1%, significant statistical relationships between S.H.L. and level of stress (P<0.001 and severity of hearing loss and level of stress (P<0.05, r =0.34 were found. The most common audiometric pattern was downward slopping pattern (56.92%. Evaluation of level of stress between two sex groups did not show any significant difference (P<0.05.Conclusion: Stress can be known as one of the predisposing factors of S.H.L. and may be possible to control by paying more attention to the role of self-awareness and

  9. [Age- and sex-specific reference intervals for 10 health examination items: mega-data from a Japanese Health Service Association].

    Science.gov (United States)

    Suka, Machi; Yoshida, Katsumi; Kawai, Tadashi; Aoki, Yoshikazu; Yamane, Noriyuki; Yamauchi, Kuniaki

    2005-07-01

    To determine age- and sex-specific reference intervals for 10 health examination items in Japanese adults. Health examination data were accumulated from 24 different prefectural health service associations affiliated with the Japan Association of Health Service. Those who were non-smokers, drank less than 7 days/week, and had a body mass index of 18.5-24.9kg/m2 were sampled as a reference population (n = 737,538; 224,947 men and 512,591 women). After classified by age and sex, reference intervals for 10 health examination items (systolic blood pressure, diastolic blood pressure, total cholesterol, triglyceride, glucose, uric acid, AST, ALT, gamma-GT, and hemoglobin) were estimated using the parametric and nonparametric methods. In every item except for hemoglobin, men had higher reference intervals than women. Systolic blood pressure, total cholesterol, and glucose showed an upward trend in values with increasing age. Hemoglobin showed a downward trend in values with increasing age. Triglyceride, ALT, and gamma-GT reached a peak in middle age. Overall, parametric estimates showed narrower reference intervals than non-parametric estimates. Reference intervals vary with age and sex. Age- and sex-specific reference intervals may contribute to better assessment of health examination data.

  10. 76 FR 77327 - Reasonable Charges for Medical Care or Services; V3.9, 2012 Calendar Year Update

    Science.gov (United States)

    2011-12-12

    ... expenses for care under a health plan contract; (2) a non service- connected disability incurred incident to the veteran's employment and covered under a worker's compensation law or plan that provides... Veterans Health Administration Chief Business Office's Internet Web [[Page 77328

  11. 77 FR 76071 - The Economic Effects of Significant U.S. Import Restraints: Eighth Update Special Topic: Services...

    Science.gov (United States)

    2012-12-26

    ... the report describe recent trends in U.S. and global sourcing of services and their contribution to... general equilibrium model. However, as per earlier instructions from the USTR, the Commission will not... the close of business on March 6, 2013, no witnesses are scheduled to appear at the hearing, the...

  12. Book Beat: A Young Adult Services Manual for Louisiana's Libraries. Face It: Read a Book: Be Somebody. [Updated Edition.

    Science.gov (United States)

    Fairbanks, Gretchen, Ed.; Jaques, Thomas F., Ed.

    Libraries need to reach out to teens and enhance their skills in serving the teenage population. Through the Louisiana Young Adult Services program, it is hoped that all staff working with young adults will be reached to accomplish the following: (1) promote a better understanding of the psychology of this age group; (2) increase skills in…

  13. Explaining as Mediated Action: An Analysis of Pre-Service Teachers' Account of Forces of Inertia in Non-Inertial Frames of Reference

    Science.gov (United States)

    de Pereira, Alexsandro Pereira; Lima Junior, Paulo; Rodrigues, Renato Felix

    2016-01-01

    Explaining is one of the most important everyday practices in science education. In this article, we examine how scientific explanations could serve as cultural tools for members of a group of pre-service physics teachers. Specifically, we aim at their use of explanations about forces of inertia in non-inertial frames of reference. A basic…

  14. REFERENCE MATERIALS SYSTEM OF SCIENTIFIC METHODICAL CENTRE OF STATE SERVICE OF REFERENCE MATERIALS FOR COMPOSITION AND PROPERTIES OF SUBSTANCES AND MATERIALS URAL RESEARCH INSTITUTE FOR METROLOGY

    Directory of Open Access Journals (Sweden)

    E. V. Osinseva

    2015-01-01

    Full Text Available Since 1960s UNIIM performs research in the field of needs in reference materials of composition and properties of substances and materials (RM as well as develops it. During the research UNIIM has developed 757 types of RMs for metrological measurement assurance of factors of composition and properties of substance and materials for test laboratories of chemical, pharmaceutical, fuel, food industry, agriculture, metallurgy and ecological monitoring laboratories. List ofRMs enlarges thanks to development of UNIIM standards and transmission measurement facility from State standards of units. Taking into account the actual requirements in the field of measurements, the UNIIM's key destination is to assure the accuracy and the metrological traceability of measurements. The present-day system of RMs to be developed in UNIIM includes RMs of composition of inorganic and organic compounds and their solutions, fuels, stable isotopic materials, water, grounds, food products, biomaterials, nanomaterials, metals, alloys and other materials offerrous and non-ferrous industry, RMs of properties (thermodynamic, magnetic, physical-chemical, technical of substances and materials. The present article considers history of RMs list development which were created by UNIIM and the strategy of this direction.

  15. Best Reference Practices are Not Observed in Telephone Ready Reference Services. A review of: Agosto, Denise A. and Holly Anderton. “Whatever Happened to ‘Always Cite the Source?’” Reference & User Services Quarterly 47.1 (2007: 44-54.

    Directory of Open Access Journals (Sweden)

    Julie McKenna

    2008-06-01

    Full Text Available Objective – To study source citing practice in telephone reference service in large public libraries in the United States and Canada. Design – Field simulation (unobtrusive testing.Setting – Large public libraries in the United States and Canada.Subjects – Telephone reference staff of the 25 largest public libraries in the United States and Canada.Methods – The 2005 World Book Almanac was used to select the 25 largest (in terms of population served public libraries in Canada and the United States. Each system’s Web site was checked to locate the telephone number for reference service. For some systems it was necessary to call the general telephone number for the main library or the first branch listed on the Web site. Five ready reference test questions were developed from a list of questions that students in a graduate library and information science course had previously asked of public library telephone reference services. The selected questions in the order that they were asked were: 1. Can you tell me when Valentine’s Day is?2. Who is the current governor/premier (of the state/province where the library is located?3. What is the population of Montana?4. In which state is the Southern Poverty Law Center (SPLC located?5. What is the French word for “chiropractor”?The authors called each of the 25 libraries during five consecutive weeks at different times of the business day. Each week, one question was asked; once an answer was received, no clarification was requested and the call was ended. The study reports the results of 125 reference transactions. For this study, the following definitions were used to assess complete citation for each type of information resource:• For a Web site – the complete URL (title and sponsor of the site not required.• For a digital database – the database title and the title and year of the specific item (author, publisher, page number not required.• For a print resource – the title

  16. The Prevalence of Only-Child Status Among Children and Adolescents Referred to a Gender Identity Service Versus a Clinical Comparison Group.

    Science.gov (United States)

    Hughes, S Kathleen; VanderLaan, Doug P; Blanchard, Ray; Wood, Hayley; Wasserman, Lori; Zucker, Kenneth J

    2017-08-18

    Several studies indicate that homosexual males have a high proportion of older brothers compared to heterosexual males. Natal males with gender dysphoria who are likely to be homosexual also display this sibship pattern. Until recently, there was little evidence linking homosexuality and/or gender dysphoria in females to unique sibship characteristics. Two studies have indicated that natal female youth clinically referred for gender dysphoria are more likely to be only children (Schagen, Delemarre-van de Waal, Blanchard, & Cohen-Kettenis, 2012; VanderLaan, Blanchard, Wood, & Zucker, 2014). However, these studies did not include control groups of youth clinically referred for other reasons. Thus, it is unclear whether the increased likelihood of only-child status is specific to gender-referred natal females. This study compared only-child status among youth referred to a mental health service for gender dysphoria (778 males, 245 females) versus other reasons (783 males, 281 females). Prehomosexual gender-referred males were less likely to be only children than clinical controls. Contrary to previous findings, gender-referred females were not more likely to be only children, indicating that increased likelihood of only-child status is not specific to gender-referred females, but is characteristic of clinic-referred females more generally.

  17. FRMAC Updates

    International Nuclear Information System (INIS)

    Mueller, P.

    1995-01-01

    This talks describes updates in the following updates in FRMAC publications concerning radiation emergencies: Monitoring and Analysis Manual; Evaluation and Assessment Manual; Handshake Series (Biannual) including exercises participated in; environmental Data and Instrument Transmission System (EDITS); Plume in a Box with all radiological data stored onto a hand-held computer; and courses given

  18. Apollo-Soyuz test project. Operations handbook command/service/docking modules (CSM 119/DM 1): Operational procedures reference issue

    Science.gov (United States)

    1974-01-01

    Operational and configuration checks for the Apollo-Soyuz Test Project are presented. The checks include: backup crew prelaunch, prime crew prelaunch, boost and insertion, G and C reference data, G and N reference modes, rendezvous, navigation, Apollo-Soyuz operations, abort procedures, and emergency procedures.

  19. Managing the twenty-first century reference department challenges and prospects

    CERN Document Server

    Katz, Linda S

    2014-01-01

    Learn the skills needed to update and manage a reference department that efficiently meets the needs of clients today?and tomorrow! Managing the Twenty-First Century Reference Department: Challenges and Prospects provides librarians with the knowledge and skills they need to manage an effective reference service. Full of useful and practical ideas, this book presents successful methods for recruiting and retaining capable reference department staff and management, training new employees and adapting current services to an evolving field. Expert practitioners address the changing role of the r

  20. Effects of Parent Immigration Status on Mental Health Service Use Among Latino Children Referred to Child Welfare.

    Science.gov (United States)

    Finno-Velasquez, Megan; Cardoso, Jodi Berger; Dettlaff, Alan J; Hurlburt, Michael S

    2016-02-01

    Latino families may be at risk of experiencing stressors resulting from the immigration process, such as those related to documentation status and acculturation, that may increase their need for mental health services. However, little research exists on the mental health needs and service use of Latino children. This study examined how parental nativity and legal status influence mental health needs and service utilization among children in Latino families investigated by child welfare. Data from the second National Survey of Child and Adolescent Well-Being, a nationally representative, prospective study of families investigated by child welfare agencies for maltreatment, were used to examine mental health need and service use in a subset of Latino children who remained in the home following a maltreatment investigation (N=390). Although children of immigrants did not differ from children of U.S.-born parents in levels of clinical need, they had lower rates of mental health service receipt. After the analyses accounted for other relevant variables, the odds of receiving services were significantly lower (odds ratio=.09) for children whose parents were undocumented compared with children whose parents were U.S. citizens. This study contributes to growing discourse on Latino family needs within the child welfare system. Analyses support earlier research regarding the effects of parent nativity on mental health service use and advance the literature by identifying parent legal status as a unique barrier to child service receipt.

  1. Constraints for the design of variability-intensive service-oriented reference architectures - An industrial case study

    NARCIS (Netherlands)

    Galster, Matthias; Avgeriou, Paris; Tofan, Dan

    Context: Service-oriented architecture has become a widely used concept in software industry. However, we currently lack support for designing variability-intensive service-oriented systems. Such systems could be used in different environments, without the need to design them from scratch. To

  2. Recent references

    International Nuclear Information System (INIS)

    Ramavataram, S.

    1991-01-01

    In support of a continuing program of systematic evaluation of nuclear structure data, the National Nuclear Data Center maintains a complete computer file of references to the nuclear physics literature. Each reference is tagged by a keyword string, which indicates the kinds of data contained in the article. This master file of Nuclear Structure References (NSR) contains complete keyword indexes to literature published since 1969, with partial indexing of older references. Any reader who finds errors in the keyword descriptions is urged to report them to the National Nuclear Data Center so that the master NSR file can be corrected. In 1966, the first collection of Recent References was published as a separate issue of Nuclear Data Sheets. Every four months since 1970, a similar indexed bibliography to new nuclear experiments has been prepared from additions to the NSR file and published. Beginning in 1978, Recent References was cumulated annually, with the third issue completely superseding the two issues previously published during a given year. Due to publication policy changes, cumulation of Recent Reference was discontinued in 1986. The volume and issue number of all the cumulative issues published to date are given. NNDC will continue to respond to individual requests for special bibliographies on nuclear physics topics, in addition to those easily obtained from Recent References. If the required information is available from the keyword string, a reference list can be prepared automatically from the computer files. This service can be provided on request, in exchange for the timely communication of new nuclear physics results (e.g., preprints). A current copy of the NSR file may also be obtained in a standard format on magnetic tape from NNDC. Requests for special searches of the NSR file may also be directed to the National Nuclear Data Center

  3. Circular Updates

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Circular Updates are periodic sequentially numbered instructions to debriefing staff and observers informing them of changes or additions to scientific and specimen...

  4. Email Updates

    Science.gov (United States)

    ... of this page: https://medlineplus.gov/listserv.html Email Updates To use the sharing features on this ... view your email history or unsubscribe. Prevent MedlinePlus emails from being marked as "spam" or "junk" To ...

  5. New Korean reference for birth weight by gestational age and sex: data from the Korean Statistical Information Service (2008-2012).

    Science.gov (United States)

    Lim, Jung Sub; Lim, Se Won; Ahn, Ju Hyun; Song, Bong Sub; Shim, Kye Shik; Hwang, Il Tae

    2014-09-01

    To construct new Korean reference curves for birth weight by sex and gestational age using contemporary Korean birth weight data and to compare them with the Lubchenco and the 2010 United States (US) intrauterine growth curves. Data of 2,336,727 newborns by the Korean Statistical Information Service (2008-2012) were used. Smoothed percentile curves were created by the Lambda Mu Sigma method using subsample of singleton. The new Korean reference curves were compared with the Lubchenco and the 2010 US intrauterine growth curves. Reference of the 3rd, 10th, 25th, 50th, 75th, 90th, and 97th percentiles birth weight by gestational age were made using 2,249,804 (male, 1,159,070) singleton newborns with gestational age 23-43 weeks. Separate birth weight curves were constructed for male and female. The Korean reference curves are similar to the 2010 US intrauterine growth curves. However, the cutoff values for small for gestational age (reference curves for birth weight show a different pattern from the Lubchenco curves, which were made from white neonates more than 60 years ago. Further research on short-term and long-term health outcomes of small for gestational age babies based on the new Korean reference data is needed.

  6. Ask! Your Library at the HUB: Penn State Libraries’ Experiences Providing Reference Services at the Campus Student Union Building

    Directory of Open Access Journals (Sweden)

    Anne Charlotte Behler

    2008-06-01

    Full Text Available The Web 2.0 generation presents many service challenges to libraries. College students of today have work styles that emphasize collaboration, preference for flexible and comfortable spaces, and independent discovery of information. Given that challenge, it is important for libraries to experiment with new and unique models of service. Librarians and Staff at the Penn State University Libraries explored offering library service at the main campus’s student union building during two trials, during the Spring and Fall semesters of 2006.

  7. The Majority of Library Clients Still Use Person-to-Person Interaction When Asking Reference Questions. A review of: De Groote, Sandra L. “Questions Asked at the Virtual and Physical Health Sciences Reference Desk: How Do They Compare and What Do They Tell Us?” Medical Reference Services Quarterly 24.2 (Summer 2005: 11-23.

    Directory of Open Access Journals (Sweden)

    Suzanne Pamela Lewis

    2006-03-01

    Full Text Available Objective - To identify similarities and difference in the questions asked at the virtual and physical refernece desks of a helath scienmces library, in order to better undertand user needs and highlight areas for service improvement. Also to retrospectively analyze reference statistics collected over the previous six years. Design - Use study; retrospective study of reference statistics for the period July 1997 to June 2003; literature review. Setting - Large academic helath sciences library in the United States. Subjects - All questions asked at the reference and information desks, plus questions submitted to the University-wide virtual reference service and answered by a health sciences librarian, over a period of one month. The questions were asked by faculty, staff, students and members of the public. Methods - A literature review was carried out to examine the types of information/reference questions typically asked in health sciences libraries both before and after the mass introduction of remote end-user searching of online resources and the establishment of virtual reference services. Next, the reference statistics collected at the University of Illinois at Chicage (UIC Library of the Health Sciences between July 1997 and June 2003 were examined. For most of this period a digital reference service was offered using a listserv address to which patrons would submit email queries. Beginning in March 2003, a formal virtual reference service (chat and email was provided using commercial software. Finally, data was gathered on questions answered by a health sciences librarians, and clients who asked the question, at either the physical or cirtual reference desk, during the month of November 2003 at the UIC Library of the Health Sciences. Library staff completed an online survey form for each question, and if a client asked more than one question, each question was coded individually. Data included: status of client using the service (faculty

  8. Harms of Breast Cancer Screening: Systematic Review to Update the 2009 U.S. Preventive Services Task Force Recommendation.

    Science.gov (United States)

    Nelson, Heidi D; Pappas, Miranda; Cantor, Amy; Griffin, Jessica; Daeges, Monica; Humphrey, Linda

    2016-02-16

    In 2009, the U.S. Preventive Services Task Force recommended biennial mammography screening for women aged 50 to 74 years and selective screening for those aged 40 to 49 years. To review studies of screening in average-risk women with mammography, magnetic resonance imaging, or ultrasonography that reported on false-positive results, overdiagnosis, anxiety, pain, and radiation exposure. MEDLINE and Cochrane databases through December 2014. English-language systematic reviews, randomized trials, and observational studies of screening. Investigators extracted and confirmed data from studies and dual-rated study quality. Discrepancies were resolved through consensus. Based on 2 studies of U.S. data, 10-year cumulative rates of false-positive mammography results and biopsies were higher with annual than biennial screening (61% vs. 42% and 7% vs. 5%, respectively) and for women aged 40 to 49 years, those with dense breasts, and those using combination hormone therapy. Twenty-nine studies using different methods reported overdiagnosis rates of 0% to 54%; rates from randomized trials were 11% to 22%. Women with false-positive results reported more anxiety, distress, and breast cancer-specific worry, although results varied across 80 observational studies. Thirty-nine observational studies indicated that some women reported pain during mammography (1% to 77%); of these, 11% to 46% declined future screening. Models estimated 2 to 11 screening-related deaths from radiation-induced cancer per 100,000 women using digital mammography, depending on age and screening interval. Five observational studies of tomosynthesis and mammography indicated increased biopsies but reduced recalls compared with mammography alone. Studies of overdiagnosis were highly heterogeneous, and estimates varied depending on the analytic approach. Studies of anxiety and pain used different outcome measures. Radiation exposure was based on models. False-positive results are common and are higher for

  9. An overview of reference user services during the ATDRSS (Advanced Tracking and Data Relay Satellite System) era

    Science.gov (United States)

    Weinberg, Aaron

    1989-01-01

    The Tracking and Data Relay Satellite System (TDRSS) is an integral part of the overall NASA Space Network (SN) that will continue to evolve into the 1990's. Projections for the first decade of the 21st century indicate the need for an SN evolution that must accommodate growth int he LEO user population and must further support the introduction of new/improved user services. A central ingredient of this evolution is an Advanced TDRSS (ATDRSS) follow-on to the current TDRSS that must initiate operations by the late 1990's in a manner that permits an orderly transition from the TDRSS to the ATDRSS era. An SN/ATDRSS architectural and operational concept that will satisfy the above goals is being developed. To this date, an SN/ATDRSS baseline concept was established that provides users with an end-to-end data transport (ENDAT) service. An expanded description of the baseline ENDAT concept, from the user perspective, is provided with special emphasis on the TDRSS/ATDRSS evolution. A high-level description of the end-to-end system that identifies the role of ATDRSS is presented; also included is a description of the baseline ATDRSS architecture and its relationship with the TDRSS 1996 baseline. Other key features of the ENDAT service are then expanded upon, including the multiple grades of service, and the RF telecommunications/tracking services to be available. The ATDRSS service options are described.

  10. Medi SPICE : an update

    OpenAIRE

    Mc Caffery, Fergal; Dorling, Alec; Casey, Valentine

    2010-01-01

    peer-reviewed This paper provides an update on the development of a software process assessment and improvement model (Medi SPICE) specifically for the medical device industry. The development of Medi SPICE was launched at the SPICE 2009 Conference. Medi SPICE will consist of a Process Reference Model and a Process Assessment Model. The Medi SPICE Process Assessment Model will be used to perform conformant assessments of the software process capability of medical device suppliers in accord...

  11. CMS Statistics Reference Booklet

    Data.gov (United States)

    U.S. Department of Health & Human Services — The annual CMS Statistics reference booklet provides a quick reference for summary information about health expenditures and the Medicare and Medicaid health...

  12. [Clinical and developmental aspects of care-related tetanus in the reference service of the teaching hospital of Abidjan].

    Science.gov (United States)

    Aba, T; Kra, O; Ehui, E; Tanon, K A; Kacou, A R; Ouatara, B; Bissagnéné, E; Kadio, A

    2011-02-01

    A cross-sectional descriptive study was conducted from medical data of inpatients with tetanus in the Department of Infectious and Tropical Diseases of the University Hospital of Treichville in Abidjan from January 2003 to December 2007. In five years, 221 cases of tetanus have been hospitalized. The tetanus gateway was found in 188 patients (85%). Tetanus gateway linked to care was found in 22 patients (11.7%). Acts of care in question were intramuscular injections (10 cases) and operative procedures (12 cases). Concerning medical care by intramuscular injection, quinine (four cases), sulfadoxine-pyrimethamine (one case), and long-acting penicillin (one case) were the identified drugs. The operative procedures mainly involved were skin sutures (nine cases), cures of hernia (two cases), and flattening of Fournier's gangrene (one case). The average incubation period was 9.5 days. The invasion lasted for an average of 1.8 days. On admission, tetanus was immediately generalized for all patients with the presence of paroxysms in 20 patients (90.9%). The lethality of tetanus related care was 54.5%. The death rate in the first 48 hours of hospitalization was estimated at 83.3%. The average length of hospital stay was 14.6 days. Health workers should be involved in the prevention of tetanus in improving the quality of care and especially in reducing intramuscular injections. Also, any patient not immunized against tetanus should receive anti-tetanus serum and an update of its tetanus vaccine before any invasive procedures.

  13. Oh! Web 2.0, Virtual Reference Service 2.0, Tools and Techniques (I): A Basic Approach

    Science.gov (United States)

    Arya, Harsh Bardhan; Mishra, J. K.

    2011-01-01

    This study targets librarians and information professionals who use Web 2.0 tools and applications with a view to providing snapshots on how Web 2.0 technologies are used. It also aims to identify values and impact that such tools have exerted on libraries and their services, as well as to detect various issues associated with the implementation…

  14. KNOWLEDGE IS REFERENCE FACILITIES OF SUPPORT OF PROCESSES OF INFORMATIVE ACCOMPANIMENT OF MEDICAL SERVICE OF POPULATION (first report

    Directory of Open Access Journals (Sweden)

    O. P. Mintser

    2012-11-01

    Full Text Available Described approaches, models and facilities of forming of the systems of knowledges, by the s purpose of support of grant informatively consultative services at medical practice of doctor. Ontological models, facilities of linguistic analysis and visualization of reflection of objects of medical industry, are determined.

  15. The Impact of Robotics on Employment and Motivation of Employees in the Service Sector, with Special Reference to Health Care

    Directory of Open Access Journals (Sweden)

    Mohammed Owais Qureshi

    2014-12-01

    Conclusion: Replacing employees with robots is an inevitable choice for organizations in the service sector, more so in the health care sector because of the challenging and sometimes unhealthy working environments, but, at the same time, the researchers propose that it should be done in a manner that helps in improving the employment and motivation of employees in this sector.

  16. Doença de Coats: perfil de casos encaminhados para serviço referência em oncologia ocular Coats Disease: profile of patients referred to a reference ocular oncology service

    Directory of Open Access Journals (Sweden)

    Eduardo Ferrari Marback

    2007-12-01

    Full Text Available OBJETIVO: Relatar o perfil de pacientes com doença de Coats encaminhados para afastar o diagnóstico de retinoblastoma. MÉTODOS: Realizado estudo retrospectivo, com base na revisão de prontuários e exames de imagem, de dez pacientes consecutivos. Foram avaliados os dados referentes à idade, sexo, queixa principal, estágio da doença à apresentação, tratamento e evolução. RESULTADOS: A média de idade à apresentação foi de 43,9 meses. Oito pacientes eram do sexo masculino. Leucocoria ou estrabismo foram as principais queixas, presentes em nove casos. Oito pacientes tinham doença em estágio 3B, um estágio 3A e um estágio 2B. Dos oito casos com descolamento total de retina (3B em sete foi optado apenas pela observação e um submetido a retinopexia sem sucesso. O caso com descolamento parcial (3A foi tratado por crioterapia e depois feita fotocoagulação por laser diodo, evoluindo com reaplicação da retina e obliteração das teleangiectasias. O caso sem descolamento associado (2B foi tratado por fotocoagulação por laser de argônio, com boa obliteração dos vasos anormais. A acuidade visual final foi de percepção luminosa em 3 e ausência de percepção luminosa em 5 dos 8 casos com doença 3B, os casos com doença 3A e 2B mantiveram visão de movimentos de mão. Nenhum dos casos evoluiu para glaucoma neovascular no segmento médio de 26,7 meses. CONCLUSÃO: A maioria dos pacientes com doença de Coats encaminhados para afastar a suspeita de retinoblastoma apresenta doença avançada ao diagnóstico. Nestes casos, devido ao péssimo prognóstico visual e alta complexidade do tratamento cirúrgico, pode-se optar apenas pela observação.PURPOSE: To report the profile of Coats' disease patients, referred to exclude retinoblastoma. METHODS: Retrospective study of medical charts from ten consecutive patients. Data evaluated include age at diagnosis, gender, chief complain, disease stage, treatment and evolution. RESULTS: Mean

  17. PARCEL SERVICE EMPLOYEES SATISFACTION TOWARDS HRM AND ORGANISATION FACTORS (A STUDY WITH SPECIAL REFERENCE TO ABT AND ARC PARCEL SERVICE COMPANY, COIMBATORE)

    OpenAIRE

    N. Sumathi; Dr. S. Parimala

    2017-01-01

    Recently employees working in the transportation service sector have been facing issues like: heavy work load, deadline, slim down employee benefits etc. Additionally, the safety concerns faced by female employees were important. Moreover, transportation employee like driver faces issues such as increasing fuel cost, unpleasant road conditions and increasing vehicle maintenance cost. On the other hand office level employees’/administrative employees’ dissatisfaction towards their job has bee...

  18. Low Volume, Funding, Staffing and Technical Problems are Key Reasons for Discontinuation of Chat Reference Services. A review of: Radford, Marie L., and M. Kathleen Kern. “A Multiple‐case Study Investigation of the Discontinuation of Nine Chat Reference Services.” Library & Information Science Research 28.4 (Sept. 2006: 521‐47.

    Directory of Open Access Journals (Sweden)

    Stephanie R. Walker

    2007-09-01

    Full Text Available Objective – To investigate the reasons behind the cessation of 9 virtual (chat reference services.Design – Multiple case‐study investigationSetting – Academic, public, and special libraries in the United States.Subjects – Five academic libraries, 1 public library, and 3 library consortia.Methods – The initial method used to identify discontinued chat reference services was via a posting to DIG_REF, the digitalreference services listserv. From this initial posting, librarians on the list also suggested other cases, for a total of 7. Two cases later came to the authors’ attention and were added. The 9 cases included academic libraries, a public library, and consortia who used tools provided by four major software vendors, giving a good cross‐section of the types of libraries participating in VR and the major software packages available at the time. A contact person for each discontinued service was invited to participate. The participants were geographically scattered, so data were collected via e‐mail questionnaires, telephone interviews, and examination of available documents describing the services, audiences, demographics, operations, and any decision‐making processes either for starting or discontinuing the service. The authors then compared and contrasted results obtained from the 9 services. The authors analysed reasons for discontinuation of services, the decision making processes, volume of questions, service hours, marketing, evaluation, and whether the service might be restarted atsome time in the future.Main Results – Although the VR services discussed were being delivered by diverse organizations, some commonalities emerged. All 9 services used existing staff and added chat reference to their duties. In all but one case, the hours of service offered when VRbegan were within the hours that the libraries were already open to the public. In the exception (Case E, there were hours of service after the libraries were

  19. Collaborative Chat Reference Service Effectiveness Varies by Question Type for Public Library Patrons. A review of: Kwon, Nahyun. ʺPublic Library Patronsʹ Use of Collaborative Chat Reference Service: The Effectiveness of Question Answering by Question Type.ʺ Library & Information Science Research 29.1 (Mar. 2007: 70‐91.

    Directory of Open Access Journals (Sweden)

    Stephanie Hall

    2008-03-01

    Full Text Available Objective – To assess the effectiveness of a collaborative chat reference service in answering different types of question. Specifically, the study compares the degree of answer completion and the level of user satisfaction for simple factual questions vs. more in‐depth subject‐based reference questions, and for ‘local’ (pertaining to a particular library and non‐local questions.Design – Content analysis of 415 transcripts of reference transactions, which were also compared to corresponding user satisfaction survey results.Setting – An online collaborative reference service offered by a large public library system (33 branch and regional locations. This service is part of the Metropolitan Cooperative Library System: a virtual reference consortium of U.S. libraries (public, academic, special, and corporate that provides 24/7 service.Subjects – Reference librarians from around the U.S. (49 different libraries, and users logging into the service via the public library system’s portal (primarily patrons of the 49 libraries. Method – Content analysis was used to evaluate virtual reference transcripts recorded between January and June, 2004. Reliability was enhanced through triangulation, with researchers comparing the content analysis of each transcript against the results of a voluntary exit survey. Of 1,387 transactions that occurred during the period of study, 420 users completed the survey and these formed the basis of the study, apart from 5 transactions that were omitted because the questions were incomprehensible. Questions were examined and assigned to five categories: “simple, factual questions; subject‐based research questions; resource access questions; circulation‐related questions; and local library information inquiries” (80‐81. Answers were classed as either “completely answered, partially answered or unanswered, referred, and problematic endings” (82. Lastly, user satisfaction was surveyed on three

  20. Sociodemographic profile and psychiatric diagnosis of patients referred to consultation-liaison psychiatric services of general hospital psychiatric unit at a Tertiary Care Center

    Directory of Open Access Journals (Sweden)

    Shri Gopal Goyal

    2017-01-01

    Full Text Available Context: Previous studies have reported high psychiatric comorbidity with physical illness. However, referral rate to consultation-liaison (C-L psychiatry from other departments is very low. There is a paucity of literature from India in this subspecialty of psychiatry. Aims: This study was conducted to assess the sociodemographic profile and psychiatric diagnosis of patients referred to C-L psychiatric services at a tertiary care center. Settings and Design: This was a descriptive cross-sectional study conducted in a tertiary care multispecialty teaching institution. Patients and Methods: The study population comprised all the patients who were referred for psychiatric consultation from other departments to C-L services of psychiatry department for 2 months. Information was collected using semi-structured pro forma, and diagnosis was made based on the International Classification of Diseases-10 criteria. Results: A total of 160 patients were referred for C-L psychiatric services. Majority of the patients were in the age group of 31–45 years, married, educated matriculation or beyond, belonged to Hindu religion, nuclear family, and residing in urban area. The maximum referrals were from internal medicine department (17.5 followed by nephrology (15.0% and neurology (10.6%. The most common psychiatric diagnosis was depression (12% followed by delirium (8%. The most common reason for seeking psychiatric consultation was psychiatric clearance of prospective kidney donor and bone marrow transplant/stem cell transplant recipient. Conclusions: Psychiatric comorbidity may present with chronic physical illness. The C-L psychiatry would play a major role in the management of psychiatric comorbidity.

  1. Equipes de referência e apoio especializado matricial: um ensaio sobre a reorganização do trabalho em saúde Local reference teams and specialized matrix support: an essay about reorganizing work in health services

    Directory of Open Access Journals (Sweden)

    Gastão Wagner de Sousa Campos

    1999-01-01

    Full Text Available Este artigo propõe um novo arranjo organizacional para o trabalho em saúde. É desenvolvido e ampliado o conceito de equipe de referência - proposto e experimentado pelo autor desde 1989. É também reelaborado o conceito de organização matricial do trabalho, invertendo-se em relação ao esquema original o que seria permanente e aquilo que seria transitório (recorte matricial nos serviços de saúde. São também apresentadas considerações teóricas que autorizam e justificam a construção desta nova proposta.A new organizational settlement for the work in the health services is proposed. An original concept is developed to defining the profile of a local reference team, as created and experimented by the author sice 1989. The classical organizational structure in matrix is realaborated to encompass this new approach. Theoretical consideration that subsidize and give basis to building this new proposal are presented.

  2. BCR: a service to quality assurance in analytical chemistry - some experiences and achievements with regard to reference material preparation

    Energy Technology Data Exchange (ETDEWEB)

    Griepink, B. (Commission of the European Communities, Measurements and Testing Programme (BCR), Brussels (Belgium)); Quevauviller, P. (Commission of the European Communities, Measurements and Testing Programme (BCR), Brussels (Belgium)); Maier, E.A. (Commission of the European Communities, Measurements and Testing Programme (BCR), Brussels (Belgium)); Vandendriessche, S. (Commission of the European Communities, Measurements and Testing Programme (BCR), Brussels (Belgium))

    Despite all efforts to improve the quality of results of measurements, intercomparisons demonstrate a considerable discrepancy. This fact was also shown by many of the round robins organised by the BCR (Commission of the European Communities) on inorganic, speciation, and organic determinations in various environmental matrices. It is clear that further efforts have to be made to improve the state of the art of a wide variety of analyses. This means that the demand for certified reference materials (CRMs) is and will be in constant increase. RMs are required for the validation of methods, for proficiency testing or for training purposes. The production of RMs and CRMs resembling the composition of real matrices poses difficult problems for some compounds and is a challenge for the producers. This paper presents some recent experiences and achievements of the BCR in special cases. (orig.)

  3. Epidemiological profile of leishmaniasis at a reference service in the state of Alagoas, Brazil, from January 2000 to September 2008.

    Science.gov (United States)

    Nunes, Willian da Silva; Araújo, Sócrates Rios; Calheiros, Cláudia Maria Lins

    2010-01-01

    Leishmaniasis is a parasitic disease found in the continents of Europe, Asia, Africa and the Americas. In Brazil, the disease is an important public health problem, occurring in most states, but mainly in the Northeast region of the country, with the state of Alagoas having a significant number of confirmed cases. The present study establishes and discusses the epidemiological profile of cases of leishmaniases treated at the Reference Center of Alagoas, Hospital Escola Hélvio de Farias Auto, between January 2000 and October 2008. During this period, records of 2,104 patients notified to the hospital Epidemiological Surveillance Center were reviewed. The epidemiology of leishmaniasis, both visceral and tegumentary, has shown a profile that has changed over throughout the years, with a decrease in the number of notified cases. Disease occurrence was associated with lower social economic classes, and affected mainly rural workers in general, housewives and students.

  4. Mobile eye services: Literature review with special reference to the experience of Al-Basar International Foundation

    Directory of Open Access Journals (Sweden)

    Adel A Rushood

    2010-01-01

    Full Text Available Purpose: To evaluate the concept of quality assured mobile eye services (MES in implementing the vision 2020 initiative. Materials and Methods: Literature review as well as the medical records of Al-Basar International Foundation (BIF on MES. Emphasis was focused on the causes of blindness, objectives, operation, management and the benefits of MES, a critical appraisal of MES, training for MES and the relationship with other organizations and concerned government agencies. Findings: More than 38 countries have been included in this exercise during which more than 620 eye camps have been conducted. More than two million people have benefited from the services provided including medicines and glasses in these eye camps and about 180,000 sight restoring surgeries performed for cataract, glaucoma etc. Conclusion: Quality assured MES are a very important means of tackling the problems of blindness and implementing the vision 2020 initiative. The adoption of this concept by major stake-holders in the prevention of blindness (e.g. WHO, IAPB will bring an additional momentum to the achievement of this noble goal.

  5. Occupationally related contact dermatitis in North American food service workers referred for patch testing, 1994 to 2010.

    Science.gov (United States)

    Warshaw, Erin M; Kwon, Gina P; Mathias, C G Toby; Maibach, Howard I; Fowler, Joseph F; Belsito, Donald V; Sasseville, Denis; Zug, Kathryn A; Taylor, James S; Fransway, Anthony F; Deleo, Vincent A; Marks, James G; Pratt, Melanie D; Storrs, Frances J; Zirwas, Matthew J; Dekoven, Joel G

    2013-01-01

    Contact dermatoses are common in food service workers (FSWs). This study aims to (1) determine the prevalence of occupationally related contact dermatitis among FSWs patch tested by the North American Contact Dermatitis Group (NACDG) and (2) characterize responsible allergens and irritants as well as sources. Cross-sectional analysis of patients patch tested by the NACDG, 1994 to 2010, was conducted. Of 35,872 patients patch tested, 1237 (3.4%) were FSWs. Occupationally related skin disease was significantly more common in FSWs when compared with employed non-FSWs. Food service workers were significantly more likely to have hand (P contact dermatitis in FSWs were 30.6% and 54.7%, respectively. Although the final diagnosis of irritant contact dermatitis was statistically higher in FSWs as compared with non-FSWs, allergic contact dermatitis was lower in FSWs as compared with non-FSWs. The most frequent currently relevant and occupationally related allergens were thiuram mix (32.5%) and carba mix (28.9%). Gloves were the most common source of responsible allergens. The NACDG standard tray missed at least 1 occupationally related allergen in 38 patients (4.3%). Among FSWs patch tested by the NACDG between 1994 and 2010, the most common allergens were thiuram mix and carba mix. Gloves were the most common source of responsible allergens.

  6. Menopausal hormone therapy for the primary prevention of chronic conditions: a systematic review to update the U.S. Preventive Services Task Force recommendations.

    Science.gov (United States)

    Nelson, Heidi D; Walker, Miranda; Zakher, Bernadette; Mitchell, Jennifer

    2012-07-17

    Menopausal hormone therapy to prevent chronic conditions is currently not recommended because of its adverse effects. To update evidence about the effectiveness of hormone therapy in reducing risk for chronic conditions and adverse effects, and to examine whether outcomes vary among women in different subgroups. MEDLINE (January 2002 to November 2011), Cochrane Central Register of Controlled Trials and Cochrane Database of Systematic Reviews (through the 3rd quarter of 2011), Scopus, and reference lists. Randomized, placebo-controlled trials of menopausal hormone therapy published in English since 2002 that assessed primary prevention of chronic conditions. Investigators extracted data on participants, study design, analysis, follow-up, and results; 2 investigators independently rated study quality by using established criteria. 9 fair-quality trials met the inclusion criteria. The Women's Health Initiative reported most of the results, had 11 years of follow-up, and had data most applicable to postmenopausal women in the United States. It showed that estrogen plus progestin therapy reduced fractures (46 fewer per 10 000 woman-years) and increased invasive breast cancer (8 more per 10 000 woman-years), stroke (9 more per 10 000 woman-years), deep venous thrombosis (12 more per 10 000 woman-years), pulmonary embolism (9 more per 10 000 woman-years), lung cancer death (5 more per 10 000 woman-years), gallbladder disease (20 more per 10 000 woman-years), dementia (22 more per 10 000 woman-years), and urinary incontinence (872 more per 10 000 woman-years). Estrogen-only therapy reduced fractures (56 fewer per 10 000 woman-years), invasive breast cancer (8 fewer per 10 000 woman-years), and death (2 fewer per 10 000 woman-years) and increased stroke (11 more per 10 000 woman-years), deep venous thrombosis (7 more per 10 000 woman-years), gallbladder disease (33 more per 10 000 woman-years), and urinary incontinence (1271 more per 10 000 woman-years). Outcomes did not

  7. [The hospital-borne tetanus in the reference service of the Donka National Hospital in Conakry (2001-2011)].

    Science.gov (United States)

    Traoré, F A; Youla, A S; Sako, F B; Sow, M S; Keita, M; Kpamy, D O; Traoré, M

    2013-05-01

    Become almost non-existent in the developed countries, the hospital-borne tetanus always stays of current events in our country in spite of the forensic problem which it puts. The objectives of this study were to determine prevalence of this affection, to describe its clinical picture and to determine its lethality. It is about a retrospective study of a duration of 11 years realized in the service of the infectious diseases of Conakry. Among 8649 hospitalizations from 2001 till 2012 we brought together 239 cases of tetanus (2.7%) among which 60 hospital-borne tetanus (0.7%). Men represented 73% of these cases, with a sex-ratio M/F of 2.7. The age bracket of 20-40 years was the most affected with 32 cases (53.3%). A single patient had begun his vaccinal calendar which had remained incomplete. Both national hospitals of the CHU of Conakry and private hospitals were the biggest suppliers of this hospital-borne tetanus with respectively 22 and 27 cases (36.6 and 45%). Tetanus related to IM of quinine represented 26 cases (43.3%) whereas the hernial cure was found in 16 cases (26.6%). The average duration of invasion and incubation was respectively 1.5 days and 6 days for the dead (n = 45.7%) and 2 days and 10.5 days for the survivors. Three-quarters of 60 patients died. The fight against this type of tetanus passes inevitably by an improvement of the working conditions, a strict application of the rules of asepsis and the in-service training of the medical and paramedical staff.

  8. Academic Librarians Should Be Sensitive to Language and Cultural Barriers When Providing Reference Service to International Students. A review of: Curry, Ann and Deborah Copeman. “Reference Service to International Students: A Field Stimulation Research Study.” Journal of Academic Librarianship 31.5 (Sep. 2005: 409‐20.

    Directory of Open Access Journals (Sweden)

    Lorie A. Kloda

    2006-12-01

    Full Text Available Objective – To evaluate the quality of reference service provided to non‐native, English‐speaking international students in academic libraries.Design – Field stimulation (unobtrusive testing.Setting – Eleven college and university libraries in the lower mainland of British Columbia, Canada, in the fall of 2003.Subjects – Library staff offering reference service at one of the participating libraries.Methods – The study utilized field stimulation, whereby an individual, or “proxy,” posed as a library user and initiated a reference encounter with library staff at each institution. In each case the proxy asked the same question to the library staff member. After the interaction was completed the proxy recorded all observed behaviours. Data were collected using a checklist of actions; a narrative record written by the proxy; and several evaluative questions. Each library was visited by the same proxy on two separate occasions for a total of 22 visits, of which 20 instances resulted in usable data. The narrative recordings of the reference encounters were analyzed using an open coding process.Main results – In 75% of the cases, the proxy was “‘satisfied” or “very satisfied” with help received from the library staff member and was “likely to” or “definitely would return to the staff member” in the future. The reference encounters lasted between a few minutes to half an hour in length, with most lasting between 5 and 15 minutes. Encounters that were brief (less than 5 minutes resulted in an evaluation of “dissatisfied” or “very dissatisfied” and “not likely to” or “definitely would not return.” Encounters where the library staff member extended an invitation to the proxy to return in the future were all rated with “high satisfaction” and “willingness to return.” The following reference service actions were observed in at least half of the encounters:• Asked questions for clarification (20

  9. A comparative study of behavioral and psychological signs and symptoms of dementia in patients with dementia referred to psychogeriatric services in Korea and the United Kingdom.

    Science.gov (United States)

    Shah, Ajit; Ellanchenny, Nalini; Suh, Guk-Hee

    2004-06-01

    There is a paucity of cross-cultural studies of behavioral and psychological symptoms of dementia (BPSD). BPSD were examined in a consecutive series of referrals to a psychogeriatric service in the United Kingdom (U.K.) and in Korea, using the BEHAVE-AD, the Cornell Scale for Depression in Dementia and the Mini-mental State Examination (MMSE). The U.K. service served a well-defined geographical catchment area with a multidisciplinary team and emphasis on home assessments. The Korean service was a nationwide service with limited community resources. The correlates of individual BPSD in each country and the differences between the two countries were examined. Koreans were younger, were more likely to be married, less likely to be single, had a greater number of people in their household and were more likely to live in their own homes than the U.K. sample. Koreans were more likely to be referred by general psychiatrists or family members, and the U.K. sample was more likely to be referred by general practitioners. Koreans were more likely to have Alzheimer's disease and the U.K. sample to have vascular dementia. The Korean sample had a lower MMSE score than the U.K. sample. In both countries, the total BEHAVE-AD score and most subscale scores were negatively correlated with the MMSE score. The total BEHAVE-AD score and all subscale scores were higher in the Korean sample than in the U.K. sample. The prevalence of all BPSD measured with the BEHAVE-AD were higher in the Korean sample (except aggressivity). These differences may be explained by differing interpretation and administration of the measurement instruments, models of service delivery, availability of primary and secondary care services, health seeking behavior of patients and families, cultural influences, and knowledge, expectations and recognition of BPSD by professionals in primary and secondary care. However, despite this, there was possible evidence of genuine differences worthy of further cross

  10. CSS Pocket Reference

    CERN Document Server

    Meyer, Eric

    2011-01-01

    When you're working with CSS and need a quick answer, CSS Pocket Reference delivers. This handy, concise book provides all of the essential information you need to implement CSS on the fly. Ideal for intermediate to advanced web designers and developers, the 4th edition is revised and updated for CSS3, the latest version of the Cascading Style Sheet specification. Along with a complete alphabetical reference to CSS3 selectors and properties, you'll also find a short introduction to the key concepts of CSS. Based on Cascading Style Sheets: The Definitive Guide, this reference is an easy-to-us

  11. Undergraduate and Postgraduate Students in a North American University are Choosing to use Chat Reference Services for all Kinds of Reasons. A review of: Ward, David. “Why Users Choose Chat: A Survey of Behavior and Motivations.” Internet Reference Services Quarterly 10.1 (2005: 29-46.

    Directory of Open Access Journals (Sweden)

    Gill Needham

    2006-03-01

    Full Text Available Objective – To investigate reasons why undergraduate and postgraduate students choose to use chat reference services and their satisfaction with the experience. Design – User survey. Setting – Large academic library in the United States. Subjects – A total of 341 library users took part in the survey. Of these, 79 were graduate students, 215 undergraduates, 21 staff, 5 alumni and 21 members of the public. Method – A user survey form was posted on the library website for a period of one month (March 2003. Users of the chat reference service received an automatic closing message asking them to complete the survey. Responses were fed into a database to be analysed by the research staff. Additional data was also gathered about the behaviour of all users of the chat service during that period – both responders and non‐responders. Main results – The most popular reason for choosing to use a chat service was the desire for a speedy response, followed by ‘distance from the library’. Responders chose to use chat to ask a range of different kinds of questions. Nearly half (45% were looking for a specific resource and 23% were seeking help at the beginning of their research. There were notable differences between undergraduate and graduate students. Twice as many undergraduates as graduates used the service to help them get started on their research. Graduates were three times as likely as undergraduates to be using the service to address technical problems they were having with the website. Overall satisfaction with the service was extremely high, with 77.5% rating it 5 out of 5 and 94.5% giving it 4 or 5 out of 5. Conclusion – Chat reference services are popular with users primarily because they are quick and convenient. However, users expect that these services will be able to deal with all types of questions, including help with research. This challenges an assumption by library staff that the medium is only suitable for short

  12. Indoor Spatial Updating with Reduced Visual Information

    OpenAIRE

    Legge, Gordon E.; Gage, Rachel; Baek, Yihwa; Bochsler, Tiana M.

    2016-01-01

    Purpose Spatial updating refers to the ability to keep track of position and orientation while moving through an environment. People with impaired vision may be less accurate in spatial updating with adverse consequences for indoor navigation. In this study, we asked how artificial restrictions on visual acuity and field size affect spatial updating, and also judgments of the size of rooms. Methods Normally sighted young adults were tested with artificial restriction of acuity in Mild Blur (S...

  13. The impact of robotics on employment and motivation of employees in the service sector, with special reference to health care.

    Science.gov (United States)

    Qureshi, Mohammed Owais; Syed, Rumaiya Sajjad

    2014-12-01

    The economy is being lifted by the new concept of robotics, but we cannot be sure of all the possible benefits. At this early stage, it therefore becomes important to find out the possible benefits/limitations associated with robotics, so that the positives can be capitalized, established, and developed further for the employment and motivation of employees in the health care sector, for overall economic development. The negatives should also be further studied and mitigated. This study is an exploratory research, based on secondary data, such as books on topics related to robotics, websites, public websites of concerned departments for data and statistics, journals, newspapers and magazines, websites of health care providers, and different printed materials (brochures, etc). The impact of robotics has both positive and negative impacts on the employment and motivation of employees in the retail sector. So far, there has been no substantial research done into robotics, especially in the health care sector. Replacing employees with robots is an inevitable choice for organizations in the service sector, more so in the health care sector because of the challenging and sometimes unhealthy working environments, but, at the same time, the researchers propose that it should be done in a manner that helps in improving the employment and motivation of employees in this sector.

  14. Evaluation of cases of pemphigus vulgaris and pemphigus foliaceus from a reference service in Pará state, Brazil.

    Science.gov (United States)

    Pires, Carla Andréa Avelar; Viana, Viviane Brito; Araújo, Fernando Costa; Müller, Silvia Ferreira Rodrigues; Oliveira, Miguel Saraty de; Carneiro, Francisca Regina Oliveira

    2014-01-01

    Pemphigusis a bullous, rare and chronic autoimmune disease. There are two major forms of pemphigus: vulgaris and foliaceus. Epidemiological data and clinical outcome in patients diagnosed in the Brazilian Amazon states are still rare. To study the occurrence of the disease during the study period and analyze the epidemiological profile of patients, the most common subtype of pemphigus, and the clinical evolution of patients. Retrospective analysis of medical records of hospitalized patients with pemphigus foliaceus and pemphigus vulgaris in the period from 2003 to 2010 in Dermatology Service of Hospital Fundação Santa Casa de Misericórdia do Pará, Belém, Northern Brazil. We found a total of 20 cases of pemphigus during the study period, 8 of which were of foliaceus pemphigus and 12 of vulgaris pemphigus. Pemphigus foliaceus had the predominance of male patients (75%), showed satisfactory clinical evolution, and was characterized by absence of pediatric cases. Pemphigus vulgaris affected more women (66.7%), showed mean hospital stay of 1 to 3 months (50%), and there were three cases of death (25%). The prescribed immunosuppressive drugs included prednisone with or without combination of azathioprine and/or dapsone. Sepsis was associated with 100% of the deaths. The occurrence of the disease is rare, there are no familiar/endemic outbreaks in the sample. Evolution is usually favorable, but secondary infection is associated with worse prognosis. The choice of best drugs to treat pemphigus remains controversial.

  15. News and Features Updates from USA.gov

    Data.gov (United States)

    General Services Administration — Stay on top of important government news and information with the USA.gov Updates: News and Features RSS feed. We'll update this feed when we add news and featured...

  16. A comparison of mean glandular dose diagnostic reference levels within the all-digital irish national breast screening programme and the Irish symptomatic breast services

    International Nuclear Information System (INIS)

    O'Leary, D.; Rainford, L.

    2013-01-01

    Data on image quality, compression and radiation dose were collected from symptomatic breast units within the Republic of Ireland. Quantitative and qualitative data were analysed using SPSS. Recommendations of mean glandular dose (MGD) diagnostic reference levels were made at various levels for film-screen and full field digital mammography units to match levels published worldwide. MGDs received by symptomatic breast patients within Ireland are higher than those received in the all-digital Irish Breast Screening service; 55-65 mm breast: 1.75 mGy (screening) vs. 2.4 mGy (symptomatic) at the 95. percentile; various reasons are proposed for the differences. MGDs achieved in the screening service may be lower because of the exacting requirements for radiographer training, characteristics of the patients and equipment quality assurance levels. More precise imaging guidelines, standards and training of symptomatic radiographers performing mammography are suggested to remediate MGDs delivered to the breasts of Irish women attending the symptomatic breast services. (authors)

  17. Update of CERN exchange network

    CERN Multimedia

    2003-01-01

    An update of the CERN exchange network will be done next April. Disturbances or even interruptions of telephony services may occur from 4th to 24th April during evenings from 18:30 to 00:00 but will not exceed more than 4 consecutive hours (see tentative planning below). CERN divisions are invited to avoid any change requests (set-ups, move or removals) of telephones and fax machines from 4th to 25th April. Everything will be done to minimize potential inconveniences which may occur during this update. There will be no loss of telephone functionalities. CERN GSM portable phones won't be affected by this change. Should you need more details, please send us your questions by email to Standard.Telephone@cern.ch. DateChange typeAffected areas April 11 Update of switch in LHC 4 LHC 4 Point April 14 Update of switch in LHC 5 LHC 5 Point April 15 Update of switches in LHC 3 and LHC 2 Points LHC 3 and LHC 2 April 22 Update of switch N4 Meyrin Ouest April 23 Update of switch  N6 Prévessin Site Ap...

  18. Treatability study sample exemption: update

    International Nuclear Information System (INIS)

    1997-01-01

    This document is a RCRA Information Brief intended to update the information in the 1991 Small-Scale Treatability Study Information Brief, and to address questions about the waste and treatability study sample exemptions that have arisen since References 3 and 5 were published

  19. A clinical update on paediatric lupus

    African Journals Online (AJOL)

    Personal reference lists of the 3 authors were used in this update. ... with a paediatric specialist so that a tailored management plan can be made, depending ..... Cassidy JT, Petty RE, Laxer RM, Lindsley L.Textbook of Pediatric Rheumatology.

  20. The Challenge of Integrating Care in Dual Diagnosis; Anti-NMDA-Receptor Encephalitis; Presentation And Outcome In 3 Cases Referred For Complex Specialist Rehabilitation Services

    LENUS (Irish Health Repository)

    Carroll, A

    2018-03-01

    The successful implementation of an integrated care pathway (ICP) for any given condition is a challenge. Even more challenging is successful ICP implementation for individuals who have multiple co-morbidities. This is further compounded when there are dual mental health and physical disabilities that require integrated working across multiple disciplines, specialties, institutions and organisations. Anti-NMDA-Receptor encephalitis (aNMDARe) is a relatively new diagnostic entity with patients typically presenting with significant psychiatric symptoms followed by progressive neurological deterioration. In this case series, we describe 3 cases of females with aNMDARe who were referred for complex specialist rehabilitation (CSR) to The National Rehabilitation Hospital. CSR is the total active care of patients with a disabling condition, and their families, by a multi-professional team who have undergone recognised specialist training in rehabilitation, led \\/supported by a consultant trained and accredited in rehabilitation medicine (RM). These services provide for patients with highly complex rehabilitation needs that are beyond the scope of local services. In these cases, referral to CSR resulted in the construction of a bespoke integrated care pathway (ICP) that transcended the barriers between primary, secondary and tertiary care and across the boundaries of physical and mental health. A care pathway is a complex intervention for the mutual decision-making and organisation of care processes Rehabilitation services acted as the coordinator of services in these cases to ensure implementation of the care plan and to ensure successful transitions of care and supported local specialist and general teams in the management of these complex cases.

  1. [Efficacy of agreements within the Enchede Stroke Service to refer patients with a stroke from the stroke unit in the hospital to a nursing home for short-term rehabilitation

    NARCIS (Netherlands)

    Nijmeijer, N.M.; Stegge, B.M. aan de; Zuidema, S.U.; Sips, H.J.W.; Brouwers, P.J.

    2005-01-01

    OBJECTIVE: To assess the efficacy of agreements within the Enschede Stroke Service to refer patients with a stroke from the stroke unit in the hospital to a nursing home for short-term rehabilitation. DESIGN: Prospective, partly retrospective. METHOD: All patients who were referred from the stroke

  2. Virtual Racism Rears its Head: Uncovering Librarian Bias in E-mail Reference Services. A review of: Shachaf, Pnina, and Sarah Horowitz. “Are Virtual Reference Services Color Blind?” Library & Information Science Research 28.4 (Sept. 2006: 501‐20.

    Directory of Open Access Journals (Sweden)

    Wendy Furlan

    2007-06-01

    Full Text Available Objective – To examine whether librarians provide equitable virtual reference services to diverse user groups.Design – Unobtrusive method of defined scenarios submitted via e-mail.Setting – Twenty‐three Association of Research Libraries (ARL member libraries from across the United States. All ARL member libraries were invited to participate, with the 23 acceptances providing 19% participation.Subjects – Anonymous librarians from the 23 participating libraries’ virtual e‐mail reference services. Up to 6 librarians from each library may have been involved. Six fictitious personas were developed to represent particular ethnic or religious groups, whereby the ethnic or religious affiliation was only indicated by the name chosen for each user and the correspondinge‐mail address. Names were selected from lists of names or baby names available online: Latoya Johnson (African‐American, Rosa Manuz (Hispanic, Chang Su (Asian ‐Chinese, Mary Anderson(Caucasian/Christian, Ahmed Ibrahim (Muslim, and Moshe Cohen(Caucasian/Jewish. These personas were used to submit reference queries via e‐mail to the virtual reference services taking part in the study.Methods – Five different types of reference queries were developed for use in this study. Three were based on prior published research as they were deemed to be answerable by the majority of libraries. They included a dissertation query, a sports team query, and a population query all designed to be tailored to the target institution. The other 2 queries were developed with participating institutions’ virtual reference guidelines in mind, and were thought to not be answered by the target institutions when submitted by unaffiliated users. They consisted of a subject query on a special collection topic that asked for copies of relevant articles to be sent out, and an article query requesting that a copy of a specific article be e‐mailed to the patron. The study was conducted over a 6 week

  3. Quality control in environmental radioactivity measurements: experience of the Central Service for Protection against Ionizing Radiation, acting as International Reference Center Of the World Health Organization

    Energy Technology Data Exchange (ETDEWEB)

    Remy, M L; Gahinet, M E; Moroni, J P; De Zertucha, J; Pellerin, P [Service Central de Protection contre les Rayonnements Ionisants, 78 - Le Vesinet (France)

    1978-01-01

    The purpose of this paper is to make known the experiences in the Central Service for Protection against Ionizing Radiation (SCPRI) in two fields: (i)in relation to the survey of, and research on, environmental radiation in France for 15 years, and (ii) as the International Reference Center (IRC), a responsibility which has been assigned to it by the World Health Organisation (WHO) for more than 7 years. The SCPRI has no permanent activity in pure metrology but the control which it exerts on a national scale (more than 30,000 environmental samples analyzed each year) and the periodic intercomparisons which it organizes with a large number of foreign Public Health Laboratories have led to the development of a strict quality control program for the techniques of preparation and verification of standard sources and reference samples which are essential in the use of counters, the application and development of spectrometric and radiochemical analytical methods and in the distribution of samples for intercomparison purposes. A description is given of practical experience of quality control in the preparation of standards and in international inter-comparisons organized under the sponsorship of the World Health Organization.

  4. [From guidelines to practice: evaluation of the pediatric care provided by a service of secondary reference in the north of the State of Minas Gerais].

    Science.gov (United States)

    Moreira, Laura Monteiro de Castro; Alves, Cláudia Regina Lindgren; Belisário, Soraya Almeida; Bueno, Mariana de Caux; de Moraes, Erica Furtado

    2013-06-01

    In the State of Minas Gerais, the Secondary Reference Viva Vida Centers (CVVRS) are one of the strategies deployed to tackle the problems in child health. This study sought to evaluate pediatric care provided in a CVVRS, using the guidelines defined when it was set up as a benchmark. A quantitative-qualitative approach was adopted, which included a cross-sectional study with stratified random sampling of 385 medical records of children registered with the program between 2007 and 2009, and analysis of focus groups with strategic actors of the initiative. There were divergences between the user profiles and the target audience in terms of age, hometown and clinical characteristics. Access and use of the service differed depending on the town, due to problems of misinformation concerning the proposal, difficulty of transportation and the fragility of the health network. The centers are considered an innovative and important initiative for the expansion and organization of the health network, though the intended logic is not effectively seen in practice. Interventions for articulation between the network services and adaptation of the agreed guidelines to the regional specificities are necessary.

  5. AllotmentDecnService

    Data.gov (United States)

    Department of Veterans Affairs — The AllotmentDecnService is a service supporting operations to access/update data related to (Compensation and Pension) Awards. This service also supports business...

  6. Python pocket reference

    CERN Document Server

    Lutz, Mark

    2010-01-01

    This is the book to reach for when you're coding on the fly and need an answer now. It's an easy-to-use reference to the core language, with descriptions of commonly used modules and toolkits, and a guide to recent changes, new features, and upgraded built-ins -- all updated to cover Python 3.X as well as version 2.6. You'll also quickly find exactly what you need with the handy index. Written by Mark Lutz -- widely recognized as the world's leading Python trainer -- Python Pocket Reference, Fourth Edition, is the perfect companion to O'Reilly's classic Python tutorials, also written by Mark

  7. Perl Pocket Reference

    CERN Document Server

    Vromans, Johan

    2011-01-01

    If you have a Perl programming question, you'll find the answer quickly in this handy, easy-to-use quick reference. The Perl Pocket Reference condenses and organizes stacks of documentation down to the most essential facts, so you can find what you need in a heartbeat. Updated for Perl 5.14, the 5th edition provides a summary of Perl syntax rules and a complete list of operators, built-in functions, and other features. It's the perfect companion to O'Reilly's authoritative and in-depth Perl programming books, including Learning Perl, Programming Perl, and the Perl Cookbook..

  8. HTML & XHTML Pocket Reference

    CERN Document Server

    Robbins, Jennifer

    2010-01-01

    After years of using spacer GIFs, layers of nested tables, and other improvised solutions for building your web sites, getting used to the more stringent standards-compliant design can be intimidating. HTML and XHTML Pocket Reference is the perfect little book when you need answers immediately. Jennifer Niederst-Robbins, author Web Design in a Nutshell, has revised and updated the fourth edition of this pocket guide by taking the top 20% of vital reference information from her Nutshell book, augmenting it judiciously, cross-referencing everything, and organizing it according to the most com

  9. CSS Pocket Reference

    CERN Document Server

    Meyer, Eric A

    2007-01-01

    They say that good things come in small packages, and it's certainly true for this edition of CSS Pocket Reference. Completely revised and updated to reflect the latest Cascading Style Sheet specifications in CSS 2.1, this indispensable little book covers the most essential information that web designers and developers need to implement CSS effectively across all browsers. Inside, you'll find: A short introduction to the key concepts of CSS A complete alphabetical reference to all CSS 2.1 selectors and properties A chart displaying detailed information about CSS support for every style ele

  10. New nuclear data service at CNEA: retrieval of the update libraries from a local Web-Server; Nuevo servicio de datos nucleares en CNEA: obtencion de bibliotecas actualizadas desde un Servidor Local

    Energy Technology Data Exchange (ETDEWEB)

    Suarez, Patricia M [Comision Nacional de Energia Atomica, Ezeiza (Argentina). Centro Atomico Ezeiza; Pepe, Maria E [Comision Nacional de Energia Atomica, General San Martin (Argentina). Centro Atomico Constituyentes; Sbaffoni, Maria M [Comision Nacional de Energia Atomica, Buenos Aires (Argentina). Gerencia de Tecnologia

    2000-07-01

    A new On-line Nuclear Data Service was implemented at National Atomic Energy Commission (CNEA) Web-Site. The information usually issued by the Nuclear Data Section of IAEA (NDS-IAEA) on CD-ROM, as well as complementary libraries periodically downloaded from the a mirror server of NDS-IAEA Service located at IPEN, Brazil are available on the new CNEA Web page. In the site, users can find numerical data on neutron, charged-particle, and photonuclear reactions, nuclear structure, and decay data, with related bibliographic information. This data server is permanently maintained and updated by CNEA staff members. This crew also offers assistance on the use and retrieval of nuclear data to local users. (author)

  11. Python essential reference

    CERN Document Server

    Beazley, David M

    2009-01-01

    Python Essential Reference is the definitive reference guide to the Python programming language — the one authoritative handbook that reliably untangles and explains both the core Python language and the most essential parts of the Python library. Designed for the professional programmer, the book is concise, to the point, and highly accessible. It also includes detailed information on the Python library and many advanced subjects that is not available in either the official Python documentation or any other single reference source. Thoroughly updated to reflect the significant new programming language features and library modules that have been introduced in Python 2.6 and Python 3, the fourth edition of Python Essential Reference is the definitive guide for programmers who need to modernize existing Python code or who are planning an eventual migration to Python 3. Programmers starting a new Python project will find detailed coverage of contemporary Python programming idioms.

  12. Update of computer applications associated to measuring equipment of the services of internal dosimetry of NPPS and Tecnatom; Actualizacion de las aplicaciones informaticas asociadas a los equipos de medida de los Servicios de Dosimetria Interna de las CCNN y de Tecnatom

    Energy Technology Data Exchange (ETDEWEB)

    Bravo, B.; Sollet, E.; Serrano, E.

    2014-07-01

    Within the continuous improvement processes that take place in all the activities taking place in the Spanish nuclear power plants, and as a result of implementation of ISO Standards for Internal Dosimetry, has undertaken a review, improvement and updating INDAC ALEDIN and applications associated with measuring equipment and DIYs Quicky kind Personal Internal Dosimetry Services of the Spanish nuclear power plants and Tecnatom This paper presents updates capacities both tools. (Author)

  13. Critical Directed Energy Test and Evaluation Infrastructure Shortfalls: Results of the Directed Energy Test and Evaluation Capability Tri-Service Study Update

    Science.gov (United States)

    2009-06-01

    Sensor H11 HPM Chamber Test Capability—Explosive Equivalent Substitute H12 HEL Irradiance & Temperature H13 HEL Near/In-Beam Path Quality H14 HPM Sensor...such things as artillery shells or UAVs and may impact the earth. Possible targets include missiles in flight or a relatively close command, control...capability is a synergy of four high priority shortfalls identified by the T-SS Update. H13 —HEL near/in-beam path quality H13 is the need for a

  14. 49 CFR 360.5 - Updating user fees.

    Science.gov (United States)

    2010-10-01

    ... updating the cost components comprising the fee. Cost components shall be updated as follows: (1) Direct... determined by the cost study in Regulations Governing Fees For Service, 1 I.C.C. 2d 60 (1984), or subsequent... by total office costs for the office directly associated with user fee activity. Actual updating of...

  15. 78 FR 59427 - Reasonable Charges for Inpatient MS-DRGs and SNF Medical Services; V3.13, Fiscal Year 2014 Update

    Science.gov (United States)

    2013-09-26

    ... medical services, items, and supplies identified by Healthcare Common Procedure Coding System (HCPCS... were based on 2013 Medicare severity diagnosis related groups (MS-DRG). Acute inpatient facility...

  16. Services

    International Nuclear Information System (INIS)

    Hardeman, F.

    1998-01-01

    The objectives of the services section is (1) to offer complete services in health-physics measurements according to international quality standards, (2) to improve continuously these measurement techniques and to follow up international recommendations and legislation concerning the surveillance of workers, (3) to support and advise nuclear and non-nuclear industry on problems of radioactive contamination. Achievements related to gamma spectrometry, whole-body counting, beta and alpha spectrometry, dosimetry, radon measurements, calibration, instrumentation, and neutron activation analysis are described

  17. Aspectos clínicos da fenilcetonúria em serviço de referência em triagem neonatal da Bahia Clinical aspects of phenylketonuria in a reference service for neonatal screening in Bahia

    Directory of Open Access Journals (Sweden)

    Tatiana Amorim

    2005-12-01

    Full Text Available OBJETIVOS: descrever as características clínicas dos pacientes com hiperfenilalaninemia acompanhados no Serviço de Referência em Triagem Neonatal (SRTN do estado da Bahia. MÉTODOS: estudo descritivo transversal, tendo como amostra todos os pacientes com diagnóstico conhecido de Hiperfenilalaninemia residentes no estado da Bahia e acompanhados no SRTN até setembro de 2005. Tal população é composta de 46 famílias, num total de 51 pacientes. A análise dos dados foi descritiva, incluindo medidas de tendência central e dispersão. RESULTADOS: houve discreto predomínio do gênero feminino (52,9%. A maioria dos pacientes (78,4% teve seu diagnóstico estabelecido através da triagem neonatal, tendo, portanto, tratamento precoce. Consangüinidade foi registrada em 32,6% das famílias. A média de início do tratamento entre os pacientes diagnosticados pela triagem neonatal foi de 56,6 37,8 dias, enquanto que entre os pacientes com diagnóstico tardio, foi de 7,1 anos. CONCLUSÕES: o estudo descreve um grupo de pacientes representativo de uma patologia incluída no Programa Nacional de Triagem Neonatal (PNTN, sendo, portanto, de relevância para a saúde pública. Entre os dados clínicos, chama a atenção a média de idade do início do tratamento, superior ao recomendado na literatura, alertando para a necessidade de um maior enfoque no diagnóstico precoce.OBJECTIVES: to describe clinical aspects of hyper-phenylalaninemia in patients followed up on the Reference Service for Neonatal Screening (SRTN in the state of Bahia. METHODS: cross-sectional study that enrolled all patients living in the state of Bahia and followed up on the SRTN who had a definite diagnosis of hyper-phenylalaninemia prior to September, 2005. That population was made up of 46 families, with 51 patients. The analysis of data was descriptive, using measures of central tendency and dispersion. RESULTS: a discrete predominance of females was found (52.9%. Most patients

  18. [Aggressive B‑cell lymphomas : Recommendations from the German Panel of Reference Pathologists in the Competence Network on Malignant Lymphomas on diagnostic procedures according to the current WHO classification, update 2017].

    Science.gov (United States)

    Klapper, W; Fend, F; Feller, A; Hansmann, M L; Möller, P; Stein, H; Rosenwald, A; Ott, G

    2018-04-17

    The update of the 4th edition of the WHO classification for hematopoietic neoplasms introduces changes in the field of mature aggressive B‑cell lymphomas that are relevant to diagnostic pathologists. In daily practice, the question arises of which analysis should be performed when diagnosing the most common lymphoma entity, diffuse large B‑cell lymphoma. We discuss the importance of the cell of origin, the analysis of MYC translocations, and the delineation of the new WHO entities of high-grade B‑cell lymphomas.

  19. Micro-homogeneity of candidate reference materials: Results from an intercomparison study for the Analytical Quality Control Services (AQCS) of the IAEA

    International Nuclear Information System (INIS)

    Rossbach, M.; Kniewald, G.

    2002-01-01

    The IAEA Analytical Quality Control Services (AQCS) has made available two single cell algae materials IAEA-392 and IAEA-393 as well as an urban dust IAEA-396 to study their use for analytical sample sizes in the milligram range and below. Micro-analytical techniques such as PIXE and μ-PIXE, solid sampling AAS, scanning electron microprobe X-ray analysis and INAA were applied to the determination of trace elements on the basis of μg to mg amounts of the selected materials. The comparability of the mean values as well as the reproducibility of successive measurements is being evaluated in order to compare relative homogeneity factors for many elements in the investigated materials. From the reported results it seems that the algae materials IAEA-392 and IAEA-393 are extremely homogeneous biological materials for a number of elements with an extraordinary sharp particle size distribution below 10 μm. A similar situation seems to hold for the urban dust material IAEA-396 which had been air-jet milled to a particle size distribution around 4 μm. The introduction of these materials as CRMs with very small amounts needed to determine the certified concentrations will help to meet the needs of micro-analytical techniques for natural matrix reference materials. (author)

  20. Evolution in the profile of thyroid cancer cases treated in an oncology reference service: what changed in the last 20 years.

    Science.gov (United States)

    Lira, Renan Bezerra; Carvalho, Genival Barbosa de; Gonçalves Filho, João; Kowalski, Luiz Paulo

    2014-01-01

    To evaluate the characteristics of thyroid carcinoma cases treated at a reference hospital for cancer between 2008 and 2010. we studied 807 cases and analyzed the following clinicopathologic variables: symptoms, risk factors, diagnostic tests, staging, histological type, treatment performed and complications. Females were more affected, with 660 cases (82%). The average age at diagnosis was 44.5 years. Prior exposure to ionizing radiation was reported by 22 (3%) patients, a family history of thyroid cancer by 89 (11%), and 289 (36%) individuals reported other types of cancer in the family. The fine needle aspiration biopsy was the main parameter for surgical indication and was suggestive of carcinoma in 463 patients (57%). Papillary carcinoma was the most common histological type, with 780 cases (96.6%). There were 728 (90%) total thyroidectomies, 43 (5.3%) reoperations or partial thyroidectomies followed by totalization, 23 (2.8%) extended thyroidectomies and only 13 (1.6%) partial thyroidectomies (lobectomy with isthmectomy). Neck dissection associated with thyroidectomy was done in 158 patients (19.5%). We observed a predominance of tumors classified as T1 in 602 (74.6%) patients. Transient hypocalcemia was the most frequent complication. The results show that the worldwide increase in the incidence of thyroid cancer has changed the profile of patients seen at a referral service. In addition, there were changes in the type of surgical treatment used, with increased use of total thyroidectomy in relation to partial and subtotal ones, and decreased use of elective neck dissections.

  1. Investigation of Barriers of Access to Children’s Oral and Dental Health Services from the Point of View of Mothers Referring to Health Centers of Qom City, 2016 (Iran

    Directory of Open Access Journals (Sweden)

    Yasamin Berakyan

    2017-07-01

    Full Text Available Background and Objectives: Adequate access to oral and dental health services in childhood can reduce long-term complications in the following years of life. The objective of this study was to determine the barriers of access to children’s oral and dental health services from the point of view of mothers referring to health centers in Qom city. Methods: In this cross-sectional study, the statistical population included 325 mothers referred to health centers. Data were collected using a questionnaire consisted of items, including age, educational level, job, and barriers of access to oral health services. Data were analyzed using descriptive statistical indicators and logistic regression test. Results: In this study, lack of insurance coverage for dentistry costs (59.7% had the highest frequency in barriers of access to dental health services, followed by child's fear of dentistry (53.2% and high costs of dental services (49.8%. There was no significant relationship between mother's job and barriers of access to dental health services, but the chance of barriers of access to dental health services increased 1.60 times with father’s employment in government jobs. Also, the results showed that the chance of barriers of access to dental health services increased 3.60 times with residence in Pardisan region, on the other hand, the chance of access to the services, was improved up to 52% with residence in Tohid region. Conclusion: Expansion of insurance coverage of oral and dental health services and increase of public centers providing dental services can be eliminate the major part of barriers of access to these services. In addition, the proportional distribution of these services in different regions of the city can be effective in easy and low-cost access.

  2. Updating systematic reviews: an international survey.

    Directory of Open Access Journals (Sweden)

    Chantelle Garritty

    Full Text Available BACKGROUND: Systematic reviews (SRs should be up to date to maintain their importance in informing healthcare policy and practice. However, little guidance is available about when and how to update SRs. Moreover, the updating policies and practices of organizations that commission or produce SRs are unclear. METHODOLOGY/PRINCIPAL FINDINGS: The objective was to describe the updating practices and policies of agencies that sponsor or conduct SRs. An Internet-based survey was administered to a purposive non-random sample of 195 healthcare organizations within the international SR community. Survey results were analyzed using descriptive statistics. The completed response rate was 58% (n = 114 from across 26 countries with 70% (75/107 of participants identified as producers of SRs. Among responders, 79% (84/107 characterized the importance of updating as high or very-high and 57% (60/106 of organizations reported to have a formal policy for updating. However, only 29% (35/106 of organizations made reference to a written policy document. Several groups (62/105; 59% reported updating practices as irregular, and over half (53/103 of organizational respondents estimated that more than 50% of their respective SRs were likely out of date. Authors of the original SR (42/106; 40% were most often deemed responsible for ensuring SRs were current. Barriers to updating included resource constraints, reviewer motivation, lack of academic credit, and limited publishing formats. Most respondents (70/100; 70% indicated that they supported centralization of updating efforts across institutions or agencies. Furthermore, 84% (83/99 of respondents indicated they favoured the development of a central registry of SRs, analogous to efforts within the clinical trials community. CONCLUSIONS/SIGNIFICANCE: Most organizations that sponsor and/or carry out SRs consider updating important. Despite this recognition, updating practices are not regular, and many organizations lack

  3. Telephone Service

    CERN Multimedia

    2005-01-01

    As part of the upgrade of telephone services, the CERN exchange switches will be updated on Thursday 2 June between 7.00 p.m. and midnight. Telephone services may be affected and possibly even disrupted during this operation. 

  4. Growth references

    NARCIS (Netherlands)

    Buuren, S. van

    2007-01-01

    A growth reference describes the variation of an anthropometric measurement within a group of individuals. A reference is a tool for grouping and analyzing data and provides a common basis for comparing populations.1 A well known type of reference is the age-conditional growth diagram. The

  5. Design and development for updating national 1:50,000 topographic databases in China

    Directory of Open Access Journals (Sweden)

    CHEN Jun

    2010-02-01

    Full Text Available 1.1 Objective Map databases are irreplaceable national treasure of immense importance. Their currency referring to its consistency with respect to the real world plays a critical role in its value and applications. The continuous updating of map databases at 1:50,000 scales is a massive and difficult task for larger countries of the size of more than several million’s kilometer squares. This paper presents the research and technological development to support the national map updating at 1:50,000 scales in China, including the development of updating models and methods, production tools and systems for large-scale and rapid updating, as well as the design and implementation of the continuous updating workflow. 1.2 Methodology The updating of map databases is different than its original creation, and a number of new problems should be solved, such as change detection using latest multi-source data, incremental object revision and relation amendment. The methodology of this paper consists of the following three parts: 1 Examine the four key aspects of map database updating and develop basic updating models/methods, such as currentness-oriented integration of multi-resource data, completeness-based incremental change detection in the context of existing datasets, consistency-aware processing of updated data sets, and user-friendly propagation and services of updates. 2 Design and develop specific software tools and packages to support the large-scale updating production with high resolution imagery and large-scale data generalization, such as map generalization, GIS-supported change interpretation from imagery, DEM interpolation, image matching-based orthophoto generation, data control at different levels. 3 Design a national 1:50,000 databases updating strategy and its production workflow, including a full coverage updating pattern characterized by all element topographic data modeling, change detection in all related areas, and whole process

  6. The effect of mental comorbidity on service delivery planning in primary care: an analysis with particular reference to patients who request referral without prior assessment.

    Science.gov (United States)

    Schneider, Antonius; Hilbert, Bernadett; Hörlein, Elisabeth; Wagenpfeil, Stefan; Linde, Klaus

    2013-09-01

    In their everyday practice, primary-care physicians are often asked to refer patients to a specialist without a prior appointment in primary care. Such referrals are problematic, and one might suspect that patients who make such requests are more likely to have mental comorbidities predisposing them toward higher utilization of health-care services. In a cross-sectional study, 307 patients of 13 primary-care practices who requested referral to a specialist without a prior appointment in primary care were given a Patient Health Questionnaire (PHQ) containing questions that related to depression, anxiety, panic disorder, and somatoform disorder (independent variables). Further information was obtained about these patients' primary-care contacts, referrals, and days taken off from work with a medical excuse over the course of one year (dependent variables). A regression model was used to compare these patients with 977 other primary-care patients. The groups of patients who did and did not request specialist referral without a primary-care appointment did not differ to any statistically significant extent with respect to mental comorbidity. In the overall group, somatoform disorder was found to be associated with a high rate of primary-care contacts (odds ratio [OR] 2.4, 95% confidence interval [CI] 1.4-4.3). High rates of referral were strongly correlated (percentage of variance explained, R²) with depression (OR 2.1, 95% CI 1.1-4.0; R² = 35.3%), anxiety (OR 4.1, 95% CI 1.8-9.6; R² = 34.5%), panic disorder (OR 5.9, 95% CI 2.1-16.4; R² = 34.3%), and somatoform disorder (OR 2.2, 95% CI 1.2-4.0; R² = 34.6%). Taking a long time off from work with a medical excuse was correlated with depression (OR 2.5, 95% CI 1.2-4.8), anxiety (OR 4.2, 95% CI 1.7-10.5), and somatoform disorder (OR 2.2, 95% CI 1.2-4.2). Mental comorbidity contributes to the increased utilization of health-care services. This should be borne in mind whenever a patient requests many referrals to

  7. Evolution in the profile of thyroid cancer cases treated in an oncology reference service: what changed in the last 20 years

    Directory of Open Access Journals (Sweden)

    Renan Bezerra Lira

    Full Text Available Objective: To evaluate the characteristics of thyroid carcinoma cases treated at a reference hospital for cancer between 2008 and 2010.Methods: we studied 807 cases and analyzed the following clinicopathologic variables: symptoms, risk factors, diagnostic tests, staging, histological type, treatment performed and complications.Results: Females were more affected, with 660 cases (82%. The average age at diagnosis was 44.5 years. Prior exposure to ionizing radiation was reported by 22 (3% patients, a family history of thyroid cancer by 89 (11%, and 289 (36% individuals reported other types of cancer in the family. The fine needle aspiration biopsy was the main parameter for surgical indication and was suggestive of carcinoma in 463 patients (57%. Papillary carcinoma was the most common histological type, with 780 cases (96.6%. There were 728 (90% total thyroidectomies, 43 (5.3% reoperations or partial thyroidectomies followed by totalization, 23 (2.8% extended thyroidectomies and only 13 (1.6% partial thyroidectomies (lobectomy with isthmectomy. Neck dissection associated with thyroidectomy was done in 158 patients (19.5%. We observed a predominance of tumors classified as T1 in 602 (74.6% patients. Transient hypocalcemia was the most frequent complication.Conclusion: The results show that the worldwide increase in the incidence of thyroid cancer has changed the profile of patients seen at a referral service. In addition, there were changes in the type of surgical treatment used, with increased use of total thyroidectomy in relation to partial and subtotal ones, and decreased use of elective neck dissections.

  8. [Breastfeeding and the anthropometric profile of children with sickle cell anemia receiving follow-up in a newborn screening reference service].

    Science.gov (United States)

    Nogueira, Zeni Drubi; Boa-Sorte, Ney; Leite, Maria Efigênia de Queiroz; Kiya, Márcia Miyuki; Amorim, Tatiana; Fonseca, Silvana Fahel da

    2015-01-01

    To study breastfeeding history (BF) and the anthropometric status of children with Sickle Cell Disease (SCD). A cross-sectional study of 357 children with SS and SC hemoglobinopathies aged between 2 and 6 years old receiving regular follow-up at a Newborn Screening Reference Service (NSRS) between November 2007 and January 2009. The outcome was anthropometric status and the exposures were: BF pattern, type of hemoglobinopathy and child's age and sex. The average (SD) age was 3.7 (1.1) years, 52.9% were boys and 53.5% had SS hemoglobinopathy. The prevalence of exclusive breastfeeding (EBR) up to six months of age was 31.5%, the median EBR times (p25-p75) was 90.0 (24.0-180.0) days and the median weaning ages (p25-p75) was 360.0 (90.0-20.0) days respectively. Normal W/H children experienced EBR for an average duration almost four times longer than malnourished children (p=0.01), and were weaned later (p<0.05). Height deficit was found in 5.0% of children, while all the children with severe short stature had SS hemoglobinopathy and were over 4 years of age. EBR time and weaning age were greater than found in the literature, which is a possible effect of the multidisciplinary follow-up. Duration of EBR and later weaning were associated with improved anthropometric indicators. Copyright © 2014 Associação de Pediatria de São Paulo. Publicado por Elsevier Editora Ltda. All rights reserved.

  9. Using the International Classification of Functioning, Disability and Health (ICF to describe children referred to special care or paediatric dental services.

    Directory of Open Access Journals (Sweden)

    Denise Faulks

    Full Text Available Children in dentistry are traditionally described in terms of medical diagnosis and prevalence of oral disease. This approach gives little information regarding a child's capacity to maintain oral health or regarding the social determinants of oral health. The biopsychosocial approach, embodied in the International Classification of Functioning, Disability and Health - Child and Youth version (ICF-CY (WHO, provides a wider picture of a child's real-life experience, but practical tools for the application of this model are lacking. This article describes the preliminary empirical study necessary for development of such a tool - an ICF-CY Core Set for Oral Health. An ICF-CY questionnaire was used to identify the medical, functional, social and environmental context of 218 children and adolescents referred to special care or paediatric dental services in France, Sweden, Argentina and Ireland (mean age 8 years ± 3.6 yrs. International Classification of Disease (ICD-10 diagnoses included disorders of the nervous system (26.1%, Down syndrome (22.0%, mental retardation (17.0%, autistic disorders (16.1%, and dental anxiety alone (11.0%. The most frequently impaired items in the ICF Body functions domain were 'Intellectual functions', 'High-level cognitive functions', and 'Attention functions'. In the Activities and Participation domain, participation restriction was frequently reported for 25 items including 'Handling stress', 'Caring for body parts', 'Looking after one's health' and 'Speaking'. In the Environment domain, facilitating items included 'Support of friends', 'Attitude of friends' and 'Support of immediate family'. One item was reported as an environmental barrier - 'Societal attitudes'. The ICF-CY can be used to highlight common profiles of functioning, activities, participation and environment shared by children in relation to oral health, despite widely differing medical, social and geographical contexts. The results of this empirical

  10. Users of Virtual Reference Are More Satisfied with the Service They Receive than the Providers of that Service Think They Are. A Review of: Hansen, D., Johnson, M., Norton, E., & McDonough, A. (2009. Virtual provider pessimism: Analysing instant messaging reference encounters with the pair perception comparison method. Information Research, 14(4. Retrieved from http://informationr.net/ir/14-4/ paper416.html

    Directory of Open Access Journals (Sweden)

    Carol D. Howe

    2011-06-01

    Full Text Available Objective – To examine provider pessimism by comparing user and provider perception of the same instant messaging reference transaction.Design – Instant messaging users and providers completed post-reference transaction surveys which were analyzed using the pair perception comparison method.Setting – A large research university in the United States.Subjects – Two hundred undergraduate journalism students (users of the instant messaging service and 51 Master of Library Science (MLS students enrolled in a reference services class (providers of the instant messaging service.Methods – The authors created a research help webpage from which users could access the instant messaging service. Prior to service availability, providers received reference instruction and demonstrated reference aptitude through in-class activities. The authors briefed providers on the project and provided a wiki containing resources they might need during reference transactions. Providers worked in two-hour shifts, and two providers were available during each shift. The service was available for one week while potential users completed a journalism assignment. The authors asked both users and providers of the service to complete an online survey at the conclusion of the reference transaction. Users and providers completed different surveys, but both types included the following four elements: questions to aid in matching a user to a provider; questions about satisfaction with the service based on guidelines put forth by the Reference and User Services Association (RUSA; open-ended questions about the reference transaction; and questions regarding demographics, prior reference service usage, and knowledge of instant messaging. There were 55 valid reference transactions, and from those, the authors matched 26 pairs of user and provider surveys. The authors analyzed paired surveys to (a compare the user’s perception of the reference transaction with the provider

  11. 77 FR 4034 - Annual Update of the HHS Poverty Guidelines

    Science.gov (United States)

    2012-01-26

    ... DEPARTMENT OF HEALTH AND HUMAN SERVICES Office of the Secretary Annual Update of the HHS Poverty... update of the Department of Health and Human Services (HHS) poverty guidelines to account for last... program. For information about poverty figures for immigration forms, the Hill-Burton Uncompensated...

  12. 76 FR 3637 - Annual Update of the HHS Poverty Guidelines

    Science.gov (United States)

    2011-01-20

    ... DEPARTMENT OF HEALTH AND HUMAN SERVICES Office of the Secretary Annual Update of the HHS Poverty... update of the Department of Health and Human Services (HHS) poverty guidelines to account for last... program. For information about poverty figures for immigration forms, the Hill-Burton Uncompensated...

  13. 78 FR 5182 - Annual Update of the HHS Poverty Guidelines

    Science.gov (United States)

    2013-01-24

    ... DEPARTMENT OF HEALTH AND HUMAN SERVICES Office of the Secretary Annual Update of the HHS Poverty... update of the Department of Health and Human Services (HHS) poverty guidelines to account for last... program. For information about poverty figures for immigration forms, the Hill-Burton Uncompensated...

  14. International Geomagnetic Reference Field

    DEFF Research Database (Denmark)

    Finlay, Chris; Maus, S.; Beggan, C. D.

    2010-01-01

    The eleventh generation of the International Geomagnetic Reference Field (IGRF) was adopted in December 2009 by the International Association of Geomagnetism and Aeronomy Working Group V‐MOD. It updates the previous IGRF generation with a definitive main field model for epoch 2005.0, a main field...... model for epoch 2010.0, and a linear predictive secular variation model for 2010.0–2015.0. In this note the equations defining the IGRF model are provided along with the spherical harmonic coefficients for the eleventh generation. Maps of the magnetic declination, inclination and total intensity...

  15. Update in women's health.

    Science.gov (United States)

    Ganschow, Pamela S; Jacobs, Elizabeth A; Mackinnon, Jennifer; Charney, Pamela

    2009-06-01

    average 50-year-old woman, is provided in the guidelines. In addition, available risk prediction models, such as the NIH Web site calculator (http://www.cancer.gov/bcrisktool/) can also be used to estimate quantitative breast cancer risk. This model was updated in 2008 with race-specific data for calculating risk in African-American women.18 The harms and benefits of mammography should be discussed and incorporated along with a woman's preferences and breast cancer risk profile into the decision on when to begin screening. If a woman decides to forgo mammography, the decision should be readdressed every 1 to 2 years. STD screening guidelines19 USPSTF and CDC Routine screening for this infection is now recommended for ALL sexually active women age 24 and under, based on the recent high prevalence estimates for chlamydia It is not recommended for women (pregnant or nonpregnant) age 25 and older, unless they are at increased risk for infection. STD treatment guidelines20 CDC Flouroquinolones are NO longer recommended for treatment of N. gonorrhea, due to increasing resistance (as high as 15% of isolates in 2006). For uncomplicated infections, treatment of gonorrhea should be initiated with ceftriaxone 125 mg IM or cefixime 400 mg PO and co-treatment for chlamydia infection (unless ruled out with testing). Recent estimates demonstrate that almost 50% of persons with gonorrhea have concomitant chlamydia infection21. STD = sexually transmitted disease, NIH = National Institutes of Health, ACP = American College of Physicians, USPSTF = United States Prevention Services Task Force, CDC = Centers for Disease Control.

  16. 76 FR 60136 - Reasonable Charges for Inpatient MS-DRGs and SNF Medical Services; V3.8, 2012 Fiscal Year Update

    Science.gov (United States)

    2011-09-28

    ... amounts for the following types of charges: acute inpatient facility charges; skilled nursing facility/sub... this notice. These changes are effective October 1, 2011. When charges for medical care or services... in the Summary section of this notice, only the acute inpatient facility charges and skilled nursing...

  17. 77 FR 55269 - Reasonable Charges for Inpatient MS-DRGs and SNF Medical Services; V3.11, 2013; Fiscal Year Update

    Science.gov (United States)

    2012-09-07

    ... amounts for the following types of charges: Acute inpatient facility charges; skilled nursing facility/sub... this notice. These changes are effective October 1, 2012. When charges for medical care or services... section of this notice, only the acute inpatient facility charges and skilled nursing facility/sub-acute...

  18. Undergraduate Students Perceive Reference Encounters to be Teaching and Learning Activities. A Review of: Gremmels, G. S., and K. S. Lehmann. “Assessment of Student Learning from Reference Service.

    Directory of Open Access Journals (Sweden)

    Megan von Isenburg

    2009-03-01

    Full Text Available Objective – The study explores the instructional nature of reference encounters from the perspective of students and librarians. Specifically, the study asks: 1 whether students perceive reference interactions to be instructional, 2 whether what they learn is the same as what the librarians intended to teach, and 3 whether they connect reference-based instruction with any formal information literacy classes in which they may have participated.Design – Survey questionnaire with two parts: one for students and the second for reference librarians, administered twice (revisions to the study and to the questionnaire were made in between.Setting – Wartburg College in Iowa, United States. Wartburg is a 1,800-student private, residential, co-educational college with a strong course-integrated information literacy program.Subjects – An unknown number of undergraduate students who were perceived by reference librarians to have asked instructional questions at the reference desk (264 surveys were collected from students, but some students may have completed more than one survey as the first implementation of the study allowed repeated participation for students with more than one instructional reference encounter and four librarians. Methods – The study was conducted two times during the years 2003 and 2004 (referred to here as study A and study B and findings are reported for each study separately. The data collection instrument in both implementations was a paper survey that was divided into two sections and perforated to collect information from two perspectives: the student and the librarian. The surveys were numbered to facilitate matching between the two sections after the survey was completed and returned by the student/librarian pair. Potential student participants in the study were identified at the reference desk: each time a librarian deemed a reference question to be instructional, he or she invited the student to complete a short

  19. Update of the CERN exchange switches

    CERN Multimedia

    2005-01-01

    In the context of the telephony services improvements, an update of the CERN exchange switches will be performed on Thursday 28 April from 7.00 p.m. until midnight. Disturbances or even disruptions of telephony services may occur during this intervention

  20. [Reference citation].

    Science.gov (United States)

    Brkić, Silvija

    2013-01-01

    Scientific and professional papers represent the information basis for scientific research and professional work. References important for the paper should be cited within the text, and listed at the end of the paper. This paper deals with different styles of reference citation. Special emphasis was placed on the Vancouver Style for reference citation in biomedical journals established by the International Committee of Medical Journal Editors. It includes original samples for citing various types of articles, both printed and electronic, as well as recommendations related to reference citation in accordance with the methodology and ethics of scientific research and guidelines for preparing manuscripts for publication.

  1. Summary of Expansions, Updates, and Results in GREET® 2016 Suite of Models

    Energy Technology Data Exchange (ETDEWEB)

    None, None

    2016-10-01

    This report documents the technical content of the expansions and updates in Argonne National Laboratory’s GREET® 2016 release and provides references and links to key documents related to these expansions and updates.

  2. Advances in Robotic Servicing Technology Development

    Science.gov (United States)

    Gefke, Gardell G.; Janas, Alex; Pellegrino, Joseph; Sammons, Matthew; Reed, Benjamin

    2015-01-01

    NASA's Satellite Servicing Capabilities Office (SSCO) has matured robotic and automation technologies applicable to in-space robotic servicing and robotic exploration over the last six years. This paper presents the progress of technology development activities at the Goddard Space Flight Center Servicing Technology Center and on the ISS, with an emphasis on those occurring in the past year. Highlighted advancements are design reference mission analysis for servicing in low Earth orbit (LEO) and asteroid redirection; delivery of the engineering development unit of the NASA Servicing Arm; an update on International Space Station Robotic Refueling Mission; and status of a comprehensive ground-based space robot technology demonstration expanding in-space robotic servicing capabilities beginning fall 2015.

  3. NB market update

    International Nuclear Information System (INIS)

    Marshall, W. K.

    2004-01-01

    The 2004 New Brunswick proclamation introduced several changes to the industry. This paper presents an update of the current New Brunswick electricity market from the perspective of the recently created New Brunswick System Operator (NBSO). A comparison was made between the modified industry and the previous industry structure. Significant changes included: corporate restructuring and market implementation; the formation of the independent system operator; and an increase in Public Utilities Board regulatory authority. The main objectives of the NBSO were reviewed, including its intention to reliably plan and operate the integrated power system as well as facilitating and operating the electricity market. Details of directors and officers were provided along with a list of legislated functions which included entering agreements with transmitters; provision and procurement of ancillary services; maintenance of integrated system; coordination of external activities; participation with standards authorities; planning and development of transmission; and the facilitation of a competitive market. An outline of the NBSO, Transco and Public Utilities Board relationships were presented. Details of the market advisory committee were outlined, with information concerning contracts, operations and services agreements. Transmission and ancillary services were also discussed, as well as issues concerning interruptible load agreements. A chart of the New Brunswick electricity market structure was presented, along with a market overview including details of capacity, ancillary services and suppliers. Market rules and amendments were presented, as well as market participation guides. Details of generation resource adequacy requirements and the imposition of penalties were outlined. Scheduling and dispatch issues were overviewed, as well as settlement processes, inputs and their sources, including settlements for variances. Future development possibilities included an expansion of

  4. AQCS 1989 - Intercomparison runs reference materials

    International Nuclear Information System (INIS)

    1989-01-01

    The purpose of the Analytical Quality Control Services (AQCS) programme provided by the International Atomic Energy Agency (Agency) is to assist laboratories engaged in the analysis of nuclear, environmental, biological, and materials of marine origin for radionuclide, major, minor and trace elements, as well as stable isotopes using atomic and nuclear analytical techniques, to check the quality of their work. Reference Materials available are listed by origin and by analyte giving referenced values and confidence intervals. Only materials, which have one or more properties sufficiently well established from statistical evaluation of previous interlaboratory comparison studies are included. Existing Reference Materials may be updated for previously referenced constituents or properties according to the results of the Agency's Co-ordinated Research Programmes (CRPs) in these fields or according to recently published literature values. They are supplied with a reference sheet stating relevant parameters and properties of the material and can be used as secondary standards for quality control assurance within a laboratory, for checking analytical methods and/or instrumentation or for training purposes. 4 tabs

  5. Reference - PLACE | LSDB Archive [Life Science Database Archive metadata

    Lifescience Database Archive (English)

    Full Text Available switchLanguage; BLAST Search Image Search Home About Archive Update History Data ...ailable. Data file File name: place_reference.zip File URL: ftp://ftp.biosciencedbc.jp/archive/place/LATEST/...ber About This Database Database Description Download License Update History of This Database Site Policy | Contact Us Reference - PLACE | LSDB Archive ...

  6. Update of CERN exchange network

    CERN Multimedia

    2003-01-01

    An update of the CERN exchange network will be done next April. Disturbances or even interruptions of telephony services may occur from 4th to 24th April during evenings from 18:30 to 00:00 but will not exceed more than 4 consecutive hours (see tentative planning below). In addition, the voice messaging system will be shut down on March, 26th April from 18:00 to 00:00. Calls supposed to be routed to the voice messaging system will not be possible during the shutdown. CERN divisions are invited to avoid any change requests (set-ups, move or removals) of telephones and fax machines from 4th to 25th April. Everything will be done to minimize potential inconveniences which may occur during this update. There will be no loss of telephone functionalities. CERN GSM portable phones won't be affected by this change. Should you need more details, please send us your questions by email to Standard.Telephone@cern.ch. DateChange typeAffected areas March 26Update of the voice messaging systemAll CERN sites April 4Updat...

  7. Update of CERN exchange network

    CERN Multimedia

    2003-01-01

    An update of the CERN exchange network will be done next April. Disturbances or even interruptions of telephony services may occur from 4th to 24th April during evenings from 18:30 to 00:00 but will not exceed more than 4 consecutive hours (see tentative planning below). In addition, the voice messaging system will be shut down on March, 26th April from 18:00 to 00:00. Calls supposed to be routed to the voice messaging system will not be possible during the shutdown. CERN divisions are invited to avoid any change requests (set-ups, move or removals) of telephones and fax machines from 4th to 25th April. Everything will be done to minimize potential inconveniences which may occur during this update. There will be no loss of telephone functionalities. CERN GSM portable phones won't be affected by this change. Should you need more details, please send us your questions by email to Standard.Telephone@cern.ch. Date Change type Affected areas April 8 Update of switch in LHC 7 LHC 7 Point April 9 Update of...

  8. Factors influencing customer satisfaction with reference and ...

    African Journals Online (AJOL)

    This paper examines factors influencing customer satisfaction with reference and information services in an academic environment. The paper identifies types of reference services in libraries, factors influencing customer satisfaction and dissatisfaction with reference and information services and suggested the way forward ...

  9. Oil sands development update

    International Nuclear Information System (INIS)

    1999-01-01

    A detailed review and update of oil sands development in Alberta are provided covering every aspect of the production and economic aspects of the industry. It is pointed out that at present oil sands account for 28 per cent of Canadian crude oil production, expected to reach 50 per cent by 2005. Based on recent announcements, a total of 26 billion dollars worth of projects are in progress or planned; 20 billion dollars worth of this development is in the Athabasca area, the remainder in Cold Lake and other areas. The current update envisages up to 1,800,000 barrels per day by 2008, creating 47,000 new jobs and total government revenues through direct and indirect taxes of 118 billion dollars. Provinces other than Alberta also benefit from these development, since 60 per cent of all employment and income created by oil sands production is in other parts of Canada. Up to 60 per cent of the expansion is for goods and services and of this, 50 to 55 per cent will be purchased from Canadian sources. The remaining 40 per cent of the new investment is for engineering and construction of which 95 per cent is Canadian content. Aboriginal workforce by common consent of existing operators matches regional representation (about 13 per cent), and new developers are expected to match these standards. Planned or ongoing development in environmental protection through improved technologies and optimization, energy efficiency and improved tailings management, and active support of flexibility mechanisms such as emission credits trading, joint implementation and carbon sinks are very high on the industry's agenda. The importance of offsets are discussed extensively along with key considerations for international negotiations, as well as further research of other options such as sequestration, environmentally benign disposal of waste, and enhanced voluntary action

  10. ADAS Update and Maintainability

    Science.gov (United States)

    Watson, Leela R.

    2010-01-01

    Since 2000, both the National Weather Service Melbourne (NWS MLB) and the Spaceflight Meteorology Group (SMG) have used a local data integration system (LOIS) as part of their forecast and warning operations. The original LOIS was developed by the Applied Meteorology Unit (AMU) in 1998 (Manobianco and Case 1998) and has undergone subsequent improvements. Each has benefited from three-dimensional (3-D) analyses that are delivered to forecasters every 15 minutes across the peninsula of Florida. The intent is to generate products that enhance short-range weather forecasts issued in support of NWS MLB and SMG operational requirements within East Central Florida. The current LDIS uses the Advanced Regional Prediction System (ARPS) Data Analysis System (AD AS) package as its core, which integrates a wide variety of national, regional, and local observational data sets. It assimilates all available real-time data within its domain and is run at a finer spatial and temporal resolution than current national or regional-scale analysis packages. As such, it provides local forecasters with a more comprehensive understanding of evolving fine-scale weather features. Over the years, the LDIS has become problematic to maintain since it depends on AMU-developed shell scripts that were written for an earlier version of the ADAS software. The goals of this task were to update the NWS MLB/SMG LDIS with the latest version of ADAS, incorporate new sources of observational data, and upgrade and modify the AMU-developed shell scripts written to govern the system. In addition, the previously developed ADAS graphical user interface (GUI) was updated. Operationally, these upgrades will result in more accurate depictions of the current local environment to help with short-range weather forecasting applications, while also offering an improved initialization for local versions of the Weather Research and Forecasting (WRF) model used by both groups.

  11. Electricity price, energy production and emissions impact : evaluating proposed GHG emission reduction frameworks for the Alberta electricity industry : updated reference case and sensitivity results prepared for CASA EPT Greenhouse Gas Allocation Subgroup

    International Nuclear Information System (INIS)

    2004-01-01

    This document presents the results of a study which quantified the potential impact of various greenhouse gas (GHG) policy scenarios on Alberta generators' energy production, airborne emissions and electricity wholesale market price. The study examined proactive policy frameworks compared to business as usual scenarios. A reference case scenario was included to represent the status quo environment where electricity demand continues on its current path. Five additional sensitivity cases were examined, of which 3 evaluated the impact of many key assumptions regarding progressive GHG reduction levels and costs related to meeting GHG requirements. The other two evaluated an all-coal future electricity supply both with and without GHG emission reduction costs. Environmental costs were also evaluated in terms of emissions of nitrous oxides, sulphurous oxides, mercury and particulate matter. The impact of generation retirement and renewable energy source development was also analyzed. Demand and supply forecasts for oil, natural gas, electric energy and energy sales were presented along with generation supply forecasts for the reference case scenario, coal generation and natural gas fired retirements. refs., tabs., figs

  12. Final draft consultants report. Consultants' meeting on requirements for reference materials and intercomparison runs - IAEA programme on Analytical Quality Control Services (AQCS), 17-21 April 1994, Kona, HI, USA

    International Nuclear Information System (INIS)

    2002-01-01

    The purpose of the meeting was to define the aims of the Agency's Analytical Quality Control Services (AQCS) programme in view of its uniqueness as an international programme and to establish objectives for the organization of intercomparison runs and production of reference materials and the Agency's services to Member States in future years. This draft report contains the meeting agenda and recommendations made by the consultants. The recommendations are grouped as follows: Mission Statement; Laboratory Qualification; Training and Development; Resources and Technical Concepts; Standing Group of Experts

  13. USAR managing and updating process

    International Nuclear Information System (INIS)

    Prah, M.; Spiler, J.

    1996-01-01

    In this paper basis and background of the FSAR (Final Safety Analysis Report) document and its conversion process to the USAR (Updated Safety Analysis Report) document are described. In addition, there are internal and external reviews as approval process presented. The following is included in our new approach to manage USAR changes: initiating the USAR change, technical reviewing, preparing a safety evaluation, KSC (Krsko Safety Committee) and KOC (Krsko Operating Committee) review, ESD Director approval, and the Regulatory Body review or approval. The intensive technological modification activities started in the year 1992 when the NEK Engineering Services Division was established. These activities are one of the most important reason for a very intensive USAR items change. The other reason for its conversation to an electronic format is a possibility for easier and faster searching, updating and changing process and introducing a new systematic USAR managing approach as mentioned above. (author)

  14. Examination of Life Satisfaction, Child Maltreatment Potential and Substance Use in Mothers Referred for Treatment by Child Protective Services for Child Neglect and Substance Abuse: Implications for Intervention Planning

    OpenAIRE

    Plant, Christopher P.; Donohue, Brad; Holland, Jason M.

    2015-01-01

    There is evidence to suggest mothers who are served by child protective service agencies are relatively dissatisfied in their lives, leading some investigators to conclude life dissatisfaction may be associated with child maltreatment. To assist in better understanding this relationship the Life Satisfaction Scale for Caregivers (LSSC) was psychometrically developed in a sample of 72 mothers who were referred for behavioral treatment for child neglect and substance abuse by caseworkers from a...

  15. Model parameter updating using Bayesian networks

    International Nuclear Information System (INIS)

    Treml, C.A.; Ross, Timothy J.

    2004-01-01

    This paper outlines a model parameter updating technique for a new method of model validation using a modified model reference adaptive control (MRAC) framework with Bayesian Networks (BNs). The model parameter updating within this method is generic in the sense that the model/simulation to be validated is treated as a black box. It must have updateable parameters to which its outputs are sensitive, and those outputs must have metrics that can be compared to that of the model reference, i.e., experimental data. Furthermore, no assumptions are made about the statistics of the model parameter uncertainty, only upper and lower bounds need to be specified. This method is designed for situations where a model is not intended to predict a complete point-by-point time domain description of the item/system behavior; rather, there are specific points, features, or events of interest that need to be predicted. These specific points are compared to the model reference derived from actual experimental data. The logic for updating the model parameters to match the model reference is formed via a BN. The nodes of this BN consist of updateable model input parameters and the specific output values or features of interest. Each time the model is executed, the input/output pairs are used to adapt the conditional probabilities of the BN. Each iteration further refines the inferred model parameters to produce the desired model output. After parameter updating is complete and model inputs are inferred, reliabilities for the model output are supplied. Finally, this method is applied to a simulation of a resonance control cooling system for a prototype coupled cavity linac. The results are compared to experimental data.

  16. Effectiveness of Breast Cancer Screening: Systematic Review and Meta-analysis to Update the 2009 U.S. Preventive Services Task Force Recommendation.

    Science.gov (United States)

    Nelson, Heidi D; Fu, Rochelle; Cantor, Amy; Pappas, Miranda; Daeges, Monica; Humphrey, Linda

    2016-02-16

    In 2009, the U.S. Preventive Services Task Force recommended biennial mammography screening for women aged 50 to 74 years and selective screening for those aged 40 to 49 years. To review studies of the effectiveness of breast cancer screening in average-risk women. MEDLINE and Cochrane databases to 4 June 2015. English-language randomized, controlled trials and observational studies of screening with mammography, magnetic resonance imaging, and ultrasonography that reported breast cancer mortality, all-cause mortality, or advanced breast cancer outcomes. Investigators extracted and confirmed data and dual rated study quality; discrepancies were resolved through consensus. Fair-quality evidence from a meta-analysis of mammography trials indicated relative risks (RRs) for breast cancer mortality of 0.92 for women aged 39 to 49 years (95% CI, 0.75 to 1.02) (9 trials; 3 deaths prevented per 10,000 women over 10 years); 0.86 for those aged 50 to 59 years (CI, 0.68 to 0.97) (7 trials; 8 deaths prevented per 10,000 women over 10 years); 0.67 for those aged 60 to 69 years (CI, 0.54 to 0.83) (5 trials; 21 deaths prevented per 10,000 women over 10 years); and 0.80 for those aged 70 to 74 years (CI, 0.51 to 1.28) (3 trials; 13 deaths prevented per 10,000 women over 10 years). Risk reduction was 25% to 31% for women aged 50 to 69 years in observational studies of mammography screening. All-cause mortality was not reduced with screening. Advanced breast cancer was reduced for women aged 50 years or older (RR, 0.62 [CI, 0.46 to 0.83]) (3 trials) but not those aged 39 to 49 years (RR, 0.98 [CI, 0.74 to 1.37]) (4 trials); less evidence supported this outcome. Most trials used imaging technologies and treatments that are now outdated, and definitions of advanced breast cancer were heterogeneous. Studies of effectiveness based on risk factors, intervals, or other modalities were unavailable or methodologically limited. Breast cancer mortality is generally reduced with mammography

  17. Update on diagnostic strategies of pulmonary embolism

    International Nuclear Information System (INIS)

    Kauczor, H.U.; Heussel, C.P.; Thelen, M.

    1999-01-01

    Acute pulmonary embolism is a frequent disease with non-specific findings, high mortality, and multiple therapeutic options. A definitive diagnosis must be established by accurate, non-invasive, easily performed, cost-effective, and widely available imaging modalities. Conventional diagnostic strategies have relied on ventilation-perfusion scintigraphy complemented by venous imaging. If the results are inconclusive, pulmonary angiography, which is regarded as the gold standard, is to be performed. Recently, marked improvements in CT and MRI and shortcomings of scintigraphy led to an update of the diagnostic strategy. Spiral CT is successfully employed as a second-line procedure to clarify indeterminate scintigraphic results avoiding pulmonary angiography. It can also be used as a first-line screening tool if service and expertise is provided. Venous imaging is indicated if CT is inconclusive. The MRI technique can be applied as an alternative second-line test if spiral CT is not available or is contraindicated. It has the greatest potential for further developments and refinements. Echocardiography should be used as a first-line bedside examination in critical patients. If inconclusive stabilized patients undergo spiral CT, unstable patients should be referred for pulmonary angiography. Chronic thromboembolic pulmonary hypertension is a rare sequela of acute pulmonary embolism which can be cured surgically. Morphology, complications, and differential diagnoses are better illustrated by spiral CT and MRA, whereas invasive acquisition of hemodynamic data is the sole advantage of angiography. (orig.)

  18. Ontario regulatory update

    International Nuclear Information System (INIS)

    Thompson, P.

    1998-01-01

    This paper provides a summary of recent events which when combined add up to a gradual but unmistakable movement of the energy sector in Ontario towards a fully competitive market. Some of the events precipitating this movement towards competition include the passing of the Energy Competition Act of 1998 (Bill 35), electricity deregulation, regulatory reform of the natural gas sector, and changes to the consumer protection legislation. The role of the Ontario Energy Board was also updated to bring it in line with the demands of the competitive marketplace. Among the new roles that the Board will assume are to facilitate competition, to maintain fair and reasonable rates, and to facilitate rational expansion. Another objective is to provide opportunities for including energy efficiency in government policies. Implications of the changes in the OEB's mandate for market participants were also discussed, including (1) regulated gas sales and delivery mechanisms, (2) transactional services, (3) contract restructuring, (4) consumer protection, (5) supervision of competitive market participants, and (6) market surveillance

  19. Effect of changing from the National Health and Nutritional Examination Survey III spirometry reference range to that of the Global Lung Initiative 2012 at Gold Coast Hospital and Health Service.

    Science.gov (United States)

    Embling, Laura A K; Zagami, Debbie; Sriram, Krishna Bajee; Gordon, Robert J; Sivakumaran, Pathmanathan

    2016-12-01

    The categorisation of lung disease into obstructive ventilatory defect (OVD) and tendency to a restrictive ventilatory defect (TRVD) patterns using spirometry is used to guide both prognostication and treatment. The effectiveness of categorisation depends upon having reference ranges that accurately represent the population they describe. The Global Lung Initiative 2012 (GLI 2012) has spirometry reference ranges drawn from the largest sample size to date. This study aimed to determine whether using spirometry reference ranges from the new GLI 2012 dataset, compared to the previously used National Health and Nutritional Examination Survey III (NHANES III) dataset, resulted in a change in diagnosis between OVD, TRVD and normal ventilatory pattern (NVP). Spirometry data were collected from 301 patients, aged 18-80 years, undergoing investigation at the Gold Coast Hospital and Health Service (GCHHS) throughout February and March 2014. OVD was defined as a forced expiratory volume in 1 second (FEV 1 ) divided by forced vital capacity (FVC) less than lower limit of normal (LLN). TRVD was defined as FEV 1 /FVC ≥ LLN, FEV 1 reference range resulted in a change in diagnosis of lung disease in 5.9% of the individuals included in this study. This variance in diagnosis when changing reference ranges should be taken into account by clinicians as it may affect patient management.

  20. If You Can Make It There, You Can Make It Anywhere: Providing Reference and Instructional Library Services in the Virtual Environment

    Science.gov (United States)

    Leonard, Elizabeth; Morasch, Maureen J.

    2012-01-01

    Despite the old-fashioned view of the academic library as a static institution, libraries can and do change in response to the needs of users and stakeholders. Perhaps the most dramatic shift in services has been the transition from a purely physical to a combination physical/virtual or even virtual-only environment. This article examines how…

  1. Maritimes and northeast pipeline update

    International Nuclear Information System (INIS)

    Langan, P.

    1998-01-01

    Efforts made by Maritimes and Northeast Pipelines to bring the benefits of natural gas to the Maritime's economy was discussed. Some background on the developments that have brought the company to where they are today and an update on all their activities were presented. These activities and operations are expected to impact and affect the region's economy in a positive way. Particular attention was paid to the company's policy on laterals and the positive effects of that policy on the development of natural gas service and future natural gas distribution business in the Maritimes

  2. 78 FR 26244 - Updating of Employer Identification Numbers

    Science.gov (United States)

    2013-05-06

    ... Number, or EIN. Employers are required to know the identity of their responsible party. The amount of...-BK02 Updating of Employer Identification Numbers AGENCY: Internal Revenue Service (IRS), Treasury... assigned an employer identification number (EIN) to provide updated information to the IRS in the manner...

  3. 75 FR 54592 - Pale Cyst Nematode; Update of Quarantined Areas

    Science.gov (United States)

    2010-09-08

    ...] Pale Cyst Nematode; Update of Quarantined Areas AGENCY: Animal and Plant Health Inspection Service... made changes to the area in the State of Idaho that is quarantined to prevent the spread of pale cyst nematode. The description of the quarantined area was updated on April 26, 2010. As a result of these...

  4. The use of remote sensing for updating extensive forest inventories

    Science.gov (United States)

    John F. Kelly

    1990-01-01

    The Forest Inventory and Analysis unit of the USDA Forest Service Southern Forest Experiment Station (SO-FIA) has the research task of devising an inventory updating system that can be used to provide reliable estimates of forest area, volume, growth, and removals at the State level. These updated inventories must be accomplished within current budgetary restraints....

  5. Update of CERN exchange network

    CERN Multimedia

    2003-01-01

    An update of the CERN exchange network will be done next April. Disturbances or even interruptions of telephony services may occur from 4th to 24th April during evenings from 18:30 to 00:00 but will not exceed more than 4 consecutive hours (see tentative planning below). In addition, the voice messaging system will be shut down on March, 26th April from 18:00 to 00:00. Calls supposed to be routed to the voice messaging system will not be possible during the shutdown. CERN divisions are invited to avoid any change requests (set-ups, move or removals) of telephones and fax machines from 4th to 25th April. Everything will be done to minimize potential inconveniences which may occur during this update. There will be no loss of telephone functionalities. CERN GSM portable phones won't be affected by this change. Should you need more details, please send us your questions by email to Standard.Telephone@cern.ch. Date Change type Affected areas March 26 Update of the voice messaging system All CERN sites April...

  6. Are Forecast Updates Progressive?

    NARCIS (Netherlands)

    C-L. Chang (Chia-Lin); Ph.H.B.F. Franses (Philip Hans); M.J. McAleer (Michael)

    2010-01-01

    textabstractMacro-economic forecasts typically involve both a model component, which is replicable, as well as intuition, which is non-replicable. Intuition is expert knowledge possessed by a forecaster. If forecast updates are progressive, forecast updates should become more accurate, on average,

  7. Applying the 2003 Beers Update to Elderly Medicare Enr...

    Data.gov (United States)

    U.S. Department of Health & Human Services — Applying the 2003 Beers Update to Elderly Medicare Enrollees in the Part D Program Inappropriate prescribing of certain medications known as Beers drugs may be...

  8. No-Reference Video Quality Assessment Model for Distortion Caused by Packet Loss in the Real-Time Mobile Video Services

    Directory of Open Access Journals (Sweden)

    Jiarun Song

    2014-01-01

    Full Text Available Packet loss will make severe errors due to the corruption of related video data. For most video streams, because the predictive coding structures are employed, the transmission errors in one frame will not only cause decoding failure of itself at the receiver side, but also propagate to its subsequent frames along the motion prediction path, which will bring a significant degradation of end-to-end video quality. To quantify the effects of packet loss on video quality, a no-reference objective quality assessment model is presented in this paper. Considering the fact that the degradation of video quality significantly relies on the video content, the temporal complexity is estimated to reflect the varying characteristic of video content, using the macroblocks with different motion activities in each frame. Then, the quality of the frame affected by the reference frame loss, by error propagation, or by both of them is evaluated, respectively. Utilizing a two-level temporal pooling scheme, the video quality is finally obtained. Extensive experimental results show that the video quality estimated by the proposed method matches well with the subjective quality.

  9. Shared decision-making, stigma, and child mental health functioning among families referred for primary care-located mental health services.

    Science.gov (United States)

    Butler, Ashley M

    2014-03-01

    There is growing emphasis on shared decision making (SDM) to promote family participation in care and improve the quality of child mental health care. Yet, little is known about the relationship of SDM with parental perceptions of child mental health treatment or child mental health functioning. The objectives of this preliminary study were to examine (a) the frequency of perceived SDM with providers among minority parents of children referred to colocated mental health care in a primary care clinic, (b) associations between parent-reported SDM and mental health treatment stigma and child mental health impairment, and (c) differences in SDM among parents of children with various levels of mental health problem severity. Participants were 36 Latino and African American parents of children (ages 2-7 years) who were referred to colocated mental health care for externalizing mental health problems (disruptive, hyperactive, and aggressive behaviors). Parents completed questions assessing their perceptions of SDM with providers, child mental health treatment stigma, child mental health severity, and level of child mental health impairment. Descriptive statistics demonstrated the majority of the sample reported frequent SDM with providers. Correlation coefficients indicated higher SDM was associated with lower stigma regarding mental health treatment and lower parent-perceived child mental health impairment. Analysis of variance showed no significant difference in SDM among parents of children with different parent-reported levels of child mental health severity. Future research should examine the potential of SDM for addressing child mental health treatment stigma and impairment among minority families.

  10. Reference range of fetal nasal bone length between 18 and 24 weeks of pregnancy in an unselected Brazilian population: experience from a single service.

    Science.gov (United States)

    Araujo Júnior, Edward; Martins, Wellington P; Pires, Claudio Rodrigues; Moron, Antonio Fernandes; Zanforlin Filho, Sebastião Marques

    2014-08-01

    To determine reference range of fetal nasal bone length (NBL) during the second trimester of pregnancy in a Brazilian population. This was a retrospective cross-sectional study with 2681 normal singleton pregnancies between 18 and 24 weeks of gestation. The NBL was obtained in the mid-sagittal plane of the fetal face profile using the following landmarks: nasal bone, overlying skin and the tip of the nose. The NBL was measured by placing the calipers in the out-to-out position. To assess the correlation between NBL and gestational age (GA), polynomial equations were calculated, with adjustments by coefficient of determination (R(2)). The mean of NBL ranged from 5.72 ± 0.87 mm at 18-18 + 6 weeks to 7.45 ± 1.23 mm at 24-24+6 weeks of pregnancy. We observed a good correlation between NBL and GA, best represented by a linear equation: NBL = 0.080+0.276*GA (R(2 )= 0.16). We established a reference range of fetal NBL in the second trimester of pregnancy in a Brazilian population.

  11. Industry standards catch up with in-service welding

    Energy Technology Data Exchange (ETDEWEB)

    Bruce, W.A.

    1999-11-01

    Welding onto a pipeline after it has been put into service, a practice commonly referred to as hot tap welding, is frequently required for several reasons. Repair sleeves are installed to reinforce areas of corrosion or mechanical damage, and branch connections are made for system modifications. There are often significant economic incentives to perform this welding without removing the system from service. Operations are maintained during welding and the pipe's contents are not vented into the atmosphere. Due to technological advances in in-service welding, industry needed an update to standards and recommended practices. This year, the American Petroleum Institute (API) hopes to meet that need. The 19th edition of API Standard 1104--Welding of Pipelines and Related Facilities, includes a new appendix that pertains to in-service welding. Appendix B, In-Service Welding, is intended to eventually replace API Recommended Practice 1107--Pipeline Maintenance Welding Practices. API 1107, which was introduced in 1966 and updated in 1987 and 1991, is intended to provide recommended practices for pipeline maintenance welding. The current third edition approached its mandatory five-year review in 1996 by the API-AGA Joint Committee on Oil and Gas Pipeline Field Welding Practices, which also maintains API 1104. The committee saw 11078 needed to reflect the updates that had been made to 1104 as well as the technological advances for in-service welding. To alleviate redundancy between the two documents, and to alleviate lag time between updates, the committee approved a proposal to update and incorporate requirements of API 1107 into an appendix of API 1104. In the meantime, the third edition of API 1107 was reapproved for another five-year review cycle.

  12. ESRS guidelines for software safety reviews. Reference document for the organization and conduct of Engineering Safety Review Services (ESRS) on software important to safety in nuclear power plants

    International Nuclear Information System (INIS)

    2000-01-01

    The IAEA provides safety review services to assist Member States in the application of safety standards and, in particular, to evaluate and facilitate improvements in nuclear power plant safety performance. Complementary to the Operational Safety Review Team (OSART) and the International Regulatory Review Team (IRRT) services are the Engineering Safety Review Services (ESRS), which include reviews of siting, external events and structural safety, design safety, fire safety, ageing management and software safety. Software is of increasing importance to safety in nuclear power plants as the use of computer based equipment and systems, controlled by software, is increasing in new and older plants. Computer based devices are used in both safety related applications (such as process control and monitoring) and safety critical applications (such as reactor protection). Their dependability can only be ensured if a systematic, fully documented and reviewable engineering process is used. The ESRS on software safety are designed to assist a nuclear power plant or a regulatory body of a Member State in the review of documentation relating to the development, application and safety assessment of software embedded in computer based systems important to safety in nuclear power plants. The software safety reviews can be tailored to the specific needs of the requesting organization. Examples of such reviews are: project planning reviews, reviews of specific issues and reviews prior final acceptance. This report gives information on the possible scope of ESRS software safety reviews and guidance on the organization and conduct of the reviews. It is aimed at Member States considering these reviews and IAEA staff and external experts performing the reviews. The ESRS software safety reviews evaluate the degree to which software documents show that the development process and the final product conform to international standards, guidelines and current practices. Recommendations are

  13. Demonstration of the usefulness of a theoretical framework for humanising care with reference to a residential aged care service in Australia.

    Science.gov (United States)

    Borbasi, Sally; Galvin, Kathleen T; Adams, Trevor; Todres, Les; Farrelly, Brona

    2013-03-01

    To demonstrate the usefulness of a theoretical framework for humanising care of dementia patients. The term humanisation of care has been increasingly used to describe an approach to health care that is informed by core dimensions of what it means to be human. Recent developments in dementia care highlight the importance of maintaining personhood in people with dementia. A conceptual framework is proposed by which the humanisation of care can be understood and applied. Eight dimensions that articulate core features of what needs to be attended to in order for a person to feel more deeply 'met' as a human being are discussed. Evidence from an evaluative study of a dementia outreach service is used to illustrate the usefulness of the humanising framework. Case study examples demonstrate the value of this framework by describing how a dementia outreach service enables care staff in residential aged care facilities to change their focus in the provision of care to residents with dementia. Each of the eight dimensions of humanisation/dehumanisation is used to illustrate how the dementia outreach service team have led to the improvements in resident care. Positive outcomes can be achieved by providing humanised care to residents with dementia. The paper highlights the potential for the humanising framework to be used in dementia care and shows how the framework can be helpfully translated into practice so that carers are supported to adopt an inclusive view of care delivery. A comprehensive framework, grounded in a strong philosophical foundation, can name a breadth of criteria for humanly sensitive care and can be translated into practice in such a way as to potentially transform the provision of care to residents in residential aged care facilities. © 2012 Blackwell Publishing Ltd.

  14. The impact of movie therapy on vulnerable women’s self-esteem referring to non-governmental social service clinics of Tehran

    OpenAIRE

    Ali Navidian; Sima Saadat; Farshad Bahari

    2015-01-01

    Background: Movie therapy is one of the approaches to increase the mental health and to decrease anxiety and depression. This study was performed to determine the impact of movie therapy on women’s self-esteem. Methods: In this quasiexperimental study, sample included the women aged 20 to 50 who had visited the non-governmental social service clinics of Tehran in 2013. The participants of this study were 30 women that were assigned into two groups of intervention and control. The instrumen...

  15. Reference costs of electricity

    International Nuclear Information System (INIS)

    Terraz, N.

    1997-01-01

    The calculation of electric power production reference costs is used in France, even in the present case of over-capacity, for comparing the relative interest of the various means of power generation (nuclear plants, coal plants, hydroelectricity, gas combined cycles, etc.) and as an aid for future investment decisions. Reference costs show a sharp decrease between 1993 and 1997 due to advancements in nuclear plant operating ability and fossil fuel price decrease. Actuarial rates, plant service life, fuel costs and exchange rates are important parameters. The various costs from the research stage to the waste processing stages are discussed and the reference costs of the various power generation systems are presented and compared together with their competitiveness; the future of wind energy and cogeneration and the prospective of the renewal of nuclear plants at the 2010 horizon are also addressed

  16. WIMS-D library update

    International Nuclear Information System (INIS)

    2007-05-01

    WIMS-D (Winfrith Improved Multigroup Scheme-D) is the name of a family of software packages for reactor lattice calculations and is one of the few reactor lattice codes in the public domain and available on noncommercial terms. WIMSD-5B has recently been released from the OECD Nuclear Energy Agency Data Bank, and features major improvements in machine portability, as well as incorporating a few minor corrections. This version supersedes WIMS-D/4, which was released by the Winfrith Technology Centre in the United Kingdom for IBM machines and has been adapted for various other computer platforms in different laboratories. The main weakness of the WIMS-D package is the multigroup constants library, which is based on very old data. The relatively good performance of WIMS-D is attributed to a series of empirical adjustments to the multigroup data. However, the adjustments are not always justified on the basis of more accurate and recent experimental measurements. Following the release of new and revised evaluated nuclear data files, it was felt that the performance of WIMS-D could be improved by updating the associated library. The WIMS-D Library Update Project (WLUP) was initiated in the early 1990s with the support of the IAEA. This project consisted of voluntary contributions from a large number of participants. Several benchmarks for testing the library were identified and analysed, the WIMSR module of the NJOY code system was upgraded and the author of NJOY accepted the proposed updates for the official code system distribution. A detailed parametric study was performed to investigate the effects of various data processing input options on the integral results. In addition, the data processing methods for the main reactor materials were optimized. Several partially updated libraries were produced for testing purposes. The final stage of the WLUP was organized as a coordinated research project (CRP) in order to speed up completion of the fully updated library

  17. Nova Scotia electricity update

    International Nuclear Information System (INIS)

    Crandlemire, A.L.

    2004-01-01

    This paper provides an update of electricity issues concerning Nova Scotia such as supply, capacity, emission commitments, as well as co-generation and the Electricity Marketplace Governance Committee (EMGC). The goals of the strategy were reliability combined with competitive prices and greater environmental responsibility. The scope of these objectives included new capacity, transmission, renewables and co-generation. Other objectives included encouraging wholesale market competition; meeting reciprocity requirements; and a 50 MW renewable energy target. Recommendations of the EMGC included wholesale market competition; a broader market scope with a cost benefit analysis; Open Access Transmission Tariff (OATT); a scheduling and information system; network integration and a point to point service; and a separation of transmission and generation business units. Other recommendations included an open competitive process for new generation; a consideration of emissions and overall efficiency; a Renewable Energy Portfolio Standard (RPS) to start in 2006; the separation of RPS tags from electricity; and net metering of renewables. These recommendations were accepted in 2003, followed by the new Electricity Act in 2004, which made OATT mandatory, established RPS and opened to the wholesale market. Capacity at present was considered to be tight, with preparations for the new regulations under way. Reductions in air pollution were reported at 25 per cent, with renewable energy projects such as 2 windmills currently under way, as well as various other projects. Opportunities for provincial Atlantic cooperation were identified as being management of reserve requirements; trading of lowest cost electricity; new generation on a regional scale; stronger transmission ties; a system operator; a regional approach to RPS; regional management of air emissions; and regional opportunities for Carbon dioxide reductions. tabs., figs

  18. TLD Postal service for quality audits of beams of Co-60 in reference conditions in Cuba; Servicio Postal TLD para auditorias de calidad de haces de Co-60 en condiciones de referencia en Cuba

    Energy Technology Data Exchange (ETDEWEB)

    Gutierrez L, S.; Walwyn S, G.; Alonso V, G. [CPHR, Calle 20 No. 4113 e/41 y 47, Playa, C.P. 11300, C. Habana (Cuba)]. e-mail: stefan@cphr.edu.cu

    2006-07-01

    Purpose: To describe the methodology and experience of the Secondary Laboratory of Dosimetric Calibration of Cuba in the establishment of the TLD Postal Service for quality audits of beams of Co-60 in reference conditions. Materials and methods: Through the Coordinated Project of Research (Contract 10794) its was bought 200 solid thermoluminescent detectors of LiF: Mg, Ti (TLD-100) in micro bars form with dimensions of 6 x 1 x 1 mm and of the JR 1152F type manufactured in China. All these detectors were identified individually with a serial number on one of its faces, using a graphite fine sheet. Those detectors for its irradiation are introduced in cylindrical plastic capsules developed and used by the International Atomic Energy Agency (IAEA) in the Audit Postal Service of Dose IAEA/WHO, the capsules have one cavity equal to 3 mm for that is necessary to recover this cavity with a fine plastic tube so that the detectors remain immobile during the irradiation. The method used to determine the individual sensitivity of the thermoluminescent detectors is: to irradiate a detectors group (100 micro bars) 4 times in those same geometric conditions, with the same irradiation history and reading, then it is determine for each detector a sensitivity factor equal to the average of those readings obtained for the 4 irradiation cycles for each i detector among the average of all the reading values obtained during the 4 cycles. The thermoluminescent signal is obtained with a Harshaw 2000C/B reader manual. Results: The satisfactory results obtained in the verification of the calibration of the TLD system, using the reference irradiation service of the Seibersdorf Dosimetry Laboratory of the IAEA in three different years are shown. The results of the audits carried out to the different radiotherapy services of the country in different years are also presented. Conclusions: The experience with the detectors acquired in the project demonstrates that with an appropriate

  19. VnpPersonService

    Data.gov (United States)

    Department of Veterans Affairs — Common Web Service for VONAPP. Retrieves, creates, updates and deletes a veteranÆs VNP_PERSON record in the Corporate database for a claim selected in the GUI by the...

  20. How do we update faces? Effects of gaze direction and facial expressions on working memory updating

    Directory of Open Access Journals (Sweden)

    Caterina eArtuso

    2012-09-01

    Full Text Available The aim of the study was to investigate how the biological binding between different facial dimensions, and their social and communicative relevance, may impact updating processes in working memory (WM. We focused on WM updating because it plays a key role in ongoing processing. Gaze direction and facial expression are crucial and changeable components of face processing. Direct gaze enhances the processing of approach-oriented facial emotional expressions (e.g. joy, while averted gaze enhances the processing of avoidance-oriented facial emotional expressions (e.g. fear. Thus, the way in which these two facial dimensions are combined communicates to the observer important behavioral and social information. Updating of these two facial dimensions and their bindings has not been investigated before, despite the fact that they provide a piece of social information essential for building and maintaining an internal ongoing representation of our social environment. In Experiment 1 we created a task in which the binding between gaze direction and facial expression was manipulated: high binding conditions (e.g. joy-direct gaze were compared to low binding conditions (e.g. joy-averted gaze. Participants had to study and update continuously a number of faces, displaying different bindings between the two dimensions. In Experiment 2 we tested whether updating was affected by the social and communicative value of the facial dimension binding; to this end, we manipulated bindings between eye and hair color, two less communicative facial dimensions. Two new results emerged. First, faster response times were found in updating combinations of facial dimensions highly bound together. Second, our data showed that the ease of the ongoing updating processing varied depending on the communicative meaning of the binding that had to be updated. The results are discussed with reference to the role of WM updating in social cognition and appraisal processes.

  1. How do we update faces? Effects of gaze direction and facial expressions on working memory updating.

    Science.gov (United States)

    Artuso, Caterina; Palladino, Paola; Ricciardelli, Paola

    2012-01-01

    The aim of the study was to investigate how the biological binding between different facial dimensions, and their social and communicative relevance, may impact updating processes in working memory (WM). We focused on WM updating because it plays a key role in ongoing processing. Gaze direction and facial expression are crucial and changeable components of face processing. Direct gaze enhances the processing of approach-oriented facial emotional expressions (e.g., joy), while averted gaze enhances the processing of avoidance-oriented facial emotional expressions (e.g., fear). Thus, the way in which these two facial dimensions are combined communicates to the observer important behavioral and social information. Updating of these two facial dimensions and their bindings has not been investigated before, despite the fact that they provide a piece of social information essential for building and maintaining an internal ongoing representation of our social environment. In Experiment 1 we created a task in which the binding between gaze direction and facial expression was manipulated: high binding conditions (e.g., joy-direct gaze) were compared to low binding conditions (e.g., joy-averted gaze). Participants had to study and update continuously a number of faces, displaying different bindings between the two dimensions. In Experiment 2 we tested whether updating was affected by the social and communicative value of the facial dimension binding; to this end, we manipulated bindings between eye and hair color, two less communicative facial dimensions. Two new results emerged. First, faster response times were found in updating combinations of facial dimensions highly bound together. Second, our data showed that the ease of the ongoing updating processing varied depending on the communicative meaning of the binding that had to be updated. The results are discussed with reference to the role of WM updating in social cognition and appraisal processes.

  2. Information services directory

    International Nuclear Information System (INIS)

    1991-01-01

    Congress passed the Nuclear Waste Policy Act of 1982 (NWPA) and its amendments establishing the National policy for safely storing, transporting and disposing of spent nuclear fuel and high-level radioactive waste in a geologic repository. This legislation created the Office of Civilian Radioactive Waste Management (OCRWM) within the US Department of Energy (DOE) to develop an integrated system for the safe and efficient disposal of high-level radioactive waste. The NWPA, as amended, directs DOE to study in detail the Yucca Mountain site in Nevada as the only candidate site for the Nation's geologic repository. In Nevada, the DOE/OCRWM Yucca Mountain Site Characterization Project Office (YMPO) manages scientific investigations to determine the suitability of Yucca Mountain for effectively isolating radioactive waste from the public and the environment. This Information Services Directory is intended to facilitate dissemination of information. The Directory is produced by the Education and Information Division of OCRWM's Office of External Relations and will be updated periodically. This is the third such update since its issuance in August 1986. It is a reference document that lists the sources of program information available to States, Indian Tribes and the public

  3. National Pediatric Program Update

    International Nuclear Information System (INIS)

    2008-01-01

    The book of the National Pediatric Program Update, issued by the Argentina Society of Pediatrics, describes important issues, including: effective treatment of addictions (drugs); defects of the neural tube; and the use of radiation imaging in diagnosis. [es

  4. The impact of movie therapy on vulnerable women’s self-esteem referring to non-governmental social service clinics of Tehran

    Directory of Open Access Journals (Sweden)

    Ali Navidian

    2015-01-01

    Full Text Available Background: Movie therapy is one of the approaches to increase the mental health and to decrease anxiety and depression. This study was performed to determine the impact of movie therapy on women’s self-esteem. Methods: In this quasiexperimental study, sample included the women aged 20 to 50 who had visited the non-governmental social service clinics of Tehran in 2013. The participants of this study were 30 women that were assigned into two groups of intervention and control. The instrument for data collection was 10-itemRosenberg self-esteem scale which was completed before and after watching eight movies with psychological content of challenge and promotion of self-esteem aspects by intervention and control groups. The obtained data were fed into SPSS-18 software and analyzed via descriptive statistics, ANCOVA and independent t-test. Results: The mean score of self-esteem in intervention group increased from 7.07±1.88 before to 15.8±1.29 after intervention; whereas, this declined from 6.54±1.12 to 5.76±1.52 in control group, indicating a significant difference in intervention group (P=0.0001. Conclusion: the findings of this study showed that watching the selected movies with content of challenge and promotion of self-esteem aspects can be effective in increasing vulnerable women’s self-esteem as an easy and independent psycho-educational approach.

  5. Epidemiologic Profile of Patients Transplanted With Hematopoietic Stem Cells in a Reference Service in the State of Rio Grande do Norte, Brazil.

    Science.gov (United States)

    Campos de Azevedo, I; Ferreira Júnior, M A; Pereira de Aquino, L A; de Oliveira, A A; Cruz, G K P; de Queiroz Cardoso, A I; Ivo, M L; Santos, V E P

    2018-04-01

    Hematopoietic stem cell transplantation (HSCT) consists of the intravenous infusion of healthy hematopoietic stem cells to restore the medullary and immunologic function of patients affected by a series of hematologic, oncologic, immunologic, malignant and nonmalignant inherited or acquired diseases, with the possibility of cure or increase of disease-free survival. To characterize the epidemiologic profile and the cases of death of patients who underwent HSCT. This is a cohort quantitative study, nested with a retrospective, descriptive, and analytical study of a hospital-based cohort that included the patients who underwent HSCT at a referral service in the state of Rio Grande do Norte, a region of northeastern Brazil. There was a slight male prevalence (52.94%), the age of the patients ranged from 2 to 73 years old, 18.38% were brown, 47.06% were married, 15.07% were students, 78.31% had a diagnosis of multiple myeloma, 93.38% developed gastrointestinal toxicities, all patients received chemotherapeutic treatment, 54.78% had allogeneic HSCT, and the cause of the most recorded deaths was septic shock (48.19%). This study showed relevant scientific evidence on the clinical and epidemiologic profile of patients who underwent HSCT. In general, sociodemographic data are similar to national and international research results. Copyright © 2018 Elsevier Inc. All rights reserved.

  6. Sistema de ayuda para la redacción de mensajes en un servicio de referencia por correo electrónico Help system for messages writing in a reference service via e-mail

    Directory of Open Access Journals (Sweden)

    Pedro Falcato

    2005-12-01

    Full Text Available El presente artículo trata el origen, el desarrollo y las propiedades del sistema de ayuda que utiliza un servicio de referencia digital como apoyo para elaborar respuestas. Está basado en la compilación y clasificación de locuciones de uso frecuente cuya eficacia comunicativa ha sido puesta a prueba en la práctica, adaptadas de modo tal que el referencista puede emplearlas como módulos para construir los mensajes. Se exponen las principales características de la interfaz diseñada. Se tratan también los alcances y limitaciones que tiene un sistema de este tipo, así como la aplicabilidad de la idea que le dio origen para construir ayudas equivalentes en otros entornos de referencia.The article deals with the origin, development, and properties of the help system used by a digital reference service as a support to develop answers. It is based on the compilation and classification of frequently used idioms whose communication effectiveness was practically put to the test, adapted in such a way that the reference librarian can use them as modules to construct the messages. Main characteristics of the interface design are stated. Scopes and limitations of that kind of system are discussed as well as the compatibility of the original idea to build equivalent helps in some other reference environment.

  7. Medicare Referring Provider (DMEPOS) Data CY2013

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Centers for Medicare and Medicaid Services (CMS) released a new dataset, the Referring Provider Durable Medical Equipment, Prosthetics, Orthotics and Supplies...

  8. Office Operative Hysteroscopy: An Update.

    Science.gov (United States)

    Salazar, Christina Alicia; Isaacson, Keith B

    2018-02-01

    Hysteroscopy is considered the gold standard for the evaluation of intracavitary pathology in both premenopausal and postmenopausal patients associated with abnormal uterine bleeding, as well as for the evaluation of infertile patients with suspected cavity abnormalities. Office-based operative hysteroscopy allows patients to resume activities immediately and successfully integrates clinical practice into a "see and treat" modality, avoiding the added risks of anesthesia and the inconvenience of the operating room. For 2017, the Centers for Medicare and Medicaid Services has provided a substantial increase in reimbursement for a select number of office-based hysteroscopic procedures. This review provides an update on the indications, equipment, and procedures for office hysteroscopy, as well as the management of complications that may arise within an office-based practice. Copyright © 2018. Published by Elsevier Inc.

  9. Areva - 2016 Reference document

    International Nuclear Information System (INIS)

    2017-01-01

    Areva supplies high added-value products and services to support the operation of the global nuclear fleet. The company is present throughout the entire nuclear cycle, from uranium mining to used fuel recycling, including nuclear reactor design and operating services. Areva is recognized by utilities around the world for its expertise, its skills in cutting-edge technologies and its dedication to the highest level of safety. Areva's 36,000 employees are helping build tomorrow's energy model: supplying ever safer, cleaner and more economical energy to the greatest number of people. This Reference Document contains information on Areva's objectives, prospects and development strategies. It contains estimates of the markets, market shares and competitive position of Areva

  10. Update of European bioethics

    DEFF Research Database (Denmark)

    Rendtorff, Jacob Dahl

    2015-01-01

    This paper presents an update of the research on European bioethics undertaken by the author together with Professor Peter Kemp since the 1990s, on Basic ethical principles in European bioethics and biolaw. In this European approach to basic ethical principles in bioethics and biolaw......, the principles of autonomy, dignity, integrity and vulnerability are proposed as the most important ethical principles for respect for the human person in biomedical and biotechnological development. This approach to bioethics and biolaw is presented here in a short updated version that integrates the earlier...... research in a presentation of the present understanding of the basic ethical principles in bioethics and biolaw....

  11. Indoor Spatial Updating with Reduced Visual Information.

    Science.gov (United States)

    Legge, Gordon E; Gage, Rachel; Baek, Yihwa; Bochsler, Tiana M

    2016-01-01

    Spatial updating refers to the ability to keep track of position and orientation while moving through an environment. People with impaired vision may be less accurate in spatial updating with adverse consequences for indoor navigation. In this study, we asked how artificial restrictions on visual acuity and field size affect spatial updating, and also judgments of the size of rooms. Normally sighted young adults were tested with artificial restriction of acuity in Mild Blur (Snellen 20/135) and Severe Blur (Snellen 20/900) conditions, and a Narrow Field (8°) condition. The subjects estimated the dimensions of seven rectangular rooms with and without these visual restrictions. They were also guided along three-segment paths in the rooms. At the end of each path, they were asked to estimate the distance and direction to the starting location. In Experiment 1, the subjects walked along the path. In Experiment 2, they were pushed in a wheelchair to determine if reduced proprioceptive input would result in poorer spatial updating. With unrestricted vision, mean Weber fractions for room-size estimates were near 20%. Severe Blur but not Mild Blur yielded larger errors in room-size judgments. The Narrow Field was associated with increased error, but less than with Severe Blur. There was no effect of visual restriction on estimates of distance back to the starting location, and only Severe Blur yielded larger errors in the direction estimates. Contrary to expectation, the wheelchair subjects did not exhibit poorer updating performance than the walking subjects, nor did they show greater dependence on visual condition. If our results generalize to people with low vision, severe deficits in acuity or field will adversely affect the ability to judge the size of indoor spaces, but updating of position and orientation may be less affected by visual impairment.

  12. Indoor Spatial Updating with Reduced Visual Information.

    Directory of Open Access Journals (Sweden)

    Gordon E Legge

    Full Text Available Spatial updating refers to the ability to keep track of position and orientation while moving through an environment. People with impaired vision may be less accurate in spatial updating with adverse consequences for indoor navigation. In this study, we asked how artificial restrictions on visual acuity and field size affect spatial updating, and also judgments of the size of rooms.Normally sighted young adults were tested with artificial restriction of acuity in Mild Blur (Snellen 20/135 and Severe Blur (Snellen 20/900 conditions, and a Narrow Field (8° condition. The subjects estimated the dimensions of seven rectangular rooms with and without these visual restrictions. They were also guided along three-segment paths in the rooms. At the end of each path, they were asked to estimate the distance and direction to the starting location. In Experiment 1, the subjects walked along the path. In Experiment 2, they were pushed in a wheelchair to determine if reduced proprioceptive input would result in poorer spatial updating.With unrestricted vision, mean Weber fractions for room-size estimates were near 20%. Severe Blur but not Mild Blur yielded larger errors in room-size judgments. The Narrow Field was associated with increased error, but less than with Severe Blur. There was no effect of visual restriction on estimates of distance back to the starting location, and only Severe Blur yielded larger errors in the direction estimates. Contrary to expectation, the wheelchair subjects did not exhibit poorer updating performance than the walking subjects, nor did they show greater dependence on visual condition.If our results generalize to people with low vision, severe deficits in acuity or field will adversely affect the ability to judge the size of indoor spaces, but updating of position and orientation may be less affected by visual impairment.

  13. Danışma Hizmetlerinde Bulut Bilişim Uygulamalarının Kullanımı = Use of Cloud Computing Applications in Reference Services

    Directory of Open Access Journals (Sweden)

    Canan Tavluoğlu

    2014-12-01

    Full Text Available Bulut bilişim, herhangi bir yazılım ve depolama birimi olmaksızın, masaüstü-dizüstü bilgisayar, tablet PC veya akıllı telefonlar kullanılarak internet üzerinden bilgiye erişim sağlayan bir bilişim platformudur. Kütüphaneler gibi birçok kurum zamandan ve paradan tasarruf etmek için bu uygulamaları kullanmaktadır. Kütüphaneler danışma hizmetlerini yeni teknolojilere göre uyarlamakta ve hizmetlerini söz konusu bilişim ortamına taşımaktadır. Bu çalışmada bulut bilişimin tanımı, sunduğu fırsatlar ve zorluklardan kısaca bahsedilmekte ayrıca danışma hizmetlerinde bulut tabanlı uygulamaların nasıl kullanılabileceğine yer verilmektedir. Bu bağlamda Ankara’da bulunan üniversite kütüphanelerinde çalışan danışma kütüphanecilerinin bulut tabanlı yazılım olarak hizmet (Software as a Service - SaaS araçlarının ne ölçüde kullandıklarını belirlemek amacıyla bir anket uygulanmıştır. Anket sonuçlarına göre, danışma hizmetlerinde bu araçların kullanım oranlarının çok düşük olduğu görülmektedir. / Cloud computing is a computing platform that allows access the information over internet by using desktop computers, laptops, tablet PCs and smart phones without any software and storage unit. Many organizations use this technology and save time and money, such as libraries. Libraries have been adopting their reference services to the new technology and library services have been moving to the cloud. This paper defines cloud computing, presents the opportunities and challenges, also include how to use cloud based applications in reference services. A survey was applied to identify the use of cloud based Software as a Service (SaaS models by references librarians who work at university libraries in Ankara. According to results, the degree of usage of this tools generally low.

  14. Update History of This Database - AcEST | LSDB Archive [Life Science Database Archive metadata

    Lifescience Database Archive (English)

    Full Text Available switchLanguage; BLAST Search Image Search Home About Archive Update History Data ...List Contact us AcEST Update History of This Database Date Update contents 2013/01/10 Errors found on AcEST ...s Database Database Description Download License Update History of This Data...base Site Policy | Contact Us Update History of This Database - AcEST | LSDB Archive ... ...Conting data have been correceted. For details, please refer to the following page. Data correction 2010/03/29 AcEST English archi

  15. Food Irradiation Update and Cost Analysis

    Science.gov (United States)

    1991-11-01

    Natick). Significant contributions were made by Dr. Irwin Taub and Mr. Christopher Rees of the Technology Acquisition Division, Food Engineering...stability. 5 Food Irradiation Update C-ost Analysis I. Introduction In the book The Physioloqy of Taste (1825), one of the pioneers of gastronomy ...review of the utility that radiation preserved foods might offer the military food service system. To date, this technology has seen limited use in the

  16. NChina16: A stable geodetic reference frame for geological hazard studies in North China

    Science.gov (United States)

    Wang, Guoquan; Bao, Yan; Gan, Weijun; Geng, Jianghui; Xiao, Gengru; Shen, Jack S.

    2018-04-01

    We have developed a stable North China Reference Frame 2016 (NChina16) using five years of continuous GPS observations (2011.8-2016.8) from 12 continuously operating reference stations (CORS) fixed to the North China Craton. Applications of NChina16 in landslide and subsidence studies are illustrated in this article. A method for realizing a regional geodetic reference frame is introduced. The primary result of this study is the seven parameters for transforming Cartesian ECEF (Earth-Centered, Earth-Fixed) coordinates X, Y, and Z from the International GNSS Service Reference Frame 2008 (IGS08) to NChina16. The seven parameters include the epoch that is used to align the regional reference frame to IGS08 and the time derivatives of three translations and three rotations. The GIPSY-OASIS (V6.4) software package was used to obtain the precise point positioning (PPP) daily solutions with respect to IGS08. The frame stability of NChina16 is approximately 0.5 mm/year in both horizontal and vertical directions. This study also developed a regional model for correcting seasonal motions superimposed into the vertical component of the GPS-derived displacement time series. Long-term GPS observations (1999-2016) from five CORS in North China were used to develop the seasonal model. According to this study, the PPP daily solutions with respect to NChina16 could achieve 2-3 mm horizontal accuracy and 4-5 mm vertical accuracy after being modified by the regional model. NChina16 will be critical to study geodynamic problems in North China, such as earthquakes, faulting, subsidence, and landslides. The regional reference frame will be periodically updated every few years to mitigate degradation of the frame with time and be synchronized with the update of IGS reference frame.

  17. Aspectos da realidade social de crianças e adolescentes atendidos em serviço de referência para filariose bancroftiana, Recife, estado de Pernambuco Aspects of the social realities of children and adolescents seen at a reference service for bancroftian filariasis in Recife, state of Pernambuco

    Directory of Open Access Journals (Sweden)

    Denise Mattos

    2008-02-01

    Full Text Available Os autores abordam aspectos da realidade social de crianças e adolescentes residentes em Jaboatão dos Guararapes/PE, diagnosticados como portadores de infecção filarial bancroftiana e tratados no Núcleo de Ensino, Pesquisa e Assistência em Filariose da Universidade Federal de Pernambuco (Centro de Ciências da Saúde, um serviço terciário de referência para filariose. Quantificam e classificam as condições de moradia como subumanas, estando em relação direta com a manutenção da transmissão da bancroftose, e alertam para a necessidade de decisão política quanto à implementação de obras de saneamento básico.The authors report on aspects of the social realities of children and adolescents living in Jaboatão dos Guararapes, State of Pernambuco, who were diagnosed with Bancroftian filariasis infection and were treated at the Filariasis Teaching, Research and Care Center of the Federal University of Pernambuco (Health Sciences Center, which is a tertiary-level reference service for filariasis. The patients’ housing conditions were quantified and classified as subhuman, with a direct relationship with the maintenance of Bancroftian filariasis transmission, and the authors highlight the need for political decisions regarding the implementation of basic sanitation projects.

  18. Sugammadex: An Update

    Directory of Open Access Journals (Sweden)

    Ezri Tiberiu

    2016-01-01

    Full Text Available The purpose of this update is to provide recent knowledge and debates regarding the use of sugammadex in the fields of anesthesia and critical care. The review is not intended to provide a comprehensive description of sugammadex and its clinical use.

  19. Supreme Court Update

    Science.gov (United States)

    Taylor, Kelley R.

    2009-01-01

    "Chief Justice Flubs Oath." "Justice Ginsburg Has Cancer Surgery." At the start of this year, those were the news headlines about the U.S. Supreme Court. But January 2009 also brought news about key education cases--one resolved and two others on the docket--of which school administrators should take particular note. The Supreme Court updates on…

  20. [Cardiology update in 2016].

    Science.gov (United States)

    Gabus, Vincent; Tran, Van Nam; Regamey, Julien; Pascale, Patrizio; Monney, Pierre; Hullin, Roger; Vogt, Pierre

    2017-01-11

    In 2016 the European Society of Cardiology (ESC) published new guidelines. These documents update the knowledge in various fields such as atrial fibrillation, heart failure, cardiovascular prevention and dyslipidemia. Of course it is impossible to summarize these guidelines in detail. Nevertheless, we decided to highlight the major modifications, and to emphasize some key points that are especially useful for the primary care physician.

  1. OSATE Overview & Community Updates

    Science.gov (United States)

    2015-02-15

    update 5a. CONTRACT NUMBER 5b. GRANT NUMBER 5c. PROGRAM ELEMENT NUMBER 6. AUTHOR(S) Delange /Julien 5d. PROJECT NUMBER 5e. TASK NUMBER 5f. WORK...main language capabilities Modeling patterns & model samples for beginners Error-Model examples EMV2 model constructs Demonstration of tools Case

  2. Examination of Life Satisfaction, Child Maltreatment Potential and Substance Use in Mothers Referred for Treatment by Child Protective Services for Child Neglect and Substance Abuse: Implications for Intervention Planning

    Science.gov (United States)

    Plant, Christopher P.; Donohue, Brad; Holland, Jason M.

    2015-01-01

    There is evidence to suggest mothers who are served by child protective service agencies are relatively dissatisfied in their lives, leading some investigators to conclude life dissatisfaction may be associated with child maltreatment. To assist in better understanding this relationship the Life Satisfaction Scale for Caregivers (LSSC) was psychometrically developed in a sample of 72 mothers who were referred for behavioral treatment for child neglect and substance abuse by caseworkers from a local child protective service agency. The LSSC was developed to assess mothers’ happiness in nine domains (family, friendships, employment/work, spirituality/religion, safety, sex life/dating, ability to avoid drugs, ability to avoid alcohol, control over one’s own life). Results indicated two factors that appeared to be relevant to Social Satisfaction and Safety and Control Satisfaction. Higher satisfaction scores on both of these scales were negatively associated with child maltreatment potential and substance use at baseline (i.e., positive urinalysis test). Mothers who exposed their children to substances in utero or in infancy (a distinct type of child neglect) were found to report higher satisfaction scores on the LSSC than other types of child neglect. Hispanic-American, African-American, and Caucasian women reported similar levels of life satisfaction. Application of the LSSC as a non-stigmatizing, wellness-focused instrument is discussed within the context of intervention planning. PMID:27617042

  3. Exploring Google to Enhance Reference Services

    Science.gov (United States)

    Jia, Peijun

    2011-01-01

    Google is currently recognized as the world's most powerful search engine. Google is so powerful and intuitive that one does not need to possess many skills to use it. However, Google is more than just simple search. For those who have special search skills and know Google's superior search features, it becomes an extraordinary tool. To understand…

  4. Hazardous chemicals desk reference

    National Research Council Canada - National Science Library

    Lewis, Richard J., Sr

    2008-01-01

    ... of the entries have been revised for t h s edition. Most of the new entries were selected because they are on the EPA TSCA Inventory. These are reported to be used in commerce in the United States. Emphasis was placed on adding and updating physical properties and updating all DOT Classifications. The information was extracted from Dangerous Propedes Of...

  5. WIMS nuclear data library and its updating

    Energy Technology Data Exchange (ETDEWEB)

    Bakhtyar, S; Salahuddin, A; Arshad, M

    1995-10-01

    This report gives a brief overview of the status of reactor physics computer code WIMS-D/4 and its library. It presents the details of WIMS-D/4 Library Update Project (WLUP), initiated by International Atomic Energy Agency (IAEA) with the goal of providing updated nuclear data library to the user of WIMS-D/4. The WLUP was planned to be executed in several stages. In this report the calculations performed for the first stage are presented. A number of benchmarks for light water and heavy water lattices proposed by IAEA have been analysed and the results have been compared with the average of experimental values, the IAEA reference values and the average of calculated results from different international laboratories. (author) 8 figs.

  6. WIMS nuclear data library and its updating

    International Nuclear Information System (INIS)

    Bakhtyar, S.; Salahuddin, A.; Arshad, M.

    1995-10-01

    This report gives a brief overview of the status of reactor physics computer code WIMS-D/4 and its library. It presents the details of WIMS-D/4 Library Update Project (WLUP), initiated by International Atomic Energy Agency (IAEA) with the goal of providing updated nuclear data library to the user of WIMS-D/4. The WLUP was planned to be executed in several stages. In this report the calculations performed for the first stage are presented. A number of benchmarks for light water and heavy water lattices proposed by IAEA have been analysed and the results have been compared with the average of experimental values, the IAEA reference values and the average of calculated results from different international laboratories. (author) 8 figs

  7. Sequence History Update Tool

    Science.gov (United States)

    Khanampompan, Teerapat; Gladden, Roy; Fisher, Forest; DelGuercio, Chris

    2008-01-01

    The Sequence History Update Tool performs Web-based sequence statistics archiving for Mars Reconnaissance Orbiter (MRO). Using a single UNIX command, the software takes advantage of sequencing conventions to automatically extract the needed statistics from multiple files. This information is then used to populate a PHP database, which is then seamlessly formatted into a dynamic Web page. This tool replaces a previous tedious and error-prone process of manually editing HTML code to construct a Web-based table. Because the tool manages all of the statistics gathering and file delivery to and from multiple data sources spread across multiple servers, there is also a considerable time and effort savings. With the use of The Sequence History Update Tool what previously took minutes is now done in less than 30 seconds, and now provides a more accurate archival record of the sequence commanding for MRO.

  8. Annual Pension Fund Update

    CERN Multimedia

    Pension Fund

    2011-01-01

    All members and beneficiaries of the Pension Fund are invited to attend the Annual Pension Fund Update to be held in the CERN Council Chamber on Tuesday 20 September 2011 from 10-00 to 12-00 a.m. Copies of the 2010 Financial Statements are available from departmental secretariats. Coffee and croissants will be served prior to the meeting as of 9-30 a.m.

  9. Ontario Hydro's DSP update

    International Nuclear Information System (INIS)

    Anon.

    1992-01-01

    Ontario Hydro's Demand/Supply Plan (DSP), the 25 year plan which was submitted in December 1989, is currently being reviewed by the Environmental Assessment Board (EAB). Since 1989 there have been several changes which have led Ontario Hydro to update the original Demand/Supply Plan. This information sheet gives a quick overview of what has changed and how Ontario Hydro is adapting to that change

  10. Responsible Hospitality. Prevention Updates

    Science.gov (United States)

    Colthurst, Tom

    2004-01-01

    Responsible Hospitality (RH)--also called Responsible Beverage Service (RBS)--encompasses a variety of strategies for reducing risks associated with the sale and service of alcoholic beverages. RH programs have three goals: (1) to prevent illegal alcohol service to minors; (2) to reduce the likelihood of drinkers becoming intoxicated; and (3) to…

  11. Sixteen Years of the Hubble Space Telescope's Advanced Camera for Surveys: Calibration Update

    Science.gov (United States)

    Grogin, Norman A.; ACS Instrument Team

    2018-06-01

    The Advanced Camera for Surveys (ACS) has been a workhorse HST imager for over sixteen years, subsequent to its Servicing Mission 3B installation in 2002. The once defunct ACS Wide Field Channel (WFC) has now been operating nearly twice as long (>9yrs) since its Servicing Mission 4 (SM4) repair than it had originally operated prior to its 2007 failure. Despite the accumulating radiation damage to the WFC CCDs during their long stay in low Earth orbit, ACS continues to be heavily exploited by the HST community as both a prime and a parallel detector.During past year, there have been two new releases of the CALACS image reduction pipeline that have incorporated several recent advancements in ACS calibration capabilities. We review these updates, along with the enhanced calibration reference files (superbiases, superdarks, etc.) associated with these CALACS releases. We also present results from long-term monitoring of WFC dark current and readout noise, and from new studies of detector performance from both WFC and the ACS Solar Blind Channel (SBC). Highlights include: 1) improved characterization of WFC post-flash LED illumination, including a low-level annual modulation of LED intensity; 2) comprehensive assessment of SBC dark current as a function of detector operating temperature, and of SBC operating temperature versus duration of use; and 3) an update to the WFC bad-pixel table resulting from a minor particulate-contamination event in May 2017.

  12. VeteranOtherInformationService

    Data.gov (United States)

    Department of Veterans Affairs — This service is used to create, read, delete and update additional information captured during the EVSS Disability Compensation interview in an effort to align with...

  13. MilitaryPayDecnService

    Data.gov (United States)

    Department of Veterans Affairs — Supports operations to access/update data related to (Compensation and Pension) Awards. This service will also support business processes such as reading military...

  14. Reference Agent : Mengoptimalkan Pustakawan Dalam Menghidupkan Kembali Layanan Referensi

    Directory of Open Access Journals (Sweden)

    Dian Kristyanto

    2015-11-01

    Full Text Available One of the services developed in library is reference service. This service is a featured product that can give information solution for users. For the vital service, reference librarian is demanded to have an innovation, creation and communication skill, so he can serve to user needs for information. This article dealts with the concept of reference librarian  to  the  development  of  ICT  in  order  to  be  agent  of  reference service being a featured service of library.

  15. Guidelines for the review of accident management programmes in nuclear power plants. Reference document for the IAEA safety service missions on review of accident management programmes in nuclear power plants

    International Nuclear Information System (INIS)

    2003-01-01

    Similarly as for other IAEA safety services, the objectives of accident management safety service are to assist the Member States in ensuring and enhancing the safety of NPPs. In particular, the objective is to assist at the utility and NPP (i.e. licensee) level in effective plant specific AMP preparation, development and implementation. However, assistance can also be provided to the regulatory body in its reviewing of AMPs. Objectives of the safety service can be summarized as follows: To explain to licensee personnel principles and possible approaches in effective implementation of AMP based on experience world-wide; To give opportunities to experts from the host plant to broaden their experience and knowledge in the field; To perform an objective assessment of the status in various phases of AMP implementation, compared with international experience and practices; To provide the licensee with suggestions and assistance for improvements in various stages of AMP implementation. The objective of the IAEA safety services is to offer two options to respond to individual requirements. These options include missions to review accident analysis needed for accident management and missions to review the whole AMP. Review of accident analysis for accident management (RAAAM): this review is intended to check completeness and quality of accident analysis covering BDBA and severe accidents. The review should be typically performed prior to use of accident analysis for development of AMP. It is considered that 2 experts and 1 IAEA team leader in one-week mission can perform the review. Detailed guidelines for review of analysis are provided in Section 2. Reference is also made to another IAEA Safety Report (Safety Standards Series No. NS-R-1) which is devoted to guidance for accident analysis of nuclear power plants (NPPs). Review of AMP (RAMP): this review of AMP, which is in particular appropriate prior to its implementation, is intended to check its quality, consistency

  16. Spumaretroviruses: Updated taxonomy and nomenclature.

    Science.gov (United States)

    Khan, Arifa S; Bodem, Jochen; Buseyne, Florence; Gessain, Antoine; Johnson, Welkin; Kuhn, Jens H; Kuzmak, Jacek; Lindemann, Dirk; Linial, Maxine L; Löchelt, Martin; Materniak-Kornas, Magdalena; Soares, Marcelo A; Switzer, William M

    2018-03-01

    Spumaretroviruses, commonly referred to as foamy viruses, are complex retroviruses belonging to the subfamily Spumaretrovirinae, family Retroviridae, which naturally infect a variety of animals including nonhuman primates (NHPs). Additionally, cross-species transmissions of simian foamy viruses (SFVs) to humans have occurred following exposure to tissues of infected NHPs. Recent research has led to the identification of previously unknown exogenous foamy viruses, and to the discovery of endogenous spumaretrovirus sequences in a variety of host genomes. Here, we describe an updated spumaretrovirus taxonomy that has been recently accepted by the International Committee on Taxonomy of Viruses (ICTV) Executive Committee, and describe a virus nomenclature that is generally consistent with that used for other retroviruses, such as lentiviruses and deltaretroviruses. This taxonomy can be applied to distinguish different, but closely related, primate (e.g., human, ape, simian) foamy viruses as well as those from other hosts. This proposal accounts for host-virus co-speciation and cross-species transmission. Published by Elsevier Inc.

  17. Traceable calibration of photovoltaic reference cells using natural sunlight

    Science.gov (United States)

    Müllejans, H.; Zaaiman, W.; Pavanello, D.; Dunlop, E. D.

    2018-02-01

    At the European Solar Test Installation (ESTI) photovoltaic (PV) reference cells are calibrated traceably to SI units via the World Radiometric Reference (WRR) using natural sunlight. The Direct Sunlight Method (DSM) is described in detail and the latest measurement results and an updated uncertainty budget are reported. These PV reference cells then provide a practical means for measuring the irradiance of natural or simulated sunlight during the calibration of other PV devices.

  18. External RNA Controls Consortium Beta Version Update.

    Science.gov (United States)

    Lee, Hangnoh; Pine, P Scott; McDaniel, Jennifer; Salit, Marc; Oliver, Brian

    2016-01-01

    Spike-in RNAs are valuable controls for a variety of gene expression measurements. The External RNA Controls Consortium developed test sets that were used in a number of published reports. Here we provide an authoritative table that summarizes, updates, and corrects errors in the test version that ultimately resulted in the certified Standard Reference Material 2374. We have noted existence of anti-sense RNA controls in the material, corrected sub-pool memberships, and commented on control RNAs that displayed inconsistent behavior.

  19. Genetics Home Reference: achromatopsia

    Science.gov (United States)

    ... 24 [updated 2016 Feb 25]. In: Pagon RA, Adam MP, Ardinger HH, Wallace SE, Amemiya A, Bean LJH, Bird TD, Ledbetter N, Mefford HC, Smith RJH, Stephens K, editors. GeneReviews® [Internet]. Seattle (WA): ...

  20. Genetics Home Reference: galactosemia

    Science.gov (United States)

    ... 4 [updated 2017 Mar 9]. In: Pagon RA, Adam MP, Ardinger HH, Wallace SE, Amemiya A, Bean LJH, Bird TD, Ledbetter N, Mefford HC, Smith RJH, Stephens K, editors. GeneReviews® [Internet]. Seattle (WA): ...

  1. Genetics Home Reference: vitiligo

    Science.gov (United States)

    ... SA, Fain PR, Ferrara TM, Ben S, Riccardi SL, Cole JB, Gowan K, Holland PJ, Bennett DC, Luiten ... medicine? What is newborn screening? New Pages Lyme disease Fibromyalgia White-Sutton syndrome All New & Updated Pages ...

  2. Genetics Home Reference: bradyopsia

    Science.gov (United States)

    ... such as when walking out of a darkened movie theater into daylight. Their eyes also have trouble ... Robson AG, Holder GE. Pathognomonic (diagnostic) ERGs. A review and update. Retina. 2013 Jan;33(1):5- ...

  3. WIMS Library updating

    International Nuclear Information System (INIS)

    Ravnik, M.; Trkov, A.; Holubar, A.

    1992-01-01

    At the end of 1990 the WIMS Library Update Project (WLUP) has been initiated at the International Atomic Energy Agency. The project was organized as an international research project, coordinated at the J. Stefan Institute. Up to now, 22 laboratories from 19 countries joined the project. Phase 1 of the project, which included WIMS input optimization for five experimental benchmark lattices, has been completed. The work presented in this paper describes also the results of Phase 2 of the Project, in which the cross sections based on ENDF/B-IV evaluated nuclear data library have been processed. (author) [sl

  4. Fusion Energy Update

    International Nuclear Information System (INIS)

    Whitson, M.O.

    1982-01-01

    Fusion Energy Update (CFU) provides monthly abstracting and indexing coverage of current scientific and technical reports, journal articles, conference papers and proceedings, books, patents, theses, and monographs for all sources on fusion energy. All information announced in CFU, plus additional backup information, is included in the energy information data base of the Department of Energy's Technical Information Center. The subject matter covered by CFU includes plasma physics, the physics and engineering of blankets, magnet coils and fields, power supplies and circuitry, cooling systems, fuel systems, radiation hazards, power conversion systems, inertial confinement systems, and component development and testing

  5. Astrophysics Update 2

    CERN Document Server

    Mason, John W

    2006-01-01

    "Astrophysics Updates" is intended to serve the information needs of professional astronomers and postgraduate students about areas of astronomy, astrophysics and cosmology that are rich and active research spheres. Observational methods and the latest results of astronomical research are presented as well as their theoretical foundations and interrelations. The contributed commissioned articles are written by leading exponents in a format that will appeal to professional astronomers and astrophysicists who are interested in topics outside their own specific areas of research. This collection of timely reviews may also attract the interest of advanced amateur astronomers seeking scientifically rigorous coverage.

  6. Context updates are hierarchical

    Directory of Open Access Journals (Sweden)

    Anton Karl Ingason

    2016-10-01

    Full Text Available This squib studies the order in which elements are added to the shared context of interlocutors in a conversation. It focuses on context updates within one hierarchical structure and argues that structurally higher elements are entered into the context before lower elements, even if the structurally higher elements are pronounced after the lower elements. The crucial data are drawn from a comparison of relative clauses in two head-initial languages, English and Icelandic, and two head-final languages, Korean and Japanese. The findings have consequences for any theory of a dynamic semantics.

  7. Shipment security update - 2003

    International Nuclear Information System (INIS)

    Patterson, John; Anne, Catherine

    2003-01-01

    At the 2002 RERTR, NAC reported on the interim measures taken by the U.S. Nuclear Regulatory Commission to enhance the security afforded to shipments of spent nuclear fuel. Since that time, there have been a number of additional actions focused on shipment security including training programs sponsored by the U.S. Department of Transportation and the Electric Power Research Council, investigation by the Government Accounting Office, and individual measures taken by shippers and transportation agents. The paper will present a status update regarding this dynamic set of events and provide an objective assessment of the cost, schedule and technical implications of the changing security landscape. (author)

  8. Updated Photonuclear Data Library and Database for Photon Strength Functions

    Directory of Open Access Journals (Sweden)

    Dimitriou Paraskevi

    2015-01-01

    Full Text Available Photonuclear cross sections and gamma-ray data used to extract Photon Strength Functions are important for a large range of applications including basic sciences. The recommendations of an IAEA Consultant’s Meeting to update the IAEA Photonuclear Data Library and create a Reference Database for Photon Strength Functions are presented.

  9. WIMS Library updating

    Energy Technology Data Exchange (ETDEWEB)

    Ravnik, M; Trkov, A [Inst. Jozef Stefan, Ljubljana (Slovenia); Holubar, A [Ustav Jaderneho Vyzkumu CSKAE, Rez (Serbia and Montenegro)

    1992-07-01

    At the end of 1990 the WIMS Library Update Project (WLUP) has been initiated at the International Atomic Energy Agency. The project was organized as an international research project, coordinated at the J. Stefan Institute. Up to now, 22 laboratories from 19 countries joined the project. Phase 1 of the project, which included WIMS input optimization for five experimental benchmark lattices, has been completed. The work presented in this paper describes also the results of Phase 2 of the Project, in which the cross sections based on ENDF/B-IV evaluated nuclear data library have been processed. (author) [Slovenian] Konec 1990 se je na Mednarodni agenciji za atomsko energijo zacel projekt obnove knjiznice presekov programa WIMS (WIMS Library Updating Project, WLUP). V projektu sodeluje 22 laboratorijev iz 19 drzav, koordiniramo pa ga na Institutu Jozef Stefan. Doslej je koncana faza 1 tega projekta, ki obsega optimizacijo vhodnega modela programa WIMS za pet eksperimentalnih testnih problemov. Podani so tudi rezultati faze 2, v kateri so se procesirali preseki na osnovi ENDF/B-IV datoteke. (author)

  10. Pathogen update: Salmonella

    DEFF Research Database (Denmark)

    Hald, Tine

    2013-01-01

    - Introduction - Incidence and burden of human salmonellosis - Epidemiology and disease transmission in humans - Classification and subtypes - Tracing the sources of human salmonellosis – source attribution - Discussion on sources to human salmonellosis - References...

  11. Appropriate levels of service

    CSIR Research Space (South Africa)

    Wall, K

    2010-02-01

    Full Text Available The term "services", as used in this article, broadly refers to infrastructure (in particular, civil and electrical engineering infrastructure), and also the infrastructure elements such as schools, clinics and halls. The term "basic services...

  12. National Drug File - Reference Terminology API

    Data.gov (United States)

    U.S. Department of Health & Human Services — The National Drug File - Reference Terminology (NDF-RT) is produced by the U.S. Department of Veterans Affairs, Veterans Health Administration (VHA). NDF-RT is an...

  13. [The heart of Italians. A population survey on the perception and evaluation of the National Health Service by citizens with heart disease and without heart disease (with special reference to cardiology)].

    Science.gov (United States)

    Ottani, Filippo; La Vecchia, Luigi; Diamanti, Ilvo; Pozzati, Andrea; Gardani, Ludovico; Fresco, Claudio; Lettino, Maddalena; Cuccia, Claudio

    2015-05-01

    The purpose of this study was to collect information to understand how citizens perceive the National Health System (NHS), and what is the degree of confidence they have in the NHS. We carried out an opinion poll with the Demos & Pi group on the perception of the NHS by Italian citizens, with particular reference to the activities related to cardiology, by interviewing 2311 people with a set of 33 questions, about the perception of their health status, lifestyles, the propensity to use public or private services, consideration of the level of the NHS, and the trust in the medical profession. The subjects included were also preliminarily stratified according to the presence or absence of heart disease. Overall, Italian citizens express a high level of satisfaction for the NHS (on average, 65% of approval rating), including the whole professional staff, hoping that the NHS will be kept appropriately funded. The result is even better in the subset of interviewed citizens, who suffered from cardiovascular disease. People also consider the NHS an essential requirement to ensure equity in access to medical treatment and to keep costs competitive, even compared to private healthcare. The NHS major weakness remains the waiting lists, which are considered too long for diagnostic procedures and ordinary interventions. There is a widespread positive feeling among Italian citizens concerning the role and functioning of the NHS. Such opinion, shared by the whole country, should be taken into account when the time will come to define strategies for health policy of the Italian society in the near future.

  14. 75 FR 26196 - Publication of OIG Updated Special Fraud Alert on Telemarketing by Durable Medical Equipment...

    Science.gov (United States)

    2010-05-11

    ... DEPARTMENT OF HEALTH AND HUMAN SERVICES Office of Inspector General Publication of OIG Updated Special Fraud Alert on Telemarketing by Durable Medical Equipment Suppliers AGENCY: Office of Inspector...) 205-0007. SUPPLEMENTARY INFORMATION: In our publication of the OIG Updated Special Fraud Alert on...

  15. Analysis Tool Web Services from the EMBL-EBI.

    Science.gov (United States)

    McWilliam, Hamish; Li, Weizhong; Uludag, Mahmut; Squizzato, Silvano; Park, Young Mi; Buso, Nicola; Cowley, Andrew Peter; Lopez, Rodrigo

    2013-07-01

    Since 2004 the European Bioinformatics Institute (EMBL-EBI) has provided access to a wide range of databases and analysis tools via Web Services interfaces. This comprises services to search across the databases available from the EMBL-EBI and to explore the network of cross-references present in the data (e.g. EB-eye), services to retrieve entry data in various data formats and to access the data in specific fields (e.g. dbfetch), and analysis tool services, for example, sequence similarity search (e.g. FASTA and NCBI BLAST), multiple sequence alignment (e.g. Clustal Omega and MUSCLE), pairwise sequence alignment and protein functional analysis (e.g. InterProScan and Phobius). The REST/SOAP Web Services (http://www.ebi.ac.uk/Tools/webservices/) interfaces to these databases and tools allow their integration into other tools, applications, web sites, pipeline processes and analytical workflows. To get users started using the Web Services, sample clients are provided covering a range of programming languages and popular Web Service tool kits, and a brief guide to Web Services technologies, including a set of tutorials, is available for those wishing to learn more and develop their own clients. Users of the Web Services are informed of improvements and updates via a range of methods.

  16. Cardiopatias congênitas em um serviço de referência: evolução clínica e doenças associadas Congenital heart diseases in a reference service: clinical evolution and associated illnesses

    Directory of Open Access Journals (Sweden)

    Janaína Huber

    2010-03-01

    disease (CHD. Knowing these changes is important to a better health care. OBJECTIVES: Description of profile of patients with CHD in a reference service in the State of Rio Grande do Sul, Brazil. METHODS: It is a cross-sectional study including 684 patients with CHD in a service of pediatric cardiology from January 2007 to May 2008. We interviewed the patients (and/or their parents and examined these patients (congenital malformations, anthropometric measures. Moreover, their charts were reviewed in order to detail heart diseases, procedures and echocardiography. RESULTS: Patients were from 16 days to 66 years old, 51.8% were female, and 93.7% were Caucasian. The mean age at diagnosis was 15.8 ± 46.8 months. Ventricular septal defect, patent ductus arteriosus and Tetralogy of Fallot were the most prevalent CHD. 59.1% of examined patients, whose average age was 44.3 ± 71.2 months, have been undergoing therapeutic procedures; 30.4% had congenital extracardiac malformations; and 12 patients had genetic syndrome. Regarding development, 46.6% had low weight and height gain, and 13.7% had neuropsychomotor delay. Furthermore, 18.4% had family history of congenital heart disease. CONCLUSIONS: Neuropsychomotor delay and low weight and height gain may be related to CHD. Establishing a profile of patients with CHD, who were treated at an institution of reference, may function as a basis in which health care of this population can be planed appropriately. (Arq Bras Cardiol 2010; 94(3:313-318

  17. Update on equine allergies.

    Science.gov (United States)

    Fadok, Valerie A

    2013-12-01

    Horses develop many skin and respiratory disorders that have been attributed to allergy. These disorders include pruritic skin diseases, recurrent urticaria, allergic rhinoconjunctivitis, and reactive airway disease. Allergen-specific IgE has been detected in these horses, and allergen-specific immunotherapy is used to ameliorate clinical signs. The best understood atopic disease in horses is insect hypersensitivity, but the goal of effective treatment with allergen-specific immunotherapy remains elusive. In this review, updates in pathogenesis of allergic states and a brief mention of the new data on what is known in humans and dogs and how that relates to equine allergic disorders are discussed. Copyright © 2013 Elsevier Inc. All rights reserved.

  18. Hypertrophic Cardiomyopathy: Clinical Update.

    Science.gov (United States)

    Geske, Jeffrey B; Ommen, Steve R; Gersh, Bernard J

    2018-05-01

    Hypertrophic cardiomyopathy (HCM) is the most common heritable cardiomyopathy, manifesting as left ventricular hypertrophy in the absence of a secondary cause. The genetic underpinnings of HCM arise largely from mutations of sarcomeric proteins; however, the specific underlying mutation often remains undetermined. Patient presentation is phenotypically diverse, ranging from asymptomatic to heart failure or sudden cardiac death. Left ventricular hypertrophy and abnormal ventricular configuration result in dynamic left ventricular outflow obstruction in most patients. The goal of therapeutic interventions is largely to reduce dynamic obstruction, with treatment modalities spanning lifestyle modifications, pharmacotherapies, and septal reduction therapies. A small subset of patients with HCM will experience sudden cardiac death, and risk stratification remains a clinical challenge. This paper presents a clinical update for diagnosis, family screening, clinical imaging, risk stratification, and management of symptoms in patients with HCM. Copyright © 2018 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.

  19. Y2K UPDATE

    CERN Multimedia

    Sverre JARP

    1999-01-01

    Concerning Y2K preparation, please note the following:Everybody, who has a NICE installation on his/her PC, needs to log in to NICE at least once before Xmas to get the Y2K update installed. This applies especially to dual boot systems.The test schedule on Y2Kplus.cern.ch will be prolonged. The last restart took place on 10 November and two more will take place on 24 November and 8 December, respectively. The Oracle users responsible for the maintenance of Oracle Forms applications which include PL/SQL blocks where date fields are handled with the default format are requested to contact oracle.support@cern.ch at their earliest convenience.Sverre Jarp (CERN Y2K co-ordinator, phone: 74944)

  20. Amblyopia update: new treatments.

    Science.gov (United States)

    Vagge, Aldo; Nelson, Leonard B

    2016-09-01

    This review article is an update on the current treatments for amblyopia. In particular, the authors focus on the concepts of brain plasticity and their implications for novel treatment strategies for both children and adults affected by amblyopia. A variety of strategies has been developed to treat amblyopia in children and adults. New evidence on the pathogenesis of amblyopia has been obtained both in animal models and in clinical trials. Mainly, these studies have challenged the classical concept that amblyopia becomes untreatable after the 'end' of the sensitive or critical period of visual development, because of a lack of sufficient plasticity in the adult brain. New treatments for amblyopia in children and adults are desirable and should be encouraged. However, further studies should be completed before such therapies are widely accepted into clinical practice.