WorldWideScience

Sample records for reported needed services

  1. Report of the Comprehensive Service Needs Study. [Final Report.

    Science.gov (United States)

    Urban Inst., Washington, DC.

    Presented is the report of the comprehensive service needs study for the severely handicapped as authorized by section 130 of the Rehabilitation Act of 1973. Chapters focus on the following aspects of the study: definitions; the vocational rehabilitation (VR) system; estimates of the severely disabled population not in institutions; the most…

  2. Report: Controls and Oversight Needed to Improve Administration of EPA’s Customer Service Lines

    Science.gov (United States)

    Report #13-P-0432, September 26, 2013. The EPA has a variety of resources—including telephone hotlines, Web clearinghouses, and other online reference information—which the OIG has categorized as customer service lines (CSLs).

  3. Teacher In-Service Training, Technology, and Front-End Analysis. A Needs Assessment Report.

    Science.gov (United States)

    Schnackenberg, Heidi L.; Luik, Krista; Nisan, Yael; Servant, Colleen

    This paper reports on a needs assessment, conducted in two elementary schools in Quebec, that examined the use that teachers are making of the computer facilities, as well as their skill and confidence levels in this area. The first section provides a general description of the project, details the sources of information, and discusses the reasons…

  4. Needs assessment for fire department services and resources for the Los Alamos National Laboratory, Los Alamos, New Mexico. Final report

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1995-11-15

    This report has been developed in response to a request from the Los Alamos National Laboratory (LANL) to evaluate the need for fire department services so as to enable the Laboratory to plan effective fire protection and thereby: meet LANL`s regulatory and contractual obligations; interface with the Department of Energy (DOE) and other agencies on matters relating to fire and emergency services; and ensure appropriate protection of the community and environment. This study is an outgrowth of the 1993 Fire Department Needs Assessment (prepared for DOE) but is developed from the LANL perspective. Input has been received from cognizant and responsible representatives at LANL, DOE, Los Alamos County (LAC) and the Los Alamos Fire Department (LAFD).

  5. Quality versus Quantity: The Role of Socioeconomic Status on Parent-Reported Service Knowledge, Service Use, Unmet Service Needs, and Barriers to Service Use

    Science.gov (United States)

    Pickard, Katherine E.; Ingersoll, Brooke R.

    2016-01-01

    Research within the autism spectrum disorder field has emphasized the role of socioeconomic status in shaping parents' ability to access services for their child with autism spectrum disorder. However, research has yet to explore the possible mechanisms underlying this relationship. This study sought to address this research gap by examining the…

  6. Quality versus Quantity: The Role of Socioeconomic Status on Parent-Reported Service Knowledge, Service Use, Unmet Service Needs, and Barriers to Service Use

    Science.gov (United States)

    Pickard, Katherine E.; Ingersoll, Brooke R.

    2016-01-01

    Research within the autism spectrum disorder field has emphasized the role of socioeconomic status in shaping parents' ability to access services for their child with autism spectrum disorder. However, research has yet to explore the possible mechanisms underlying this relationship. This study sought to address this research gap by examining the…

  7. Migrant and Seasonal Workers in Michigan's Agriculture: A Study of Their Contributions, Characteristics, Needs, and Services. Research Report No. 1.

    Science.gov (United States)

    Rochin, Refugio I.; Santiago, Anne M.; Dickey, Karla S.

    This study examines the characteristics and needs of Michigan's migrant and seasonal farmworkers. The study was based on census data, state agency records, and a statewide survey of service providers. Results indicate that neither mechanization nor other structural changes in Michigan's agricultural economy have diminished the industry's…

  8. Outplacement: Meeting Needs, Matching Services.

    Science.gov (United States)

    Simon, Donald R.

    1988-01-01

    Describes outplacement services as including such services and information as (1) financial and career counseling, (2) connections with established training programs and resources in the community, and (3) workshops to teach business start-up skills (although at different levels depending upon program costs). Includes questions to ask potential…

  9. Outplacement: Meeting Needs, Matching Services.

    Science.gov (United States)

    Simon, Donald R.

    1988-01-01

    Describes outplacement services as including such services and information as (1) financial and career counseling, (2) connections with established training programs and resources in the community, and (3) workshops to teach business start-up skills (although at different levels depending upon program costs). Includes questions to ask potential…

  10. Service Needs across the Lifespan for Individuals with Autism

    Science.gov (United States)

    Turcotte, Paul; Mathew, Mary; Shea, Lindsay L.; Brusilovskiy, Eugene; Nonnemacher, Stacy L.

    2016-01-01

    The goal of this research was to examine reported service needs among individuals with autism spectrum disorder (ASD) of all ages. Data were generated from a state survey that queried the needs of children, adolescents and adults with ASD. Logistic regression was used to compare service use and need among these age groups. Adults with ASD were…

  11. U of M Civil Service Wellness Survey: Finding Out Employees' Health and Wellness Needs. A Report of Key Findings.

    Science.gov (United States)

    Matross, Ron; Roesler, Jon

    Key findings from a wellness survey conducted with University of Minnesota civil service employees are discussed. The survey was designed to provide information to guide future campus health and wellness programming. Four topics were covered: physical fitness/exercise, nutrition, self-improvement/psychological health, and general health/preventive…

  12. Service Needs and Provision in Mpumalanga.

    Science.gov (United States)

    O'Leary, B. M., Ed.; Govind, V., Ed.; Schwabe, C. A. Ed.; Taylor, J. M., Ed.

    This book, one of a series that uses Geographic Information Systems (GIS) to outline the need for and provision of services (education, health, housing, electricity, roads, telecommunications, postal services, and police services) in each of the nine South African provinces, presents a global view or indicator of the simultaneous influence of the…

  13. Service Needs and Provision in Gauteng.

    Science.gov (United States)

    O'Leary, B. M., Ed.; Govind, V., Ed.; Schwabe, C. A., Ed.; Taylor, J. M., Ed.

    This book, one of a series that uses Geographic Information Systems (GIS) to outline the need for and provision of services (education, health, housing, electricity, roads, telecommunications, postal services, and police services) in each of the nine South African provinces, presents a global view or indicator of the simultaneous influence of the…

  14. State of Services Report

    Data.gov (United States)

    Social Security Administration — A comprehensive monthly report portraying customer experience with our various service options. The State of Services is shared with the ACOSS and is presented to...

  15. Helping Those in Need: Human Service Workers

    Science.gov (United States)

    Moffat, Colleen Teixeira

    2011-01-01

    Many people experience hardship and need help. This help is provided by a network of agencies and organizations, both public and private. Staffed by human service workers, this network, and the kinds of help it offers, is as varied as the clients it serves. Human service workers help clients become more self-sufficient. The first section of this…

  16. Prepositioned Stocks: DOD has Addressed Required Reporting Elements but Needs to Develop a Department-Wide Policy and Joint Service Approach

    Science.gov (United States)

    2016-04-01

    possibility of higher repair costs in the long run. The Army and Air Force Prepositioned Stock Programs Reported Assumed Risks but Did Not...in the quality of information DOD provided on costs for completely reconstituting prepositioned stocks . Further, GAO found that risks which DOD...have reported on a number of ongoing and long - term challenges in DOD’s annual reports to Congress related to strategic planning, joint service

  17. Microsoft SQL Server Reporting Services Recipes for Designing Expert Reports

    CERN Document Server

    Turley, Paul

    2010-01-01

    Learn to design more effective and sophisticated business reports. While most users of SQL Server Reporting Services are now comfortable designing and building simple reports, business today demands increasingly complex reporting. In this book, top Reporting Services design experts have contributed step-by-step recipes for creating various types of reports. Written by well-known SQL Server Reporting Services experts, this book gives you the tools to meet your clients' needs: SQL Server Reporting Services enables you to create a wide variety of reports; This guide helps you customize reports fo

  18. Program Service Reports Search Tool

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Program Service Reports provide information on reported demographics, services, and federal monitoring of Head Start and Early Head Start programs, beginning...

  19. Investing in the future of jobs and skills : scenarios, implications and options in anticipation of future skills and knowledge needs : sector report other services

    NARCIS (Netherlands)

    Dijkgraaf, E.; Gijsbers, G.; Jong, J.M. de; Jonkhoff, W.; Zandvliet, K.; Treutlein, D.; Sanders, J.; Vos, E. de; Maier, D.; Zee, F.A. van der

    2009-01-01

    This report concentrates on other personal services and activities of households as employer of domestic personnel. Part I analyses recent relevant sector developments and trends and depicts the current state of play in the sector, with an emphasis on innovation, skills and jobs. The findings of Par

  20. Investing in the future of jobs and skills : scenarios, implications and options in anticipation of future skills and knowledge needs : sector report other services

    NARCIS (Netherlands)

    Dijkgraaf, E.; Gijsbers, G.; Jong, J.M. de; Jonkhoff, W.; Zandvliet, K.; Treutlein, D.; Sanders, J.; Vos, E. de; Maier, D.; Zee, F.A. van der

    2009-01-01

    This report concentrates on other personal services and activities of households as employer of domestic personnel. Part I analyses recent relevant sector developments and trends and depicts the current state of play in the sector, with an emphasis on innovation, skills and jobs. The findings of Par

  1. Learning SQL Server Reporting Services 2012

    CERN Document Server

    Krishnaswamy, Jayaram

    2013-01-01

    The book is packed with clear instructions and plenty of screenshots, providing all the support and guidance you will need as you begin to generate reports with SQL Server 2012 Reporting Services.This book is for those who are new to SQL Server Reporting Services 2012 and aspiring to create and deploy cutting edge reports. This book is for report developers, report authors, ad-hoc report authors and model developers, and Report Server and SharePoint Server Integrated Report Server administrators. Minimal knowledge of SQL Server is assumed and SharePoint experience would be helpful.

  2. Closing the Need-Service Gap: Gender Differences in Matching Services to Client Needs in Comprehensive Substance Abuse Treatment

    Science.gov (United States)

    Marsh, Jeanne C.; Cao, Dingcai; Shin, Hee-Choon

    2009-01-01

    Despite the broad recognition in social work that services are more effective when they are tailored to individual client needs, we have only limited evidence of the impact that services matched to client needs have on treatment outcomes. This study examines gender differences in the impact of matched services, access services, and…

  3. Children Who Are Newcomers: Social Service Needs.

    Science.gov (United States)

    Jenkins, Shirley

    1983-01-01

    Examines the nature and quality of social services and support extended to children who enter the United States as legal or illegal immigrants or refugees, unaccompanied or with their families. Explores problems encountered by immigrant and refugee programs, and policy issues relating to services for newcomers. (Author/MJL)

  4. New Media Services Need Interoperability and Portability

    NARCIS (Netherlands)

    Stokking, H.M.; Brandenburg, R. van; Weerdt, C.A. van der

    2011-01-01

    For telephone services, service providers have arranged that users from different providers can communicate with each other. Also, when changing from one provider to another, it is possible to retain your telephone number. These things are possible because of `interconnection' and `number portabilit

  5. Perceptions of Service Providers regarding Special Needs ...

    African Journals Online (AJOL)

    The workers identified the following as special needs offenders: the mentally disabled ... identified especially the following: intellectual disability and those with mental illness, ... Keywords: special needs offenders, prisoners, mental disability

  6. Palliative care providers' perspectives on service and education needs.

    Science.gov (United States)

    Sellick, S M; Charles, K; Dagsvik, J; Kelley, M L

    1996-01-01

    To obtain the information necessary for coordinated regional program development, we examined (a) the multidisciplinary viewpoint of palliative care service provision and (b) the continuing education needs reported by non-physician service providers. Of 146 surveys distributed to care providers from multiple settings, 135 were returned. Respondents cited these problems: fragmented services, poor pain and symptom control, lack of education for providers, lack of public awareness, problems with the continuity and coordination of care, lack of respite, and lack of hospice beds. Stress management for caregivers, pain management, communication skills, and symptom assessment were rated as priorities in continuing education. Lectures, small group discussions, practicum, and regular medical centre rounds were the preferred learning formats, while costs and staff shortages were cited as educational barriers.

  7. User Needs of Digital Service Web Portals: A Case Study

    Science.gov (United States)

    Heo, Misook; Song, Jung-Sook; Seol, Moon-Won

    2013-01-01

    The authors examined the needs of digital information service web portal users. More specifically, the needs of Korean cultural portal users were examined as a case study. The conceptual framework of a web-based portal is that it is a complex, web-based service application with characteristics of information systems and service agents. In…

  8. Electronic Service Statistics - Quarterly Report

    Data.gov (United States)

    Social Security Administration — This is a quarterly report that compares electronic data vs non-electronic data for electronic services. Report contains six main sections namely, electronic access,...

  9. Need, Awareness, and Use of Career Services for College Students

    Science.gov (United States)

    Fouad, Nadya A.; Guillen, Amy; Harris-Hodge, Elizabeth; Henry, Caroline; Novakovic, Alexandra; Terry, Sarah; Kantamneni, Neeta

    2006-01-01

    This study examined whether university students were psychologically distressed or had difficulties with career decisions to indicate whether they needed career services, whether they were aware of the services offered by the campus counseling and career services, and finally, whether they had used the services. Findings indicated that students…

  10. Aftercare for Teenagers: Matching Services and Needs.

    Science.gov (United States)

    Fertman, Carl I.

    1991-01-01

    Explored how drug and alcohol aftercare case management service for adolescents (n=18) contributed to maintenance of drug- and alcohol-free behavior, adherence to aftercare plans, and participation of schools and families in aftercare plans. Found different patterns of outcome results for each of four identified groups of adolescents. Results…

  11. Self-reported utilization of mental health services in the adult German population--evidence for unmet needs? Results of the DEGS1-Mental Health Module (DEGS1-MH).

    Science.gov (United States)

    Mack, Simon; Jacobi, Frank; Gerschler, Anja; Strehle, Jens; Höfler, Michael; Busch, Markus A; Maske, Ulrike E; Hapke, Ulfert; Seiffert, Ingeburg; Gaebel, Wolfgang; Zielasek, Jürgen; Maier, Wolfgang; Wittchen, Hans-Ulrich

    2014-09-01

    This paper provides up-to-date data on service use for mental health problems and disorders among adults aged 18-79 years in Germany derived from the Mental Health Module of the German Health Interview and Examination Survey for Adults (DEGS1-MH; N=4483). Data are based exclusively on self-report. Respondents were examined by clinically trained interviewers with a modified version of the Composite International Diagnostic Interview DIA-X/M-CIDI to assess diagnoses according to the criteria of DSM-IV-TR. Service use, i.e. contact to mental health care services, due to mental health problems was assessed for the past 12 months and lifetime, by type of sector and type of institution. Among respondents with a 12-month diagnosis of a mental disorder, 23.5% of the women and 11.6% of the men reported any service use in the past 12 months. Service use depends on type of diagnosis, comorbidity and socio-demographic characteristics. Lowest 12-month utilization rates were found for substance use disorders (15.6%; lifetime use 37.3%), highest for psychotic disorders (40.5%; lifetime 72.1%). Further, a considerable time lap was found between disorder onset and subsequent service use among the majority of cases with anxiety and mood disorders. This paper provides self-reported epidemiological data on mental health service use in Germany, complementing administrative statistics and the predecessor mental health module of the German Health Interview and Examination Survey (GHS-MHS) from 1998. Despite considerable changes in the mental health field in Germany and the existence of a comprehensive mental health care system without major financial barriers, we find no indications of substantially higher utilization rates for mental disorders as compared to other comparable European countries. Further, no indications of major overall changes in utilization rates are apparent. To pinpoint areas with unmet needs, more detailed analyses of the data are needed taking into account type

  12. Homeless health needs: shelter and health service provider perspective.

    Science.gov (United States)

    Hauff, Alicia J; Secor-Turner, Molly

    2014-01-01

    The effects of homelessness on health are well documented, although less is known about the challenges of health care delivery from the perspective of service providers. Using data from a larger health needs assessment, the purpose of this study was to describe homeless health care needs and barriers to access utilizing qualitative data collected from shelter staff (n = 10) and health service staff (n = 14). Shelter staff members described many unmet health needs and barriers to health care access, and discussed needs for other supportive services in the area. Health service providers also described multiple health and service needs, and the need for a recuperative care setting for this population. Although a variety of resources are currently available for homeless health service delivery, barriers to access and gaps in care still exist. Recommendations for program planning are discussed and examined in the context of contributing factors and health care reform.

  13. Provision of neuropsychiatry services: variability and unmet need.

    Science.gov (United States)

    Agrawal, Niruj; Bhattacharya, Rahul; Rickards, Hugh

    2015-12-01

    Aims and method Neuropsychiatry services remain underdeveloped and underprovided. Previous studies have shown variability in service provision in the UK. In this survey we approached all mental health and neuropsychiatric service providers within London to map current neuropsychiatric service provision and explore perceived barriers. Results All the specialist mental health service providers responded. There was huge variability in neuropsychiatric service provision within different parts of London. There was evidence of significant unmet need and variability in service pathways. Lack of earmarked funds for neuropsychiatry and disjointed funding stream for such services were identified by providers as a barrier. Clinical implications This study provides further evidence of an ongoing lack of adequate neuropsychiatric service provision. Reasons for variability and unmet need are discussed. Adoption of a previously proposed hub-and-spoke model of service provision and the removal of commissioning barriers through uniform national commissioning may help deal with this problem.

  14. UNMET NEEDS FOR HEALTH CARE SERVICES IN BULGARIA

    Directory of Open Access Journals (Sweden)

    Elka Atanasova

    2016-09-01

    Full Text Available Background: In all European countries, an important policy objective is the equity of access to health care. The factors that affect access to health care can differ as the demand- and supply-side factors. Moreover, there are many tools to assess the extent of inequity in access to services. One simple tool is the assessing reports of unmet needs for health care. Purpose: The study has two objectives: to examine the evidence of self-reported unmet needs and to analyze the relationship between foregone medical care and both type of residence and socioeconomic status. Materials and Methods: We use data from the European Union Statistics on Income and Living Conditions. The access to health care is measured using the concept of unmet need for medical examination or treatment during the last 12 months. The relationship between foregone medical care and both type of residence and socioeconomic status is examined through the representative survey conducted in 2014. Results: The Eurostat results show that treatment costs are the most common reason for foregone medical care in Bulgaria. We observe a gradual decrease in the share of people who reported having unmet needs due to being too expensive. According to the 2014 survey, significant differences between urban and rural areas as well as among the income groups are identified. The results show the problems in access to health care services mainly in small towns and villages. Conclusion: Although major essential changes were made in the Bulgarian health care system, the equity problems remain an important challenge to policy-makers.

  15. Energy Efficiency Services Sector: Workforce Education and Training Needs

    Energy Technology Data Exchange (ETDEWEB)

    Goldman, Charles A.; Peters, Jane S.; Albers, Nathaniel; Stuart, Elizabeth; Fuller, Merrian C.

    2010-03-19

    This report provides a baseline assessment of the current state of energy efficiency-related education and training programs and analyzes training and education needs to support expected growth in the energy efficiency services workforce. In the last year, there has been a significant increase in funding for 'green job' training and workforce development (including energy efficiency), through the American Recovery and Reinvestment Act (ARRA). Key segments of the energy efficiency services sector (EESS) have experienced significant growth during the past several years, and this growth is projected to continue and accelerate over the next decade. In a companion study (Goldman et al. 2009), our research team estimated that the EESS will increase two- to four-fold by 2020, to 220,000 person-years of employment (PYE) (low-growth scenario) or up to 380,000 PYE (high-growth scenario), which may represent as many as 1.3 million individuals. In assessing energy efficiency workforce education and training needs, we focus on energy-efficiency services-related jobs that are required to improve the efficiency of residential and nonresidential buildings. Figure ES-1 shows the market value chain for the EESS, sub-sectors included in this study, as well as the types of market players and specific occupations. Our assessment does not include the manufacturing, wholesale, and retail distribution subsectors, or energy efficiency-focused operations and maintenance performed by facility managers.

  16. Dental services and needs in developing countries.

    Science.gov (United States)

    Pack, A R

    1998-06-01

    People in developing countries are burdened excessively by oral diseases, particularly periodontal disease. These are aggravated by poverty, poor living conditions, ignorance concerning health education, and lack of government funding and policy to provide sufficient oral health care workers. WHO and FDI have identified the problems and developed strategies. However, acceptable goals and standards of oral health have to be agreed. Furthermore, barriers to oral health promotion need to be overcome through co-operation at all levels and appreciation of cultural sensitivity. There is the need for research to determine which types of oral health care systems are most effective in reducing the extent of inequality in oral health. In developing countries where there are huge problems, intervention programmes focusing on primary care and prevention should be designed and implemented urgently and their effectiveness monitored and analysed scientifically. The WHO, FDI and national and international professional organisations should play a leading role in encouraging a determined, co-ordinated effort towards improving the oral health status of disadvantaged people in developing countries.

  17. Ancillary services: technical specifications, system needs and costs. Deliverable D 2.2

    DEFF Research Database (Denmark)

    Holttinen, Hannele; Cutululis, Nicolaos Antonio; Gubina, Andrej;

    2012-01-01

    In this report, different ancillary services are described and a table listing main services is presented. While Chapter 2 is describing the services from (renewable) generators point of view, Chapter 3 is considering future system needs for services with increased wind and solar penetration. The....... The table will be used as a starting point in the REServiceS project to see how much these services would cost when provided from wind/PV (WP3/4), and how often these services would be used in systems with higher penetrations of wind and solar (WP5/6).......In this report, different ancillary services are described and a table listing main services is presented. While Chapter 2 is describing the services from (renewable) generators point of view, Chapter 3 is considering future system needs for services with increased wind and solar penetration...

  18. Service Needs and Provision in the Free State.

    Science.gov (United States)

    O'Leary, B. M., Ed.; Govind, V., Ed.; Schwabe, C. A., Ed.; Taylor, J. M., Ed.

    This book, one of a series that uses Geographic Information Systems (GIS) to outline the need for and provision of services (education, health, housing, electricity, roads, telecommunications, postal services, and police services) in each of the nine South African provinces, presents a global view or indicator of the simultaneous influence of the…

  19. Service Needs and Provision in the Northern Province.

    Science.gov (United States)

    O'Leary, B. M., Ed.; Govind, V., Ed.; Schwabe, C. A., Ed.; Taylor, J. M., Ed.

    This book, one of a series that uses Geographic Information Systems (GIS) to outline the need for and provision of services (education, health, housing, electricity, roads, telecommunications, postal services, and police services) in each of the nine South African provinces, presents a global view or indicator of the simultaneous influence of the…

  20. Service Needs and Provision in the North West Province.

    Science.gov (United States)

    O'Leary, B. M., Ed.; Govind, V., Ed.; Schwabe, C. A., Ed.; Taylor, J. M., Ed.

    This book, one of a series that uses Geographic Information Systems (GIS) to outline the need for and provision of services (education, health, housing, electricity, roads, telecommunications, postal services, and police services) in each of the nine South African provinces, presents a global view or indicator of the simultaneous influence of the…

  1. Service Needs and Provision in the Northern Cape.

    Science.gov (United States)

    O'Leary, B. M., Ed.; Govind, V., Ed.; Schwabe, C. A., Ed.; Taylor, J. M., Ed.

    This book, one of a series that uses Geographic Information Systems (GIS) to outline the need for and provision of services (education, health, housing, electricity, roads, telecommunications, postal services, and police services) in each of the nine South African provinces, presents a global view or indicator of the simultaneous influence of the…

  2. International Roaming of Mobile Services: The Need for Regulation

    DEFF Research Database (Denmark)

    Falch, Morten

    2012-01-01

    This section discusses the need for regulation of international roaming charges. This is done through analysis of the EU experiences by a heavy handed price regulation of roaming services.......This section discusses the need for regulation of international roaming charges. This is done through analysis of the EU experiences by a heavy handed price regulation of roaming services....

  3. Needs Assessment for a Provincial Literacy Hotline Service.

    Science.gov (United States)

    Bell, Jim

    A study was conducted to determine the need for a provincewide literacy hotline in Alberta, Canada, and if needed, the configuration of services for establishing the hotline. Data were gathered through two surveys. In order to find out what an Alberta literacy hotline service might look like, a cross-Canada telephone and mail survey was conducted.…

  4. Electronic Services Monthly MI Report

    Data.gov (United States)

    Social Security Administration — This electronic services monthly MI report contains monthly MI data for most public facing online online applications such as iClaim, electronic access, Mobile wage...

  5. Tailoring design to service user needs.

    Science.gov (United States)

    Baillie, Jonathan

    2013-08-01

    Conference topics at the Design in Mental Health Conference & Exhibition 2013 at Birmingham's National Motorcycle Museum in mid-May ranged from how to develop supportive design for dementia sufferers, to a new Dutch 'High Care Unit' pilot facility in Eindhoven incorporating multisensory elements from Philips Healthcare, that is designed to help calm and restore equilibrium for patients in an anxious, distressed, and potentially aggressive state, and reduce instances of 'seclusion'. HEJ editor, Jonathan Baillie, reports on three presentations with a common theme - the significant impact that good building design and a 'positive' internal environment can have on patient well-being, recovery, and 'mood'.

  6. Army Information Operations Officer Needs Analysis Report

    Science.gov (United States)

    2016-03-01

    helping with formatting the final report iv ARMY INFORMATION OPERATIONS OFFICER NEEDS ANALYSIS REPORT EXECUTIVE SUMMARY Research...time.” One IO officer suggested the IPO try to get a access the database that has all the old APA reports archived as a way to look at assessment

  7. Federally Supported Centers Provide Needed Services for Runaways and Homeless Youths. Report to the Chairman, Subcommittee on Human Resources, Committee on Education and Labor, House of Representatives.

    Science.gov (United States)

    General Accounting Office, Washington, DC. Div. of Human Resources.

    The Runaway and Homeless Youth Act authorizes funds under the Juvenile Justice and Delinquency Prevention Act of 1974 for community-based centers that serve the shelter needs of runaway or homeless youths. To examine the effectiveness of the programs and the characteristics of program participants, the Government Accounting Office (GAO) visited 17…

  8. A Marketing Study into Consumer Needs for Consulting Services

    Directory of Open Access Journals (Sweden)

    Marya V. Shendo

    2016-03-01

    Full Text Available Any service ought to be analyzed, first and foremost, in terms of its usefulness to consumers and its ability to meet their needs. An effective way of studying consumer needs is to conduct marketing research. This marketing study, which factored in the specificity of the issue in question and the characteristics of accounting consulting services and their consumers, was conducted in 3 stages. Its findings reveal that the need for accounting and taxation consulting services does exist today, and that the way it is currently being met needs improvement.

  9. Do Mental Health Outpatient Services Meet Users' Needs? Trial to Identify Factors Associated with Higher Needs for Care.

    Science.gov (United States)

    Dobrzynska, Ewelina; Rymaszewska, Joanna; Biecek, Przemyslaw; Kiejna, Andrzej

    2016-05-01

    The study was conducted to investigate the extent to which services meet patients' needs and identify the factors associated with higher needs. 174 outpatients were assessed using CANSAS, BPRS and GSDS. The total number of unmet needs in persons with psychotic, eating, personality and affective disorders was higher than in patients with anxiety disorders. Being single, positive symptoms, depression/anxiety, hospitalizations and high social disability accounted for 50 % of the variance in level of unmet need. Persons with eating and personality disorders reported similar level of unmet needs to those with psychotic and affective disorders. The best correlates of unmet needs were depression/anxiety and social disability.

  10. Provider Services Network Project. Draft Final Report.

    Science.gov (United States)

    Urban and Rural Systems Associates, San Francisco, CA.

    This draft report on the development and testing of a child care Provider Services Network (PSN) model in Santa Clara County, California, includes a handbook (Manual to Optimize a PSN) designed to provide the State Department of Education and regional or local child care coordinating agencies with information needed to develop PSN optimization…

  11. Training to meet the need for refractive error services

    Directory of Open Access Journals (Sweden)

    Hannah Faal

    2007-09-01

    Full Text Available In many low- and middle-income countries, there are inadequate refractive error services for the many people who are currently either blind or visually impaired because they lack a pair of spectacles.The prioritisation of refractive error and low vision services within VISION 2020: The Right to Sight has provided an impetus and framework for the development of refractive error programmes to meet this need for services.

  12. Report - Results of survey on child care needs - 2017

    CERN Document Server

    Guinot, Genevieve; Weymaere, Emeline; Trilhe, Philippe; Palluel, Stephanie; Mangiorou, Maria-Anna; Mondlane, Bruna; CERN. Geneva. HR Department

    2017-01-01

    In June 2016, a working group reporting to the Director for Finance and Human Resources was established to study the sustainability of CERN nursery and school services. Among actions taken by the working group, a survey was carried out to achieve a better understanding of the needs of CERN families for child care and educational structures, to identify which services are in highest demand (e.g. crèche or early years, primary schooling) and to understand the expectations and preferences of CERN families regarding these services.

  13. Life Skill Service Needs: Perspectives of Homeless Youth

    Science.gov (United States)

    Aviles, Ann; Helfrich, Christine

    2004-01-01

    The present study describes the service needs related to life skill development from the perspective of sheltered homeless youth. Qualitative semistructured life narrative interviews addressing the use of services at an emergency shelter were administered to 30 youth. All youth were residig in an emergency shelter located in a large metropolitan…

  14. 42 CFR 409.32 - Criteria for skilled services and the need for skilled services.

    Science.gov (United States)

    2010-10-01

    ... of Posthospital SNF Care § 409.32 Criteria for skilled services and the need for skilled services. (a... medical complications. Under those circumstances, a service that is usually nonskilled (such as those... care. However, if the patient has a preexisting acute skin condition or needs traction,...

  15. 39 CFR 3050.30 - Information needed to estimate the cost of the universal service obligation. [Reserved

    Science.gov (United States)

    2010-07-01

    ... 39 Postal Service 1 2010-07-01 2010-07-01 false Information needed to estimate the cost of the universal service obligation. 3050.30 Section 3050.30 Postal Service POSTAL REGULATORY COMMISSION PERSONNEL PERIODIC REPORTING § 3050.30 Information needed to estimate the cost of the universal service obligation....

  16. Temporary services for patients in need of chronic care

    Directory of Open Access Journals (Sweden)

    Hesse Morten

    2008-06-01

    Full Text Available Abstract Background A project is a temporary endeavour undertaken to create a product or service. Projects are frequently used for the testing and development of new approaches in social work. Projects can receive grants from central, often national or international institutions, and allow for more experimentation than work placed within existing institutions. Discussion For socially marginalized groups who need continuing support and care, receiving help in a project means that the clients will have to be transferred to other services when the project ends. There is also a risk that clients will experience a decline in services, as staff members have to seek new employment towards the end of the project, or begin to focus more on the evaluation than the services. This raises some ethical issues concerning the use of human subjects in projects. Conclusion Project managers should consider ethical issues relating to continuity of services when serving vulnerable patients with a need for continuing care.

  17. The Geography of Need: Identifying Human Service Needs in Rural America

    Science.gov (United States)

    Heflin, Colleen; Miller, Kathleen

    2012-01-01

    Given the recent economic crisis and the accompanying funding cuts across social service programs, it is helpful to observe the geographic distribution of demographic characteristics and economic conditions that together create a human service needs profile. The authors provide a conceptual framework for a systematic analysis of county…

  18. The Geography of Need: Identifying Human Service Needs in Rural America

    Science.gov (United States)

    Heflin, Colleen; Miller, Kathleen

    2012-01-01

    Given the recent economic crisis and the accompanying funding cuts across social service programs, it is helpful to observe the geographic distribution of demographic characteristics and economic conditions that together create a human service needs profile. The authors provide a conceptual framework for a systematic analysis of county…

  19. Foster Care: State Practices for Assessing Health Needs, Facilitating Service Delivery, and Monitoring Children's Care. Report to the Chairman, Subcommittee on Income Security and Family Support, Committee on Ways and Means, House of Representatives. GAO-09-26

    Science.gov (United States)

    Brown, Kay; Bascetta, Cynthia A.

    2009-01-01

    Providing health care services for foster children, who frequently have significant health care needs, can be challenging. The Administration for Children and Families (ACF) oversees foster care, but state child welfare agencies are responsible for ensuring that these children receive health care services, which are often financed by Medicaid. In…

  20. ASCI Grid Services summary report.

    Energy Technology Data Exchange (ETDEWEB)

    Hiebert-Dodd, Kathie L.

    2004-03-01

    The ASCI Grid Services (initially called Distributed Resource Management) project was started under DisCom{sup 2} when distant and distributed computing was identified as a technology critical to the success of the ASCI Program. The goals of the Grid Services project has and continues to be to provide easy, consistent access to all the ASCI hardware and software resources across the nuclear weapons complex using computational grid technologies, increase the usability of ASCI hardware and software resources by providing interfaces for resource monitoring, job submission, job monitoring, and job control, and enable the effective use of high-end computing capability through complex-wide resource scheduling and brokering. In order to increase acceptance of the new technology, the goal included providing these services in both the unclassified as well as the classified user's environment. This paper summarizes the many accomplishments and lessons learned over approximately five years of the ASCI Grid Services Project. It also provides suggestions on how to renew/restart the effort for grid services capability when the situation is right for that need.

  1. Service-learning in dental education: meeting needs and challenges.

    Science.gov (United States)

    Hood, Janet Grobe

    2009-04-01

    Community-based service-learning is increasingly common in dental education. By definition, service-learning combines educational goals with service to the community, and the community and school are equal partners. The three main goals of service-learning are improving learning, promoting civic engagement, and strengthening communities. There have been calls from many groups to reform dental education to better serve the public, and service-learning is one of the most often recommended methods to help meet this goal. One of the key attributes of service-learning is its potential to promote civic engagement and social responsibility during the student's education. The social responsibility of dentists and aspects of professionalism can be learned by students through participation in well-structured service-learning programs. Community-based service-learning programs can also address societal needs by improving the public's access to oral health care through partnerships among dental schools, oral health providers, and communities. This article describes service-learning programs at several dental schools to illustrate application of this educational strategy in predoctoral dental education. This article also describes challenges that confront schools desiring to implement and sustain service-learning programs, including academic quality, faculty development and training, interprofessionalism, making time in the curriculum, budget, faculty shortages and time, student credit, quality control, and remote sites away from the dental school.

  2. Complex health service needs for people who are homeless.

    Science.gov (United States)

    Moore, Gaye; Manias, Elizabeth; Gerdtz, Marie Frances

    2011-11-01

    Homeless people face many challenges in accessing and utilising health services to obtain psychosocial supports offered in hospital and community settings. The complex nature of health issues is compounded by lack of accessibility to services and lack of appropriate and safe housing. To examine the perceptions and experiences of homeless people in relation to their health service needs as well as those of service providers involved with their care. A purposive sampling approach was undertaken with a thematic framework analysis of semi-structured interviews. Participants. Interviews were undertaken with 20 homeless people who accessed the emergency department in an acute hospital in Melbourne, Australia and 27 service providers involved in hospital and community care. Six key themes were identified from interviews: complexity of care needs, respect for homeless people and co-workers, engagement as a key strategy in continued care, lack of after-hour services, lack of appropriate accommodation and complexity of services. Findings revealed the complex and diverse nature of health concerns in homeless people. The demand on hospital services continues to increase and unless government policies take into consideration the psychosocial demands of the communities most vulnerable people efforts to divert hospital demand will continue to fail.

  3. Exploring New Service Models: Can Consolidating Public Service Points Improve Response to Customer Needs?

    Science.gov (United States)

    Flanagan, Pat; Horowitz, Lisa R.

    2000-01-01

    Describes an experimental integrated service point that combines the desks and staff who perform reference and circulation at one of Massachusetts Institute of Technology's libraries. Considers whether this service model can consolidate public service points to improve response to customer needs; discusses performance measurement; and offers…

  4. 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.

  5. Estimating Financing Needs for Local Services in Madagascar

    OpenAIRE

    Febgler, Wolfgang

    2004-01-01

    This note presents the methodology and findings of a field study on the financing needs of Madagascar's communes-the country's lowest but most institutionally advanced level of subnational government. Following a first round of municipal elections in 1995, more than 1,500 communes are now formally responsible for maintaining basic administrative services and social and economic infrastruct...

  6. Needs Assessment of Guidance Services in Schools as A Method

    African Journals Online (AJOL)

    Emeka Egbochuku

    The researchers conducted this study in order to establish a case for the use of needs ... Key Words: Academic programme evaluation; counselling; educational standards ... measurable distance between „where we are now‟ and „where we should be‟. .... to practice their counselling services in secondary schools in Ilorin.

  7. LMSS SERVICES FINANCIAL REPORT PROGRAM

    Science.gov (United States)

    Chamberlain, R. G.

    1994-01-01

    The objective of this Services Finance Report program is to provide a means for comparing alternative designs of LMSS systems or other services systems. This program is actually a Multiplan worksheet. The labels used in the worksheet were chosen for a satellite-based cellular communication service (LMSS - Land Mobile Satellite System) but the analysis is not restricted to such cases. A comprehensive financial model is used to calculate a 'figure of merit' which can be used to compare effects of equipment and operating costs, pricing strategy, and customer demand for different systems. The program also calculates the price that a company would have to charge customers to meet all its expenses and make a specified profit. A price estimate can be obtained for almost any service which is heavily dependent on capital investment and which has operating costs that depend on the amount of service sold. The economic analysis has two main components: supplier finances and customer finances. Supplier finances include amortization, interest, insurance, taxes, and operating and maintenance expenses. Customer finances include usage rate, subscription fees, equipment costs, and estimated traffic. Prices can defined as real or nominal to account for effects of escalation and inflation, and the profits can be regulated or unrestricted This program is written for interactive execution with Multiplan (version 1.2) and has been implemented on an IBM PC series computer operating under DOS (version 2.11). The LMSS worksheet has a space requirement of approximately 38K of 8 bit bytes. This worksheet was developed in 1984.

  8. Understanding Climate Service Science: Balancing Users' Needs with Providers' Capabilities

    Science.gov (United States)

    Street, Roger B.; Bley, Dagmar; Manez, Maria

    2013-04-01

    Understanding Climate Service Science: Balancing Users' Needs with Providers' Capabilities The overall strategic objective of the Joint Programming Initiative (JPI)-Climate is to contribute to highly coordinated knowledge development by not only improving the scientific expertise on climate change risks and adaptation options, but also by connecting that knowledge with decision making. Understanding the nature and scope of those providing climate services and the services being provided and understanding userś needs and requirements is critical to realisation of this strategic objective. The main aim of the JPI-Climate Working Group 2 "Researching and advancing Climate Service Development" is to coordinate knowledge development and transfer to improve the climate (change) services to society and within Europe. In order to avoid duplication of efforts and picking on differences in the quality and nature of information being provided from country to country there is a need for a certain degree of consistency of approaches and quality assurance. The JPI-Climate will bring interaction between the emerging national and European climate services initiatives. Climate services produce strongly science-based client-oriented information. They should be built on a good understanding of the stakeholder needs, and provide easy access to up-to-date information and expertise regarding specific policy or research questions. It is evident from experience that such services need (and are perceived) to be salient, credible and legitimate from the perspective of the intended users and providers of those services, and within the supportive research community. Achieving this aim and developing and delivering the required services necessitates the engagement of the spectrum of users and providers, as well as researchers from the physical, natural, engineering, economics and social sciences - the science underpinning climate services. The JPI-Climate, Module 2 Fast Track Activities (FTAs

  9. Delinquent Medical Service Accounts at Naval Medical Center Portsmouth Need Additional Management Oversight

    Science.gov (United States)

    2015-03-04

    H 4 , 2 0 1 5 Delinquent Medical Service Accounts at Naval Medical Center Portsmouth Need Additional Management Oversight Report No. DODIG-2015...04 MAR 2015 2. REPORT TYPE 3. DATES COVERED 00-00-2015 to 00-00-2015 4. TITLE AND SUBTITLE Delinquent Medical Service Accounts at Naval...of Defense that supports the warfighter; promotes accountability , integrity, and efficiency; advises the Secretary of Defense and Congress; and

  10. Web Services-Based Test Report Generation

    Institute of Scientific and Technical Information of China (English)

    LUO Ling; BAI Xiaoying

    2005-01-01

    Tests involving a large number of test cases and test scenarios are always time- and effort-intensive, and use ad hoc approaches. Test management is needed to control the complexity and the quality of the testing of large software systems. The reporting mechanism is critical for monitoring the testing progress, analyzing test results, and evaluating the test effectiveness for a disciplined testing process throughout the testing lifecycle. This paper presents an XML-based report generation method for large system testing. The service-oriented architecture enables flexible test report generation, presentation, and exchange to facilitate collaboration in a distributed environment. The results show that proper reporting can effectively improve the visibility of the testing process and that this web-based approach is critical to enhance communication among multiple testing groups.

  11. Family-Centered Services by Choice Not Chance: Getting beyond Piecemeal Services for Families in Need.

    Science.gov (United States)

    Freado, Mark D.

    1996-01-01

    Provides suggestions for transitioning to family-centered services. Discusses how to establish commitments from schools and agencies, how to bring staff into the process of change, how to develop family-centered initiatives, how to provide appropriate training for staff, ways to overcome resistance, and strategies for matching services to need.…

  12. Service needs and service gaps among refugees with disabilities resettled in the United States.

    Science.gov (United States)

    Mirza, Mansha; Heinemann, Allen W

    2012-01-01

    To examine the adequacy of existing service systems in addressing the needs of refugees with disabilities resettled in the U.S.A. A cross-disability group of eight Cambodian and seven Somali refugees were purposively selected to participate in a 2-year qualitative study in the Midwestern U.S.A. Ten disability/refugee service providers and key experts on refugee resettlement were also recruited to participate. Data sources included in-depth interviews, focus groups, participant observations and social network surveys with disabled refugees. Participant observations and semi-structured interviews were also conducted with service providers and key experts. Data were analyzed using coding procedures based on a grounded theory approach. Disabled refugee participants experienced several unmet disability-related needs and limited access to resettlement resources on account of their disability. These findings were associated with refugee service providers having limited awareness of disability rights and resources and a narrow biomedical perspective of disability. Additionally there was a disconnection between refugee and disability service systems resulting from resource limitations within agencies, mistrust between the different service entities, and a lack of cross-cultural nuance among disability service organizations. These findings contribute important insights to the literature on disability disparities. Disabled refugees resettled in the U.S.A. have many unmet needs associated with gaps in-service delivery stemming from disconnections between refugee and disability service systems.

  13. Complex Needs or Simplistic Approaches? Homelessness Services and People with Complex Needs in Edinburgh

    Directory of Open Access Journals (Sweden)

    Manuel Macias Balda

    2016-10-01

    Full Text Available This research addresses how homelessness services from the statutory and voluntary sector are working for people with complex needs in the City of Edinburgh. Using a qualitative approach, it analyses the service providers’ perspectives on the concept, challenges and what works when dealing with this group of people. It also explores the opinions of a sample of service users, categorised as having complex needs, regarding the accommodation and support they are receiving. After analysing the data, it is argued that homelessness agencies do not have an appropriate cognitive nor institutional framework that facilitates an effective approach to work with people with complex needs. The lack of a sophisticated understanding that recognises the relational difficulties of individuals and the presence of structural, organisational, professional and interpersonal barriers hinder the development of positive long-term relationships which is considered as the key factor of change. For this reason, it is recommended to address a set of factors that go beyond simplistic and linear approaches and move towards complex responses in order to tackle homelessness from a broader perspective and, ultimately, achieve social inclusion.

  14. Complex Needs or Simplistic Approaches? Homelessness Services and People with Complex Needs in Edinburgh

    Directory of Open Access Journals (Sweden)

    Manuel Macias Balda

    2016-10-01

    Full Text Available This research addresses how homelessness services from the statutory and voluntary sector are working for people with complex needs in the City of Edinburgh. Using a qualitative approach, it analyses the service providers’ perspectives on the concept, challenges and what works when dealing with this group of people. It also explores the opinions of a sample of service users, categorised as having complex needs, regarding the accommodation and support they are receiving. After analysing the data, it is argued that homelessness agencies do not have an appropriate cognitive nor institutional framework that facilitates an effective approach to work with people with complex needs. The lack of a sophisticated understanding that recognises the relational difficulties of individuals and the presence of structural, organisational, professional and interpersonal barriers hinder the development of positive long-term relationships which is considered as the key factor of change. For this reason, it is recommended to address a set of factors that go beyond simplistic and linear approaches and move towards complex responses in order to tackle homelessness from a broader perspective and, ultimately, achieve social inclusion.

  15. Healthcare Services Managers: What Information do They Need and Use?

    Directory of Open Access Journals (Sweden)

    Andrew Booth

    2008-09-01

    Full Text Available Objectives – The purpose of this research project was to gain insight into the information behaviour of healthcare services managers as they use information while engaged in decision-making unrelated to individual patient care. Methods – This small-scale, exploratory, multiple case study used the critical incident technique in nineteen semi-structured interviews. Responses were analyzed using ‘Framework,’ a matrix-based content analysis system. Results – This paper presents findings related to the internal information that healthcare services managers need and use. Their decisions are influenced by a wide variety of factors. They must often make decisions without all of the information they would prefer to have. Internal information and practical experience set the context for new research-based information, so they are generally considered first.Conclusions – Healthcare services managers support decisions with both facts and value-based information. These results may inform both delivery of health library services delivery and strategic health information management planning. They may also support librarians who extend their skills beyond managing library collections and teaching published information retrieval skills, to managing internal and external information, teaching information literacy, and supporting information sharing.

  16. Professional Microsoft SQL Server 2012 Reporting Services

    CERN Document Server

    Turley, Paul; Silva, Thiago; Withee, Ken; Paisley, Grant

    2012-01-01

    A must-have guide for the latest updates to the new release of Reporting Services SQL Server Reporting Services allows you to create reports and business intelligence (BI) solutions. With this updated resource, a team of experts shows you how Reporting Services makes reporting faster, easier and more powerful than ever in web, desktop, and portal solutions. New coverage discusses the new reporting tool called Crescent, BI semantic model's impact on report design and creation, semantic model design, and more. You'll explore the major enhancements to Report Builder and benefit from best practice

  17. Yearly (Fiscal) Historical Electronic Services Report

    Data.gov (United States)

    Social Security Administration — This report contains yearly electronic services data for online applications. This report is updated monthly for the current fiscal year. The report is divided into...

  18. 2003 CAG Educational Needs Assessment Report

    Directory of Open Access Journals (Sweden)

    Desmond Leddin

    2003-01-01

    Full Text Available The annual survey of Canadian Association of Gastroenterology (CAG members’ educational needs was conducted online this past April. One hundred eightyseven individuals (one fifth of the membership completed the needs assessment. The topic most in demand for future educational events was inflammatory bowel disease, both from the clinical and basic science perspectives. Other highly rated topics were endoscopy, pharmacological therapeutics, celiac disease and pancreatitis/pancreatic disease. Educational materials were judged to be the most valuable component of exhibit areas. Results of the needs assessment were used to shape the 2004 Canadian Digestive Diseases Week (CDDW program.

  19. Educational Technology Services, Customer Services Team. Final Report.

    Science.gov (United States)

    Gruhn, Bill; Keys, Terry; Bates, Pat; Cheasty, Diane; Christian, Marilyn; Cunningham, Bob; Ferguson, Bianca; Lewis, Millie; Mancuso, Ellen; Ryther, Dick; Weidel, Pam

    The report describes the evaluations of the current practices of Educational Technology Services (ETS) at Monroe Community College (New York) by the Customer Service Team. ETS provides all aspects of technology support to the College. The "customers" of ETS include students, faculty and staff. With the goal of developing a Customer…

  20. Needs assessment activity report: April 1995

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1995-04-01

    As part of a US Department of Energy Headquarters task (DOE-HQ), the Packaging Operations and Development Group within Westinghouse Hanford Company (WHC) has assessed the packaging needs of many DOE sites. These assessments have involved site visits and meetings with personnel involved with transportation and packaging of hazardous materials. By March 1995, 20 DOE facilities had been visited. As a result, these sites been informed of some of the packaging activities that DOE has sponsored and is sponsoring, have been apprised of the affects of upcoming changes to transportation regulations, have discussed their short-term packaging needs, and have shared unique packaging they have developed which may be of use to other DOE facilities. Program successes include discovery of a need for a reusable Type A liquid sample packaging and its development within another DOE task, establishing communications pathways between DOE sites that have similar transportation and packaging needs, and starting to establish a centralized packaging clearinghouse that will coordinate DOE Complex needs and improve the cost-effectiveness of transportation and packaging activities.

  1. Delinquent Medical Service Accounts at Landstuhl Regional Medical Center Need Additional Management Oversight

    Science.gov (United States)

    2016-04-28

    HEALTH AFFAIRS) AUDITOR GENERAL , DEPARTMENT OF THE ARMY SUBJECT: Delinquent Medical Service Accounts at Landstuhl Regional Medical Center Need...accordance with generally accepted government auditing standards. We considered management comments on a draft of this report when preparing the final...Inspector General . RHCE UBO will adhere to ABACUS grouping code reports and the message logs under the legacy process to ensure tracking of delinquent

  2. Abortion services in a high-needs district: a community-based model of care.

    Science.gov (United States)

    Snook, Simon; Silva, Martha

    2013-06-01

    In 2009, a high-deprivation district health board in New Zealand set up a community-based abortion clinic in order to provide a local service and to avoid out-of-region referrals. The service offers medical abortions for women with pregnancies of up to 63 days' gestation, and surgical abortion with local anaesthetic for women with pregnancies of up to 14 weeks' gestation. To describe the services developed and assess safety and timeliness for the first year of community-based services. An audit of clinical records for patients seen in 2010 was performed in order to obtain data on location of services, timeliness, safety and complications. Eighty-two percent of locally provided abortions in 2010 were medical abortions, completed on average less than two days after referral to the service. One percent of patients experienced haemorrhaging post abortion, and 4% had retained products. These rates are within accepted standards for an abortion service. This report illustrates that a community-based model of care can be both clinically and culturally safe, while providing a much-needed service to a high-needs population.

  3. Abortion services in a high-needs district: a community-based model of care

    Directory of Open Access Journals (Sweden)

    Snook S

    2013-06-01

    Full Text Available INTRODUCTION: In 2009, a high-deprivation district health board in New Zealand set up a community-based abortion clinic in order to provide a local service and to avoid out-of-region referrals. The service offers medical abortions for women with pregnancies of up to 63 days' gestation, and surgical abortion with local anaesthetic for women with pregnancies of up to 14 weeks' gestation. AIM: To describe the services developed and assess safety and timeliness for the first year of community-based services. METHODS: An audit of clinical records for patients seen in 2010 was performed in order to obtain data on location of services, timeliness, safety and complications. RESULTS: Eighty-two percent of locally provided abortions in 2010 were medical abortions, completed on average less than two days after referral to the service. One percent of patients experienced haemorrhaging post abortion, and 4% had retained products. These rates are within accepted standards for an abortion service. DISCUSSION: This report illustrates that a community-based model of care can be both clinically and culturally safe, while providing a much-needed service to a high-needs population.

  4. Meeting the need for childhood cataract surgical services in Madagascar

    Directory of Open Access Journals (Sweden)

    Henry E Nkumbe

    2011-01-01

    Full Text Available Background: Cataract has emerged as the most important cause of blindness in children worldwide, and has been one of the priorities of VISION 2020, the global initiative to eliminate avoidable blindness by 2020. More than 2500 children are estimated to be blind from cataract in Madagascar. The aim of this study was to investigate the burden and causes of pediatric cataract in a busy eye clinic in Madagascar and measure service delivery. Materials and Methods: This was a retrospective case series of all children aged 15 and below, receiving cataract surgery at the busiest eye clinic in Southern Madagascar. Data on all children operated on at the eye clinic between September 1999 and July 2009 were retrieved from theatre logs and patient charts. Results: One hundred and fourteen eyes of 86 children were operated on during the study period, with congenital cataract being the diagnosis in 53.5% of the children. For the catchment area of 5.8 million inhabitants 2.7% of incident cases of non-traumatic pediatric cataracts had surgery, with a mean CCSR per year for the entire catchment area of 1.1/million population. Conclusions: The Southern part of Madagascar is underserved for pediatric cataract surgical services, hence the need for a childhood blindness program.

  5. Profile and Predictors of Service Needs for Families of Children with Autism Spectrum Disorders

    Science.gov (United States)

    Hodgetts, Sandra; Zwaigenbaum, Lonnie; Nicholas, David

    2015-01-01

    Purpose: Increasing demand for autism services is straining service systems. Tailoring services to best meet families' needs could improve their quality of life and decrease burden on the system. We explored overall, best, and worst met service needs, and predictors of those needs, for families of children with autism spectrum disorders. Methods:…

  6. LHC Report: Even accelerators need a break

    CERN Multimedia

    CERN Bulletin

    2011-01-01

    The LHC technical stop is in full swing, with a lot of essential maintenance work on the accelerator services, such as electricity distribution, cooling, ventilation, cryogenic systems, access and safety systems, vacuum, cranes and lifts, being crammed into the few weeks before the start of the 2011 run in February.   Team changing a magnet in the SPS accelerator.  In addition to the maintenance work a number of modifications are being made to the accelerator for 2011. These include the installation of small solenoids to combat the build-up of electrons inside the vacuum chamber with the increasing proton beam intensity; the replacement of a number of UPS (Uninterruptible Power Supply) installations, which are vital to ensuring the continuity of the electrical supply to essential systems such as the cryogenics; the installation of additional capacitors on the QPS (Quench Protection system) to prepare for a possible increase in beam energy in 2011; the completion of the programme to repla...

  7. Training: Who Needs It? Research Report 1995.

    Science.gov (United States)

    Harwood-Richardson, Stephen; And Others

    This report provides results of a study of training in the catering and hospitality industry in Great Britain in 1994-95. An executive summary presents 22 key recommendations for action to stimulate skills development in the industry and outlines key outcomes. Section 1 provides a broad overview of current training activity, based on interviews…

  8. Report: hospitals need more sophisticated planning efforts.

    Science.gov (United States)

    Anderson, H J

    1990-09-20

    Sophisticated planning efforts are increasing among hospitals. However, hospital planners and marketers still have far to go before they can match their counterparts in industry. This is according to a report on hospital planning recently released by the Society for Healthcare Planning and Marketing of the American Hospital Association, Chicago.

  9. Energy education teacher needs assessment report

    Energy Technology Data Exchange (ETDEWEB)

    None

    1982-01-01

    In Maine, a state-wide teachers' survey was conducted to determine needs in energy education. Approximately 1700 surveys were sent to schools across the state in mid-May 1980. Five hundred and eighteen questionnaires (29% of those sent) were returned and processed through a standard SPSS computer program during the months of June-September 1980. Data were compiled and analyzed during the months of October 1980-January 1981. Information is presented on the interpretation and analysis of the survey data. Information on the survey questions is summarized. (MCW)

  10. Maryland Nutrition Education Needs Assessment, Final Report and Supplements, 1986.

    Science.gov (United States)

    Bunch, Michael B.; Watson, Donna J. R.

    The nutrition education needs of Maryland school children, teachers, and food service personnel (FSP) were assessed during the 1986-87 school year, as a follow-up to a 1979-80 study. Materials developed by the Educational Support Services Branch (ESSB) were reviewed; the Nutrition Assessment Inventory (NAI) was given to 750 students each from…

  11. REPORTING SERVICES SEBAGAI SISTEM ALTERNATIF DALAM PEMBUATAN LAPORAN

    Directory of Open Access Journals (Sweden)

    Sulistyo Heripracoyo

    2011-05-01

    Full Text Available Generally in an administrative system there are also report features for beside data entry features. One of the benefits from this report is that users do not need to know where the data is obtained by the database either directly from online transaction processing (OLTP or historical data. Nevertheless, the report features are designed by the developer in accordance with user needs. Commonly, the application developers use additional software's integrated to the application. This study describes an alternative report system called Reporting Services which is a software from Microsoft that can be found from SQL 2000 to the latest version. With Reporting Services creating reports can be more easy and interactive to the users, and the results can be direct accessed via the web.

  12. Mediation analysis of severity of needs, service performance and outcomes for patients with mental disorders.

    Science.gov (United States)

    Roux, Paul; Passerieux, Christine; Fleury, Marie-Josée

    2016-12-01

    Needs and service performance assessment are key components in improving recovery among individuals with mental disorders. To test the role of service performance as a mediating factor between severity of patients' needs and outcomes. A total of 339 adults with mental disorders were interviewed. A mediation analysis between severity of needs, service performance (adequacy of help, continuity of care and recovery orientation of services) and outcomes (personal recovery and quality of life) was carried out using structural equation modelling. The structural equation model provided a good fit with the data. An increase in needs was associated with lower service performance and worse outcomes, whereas higher service performance was associated with better outcomes. Service performance partially mediated the effect of patient needs on outcomes. Poorer service performance has a negative impact on outcomes for patients with the highest needs. Ensuring more efficient services for patients with high needs may help improve their recovery and quality of life. © The Royal College of Psychiatrists 2016.

  13. Knowledge and perceptions of antenatal services need and delivery ...

    African Journals Online (AJOL)

    access health services for disease control, a study was conducted to assess knowledge, ... and other essential service supplies, existence of user-fees in health facilities, and pregnant ... In the area of antenatal care (ANC) services, medical and ... The government .... making some women to miss IPTp in the recommended.

  14. Geospatial Services in Special Libraries: A Needs Assessment Perspective

    Science.gov (United States)

    Barnes, Ilana

    2013-01-01

    Once limited to geographers and mapmakers, Geographic Information Systems (GIS) has taken a growing central role in information management and visualization. Geospatial services run a gamut of different products and services from Google maps to ArcGIS servers to Mobile development. Geospatial services are not new. Libraries have been writing about…

  15. Coordination of system needs and provision of services

    DEFF Research Database (Denmark)

    Hansen, Henrik; Hansen, Lars Henrik; Jóhannsson, Hjörtur

    2013-01-01

    This paper addresses a challenge associated with large scale deployment of distributed energy resources (DER) to provide system services in future sustainable power systems; namely how to prioritize conflicting interests in a service provided by a DER. For that purpose, different services utilizi...

  16. Data Network Weather Service Reporting - Final Report

    Energy Technology Data Exchange (ETDEWEB)

    Michael Frey

    2012-08-30

    A final report is made of a three-year effort to develop a new forecasting paradigm for computer network performance. This effort was made in co-ordination with Fermi Lab's construction of e-Weather Center.

  17. 20 CFR 641.330 - How should the State Plan reflect community service needs?

    Science.gov (United States)

    2010-04-01

    ... service needs? 641.330 Section 641.330 Employees' Benefits EMPLOYMENT AND TRAINING ADMINISTRATION... Employment Services Coordination Plan § 641.330 How should the State Plan reflect community service needs? The Governor must ensure that the State Plan identifies the types of community services that...

  18. Community pharmacy COPD services: what do researchers and policy makers need to know?

    Directory of Open Access Journals (Sweden)

    Twigg MJ

    2017-02-01

    Full Text Available Michael J Twigg, David J Wright School of Pharmacy, University of East Anglia, Norwich Research Park, Norwich, UK Abstract: COPD is a leading cause of morbidity and mortality across the world and is responsible for a disproportionate use of health care resources. It is a progressive condition that is largely caused by smoking. Identification of early stage COPD provides an opportunity for interventions, such as smoking cessation, which prevent its progression. Once diagnosed, ongoing support services potentially provide an opportunity to assist the patient in managing their condition and working more closely with the rest of the primary care team. While there are a number of robust studies which have demonstrated the role which pharmacists could undertake to identify and prevent disease progression, adoption of such services is currently limited. As a service that would seem to be appropriate for adoption in all societies where smoking is prevalent, we have performed a review of reported approaches that have been used when setting up and evaluating such services, and therefore aim to inform researchers and policy makers in other countries on how best to proceed. Implementation science has been used to further contextualize the findings of the review in terms of components that are likely to enhance the likelihood of implementation. With reference to screening services, we have made clear recommendations as to the identification of patients, structure and smoking cessation elements of the program. Further work needs to be undertaken by policy makers to determine the approaches that can be used to motivate pharmacists to provide this service. In terms of ongoing support services, there is some evidence to suggest that these would be effective and cost-effective to the health service in which they are implemented. However, the capability, opportunity and motivation of pharmacists to provide these, more complex, services need to be the focus for

  19. Service needs of families of adolescents with mental health difficulties

    OpenAIRE

    2016-01-01

    Introduction: For families of children with mental illness, adolescence is a major struggle and few parents find service systems to be helpful during this period [1]. These difficulties seem to span across various dimensions such as availability of health, educational and community resources, barriers to accessing services, understanding of health care providers and specially those related to the transition to adult healthcare service system and the restrictions imposed by confidentially. Par...

  20. Meeting Academic Needs for Information: A Customer Service Approach

    Science.gov (United States)

    Saunders, E. Stewart

    2008-01-01

    Should academic libraries seek to improve general satisfaction with their services, or are some services more important than others? This article asserts that faculty and students mainly want information resources. The research analyzes LibQUAL+[TM] data to determine which other library resources contribute to information satisfaction among users.…

  1. Assessing the need for anesthesia and sedation services in Kuwaiti dental practice.

    Science.gov (United States)

    Abdulwahab, Mohammad; Al-Sayegh, Fatima; Boynes, Sean G; Abdulwahab, Hawra; Zovko, Jayme; Close, John

    2010-01-01

    The objective of this study was to examine the public health relevance of the prevalence of dental fear in Kuwait and the resultant barrier that it creates regarding access to dental care. The study analysis demonstrated a high prevalence of dental fear and anxiety in the Kuwaiti population and a perceived need for anesthesia services by dental care providers. The telephone survey of the general population showed nearly 35% of respondents reported being somewhat nervous, very nervous, or terrified about going to the dentist. In addition, about 36% of the population postponed their dental treatment because of fear. Respondents showed a preference to receive sedation and anesthesia services as a means of anxiety relief, and they were willing to go to the dentist more often when such services were available. People with high fear and anxiety preferred to receive some type of medication to relieve their anxiety. In conclusion, the significance and importance of the need for anesthesia services to enhance the public health of dental patients in Kuwait has been demonstrated, and improvements are needed in anesthesia and sedation training of Kuwaiti dental care providers.

  2. Perspectives on Meeting the Worldwide Observational Needs of Climate Services (Invited)

    Science.gov (United States)

    Verdin, J. P.

    2013-12-01

    There is growing recognition of the need for climate services to cope with the extremes of climate variability and to adapt to climate change. Indeed, in July 2013, an international board convened by the World Meteorological Organization (WMO) agreed on an operational plan for implementation of the Global Framework for Climate Services (GFCS). Priority sectors of the GFCS are agriculture and food security, disaster risk reduction, health, and water. Climate services encompass a range of information products to inform climate-sensitive decision making and reduce human vulnerability to climatic hazards, from IPCC Assessment Reports to sub-national, season-specific outlooks and monitoring. All such information products must be underpinned by climate observations that are as timely, consistent, and spatially/temporally complete as possible. Experience supporting food security monitoring points up a number of priority needs that are within the technological grasp of national meteorological and hydrological services (NMHS), but which remain to be implemented. Particularly in chronically food-insecure countries, there is a need for increased frequency of reporting by stations on the WMO Global Telecommunications System (GTS) network, and for an expansion of the number of stations contributing observations via GTS. Presently, only a subset of active NMHS stations report, with significant gaps in the daily time-series. Even with such improvements, there will inevitably be gaps in station network coverage. Consequently, there is a need for gridded data products at daily time steps, available in near real time with global coverage, and accessible without charge or intellectual property encumbrances. By complementing station data with satellite observations, and assimilating these into atmospheric and land surface models, such gridded time-series can be produced. However, existing gridded products are not ideal for operational climate services because they are produced either

  3. Special Information Services. Final Report, July, 1978-August, 1979.

    Science.gov (United States)

    Brooks, Jean

    Reported are the results of a one-year planning and demonstration project of the Dallas Public Library that developed special information services for social agency personnel working with the aging. Progression of the project, from the surveyed assessment of the information needs of the specific group of 415 social workers through the planning and…

  4. Identification of User Needs. EDIS Task I Report.

    Science.gov (United States)

    Howard Research Co., Arlington, VA.

    This report presents the identification of user needs in the Army research, development, test and evaluation (RDT&E) community. Two types of information are provided in this report. The first type includes discussions of the RDT&E cycle, the level of informational need, time response, item categories and other factors as they relate to the…

  5. Report on Survey of Industry Needs for Quality. Summary Report.

    Science.gov (United States)

    Neylon, Kevin; And Others

    The TAFE (Technical and Further Education) National Centre for Research and Development conducted a survey to determine industry needs for quality training in Australia. Interviews were conducted with managers in manufacturing and tourism/hospitality companies throughout Australia, especially with firms with a high reputation. Interview forms were…

  6. 34 CFR 361.54 - Participation of individuals in cost of services based on financial need.

    Science.gov (United States)

    2010-07-01

    ... types of vocational rehabilitation services for which the unit has established a financial needs test... service. (3) The designated State unit may not apply a financial needs test, or require the financial... 34 Education 2 2010-07-01 2010-07-01 false Participation of individuals in cost of services...

  7. Precursor Report of Data Needs and Recommended Practices for PV Plant Availability Operations and Maintenance Reporting.

    Energy Technology Data Exchange (ETDEWEB)

    Hill, Roger R. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States). Photovoltaic and Distributed Systems Integration; Klise, Geoffrey Taylor [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States). Photovoltaic and Distributed Systems Integration; Balfour, John R. [High Performance PV, Phoenix, AZ (United States)

    2015-01-01

    Characterizing the factors that affect reliability of a photovoltaic (PV) power plant is an important aspect of optimal asset management. This document describes the many factors that affect operation and maintenance (O&M) of a PV plant, identifies the data necessary to quantify those factors, and describes how data might be used by O&M service providers and others in the PV industry. This document lays out data needs from perspectives of reliability, availability, and key performance indicators and is intended to be a precursor for standardizing terminology and data reporting, which will improve data sharing, analysis, and ultimately PV plant performance.

  8. Identifying profiles of service users in housing services and exploring their quality of life and care needs

    NARCIS (Netherlands)

    Bitter, N.A.; Roeg, D.P.K.; Van Nieuwenhuizen, Ch.; Van Weeghel, J.

    2016-01-01

    Background Housing services aim to support people with mental illness in their daily life and recovery. As the level of recovery differs between service users, the quality of life and care needs also might vary. However, the type and amount of care and support that service users receive do not

  9. What standards do I need for my product or service?

    NARCIS (Netherlands)

    H.J. de Vries (Henk); J. van der Zwan (Jappe)

    2008-01-01

    textabstractThere are standards for most products and services. Sometimes dozens of them. Examples of standards for products: - Standards for connection to another product. - Safety standards. - Standard dimensions. - Standards with test methods to be able to demonstrate the quality of the

  10. College Students Who Are Parents Need Equitable Services for Retention

    Science.gov (United States)

    Lovell, Elyse D'nn

    2014-01-01

    Growing populations which represent undergraduate students who are parents include females, non-traditional age students, and mothers who are single and living in poverty. Student-parent retention services appeared extremely disproportionate to the number of student-parents on campuses. Student parents in this quantitative analysis showed…

  11. Temporary services for patients in need of chronic care

    DEFF Research Database (Denmark)

    Hesse, Morten

    2008-01-01

    Background A project is a temporary endeavour undertaken to create a product or service. Projects are frequently used for the testing and development of new approaches in social work. Projects can receive grants from central, often national or international institutions, and allow for more experi...

  12. Unmet Needs for Ancillary Services Among Hispanics/Latinos Receiving HIV Medical Care - United States, 2013-2014.

    Science.gov (United States)

    Korhonen, Lauren C; DeGroote, Nicholas P; Shouse, R Luke; Valleroy, Linda A; Prejean, Joseph; Bradley, Heather

    2016-10-14

    The prevalence of diagnosed human immunodeficiency virus (HIV) infection in Hispanics/Latinos in the United States is more than twice as high as the prevalence among non-Hispanic whites (1). Services that support retention in HIV medical care and assist with day-to-day living, referred to here as ancillary services, help persons living with HIV access HIV medical care, adhere to HIV treatment, and attain HIV viral suppression. The needs for these ancillary services among Hispanics/Latinos are not well described (2). To obtain nationally representative estimates of and reasons for unmet needs for such services among Hispanic/Latino adults receiving outpatient HIV medical care during 2013-2014, CDC analyzed data from the Medical Monitoring Project (MMP). The analysis found that Hispanics/Latinos in all age and sexual orientation/behavior subgroups reported substantial unmet needs, including 24% needing dental care, 21% needing eye or vision care, 15% needing food and nutrition services, and 9% needing transportation assistance. Addressing unmet needs for ancillary services among Hispanics/Latinos living with HIV might help increase access to HIV care, improve health outcomes, and reduce health disparities.

  13. Nursing home social services directors who report thriving at work.

    Science.gov (United States)

    Liu, Jinyu; Bern-Klug, Mercedes

    2013-01-01

    Nationally representative data from a sample (n = 928) of full-time nursing home social services directors were used to investigate whether knowing characteristics of the social environment at work can help to explain which directors report job thriving. Two-thirds of directors reported they were thriving in their jobs. Multiple regression results show that thriving is increased by job autonomy, being treated like an important part of the team, having enough time to identify and meet resident psychosocial needs, not having to do things that others could do, and being clear what the social services role is. Findings suggest that addressing these aspects of the social environment and social services role will likely contribute to increasing a sense of thriving at work among social services staff members.

  14. Attitudes and Technologies--Striving To Match New Electronic Information Products and Services to the Needs and Interests of Elderly People. Report of an Aspen Institute Conference: New Electronic Technologies To Meet the Needs of Elderly People: More Issues and Cases (Queenstown, Maryland, March 23-25, 1988). Communications and Society Forum Report #7.

    Science.gov (United States)

    Tingay, Michael

    Participants in the Aspen Institute Conference considered how communications technologies may be applied to serve the needs and interests of this country's expanding community of retired and older citizens. Conference findings fell into two categories, reflecting questions originating in the human aspirations found in a public opinion survey…

  15. School Health Services for Children with Special Health Care Needs in California

    Science.gov (United States)

    Baker, Dian L.; Hebbeler, Kathleen; Davis-Alldritt, Linda; Anderson, Lori S.; Knauer, Heather

    2015-01-01

    Children with special health care needs (CSHCN) are at risk for school failure when their health needs are not met. Current studies have identified a strong connection between school success and health. This study attempted to determine (a) how schools meet the direct service health needs of children and (b) who provides those services. The study…

  16. School Health Services for Children with Special Health Care Needs in California

    Science.gov (United States)

    Baker, Dian L.; Hebbeler, Kathleen; Davis-Alldritt, Linda; Anderson, Lori S.; Knauer, Heather

    2015-01-01

    Children with special health care needs (CSHCN) are at risk for school failure when their health needs are not met. Current studies have identified a strong connection between school success and health. This study attempted to determine (a) how schools meet the direct service health needs of children and (b) who provides those services. The study…

  17. The exploration of in-service training needs of psychiatric nurses

    African Journals Online (AJOL)

    2014-10-10

    Oct 10, 2014 ... technology in nursing, require continuous in-service training of psychiatric nurses to cope with, reflect on .... verbal and non-verbal communication skills as a primary .... information about in-service training needs and benefits.

  18. Exploring the need for an occupational health service for those working in primary care.

    Science.gov (United States)

    Chambers, R; Miller, D; Tweed, P; Campbell, I

    1997-11-01

    A research nurse interviewed 55 practice staff in 11 general practices to ascertain their views about their needs for occupational health care. In a second parallel study, a specialist in occupational medicine undertook an in-depth audit of occupational health provision in five other general practices with respect to the organization, the health and safety process, the services and the working environment. In the first study, the majority of practice staff reported the need for various aspects of occupational health care, particularly stress at work. In the second study, general practitioners and practice managers possessed a basic awareness of occupational health matters such as Health and Safety legislation, but their limited knowledge was not translated into effective management. General practice staff did not know where to obtain occupational health advice; most practices had no policies or procedures in place to manage health and safety. Both studies illustrate the need for expert occupational health advice in primary care.

  19. Reclaiming identity through service to dogs in need.

    Science.gov (United States)

    Alers, Elvin V; Simpson, Kevin M

    2012-01-01

    Dog Tags is an animal-assisted therapy offered by the Washington Humane Society (WHS) in partnership with the Walter Reed National Military Medical Center (WRNMMC). The program is open to all ranks of enlisted service members using WRNMMC services. Dog Tags is a 3-tiered certificate program allowing Soldiers, recovering at WRNMMC, to learn and apply progressively complex and challenging elements of canine positive reinforcement training to dogs awaiting adoption at the WHS. Although each tier is a self-contained and complete curriculum, subsequent tiers build on the skills and knowledge acquired in the previous one(s). Dog Tags Warrior/trainers work with fully-screened (health and temperament) shelter dogs to provide these dogs with mental stimulation, environmental enrichment, and socialization that are vital to their successful adoption and integration into new homes. The Soldiers also benefit because they develop new skills, build positive bonds with the dogs, and continue to serve their community.

  20. Report on Extended Campus Library Services.

    Science.gov (United States)

    Strickler, Sally Ann; And Others

    This report presents the results of a study of the Extended Campus Library Services program at Western Kentucky University (WKU), which was conducted by a committee appointed by the Director of University Libraries. A description of the program's goals and objectives is followed by a review of the extended campus programs in relation to similar…

  1. Unmet needs and treatment seeking in high users of mental health services: role of illness perceptions.

    Science.gov (United States)

    Broadbent, Elizabeth; Kydd, Robert; Sanders, Deanna; Vanderpyl, Jane

    2008-02-01

    A small number of patients tend to use a disproportionately high amount of mental health services. Understanding the needs and behaviours of this group is important in order to improve patient management. Few studies have investigated the role that patients' perceptions about their mental illness play in guiding coping responses and treatment seeking. The aim of the present study was to investigate how illness perceptions in high users of mental health services were related to unmet needs and treatment-seeking behaviours. A total of 203 high users of mental health services were interviewed using the Brief Illness Perception Questionnaire, the Camberwell Assessment of Need and the Drug Attitude Inventory, and were also asked to report the number of visits they had made to the general practitioner in the past year. District Health Board clinical staff completed the Camberwell Assessment of Need and the Global Assessment of Functioning for each user. More negative perceptions about mental illness were associated with higher ratings of unmet needs by both patients and staff. Negative perceptions were also related to poorer attitudes towards medication, and lower functioning. Perceptions about the personal ability to control the illness were consistently associated with better outcomes. Patients' causal attributions could be categorized as social, psychological, biological and behavioural. More frequent visits to the general practitioner were associated with perceptions of more severe symptoms, greater concern and higher emotional responses to the illness, and psychosocial causal attributions. Illness perceptions provide a framework to assess patients' ideas about severe mental illness and a means by which to identify maladaptive beliefs. Interventions targeted at changing these beliefs may encourage better self-management.

  2. Understanding service demand for mental health among Australians aged 16 to 64 years according to their possible need for treatment.

    Science.gov (United States)

    Harris, Meredith G; Diminic, Sandra; Burgess, Philip M; Carstensen, Georgia; Stewart, Gavin; Pirkis, Jane; Whiteford, Harvey A

    2014-09-01

    To inform decisions about mental health resource allocation, planners require reliable estimates of people who report service demand (i.e. people who use or want mental health services) according to their level of possible need. Using data on 6915 adults aged 16-64 years in Australia's 2007 National Survey of Mental Health and Wellbeing, we examined past-year service demand among respondents grouped into four levels of possible need: (a) 12-month mental disorder; (b) lifetime but no 12-month mental disorder; (c) any other indicator of possible need (12-month symptoms or reaction to stressful event, or lifetime hospitalisation); (d) no indicator of possible need. Multivariate logistic regression analyses examined correlates of service demand, separately for respondents in each of levels 1-3. Sixteen per cent of Australian adults reported service demand, of whom one-third did not meet criteria for a 12-month mental disorder (equivalent to 5.7% of the adult population). Treatment patterns tended to follow a gradient defined by level of possible need. For example, service users with a 12-month disorder received, on average, 1.6-3.9 times more consultations than their counterparts in other levels of possible need, and had 1.9-2.2 times higher rates of psychologist consultation. Service users with a lifetime but not 12-month disorder or any other indicator of need consumed a similar average number of services to people with mild 12-month mental disorders, but received relatively fewer services involving the mental health sector. Service demand was associated with increased suicidality and psychological distress in all levels of possible need examined, and with poorer clinical and functional status for those with 12-month or lifetime disorders. Many Australians reporting service demand do not meet criteria for a current mental disorder, but may require services to maintain recovery following a past episode or because they are experiencing symptoms and significant

  3. A survey of public needs for digital information service in libraries and museums

    Institute of Scientific and Technical Information of China (English)

    Ran; ZHENG; Ximing; XIAO

    2014-01-01

    Purpose:The purpose of the research is to investigate public needs for digital information service in the Chinese libraries and museums and seek ways to help these public service institutions improve their service to meet user needs.Design/methodology/approach:An online questionnaire survey was used to study the publicneeds for digital information service provided by libraries and museums.A total of 474 valid questionnaires were retrieved for analysis.Findings:The primary purpose of using the digital library and museum service was for knowledge acquisition,followed by work or class assignment and leisure and entertainment.Users need one-stop information service that provides information and service in a more integrated form and allows cross-database searching as well.Research limitations:A majority of the respondents were young and middle-aged people who often use the Internet.We would need to increase our sample size and include different groups of users such as children and retirees to make the sample more representative.Practical implications:Libraries and museums should collaborate to provide the users with one-stop digital information service.Meanwhile,the research can serve as a reference source for the future studies of digital library and museum service.Originality/value:Few studies were published on the public needs for digital library and museum service in China.This study bridges the gap and contributes to our understanding of the Chinese users’ needs for digital information service in libraries and museums.

  4. Need for Specialized Support Services for Nurse Victims of Physical Assault by Psychiatric Patients.

    Science.gov (United States)

    Moylan, Lois Biggin; McManus, Marybeth; Cullinan, Meritta; Persico, Lori

    2016-07-01

    Assault of nurses in the psychiatric setting is an ongoing global concern. In a prior study by these authors, many nurses reported concern about the lack of supportive interventions offered to nurses after the assault event. These nurses reported ongoing psychosocial and emotional disturbance consistent with symptoms of post-traumatic stress disorder. A follow-up study was done to investigate the perceived need of assaulted nurses for specialized support groups to assist them in dealing with the experience. A quantitative, cross sectional survey descriptive research design was done to assess assaulted nurses' perceived need for specialized support groups. The survey also gathered data relating to the reporting of the assault. A qualitative narrative section was added to gather data that might have been missed in the quantitative segment. The sample consisted of 57 previously assaulted nurses currently working at multiple acute care sites. Study findings showed that if specialized support groups were available, 57% of the nurses might be interested in attending these, and 41% would be interested in attending these. These nurses also reported multiple signs and symptoms of post-traumatic stress disorder. Considering the serious negative impact of assault on nurses and their desire for follow-up support, there is a need for the availability of supportive services.

  5. USERS NEEDS: A PREMISE FOR CORPORATE REPORTING CHANGE

    Directory of Open Access Journals (Sweden)

    Farcas Teodora Viorica

    2015-07-01

    Full Text Available The topic of corporate reporting is very actual being subject of preoccupation of the main international regulatory and professional organisms in the accounting area. Hence, our study targets a priority research area. Its main objective is to discuss the concept of user needs and to emphasize how the needs of users of corporate financial reports have developed in time and how these needs are the main factors influencing the actual changes in the framework of the corporate reporting. In the nowadays society of knowledge, characterized by the variety and growing needs of corporate reports users, the regulatory organism are trying to respond. During time the concept of user of corporate reporting, referring here at financial reporting has changed from the owner of the business, to the manager and nowadays to a larger category of users. From the seven categories of users identified in 1975 by the Accounting Standard Steering Committee (investors, creditors, employees, the group of business partners, the state authority and the public, the most important seem to be the ones representing the capital providers. Analysing the latest IASB and the IIRC conceptual framework we could observe that both have a decision usefulness objective. Therefore, their main objective is to guide companies to make available reports that will help capital providers in the decision process. IR is considered to be a further step in the corporate reporting, therefore, by analysing it conceptual framework we observed how the needs also of the other categories of users are to be accomplished by using this type of reports. Also IR comes as a continuation/response of IASB framework, which recognizes its limits in the first paragraphs, saying that the financial information supplied by the companies in accordance with the framework is not sufficient and that the users’ needs to consult also other pertinent materials. Thus, the IR is composed from financial and non- financial

  6. Expanded school mental health services: assessing needs related to school level and geography.

    Science.gov (United States)

    Weist, M D; Myers, C P; Danforth, J; McNeil, D W; Ollendick, T H; Hawkins, R

    2000-06-01

    We surveyed 62 school administrators from three midatlantic (MD, VA, WV) and one northeastern (CT) state on factors relevant to developing school-based mental health programs. Administrators were from schools that varied on education level (elementary, middle, and high) and geographic location (urban, suburban, and rural), with equivalent numbers in each subgroup. Administrators provided ratings to questions grouped in five categories: (a) Stressful Conditions, (b) Internalizing Behavioral Problems, (c) Externalizing Behavioral Problems, (d) Substance Abuse, and (e) Barriers to Mental Health Care, and provided open-ended comments on needs of youth and mental health programs for them. They rated behavioral and substance abuse problems as progressively more serious as students advanced in school level. Urban youth were reported to encounter higher stress and present more severe internalizing problems than suburban or rural youth. Suburban and rural schools provided more health and mental health services than urban schools. Across geographic locales, physical health services far outnumbered mental health services. Findings related to barriers to mental health care, and the viability of schools as delivery sites for comprehensive mental health services, are discussed.

  7. The Need for a Special Services Project at Bowie State College in 1986.

    Science.gov (United States)

    Gill, Wanda E.

    Information on Bowie State College (Maryland), its students, and the performance of participants in the Special Services Project is presented to demonstrate a need for the project in 1986. After briefly describing the college and its goals, a literature review addresses the need for special services for specific student groups. Bowie State College…

  8. Disabled children in special education programs in Taiwan: use of mental health services and unmet needs.

    Science.gov (United States)

    Liang, Hsin-Yi; Chang, Hsueh-Ling

    2007-06-01

    Despite national health insurance coverage in Taiwan, many health care needs remain unmet. In the current study, the behavior and emotional problems of 1,042 disabled children in special education programs were evaluated using the Chinese version of the Child Behavior Checklist (CBCL-C) and the Teacher's Report Form (TRF). Using the 60th percentile on the two tests as a cutoff representing a clinical indication, students who reached this cutoff point but did not receive mental health services in the past six months were considered to have "unmet mental health needs." Of the special education students in the study 73.9% reached clinical indications, but did not receive mental health care.

  9. Rural and urban women entrepreneurs: A comparison of service needs and delivery methods priorities

    Directory of Open Access Journals (Sweden)

    Davis, A.

    2011-01-01

    Full Text Available Women entrepreneurs face a wide variety of barriers and challenges throughout the life and growth of their entrepreneurial venture. This study expands the knowledge base on women entrepreneurs’ needs, specifically their needs in terms of service areas and service delivery method preferences. Twenty three “needed” service areas were identified by 95 Manitoba based women entrepreneurs. The first five included: finding new customers, growth benefits and tools, market expansion, general marketing, and networking skills. This study also examined the differences between urban and rural based entrepreneurs. Two service need areas “how to find mentors and role models” and “legal issues” exhibited statistically significant priority differences. Service delivery methods did not produce any statistically significant differences. Overall, this study concludes that regardless of location, women entrepreneurs’ training and support needs are not significantly that different. The effects of entrepreneurial stage and years in business on entrepreneurial support needs are also examined.

  10. Unmet adolescent and young adult cancer survivors information and service needs: A population-based cancer registry study

    Science.gov (United States)

    Keegan, Theresa H.M.; Lichtensztajn, Daphne Y.; Kato, Ikuko; Kent, Erin E.; Wu, Xiao-Cheng; West, Michelle M.; Hamilton, Ann S.; Zebrack, Brad; Bellizzi, Keith M.; Smith, Ashley W.

    2012-01-01

    Purpose We described unmet information and service needs of adolescent and young adult (AYA) cancer survivors (15-39 years of age) and identified sociodemographic and health-related factors associated with these unmet needs. Methods We studied 523 AYAs recruited from 7 population-based cancer registries, diagnosed with acute lymphocytic leukemia, Hodgkin lymphoma, non-Hodgkin lymphoma, germ cell cancer or sarcoma in 2007-08. Participants completed surveys a median of 11 months from diagnosis. Multivariable logistic regression analyses were used to estimate associations between unmet (information and service) needs and sociodemographic and health-related factors. Results More than half of AYAs had unmet information needs relating to their cancer returning and cancer treatments. AYAs needing services, but not receiving them, ranged from 29% for in-home nursing to 75% for a support group. The majority of AYAs who needed a pain management expert, physical/occupational therapist, mental health worker or financial advice on paying for health care did not receive services. In multivariable analyses, older participants, men, participants of non-White race/ethnicity, and participants who reported less than excellent general health, or fair/poor quality of care were more likely to report unmet information needs. Factors associated with both unmet service and information needs included physical health or emotional problems interfering with social activities or having ≥ 3 physical treatment-related symptoms. Conclusions Recently diagnosed AYA cancer survivors have substantial unmet information needs varying by demographic and health-related factors. Implications for Cancer Survivors We identified subgroups of AYA cancer survivors with high unmet needs that can be targeted for interventions and referrals. PMID:22457219

  11. Review of ICT-based services for identified unmet needs in people with dementia.

    Science.gov (United States)

    Lauriks, S; Reinersmann, A; Van der Roest, H G; Meiland, F J M; Davies, R J; Moelaert, F; Mulvenna, M D; Nugent, C D; Dröes, R M

    2007-10-01

    Some of the needs that people with dementia and their informal carers currently perceive as insufficiently met by regular care and support services might be alleviated, or even be met, using modern Information and Communication Technology (ICT). The study described in this paper was designed to provide an insight into the state of the art in ICT solutions that could contribute to meet the most frequently mentioned unmet needs by people with dementia and their informal carers. These needs can be summarized as (1) the need for general and personalized information; (2) the need for support with regard to symptoms of dementia; (3) the need for social contact and company; and (4) the need for health monitoring and perceived safety. Databases that were searched include: PubMed, Cinahl, Psychinfo, Google (Scholar), INSPEC and IEEE. In total 22 websites and 46 publications were included that satisfied the following criteria: the article reports on people with dementia and/or their informal carers and discusses an ICT-device that has been tested within the target group and has proven to be helpful. Within the first need area 18 relevant websites and three studies were included; within the second need area 4 websites and 20 publications were included. Within the third and fourth need area 11 and 12 publications were included respectively. Most articles reported on uncontrolled studies. It is concluded that the informational websites offer helpful information for carers but seem less attuned to the person with dementia and do not offer personalized information. ICT solutions aimed at compensating for disabilities, such as memory problems and daily activities demonstrate that people with mild to moderate dementia are capable of handling simple electronic equipment and can benefit from it in terms of more confidence and enhanced positive effect. Instrumental ICT-support for coping with behavioral and psychological changes in dementia is relatively disregarded as yet, while

  12. Review of ICT-Based Services for Identified Unmet Needs in People with Dementia

    Science.gov (United States)

    Lauriks, Steve; Reinersmann, Annika; van der Roest, Henriëtte Geralde; Meiland, Franka; Davies, Richard; Moelaert, Ferial; Mulvenna, Maurice D.; Nugent, Chris D.; Dröes, Rose-Marie

    Some of the needs that people with dementia and their informal carers currently perceive as insufficiently met by regular care and support services might be alleviated, or even be met, using modern Information and Communication Technology (ICT). The study described in this chapter was designed to provide an insight into the state of the art in ICT solutions that could contribute to meet the most frequently mentioned unmet needs by people with dementia and their informal carers. These needs can be summarized as (1) the need for general and personalized information; (2) the need for support with regard to symptoms of dementia; (3) the need for social contact and company; and (4) the need for health monitoring and perceived safety. Databases that were searched include PubMed, Cinahl, Psychinfo, Google (Scholar), INSPEC and IEEE. In total 22 websites and 46 publications were included that satisfied the following criteria: the article reports on people with dementia and/or their informal carers and discusses an ICT device that has been tested within the target group and has proven to be helpful. Within the first need area 18 relevant websites and three studies were included; within the second need area 4 websites and 20 publications were included. Within the third and fourth need area 11 and 12 publications were included, respectively. Most articles reported on uncontrolled studies. It is concluded that the informational websites offer helpful information for carers but seem less attuned to the person with dementia and do not offer personalized information. ICT solutions aimed at compensating for disabilities, such as memory problems and daily activities, demonstrate that people with mild to moderate dementia are capable of handling simple electronic equipment and can benefit from it in terms of more confidence and enhanced positive affect. Instrumental ICT support for coping with behavioural and psychological changes in dementia is relatively disregarded as yet, while

  13. Single-shell tank ventilation upgrades needs analysis report

    Energy Technology Data Exchange (ETDEWEB)

    Kriskovich, J.R., Fluor Daniel Hanford

    1997-02-03

    This report was written to comply with the objectives of the Hanford Federal Facility Agreement and Consent Order, Tri-Party Agreement Milestone M-43-03 Provide to the Washington State Department of Ecology and Department of Health the Results of the Single-Shell Tank Ventilation Upgrades Needs Analysis. The needs analysis consists of identifying the current type and status of each single-shell tank ventilation system, identifying current and projected authorization basis requirements, and identifying ventilation system compliance deficiencies.

  14. Developing effective invasive cardiology services. Guideline report.

    Science.gov (United States)

    Ronning, P L; Franc, C W; Lewis, S J

    1988-01-01

    Diseases of the heart are the leading cause of death and the major reason for days stayed in the hospital and discharges from the hospital. Nearly 1 million Americans died last year from cardiac disease, and over 60 million suffer from some form of cardiac disease. Conservatively stated, 300,000 cardiac surgeries and 600,000 cardiac catheterizations are performed annually, and the number is rising. Therefore, heart disease is understandably big business for hospitals and physicians. The organization of cardiac delivery systems is changing dramatically, primarily as the result of advancements made in the nonsurgical treatment of cardiac disease. The balance of power is shifting from cardiac surgery to cardiology, resulting in political and economic consequences for hospitals. Cardiac diagnosis is also undergoing a transformation, as less invasive procedures increase in sophistication. As hospitals consider their options in this market and observe physicians, medical groups, and alternative delivery systems providing competing services, the strategic alternatives become confusing and decidedly difficult. This report is written as a guide to assist hospitals in understanding the technological forces underlying the changing market and the effect these changes will have on the ownership, organization, and structure of delivery systems and, most specifically, on the delivery of cardiovascular services. Because of the tremendous interest in invasive cardiology services and the significance of the financial, organizational, and quality commitment involved in the delivery of invasive cardiology services, this guideline report addresses primarily those services. Noninvasive technologies also are addressed because of their importance to a cardiology program, the magnitude of the technological changes taking place, and their potential impact on the diagnosis and treatment of cardiac disease. The report begins with a discussion of the general planning issues that provide the

  15. Unmet Health Care Service Needs of Children With Disabilities in Penang, Malaysia.

    Science.gov (United States)

    Tan, Seok Hong

    2015-11-01

    Information on unmet health care needs reveal problems that are related to unavailability and inaccessibility of services. The study objectives were to determine the prevalence, and the reasons for unmet service needs among children with disabilities in the state of Penang, Malaysia. Caregivers of children with disabilities aged 0 to 12 years registered with the Penang Social Welfare Department in 2012 answered a self-administered mailed questionnaire. A total of 305 questionnaires were available for analysis (response rate 37.9%). Services that were very much needed and yet highly unmet were dental services (49.6% needed, 59.9% unmet), dietary advice (30.9% needed, 63.3% unmet), speech therapy (56.9% needed, 56.8% unmet), psychology services (25.5% needed, 63.3% unmet), and communication aids (33.0% needed, 79.2% unmet). Access problems were mainly due to logistic issues and caregivers not knowing where to obtain services. Findings from this study can be used to inform strategies for service delivery and advocacy for children with disabilities in Penang, Malaysia.

  16. How can healthcare service engagement be supported for service users with complex healthcare needs?

    OpenAIRE

    Pearce, Rebecca Elizabeth

    2015-01-01

    By 2033 the number of elderly people in England and Wales is expected to exceed 16.4 million. The consequent increase in prevalence of chronic illness and demand on the health and social care services are major causes of concern for healthcare practitioners and policy-makers alike. In response, calls for greater service user autonomy, involvement, and self-care all indicate a shift away from existing paternalistic models of care to a model where service users knowledgably and competently mana...

  17. Service providers' experiences and needs in working with refugees in the Geelong region: a qualitative study.

    Science.gov (United States)

    Jewson, Ashlee; Lamaro, Greer; Crisp, Beth R; Hanna, Lisa; Taket, Ann

    2015-01-01

    Service providers in Geelong, one of the priority locations for the resettlement of refugees in regional Australia, were interviewed to explore their perceptions of the health and wellbeing needs of refugees, and the capacity of service providers in a regional area to meet these. In all, 22 interviews were conducted with health and human service professionals in a range of organisations offering refugee-specific services, culturally and linguistically diverse (CALD) services in general, and services to the wider community, including refugees. The findings revealed that a more coordinated approach would increase the effectiveness of existing services; however, the various needs of refugees were more than could be met by organisations in the region at current resource levels. More staff and interpreting services were required, as well as professional development for staff who have had limited experience in working with refugees. It should not be assumed that service needs for refugees resettled in regional Australia will be the same as those of refugees resettled in capital cities. Some services provided in Melbourne were not available in Geelong, and there were services not currently provided to refugees that may be critical in facilitating resettlement in regional and rural Australia.

  18. Linking core competencies to customer needs: strategic marketing of health care services.

    Science.gov (United States)

    Roth, M S; Amoroso, W P

    1993-01-01

    Firms often are encouraged to develop expertise, or core competencies, that lead to innovative products and services. The authors present a market research study that enabled a health care service provider to link its core technological competencies to customer needs. Although potential customers did not explicitly value the technology itself, links could be made between technological competencies and more valued service dimensions such as communication flows, meeting deadlines, and staff responsiveness. Improving strategic marketing and service quality delivery can be realized through market research linking customer needs to a firm's core competencies.

  19. Enhancing library services: an exploration in meeting customer needs through total quality management.

    Science.gov (United States)

    Cundari, L; Stutz, K

    1995-01-01

    Total Quality Management (TQM) is a process which focuses on understanding customer needs and improving customer service and satisfaction. A TQM committee was created at the Devereux Foundation's Professional Library to assess user satisfaction and make recommendations for improving library services to better meet consumer needs. The committee distributed a satisfaction survey to 156 of the most likely library users and 84 (54%) were returned. Overall, survey results indicate that most consumers are satisfied with the materials and services provided by the Professional Library. Recommendations for improving library services and strategies for implementing these recommendations are discussed.

  20. Application of multimedia services in the broadband environment to improve logistic needs of the army

    Directory of Open Access Journals (Sweden)

    Radiša R. Stefanović

    2012-07-01

    Full Text Available The paper analyzes the flow of some multimedia services, and points to the possibility of applying some of the services in the broadband environment to improve the logistic needs of the army. The need to convey information in different forms (from text, data, graphics, still pictures to video motion pictures is increasing continually. Requests for information transfer in high resolution require increasing the flow to several dozens of Mb/s. Broadband represents the platform for a wide range of multimedia services. Each multimedia service requires a certain flow which can be partially decreased with advanced coding techniques.

  1. User needs in Sustainability Reporting: Perspectives of Stakeholders in Ireland

    NARCIS (Netherlands)

    O'Dwyer, B.; Unerman, J.; Hession, E.

    2005-01-01

    By means of a questionnaire survey, this paper ascertains and analyses the views of a number of Irish stakeholders regarding the adequacy and potential of corporate sustainability reporting to meet their information needs and help them hold corporations to account. The study focuses on ascertaining

  2. Needs Analysis and Esp Course Design: Self-Perception of Language Needs Among Pre-Service Students

    Directory of Open Access Journals (Sweden)

    Chovancová Barbora

    2014-09-01

    Full Text Available In the context of recent social changes in Central Europe, the article outlines the need for a change in the traditional syllabi for legal English classes. It deals with needs analysis as one of the most important sources of inspiration in syllabus design. First, needs analysis is situated within the methodology of English for Specific Purposes. Then, the rationale for a needs analysis survey among pre-service students in current legal English courses is presented and, finally, the findings are interpreted with respect to the actual target situations that students are likely to encounter after graduation. The article concludes by pointing out that although pre-service students may have vague ideas about the use of English in their future jobs, course instructors should consider their needs and wants because they are crucial for increasing the students’ motivation. Instructors and course designers should, however, obtain information from professionals and former graduates as well because that will enable them to address the actual target situations most effectively.

  3. Investigating unmet health needs in primary health care services in a representative sample of the Greek population.

    Science.gov (United States)

    Pappa, Evelina; Kontodimopoulos, Nick; Papadopoulos, Angelos; Tountas, Yannis; Niakas, Dimitris

    2013-05-17

    Unmet health care needs are determined as the difference between the services judged necessary and the services actually received, and stem from barriers related to accessibility, availability and acceptability. This study aims to examine the prevalence of unmet needs and to identify the socioeconomic and health status factors that are associated with unmet needs. A cross-sectional study was conducted in Greece in 2010 and involved data from 1,000 consenting subjects (>18 years old). Multiple binary logistic regression analysis was applied to investigate the predictors of unmet needs and to determine the relation between the socio-demographic characteristics and the accessibility, availability and acceptability barriers. Ninety nine participants (9.9%) reported unmet health needs during the 12 months prior to the research. The most frequently self-reported reasons were cost and lack of time. Youth, parenthood, physician consultations, and poor mental health increased the likelihood of unmet needs. Women were less likely to report accessibility and availability than acceptability barriers. Educational differences were evident and individuals with primary and secondary education were associated with significantly more accessibility and availability barriers compared with those with tertiary education. Unmet health needs pose a significant challenge to the health care system, especially given the difficult current financial situation in Greece. It is believed that unmet health needs will continue to increase, which will widen inequalities in health and health care access.

  4. Investigating Unmet Health Needs in Primary Health Care Services in a Representative Sample of the Greek Population

    Directory of Open Access Journals (Sweden)

    Evelina Pappa

    2013-05-01

    Full Text Available Unmet health care needs are determined as the difference between the services judged necessary and the services actually received, and stem from barriers related to accessibility, availability and acceptability. This study aims to examine the prevalence of unmet needs and to identify the socioeconomic and health status factors that are associated with unmet needs. A cross-sectional study was conducted in Greece in 2010 and involved data from 1,000 consenting subjects (>18 years old. Multiple binary logistic regression analysis was applied to investigate the predictors of unmet needs and to determine the relation between the socio-demographic characteristics and the accessibility, availability and acceptability barriers. Ninety nine participants (9.9% reported unmet health needs during the 12 months prior to the research. The most frequently self-reported reasons were cost and lack of time. Youth, parenthood, physician consultations, and poor mental health increased the likelihood of unmet needs. Women were less likely to report accessibility and availability than acceptability barriers. Educational differences were evident and individuals with primary and secondary education were associated with significantly more accessibility and availability barriers compared with those with tertiary education. Unmet health needs pose a significant challenge to the health care system, especially given the difficult current financial situation in Greece. It is believed that unmet health needs will continue to increase, which will widen inequalities in health and health care access.

  5. Identifying profiles of service users in housing services and exploring their quality of life and care needs.

    Science.gov (United States)

    Bitter, Neis A; Roeg, Diana P K; van Nieuwenhuizen, Chijs; van Weeghel, Jaap

    2016-11-23

    Housing services aim to support people with mental illness in their daily life and recovery. As the level of recovery differs between service users, the quality of life and care needs also might vary. However, the type and amount of care and support that service users receive do not always match their recovery. In order to improve the quality of care, this study aims to explore whether subgroups of service users exist based on three dimensions of recovery and to examine and compare the quality of life and care needs of the persons in these subgroups. Latent class analysis was performed with data from 263 service users of housing services in the Netherlands. Classes were based on three variables: personal recovery (Mental Health Recovery Measure), social recovery (Social Functioning Scale), and clinical recovery (Brief Symptom Inventory). Subsequently, the quality of life (MANSA) and care needs (CANSAS) of the different classes were analysed by the use of descriptive and inferential statistics. Three classes could be distinguished. Class 1 (45%) comprised of people who score the highest of the three classes in terms of personal and social recovery and who experience the least number of symptoms. People in class 2 (44%) and class 3 (11%) score significantly lower on personal and social recovery, and they experience significantly more symptoms compared to class 1. The distinction between class 2 and 3 can be made on the significantly higher number of symptoms in class 3. All three classes differ significantly on quality of life and unmet needs. The quality of life of service users of housing services needs improvement, as even persons in the best-recovered subgroup have a lower quality of life than the average population. Workers of housing services need to be aware of the recovery of a client and what his or her individual needs and goals are. Furthermore, better care (allocation) concerning mental and physical health and rehabilitation is needed. Care should be

  6. Understanding hospitality house guests' needs: a brief case report.

    Science.gov (United States)

    Duncan, Mary Katherine Waibel

    2011-08-01

    A.E. Kazak's (2006) call to develop theory-driven and empirically supported programs aimed at strengthening the competencies of families affected by pediatric illness applies to both medical and nonmedical facilities and institutions that care for pediatric patients and their loved ones. M.K.W. Duncan and A. Blugis (in press, this issue) note that despite the intuitive and practical nature of Maslow's Hierarchy of Needs, no theory translates into an infallible understanding of any individual guest's needs or a program of universally applied best practice standards for meeting those needs. Using Maslow's theory as a framework, this brief report describes the complexity and fluidity of one mother's needs during her stay at a hospitality house following the birth of her premature twin babies. Copyright © 2011 Elsevier Inc. All rights reserved.

  7. Mismatch between diagnostic reports and special educational needs classification in a public educational system.

    Science.gov (United States)

    Teixeira, Maria Cristina Triguero Veloz; Brunoni, Décio; Carreiro, Luiz Renato Rodrigues; Braga, Ana Claudia; Silva, Naiara Adorna da; Paula, Cristiane Silvestre

    2017-04-01

    To assess the diagnostic status, the sociodemographic and health profiles for students with special educational needs (SEN) in a public educational system, and to map their use of educational/social services. The sample comprised 1,202 SEN students from a total of 59,344 students. Only 792 students of the 1,202 had an established diagnosis. The most prevalent SEN condition was intellectual disability. There was a low percentage (29.4%) of use of specialized educational services or support. It was found that, for some neurodevelopmental disorders, prevalence data suggest an under-reporting in the school system. Results suggest that there is a mismatch between the diagnostic reports and the SEN condition legally recognized according to Brazilian law, in addition to the under-reporting and under specialized service use of students with disabilities.

  8. Profile of Community Mental Health Service Needs in the Moretele District (North-West Province) in South Africa.

    Science.gov (United States)

    Modiba, Precious; Schneider, Helen; Porteus, Kimberly; Gunnarson, Veronica

    2001-12-01

    . Above half of service users had basic social skills such as bathing, eating, washing and using public transportation independently. Feelings of loneliness and isolation were common among service users in the community; seventy nine percent (79%), for example spent their days entirely in their homes. Only 7% reported contact with friends. Experiences of community discrimination and exploitation of people with mental illness were reported in key informant interviews and by service users themselves. DISCUSSION: The main community mental health service needs identified in this study were: (i) Improved quality of mental health services at clinics. (ii) Better co-ordination of services (clinic, hospital, social work and traditional healers) and removal of barriers to health service utilisation. (iii) Alleviation of the social isolation of mental health service users by building on existing community structures and individuals willing to engage in partnerships with service providers. The authors indentify a need to train primary health care providers in mental health in order to promote the adequate diagnosis and detection of common psychiatric illnesses.They also point out the need for social support interventions to enable people with mental illness to deal with loneliness and isolation and a need for psycho-educational programmes to make patients and caregivers better informed about mental illness.

  9. NYIT Energy Advisory Service initial evaluation report

    Energy Technology Data Exchange (ETDEWEB)

    Tenen, G.B.

    1977-01-31

    The Center for Energy Policy and Research of the New York Institute of Technology has organized an ENERGY ADVISORY SERVICE for information dissemination on energy conservation techniques to various target audiences in the New York, New Jersey, and Connecticut area. The Service, in operation since June 1, 1976 established four channels of communication to disseminate energy conservation information and technical assistance: The NYIT Energy Hot Line, the NYIT/ERDA (MRC-TV) Energy Management Seminar program, the Energy Information Center, and the Referral Service. The purposes of this report are two-fold: (1) to provide expanded and up-dated information on operating experiences associated with the NYIT Energy Hot Line and the NYIT/ERDA (MRC-TV) Energy Management Seminar Program, and (2) to provide recently analyzed data emerging from a study designed to investigate the two channels for their absolute and comparative effectiveness in energy technology transfer. Specifically research was designed to cast light on the following questions: (a) in terms of demographics and prior energy attitudes, what kinds of people tend to use the hot line or be drawn to the television seminar; (b) how did channel users feel about the channel after experiencing it; (c) how did channel users perform on energy-transfer effectiveness measures of knowledge and intention to act; and (d) was there any relationship between performance or effectiveness measures and selected demographic and attitudinal variables associated with channel users.

  10. Primary brain tumor patients' supportive care needs and multidisciplinary rehabilitation, community and psychosocial support services: awareness, referral and utilization.

    Science.gov (United States)

    Langbecker, Danette; Yates, Patsy

    2016-03-01

    Primary brain tumors are associated with significant physical, cognitive and psychosocial changes. Although treatment guidelines recommend offering multidisciplinary rehabilitation and support services to address patients' residual deficits, the extent to which patients access such services is unclear. This study aimed to assess patients' supportive care needs early after diagnosis, and quantify service awareness, referral and utilization. A population-based sample of 40 adults recently diagnosed with primary brain tumors was recruited through the Queensland Cancer Registry, representing 18.9 % of the eligible population of 203 patients. Patients or carer proxies completed surveys of supportive care needs at baseline (approximately 3 months after diagnosis) and 3 months later. Descriptive statistics summarized needs and service utilization, and linear regression identified predictors of service use. Unmet supportive care needs were highest at baseline for all domains, and highest for the physical and psychological needs domains at each time point. At follow-up, participants reported awareness of, referral to, and use of 32 informational, support, health professional or practical services. All or almost all participants were aware of at least one informational (100 %), health professional (100 %), support (97 %) or practical service (94 %). Participants were most commonly aware of speech therapists (97 %), physiotherapists (94 %) and diagnostic information from the internet (88 %). Clinician referrals were most commonly made to physiotherapists (53 %), speech therapists (50 %) and diagnostic information booklets (44 %), and accordingly, participants most commonly used physiotherapists (56 %), diagnostic information booklets (47 %), diagnostic information from the internet (47 %), and speech therapists (43 %). Comparatively low referral to and use of psychosocial services may limit patients' abilities to cope with their condition and the changes they

  11. REALIZING THE NEED FOR SIMILARITY BASED REASONING OF CLOUD SERVICE DISCOVERY

    Directory of Open Access Journals (Sweden)

    S. BHAMA

    2011-12-01

    Full Text Available With the growing abundance of information on the web, it becomes the need of the hour to enrich data with semantics that can be understood and processed by machines. Currently, much of the effort in the area of semantics is focused on the representation of semantic data and its reasoning, which is the processing of semantic information associated with that data. This paper aims at realizing the need for similarity based reasoning of cloud service discovery. It forms a basic requirement of a cloud client to discover the most appropriate cloud service from the list of available services published by service providers. Cloud ontology provides a set of concepts, individuals and relationships among them. The similarity among cloud services can be determined from the semantic similarity of concepts and hence the relevant service can be retrieved.

  12. Investigation of Priority Needs in Terms of Museum Service Accessibility for Visually Impaired Visitors

    Science.gov (United States)

    Handa, Kozue; Dairoku, Hitoshi; Toriyama, Yoshiko

    2010-01-01

    This study investigates the priority needs of museum service accessibility for visually impaired visitors. For this purpose, conjoint analysis was utilized. Four conjoint attributes of museum services were selected: A--facilities for wayfinding; B--exhibitions and collections including objects for touching, hearing, smelling, etc.; C--information…

  13. Video teleconsultation service: Who is needed to do what, to get it implemented in daily care?

    NARCIS (Netherlands)

    Visser, Jacqueline J.W.; Bloo, J.K.C.; Grobbe, F.A.; Vollenbroek-Hutten, M.M.R.

    2010-01-01

    Introduction: In telemedicine, technology is used to deliver services. Because of this, it is expected that various actors other than those involved in traditional care are involved in and need to cooperate, to deliver these services. The aim of this study was to establish a clear understanding of t

  14. Stakeholder Perceptions of the Need for Research on Elements of Service Dog Partnerships in the Workplace

    Science.gov (United States)

    Glenn, Margaret K.

    2015-01-01

    Purpose: To examine the perceived need for research on elements of successful service dog partnerships in the workplace outlined by stakeholders in an exploratory study. Method: A structured mixed methods approach was used to gather ideas from people with service dogs, trainers, vocational rehabilitation counselors, and other health care…

  15. Teacher Training Needs for Bilingual Education: In-Service Teacher Perceptions

    Science.gov (United States)

    Pérez Cañado, María Luisa

    2016-01-01

    This article presents the outcomes of a European study on the main training needs which in-service teachers consider they have in order to adapt to a bilingual education model. The investigation has designed, validated, and administered four sets of questionnaires to 706 informants (241 of whom have been in-service teachers) across Europe, which…

  16. Personnel Training and Employment Needs of Hospital Food Services in Tennessee.

    Science.gov (United States)

    Peay, Moiselle

    Personnel training and employment needs in connection with food service were studied through interviews with hospital administrators and food service managers in 25 selected Tennessee hospitals. Mentioned most often by managers as important were the areas of communications and human relations for all job classifications except food preparation,…

  17. Long Distance Relationships: Assessing the Library Service Needs of Rural Students in eLearning Courses

    Science.gov (United States)

    Sterling, Lorelei; McKay, Jennifer; Ericson, Christine

    2017-01-01

    In states with limited road accessibility, rural students can feel isolated from library services. This article explores the creation, implementation, and results of an on-going longitudinal study assessing the library service needs of rural students in eLearning courses. To align with current practices in online pedagogies, including the…

  18. Unmet Support Service Needs and Health-Related Quality of Life among Adolescents and Young Adults with Cancer: The AYA HOPE Study

    Directory of Open Access Journals (Sweden)

    Ashley Wilder Smith

    2013-04-01

    Full Text Available Introduction: Cancer for adolescents and young adults (AYA differs from younger and older patients; AYA face medical challenges while navigating social and developmental transitions. Research suggests that these patients are under- or inadequately served by current support services, which may affect health-related quality of life (HRQOL.Methods: We examined unmet service needs and HRQOL in the National Cancer Institute’s Adolescent and Young Adult Health Outcomes and Patient Experience (AYA HOPE study, a population-based cohort (n=484, age 15-39, diagnosed with cancer 6-14 months prior, in 2007-2009. Unmet service needs were psychosocial, physical, spiritual, and financial services where respondents endorsed that they needed, but did not receive, a listed service. Linear regression models tested associations between any or specific unmet service needs and HRQOL, adjusting for demographic, medical and health insurance variables.Results: Over one-third of respondents reported at least one unmet service need. The most common were financial (16%, mental health (15%, and support group (14% services. Adjusted models showed that having any unmet service need was associated with worse overall HRQOL, fatigue, physical, emotional, social, and school/work functioning, and mental health (p’s<0.0001. Specific unmet services were related to particular outcomes (e.g., needing pain management was associated with worse overall HRQOL, physical and social functioning (p’s<0.001. Needing mental health services had the strongest associations with worse HRQOL outcomes; needing physical/occupational therapy was most consistently associated with poorer functioning across domains.Discussion: Unmet service needs in AYAs recently diagnosed with cancer are associated with worse HRQOL. Research should examine developmentally appropriate, relevant practices to improve access to services demonstrated to adversely impact HRQOL, particularly physical therapy and mental

  19. Report says more AIDS education needed for youth.

    Science.gov (United States)

    1996-03-22

    A report issued by the Office of National AIDS Policy, the National AIDS Fund, and Until There's a Cure Foundation, calls for increased and improved AIDS education for young Americans. President Clinton asked for the report after learning that half of the Americans annually infected with HIV are under the age of 25. The report recommends early education, the inclusion of safer-sex techniques in sex education curriculums, availability of counseling without parental consent, and school-based, community-based, and home-based prevention. Conservative politicians and elected officials are calling for a limit to AIDS education. Criticism of the report includes its failure to tailor prevention and education efforts to meet the needs of gay and bisexual youth. A survey found that many young gay and bisexual men are contracting HIV at alarming rates because they disregard warnings against high-risk sexual behavior.

  20. Identifying the clinical needs and patterns of health service use of adolescent girls and women with autism spectrum disorder.

    Science.gov (United States)

    Tint, Ami; Weiss, Jonathan A; Lunsky, Yona

    2017-09-01

    Girls and women in the general population present with a distinct profile of clinical needs and use more associated health services compared to boys and men; however, research focused on health service use patterns among girls and women with Autism Spectrum Disorder (ASD) is limited. In the current study, caregivers of 61 adolescent girls and women with ASD and 223 boys and men with ASD completed an online survey. Descriptive analyses were conducted to better understand the clinical needs and associated service use patterns of girls and women with ASD. Sex/gender comparisons were made of individuals' clinical needs and service use. Adolescent girls and women with ASD had prevalent co-occurring mental and physical conditions and parents reported elevated levels of caregiver strain. Multiple service use was common across age groups, particularly among adolescent girls and women with intellectual disability. Overall, few sex/gender differences emerged, although a significantly greater proportion of girls and women accessed psychiatry and emergency department services as compared to boys and men. Though the current study is limited by its use of parent report and small sample size, it suggests that girls and women with ASD may share many of the same high clinical needs and patterns of services use as boys and men with ASD. Areas for future research are discussed to help ensure appropriate support is provided to this understudied population. Autism Res 2017, 10: 1558-1566. © 2017 International Society for Autism Research, Wiley Periodicals, Inc. © 2017 International Society for Autism Research, Wiley Periodicals, Inc.

  1. Meeting the Oral Health Needs of Immigrants: National Public Health Services Vs. Charitable Volunteer Services In Rome, Italy

    Directory of Open Access Journals (Sweden)

    Denise Corridore

    2012-03-01

    Full Text Available

    Abstract:
    Background: oral health is an important aspect of well-being. In Italy immigrants can have different access to health care services, and can opt for the national Health Service (nHS and/ or private non- profit health care organizations. The purpose of this study was to develop an instrument to evaluate oral health in the immigrant population of rome and to investigate the differences between two different types of ser- vices: the First observation unit at the department of oral and Maxillo Facial Sciences, at the "Sapienza" university of rome (a nHS affiliate, and a charitable organization, the caritas dental center (cdc.
    Methods: a multiple-choice questionnaire was administered between the last trimester of 2006 and the first trimester of 2007. a chi square analysis was performed and the level of significance was set at p<0.05. reSulTS: The sample was composed of 250 people, of which 100 were patients of the cdc and 150 were patients of the nHS. The percentage of non-Italians was 80% (n=80 in the cdc sample, and only 16% (n=25 in the nHS sample. In the cdc, definitive resolving therapies, such as tooth extractions, prevailed (60% v’s 47% nHS; p=0.033. In addition, the frequency of consumption of sugary foods and drinks was significantly higher among cdc patients (31% reported to consume these over 9 times a day compared to nHS patients (11% reporting this consumption.
    Discussion: the study shows a substantial under using of the national Health Service for oral health care needs by the immigrant population. The particular composition of the sample, with a high prevalence being of romanian nationality, might reflect specific conditions of this nationality. The results showed that immigrants were satisfied with the health care even though they encountered difficulties in terms of level of communication.

  2. Substance use, need, and demand for substance user treatment services in patients treated for sexually transmitted diseases in michigan.

    Science.gov (United States)

    Aktan, G B; Calkins, R F; Johnson, D R

    2001-10-01

    The association between substance use and communicable diseases, and the need for substance user treatment services for patients treated for communicable diseases, is well documented. This study builds upon this knowledge in that it quantifies the need and demand for substance user treatment services in a large population of patients treated for communicable diseases, specifically, sexually transmitted diseases (STDs), an area in which there is insufficient research published in the literature, but which is essential for policy development. More than 1700 patients treated for STDs in publicly funded clinics in Michigan between 1994-1995 were interviewed about their substance use, consequences of use and demand for substance user treatment services. Results indicated that the rates of substance use and demand for substance user treatment services were significantly higher among persons encountered in the STD clinics compared to the Michigan general adult population; however, a large proportion of STD patients determined to need substance user treatment services according to DSM-III-R criteria for "substance dependence" and "abuse" did not report ever receiving it. These results are followed by a discussion of possible policy implications for planning for substance user treatment services for patients treated for STDs in publicly funded clinics and suggestions for further research.

  3. Determining Engagement in Services for High-Need Individuals with Serious Mental Illness

    Science.gov (United States)

    Appel, Anita; Donahue, Sheila A.; Essock, Susan M.; Thomann-Howe, Doreen; Karpati, Adam; Marsik, Trish; Myers, Robert W.; Sorbero, Mark J.; Stein, Bradley D.

    2017-01-01

    This study examined whether Medicaid claims and other administrative data could identify high-need individuals with serious mental illness in need of outreach in a large urban setting. A claims-based notification algorithm identified individuals belonging to high-need cohorts who may not be receiving needed services. Reviewers contacted providers who previously served the individuals to confirm whether they were in need of outreach. Over 10,000 individuals set a notification flag over 12-months. Disengagement was confirmed in 55 % of completed reviews, but outreach was initiated for only 30 %. Disengagement and outreach status varied by high-need cohort. PMID:23636712

  4. Public health financial management needs: report of a national survey.

    Science.gov (United States)

    Costich, Julia F; Honoré, Peggy A; Scutchfield, F Douglas

    2009-01-01

    The work reported here builds on the identification of public health financial management practice competencies by a national expert panel. The next logical step was to provide a validity check for the competencies and identify priority areas for educational programming. We developed a survey for local public health finance officers based on the public health finance competencies and field tested it with a convenience sample of officials. We asked respondents to indicate the importance of each competency area and the need for training to improve performance; we also requested information regarding respondent education, jurisdiction size, and additional comments. Our local agency survey sample drew on the respondent list from the National Association of County and City Health Officials 2005 local health department survey, stratified by agency size and limited to jurisdiction populations of 25,000 to 1,000,000. Identifying appropriate respondents was a major challenge. The survey was fielded electronically, yielding 112 responses from 30 states. The areas identified as most important and needing most additional training were knowledge of budget activities, financial data interpretation and communication, and ability to assess and correct the organization's financial status. The majority of respondents had some postbaccalaureate education. Many provided additional comments and recommendations. Health department finance officers demonstrated a high level of general agreement regarding the importance of finance competencies in public health and the need for training. The findings point to a critical need for additional training opportunities that are accessible, cost-effective, and targeted to individual needs.

  5. Mixed Waste Focus Area: Department of Energy complex needs report

    Energy Technology Data Exchange (ETDEWEB)

    Roach, J.A.

    1995-11-16

    The Assistant Secretary for the Office of Environmental Management (EM) at the US Department of Energy (DOE) initiated a new approach in August of 1993 to environmental research and technology development. A key feature of this new approach included establishment of the Mixed Waste Characterization, Treatment, and Disposal Focus Area (MWFA). The mission of the MWFA is to identify, develop, and implement needed technologies such that the major environmental management problems related to meeting DOE`s commitments for treatment of mixed wastes under the Federal Facility Compliance Act (FFCA), and in accordance with the Land Disposal Restrictions (LDR) of the Resource Conservation and Recovery Act (RCRA), can be addressed, while cost-effectively expending the funding resources. To define the deficiencies or needs of the EM customers, the MWFA analyzed Proposed Site Treatment Plans (PSTPs), as well as other applicable documents, and conducted site visits throughout the summer of 1995. Representatives from the Office of Waste Management (EM-30), the Office of Environmental Restoration (EM-40), and the Office of Facility Transition and Management (EM-60) at each site visited were requested to consult with the Focus Area to collaboratively define their technology needs. This report documents the needs, deficiencies, technology gaps, and opportunities for expedited treatment activities that were identified during the site visit process. The defined deficiencies and needs are categorized by waste type, namely Wastewaters, Combustible Organics, Sludges/Soils, Debris/Solids, and Unique Wastes, and will be prioritized based on the relative affect the deficiency has on the DOE Complex.

  6. Unmet counselling need amongst women accessing an induced abortion service in KwaZulu-Natal, South Africa.

    Science.gov (United States)

    Birdsey, Graeme; Crankshaw, Tamaryn L; Mould, Sean; Ramklass, Serela S

    2016-11-01

    Provision of objective, evidence-based counselling in the context of induced abortion services is considered global good practise. However, there is limited understanding over the counselling needs of women accessing abortion services, particularly in sub-Saharan Africa. This study aimed to explore the content and quality of pre-abortion counselling amongst women accessing an abortion service in South Africa as well as client experience of the counselling process. Perceptions of nurse counsellors were also sought. This was a mixed methods study conducted at a Choice of Termination of Pregnancy clinic based at a district level hospital in KwaZulu-Natal, South Africa. Sixty women requesting an abortion were interviewed via a semi-structured questionnaire. In-depth interviews were conducted with four nurses who provided pre-abortion counselling at the clinic. Interviews were coded for emergent themes and categories. Clinic nurses had widely variable counselling training and experience, ranging from less than 2 months to 8 years, but all clients reported that they had been treated with respect at their counselling session. The group-based counselling format and biomedical and health promotion content did not accommodate clients' differential counselling needs, which included requests for support from women experiencing intimate partner violence (IPV). There was limited provider awareness of client's additional counselling needs. Abortion counselling services should be tailored to clients' differential counselling needs. Group-based counselling followed by optional one-on-one counselling sessions is one possible strategy to address unmet client need in South Africa. Provision of abortion provider training in IPV is recommended as well as establishment of referral pathways for women experiencing IPV. Paying attention to the differential counselling needs of women seeking an abortion should be a key component to the provision of abortion services. In this way, abortion

  7. Need for Danish science teachers' continual professional development after pre-service training

    DEFF Research Database (Denmark)

    Nielsen, Birgitte Lund

    2010-01-01

    -service training , which suggests there is a need both in in-service PD and pre-service training to nudge the teachers away from science activities for motivation alone and towards students‘ learning and how they may become scientifically literate‘. Furthermore the results suggest that beliefs held by the teachers......Results from a survey of a local cohort of newly qualified Danish science teachers before they began their first jobs in primary and lower secondary schools (n=110) show a need for continual Professional Development (PD). The results highlight two main areas of concern based on the newly qualified...... teachers´ reflections on scenarios of science teaching, their considerations about themselves as future science teachers etc. These include a tendency for the teachers to limit Inquiry Based Science Teaching to activity driven science, which suggests there is a need both in in-service PD and pre...

  8. Technical Evaluation Report 12. Online Polling Services

    Directory of Open Access Journals (Sweden)

    Jon Baggaley

    2002-10-01

    Full Text Available Real-time collection of student opinions and their instant feedback can be useful in guiding the design and implementation of online educational sessions. Students can gain insights into each others’ attitudes and opinions, often anonymously and confidentially; and teachers can adapt to the feedback in directing the progress of a session based on, in effect, a series of “if then” contingency measures. Online tabular and diagrammatic features can provide useful visual summaries of polling results, indicating whether or not the session’s learning outcomes are being achieved. Online polling services available differ greatly in the extent to which they provide these useful educational features. To guide distance educators in their selection and implementation of online polling and quizzing procedures, an evaluation study was conducted featuring a selection of the poll creation systems that were available at the time of study.All questionnaire, quizzing, survey, and assessment products/ services are referred to generically in the report as “polling systems.”

  9. A Coordinated Effort: Well-Conducted Partnerships Meet Students' Academic, Health, and Social Service Needs

    Science.gov (United States)

    Blank, Marty; Jacobson, Reuben; Pearson, Sarah S.

    2009-01-01

    Without question, schools must be accountable for students' performance. But schools can not meet students' needs alone. Young people need more connections, more support, more opportunities, and more learning time to be successful. When supports and services are not available, often it is the teachers who step in to fill the void. They do this…

  10. On the need for data for the verification of service life models for frost damage

    DEFF Research Database (Denmark)

    Geiker, Mette Rica; Engelund, Sven

    1999-01-01

    The purpose of this paper is to draw the attention to the need for the verification of service life models for frost attack on concrete and the collection of relevant data. To illustrate the type of data needed the paper presents models for internal freeze/thaw damage (internal cracking including...

  11. Customer Satisfaction Measurement: an empirical Study of the Need – Gap Analysis in the Service Industry

    Directory of Open Access Journals (Sweden)

    M. Upadhyaya

    2013-12-01

    Full Text Available The Need-Gap analysis determines deviations between actual and expected quality, taking corrective action. The analysis indicates the presence of multi-dimensional aspects regarding a complaining behavior. Critical analysis of results helps to evolve service strategies in response to customer needs.

  12. Training Needs Assessment in the Botswana Public Service: A Case Study of Five State Sector Ministries

    Science.gov (United States)

    Balisi, Shadreck

    2014-01-01

    Using qualitative methods, this study analysed the process of training needs assessment in the Botswana public service, with special focus on five state sector ministries. It is evident from the research findings that there is little and an unsystematic approach to the needs assessment prior to training. The research further revealed that the…

  13. Treatment Needs and Services for Mothers with a Dual Diagnosis: Substance Abuse and Mental Illness.

    Science.gov (United States)

    Morris, Sylvia K.; Schinke, Steven P.

    1990-01-01

    Reviews treatment needs of dual diagnosed, substance abusing and mentally ill mothers. Suggests treatment strategies and programmatic options for serving and meeting needs of these mothers and their children. Devotes particular attention to residential and continuing care services and skills-based interventions for target clients. Concludes with…

  14. An Information Needs Profile of Israeli Older Adults, regarding the Law and Services

    Science.gov (United States)

    Getz, Irith; Weissman, Gabriella

    2010-01-01

    Based on Nicholas' framework for assessing information needs, this research aims to construct a profile of both Israeli older adults and their information needs regarding laws and social services. Data were collected by questionnaires answered by 200 older adults, born in Europe, Asia and Africa, who attended social clubs for older adults. The…

  15. Meeting the needs of vulnerable patients: The need for team working across general practice and community nursing services.

    Science.gov (United States)

    Bliss, Julie; While, Alison E

    2014-01-01

    General practitioners and district nurses have a long history of providing care outside the hospital setting. With health care increasingly moving out of the hospital setting, there are more opportunities for general practitioners and district nurses to work together to meet the health needs of the local population. However, the reduction in qualified specialist practitioner district nurses over the last decade is concerning. The need for an effective district nursing service has been recognised by the Department of Health in their own model - the nature of district nursing work, often over a long period, enables relationships to develop with the patient, family and informal carers as a basis for anticipatory care to manage long-term conditions. Communication and understanding of the role are central to enhance effective working between general practitioners and district nurses, which can be fostered by engagement in community-oriented integrated care and case management.

  16. The Needs of Primary English Teachers for an In-Service Teacher Training Program

    OpenAIRE

    Enisa Mede; Melike Işık

    2016-01-01

    The purpose of this study is to investigate the needs of the primary English teachers at a private school about an in-service teacher training program. Under the light of former studies and literature, this study attempts to find out their needs on the predefined concepts namely, adaptation of teaching methods, emphasis on language skills, utilization of technology, classroom environment, instructional practices and material development. The differences between the needs of the participating ...

  17. A MAS-Based Cloud Service Brokering System to Respond Security Needs of Cloud Customers

    Directory of Open Access Journals (Sweden)

    Jamal Talbi

    2017-03-01

    Full Text Available Cloud computing is becoming a key factor in computer science and an important technology for many organizations to deliver different types of services. The companies which provide services to customers are called as cloud service providers. The cloud users (CUs increase and require secure, reliable and trustworthy cloud service providers (CSPs from the market. So, it’s a challenge for a new customer to choose the highly secure provider. This paper presents a cloud service brokering system in order to analyze and rank the secured cloud service provider among the available providers list. This model uses an autonomous and flexible agent in multi-agent system (MASs that have an intelligent behavior and suitable tools for helping the brokering system to assess the security risks for the group of cloud providers which make decision of the more secured provider and justify the business needs of users in terms of security and reliability.

  18. Psychosocial service needs of pediatric transport accident survivors: Using clinical data-mining to establish demographic and service usage characteristics.

    Science.gov (United States)

    Manguy, Alys-Marie; Joubert, Lynette; Bansemer, Leah

    2016-09-01

    The objectives in this article are the exploration of demographic and service usage data gained through clinical data mining audit and suggesting recommendations for social work service delivery model and future research. The method is clinical data-mining audit of 100 sequentially sampled cases gathering quantitative demographic and service usage data. Descriptive analysis of file audit data raised interesting trends with potential to inform service delivery and usage; the key areas of the results included patient demographics, family involvement and impact, and child safety and risk issues. Transport accidents involving children often include other family members. Care planning must take into account psychosocial issues including patient and family emotional responses, availability of primary carers, and other practical needs that may impact on recovery and discharge planning. This study provides evidence to plan for further research and development of more integrated models of care.

  19. Exploiting need of Service-Oriented Framework for Executing Data Mining Services

    Directory of Open Access Journals (Sweden)

    Sonali Jain

    2011-09-01

    Full Text Available Weka4WS adopts the emerging Web Services Resource Framework (WSRF for accessing remote data mining algorithms and managing distributed computations. The Weka4WS user interface is a modified Weka Explorer environment that supports the execution of both local and remote data mining tasks. Workflow environments are widely used in data mining systems to manage data and execution flows associated to complex applications. Weka, one of the most used open-source data mining systems, includes the Knowledge-Flow environment which provides a drag-and-drop inter-face to compose and execute data mining workflows. It allows users to execute a whole workflow only on a single compute on the basis of simplicity. We analyzes several aspects of distributed workflow execution in Weka4WS, a framework that extends Weka and its Knowledge Flow environment to exploit distributed resources available in a Grid using Web Service technologies and also some other workflows and design which is better in efficiency and work. We also discuss several architecture prospective for betterment.

  20. The effect of poverty and caregiver education on perceived need and access to health services among children with special health care needs.

    Science.gov (United States)

    Porterfield, Shirley L; McBride, Timothy D

    2007-02-01

    We examined the association between several variables and the use of specialist physician services, developmental therapies, and prescription medications among children with special health care needs (N=38866). We used a bivariate probit model to estimate whether a given child needed specialized services and whether that child accessed those services; we controlled for activity limitations and severity of special needs. Variables included family income, mother's (or other caregiver's) educational level, health insurance coverage, and perceived need for specialized services. We used data from the 2001 National Survey of Children with Special Health Care Needs. Lower-income and less-educated parents were less likely than higher-income and more-educated parents to say their special needs children needed specialized health services. The probability of accessing specialized health services-when needed-increased with both higher family income and insurance coverage. Children with special health care needs have less access to health services because their parents do not recognize the need for those services. An intervention in the form of information at the family level may be an appropriate policy response.

  1. Satisfaction and expressed needs of pharmaceutical care services and challenges recognized by patients in South Korea

    Directory of Open Access Journals (Sweden)

    Kang J

    2017-08-01

    Full Text Available JiEun Kang,1,2,* Kiyon Rhew,3,* Jung Mi Oh,4 NaYoung Han,4 Iyn-Hyang Lee,5 Nam Kyung Je,6 Eunhee Ji,7 Euni Lee,4 Jeong-Hyun Yoon,6 Sandy Jeong Rhie1 1Division of Life and Pharmaceutical Sciences Graduate School, Ewha Womans University, Seoul, Republic of Korea; 2Department of Pharmacy, National Medical Center, Seoul, Republic of Korea; 3College of Pharmacy, Dongduk Women’s University, Seoul, Republic of Korea; 4College of Pharmacy, Seoul National University, Seoul, Republic of Korea; 5College of Pharmacy, Yeungnam University, Gyeongbuk, Republic of Korea; 6College of Pharmacy, Pusan National University, Busan, Republic of Korea; 7College of Pharmacy, Gachon University, Incheon, Republic of Korea *These authors contributed equally to this work Purpose: To assess the degree of satisfaction and expressed needs of pharmaceutical care services in patients with chronic diseases and explore the factors related to the needs from patients’ perspectives for the further development of pharmaceutical care service models. Patients and methods: A cross-sectional survey of 220 patients (mean age ± SD: 61.3±13.1, male:female: 104:116 was conducted. The questionnaire was structured to measure patients’ degree of satisfaction and expressed needs using a 5-point Likert scale. Additionally, preferred duration, methods of service delivery, and willingness to pay were surveyed. Responses were analyzed using an ordinal regression method to predict factors that were related to pharmaceutical care services. Results: Sixty-seven patients had experienced pharmaceutical care services. Their satisfaction levels were high in all categories; however, there were no significant differences between ­categories. The levels of expressed needs were similar among categories without significant differences. The preferred delivery method was a face-to-face conversation combined with being provided with written information (53.2%. The preferred duration was ≤10 min (70

  2. Payments for Environmental Services (PES in Croatia – Public and Professional Perception and Needs for Adaptation

    Directory of Open Access Journals (Sweden)

    Dijana Vuletić

    2010-12-01

    Full Text Available Background and Purpose: Croatia is one of the countries with a long practice of payments for environmental forests’ services (PES. Following the implementation of green tax in Croatia and present European trends, the aim of this research is to investigate state of economic mechanisms and possible need for change or adaptation to the new trends. Material and Methods: Primary data were collected by interviewing forestry professionals in charge of collection and distributions of green tax to gain an insight of their perception on importance of green tax, their comments on recent decrease in prescribed rate and what are the issues related to tax collection. Also very short telephone questionnaires were conducted with taxpayers to get an impression on how taxpayers perceive their obligation, their awareness of the purpose of this payment, their participation in discussion related to green tax and do they receive annual reports from Croatian Forest Ltd. company related to money collected and spent. Secondary data consisted of review of relevant literature, legislation overview and analysis of reports on collection and distribution of green tax provided by Croatian Forests Ltd. company. Results and Conclusion: Collected amount of green tax grew constantly given the period 1993-2009. Important factor was increased monitoring of tax collection. Main problems with green tax were constant change of governmental decisions and lack of transparency of tax distribution. Green tax was perceived as burden by taxpayers and their knowledge of its purpose was general at best.

  3. Ecosystem Services at the Landscape Scale: the Need for Integrative Approaches

    Directory of Open Access Journals (Sweden)

    Felix Müller

    2010-01-01

    Full Text Available During the symposium “Ecosystem Services at the Landscape Scale” from the EU-IALE conference 2009, several challenges for future research on approaches to use the concept of ecosystem services at the landscape scale were identified, focussing on the need for integration. Three main research directions were discussed, (i the definition of the potentials and limitations of the ecosystem service approach for landscape analysis, (ii the identification of suitable methods and tools to apply the ecosystem service approach at the landscape scale and (iii the demand of incorporating ecosystem and landscape services in decision making and management. This paper briefly addresses and discusses some of these topics and puts them into a broader perspective. From this viewpoint it becomes obvious that many high-quality sectoral studies are carried out, e.g. concentrating on specific services or specific linkages within the “ecosystem service cascade” which describes the relation between biophysical characteristics of the landscape, their functions, services, benefits and values for society. In order to provide useful information for decision makers, ecosystem services studies should be supplemented by investigations of the whole systems of interactions between ecological processes and societal valuations.

  4. The demand for speech pathology services for children: Do we need more or just different?

    Science.gov (United States)

    Reilly, Sheena; Harper, Megan; Goldfeld, Sharon

    2016-12-01

    An inability or difficulty communicating can have a profound impact on a child's future ability to participate in society as a productive adult. Over the past few years the number of interventions for children with speech and language problems has almost doubled; the majority are targeted interventions delivered by speech pathologists. In this paper we examine the distribution of speech pathology services in metropolitan Melbourne and how these are aligned with need as defined by vulnerability in language and social disadvantage. We identified three times as many private sector services compared to public services for the 0-5 year age group. Overall there was poorer availability of services in some of the most vulnerable areas. The profound and long-term impact of impoverished childhood language, coupled with the considerable limitations on public spending, provide a strong impetus to deliver more equitably distributed speech pathology services. © 2016 Paediatrics and Child Health Division (The Royal Australasian College of Physicians).

  5. Service Use and Unmet Needs in Youth Suicide: A Study of Trajectories

    Science.gov (United States)

    Renaud, Johanne; Séguin, Monique; Lesage, Alain D; Marquette, Claude; Choo, Bettina; Turecki, Gustavo

    2014-01-01

    Objective: While 90% of suicide victims have suffered from mental health disorders, less than one-half are in contact with a mental health professional in the year preceding their death. Service use in the last year of life of young suicide victims and control subjects was studied in Quebec. We wanted to determine what kinds of health care services were needed and if they were actually received by suicide victims. Method: We recruited 67 consecutive suicide victims and 56 matched living control subjects (aged 25 years and younger). We evaluated subjects’ psychopathological profile and determined which services would have been indicated by conducting a needs assessment. We then compared this with what services were actually received. Results: Suicide victims were more likely than living control subjects to have a psychiatric diagnosis. They were most in need of services to address substance use disorder, depression, interpersonal distress, and suicide-related problems. There were significant deficits in the domains of coordination and continuity of care, mental health promotion and training, and governance. Conclusions: Our results show that we need to urgently take action to address these identified deficits to prevent further loss of life in our young people. PMID:25565685

  6. [Application of robotic technology to the needs in the medical service of the Armed Forces].

    Science.gov (United States)

    Iudin, A B; Chepur, S V; shestakov, S V

    2013-06-01

    Application of robotic technology to the needs in the medical service of the Armed Forces. Further development of the medical service is inseparably associated with the implementation of robot technology into the practice of medical support of the Armed Forces of the Russian federation. For this purpose it is necessary to create a clinical scientific research centre of robot technology and interdepartmental scientific research simulation training center on the basis of the Kirov Military Medical Academy. It is also necessary to provide development of medical robotic complexes of tactical level of the medical service.

  7. Service needs among Latino immigrant families: implications for social work practice.

    Science.gov (United States)

    Ayón, Cecilia

    2014-01-01

    This study sought to learn from Latino immigrant families what services they need to promote their families' well-being within a context of stringent anti-immigrant legislation. Fifty-two Latino immigrant parents participated in focus groups. Focus groups took place following the passage of Senate Bill 1070. Findings reveal five major categories of need: mental health, physical health care, education, information and support services, and community efforts. Participants' experiences as immigrants played a significant role in their narratives. The narratives reveal that families need assistance navigating systems of care, coping with discrimination and oppressive environments, strengthening ties among community members, and advocating for policy change. Social workers are called to address the needs of this community and advocate for human rights and social justice.

  8. Perceived needs of pharmaceutical care services among healthcare professionals in South Korea: a qualitative study.

    Science.gov (United States)

    Lee, Iyn-Hyang; Rhie, Sandy Jeong; Je, Nam Kyung; Rhew, Ki Yon; Ji, Eunhee; Oh, Jung Mi; Lee, Euni; Yoon, Jeong-Hyun

    2016-10-01

    Purpose To explore the need for pharmaceutical care services, key features of desirable pharmacy services, and perceived barriers for advancing the services in hospital environments with doctors and nurses who are key co-workers of the interdisciplinary team care services.Methods Semi-structured, in-depth interviews with eighteen doctors and fifteen nurses employing purposive and snowballing sampling strategies were conducted in ten hospitals in South Korea. Results The level of pharmaceutical care was varied across regions or institutions in South Korea. The concept of pharmaceutical care was insufficiently defined, and tended to be limited to some parts of medication counseling. Through pharmaceutical care services, doctors desired to acquire comprehensive drug information from and to share clinical responsibilities with pharmacists. Nurses wished to lower their burdens of medication counseling services from their daily practices. Doctors and nurses asked for pharmacists providing essential and carefully selected medication information to their patients in a patient-centered manner. The listed barriers to pharmaceutical care included the lack of appropriate systems for reward, insufficient accessibility to patient records by pharmacists, ambiguous role descriptions of pharmacist, and absence of effective communication among professionals. Conclusion A successful pharmaceutical care service model should allow efficient exchange of information among healthcare professionals to build inter-professional trust and to provide a continuity of care both in terms of time and setting. As prerequisites of such system, it was warranted to develop clinical evidence and an appropriate reward system for pharmaceutical care services.

  9. Video teleconsultation service: who is needed to do what, to get it implemented in daily care?

    Science.gov (United States)

    Visser, Jacqueline J W; Bloo, J K C; Grobbe, F A; Vollenbroek-Hutten, M M R

    2010-05-01

    In telemedicine, technology is used to deliver services. Because of this, it is expected that various actors other than those involved in traditional care are involved in and need to cooperate, to deliver these services. The aim of this study was to establish a clear understanding of these actors and their roles and interrelationships in the delivery of telemedicine. A video teleconsultation service is used as a study case. A business modeling approach as described in the Freeband Business Blueprint Method was used. The method brings together the four domains that make up a business model, that is, service, technology, organization, and finance, and covers the integration of these domains. The method uses several multidisciplinary workshops, addressing each of the four domains. Results of the four domains addressed showed that (1) the video teleconsultation service is a store and put-forward video teleconsult for healthcare providers. The service is accepted and has added value for the quality of care. However, the market is small; (2) the technology consists of a secured Internet Web-based application, standard personal computer, broadband Internet connection, and a digital camera; (3) a new role and probably entity, responsible for delivering the integrated service to the healthcare professionals, was identified; and finally (4) financial reimbursement for the service delivery is expected to be most successful when set up through healthcare insurance companies. Pricing needs to account for the fee of healthcare professionals as well as for technical aspects, education, and future innovation. Implementation of the video teleconsult service requires multidisciplinary cooperation and integration. Challenging aspects are the small market size and the slow implementation speed, among others. This supports the argument that accumulation of several telemedicine applications is necessary to make it financially feasible for at least some of the actors.

  10. Caribbean Regional Communications Service Study. Report.

    Science.gov (United States)

    Lalor, Gerald C.

    A follow-up to a limited experiment with the use of satellites in education and public service conducted by the University of the West Indies (UWI) in 1978, this study explores the feasibility of providing a number of services, which would include an extension system based on the use of the UWI telecommunications network. The study was designed to…

  11. Child obesity service provision: a cross-sectional survey of physiotherapy practice trends and professional needs.

    Science.gov (United States)

    Milne, Nikki; Choy, Nancy Low; Leong, Gary M; Hughes, Roger; Hing, Wayne

    2016-01-01

    This study explored current physiotherapy practice trends for management of children who are overweight or obese. The professional needs of physiotherapists working with this population were also assessed, including the perceived need for physiotherapy clinical guidelines for prevention and management of children with obesity. A cross-sectional survey design was used, with questionnaires purposefully distributed through 13 key physiotherapy services throughout Australia. Snowball sampling resulted in completed questionnaires from 64 physiotherapists who provided services to children. Half (n=33, 52%) of respondents provided services specifically to overweight or obese children. Of those providing services, one-quarter had prior training specific to working with this population. Most used multi-disciplinary models (n=16, 76%) and provided under 5h of obesity-related services each week (n=29, 88%). Half (n=16, 49%) used body mass index as an outcome measure but more (n=25, 76%) used bodyweight. Only 14 (42%) assessed motor skills. The majority of respondents (n=57, 89%) indicated a need for physiotherapy guidelines to best manage overweight and obese children. Professional development priorities included: 'Educating children and families', 'Assessment methods' and 'Exercise prescription' for overweight and obese children. This data provides workforce intelligence to guide future professional training and inform development of clinical guidelines for physiotherapists in prevention and management of children with obesity and related chronic disease.

  12. Unmet Healthcare and Social Services Needs of Older Canadian Adults with Developmental Disabilities

    Science.gov (United States)

    Shooshtari, Shahin; Naghipur, Saba; Zhang, Jin

    2012-01-01

    The authors sought to create a demographic, socioeconomic, and health-related profile of older (40+) Canadian adults with developmental disabilities (DD) residing in their communities, and to enhance current knowledge of their unmet health and social support services needs. They provide a secondary analysis of cross-sectional data from the 2001…

  13. Training Social Workers and Human Service Professionals to Address the Complex Financial Needs of Clients

    Science.gov (United States)

    Frey, Jodi Jacobson; Hopkins, Karen; Osteen, Philip; Callahan, Christine; Hageman, Sally; Ko, Jungyai

    2017-01-01

    In social work and other community-based human services settings, clients often present with complex financial problems. As a need for more formal training is beginning to be addressed, evaluation of existing training is important, and this study evaluates outcomes from the Financial Stability Pathway (FSP) project. Designed to prepare…

  14. Understanding Climate Change Perceptions, Attitudes, and Needs of Forest Service Resource Managers

    Science.gov (United States)

    Carlos Rodriguez-Franco; Tara J. Haan

    2015-01-01

    Surveys were collected to assess Forest Service (FS) resource managers' perceptions, attitudes, and informational needs related to climate change and its potential impacts on forests and grasslands. Resource managers with three background types were surveyed. All participants generally considered themselves to be well-informed on climate change issues, although...

  15. Motor Neurone Disease: Disability Profile and Service Needs in an Australian Cohort

    Science.gov (United States)

    Ng, Louisa; Talman, Paul; Khan, Fary

    2011-01-01

    Motor neurone disease (MND) places considerable burden upon patients and caregivers. This is the first study, which describes the disability profile and healthcare needs for persons with MND (pwMND) in an Australian sample from the perspective of the patients and caregivers to identify current gaps in the knowledge and service provision. A…

  16. Identifying the Need for Counseling Services in Organization and Industry in Malaysia.

    Science.gov (United States)

    Mohamed, Othman

    Studies on the need for counseling services were conducted at three separate corporate settings in Malaysia. The three organizations were the National Institute of Public Administration Malaysia; Syarikat Telekom Malaysia Berhad; and the Johor Port Authority. Subjects included 129 supervisory officers and 135 supervisees at the National Institute…

  17. The Influence of Family Environment on Mental Health Need and Service Use among Vulnerable Children

    Science.gov (United States)

    Thompson, Richard; Lindsey, Michael A.; English, Diana J.; Hawley, Kristin M.; Lambert, Sharon; Browne, Dorothy C.

    2007-01-01

    Children in child welfare are especially likely to have unmet mental health needs. The role of family factors in children's use of mental health services was examined in a longitudinal sample of 1,075 maltreated or at-risk children. Vulnerable family environment (poor family functioning, low social support, and caregiver psychological distress) is…

  18. Parenting among Mothers with Bipolar Disorder: Strengths, Challenges, and Service Needs

    Science.gov (United States)

    Venkataraman, Meenakshi; Ackerson, Barry J.

    2008-01-01

    Bipolar disorder is a severe form of mental illness with a primary disruption in mood. With fluctuating phases of mania and depression, bipolar disorder can have a serious impact on all activities of daily living, including parenting. Ten mothers with bipolar disorder were interviewed to understand their strengths, challenges, and service needs in…

  19. Service needs of parents with motor or multiple disabled children in Dutch therapeutic toddler classes

    NARCIS (Netherlands)

    Hendriks, A.H.C.; Moor, J.M.H. de; Oud, J.H.L.; Franken, W.M.

    2000-01-01

    Objective: To determine parents' service needs at the start of therapeutic toddler class treatment, to analyse determinants and to investigate received help after a period of 10 months. Subjects: Parents with motor or multiply disabled children in therapeutic toddler classes. Setting: Sixteen out of

  20. Problems and Service Needs of Asian Americans in Chicago: An Empirical Study.

    Science.gov (United States)

    Kim, Bok-Lim C.

    1978-01-01

    This study of Asians found that: (1) there is a need for basic legal services as well as general counseling; (2) English classes at both basic and more advanced levels are wanted; and (3) the stereotype of Asians in America as uncomplaining and stoic minority groups is partially validated by the data. (Author/WI)

  1. Bridging the Silos of Service Delivery for High-Need, High-Cost Individuals.

    Science.gov (United States)

    Sherry, Melissa; Wolff, Jennifer L; Ballreich, Jeromie; DuGoff, Eva; Davis, Karen; Anderson, Gerard

    2016-12-01

    Health care reform efforts that emphasize value have increased awareness of the importance of nonmedical factors in achieving better care, better health, and lower costs in the care of high-need, high-cost individuals. Programs that care for socioeconomically disadvantaged, high-need, high-cost individuals have achieved promising results in part by bridging traditional service delivery silos. This study examined 5 innovative community-oriented programs that are successfully coordinating medical and nonmedical services to identify factors that stimulate and sustain community-level collaboration and coordinated care across silos of health care, public health, and social services delivery. The authors constructed a conceptual framework depicting community health systems that highlights 4 foundational factors that facilitate community-oriented collaboration: flexible financing, shared leadership, shared data, and a strong shared vision of commitment toward delivery of person-centered care.

  2. Service and infrastructure needs to support recovery programmes for Indigenous community mental health consumers.

    Science.gov (United States)

    Sayers, Jan M; Cleary, Michelle; Hunt, Glenn E; Burmeister, Oliver K

    2017-04-01

    Mental health is a major concern in Indigenous communities, as Indigenous people experience poorer health outcomes generally, and poorer social and emotional well-being throughout their lives, compared to non-Indigenous populations. Interviews were conducted with 20 mental health workers from a housing assistance programme for Indigenous clients with mental illness. Service and infrastructure needs identified to support clients were classified under the following overarching theme 'supports along the road to recovery'. Subthemes were: (i) It is OK to seek help; (ii) linking in to the local community; (iii) trusting the workers; and (iv) help with goal setting and having activities that support their achievement. This paper highlights the importance of targeted housing and accommodation support programmes for Indigenous people to prevent homelessness, and the essential services and infrastructure required to support Indigenous clients' mental health needs. These insights may inform service review, workforce development, and further research.

  3. DOD Inventory of Contracted Services: Timely Decisions and Further Actions Needed to Address Long Standing Issues

    Science.gov (United States)

    DOD to use that inventory to inform certain decision -making processes , including workforce planning and budgeting. GAO has previously reported on the...DOD is the governments largest purchaser of contractor-provided services. In 2008, Congress required DOD to compile and review an annual inventory of...2014 inventory of contracted services, and (2) developed plans to use the inventory for decision making. GAO reviewed relevant laws and guidance and

  4. A survey of public needs for government information service in libraries

    Institute of Scientific and Technical Information of China (English)

    Yunpeng; QU; Huiwei; LIANG; Lei; SA; Yumei; XU; Wenjie; DUN; Rongrong; ZHAO; Qiuhui; CHEN

    2014-01-01

    Purpose:This paper describes a comprehensive user survey carried out in China to investigate public needs for government information service in libraries.It is expected to provide insights into the ways to help public libraries meet the user needs.Design/methodology/approach:The paper is founded on a survey among library users,librarians and non-library users.Paper questionnaires were distributed in the National Library of China and 32 provincial public libraries in China and electronic questionnaires were sent to non-library users.A total of 909 valid questionnaires were collected.Findings:A lot of attention is paid to policies,laws and regulations relating to common people’s work and lives such as science,technology,education,culture,finance,market supervision,health care,sports,urban construction and environment protection.A wide variety of government information resources is needed and information delivered to users shall be accurate and timely.Internet has become the main means of accessing government information and mobile phones the preferred Web access channel,while printed materials are considered important information sources.Users need assistance and training in the use of library information resources and services.Research limitations:The sample was limited to respondents from provincial-level public libraries,but city and county-level library users were not included.Practical implications:The survey results are beneficial for the Chinese public libraries to design service programs and improve their services.Originality/value:The paper is one of the comprehensive surveys on public needs for government information service in the Chinese libraries and some of die findings will be of wider interest for other libraries.

  5. 48 CFR 3437.270 - Consulting services reporting clause.

    Science.gov (United States)

    2010-10-01

    ... 48 Federal Acquisition Regulations System 7 2010-10-01 2010-10-01 false Consulting services reporting clause. 3437.270 Section 3437.270 Federal Acquisition Regulations System DEPARTMENT OF EDUCATION ACQUISITION REGULATION SPECIAL CATEGORIES OF CONTRACTING SERVICE CONTRACTING Consulting Services...

  6. The need for simultaneous evaluation of ecosystem services and land use change

    Science.gov (United States)

    Euliss, Ned H.; Smith, Loren M.; Liu, Shu-Guang; Feng, Min; Mushet, David M.; Auch, Roger F.; Loveland, Thomas R.

    2010-01-01

    We are living in a period of massive global change. This rate of change may be almost without precedent in geologic history (1). Even the most remote areas of the planet are influenced by human activities. Modern landscapes have been highly modified to accommodate a growing human population that the United Nations has forecast to peak at 9.1 billion by 2050. Over this past century, reliance on services from ecosystems has increased significantly and, over past decades, sustainability of our modern, intensively managed ecosystems has been a topic of serious international concern (1). Numerous papers addressing a particular land-use change effect on specific ecosystem services have recently been published. For example, there is currently great interest in increasing biofuel production to achieve energy inde- pendence goals and recent papers have independently focused attention on impacts of land-use change on single ecosystem services such as carbon sequestration (2) and many others (e.g., water availability, biodiversity, pollination). However, land-use change clearly affects myriad ecosystem services simultaneously. Hence, a broader perspective and context is needed to evaluate and understand interrelated affects on multiple ecosystem services, especially as we strive for the goal of sustainably managing global ecosystems. Similarly, land uses affect ecosystem services synergistically; single land-use evaluations may be misleading because the overall impact on an ecosystem is not evaluated. A more holistic approach would provide a means and framework to characterize how land-use change affects provisioning of goods and services of complete ecosystems.

  7. The Needs of Primary English Teachers for an In-Service Teacher Training Program

    Directory of Open Access Journals (Sweden)

    Enisa Mede

    2016-04-01

    Full Text Available The purpose of this study is to investigate the needs of the primary English teachers at a private school about an in-service teacher training program. Under the light of former studies and literature, this study attempts to find out their needs on the predefined concepts namely, adaptation of teaching methods, emphasis on language skills, utilization of technology, classroom environment, instructional practices and material development. The differences between the needs of the participating teachers according to their grade level (K1-4 were examined as well. A sample of 60 primary English teachers working in private schools around different cities in Turkey participated in this study. Data were collected through a triangulated approach, in which questionnaires, semi-structured interviews and teacher diaries were administered to the participating teachers. The findings revealed except for the material development, the primary English teachers are in a high need of a design for an in-service training program on the predefined concepts. Besides, the only difference between the grade levels was in relation to the utilization of technology. These findings will serve as basis for the design of a new in-service teacher training program to meet their needs in the following academic years.

  8. The Need and Its Influence Factors for Community-based Rehabilitation Services for Disabled Persons in One District in Beijing

    Institute of Scientific and Technical Information of China (English)

    HONG DAI; HUI XUE; ZONG-JIE YIN; ZHONG-XIN XIAO

    2006-01-01

    Purpose To explore the needs for basic community-based rehabilitation services for disabled persons in Xuanwu District, Beijing, China, and to identify factors which influence disabled persons to accept rehabilitation services. Method One hundred and eight disabled persons were selected by systematic sampling and simple random sampling to assess their needs for community-based rehabilitation services. Results Of the interviewees, 57.4% needed the community-based rehabilitation services, but only 13.9% took advantage of it. The main factors influencing the interviewees to accept these services were cost (P<0.05), knowledge about rehabilitation medicine (P<0.05); and the belief in the therapeutic benefit of the community-based rehabilitation service (P<0.05). Conclusion A considerable gap exists between the supply of community-based rehabilitation services in Beijing and the needs for these services by disabled residents underscoring the need for improved availability, and for additional research.

  9. Ruby Lake National Wildlife Service Annual Report Fiscal Year 1941

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This annual narrative report for Ruby Lake outlines Refuge accomplishments during the 1941 fiscal year. The report begins with a summary of the bird observations and...

  10. An innovative Oklahoma program to coordinate interdisciplinary and interagency services for children with special healthcare needs at a county level.

    Science.gov (United States)

    Wolraich, Mark; Lockhart, Jennifer; Worley, Louis

    2013-03-01

    Children and youth with special health care needs (CYSHCN) and their families often require multiple services from multiple providers in order to meet their needs. The Sooner SUCCESS (State Unified Children's Comprehensive Exemplary Services for Special Needs), was developed based on a complex adaptive systems approach allowing local coalitions to address their unique needs. Sooner SUCCESS provides support to families and service providers at the community level including a broad range of supports from simply helping a family identify and access a service that already exists to innovatively marshaling generic resources to meet a unique need. The program uses these family support activities coupled with the Community Needs Assessment to identify local service needs encouraging community capacity building by coordinating the efforts of the health, mental health, social and education systems to identify service gaps and develop community-based strategies to fill those gaps.

  11. Discussion Part 2: Metrics and Validation Needs for Space Weather Models and Services

    Science.gov (United States)

    Glover, Alexi; Onsager, Terrance; Kuznetsova, Maria; Bingham, Suzy

    2016-07-01

    We invite the space weather community to contribute to a discussion on the main themes of this PSW1 event, with the aim of identifying and prioritising key issues and formulating recommendations and guidelines for policy makers, stakeholders, and data and service providers. This event particularly encourages dialogue between modellers, application developers, service providers and users of space weather products and services in order to review the state of model and service validation activities, to build upon successes, to identify challenges, and to develop a strategy for continuous assessment of space weather predictive capabilities and tracing the improvement over time, as recommended in the COSPAR Space Weather Roadmap. We discuss space weather verification & validation needs for the current generation of activities under development and in planning globally, together with perspectives for modellers and scientific community to further participate in the space weather endeavour. All Assembly participants are welcome to participate in this PSW discussion session and all are invited to submit input for the discussion to the authors ahead of the Assembly. The discussion will take place in two parts at the start and end of the PSW1 event. It is intended that the outcome of these discussion sessions will be formulated as a panel position paper on metrics and validation needs for space weather models and services.

  12. Introduction and Discussion Part 1: Metrics and Validation Needs for Space Weather Models and Services.

    Science.gov (United States)

    Glover, Alexi; Onsager, Terrance; Kuznetsova, Maria; Bingham, Suzy

    2016-07-01

    We invite the space weather community to contribute to a discussion on the main themes of this PSW1 event, with the aim of identifying and prioritising key issues and formulating recommendations and guidelines for policy makers, stakeholders, and data and service providers. This event particularly encourages dialogue between modellers, application developers, service providers and users of space weather products and services in order to review the state of model and service validation activities, to build upon successes, to identify challenges, and to develop a strategy for continuous assessment of space weather predictive capabilities and tracing the improvement over time, as recommended in the COSPAR Space Weather Roadmap. We discuss space weather verification & validation needs for the current generation of activities under development and in planning globally, together with perspectives for modellers and scientific community to further participate in the space weather endeavour. All Assembly participants are welcome to participate in this PSW discussion session and all are invited to submit input for the discussion to the authors ahead of the Assembly. The discussion will take place in two parts at the start and end of the PSW1 event. It is intended that the outcome of these discussion sessions will be formulated as a panel position paper on metrics and validation needs for space weather models and services.

  13. Correlation between laboratory services and reporting requirements for selected zoonoses

    OpenAIRE

    1981-01-01

    Questionnaires on the reporting required and the diagnostic services provided for selected zoonoses were completed by all departments of public health and all departments of agriculture in the 50 States. The public health departments offered services for a larger number of zoonoses than did the agricultural agencies. The correlation between the required reporting of a disease and the availability of services for that disease was stronger in the case of public health laboratories.

  14. Challenges Addressing Unmet Need for Contraception: Voices of Family Planning Service Providers in Rural Tanzania.

    Science.gov (United States)

    Baraka, Jitihada; Rusibamayila, Asinath; Kalolella, Admirabilis; Baynes, Colin

    2015-12-01

    Provider perspectives have been overlooked in efforts to address the challenges of unmet need for family planning (FP). This qualitative study was undertaken in Tanzania, using 22 key informant interviews and 4 focus group discussions. The research documents perceptions of healthcare managers and providers in a rural district on the barriers to meeting latent demand for contraception. Social-ecological theory is used to interpret the findings, illustrating how service capability is determined by the social, structural and organizational environment. Providers' efforts to address unmet need for FP services are constrained by unstable reproductive preferences, low educational attainment, and misconceptions about contraceptive side effects. Societal and organizational factors--such as gender dynamics, economic conditions, religious and cultural norms, and supply chain bottlenecks, respectively--also contribute to an adverse environment for meeting needs for care. Challenges that healthcare providers face interact and produce an effect which hinders efforts to address unmet need. Interventions to address this are not sufficient unless the supply of services is combined with systems strengthening and social engagement strategies in a way that reflects the multi-layered, social institutional problems.

  15. Meteorological Services Annual Data Report for 2014

    Energy Technology Data Exchange (ETDEWEB)

    Heiser, John [Brookhaven National Lab. (BNL), Upton, NY (United States); Smith, Scott [Brookhaven National Lab. (BNL), Upton, NY (United States)

    2015-01-21

    This document presents the meteorological data collected at Brookhaven National Laboratory (BNL) by Meteorological Services (Met Services) for the calendar year 2014. The purpose is to publicize the data sets available to emergency personnel, researchers and facility operations. Met services has been collecting data at BNL since 1949. Data from 1994 to the present is available in digital format. Data is presented in monthly plots of one-minute data. This allows the reader the ability to peruse the data for trends or anomalies that may be of interest to them. Full data sets are available to BNL personnel and to a limited degree outside researchers. The full data sets allow plotting the data on expanded time scales to obtain greater details (e.g., daily solar variability, inversions, etc.).

  16. Meteorological services annual data report for 2016

    Energy Technology Data Exchange (ETDEWEB)

    Heiser, John [Brookhaven National Lab. (BNL), Upton, NY (United States); Smith, S.

    2017-01-18

    This document presents the meteorological data collected at Brookhaven National Laboratory (BNL) by Meteorological Services (Met Services) for the calendar year 2016. The purpose is to publicize the data sets available to emergency personnel, researchers and facility operations. Met services has been collecting data at BNL since 1949. Data from 1994 to the present is available in digital format. Data is presented in monthly plots of one-minute data. This allows the reader the ability to peruse the data for trends or anomalies that may be of interest to them. Full data sets are available to BNL personnel and to a limited degree outside researchers. The full data sets allow plotting the data on expanded time scales to obtain greater details (e.g., daily solar variability, inversions, etc.).

  17. Meteorological services annual data report for 2015

    Energy Technology Data Exchange (ETDEWEB)

    Heiser, John [Brookhaven National Lab. (BNL), Upton, NY (United States); Smith, Scott [Brookhaven National Lab. (BNL), Upton, NY (United States)

    2016-01-25

    This document presents the meteorological data collected at Brookhaven National Laboratory (BNL) by Meteorological Services (Met Services) for the calendar year 2015. The purpose is to publicize the data sets available to emergency personnel, researchers and facility operations. Met services has been collecting data at BNL since 1949. Data from 1994 to the present is available in digital format. Data is presented in monthly plots of one-minute data. This allows the reader the ability to peruse the data for trends or anomalies that may be of interest to them. Full data sets are available to BNL personnel and to a limited degree outside researchers. The full data sets allow plotting the data on expanded time scales to obtain greater details (e.g., daily solar variability, inversions, etc.).

  18. Non-audit services in Ukraine: the need for regulatory harmonization

    Directory of Open Access Journals (Sweden)

    I.О. Makarenko

    2016-12-01

    Full Text Available Tightening the requirements for the audit profession and improving the quality of non-audit services led to best practice sharing of such services. The article analyzes the key trends in the provision of non-audit services in Ukraine in the context of implementing global experience. The comparative analysis of the requirements for separation of audit and non-audit services is conducted. The need for harmonization to ensure the independence of auditors in Ukraine is grounded. The author gives the particular attention to contemporary approaches to the regulation of such services in the EU and the US. So, the deep analysis of Directive 2014/56/EU «On statutory audits of annual accounts and consolidated accounts», Directive 2014/95/EU «Оn disclosure of non-financial and diversity information» and Sarbanes-Oxley Act is used by authors. In this regard, the gaps in regulatory control of audit and non-audit services in Ukraine are identified and the ways of their solution in the context of the reform of audit and convergence of accounting and auditing standards are underlined.

  19. Family planning services for incarcerated women: models for filling an unmet need.

    Science.gov (United States)

    Sufrin, Carolyn; Baird, Sara; Clarke, Jennifer; Feldman, Elizabeth

    2017-03-13

    Purpose Incarcerated women around the globe are predominantly of reproductive age. Most of these women have been pregnant before, and many want to be sexually active and avoid pregnancy upon release. Yet few of these women are on a regular method of contraception. Providing contraceptive services for women in custody benefits individual and public health goals of reducing unintended pregnancy. This policy briefing reviews evidence for an unmet need for family planning in the correctional setting, and policy implications for expanding services. The paper aims to discuss these issues. Design/methodology/approach The authors describe four model programs in the USA with established contraceptive services on site, highlighting practical steps other facilities can implement. Findings Correctional facilities health administrators, providers, advocates, and legislators should advance policies which should counsel women on family planning and should make a range of contraceptive methods available before release, while remaining sensitive to the potential pressure these women may feel to use birth control in this unique environment. Practical implications Family planning services for incarcerated women benefits individuals, facilities, and the community. Social implications Policies which enable correctional facilities to provide comprehensive family planning to incarcerated women - including reproductive life goals counseling and contraceptive method provision - promote equity in access to critical reproductive health services and also provide broad scale population level benefits in preventing unintended pregnancy or enabling counseling for healthy pregnancies for a group of women who often have limited access to such services. Originality/value This policy briefing highlights an area of health care in prisons and jails which gets little attention in research and in policy circles: family planning services for incarcerated women. In addition to reviewing the importance of

  20. SQL Server 2012 reporting services blueprints

    CERN Document Server

    Ribunal, Marlon

    2013-01-01

    Follow the fictional John Kirkland through a series of real-world reporting challenges based on actual business conditions. Use his detailed blueprints to develop your own reports for every requirement.This book is for report developers, data analysts, and database administrators struggling to master the complex world of effective reporting in SQL Server 2012. Knowledge of how data sources and data sets work will greatly help readers to speed through the tutorials.

  1. Culinary Arts Food Service Training Program. Summary Report.

    Science.gov (United States)

    Hall, Bo; And Others

    Special Vocational Services in Salt Lake City has provided food service training, using the facilities of a local high school and the University of Utah, to special needs youth meeting Job Training Partnership Act (JTPA) guidelines. The use of industry-based equipment, a formal dining room, and a qualified staff have assured relevant training to…

  2. Providing comprehensive health services for young key populations: needs, barriers and gaps

    Directory of Open Access Journals (Sweden)

    Sinead Delany-Moretlwe

    2015-02-01

    Full Text Available Introduction: Adolescence is a time of physical, emotional and social transitions that have implications for health. In addition to being at high risk for HIV, young key populations (YKP may experience other health problems attributable to high-risk behaviour or their developmental stage, or a combination of both. Methods: We reviewed the needs, barriers and gaps for other non-HIV health services for YKP. We searched PubMed and Google Scholar for articles that provided specific age-related data on sexual and reproductive health; mental health; violence; and substance use problems for adolescent, youth or young sex workers, men who have sex with men, transgender people, and people who inject drugs. Results: YKP experience more unprotected sex, sexually transmitted infections including HIV, unintended pregnancy, violence, mental health disorders and substance use compared to older members of key populations and youth among the general population. YKP experience significant barriers to accessing care; coverage of services is low, largely because of stigma and discrimination experienced at both the health system and policy levels. Discussion: YKP require comprehensive, integrated services that respond to their specific developmental needs, including health, educational and social services within the context of a human rights-based approach. The recent WHO Consolidated Guidelines on HIV Prevention, Diagnosis, Treatment and Care for Key Populations are an important first step for a more comprehensive approach to HIV programming for YKP, but there are limited data on the effective delivery of combined interventions for YKP. Significant investments in research and implementation will be required to ensure adequate provision and coverage of services for YKP. In addition, greater commitments to harm reduction and rights-based approaches are needed to address structural barriers to access to care.

  3. Strategic FM Procurement: an issue of aligning services to business needs

    DEFF Research Database (Denmark)

    Katchamart, Akarapong; Shiem-shin, Danny Then

    2014-01-01

    Purpose – To illustrate the interdependence between business need and strategic decision on facilities management (FM) procurement model. This interdependence underpins the reason behind strategic decision on FM procurement. It would assist decision makers on FM services procurement that fulfills...... on a limited number of detailed case studies, further empirical verification of various types of organizations and contexts will be needed. Originality/value Although this proposed approach is formulated within the context of FM procurement, its applications can be applied to other organizational support...

  4. Pre-Service Teachers: An Analysis of Reading Instruction in High Needs Districts Dual Language Classrooms

    Directory of Open Access Journals (Sweden)

    Michael Whitacre

    2013-01-01

    Full Text Available Pre-service teachers need opportunities to apply theory and connect to best practices as they teach in classroom settings be it, whole or small group. For many pre-service teachers often times their experience is limited to simply watching instruction or working with small groups of students (Pryor & Kuhn, 2004. The student teaching experience is a critical component of the teacher preparation program. Through the use of the English Language Learner Classroom Observation Instrument (ELLCOI, and researcher observation the hope is that these will aid in bringing to light the instructional activities used by pre-service teachers during reading instruction with ELLs. This study explores how pre-service bilingual teachers connect theory into practice by examining their instruction in the following categories: Instructional Practices, Interactive Teaching, English-Language Development, and Content Specific to Reading as listed in The English Language Learner Classroom Observation Instrument (ELLCOI developed by Haager, Gersten, Baker, and Graves (2003. To capture these instructional events video tape recordings of eight South Texas pre-service teachers were taken during a reading language arts lesson in order to observe instruction in high need districts’ dual language/bilingual classrooms. Data were compiled to capture the nature and quality of instruction on key essential elements, as well as reading instructional practices specific to the teaching/learning process in the dual language classroom. The findings portray the results of the ELLCOI with bilingual/ESL pre- service teachers and how they make sense of their instructional practices as a means to instruction in one-way dual language public school classrooms.

  5. Assistive Technology Needs, Functional Difficulties, and Services Utilization and Coordination of Children with Developmental Disabilities in the United States.

    Science.gov (United States)

    Lin, Sue C; Gold, Robert S

    2017-01-31

    Assistive technology (AT) enhances the ability of individuals with disabilities to be fully engaged in activities at home, at school, and within their communities-especially for children with developmental disabilities (DD) with physical, sensory, learning, and/or communication impairments. The prevalence of children with DD in the United States has risen from 12.84% in 1997 to 15.04% in 2008. Thus, it is important to monitor the status of their AT needs, functional difficulties, services utilization, and coordination. Using data from the 2009-2010 National Survey on Children with Special Health Care Needs (NS-CSHCN), we conducted bivariate and multivariate statistical analysis, which found that 90% or more of parents of both children with DD and other CSHCN reported that their child's AT needs were met for vision, hearing, mobility, communication, and durable medical equipment; furthermore, children with DD had lower odds of AT needs met for vision and hearing and increased odds for meeting AT needs in mobility and communication. Our findings outline the current AT needs of children with DD nationally. Fulfilling these needs has the potential to engender positive lifelong effects on the child's disabilities, sense of independence, self-confidence, and productivity.

  6. Academic-Hospital Partnership: Conducting a Community Health Needs Assessment as a Service Learning Project.

    Science.gov (United States)

    Krumwiede, Kelly A; Van Gelderen, Stacey A; Krumwiede, Norma K

    2015-01-01

    The purposes of this service learning project were to trial nursing student application of the Community-Based Collaborative Action Research (CBCAR) framework while conducting a community health needs assessment and to assess the effectiveness of the CBCAR framework in providing real-world learning opportunities for enhancing baccalaureate nursing students' public health knowledge. In this case study analysis, the CBCAR framework linked service learning and community health needs assessment with public health nursing core competencies. Fifteen nursing students partnered with collaborative members. Student observational field notes and narrative reflections were analyzed qualitatively for fidelity to the CBCAR framework and to evaluate student public health knowledge. Students successfully employed the CBCAR framework in collaboration with the critical access hospital and community stakeholders to design and conduct the community health needs assessment. Service learning themes were real-world solutions, professional development, community collaboration, and making a difference. Students developed skills in six of the eight domains of the Quad Council's core competencies for public health nurses. Community-Based Collaborative Action Research facilitates collaborative partnerships and relationships throughout the research process. Students benefited by applying what they have learned from their education to a real community who lacks resources. © 2014 Wiley Periodicals, Inc.

  7. iRoam: Leveraging Mobile Technology to Provide Innovative Point of Need Reference Services

    Directory of Open Access Journals (Sweden)

    James MacDonald

    2011-04-01

    Full Text Available The University of Northern British Columbia’s Geoffrey R. Weller Library can boast of a healthy and stable reference service. While statistical analysis reveals that patron use of this service is on the decline, this is not unlike current trends experienced by many libraries today. The library averages a total of 6300 reference transactions per year, a significant number for a small, research-intensive university serving 3500 FTE. The unanswered question is why are the numbers dropping? One theory is that providing research and reference assistance in a traditional manner is affecting the number of transactions. Reference service is traditionally provided in a stationary manner, whereby patrons are required to visit the reference desk of their own volition. Recognizing that a stationary librarian cannot reach a stationary patron, UNBC library began an innovative roaming reference pilot project in September, 2010. Combining the power of wireless networks, tablet computing and chat services, 5 librarians provided point-of-need, face-to-face and virtual reference services during peak reference hours over the fall 2010 semester. This article outlines the project and technologies employed to make it happen (iPad, apps, instant messaging widgets and wireless networks.

  8. Needs Assessment Survey: Doing Business with China. Report.

    Science.gov (United States)

    Meuschke, Daylene M.; Gribbons, Barry C.

    Discusses industry interests in international trade and the need or desire for business training programs involving international trade at the College of the Canyons. A survey was conducted on industry representatives from the Santa Clarita Valley on their need for training on doing business in the Pacific Rim, mainly China. In January 2003, 577…

  9. Effective Teaching of Business Communications: Responding to Reported Business Needs.

    Science.gov (United States)

    Harris, Thomas E.

    Research indicates that skills in listening to and motivating people need to be emphasized more in undergraduate business communication courses. Three theories of motivation--Maslow's hierarchy of needs, McClelland's achievement motive, and Hersberg's motivation-hygiene theory--can introduce students to the systems perspective, an approach…

  10. [Italian physician's needs for medical information. Retrospective analysis of the medical information service provided by Novartis Pharma to clinicians].

    Science.gov (United States)

    Speroni, Elisabetta; Poggi, Susanna; Vinaccia, Vincenza

    2013-10-01

    The physician's need for medical information updates has been studied extensively in recent years but the point of view of the pharmaceutical industry on this need has rarely been considered. This paper reports the results of a retrospective analysis of the medical information service provided to Italian physicians by an important pharmaceutical company, Novartis Pharma, from 2004 to 2012. The results confirm clinicians' appreciation of a service that gives them access to tailored scientific documentation and the number of requests made to the network of medical representatives has been rising steadily, peaking whenever new drugs become available to physicians. The analysis confirms what -other international studies have ascertained, that most queries are about how to use the drugs and what their properties are. The results highlight some differences between different medical specialties: for example, proportionally, neurologists seem to be the most curious. This, as well as other interesting snippets, is worth further exploration. Despite its limits in terms of representativeness, what comes out of the study is the existence of an real unmet need for information by healthcare institutions and that the support offered by the pharmaceutical industry could be invaluable; its role could go well beyond that of a mere supplier to National Healthcare Systems, to that of being recognised as an active partner the process of ensuring balanced and evidence-based information. At the same time, closer appraisal of clinicians' needs could help the pharma industries to improve their communication and educational strategies in presenting their latest clinical research and their own products.

  11. Urban women's socioeconomic status, health service needs and utilization in the four weeks after postpartum hospital discharge: findings of a Canadian cross-sectional survey

    Directory of Open Access Journals (Sweden)

    Ciliska Donna

    2008-10-01

    Full Text Available Abstract Background Postpartum women who experience socioeconomic disadvantage are at higher risk for poor health outcomes than more advantaged postpartum women, and may benefit from access to community based postpartum health services. This study examined socioeconomically disadvantaged (SED postpartum women's health, and health service needs and utilization patterns in the first four weeks post hospital discharge, and compared them to more socioeconomically advantaged (SEA postpartum women's health, health service needs and utilization patterns. Methods Data collected as part of a large Ontario cross-sectional mother-infant survey were analyzed. Women (N = 1000 who had uncomplicated vaginal births of single 'at-term' infants at four hospitals in two large southern Ontario, Canada cities were stratified into SED and SEA groups based on income, social support and a universally administered hospital postpartum risk screen. Participants completed a self-administered questionnaire before hospital discharge and a telephone interview four weeks after discharge. Main outcome measures were self-reported health status, symptoms of postpartum depression, postpartum service needs and health service use. Results When compared to the SEA women, the SED women were more likely to be discharged from hospital within the first 24 hours after giving birth [OR 1.49, 95% CI (1.01–2.18], less likely to report very good or excellent health [OR 0.48, 95% CI (0.35–0.67], and had higher rates of symptoms of postpartum depression [OR 2.7, 95% CI(1.64–4.4]. No differences were found between groups in relation to self reported need for and ability to access services for physical and mental health needs, or in use of physicians, walk-in clinics and emergency departments. The SED group were more likely to accept public health nurse home visits [OR 2.24, 95% CI(1.47–3.40]. Conclusion Although SED women experienced poorer mental and overall health they reported similar

  12. DOD Education Benefits: Increased Oversight of Tuition Assistance Program Is Needed. Report to the Chairman, Subcommittee on Federal Financial Management, Government Information, Federal Services, and International Security, Committee on Homeland Security and Governmental Affairs, United States Senate. GAO-11-300

    Science.gov (United States)

    Scott, George A.

    2011-01-01

    In fiscal year 2009, the Department of Defense's (DOD) Military Tuition Assistance (TA) Program provided $517 million in tuition assistance to approximately 377,000 service members. US Government Accountability Office (GAO) was asked to report on (1) DOD's oversight of schools receiving TA funds, and (2) the extent to which DOD coordinates with…

  13. Electrorheological (ER) fluids: A research needs assessment. Final report

    Energy Technology Data Exchange (ETDEWEB)

    Krieger, I.M.; Collins, E.A. [Consultec Scientific, Inc., Knoxville, TN (United States)

    1993-05-01

    This report consists of seven sections: (1) Executive Summary, (2) Introduction, (3) Overview, (4) Recommendations, (5) Panelist Reports, (6) Overseas Research and Development, and (7) Extended Bibliography. The Appendix contains the reports of site visits and contacts and other supplementary documents.

  14. Child & Adolescent Mental Health Services - first annual report 2008

    LENUS (Irish Health Repository)

    2009-10-01

    This Annual Report provides the first comprehensive survey carried out on community CAMHS teams and includes preliminary data collected by The Health Research Board on the admission of young people under the age of 18 years to inpatient mental health facilities. As many measures in this report do not have historic comparators it provides a baseline foundation that will be built upon in subsequent years providing an indication of trends that cannot yet be drawn on the basis of this report. The next report will include day hospital, liaison and inpatient services. Subsequent reports will further extend the mapping of mental health services for young people.

  15. Mental illness, problem behaviour, needs and service use in adults with intellectual disability.

    Science.gov (United States)

    Schützwohl, Matthias; Koch, Andrea; Koslowski, Nadine; Puschner, Bernd; Voß, Elke; Salize, Hans Joachim; Pfennig, Andrea; Vogel, Anke

    2016-05-01

    Mental ill health in adults with intellectual disability (ID) is a neglected field in psychiatry and thus still widely understudied. This paper provides data on the prevalence of mental illness and problem behaviour and analyses support needs, mental health service use and psychotropic medication in a representative sample of adults with mild to moderate ID. A set of well-established instruments was used to assess the main parameters in n = 371 participants recruited within a cross-sectional epidemiological multicentre study using a stratified randomised cluster sampling. Point prevalence of mental disorders was 10.8 %, that of problem behaviour 45.3 %. Most study participants needed help in specific lower order need areas (e.g., money budgeting, food, accommodation), and these need areas were mostly rated as met. The highest ratios of unmet to met need were found with respect to sexuality issues and with respect to mental health problems. The focus of psychiatric treatment was psychotropic medication. Referring to ICD-10 based diagnostic criteria and consequently avoiding confusing problem behaviour with mental disorders, point prevalence of mental disorders was lower than in the general population. A systematic deficit in meeting mental health problems in adults with ID indicates the need for implementing strategies to maximise the quality of identification and management of mental disorders.

  16. Unmet Need for Specialty Mental Health Services Among Children Across Europe.

    Science.gov (United States)

    Kovess-Masfety, Viviane; Van Engelen, Julia; Stone, Lisanne; Otten, Roy; Carta, Mauro Giovanni; Bitfoi, Adina; Koc, Ceren; Goelitz, Dietmar; Lesinskiene, Sigita; Mihova, Zlatka; Fermanian, Christophe; Pez, Ondine; Husky, Mathilde

    2017-08-01

    The aim of this study was to examine the determinants of use of mental health services for children across Europe, with a specific focus on differences in the availability of mental health resources. Data were drawn from the School Children Mental Health in Europe Project. Parent- and teacher-reported child mental health status was based on the Strengths and Difficulties Questionnaire. Sociodemographic characteristics of parents and children, as well as academic performance and use of mental health services in the previous 12 months, were collected. Countries were categorized as having high versus low mental health resources. The sample comprised 4,894 schoolchildren in seven countries. Across Europe, only 25.6% of children with a mental disorder had received mental health services in the previous 12 months, including 31.5% in high-resources countries and 18.9% in low-resources countries (p=.001) (N=4,867). The presence of any mental disorder, maternal psychological distress, gender, living in a single-parent home, and low academic performance were determinants of service use. The effect of resources group on the likelihood of receiving services remained significant when the analyses controlled for all predictors (odds ratio=1.41, pmental disorders, especially in low-resources countries.

  17. Resource needs for adolescent friendly health services: estimates for 74 low- and middle-income countries.

    Science.gov (United States)

    Deogan, Charlotte; Ferguson, Jane; Stenberg, Karin

    2012-01-01

    In order to achieve Millennium Development Goals 4, 5 and 6, it is essential to address adolescents' health. To estimate the additional resources required to scale up adolescent friendly health service interventions with the objective to reduce mortality and morbidity among individuals aged 10 to 19 years in 74 low- and middle- income countries. A costing model was developed to estimate the financial resources needed to scale-up delivery of a set of interventions including contraception, maternity care, management of sexually transmitted infections, HIV testing and counseling, safe abortion services, HIV harm reduction, HIV care and treatment and care of injuries due to intimate partner physical and sexual violence. Financial costs were estimated for each intervention, country and year using a bottom-up ingredients approach, defining costs at different levels of delivery (i.e., community, health centre, and hospital level). Programme activity costs to improve quality of care were also estimated, including activities undertaken at national-, district- and facility level in order to improve adolescents' use of health services (i.e., to render health services adolescent friendly). Costs of achieving universal coverage are estimated at an additional US$ 15.41 billion for the period 2011-2015, increasing from US$ 1.86 billion in 2011 to US$ 4,31 billion in 2015. This corresponds to approximately US$ 1.02 per adolescent in 2011, increasing to 4.70 in 2015. On average, for all 74 countries, an annual additional expenditure per capita ranging from of US$ 0.38 in 2011 to US$ 0.82 in 2015, would be required to support the scale-up of key adolescent friendly health services. The estimated costs show a substantial investment gap and are indicative of the additional investments required to scale up health service delivery to adolescents towards universal coverage by 2015.

  18. Resource needs for adolescent friendly health services: estimates for 74 low- and middle-income countries.

    Directory of Open Access Journals (Sweden)

    Charlotte Deogan

    Full Text Available BACKGROUND: In order to achieve Millennium Development Goals 4, 5 and 6, it is essential to address adolescents' health. OBJECTIVE: To estimate the additional resources required to scale up adolescent friendly health service interventions with the objective to reduce mortality and morbidity among individuals aged 10 to 19 years in 74 low- and middle- income countries. METHODS: A costing model was developed to estimate the financial resources needed to scale-up delivery of a set of interventions including contraception, maternity care, management of sexually transmitted infections, HIV testing and counseling, safe abortion services, HIV harm reduction, HIV care and treatment and care of injuries due to intimate partner physical and sexual violence. Financial costs were estimated for each intervention, country and year using a bottom-up ingredients approach, defining costs at different levels of delivery (i.e., community, health centre, and hospital level. Programme activity costs to improve quality of care were also estimated, including activities undertaken at national-, district- and facility level in order to improve adolescents' use of health services (i.e., to render health services adolescent friendly. RESULTS: Costs of achieving universal coverage are estimated at an additional US$ 15.41 billion for the period 2011-2015, increasing from US$ 1.86 billion in 2011 to US$ 4,31 billion in 2015. This corresponds to approximately US$ 1.02 per adolescent in 2011, increasing to 4.70 in 2015. On average, for all 74 countries, an annual additional expenditure per capita ranging from of US$ 0.38 in 2011 to US$ 0.82 in 2015, would be required to support the scale-up of key adolescent friendly health services. CONCLUSION: The estimated costs show a substantial investment gap and are indicative of the additional investments required to scale up health service delivery to adolescents towards universal coverage by 2015.

  19. Health Service Utilization and Poor Health Reporting in Asthma Patients

    Directory of Open Access Journals (Sweden)

    Joshua G. Behr

    2016-06-01

    Full Text Available The management and treatment of adult asthma has been associated with utilization of health services. Objectives: First, to investigate the likelihood of health service utilization, including primary care, emergency department, and hospital stays, among persons diagnosed with an asthma condition relative to those that do not have an asthma condition. Second, to examine the likelihood of poor physical health among asthma respondents relative to those that do not have an asthma condition. Third, to demonstrate that these relationships vary with frequency of utilization. Fourth, to discuss the magnitude of differences in frequent utilization between asthma and non-asthma respondents. Data Source: Data is derived from a random, stratified sampling of Hampton Roads adults, 18 years and older (n = 1678. Study Design: Study participants are interviewed to identify asthma diagnosis, access to primary care, frequency of emergency department utilization, hospital admissions, and days of poor physical health. Odds-ratios establish relationships with the covariates on the outcome variable. Findings: Those with asthma are found more likely (OR 1.50, 95% CI 1.05–2.15 to report poor physical health relative to non-asthma study participants. Further, asthma respondents are found more likely (OR 4.23, 95% CI 1.56–11.69 to frequently utilize primary care that may be associated with the management of the condition and are also more likely to utilize treatment services, such as the emergency department (OR 1.87, 95% CI 1.32–2.65 and hospitalization (OR 2.21, 95% CI 1.39–3.50, associated with acute and episodic care. Further, it is a novel finding that these likelihoods increase with frequency of utilization for emergency department visits and hospital stays. Conclusion: Continuity in care and better management of the diseases may result in less demand for emergency department services and hospitalization. Health care systems need to recognize that asthma

  20. [Internationalized medical care services increase need of health care providers to improve English communication skills].

    Science.gov (United States)

    Yang, Chia-Ling

    2011-02-01

    English is the most important language used in international communication. Nurses today have significantly more opportunities to come into contact with clients of different nationalities. Therefore, English communication abilities are a critical to the effective care of foreign clients. Miscommunication due to language barriers can endanger the health and safety of foreign clients and hinder their access to healthcare resources. Basic English communicate skills allow nurses to better understand the feelings of foreign clients and to affect their satisfaction with healthcare services provided. The majority of clinical nurses in Taiwan are inadequately prepared to communicate with foreign clients or use English when delivering nursing care services. Although English is not an official language in Taiwan, strengthening English communication skills is necessary for Taiwan's healthcare service system. Faced with increasing numbers of foreign clients in their daily work, first-line nursing staffs need more training to improve English proficiency. In order to do so, support from the hospital director is the first priority. The second priority is to motivate nursing staffs to learn English; the third is to incorporate different English classes into the medical system and schedule class times to meet nurse scheduling needs; and the fourth is to establish international medical wards, with appropriate incentives in pay designed to attract and retain nursing staff proficient in English communication.

  1. Reading and Readability Research in the Armed Services. Final Report.

    Science.gov (United States)

    Sticht, Thomas G., Ed.; Zapf, Diana Welty, Ed.

    The Conference on Reading and Readability Research in the Armed Services brought together reading, technical writing, and readability experts from civilian research and development (R & D) centers with R & D specialists from the armed services for discussion of reading and text-design problems in the military. This report of the proceedings…

  2. 1970-1971 Annual Report: Extension Service Program, Silliman University.

    Science.gov (United States)

    Maturan, Eulalio G.

    The 1970-1971 annual report of the Extension Service Program of Silliman University, Dumaguete City, Philippines, treats the following projects: Mabinay Agricultural Extension, Mabinay Negrito Action-Research, Reforestation, and Livestock Dispersal. Also discussed are the Rural Publications Center and other extension services--a radio program,…

  3. HEALTHY Study School Food Service Revenue and Expense Report

    Science.gov (United States)

    Trevino, Roberto P.; Pham, Trang; Mobley, Connie; Hartstein, Jill; El Ghormli, Laure; Songer, Thomas

    2012-01-01

    Background: Food service directors have a concern that federal reimbursement is not meeting the demands of increasing costs of healthier meals. The purpose of this article is to report the food option changes and the annual revenues and expenses of the school food service environment.

  4. Supporting the education goals of post-9/11 veterans with self-reported PTSD symptoms: a needs assessment.

    Science.gov (United States)

    Ellison, Marsha Langer; Mueller, Lisa; Smelson, David; Corrigan, Patrick W; Torres Stone, Rosalie A; Bokhour, Barbara G; Najavits, Lisa M; Vessella, Jennifer M; Drebing, Charles

    2012-01-01

    The influx of young adult veterans with mental health challenges from recent wars combined with newly expanded veteran education benefits has highlighted the need for a supported education service within the Veterans Administration. However, it is unknown how such a service should be designed to best respond to these needs. This study undertook a qualitative needs assessment for education supports among veterans with post-9/11 service with self-reported PTSD symptoms. Focus groups were held with 31 veterans, 54% of whom were under age 30. Transcripts were analyzed and interpreted using a thematic approach and a Participatory Action Research team. Findings indicate a need for age relevant services that assist with: education planning and access, counseling for the G.I. Bill, accommodations for PTSD symptoms, community and family re-integration, and outreach and support. The veterans recommended that supported education be integrated with the delivery of mental health services, that services have varied intensity, and there be linkages between colleges and the Veterans Health Administration.

  5. Examining EFL Pre-service Teachers’ TPACK trough Self-report, Lesson Plans and Actual Practice

    Directory of Open Access Journals (Sweden)

    Thooptong Kwangsawad

    2016-05-01

    Full Text Available Technological Pedagogical Content Knowledge (TPACK has been proposed as a conceptual framework to describe the knowledge base teachers need for effective technology integration. The present study aimed to determine EFL pre-service teachers’ TPACK trough self-report, lesson plans and actual practice. This study used a wide range of approaches (self-report, lesson plan assessment and classroom observations to measure TPACK of EFL pre-service teachers in order to examine EFL pre-service teachers’ ability to apply and foster the interplay between content, pedagogy and technology in their classrooms. The results of self-reported data (as measured by TPACK survey, lesson plan assessment and classroom observations showed high scores for all domains. The EFL pre-service teachers’ actual practice aligned with their self-reported and their lesson plans. 

  6. Technological developments and the need for technical competencies in food services.

    Science.gov (United States)

    Rodgers, Svetlana

    2005-05-01

    The growing scale of institutional and commercial food services poses a technological challenge of producing large quantities of high quality meals in terms of their safety, sensory and nutritional attributes. Developments in food service technology and systems (cook-freeze, cook-chill and others) allow the replacement of fast food with the service of cooked meals, which are often nutritionally superior. Reliance on equipment, packaging and technological 'know-how' makes food service operations more complex. Operators have to minimise the impact of the numerous steps in the production process, the fundamental weaknesses of cook-chill food safety design, coupled with the practical limitations of Hazard Analysis Critical Control Points management, the potential unevenness of temperature distribution and product deterioration during storage. The fundamental knowledge of food science and microbiology, engineering and packaging technologies is needed. At present, the 'high tech' options, which can improve a product's nutritional value, such as natural preservation hurdles or functional meals, are not used in practice.

  7. The Federal Technical Report Literature: Research Needs and Issues.

    Science.gov (United States)

    McClure, Charles R.

    1988-01-01

    Reviews the research on the role, importance, and impact of the federal technical report literature, and summarizes some ambiguities and gaps in the research. Different approaches to conceptual and methodological issues are discussed, and a typology of technical reports is provided. (38 notes with references) (Author/CLB)

  8. Citizenship and Immigration Services Ombudsman 2015 Annual Report

    Data.gov (United States)

    Department of Homeland Security — By statute, the Office of the Citizenship and Immigration Services Ombudsman submits an Annual Report to Congress by June 30 of each year. The Ombudsman’s Annual...

  9. HIV and Pregnancy Intentions: Do Services Adequately Respond to Women's Needs?

    Science.gov (United States)

    Firestone, Rebecca; MacCarthy, Sarah; Ferguson, Laura

    2008-01-01

    Too little is known about how an HIV diagnosis and access to care and treatment affect women's childbearing intentions. As access to antiretroviral therapy improves, greater numbers of HIV-positive women are living longer, healthier lives, and many want to have children. Effectively supporting women's reproductive decisionmaking in the context of HIV requires understanding how pregnancy, reproduction, and HIV intersect and asking questions that bridge the biomedical and social sciences. Considering women to be at the center of decisions on health policy and service delivery can help provide an appropriate constellation of services. A clear research agenda is needed to create a more coordinated approach to policies and programs supporting the pregnancy intentions of women with HIV. PMID:18703432

  10. Changing Morning Report: An Educational Intervention to Address Curricular Needs

    Directory of Open Access Journals (Sweden)

    Vijay John Daniels

    2014-01-01

    Full Text Available Morning report is a case-based teaching session common to many residency programs with varying purposes and focuses. At our institution, physicians and residents felt our Internal Medicine morning report had lost its educational focus. The purpose of this project was to improve morning report using a well-known curriculum development framework for medical education. We conducted a focus group of residents to develop and implement changes to morning report. Themes from our focus group led us to split morning report with the first 30 minutes for postgraduate year 3 (PGY-3 residents to give handover, to receive feedback on diagnosis and management, and to either discuss an interesting case or receive teaching aimed at their final certification examination. The second 30 minutes involved PGY-3 residents leading PGY-1 residents in case-based discussions with an attending physician providing feedback on the content and process of teaching. We measured success based on a follow-up survey and comments from resident evaluations before and after the change. Overall, the changes were well received by both faculty and residents; however comments revealed that the success of morning report is preceptor dependent. In summary, we have successfully implemented a split morning report model to enhance resident education with positive feedback.

  11. Developing a service-learning module for oral health: A needs assessment

    Directory of Open Access Journals (Sweden)

    R Ebrahim

    2017-03-01

    Full Text Available Background. Service learning (SL as a pedagogy in higher education must be differentiated from other services with a primarily philanthropic intent. Dental therapy and oral hygiene students at Sefako Makgatho Health Sciences University, School of Oral Health Sciences, Pretoria, South Africa visit community sites during their 2nd year of study. However, the current curricula would need restructuring for alignment with the espoused pedagogy and standards of SL. Such an SL curriculum design would thus allow for the provision of meaningful services to communities as an integral component of these programmes. Objective. To explore (i perceptions of 2nd-year oral health students; and (ii opinions of academics with regard to the need for an SL module. Methods. Purposive sampling was used to conduct two focus group discussions with academics involved in curriculum development (n=11 and students who had previous exposure to communities (n=10. A survey containing open-ended questions was completed by 9 academics, who would implement the proposed SL module. Frequencies were calculated and data from the open questions were analysed for emergent themes. Results. Most academics (89%, n=8 indicated that working effectively with others as members of a team and developing cultural sensitivity were achievable from an SL module. Two themes emerged from the focus groups, i.e. (i enhanced teaching and learning – students could apply theoretical and clinical training in an authentic setting; and (ii standardisation of training – an SL module would ensure consistency when engaging with communities. Conclusion. The needs assessment was valuable to inform the development and implementation of the SL module.

  12. Oral healthcare for elderly : Identifying the needs and feasible strategies for service provision

    Directory of Open Access Journals (Sweden)

    Goel Pankaj

    2006-01-01

    Full Text Available The aim of the present study was to assess the oral health practices, status and treatment needs of the rural elderly in national capital territory of Delhi. An effort was also made to identify patterns of utilization of dental services and test alternate strategies for service provision. A total of 96 elderly subjects (47 males and 49 females in 5 rural areas were interviewed and clinically examined using Basic Oral Health Survey criteria of W.H.O. This was followed by a community trial in which the 5 villages were divided into control and test groups. Results of the survey found that both traditional as well as modern oral health practices co-exist in the rural community. Dental services were available to a majority (mostly through private sector, and edentulousness was a condition of primary concern among the elderly as a result of unmet treatment needs for dental caries and periodontal diseases. Age was a variable that was statistically significantly associated with edentulousness (p=0.005. Results of the community trial showed that higher utilization of care can be achieved by providing on-site dental care as compared to referring cases to tertiary care centers. Nevertheless provision of treatment alone is not a suitable policy recommendation since many elderly did not avail care even at on-site community dental health programmes that were operated free of cost. This emphasizes the need of health education over treatment in order to empower the elderly, especially the non-ambulatory patients, to practice prevention and develop favourable attitudes towards accepting prompt treatment at primary health care level.

  13. A Case Study of Needs Assessment in Teacher In-Service Development.

    Science.gov (United States)

    Schnackenberg, Heidi L.; Luik, Krista; Nisan, Yael C.; Servant, Colleen

    2001-01-01

    Assessed the needs of two Quebec, Canada, elementary schools for educational technology for the classroom. Findings from 6 administrators and 21 teachers show that teachers currently use computers primarily for word processing and to prepare report cards. Teachers are interested in additional training in the use of educational technology. (SLD)

  14. Information needs, acceptability of risk, trust, and reliance: The case of National Predictive Services customers

    Science.gov (United States)

    Patricia L. Winter; Heidi. Bigler-Cole

    2010-01-01

    Making complex risk-related decisions involves a degree of uncertainty. How that uncertainty is addressed or presented in reports or data tables can be tailored to meet information users’ needs and preferences. Involving the recipients of risk-related information in the design of information to be delivered (including the types of information delivered, format, and...

  15. Training Needs and Methods of Training in Information Technology for Nigerian Special Library Services.

    Science.gov (United States)

    Nweke, Ken M. C.

    1992-01-01

    Reports on a survey of heads of special libraries in Nigeria that revealed a need for training in and access to information technology in library schools and special libraries. Greater funding for technology, participation in international networks and professional associations, and utilization of international fellowships for further study are…

  16. Perceptions of telecare training needs in home healthcare services: a focus group study.

    Science.gov (United States)

    Guise, Veslemøy; Wiig, Siri

    2017-02-23

    The implementation and use of telecare requires significant changes to healthcare service organisation and delivery, including new ways of working for staff. Competency development and training for healthcare professionals is therefore required to enable necessary adaptation of clinical practice and ensure competent provision of telecare services. It is however unclear what skills healthcare staff need when providing care at a distance and there is little empirical evidence on effective training strategies for telecare practice. Training should however emphasise the experiences and preferences of prospective trainees to ensure its relevance to their educational needs. The aim of this study was to explore healthcare professionals' perceptions of training related to the general use of telecare, and to identify specific training needs associated with the use of virtual visits in the home healthcare services. Six focus group interviews were held with a total of 26 participants working in the home healthcare services in Norway, including registered nurses, enrolled nurses, physiotherapists, occupational therapists, social workers, health workers, and healthcare assistants. The data material was analysed by way of systematic text condensation. The analysis resulted in five categories relevant to telecare training for healthcare professionals: Purposeful training creates confidence and changes attitudes; Training needs depend on ability to cope with telecare; The timing of training; Training must facilitate practical insight into the patients' perspective; and Training content must focus on the telecare process. Findings are discussed in light of implications for the form and content of a training program for healthcare professionals on how to undertake virtual home healthcare visits. Appropriate preparation and training for telecare use is important for healthcare professionals and must be taken seriously by healthcare organisations. To facilitate the knowledge, skills

  17. Quality of life and provision of social rehabilitation services in elementary school age children with special needs in Riga City

    Directory of Open Access Journals (Sweden)

    Cibule L.

    2012-10-01

    Full Text Available Long-term quality of life of children with special needs has not been studied in Latvia, and information on changes of quality of life (QoL rates during child’s development period is insufficient. The aim of the study was to analyze and compare the QoL related self-reports of school age children with special needs, which were repeatedly carried out once a year (2009–2010, with the proxy reports of their parents, as well as to compare the obtained results with Europe normative data on QoL developed by KIDSCREEN research group; to investigate the provision of social rehabilitation services for such families. The study was carried out in Riga municipality 2009–2010. Altogether 34 families with 8–11 years of age children with developmental disabilities participated in the study. Both parents and children filled KIDSCREEN-52 questionnaire, but a survey developed by a group of researchers “Social services” was used to gather information from the parents about the received children and family centered social services in the period between the both quality of life assessments. Results showed statistically significant changes in the latest quality of life self-assessment rates of school-age boys and girls with special needs in time period 2009–2010. Participants of the study – children with developmental disabilities – in both cases reported a lower QoL in comparison with Europe normative data on QoL developed by KIDSCREEN research group.

  18. DOD Service Acquisition: Improved Use of Available Data Needed to Better Manage and Forecast Service Contract Requirements

    Science.gov (United States)

    2016-02-01

    augmentation program Logistics support services Electronic and communication services Information technology services Telecom services Equipment...costs into their POM estimates. For example: • Air Force Minuteman Minimum Essential Emergency Communications Network Program Upgrade office developed...Minimum Essential Emergency Communications Network Program Upgrade office, which developed its fiscal year 2015-2019 POM input in accordance with

  19. Communication needs of patients with altered hearing ability: Informing pharmacists' patient care services through focus groups.

    Science.gov (United States)

    Ferguson, McKenzie; Liu, Min

    2015-01-01

    The purpose of this research is to identify communication barriers and needs for Deaf and hard-of-hearing (HOH) patients when they seek pharmaceutical care, and to better understand the impact of poor communication upon medication adherence and medication errors among this underserved population. Focus group discussion. Midwestern United States in September 2013 through April 2014. Deaf/HOH patients aged 18 years or older who used American Sign Language as their primary method of communication and were taking at least two long-term prescription medications. Qualitative themes. Many of the Deaf/HOH still perceived community pharmacists in a dispensing role and lacked an understanding of other services being offered in this setting. In addition, pharmacists who demonstrated a lack of sensitivity and patience towards the Deaf/HOH risk weakening the relationship between patient and provider. As a result, safe use of medications is compromised. Deaf and HOH patients have unique needs that pharmacists must understand and address. Effective communication and literacy assessment is essential to ensure safe medication use and optimal health outcomes. Pharmacist education and staff training are needed to increase awareness of this patient population's needs and to strengthen the patient-pharmacist relationship.

  20. Special Educational Needs, e-Learning and the Reflective e-Portfolio: Implications for Developing and Assessing Competence in Pre-Service Education

    Science.gov (United States)

    Lambe, Jackie; McNair, Victor; Smith, Ron

    2013-01-01

    This article reports on the use of e-portfolios to assess aspects of a one year, post-graduate pre-service teacher education programme in Northern Ireland within the specific context of special needs education. The rationale for using an e-portfolio for programme assessment and the potential it offers in demonstrating a range of teaching…

  1. Utilization of Dental Services in Public Health Center: Dental Attendance, Awareness and Felt Needs.

    Science.gov (United States)

    Pewa, Preksha; Garla, Bharath K; Dagli, Rushabh; Bhateja, Geetika Arora; Solanki, Jitendra

    2015-10-01

    In rural India, dental diseases occur due to many factors, which includes inadequate or improper use of fluoride and a lack of knowledge regarding oral health and oral hygiene, which prevent proper screening and dental care of oral diseases. The objective of the study was to evaluate the dental attendance, awareness and utilization of dental services in public health center. A cross-sectional study was conducted among 251 study subjects who were visiting dental outpatient department (OPD) of public health centre (PHC), Guda Bishnoi, and Jodhpur using a pretested proforma from month of July 2014 to October 2014. A pretested questionnaire was used to collect the data regarding socioeconomic status and demographic factors affecting the utilization of dental services. Pearson's Chi-square test and step-wise logistic regression were applied for the analysis. Statistically significant results were found in relation to age, educational status, socioeconomic status and gender with dental attendance, dental awareness and felt needs. p-value dental services, thereby increasing the oral health status of the population.

  2. User involvement in identifying health needs and shaping and evaluating services: is it being realised?

    Science.gov (United States)

    Poulton, B C

    1999-12-01

    The rhetoric of user involvement has featured in health policy documents for over a decade. However, there is mixed evidence as to the extent to which it is being achieved. This paper explores what is meant by user involvement, proposing that it exists at a series of levels ranging from information giving to true empowerment. Examples are presented from two practice development projects. The first sought to develop multidisciplinary audit in primary care, attempting to involve users in defining health needs and determining services. Although the project co-ordinators were highly committed to user involvement this was only achieved to a limited extent. It was concluded that there was a resistance to user involvement grounded in the fear that such involvement would increase user expectations and add to the pressures of overworked primary care teams. The second project used interviews with service users to assess the effectiveness of a team building initiative. Users were found to be knowledgeable about practitioner roles and how to access the care they required. The overall conclusion is that there needs to be a shift from rhetoric to reality at governmental and practitioner level if true user involvement is to be achieved.

  3. Tailoring clinical services to address the unique needs of adolescents from the pregnancy test to parenthood.

    Science.gov (United States)

    Moriarty Daley, Alison; Sadler, Lois S; Dawn Reynolds, Heather

    2013-04-01

    Clinicians across disciplines and practice settings are likely to encounter adolescents who are at risk for a pregnancy. In 2010, 34.2/1000 15-19-year-old teens had a live birth in the United States, many more will seek care for a pregnancy scare or options counseling. Teen mothers are also at risk for a second or higher-order pregnancy during adolescence. This paper provides clinicians with adolescent-friendly clinical and counseling strategies for pregnancy prevention, pre- and post-pregnancy test counseling, pregnancy-related care, and a review of the developmental challenges encountered by teens in the transition to parenthood. Clinicians are in a better position to approach the developmental, health and mental health needs of adolescents related to pregnancy if they understand and appreciate the obstacles adolescents may face negotiating the healthcare system. In addition, when clinical services are specially tailored to the needs of the adolescent, fewer opportunities will be lost to prevent unintended pregnancies, assist teens into timely prenatal services, and improve outcomes for their pregnancies and the transition to parenthood.

  4. Social services utilization and need among a community sample of persons living with HIV in the rural south.

    Science.gov (United States)

    Stewart, Katharine E; Phillips, Martha M; Walker, Jada F; Harvey, Sarah A; Porter, Austin

    2011-03-01

    HIV prevalence has increased faster in the southern USA than in other areas, and persons living with HIV (PLWHIV) in the south are often rural, impoverished, or otherwise under-resourced. Studies of urban PLWHIV and those receiving medical care suggest that use of social services can enhance quality of life and some medical outcomes, but little is known about patterns of social service utilization and need among rural southern PLWHIV. The AIDS Alabama needs assessment survey, conducted in 2007, sampled a diverse community cohort of 476 adult PLWHIV representative of the HIV-positive population in Alabama (66% male, 76% Black, and 26% less than high school education). We developed service utilization/need (SUN) scores for each of 14 social services, and used regression models to determine demographic predictors of those most likely to need each service. We then conducted an exploratory factor analysis to determine whether certain services clustered together for the sample. Case management, assistance obtaining medical care, and financial assistance were most commonly used or needed by respondents. Black respondents were more likely to have higher SUN scores for alcohol treatment and for assistance with employment, housing, food, financial, and pharmacy needs; respondents without spousal or partner relationships had higher SUN scores for substance use treatment. Female respondents were more likely to have higher SUN scores for childcare assistance. Black respondents and unemployed respondents were more likely to have SUN scores in the highest quartile of the overall score distribution. Factor analysis yielded three main factors: basic needs, substance use treatment, and legal/medical needs. These data provide important information about rural southern PLWHIV and their needs for ancillary services. They also suggest clusters of service needs that often occur among PLWHIV, which may help case managers and other service providers work proactively to identify important

  5. Summary report of a workshop on phytoremediation research needs

    Energy Technology Data Exchange (ETDEWEB)

    1994-12-01

    Soil contamination is a national and global problem. A major challenge is the remediation of large sites contaminated with radionuclides and toxic metals, often present in relatively small amounts but above regulatory action levels. Despite the function of phytoremediation processes in nature for millenia, the technology of phytoremediation is, for the most part, still a concept. There are many different pollutants, plant uptake mechanisms, soil matrices, and plant species that need to be investigated, without overlooking the microbial participation in this technology. Developing actual practical applications will require a significant and coordinated research and development effort, due to the complexity of both biological systems and the soil contamination problems. Research and development in this area must involve scientists and engineers in Federal and state agencies, foreign organizations and industry. The representation at the workshop of researchers from many disciplines, organizations and countries, augurs well for a cooperative and interdisciplinary research effort and the rapid application of this technology. The urgent needs for effective, low-cost technologies to clean-up contaminated soils, both in the US and around the world, suggests phytoremediation as a high national and international research priority. The availability of scientists trained in the interdisciplinary topics relating to phytoremediation will be a major factor in expediting development of this technology.

  6. Meeting the needs of women who use drugs and alcohol in North-east India – a challenge for HIV prevention services

    Directory of Open Access Journals (Sweden)

    Kermode Michelle

    2012-09-01

    Full Text Available Abstract Background The North-east Indian states of Manipur and Nagaland consistently report relatively high HIV prevalence. The targeted HIV prevention interventions in these two states are mostly delivered by non-government organizations (NGOs, and prevention of HIV transmission by injecting drug use is their main focus. Most injecting drug users (IDUs are male, and the services are primarily tailored to meet their needs, which are not necessarily the same as those for women. This qualitative study describes the health service needs of women who use drugs and alcohol in Manipur and Nagaland, with the goal of identifying strategies and activities that can be implemented by NGOs wanting to improve their reach among vulnerable women. Methods In 2009-10, semi-structured in-depth interviews were conducted with 27 key informants and nine focus group discussions (FGDs with women who use drugs and alcohol, and two FGDs with male IDUs. The thematic areas covered included: the context of female drug and alcohol use; drug and alcohol use patterns; HIV risk behaviours; barriers and facilitators of service use; perceived health needs; and expressed health service needs. The data were recorded, transcribed, translated and thematically analysed. Results The most problematic substance for women from Nagaland was alcohol, and for women from Manipur it was heroin. The most commonly identified health problems were primarily related to the women’s drug and alcohol use, reproductive health and mental health. Other problems of major concern included social exclusion, violence, children’s welfare, and financial difficulties. The expressed service needs of these women were women-only integrated health services, women-only detoxification and rehabilitation services, mental health services, desensitization of mainstream health workers, free access to medicines, assistance to meet basic needs, and a safe place for engaging in sex work. Conclusion The expressed

  7. Urgent Need to Antibiotic Pharmacokinetic Services for Iranian Health Care Centers

    Directory of Open Access Journals (Sweden)

    Alireza Hayatshahi

    2013-02-01

    amikacin for both empiric and culture based therapy. In some cases, it is necessary for patient to be on these antibacterial agents for weeks (endocarditis, osteomyelitis, pneumonia, etc..  Fever, white blood cells (WBC besides other clinical measurements are often used to assess the clinical response to antimicrobial agents. On the other hand microbiological tests including cultures and sensitivity results are routinely utilized to guide the therapy. At our medical centers as the clinicians do not see any of the expected responses based on the above measurements, they change the agent or add another antibacterial to the regimen with no consideration of performing appropriate TDM. Based on the most updated guidelines, a vancomycin trough level at the steady state and peak and trough levels for aminoglycosides make it possible for clinicians to optimize the antibacterial doses without necessarily changing the whole regimen and significantly reduce the rate of treatment failures. If an aminoglycoside is dosed as extended interval, then a random level can help to adjust the frequency of the doses. This valuable pharmacokinetic service by clinical pharmacists would be a great asset to healthcare and medical team which significantly reduces the morbidity and mortality due to both underdosing or high dose induced toxicities in both hospitalized and outpatients. Pharmacokinetic services must be a 24 hour seven day task of the pharmaceutical care division of each medical center. It will be necessary for each hospital to have a permanent team of clinical pharmacists to maintain this TDM service. This is not possible unless there would be a close cooperation between pharmacy and medical laboratory of each hospital or an outsource laboratory with drug serum level measuring services. As a result, it seems to be an absolute need to perform pharmacokinetic services with the cooperation of medical, clinical pharmacy and laboratory teams under the support of insurance companies since

  8. Perceived Need for Home- and Community-Based Services: Experiences of Urban Chinese Older Adults With Functional Impairments.

    Science.gov (United States)

    Li, Hong; Xu, Ling; Chi, Iris

    2017-01-01

    Guided by Cantor's social care model, this study identified individual, family, and social support factors that influence urban older adults' need for home- and community-based services, including medical and rehabilitation, instrumental care and support, and psychosocial services. The data were extracted from the Sample Survey on Aged Population in Urban/Rural China conducted by the China Research Center on Aging in 2006. Results from multiple logistic regression show that older adults' need for medical and rehabilitation services is significantly related to instrumental activities of daily living, depression, not having filial children, friend support networks, and having a confidant. Older adults' need for instrumental care and support is related to their educational attainment, financial strain, instrumental activities of daily living, not living with children, and friend support networks. Finally, older adults' need for psychosocial services is significantly related to educational attainment, depression, not being married, friend support networks, and having a confidant. Implications for social service development are discussed.

  9. EDUCAUSE Core Data Service: Fiscal Year 2006 Summary Report

    Science.gov (United States)

    Hawkins, Brian L.; Rudy, Julia A.

    2007-01-01

    EDUCAUSE Core Data Service Fiscal Year 2006 Summary Report summarizes much of the data collected through the 2006 EDUCAUSE core data survey about campus information technology (IT) environments at 933 colleges and universities in the U.S. and abroad. The report presents aggregates of data through more than 100 tables and accompanying descriptive…

  10. EDUCAUSE Core Data Service: Fiscal Year 2007 Summary Report

    Science.gov (United States)

    Hawkins, Brian L.; Rudy, Julia A.

    2008-01-01

    EDUCAUSE Core Data Service Fiscal Year 2007 Summary Report summarizes much of the data collected through the 2007 EDUCAUSE core data survey about campus information technology (IT) environments at 994 colleges and universities in the U.S. and abroad. The report presents aggregates of data through more than 100 tables and accompanying descriptive…

  11. 2009 Canadian Association of Gastroenterology Educational Needs Assessment Report

    Directory of Open Access Journals (Sweden)

    Alaa Rostom

    2009-01-01

    Full Text Available The annual survey of Canadian Association of Gastroenterology (CAG members’ educational needs was conducted via an online survey during April 2009. A total of 261 individuals completed the survey. Similar to previous years, inflammatory bowel disease (IBD topics – particularly Crohn’s disease and ulcerative colitis (UC therapeutics, and difficult IBD cases – were most in demand for future educational events. Other highly rated areas were endoscopic techniques and therapeutics, celiac disease, approach to gastrointestinal (GI infections and live endoscopy. The two most popular educational formats were ‘Lectures/presentations streamed to computer/podcasts’ and ‘A CAG educational portal to on-line presentations, self-assessments and maintenance of certification (MainCert point tracking’.

  12. Fossil energy biotechnology: A research needs assessment. Final report

    Energy Technology Data Exchange (ETDEWEB)

    1993-11-01

    The Office of Program Analysis of the US Department of Energy commissioned this study to evaluate and prioritize research needs in fossil energy biotechnology. The objectives were to identify research initiatives in biotechnology that offer timely and strategic options for the more efficient and effective uses of the Nation`s fossil resource base, particularly the early identification of new and novel applications of biotechnology for the use or conversion of domestic fossil fuels. Fossil energy biotechnology consists of a number of diverse and distinct technologies, all related by the common denominator -- biocatalysis. The expert panel organized 14 technical subjects into three interrelated biotechnology programs: (1) upgrading the fuel value of fossil fuels; (2) bioconversion of fossil feedstocks and refined products to added value chemicals; and, (3) the development of environmental management strategies to minimize and mitigate the release of toxic and hazardous petrochemical wastes.

  13. Farm data needed for Agri-environmental reporting

    DEFF Research Database (Denmark)

    Oenema, O.; Amon, B.; van Beek, C.

    that will serve primarily European and national statisticians for creating the agreed 28 agrienvironmental indicators (AEIs) and thus serve policy makers, but as well agricultural and environmental researchers, observers of climate change and other environmental issues linked to agriculture”. The analysis of EU...... of key AEIs; - using key AEIs as source for EU agri-environmental policy reporting; - setting up an institutional and organizational structure for embedding the estimation of AEIs in formal protocols and guidance documents; and - adopting the proposal for common and harmonized data collection...

  14. LGBT Identity, Untreated Depression, and Unmet Need for Mental Health Services by Sexual Minority Women and Trans-Identified People.

    Science.gov (United States)

    Steele, Leah S; Daley, Andrea; Curling, Deone; Gibson, Margaret F; Green, Datejie C; Williams, Charmaine C; Ross, Lori E

    2017-02-01

    Previous studies have found that transgender, lesbian, and bisexual people report poorer mental health relative to heterosexuals. However, available research provides little information about mental health service access among the highest need groups within these communities: bisexual women and transgender people. This study compared past year unmet need for mental health care and untreated depression between four groups: heterosexual cisgender (i.e., not transgender) women, cisgender lesbians, cisgender bisexual women, and transgender people. This was a cross-sectional Internet survey. We used targeted sampling to recruit 704 sexual and gender minority people and heterosexual cisgendered adult women across Ontario, Canada. To ensure adequate representation of vulnerable groups, we oversampled racialized and low socioeconomic status (SES) women. Trans participants were 2.4 times (95% confidence intervals [CI] = 1.6-3.8, p discrimination and social support. We conclude that there are higher rates of unmet need and untreated depression in trans and bisexual participants that are partly explained by differences in social factors, including experiences of discrimination, lower levels of social support, and systemic exclusion from healthcare. Our findings suggest that the mental health system in Ontario is not currently meeting the needs of many sexual and gender minority people.

  15. The Perceived Needs of Maine Parents of Premature Children for Services and Supports: A Retrospective Longitudinal Study

    Science.gov (United States)

    McPhee, Karen Boulos

    2010-01-01

    The purpose of the study was to examine the perceived needs and correlates of Maine parents of premature infants related to the chronological distance from the NICU. The study focused on identifying the perceived service needs of parents of premature children and how these needs changed over time, revealed the relationships between perceived…

  16. The Motivational Outcomes of Psychological Need Support among Pre-Service Teachers: Multicultural and Self-determination Theory Perspectives

    Directory of Open Access Journals (Sweden)

    Haya Kaplan

    2017-08-01

    Full Text Available The study employed a self-determination theory (SDT framework to explore pre-service teachers’ perceptions of their professional training in relation to motivational outcomes. We hypothesized that students’ perceptions of basic psychological need support will be positively associated with their sense of relatedness, competence, and autonomous motivation and negatively associated with controlled motivation. Sense of relatedness, competence, and autonomous motivation were hypothesized to be positively associated with personal accomplishment, engagement, and self-exploration and negatively associated with emotional exhaustion. The study was conducted within a multicultural context, which enabled exploration of the hypotheses among students from two different cultural backgrounds. Based on the universality of SDT, we expected that the general models would be similar for both cultures, although some mean level and correlational paths may be different. The sample (N = 308; mean age 23.4 consisted of Muslim Arab-Bedouin (55.3% and Jewish (44.7% pre-service teachers enrolled in the same teachers’ college in Israel. The participants completed self-report surveys assessing their sense of basic psychological need support, autonomous and controlled motivation, self-accomplishment, engagement, self-exploration, and emotional exhaustion. Multiple-group structural equation modeling revealed that need support contributed positively to autonomous motivation, sense of relatedness, and sense of competence in both cultures. Autonomous motivation contributed positively to sense of self-accomplishment, engagement, and self-exploration. Competence in turn was positively related to engagement and negatively related to emotional exhaustion, and relatedness was associated with engagement only among the Bedouin students, and with self-accomplishment only among the Jewish students. These results indicate that sense of need support is highly important regardless

  17. Digital Resources in Instruction and Research: Assessing Faculty Discovery, Use and Needs--Final Summary Report

    Science.gov (United States)

    Tobias, Vicki

    2009-01-01

    In 2008, the Digital Initiatives Coordinating Committee (DICC) requested a comprehensive assessment of the UW Digital Collections (UWDC). The goal of this assessment was to better understand faculty awareness of and expectations for digital library resources, services and tools; obtain faculty feedback on digital resource and service needs that…

  18. Farm data needed for Agri-environmental reporting

    DEFF Research Database (Denmark)

    Oenema, O.; Amon, B.; van Beek, C.

    The purpose of this document is to summarize the results of Tasks 1 to 7 of DireDate for the Final Seminar in Luxembourg on 28 March 2011. The general objective of DireDate is “to create a framework for setting up a sustainable system for collecting a set of data from farmers and other sources...... from the annual surveys of the annual Farm Accountancy Data Network (FADN) and sales data of market organization. Evidently, this proposal has the lowest farm data collection burden, but may face some loss of accuracy. Finally, the 28 AEIs capture the main agri-environmental interactions...... of key AEIs; - using key AEIs as source for EU agri-environmental policy reporting; - setting up an institutional and organizational structure for embedding the estimation of AEIs in formal protocols and guidance documents; and - adopting the proposal for common and harmonized data collection...

  19. Earth and Environmental Sciences 1999 Annual Report Meeting National Needs

    Energy Technology Data Exchange (ETDEWEB)

    Yonker, L.; Dannevik, B.

    2000-07-21

    Lawrence Livermore National Laboratory's Earth and Environmental Sciences 1999 Annual Report covers the following topics: (1) Nuclear Materials--Modeling Thermohydrologic Processes at the Proposed Yucca Mountain Nuclear-Waste Repository; Dose Assessments and Resettlement Support on Rongelap Atoll in the Marshall Islands. (2) Climate, Carbon, and Energy--Incorporating Surprise into Models of Global Climate Change: A Simple Climate Demonstrator Model; (3) Environmental Risk Reduction--The NASA Global Modeling Initiative: Analyzing the Atmospheric Impacts of Supersonic Aircraft; (4) National Security--Atmospheric Release Assessment Programs; and (5) Cross-Cutting Technologies/Capabilities--Advances in Technology at the Center for Accelerator Mass Spectrometry; Experimental Geophysics: Investigating Material Properties at Extreme Conditions.

  20. Barriers to completing TB diagnosis in Yemen: services should respond to patients' needs.

    Directory of Open Access Journals (Sweden)

    Rachel M Anderson de Cuevas

    Full Text Available OBJECTIVES AND BACKGROUND: Obtaining a diagnosis of tuberculosis (TB is a prerequisite for accessing specific treatment, yet one third of estimated new cases are missed worldwide by National Programmes. This study investigated economic, geographical, socio-cultural and health system factors hindering adults' attendance and completion of the TB diagnostic process in Yemen, to inform interventions designed to improve patient access to services. METHODOLOGY: The study employed a mixed methods design comprising a cross-sectional survey and In-Depth-Interviews (IDIs and Focus Group Discussions (FGDs among patients abandoning the diagnosis or registering for treatment. Adults with cough of ≥ 2 weeks attending a large governmental referral centre in Sana'a, Yemen, between 2009 and 2010, were eligible to participate. RESULTS: 497 and 446 (89.7% participants were surveyed the first and second day of attending the services and 48 IDIs and 12 FGDs were also conducted. The majority of patients were disadvantaged and had poor literacy (61% illiterate, had travelled from rural areas (47% and attended with companions (84%. Key barriers for attendance identified were clinic and transport costs (augmented by companions, distance from home, a preference for private services, strong social stigma and a lack of understanding of the diagnostic process. There were discrepancies between patient- and doctor-reported diagnosis and 46% of patients were unaware that TB treatment is free. Females faced more difficulties to attend than men. The laboratory practice of providing first-day negative smear results and making referrals to the private sector also discouraged patients from returning. Strategies to bring TB diagnostic services closer to communities and address the multiple barriers patients face to attend, will be important to increase access to TB diagnosis and care.

  1. Custodial Services End of Year Report for 2016

    Energy Technology Data Exchange (ETDEWEB)

    Konetzni, Joshua B. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States). Custodial Services Dept.

    2017-01-01

    Sandia’s Custodial Services Department is a full-service, in-house custodial department. The department consists of one manager, four team supervisors, three administrative support personnel, 11 lead custodians, 71 day-shift custodians, four swing shift custodians, and eight heavy floor care personnel. The department services approximately 3.5 million square feet of office, lobby, laboratory, break room, classroom, and conference room space and assists with the collection of recycling products, including aluminum, plastic, card board box, and mixed paper products. Detailed in this report are audits, awards, and certifications; department highlights; departmental promotions; custodial metrics.

  2. Using Participatory and Service Design to Identify Emerging Needs and Perceptions of Library Services among Science and Engineering Researchers Based at a Satellite Campus

    Science.gov (United States)

    Johnson, Andrew; Kuglitsch, Rebecca; Bresnahan, Megan

    2015-01-01

    This study used participatory and service design methods to identify emerging research needs and existing perceptions of library services among science and engineering faculty, post-graduate, and graduate student researchers based at a satellite campus at the University of Colorado Boulder. These methods, and the results of the study, allowed us…

  3. Using Participatory and Service Design to Identify Emerging Needs and Perceptions of Library Services among Science and Engineering Researchers Based at a Satellite Campus

    Science.gov (United States)

    Johnson, Andrew; Kuglitsch, Rebecca; Bresnahan, Megan

    2015-01-01

    This study used participatory and service design methods to identify emerging research needs and existing perceptions of library services among science and engineering faculty, post-graduate, and graduate student researchers based at a satellite campus at the University of Colorado Boulder. These methods, and the results of the study, allowed us…

  4. Children's safety initiative: a national assessment of pediatric educational needs among emergency medical services providers.

    Science.gov (United States)

    Hansen, Matthew; Meckler, Garth; Dickinson, Caitlyn; Dickenson, Kathryn; Jui, Jonathan; Lambert, William; Guise, Jeanne-Marie

    2015-01-01

    Emergency medical services (EMS) providers may have critical knowledge gaps in pediatric care due to lack of exposure and training. There is currently little evidence to guide educators to the knowledge gaps that most need to be addressed to improve patient safety. The objective of this study was to identify educational needs of EMS providers related to pediatric care in various domains in order to inform development of curricula. The Children's Safety Initiative-EMS performed a three-phase Delphi survey on patient safety in pediatric emergencies among providers and content experts in pediatric emergency care, including physicians, nurses, and prehospital providers of all levels. Each round included questions related to educational needs of providers or the effect of training on patient safety events. We identified knowledge gaps in the following domains: case exposure, competency and knowledge, assessment and decision making, and critical thinking and proficiency. Individual knowledge gaps were ranked by portion of respondents who ranked them "highly likely" (Likert-type score 7-10 out of 10) to contribute to safety events. There were 737 respondents who were included in analysis of the first phase of the survey. Paramedics were 50.8% of respondents, EMT-basics/first responders were 22%, and physicians 11.4%. The top educational priorities identified in the final round of the survey include pediatric airway management, responder anxiety when working with children, and general pediatric skills among providers. The top three needs in decision-making include knowing when to alter plans mid-course, knowing when to perform an advanced airway, and assessing pain in children. The top 3 technical or procedural skills needs were pediatric advanced airway, neonatal resuscitation, and intravenous/intraosseous access. For neonates, specific educational needs identified included knowing appropriate vital signs and preventing hypothermia. This is the first large-scale Delphi

  5. What Can a Borich Needs Assessment Model Tell Us about In-Service Training Needs of Faculty in a College of Agriculture? The Case of Iran

    Science.gov (United States)

    Zarafshani, Kiumars; Baygi, Amir Hossein Ali

    2008-01-01

    The purpose of this exploratory case study was to determine current in-service needs of agricultural faculties at Razi University in Kermanshah province in Iran. A descriptive research methodology design was used to conduct the study. The target population of the study consisted of all agricultural faculties in College of Agriculture at Razi…

  6. Factors affecting burnout when caring for older adults needing long-term care services in Korea.

    Science.gov (United States)

    Won, Seojin; Song, Inuk

    2012-01-01

    The purpose of this study was to address factors related to caregiver burnout as a result of caring for an older adult with a chronic disease. Characteristics of care recipients and caregivers as well as social support were included to identify the relationships with caregiver burnout. The analysis was based on a sample of 334 older adults and their caregivers in Korea. The logistic regression results indicated that the period of being in need of another's help among care-recipients, co-residence, caregivers' health condition, previous care experience, and caregivers' free time were correlated with the caregivers' future caregiving. Interestingly, the more experience caregivers had in caring for older adults, the more willing they were to provide care in the future. Thus, the discussion focuses on services for those who are new to providing care for older adults because they tend to have less coping skills.

  7. Proactive screening for health needs in United Way’s 2-1-1 information and referral service

    Science.gov (United States)

    Eddens, Katherine S.; Kreuter, Matthew W.

    2011-01-01

    Cancer disproportionately affects the underserved. United Way 2-1-1 is an information and referral system that links underserved populations to community services. This study explores the feasibility of integrating proactive screening and referral to health services into 2-1-1. A cancer risk assessment was administered to callers (n=297), measuring their need for six cancer control services. A subset of respondents was randomized to receive generic or tailored referrals to needed services. Nearly all participants (85%) needed at least one of the services. Those who received tailored referrals were more likely to make appointments. Future research will explore approaches to address and eliminate health disparities through 2-1-1. PMID:21566702

  8. Attributing variance in supportive care needs during cancer: culture-service, and individual differences, before clinical factors.

    Directory of Open Access Journals (Sweden)

    Richard Fielding

    Full Text Available BACKGROUND: Studies using the Supportive Care Needs Survey (SCNS report high levels of unmet supportive care needs (SCNs in psychological and less-so physical & daily living domains, interpreted as reflecting disease/treatment-coping deficits. However, service and culture differences may account for unmet SCNs variability. We explored if service and culture differences better account for observed SCNs patterns. METHODS: Hong Kong (n = 180, Taiwanese (n = 263 and Japanese (n = 109 CRC patients' top 10 ranked SCNS-34 items were contrasted. Mean SCNS-34 domain scores were compared by sample and treatment status, then adjusted for sample composition, disease stage and treatment status using multivariate hierarchical regression. RESULTS: All samples were assessed at comparable time-points. SCNs were most prevalent among Japanese and least among Taiwanese patients. Japanese patients emphasized Psychological (domain mean = 40.73 and Health systems and information (HSI (38.61 SCN domains, whereas Taiwanese and Hong Kong patients emphasized HSI (27.41; 32.92 and Patient care & support (PCS (19.70; 18.38 SCN domains. Mean Psychological domain scores differed: Hong Kong = 9.72, Taiwan = 17.84 and Japan = 40.73 (p<0.03-0.001, Bonferroni. Other SCN domains differed only between Chinese and Japanese samples (all p<0.001. Treatment status differentiated Taiwanese more starkly than Hong Kong patients. After adjustment, sample origin accounted for most variance in SCN domain scores (p<0.001, followed by age (p = 0.01-0.001 and employment status (p = 0.01-0.001. Treatment status and Disease stage, though retained, accounted for least variance. Overall accounted variance remained low. CONCLUSIONS: Health service and/or cultural influences, age and occupation differences, and less so clinical factors, differentially account for significant variation in published studies of SCNs.

  9. Greek Exit from the Crisis—A Pressing and Much-Needed Public Service Reform

    Directory of Open Access Journals (Sweden)

    Demetrios Argyriades

    2013-04-01

    Full Text Available Greece is in a deep crisis; the worst in all of Europe and the worst experienced in 45 years. Greece is no stranger to crises, but most have been exogenous: the Second World War and the Cold War, for instance. Sadly, unlike these crises, the present one is home-made. The wounds that it has caused are largely self-inflicted. It is especially difficult to fathom the logic of strikes by public service unions—repeated, relentless and militant. They paralyzed the country, drove investors and tourists away and added to the burdens that the economy and the people have had to bear. These strikes, and some public servants’ attitudes in the face of the crisis itself, brought into sharp relief the serious capacity deficit in the Greek administrative system, which has been at the root of the problem the country is currently facing. This statement begs the question: how can that be? What, after 30 years of public service reform, presumed to modernize and help the country approximate the standards embedded in the Common European Administrative Space? The paper will suggest that the reforms of the 1980s were only superficially reforms to improve the effectiveness and quality of the Service. Like parallel changes in higher education, the principal objective was harnessing officialdom, and as many voters as possible, to the chariot of PASOK—the political party established by Andreas Papandreou—which effectively governed the country for most of the period in question. The lesson from this experience may be none other, in fact, than clear convincing proof that partisan concerns and institution-building seldom make a good combination. For Greece, in light of the crisis, effective integration in the EU remains a daunting challenge. It calls for bold reforms, but these must be undertaken with institution-building, the country’s general interest, and long term needs in mind.

  10. Understanding community psychosocial needs after disasters: Implications for mental health services

    Directory of Open Access Journals (Sweden)

    Silove Derrick

    2006-01-01

    Full Text Available The psychosocial impact of disasters has attracted increasing attention. There is little consensus, however, about what priorities should be pursued in relation to mental health interventions, with most controversy surrounding the relevance of traumatic stress to mental health. The present overview suggests that acute traumatic stress may be a normative response to life threat which tends to subside once conditions of safety are established. At the same time, there is a residual minority of survivors who will continue to experience chronic posttraumatic stress disorder (PTSD and their needs can be easily overlooked. The ADAPT model offers an expanded perspective on the psychosocial systems undermined by disasters, encompassing threats to safety and security; interpersonal bonds; systems of justice; roles and identities; and institutions that promote meaning and coherence. Social reconstruction programs that are effective in repairing these systems maximize the capacity of communities and individuals to recover spontaneously from various forms of stress. Within that broad recovery context, clinical mental health services can focus specifically on those psychologically disturbed persons who are at greatest survival risk. Only a minority of persons with acute traumatic stress fall into that category, the remainder comprising those with severe behavioural disturbances arising from psychosis, organic brain disorders, severe mood disorders and epilepsy. Establishing mental health services that are community-based, family-focused and culturally sensitive in the post-emergency phase can create a model that helps shape future mental health policy for countries recovering from disaster.

  11. Allergy in Hong Kong: an unmet need in service provision and training.

    Science.gov (United States)

    Chan, Y T; Ho, H K; Lai, Christopher K W; Lau, C S; Lau, Y L; Lee, T H; Leung, T F; Wong, Gary W K; Wu, Y Y

    2015-02-01

    Many children in Hong Kong have allergic diseases and epidemiological data support a rising trend. Only a minority of children will grow out of their allergic diseases, so the heavy clinical burden will persist into adulthood. In an otherwise high-quality health care landscape in Hong Kong, allergy services and training are a seriously unmet need. There is one allergy specialist for 1.5 million people, which is low not only compared with international figures, but also compared with most other specialties in Hong Kong. The ratio of paediatric and adult allergists per person is around 1:460 000 and 1:2.8 million, respectively, so there is a severe lack of adult allergists, while the paediatric allergists only spend a fraction of their time working with allergy. There are no allergists and no dedicated allergy services in adult medicine in public hospitals. Laboratory support for allergy and immunology is not comprehensive and there is only one laboratory in the public sector supervised by accredited immunologists. These findings clearly have profound implications for the profession and the community of Hong Kong and should be remedied without delay. Key recommendations are proposed that could help bridge the gaps, including the creation of two new pilot allergy centres in a hub-and-spoke model in the public sector. This could require recruitment of specialists from overseas to develop the process if there are no accredited allergy specialists in Hong Kong who could fulfil this role.

  12. Department of the Navy Family Advocacy Program: Service Need and Service Response. Phase I Report: Reconnaissance

    Science.gov (United States)

    1983-02-01

    and premarital pregnancies (Wasserman, 1-20 1967). Unwed and very young mothers show disproportionately higher rates P of child abuse and neglect. This...300 battered women in ten shelters in the state of Minnesota were surveyed, 36% said they had been raped by their husbands or cohabitating partner

  13. Evaluating the police service quality for handling traffic crash reporting

    DEFF Research Database (Denmark)

    Janstrup, Kira Hyldekær; Kaplan, Sigal; Barfod, Michael Bruhn

    2017-01-01

    -based survey on the basis of the SERVQUAL approach to detecting strengths, opportunities and threats with crash reporting to the police at a strategic level. Transportation stakeholders (e.g. researchers, authorities, consultants, NGO representatives, suppliers) with an interest in traffic safety in Denmark....../value This study advances the knowledge about police service quality with a novel expert-based decision support tool based on SERVQUAL, MCDA and LCA, demonstrates its applicability in countries with a high-police service, and opportunities and barriers for increasing the crash reporting rate....

  14. 20 CFR 408.420 - What evidence of World War II military service do you need to give us?

    Science.gov (United States)

    2010-04-01

    ... 20 Employees' Benefits 2 2010-04-01 2010-04-01 false What evidence of World War II military... SPECIAL BENEFITS FOR CERTAIN WORLD WAR II VETERANS Evidence Requirements Military Service § 408.420 What evidence of World War II military service do you need to give us? (a) Kinds of evidence you can give us....

  15. The increasing efficiency of financial resources management at implementation of goods’ purchase, works, services for the state and municipal needs

    Directory of Open Access Journals (Sweden)

    Proskurnja Dar'ja Vladimirovna

    2016-02-01

    Full Text Available The article is devoted to the review of the existing problems in the field of financial resources management at implementation of goods’ purchase, works, services for the state and municipal needs. Determination of the limit prices of purchases is revealed as the most important problem of the increasing efficiency of financial resources management at implementation of goods’ purchase, works, services for the state and municipal needs. The range of problems of determination of the limit prices of purchases is systematized.

  16. [On the comprehensibility of German hospital quality reports: systematic evaluation and need for action].

    Science.gov (United States)

    Friedemann, J; Schubert, H-J; Schwappach, D

    2009-01-01

    operator. The reports' readability and comprehensibility for patients have only scarcely been considered in the current legal resolutions, and there is no undergoing process of improvement. The analysis has shown that there is in fact an urgent need for action. Future reports should therefore ensure that their textual content is formulated in a readable and comprehensible recipient-friendly manner. To enhance customer-oriented transparency within the German public health service patients should be able to fully understand what hospitals want to communicate. Therefore the further process of research will focus on the development of specific criteria for the production of textual reports. This has to be done in co-operation with patients and resident general practitioners.

  17. Experience with dedicated geriatric surgical consult services: Meeting the need for surgery in the frail elderly

    Directory of Open Access Journals (Sweden)

    Rosemarie E Hardin

    2009-01-01

    Full Text Available Rosemarie E Hardin1, Thierry Le Jemtel2, Michael E Zenilman11Department of Surgery, SUNY Downstate Medical Center, Brooklyn, NY, USA; 2Department of Medicine, Tulane Medical Center, New Orleans, LA, USABackground: Surgeons are increasingly faced with consultation for intervention in residents of geriatric centers or in patients who suffer from end stage medical disease. We review our experience with consult services dedicated to the needs of these frail patients.Study design: Patients were prospectively followed after being evaluated by three different geriatric surgical consult services: Group 1 was based at a geriatric center associated with a tertiary medical center, Group 2 was based at a community geriatric center, and Group 3 was based with an hospital-based service for ambulatory patients with end stage congestive heart failure.Results: A total of 256 frail elderly patients underwent of 311 general surgical procedures ranging from major abdominal and vascular procedures to minor procedures such as debridement of decubitus ulcers, long-term intravenous access, enterostomy and enteral tube placement. Almost half of the surgical volume in Group 1 and 3 were ‘maintenance’ (decubitus debridement, long term intravenous or stomal or tube care; all of Group 2 were for treatment of decubiti. There was minimal morbidity and mortality from surgery itself, and overall one year survival for Groups 1, 2, and 3 was 46%, 60%, and 79%, respectively. Multivariate analysis showed that each group had its own unique indicators of decreased survival: Group 1 dementia and coronary artery disease, in Group 2 gender and coronary artery disease, and Group 3, gender alone. Age, number of comorbid illnesses, and type of surgery (major vs minor were not significant indicators.Conclusions: This is the first review of the role of dedicated surgical consult services which focused on residents of geriatric centers and frail elderly. Conditions routinely encountered

  18. Service innovation methodologies I : what can we learn from service innovation and new service development research? : report no 1 from the TIPVIS-project

    OpenAIRE

    Nysveen, Herbjørn; Pedersen, Per E.

    2007-01-01

    This report presents a review of service innovation and service development literature. The main purpose of the review is to identify normative implications for service innovation methodologies. Three separate reviews are conducted and reported; an open search review based on specific search terms of relevance to service innovation methodologies, a review of articles in four of the most influential journals on service innovation/service development, and a review focusing contri...

  19. Consultation needs in perinatal HIV care: experience of the National Perinatal HIV Consultation Service.

    Science.gov (United States)

    Fogler, Jessica A; Weber, Shannon; Goldschmidt, Ronald H; Mahoney, Megan R; Cohan, Deborah

    2007-09-01

    This study evaluates the consultation needs of clinicians who provide perinatal human immunodeficiency virus (HIV) care in the United States. The Perinatal Hotline (1-888-448-8765) is a telephone consultation service for providers who treat HIV-infected pregnant women and their infants. Hotline calls were analyzed for demographics about callers and their patients and information about consultation topics. There were 430 calls to the hotline from January 1, 2005, through June 30, 2006. Most calls (59.5%) were related to pregnant patients; 5.1% of the calls pertained to women currently in labor. The most common topic was HIV care in pregnancy (49.1%), particularly antiretroviral drug use (42.1%). HIV testing was discussed in 21.9%, and intrapartum treatment was discussed in 24.0%. Callers most often requested help choosing antiretroviral drug regimens; many of the discussions were about drug toxicities and viral resistance. Although the hotline received few calls about women in labor, the need for these consultations is expected to increase with the expanding use of rapid HIV testing. Access to 24-hour consultation can help ensure that state-of-the-art care is provided.

  20. Qualitative research on the importance and need for home-based telecare services for elderly people

    Directory of Open Access Journals (Sweden)

    Yung-Hung Wu, PhD

    2014-12-01

    Conclusion: The study provided a closer inspection of the issue of the nonegalitarian reality of telecare. Based on the INA matrix, service items and products were narrowed down to eight, which is half of the original service items and products provided. In addition, it was easy to observe the priorities among service items and products when providing service items and products to elderly people.

  1. Information for innovators: an interdisciplinary information service. Biweekly reports

    Energy Technology Data Exchange (ETDEWEB)

    1982-01-01

    This service is a subscription consisting of a biweekly (26 issues per year) newsletter containing interdisciplinary analyses of research which has potential for industrial application. The analyses are selected and compiled by scanning hundreds of research reports resulting from Government-funded research and foreign technical reports. The intended audience for this service is that group which initiates or directs technological change. The range of subjects covered is interdisciplinary. The format is in plain, practical language and the reports summarized are those which may well stimulate innovation in technical and scientific areas in the private sector. With each analytical brief are the data required to enable the subscriber to order the reports upon which the interpretive analysis is based.

  2. 1993 IERS (International Earth Rotation Service) annual report.

    Science.gov (United States)

    1994-07-01

    Contents: I. General information. 1. Organization of the International Earth Rotation Service. 2. The rotation of the Earth and related space-time references. II. Central Bureau results. 1. Global analysis up to 1993. 2. Implementation of the IERS Celestial Reference Frame. 3. Implementation of the IERS Terrestrial Reference Frame. 4. Evaluation of the Earth Orientation Parameters. III. Sub-bureaux reports. 1. Sub-Bureau for Rapid Service and Predictions. 2. Sub-Bureau for Atmospheric Angular Momentum. IV. Coordinating centres reports. 1. Very Long Baseline Interferometry (VLBI). 2. Global Positioning System (GPS). 3. Satellite Laser Ranging (SLR). V. IERS Earth Rotation and Reference Frames Data Bank. 1. Central Bureau. 2. Sub-Bureau for Rapid Service and Predictions.

  3. 1992 IERS (International Earth Rotation Service) annual report.

    Science.gov (United States)

    1993-07-01

    Contents: I. General information. 1. Organization of the International Earth Rotation Service. 2. The rotation of the Earth and related space-time references. II. Central Bureau results. 1. Global analysis up to 1992. 2. Implementation of the IERS Celestial Reference Frame. 3. Implementation of the IERS Terrestrial Reference Frame. 4. Evaluation of the Earth Orientation Parameters. III. Sub-bureaux reports. 1. Sub-Bureau for Rapid Service and Predictions. 2. Sub-Bureau for Atmospheric Angular Momentum. IV. Coordinating centres reports. 1. Very Long Baseline Interferometry (VLBI). 2. Lunar Laser Ranging (LLR). 3. Global Positioning System (GPS). 4. Satellite Laser Ranging (SLR). V. IERS Earth Rotation and Reference Frames Data Bank. 1. Central Bureau. 2. Sub-Bureau for Rapid Service and Predictions.

  4. International Earth Rotation Service (IERS). Annual report for 1991.

    Science.gov (United States)

    1992-07-01

    Contents: I. General information. 1. Organization of the International Earth Rotation Service. 2. The rotation of the Earth and related space-time references. II. Central Bureau results. 1. Global analysis up to 1991. 2. Implementation of the IERS Celestial Reference Frame. 3. Implementation of the IERS Terrestrial Reference Frame. 4. Evaluation of the Earth Orientation Parameters. III. Sub-bureaux reports. 1. Sub-Bureau for Rapid Service and Predictions. 2. Sub-Bureau for Atmospheric Angular Momentum. IV. Coordinating centres reports. 1. Very Long Baseline Interferometry (VLBI). 2. Lunar Laser Ranging (LLR). 3. Global Positioning System (GPS). 4. Satellite Laser Ranging (SLR). V. IERS Earth Rotation and Reference Frames Data Bank. 1. Central Bureau. 2. Sub-Bureau for Rapid Service and Predictions.

  5. British Coal Corporation Medical Service annual report 1988-89

    Energy Technology Data Exchange (ETDEWEB)

    1992-01-01

    This annual report reviews the work of British Coal's Medical Service over the period 1988-89. Recruitment was at a lower level resulting in a reduction in the number of pre-employment medical examinations. Statistics are given for these, and for consultations during the year. The work of the rescue service is described. Results of surveys on the prevalence of pneumoconiosis in coal miners from 1961 to 1988 are presented in detail. The fall in prevalence continued. Continued attention has been paid to compliance with COSHH regulations, to encouraging the use of physiotherapy and to educating workers in lifting and handling methods. Following an incidence of Legionnaires Disease an investigation was carried out to identify the source of infection in an underground refrigeration plant. Studies on the mortality of coke workers have progressed. Reports are given on first aid and nursing services and on the administration of pethridine to injured miners.

  6. 14 CFR 135.415 - Service difficulty reports.

    Science.gov (United States)

    2010-01-01

    ... 14 Aeronautics and Space 3 2010-01-01 2010-01-01 false Service difficulty reports. 135.415 Section 135.415 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION (CONTINUED... REQUIREMENTS: COMMUTER AND ON DEMAND OPERATIONS AND RULES GOVERNING PERSONS ON BOARD SUCH AIRCRAFT...

  7. Armed Services Materials Conversion. A Documentation. Final Report.

    Science.gov (United States)

    Organization and Human Resources Development Associates, Inc., Austin, TX.

    This report discusses Phase 1 of a project to convert armed services dental and medical curriculum materials into separate curricula for dental and physician assistant for civilian education use. The first two sections focus on project tasks and acquisition of existing military materials in dental and physician assistant training. Samples of…

  8. CERN Fire and Rescue Service Annual Report 2000

    CERN Document Server

    Elorza, Francisco Javier

    2001-01-01

    This report summarizes the main activities of the Fire & Rescue Service (FB) Group of the Technical Inspection and Safety (TIS) Division during the year 2000. It focuses on the most important differences with respect to the previous years in terms of organisation and domains of activity. It also contains detailed statistics of activity for the year 2000.

  9. Fire & Rescue Service Annual Report 2001/2002

    CERN Document Server

    Doebbeling, E P

    2003-01-01

    This report summarizes the mandate, the personnel and the main activities of the Fire & Rescue Service Group of the Technical Inspection and Safety Division (TIS/FB) during the years 2001/2002. It focuses on the most important domains of activity. It also contains detailed statistics of activity for the two years and an overview of the equipment.

  10. Utah Public Library Service, 2001: An Annual Report.

    Science.gov (United States)

    Long, Sandi

    This annual report of Utah public library services presents data useful for local library planning. This information is presented in two sections: core performance measures and general tables. Statewide summary data and breakouts by the populations of the library jurisdictions are provided for the following core performance measures: (1) visits…

  11. International VLBI Service for Geodesy and Astrometry 2012 Annual Report

    Science.gov (United States)

    Baver, Karen D.; Behrend, Dirk; Armstrong, Kyla L.

    2013-01-01

    This volume of reports is the 2012 Annual Report of the International VLBI Service for Geodesy and Astrometry (IVS). The individual reports were contributed by VLBI groups in the international geodetic and astrometric community who constitute the permanent components of IVS. The IVS 2012 Annual Report documents the work of the IVS components for the calendar year 2012, our fourteenth year of existence. The reports describe changes, activities, and progress ofthe IVS. Many thanks to all IVS components who contributed to this Annual Report. With the exception of the first section and parts of the last section (described below), the contents of this Annual Report also appear on the IVS Web site athttp:ivscc.gsfc.nasa.gov/publications/ar2012

  12. Refuge Inventory and Monitoring Status and Needs Assessment: Gulf I&M Zone Summary Report

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This USFWS report summarizes the data collected from National Wildlife Refuges in Louisiana, Arkansas, Mississippi, Alabama, Tennessee, and Kentucky during meetings...

  13. Research Report of Logistics Professional Training Mode Professionals Training Model Based on Business Needs -Logistics Services and Management Research Report%基于企业需求的物流专业人才培养模式调研报告--物流服务与管理专业调研报告

    Institute of Scientific and Technical Information of China (English)

    钱惠琴

    2015-01-01

    随着我国经济的发展,如何提高物流管理专业从业人员的数量和质量,是职业院校目前迫切需要思考的问题。文中基于所在学校物流管理专业人才培养模式的现状,初步探明了企业对职业院校物流管理专业人才的认知,提出了“双证融通”物流管理人才模式,并从人才培养模式实施、课程体系改革、教学模式改革、评价改革等方面展开论述。%As China's economic development,and how to improve the quantity and quality of logistics management professional practitioners,is the urgent need to think about the issue vocational schools.The paper based on the status quo where the school logistics management professionals training mode,initially proved a corporate awareness of professional logistics management professionals institutions,proposed a “Double Certificate”logistics management personnel mode,and from the training model,curriculum aspects of system reform,the reform of teaching mode,start on the evaluation and reform.

  14. The childbearing health and related service needs of newcomers (CHARSNN study protocol

    Directory of Open Access Journals (Sweden)

    Saucier Jean-François

    2006-12-01

    Full Text Available Abstract Background Refugee and asylum-seeking women in Canada may have significant harmful childbearing health outcomes and unmet health and social care needs. The most vulnerable of these women are: those who have left their countries by force (e.g., war, rape or abuse histories, are separated from their families, have limited knowledge of the host country languages, and are visible minorities. Asylum-seekers face additional stresses related to their unknown future status and are marginalized with regards to access to provincial health care systems. The prevalence and severity of health issues in this population is not known nor is the extent of response from social service and health care systems (including variation in provincial service delivery. Understanding the magnitude of health and social concerns of newcomers requires data from a representative sample of childbearing refugee and asylum-seeking women resettling in Canada to permit comparisons to be made with non-refugee immigrant and Canadian-born women. Our research questions are: (1 Do refugee or asylum-seeking women and their infants, experience a greater number or a different distribution of harmful health events during pregnancy, at birth, and during the postpartum period than non-refugee immigrant or Canadian-born women? (2 Are the harmful health events experienced postpartum by asylum-seeking women and their infants, addressed less often (compared to refugees, non-refugee immigrants, and Canadian-born women by the Canadian health care system as delivered in each of the three major receiving cities for newcomers? Methods/design This is a four-year multi-site prospective cohort study (pregnancy to 4 months postpartum. We will seek to recruit 2400 women [200 in each of 4 groups (refugees, asylum-seekers, non-refugee immigrants, and Canadian-born from 1 of 12 postpartum hospital units across the 3 largest receiving cities for newcomers to Canada – Montreal, Toronto, and Vancouver

  15. The need and total cost of Finnish eyecare services: a simulation model for 2005-2040.

    Science.gov (United States)

    Tuulonen, Anja; Salminen, Hannu; Linna, Miika; Perkola, Markku

    2009-11-01

    The aims of this study were: (i) to create a structural simulation model capable of predicting the future need and cost of eyecare services in Finland; and (ii) to test and rank different policy alternatives for access to care and the required physician workforce. Using the system dynamics approach, the number and cost of patients with cataract, glaucoma, diabetic retinopathy and age-related macular degeneration (AMD) were described with causal-loop diagrams and were then translated into a set of mathematical equations to build a computer simulation model. Mathematically, the problem was formulated as a set of differential equations that were solved numerically with specialized software. The validity of the model was tested against prevalence and administrative historical data. The costs covered by the public sector in Finland were obtained from 2003 from the Finnish Hospital Discharge Register (including outpatient care), the Finnish Social Insurance Institution and a survey of hospital price lists. Different levels of access to public care were then simulated in four eye diseases, for which the model estimated the need for services and resources and their costs in the years 2005-2040. The model forecasted that the adoption of the 2005 national 'access to care' criteria for cataract surgery would shorten waiting lists. If the workload of Finnish ophthalmologists were kept at the 2003 level, the graduation rate of new ophthalmologists would have to increase by 75% from the current level. If all glaucoma patients were followed in the public sector in future, even this increase in training would not meet the demand for physician workforce. The current model indicated that the screening frequency of diabetes can be increased without large sacrifices in terms of costs. AMD therapy has a significant role in the allocation of future resources in eyecare. The modelling study predicted that ageing alone will increase the costs of eyecare during the next four decades in

  16. Application of the Workload Indicators of Staffing Need method to predict nursing human resources at a Family Health Service

    Directory of Open Access Journals (Sweden)

    Daiana Bonfim

    2016-01-01

    Full Text Available Objective verify the application of the Workload Indicators of Staffing Need method in the prediction of nursing human resources at a Family Health service. Method descriptive and quantitative study, undertaken at a Family Health service in the city of São Paulo. The set of sequential operations recommended in the Workload Indicators of Staffing Need method was used: definition of the professional category, type of health service and calculation of Available Work Time; definition of workload components; identification of mean time for workload components; dimensioning of staff needs based on the method, application and interpretation of the data. Result the workload proposed in the Workload Indicators of Staffing Need method to nursing technicians/auxiliary nurses was balanced with the number of professionals available at the Family Health service. The Workload Indicators of Staffing Need index amounted to 0.6 for nurses and 1.0 for nursing technicians/auxiliary nurses. Conclusion the application of the Workload Indicators of Staffing Need method was relevant to identify the components of the nursing professionals' workload. Therefore, it is recommendable as a nursing staffing tool at Family Health services, contributing to the access and universal health coverage.

  17. Report from Dallas: The RASD Program (and) Business Reference Services Committee Report.

    Science.gov (United States)

    Freides, Thelma; Scanlan, Jean M.

    1979-01-01

    This report includes an account of the RASD program of the American Library Association at the 1979 Dallas Conference with an annotated bibliography on guidelines for information services, and a questionnaire distributed at the RASD Business Reference Services Committee meeting at Dallas, with tabulated results. (JD)

  18. Reporting Helicopter Emergency Medical Services in Major Incidents

    DEFF Research Database (Denmark)

    Fattah, Sabina; Johnsen, Anne Siri; Sollid, Stephen J M

    2016-01-01

    OBJECTIVE: Research on helicopter emergency medical services (HEMS) in major incidents is predominately based on case descriptions reported in a heterogeneous fashion. Uniform data reported with a consensus-based template could facilitate the collection, analysis, and exchange of experiences...... interacted through e-mail. We asked these experts to define data variables and rank which were most important to report during an immediate prehospital medical response to a major incident. Five rounds were conducted. RESULTS: In the first round, the experts suggested 98 variables. After 5 rounds, 21...

  19. National Coal Board Medical Service annual report 1980-1981

    Energy Technology Data Exchange (ETDEWEB)

    1982-01-01

    Sections report on: medical examinations and consultations; protection from health hazards such as pneumoconiosis and other prescribed diseases; problems such as vitamin D in the blood of miners, Legionaires' disease, Perthe's disease, rehabilitation and physiotherapy, chemical hazards, public health and hygiene, noise, and the use of visual display units; diseases from coal products such as in coke and tar manufacture; first aid services, morphia, and nursing service; and back pain in the mining industry. A list of staff and their publications is also included.

  20. Hanford radiological protection support services annual report for 1989

    Energy Technology Data Exchange (ETDEWEB)

    Lyon, M.; Bihl, D.E.; Fix, J.J.; Kenoyer, J.L.; Leonowich, J.A.; Palmer, H.E.

    1990-07-01

    Certain sitewide radiation protection services operated by Pacific Northwest Laboratory for the US Department of Energy-Richland Operations office and Hanford contractor are documented in this annual report on these services provided during calendar year 1989. These activities include internal dosimetry, in vivo measurements, external dosimetry, instrument calibration and evaluation, radiation source calibration, and radiological records keeping. In each case the routine program, program changes, associated tasks, investigations, and studies, as well as related publications, presentations, and other professional activities are discussed as applicable. 26 refs., 19 figs., 18 tabs.

  1. Meeting community health worker needs for maternal health care service delivery using appropriate mobile technologies in Ethiopia.

    Directory of Open Access Journals (Sweden)

    Alex Little

    Full Text Available BACKGROUND: Mobile health applications are complex interventions that essentially require changes to the behavior of health care professionals who will use them and changes to systems or processes in delivery of care. Our aim has been to meet the technical needs of Health Extension Workers (HEWs and midwives for maternal health using appropriate mobile technologies tools. METHODS: We have developed and evaluated a set of appropriate smartphone health applications using open source components, including a local language adapted data collection tool, health worker and manager user-friendly dashboard analytics and maternal-newborn protocols. This is an eighteen month follow-up of an ongoing observational research study in the northern of Ethiopia involving two districts, twenty HEWs, and twelve midwives. RESULTS: Most health workers rapidly learned how to use and became comfortable with the touch screen devices so only limited technical support was needed. Unrestricted use of smartphones generated a strong sense of ownership and empowerment among the health workers. Ownership of the phones was a strong motivator for the health workers, who recognised the value and usefulness of the devices, so took care to look after them. A low level of smartphones breakage (8.3%,3 from 36 and loss (2.7% were reported. Each health worker made an average of 160 mins of voice calls and downloaded 27Mb of data per month, however, we found very low usage of short message service (less than 3 per month. CONCLUSIONS: Although it is too early to show a direct link between mobile technologies and health outcomes, mobile technologies allow health managers to more quickly and reliably have access to data which can help identify where there issues in the service delivery. Achieving a strong sense of ownership and empowerment among health workers is a prerequisite for a successful introduction of any mobile health program.

  2. Canadian Cancer Society Information Services: lessons learned about complementary medicine information needs.

    Science.gov (United States)

    Eng, J L; Monkman, D A; Verhoef, M J; Ramsum, D L; Bradbury, J

    2001-01-01

    The use of complementary and alternative medicine (CAM) in cancer patients is very common. However, currently valid and reliable information on CAM treatments for cancer is limited. The purpose of this study was to identify the information needs those who called the Canadian Cancer Society's Cancer Information Service (CIS) requesting information on CAM. CIS Information Specialists completed two-page questionnaires for 109 callers who inquired about CAM therapies. Findings show that the majority of callers were women between the ages of 30 and 59, and that most of their questions concerned the safety and/or effectiveness of herbs and compounds like Essiac and 714X. Information Specialists generally utilized one or more of four resources upon receiving a CAM-related call. These resources, while mostly Canadian and reviewed by content experts, are not specific to the type of cancer and are no longer the most up- to-date. To address this issue we have included an appendix that outlines some current CAM resources and websites for cancer patients.

  3. Governance of smart living service platforms: state-ofthe-art and the need for collective action

    NARCIS (Netherlands)

    Nikayin, F.; De Reuver, M.

    2012-01-01

    Today’s smart home concepts are no longer limited to home automation, but increasingly involve smart health, energy, security and entertainment services. Such smart living services are typically offered through sector-specific service platforms that are rarely interoperable and not fully standardize

  4. Trends in Addressing Social Needs: A Longitudinal Study of Congregation-Based Service Provision and Political Participation

    Directory of Open Access Journals (Sweden)

    Brad R. Fulton

    2016-05-01

    Full Text Available When congregations seek to address social needs, they often pursue this goal through acts of service and political engagement. Over the past three decades, a tremendous amount of research has been dedicated to analyzing congregation-based service provision and political participation. However, little is known about how congregations’ involvement in these arenas has changed during this period. To help fill this gap, this study analyzes three waves of data from a national survey of congregations to assess how congregations’ participation patterns in service-related and political activities have been changing since the 1990s. It also examines trends among subpopulations of congregations grouped by their religious tradition, ethnoracial composition, and ideological orientation. Overall, this study finds that among most types of congregations, the percentage participating in service-related activities is substantial and increasing, while the percentage participating in political activities is less substantial and decreasing. This decline in political participation has implications for the role congregations play in addressing social needs. Relieving immediate needs through service provision without also pursuing long-term solutions through political participation can limit congregations’ ability to comprehensively address social needs. Among the few types of congregations that have high and/or increasing participation rates in both service-related and political activities are Catholic, predominantly Hispanic, and politically liberal congregations.

  5. Prenatal reporting to child protection: Characteristics and service responses in one Australian jurisdiction.

    Science.gov (United States)

    Taplin, Stephanie

    2017-03-01

    Prenatal reporting to child protection services has been enacted into most jurisdictions across Australia and in other countries, its aims being to intervene early and provide supports which will either identify or prevent the need for a baby to be taken into care and protection once born. Despite indications that there are increasing numbers of prenatal reports, little is known about the characteristics of those reported, the timing and reasons for reports, service responses, and the impacts of being reported. This study is one of the first to use administrative data to examine the characteristics of two samples from one Australian jurisdiction: (i) data from casefiles of 38 cases reported in 2012-13, and (ii) administrative data from 117 cases reported prenatally in 2013. These data showed that women who were reported to child protection services in relation to their pregnancy were predominantly disadvantaged, and were likely to be reported relatively late in their pregnancy due to 'future risk concerns'. Approximately two-thirds of those reported were provided with some prenatal support, as recorded by the child protection system, generally of limited duration. Twelve percent of the babies born to the larger cohort of women were removed within 100days of their birth. It is likely that longer term supportive interventions are needed, to reduce the risk factors evident in women reported during pregnancy, and to improve their ability to safely care for their children. Information on the short and long-term impacts from rigorous evaluations and longer-term intervention trials are also vital to ensure that prenatal reporting and interventions are, in fact, improving outcomes for infants and families.

  6. Does staff-patient agreement on needs for care predict a better mental health outcome? A 4-year follow-up in a community service.

    Science.gov (United States)

    Lasalvia, A; Bonetto, C; Tansella, M; Stefani, B; Ruggeri, M

    2008-01-01

    Patients treated in primary care settings report better mental outcomes when they agree with practitioners about the nature of their core presenting problems. However, no study has examined the impact of staff-patient agreement on treatment outcomes in specialist mental health services. We investigated whether a better staff-patient agreement on needs for care predicts more favourable outcome in patients receiving community-based psychiatric care. A 3-month prevalence cohort of 188 patients with the full spectrum of psychiatric conditions was assessed at baseline and at 4 years using the Camberwell Assessment of Need (CAN), both staff (CAN-S) and patient versions (CAN-P), and a set of standardized outcome measures. Baseline staff-patient agreement on needs was included among predictors of outcome. Both clinician-rated (psychopathology, social disability, global functioning) and patient-rated (subjective quality of life and satisfaction with services) outcomes were considered. Controlling for the effect of sociodemographics, service utilization and changes in clinical status, better staff-patient agreement makes a significant additional contribution in predicting treatment outcomes not only on patient-rated but also on clinician-rated measures. Mental health care should be provided on the basis of a negotiation process involving both professionals and service users to ensure effective interventions; every effort should be made by services to implement strategies aiming to increase consensus between staff and patients.

  7. Hanford radiological protection support services annual report for 1987

    Energy Technology Data Exchange (ETDEWEB)

    Lyon, M.; Fix, J.J.; Kenoyer, J.L.; Leonowich, J.A.; Palmer, H.E.; Sula, M.J.

    1988-08-01

    This report documents the performance of certain radiological protection sitewide services during calendar year (CY) 1987 by Pacific Northwest Laboratory in support of the US Department of Energy-Richland Operations Office (DOE-RL) and contractor activities on the Hanford Site. The routine program for each service is discussed along with any significant program changes and tasks, investigations, and studies performed in support of each program. Other related activities such as publications, presentations, and memberships on standards or industry committees are also discussed. The programs covered provide services in the areas of: external dosimetry, internal dosimetry, in vivo measurements, instrument calibration and evaluation, calibration of radiation sources traceable to the National Bureau of Standards, and radiological records. 21 refs., 10 figs., 12 tabs.

  8. "KYDS": an innovative service addressing the health needs of youth and families in an Australian community.

    Science.gov (United States)

    Citer, David; Carlson, Kym; McClellan, Danni; McGaw, Pam; Walter, Sophie; Bennett, David; Walter, Garry

    2013-04-01

    To describe the evolution of KYDS Youth Development Service ("KYDS"), a pioneering youth service in Sydney, Australia, its range of programs and the challenges that it has faced. KYDS emerged in the context of the escalating presentation of mental health and other problems affecting young people, and the desire of a local community to provide a service for its youth. The service has expanded since opening in 2005 and now includes, among other elements, therapy for referred clients, parent educational forums, and group programs such as a young women's program and a program for teenagers with parents affected by mental illness. The challenges for the service include financial pressures, service expansion, and how to best complement other services in the public and private sector.

  9. Research on Clinical Preventive Services for Adolescents and Young Adults: Where Are We and Where Do We Need to Go?

    Science.gov (United States)

    Harris, Sion K; Aalsma, Matthew C; Weitzman, Elissa R; Garcia-Huidobro, Diego; Wong, Charlene; Hadland, Scott E; Santelli, John; Park, M Jane; Ozer, Elizabeth M

    2017-03-01

    We reviewed research regarding system- and visit-level strategies to enhance clinical preventive service delivery and quality for adolescents and young adults. Despite professional consensus on recommended services for adolescents, a strong evidence base for services for young adults, and improved financial access to services with the Affordable Care Act's provisions, receipt of preventive services remains suboptimal. Further research that builds off successful models of linking traditional and community clinics is needed to improve access to care for all youth. To optimize the clinical encounter, promising clinician-focused strategies to improve delivery of preventive services include screening and decision support tools, particularly when integrated into electronic medical record systems and supported by training and feedback. Although results have been mixed, interventions have moved beyond increasing service delivery to demonstrating behavior change. Research on emerging technology-such as gaming platforms, mobile phone applications, and wearable devices-suggests opportunities to expand clinicians' reach; however, existing research is based on limited clinical settings and populations. Improved monitoring systems and further research are needed to examine preventive services facilitators and ensure that interventions are effective across the range of clinical settings where youth receive preventive care, across multiple populations, including young adults, and for more vulnerable populations with less access to quality care.

  10. How the Reproductive Health Needs of Unmarried Youth Be Concerned in Quality Services in Family Planning/ Reproductive Health?

    Institute of Scientific and Technical Information of China (English)

    Nian CUI; Min-xiang LI; Xiao-wen TU

    2006-01-01

    Objective To understand the reproductive health needs of unmarried youth so as to provide them better quality services.Method Data were drawn from a baseline questionnaire survey of provision of reproductive health information and services for unmarried youth aged 16-20 years in rural areas of Chengdu, Southwest China in 2001-2002.Results The study comprised of 1 895 valid subjects. More than 70% subjects felt that the knowledge, information and services in relation to sexual and reproductive health provided by the society were rather insufficient. Near 95% thought that unmarried young people seeking sexual and reproductive health counseling and services were quite normal, although some of them had different misgivings. Their preferred services in reproductive health included: counseling in relation to sexual and reproductive health, how to cope with unexpected sex and unwanted pregnancy, how to select the appropriate contraceptives for unmarried youth, etc. About 2/3 subjects agreed to provide contraceptive services to unmarried youth actively by the society. And they thought the difficulties and obstacles in provision of contraceptive services for unmarried youth were in the following order: restriction of the traditional conceptions,shyness of unmarried youth in accept of such services, disapproval of parents/school teachers, and so forth.Conclusion To improve reproductive health status of unmarried youth and meet their needs is a challenge to quality service of family planning/reproductive health program in China. The related departments and service providers should pay attention to this matter and take the strategies and measures to provide appropriate, specific, friendly and accessibly services for unmarried young people.

  11. CHANGE@CERN:Task Force 3: adjusting services to future needs

    CERN Multimedia

    2002-01-01

    We continue our articles on the Task Force reports The number of craftsmen and technicians could be increased with a change in the staff composition. The mandate for Task Force 3 was to make proposals for savings and new cost control procedures in the area of Industrial Support and Contracts for the period until 2009. The aim, explains the convenor, Karl-Heinz Kissler, was to keep spending under control under difficult conditions when staff numbers are decreasing and the work for the LHC becomes more demanding. The measures proposed, if implemented, could lead to savings of around 170 MCHF. The proposals involve both Industrial Services contracts, which were discussed in the Bulletin of the 22nd of April (n°17/2002) and readjustments for staff at CERN, on which we concentrate here. As with other Task Forces the principle aim was to be able to refocus resources onto the LHC project. In this respect, Task Force 3 could work within the framework of the revised programme for the LHC and the reduced non-LHC pro...

  12. National Coal Board Medical Service annual report 1981-82

    Energy Technology Data Exchange (ETDEWEB)

    1983-01-01

    Sections report on: medical examinations and consultations; protection from health hazards, such as pneumoconiosis and other prescribed diseases; problems such as vitamin D in miners' blood, Legionnaires' disease, rehabilitation and physiotherapy, high pressure injection injuries, pump packing; National Coal Board (Coal Products) Ltd.; injuries and treatment; and nursing service. A list of staff and their publications and a supplement on occupational toxicology are included.

  13. Prevalence of physical activity, screen time, and obesity among US children by the service type of special health care needs.

    Science.gov (United States)

    Kim, Juhee; Greaney, Mary L

    2014-07-01

    Children with special health care needs (SHCN) may be at greater risk of obesity than children without SHCN. A new classification system categorizes SHCN among children by service type using the following categories: No-SHCN, medication use only, services use only, medication + service use, and functional limitations. Research is needed to examine obesity and obesity-related behaviors among children using the new classification system. To determine the prevalence of inadequate vigorous physical activity (VPA), high screen time and obesity by SHCN category using the new classification system. Multivariate regression models were fitted for inadequate VPA, high screen time, and obesity to determine if there were differences in these outcomes by SHCN category, adjusting for multistage-sampling and survey-design effects using a nationally representative sample of children in the National Survey of Children's Health 2007. 22.9% of the sample was classified as having SHCN: 9% medication use only, 5% medication + service use, 4% service use only, and 5% functional limitations. Children in the medication use only and medication + service use groups were not at increased risk for inadequate VPA, high screen time, or obesity. Children in the service use only and functional limitation groups had increased odds of high screen time and obesity, which disappeared after controlling for confounders. However, the higher odds of inadequate VPA remained significant in the service use only [OR (95% CI) = 2.00 (1.34-3.00)] and the functional limitations groups with 2.21 (1.55-3.15). Physical activity promotion programs are needed for children with SHCN, especially children with functional limitations and those who require service use only and do not use prescribed medication. Copyright © 2014 Elsevier Inc. All rights reserved.

  14. The exploration of in-service training needs of psychiatric nurses / Herman Rankele Letlape

    OpenAIRE

    Letlape, Herman Rankele

    2012-01-01

    New research findings, changes in legislation and the use of information technology in nursing, requires continuous in-service training of psychiatric nurses (Booyens, 2004:381; Muller, 2004:294) to cope with, reflect on, evaluate and modify their clinical practice based on emerging knowledge (Cowen et al.,2009:2; Polit & Beck, 2006:4). Many studies have been conducted on the importance of in-service training, and authors agree that in-service training improves the quality of n...

  15. Co-production in practice: how people with assisted living needs can help design and evolve technologies and services.

    Science.gov (United States)

    Wherton, Joseph; Sugarhood, Paul; Procter, Rob; Hinder, Sue; Greenhalgh, Trisha

    2015-05-26

    The low uptake of telecare and telehealth services by older people may be explained by the limited involvement of users in the design. If the ambition of 'care closer to home' is to be realised, then industry, health and social care providers must evolve ways to work with older people to co-produce useful and useable solutions. We conducted 10 co-design workshops with users of telehealth and telecare, their carers, service providers and technology suppliers. Using vignettes developed from in-depth ethnographic case studies, we explored participants' perspectives on the design features of technologies and services to enable and facilitate the co-production of new care solutions. Workshop discussions were audio recorded, transcribed and analysed thematically. Analysis revealed four main themes. First, there is a need to raise awareness and provide information to potential users of assisted living technologies (ALTs). Second, technologies must be highly customisable and adaptable to accommodate the multiple and changing needs of different users. Third, the service must align closely with the individual's wider social support network. Finally, the service must support a high degree of information sharing and coordination. The case vignettes within inclusive and democratic co-design workshops provided a powerful means for ALT users and their carers to contribute, along with other stakeholders, to technology and service design. The workshops identified a need to focus attention on supporting the social processes that facilitate the collective efforts of formal and informal care networks in ALT delivery and use.

  16. Service Innovation Methodologies II : How can new product development methodologies be applied to service innovation and new service development? : Report no 2 from the TIPVIS-project

    OpenAIRE

    Nysveen, Herbjørn; Pedersen, Per E.; Aas, Tor Helge

    2007-01-01

    This report presents various methodologies used in new product development and product innovation and discusses the relevance of these methodologies for service development and service innovation. The service innovation relevance for all of the methodologies presented is evaluated along several service specific dimensions, like intangibility, inseparability, heterogeneity, perishability, information intensity, and co-creation. The methodologies discussed are mainly collect...

  17. Service Innovation Methodologies II : How can new product development methodologies be applied to service innovation and new service development? : Report no 2 from the TIPVIS-project

    OpenAIRE

    Nysveen, Herbjørn; Pedersen, Per E.; Aas, Tor Helge

    2007-01-01

    This report presents various methodologies used in new product development and product innovation and discusses the relevance of these methodologies for service development and service innovation. The service innovation relevance for all of the methodologies presented is evaluated along several service specific dimensions, like intangibility, inseparability, heterogeneity, perishability, information intensity, and co-creation. The methodologies discussed are mainly collect...

  18. Research use and support needs, and research activity in social care: a cross-sectional survey in two councils with social services responsibilities in the UK.

    Science.gov (United States)

    Cooke, Jo; Bacigalupo, Ruth; Halladay, Linsay; Norwood, Hayley

    2008-09-01

    The purpose of this study was to investigate the level of research activity, research use, research interests and research skills in the social care workforce in two UK councils with social service responsibilities (CSSRs). A cross-sectional survey was conducted of the social care workforce in two CSSRs (n = 1512) in 2005. The sample was identified in partnership with the councils, and included employees with professional qualifications (social workers and occupational therapists); staff who have a role to assess, plan and monitor care; service managers; commissioners of services; and those involved with social care policy, information management and training. The survey achieved a response rate of 24% (n = 368). The Internet was reported as an effective source of research information; conversely, research-based guidelines were reported to have a low impact on practice. Significant differences were found in research use, by work location, and postgraduate training. Most respondents saw research as useful for practice (69%), and wanted to collaborate in research (68%), but only 11% were planning to do research within the next 12 months. Having a master's degree was associated with a greater desire to lead or collaborate in research. A range of research training needs, and the preferred modes of delivery were identified. Support to increase research activity includes protected time and mentorship. The study concludes that a range of mechanisms to make research available for the social care workforce needs to be in place to support evidence-informed practice. Continual professional development to a postgraduate level supports the use and production of evidence in the social care workforce, and promotes the development of a research culture. The term research is used to include service user consultations, needs assessment and service evaluation. The findings highlight a relatively large body of the social care workforce willing to collaborate and conduct research

  19. 'Workers', 'clients' and the struggle over needs: understanding encounters between service providers and injecting drug users in an Australian city.

    Science.gov (United States)

    Moore, David

    2009-03-01

    A feature of contemporary Western, neo-liberal democracies is the frequent interaction between representatives of health and social services and the members of stigmatised and 'unruly' populations, such as injecting drug users. Previous research on drugs has tended to ignore the power relations and cultural dynamics at work in these encounters, and the ways in which they are framed by the wider neo-liberal context. Drawing on an ethnography of street-based heroin use in Melbourne, Australia's second largest city, I show how the discourses of both service providers and injecting drug users draw on wider neo-liberal values of independence, autonomy, rationality and responsibility. Service providers negotiate a framework of needs interpretation that creates and reproduces professional identities, and maintains boundaries between 'workers' and 'clients'. It also includes tensions around the definition of injecting drug users as 'chaotic' (i.e., failed neo-liberal) subjects, and slippage between service philosophies that emphasise a social model of health and forms of service delivery that emphasise the production of responsibilised subjects. For their part, street-based injectors construct an alternative framework of needs interpretation that emphasises their self-reliance, autonomy and independence, attributes and capacities largely denied them in service-provider discourse. In encounters with service providers, street-based injectors respond in various ways that include elements of resistance, strategic accommodation and the incorporation of therapeutic discourse. I conclude by considering the implications of my analysis for the future development of drug policy and practice.

  20. The Needs Assessment of Implementing NTIS into the VTAE System. Final Report.

    Science.gov (United States)

    Rust, Leland

    A study investigated the competencies required to use the National Technical Information Service (NTIS) and the perceived need for its use for curriculum and instructional improvement in the Wisconsin Vocational, Technical, and Adult Education (VTAE) system. A representative sample (N=249) of VTAE instructors and staff was selected for the survey…

  1. Stigma- and non-stigma-related treatment barriers to mental healthcare reported by service users and caregivers.

    Science.gov (United States)

    Dockery, Lisa; Jeffery, Debra; Schauman, Oliver; Williams, Paul; Farrelly, Simone; Bonnington, Oliver; Gabbidon, Jheanell; Lassman, Francesca; Szmukler, George; Thornicroft, Graham; Clement, Sarah

    2015-08-30

    Delayed treatment seeking for people experiencing symptoms of mental illness is common despite available mental healthcare. Poor outcomes are associated with untreated mental illness and caregivers may eventually need to seek help on the service user's behalf. More attention has recently focused on the role of stigma in delayed treatment seeking. This study aimed to establish the frequency of stigma- and non-stigma-related treatment barriers reported by 202 service users and 80 caregivers; to compare treatment barriers reported by service users and caregivers; and to investigate demographic predictors of reporting stigma-related treatment barriers. The profile of treatment barriers differed between service users and caregivers. Service users were more likely to report stigma-related treatment barriers than caregivers across all stigma-related items. Service users who were female, had a diagnosis of schizophrenia or with GCSEs (UK qualifications usually obtained at age 16) were significantly more likely to report stigma-related treatment barriers. Caregivers who were female or of Black ethnicities were significantly more likely to report stigma-related treatment barriers. Multifaceted approaches are needed to reduce barriers to treatment seeking for both service users and caregivers, with anti-stigma interventions being of particular importance for the former group. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

  2. [Reporting of side-effects--a system in need of improvement. Reporting of a physician questionnaire].

    Science.gov (United States)

    Ekbom, Ylva; Hedenmalm, Karin; Dalin, Linda; Lönnroth, Knut; Persson, Ingemar

    2002-08-22

    The spontaneous reporting system in Sweden is based on reporting by health care professionals of adverse drug reactions (ADRs) to the Medical Products Agency. The usefulness of the spontaneous reporting system is limited by a substantial degree of underreporting. In order to study factors that make reporting of ADRs difficult as well as to obtain responses to suggestions that could increase the reporting of ADRs, an enquiry was sent to 300 randomly selected physicians. The most important factors that make reporting of ADRs more difficult are lack of time and forgetfulness. Most physicians stated that they would report ADRs to a greater extent if reporting was simpler, if resources were available or if the response to the reporting was improved. The majority of the physicians who had a computer at work stated that they would like to access the reporting form electronically.

  3. 21 CFR 803.13 - Do I need to submit reports in English?

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Do I need to submit reports in English? 803.13... in English? (a) Yes. You must submit all written or electronic equivalent reports required by this part in English. (b) If you submit any reports required by this part in an electronic medium,...

  4. The Need for an Increased Emphasis on Research in Clinical Pharmacy Services.

    Science.gov (United States)

    Nance, Kathleen S.; And Others

    1985-01-01

    Effectiveness of clinical pharmacy services is discussed through an analysis of the literature, an analysis of the funding of grant applications by the National Center for Health Services Research, and a review of the research component of doctoral programs in pharmacy. (MSE)

  5. Dashboards as a Service Why, What, How, and What Research Is Needed?

    NARCIS (Netherlands)

    Pauwels, Koen; Ambler, Tim; Clark, Bruce H.; LaPointe, Pat; Reibstein, David; Skiera, Bernd; Wierenga, Berend; Wiesel, Thorsten

    2009-01-01

    Recent years have seen the introduction of a "marketing dashboard" that brings the firm's key marketing metrics into a single display. Service firms across industries have created such dashboards either by themselves or together with a dashboard service provider. This article examines the reasons fo

  6. Dreaming of Justice: Critical Service-Learning and the Need to Wake Up

    Science.gov (United States)

    Butin, Dan

    2015-01-01

    Dan Butin exmines and questions whether the goal, or dream, of service-learning has been actualized in practice. He raises the possibility that what educators dream of-a critical service-learning able to ameliorate persistent real-world inequities-may be a case of their dreaming being fulfilled, rather than their dreams. More specifically, he…

  7. The Need for a Special Services Project at Bowie State College.

    Science.gov (United States)

    Gill, Wanda E.

    Information is presented to demonstrate that Bowie State College could benefit from support to the Special Services for Disadvantaged Students Project (Special Services). In spring 1983, 73.7 percent of the 1,619 undergraduates were black. The mean Scholastic Aptitude Test (SAT) verbal score for 1982 incoming female freshmen was 287, compared to…

  8. Dashboards as a Service Why, What, How, and What Research Is Needed?

    NARCIS (Netherlands)

    Pauwels, Koen; Ambler, Tim; Clark, Bruce H.; LaPointe, Pat; Reibstein, David; Skiera, Bernd; Wierenga, Berend; Wiesel, Thorsten

    2009-01-01

    Recent years have seen the introduction of a "marketing dashboard" that brings the firm's key marketing metrics into a single display. Service firms across industries have created such dashboards either by themselves or together with a dashboard service provider. This article examines the reasons

  9. Explaining public service motivation : the role of leadership and basic needs satisfaction. Paper

    NARCIS (Netherlands)

    Vandenabeele, W.V.

    2009-01-01

    Both leadership and public service motivation are important issues in contemporary public administration. By connecting these issues, the aim of this paper is to assess the impact of transformational leadership behavior (promoting public values) on public service motivation development. Two hypothes

  10. Clinical Needs and Outcomes of Adults with Intellectual Disabilities Accessing an Inpatient Assessment and Treatment Service and the Implication for Development of Community Services

    Science.gov (United States)

    Sandhu, Daljit; Tomlins, Rose

    2017-01-01

    The role and future of assessment and treatment units for people with intellectual disabilities is once again the focus of debate and government policy. Reviewing the admissions to inpatient services can provide useful information about the characteristics, needs and clinical outcomes of clients. Data were collected retrospectively for all 36…

  11. Early Career Experience of Pediatric Orthopaedic Fellows: What to Expect and Need for Their Services.

    Science.gov (United States)

    Glotzbecker, Michael P; Shore, Benjamin J; Fletcher, Nicholas D; Larson, A Noelle; Hydorn, Christopher R; Sawyer, Jeffery R

    2016-06-01

    A dramatic increase in the number of pediatric orthopaedic fellows being trained has led to concerns that there may be an oversupply of pediatric orthopaedists. The purpose of this study was to determine whether this perception is accurate and whether the practice expectations of recent pediatric fellowship graduates are being met by surveying recent pediatric fellowship graduates about their early practice experiences. A 36-question survey approved by the Pediatric Orthopaedic Society of North America (POSNA) leadership was electronically distributed to 120 recent graduates of pediatric orthopaedic fellowships; 81 responses were ultimately obtained (67.5% response rate). Almost all (91%) of the respondents were very or extremely satisfied with their fellowship experience. Half of the respondents had at least 1 job offer before they entered their fellowships. After completion of fellowships, 35% received 1 job offer and 62.5% received ≥2 job offers; only 2.5% did not receive a job offer. Most reported a practice consisting almost entirely of pediatric orthopaedics, and 93.5% thought this was in line with their expectations; 87% indicated satisfaction with their current volume of pediatric orthopaedics, and 85% with the complexity of their pediatric orthopaedic cases. Despite the high employment percentages and satisfaction with practice profiles, nearly a third (28%) of respondents replied that too many pediatric orthopaedists are being trained. Positive messages from this survey include the satisfaction of graduates with their fellowship training, the high percentage of graduates who readily found employment, and the satisfaction of graduates with their current practice environments; this indicates that the pediatric orthopaedic job environment is not completely saturated and there are continued opportunities for graduating pediatric fellows despite the increased number of fellows being trained. Although not determined by this study, it may be that the stable

  12. Meeting the home-care needs of disabled older persons living in the community: does integrated services delivery make a difference?

    Directory of Open Access Journals (Sweden)

    Raîche Michel

    2011-10-01

    Full Text Available Abstract Background The PRISMA Model is an innovative coordination-type integrated-service-delivery (ISD network designed to manage and better match resources to the complex and evolving needs of elders. The goal of this study was to examine the impact of this ISD network on unmet needs among disabled older persons living in the community. Methods Using data from the PRISMA study, we compared unmet needs of elders living in the community in areas with or without an ISD network. Disabilities and unmet needs were assessed with the Functional Autonomy Measurement System (SMAF. We used growth-curve analysis to examine changes in unmet needs over time and the variables associated with initial status and change. Sociodemographic characteristics, level of disability, self-perceived health status, cognitive functioning, level of empowerment, and the hours of care received were investigated as covariates. Lastly, we report the prevalence of needs and unmet needs for 29 activities in both areas at the end of the study. Results On average, participants were 83 years old; 62% were women. They had a moderate level of disability and mild cognitive problems. On average, they received 2.07 hours/day (SD = 1.08 of disability-related care, mostly provided by family. The findings from growth-curve analysis suggest that elders living in the area where ISD was implemented and those with higher levels of disability experience better fulfillment of their needs over time. Besides the area, being a woman, living alone, having a higher level of disability, more cognitive impairments, and a lower level of empowerment were linked to initial unmet needs (r2 = 0.25; p Conclusions In spite of more than 30 years of home-care services in the province of Quebec, disabled older adults living in the community still have unmet needs. ISD networks such as the PRISMA Model, however, appear to offer an effective response to the long-term-care needs of the elderly.

  13. The integration of customer needs in the establishment of an e-business system for internal service

    OpenAIRE

    Olsson, Annika; Karlsson, Sture

    2002-01-01

    The key success factor for companies is to develop and deliver services and products that satisfy customer needs and create customer value. When introducing e-businesses as a new channel, it is becoming increasingly important to consider customers, since they will have a higher level of influence on the company through the interactive channel. This paper sets out to describe the process of considering customer needs in an e-business establishment based on the results from a case study where g...

  14. Patient identified needs for chronic obstructive pulmonary disease versus billed services for care received

    Directory of Open Access Journals (Sweden)

    Jill Heins-Nesvold

    2008-09-01

    Full Text Available Jill Heins-Nesvold1, Angeline Carlson2, Leslie King-Schultz3, Kenneth E Joslyn41American Lung Association of Minnesota, St. Paul, MN, USA; 2Data Intelligence Consultants, LLC, Eden Prairie, MN, USA; 3Mayo Medical School, Rochester, MN, USA; 4Medica Health Plan, Minnetonka, MN, USAAbstract: The American Lung Association of Minnesota (ALAMN was granted access to a 2004 administrative claims data from an upper mid-Western, independent practice association model health plan. Claims information, including demographics, prevalence, medication and oxygen therapy, and health care utilization, was extracted for 7,782 patients with COPD who were 40 years of age and older. In addition, ALAMN conducted a survey of 1,911 patients from Minnesota diagnosed with COPD. The survey queried the patients about demographics, treatment, medications, limitations, wants, and needs. This article compares and contrasts the information gained through the health plan administrative claims database with the findings from the COPD patient survey in areas of age, gender, types of provider primarily responsible for COPD care, spirometry use, medication therapy, pulmonary rehabilitation, oxygen therapy, and health care utilization. Primary care practitioners provided a majority of the COPD-related care. The claims evidence of spirometry use was 16%–62% of COPD patients had claims evidence of COPD-related medications. 25% of patients reported, and 23% of patients had claims evidence of, a hospitalization during the observation year. 16% of patients reported using pulmonary rehabilitation programs. The results indicate there is an opportunity to improve COPD diagnosis and management.Keywords: chronic obstructive pulmonary disease, oxygen therapy, medication therapy, spirometry, chronic care, assessment

  15. British Coal Medical Service annual report 1989-90

    Energy Technology Data Exchange (ETDEWEB)

    1990-01-01

    The report contains detailed results of surveys on the prevalence of pneumoconiosis in coal miners of various age groups from 1962 to 1989. Only 0.6% of 14,300 men X-rayed in 1989 showed any sign of the disease and the overall figure for the 112 collieries surveyed after the completed seventh round of surveys was 0.7%. Emphasis has continued on dust control measures on coal faces and in drivages - dust concentration of 3.1 mg/m {sup 3} in 1989-90 was in keeping with the trend since 1970. A 'cohort' of young miners is being monitored to develop an early warning system to identify changes in the incidence of pneumoconiosis. The role of Medical Service in treating injuries, skin diseases, back pain etc. and problems caused by noise and chemicals is explained. Continued attention has been paid to implication of the COSHH regulations and audiometry has been introduced to all British Coal's employees. Services are now provided to workers of Coal Products Ltd. Reports of first aid and nursing services are included. Use of pethidine for relieving pain is now being advocated. 6 figs., 20 tabs.

  16. Evaluation of Pollen Apps Forecasts: The Need for Quality Control in an eHealth Service.

    Science.gov (United States)

    Bastl, Katharina; Berger, Uwe; Kmenta, Maximilian

    2017-05-08

    Pollen forecasts are highly valuable for allergen avoidance and thus raising the quality of life of persons concerned by pollen allergies. They are considered as valuable free services for the public. Careful scientific evaluation of pollen forecasts in terms of accurateness and reliability has not been available till date. The aim of this study was to analyze 9 mobile apps, which deliver pollen information and pollen forecasts, with a focus on their accurateness regarding the prediction of the pollen load in the grass pollen season 2016 to assess their usefulness for pollen allergy sufferers. The following number of apps was evaluated for each location: 3 apps for Vienna (Austria), 4 apps for Berlin (Germany), and 1 app each for Basel (Switzerland) and London (United Kingdom). All mobile apps were freely available. Today's grass pollen forecast was compared throughout the defined grass pollen season at each respective location with measured grass pollen concentrations. Hit rates were calculated for the exact performance and for a tolerance in a range of ±2 and ±4 pollen per cubic meter. In general, for most apps, hit rates score around 50% (6 apps). It was found that 1 app showed better results, whereas 3 apps performed less well. Hit rates increased when calculated with tolerances for most apps. In contrast, the forecast for the "readiness to flower" for grasses was performed at a sufficiently accurate level, although only two apps provided such a forecast. The last of those forecasts coincided with the first moderate grass pollen load on the predicted day or 3 days after and performed even from about a month before well within the range of 3 days. Advertisement was present in 3 of the 9 analyzed apps, whereas an imprint mentioning institutions with experience in pollen forecasting was present in only three other apps. The quality of pollen forecasts is in need of improvement, and quality control for pollen forecasts is recommended to avoid potential harm to

  17. Needs Assessment in Counseling, Guidance, and Personnel Services. Searchlight Plus: Relevant Resources in High Interest Areas. No. 21+.

    Science.gov (United States)

    Wysong, H. Eugene

    This paper, for practitioners and researchers, is based on a computer search of the ERIC database and other references, and organizes and summarizes the literature on needs assessment in counseling, guidance, and personnel services. Following the brief introduction, a definition of terms used in the paper and a discussion of the purposes and…

  18. Health Care Service Needs and Correlates of Quality of Life: A Case Study of Elderly Chinese Immigrants in Canada

    Science.gov (United States)

    Chow, Henry P. H.

    2012-01-01

    This study explored the health care service needs and the major correlates of quality of life among 127 community-dwelling elderly Chinese immigrants in a western Canadian city. Participants were interviewed in their homes by trained, bilingual interviewers employing a structured questionnaire that covered a wide range of topics including health…

  19. a model for estimating mental health service needs in south africa

    African Journals Online (AJOL)

    psychiatric conditions in a hypothetical population of 100 000 people in South Africa. ... regarding population size, age distribution, prevalence, levels of coverage, annual ..... The defacto U.S. Mental and Addictive Disorders. Service System: ...

  20. External financial aid to blood transfusion services in sub-Saharan Africa: a need for reflection.

    Directory of Open Access Journals (Sweden)

    Fereydoun Ala

    Full Text Available Jean-Pierre Allain and colleagues argue that, while unintended, the foreign aid provided for blood transfusion services in sub-Saharan Africa has resulted in serious negative outcomes, which requires reflection and rethinking.

  1. Army Contracting: Training and Guidance Needed to Ensure Appropriate Use of the Option to Extend Services Clause

    Science.gov (United States)

    2016-01-28

    value reported in FPDS-NG Computer support Services 12 months 12 months --First extension: 6 months --Second extension: 6 months $14.5 million...extensions are included below: • A sole-source bridge contract to provide computer support services such as hosting, computer operations, application...order. Call for additional information. Connect with GAO on Facebook , Flickr, Twitter, and YouTube. Subscribe to our RSS Feeds or E-mail Updates

  2. Psychosocial concerns reported by Syrian refugees living in Jordan: systematic review of unpublished needs assessments.

    Science.gov (United States)

    Wells, Ruth; Steel, Zachary; Abo-Hilal, Mohammad; Hassan, Abdul Halim; Lawsin, Catalina

    2016-08-01

    Humanitarian organisations supporting Syrian refugees in Jordan have conducted needs assessments to direct resources appropriately. To present a model of psychosocial concerns reported by Syrian refugees and a peer review of research practices. Academic and grey literature databases, the United Nations Syria Regional Response website, key humanitarian organisation websites and Google were searched for needs assessments with Syrian refugees in Jordan between February 2011 and June 2015. Information directly reporting the views of Syrian refugees regarding psychosocial needs was extracted and a qualitative synthesis was conducted. Respondents reported that psychological distress was exacerbated by both environmental (financial, housing, employment) and psychosocial outcomes (loss of role and social support, inactivity), which are themselves stressors. Need for improvement in research methodology, participatory engagement and ethical reporting was evident. Participatory engagement strategies might help to address identified psychosocial outcomes. More rigorous qualitative methods are required to ensure accuracy of findings. © The Royal College of Psychiatrists 2016.

  3. Report: Follow-Up Audit - EPA Needs to Strengthen Internal Controls Over Retention Incentives

    Science.gov (United States)

    Report #17-P-0407, September 26, 2017. Additional actions are needed to strengthen internal controls over monitoring and to effectively resolve the cause of the prior audit findings. We question $1,605 of irregular payments.

  4. Design and Development of Symbol Based Services for Persons with Complex Communication Needs

    Directory of Open Access Journals (Sweden)

    Jurica Dolić

    2013-04-01

    Full Text Available Augmentative and alternative communication (AAC supports communication process of people who have communication disabilities and is based on the use of symbols. Multidisciplinary research is undertaken aiming to explore and create interoperable and scalable symbol based communication services for different user devices. The paper introduces model of the platform architecture for developing and deploying symbol based communication services and describes a model of adaptive symbol based AAC application.

  5. The analysis on Development of modern service industry and personnel needs in Suzhou

    Institute of Scientific and Technical Information of China (English)

    冀红斌

    2015-01-01

    As a modern service industry with advanced technological capabilities to enhance the guidance of the industry, its strong development capacity, the majority of prospects, has become a focal point of our economy and raise the level of new momentum.Especially in Suzhou, favorable geographical location and advanced development conditions for the planning and development of modern service industry provides a reasonable market background and ability to support the development of the firm.

  6. 76 FR 42613 - Reporting Requirements for U.S. Providers of International Telecommunications Services

    Science.gov (United States)

    2011-07-19

    ... Telecommunications Services AGENCY: Federal Communications Commission. ACTION: Proposed rule. SUMMARY: In this... providers of international telecommunications services. The Commission proposes to amend its reporting requirements for providers of international telecommunications services and transmission facilities in order...

  7. In Need of Creative Mobile Service Ideas? Forget Adults and Ask Young Children

    Directory of Open Access Journals (Sweden)

    Ilona Kuzmickaja

    2015-08-01

    Full Text Available It is well acknowledged that innovation is a key success factor in the mobile service domain. Having creative ideas is the first critical step in the innovation process. Many studies suggest that customers are a valuable source of creative ideas. However, the literature also shows that adults may be constrained by existing technology frames, which are known to hinder creativity. Instead young children (aged 7-12 are considered digital natives yet are free from existing technology frames. This led us to study them as a potential source for creative mobile service ideas. A set of 41,000 mobile ideas obtained from a research project in 2006 granted us a unique opportunity to study the mobile service ideas from young children. We randomly selected two samples of ideas (N = 400 each; one contained the ideas from young children, the other from adults (aged 17-50. These ideas were evaluated by several evaluators using an existing creativity framework. The results show that the mobile service ideas from the young children are significantly more original, transformational, implementable, and relevant than those from the adults. Therefore, this study shows that young children are better sources of novel and quality ideas than adults in the mobile services domain. This study bears significant contributions to the creativity and innovation research. It also indicates a new and valuable source for the companies that seek creative ideas for innovative products and services.

  8. Physical and Emotional Health Care Needs of Indochinese Refugees: Special Report.

    Science.gov (United States)

    Robinson, Court

    The purpose of this report is to identify the physical and emotional health needs of the Indochinese refugees; to describe the efforts being made to respond to these needs both in the United States and overseas; to discuss the complications that still exist in the physical and mental health care delivery systems for refugees; and to assess…

  9. Local Authorities' Experiences of Improving Parental Confidence in the Special Educational Needs Process. LGA Research Report

    Science.gov (United States)

    White, Richard; Macleod, Shona; Jeffes, Jennifer; Atkinson, Mary

    2010-01-01

    How can we help parents to understand the special educational needs (SEN) process? What sort of information and support do they need? This report details the results of research with SEN officers (or their equivalent) in 26 local authorities, covering: (1) the referral process; (2) early identification and intervention; (3) local authority and…

  10. Physical and Emotional Health Care Needs of Indochinese Refugees: Special Report.

    Science.gov (United States)

    Robinson, Court

    The purpose of this report is to identify the physical and emotional health needs of the Indochinese refugees; to describe the efforts being made to respond to these needs both in the United States and overseas; to discuss the complications that still exist in the physical and mental health care delivery systems for refugees; and to assess…

  11. Hanford radiological protection support services annual report for 1991

    Energy Technology Data Exchange (ETDEWEB)

    Lyon, M.; Bihl, D.E.; Fix, J.J.; Piper, R.K.; Froelich, T.J.; Leonwich, J.A.; Lynch, T.P.

    1992-07-01

    Various Hanford sitewide radiation protection services provided by the Pacific Northwest Laboratory for the US Department of Energy, Richland Field Office and Hanford contractors are described In this annual report for calendar year 1991. These activities include internal dosimetry measurements and evaluations, in vivo measurements, external dosimetry measurements and evaluations, instrument calibration and evaluation, radiation source calibration, and radiological records keeping. For each of these activities, the routine program, program changes and enhancements, associated tasks, investigations and studies, and related publications, presentations, and other staff professional activities are discussed as applicable.

  12. Hanford radiological protection support services annual report for 1997

    Energy Technology Data Exchange (ETDEWEB)

    Lyon, M.; Bihl, D.E.; Fix, J.J.; Johnson, M.L.; Lynch, T.P.; Piper, R.K.

    1998-06-01

    Various Hanford Site radiation protection services provided by the Pacific Northwest National Laboratory for the US Department of Energy Richland Operations Office and Hanford contractors are described in this annual report for calendar year 1997. These activities include external dosimetry measurements and evaluations, internal dosimetry measurements and evaluations, in vivo measurements, radiological exposure record keeping, radiation source calibration, and instrument calibration and evaluation. For each of these activities, the routine program and any program changes or enhancements are described as well as associated tasks, investigations, and studies. Program-related publications, presentations, and other staff professional activities are also described.

  13. Hanford radiological protection support services. Annual report for 1995

    Energy Technology Data Exchange (ETDEWEB)

    Lyon, M.; Bihl, D.E.; Carbaugh, E.H. [and others

    1996-05-01

    Various Hanford Site radiation protection services provided by the Pacific Northwest National Laboratory for the U.S. Department of Energy Richland Operations Office and Hanford contractors are described in this annual report for calendar year 1995. These activities include external dosimetry measurements and evaluations, internal dosimetry measurements and evaluations, in vivo measurements, radiological record keeping, radiation source calibration, and instrument calibration and evaluation. For each of these activities, the routine program and any program changes or enhancements are described, as well as associated tasks, investigations, and studies. Program-related publications, presentations, and other staff professional activities are also described.

  14. Hanford Radiological Protection Support Services annual report for 1992

    Energy Technology Data Exchange (ETDEWEB)

    Lyon, M; Bihl, D E; Fix, J J; Piper, R K; Froelich, T J; Lynch, T P

    1993-07-01

    Various Hanford Site radiation protection services provided by the Pacific Northwest Laboratory for the US Department of Energy Richland Field Office and Hanford contractors are described in this annual report of calendar year 1992. These activities include internal dosimetry measurements and evaluations, in vivo measurements, external dosimetry measurements and evaluations, instrument calibration and evaluation, radiation source calibration, and radiological record keeping. For each of these activities, the routine program and any program changes or enhancements are described, as well as associated tasks, investigations, and studies. Program-related publications, presentations, and other staff professional activities are also described.

  15. Hanford radiological protection support services annual report for 1996

    Energy Technology Data Exchange (ETDEWEB)

    Lyon, M.; Bihl, D.E.; Fix, J.J.; Froelich, T.J.; Piper, R.K.; Schulze, S.A.

    1997-06-01

    Various Hanford Site radiation protection services provided by the Pacific Northwest National Laboratory for the US Department of Energy Richland Operations Office and Hanford contractors are described in this annual report for calendar year 1996. These activities include external dosimetry measurements and evaluations, internal dosimetry measurements and evaluations, in vivo measurements, radiological exposure record keeping, radiation source calibration, and instrument calibration and evaluation. For each of these activities, the routine program and any program changes or enhancements are described, as well as associated tasks, investigations, and studies. Program-related publications, presentations, and other staff professional activities are also described.

  16. 'Knowledge is power': perceived needs and preferred services of male partners of women newly diagnosed with breast cancer.

    Science.gov (United States)

    Cheng, Terry; Jackman, Maureen; McQuestion, Maurene; Fitch, Margaret

    2014-12-01

    The aim of this qualitative exploratory study was to assess the perceived needs and preferred services of male partners of women newly diagnosed with breast cancer. Twenty-seven male partners participated in semi-structured telephone interviews. Interviews were recorded and transcribed verbatim. An inductive analysis was used to identify the patterns, themes and categories from the data. A diagnosis of breast cancer and subsequent treatment significantly affect the male partners of women diagnosed with this illness, creating 'needs' that require coping responses. To help them support their wife and family, they relied on their internal resources and informal sources of support. Many participants suggested that the health care system provides information addressing their needs to facilitate their role of caring for their wife. The findings did not support the clinical assumption that men would be interested in a men's group focused on them and their needs. The diagnosis of breast cancer significantly affected the male partners, creating the need for support services including information on a variety of topics. An information binder tailored specifically to their needs was the preferred method of facilitating their husbandly role and coping. Findings did not support the clinical assumption that men would be interested in a men's group focused on them and their needs.

  17. Essential trauma management training: addressing service delivery needs in active conflict zones in eastern Myanmar

    Directory of Open Access Journals (Sweden)

    Richard Matthew G

    2009-03-01

    Full Text Available Abstract Introduction Access to governmental and international nongovernmental sources of health care within eastern Myanmar's conflict regions is virtually nonexistent. Historically, under these circumstances effective care for the victims of trauma, particularly landmine injuries, has been severely deficient. Recognizing this, community-based organizations (CBOs providing health care in these regions sought to scale up the capacity of indigenous health workers to provide trauma care. Case description The Trauma Management Program (TMP was developed by CBOs in cooperation with a United States-based health care NGO. The goal of the TMP is to improve the capacity of local health workers to deliver effective trauma care. From 2000 to the present, international and local health care educators have conducted regular workshops to train indigenous health workers in the management of landmine injuries, penetrating and blunt trauma, shock, wound and infection care, and orthopedics. Health workers have been regularly resupplied with the surgical instruments, supplies and medications needed to provide the care learnt through TMP training workshops. Discussion and Evaluation Since 2000, approximately 300 health workers have received training through the TMP, as part of a CBO-run health system providing care for approximately 250 000 internally displaced persons (IDPs and war-affected residents. Based on interviews with health workers, trauma registry inputs and photo/video documentation, protocols and procedures taught during training workshops have been implemented effectively in the field. Between June 2005 and June 2007, more than 200 patients were recorded in the trauma patient registry. The majority were victims of weapons-related trauma. Conclusion This report illustrates a method to increase the capacity of indigenous health workers to manage traumatic injuries. These health workers are able to provide trauma care for otherwise inaccessible

  18. Experiencing the Needs and Challenges of ELLs: Improving Knowledge and Efficacy of Pre-Service Teachers through the Use of a Language Immersion Simulation

    Science.gov (United States)

    Wright-Maley, Cory; Green, Jennifer D.

    2015-01-01

    Pre-service teachers need to understand how to support ELLs in their future classrooms, yet evidence suggests that pre-service ELL training may not be as effective as we need it to be. One promising strategy for increasing pre-service teachers' efficacy and knowledge around teaching ELLs is through a shock-and-show simulation. This strategy…

  19. Structuring a palliative care service in Brazil: experience report

    Directory of Open Access Journals (Sweden)

    João Batista Santos Garcia

    2014-07-01

    Full Text Available BACKGROUND AND OBJECTIVES: in Brazil, palliative care (PC is not properly structured and that reality transforms this theme in a public health problem; therefore, initiatives become relevant in this context. This paper aims to share the experience that occurred in an oncology referral hospital in the State of Maranhão and present initiatives that helped in the development of PC Service. EXPERIENCE REPORT: the hospital had an outpatient Pain and PC Service, but without specialized beds. The terminally ill patients stayed in common wards, which caused much unrest. A sensitization process was initiated in the hospital through initiatives, such as a photo contest called Flashes of Life and a ward called Room of Dreams, designed in partnership with the architecture course at the Universidade Estadual do Maranhão. The process culminated in the granting of wards to the PC and in the commitment of the Foundation, sponsor of the hospital, to run the project. CONCLUSION: this experience was a reproducible local initiative for the establishment of PC in a cancer hospital. Local initiatives are valuable in Brazil because they favor a significant number of patients and show its effectiveness in practice to governments and society. To structure a PC service, it is essential to establish priorities that include the assignment of drugs for management of symptoms, humanization, multidisciplinarity, sensitization and education of professionals.

  20. 76 FR 23859 - Financial Management Service Proposed Collection of Information: CMIA Annual Report and Direct...

    Science.gov (United States)

    2011-04-28

    ... Fiscal Service Financial Management Service Proposed Collection of Information: CMIA Annual Report and Direct Cost Claims AGENCY: Financial Management Service, Fiscal Service, Treasury. ACTION: Notice and request for comments. SUMMARY: The Financial Management Service, as part of its continuing effort to...

  1. Diffusion Welding of Alloys for Molten Salt Service - Status Report

    Energy Technology Data Exchange (ETDEWEB)

    Denis Clark; Ronald Mizia; Piyush Sabharwall

    2012-09-01

    The present work is concerned with heat exchanger development for molten salt service, including the proposed molten salt reactor (MSR), a homogeneous reactor in which the fuel is dissolved in a circulating fluid of molten salt. It is an outgrowth of recent work done under the Next Generation Nuclear Plant (NGNP) program; what the two reactor systems have in common is an inherently safe nuclear plant with a high outlet temperature that is useful for process heat as well as more conventional generation The NGNP program was tasked with investigating the application of a new generation of nuclear power plants to a variety of energy needs. One baseline reactor design for this program is a high temperature, gas-cooled reactor (HTGR), which provides many options for energy use. These might include the conventional Rankine cycle (steam turbine) generation of electricity, but also other methods: for example, Brayton cycle (gas turbine) electrical generation, and the direct use of the high temperatures characteristic of HTGR output for process heat in the chemical industry. Such process heat is currently generated by burning fossil fuels, and is a major contributor to the carbon footprint of the chemical and petrochemical industries. The HTGR, based on graphite fuel elements, can produce very high output temperatures; ideally, temperatures of 900 °C or even greater, which has significant energy advantages. Such temperatures are, of course, at the frontiers of materials limitations, at the upper end of the performance envelope of the metallic materials for which robust construction codes exist, and within the realm of ceramic materials, the fabrication and joining of which, on the scale of large energy systems, are at an earlier stage of development. A considerable amount of work was done in the diffusion welding of materials of interest for HTGR service with alloys such as 617 and 800H. The MSR output temperature is also materials limited, and is projected at about 700

  2. Diffusion Welding of Alloys for Molten Salt Service - Status Report

    Energy Technology Data Exchange (ETDEWEB)

    Denis Clark; Ronald Mizia

    2012-05-01

    The present work is concerned with heat exchanger development for molten salt service, including the proposed molten salt reactor (MSR), a homogeneous reactor in which the fuel is dissolved in a circulating fluid of molten salt. It is an outgrowth of recent work done under the Next Generation Nuclear Plant (NGNP) program; what the two reactor systems have in common is an inherently safe nuclear plant with a high outlet temperature that is useful for process heat as well as more conventional generation The NGNP program was tasked with investigating the application of a new generation of nuclear power plants to a variety of energy needs. One baseline reactor design for this program is a high temperature, gas-cooled reactor (HTGR), which provides many options for energy use. These might include the conventional Rankine cycle (steam turbine) generation of electricity, but also other methods: for example, Brayton cycle (gas turbine) electrical generation, and the direct use of the high temperatures characteristic of HTGR output for process heat in the chemical industry. Such process heat is currently generated by burning fossil fuels, and is a major contributor to the carbon footprint of the chemical and petrochemical industries. The HTGR, based on graphite fuel elements, can produce very high output temperatures; ideally, temperatures of 900 C or even greater, which has significant energy advantages. Such temperatures are, of course, at the frontiers of materials limitations, at the upper end of the performance envelope of the metallic materials for which robust construction codes exist, and within the realm of ceramic materials, the fabrication and joining of which, on the scale of large energy systems, are at an earlier stage of development. A considerable amount of work was done in the diffusion welding of materials of interest for HTGR service with alloys such as 617 and 800H. The MSR output temperature is also materials limited, and is projected at about 700 C

  3. Training: Who Needs It? Research Report 1995. Key Issues for Providers.

    Science.gov (United States)

    Hotel and Catering Training Co., London (England).

    Aimed at all those involved in the supply of training and vocational education for the hospitality industry, this report summarizes findings of the research report, "Training Who Needs It?" It draws out and explores in more detail key issues relating to the provision of training, support, and related initiatives for the industry. Section…

  4. Training: Who Needs It? Research Report 1995. Key Issues for Providers.

    Science.gov (United States)

    Hotel and Catering Training Co., London (England).

    Aimed at all those involved in the supply of training and vocational education for the hospitality industry, this report summarizes findings of the research report, "Training Who Needs It?" It draws out and explores in more detail key issues relating to the provision of training, support, and related initiatives for the industry. Section…

  5. The Relationship among Student Basic Need Satisfaction, Approaches to Learning, Reporting of Avoidance Strategies and Achievement

    Science.gov (United States)

    Betoret, Fernando Domenech; Artiga, Amparo Gomez

    2011-01-01

    Introduction: This study examines the relationship between student basic need satisfaction (autonomy, competence, relatedness and belonging), their reporting of approaches to learning (deep and surface), their reporting of avoidance strategies (avoidance of effort and challenge, avoidance of help seeking and preference to avoid novelty) and…

  6. COMPLEMENTARY SERVICES AND COMPLEMENTARY AND EXTRA-SCHOOL ACTIVITIES: AN EDUCATIONAL AND TRAINING NEED

    Directory of Open Access Journals (Sweden)

    Gisela Morales Navarro

    2009-04-01

    Full Text Available This writing has three targets. Firstly, our aim is to establish the difference between complementary and extra-school activities, because there is confusion according to regulations. Secondly, to know if extra-school activities complement the education and formation learnt in our Educational System, and, therefore, to illuminate if they are necessary in order to reach a well-rounded education. And, finally, to analyze in what way these extra-school activities and complementary services can damage educational equity and social cohesion in schools or, on the other hand, if these activities and services suit them.

  7. Rethinking Service Companies’ Business Logic: Do We Need a Customer-Dominant Logic as a Guideline?

    OpenAIRE

    Heinonen, kristina; Strandvik, Tore; Mickelsson, Karl-Jacob; Edvardsson, Bo; Sundström, Erik; Andersson, Per

    2009-01-01

    Purpose –This paper explores and expands the roles of customers and companies in creating value by introducing a new a customer-based approach to service. The customer’s logic is examined as being the foundation of a customer-based marketing and business logic. Design/methodology/approach – The authors argue that both goods-dominant logics and service-dominant logics are provider-dominant. Contrasting the customer-dominant logic with provider-dominant logics, the paper examines the creation o...

  8. The integrated reporting: A presentation of the current state of art and aspects of integrated reporting that need further development

    OpenAIRE

    Jordi Morros

    2016-01-01

    Purpose: The purpose of this paper is to synthesise what is the emerging field of integrated reporting, with particular emphasis in the International Integrated Reporting Council, and outline a list of items for future research in this area. Design/methodology/approach: The approach is to outline a presentation of integrated reporting (IR), and make a review of the implications for the research agenda of the most important items. Findings: The need for quality researchers to address a number ...

  9. Young and midlife stroke survivors' experiences with the health services and long-term follow-up needs.

    Science.gov (United States)

    Martinsen, Randi; Kirkevold, Marit; Sveen, Unni

    2015-02-01

    The aim of this qualitative study was to explore young and midlife stroke survivors' experiences with the health services and to identify long-term follow-up needs. Sixteen participants from two cohorts were interviewed in-depth. The interviews were analyzed applying a hermeneutic-phenomenological analysis. The participants struggled to gain access to follow-up health services. They felt that whether they were systematically followed up was more coincidental than planned. Young and midlife stroke survivors thus appear vulnerable to falling outside the follow-up system. Those participants who received some follow-up care perceived it as untailored to their specific needs. To be considered supportive, the follow-up programs must be in line with their long-term needs, take into account their particular challenges as young and midlife stroke survivors, and be planned in close collaboration with the individual patient. To secure systematic and follow-up health services tailored to the individual, knowledgeable and committed healthcare professionals should play a prominent role within the community health services.

  10. Psychological needs, service utilization and provision of care in a specialist mental health clinic for young refugees: a comparative study.

    Science.gov (United States)

    Michelson, Daniel; Sclare, Irene

    2009-04-01

    This study addressed psychological needs, patterns of service utilization and provision of care in a specialist mental health service for young refugees and asylum seekers in London. Comparisons were made between two groups with different levels of postulated mental health need: unaccompanied minors (UAMs; n = 49) and children accompanied to the UK by one or more primary caregivers (n = 29). Significant differences were observed in referral pathways, with UAMs more likely to be referred by social services and less likely to be referred from medical agencies. UAMs also attended fewer sessions during treatment, and missed a greater proportion of scheduled appointments. Contrary to prediction, group comparisons revealed similar levels of post-migration stress and overall psychological morbidity. However, UAMs experienced significantly more traumatic events prior to resettlement, and were more likely to exhibit symptoms of post-traumatic stress disorder (PTSD) than their accompanied peers. Despite their elevated risk of PTSD, UAMs were less likely than accompanied children to have received trauma-focused interventions. UAMs were also significantly less likely to have been treated using cognitive therapy, anxiety management and parent/carer training, as well as receiving fewer types of practical assistance with basic social needs. The clinical and service implications of these findings are discussed.

  11. Early recognition of children with special educational needs: report from a district.

    Science.gov (United States)

    Sethi, V D; Trend, U

    1996-03-01

    Health professionals involved in the pre-school child health surveillance programme need to identify those children who are likely to require a formal statement of special educational needs. Such children should be identified as early as possible, preferably by their fourth birthday. Each district needs to examine their programme and thereby identify factors associated with late recognition of such children. We report on our own practice and findings over a three-year period, including the factors associated with late recognition of special needs and efforts to improve the rate of early recognition.

  12. Service Approaches to Young People with Complex Needs Leaving Out-of-Home Care

    Science.gov (United States)

    Malvaso, Catia; Delfabbro, Paul; Hackett, Louisa; Mills, Hayley

    2016-01-01

    Although leaving statutory out-of-home care can be a challenging time for many young people, it is recognised that young people who have multiple or complex needs find this transition particularly difficult. This study aims to gain a deeper understanding of the challenges faced by care leavers who have complex needs, as well as to identify some of…

  13. Service Approaches to Young People with Complex Needs Leaving Out-of-Home Care

    Science.gov (United States)

    Malvaso, Catia; Delfabbro, Paul; Hackett, Louisa; Mills, Hayley

    2016-01-01

    Although leaving statutory out-of-home care can be a challenging time for many young people, it is recognised that young people who have multiple or complex needs find this transition particularly difficult. This study aims to gain a deeper understanding of the challenges faced by care leavers who have complex needs, as well as to identify some of…

  14. Maslow's needs hierarchy as a framework for evaluating hospitality houses' resources and services.

    Science.gov (United States)

    Duncan, Mary Katherine Waibel; Blugis, Ann

    2011-08-01

    As hospitality houses welcome greater numbers of families and families requiring longer stays, they do so in the absence of a widely accepted theory to guide their understanding of guests' needs and evaluations of how well they meet those needs. We propose A. Maslow's (1970) Hierarchy of Needs as a conceptual framework for understanding what makes a hospitality house a home for families of pediatric patients and for guiding the activities of hospitality houses' boards of directors, staff, volunteers, and donors. This article presents findings from a theory-driven evaluation of one hospitality house's ability to meet guests' needs, describes the house's best practice standards for addressing guests' needs, and suggests areas for future research.

  15. Community characteristics, social service allocation, and child maltreatment reporting.

    Science.gov (United States)

    Ben-Arieh, Asher

    2015-03-01

    This study expands research on the relationship between community (defined here as a locality) characteristics and child maltreatment. Research in this field is not new, but it is scarce. Our study is unique by examining changes between two periods rather than focusing on one point in time. Furthermore, our study examines structural conditions in small and medium size localities in Israel, a non-Western and non-Christian society. We compare our results with those from studies on inner-city and suburban neighborhoods in Western countries and earlier studies in Israel. We collected data on 169 Israeli localities, ranging from small ones (with as few as 1,500 residents) to medium size localities (i.e., towns) (with as many as 50,000 residents) in which approximately 34% of the Israeli child population resides. Our study tested four hypotheses: (1) Socioeconomic characteristics of the locality will be negatively correlated with the availability of social services; (2) Reported child maltreatment rates will be negatively correlated with the socioeconomic characteristics of the locality; (3) The availability of social services will be positively correlated with reported child maltreatment rates; and (4) Overall reported child maltreatment rates will be negatively correlated with the overall status of the localities. We have supported our second and third hypothesis in full, and partially supported our first and fourth hypothesis. In particular we have demonstrated that while demographics play a different role in Israel than in other countries in regard to child maltreatment, social, economic and cultural context are crucial for understating reported rates of child maltreatment.

  16. Workshop report: Developing a Citizen Science framework for the U.S. Fish and Wildlife Service

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This workshop report summarizes the development of a citizen science framework for use by the U.S. Fish and Wildlife Service. The report details the desired outcomes...

  17. 76 FR 42567 - Reporting Requirements for U.S. Providers of International Telecommunications Services

    Science.gov (United States)

    2011-07-19

    ... Telecommunications Services AGENCY: Federal Communications Commission. ACTION: Final rule. SUMMARY: In this document... unnecessary reporting requirements related to international telecommunications traffic for which the burdens... international telecommunications services. In the First Report and Order portion of the document, the...

  18. Budgeting based on need: a model to determine sub-national allocation of resources for health services in Indonesia

    Directory of Open Access Journals (Sweden)

    Ensor Tim

    2012-08-01

    Full Text Available Abstract Background Allocating national resources to regions based on need is a key policy issue in most health systems. Many systems utilise proxy measures of need as the basis for allocation formulae. Increasingly these are underpinned by complex statistical methods to separate need from supplier induced utilisation. Assessment of need is then used to allocate existing global budgets to geographic areas. Many low and middle income countries are beginning to use formula methods for funding however these attempts are often hampered by a lack of information on utilisation, relative needs and whether the budgets allocated bear any relationship to cost. An alternative is to develop bottom-up estimates of the cost of providing for local need. This method is viable where public funding is focused on a relatively small number of targeted services. We describe a bottom-up approach to developing a formula for the allocation of resources. The method is illustrated in the context of the state minimum service package mandated to be provided by the Indonesian public health system. Methods A standardised costing methodology was developed that is sensitive to the main expected drivers of local cost variation including demographic structure, epidemiology and location. Essential package costing is often undertaken at a country level. It is less usual to utilise the methods across different parts of a country in a way that takes account of variation in population needs and location. Costing was based on best clinical practice in Indonesia and province specific data on distribution and costs of facilities. The resulting model was used to estimate essential package costs in a representative district in each province of the country. Findings Substantial differences in the costs of providing basic services ranging from USD 15 in urban Yogyakarta to USD 48 in sparsely populated North Maluku. These costs are driven largely by the structure of the population

  19. Budgeting based on need: a model to determine sub-national allocation of resources for health services in Indonesia.

    Science.gov (United States)

    Ensor, Tim; Firdaus, Hafidz; Dunlop, David; Manu, Alex; Mukti, Ali Ghufron; Ayu Puspandari, Diah; von Roenne, Franz; Indradjaya, Stephanus; Suseno, Untung; Vaughan, Patrick

    2012-08-29

    Allocating national resources to regions based on need is a key policy issue in most health systems. Many systems utilise proxy measures of need as the basis for allocation formulae. Increasingly these are underpinned by complex statistical methods to separate need from supplier induced utilisation. Assessment of need is then used to allocate existing global budgets to geographic areas. Many low and middle income countries are beginning to use formula methods for funding however these attempts are often hampered by a lack of information on utilisation, relative needs and whether the budgets allocated bear any relationship to cost. An alternative is to develop bottom-up estimates of the cost of providing for local need. This method is viable where public funding is focused on a relatively small number of targeted services. We describe a bottom-up approach to developing a formula for the allocation of resources. The method is illustrated in the context of the state minimum service package mandated to be provided by the Indonesian public health system. A standardised costing methodology was developed that is sensitive to the main expected drivers of local cost variation including demographic structure, epidemiology and location. Essential package costing is often undertaken at a country level. It is less usual to utilise the methods across different parts of a country in a way that takes account of variation in population needs and location. Costing was based on best clinical practice in Indonesia and province specific data on distribution and costs of facilities. The resulting model was used to estimate essential package costs in a representative district in each province of the country. Substantial differences in the costs of providing basic services ranging from USD 15 in urban Yogyakarta to USD 48 in sparsely populated North Maluku. These costs are driven largely by the structure of the population, particularly numbers of births, infants and children and also key

  20. Customer needs, expectations, and satisfaction with clinical neurophysiology services in Ireland: a case for tele-neurophysiology development.

    Science.gov (United States)

    Fitzsimons, M; Ronan, L; Murphy, K; Browne, G; Connolly, S; McMenamin, J; Delanty, N

    2004-01-01

    Although equitable access to services should be based on need, geographical location of patients and their clinicians can give rise to inequalities in healthcare delivery. Development of tele-medicine services can improve equity of access. The specialty of Clinical Neurophysiology (CN), currently under-developed in Ireland provides an example of such potential. This study aimed to determine the needs, expectations, and satisfaction of CN customers, namely patients and referring clinicians. The goal was to examine geographical impediments to access that might be addressed by the introduction of tele-neurophysiology. Two customer surveys were conducted: CN referring clinicians and CN patients. Thirty-one North Western Health Board (NWHB) consultant clinicians responded to a postal survey. Distance and delays caused by long waiting lists were felt to deter or make CN referral irrelevant. Ninety-seven percent believed the lack of a local service negatively impacts on patient management and 93% would welcome the introduction of a tele-neurophysiology service. The geographical location of patient's residence and/or the location of the referring clinician's practice influenced waiting lists for CN. Fifty-eight (105/182) percent of patients living in a region with a CN service compared to 39% (50/128) of those living in a region with no service received an appointment within one month. In addition to the current insufficient CN service capacity in Ireland, these surveys highlighted geographical inequities. Tele-neurophysiology has the potential to speed-up diagnosis, result in more patients being appropriately investigated and be fairer to patients.

  1. Working with LGBT older adults: an assessment of employee training practices, needs, and preferences of senior service organizations in Minnesota.

    Science.gov (United States)

    Moone, Rajean P; Cagle, John G; Croghan, Catherine F; Smith, Jennifer

    2014-01-01

    As the population ages and LGBT older adults become more visible among senior service providers, the need for cultural competency training will grow. Although this training is a relatively new phenomenon, curricula exist. These are generally in person for 2- to 8-hr durations. Training to Serve embarked on a study to investigate preferences in cultural competency format and duration. One-hundred and eighty-four Minnesota service providers participated in the online survey. The majority (90%) were interested in participating in LGBT cultural competency training. Results suggest a preference for shorter duration and online formats. Implications for curricula development and future research are included.

  2. Computing and information services at the Jet Propulsion Laboratory - A management approach to a diversity of needs

    Science.gov (United States)

    Felberg, F. H.

    1984-01-01

    The Jet Propulsion Laboratory, a research and development organization with about 5,000 employees, presents a complicated set of requirements for an institutional system of computing and informational services. The approach taken by JPL in meeting this challenge is one of controlled flexibility. A central communications network is provided, together with selected computing facilities for common use. At the same time, staff members are given considerable discretion in choosing the mini- and microcomputers that they believe will best serve their needs. Consultation services, computer education, and other support functions are also provided.

  3. Reproductive Health Education and Services Needs of Internally Displaced Persons and Refugees following Disaster

    Science.gov (United States)

    Westhoff, Wayne W.; Lopez, Guillermo E.; Zapata, Lauren B.; Wilke Corvin, Jaime A.; Allen, Peter; McDermott, Robert J.

    2008-01-01

    Background: Following the occurrence of natural or man-made disaster, relief worker priorities include providing water, food, shelter, and immunizations for displaced persons. Like these essential initiatives, reproductive health education and services must also be incorporated into recovery efforts. Purpose: This study examined reproductive…

  4. Revising Payment for Ecosystem Services in the Light of Stewardship: The Need for a Legal Framework

    Directory of Open Access Journals (Sweden)

    Alessandra Solazzo

    2015-11-01

    Full Text Available Since the Millennium Ecosystem Assessment (MEA highlighted the importance of ecosystem services for human well-being, the payments for such services have increasingly been drawing the attention of governments, the private sector and academia. Nonetheless, there is not yet a specific legal framework which is able to capture the complexity of managing natural resources and, at the same time, deal with the numerous drawbacks that have been identified by critics, who are opposed to using financialisation of the environment as a tool. This paper, after briefly summarizing some of the main features and criticisms of the Payment for Ecosystem Services (PES, will critically assess the understanding of property rights over natural resources as stewardship, rather than as entitlement, because this interpretation is more coherent with the inherent characteristics of natural resources and, consequently, of ecosystem services. The novel usage of a stewardship dimension to property rights underlines the necessity for a legal framework for PES, constituted by “property-liability rules”.

  5. Family Support through Childcare Services: Meeting the Needs of Asylum-Seeking and Refugee Families

    Science.gov (United States)

    Dolan, Nicola; Sherlock, Catherine

    2010-01-01

    This article is a summary of the research carried out in relation to the experiences of asylum-seeking and refugee families regarding access and participation in local childcare services. Focus groups and interviews were carried out with 16 refugee and asylum-seeking parents, five childcare practitioners, and two support and development staff in a…

  6. Florida's Prepaid College Tuition Program: Marketing a Pre-Need Service.

    Science.gov (United States)

    Gauff, Joseph F., Jr.

    1994-01-01

    A discussion of Florida's college tuition prepayment program describes the plan and its options and examines its marketing implications as a preneed service. It is concluded that the program makes saving for college easy, economical, and completely safe but requires rethinking of conventional marketing strategies and mix. (MSE)

  7. Family Support through Childcare Services: Meeting the Needs of Asylum-Seeking and Refugee Families

    Science.gov (United States)

    Dolan, Nicola; Sherlock, Catherine

    2010-01-01

    This article is a summary of the research carried out in relation to the experiences of asylum-seeking and refugee families regarding access and participation in local childcare services. Focus groups and interviews were carried out with 16 refugee and asylum-seeking parents, five childcare practitioners, and two support and development staff in a…

  8. Mental Health among College Students: Do Those Who Need Services Know about and Use Them?

    Science.gov (United States)

    Yorgason, Jeremy B.; Linville, Deanna; Zitzman, Bryan

    2008-01-01

    Objective: The objective of this study was to examine connections between university students' mental health and their knowledge and use of campus mental health services. Participants and Methods: In March 2001, a sample of undergraduate students (N = 266) completed a Web-based questionnaire, providing information related to their mental health,…

  9. The Need for a Special Services Project at Bowie State University.

    Science.gov (United States)

    Gill, Wanda E.; And Others

    The history of Bowie State University (BSU) in Maryland, is reviewed, from its establishment by the Baltimore Association for the Moral and Educational Improvement of Colored People in 1865 to its attainment of university status in 1988. Its mission to provide educational programs and services to Maryland citizens of all races is outlined.…

  10. Health services - needs of the elderly in two black urban areas of the ...

    African Journals Online (AJOL)

    1991-04-20

    Apr 20, 1991 ... Blae:k elderly people (65 years and over) in South Mrica comprise 3% of the total ... ledge of health and other services by black elderly persons in two townships in the Cape ..... Health and nutrition. The elderly have a right to ...

  11. Jail Inmates with Co-Occurring Mental Health and Substance Use Problems: Correlates and Service Needs

    Science.gov (United States)

    Sung, Hung-En; Mellow, Jeff; Mahoney, Annette M.

    2010-01-01

    The confluence of the deinstitutionalization of people with mental illness and the massive incarceration of drug offenders has dramatically raised the number of substance abusers with mental illness in American jails. This study sought to identify correlates of comorbidity and service gaps among jail inmates using data from the 2002 Survey of…

  12. Entry-Level Information Services and Support Personnel: Needed Workplace and Technology Skills.

    Science.gov (United States)

    Awang, Faridah; Anderson, Marcia A.; Baker, Clora Mae

    2003-01-01

    Responses to an Illinois survey by 19 human resource managers and 26 university and 71 community college information systems instructors rated the importance of workplace and technology skills for entry-level information services and support personnel. Both groups ranked nontechnical/soft skills and information technology certification as…

  13. What Pre-Service Teachers Need to Know to Be Effective at Values-Based Education

    Science.gov (United States)

    Mergler, Amanda G.; Spooner-Lane, Rebecca

    2012-01-01

    Evidence is mounting that values education is providing positive outcomes for students, teachers and schools (Benninga, Berkowitz, Kuehn, & Smith, 2006; DEST, 2008; Hattie, 2003; Lovat, Clement, Dally, & Toomey, 2010). Despite this, Australian pre-service teacher education does not appear to be changing in ways necessary to support…

  14. Selling the Need for School Social Work Services to the Legislature: A Call for Advocacy

    Science.gov (United States)

    Whittlesey-Jerome, Wanda

    2012-01-01

    Recent attempts to marginalize the social work profession have had an impact on school social workers in New Mexico. To better understand the quality of the workplace for these related services professionals, a past lead social worker for a large school district was interviewed, and three open-ended items were added to the 2010 statewide school…

  15. Florida's Prepaid College Tuition Program: Marketing a Pre-Need Service.

    Science.gov (United States)

    Gauff, Joseph F., Jr.

    1994-01-01

    A discussion of Florida's college tuition prepayment program describes the plan and its options and examines its marketing implications as a preneed service. It is concluded that the program makes saving for college easy, economical, and completely safe but requires rethinking of conventional marketing strategies and mix. (MSE)

  16. Explaining Public Service Motivation : The Role of Leadership and Basic Needs Satisfaction

    NARCIS (Netherlands)

    Vandenabeele, Wouter

    2014-01-01

    Both leadership and public service motivation (PSM) are important issues in contemporary public administration. By connecting these issues, the aim of this article is to assess the impact of one particular type of transformational leadership behavior-promoting public values-on PSM development. Two h

  17. School Services for Drug-Addicted Children: What Parents Need to Know.

    Science.gov (United States)

    Kelker, Katharin A.

    1990-01-01

    This article discusses applications of education legislation for drug-addicted children, including the Education for All Handicapped Children Act and Sec. 504 of the Rehabilitation Act of 1973, which recognizes smoking and drug addiction as handicapping conditions. Suggested guidelines for parents seeking school support services under these laws…

  18. Lessons Learned from Children Who Have Experienced Homelessness: What Services Need to Know

    Science.gov (United States)

    Moore, Tim; McArthur, Morag; Noble-Carr, Debbie

    2011-01-01

    Children who accompany their parents or guardians during a period of homelessness make up 37% (more than one in three) of all people accessing the Supported Accommodation Assistance Program (SAAP) services. This paper describes an Australian qualitative study that explored the experiences of children who accompanied their families during periods…

  19. Explaining Public Service Motivation : The Role of Leadership and Basic Needs Satisfaction

    NARCIS (Netherlands)

    Vandenabeele, Wouter

    2014-01-01

    Both leadership and public service motivation (PSM) are important issues in contemporary public administration. By connecting these issues, the aim of this article is to assess the impact of one particular type of transformational leadership behavior-promoting public values-on PSM development. Two

  20. [Needs and quality of counseling in long-term care : User perspective on counseling services in Germany].

    Science.gov (United States)

    Englert, N; Oetting-Roß, C; Büscher, A

    2017-01-13

    A wide range of counseling services with a variety of counseling purposes have been established in Germany to support care recipients and their relatives; however, there is a lack of quality criteria that are based on the counseling needs from the user's perspective. To summarize empirical knowledge on counseling needs and quality of counseling services from the user perspective and identification of counseling-specific understanding of users. A literature search was conducted in the databases CareLit®, LIVIVO and SpringerLink with additional online research via Google and MetaGer. Analysis of the literature and discussion on the state of research. A trustful relationship between counselor and user as well as the orientation to the user's individual situation are key elements of counseling that have been found helpful; however, a differentiated view of the diverse user groups and counseling purposes is lacking. In order to include the user's perspective in conceptual approaches for counseling and to define user-generated quality criteria, further scientific research is needed regarding the counseling needs of different user groups. Consideration must be given to particular care situations that involve various counseling purposes. Particularly vulnerable groups need special support in working out their counseling needs.

  1. Health resources in a 200,000 urban Indian population argues the need for a policy on private sector health services

    Directory of Open Access Journals (Sweden)

    Kheya Melo Furtado

    2014-01-01

    Full Text Available Background: There are limited primary data on the number of urban health care providers in private practice in developing countries like India. These data are needed to construct and test models that measure the efficacy of public stewardship of private sector health services. Objective: This study reports the number and characteristics of health resources in a 200 000 urban population in Pune. Materials and Methods: Data on health providers were collected by walking through the 15.46 sq km study area. Enumerated data were compared with existing data sources. Mapping was carried out using a Global Positioning System device. Metrics and characteristics of health resources were analyzed using ArcGIS 10.0 and Statistical Package for the Social Sciences, Version 16.0 software. Results: Private sector health facilities constituted the majority (424/426, 99.5% of health care services. Official data sources were only 39% complete. Doctor to population ratios were 2.8 and 0.03 per 1000 persons respectively in the private and public sector, and the nurse to doctor ratio was 0.24 and 0.71, respectively. There was an uneven distribution of private sector health services across the area (2-118 clinics per square kilometre. Bed strength was forty-fold higher in the private sector. Conclusions: Mandatory registration of private sector health services needs to be implemented which will provide an opportunity for public health planners to utilize these health resources to achieve urban health goals.

  2. Health Resources in a 200,000 Urban Indian Population Argues the Need for a Policy on Private Sector Health Services

    Science.gov (United States)

    Furtado, Kheya Melo; Kar, Anita

    2014-01-01

    Background: There are limited primary data on the number of urban health care providers in private practice in developing countries like India. These data are needed to construct and test models that measure the efficacy of public stewardship of private sector health services. Objective: This study reports the number and characteristics of health resources in a 200 000 urban population in Pune. Materials and Methods: Data on health providers were collected by walking through the 15.46 sq km study area. Enumerated data were compared with existing data sources. Mapping was carried out using a Global Positioning System device. Metrics and characteristics of health resources were analyzed using ArcGIS 10.0 and Statistical Package for the Social Sciences, Version 16.0 software. Results: Private sector health facilities constituted the majority (424/426, 99.5%) of health care services. Official data sources were only 39% complete. Doctor to population ratios were 2.8 and 0.03 per 1000 persons respectively in the private and public sector, and the nurse to doctor ratio was 0.24 and 0.71, respectively. There was an uneven distribution of private sector health services across the area (2-118 clinics per square kilometre). Bed strength was forty-fold higher in the private sector. Conclusions: Mandatory registration of private sector health services needs to be implemented which will provide an opportunity for public health planners to utilize these health resources to achieve urban health goals. PMID:24963226

  3. Listen to me, too! Lessons from involving children with complex healthcare needs in research about multi-agency services.

    Science.gov (United States)

    Watson, D; Abbott, D; Townsley, R

    2007-01-01

    Children with complex healthcare needs are often excluded, both from active involvement in research projects and from direct consultation in services. During a 3-year research study into multi-agency services for children with complex healthcare needs, the authors involved children in a number of innovative ways and endeavoured to discover what impact, if any, multi-agency working made to them. The researchers 'spent time' with 18 children with complex healthcare needs. They used a variety of methods to engage with the children in a meaningful way. More than half of the children had no verbal communication, so it was necessary in some cases to work with an advocate, usually the parent, to aid the process. Children with complex healthcare needs can take part in research as long as the research is set up sensitively and flexibly. In terms of the impact of multi-agency working, the authors concluded significant advances had been achieved for this group: almost all the children were living at home and attending school. However, there were significant gaps in addressing children's human rights in relation to communication, independence and relationships. In addition, many of the children had very little effective direct consultation with the multi-agency services. There are significant advances in involving disabled children in research and in service delivery, but there is still some way to go in involving those with complex healthcare needs. The challenges are considerable, but the benefits far outweigh these, not least being the value that parents, carers and the children themselves place upon being listened to.

  4. The emerging trend of self-circumcision and the need to define cause: Case report of a 21 year-old male

    Directory of Open Access Journals (Sweden)

    Ronald Kintu-Luwaga

    2016-01-01

    Conclusion: Cases of self-circumcision continue to emerge. There is need to report all cases, explore and manage the possible causes. The stigma uncircumcised males face among circumcised peers may be an important cause. Public health education and improved access to voluntary medical male circumcision services may help to prevent this practice.

  5. Vecinos y Rehabilitation (Phase II): Assessing the Needs and Resources of Indigenous People with Disabilities in the Mixteca Region of Oaxaca, Mexico. Final Report. [English Version.

    Science.gov (United States)

    Marshall, Catherine A.; Gotto, George S., IV

    This report describes the second phase of a project that identified the circumstances and needs of disabled indigenous people in three geographic areas of Oaxaca state, Mexico. Assisted by a Mixteca disabilities consumer organization and an advisory committee of government officials, health care educators, community service providers, and…

  6. Needs assessment of science teachers in secondary schools in Kumasi, Ghana: A basis for in-service education training programs at the Science Resource Centers

    Science.gov (United States)

    Gyamfi, Alexander

    The purpose of this study was twofold. First, it identified the priority needs common to all science teachers in secondary schools in Kumasi, Ghana. Second, it investigated the relationship existing between the identified priority needs and the teacher demographic variables (type of school, teacher qualification, teaching experience, subject discipline, and sex of teacher) to be used as a basis for implementing in-service education training programs at the Science Resource Centers in Kumasi Ghana. An adapted version of the Moore Assessment Profile (MAP) survey instrument and a set of open-ended questions were used to collect data from the science teachers. The researcher handed out one hundred and fifty questionnaire packets, and all one hundred and fifty (100%) were collected within a period of six weeks. The data were analyzed using descriptive statistics, content analysis, and inferential statistics. The descriptive statistics reported the frequency of responses, and it was used to calculate the Need Index (N) of the identified needs of teachers. Sixteen top-priority needs were identified, and the needs were arranged in a hierarchical order according to the magnitude of the Need Index (0.000 ≤ N ≤ 1.000). Content analysis was used to analyze the responses to the open-ended questions. One-way analysis of variance (ANOVA) was used to test the null hypotheses of the study on each of the sixteen identified top-priority needs and the teacher demographic variables. The findings of this study were as follows: (1) The science teachers identified needs related to "more effective use of instructional materials" as a crucial area for in-service training. (2) Host and Satellite schools exhibited significant difference on procuring supplementary science books for students. Subject discipline of teachers exhibited significant differences on utilizing the library and its facilities by students, obtaining information on where to get help on effective science teaching

  7. Popularising eye health services in southern Mexico: community workers meet a felt need

    Directory of Open Access Journals (Sweden)

    Linda Michon

    2006-12-01

    Full Text Available Programmes for blindness prevention in southern Mexico face multiple challenges. The people in greatest need live in remote rural villages. Mountain ranges and bad roads make access to these villages difficult. Multiple languages (16 distinct languages in the state of Oaxaca alone along with a diversity of customs and beliefs, make effective communication challenging. It is impossible for an ophthalmologist acting alone to gain the access needed to serve these communities well.

  8. Cooperative Extension Service’s Mission and Federal Role Need Congressional Clarification.

    Science.gov (United States)

    1981-08-21

    and h’ o ( 00iiL proI’:ar, in1 t)r .21rilv ru ral r li : o~noion Service a .rp .-Ino:d ainJ ’L, y’c!;c ie in rural , urbain , and suburban c(l ..2iltL...7CYAND) SYA17T2 C’!,,"TS Co 0 ukd’The U.S. o-~Ar~t Agriculture -nlthc director o)L cxtonsion of each of tho .ix Stt,2 in ’.,ich it :-’’it- s i...used as efficiently, as possible. SCOr’ AND GRONITH OF T-lE ET-2SIO1 SMRVICE Originally, the Extension Service focused on agriculture and assistance

  9. Need for Service Design Development for Sustainable Rural Tourism in Azerbaijan

    Directory of Open Access Journals (Sweden)

    Heikkilä Jonna

    2014-10-01

    Full Text Available ‘Development of Sustainable Entrepreneurship and Support of Local Handicrafts in Rural Azerbaijan’ is a joint effort between the Turku University of Applied Sciences Ltd. and Sustainable Future in Finland and Ekoloji Tarazliq NGO as a local partner, with the aim of creating rural businesses and services in order to attract tourists to the three project areas. Thus far, most of the tourists in Azerbaijan have been business travellers staying in the capital, Baku. The project (implemented in 2012-2014 has introduced PPP or public-private partnership approaches in the promotion of sustainable tourism through the involvement of various stakeholders from small-scale entrepreneurs to national level authorities. The most important stakeholder groups are the local communities, entrepreneurs, handicraft masters, and owners of households providing accommodation services to travelers.

  10. The practice of confidentiality in an Aboriginal medical service--what do GPs need to know?

    Science.gov (United States)

    James, Jenny; Cameron, Sonya; Usherwood, Tim

    2009-10-01

    The medical ethic of confidentiality is usually taught from a western ethical perspective based on the Hippocratic oath. This study at an urban Aboriginal medical service aimed to explore how confidentiality is understood in a community controlled Aboriginal health service, with a view to informing the training of general practitioners. Twenty-three people, comprising staff, patients and general practice registrars, were interviewed about confidentiality between July 2007 and February 2008. Six themes were identified: overlapping contexts of confidentiality, key sensitivities, sharing of patient information, importance of consent, multiple roles, and consequences of maintaining or breaching confidentiality. Perspectives on confidentiality in this community included issues of social justice, the importance of public demonstrations of confidentiality, and the challenge of protecting all relationships when staff have multiple roles. Incorporation of community perspectives into the teaching of confidentiality may help doctors to understand the responsibilities of practising confidentiality in certain communities.

  11. In Need of Creative Mobile Service Ideas? Forget Adults and Ask Young Children

    OpenAIRE

    Ilona Kuzmickaja; Xiaofeng Wang; Daniel Graziotin; Gabriella Dodero; Pekka Abrahamsson

    2015-01-01

    It is well acknowledged that innovation is a key success factor in the mobile service domain. Having creative ideas is the first critical step in the innovation process. Many studies suggest that customers are a valuable source of creative ideas. However, the literature also shows that adults may be constrained by existing technology frames, which are known to hinder creativity. Instead young children (aged 7-12) are c...

  12. Defense Logistics Agency Disposition Services Needs to Improve Demilitarization Program Self-Assessment Evaluations - Redacted

    Science.gov (United States)

    2016-12-20

    from reoccurring. In another example, for the March 30, 2015, self-assessment protocol “CPU [ central processing units ]/Laptops,”23 CDD Tucson personnel...the protocol required CDD personnel to review 23 Protocol ensures that CDD received only central processing units /laptops that had properly prepared...features from DoD property. 2 DLA Disposition Services operates three Centralized Demilitarization Divisions; the Tucson, Arizona, location processed

  13. Delinquent Medical Service Accounts at David Grant Air Force Medical Center Need Additional Management Oversight

    Science.gov (United States)

    2015-09-24

    17 counties. DGMC Uniform Business Office (UBO) uses MSAs to record billing and fee collection for medical and dental services from Uniformed...personnel processed new accounts, the process used by DGMC did not manage or prioritize the aging MSAs or alert clerks of delinquent accounts...have been applied to other valid requirements such as administrative, operating, and equipment costs; readiness training; or trauma consortium

  14. Specifying Information Security Needs for the Delivery of High Quality Security Services

    OpenAIRE

    Su, Xiaomeng; Bolzoni, Damiano; Eck, van, H.J.

    2007-01-01

    In this paper we present an approach for specifying and prioritizing information security requirements in organizations. We propose to explicitly link security requirements with the organizations' business vision, i.e. to provide business rationale for security requirements. The rationale is then used as a basis for comparing the importance of different security requirements. Furthermore we discuss how to integrate the aforementioned solution concepts into a service level management process f...

  15. The analysis on Development of modern service industry and personnel needs in Suzhou

    Institute of Scientific and Technical Information of China (English)

    冀红斌

    2015-01-01

    As a modern service industry with advanced technological capabilities to enhance the guidance of the industry, its strong development capacity, the majority of prospects, has become a focal point of our economy and raise the level of new momentum.Especially in Suzhou, favorable geographical location and advanced development conditions for the planning and development of modern serviceindustry provides a reasonable market background and ability to support the development of the firm.

  16. Valuing ecosystem services: theory, practice, and the need for a transdisciplinary synthesis.

    Science.gov (United States)

    Liu, Shuang; Costanza, Robert; Farber, Stephen; Troy, Austin

    2010-01-01

    The concept of ecosystem services has shifted our paradigm of how nature matters to human societies. Instead of viewing the preservation of nature as something for which we have to sacrifice our well-being, we now perceive the environment as natural capital, one of society's important assets. But ecosystem services are becoming increasingly scarce. In order to stop this trend, the challenge is to provoke society to acknowledge the value of natural capital. Ecosystem services valuation (ESV) is the method to tackle such a challenge. ESV is the process of assessing the contributions of ecosystem services to sustainable scale, fair distribution, and efficient allocation. It is a tool that (1) provides for comparisons of natural capital to physical and human capital in regard to their contributions to human welfare; (2) monitors the quantity and quality of natural capital over time with respect to its contribution to human welfare; and (3) provides for evaluation of projects that will affect natural capital stocks. This review covers: (1) what has been done in ESV research in the last 50 years; (2) how it has been used in ecosystem management; and (3) prospects for the future. Our survey of the literature has shown that over time, there has been movement toward a more transdisciplinary approach to ESV research which is more consistent with the nature of the problems being addressed. On the other hand, the contribution of ESV to ecosystem management has not been as significant as hoped nor as clearly defined. Conclusions drawn from the review are as follows: first, ESV researchers will have to transcend disciplinary boundaries and synthesize tools, skills, and methodologies from various disciplines; second, ESV research has to become more problem-driven rather than tool-driven because ultimately the success of ESV will be judged on how well it facilitates real-world decision making and the conservation of natural capital.

  17. Mental health needs of visible minority immigrants in a small urban center: recommendations for policy makers and service providers.

    Science.gov (United States)

    Reitmanova, Sylvia; Gustafson, Diana L

    2009-02-01

    This qualitative pilot study explored the mental health needs of visible minority immigrants in St. John's--a small urban center in Atlantic Canada with limited ethnoracial diversity and ethnospecific infrastructure. The study examined the facilitators and barriers to maintaining immigrants' mental health and their perspectives on availability and access to support services and programs that support mental health. Our findings revealed several determinants of the mental health of visible minority immigrants: social support, income, employment, culture, physical environment, coping skills, gender, and availability, accessibility and cultural appropriateness of mental health services. We offer 18 recommendations framed by Health Canada determinants of health that may be of interest to decision-makers in government, health agencies and social services in similar small urban centers.

  18. The Greater St. Louis LGBT Health and Human Services Needs Assessment: an examination of the Silent and Baby Boom generations.

    Science.gov (United States)

    Jenkins Morales, Meghan; King, M Denise; Hiler, Hattie; Coopwood, Martin S; Wayland, Sherrill

    2014-01-01

    This study sought to understand differences and similarities between lesbian, gay, bisexual, and transgender (LGBT) Baby Boomers and members of the Silent generation in the greater St. Louis region in relation to perceived barriers to service use, LGBT identity disclosure, experiences of violence and victimization, and mental health. An online survey was completed by 118 Baby Boomers and 33 Silents. Baby Boomers were found to perceive more barriers to health care and legal services, have fewer legal documents in place, feel less safe in their communities, and have experienced an increased rate of verbal harassment compared to their predecessors. Differences may be attributed to higher levels of LGBT identity disclosure among Baby Boomers across their lifetime. These findings support the current work of Services and Advocacy for GLBT Elders Metro St. Louis, with implications for other communities, and shed light on the need for continued advancement in the development and implementation of programs as LGBT Baby Boomers age.

  19. Effectiveness of Primary Health Care Services in Addressing Mental Health Needs of Minority Refugee Population in New Zealand.

    Science.gov (United States)

    Shrestha-Ranjit, Jagamaya; Patterson, Elizabeth; Manias, Elizabeth; Payne, Deborah; Koziol-McLain, Jane

    2017-04-01

    Many people are displaced from their country of origin and become refugees, mostly due to armed conflicts, political violence and human rights abuse. Refugees have complex mental, physical, and social health problems related to their traumatic background and the experiences they have endured during their refugee journey. The aim of this qualitative exploratory study was to examine the effectiveness of primary health care services in addressing mental health needs of Bhutanese refugee women resettled in New Zealand. This study included focus group discussion with Bhutanese women and men followed by interviews with health service providers. The findings of this study highlighted inadequacies and constraints in addressing Bhutanese refugee women's mental health needs in New Zealand and provided evidence for recommendations to address these inadequacies.

  20. Utilisation of oral health services, oral health needs and oral health status in a peri-urban informal settlement.

    Science.gov (United States)

    Westaway, M S; Viljoen, E; Rudolph, M J

    1999-04-01

    Interviews were conducted with 294 black residents (155 females and 138 males) of a peri-urban informal settlement in Gauteng to ascertain utilisation of oral health services, oral health needs and oral health status. Only 37 per cent of the sample had consulted a dentist or medical practitioner, usually for extractions. Teenagers and employed persons were significantly less likely to utilise dentists than the older age groups and unemployed persons. Forty per cent were currently experiencing oral health problems such as a sore mouth, tooth decay and bleeding/painful gums. Two hundred and twelve (73 per cent) interviewees wanted dental treatment or advice. Residents who rated their oral health status as fair or poor appeared to have the greatest need for oral health services. The use of interviews appears to be a cost-effective method of determining oral morbidity.

  1. Designing a socio-spatial need indicator for urban social services analysis and decision making. A case study

    Directory of Open Access Journals (Sweden)

    Antonio Morenos Jiménez

    2015-01-01

    Full Text Available Decision taking on social services requires, as a previous step, to appraise the human needs and their spatial distribution, a key issue particularly sensitive in less developed zones or during economic crisis periods, as far as socio-spatial cohesion is then strongly challenged. Vari-ous methods have been used for measuring social needs, provided that these are diverse in nature and sometimes elusive. Incorporating the spatial dimension in this task involves an additional challenge, but the results add meaningful value for socio-spatial planning. Along this concern, in this work it is tackled the problema of estimating the needs typically met by local social service centers (SSC. To this end, it is designed a novel statistical indicator for intra-urban zones, incorporating in the formula the main components of the actual observed de-mand as well as the per capita income, to take into account the relevant spatial equity principle. Using a geographical information systems (GIS, the indicator for estimating SSC need has been experimentally obtained for two types of spatial units in the city of Madrid: municipal districts and small statistical areas, looking for complementary applied uses. The results reveal the intra-urban inequalities for these types of needs and may support public decision making on spatial provision and location of this kind of social resources. In addition, a preliminary and statistically based exam of the indicator potentialities and limitations is carried out for both types of spatial units.

  2. Management of Sodium-reduced Meals at Worksite Cafeterias: Perceptions, Practices, Barriers, and Needs among Food Service Personnel

    OpenAIRE

    Lee, Jounghee; Park, Sohyun

    2015-01-01

    Objectives The sodium content of meals provided at worksite cafeterias is greater than the sodium content of restaurant meals and home meals. The objective of this study was to assess the relationships between sodium-reduction practices, barriers, and perceptions among food service personnel. Methods We implemented a cross-sectional study by collecting data on perceptions, practices, barriers, and needs regarding sodium-reduced meals at 17 worksite cafeterias in South Korea. We implemented Ch...

  3. How Does an Online Patient-Nurse Communication Service Meet the Information Needs of Men with Recently Diagnosed Testicular Cancer?

    OpenAIRE

    Mirjam Ekstedt; Cornelia Ruland; Cecilie Varsi; Ragnhild Hellesø; Torunn Wibe

    2012-01-01

    Online communication has become a potential means of communication between patients and health care providers, but so far few studies are published about online communication as part of nursing care. The aim of this study was to explore how an online patient-nurse communication (OPNC) service meets the information needs of men with newly diagnosed testicular cancer. We applied a qualitative approach by examining the content of online messages sent by patients to nurses in a specialist cancer ...

  4. Sexual and reproductive health services for young people in Kenya and Zambia : Providers attitudes and young peoples needs and experiences

    OpenAIRE

    Warenius, Linnéa

    2008-01-01

    Background: Unintended pregnancy, abortion and STI, including HIV are common sexual and reproductive health problems among young people in Kenya and Zambia. Yet, the reproductive health services are underutilised. Nurses and midwives are key providers in the promotion young people s sexual and reproductive health in Kenya and Zambia. Aim: The overall aim was to describe and explore young people s sexual and reproductive health needs and experiences and to describe health ...

  5. Public service impacts of geothermal development: cumulative impacts study of the Geysers KGRA. Final staff report

    Energy Technology Data Exchange (ETDEWEB)

    Matthews, K.M.

    1983-07-01

    The number of workers currently involved in the various aspects of geothermal development in the Geysers are identified. Using two different development scenarios, projections are made for the number of power plants needed to reach the electrical generation capacity of the steam resource in the Geysers. The report also projects the cumulative number of workers needed to develop the steam field and to construct, operate, and maintain these power plants. Although the number of construction workers fluctuates, most are not likely to become new, permanent residents of the KGRA counties. The administrative and public service costs of geothermal development to local jurisdications are examined, and these costs are compared to geothermal revenues accruing to the local governments. Revenues do not cover the immediate fiscal needs resulting from increases in local road maintenance and school enrollment attributable to geothermal development. Several mitigation options are discussed and a framework presented for calculating mitigation costs for school and road impacts.

  6. How does an online patient-nurse communication service meet the information needs of men with recently diagnosed testicular cancer?

    Science.gov (United States)

    Wibe, Torunn; Hellesø, Ragnhild; Varsi, Cecilie; Ruland, Cornelia; Ekstedt, Mirjam

    2012-01-01

    Online communication has become a potential means of communication between patients and health care providers, but so far few studies are published about online communication as part of nursing care. The aim of this study was to explore how an online patient-nurse communication (OPNC) service meets the information needs of men with newly diagnosed testicular cancer. We applied a qualitative approach by examining the content of online messages sent by patients to nurses in a specialist cancer unit. In addition, individual interviews were conducted with patients who had used the OPNC service. Four themes became distinct through a synthesis of the material from the interviews and the messages: "a means for managing illness-related concerns at home," "a means for ensuring information flow," "a means for strategic information seeking," and "not yet available when needed most." Individualized information provided by nurses with access to their medical record was shown to be important to these patients. The findings of this study indicate that not only may access to an OPNC service help patients fulfill their otherwise unmet information needs, but also it may prevent delays and discontinuity in care due to informational gaps and lead to improved patient safety.

  7. How Does an Online Patient-Nurse Communication Service Meet the Information Needs of Men with Recently Diagnosed Testicular Cancer?

    Science.gov (United States)

    Wibe, Torunn; Hellesø, Ragnhild; Varsi, Cecilie; Ruland, Cornelia; Ekstedt, Mirjam

    2012-01-01

    Online communication has become a potential means of communication between patients and health care providers, but so far few studies are published about online communication as part of nursing care. The aim of this study was to explore how an online patient-nurse communication (OPNC) service meets the information needs of men with newly diagnosed testicular cancer. We applied a qualitative approach by examining the content of online messages sent by patients to nurses in a specialist cancer unit. In addition, individual interviews were conducted with patients who had used the OPNC service. Four themes became distinct through a synthesis of the material from the interviews and the messages: “a means for managing illness-related concerns at home,” “a means for ensuring information flow,” “a means for strategic information seeking,” and “not yet available when needed most.” Individualized information provided by nurses with access to their medical record was shown to be important to these patients. The findings of this study indicate that not only may access to an OPNC service help patients fulfill their otherwise unmet information needs, but also it may prevent delays and discontinuity in care due to informational gaps and lead to improved patient safety. PMID:23251816

  8. Priority knowledge needs. Summary

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2012-07-01

    This report gives an overview of the knowledge needs identified during the work on the scientific basis for the management plan. The overview includes knowledge needs identified in: the impact assessments for various sectors; the reports on the vulnerability of particularly valuable areas; proposed indicators for a monitoring system; cumulative environmental effects; conflicting interests and the need for coordination; and the report on analysis of population and, economic activity and ecosystem services. In addition, the working group has identified several additional knowledge needs. The present report summarises the 2010 status report and describes new developments since its publication.(Author)

  9. Scientific report 1998-2000. Service of molecular chemistry

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2000-07-01

    The Service of Molecular Chemistry (SCM) constitutes a significant part of fundamental chemistry at the Direction for the Science of Matter (DSM). Furthermore, its scientific programmes benefit from the contact with teams of CEA who carry out applied research relevant to nuclear energy as well as to new technologies and industrial innovation. Several cooperative actions (which involve, among other persons, PhDs and post-docs) with the other operational Directions of CEA (DO) illustrate this will of SCM to establish its fundamental research within the frame of the broader CEA missions acknowledged by the French government. The scientific report is organized as follows: as simplified organization chart relates the SCM to the Department and the Direction to which it is bound, and states the personnel (CEA, CNRS, University, PhDs, post-docs, etc). The organization chart of the SCM then brings to the fore the relationship between thematic Groups and teams. A general presentation of the main guidelines of the researches of the Service, organized by Groups, precedes a detailed description of the results obtained for each of the scientific themes tackled by the teams with mention of the involved scientists. Publications and patents appear at the end. Finally the research perspectives of SCM emphasize the inflexion to our activities which will be given in the next two years. (author)

  10. Getting patients the services they need using a computer-assisted system for patient assessment and referral—CASPAR

    Science.gov (United States)

    Carise, Deni; Gűrel, Ozge; McLellan, A. Thomas; Dugosh, Karen; Kendig, Connie

    2009-01-01

    The two goals of this technology transfer study were to: (1) increase the number and appropriateness of services received by substance abuse patients, and thereby (2) give clinical meaning and value to research-based assessment information. A software-based Resource Guide was developed to allow counselors to easily identify local resources for referral of their patients to additional clinical and social services. Two hours of training were provided on the use of the guide. It was hoped that this software and training would provide the counselors with a concrete method of linking the Addiction Severity Index (ASI) assessment information on patient problems to appropriate, available community services. We expected improved treatment planning, increased problem services matching, better patient–counselor rapport/satisfaction and better patient-performance during treatment. Data were analyzed from 131 patients of 33 counselors from 9 treatment programs, randomly assigned to 2 groups—Standard Assessment (SA) or Enhanced Assessment (EA). Patients of counselors in the EA group (1) had treatment plans that were better matched to their needs, (2) received significantly more and better-matched services than patients in the SA group, and (3) were less likely to leave treatment against medical advice and more likely to complete the full course of treatment than patients of counselors in the SA group. They did not have higher levels of patient satisfaction or helping alliance scores. These findings are discussed with regard to integrating empirically supported procedures into contemporary, community-based substance abuse treatment. PMID:15913922

  11. Getting patients the services they need using a computer-assisted system for patient assessment and referral--CASPAR.

    Science.gov (United States)

    Carise, Deni; Gurel, Ozge; McLellan, A Thomas; Dugosh, Karen; Kendig, Connie

    2005-11-01

    The two goals of this technology transfer study were to: (1) increase the number and appropriateness of services received by substance abuse patients, and thereby (2) give clinical meaning and value to research-based assessment information. A software-based Resource Guide was developed to allow counselors to easily identify local resources for referral of their patients to additional clinical and social services. Two hours of training were provided on the use of the guide. It was hoped that this software and training would provide the counselors with a concrete method of linking the Addiction Severity Index (ASI) assessment information on patient problems to appropriate, available community services. We expected improved treatment planning, increased problem services matching, better patient-counselor rapport/satisfaction and better patient-performance during treatment. Data were analyzed from 131 patients of 33 counselors from 9 treatment programs, randomly assigned to 2 groups--Standard Assessment (SA) or Enhanced Assessment (EA). Patients of counselors in the EA group (1) had treatment plans that were better matched to their needs, (2) received significantly more and better-matched services than patients in the SA group, and (3) were less likely to leave treatment against medical advice and more likely to complete the full course of treatment than patients of counselors in the SA group. They did not have higher levels of patient satisfaction or helping alliance scores. These findings are discussed with regard to integrating empirically supported procedures into contemporary, community-based substance abuse treatment.

  12. What are the Mental Health Needs of Adolescents in Rural South Australia? The Perceptions of Human Service Providers

    Directory of Open Access Journals (Sweden)

    Ms Marijeta Kurtin

    2009-11-01

    Full Text Available BACKGROUND:Up to 20% of Australian adolescents experience the burden of having a mental health problem. Priorresearch has suggested that inhabitants of rural areas are at particular risk of mental healthmorbidity due to their location. The current study sought to investigate how ‘rurality’ influences themental health of adolescents in rural South Australia, and to explore the perceptions of the mentalhealth needs of adolescents as described by service providers in rural South Australia.METHODS:Four focus group discussions and 14 interviews were conducted with 38 human (allied health serviceproviders in the Eyre Peninsula, Spencer Gulf, Limestone Coast and Greater Green Triangle regions ofSouth Australia. Semi-structured telephone interviews were also conducted with three Victorianhuman service providers. Interviews were transcribed verbatim and analysed to identify emergentthemes.RESULTS:Ninety codes were developed and subsequently categorised into five major themes: Community andSociety Factors; Youth Issues, Indigeneity; Service Delivery and Utilisation; and Occupational Factors.Significant gaps in mental health service delivery were identified. Better utilisation of currentresources was identified as a greater concern than the absence of resources per se.CONCLUSIONS:This study provided a unique opportunity for rural allied and primary health care service providers todiscuss adolescent mental health issues in their communities and as part of their work. The datagenerated by these discussions identified areas where practice could be improved.

  13. Library Services Alliance of New Mexico. 1994 Annual report

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1995-09-01

    The Library Services Alliance is a unique multi-type library consortium committed to resource sharing. As a voluntary association of university and governmental laboratory libraries supporting scientific research, the Alliance has become a leader in New Mexico in using cooperative ventures to cost-effectively expand resources supporting their scientific and technical communities. During 1994, the alliance continued to expand on their strategic planning foundation to enhance access to research information for the scientific and technical communities. Significant progress was made in facilitating easy access to the on-line catalogs of member libraries via connections through the Internet. Access to Alliance resources is now available via the World Wide Web and Gopher, as well as links to other databases and electronic information. This report highlights the accomplishments of the Alliance during calendar year 1994.

  14. INFORMATION LOGISTICS AS MEANS OF INFORMATION SERVICES FOR FREIGHT TRANSPORT NEEDS

    Directory of Open Access Journals (Sweden)

    Martin Straka

    2014-06-01

    Full Text Available European parking information center (EPIC – it will provide unified and detailed information about European parking areas. The EPIC system will receive the data from local information centres. For Slovak republic there will be one provider for traffic data – a National traffic information center (NDIC. The EPIC system is available at http://truckinform.eu. Intelligent parking system (IPS will be linked with NDIC. The aim of the IPS system is to provide information as follows: number of free parking places, services to be used in parking area and so one.

  15. Commissioning specialist diabetes services for adults with diabetes: summary of a Diabetes UK Task and Finish group report.

    Science.gov (United States)

    Goenka, N; Turner, B; Vora, J

    2011-12-01

    The increasing prevalence of diabetes, the drive to develop community services for diabetes and the Quality and Outcomes Framework for diabetes have led to improvements in the management of diabetes in primary care settings, with services traditionally provided only in specialist care now provided for many patients with diabetes by non-specialists. Consequently, there is a need to redefine roles, responsibilities and components of a specialist diabetes service to provide for the needs of patients in the National Health Service (NHS) today. The delivery of diabetes care is complex and touches on almost every aspect of the health service. It is the responsibility of those working within commissioning and specialist provider roles to work together with people with diabetes to develop, organize and deliver a full range of integrated diabetes care services. The local delivery model agreed within the local diabetes network, comprising specialist teams, primary care teams, commissioners and people with diabetes, should determine how the diabetes specialist services are organizsed. It should identify the roles and responsibilities of provider organizations to ensure that the right person provides the right care, at the right time, and in the right place. We summarize a report entitled 'Commissioning Diabetes Specialist Services for Adults with Diabetes', which has been produced, as a 'Task and Finish' group activity within Diabetes UK, to assist managers, commissioners and healthcare professionals to provide advice on the structure, roles and components of specialist diabetes services for adults. © 2011 The Authors. Diabetic Medicine © 2011 Diabetes UK.

  16. Veterans Affairs: Better Understanding Needed to Enhance Services to Veterans Readjusting to Civilian Life

    Science.gov (United States)

    2014-09-01

    September 28, 2012. Defense Health: Coordinating Authority Needed for Psychological Health and Traumatic Brain Injury Activities. GAO-12-154...Subscribe to our RSS Feeds or E-mail Updates. Listen to our Podcasts . Visit GAO on the web at www.gao.gov. Contact: Website: http://www.gao.gov/fraudnet

  17. Pre-Service Physical Education Teachers and Inclusive Education: Attitudes, Concerns and Perceived Skill Needs

    Science.gov (United States)

    Mangope, Boitumelo; Mannathoko, Magdeline C.; Kuyini, Ahmed Bawa

    2013-01-01

    The purpose of this study is to ascertain Botswana physical education (PE) student teachers' attitudes toward the inclusion of children with disabilities in the general education classrooms and also to identify their concerns and perceived skill needs with regards to inclusion. A two-part questionnaire consisting of background variables and…

  18. Employment status and differences in the one-year coverage of physician visits: different needs or unequal access to services?

    Directory of Open Access Journals (Sweden)

    Kivimäki Mika

    2006-10-01

    Full Text Available Abstract Background The dichotomy employed vs. unemployed is still a relevant, but rather crude measure of status in current labour markets. Also, studies concerning the association of employment status with health have to specify the type of the employment as well as the characteristics of the unemployment. This study aims to reveal differences and potential inequalities in physician visits among seven groups in the core-periphery structures of the labour markets. Methods A total of 16 000 Finns responded to a postal survey in 2003. Their visits to physicians in public primary health care, occupational health care, private health services, hospital outpatient clinics and dental care services during previous year were measured as indicators of service utilisation. Participants were classified as employees having a permanent or fixed-term and full-time or part-time contract and as those experiencing short-term, prolonged or long-term unemployment. Differences in the one-year coverage of physician visits between these groups of employees were analysed using logistic regression analyses where differences in the need for services were controlled for by including demographics and self-rated health assessments in the models. Results Permanently employed respondents had visited a physician most often, and the need-adjusted regression models showed significantly lower odds ratios for a visit among fixed-term employees (OR 0.65, 95% CI 0.53–0.81 and in particular among the long-term unemployed (OR 0.21, 95% CI 0.14–0.31. A stratified analysis according to health care sector showed the lowest odds ratios in occupational health care and private physicians (ORs between 0.05 and 0.73 and also low odds ratios for dentists (ORs between 0.45 and 0.91, whereas visits to public primary health care were more common among non-permanent employees and the unemployed (ORs between 1.46 and 2.39. Conclusion The use of physician services varies according to labour

  19. The integrated reporting: A presentation of the current state of art and aspects of integrated reporting that need further development

    Directory of Open Access Journals (Sweden)

    Jordi Morros

    2016-02-01

    Full Text Available Purpose: The purpose of this paper is to synthesise what is the emerging field of integrated reporting, with particular emphasis in the International Integrated Reporting Council, and outline a list of items for future research in this area. Design/methodology/approach: The approach is to outline a presentation of integrated reporting (IR, and make a review of the implications for the research agenda of the most important items. Findings: The need for quality researchers to address a number of pressing challenges posed by the rapid development of IR policies and practices. Research limitations/implications: The paper provide insights into issues and aspects of integrated reporting that need further development and need robust evidence to help inform improvements in policy and practice. Practical implications: Highlight how companies may benefit from integrated reporting in response to stakeholders’ calls for enhanced disclosure of environmental, social, governance and other non financial information. Social implications: The main social implication is to promote the wider public interest of improving the relevance of information for decision-making, for all stakeholders, and allow greater efficiency in the allocation of financial and other resources and in adding public value Originality/value: This paper offers a general view on a subject that is a challenge for entities oriented to the implementation of sustainability in their values and also in their reporting.

  20. Parental Refusal of Vitamin K and Neonatal Preventive Services: A Need for Surveillance.

    Science.gov (United States)

    Marcewicz, Lauren H; Clayton, Joshua; Maenner, Matthew; Odom, Erika; Okoroh, Ekwutosi; Christensen, Deborah; Goodman, Alyson; Warren, Michael D; Traylor, Julie; Miller, Angela; Jones, Timothy; Dunn, John; Schaffner, William; Grant, Althea

    2017-05-01

    Objectives Vitamin K deficiency bleeding (VKDB) in infants is a coagulopathy preventable with a single dose of injectable vitamin K at birth. The Tennessee Department of Health (TDH) and Centers for Disease Control and Prevention (CDC) investigated vitamin K refusal among parents in 2013 after learning of four cases of VKDB associated with prophylaxis refusal. Methods Chart reviews were conducted at Nashville-area hospitals for 2011-2013 and Tennessee birthing centers for 2013 to identify parents who had refused injectable vitamin K for their infants. Contact information was obtained for parents, and they were surveyed regarding their reasons for refusing. Results At hospitals, 3.0% of infants did not receive injectable vitamin K due to parental refusal in 2013, a frequency higher than in 2011 and 2012. This percentage was much higher at birthing centers, where 31% of infants did not receive injectable vitamin K. The most common responses for refusal were a belief that the injection was unnecessary (53%) and a desire for a natural birthing process (36%). Refusal of other preventive services was common, with 66% of families refusing vitamin K, newborn eye care with erythromycin, and the neonatal dose of hepatitis B vaccine. Conclusions for Practice Refusal of injectable vitamin K was more common among families choosing to give birth at birthing centers than at hospitals, and was related to refusal of other preventive services in our study. Surveillance of vitamin K refusal rates could assist in further understanding this occurrence and tailoring effective strategies for mitigation.

  1. Cerdà and Barcelona: The need for a new city and service provision

    Directory of Open Access Journals (Sweden)

    Montserrat Pallares Barbera

    2011-01-01

    Full Text Available This paper examines Ildefons Cerdà’s 1860 Plan for the Urban Expansion of Barcelona; specifically, how and why it was conceived in a unique way, in which the provision of services to the population was an important part. Cerdà based his expansion proposal on an in depth socio statistical study of old Barcelona’s population conditions. The high mortality rates of the working class population and poor health and education conditions pushed Cerdà to design a new type of urban planning, which he defined as “urbanism”. In his proposal for the new city, he planned the location of services such as marketplaces, schools and hospitals. The first part of this paper introduces the urban and political preconditions of Barcelona and the statistics on which Cerdà based his contribution. The second part uses location theory and a geographic information system (GIS to analyse the pattern of location and the population served by markets and hospitals. In addition, topographic maps from 1926 and 1975 are used to study the development of the expansion up to when it was fully developed. The evolution of the city differed from Cerdà’s proposal, partly due to unexpected increases in population density, the built environment, and higher amounts of building occupation. Nevertheless, Cerdà’s layout of streets and avenues has prevailed.

  2. Anesthesiologists and Disaster Medicine: A Needs Assessment for Education and Training and Reported Willingness to Respond.

    Science.gov (United States)

    Hayanga, Heather K; Barnett, Daniel J; Shallow, Natasha R; Roberts, Michael; Thompson, Carol B; Bentov, Itay; Demiralp, Gozde; Winters, Bradford D; Schwengel, Deborah A

    2017-05-01

    residents). Fewer than 40% of attendings (34% [26-43]) and residents (38% [27-51]) designated who would take care of their family obligations in the event they were called into work during a disaster. Regardless of severity, 79% (71-85) of attendings and 73% (62-82) of residents indicated WTR to a ND, whereas 81% (73-87) of attendings and 70% (58-81) of residents indicated WTR to PI. Fewer were willing to respond to a RE (63% [55-71] of attendings and 52% [39-64] of residents). In adjusted logistic regression analyses, those anesthesiologists who reported knowing one's role in response to a ND (OR, 15.8 [4.5-55.3]) or feeling psychologically prepared to respond to a ND (OR, 6.9 [2.5-19.0]) were found to be more willing to respond. Similar results were found for RE and PI constructs. Both attendings and residents were willing to respond in whatever capacity needed, not specifically to provide anesthesia. Few anesthesiologists reported receiving sufficient education and training in disaster medicine and public health preparedness. Providing education and training and enhancing related employee services may further bolster WTR and help to build a more capable and effective medical workforce for disaster response.

  3. Management-focused Research Needs of Refuges in the Midwest and Northeast Regions of the U.S. Fish and Wildlife Service, FY 2006

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — Land managers need information about how to improve their management practices to achieve their goals. We conducted a research needs assessment process for the U.S....

  4. Childcare support at nursery schools in Japan: current services and future needs.

    Science.gov (United States)

    Chiba, Chiemi; Watanabe, Toshiyuki; Hirayama, Munehiro

    2011-10-01

    This study aimed to survey childcare support being undertaken by nursery school teachers in Japan and to identify the theories and skills necessary for nursery school teachers to carry out childcare support in the future. In 2007, a postal questionnaires was sent to 1200 teachers at 850 nursery schools, with responses from 712 teachers from 456 nursery schools. In terms of knowledge and skills considered necessary by nursery school teachers in local childcare support centers, 'knowledge and skills of giving advice' was the most common response, followed by 'understanding of children's growth and development'. Nursery school teachers need to receive sufficient education before and after graduation to gain these skills. It is also clear that there is a need for nursery school teachers to make use of their expertise by co-ordinating collaboration among professionals and in the community.

  5. Defense Inventory: Services Generally Have Reduced Excess Inventory, but Additional Actions Are Needed

    Science.gov (United States)

    2015-04-01

    billion in secondary item inventory, such as spare parts needed to maintain military equipment. GAO identified DOD supply chain management as a...inventory management was redesignated as DOD supply chain management in GAO’s 2005 update to its High-Risk Series. For our most recent update, see...consistent with DOD goals, (3) balanced the timely availability of spare parts with supply chain costs in their inventory management metrics in

  6. Errors in self-reports of health services use: impact on alzheimer disease clinical trial designs.

    Science.gov (United States)

    Callahan, Christopher M; Tu, Wanzhu; Stump, Timothy E; Clark, Daniel O; Unroe, Kathleen T; Hendrie, Hugh C

    2015-01-01

    Most Alzheimer disease clinical trials that compare the use of health services rely on reports of caregivers. The goal of this study was to assess the accuracy of self-reports among older adults with Alzheimer disease and their caregiver proxy respondents. This issue is particularly relevant to Alzheimer disease clinical trials because inaccuracy can lead both to loss of power and increased bias in study outcomes. We compared respondent accuracy in reporting any use and in reporting the frequency of use with actual utilization data as documented in a comprehensive database. We next simulated the impact of underreporting and overreporting on sample size estimates and treatment effect bias for clinical trials comparing utilization between experimental groups. Respondents self-reports have a poor level of accuracy with κ-values often below 0.5. Respondents tend to underreport use even for rare events such as hospitalizations and nursing home stays. In analyses simulating underreporting and overreporting of varying magnitude, we found that errors in self-reports can increase the required sample size by 15% to 30%. In addition, bias in the reported treatment effect ranged from 3% to 18% due to both underreporting and overreporting errors. Use of self-report data in clinical trials of Alzheimer disease treatments may inflate sample size needs. Even when adequate power is achieved by increasing sample size, reporting errors can result in a biased estimate of the true effect size of the intervention.

  7. Health service resource needs for pandemic influenza in developing countries: a linked transmission dynamics, interventions and resource demand model.

    Science.gov (United States)

    Krumkamp, R; Kretzschmar, M; Rudge, J W; Ahmad, A; Hanvoravongchai, P; Westenhoefer, J; Stein, M; Putthasri, W; Coker, R

    2011-01-01

    We used a mathematical model to describe a regional outbreak and extrapolate the underlying health-service resource needs. This model was designed to (i) estimate resource gaps and quantities of resources needed, (ii) show the effect of resource gaps, and (iii) highlight which particular resources should be improved. We ran the model, parameterized with data from the 2009 H1N1v pandemic, for two provinces in Thailand. The predicted number of preventable deaths due to resource shortcomings and the actual resource needs are presented for two provinces and for Thailand as a whole. The model highlights the potentially huge impact of health-system resource availability and of resource gaps on health outcomes during a pandemic and provides a means to indicate where efforts should be concentrated to effectively improve pandemic response programmes.

  8. Social work decision-making: need factors of older adults that affect outcomes of home- and community-based services.

    Science.gov (United States)

    Joostepn, Dawn Marie

    2015-02-01

    The purposes of this study were to examine social work decision-making outcomes of home- and community-based services (HCBS) referrals provided to older adults with unmet physical and psychosocial needs discharged from acute care to a community setting, and to understand older adults' (N=247) responses to receiving referrals for HCBS. Older adults with inadequately or marginally met basic needs was a statistically significant predictor of the number of HCBS referrals home health social workers provided to older adult clients (p social work home visit. Implications for practice were suggested for clinical social workers.and case managers providing HCBS referrals to older adults with unmet physical and psychosocial needs discharged from acute care or skilled care to community settings.

  9. Life cycle assessment needs predictive spatial modelling for biodiversity and ecosystem services

    Science.gov (United States)

    Chaplin-Kramer, Rebecca; Sim, Sarah; Hamel, Perrine; Bryant, Benjamin; Noe, Ryan; Mueller, Carina; Rigarlsford, Giles; Kulak, Michal; Kowal, Virginia; Sharp, Richard; Clavreul, Julie; Price, Edward; Polasky, Stephen; Ruckelshaus, Mary; Daily, Gretchen

    2017-04-01

    International corporations in an increasingly globalized economy exert a major influence on the planet's land use and resources through their product design and material sourcing decisions. Many companies use life cycle assessment (LCA) to evaluate their sustainability, yet commonly-used LCA methodologies lack the spatial resolution and predictive ecological information to reveal key impacts on climate, water and biodiversity. We present advances for LCA that integrate spatially explicit modelling of land change and ecosystem services in a Land-Use Change Improved (LUCI)-LCA. Comparing increased demand for bioplastics derived from two alternative feedstock-location scenarios for maize and sugarcane, we find that the LUCI-LCA approach yields results opposite to those of standard LCA for greenhouse gas emissions and water consumption, and of different magnitudes for soil erosion and biodiversity. This approach highlights the importance of including information about where and how land-use change and related impacts will occur in supply chain and innovation decisions.

  10. [Health care practice needs health services research: pros and cons of health services research from the perspective of health insurance funds].

    Science.gov (United States)

    Stuppardt, R

    2011-06-01

    Health insurance funds need the results of health services research more than ever due to the socio-legal and socio-economic conditions currently prevailing. This should be possible by taking transparency and data protection into consideration, by cooperating with outside researchers while ensuring flexible use of routine data and if necessary gathering additional data, and by establishing links to epidemiological and registry data. It should become normative to clear the way for health insurance funds to regularly include this type of research in budget planning and to this end provide access to a suitable source of funds. In conclusion, it can simply be stated that it no longer suffices to effectively make a new clinically tested procedure, product, and service available because health insurance funds and their partners must know more precisely what this all accomplishes in practice.

  11. Quality of Service over Specific Link Layers: state of the art report

    NARCIS (Netherlands)

    Zee, van der Martin; Ait Yaiz, Rachid; Heijenk, Geert

    1999-01-01

    The Integrated Services concept is proposed as an enhancement to the current Internet architecture, to provide a better Quality of Service (QoS) than that provided by the traditional Best-Effort service. The features of the Integrated Services are explained in this report. To support Integrated Serv

  12. Arizona Public Service - Alternative Fuel (Hydrogen) Pilot Plant Design Report

    Energy Technology Data Exchange (ETDEWEB)

    James E. Francfort

    2003-12-01

    Hydrogen has promise to be the fuel of the future. Its use as a chemical reagent and as a rocket propellant has grown to over eight million metric tons per year in the United States. Although use of hydrogen is abundant, it has not been used extensively as a transportation fuel. To assess the viability of hydrogen as a transportation fuel and the viability of producing hydrogen using off-peak electric energy, Pinnacle West Capital Corporation (PNW) and its electric utility subsidiary, Arizona Public Service (APS) designed, constructed, and operates a hydrogen and compressed natural gas fueling station—the APS Alternative Fuel Pilot Plant. This report summarizes the design of the APS Alternative Fuel Pilot Plant and presents lessons learned from its design and construction. Electric Transportation Applications prepared this report under contract to the U.S. Department of Energy’s Advanced Vehicle Testing Activity. The Idaho National Engineering and Environmental Laboratory manages these activities for the Advanced Vehicle Testing Activity.

  13. 20 CFR 10.414 - What reports of dependents are needed in death cases?

    Science.gov (United States)

    2010-04-01

    ... death cases? 10.414 Section 10.414 Employees' Benefits OFFICE OF WORKERS' COMPENSATION PROGRAMS...' COMPENSATION ACT, AS AMENDED Compensation and Related Benefits Compensation for Death § 10.414 What reports of dependents are needed in death cases? If a beneficiary is receiving compensation benefits on account of an...

  14. Need to Improve Efficiency of Reserve Training. Report to the Congress.

    Science.gov (United States)

    Comptroller General of the U.S., Washington, DC.

    The report discusses the need to vary the training of Reserve and Guard units by skill and readiness requirements and to make more efficient use of training time. It contains recommendations to the Secretaries of Defense, Transportation, Army, Navy, and Air Force. The review was based on questionnaires mailed to 2,209 randomly selected reservists…

  15. SOUTHWESTERN STATES DEVELOPMENTAL PROJECT RELATING TO EDUCATIONAL NEEDS OF ADULT AGRICULTURAL MIGRANTS. THE ARIZONA REPORT.

    Science.gov (United States)

    MOORE, HAROLD E.; SCHUFLETOWSKI, CHARLES

    A STUDY OF EDUCATIONAL NEEDS OF MIGRANTS WAS CONDUCTED FROM SEPTEMBER THROUGH DECEMBER, 1964, IN ARIZONA, COLORADO, NEW MEXICO, AND TEXAS. THIS REPORT, CONCERNED WITH THE ARIZONA STUDY, IDENTIFIED THE MOST COMPLICATED PROBLEM AS THE LACK OF A COORDINATED ATTACK ON MIGRANT SOCIAL, ECONOMIC, HEALTH, AND EDUCATIONAL RELATIONSHIPS BY LOCAL, STATE, AND…

  16. Starving in the midst of plenty? A study of training needs for child and adolescent mental health service delivery in primary care.

    Science.gov (United States)

    Madge, Nicola; Foreman, David; Baksh, Faiza

    2008-07-01

    Current UK child mental health policy seeks to engage primary care personnel in improving service delivery under the heading of 'Comprehensive CAMHS' but little is known about the size of this resource, the sufficiency of its training or its commitment to children's mental health. We surveyed local health, education and social services agencies within a UK Unitary Authority just outside London, using both questionnaire and focus group methodologies: 150 primary care personnel were identified in 14 teams. Of these 122 participated in the questionnaire survey, and 60 took part in focus groups. There was, approximately, one such team member for every 30 children with a mental health problem. Respondents reported deficiencies in skills and knowledge, but wanted training and support to increase their involvement provided it related to their daily practice, professional roles, and was developed in accordance with local needs and resources. Lack of training and organization impedes the effective deployment of a potentially huge resource for children with mental health problems. This could be addressed by appropriately tailored training courses, combined with managerial work on systems and remits. Such a programme would be needed to realize the National Service Framework's concept of a 'comprehensive CAMHS'.

  17. Refugee Resettlement in Long Beach: Needs, Service Utilization Patterns, Demographics, and Curriculum Recommendations.

    Science.gov (United States)

    Wiley, Terrence G.; And Others

    The status of Southeast Asian refugee resettlement efforts in Long Beach, California is reported. The nearly 18,000 refugees who have settled in Long Beach since 1975 have generally become a part of the community despite initial apprehension on the part of community residents. The data were obtained through informal interviews of approximately 40…

  18. Preparing the Successful Urban Music Educator: The Need for Preservice and In-Service Development

    Science.gov (United States)

    Anderson, Steven Armon; Denson, Gregory Lamar

    2015-01-01

    The January 1970 Music Educators Journal's "Special Report: Facing the Music in Urban Education" included the article "Recommendations for Teacher Education Programs." This article contained seven recommendations to prepare successful future urban music educators. As two urban music educators, we examine how "MEJ"…

  19. Wiping Out Disadvantages: The Programs and Services Needed To Supplement Regular Education for Poor School Children.

    Science.gov (United States)

    Education Law Center, Inc., Newark, NJ.

    In "Abbott v. Burke" the New Jersey Supreme Court determined that the state constitutional guarantee to a thorough and efficient education must include a supplemental program designed to wipe out the deficits poor children bring with them to school. In this report, the Education Law Center draws on educational research to identify the…

  20. Preparing the Successful Urban Music Educator: The Need for Preservice and In-Service Development

    Science.gov (United States)

    Anderson, Steven Armon; Denson, Gregory Lamar

    2015-01-01

    The January 1970 Music Educators Journal's "Special Report: Facing the Music in Urban Education" included the article "Recommendations for Teacher Education Programs." This article contained seven recommendations to prepare successful future urban music educators. As two urban music educators, we examine how "MEJ"…

  1. Information and rehabilitation needs of Indian breast cancer patients: Report of a cross-sectional study

    Directory of Open Access Journals (Sweden)

    N Kaur

    2014-01-01

    Full Text Available Background: Breast cancer causes significant disruption to the quality of life (QOL of its patients, which is compounded further by lack of information and adequate facilities for rehabilitation. Materials and Methods: This descriptive cross-sectional study was conducted in women who had completed their Primary treatment of breast cancer. The QOL was assessed by Functional assessment of cancer therapy-breast (FACT-B version 4, and information and rehabilitation needs were enquired about in a semi-structured interview. Results: A total of 154 patients were enrolled and divided into three groups according to the time elapsed after initial treatment; Group I: 1-2 years, Group II: 2-5 years, Group III: >5 years The FACT-B mean scores were; Group I (n = 64: 79.06 ± 14.60; Group II (n = 48: 85.75 ± 20.15; and Group III (n = 42: 89.83 ± 12.80. Patients in Group I scored lowest on physical well-being subscale, Group II on breast specific subscale and Group III on Social well-being subscale. Pain, lack of energy, inability to meet the needs of the family, fear that the condition will get worse and loss of body image were significant factors contributing to poor QOL. Analysis of interviewshowed many unmet information needs. Main rehabilitation needs were effective treatment of physical symptoms and counselling about body image issues and sexual dysfunctions. Easy availability of clinical and social support services were major felt needs in the long-term follow-up. Conclusions: Targeted Interventions are needed to address issues relating to QOL and rehabilitation needs of breast cancer patients.

  2. Children who witness violence: what services do they need to heal?

    Science.gov (United States)

    Willis, Danny; Hawkins, Joellen W; Pearce, Carole W; Phalen, Jaime; Keet, Meredith; Singer, Cristen

    2010-09-01

    Children are witnesses to violence far too often in their daily lives. To elicit information on the needs of children and adolescents living in the United States who have witnessed violence in their homes, neighborhoods, or communities, we held focus groups with mothers who have survived interpersonal violence and whose family included child witnesses to violence (CWV), professionals who work with families affected by violence, and with adolescents who have witnessed violence. Based on four separate focus group discussions held in Massachusetts, involving a total of 45 participants, recommendations for screening, programming, and the development of healing interventions are offered to mental health professionals.

  3. Quality of life and provision of social rehabilitation services in elementary school age children with special needs in Riga City

    OpenAIRE

    2012-01-01

    Long-term quality of life of children with special needs has not been studied in Latvia, and information on changes of quality of life (QoL) rates during child’s development period is insufficient. The aim of the study was to analyze and compare the QoL related self-reports of school age children with special needs, which were repeatedly carried out once a year (2009–2010), with the proxy reports of their parents, as well as to compare the obtained results with Europe normative data on QoL de...

  4. Distance, rurality and the need for care: access to health services in South West England

    Directory of Open Access Journals (Sweden)

    Martin David

    2004-09-01

    Full Text Available Abstract Background This paper explores the geographical accessibility of health services in urban and rural areas of the South West of England, comparing two measures of geographical access and characterising the areas most remote from hospitals. Straight-line distance and drive-time to the nearest general practice (GP and acute hospital (DGH were calculated for postcodes and aggregated to 1991 Census wards. The correlation between the two measures was used to identify wards where straight-line distance was not an accurate predictor of drive-time. Wards over 25 km from a DGH were classified as 'remote', and characterised in terms of rurality, deprivation, age structure and health status of the population. Results The access measures were highly correlated (r2>0.93. The greatest differences were found in coastal and rural wards of the far South West. Median straight-line distance to GPs was 1 km (IQR = 0.6–2 km and to DGHs, 12 km (IQR = 5–19 km. Deprivation and rates of premature limiting long term illness were raised in areas most distant from hospitals, but there was no evidence of higher premature mortality rates. Half of the wards remote from a DGH were not classed as rural by the Office for National Statistics. Almost a quarter of households in the wards furthest from hospitals had no car, and the proportion of households with access to two or more cars fell in the most remote areas. Conclusion Drive-time is a more accurate measure of access for peripheral and rural areas. Geographical access to health services, especially GPs, is good, but remoteness affects both rural and urban areas: studies concentrating purely on rural areas may underestimate geographical barriers to accessing health care. A sizeable minority of households still had no car in 1991, and few had more than one car, particularly in areas very close to and very distant from hospitals. Better measures of geographical access, which integrate public and private transport

  5. 45 CFR 1357.16 - Annual progress and services reports.

    Science.gov (United States)

    2010-10-01

    ... DEVELOPMENT SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES THE ADMINISTRATION ON CHILDREN, YOUTH AND FAMILIES, FOSTER CARE MAINTENANCE PAYMENTS, ADOPTION ASSISTANCE, AND CHILD AND FAMILY SERVICES REQUIREMENTS... consultation and coordination process. On the basis of this review, each State and Indian Tribe must...

  6. Needs assessment with elder Syrian refugees in Lebanon: Implications for services and interventions.

    Science.gov (United States)

    Chemali, Zeina; Borba, Christina P C; Johnson, Kelsey; Khair, Sama; Fricchione, Gregory L

    2017-09-12

    Currently, over 1 million Syrian and Palestinian refugees have fled Syria to take refuge in Lebanon. Among this vulnerable population, elder refugees warrant particular concern, as they shoulder a host of additional health and safety issues that require additional resources. However, the specific needs of elder refugees are often overlooked, especially during times of crisis. Our study used a semi-structured interview to survey the needs of elder refugees and understand their perceived support from Lebanese fieldworkers. Results indicate a high prevalence of depression and cognitive deficits in elder refugees, who expressed concerns surrounding illness, loneliness, war, and instability. Elders highlighted the importance of family connectedness in fostering security and normalcy and in building resilience during times of conflict. Elders spoke of their role akin that of the social workers with whom they interacted, in that they acted as a source of emotional support for their communities. Overall, this study clarifies steps to be taken to increase well-being in elder refugee populations and urges the response of humanitarian organisations to strengthen psychological support structures within refugee encampments.

  7. Inclusive Education Reform in Bangladesh: Pre-Service Teachers’ Responses to Include Students with Special Educational Needs in Regular Classrooms

    Directory of Open Access Journals (Sweden)

    Md. Saiful Malak

    2013-01-01

    Full Text Available Inclusive education (IE has been recognized as a key strategy to ensure education for all in the developing world for the last two decades. As a developing country, Bangladesh is striving to address IE by undergoing various initiatives such as policy reform, awareness creation and teacher development. This paper based on a qualitative approach attempts to explore pre-service teachers’ responses to include students with special educational needs (SEN in regular classrooms in primary schools. A one-on-one interview was conducted with 20 pre-service teachers who were enrolled in a teacher education program of one public university in Bangladesh. The findings revealed from the study indicate that majority of the pre-service teachers have unfavourable attitudes to include students with SEN in regular classrooms. Misconception and lack of knowledge about disabilities are revealed from most of the pre-service teachers’ responses. Further large class size, high workloads, inflexible curriculum policy of primary education and inadequate experiential learning facilities of teacher education program are identified as barriers to IE reform. Several issues are discussed as implications in order to promote better inclusive practices in regular primary education.

  8. Białystok inhabitants’ preferences concerning forest recreational services – the need for physical activity

    Directory of Open Access Journals (Sweden)

    Smoleński Marcin

    2016-09-01

    Full Text Available This paper focuses on the market segmentation of recreational forest services using the concept of ‘sensation seeking’ for describing recreational expectations of town dwellers. The physical activity of town dwellers from the urban agglomeration of Białystok and the Knyszyn Forest (North-Eastern Poland during outdoor recreation was analysed using this concept. The results of this research suggest that less than thirty percent of inhabitants of the Białystok agglomeration tend to be physically active during outdoor recreation. This is evidence of a low level of physical culture within the part of the society analysed in this study. Amongst all participants, only seven percent use the Knyszyn Forest for recreational purposes based on physical activity. The limited interest in active recreation in forests that we observed can be attributed to two main causes: 1 the lack of acceptance of a closed forest landscape as a recreational area; 2 the lack of recreational facilities in the Knyszyn Forest that would encourage healthy behaviour during active outdoor recreation.

  9. The Perceptions of Educators and Parents regarding the Lack of Services and Resources for Special Needs Students in Tobago: A Phenomenological Study

    Science.gov (United States)

    Myers, Antoinette

    2010-01-01

    The country of Trinidad and Tobago have policies and laws in place regarding the distribution of services and resources for special-needs students Tobago, but the implementation and organization of distributing these services and resources are left to the individual school districts. This phenomenological study identified the lack of services and…

  10. 42 CFR 417.558 - Emergency, urgently needed, and out-of-area services for which the HMO or CMP accepts...

    Science.gov (United States)

    2010-10-01

    ... Basis § 417.558 Emergency, urgently needed, and out-of-area services for which the HMO or CMP accepts... 42 Public Health 3 2010-10-01 2010-10-01 false Emergency, urgently needed, and out-of-area services for which the HMO or CMP accepts responsibility. 417.558 Section 417.558 Public Health CENTERS...

  11. Information Needs Assessment for Coastal and Marine Management and Policy: Ecosystem Services Under Changing Climatic, Land Use, and Demographic Conditions.

    Science.gov (United States)

    Goldsmith, Kaitlin A; Granek, Elise F; Lubitow, Amy

    2015-12-01

    Changing climatic, demographic, and land use conditions are projected to alter the provisioning of ecosystem services in estuarine, coastal, and nearshore marine ecosystems, necessitating mitigation and adaptation policies and management. The current paradigm of research efforts occurring in parallel to, rather than in collaboration with, decision makers will be insufficient for the rapid responses required to adapt to and mitigate for projected changing conditions. Here, we suggest a different paradigm: one where research begins by engaging decision makers in the identification of priority data needs (biophysical, economic, and social). This paper uses synthesized interview data to provide insight into the varied demands for scientific research as described by decision makers working on coastal issues in Oregon, USA. The findings highlight the need to recognize (1) the differing framing of ecosystem services by decision makers versus scientists; and (2) the differing data priorities relevant to inland versus coastal decision makers. The findings further serve to highlight the need for decision makers, scientists, and funders to engage in increased communication. This research is an important first step in advancing efforts toward evidence-based decision making in Oregon and provides a template for further research across the US.

  12. Features of the Maintenance Agreement (Contract for the Delivery of Goods, Works and Services for State and Municipal Needs

    Directory of Open Access Journals (Sweden)

    Evgeniya V. Loginova

    2015-12-01

    Full Text Available Article analyzes main features of the agreement (contract for the delivery of goods, works and services for state and municipal needs. It is shown that civil-legal nature of this agreement, which aims to meet the public interest. It is emphasized that this agreement is the special subject composition. Features of this type of contract, which is manifested in the use of special methods of placing state and municipal orders are shown. It is proved that for the public contract subject of the contract will depend on the considered whether the supply agreement or service contract. Existing in the modern civil law doctrine approaches to understanding the essential terms of the contract are analyzed. Features of pricing in this agreement is shown. It was concluded that, in contrast to other types of civil contracts, state contract has a wide range of essential conditions.

  13. Ageing Renal Patients: We Need More Collaboration between Geriatric Services and Nephrology Departments

    Directory of Open Access Journals (Sweden)

    Helen Alston

    2015-10-01

    Full Text Available There has been a significant increase in the number of frail older patients diagnosed with advanced chronic kidney disease (CKD over the past thirty years. These elderly patients have high levels of comorbidity, and as a consequence the face of renal medicine is changing—There is an increasing need to focus on traditionally geriatric areas of expertise such as falls prevention and rehabilitation, and to shift our emphasis onto improving patient well-being rather than longevity. Over the past decade, many nephrologists have found that they are already acting as de facto “amateur geriatricians”. This denies patients both the benefits of specialist geriatric assessment, and equally importantly denies them access to the wider geriatric multidisciplinary team. This article describes the prevalence and underlying causes of the so-called “Geriatric Giants” in patients with advanced CKD, and discusses possible improvements in care that closer working with geriatricians could bring.

  14. The EPOS Legal and Governance Framework : tailoring the infrastructure to fit the needs of the EPOS services

    Science.gov (United States)

    Kohler, Elisabeth; Pedersen, Helle; Kontkanen, Pirjo; Korja, Annakaisa; Lauterjung, Jörn; Haslinger, Florian; Sangianantoni, Agata; Bartolini, Alessandro; Consortium, Epos

    2016-04-01

    One of the most important issues regarding a pan-European distributed large scale research infrastructure is the setting up of its legal and governance structure as this will shape the very operation of the undertaking, i.e. the decision-making process, the allocation of tasks and resources as well as the relationship between the different bodies. Ensuring long-term operational services requires a robust, coherent and transparent legal and governance framework across all of the EPOS TCS (Thematic Core Services) and ICS (Integrated Core Services) that is well aligned to the EPOS global architecture. The chosen model for the EPOS legal entity is the ERIC (European Research Infrastructure Consortium). While the statutory seat of EPOS-ERIC will be in Rome, Italy, most of the services will be hosted in other countries. Specific agreements between EPOS-ERIC and the legal bodies hosting EPOS services will be implemented to allow proper coordination of activities. The objective is to avoid multiple agreements and, where possible, to standardize them in order to reach a harmonized situation across all services. For the governance careful attention will be paid to the decision-making process, the type of decisions and the voting rights, the definition of responsibilities, rights and duties, the reporting mechanisms, as well as other issues like who within a TCS represents the service to the 'outside' world or who advices the TCS on which subjects. Data policy is another crucial issue as EPOS aims to provide interdisciplinary services to researchers interested in geoscience, including access to data, metadata, data products, software and IT tools. EPOS also provides access to computational resources for visualization and processing. Beyond the general principles of Open Access and Open Source the following questions have to be addressed: scope and nature of data that will be accepted; intellectual property rights in data and terms under which data will be shared; openness and

  15. Vecinos y Rehabilitation: Assessing the Needs of Indigenous People with Disabilities in Mexico. Final Report [English Version] = Vecinos y Rehabilitation: Evaluacion de las Necesidades de los Indigenas con Discapacidades en Mexico. Reporte Final [Version en Espanol].

    Science.gov (United States)

    Marshall, Catherine A.; And Others

    Available in English and Spanish, this document reports on a survey of the circumstances and needs of disabled indigenous people in Oaxaca state, Mexico. Assisted by a Oaxaca disabilities consumer organization and an advisory committee of government officials, health care educators, community service providers, and indigenous people with…

  16. Mobile Acoustical Bat Monitoring Annual Summary Report CY 2014 - Arkansas Ecological Services Field Office

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — These reports summarize bat calls collected along transects at Arkansas Ecological Field Service Office for the CY 2014. Calls were classified using Bat Call ID...

  17. Mobile Acoustical Bat Monitoring Annual Summary Report CY 2017 - Arkansas Ecological Services Field Office

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — These reports summarize bat calls collected along transects at Arkansas Ecological Field Service Office for the CY 2016. Calls were classified using Bat Call ID...

  18. Mobile Acoustical Bat Monitoring Annual Summary Report CY 2013- Tennessee Ecological ServicesNational Wildlife Refuge

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — These reports summarize bat calls collected along transects at Tennessee Ecological Services National Wildlife Refuge for the CY 2012. Calls were classified using...

  19. 77 FR 18272 - Uranium Enrichment Fuel Cycle Facility Inspection Reports Regarding Louisiana Energy Services LLC...

    Science.gov (United States)

    2012-03-27

    ... COMMISSION Uranium Enrichment Fuel Cycle Facility Inspection Reports Regarding Louisiana Energy Services LLC...) staff has conducted inspections of the Louisiana Energy Services (LES), LLC, National enrichment... . SUPPLEMENTARY INFORMATION: I. Discussion The NRC staff has conducted inspections of the Louisiana...

  20. [2002 West Nile virus diagnostic services case report : Long Lake National Wildlife Refuge

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — Diagnostic services case report for two Franklin's gull and two ring-billed gull carcasses collected from Long Lake National Wildlife Refuge to be tested for West...