WorldWideScience

Sample records for service agencies results

  1. How Medicaid agencies administer mental health services: results from a 50-state survey.

    Science.gov (United States)

    Verdier, James; Barrett, Allison

    2008-10-01

    This brief report describes some notable variations in how state Medicaid agencies administer and fund Medicaid mental health services. Hour-long telephone interviews were conducted with all state and District of Columbia Medicaid directors or their designees. Responses indicated that Medicaid and mental health agencies were located within the same umbrella agency in 28 states, potentially facilitating collaboration. The mental health agency provided funding for some Medicaid mental health services in 32 states, and counties provided such funding in 22 states. Medicaid agencies generally delegated more authority to state mental health agencies in states where some Medicaid funding came from mental health sources and also in states where both agencies were in the same umbrella agency. The increasing role of Medicaid in funding state mental health services, combined with new federal limits on Medicaid financing of these services, underscores the importance of interagency collaboration and better alignment of Medicaid and mental health responsibilities.

  2. Multicultural development in human services agencies: challenges and solutions.

    Science.gov (United States)

    Hyde, Cheryl A

    2004-01-01

    Comprehensive multicultural organizational development (MCOD) is increasingly necessary in human services agencies. This article presents results from an exploratory study that identified challenges and solutions to MCOD, against the backdrop of daily realities of agency life. The author conducted interviews with 20 consultants and 20 practitioners experienced in MCOD. Qualitative analysis revealed four challenges--socioeconomic environment, organizational dynamics, conceptualization of the change effort, and consultant competence; and four solutions--collaborative environmental relations, leadership development, assessment and planning, and consultant selection. Results suggest the complexities of MCOD and ways that human services agencies can sustain such efforts.

  3. Community Agency Voice and Benefit in Service-Learning

    Science.gov (United States)

    Miron, Devi; Moely, Barbara E.

    2006-01-01

    Supervisors from 40 community agencies working with a university-based service-learning program were interviewed regarding the extent of their input in service-learning program planning and implementation "(Agency Voice), Interpersonal Relations" with service-learning students, "Perceived Benefit" of the service-learning…

  4. Predictive Analytics for City Agencies: Lessons from Children's Services.

    Science.gov (United States)

    Shroff, Ravi

    2017-09-01

    Many municipal agencies maintain detailed and comprehensive electronic records of their interactions with citizens. These data, in combination with machine learning and statistical techniques, offer the promise of better decision making, and more efficient and equitable service delivery. However, a data scientist employed by an agency to implement these techniques faces numerous and varied choices that cumulatively can have significant real-world consequences. The data scientist, who may be the only person at an agency equipped to understand the technical complexity of a predictive algorithm, therefore, bears a good deal of responsibility in making judgments. In this perspective, I use a concrete example from my experience of working with New York City's Administration for Children's Services to illustrate the social and technical tradeoffs that can result from choices made in each step of data analysis. Three themes underlie these tradeoffs: the importance of frequent communication between the data scientist, agency leadership, and domain experts; the agency's resources and organizational constraints; and the necessity of an ethical framework to evaluate salient costs and benefits. These themes inform specific recommendations that I provide to guide agencies that employ data scientists and rely on their work in designing, testing, and implementing predictive algorithms.

  5. Agency Theory and Franchising: Some Empirical Results

    OpenAIRE

    Francine Lafontaine

    1992-01-01

    This article provides an empirical assessment of various agency-theoretic explanations for franchising, including risk sharing, one-sided moral hazard, and two-sided moral hazard. The empirical models use proxies for factors such as risk, moral hazard, and franchisors' need for capital to explain both franchisors' decisions about the terms of their contracts (royalty rates and up-front franchise fees) and the extent to which they use franchising. In this article, I exploit several new sources...

  6. Defense Logistics Agency Disposition Services Needs to Improve Demilitarization Program Self-Assessment Evaluations - Redacted

    Science.gov (United States)

    2016-12-20

    from mandatory disclosure under the Freedom of Information Act. Defense Logistics Agency Disposition Services Needs to Improve Demilitarization...Project No. D2016-D000RD-0057.000) │ i Results in Brief Defense Logistics Agency Disposition Services Needs to Improve Demilitarization Program Self...Assessment Evaluations Visit us at www.dodig.mil December 20, 2016 Objective Our audit objective was to determine whether the Defense Logistics Agency

  7. 34 CFR 300.12 - Educational service agency.

    Science.gov (United States)

    2010-07-01

    ... schools and secondary schools of the State; (b) Includes any other public institution or agency having administrative control and direction over a public elementary school or secondary school; and (c) Includes... develop, manage, and provide services or programs to LEAs; (2) Recognized as an administrative agency for...

  8. Corporate Funding of Human Services Agencies.

    Science.gov (United States)

    Zippay, Allison

    1992-01-01

    Conducted case study of philanthropic giving among 29 companies in Cambridge, Massachusetts. Found that most corporations used informal rather than formal process for making funding decisions, with many firms relying on tradition, social contacts, and intuition to guide allocations. Findings suggest ways that social services administrators can…

  9. Building Service Delivery Networks: Partnership Evolution Among Children's Behavioral Health Agencies in Response to New Funding.

    Science.gov (United States)

    Bunger, Alicia C; Doogan, Nathan J; Cao, Yiwen

    2014-12-01

    Meeting the complex needs of youth with behavioral health problems requires a coordinated network of community-based agencies. Although fiscal scarcity or retrenchment can limit coordinated services, munificence can stimulate service delivery partnerships as agencies expand programs, hire staff, and spend more time coordinating services. This study examines the 2-year evolution of referral and staff expertise sharing networks in response to substantial new funding for services within a regional network of children's mental health organizations. Quantitative network survey data were collected from directors of 22 nonprofit organizations that receive funding from a county government-based behavioral health service fund. Both referral and staff expertise sharing networks changed over time, but results of a stochastic actor-oriented model of network dynamics suggest the nature of this change varies for these networks. Agencies with higher numbers of referral and staff expertise sharing partners tend to maintain these ties and/or develop new relationships over the 2 years. Agencies tend to refer to agencies they trust, but trust was not associated with staff expertise sharing ties. However, agencies maintain or form staff expertise sharing ties with referral partners, or with organizations that provide similar services. In addition, agencies tend to reciprocate staff expertise sharing, but not referrals. Findings suggest that during periods of resource munificence and service expansion, behavioral health organizations build service delivery partnerships in complex ways that build upon prior collaborative history and coordinate services among similar types of providers. Referral partnerships can pave the way for future information sharing relationships.

  10. Mental health services for homebound elders from home health nursing agencies and home care agencies.

    Science.gov (United States)

    Zeltzer, Barry B; Kohn, Robert

    2006-04-01

    This study examined the practices of home care agencies and home health nursing agencies in the management and treatment of homebound clients with behavioral problems, dementia, and undiagnosed mental illnesses. A survey was mailed to all 54 directors of agencies in Rhode Island in 2003; 53 responded, either by mail or telephone. Data indicated a lack of psychiatric services, a reluctance to address behavioral problems, and a failure to identify undiagnosed disorders. There was also a bias against accepting individuals with primary psychiatric disorders. Although the population of homebound elders with mental illness is increasing, their needs are not being met by these agencies.

  11. Linking an agency strategic review to increase knowledge management: San Francisco County Human Service Agency.

    Science.gov (United States)

    Harrison, Lindsay

    2012-01-01

    Led by the agency director, the agency engaged in a Strategic Review, based on a comprehensive assessment of agency performance that identified strategies to improve organizational effectiveness through increased data-informed practice and knowledge management. The Strategic Review gathered information on staff perceptions, perceptions of external stakeholders, changing citywide and neighborhood demographics, policy mandates, and budget and workload issues. The need for the review was based upon multiple, substantial changes not addressed in the 2000 Strategic Plan, including the 2004 merger of the Department of Human Services and the Department of Aging and Adult Services, changes among the executive management team, transitions among key political entities, new policy mandates and changing budget allocations. This case study describes the Strategic Review process and content, summarizing key challenges and lessons related to addressing workload demands, fostering positive staff attitudes, balancing internal and external information needs, and integrating data use and planning processes across the agency. Copyright © Taylor & Francis Group, LLC

  12. Agency ownership, patient payment source, and length of service in home care, 1992 2000.

    Science.gov (United States)

    Han, Beth; McAuley, William J; Remsburg, Robin E

    2007-08-01

    Little is known about whether an association exists between agency ownership and length of service among home care patients with different payment sources. This study investigated how for-profit and not-for-profit agencies responded to policy changes in the 1990s with respect to length of service. We examined length of service among 37,364 home care patients using the 1992, 1994, 1996, 1998, and 2000 National Home and Hospice Care Surveys. We used Kaplan-Meier methods and Cox regression models. After we adjusted for patient and agency characteristics, our results revealed that agency ownership was not associated with length of service for patients with private insurance, Medicare, Medicaid, Medicare plus Medicaid, or Medicare plus private insurance. This finding was consistent from 1992 through 2000. Length of service among patients with Medicare decreased significantly from 1998 through 2000, but length of service among patients with Medicaid did not change significantly from 1992 through 2000. Agency ownership is not associated with patient length of service in home care. Regardless of the policy changes in the home care arena in the 1990s, for-profit and not-for-profit home health agencies behaved similarly with regard to length of service among patients within differently structured payment systems.

  13. Analytical quality control services of the International Atomic Energy Agency

    International Nuclear Information System (INIS)

    Suschny, O.

    1986-01-01

    The International Atomic Energy Agency provides quality control services to analytical laboratories. These services which include the provision of reference materials and the organisation of intercomparisons are rendered for the purpose of assisting laboratories in determining the accuracy of their analytical work. The following classes of materials are presently available: nuclear materials, environmental materials, animal and plant materials, materials for biomedical studies and materials of marine origin. (orig.) [de

  14. Farm service agency employee intentions to use weather and climate data in professional services

    Science.gov (United States)

    Rachel E. Schattman; Gabrielle Roesch-McNally; Sarah Wiener; Meredith T. Niles; David Y. Hollinger

    2018-01-01

    Agricultural service providers often work closely with producers, and are well positioned to include weather and climate change information in the services they provide. By doing so, they can help producers reduce risks due to climate variability and change. A national survey of United States Department of Agriculture Farm Service Agency (FSA) field staff (n...

  15. The introduction of service fees by travel agencies: A case study in Bloemfontein

    Directory of Open Access Journals (Sweden)

    AJ Strydom

    2004-07-01

    Full Text Available Travel agencies normally receive commission from airlines, tour operators, accommodation establishments and car hire companies in exchange for bookings. Global trends in this commission structure indicate dramatic changes, especially regarding airlines. The majority of them have introduced a system of commission capping, whereby commission paid to travel agencies has been reduced and expectations are that it might even become zero in future. Against this background, travel agencies are considering introducing a system of service fees. It implies that clients will have to pay for services such as the preparation of quotations for national and/or international holidays or business trips. This paper discusses the results of research that was undertaken amongst the middle to higher income classes of the residents of Bloemfontein regarding the introduction of service fees by travel agencies.

  16. A case management agency and bank create a service innovation.

    Science.gov (United States)

    Katz, K S; Stowe, A W

    1992-01-01

    Connecticut Community Care, Inc. (CCCI), a statewide, nonprofit case management agency, in collaboration with Connecticut National Bank (CNB), developed a unique model of delivering case management services to bank trust clients. No reports of such a collaborative model have been found in the published literature in the United States. The article presents a historical overview of this innovative initiative; the identification of the target population; the delivery of the assessment, coordination, and monitoring services; and the marketing techniques. Utilization statistics, a synopsis of the model outcomes as viewed by the trust officers, and suggestions for replication are also presented.

  17. Building capacity in social service agencies to employ peer providers.

    Science.gov (United States)

    Gates, Lauren B; Mandiberg, James M; Akabas, Sheila H

    2010-01-01

    While there is evidence that peer providers are valuable to service delivery teams, the agencies where they work face difficulties in fulfilling the potential of including peers on staff effectively. The purpose of this article is to report findings of a pilot test of a workplace strategy that promoted inclusion of peer providers at social service agencies by building organizational capacity to support people with mental health conditions in peer provider roles. The strategy included training, goal setting and ongoing consultation. Seventy-one peer, non-peer and supervisory staff participated from 6 agencies over a one year period. Goal attainment scaling and data from in-depth interviews about perceptions of differences in the ways in which staff are supported, administered prior to and after the consultation period, were used to assess strategy impact. Most frequently staff set goals to respond to role conflict or a lack of support. Staff that met or exceeded their goals utilized the formal structure of consultation to improve communication among themselves, had leadership that sanctioned changes and felt that their participation was of value to the organization and contributed to their individual development. Strategy participation promoted inclusion by initiating changes to policies and practices that devalued the peer provider role, increased skill sets, and formalized lines of communication for sharing information and understanding related to peer providers. Findings demonstrate that a strategy of training, goal setting and consultation can positively affect perceptions of inclusion, and promote implementation of practices associated with inclusive workplaces.

  18. SunLine Transit Agency Advanced Technology Fuel Cell Bus Evaluation: First Results Report

    Energy Technology Data Exchange (ETDEWEB)

    Eudy, L.; Chandler, K.

    2011-03-01

    This report describes operations at SunLine Transit Agency for their newest prototype fuel cell bus and five compressed natural gas (CNG) buses. In May 2010, SunLine began operating its sixth-generation hydrogen fueled bus, an Advanced Technology (AT) fuel cell bus that incorporates the latest design improvements to reduce weight and increase reliability and performance. The agency is collaborating with the U.S. Department of Energy's (DOE) National Renewable Energy Laboratory (NREL) to evaluate the bus in revenue service. This report provides the early data results and implementation experience of the AT fuel cell bus since it was placed in service.

  19. 29 CFR 102.113 - Methods of service of process and papers by the Agency; proof of service.

    Science.gov (United States)

    2010-07-01

    ... 29 Labor 2 2010-07-01 2010-07-01 false Methods of service of process and papers by the Agency; proof of service. 102.113 Section 102.113 Labor Regulations Relating to Labor NATIONAL LABOR RELATIONS... process and papers by the Agency; proof of service. (a) Service of complaints and compliance...

  20. Specialist services: the need for multi-agency partnership.

    Science.gov (United States)

    Christian, J; Gilvarry, E

    1999-07-01

    In the UK the broad trend noted in prevalence surveys is towards increased availability, exposure, and use of illicit drugs across all social strata. There is a developing consensus regarding those groups of young people who are at particular risk. They may be homeless, pregnant, leaving local authority or foster care, engaged in prostitution or involved with the criminal justice system. These young people are likely to require intervention from a variety of agencies and professionals to respond to their multiple needs, yet they are faced with a dearth of specialist substance misuse services. Consequently there is a need to develop a range of partnership approaches amongst both providers and commissioners of services. The importance of partnership has been stressed in a succession of professional guidance documents, but there remain considerable bureaucratic, organisational, and historical barriers that must be overcome. Effective service models that exist in the UK and elsewhere are a source of ideas to stimulate appropriate, child-centred developments. Overall the need for a fresh impetus is emphasised, in which new partnerships are formed, and collaborative services are developed and evaluated. In this way future initiatives can be based upon evidence of clinical and cost effectiveness.

  1. 78 FR 60303 - Agency Information Collection Activities: Online Survey of Web Services Employers; New...

    Science.gov (United States)

    2013-10-01

    ...-NEW] Agency Information Collection Activities: Online Survey of Web Services Employers; New... information collection. (2) Title of the Form/Collection: Online Survey of Web Services Employers. (3) Agency... USCIS obtains data on the E-Verify Program Web Services. Gaining an understanding of the Web Services...

  2. 41 CFR 302-3.419 - For what property will my agency pay property management services?

    Science.gov (United States)

    2010-07-01

    ... 41 Public Contracts and Property Management 4 2010-07-01 2010-07-01 false For what property will my agency pay property management services? 302-3.419 Section 302-3.419 Public Contracts and Property....419 For what property will my agency pay property management services? Your agency will only pay for...

  3. Part of the Job? Workplace Violence in Massachusetts Social Service Agencies

    Science.gov (United States)

    Zelnick, Jennifer R.; Slayter, Elspeth; Flanzbaum, Beth; Butler, Nanci Ginty; Domingo, Beryl; Perlstein, Judith; Trust, Carol

    2013-01-01

    Workplace violence is a serious and surprisingly understudied occupational hazard in social service settings. The authors of this study conducted an anonymous, Internet-based survey of Massachusetts social service agencies to estimate the incidence of physical assault and verbal threat of violence in social service agencies, understand how social…

  4. SunLine Transit Agency Advanced Technology Fuel Cell Bus Evaluation: Third Results Reports

    Energy Technology Data Exchange (ETDEWEB)

    Eudy, L.; Chandler, K.

    2012-05-01

    This report describes operations at SunLine Transit Agency for their newest prototype fuel cell bus and five compressed natural gas (CNG) buses. In May 2010, SunLine began operating its sixth-generation hydrogen fueled bus, an Advanced Technology (AT) fuel cell bus that incorporates the latest design improvements to reduce weight and increase reliability and performance. The agency is collaborating with the U.S. Department of Energy's (DOE) National Renewable Energy Laboratory (NREL) to evaluate the bus in revenue service. NREL has previously published two reports documenting the operation of the fuel cell bus in service. This report provides a summary of the results with a focus on the bus operation from July 2011 through January 2012.

  5. SunLine Transit Agency Advanced Technology Fuel Cell Bus Evaluation: Second Results Report and Appendices

    Energy Technology Data Exchange (ETDEWEB)

    Eudy, L.; Chandler, K.

    2011-10-01

    This report describes operations at SunLine Transit Agency for their newest prototype fuel cell bus and five compressed natural gas (CNG) buses. In May 2010, SunLine began operating its sixth-generation hydrogen fueled bus, an Advanced Technology (AT) fuel cell bus that incorporates the latest design improvements to reduce weight and increase reliability and performance. The agency is collaborating with the U.S. Department of Energy's (DOE) National Renewable Energy Laboratory (NREL) to evaluate the bus in revenue service. This is the second results report for the AT fuel cell bus since it was placed in service, and it focuses on the newest data analysis and lessons learned since the previous report. The appendices, referenced in the main report, provide the full background for the evaluation. They will be updated as new information is collected but will contain the original background material from the first report.

  6. 77 FR 33808 - Agency Information Collection; Activity Under OMB Review: Airline Service Quality Performance...

    Science.gov (United States)

    2012-06-07

    ... DEPARTMENT OF TRANSPORTATION Research & Innovative Technology Administration [Docket ID Number RITA 2008-0002] Agency Information Collection; Activity Under OMB Review: Airline Service Quality.... SUPPLEMENTARY INFORMATION: OMB Approval No. 2138-0041 Title: Airline Service Quality Performance -Part 234. Form...

  7. Using the structure of social networks to map inter-agency relationships in public health services.

    Science.gov (United States)

    West, Robert M; House, Allan O; Keen, Justin; Ward, Vicky L

    2015-11-01

    This article investigates network governance in the context of health and wellbeing services in England, focussing on relationships between managers in a range of services. There are three aims, namely to investigate, (i) the configurations of networks, (ii) the stability of network relationships over time and, (iii) the balance between formal and informal ties that underpin inter-agency relationships. Latent position cluster network models were used to characterise relationships. Managers were asked two questions, both designed to characterise informal relationships. The resulting networks differed substantially from one another in membership. Managers described networks of relationships that spanned organisational boundaries, and that changed substantially over time. The findings suggest that inter-agency co-ordination depends more on informal than on formal relationships. Copyright © 2015 Elsevier Ltd. All rights reserved.

  8. Agency Ownership, Patient Payment Source, and Length of Service in Home Care, 1992-2000

    Science.gov (United States)

    Han, Beth; McAuley, William J.; Remsburg, Robin E.

    2007-01-01

    Purpose: Little is known about whether an association exists between agency ownership and length of service among home care patients with different payment sources. This study investigated how for-profit and not-for-profit agencies responded to policy changes in the 1990s with respect to length of service. Design and Methods: We examined length of…

  9. Critical Considerations in Becoming Literacy Educators: Pre-Service Teachers Rehearsing Agency and Negotiating Risk

    Science.gov (United States)

    Ticknor, Anne Swenson

    2015-01-01

    This article looks closely at the talk of two pre-service teachers over time to examine how they used language as a way of rehearsing their evolving agency as literacy educators. Drawing on critical sociocultural theory, I use Agency Tracing to highlight how pre-service teachers' agentic actions are not isolated phenomena but ones developed and…

  10. 42 CFR 456.6 - Review by State medical agency of appropriateness and quality of services.

    Science.gov (United States)

    2010-10-01

    ... and quality of services. 456.6 Section 456.6 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES... Provisions § 456.6 Review by State medical agency of appropriateness and quality of services. (a) The... professional health personnel of the appropriateness and quality of Medicaid services. (b) The purpose of this...

  11. SunLine Transit Agency Advanced Technology Fuel Cell Bus Evaluation: Fourth Results Report

    Energy Technology Data Exchange (ETDEWEB)

    Eudy, L.; Chandler, K.

    2013-01-01

    SunLine Transit Agency, which provides public transit services to the Coachella Valley area of California, has demonstrated hydrogen and fuel cell bus technologies for more than 10 years. In May 2010, SunLine began demonstrating the advanced technology (AT) fuel cell bus with a hybrid electric propulsion system, fuel cell power system, and lithium-based hybrid batteries. This report describes operations at SunLine for the AT fuel cell bus and five compressed natural gas buses. The U.S. Department of Energy's National Renewable Energy Laboratory (NREL) is working with SunLine to evaluate the bus in real-world service to document the results and help determine the progress toward technology readiness. NREL has previously published three reports documenting the operation of the fuel cell bus in service. This report provides a summary of the results with a focus on the bus operation from February 2012 through November 2012.

  12. Using CBPR to Assess Client Needs at a Social Service Agency.

    Science.gov (United States)

    Amendola, Mary Grace; Nazario, Noelia; Sanchez, Veronica

    2016-01-01

    Community-based participatory research (CBPR) has become an important research approach for universities to partner with social service agencies by uniting them in project design, planning, implementation, and evaluation. This study involved FOCUS, an urban social service agency, and Rutgers College of Nursing (RUCON) collaboratively conducting a needs assessment to compare the health needs of its clients and their employees' perception of their clients health needs, utilizing CBPR. Qualitative data was collected using the focus group method, field notes, photographs, and observation. The employees of FOCUS facilitated focus groups, participant recruitment, and transcribed and translated data. Three themes emerged: Health Education, Cost of Health Care, and Barriers to Health Care. This study contributes to the growing body of knowledge of integrating the CBPR approach when conducting a community needs assessment with a social service agency. The CBPR approach closely reflects the identified health needs of its clients resulting in interventions that will meet their specific health needs. © 2015 Wiley Periodicals, Inc.

  13. Electronic Government In Democratic Public Service In One Door Integrated Permit Handling Services Agency In The City Of Samarinda

    Directory of Open Access Journals (Sweden)

    Iman Surya

    2015-01-01

    Full Text Available ABSTRACT Electronic government needs to carry out in a fundamental public services of democracy. But in practice BPPTSP one door integrated permit service board of Samarinda not able to perform the activities. The aim of this research described analyzing electronic government and public services in a democracy. The methodology used in this research using descriptive qualitative approach the study was on the one door integrated permit service of Samarinda respondents in Samarinda the mayor head of Samarinda the citizen private group of government agencies and interests. Then variable measured in electronic government includes support capacity value and public services including democratic information consultancy and participation. The results of research shows that the variables measured having a deficiency and inability in accommodate aspirations built between citizens and the government in developing electronic democratic government. It is influenced by the absence of elements of liaison which is justice diversity and access electronic between government and public services that make democratic BPPTSP the inability of the city of Samarinda to make changes in depth in an effort to build and create a public being communicative with citizens.

  14. An agency theory perspective on the purchase of marketing services

    NARCIS (Netherlands)

    Tate, W.L.; Ellram, L.M.; Bals, L.; Hartmann, E.; Valk, van der W.

    2010-01-01

    The purchase of business services has become an important part of organizations' acquisition of external resources, and is therefore receiving growing scholarly attention. The supply management function is increasingly supporting more complex service purchases, including a wide range of marketing

  15. Does a hostel's managing agency determine the access to psychiatric services of its residents?

    Science.gov (United States)

    Lucas, B; Audini, B; Chisholm, D; Knapp, M; Lelliott, P

    1998-10-01

    This study examines the effect of managing agency (local authority, private or voluntary) on the use of other health and social care services by residents in mental health hostels and group homes with different levels of staffing in England and Wales. The sample comprised 1323 residents in 275 facilities in eight districts. The measures of service use were number of days in hospital and number of other service contacts. There were highly significant differences between facilities with similar levels of staffing managed by different agencies. Residents in the voluntary sector used fewer community services overall; residents in low-staffed local authority facilities used more services than those in similar facilities managed by other agencies. These differences were not easily explained by differences in the social or clinical characteristics of residents. This suggests that there may be organisational factors, e.g. hostel staff, knowledge of services, which influence access to and use of community services.

  16. 75 FR 21716 - Agency Information Collection; Activity Under OMB Review; Airline Service Quality Performance...

    Science.gov (United States)

    2010-04-26

    ... RITA 2008-0002] Agency Information Collection; Activity Under OMB Review; Airline Service Quality... Reports'' pursuant to 14 CFR 234.4 and 234.6. These reports are used to monitor the quality of air service.... SUPPLEMENTARY INFORMATION: OMB Approval No. 2138-0041. Title: Airline Service Quality Performance--Part 234...

  17. 77 FR 18306 - Agency Information Collection; Activity Under OMB Review; Airline Service Quality Performance

    Science.gov (United States)

    2012-03-27

    ... 2008-0002] Agency Information Collection; Activity Under OMB Review; Airline Service Quality...'' pursuant to 14 CFR 234.4 and 234.6. These reports are used to monitor the quality of air service that... INFORMATION: OMB Approval No. 2138-0041. Title: Airline Service Quality Performance Reports--Part 234. Form No...

  18. 78 FR 42537 - Agency Information Collection Activities: Online Survey of Web Services Employers; New...

    Science.gov (United States)

    2013-07-16

    ...-NEW] Agency Information Collection Activities: Online Survey of Web Services Employers; New... sector. It is necessary that USCIS obtains data on the E-Verify Program Web Services. Gaining an understanding of the Web Services process should enable USCIS to identify programmatic improvements to better...

  19. 42 CFR 415.204 - Services of residents in skilled nursing facilities and home health agencies.

    Science.gov (United States)

    2010-10-01

    ... Services of Residents § 415.204 Services of residents in skilled nursing facilities and home health... 42 Public Health 3 2010-10-01 2010-10-01 false Services of residents in skilled nursing facilities and home health agencies. 415.204 Section 415.204 Public Health CENTERS FOR MEDICARE & MEDICAID...

  20. 75 FR 19986 - Revision of Agency Information Collection for Financial Assistance and Social Services

    Science.gov (United States)

    2010-04-16

    ... Financial Assistance and Social Services AGENCY: Bureau of Indian Affairs, Interior. ACTION: Notice of... assistance under 25 CFR part 20 to eligible Indians when comparable financial assistance or social services.... Specifically, the application form was revised to include all Financial Assistance and Social Service...

  1. Geographic Disparities in Access to Agencies Providing Income-Related Social Services.

    Science.gov (United States)

    Bauer, Scott R; Monuteaux, Michael C; Fleegler, Eric W

    2015-10-01

    Geographic location is an important factor in understanding disparities in access to health-care and social services. The objective of this cross-sectional study is to evaluate disparities in the geographic distribution of income-related social service agencies relative to populations in need within Boston. Agency locations were obtained from a comprehensive database of social services in Boston. Geographic information systems mapped the spatial relationship of the agencies to the population using point density estimation and was compared to census population data. A multivariate logistic regression was conducted to evaluate factors associated with categories of income-related agency density. Median agency density within census block groups ranged from 0 to 8 agencies per square mile per 100 population below the federal poverty level (FPL). Thirty percent (n = 31,810) of persons living below the FPL have no access to income-related social services within 0.5 miles, and 77 % of persons living below FPL (n = 83,022) have access to 2 or fewer agencies. 27.0 % of Blacks, 30.1 % of Hispanics, and 41.0 % of non-Hispanic Whites with incomes below FPL have zero access. In conclusion, some neighborhoods in Boston with a high concentration of low-income populations have limited access to income-related social service agencies.

  2. Administrative Training Needs of Community Service Agency Administrators, c. 1976.

    Science.gov (United States)

    Chamberlain, Petra E.

    The demographic data and model survey instruments used in a study of 444 Wisconsin administrators of schools, universities, hospitals, correction institutions, and governmental agencies are described. A taxonomy of 58 desired competencies grouped by (1) general management techniques, (2) personnel administration, (3) legal requirements, (4)…

  3. Determinants of result-based control in Italian agencies

    OpenAIRE

    Barbieri, Dario; Fedele, Paolo; Galli, Davide; Ongaro, Edoardo

    2010-01-01

    Explaining the form of public sector organizations is a major contribution that organizational theory has to offer to the study of the public sector. In this chapter, we investigate the characteristics of the relationships between agencies and their parent administration in the Italian central government. The study, rooted in organizational theory, adopts different theoretical angles, at first a ‘cultural-normative’ approach mainly embedded in a logic of appropriateness perspective (March an...

  4. Defense Agency Travel Payments at Defense Finance and Accounting Service Indianapolis Center

    National Research Council Canada - National Science Library

    1997-01-01

    The audit objective was to assess the effectiveness of Defense Finance and Accounting Service Indianapolis Center management controls over payments to Defense agency personnel for temporary duty and local travel...

  5. Using evidence-based accreditation standards to promote continuous quality improvement: the experiences of the San Mateo County Human Services Agency.

    Science.gov (United States)

    Winship, Kathy; Lee, Selina Toy

    2012-01-01

    Following a difficult period of service provision, an agency determined that drastic changes were needed to improve agency-wide capacity and functioning. The agency engaged in an organizational level self-assessment aimed at identifying areas for improvement and beginning work towards determining professional standards for service. Results of this organizational self-assessment paved the way for pursuing accreditation of its services, and the agency became the first public agency in its state to be accredited by the Council on Accreditation in all eligible services. This case study describes this agency's efforts in engaging in an organizational self-assessment, the analysis and codification of their practices, and their eventual development of a systematized process for capturing, evaluating and improving practice. Copyright © Taylor & Francis Group, LLC

  6. Procurement of Contract Reconciliation Services by the Defense Logistics Agency

    National Research Council Canada - National Science Library

    1991-01-01

    The audit objective was to evaluate DLA's procedures for contracting with NSI to reconcile contracts before their transfer from the Defense Contract Administration Services Regions to the Defense Finance Center...

  7. Environmental Protection Agency (EPA) Facility Registry Service (FRS) Power Plants

    Data.gov (United States)

    Department of Homeland Security — This GIS dataset contains data on wastewater treatment plants, based on EPA's Facility Registry Service (FRS) and NPDES, along with Clean Watersheds Needs Survey...

  8. 41 CFR 102-76.20 - What issues must Federal agencies consider in providing site planning and landscape design services?

    Science.gov (United States)

    2010-07-01

    ... agencies consider in providing site planning and landscape design services? 102-76.20 Section 102-76.20... What issues must Federal agencies consider in providing site planning and landscape design services? In providing site planning and design services, Federal agencies must— (a) Make the site planning and landscape...

  9. An empirical assessment of service quality in the context of travel agencies in the Republic of Macedonia

    OpenAIRE

    Anita Ciunova-Shuleska; Nikolina Palamidovska; Marija Grishin

    2013-01-01

    This paper investigates the service quality of travel agencies in the Republic of Macedonia from a customer perspective. Its authors applied a modified version of the SERVQUAL instrument for measuring service quality. The results of the performed paired sample t-testing indicated significant differences between expectations and perceptions, with two exceptions. A positive correlation was identified between expectation means and perception means as well as between perception means and gap scor...

  10. [First year results of "APAAC infos services"].

    Science.gov (United States)

    Didi-Kouko Coulibaly, Judith; Aka Dago-Akribi, Hortense; Oyoua, Blandine; Koffi-Gnagne, Yolande; Adoubi, Innocent; Echimane, Kouassi Antoine

    2013-02-01

    In Ivory Coast, the APAAC association "Let us help persons living with cancer or affected by cancer", in French "Aidons les Personnes Atteintes ou Affectées par le Cancer" (APAAC), set up the first ivorian call center to support persons living with or affected by cancer and to inform population about cancer. To show the feasibility of such a service in a developing country and to present the first results. This helpline is, since January 28th, 2010, directly accessible to the population by a fixed phone number. The population can, with a local cost call, contact a specialists team (psychologist, adviser in help relation or doctor), in total confidentiality, every Thursday from 3 pm till 5 pm. Outside Thursdays, informations about cancer are available on vocal server 24 hours a day and seven days a week. Callers are welcomed by a message inviting them either to listen to a recorded message about cancer or about APAAC association or finally to speak to a specialist online. Retrospective study based on the statistics of the call center. Because of a problem arisen on the statistics software, our results carry only over the period from August to December, 2010. We had, during this period, 462 calls among which 23 in August, 58 in September, 67 in October, 230 in November and 84 in December. Reasons of the increasing of the figures are justify by the poster campaign in September and the communication around the service on television program in November. On these 462 calls, we had 35 real communications among whom 10 calls interrupted. The reason was the lack of call credit. The average of the call time was of 20 minutes for the conversations with the specialists. Three hundred and forty-three persons stopped to the welcome message, 341 (9%) listen information on the cancer, 27 (6%) listen information about the association. Sixteen persons wished to speak to specialists but were not regrettably able to make it because having called up except the hours of presence. Three

  11. Measuring disaster preparedness of local emergency medical services agencies

    OpenAIRE

    Elliott, Ross W.

    2010-01-01

    CHDS State/Local Approved for public release; distribution is unlimited Emergency Medical Services (EMS) plays a key role in disaster response. Yet, determining how much preparedness is enough to achieve an acceptable level of preparedness is challenging. After conducting an extensive literature review, it is evident no nationally accepted method exists to evaluate an EMS system's level of disaster preparedness systematically. Research was conducted to define the skills and equipmen...

  12. 75 FR 41920 - Agency Information Collection; Activity Under OMB Review; Airline Service Quality Performance...

    Science.gov (United States)

    2010-07-19

    ... DEPARTMENT OF TRANSPORTATION Research & Innovative Technology Administration [Docket ID Number RITA 2008-0002] Agency Information Collection; Activity Under OMB Review; Airline Service Quality...: Airline Service Quality Performance--Part 234. Form No.: BTS Form 234. Type Of Review: Re-instatement of...

  13. Forging University-Community Collaboration: The Agency Perspective on National Service.

    Science.gov (United States)

    Tice, Carol H.

    1994-01-01

    With passage of the National and Community Service Trust Act of 1993, national service volunteers will be joining forces with community-based organizations to work with underserved populations, creating many challenges. The community agency perspective on some anticipated challenges, possible responses, and application of principles of good…

  14. 76 FR 16039 - Agency Information Collection (Statement in Support of Claim for Service Connection for PTSD...

    Science.gov (United States)

    2011-03-22

    ... (Statement in Support of Claim for Service Connection for PTSD) Under OMB Review AGENCY: Veterans Benefits...: Titles: a. Statement in Support of Claim for Service Connection for Post- Traumatic Stress Disorder (PTSD... Disorder (PTSD) Secondary to Personal Assault, VA Form 21-0781a. OMB Control Number: 2900-0659. Type of...

  15. 75 FR 14183 - Office of Community Oriented Policing Services; Agency Information Collection Activities...

    Science.gov (United States)

    2010-03-24

    ... information collection under review: COPS' Rural Law Enforcement National Training Assessment. The Department of Justice (DOJ) Office of Community Oriented Policing Services (COPS) will be submitting the... DEPARTMENT OF JUSTICE [OMB Number 1103-NEW] Office of Community Oriented Policing Services; Agency...

  16. 75 FR 80067 - Renewal of Agency Information Collection for Application for Job Placement and Training Services...

    Science.gov (United States)

    2010-12-21

    ... Application for Job Placement and Training Services; Request for Comments AGENCY: Bureau of Indian Affairs... Application for Job Placement and Training Services. The information collection is currently authorized by OMB... information collection conducted under 25 CFR part 26 to administer the job placement and training program...

  17. 76 FR 17963 - Renewal of Agency Information Collection for Application for Job Placement and Training Services...

    Science.gov (United States)

    2011-03-31

    ... Application for Job Placement and Training Services; Request for Comments AGENCY: Bureau of Indian Affairs... information for the Application for Job Placement and Training Services. The information collection is... training program, which provides vocational/technical training, related counseling, guidance, job placement...

  18. Quality management as knowledge sharing: experiences of the Napa County Health and Human Services Agency.

    Science.gov (United States)

    Harrison, Lindsay

    2012-01-01

    Lacking a coordinated effort in utilizing data and tracking program outcomes, one agency developed a Quality Management (QM) division to facilitate and manage more effective data use. To support this process, the agency sought to develop a collective, agency-wide understanding and investment in improving and measuring client outcomes. Similarly, the agency also focused efforts on creating a culture of transparency and accountability, with goals of improving service, increasing agency integrity, meeting regulatory compliance, and engaging in effective risk management. Operationalizing the QM initiative involved developing procedures, systems, and guidelines that would facilitate the generation of reliable and accurate data that could be used to inform program change and decision-making. This case study describes this agency's experience in successfully creating and implementing a QM initiative aimed at engaging in greater knowledge sharing. Copyright © Taylor & Francis Group, LLC

  19. Probabilistic results for a mobile service scenario

    DEFF Research Database (Denmark)

    Møller, Jesper; Yiu, Man Lung

    We consider the following stochastic model for a mobile service scenario. Consider a stationary Poisson process in Rd, with its points radially ordered with respect to the origin (the anchor); if d = 2, the points may correspond to locations of e.g. restaurants. A user, with a location different...

  20. Factors Affecting the Provision of Quality Service in Real Estate Agency in Lagos Metropolis, Nigeria

    OpenAIRE

    Funmilayo Moyinola Araloyin; OJO Olatoye

    2011-01-01

    Real estate firms attempting to increase and retain their customers need to know the factors contributing to customers¡¯ satisfaction and retention. This study investigate into real estate agency market with the purposes of identifying factors that affect quality in service provision and possible factors contributing to customers¡¯ satisfaction and retention in real estate agency. This study uses survey questionnaires to obtain information from real estate consumers. This sample size consiste...

  1. New Public Management or Mismanagement? The Case of Public Service Agency of Indonesia

    Directory of Open Access Journals (Sweden)

    JIN-WOOK CHOI

    2016-02-01

    Full Text Available In line with the new public management (NPM, a public service agency (PSA is considered as an alternative to replace the government-led public service delivery in a more efficient and effective way. At the same time, a PSA mechanism can deliver public service with better quality. To meet these ends, a PSA is granted with operational flexibility and autonomy particularly in managing finance and personnel. However, the PSA system has not yielded the expected benefits in Indonesia. On the contrary, PSAs have been regarded to cause financial burdens to the Government of Indonesia. This paper explores the current conditions of three key institutional bases of PSAs in Indonesia including PSA governance, financial management and performance management. The notable challenges related to the three dimensions in the Indonesia’s PSAs include the weak PSA governance structure, and an inappropriate balance between flexibility and autonomy on the one hand and accountability and performance on the other in managing a PSA. Focusing on these challenges, this paper draws the following policy suggestions for Indonesia to improve the efficient operation of the PSA system: rebuild the PSA governance on a firm and clear legal base, absorb diverse stakeholders and outside experts in the PSA governance decision-making; monitor and evaluate the PSA’s financial flexibility and autonomy through vigilant internal and external monitoring mechanisms; redesign performance appraisal to set up right appraisal structure, process, and performance criteria; and link the results of performance appraisal to relevant rewards and punishment.

  2. Fraud Prevention A Study In Regional Public Service Agency BLUD For Hospital In Malang Regency Indonesia

    Directory of Open Access Journals (Sweden)

    Koenta Adji Koerniawan

    2017-04-01

    Full Text Available This study aims to understand the effect of management perceptions in Regional Public Service Agency BLUD for Hospital in Malang regency Indonesia on the role of the Independent Auditor and their understanding towards Good Governance the General Audit Engagement and its implications for the prevention of corruption. This research is quantitative which placed latent variables General Audit Engagements as intervening variables. Partial Least Square PLS is used to confirm the model created in order to explain the relationship between variables. The results show that the perception of BLUD hospital management on the role of independent auditors and their understanding of good governance to give effect to the implementation of the audit engagement and the implications for the prevention of fraud in BLUDs hospital. This is consistent with the theory of auditing and fraud prevention concepts. JEL Classification M420 K420

  3. Intangibles Factors and Quality Assessment of the Service Received in Travel Agencies

    Directory of Open Access Journals (Sweden)

    Cristina Esteban Alberdi

    2004-12-01

    Full Text Available Adaptation of travel agencies to the standards of the New Economy is leading to a trend towards restructuring the sector aimed at finding new competitive strategies. The growing importance of intangible assets in achieving such strategies has motivated this study, which has tried to identify those intangible factors, present in the provision of the service, that have a direct relationship with the client's perception of a differentiation in the service received.

  4. Comparing consumer-directed and agency models for providing supportive services at home.

    Science.gov (United States)

    Benjamin, A E; Matthias, R; Franke, T M

    2000-04-01

    To examine the service experiences and outcomes of low-income Medicaid beneficiaries with disabilities under two different models for organizing home-based personal assistance services: agency-directed and consumer-directed. A survey of a random sample of 1,095 clients, age 18 and over, who receive services in California's In-Home Supportive Services (IHSS) program funded primarily by Medicaid. Other data were obtained from the California Management and Payrolling System (CMIPS). The sample was stratified by service model (agency-directed or consumer-directed), client age (over or under age 65), and severity. Data were collected on client demographics, condition/functional status, and supportive service experience. Outcome measures were developed in three areas: safety, unmet need, and service satisfaction. Factor analysis was used to reduce multiple outcome measures to nine dimensions. Multiple regression analysis was used to assess the effect of service model on each outcome dimension, taking into account the client-provider relationship, client demographics, and case mix. Recipients of IHSS services as of mid-1996 were interviewed by telephone. The survey was conducted in late 1996 and early 1997. On various outcomes, recipients in the consumer-directed model report more positive outcomes than those in the agency model, or they report no difference. Statistically significant differences emerge on recipient safety, unmet needs, and service satisfaction. A family member present as a paid provider is also associated with more positive reported outcomes within the consumer-directed model, but model differences persist even when this is taken into account. Although both models have strengths and weaknesses, from a recipient perspective the consumer-directed model is associated with more positive outcomes. Although health professionals have expressed concerns about the capacity of consumer direction to assure quality, particularly with respect to safety, meeting unmet

  5. Planning an organizational wellness initiative at a multi-state social service agency.

    Science.gov (United States)

    Miller, J Jay; Grise-Owens, Erlene; Addison, Donia; Marshall, Midaya; Trabue, Donna; Escobar-Ratliff, Laura

    2016-06-01

    Increasingly, organizations in general, and social service organizations, specifically, are recognizing the importance of planning and evaluating organizational wellness initiatives. Yet, few participatory models for carrying out these aims exist. For this study, researchers utilized concept mapping (CM) to explicate a conceptual framework for planning, and subsequently evaluating, a wellness initiative at a multi-state social service organization. CM is a participatory approach that analyzes qualitative data via multi-dimensional scaling and hierarchical cluster analyses. Outputs include a number of visual depictions that allow researchers to explore complex relationships among sets of the data. Results from this study indicated that participants (N=64), all of whom were employees of the agency, conceptualized organizational wellness via an eight-cluster solution, or Concept Map. Priority areas of this framework, specifically importance and feasibility, were also explored. After a brief review of pertinent literature, this article explicates the CM methodology utilized in this study, describes results, discusses lessons learned, and identifies apt areas for future research. Copyright © 2016 Elsevier Ltd. All rights reserved.

  6. Electron Microscopy Facility for Research and Services in the Malaysian Nuclear Agency towards TSO

    International Nuclear Information System (INIS)

    Nadira Kamarudin; Mohd Bin Harun; Zaiton Selamat

    2011-01-01

    Scanning Electron Microscope FEI-Quanta 400 (SEM) made in the USA was commissioned in late 2003. This equipment is used in many areas of materials science, metallurgy, engineering, electronics, medicine, agriculture, biology and so on. This facility has helped the researchers in conducting research in their respective fields as well have been providing services to agencies, institutions, industries and local industry. Since 2004, there were 81 projects and 5000 samples analyzed using this facility in Malaysian Nuclear Agency, while 23 companies and 900 samples were from various agencies. In addition, revenue derived from these services has able to provide for the maintenance of this equipment. SEM is an important step in the nuclear material testing process. Nuclear material can be inspected for its performance by getting information from its morphology micrograph by using SEM. It opens up a whole new world that is unseen by the naked eye. (author)

  7. Evidence, Fidelity, and Organisational Rationales: Multiple Uses of Motivational Interviewing in a Social Services Agency

    Science.gov (United States)

    Björk, Alexander

    2016-01-01

    In discussions and empirical investigations of the implementation of evidence-based interventions there is often a narrow focus on treatment fidelity. Studying a social services agency trying to incorporate Motivational Interviewing (MI), commonly regarded as evidence-based, this paper problematises a one-sided attention to treatment fidelity by…

  8. 41 CFR 302-12.4 - For what relocation services expenses will my agency pay?

    Science.gov (United States)

    2010-07-01

    ... actual expenses the company incurs on your behalf, payment to the company is limited to what you would... 41 Public Contracts and Property Management 4 2010-07-01 2010-07-01 false For what relocation services expenses will my agency pay? 302-12.4 Section 302-12.4 Public Contracts and Property Management...

  9. 78 FR 22253 - Agency Information Collection Activities; Comment Request; Study of the Delivery of Services...

    Science.gov (United States)

    2013-04-15

    ... comment addressing the following issues: (1) Is this collection necessary to the proper functions of the... who have a physical or mental impairment that results in a substantial impediment to employment, who... individuals with disabilities, how and to what extent state VR agencies work with partner agencies or programs...

  10. Assessing Advanced Airway Management Performance in a National Cohort of Emergency Medical Services Agencies.

    Science.gov (United States)

    Wang, Henry E; Donnelly, John P; Barton, Dustin; Jarvis, Jeffrey L

    2018-05-01

    Although often the focus of quality improvement efforts, emergency medical services (EMS) advanced airway management performance has few national comparisons, nor are there many assessments with benchmarks accounting for differences in agency volume or patient mix. We seek to assess variations in advanced airway management and conventional intubation performance in a national cohort of EMS agencies. We used EMS data from ESO Solutions, a national EMS electronic health record system. We identified EMS emergency responses with attempted advanced airway management (conventional intubation, rapid sequence intubation, sedation-assisted intubation, supraglottic airway insertion, and cricothyroidotomy). We also separately examined cases with initial conventional intubation. We determined EMS agency risk-standardized advanced airway management and initial conventional intubation success rates by using mixed-effects regression models, fitting agency as a random intercept, adjusting for patient age, sex, race, cardiac arrest, or trauma status, and use of rapid sequence or sedation-assisted intubation, and accounting for reliability variations from EMS agency airway volume. We assessed changes in agency advanced airway management and initial conventional intubation performance rank after risk and reliability adjustment. We also identified high and low performers (reliability-adjusted and risk-standardized success confidence intervals falling outside the mean). During 2011 to 2015, 550 EMS agencies performed 57,209 advanced airway management procedures. Among 401 EMS agencies with greater than or equal to 10 advanced airway management procedures, there were a total of 56,636 procedures. Median reliability-adjusted and risk-standardized EMS agency advanced airway management success was 92.9% (interquartile range 90.1% to 94.8%; minimum 58.2%; maximum 99.0%). There were 56 advanced airway management low-performing and 38 high-performing EMS agencies. Among 342 agencies with

  11. Development and Evaluation of a Train-the-Trainer Workshop for Hong Kong Community Social Service Agency Staff.

    Science.gov (United States)

    Zhou, Qianling; Stewart, Sunita M; Wan, Alice; Leung, Charles Sai-Cheong; Lai, Agnes Y; Lam, Tai Hing; Chan, Sophia Siu-Chee

    2017-01-01

    quantitative results. Our brief TTT was effectively delivered to a large number of agency staff and showed effects that persisted up to 12 months. Our training and evaluation models may offer a template for capacity building among social service agency staff for community brief, universal family health promotion interventions in diverse settings.

  12. 41 CFR 102-76.25 - What standards must Federal agencies meet in providing architectural and interior design services?

    Science.gov (United States)

    2010-07-01

    ... Federal agencies meet in providing architectural and interior design services? 102-76.25 Section 102-76.25...) FEDERAL MANAGEMENT REGULATION REAL PROPERTY 76-DESIGN AND CONSTRUCTION Design and Construction § 102-76.25 What standards must Federal agencies meet in providing architectural and interior design services...

  13. 41 CFR 302-3.421 - What are the income tax consequences when my agency pays for property management services?

    Science.gov (United States)

    2010-07-01

    ... 41 Public Contracts and Property Management 4 2010-07-01 2010-07-01 false What are the income tax consequences when my agency pays for property management services? 302-3.421 Section 302-3.421 Public Contracts... § 302-3.421 What are the income tax consequences when my agency pays for property management services...

  14. Guidelines for developing effective health education service in a national health agency.

    Science.gov (United States)

    Ochor, J O

    1983-01-01

    The constraints facing health education include: the fragmentation and dispersal of health-educational services among different agencies and personnel; lack of policy guidelines; ineffectively organized and inefficiently managed health education systems; poor hierarchical status and inadequacy of resources. To resolve these constraints, national health education systems in health agencies should be developed on the basis of stipulated guidelines that could ensure their viability, efficiency and effectiveness. A study at the African Regional Health Education Centre, Ibadan, Nigeria, has yielded thirty synthesized guidelines. The "guidelines" were empirically tested as an evaluation tool by assessing the operational and organizational status of Oyo State Health Education Unit, Ibadan, Nigeria. These guidelines are adaptable to local conditions to enhance the re-organization, re-orientation and consolidation of health education in national health agencies.

  15. The Australian radiation protection and nuclear safety agency megavoltage photon thermoluminescence dosimetry postal audit service 2007–2010

    International Nuclear Information System (INIS)

    Oliver, C.P.; Butler, D.J.; Webb, D.V.

    2012-01-01

    The Australian radiation protection and nuclear safety agency (ARPANSA) has continuously provided a level 1 mailed thermoluminescence dosimetry audit service for megavoltage photons since 2007. The purpose of the audit is to provide an independent verification of the reference dose output of a radiotherapy linear accelerator in a clinical environment. Photon beam quality measurements can also be made as part of the audit in addition to the output measurements. The results of all audits performed between 2007 and 2010 are presented. The average of all reference beam output measurements calculated as a clinically stated dose divided by an ARPANSA measured dose is 0.9993. The results of all beam quality measurements calculated as a clinically stated quality divided by an ARPANSA measured quality is 1.0087. Since 2011 the provision of all auditing services has been transferred from the Ionizing Radiation Standards section to the Australian Clinical Dosimetry Service (ACDS) which is currently housed within ARPANSA.

  16. 41 CFR 301-50.7 - Should I use the online self-service booking tool once ETS is available within my agency?

    Science.gov (United States)

    2010-07-01

    ... SERVICES § 301-50.7 Should I use the online self-service booking tool once ETS is available within my agency? Yes, you should use the online self-service booking tool offered by ETS or your agency's TMS... self-service booking tool once ETS is available within my agency? 301-50.7 Section 301-50.7 Public...

  17. 41 CFR 102-118.65 - Can my agency receive electronic billing for payment of transportation services?

    Science.gov (United States)

    2010-07-01

    ... electronic billing for payment of transportation services? 102-118.65 Section 102-118.65 Public Contracts and... Transportation Services § 102-118.65 Can my agency receive electronic billing for payment of transportation... to use electronic billing for the procurement and billing of transportation services. ...

  18. Project FIND: a profile of a community-based senior services agency.

    Science.gov (United States)

    Lockwood, Andrée

    2007-01-01

    Project FIND has been providing innovative supportive housing, nutrition, and social support to homeless and low- and moderate-income seniors on New York City's West Side since 1967. This article profiles this nonprofit, community-based agency, which was established to meet the needs of the frail and isolated elderly, and has continued to grow and evolve in response to changing demographics, neighborhood gentrification, and needs of both the homeless as well as the active "younger old." The article describes creative programming that has distinguished Project FIND's response to seniors' needs beyond basic housing and nutrition. It also explores what it takes to successfully provide senior services using limited resources and examines challenges for the future both nationally and for the agency.

  19. The International Atomic Energy Agency - Organization, Work and Services in Selected Fields

    International Nuclear Information System (INIS)

    Köteles, G.J.

    1979-01-01

    In an address to the 8th General Assembly of the United Nations (1953) the President of the United States suggested that Governments should begin to make joint contributions from their stockpiles of fissile materials to an international atomic energy agency which would be set up under the aegis of the United Nations. The fissile material so collected would be used to serve the peaceful pursuits of mankind. Experts would be mobilized to apply atomic energy to the needs of agriculture, medicine and other peaceful purposes and a special effort would be made to provide abundant electrical energy in the power-starved areas of the world. This suggestion was taken up. A Statute which defines the structure and purpose of the International Atomic Energy Agency (IAEA) was prepared by a group of nations and approved by a conference at the United Nations Headquarters in 1956. The Statute entered into force on 29 July 1957. The Agency's objectives, as defined in its Statute, are that it ''shall seek to accelerate and enlarge the contribution of atomic energy to peace, health and prosperity throughout the world. It shall ensure, as far as it is able, that assistance provided by it or at its request or under its supervision or control is not used in such a way as to further any military purpose''. To attain these objectives, the IAEA is authorized ''to encourage and assist research on, and development and practical application of, atomic energy for peaceful uses throughout the world; and, if requested to do so, to act as an intermediary for the purposes of securing the performance of services or the supplying of materials, equipment, or facilities by one member of the Agency for another''; to ''... assemble and make available in an accessible form the [scientific] information made available to it...'' and furthermore ''to make provision, ... for materials, services, equipment, and facilities to meet the

  20. An empirical assessment of service quality in the context of travel agencies in the Republic of Macedonia

    Directory of Open Access Journals (Sweden)

    Anita Ciunova-Shuleska

    2013-06-01

    Full Text Available This paper investigates the service quality of travel agencies in the Republic of Macedonia from a customer perspective. Its authors applied a modified version of the SERVQUAL instrument for measuring service quality. The results of the performed paired sample t-testing indicated significant differences between expectations and perceptions, with two exceptions. A positive correlation was identified between expectation means and perception means as well as between perception means and gap score means, with a negative correlation identified between expectation means and gap means. Furthermore, factor analysis of the gap score means was performed, revealing the existence of 3 dimensions: customer orientation, reliability and tangibles. Data analysis showed negative gaps between expectations and perception on all three dimensions. Finally, by using the ANOVA test, significant differences among the gap scores of the three different classes of travel agencies (with “A”, “B” and “C” licenses were determined, both in total and with regard to the identified dimensions. There are a number of areas of the travel agencies’ service quality where enhancements are needed in order to satisfy the customers more fully.

  1. Religion-Related Child Maltreatment: A Profile of Cases Encountered by Legal and Social Service Agencies.

    Science.gov (United States)

    Bottoms, Bette L; Goodman, Gail S; Tolou-Shams, Marina; Diviak, Kathleen R; Shaver, Phillip R

    2015-08-01

    Religion can foster, facilitate, and be used to justify child maltreatment. Yet religion-related child abuse and neglect have received little attention from social scientists. We examined 249 cases of religion-related child maltreatment reported to social service agencies, police departments, and prosecutors' offices nationwide. We focused on cases involving maltreatment perpetrated by persons with religious authority, such as ministers and priests; the withholding of medical care for religious reasons; and abusive attempts to rid a child of supposed evil. By providing a descriptive statistical profile of the major features of these cases, we illustrate how these varieties of religion-related child maltreatment occur, who the victims and perpetrators are, and how religion-related child abuse and neglect are reported and processed by the social service and criminal justice systems. We end with a call for greater research attention to these important offenses against children. Copyright © 2015 John Wiley & Sons, Ltd.

  2. 41 CFR 302-3.418 - Will my agency pay for property management services when I am authorized a TCS?

    Science.gov (United States)

    2010-07-01

    ... station as a rental property. Services provided by the company may include, but are not limited to... 41 Public Contracts and Property Management 4 2010-07-01 2010-07-01 false Will my agency pay for property management services when I am authorized a TCS? 302-3.418 Section 302-3.418 Public Contracts and...

  3. 41 CFR 102-85.190 - Can GSA Rent be adjusted when standard levels of service are performed by other customer agencies?

    Science.gov (United States)

    2010-07-01

    ... when standard levels of service are performed by other customer agencies? 102-85.190 Section 102-85.190... perform or contract for such services must be obtained in advance by the customer agency from the... of Service § 102-85.190 Can GSA Rent be adjusted when standard levels of service are performed by...

  4. Progress in increasing electronic reporting of laboratory results to public health agencies--United States, 2013.

    Science.gov (United States)

    2013-09-27

    Electronic reporting of laboratory results to public health agencies can improve public health surveillance for reportable diseases and conditions by making reporting more timely and complete. Since 2010, CDC has provided funding to 57 state, local, and territorial health departments through the Epidemiology and Laboratory Capacity for Infectious Diseases cooperative agreement to assist with improving electronic laboratory reporting (ELR) from clinical and public health laboratories to public health agencies. As part of this agreement, CDC and state and large local health departments are collaborating to monitor ELR implementation in the United States by developing data from each jurisdiction regarding total reporting laboratories, laboratories sending ELR by disease category and message format, and the number of ELR laboratory reports compared with the total number of laboratory reports. At the end of July 2013, 54 of the 57 jurisdictions were receiving at least some laboratory reports through ELR, and approximately 62% of 20 million laboratory reports were being received electronically, compared with 54% in 2012. Continued progress will require collaboration between clinical laboratories, laboratory information management system (LIMS) vendors, and public health agencies.

  5. 75 FR 43944 - Membership of the Defense Logistics Agency (DLA) Senior Executive Service (SES) Performance...

    Science.gov (United States)

    2010-07-27

    ... CONTACT: Ms. Lisa Novajosky, SES Program Manager, DLA Human Resources (J-14), Defense Logistics Agency... DEPARTMENT OF DEFENSE Defense Logistics Agency Membership of the Defense Logistics Agency (DLA... management of the SES cadre. DATES: Effective Date: September 16, 2010. ADDRESSES: Defense Logistics Agency...

  6. Buying results? Contracting for health service delivery in developing countries.

    Science.gov (United States)

    Loevinsohn, Benjamin; Harding, April

    To achieve the health-related Millennium Development Goals, the delivery of health services will need to improve. Contracting with non-state entities, including non-governmental organisations (NGOs), has been proposed as a means for improving health care delivery, and the global experience with such contracts is reviewed here. The ten investigated examples indicate that contracting for the delivery of primary care can be very effective and that improvements can be rapid. These results were achieved in various settings and services. Many of the anticipated difficulties with contracting were either not observed in practice or did not compromise contracting's effectiveness. Seven of the nine cases with sufficient experience (greater than 3 years' elapsed experience) have been sustained and expanded. Provision of a package of basic services by contractors costs between roughly US3 dollars and US6 dollars per head per year in low-income countries. Contracting for health service delivery should be expanded and future efforts must include rigorous evaluations.

  7. 41 CFR 301-10.421 - How much will my agency reimburse me for a tip to a taxi, shuttle service, or courtesy...

    Science.gov (United States)

    2010-07-01

    ... reimburse me for a tip to a taxi, shuttle service, or courtesy transportation driver? 301-10.421 Section 301..., Shuttle Services, Or Other Courtesy Transportation § 301-10.421 How much will my agency reimburse me for a tip to a taxi, shuttle service, or courtesy transportation driver? An amount which your agency...

  8. Using benefit indicators to evaluate ecosystem services resulting from restoration

    Science.gov (United States)

    Ecological restoration can reestablish ecosystem services that provide valuable social and environmental benefits. Final ecosystem goods and services (FEGS) are the goods and services that directly benefit people. Explicitly identifying the people who benefit and characterizing w...

  9. Cooperation as a Service in VANET: Implementation and Simulation Results

    Directory of Open Access Journals (Sweden)

    Hajar Mousannif

    2012-01-01

    Full Text Available The past decade has witnessed the emergence of Vehicular Ad-hoc Networks (VANET, specializing from the well-known Mobile Ad Hoc Networks (MANET to Vehicle-to-Vehicle (V2V and Vehicle-to-Infrastructure (V2I wireless communications. While the original motivation for Vehicular Networks was to promote traffic safety, recently it has become increasingly obvious that Vehicular Networks open new vistas for Internet access, providing weather or road condition, parking availability, distributed gaming, and advertisement. In previous papers [27,28], we introduced Cooperation as a Service (CaaS; a new service-oriented solution which enables improved and new services for the road users and an optimized use of the road network through vehicle's cooperation and vehicle-to-vehicle communications. The current paper is an extension of the first ones; it describes an improved version of CaaS and provides its full implementation details and simulation results. CaaS structures the network into clusters, and uses Content Based Routing (CBR for intra-cluster communications and DTN (Delay–and disruption-Tolerant Network routing for inter-cluster communications. To show the feasibility of our approach, we implemented and tested CaaS using Opnet modeler software package. Simulation results prove the correctness of our protocol and indicate that CaaS achieves higher performance as compared to an Epidemic approach.

  10. Reproducibility problems of in-service ultrasonic testing results

    International Nuclear Information System (INIS)

    Honcu, E.

    1974-01-01

    The reproducibility of the results of ultrasonic testing is the basic precondition for its successful application in in-service inspection of changes in the quality of components of nuclear power installations. The results of periodic ultrasonic inspections are not satisfactory from the point of view of reproducibility. Regardless, the ultrasonic pulse-type method is suitable for evaluating the quality of most components of nuclear installations and often the sole method which may be recommended for inspection with regard to its technical and economic aspects. (J.B.)

  11. 76 FR 4322 - Availability of the Fiscal Year 2009 Missile Defense Agency Services Contracts Inventory Pursuant...

    Science.gov (United States)

    2011-01-25

    ... DEPARTMENT OF DEFENSE Office of the Secretary Availability of the Fiscal Year 2009 Missile Defense... Act AGENCY: Missile Defense Agency (MDA), DoD. ACTION: Notice of availability. SUMMARY: In accordance... for Fiscal Year 2008 (NDAA 08) Section 807, the Director of the Missile Defense Agency and the Office...

  12. An Innovative Method for Evaluating Strategic Goals in a Public Agency: Conservation Leadership in the U.S. Forest Service

    Science.gov (United States)

    David N. Bengston; David P. Fan

    1999-01-01

    This article presents an innovative methodology for evaluating strategic planning goals in a public agency. Computer-coded content analysis was used to evaluate attitudes expressed in about 28,000 on-line news media stories about the U.S. Department of Agriculture Forest Service and its strategic goal of conservation leadership. Three dimensions of conservation...

  13. Advertising Agencies

    DEFF Research Database (Denmark)

    Moeran, Brian

    2015-01-01

    Advertising agencies are the most significant organizations in the development of advertising and marketing worldwide. An advertising agency is an independent service company, composed of business, marketing and creative people, who develop, prepare, and place advertising in advertising media...... for their clients, the advertisers, who are in search of customers for their goods and services. Agencies thus mediate between three different but interlocking social groups: industry, media, and consumers. The history of advertising is largely the history of the advertising agencies that have served the needs....... This article is concerned with the origins, early developments, organization, compensation arrangements, and accounts of contemporary full-service advertising agencies....

  14. Service Quality Robust Design by the Integration of Taguchi Experiments and SERVQUAL Approach in a Travel Agency

    Directory of Open Access Journals (Sweden)

    nassibeh janatyan

    2012-02-01

    Full Text Available The main purpose of this research is to address how robust design of service quality dimensions can be obtained. Service Quality Robust Design has been conducted by the integration of Taguchi Design of Experiments and SERVQUAL approach in Iran Travel Agency. Five basic dimensions of service quality, i.e. reliability, responsiveness, assurance, empathy, tangibles and price have been assumed as control factors. Response factor has been defined as two alternatives i the sum of customer expectations, and ii the sum of service quality gaps. In this investigation assumed that noise factor is not existed. The advantage of this paper is to improve the average and standard deviation simultaneously. Signal to noise ratio has been computed and the desired mix of the levels of service quality dimensions has been addressed. The main findings of this research includes the desired mix of the levels of service quality dimensions based on the sum of customer expectations and the desired mix of the levels of service quality dimensions based on the sum of service quality gaps. Comparing the two sets of findings helps the agency to analyze the cost of attracting new customers or retaining regular customers.

  15. Challenges for a Local Service Agency to Address Domestic Violence –A Case Study From Rural Indonesia

    Science.gov (United States)

    Hayati, Elli Nur; Emmelin, Maria; Eriksson, Malin

    2014-01-01

    Since the launch of a Zero Tolerance Policy in Indonesia, several policies to address domestic violence have been enacted. The obligation of local governments to establish service units for women survivors of domestic violence is one of them. Since domestic violence is a sensitive and complex issue in Indonesia it is important to understand how governmentally regulated services function in practice. This case study aimed to explore challenges faced by a local service agency in managing service provision for women survivors of domestic violence in rural Indonesia. Data from one focus group discussion (12 participants), four individual interviews, six short narratives, two days of participant observation, as well as archive reviews were collected. All data were analyzed using Grounded Theory Situational Analysis. The major challenge faced by the local agency was the low priority that was given them by the local authorities, mirrored also in low involvement by the assigned volunteers in the daily service. The study also identified a gap between the socio-cultural arena and the law & policy arena that needs to be bridged to avoid that the two arenas address domestic violence in a contradictory way. Budget allocation to support the sustainability of the daily routines of service agencies has to be given priority. There is also a need for careful considerations regarding the composition of personnel involved within daily management of service agencies addressing domestic violence. To bridge the gap between the legal systems and traditional cultural values, culturally adjusted alternative justice systems could be developed to increase women’s access to legal support. PMID:25363105

  16. The Impact of Service Quality on Customer Behavioral Loyalty in the Case of Travel Agencies from Romania

    Directory of Open Access Journals (Sweden)

    Ovidiu I. Moisescu

    2014-11-01

    Full Text Available Even though the concept of loyalty has been a key issue in tourism destination marketing for the last decades, the issue of customer loyalty in the case of travel agencies seems to be less emphasized in the specialized literature. The current research is part of a larger study directed at analyzing the impact of corporate social responsibility (CSR on customer loyalty. Improving service quality is a fundamental part of the social responsibility of tourism businesses, while creating, maintaining and increasing customer loyalty is essential for the sustainability of these businesses. Starting from these assertions, the current paper tries to reveal certain correlations and to identify a model that depicts the impact of travel agencies’ service quality on their customers’ loyalty. In order to accomplish these goals, an online survey has been conducted among a sample of 286 Romanians which travelled using the services of a travel agency. In order to evaluate service quality, the SERVPERF assessment procedure was adapted to the case of travel agencies, using items related to tangibles (physical facilities, equipment and appearance of personnel, reliability (ability to perform the promised service dependably and accurately, responsiveness (willingness to help customers and provide prompt service, assurance (knowledge and courtesy of employees and their ability to inspire trust and confidence - including competence, courtesy, credibility and security, and empathy (caring and individualized attention that the firm provides to its customers - including access, communication, understanding the customer. In what concerns customer loyalty, the paper focuses on its behavioral facet, namely on the recommendations effectively made regarding certain travel agencies. In the proposed model, the scores regarding perceptions (SERVPERF were approached as independent variables, while behavioral loyalty was depicted as dependent variable.

  17. The Forest Service Safety Survey: results from an employee-wide safety attitude survey

    Science.gov (United States)

    Vanessa R. Lane; Ken Cordell; Stanley J. Zarnoch; Gary T. Green; Neelam Poudyal; Susan Fox

    2014-01-01

    The Forest Service, U.S. Department of Agriculture launched a Safety Journey in 2011 aimed at elevating safety consciousness and practice in the Agency. All employees were required to attend an engagement session during the year to introduce them to the Safety Journey. In September, a survey was launched to help Forest Service leadership better understand employee...

  18. 41 CFR 301-53.4 - May I select travel service providers for which my agency is not a mandatory user in order to...

    Science.gov (United States)

    2010-07-01

    ... select travel service providers for which my agency is not a mandatory user in order to maximize my... frequent traveler benefits. You must use the travel service provider for which your agency is a mandatory... 41 Public Contracts and Property Management 4 2010-07-01 2010-07-01 false May I select travel...

  19. 25 CFR 20.508 - What must the social services agency do when a child is placed in foster care, residential care...

    Science.gov (United States)

    2010-04-01

    ... PROGRAMS Child Assistance Foster Care § 20.508 What must the social services agency do when a child is placed in foster care, residential care or guardianship home? The social services agency must make... placed in foster care, residential care or guardianship home? 20.508 Section 20.508 Indians BUREAU OF...

  20. 41 CFR 302-15.13 - What are the income tax consequences when my agency pays for my property management services?

    Science.gov (United States)

    2010-07-01

    ... 41 Public Contracts and Property Management 4 2010-07-01 2010-07-01 false What are the income tax consequences when my agency pays for my property management services? 302-15.13 Section 302-15.13 Public....13 What are the income tax consequences when my agency pays for my property management services? When...

  1. Applications of research results from NPAR service water system studies

    International Nuclear Information System (INIS)

    Jarrell, D.B.; Stratton, R.C.

    1991-01-01

    Under the Nuclear Plant Aging Research (NPAR) program, the Nuclear Regulatory Commission (NRC) has invested considerable resources in understanding the mechanisms, mitigating the damage, and managing the results of nuclear power plant aging degradation. Many direct benefits have resulted from this program in terms of improved plant safety through upgraded regulatory guidance. The 'Service Water System (SWS) Aging Degradation Assessment' (NUREG/CR-5379), produced by the Pacific Northwest Laboratory (PNL), contributed to this program. Two other benefits have resulted from the NPAR SWS task: (1) a contribution to the content of Generic Letter 89-13 (nuclear plant SWS performance requirements) and (2) the development of a systematic and complete root-cause analysis (RCA) methodology for use in the solution of SWS as well as other system component failures. Less recognized, but also of significance, are the spin-off initiatives from the NRC's NPAR program investigations. One such spin-off resulting specifically from the NRC-sponsored SWS research is the continuing development of the RCA methodology to facilitate the computerized integration of the following: (1) component condition monitoring; (2) fault diagnostics; and (3) failure root cause analysis. The Decision Support system for Operations and Maintenance project being developed at PNL is implementing the NPAR-developed RCA methodology utilizing an artificial intelligence approach

  2. Agency as an Organizational Choice for Public Services Optimization. Past, Present and Future in a Spain in Crisis

    Directory of Open Access Journals (Sweden)

    Alejandra Boto

    2015-06-01

    Full Text Available In the current global crises situation, it is essential to contemplate the administrative organization in terms of efficiency, effectiveness and rationality. A remodeling of the public sector is imperative and to do so requires a type of organizational engineering, which is able to optimize control over public expenses and the provision of essential services. This work looks at an agency’s potential for such a mission, and particularly employs the perspective of the Spanish State Agencies. This paper begins by abstractly addressing the polymorphic and polysemic phenomenon of agencies from a Comparative Law perspective and then moves on to analyze the specific background of state agencies in Spain and their present and future situation.

  3. Adapting cognitive behavioral therapy for psychosis for case managers: increasing access to services in a community mental health agency.

    Science.gov (United States)

    Montesano, Vicki L; Sivec, Harry J; Munetz, Mark R; Pelton, Jeremy R; Turkington, Douglas

    2014-03-01

    The purpose of this article is twofold: (a) to describe the adaptation of an evidence-based practice and, (b) using a dissemination framework, to describe the process of implementing the practice at a community mental health agency. The authors describe the training concept and dissemination framework of implementing an emerging practice: high-yield cognitive behavioral techniques for psychosis, which is rooted in cognitive behavioral therapy. Thirteen case managers who represented teams from across the agency delivered the adapted practice at a community mental health agency. Implementation required buy in from all stakeholders, communication across disciplines, persistence, and flexibility. It appears that the use of a dissemination framework that is grounded in the literature, yet flexible, eases the process of implementing an adapted practice. Further research focusing on the effectiveness of this approach, along with the impact of implementing a full spectrum of cognitive behavioral therapy services for individuals with persistent psychotic symptoms, based on cognitive behavioral therapy principles, is indicated.

  4. Managing for Results Opportunities for Continued Improvements in Agencies' Performance Plans

    National Research Council Canada - National Science Library

    1999-01-01

    .... As you requested, this report provides summary information based on our review and evaluation of the fiscal year 2000 performance plans of the 24 agencies covered by the Chief Financial Officers (CFO) Act...

  5. Service water chemical cleaning at River Bend gets results

    International Nuclear Information System (INIS)

    Brice, T.O.; Glover, W.A.

    1994-01-01

    The largest known Service Water System (SWS) chemical cleaning ever performed at a nuclear plant was successfully completed at, River Bend Station. Corrosion product buildup was observed during system inspections in the first operating cycle and the first refueling outage in 1987. Under deposit corrosion was followed with microbiologically influenced corrosion (MIC) occurring as a later stage under deposits. The heavy corrosion caused blockage of heat exchanger tubes, fouling of valve seats, and general flow blockage throughout the system. Various options were evaluated for restoring the SWS back to an acceptable long term operating condition. The large scale chemical cleaning performed arrested the corrosion by removing the deposits down to the bare metal surfaces and leaving behind a protective passivation layer. After the cleaning, the open recirculating SWS was converted to a closed system. The implementation of a molybdate/nitrate water treatment program with a copper corrosion inhibitor maintained at a high pH (8.5--10.5) has significantly reduced corrosion rates in the closed system. This should extend the life of the SWS piping for the remaining life of the plant. Several field tests were conducted to qualify the process and demonstrate its ability to achieve acceptable cleaning results prior to being used on a larger scale. In the summer of 1992, temporary and permanent modifications were installed to divide the SWS into two separate cleaning loops for the system wide cleaning. The SWS chemical was successfully performed and completed on schedule during the fourth refueling outage. Post cleaning inspections at various locations throughout the Service Water System showed the process to be very effective at complete deposit removal

  6. Organizational behavior of regulatory agencies: a case study of the Bureau of Consumer Services in the Pennsylvania Public Utility Commission

    Energy Technology Data Exchange (ETDEWEB)

    Silver, J.H.

    1981-01-01

    Regulatory agencies operate in a complex field of organizations and interest groups. The variety of behaviors that occur in the regulatory field are not satisfactorily explained by current interpretative frameworks. Regulatory agencies are at once criticized and praised. They flourish as organizational entities, yet they exhibit behavior that is often inexplicable. Notions like clientele capture, the politics of regulation, exchange theory, and institutionalized organizations do not singly explain the vagaries of regulatory behavior. A merger of these viewpoints, however, provides a foundation for a comprehensive interpretative framework. A bureau of consumer services within a state public utility commission is viewed as an institutionalized organization. From this perspective, a variety of ritual behaviors, based upon symbolic and tangible interorganizational exchanges are observed and characterized. The outcome of these exchanges is the establishment of the Bureau of Consumer Services as a legitimate regulatory agent with significant impact upon the formulation of regulatory policy in the formal proceedings of the Pennsylvania Public Utility Commission.

  7. in the health service sector – results of literature study

    Directory of Open Access Journals (Sweden)

    Irena Sobańska

    2015-12-01

    Full Text Available The aim of this paper is to provide a review of the existing literature related to the directions of change from thepoint of view of the influence that lean approach has for management and accounting in health care institutions.The article is an account of the content of the selected 19 papers (from more than 200 analyzed published in thefield within the period 1995–2013. The investigation of the literature was conducted in two basic perspectives:theoretical considerations and results of empirical research (case study, questionnaire survey.The method of literature analysis was applied for the realization of the aim formulated in the paper. Twogroups of articles were the object of the analysis: theoretical and presenting explanatory results of empiricalinvestigations.The lean approach, which originated in the motor industry (production factories, is fully suitable for use inhealthcare organizations operating in various cultural contexts, and for reforming national healthcare systems toincrease their efficiency. The spreading and adoption of the lean concept in the medical services sector has anevolutionary character, similarly to the earlier spread of lean in manufacturing industries.

  8. Dynamic homecare service provisioning: a field test and its results

    NARCIS (Netherlands)

    Zarghami, Alireza; Zarifi Eslami, Mohammed; van Sinderen, Marten J.; Wieringa, Roelf J.

    Providing IT-based care support for elderly at home is proposed as a highly promising appraoch to address the aging population problem. With the emergence of homecare application service providers, a homecare system can be seen as a linked set of services. Configuring and composing existing homecare

  9. Financial Reporting for Other Defense Organizations at the Defense Agency Financial Services Accounting Office

    National Research Council Canada - National Science Library

    2001-01-01

    .... We performed the audit in response to the Chief Financial Officers Act of 1990, as amended by the Federal Financial Management Act of 1994, which requires DoD and other Government agencies to prepare...

  10. Prioritising Mangrove Ecosystem Services Results in Spatially Variable Management Priorities.

    Science.gov (United States)

    Atkinson, Scott C; Jupiter, Stacy D; Adams, Vanessa M; Ingram, J Carter; Narayan, Siddharth; Klein, Carissa J; Possingham, Hugh P

    2016-01-01

    Incorporating the values of the services that ecosystems provide into decision making is becoming increasingly common in nature conservation and resource management policies, both locally and globally. Yet with limited funds for conservation of threatened species and ecosystems there is a desire to identify priority areas where investment efficiently conserves multiple ecosystem services. We mapped four mangrove ecosystems services (coastal protection, fisheries, biodiversity, and carbon storage) across Fiji. Using a cost-effectiveness analysis, we prioritised mangrove areas for each service, where the effectiveness was a function of the benefits provided to the local communities, and the costs were associated with restricting specific uses of mangroves. We demonstrate that, although priority mangrove areas (top 20%) for each service can be managed at relatively low opportunity costs (ranging from 4.5 to 11.3% of overall opportunity costs), prioritising for a single service yields relatively low co-benefits due to limited geographical overlap with priority areas for other services. None-the-less, prioritisation of mangrove areas provides greater overlap of benefits than if sites were selected randomly for most ecosystem services. We discuss deficiencies in the mapping of ecosystems services in data poor regions and how this may impact upon the equity of managing mangroves for particular services across the urban-rural divide in developing countries. Finally we discuss how our maps may aid decision-makers to direct funding for mangrove management from various sources to localities that best meet funding objectives, as well as how this knowledge can aid in creating a national mangrove zoning scheme.

  11. Prioritising Mangrove Ecosystem Services Results in Spatially Variable Management Priorities.

    Directory of Open Access Journals (Sweden)

    Scott C Atkinson

    Full Text Available Incorporating the values of the services that ecosystems provide into decision making is becoming increasingly common in nature conservation and resource management policies, both locally and globally. Yet with limited funds for conservation of threatened species and ecosystems there is a desire to identify priority areas where investment efficiently conserves multiple ecosystem services. We mapped four mangrove ecosystems services (coastal protection, fisheries, biodiversity, and carbon storage across Fiji. Using a cost-effectiveness analysis, we prioritised mangrove areas for each service, where the effectiveness was a function of the benefits provided to the local communities, and the costs were associated with restricting specific uses of mangroves. We demonstrate that, although priority mangrove areas (top 20% for each service can be managed at relatively low opportunity costs (ranging from 4.5 to 11.3% of overall opportunity costs, prioritising for a single service yields relatively low co-benefits due to limited geographical overlap with priority areas for other services. None-the-less, prioritisation of mangrove areas provides greater overlap of benefits than if sites were selected randomly for most ecosystem services. We discuss deficiencies in the mapping of ecosystems services in data poor regions and how this may impact upon the equity of managing mangroves for particular services across the urban-rural divide in developing countries. Finally we discuss how our maps may aid decision-makers to direct funding for mangrove management from various sources to localities that best meet funding objectives, as well as how this knowledge can aid in creating a national mangrove zoning scheme.

  12. Agencification of Public Service Delivery in Developing Societies: Experiences of Pakistan and Tanzania Agency Models

    Directory of Open Access Journals (Sweden)

    Friday Francis Nchukwe

    2014-09-01

    Full Text Available Agencification is not a new phenomenon in the public sector. However, since 1980s in developing societies, not only the number of new agencies has gone up but, the existing agencies have also been revitalized under the rubric of New Public Management capsulated in World Bank/IMF’s guided governance and administrative reforms. These agencies have been created in an administrative system which has weak political institutions but well entrenched bureaucracy with strong colonial bureaucratic traditions such as centralization of power exercised by a class of senior bureaucrats occupying top positions in federal ministries. The article examines agencification in developing countries with particular reference to Pakistan and Tanzania agency model. It noted that agencification in developing countries was rarely, if ever, pursued within a systemic conceptual and legal framework, but agencies are often seen as an alternative to already existing state-owned companies which are plagued with corruption. The article therefore draws some observations and remedial actions for improvement in the performance of public sector organisations in developing countries in general and Africa in particular. It concludes that while most government ministries in developing societies cannot trigger public sector transformation due to a lack of performance improvement, agencies are unlikely to do so because of the particular autonomy of the administrative systems in which they are embedded.

  13. Characteristics of care management agencies affect expenditure on home help and day care services: A population-based cross-sectional study in Japan.

    Science.gov (United States)

    Feng, Mei; Igarashi, Ayumi; Noguchi-Watanabe, Maiko; Yoshie, Satoru; Iijima, Katsuya; Yamamoto-Mitani, Noriko

    2017-11-01

    The financial interests of care management agencies can affect how care managers assist clients' use of long-term care insurance services. The present study examined the relationship between clients' service expenditures, and whether the home help and day care service agencies belonged to the same organization as the care management agency. Population-based data were obtained from a suburban municipality in Japan. We investigated 4331 persons with care needs certificates (levels 1-5), including those using home help (n = 1780) or day care (n = 2141) services. Data on the service expenditures, and clients' and agencies' characteristics were analyzed using multiple linear regression analyses controlling for potential confounders. Home help service users spent an average of US$558.1 ± 590.1 for home help service, and day care service users spent US$665.0 ± 415.9 for day care service. Living alone, living in a condominium/apartment, higher care needs, more severe cognitive impairment and lower use of other services were associated with higher home help service expenditure. Day care service expenditure increased with older age, female sex, higher care needs, more severe cognitive impairment and higher physical function. Clients whose service agencies and care management agencies belonged to the same organization had higher expenditures, even after adjusting for confounders (home help: β = 0.126, P = 0.007; day care: β = 0.085, P = 0.002, respectively). Financial interests of care management agencies might significantly influence clients' service expenditure. We should develop an effective system to minimize this influence. Geriatr Gerontol Int 2017; 17: 2224-2231. © 2017 Japan Geriatrics Society.

  14. 76 FR 29783 - Agency Information Collection: Comment Request; The State of Ecosystem Services Implementation...

    Science.gov (United States)

    2011-05-23

    ... services projects and the state-of-the-art processes through which projects are implemented. The survey will gather information concerning: Methods used in ecosystem services projects, motivations for...

  15. 77 FR 26544 - Agency Information Collection Activities: Proposed Collection; Comment Request; Servicing of...

    Science.gov (United States)

    2012-05-04

    ... Activities: Proposed Collection; Comment Request; Servicing of Motor Vehicle Air Conditioners, EPA ICR Number... consideration may perform any service on a motor vehicle air conditioner involving the refrigerant for such air... used in servicing motor vehicle air conditioners and that each individual authorized by the purchaser...

  16. How Personality Traits and Job Satisfaction Influence Service Quality in Housing Agencies

    Science.gov (United States)

    Robinson, Donna E.

    2010-01-01

    Human service organizations are intended to stabilize low-income families and promote self-sufficiency by providing much needed services and benefits. Recipients, however, often do not get everything they need in terms of either benefits or service quality. Understandably, clients want the help they are entitled to and promised from providers who…

  17. Targeting adults who provide alcohol to underage youth: results from a national survey of local law enforcement agencies.

    Science.gov (United States)

    Jones-Webb, Rhonda; Toomey, Traci L; Lenk, Kathleen M; Nelson, Toben F; Erickson, Darin J

    2015-06-01

    We investigated what local enforcement agencies are doing to target adults who provide alcohol to underage youth; what types of enforcement activities are being conducted to target adult providers; and factors that encourage enforcement activities that target adult providers. We surveyed 1,056 local law enforcement agencies in the US and measured whether or not the agency conducted enforcement activities that target adults who provide alcohol to underage youth. We also measured whether certain agency and jurisdiction characteristics were associated with enforcement activities that target adults who provide alcohol to underage youth. Less than half (42%) of local enforcement agencies conducted enforcement efforts targeting adults who provide alcohol to underage youth. Agencies that conducted the enforcement activities targeting adult providers were significantly more likely to have a full time officer specific to alcohol enforcement, a division specific to alcohol enforcement, a social host law, and to perceive underage drinking was very common. Results suggest that targeting social providers (i.e., adults over 21 years of age) will require greater law enforcement resources, implementation of underage drinking laws (e.g., social host policies), and changing perceptions among law enforcement regarding underage drinking. Future studies are needed to identify the most effective enforcement efforts and to examine how enforcement efforts are prospectively linked to alcohol consumption.

  18. 78 FR 13771 - Selection and Functions of Farm Service Agency State and County Committees

    Science.gov (United States)

    2013-03-01

    ... presentations, public service announcements, newsletters, press releases, posters, fact sheets, and success.... USDA will also respond in a timely and meaningful manner to all Tribal government requests for...

  19. 42 CFR 411.10 - Services required as a result of war.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 2 2010-10-01 2010-10-01 false Services required as a result of war. 411.10... and Exclusion of Particular Services § 411.10 Services required as a result of war. Medicare does not pay for services that are required as a result of war, or an act of war, that occurs after the...

  20. 75 FR 57906 - Membership of the Defense Contract Audit Agency Senior Executive Service Performance Review Boards

    Science.gov (United States)

    2010-09-23

    ... publication of this notice. FOR FURTHER INFORMATION CONTACT: Sandra L. Burrell, Chief, Human Resources Management Division, Defense Contract Audit Agency, 8725 John J. Kingman Road, Suite 2133, Fort Belvoir... following are the names and titles of DCAA career executives appointed to serve as members of the DCAA...

  1. 76 FR 59664 - Membership of the Defense Contract Audit Agency Senior Executive Service Performance Review Boards

    Science.gov (United States)

    2011-09-27

    ... Date: Upon publication of this notice. FOR FURTHER INFORMATION CONTACT: Sandra L. Burrell, Chief, Human Resources Management Division, Defense Contract Audit Agency, 8725 John J. Kingman Road, Suite 2133, Fort...(c)(4), the following are the names and titles of DCAA career executives appointed to serve as...

  2. Research into Learning Resulting from Quality School Library Media Service.

    Science.gov (United States)

    Marchant, Maurice P.; And Others

    1984-01-01

    This annotated bibliography of 20 research reports identifies what has been determined about the effects of library media services on learning and suggests methodologies available for similar studies. Organization is according to area of learning affected--academic achievement; language, reading, and library skills; mathematics; science; social…

  3. Europeanisation and the Rescaling of Water Services: Agency and State Spatial Strategies in the Algarve, Portugal

    Directory of Open Access Journals (Sweden)

    Andreas Thiel

    2009-06-01

    Full Text Available Institutional arrangements to provide water services have been reshaped extensively worldwide. This paper provides a theory-informed account of the way in which water service provision has been physically and institutionally restructured in the Algarve, Portugal over the years. Ever-expanding demands for water services by the tourism sector, along with European Union (EU regulations and money, made the local people dependent on national policy for water service provision. Parts of the Portuguese national elite, favouring the construction of water resources as 'strategic’ and 'social' goods, rather than 'economic' and 'scarce' goods, worked towards establishing national level control over water services. They became part of the state’s decentralised hegemonic spatial strategy for expansion of tourism in the Algarve. The district level was constituted as a decentralised level of national resource governance. The case study shows the role of European policies in restructuring the spatio-temporal order in the Algarve and strengthening the influence of the national state within the region. The reconfiguration of the water sector in Portugal illustrates 'spatial Keynesianism' with half-hearted mercantilisación of water services as an outcome of the juxtaposition of a nationally rooted state-led water service provision with more flexible approaches originating at the European level. A consequential outcome has been that water quality, sewage treatment, and reliability of services, have significantly improved in line with European requirements.

  4. 77 FR 5012 - Environmental Protection Agency, Department of Health and Human Services and Department of...

    Science.gov (United States)

    2012-02-01

    ..., Department of Health and Human Services and Department of Agriculture; Memorandum of Understanding Regarding... Memorandum of Understanding (MOU). The MOU will support and encourage cooperation and communication between... Department of Human Services (HHS) and the U.S. Department of Agriculture (USDA). HHS's Centers for Disease...

  5. 75 FR 15495 - Agency Information Collection (Application for Furnishing Long-Term Care Services to...

    Science.gov (United States)

    2010-03-29

    ... (Application for Furnishing Long- Term Care Services to Beneficiaries of Veterans Affairs, and Residential Care... Furnishing Long-Term Care Services to Beneficiaries of Veterans Affairs, VA Form 10-1170. b. Residential Care... application used by a residential care facility or home that wishes to provide residential home care to...

  6. Preliminary results of a national quality audit programme in radiotherapy services in Cuba

    International Nuclear Information System (INIS)

    Dominguez Hung, L.; Larrinaga Cortina, E.F.; Campa Menendez, R.; Morales Lopez, J.L.; Garcia Yip, A.F.

    2001-01-01

    The current state of radiotherapy in Cuba has allowed to pass to a superior stage in the process of quality assurance, the establishment of a National Quality Audit Program (PNAC). The National Control Center for Medical Devices, as national regulator entity for the control and supervision of the medical devices of the National Health System, is responsible for the implementation of this program. This paper presents the preliminary results of the execution of the PNAC in teletherapy services with isotopic units of 60 Co. The audits were carried out according to the methodology settled down in the normalized procedure of operation of the PNAC. The physical aspects related with the treatment were audited, such as: the installation and unit's safety, mechanical and dosimetric aspects of the treatment unit and organizational aspects of the institution quality assurance program. Also carried out, in the clinical aspect, verifications of cases type planned by the qualified personnel of the service. The results corresponding to the determination of the reference dose for each institution were compared with those obtained in a postal audit with the International Atomic Energy Agency. These first audits allowed to evaluate the performance of the institutions' program of quality assurance and a feedback for the setting about to the PNAC. (author)

  7. Preliminary results of a national quality audit programme in radiotherapy services in Cuba

    Energy Technology Data Exchange (ETDEWEB)

    Dominguez Hung, L; Larrinaga Cortina, E F [Centro de Control Estatal de Equipos Medicos, Havana (Cuba); Campa Menendez, R [Centro de Proteccion e Higiene de las Radiaciones, Havana (Cuba); Morales Lopez, J L; Garcia Yip, A F [Instituto Nacional de Oncologia y Radiobiologia, Havana (Cuba)

    2001-03-01

    The current state of radiotherapy in Cuba has allowed to pass to a superior stage in the process of quality assurance, the establishment of a National Quality Audit Program (PNAC). The National Control Center for Medical Devices, as national regulator entity for the control and supervision of the medical devices of the National Health System, is responsible for the implementation of this program. This paper presents the preliminary results of the execution of the PNAC in teletherapy services with isotopic units of {sup 60}Co. The audits were carried out according to the methodology settled down in the normalized procedure of operation of the PNAC. The physical aspects related with the treatment were audited, such as: the installation and unit's safety, mechanical and dosimetric aspects of the treatment unit and organizational aspects of the institution quality assurance program. Also carried out, in the clinical aspect, verifications of cases type planned by the qualified personnel of the service. The results corresponding to the determination of the reference dose for each institution were compared with those obtained in a postal audit with the International Atomic Energy Agency. These first audits allowed to evaluate the performance of the institutions' program of quality assurance and a feedback for the setting about to the PNAC. (author)

  8. Prioritising Mangrove Ecosystem Services Results in Spatially Variable Management Priorities

    OpenAIRE

    Atkinson, Scott C.; Jupiter, Stacy D.; Adams, Vanessa M.; Ingram, J. Carter; Narayan, Siddharth; Klein, Carissa J.; Possingham, Hugh P.

    2016-01-01

    ? 2016 Atkinson et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.Incorporating the values of the services that ecosystems provide into decision making is becoming increasingly common in nature conservation and resource management policies, both locally and globally. Yet with limited funds for conservati...

  9. 29 CFR 553.104 - Private individuals who volunteer services to public agencies.

    Science.gov (United States)

    2010-07-01

    ... children or disadvantaged youth, helping in youth programs as camp counselors, soliciting contributions or participating in civic or charitable benefit programs and volunteering other services needed to carry out...

  10. Environmental Protection Agency (EPA) Facility Registry Service (FRS) Wastewater Treatment Plants

    Data.gov (United States)

    Department of Homeland Security — This GIS dataset contains data on wastewater treatment plants, based on EPA's Facility Registry Service (FRS) and NPDES, along with Clean Watersheds Needs Survey...

  11. 22 CFR 96.35 - Suitability of agencies and persons to provide adoption services consistent with the Convention.

    Science.gov (United States)

    2010-04-01

    ... ADOPTION ACT OF 2000 (IAA) Standards for Convention Accreditation and Approval Ethical Practices and... agency or person has filed for bankruptcy; and (9) Descriptions of any businesses or activities that are... management position for acts involving financial irregularities; (3) The results of a State criminal...

  12. Competing Goodness: Perceptions of Person-Centered Culture Change within Human Service Agencies

    Science.gov (United States)

    Starling, Stacey Lee

    2012-01-01

    Front and center in the endeavor to "reform" health care is the appeal to change the culture of aging within provider organizations situated in the long-term care continuum. Person-centeredness is the latest philosophical overlay to aging care and supports and services. As a dominate paradigm guiding change, the movement intends to shift…

  13. International dose assurance service programme of the International Atomic Energy Agency

    International Nuclear Information System (INIS)

    Nam, J.W.

    1988-01-01

    In order to execute normalization of high-doses on an international scale and to further promote dosimetry as quality control measures in radiation processing, the International Dose Assurance Service (IDAS) has recently been initiated in the framework of a high-dose standardization programme. IDAS is being provided on the basis of an ''Agreement Concerning the Provision of a Dose Assurance Service by the IAEA to Irradiation Facilities in its Member States''. The aim of the IDAS programme will be to meet stringent requirements for standardization of dosimetry, and to achieve concerted international efforts for quality assurance of radiation processing. Details of the programme and the achievements made to date are discussed. (author). 5 refs

  14. The FAA Health Awareness Program: Results of the 1998 Customer Service Assessment Survey

    National Research Council Canada - National Science Library

    Hilton, Thomas

    2000-01-01

    This report presents the results of an agency-wide survey of employee health and wellness to determine workforce involvement in and satisfaction with the Federal Aviation Administration's Health Awareness Program (HAP...

  15. 78 FR 60267 - Agency Information Collection Activities; Comment Request; Special Education-Personnel...

    Science.gov (United States)

    2013-10-01

    ...; Comment Request; Special Education--Personnel Preparation To Improve Services and Results for Children with Disabilities AGENCY: Office of Special Education and Rehabilitative Services (OSERS), Department.... [[Page 60268

  16. Evaluating Higher Education Institutions through Agency and Resources-Capabilities Theories. A Model for Measuring the Perceived Quality of Service

    Directory of Open Access Journals (Sweden)

    José Guadalupe Vargas-hernández

    2016-08-01

    Full Text Available The objective of this paper is to explain through the agency theory and theory of resources and capacities as is the process of assessment in higher education institutions. The actors that are involved in the decision-making and the use that is giving the resources derived from repeatedly to practices that opportunistic diminishing the value that is given to the evaluation, in addition to the decrease in team work. A model is presented to measure the perception of service quality by students of the Technological Institute of Celaya, as part of the system of quality control, based on the theoretical support of several authors who have developed this topic (SERVQUAL and SERPERF an instrument adapted to the student area of the institution called SERQUALITC is generated. The paper presents the areas or departments to assess and the convenient size, the number of items used by size and Likert scale, the validation study instrument is mentioned. Finally, it is presented the model that poses a global vision of quality measurement process including corrective action services that enable continuous improvement.

  17. Evaluating Higher Education Institutions through Agency and Resources-Capabilities Theories. A Model for Measuring the Perceived Quality of Service

    Directory of Open Access Journals (Sweden)

    José G. Vargas-Hernández

    2016-12-01

    Full Text Available The objective of this paper is to explain through the agency theory and theory of resources and capacities as is the process of assessment in higher education institutions. The actors that are involved in the decision-making and the use that is giving the resources derived from repeatedly to practices that opportunistic diminishing the value that is given to the evaluation, in addition to the decrease in team work. A model is presented to measure the perception of service quality by students of the Technological Institute of Celaya, as part of the system of quality control, based on the theoretical support of several authors who have developed this topic (SERVQUAL and SERPERF an instrument adapted to the student area of the institution called SERQUALITC is generated. The paper presents the areas or departments to assess and the convenient size, the number of items used by size and Likert scale, the validation study instrument is mentioned. Finally, it is presented the model that poses a global vision of quality measurement process including corrective action services that enable continuous improvement.

  18. ADVERTISING AGENCY MARKETING MANAGEMENT

    Directory of Open Access Journals (Sweden)

    Denis Kislov, Yevgenia Horobei

    2015-11-01

    Full Text Available Goal of the paper. The goal of this article is to define the nature, specific features and factors pertaining to the advertising agency marketing management. One of the tools is the use of non-standard approaches to management of advertising agencies, which under certain conditions makes it possible to improve the situation and to bring the agency to a new higher level as well as to improve the efficiency of its functioning in the conditions of transformational economy of Ukraine. Methodology. Monitoring of the marketing behavior of agencies that promote advertising services. The results of monitoring and analysis demonstrated that the majority of agencies have a disorganized approach to the agency marketing, which results in sporadic activities related to the use and organization of agency marketing. Only individual agencies begin to form their own marketing strategy for the implementation of which marketing budgets are allocated. The main marketing functions of a Ukrainian advertising agency have been identified. Practical value. Rapid development of technologies, sophistication and increased variety of goods and services, reduction of their life cycle, higher customer demands, the growth of volume and speed of obtaining information, increased competition – all these changes that are taking place in the external environment make the Ukrainian companies that provide advertising services search for new approaches to ensure better adaptation to these conditions. Uncertainty, unpredictability and instability of the external environment will continue to grow. Therefore, the companies that provide advertising services need to constantly adapt not only to the existing conditions but also ensure that they are able to quickly react in the future. The basic precondition for success is stability of the quality that is achieved through strategic planning, fine-tuned search system, efficient management, which encourages creation of a position of quality

  19. Results of the International Energy Agency Round Robin on Fast Pyrolysis Bio-oil Production

    Energy Technology Data Exchange (ETDEWEB)

    Elliott, Douglas C.; Meier, Dietrich; Oasmaa, Anja; van de Beld, Bert; Bridgwater, Anthony V.; Marklund, Magnus

    2017-04-06

    An international round robin study of the production of fast pyrolysis bio-oil was undertaken. Fifteen institutions in six countries contributed. Three biomass samples were distributed to the laboratories for processing in fast pyrolysis reactors. Samples of the bio-oil produced were transported to a central analytical laboratory for analysis. The round robin was focused on validating the pyrolysis community understanding of production of fast pyrolysis bio-oil by providing a common feedstock for bio-oil preparation. The round robin included: •distribution of 3 feedstock samples from a common source to each participating laboratory; •preparation of fast pyrolysis bio-oil in each laboratory with the 3 feedstocks provided; •return of the 3 bio-oil products (minimum 500 ml) with operational description to a central analytical laboratory for bio-oil property determination. The analyses of interest were: density, viscosity, dissolved water, filterable solids, CHN, S, trace element analysis, ash, total acid number, pyrolytic lignin, and accelerated aging of bio-oil. In addition, an effort was made to compare the bio-oil components to the products of analytical pyrolysis through GC/MS analysis. The results showed that clear differences can occur in fast pyrolysis bio-oil properties by applying different reactor technologies or configurations. The comparison to analytical pyrolysis method suggested that Py-GC/MS could serve as a rapid screening method for bio-oil composition when produced in fluid-bed reactors. Furthermore, hot vapor filtration generally resulted in the most favorable bio-oil product, with respect to water, solids, viscosity, and total acid number. These results can be helpful in understanding the variation in bio-oil production methods and their effects on bio-oil product composition.

  20. Level of Awareness and Basic Knowledge Related to Radiation Protection Based on Academic Qualification and Service Tenure in Malaysian Nuclear Agency

    International Nuclear Information System (INIS)

    Munira Shaikh Nasir

    2015-01-01

    Effective radiation protection program is vital to ensure the safety of workers involved in work related to radiation. This objective of this research was to determine the level of awareness towards radiation protection among the workers at Malaysian Nuclear Agency. Questionnaire forms containing questions related to relevant work experience and knowledge of radiation safety were distributed to a group of identified radiation workers. The hypothesis of this study is that all workers involved have high levels of awareness and basic knowledge as they work in an institution which activities frequently and routinely involve radiation. The result of this research show that the level of awareness and knowledge of the respondents were at a good level, with an average overall score of 87.2% showed a high level of awareness among respondents. Overall, highest academic qualifications did not affect the level of knowledge (p > 0.05). In contrast, service tenure affects their level of knowledge (p < 0.05). (author)

  1. 76 FR 28038 - Agency Information Collection Activities; Proposed Collection; Comment Request; General Services...

    Science.gov (United States)

    2011-05-13

    ... population to which generalizations will be made, the sampling frame, the sample design (including....gov : http://www.regulations.gov . Submit comments via the Federal eRulemaking portal by inputting... that are designed to yield reliably actionable results, such as monitoring trends over time or...

  2. The adoption of quality management practices and their impact on business performance in small service companies: the case of Spanish travel agencies

    OpenAIRE

    Alonso Almeida, María del Mar

    2015-01-01

    Abstract The main objective of this study is to examine the motivations for adopting quality practices and their impact on the performance of travel agencies. The results are based on 448 personal surveys that were administered by travel agency managers. Structural equation modelling was used to conclude that the adoption of quality practices significantly impacts the competitiveness and financial performance of travel agencies. Therefore, the results of this paper suggest that being proactiv...

  3. Joint project of the international network of agencies for health technology assessment--Part 1: Survey results on diffusion, assessment, and clinical use of positron emission tomography.

    Science.gov (United States)

    Hastings, John; Adams, Elizabeth J

    2006-01-01

    The International Network of Agencies for Health Technology Assessment (INAHTA) has been tracking activities associated with the clinical use of positron emission tomography (PET) in its members' healthcare systems since 1997 and published its first Joint Project report on PET in 1999. Part 1 of this Joint Project report presents survey results on diffusion, assessment activities, and policy for clinical use related to PET among INAHTA members since 1999. INAHTA members were surveyed in 2003-2004. Twenty-seven INAHTA agencies (69 percent response rate) from nineteen countries responded to the survey. Dedicated PET systems are the most universally installed systems to date. Mobile scanners and modified gamma cameras are used occasionally as lower cost alternatives, and interest in PET-computed tomography hybrid models is rising despite limited assessment of impact on service planning. PET was used and assessed most commonly for managing patients with cancer. All respondents reported having some form of public funding for clinical PET frequently linked to data collection for the purpose of gathering evidence to refine clinical use and guide resource allocation toward indications that maximize clinical and cost-effectiveness. The use of HTA within a continuous quality improvement framework can help optimize scarce resources for evaluation and use of high cost diagnostic technologies such as PET, particularly where potential clinical or cost-effectiveness is considerable but conclusive evidence is lacking.

  4. Memorandum for the Heads of Executive Departments and Agencies: Increasing Access to the Results of Federally Funded Scientific Research

    Science.gov (United States)

    2013-02-22

    This memorandum, issued on February 22, 2013 by the White House Office of Science and Technology Policy (OSTP) and directed to the heads of executive departments and agencies, calls for all federal agencies that are engaged in research and developmen...

  5. Environmental aspects of hydraulic fracturing - Main results and recommendations from two studies on behalf of the German Environment Agency

    Science.gov (United States)

    Krischbaum, Bernd; Bertram, Andreas; Böttcher, Christian; Iyimen-Schwarz, Züleyha; Rechenberg, Jörg; Dannwolf, Uwe; Meiners, Georg

    2016-04-01

    The German Environment Agency (UBA) accompanies the debate on fracking for years. Two major reports on risks and environmental impacts regarding the exploration and exploitation of unconventional natural gas, in particular shale gas have been published. On the basis of these studies as well as on scientific evidence UBA considers ecological barriers as a sustainable means to minimize the risks to environment and human health. 1) Recent studies show that the contamination of shallow aquifers by rise of fluids through natural faults or artificially created fractures is extremely unlikely. However, activities on the surface and lack of wellbore integrity pose threats and substantial risks for the quality of shallow aquifers. 2) The need for thorough groundwater monitoring is fully accepted, yet its range and design is subject to discussion. 3) Formerly, analysis and mass balances of flowback and produced water have been insufficient, thus there is a lack of exact information on proportions of frac-fluids, flowback and formation water respectively, as well as data on possible reaction products. 4) Currently, neither on national nor on European level best reference techniques (BREF) for the treatment and disposal of flowback and produced water are available. 5) In addition, land consumption, emission of greenhouse gases, and induced seismicity are major issues. UBA recommends amongst others the implementation of an environmental impact assessment (EIA) for fracking activities, the prohibition of fracking in water protection areas as well as their catchments, and the disclosure of all frac-fluid chemicals within a national chemical registry. To achieve these objectives the German Environment Agency suggests a step-by-step approach. The paper will present the main results from the studies and the recommendations of the German Environment Agency regarding hydraulic fracturing for unconventional gas exploitation.

  6. The influence of differential response on decision-making in child protective service agencies.

    Science.gov (United States)

    Janczewski, Colleen E

    2015-01-01

    Differential response (DR) profoundly changes the decision pathways of public child welfare systems, yet little is known about how DR shapes the experiences of children whose reports receive an investigation rather than an alternate response. Using data from the National Child Abuse and Neglect Data System (NCANDS), this study examined the relationship between DR implementation and decision outcomes in neglect cases, as measured by investigation, substantiation, and removal rates in 297 U.S. counties. Multivariate regression models included county-level measures of child poverty and proportions of African American children. Path analyses were also conducted to identify mediating effects of prior decision points and moderating effects of DR on poverty and race's influence on decision outcomes. Results indicate that compared to non-DR counties, those implementing DR have significantly lower investigation and substantiation rates within county populations but higher substantiation rates among investigated cases. Regression models showed significant reductions in removal rates associated with DR implementation, but these effects became insignificant in path models that accounted for mediation effects of previous decision points. Findings also suggest that DR implementation may reduce the positive association between child poverty rates and investigation rates, but additional studies with larger samples are needed to confirm this moderation effect. Two methods of calculating decision outcomes, population- and decision-based enumeration, were used, and policy and research implications of each are discussed. This study demonstrates that despite their inherit complexity, large administrative datasets such as NCANDS can be used to assess the impact of wide-scale system change across jurisdictions. Copyright © 2014 Elsevier Ltd. All rights reserved.

  7. Naloxone Administration for Suspected Opioid Overdose: An Expanded Scope of Practice by a Basic Life Support Collegiate-Based Emergency Medical Services Agency

    Science.gov (United States)

    Jeffery, Ryan M.; Dickinson, Laura; Ng, Nicholas D.; DeGeorge, Lindsey M.; Nable, Jose V.

    2017-01-01

    Opioid abuse is a growing and significant public health concern in the United States. Naloxone is an opioid antagonist that can rapidly reverse the respiratory depression associated with opioid toxicity. Georgetown University's collegiate-based emergency medical services (EMS) agency recently adopted a protocol, allowing providers to administer…

  8. Results of the ninth exercise of intercomparison in services of personal dosimetry in Argentina Republic in the year of 2011

    International Nuclear Information System (INIS)

    Ferrufino, G.A.; Discacciatti, P.A.; Lopez, F.O.

    2013-01-01

    In this paper we present the results of the ninth intercomparison exercise personal dosimetry services, conducted by the Nuclear Regulatory Authority in 2011. The exercise was designed to evaluate the performance of laboratories providing personal dosimetry services in Argentina , for X-rays and gamma radiation fields . This exercise was organized by the Nuclear Regulatory Authority with the Ministry of Health of the Nation and the Regional Reference Laboratory Centre for Dosimetry of the National Atomic Energy Commission . The irradiations were carried out in full accordance with ISO 4037-3 . Participates all private companies in Argentina serving all personal dosimetry laboratories and agencies, provincial and national. Furthermore, the Laboratories from Cuba, Brazil and Uruguay also participate. The performance of a laboratory is considered acceptable if it meets the criteria established in the IRAM- ISO 14146 , which states: 'It is recognized that at most, one-tenth of dosimeters irradiated to exceed the limits'. Of all of the laboratories that participated , 68% reported their results within the acceptance criteria above. The primary objective of this intercomparison exercise is to provide an objective tool to evaluate the ability of personnel dosimetry services. (author)

  9. Home Health Care Agencies

    Data.gov (United States)

    U.S. Department of Health & Human Services — A list of all Home Health Agencies that have been registered with Medicare. The list includes addresses, phone numbers, and quality measure ratings for each agency.

  10. Creating a comprehensive customer service program to help convey critical and acute results of radiology studies.

    Science.gov (United States)

    Towbin, Alexander J; Hall, Seth; Moskovitz, Jay; Johnson, Neil D; Donnelly, Lane F

    2011-01-01

    Communication of acute or critical results between the radiology department and referring clinicians has been a deficiency of many radiology departments. The failure to perform or document these communications can lead to poor patient care, patient safety issues, medical-legal issues, and complaints from referring clinicians. To mitigate these factors, a communication and documentation tool was created and incorporated into our departmental customer service program. This article will describe the implementation of a comprehensive customer service program in a hospital-based radiology department. A comprehensive customer service program was created in the radiology department. Customer service representatives were hired to answer the telephone calls to the radiology reading rooms and to help convey radiology results. The radiologists, referring clinicians, and customer service representatives were then linked via a novel workflow management system. This workflow management system provided tools to help facilitate the communication needs of each group. The number of studies with results conveyed was recorded from the implementation of the workflow management system. Between the implementation of the workflow management system on August 1, 2005, and June 1, 2009, 116,844 radiology results were conveyed to the referring clinicians and documented in the system. This accounts for more than 14% of the 828,516 radiology cases performed in this time frame. We have been successful in creating a comprehensive customer service program to convey and document communication of radiology results. This program has been widely used by the ordering clinicians as well as radiologists since its inception.

  11. They're Doing What? A Brief Paper on Service Use and Attitudes in ASD Community-Based Agencies

    Science.gov (United States)

    Pickard, Katherine; Meza, Rosemary; Drahota, Amy; Brikho, Brigitte

    2018-01-01

    This brief article examines the community services delivered to youth with autism spectrum disorder (ASD) in a Southern Californian city as a way to better understand ASD service provision and service attitudes. Specific goals of the study were to identify the services being delivered within the area, and how the use, perceived evidence, and value…

  12. The role of kaizen in creating radical performance results in a logistics service provider

    Directory of Open Access Journals (Sweden)

    Erez Agmoni

    2016-09-01

    Full Text Available Background: This study investigates the role of an incremental change in organizational process in creating radical performance results in a service provider company. The role of Kaizen is established prominently in manufacturing, but is nascent in service applications. This study examines the impact of introducing Kaizen as an ODI tool-how it is applied, how it works, and whether participants believe it helps service groups form more effective working relationships that result in significant performance improvements. Methods: Exploring the evolving role of Kaizen in service contexts, this study explores a variety of facets of human communication in the context of continuous improvement and teamwork inter-organizationally. The paper consists of an archival study and an action research case study. A pre-intervention study consisting of observations, interviews, and submission of questionnaires to employees of a manufacturing and air-sea freight firm was conducted. A Kaizen intervention occurred subsequently, and a post-intervention study was then conducted. Results: Radical improvements in both companies such as 30% financial growth, 81% productivity improvement and more are demonstrated in this paper. Conclusions: Findings offer unique insights into the effects of Kaizen in creating radical performance improvements in a service company and its customer. Both qualitative and quantitative results of business, satisfaction, and productivity suggest time invested in introducing Kaizen into a service organization helps the companies improve relationships and improve the bottom line dramatically.

  13. [Performance assessment of health services in Catalonia (Spain): evaluation of initial results of the Catalan healthcare service project].

    Science.gov (United States)

    García-Altés, Anna; Dalmau-Bueno, Albert; Colls, Cristina; Mendivil, Joan; Benet, Josep; Mompart, Anna; Torné, Elvira; Zara, Corinne; Borrell, Carme; Brugulat, Pilar; Guarga, Alex

    2009-01-01

    Performance assessment of healthcare services is receiving greater attention due to increasing health care expenditures, greater expectations among the population, and the need to obtain results from the invested resources. Taking advantage of the existing experience of the Agència de Salut Pública de Barcelona and the Consorci Sanitari de Barcelona, which compared the healthcare services of Barcelona and Montreal, a grant from the Agència d'Avaluació de Tecnologia i Recerca Mèdiques, and the health planning interest of the Departament de Salut, the performance assessment of the Catalan healthcare service project was started in Catalonia in 2005. This article aims to present the development of the project, to provide some examples that illustrate the kind of numerical and graphical information that could be obtained and the kind of analysis that could be performed, to provide possible explanations for the results shown, and to discuss some limitations and implications. Currently, the added value of this project is that it identifies the extent to which the healthcare system is achieving its objectives, establishes a set of homogeneous indicators that could be used in the future, and is a key tool in the development of the Central de Resultats del Departament de Salut de la Generalitat de Catalunya.

  14. Staff Acquisition -- Agencies

    Data.gov (United States)

    Office of Personnel Management — Job vacancy and organizational information from customer agencies sufficient to provide requested services: examining, strategic staffing, recruitment and branding,...

  15. Semantic Web Services Challenge, Results from the First Year. Series: Semantic Web And Beyond, Volume 8.

    Science.gov (United States)

    Petrie, C.; Margaria, T.; Lausen, H.; Zaremba, M.

    Explores trade-offs among existing approaches. Reveals strengths and weaknesses of proposed approaches, as well as which aspects of the problem are not yet covered. Introduces software engineering approach to evaluating semantic web services. Service-Oriented Computing is one of the most promising software engineering trends because of the potential to reduce the programming effort for future distributed industrial systems. However, only a small part of this potential rests on the standardization of tools offered by the web services stack. The larger part of this potential rests upon the development of sufficient semantics to automate service orchestration. Currently there are many different approaches to semantic web service descriptions and many frameworks built around them. A common understanding, evaluation scheme, and test bed to compare and classify these frameworks in terms of their capabilities and shortcomings, is necessary to make progress in developing the full potential of Service-Oriented Computing. The Semantic Web Services Challenge is an open source initiative that provides a public evaluation and certification of multiple frameworks on common industrially-relevant problem sets. This edited volume reports on the first results in developing common understanding of the various technologies intended to facilitate the automation of mediation, choreography and discovery for Web Services using semantic annotations. Semantic Web Services Challenge: Results from the First Year is designed for a professional audience composed of practitioners and researchers in industry. Professionals can use this book to evaluate SWS technology for their potential practical use. The book is also suitable for advanced-level students in computer science.

  16. Stereotactic Radiotherapy of Primary Lung Cancer and Other Targets: Results of Consultant Meeting of the International Atomic Energy Agency

    International Nuclear Information System (INIS)

    Nagata, Yasushi; Wulf, Joern; Lax, Ingmar; Timmerman, Robert; Zimmermann, Frank; Stojkovski, Igor; Jeremic, Branislav

    2011-01-01

    To evaluate the current status of stereotactic body radiotherapy (SBRT) and identify both advantages and disadvantages of its use in developing countries, a meeting composed of consultants of the International Atomic Energy Agency was held in Vienna in November 2006. Owing to continuous developments in the field, the meeting was extended by subsequent discussions and correspondence (2007-2010), which led to the summary presented here. The advantages and disadvantages of SBRT expected to be encountered in developing countries were identified. The definitions, typical treatment courses, and clinical results were presented. Thereafter, minimal methodology/technology requirements for SBRT were evaluated. Finally, characteristics of SBRT for developing countries were recommended. Patients for SBRT should be carefully selected, because single high-dose radiotherapy may cause serious complications in some serial organs at risk. Clinical experiences have been reported in some populations of lung cancer, lung oligometastases, liver cancer, pancreas cancer, and kidney cancer. Despite the disadvantages expected to be experienced in developing countries, SBRT using fewer fractions may be useful in selected patients with various extracranial cancers with favorable outcome and low toxicity.

  17. Application of the principles of evidence-based practice in decision making among senior management in Nova Scotia's addiction services agencies.

    Science.gov (United States)

    Murphy, Matthew; MacCarthy, M Jayne; McAllister, Lynda; Gilbert, Robert

    2014-12-05

    Competency profiles for occupational clusters within Canada's substance abuse workforce (SAW) define the need for skill and knowledge in evidence-based practice (EBP) across all its members. Members of the Senior Management occupational cluster hold ultimate responsibility for decisions made within addiction services agencies and therefore must possess the highest level of proficiency in EBP. The objective of this study was to assess the knowledge of the principles of EBP, and use of the components of the evidence-based decision making (EBDM) process in members of this occupational cluster from selected addiction services agencies in Nova Scotia. A convenience sampling method was used to recruit participants from addiction services agencies. Semi-structured qualitative interviews were conducted with eighteen Senior Management. The interviews were audio-recorded, transcribed verbatim and checked by the participants. Interview transcripts were coded and analyzed for themes using content analysis and assisted by qualitative data analysis software (NVivo 9.0). Data analysis revealed four main themes: 1) Senior Management believe that addictions services agencies are evidence-based; 2) Consensus-based decision making is the norm; 3) Senior Management understand the principles of EBP and; 4) Senior Management do not themselves use all components of the EBDM process when making decisions, oftentimes delegating components of this process to decision support staff. Senior Management possess an understanding of the principles of EBP, however, when making decisions they often delegate components of the EBDM process to decision support staff. Decision support staff are not defined as an occupational cluster in Canada's SAW and have not been ascribed a competency profile. As such, there is no guarantee that this group possesses competency in EBDM. There is a need to advocate for the development of a defined occupational cluster and associated competency profile for this

  18. Exploring the effect of organizational culture on consumer perceptions of agency support for mental health recovery.

    Science.gov (United States)

    Clossey, Laurene; Rheinheimer, David

    2014-05-01

    This research explores the impact of mental health agency culture on consumers' perceptions of agency support for their recovery. This study hypothesized that a constructive organizational culture must be present for consumers to perceive agency support for recovery. A sample of 12 mental health agencies in rural Pennsylvania participated in the research. Agency administrators completed an instrument called the recovery oriented service environment, which measured the number of recovery model program components offered by the agency. Consumers completed the recovery oriented services indicators, which taps into their perception of agency support for recovery. Direct service staff completed the organizational social context, which measured their agency's culture. Results showed that in this sample stronger consumer perceptions of agency support for recovery were correlated with higher ratings of agency constructive culture. The results suggest that agency culture is an important variable to target when implementing recovery model programming.

  19. Preliminary results of the national program of audit of quality in radiotherapy services in the Republic of Cuba

    International Nuclear Information System (INIS)

    Dominguez Hung, Lourdes; Larrinaga Cortina, Eduardo F.; Morales Lopez, Jorge L.; Garcia Yip, Fernando; Campa Menendez, Raudel

    2001-01-01

    The current state of the radiotherapy in Cuba has allowed to pass to a superior stage, the establishment of a National Quality Audit Program (PNAC). The National Control Center for Medical Devices as national regulator entity for the control and supervision of the medical devices of the National Health System is the responsible for it implementation. This paper presents the preliminary results of the execution of the PNAC in teletherapy services with isotopic units of 60 Co. The audits were carried out according to the methodology settled down in the normalized procedure of operation of the PNAC. The physical aspects related with the treatment were audit, such as: the installation and unit's security, treatment unit's mechanical and dosimetric aspects and organizational aspects of the institution quality assurance program. Also were carried out, in the clinical aspect, verifications of cases type planned by the qualified personnel of the service. The results corresponding to the determination of the reference dose for each institution were compared with those obtained in a postal audit with the International Atomic Energy Agency. These first audits allowed to evaluate the performance of the institution's program of quality assurance and a feedback for the setting about to the PNAC. (author)

  20. Executive Selection in Government Agencies: An Analysis of the Department of the Navy and Immigration and Naturalization Services Senior Executive Service Selection Processes

    National Research Council Canada - National Science Library

    Jordan, Mark

    2001-01-01

    .... The Senior Executive Service (SES) selection process for the Department of the Navy (DON) is analyzed and compared to the SES selection process used by the Immigration and Naturalization Service...

  1. [Evaluation of the quality and results of cleaning and sanitation services in a Milanese general hospital].

    Science.gov (United States)

    Gobbi, P

    1999-01-01

    The evaluation of the cleaning and sanitation service involved the head nurses of 7 different wards and 7 health services. The completion of 368 forms allowed to have a clear picture of the performance of the cleaning service. Better results were obtained for the structure, resource and performance criteria than for the outcome criteria. In fact the structure and process criteria were fulfilled in the 75% of the observations whilst the outcome criteria for the ward room were fulfilled in 56% of the observations. The overall agreement between observed performance and adopted standard is satisfactory. The evaluation method identified and the forms used allowed an objective assessment assess the performance of the cleaning services and to the identification of areas for improvement.

  2. Empowering primary care workers to improve health services: results from Mozambique's leadership and management development program.

    Science.gov (United States)

    Perry, Cary

    2008-07-23

    This article is the third article in the Human Resources for Health journal's feature on the theme of leadership and management in public health. The series of six articles has been contributed by Management Sciences for Health (MSH) and will be published article-by-article over the next few weeks. The third article presents a successful application in Mozambique of a leadership development program created by Management Sciences for Health (MSH). Through this program, managers from 40 countries have learned to work in teams to identify their priority challenges and act to implement effective responses. From 2003 to 2004, 11 health units in Nampula Province, participated in a leadership and management development program called the Challenges Program. This was following an assessment which found that the quality of health services was poor, and senior officials determined that the underlying cause was the lack of human resource capacity in leadership and management in a rapidly decentralizing health care system. The program was funded by the US Agency for International Development (USAID) and implemented in partnership between the Mozambican Ministry of Health (MOH) Provincial Directorate in Nampula and Management Sciences for Health (MSH). The Challenges Program used simple management and leadership tools to assist the health units and their communities to address health service challenges. An evaluation of the program in 2005 showed that 10 of 11 health centers improved health services over the year of the program. The Challenges Program used several strategies that contributed to successful outcomes. It integrated leadership strengthening into the day-to-day challenges that staff were facing in the health units. The second success factor in the Challenges Program was the creation of participatory teams. After the program, people no longer waited passively to be trained but instead proactively requested training in needed areas. MOH workers in Nampula reported

  3. Satisfaction with the local service point for care: results of an evaluation study

    Science.gov (United States)

    Esslinger, Adelheid Susanne; Macco, Katrin; Schmidt, Katharina

    2009-01-01

    Purpose The market of care increases and is characterized by complexity. Therefore, service points, such as the ‘Zentrale Anlaufstelle Pflege (ZAPf)’ in Nuremberg, are helpful for clients to get orientation. The purpose of the presentation is to show the results of an evaluation study about the clients' satisfaction with the offers of ZAPf. Study Satisfaction with service may be measured with the SERVQUAL concept introduced by Parasuraman et al. (1988). They found out five dimensions of quality (tangibles, reliability, responsiveness, assurances and empathy). We took these dimensions in our study. The study focuses on the quality of service and the benefits recognized by clients. In spring 2007, we conducted 67 interviews by phone, based on a half standardized questionnaire. Statistical analysis was conducted using SPSS. Results The clients want to get information about care in general, financial and legal aspects, alternative care arrangement (e.g. ambulant, long-term care) and typical age-related diseases. They show a high satisfaction with the service provided. Their benefits are to get information and advice, to strengthen the ability of decision taking, to cope with changing situations in life, and to develop solutions. Conclusions The results show that the quality of service is on a high level. Critical success factors are the interdisciplinary cooperation at the service point, based on a regularly and open exchange of information. Every member focuses on an optimal individual solution for the client. Local professional service points act as networkers and brokers. They serve not only for the clients' needs but also support the effective and efficient provision of optimized care.

  4. Experimental results supporting the determination of service quality objectives for DBS systems

    Science.gov (United States)

    Chouinard, G.; Whyte, W. A., Jr.; Goldberg, A. A.; Jones, B. L.

    1985-01-01

    A summary of the results of a joint United States and Canadian program on subjective measurements of the picture degradation caused by noise and interference on an NTSC encoded color television signal is given in this paper. The effects of system noise, cochannel and adjacent channel interference, and both single entry and aggregate as well as a combination of these types of interference were subjectively evaluated by expert and nonexpert viewers under reference conditions. These results were used to develop the rationale used at RARC '83 to establish the service quality objective for planning the DBS service for the American continents.

  5. Social control of the quality of public services: Theory, methodology and results of empirical research

    Directory of Open Access Journals (Sweden)

    Evgeny A. Kapoguzov

    2017-06-01

    Full Text Available The article reveals the theoretical and methodological aspect of the problem of social control in relation to the possibility of its implementation in the production of public services. The interdisciplinary nature of the discourse on the nature of social control is presented, the evolution of ideas about it in the framework of social science concepts is presented, and the relationship with related categories is revealed, in particular, "public control", "civil control". The evolution of essence is also traced the category "institutionalization", it is shown the lack of unambiguousness in its interpretation. The normative value of the institutionalization of social practices in the implementation of institutional design is presented, in particular, with regard to the improvement of the provision of public services. The barriers of institutionalization of social control (resource, information, institutional for quality of public services are characterized. The results of a mass survey of consumers of public services conducted in December 2016 in the Multifunctional Center (MFC of city Omsk are presented. Unlike other surveys and publications that only assess the level of customer satisfaction and do not give a detailed explanation of the attitude of consumers to the ongoing institutional changes, this paper presents an analysis of consumer attitudes and beliefs to meaningful attributes of the quality of public services on the one hand, and for various institutional alternatives of influence on the quality of public services on the other. According to the results of the mass survey, the low readiness for social action was established due to high transaction costs, the rational ignorance and a free-rider problem. The possibility of institutionalizing the practice of social action and setting up consumers for the creation of a specialized organization for the protection of consumer rights in the production of public services was discussed.

  6. Why Agencies Budget For Results : Exploring Institutional Explanations for Performance Budgeting: The Case of Forestry and Air Traffic Control

    NARCIS (Netherlands)

    M. de Jong (Maarten)

    2016-01-01

    markdownabstractSummary This PhD research examines institutional explanations for the use of performance information (PI) to learn and improve by government agencies. Despite widespread criticism of and disappointment with New Public Management (NPM) reforms, performance budgeting (PB) is

  7. A Pharmaceutical Bioethics Consultation Service: Six-Year Descriptive Characteristics and Results of a Feedback Survey.

    Science.gov (United States)

    Van Campen, Luann E; Allen, Albert J; Watson, Susan B; Therasse, Donald G

    2015-04-03

    Background : Bioethics consultations are conducted in varied settings, including hospitals, universities, and other research institutions, but there is sparse information about bioethics consultations conducted in corporate settings such as pharmaceutical companies. The purpose of this article is to describe a bioethics consultation service at a pharmaceutical company, to report characteristics of consultations completed by the service over a 6-year period, and to share results of a consultation feedback survey. Methods : Data on the descriptive characteristics of bioethics consultations were collected from 2008 to 2013 and analyzed in Excel 2007. Categorical data were analyzed via the pivot table function, and time-based variables were analyzed via formulas. The feedback survey was administered to consultation requesters from 2009 to 2012 and also analyzed in Excel 2007. Results : Over the 6-year period, 189 bioethics consultations were conducted. The number of consultations increased from five per year in 2008 to approximately one per week in 2013. During this time, the format of the consultation service was changed from a committee-only approach to a tiered approach (tailored to the needs of the case). The five most frequent topics were informed consent, early termination of a clinical trial, benefits and risks, human biological samples, and patient rights. The feedback survey results suggest the consultation service is well regarded overall and viewed as approachable, helpful, and responsive. Conclusions : Pharmaceutical bioethics consultation is a unique category of bioethics consultation that primarily focuses on pharmaceutical research and development but also touches on aspects of clinical ethics, business ethics, and organizational ethics. Results indicate there is a demand for a tiered bioethics consultation service within this pharmaceutical company and that advice was valued. This company's experience indicates that a bioethics consultation service

  8. 7 CFR 52.83 - Reporting results of the plant survey and inauguration of inspection services.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 2 2010-01-01 2010-01-01 false Reporting results of the plant survey and inauguration... AGRICULTURAL MARKETING SERVICE (Standards, Inspections, Marketing Practices), DEPARTMENT OF AGRICULTURE REGULATIONS AND STANDARDS UNDER THE AGRICULTURAL MARKETING ACT OF 1946 PROCESSED FRUITS AND VEGETABLES...

  9. 41 CFR 102-118.45 - How does a transportation service provider (TSP) bill my agency for transportation and...

    Science.gov (United States)

    2010-07-01

    ... (b) Billing method (1)(i) Government issued agency charge card, (1) Bill from charge card company (may be electronic). (ii) Centrally billed travel account citation. (2)(i) Purchase order, (2) Bill from TSP (may be electronic). (ii) Bill of lading, (iii) Government Bill of Lading, (iv) Government...

  10. Towards an e-Model for the enhancement of service rendering by SMMEs supporting agencies in South Africa

    CSIR Research Space (South Africa)

    Ngassam, EK

    2009-05-01

    Full Text Available of the existing model to an e-model may lead to an effective and efficient service delivery, which in turn could positively impact on SMMEs operational objectives. The proposed e-model forms the basis for the enhancement of the quality of service rendered...

  11. 48 CFR 6.302-1 - Only one responsible source and no other supplies or services will satisfy agency requirements.

    Science.gov (United States)

    2010-10-01

    ... innovative concept (see definition at 2.101), or, demonstrates a unique capability of the source to provide the particular research services proposed; (B) Offers a concept or services not otherwise available to... contract is for construction of a part of a utility system and the utility company itself is the only...

  12. The Strategy Of Information Services Unit, BPM To Collect Tacit Knowledge Amongst The Officers Who Will Retire At The Malaysian Nuclear Agency

    International Nuclear Information System (INIS)

    Norzehan Ngadiron; Mohd Hafizal Yusof; Mohd Hasnor Hasan; Habibah Adnan; Rudarul Morhaya Ismail; Iberahim Ali

    2013-01-01

    This paper discusses the implementation strategies of Information Services Unit, Information Management Division (BPM) in collecting tacit knowledge among Malaysian Nuclear Agency officers before they entered retirement. Tacit knowledge is the knowledge of personnel (personal) owned by a person, consist the combination of knowledge, experience, wisdom and unique insight, and critical and stored in the individual. Therefore, efforts to collect tacit knowledge is designed to ensure that tacit knowledge can be stored and recorded either in the form of documents, visual audio, video and others. It is also to be used by internal and external users to enhance their knowledge and skills. It is hope that these efforts will contribute significantly to the survival of knowledge management activities in Malaysian Nuclear Agency. (author)

  13. DESIGN AND PRACTICE ON METADATA SERVICE SYSTEM OF SURVEYING AND MAPPING RESULTS BASED ON GEONETWORK

    Directory of Open Access Journals (Sweden)

    Z. Zha

    2012-08-01

    Full Text Available Based on the analysis and research on the current geographic information sharing and metadata service,we design, develop and deploy a distributed metadata service system based on GeoNetwork covering more than 30 nodes in provincial units of China.. By identifying the advantages of GeoNetwork, we design a distributed metadata service system of national surveying and mapping results. It consists of 31 network nodes, a central node and a portal. Network nodes are the direct system metadata source, and are distributed arround the country. Each network node maintains a metadata service system, responsible for metadata uploading and management. The central node harvests metadata from network nodes using OGC CSW 2.0.2 standard interface. The portal shows all metadata in the central node, provides users with a variety of methods and interface for metadata search or querying. It also provides management capabilities on connecting the central node and the network nodes together. There are defects with GeoNetwork too. Accordingly, we made improvement and optimization on big-amount metadata uploading, synchronization and concurrent access. For metadata uploading and synchronization, by carefully analysis the database and index operation logs, we successfully avoid the performance bottlenecks. And with a batch operation and dynamic memory management solution, data throughput and system performance are significantly improved; For concurrent access, , through a request coding and results cache solution, query performance is greatly improved. To smoothly respond to huge concurrent requests, a web cluster solution is deployed. This paper also gives an experiment analysis and compares the system performance before and after improvement and optimization. Design and practical results have been applied in national metadata service system of surveying and mapping results. It proved that the improved GeoNetwork service architecture can effectively adaptive for

  14. [Competency requirements for executives in healthcare and social services organizations: Results of a Delphi study].

    Science.gov (United States)

    Pielach, Martin; Schubert, Hans-Joachim

    2018-02-07

    Leadership in social services and healthcare organizations is marked by high levels of complexity and contradiction, which cannot be fully explained by politically, economically, and socially induced changes. Rather, it is the particularities of service provision in healthcare and social services that confront executives with specific demands. This study aimed to capture and prioritize required leadership competencies in healthcare and social services organizations. A three-step Delphi study was conducted with executives and managerial staff, who are job holders and thus experts on their occupation. For the first step, an explorative qualitative approach was chosen to record general opinion without prior assumptions. The following two steps weighted and selected the competency requirements in step one using rating- and ranking procedures. Results of the Delphi inquiry imply high relevance of social and personal competencies. Approximately 66 % of the competencies assessed in round three were social and personal competencies. 12 out of the 15 highest rated competencies in Delphi step three can be assigned to these two competency categories. In contrast, the importance of professional as well as methodical competencies was rated as less important. Only two methodical competencies and one professional competency were rated as very important by the panel. Nevertheless, the importance of executive professional and methodical competencies in healthcare and social services organizations is emphasized by high ratings of the competencies "Sector-specific expertise" and "Analytical skills". The methodical competency "Analytical skills" was identified by the Delphi respondents as the most important competency requirement. Social and personal requirements are of primary importance for leadership in healthcare and social services organizations. These results mostly correspond to leadership requirements posited in the literature on leadership skills. Emphasis should be on the

  15. Institutional authorisation and accreditation of Transfusion Services and Blood Donation Sites: results of a national survey

    Science.gov (United States)

    Liumbruno, Giancarlo Maria; Panetta, Valentina; Bonini, Rosaria; Chianese, Rosa; Fiorin, Francesco; Lupi, Maria Antonietta; Tomasini, Ivana; Grazzini, Giuliano

    2011-01-01

    Introduction The aim of the survey described in this article was to determine decisional and strategic factors useful for redefining minimum structural, technological and organisational requisites for transfusion structures, as well as for the production of guidelines for accreditation of transfusion structures by the National Blood Centre. Materials and methods A structured questionnaire containing 65 questions was sent to all Transfusion Services in Italy. The questions covered: management of the quality system, accreditation, conformity with professional standards, structural and technological requisites, as well as potential to supply transfusion medicine-related health care services. All the questionnaires returned underwent statistical analysis. Results Replies were received from 64.7% of the Transfusion Services. Thirty-nine percent of these had an ISO 9001 certificate, with marked differences according to geographical location; location-related differences were also present for responses to other questions and were confirmed by multivariate statistical analysis. Over half of the Transfusion Services (53.6%) had blood donation sites run by donor associations. The statistical analysis revealed only one statistically significant difference between these donation sites: those connected to certified Transfusion Services were more likely themselves to have ISO 9001 certification than those connected to services who did not have such certification. Conclusions The data collected in this survey are representative of the Italian national transfusion system. A re-definition of the authorisation and accreditation requisites for transfusion activities must take into account European and national legislation when determining these requisites in order to facilitate their effective applicability, promote their efficient fulfilment and enhance the development of homogeneous and transparent quality systems. PMID:21839026

  16. Predicting temporal trends in total absenteeism rates for civil service employees of a federal public health agency.

    Science.gov (United States)

    Spears, D Ross; McNeil, Carrie; Warnock, Eli; Trapp, Jonathan; Oyinloye, Oluremi; Whitehurst, Vanessa; Decker, K C; Chapman, Sandy; Campbell, Morris; Meechan, Paul

    2014-06-01

    This study evaluates the predictability in temporal absences trends due to all causes (total absenteeism) among employees at a federal agency. The objective is to determine how leave trends vary within the year, and determine whether trends are predictable. Ten years of absenteeism data from an attendance system were analyzed for rates of total absence. Trends over a 10-year period followed predictable and regular patterns during a given year that correspond to major holiday periods. Temporal trends in leave among small, medium, and large facilities compared favorably with the agency as a whole. Temporal trends in total absenteeism rates for an organization can be determined using its attendance system. The ability to predict employee absenteeism rates can be extremely helpful for management in optimizing business performance and ensuring that an organization meets its mission.

  17. Empowering primary care workers to improve health services: results from Mozambique's leadership and management development program

    Directory of Open Access Journals (Sweden)

    Perry Cary

    2008-07-01

    Full Text Available Abstract This article is the third article in the Human Resources for Health journal's feature on the theme of leadership and management in public health. The series of six articles has been contributed by Management Sciences for Health (MSH and will be published article-by-article over the next few weeks. The third article presents a successful application in Mozambique of a leadership development program created by Management Sciences for Health (MSH. Through this program, managers from 40 countries have learned to work in teams to identify their priority challenges and act to implement effective responses. From 2003 to 2004, 11 health units in Nampula Province, participated in a leadership and management development program called the Challenges Program. This was following an assessment which found that the quality of health services was poor, and senior officials determined that the underlying cause was the lack of human resource capacity in leadership and management in a rapidly decentralizing health care system. The program was funded by the US Agency for International Development (USAID and implemented in partnership between the Mozambican Ministry of Health (MOH Provincial Directorate in Nampula and Management Sciences for Health (MSH. The Challenges Program used simple management and leadership tools to assist the health units and their communities to address health service challenges. An evaluation of the program in 2005 showed that 10 of 11 health centers improved health services over the year of the program. The Challenges Program used several strategies that contributed to successful outcomes. It integrated leadership strengthening into the day-to-day challenges that staff were facing in the health units. The second success factor in the Challenges Program was the creation of participatory teams. After the program, people no longer waited passively to be trained but instead proactively requested training in needed areas. MOH workers

  18. State Public Health Enabling Authorities: Results of a Fundamental Activities Assessment Examining Core and Essential Services

    Science.gov (United States)

    Hoss, Aila; Menon, Akshara; Corso, Liza

    2016-01-01

    Context Public health enabling authorities establish the legal foundation for financing, organizing, and delivering public health services. State laws vary in terms of the content, depth, and breadth of these fundamental public health activities. Given this variance, the Institute of Medicine has identified state public health laws as an area that requires further examination. To respond to this call for further examination, the Centers for Disease Control and Prevention’s Public Health Law Program conducted a fundamental activities legal assessment on state public health laws. Objective The goal of the legal assessment was to examine state laws referencing frameworks representing public health department fundamental activities (ie, core and essential services) in an effort to identify, catalog, and describe enabling authorities of state governmental public health systems. Design In 2013, Public Health Law Program staff compiled a list of state statutes and regulations referencing different commonly-recognized public health frameworks of fundamental activities. The legal assessment included state fundamental activities laws available on WestlawNext as of July 2013. The results related to the 10 essential public health services and the 3 core public health functions were confirmed and updated in June 2016. Results Eighteen states reference commonly-recognized frameworks of fundamental activities in their laws. Thirteen states have listed the 10 essential public health services in their laws. Eight of these states have also referenced the 3 core public health functions in their laws. Five states reference only the core public health functions. Conclusions Several states reference fundamental activities in their state laws, particularly through use of the essential services framework. Further work is needed to capture the public health laws and practices of states that may be performing fundamental activities but without reference to a common framework. PMID

  19. Comprehensive Auditing in Nuclear Medicine Through the International Atomic Energy Agency Quality Management Audits in Nuclear Medicine Program. Part 2: Analysis of Results.

    Science.gov (United States)

    Dondi, Maurizio; Torres, Leonel; Marengo, Mario; Massardo, Teresa; Mishani, Eyal; Van Zyl Ellmann, Annare; Solanki, Kishor; Bischof Delaloye, Angelika; Lobato, Enrique Estrada; Miller, Rodolfo Nunez; Ordonez, Felix Barajas; Paez, Diana; Pascual, Thomas

    2017-11-01

    The International Atomic Energy Agency has developed a program, named Quality Management Audits in Nuclear Medicine (QUANUM), to help its Member States to check the status of their nuclear medicine practices and their adherence to international reference standards, covering all aspects of nuclear medicine, including quality assurance/quality control of instrumentation, radiopharmacy (further subdivided into levels 1, 2, and 3, according to complexity of work), radiation safety, clinical applications, as well as managerial aspects. The QUANUM program is based on both internal and external audits and, with specifically developed Excel spreadsheets, it helps assess the level of conformance (LoC) to those previously defined quality standards. According to their level of implementation, the level of conformance to requested standards; 0 (absent) up to 4 (full conformance). Items scored 0, 1, and 2 are considered non-conformance; items scored 3 and 4 are considered conformance. To assess results of the audit missions performed worldwide over the last 8 years, a retrospective analysis has been run on reports from a total of 42 audit missions in 39 centers, three of which had been re-audited. The analysis of all audit reports has shown an overall LoC of 73.9 ± 8.3% (mean ± standard deviation), ranging between 56.6% and 87.9%. The highest LoC has been found in the area of clinical services (83.7% for imaging and 87.9% for therapy), whereas the lowest levels have been found for Radiopharmacy Level 2 (56.6%); Computer Systems and Data Handling (66.6%); and Evaluation of the Quality Management System (67.6%). Prioritization of non-conformances produced a total of 1687 recommendations in the final audit report. Depending on the impact on safety and daily clinical activities, they were further classified as critical (requiring immediate action; n = 276; 16% of the total); major (requiring action in relatively short time, typically from 3 to 6 months; n = 604

  20. State Public Health Enabling Authorities: Results of a Fundamental Activities Assessment Examining Core and Essential Services.

    Science.gov (United States)

    Hoss, Aila; Menon, Akshara; Corso, Liza

    2016-01-01

    Public health enabling authorities establish the legal foundation for financing, organizing, and delivering public health services. State laws vary in terms of the content, depth, and breadth of these fundamental public health activities. Given this variance, the Institute of Medicine has identified state public health laws as an area that requires further examination. To respond to this call for further examination, the Centers for Disease Control and Prevention's Public Health Law Program conducted a fundamental activities legal assessment on state public health laws. The goal of the legal assessment was to examine state laws referencing frameworks representing public health department fundamental activities (ie, core and essential services) in an effort to identify, catalog, and describe enabling authorities of state governmental public health systems. In 2013, Public Health Law Program staff compiled a list of state statutes and regulations referencing different commonly-recognized public health frameworks of fundamental activities. The legal assessment included state fundamental activities laws available on WestlawNext as of July 2013. The results related to the 10 essential public health services and the 3 core public health functions were confirmed and updated in June 2016. Eighteen states reference commonly-recognized frameworks of fundamental activities in their laws. Thirteen states have listed the 10 essential public health services in their laws. Eight of these states have also referenced the 3 core public health functions in their laws. Five states reference only the core public health functions. Several states reference fundamental activities in their state laws, particularly through use of the essential services framework. Further work is needed to capture the public health laws and practices of states that may be performing fundamental activities but without reference to a common framework.

  1. Vulnerability and agency: beyond an irreconcilable dichotomy for social service providers working with young refugees in the UK.

    Science.gov (United States)

    O'Higgins, Aoife

    2012-01-01

    Many young refugees face significant difficulties in securing support from social services providers. This study invited 21 young refugees aged 16 to 21 to take part in focus groups and follow-up interviews about their experiences of accessing this support. The findings reveal that young refugees may deliberately conform to expectations about their vulnerability in order to benefit from greater support from service providers. Social workers may fail to consider young refugees' abilities and understand the ways in which each individual is vulnerable. The study suggests that group work may be an effective way to engage young refugees to overcome this. Copyright © 2012 Wiley Periodicals, Inc., A Wiley Company.

  2. Improve the Efficiency of the Service Process as a Result of the Muda Ideology

    Science.gov (United States)

    Lorenc, Augustyn; Przyłuski, Krzysztof

    2018-06-01

    The aim of the paper was to improve service processes carried out by Knorr-Bremse Systemy Kolejowe Polska sp. z o.o. Particularly, emphasise unnecessary movements and physical efforts of employees. The indirect goal was to find a solution in the simplest possible way using the Muda ideology. In order to improve the service process at the beginning was executed the process mapping for the devices to be repaired, ie. brake callipers, electro-hydraulic units and auxiliary release units. The processes were assessed and shown as Pareto-Lorenz analysis. In order to determine the most time consuming process. Based on the obtained results use of a column crane with articulated arm was proposed to facilitate the transfer of heavy components between areas. The final step was to assess the effectiveness of the proposed solution in terms of time saving. From the company perspective results of the analysis are important. The proposed solution not only reduces total service time but also contributes to crew's work comfort.

  3. 77 FR 12407 - Statement of Agency Policy and Interpretation on the Hours of Service Laws as Amended; Response...

    Science.gov (United States)

    2012-02-29

    ... 10 hours or 48 or 72 hours after working 6 or 7 days), and is released from that call prior to the... Transportation (Secretary), has long administered statutory hours of service requirements for the three groups of..., in the next 24 hours, and must get 10 hours off either after working that 12 hours or at the end of...

  4. Vulnerability and Agency: Beyond an Irreconcilable Dichotomy for Social Service Providers Working with Young Refugees in the UK

    Science.gov (United States)

    O'Higgins, Aoife

    2012-01-01

    Many young refugees face significant difficulties in securing support from social services providers. This study invited 21 young refugees aged 16 to 21 to take part in focus groups and follow-up interviews about their experiences of accessing this support. The findings reveal that young refugees may deliberately conform to expectations about…

  5. 41 CFR 102-73.15 - What real estate acquisition and related services may Federal agencies provide?

    Science.gov (United States)

    2010-07-01

    ... 41 Public Contracts and Property Management 3 2010-07-01 2010-07-01 false What real estate... REGULATION REAL PROPERTY 73-REAL ESTATE ACQUISITION General Provisions § 102-73.15 What real estate... provide real estate acquisition and related services, including leasing (with or without purchase options...

  6. Coordinated Early Intervening Services: Programs in Local Education Agencies that Are Required to Reserve IDEA Funds. inForum

    Science.gov (United States)

    Burdette, Paula; Sopko, Kimberly Moherek

    2010-01-01

    Disproportionate representation of children from diverse racial and ethnic backgrounds in special education has been a longstanding concern that the 2004 reauthorization of the Individuals with Disabilities Education Act (IDEA) sought to address. The IDEA contains new requirements related to the provision of early intervening services designed to…

  7. CSAIO – a progressive tool at the service of staff associations of international organizations and European agencies

    CERN Multimedia

    Staff Association

    2016-01-01

    Every year in autumn, a two-day CSAIO (Conference of Staff Associations of International Organizations) conference is organized for staff associations of international organizations based mainly in Europe, as well as European agencies. Creation, objectives and progress CSAIO, created by the staff associations of CERN and OECD in 2000, invites about 30 staff associations to share their experiences and ideas to better identify the expectations and aspirations of a personnel evolving at the heart of international and European organizations. Over time, the preparation of the conference has evolved to better accommodate the requests of the staff representatives coming from different horizons. For two years, there has been an initiative to institutionalize the informal follow-up, during the first half-day of the conference, of themes discussed the previous year. This follow-up allows participants to share their experience on the implementation and impacts of certain propositions as reflected in their organizations ...

  8. Evaluation of diagnostic radiology services in five Latin American countries: Results for mammography

    International Nuclear Information System (INIS)

    Brandan, M.E.; Caspani, C.E.M.; Mora, R. de la; Miranda, A.A.; Plazas, M.-C.; Borras, C.

    2001-01-01

    Under the auspices of PAHO/WHO, a multicentric investigation is carried out in five Latin American countries. Its aim is to correlate quality indicators of radiology services with the accuracy of the radiological interpretation as determined by a panel of experts. We present preliminary results from mammographic imaging facilities, which indicate that the failure to comply with the international standards of quality control produces images of unacceptable quality, as measured either by using a phantom or by an independent evaluation of the clinical images. (author)

  9. Results of the Simulation and Assimilation of Doppler Wind Lidar Observations in Preparation for European Space Agency's Aeolus Mission

    Science.gov (United States)

    McCarty, Will

    2011-01-01

    With the launch of the European Space Agency's Aeolus Mission in 2013, direct spaceborne measurements of vertical wind profiles are imminent via Doppler wind lidar technology. Part of the preparedness for such missions is the development of the proper data assimilation methodology for handling such observations. Since no heritage measurements exist in space, the Joint Observing System Simulation Experiment (Joint OSSE) framework has been utilized to generate a realistic proxy dataset as a precursor to flight. These data are being used for the development of the Gridpoint Statistical Interpolation (GSI) data assimilation system utilized at a number of centers through the United States including the Global Modeling and Assimilation Office (GMAO) at NASA/Goddard Space Flight Center and at the National Centers for Environmental Prediction (NOAA/NWS/NCEP) as an activity through the Joint Center for Satellite Data Assimilation. An update of this ongoing effort will be presented, including the methodology of proxy data generation, the limitations of the proxy data, the handling of line-of-sight wind measurements within the GSI, and the impact on both analyses and forecasts with the addition of the new data type.

  10. Survey of NDT techniques, services, qualifications and certification of NDT personnel-preliminary results

    International Nuclear Information System (INIS)

    Aleta, C.R.; Kinilitan, V.E.; Lailo, R.M.

    1987-01-01

    This paper presented the results of a survey conducted to determine the profile of the NDT industry including its problems. A questionnaire designed in three parts 1) present practices on qualification and certification, 2) NDT equipment and 3) services and problems in NDT. Of the 36 firms contacted only 20 responded. Results indicated the following: a) most firms are engaged in four (4) main techniques, RT, UT, MT and PT. Only 2 indicated capability of ET. b) level III personnel are relatively few in number, c) most firms allow the ASNT recommendation as a basis for their qualifications and certification and are in favor of standardization of the qualification and certification process and supportive of a national center for training of NDT personnel and d) most firms perceived the lack of adequate repair/maintenance skills/facilities, followed by high cost of equipment and the lack of national standard for qualification and certification. (ELC)

  11. Agency doctorates

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1970-07-01

    Mr. Wen-chuan Li of China has become the first student to obtain a doctor's degree as a result of research work carried out in the Agency. Mr. Li, who is 33, graduated as a Bachelor of Agriculture at Taiwan Provincial Chung-hsing University in 1960 and in 1966 was granted a fellowship to study mutations in plant breeding at the Agency's Seibersdorf Laboratory near Vienna, under the direction of Dr. Knut Mikaelsen, a professor of the University of Bergen. The Hochschule fur Bodenkultur of Vienna accepted the research as being suitable for a thesis and have now granted the degree of Doctor of Agriculture. The subject of the thesis was modifying factors influencing the mutagenic effects of alkylating agents as compared with ionizing radiations in barley. Alkylating agents are involved in the use of chemicals as a means of changing the characteristics of seeds to bring about changes aimed at improving the quality of crops. Mr. Li's work is regarded as a significant contribution to the understanding of the mechanics by which mutations are induced, to the efficient use of chemicals and ionizing radiations in practical applications, and to the efforts of the Agency in collaboration with the Food and Agriculture Organization to benefit food supplies. Mr. Li has now completed his fellowship with the Agency and has been appointed an Assistant Professor in Plant Breeding at Taiwan Provincial Chung-hsing University. The photograph, taken in the plastic hot house at Seibersdorf, shows him studying rice plants grown from seeds subjected to irradiation. Another noteworthy achievement is that of Mr. Karl-Franz Lacina, a security guard at the Agency's headquarters. At the age of 50 he has been accorded the degree of Doctor of Philosophy at Vienna University, the result of six years' work in his leisure time. The major subject was Arabic, with French and philosophy as supporting subject. (author)

  12. Agency doctorates

    International Nuclear Information System (INIS)

    1970-01-01

    Mr. Wen-chuan Li of China has become the first student to obtain a doctor's degree as a result of research work carried out in the Agency. Mr. Li, who is 33, graduated as a Bachelor of Agriculture at Taiwan Provincial Chung-hsing University in 1960 and in 1966 was granted a fellowship to study mutations in plant breeding at the Agency's Seibersdorf Laboratory near Vienna, under the direction of Dr. Knut Mikaelsen, a professor of the University of Bergen. The Hochschule fur Bodenkultur of Vienna accepted the research as being suitable for a thesis and have now granted the degree of Doctor of Agriculture. The subject of the thesis was modifying factors influencing the mutagenic effects of alkylating agents as compared with ionizing radiations in barley. Alkylating agents are involved in the use of chemicals as a means of changing the characteristics of seeds to bring about changes aimed at improving the quality of crops. Mr. Li's work is regarded as a significant contribution to the understanding of the mechanics by which mutations are induced, to the efficient use of chemicals and ionizing radiations in practical applications, and to the efforts of the Agency in collaboration with the Food and Agriculture Organization to benefit food supplies. Mr. Li has now completed his fellowship with the Agency and has been appointed an Assistant Professor in Plant Breeding at Taiwan Provincial Chung-hsing University. The photograph, taken in the plastic hot house at Seibersdorf, shows him studying rice plants grown from seeds subjected to irradiation. Another noteworthy achievement is that of Mr. Karl-Franz Lacina, a security guard at the Agency's headquarters. At the age of 50 he has been accorded the degree of Doctor of Philosophy at Vienna University, the result of six years' work in his leisure time. The major subject was Arabic, with French and philosophy as supporting subject. (author)

  13. Service procurement in manufacturing companies: results of three embedded case studies

    NARCIS (Netherlands)

    Valk, van der W.

    2008-01-01

    An increasing part of companies' purchasing expenditures is being spent on (business) services. At the same time, the interactive character of business services has so far largely been neglected in purchasing and supply management studies. The success of a service purchase is however established

  14. Ecosystem Services in the Great Lakes – Results of a Summit

    Science.gov (United States)

    A comprehensive inventory of ecosystem services across the entire Great Lakes basin is currently lacking and is needed to make informed management decisions. A greater appreciation and understanding of ecosystem services, including both use and non-use services, may have avoided ...

  15. The energy consumption of the services and farming sectors 1990 - 2035 - Results of scenarios I - IV

    International Nuclear Information System (INIS)

    Aebischer, B.; Catenazzi, G.

    2007-01-01

    This comprehensive report for the Swiss Federal Office of Energy (SFOE) presents four scenarios concerning the development of energy consumption in the services sector and for farming for the period 1990 - 2035. The four scenarios - status quo, increased co-operation between the state and the economy with various levies, global reduction of energy consumption and, finally, scenario IV 'on the way to a 2000-Watt Society' - are briefly described. In particular, the scenarios are examined for various sensitivities: high gross domestic product GDP, CO 2 levy, high prices and warmer climate. The models and methods used are examined and examples of their use are quoted. The results of the sensitivity analyses are compared and discussed and the necessary instruments are examined. This comprehensive report contains a large number of data-tables and graphical representations

  16. Applying results from Physics Education Research in a large first-year service course

    Science.gov (United States)

    Ahrensmeier, Daria

    2012-10-01

    First-year service courses are among the most challenging teaching appointments, due to factors such as lack of motivation, lack of academic preparation, and huge class size. I will describe how the Labatorial Project at the University of Calgary strives to apply results from Physics Education research on inquiry-based learning, addressing misconceptions, peer instruction etc. to the small group sections of these courses. After a brief overview of the design and implementation of the labatorials for a first-year course for engineering students, I will focus on the aspects of change management and sustainability: how one initial change led to a sequence of related modifications, from the lectures to the exams and TA training, accompanied by a natural process of faculty professional development.

  17. Web-Scale Discovery Services Retrieve Relevant Results in Health Sciences Topics Including MEDLINE Content

    Directory of Open Access Journals (Sweden)

    Elizabeth Margaret Stovold

    2017-06-01

    Full Text Available A Review of: Hanneke, R., & O’Brien, K. K. (2016. Comparison of three web-scale discovery services for health sciences research. Journal of the Medical Library Association, 104(2, 109-117. http://dx.doi.org/10.3163/1536-5050.104.2.004 Abstract Objective – To compare the results of health sciences search queries in three web-scale discovery (WSD services for relevance, duplicate detection, and retrieval of MEDLINE content. Design – Comparative evaluation and bibliometric study. Setting – Six university libraries in the United States of America. Subjects – Three commercial WSD services: Primo, Summon, and EBSCO Discovery Service (EDS. Methods – The authors collected data at six universities, including their own. They tested each of the three WSDs at two data collection sites. However, since one of the sites was using a legacy version of Summon that was due to be upgraded, data collected for Summon at this site were considered obsolete and excluded from the analysis. The authors generated three questions for each of six major health disciplines, then designed simple keyword searches to mimic typical student search behaviours. They captured the first 20 results from each query run at each test site, to represent the first “page” of results, giving a total of 2,086 total search results. These were independently assessed for relevance to the topic. Authors resolved disagreements by discussion, and calculated a kappa inter-observer score. They retained duplicate records within the results so that the duplicate detection by the WSDs could be compared. They assessed MEDLINE coverage by the WSDs in several ways. Using precise strategies to generate a relevant set of articles, they conducted one search from each of the six disciplines in PubMed so that they could compare retrieval of MEDLINE content. These results were cross-checked against the first 20 results from the corresponding query in the WSDs. To aid investigation of overall

  18. Result

    Indian Academy of Sciences (India)

    With reference to the detailed evaluation of bids submitted the following agencies has been selected to award the contract on L1 ( lowest bidder) basis. 1. M/s . CITO INFOTECH, Bengaluru ( for procurement of desktop computers). 2. M/s. MCCANNINFO SOLUTION, Mumbai ( for procurement of laptops computers)

  19. Enhancing patient safety with an electronic results checking system in a large HIV outpatient service.

    Science.gov (United States)

    Nugent, D B; Uthayakumar, N; Ferrand, R A; Edwards, S G; Miller, R; Benn, P

    2013-08-01

    To establish whether an automated electronic tracker system for reporting blood results would expedite clinician review of abnormal results in HIV-positive outpatients and to pilot the use of this system in routine clinical practice. An outpatient service in central London providing specialist HIV-related care to 3900 HIV positive patients. A comparison of the time taken from sampling to identification and clinician review of abnormal blood results for biochemical tests between the original paper-based checking system and an automated electronic system during a 3-week pilot. Of 513 patients undergoing one or more blood tests, 296 (57%) had one or more biochemical abnormalities identified by electronic checking system. Out of 371 biochemical abnormalities, 307 (82.7%) were identified simultaneously by the paper-based system. Of the 307, 33 (10.7%) were classified as urgent, 130 (42.3%) as non-urgent and 144 (46.9%) as not clinically significant. The median interval between sampling and receipt of results was 1 (interquartile range 1-2) vs 4 days ( interquartile range 3-5), P interquartile range 1-4) vs 3 days (interquartile range 3-6), Pinterquartile range 1-4) vs 10 days ( interquartile range 9-12), P=0.136, for electronic and paper-based systems respectively. Seven (11%) of the missing paper-based system results were classified as urgent. The electronic system missed three abnormalities as a result of a software processing error which was subsequently corrected. The electronic tracker system allows faster identification of biochemical abnormalities and allowed faster review of these results by clinicians. The pilot study allowed for a software error to be identified and corrected before full implementation. The system has since integrated successfully into routine clinical practice.

  20. The lay user perspective on the quality of pharmaceuticals, drug therapy and pharmacy services--results of focus group discussions

    DEFF Research Database (Denmark)

    Traulsen, Janine Marie; Almarsdóttir, Anna Birna; Björnsdóttir, Ingunn

    2002-01-01

    This article presents the results of a study on quality of pharmacy services and perceived risk of pharmaceuticals. The results presented here are part of a multi-study evaluation of major changes in drug distribution in Iceland.......This article presents the results of a study on quality of pharmacy services and perceived risk of pharmaceuticals. The results presented here are part of a multi-study evaluation of major changes in drug distribution in Iceland....

  1. Indicators and Managing for Results: Filling the Gap in Coach Transport Services

    Directory of Open Access Journals (Sweden)

    Marcos Thadeu Queiroz Magalhães

    2018-02-01

    Full Text Available Resumo Este artigo discute a Gestão por Resultados (MFR, no inglês em contratos de serviços de transporte de passageiros. Apresenta o Processo Integrado de Planejamento e como é possível unir, num único quadro, planejamento, monitoramento e avaliação. Após isso, são propostos um conjunto de indicadores de desempenho capazes de cobrir tanto os requisitos de gestão processual quanto finalística. Ao fim, comenta-se sobre os principais limitadores da proposta bem como fatores críticos de sucesso para a Gestão por Resultados voltada para os contratos de serviço de transporte de passageiros. Palavras-Chave: Gestão por Resultados, Transporte de Passageiros, Indicadores, Avaliação, Planejamento Orientado a Resultados. Abstract This paper discusses MFR (Managing for Results in Coach Transport Contract Management. It presents an Integrated Planning Process and shows how it is possible to merge planning, monitoring and assessing activities into one single framework. After that, we propose a set of performance indicators that are able to cope with both procedural and finalistic performance management requirements. Finally, we comment some limitations of the research and present some critical factors for success of MFR in Coach Transport Contract Management. Key-Words: Managing for Results, Coach Transport Services, Indicators, Evaluation, Result-Oriented Planning.

  2. Risk management perspective for climate service development - Results from a study on Finnish organizations

    Science.gov (United States)

    Harjanne, Atte; Haavisto, Riina; Tuomenvirta, Heikki; Gregow, Hilppa

    2017-10-01

    Weather, climate and climate change can cause significant risks to businesses and public administration. However, understanding these processes can also create opportunities. Information can help to manage these risks and opportunities, but in order to do so, it must be in line with how risk management and decision making works. To better understand how climate risks and opportunities are reflected in different organizational processes and what types of information is needed and used, we conducted a study on the perceptions and management of weather and climate risks in Finnish organizations and on their use of weather and climate information. In addition, we collected feedback on how the existing climate information tools should be developed. Data on climate risk management was collected in an online survey and in one full-day workshop. The survey was aimed to the Finnish public and private organizations who use weather and climate data and altogether 118 responses were collected. The workshop consisted of two parts: weather and climate risk management processes in general and the development of the current information tools to further address user needs.We found that climate risk management in organizations is quite diverse and often de-centralized and that external experts are considered the most useful sources of information. Consequently, users emphasize the need for networks of expertise and sector-specific information tools. Creating such services requires input and information sharing from the user side as well. Better temporal and spatial accuracy is naturally asked for, but users also stressed the need for transparency when it comes to communicating uncertainties, and the availability and up-to-datedness of information. Our results illustrate that weather and climate risks compete and blend in with other risks and changes perceived by the organizations and supporting information is sought from different types of sources. Thus the design and evaluation of

  3. Promoting healthier children's meals at quick-service and full-service restaurants: Results from a pilot and feasibility study.

    Science.gov (United States)

    Lopez, Nanette V; Folta, Sara C; Glenn, Meaghan E; Lynskey, Vanessa M; Patel, Anjali A; Anzman-Frasca, Stephanie

    2017-10-01

    High-calorie restaurant foods contribute to childhood overweight. Increased consumer demand for healthier kids' meals may motivate the restaurant industry to provide additional healthy options. This study pilot-tested a combination of four strategies (toy incentive, placemats, server prompts, signage) designed to increase demand for healthier kids' meals, which were defined as those eligible for the National Restaurant Association's Kids LiveWell program. Relative sales of healthier kids' meals were examined before (n = 3473 total kids' meal orders) and during Month 1 (n = 3546 total kids' meal orders) and Month 2 of implementation (n = 3645 total kids' meal orders) of an 8-week intervention in two locations each of a quick-service (QSR) and full-service (FSR) restaurant chain. Convenience samples of children (n = 27) and their parents (n = 28) were surveyed regarding parent and child perceptions of intervention components. Findings regarding the effectiveness and feasibility of the intervention were mixed. At the FSRs, the relative percentage of monthly sales from healthier kids' meals increased from 5.0% of kids' meal orders at baseline to 8.3% during Month 1, ending at 6.4% during Month 2. At the QSRs, the relative percentage of monthly sales from healthier kids' entrees decreased from 27.5% at baseline to 25.2% during Month 1, ending at 25.9% during Month 2. Implementation quality tracking showed that consistent implementation of intervention components was a challenge; parent- and child-reported awareness of intervention components supported this finding. Future directions are discussed, aiming to build upon these findings and maximize the feasibility, effectiveness, and sustainability of efforts to promote healthier eating in restaurants. Copyright © 2017 Elsevier Ltd. All rights reserved.

  4. Political Consciousness but Not Political Engagement: Results from a Service-Learning Study

    Science.gov (United States)

    Harker, Dave

    2016-01-01

    How does participation in a service-learning program impact the way students think about politics and political engagement? There are reasons to expect that service-learning can contribute to the development of a political consciousness and the skills necessary for political participation. The author uses participant observation, in-depth…

  5. Polling Systems with Two-Phase Gated Service: Heavy Traffic Results for the Waiting Time Distribution

    NARCIS (Netherlands)

    R.D. van der Mei (Rob); J.A.C. Resing

    2008-01-01

    htmlabstractWe study an asymmetric cyclic polling system with Poisson arrivals, general service-time and switch-over time distributions, and with so-called two-phase gated service at each queue, an interleaving scheme that aims to enforce some level of "fairness" among the different customer

  6. The International Atomic Energy Agency circulation of laboratory air standards for stable isotope comparisons: Aims, preparation and preliminary results

    International Nuclear Information System (INIS)

    Allison, C.E.; Francey, R.J.; Steele, L.P.

    2002-01-01

    Ten air standards in high-pressure aluminium cylinders were prepared, covering a specified range of CO 2 concentration and δ 13 C and δ 18O isotopic composition, to be used for laboratory intercomparisons with the primary aim of merging global atmospheric CO 2 δ 13 C data sets. After establishing the stability of the standards, five were circulated between four laboratories with established high precision global monitoring networks to quantify differences between the measurement scales used in the laboratories. Measurements of CO 2 concentration in three of the four laboratories showed agreement to better than 0.2 ppm for the five standards. Measurements of N 2 O concentration reported by three of the laboratories agreed to better than 3 ppb after correction for known scaling factor differences, but a fourth laboratory reported results for two cylinders lower by about 20 ppb, contributing a δ 13 C uncertainty of about 0.012 per mille for these two cylinders. The reported measurements of the δ 13 C and δ 18O of CO 2 extracted from the air in the five standards showed large offsets between the laboratories of up to 0.1 per mille in δ 13 C and up to 1 per mille in δ 18O . Analysis of the results shows that about 40% of the offsets arises from differences in the procedures used in each laboratory to calculate the δ 13 C and δ 18 O values from the raw measurements and that the remainder arises from the pre-concentration step. Using one of the circulated standards to 'normalise' the others removes most of the inter-laboratory differences but there remains a non-linear response in one or more laboratories. The differences in δ 13 C that remain after normalisation are larger than the target precision of 0.01 per mille. (author)

  7. The Agency's budget

    International Nuclear Information System (INIS)

    1964-01-01

    A total Agency Budget of $10 406 000 for 1965 was approved by the General Conference at its session of September 1964; the Budget for the year 1964 amounted to $9 812 000. The consolidated Budget figures are shown in the table at the end of this article. The Budget falls into two parts - the Regular Budget and the Operational Budget. The Regular Budget provides for the ordinary administrative expenses of the Agency, and for expert panels, special missions, symposia and conferences, distribution of information, and scientific and technical services. In conformity with the Agency's Statute, these expenses are met by contributions made according to Voluntary contributions are paid initially into a General Fund established for this purpose, and money for operations is transferred to the respective Operating Funds as appropriate, and as approved by the Board of Governors. The scale of assessments for 1965 is based on the United Nations scale for 1964. The assessments are estimated to yield $7 713 000 - an increase of 6.8 per cent; however, more than three quarters of this increase will be offset by credits which Member States will receive as a result of a cash surplus brought forward. The Operational Budget is financed by voluntary contributions and is divided into two parts - Operating Fund I, devoted to certain laboratory and research projects, and Operating Fund II, for technical assistance, training and research contracts.

  8. Quality strategies implemented within the tourism agency Perfect Tour

    Directory of Open Access Journals (Sweden)

    Madar, A.

    2012-01-01

    Full Text Available The paper presents the quality strategies adopted by the tourism agency Perfect Tour. The most important advantages of the Romanian agency in comparison with its competitors are: the focus on high quality services, cooperation with other international agencies, entering new fields like medical tourism and sole representative of Disneyland Paris. The strategies adopted explain the good financial results even in the period of crisis.

  9. How integrated are neurology and palliative care services? Results of a multicentre mapping exercise.

    Science.gov (United States)

    van Vliet, Liesbeth M; Gao, Wei; DiFrancesco, Daniel; Crosby, Vincent; Wilcock, Andrew; Byrne, Anthony; Al-Chalabi, Ammar; Chaudhuri, K Ray; Evans, Catherine; Silber, Eli; Young, Carolyn; Malik, Farida; Quibell, Rachel; Higginson, Irene J

    2016-05-10

    Patients affected by progressive long-term neurological conditions might benefit from specialist palliative care involvement. However, little is known on how neurology and specialist palliative care services interact. This study aimed to map the current level of connections and integration between these services. The mapping exercise was conducted in eight centres with neurology and palliative care services in the United Kingdom. The data were provided by the respective neurology and specialist palliative care teams. Questions focused on: i) catchment and population served; ii) service provision and staffing; iii) integration and relationships. Centres varied in size of catchment areas (39-5,840 square miles) and population served (142,000-3,500,000). Neurology and specialist palliative care were often not co-terminus. Service provisions for neurology and specialist palliative care were also varied. For example, neurology services varied in the number and type of provided clinics and palliative care services in the settings they work in. Integration was most developed in Motor Neuron Disease (MND), e.g., joint meetings were often held, followed by Parkinsonism (made up of Parkinson's Disease (PD), Multiple-System Atrophy (MSA) and Progressive Supranuclear Palsy (PSP), with integration being more developed for MSA and PSP) and least in Multiple Sclerosis (MS), e.g., most sites had no formal links. The number of neurology patients per annum receiving specialist palliative care reflected these differences in integration (range: 9-88 MND, 3-25 Parkinsonism, and 0-5 MS). This mapping exercise showed heterogeneity in service provision and integration between neurology and specialist palliative care services, which varied not only between sites but also between diseases. This highlights the need and opportunities for improved models of integration, which should be rigorously tested for effectiveness.

  10. Index of film reject rates of mammographic service of Hospital Geral do Mexico. Strategies and results

    International Nuclear Information System (INIS)

    Jaimes, Uriel; Fabela, Arturo; Ramirez, Raul; Robledo, Rogelio; Verdejo, Maricela

    2001-01-01

    The reject of a radiographic film, not just means to do it again with the consequent increase in the dose to the patient, also means a failure in the service, as factors like fault in the equipment or by humans factors, like the selection of inadequate techniques or the bad positioning of the patient. In both cases, the analysis of the reject measures of radiographic studies, take special importance in the mammographic area, mainly if we consider the radiosensitivity of the tissues in study. This work, shows the methodology and the results of a study carried out in the Oncology Department of the General Hospital of Mexico, the biggest in the state, with the objective of knowing the principal causes of reject of films and establish through the respective analysis, the actions for correcting the detected failures, assuring so, low doses to patient, more precise diagnostic and the reduction of operating costs, that are the main objectives in a Program of Quality Assurance in Radiodiagnostic. (author)

  11. ORNL results for Test Case 1 of the International Atomic Energy Agency's research program on the safety assessment of Near-Surface Radioactive Waste Disposal Facilities

    International Nuclear Information System (INIS)

    Thorne, D.J.; McDowell-Boyer, L.M.; Kocher, D.C.; Little, C.A.; Roemer, E.K.

    1993-01-01

    The International Atomic Energy Agency (IAEA) started the Coordinated Research Program entitled '''The Safety Assessment of Near-Surface Radioactive Waste Disposal Facilities.'' The program is aimed at improving the confidence in the modeling results for safety assessments of waste disposal facilities. The program has been given the acronym NSARS (Near-Surface Radioactive Waste Disposal Safety Assessment Reliability Study) for ease of reference. The purpose of this report is to present the ORNL modeling results for the first test case (i.e., Test Case 1) of the IAEA NSARS program. Test Case 1 is based on near-surface disposal of radionuclides that are subsequently leached to a saturated-sand aquifer. Exposure to radionuclides results from use of a well screened in the aquifer and from intrusion into the repository. Two repository concepts were defined in Test Case 1: a simple earth trench and an engineered vault

  12. 5 CFR 1605.31 - Contributions missed as a result of military service.

    Science.gov (United States)

    2010-01-01

    ... contributions to the record keeper. (2) An employee who contributed to a uniformed services TSP account during... participant must make this election at the same time his or her makeup schedule is established pursuant to...

  13. Report: Results of Technical Vulnerability Assessment: EPA’s Directory Service System Authentication and Authorization Servers

    Science.gov (United States)

    Report #11-P-0597, September 9, 2011. Vulnerability testing of EPA’s directory service system authentication and authorization servers conducted in March 2011 identified authentication and authorization servers with numerous vulnerabilities.

  14. Analysis of remote operating systems for space-based servicing operations. Volume 2: Study results

    Science.gov (United States)

    1985-01-01

    The developments in automation and robotics have increased the importance of applications for space based servicing using remotely operated systems. A study on three basic remote operating systems (teleoperation, telepresence and robotics) was performed in two phases. In phase one, requirements development, which consisted of one three-month task, a group of ten missions were selected. These included the servicing of user equipment on the station and the servicing of the station itself. In phase two, concepts development, which consisted of three tasks, overall system concepts were developed for the selected missions. These concepts, which include worksite servicing equipment, a carrier system, and payload handling equipment, were evaluated relative to the configurations of the overall worksite. It is found that the robotic/teleoperator concepts are appropriate for relatively simple structured tasks, while the telepresence/teleoperator concepts are applicable for missions that are complex, unstructured tasks.

  15. Long term operation of nuclear power plants – IAEA SALTO peer review service and its results

    Energy Technology Data Exchange (ETDEWEB)

    Krivanek, Robert, E-mail: r.krivanek@iaea.org

    2014-12-15

    Highlights: • SALTO peer review service is designed for reviewing of ageing management and NPPs’ preparedness LTO. • It has been established as an effective tool to review the compliance with IAEA safety standards. • The important issues for safe LTO are being identified by SALTO missions. • Analysis of those issues is provided in the paper. • This peer review service is strongly recommended for NPPs prior to entering LTO period. - Abstract: This paper presents main IAEA activities for safe long term operation (LTO) which includes establishment of IAEA Safety Standards and other LTO related documents, fostering information exchange and establishing databases and provision of SALTO (Safety Aspects of Long Term Operation) peer review service. This paper provides insights into IAEA SALTO peer review service objectives, scope and methodology. The SALTO peer review service was designed to assist nuclear power plant (NPP) operators in adopting a proper approach to LTO of their plants and in implementing complete and appropriate activities to ensure that plant safety will be maintained during the LTO period. The SALTO peer review service can also support regulators in establishing or improving regulatory and licensing strategies for LTO of NPPs. Issues derived from 19 SALTO missions and 2 LTO modules of OSART (Operational Safety Review Team) missions conducted during the period of 2005 to March 2014 are also analyzed in this paper.

  16. A minority research and education information service: Design, develop, pilot test, and implement on-line access for historically black colleges and universities and government agencies. Annual status report, September 28, 1992--September 27, 1993

    Energy Technology Data Exchange (ETDEWEB)

    Rodman, J.A.

    1993-08-01

    The goal of the MOLIS project was to develop, design, and pilot test on-line access to current information on minority colleges and universities as well as federal minority opportunities. Federal Information Exchange, Inc. (FIE), a diversified information services company recognized by researchers and educators as a leader in the field of information delivery services, was awarded a 5 year small business research grant to develop and implement MOLIS. Since going on-line on April 29, 1991, MOLIS has provided current information on 138 Black and Hispanic colleges and universities -- including faculty and student profiles, financial data, research centers and equipment information, precollege and education programs, emerging capabilities, enrollment data, administrative personnel data, and current events -- as well as minority opportunities from participating federal agencies. Six federal agencies are currently participating in MOLIS, including: Agency for International Development; Department of Commerce; Department of Energy; Department of Housing and Urban Development; National Aeronautics and Space Administration; and National Science Foundation.

  17. Increasing reach by offering choices: Results from an innovative model for statewide services for smoking cessation.

    Science.gov (United States)

    Keller, Paula A; Schillo, Barbara A; Kerr, Amy N; Lien, Rebecca K; Saul, Jessie; Dreher, Marietta; Lachter, Randi B

    2016-10-01

    Although state quitlines provide free telephone counseling and often include nicotine replacement therapy (NRT), reach remains limited (1-2% in most states). More needs to be done to engage all smokers in the quitting process. A possible strategy is to offer choices of cessation services through quitlines and to reduce registration barriers. In March 2014, ClearWay Minnesota SM implemented a new model for QUITPLAN® Services, the state's population-wide cessation services. Tobacco users could choose the QUITPLAN® Helpline or one or more Individual QUITPLAN® Services (NRT starter kit, text messaging, email program, or quit guide). The program website was redesigned, online enrollment was added, and a new advertising campaign was created and launched. In 2014-2015, we evaluated whether these changes increased reach. We also assessed quit attempts, quit outcomes, predictors of 30-day abstinence, and average cost per quit via a seven-month follow-up survey. Between March 2014-February 2015, 15,861 unique tobacco users registered, which was a 169% increase over calendar year 2013. The majority of participants made a quit attempt (83.7%). Thirty-day point prevalence abstinence rates (responder rates) were 26.1% for QUITPLAN Services overall, 29.6% for the QUITPLAN Helpline, and 25.5% for Individual QUITPLAN Services. Several variables predicted quit outcomes, including receiving only one call from the Helpline and using both the Helpline and the NRT starter kit. Providing greater choice of cessation services and reducing registration barriers have the potential to engage more tobacco users, foster more quit attempts, and ultimately lead to long-term cessation and reductions in prevalence. Copyright © 2016 Elsevier Inc. All rights reserved.

  18. The modest environmental relief resulting from the transition to a service economy

    International Nuclear Information System (INIS)

    Henriques, Sofia Teives; Kander, Astrid

    2010-01-01

    A service transition is supposed to lead to the decline of energy intensity (energy/GDP). We argue that this interpretation is overly optimistic because the shift to a service economy is somewhat of an illusion in terms of real production. Several recent studies of structural effects on energy intensity have made the error of using sector shares in current prices, combined with GDP in constant prices, which is inconsistent and ignores the different behaviour of prices across sectors. We use the more correct method of sector shares in constant prices, and make an attempt to single out the effect from the real service transition by using two complementary methods: shift share analyses in current and constant prices, and Logarithmic Mean Divisia Index (LMDI) for 10 developed and 3 emerging economies. A service transition is rather modest in real terms. The major driver of the decline in energy intensity rests within the manufacturing sector. Meanwhile, the transition to a service sector had a small downward impact on energy intensity in 7 of the developed countries (and no impact in the others). For emerging economies like Brazil, Mexico and India, it is the residential sector that drives energy intensity down because of the declining share of this sector as the formal economy grows, and as a consequence of switching to more efficient fuels. (author)

  19. 75 FR 3906 - Request for Public Comment: 30-Day Proposed Information Collection: Indian Health Service...

    Science.gov (United States)

    2010-01-25

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

  20. Services

    International Nuclear Information System (INIS)

    Hardeman, F.

    1998-01-01

    The objectives of the services section is (1) to offer complete services in health-physics measurements according to international quality standards, (2) to improve continuously these measurement techniques and to follow up international recommendations and legislation concerning the surveillance of workers, (3) to support and advise nuclear and non-nuclear industry on problems of radioactive contamination. Achievements related to gamma spectrometry, whole-body counting, beta and alpha spectrometry, dosimetry, radon measurements, calibration, instrumentation, and neutron activation analysis are described

  1. Results of film dosemeter control irradiations of German dose measurements services, 1969-1974

    International Nuclear Information System (INIS)

    Gummi, V.; Taubert, R.

    1976-01-01

    The dose measurement services of the FRG have been controlling themselves since 1961 by evaluating film dosimeters irradiated in the PTB under standard conditions. This control method is now embodied in a law by the second decree about the standardization of measuring instruments dt. 6th August 1975. During the time 1969-74 the PTB carried out more than 800 annual control irradiations of film dosimeters. In 30% of the cases the evaluation by the measuring services showed an errory higher than +50%/-30%. The dose measuring services partially diverge considerably concerning the distribution of evaluation errors. Particular difficulties seem to exist in the soft x-ray radiation with effective energies less than 30 keV, in the energy range about 100 keV, and in the evaluation of dosemeter irradiated with two different qualities of radiation (double irradiation). (orig.) [de

  2. Teacher agency:

    DEFF Research Database (Denmark)

    Robinson, Sarah; Priestley, Mark; Biesta, Gert

    2015-01-01

    The concept of teacher agency has emerged in recent literature as an alternative means of understanding how teachers might enact practice and engage with policy (e.g. Lasky, 2005; Leander & Osbourne, 2008; Ketelaar et al., 2012; Priestley, Biesta & Robinson, 2013). But what is agency? Agency rema...

  3. Blind test results - measure of incessant progress in personnel monitoring services at Kudankulam Nuclear Power Project

    International Nuclear Information System (INIS)

    Jashi, K.B.; Ashok Kumar, A.; Pandaram, P.

    2018-01-01

    Personnel Monitoring Services (PMS) at Thermoluminescent Dosimeter (TLD) laboratory, Kudankulam Nuclear Power Project (KKNPP) involve monitoring of about 1500 radiation workers of KKNPP for external radiation exposure on monthly basis. Quality assurance in PMS provides an overall estimate of accuracy which depends not only upon the dosimeter quality and reader performance but also on data interpretation, applicable software and the system. Therefore it measures the effectiveness of quality control mechanism. Blind test is an effective tool to check the performance of the processor without their knowledge during routine processing of the service cards

  4. HIV testing service awareness and service uptake among female heads of household in rural Mozambique: results from a province-wide survey.

    Science.gov (United States)

    Paulin, Heather N; Blevins, Meridith; Koethe, John R; Hinton, Nicole; Vaz, Lara M E; Vergara, Alfredo E; Mukolo, Abraham; Ndatimana, Elisée; Moon, Troy D; Vermund, Sten H; Wester, C William

    2015-02-12

    HIV voluntary counseling and testing (VCT) utilization remains low in many sub-Saharan African countries, particularly in remote rural settings. We sought to identify factors associated with service awareness and service uptake of VCT among female heads of household in rural Zambézia Province of north-central Mozambique which is characterized by high HIV prevalence (12.6%), poverty, and suboptimal health service access and utilization. Our population-based survey of female heads of household was administered to a representative two-stage cluster sample using a sampling frame created for use on all national surveys and based on census results. The data served as a baseline measure for the Ogumaniha project initiated in 2009. Survey domains included poverty, health, education, income, HIV stigma, health service access, and empowerment. Descriptive statistics and logistic regression were used to describe service awareness and service uptake of VCT. Of 3708 women surveyed, 2546 (69%) were unaware of available VCT services. Among 1162 women who were aware of VCT, 673 (58%) reported no prior testing. In the VCT aware group, VCT awareness was associated with higher education (aOR = 2.88; 95% CI = 1.61, 5.16), higher income (aOR = 1.41, 95% CI = 1.06, 1.86), higher numeracy (aOR = 1.05, CI 1.03, 1.08), more children mobile phone ownership (aOR = 1.37; 95% CI = 1.03, 1.84) (all p-values marketing of VCT are needed in rural Mozambique with special attention to issues of community-level stigma reduction.

  5. Evaluation of off-service rotations at National Guard Health Affairs: Results from a perception survey of off-service residents

    Directory of Open Access Journals (Sweden)

    Mustafa M Alquraini

    2013-01-01

    Full Text Available Context: "Off-service" clinical rotations are part of the necessary requirements for many residency training programs. Because these rotations are off-service, little attention is given to their structure and quality of training. This often leads to suboptimal educational experience for the residents on these rotations. Aims: The aim of this study was to assess medical residents′ perceptions, opinions, and levels of satisfaction with their "off-service" rotations at a major residency training site in Saudi Arabia. It was also to evaluate the reliability and validity of a questionnaire used for quality assurance in these rotations. Improved reliability and validity of this questionnaire may help to improve the educational experience of residents in their "off-service" rotations. Materials and Methods: A close-ended questionnaire was developed, Pilot tested and distributed to 110 off-service residents in training programs of different specializations at King Fahad Naitonal Guard Hospital and King Abdulziz Medical City, Riyadh, Saudi Arabia, between September 2011 and December 2011. Results: A total of 80 out of 110 residents completed and returned the questionnaire. Only 33% of these residents had a clear set of goals and educational learning objectives before the beginning of their off-service rotations to direct their training. Surgical specializations had low satisfaction mean scores of 57.2 (11.9 compared to emergency medicine, which had 70.7 (16.2, P value (0.03. The reliability of the questionnaire was Cronbach′s alpha 0.57. The factor analysis yielded a 4-factor solution (educational environment, educational balance, educational goals and objectives, and learning ability; thus, accounting for 51% variance in the data. Conclusion: Our data suggest that there were significant weaknesses in the curriculum for off-service clinical rotations in KAMC and that residents were not completely satisfied with their training.

  6. Interagency partnership to deliver Veteran-Directed Home and Community-Based Services: Interviews with Aging and Disability Network agency personnel regarding their experience with partner Department of Veterans Affairs medical centers.

    Science.gov (United States)

    Thomas, Kali S; Allen, Susan M

    2016-01-01

    Veteran-Directed Home and Community-Based Services (VD-HCBS) is a consumer-directed program that began in 2009 and is jointly administered in a partnership between the Veterans Health Administration and the Administration for Community Living. The objective of this article is to describe the Aging and Disability Network agency (ADNA) personnel's perceptions of the implementation of the VD-HCBS program with partner Department of Veterans Affairs medical centers (VAMCs). Qualitative interviews with 26 ADNA VD-HCBS personnel across the country were transcribed, coded, and analyzed. Results suggest that the majority of ADNA personnel interviewed perceive the collaboration experience to be positive. Interviewees reported several key mechanisms for facilitating a successful partnership, including frequent communication, training in VAMC billing procedures, having a designated VAMC staff person for the program, and active involvement of the VAMC from the onset of VD-HCBS program development. Findings have implications for other interagency partnerships formed to deliver services to vulnerable Veterans.

  7. How integrated are neurology and palliative care services? Results of a multicentre mapping exercise.

    NARCIS (Netherlands)

    Vliet, L.M. van; Gao, W.; DiFrancesco, D.; Crosby, V.; Wilcock, A.; Byrne, A.; Al-Chalabi, A.; Chaudhuri, K.R.; Evans, C.; Silber, E.; Young, C.; Malik, F.; Quibell, R.; Higginson, I.J.

    2016-01-01

    Background: Patients affected by progressive long-term neurological conditions might benefit from specialist palliative care involvement. However, little is known on how neurology and specialist palliative care services interact. This study aimed to map the current level of connections and

  8. 77 FR 27747 - Applications for New Awards; Personnel Development To Improve Services and Results for Children...

    Science.gov (United States)

    2012-05-11

    ... services personnel at the baccalaureate, master's, and specialist levels. State demand for fully... baccalaureate, master's, and specialist levels. To address this requirement, the applicant must present-- \\2... section 1111(b)(3) of the ESEA in reading/language arts and mathematics combined; and (ii) The school's...

  9. 78 FR 2962 - Applications for New Awards; Personnel Development To Improve Services and Results for Children...

    Science.gov (United States)

    2013-01-15

    ... intervention, and related services personnel at the baccalaureate, master's, and specialist levels. State...'s, and specialist levels. To address this requirement, the applicant must present-- \\2\\ For the... mathematics combined; and (ii) The school's lack of progress on those assessments over a number of years in...

  10. College and University Dining Services Administrators' Intention to Adopt Sustainable Practices: Results from US Institutions

    Science.gov (United States)

    Chen, Chao-Jung; Gregoire, Mary B.; Arendt, Susan; Shelley, Mack C.

    2011-01-01

    Purpose: The purpose of this paper is to examine college and university dining services administrators' (CUDSAs) intention to adopt sustainable practices. Design/methodology/approach: The theory of planned behavior (TPB) including constructs of subjective norm (SN), attitude, perceived behavior control, and personal norm (PN), formed the…

  11. ASTRID In Service Inspection and Repair: Review of R&D program and associated results

    International Nuclear Information System (INIS)

    Baqué, François; Jadot, Françoise; Bourdais, Florian le; Sibilo, Julien; Augem, Jean-Michel; Gastaldi, Olivier

    2013-01-01

    In Service Inspection & Repair (ISI&R): → range of provisions enabling to verify that the equipments state is in compliance with design criteria; → other range of provisions allowing to characterize an abnormal situation (failure, operation mistake) and to perform necessary actions to reach again an achievable plant configuration

  12. Examining the Operational Effectiveness and Accountability of Federal Agencies as Indicated in the Performance and Accountability Reports Required by the Government Performance and Results Act of 1993

    National Research Council Canada - National Science Library

    Caron, Lenn E; Farricker, Daniel A; Underwood, Jeffrey R

    2007-01-01

    .... The agencies chosen were performing at different levels of effectiveness, according to the performance and accountability scorecard produced by the Mercatus Center at George Mason University, a non...

  13. Inequality in the use of maternal and child health services in the Philippines: do pro-poor health policies result in more equitable use of services?

    Science.gov (United States)

    Paredes, Karlo Paolo P

    2016-11-10

    The Philippines failed to achieve its Millennium Development Goal (MDG) commitment to reduce maternal deaths by three quarters. This, together with the recently launched Sustainable Development Goals (SDGs), reinforces the need for the country to keep up in improving reach of maternal and child health (MCH) services. Inequitable use of health services is a risk factor for the differences in health outcomes across socio-economic groups. This study aims to explore the extent of inequities in the use of MCH services in the Philippines after pro-poor national health policy reforms. This paper uses data from the 2008 and 2013 Demographic and Health Survey (DHS) in the Philippines. Socio-economic inequality in MCH services use was measured using the concentration index. The concentration index was also decomposed in order to examine the contribution of different factors to the inequalities in the use of MCH services. In absolute figures, women who delivered in facilities increased from 2008 to 2013. Little change was noted for women who received complete antenatal care and caesarean births. Facility deliveries remain pro-rich although a pro-poor shift was noted. Women who received complete antenatal care services also remain concentrated to the rich. Further, there is a highly pro-rich inequality in caesarean deliveries which did not change much from 2008 to 2013. Household income remains as the most important contributor to the resulting inequalities in health services use, followed by maternal education. For complete antenatal care use and deliveries in government facilities, regional differences also showed to have important contribution. The findings suggest inequality in the use of MCH services had limited pro-poor improvements. Household income remains to be the major driver of inequities in MCH services use in the Philippines. This is despite the recent national government-led subsidy for the health insurance of the poor. The highly pro-rich caesarean deliveries

  14. Addressing unmet mental health and substance abuse needs: a partnered planning effort between grassroots community agencies, faith-based organizations, service providers, and academic institutions.

    Science.gov (United States)

    Wong, Eunice C; Chung, Bowen; Stover, Gabriel; Stockdale, Susan; Jones, Felica; Litt, Paula; Klap, Ruth S; Patel, Kavita; Wells, Kenneth B

    2011-01-01

    To conduct a process evaluation of the Restoration Center Los Angeles, a community-academic partnered planning effort aimed at holistically addressing the unmet mental health and substance abuse needs of the Los Angeles African American community. Semi-structured interviews with open-ended questions on key domains of partnership effectiveness were conducted with a random stratified sample of participants varying by level of involvement. Eleven partners representing grassroots community agencies, faith-based organizations, service providers, and academic institutions. Common themes identified by an evaluation consultant and partners relating to partnership effectiveness, perceived benefits and costs, and future expectations. Findings underscore the importance of considering the potential issues that may arise with the increasing diversity of partners and perspectives. Many of the challenges and facilitating factors that arise within academic-community partnerships were similarly experienced between the diverse set of community partners. Challenges that affected partnership development between community-to-community partners included differences in expectations regarding the final goal of the project, trust-building, and the distribution of funds. Despite such challenges, partners were able to jointly develop a final set of recommendations for the creation of restoration centers, which was viewed as a major accomplishment. Limited guidance exists on how to navigate differences that arise between community members who have shared identities on some dimensions (eg, African American ethnicity, Los Angeles residence) but divergent identities on other dimensions (eg, formal church affiliation). With increasing diversity of community representation, careful attention needs to be dedicated to not only the development of academic-community partnerships but also community-community partnerships.

  15. Comparing the effects of community service and imprisonment on reconviction: results from a quasi-experimental Danish study

    DEFF Research Database (Denmark)

    Klement, Christian

    2015-01-01

    Objective This study compares reconviction rates for Danish offenders sentenced to community service and imprisonment. A large general sample of offenders (n = 1602) is examined. Methods The study relies on a quasi-experimental design and uses propensity score matching as well as logistic....... Results Imprisonment is associated with a higher rate of recidivism and the result is statistically significant at conventional statistical levels. Conclusions Community service (CS) compared to imprisonment appears to cause a lower reconviction rate in general. Additional research is needed to shed light...

  16. Developing a Strategy To Educate County Departments of Social Services in the Type of Referrals Needed for a Residential Child Caring Agency.

    Science.gov (United States)

    Keevert, Helen

    The focus of a child caring facility had changed from caring exclusively for orphans to serving a broader population of abandoned, abused, and neglected children. Because no effective marketing tool existed within this child caring agency to make agency identification and information readily accessible to county departments of social services…

  17. Autonomy of State Agencies

    DEFF Research Database (Denmark)

    Hansen, Morten Balle; Niklasson, Birgitta; Roness, Paul

    agencies in four Nordic countries: Denmark, Finland, Norway and Sweden. By using survey data from more than 500 state agencies in the four countries, the article analyses whether there is indeed a Scandinavian style of autonomy and result control and assesses which structural, cultural, and environmental......NPM-doctrines states that ideal-type agencies should have a high level of managerial autonomy, while being controlled through result-based control instruments, like performance contracts. In this article, the authors present a first preliminary attempt to comparatively analyze the autonomy of state...... variables might explain similarities and differences in the autonomy of agencies....

  18. Agency doctorates

    International Nuclear Information System (INIS)

    1970-01-01

    Staff members of the Agency working at the Seibersdorf laboratory are continuing to achieve high academic distinction. Two more - both Austrian - have now been awarded the degree of Doctor of Agriculture. Joachim Kramer, who is 26, graduated from the Hochschule fur Bodenkultur in 1967 with the degree of Diplom-Ingenieur and then started work in the plant breeding and genetics section of the laboratory under the direction of Dr. Knut Mikaelsen. The results of the research work he carried out were accepted as the subject of a thesis for which he has now been granted his doctorate. The doctoral promotion took place on 30 June, at a ceremony attended by Dr. Andre Finkelstein, Deputy Director General for Research and Isotopes. The subject of Dr. Kramer's thesis was a comprehensive study of the mutagenic effects of fast neutrons and gamma rays, and the influence of various modifying factors such as water content, oxygen and metabolic state of seeds at the time of irradiation. This work has contributed significantly to the understanding of the mechanisms by which these two types of ionizing radiation produce mutations in seeds. The knowledge gained will be of great importance in the efficient use of ionizing radiation in practical plant breeding. Paul Wassermann, who is 33 years old, joined the Agency in 1965. He, too, graduated from the Hochschule fur Bodenkultur as Diplom-Ingenieur in agriculture, having graduated with honours previously from the agricultural secondary school at Raumberg, Austria, in 1958. Dr. Wassermann's own words may be used to explain how he came to gain his doctorate. 'In October, 1966, I completed my studies at the Hochschule,' he writes. 'I was employed at the Agency laboratories in Seibersdorf, working in the plant and soils group. Encouraged by the interesting research which was performed there, a thesis entitled 'the Fate of Nitrogen in Submerged Rice Soils' was started, which finally led to the doctor's degree in Agriculture in June this year

  19. 5 CFR 5502.105 - Agency procedures.

    Science.gov (United States)

    2010-01-01

    ....105 Administrative Personnel DEPARTMENT OF HEALTH AND HUMAN SERVICES SUPPLEMENTAL FINANCIAL DISCLOSURE REQUIREMENTS FOR EMPLOYEES OF THE DEPARTMENT OF HEALTH AND HUMAN SERVICES § 5502.105 Agency procedures. (a) The designated agency ethics official or, with the concurrence of the designated agency ethics official, each of...

  20. Insurer views on reimbursement of preventive services in the dental setting: results from a qualitative study.

    Science.gov (United States)

    Feinstein-Winitzer, Rebecca T; Pollack, Harold A; Parish, Carrigan L; Pereyra, Margaret R; Abel, Stephen N; Metsch, Lisa R

    2014-05-01

    We explored insurers' perceptions regarding barriers to reimbursement for oral rapid HIV testing and other preventive screenings during dental care. We conducted semistructured interviews between April and October 2010 with a targeted sample of 13 dental insurance company executives and consultants, whose firms' cumulative market share exceeded 50% of US employer-based dental insurance markets. Participants represented viewpoints from a significant share of the dental insurance industry. Some preventive screenings, such as for oral cancer, received widespread insurer support and reimbursement. Others, such as population-based HIV screening, appeared to face many barriers to insurance reimbursement. The principal barriers were minimal employer demand, limited evidence of effectiveness and return on investment specific to dental settings, implementation and organizational constraints, lack of provider training, and perceived lack of patient acceptance. The dental setting is a promising venue for preventive screenings, and addressing barriers to insurance reimbursement for such services is a key challenge for public health policy.

  1. Improving Library Service Quality to Graduate Students: LibQual+[TM] Survey Results in a Practical Setting

    Science.gov (United States)

    Jankowska, Maria Anna; Hertel, Karen; Young, Nancy J.

    2006-01-01

    The LibQUAL+[TM] survey was conducted to determine user satisfaction and expectations concerning library service quality. The results of the "22 items and a box" constituted a rich source of information for the University of Idaho (UI) Library's strategic planning process. Focusing on graduate students, this study used three…

  2. 5 CFR 3601.102 - Designation of separate agency components.

    Science.gov (United States)

    2010-01-01

    ... Service; (8) Defense Information Systems Agency; (9) Defense Intelligence Agency; (10) Defense Logistics Agency; (11) Defense Security Service; (12) Defense Threat Reduction Agency; (13) National Imagery and... outside sources and 5 CFR 2635.807 governing teaching, speaking and writing: (1) Armed Services Board of...

  3. Willingness to pay for physician services at a primary contact in Ukraine: Results of a contingent valuation study

    Directory of Open Access Journals (Sweden)

    Danyliv, Andriy

    2011-05-01

    Full Text Available BACKGROUND. Reforming healthcare system in Ukraine would imply changing financial mechanisms and involving patients into copayment for physician services. Therefore, it is important to understand patients’ willingness to pay (WTP and its main drivers. This study aims to investigate patients’ willingness to pay for physician services at a primary contact, its levels and determinants.METHODS. Contingent valuation method was applied to a nationally representative sample of 303 adult respondents surveyed in 2009. Respondents stated their willingness to pay for a visit to four hypothetical physicians, whose profiles were designed in a way to estimate separate effects of physician’s specialization and joint improvement in three quality-related attributes of a service: the state of medical equipment, maintenance of the physician’s office, and reduction in waiting time. A random effect tobit regression was applied to model effect of these service characteristics and socio-demographic characteristics on WTP.RESULTS. The strongest predictors (insensitive to model specifications associated with higher WTP for physician services were quality improvements in the three characteristics of the physician’s profile, higher income, and presence of private insurance policy, while the one associated with reduced WTP was age over 70. Consultation with a medical specialist instead of a general practitioner was also associated with higher WTP, though the magnitude of effect was much lower than for the abovementioned factors.CONCLUSIONS. Ukrainians are willing to pay for physician services at a primary contact, but the highest WTP would be expected for services of improved clinical and social quality and access. There might be an intention in the society or some of its groups to avoid the gatekeeper general practitioner at a primary level and to refer directly to the medical specialist. Finally, if patient payments are introduced, special caution should be

  4. Experience with the WWER-440 MW reactor pressure vessel in-service inspections and evaluation of their results

    International Nuclear Information System (INIS)

    Brumovsky, M.; Kralovec, J.; Prepechal, J.; Sulc, J.

    1989-01-01

    The Power Machinery Plant of Skoda Works in Plzen carries out in-service inspections of WWER-440 MW reactor pressure vessels by means of remote controlled inspection equipment - the TRC reactor test system, and some other inspections devices. The results of the in-service inspections were evaluated by methods based on the fracture mechanics approach, the knowledge of stress and strain distribution, and the operating history of the pressure vessels. Examples of types of defects found and their analysis are shown. (author). 1 tab

  5. Diplomatic agency

    DEFF Research Database (Denmark)

    Adler-Nissen, Rebecca

    2016-01-01

    diplomatic agency has been conceptualized in International Relations theory (English School, game theory, Foreign Policy Analysis, constructivism, practice theory, post-positivism) before presenting and exemplifying major and overlapping types of diplomatic agency, including communication, negotiation......Diplomatic agency is intriguing. On the one hand, diplomats are crucial to the management of day-to-day international relations and the negotiation of war and peace. On the other hand, most diplomatic action is highly constrained or invisible. This chapter provides an overview of the ways in which...... and advocacy. It analyzes how professionalization, legalization, personalization and popularization of diplomacy have shaped diplomatic agency including how international law, bureaucracy, public diplomacy and new information technologies have impacted the scope and content of diplomatic agency. Finally...

  6. Communication dated 19 May 2011 received from the Resident Representative of the United Kingdom of Great Britain and Northern Ireland to the Agency regarding Assurance of Supply of Enrichment Services and Low Enriched Uranium for Use in Nuclear Power Plants

    International Nuclear Information System (INIS)

    2011-01-01

    The Secretariat has received a letter dated 19 May 2011 from the Resident Representative of the United Kingdom of Great Britain and Northern Ireland to the Agency, attaching the Proposal for the Assurance of Supply of Enrichment Services and Low Enriched Uranium for Use in Nuclear Power Plants, as described in document GOV/2011/10. As requested by the Resident Representative, the letter and its attachment are circulated herewith for information of all Member States

  7. Communication dated 19 May 2011 received from the Resident Representative of the United Kingdom of Great Britain and Northern Ireland to the Agency regarding Assurance of Supply of Enrichment Services and Low Enriched Uranium for Use in Nuclear Power Plants

    International Nuclear Information System (INIS)

    2011-01-01

    The Secretariat has received a letter dated 19 May 2011 from the Resident Representative of the United Kingdom of Great Britain and Northern Ireland to the Agency, attaching the Proposal for the Assurance of Supply of Enrichment Services and Low Enriched Uranium for Use in Nuclear Power Plants, as described in document GOV/2011/10. As requested by the Resident Representative, the letter and its attachment are circulated herewith for information of all Member States [es

  8. [Dementia friendly care services in general hospitals : Representative results of the general hospital study (GHoSt)].

    Science.gov (United States)

    Hendlmeier, Ingrid; Bickel, Horst; Hessler, Johannes Baltasar; Weber, Joshua; Junge, Magdalena Nora; Leonhardt, Sarah; Schäufele, Martina

    2017-11-06

    Mostly model projects report on special care services and procedures for general hospital patients with cognitive impairment. The objective of this study was to determine the frequency of special care services and procedures in general hospitals on the basis of a representative cross-sectional study. From a list of all general hospitals in southern Germany we randomly selected a specified number of hospitals und somatic wards. The hospitals were visited and all older patients on the selected wards on that day were included in the study. Information about care services and their utilization was collected with standardized instruments. A total of 33 general hospitals and 172 wards participated in the study. The patient sample included 1469 persons over 65 (mean age 78.6 years) and 40% of the patients showed cognitive impairments. The staff reported that the most frequent measures for patients with cognitive impairments concerned patients with wandering behavior (63.1%), efforts to involve the patients' relatives to help with their daily care (60.1%), conducting nonintrusive interviews to identify cognitive impairments (59.9%), allocation to other rooms (58%) and visual aids for place orientation of patients (50.6%). In accordance with earlier studies our results show that other dementia friendly services implemented in pilot projects were rare. The existing special services for patients with cognitive impairment were rarely used by the patients or their relatives. The results demonstrate the urgent need to improve special care services and routines for identification of elderly patients with cognitive impairment and risk of delirium in general hospitals.

  9. EnviroAtlas - Acres of USDA Farm Service Agency Conservation Reserve Program land by 12-Digit HUC for the Conterminous United States.

    Data.gov (United States)

    U.S. Environmental Protection Agency — This EnviroAtlas dataset shows the acres of land enrolled in the US Department of Agriculture (USDA)'s Conservation Reserve Program (CRP). The CRP is administered by...

  10. [Service quality in health care: the application of the results of marketing research].

    Science.gov (United States)

    Verheggen, F W; Harteloh, P P

    1993-01-01

    This paper deals with quality assurance in health care and its relation to quality assurance in trade and industry. We present the service quality model--a model of quality from marketing research--and discuss how it can be applied to health care. Traditional quality assurance appears to have serious flaws. It lacks a general theory of the sources of hazards in the complex process of patient care and tends to stagnate, for no real improvement takes place. Departing from this criticism, modern quality assurance in health care is marked by: defining quality in a preferential sense as "fitness for use"; the use of theories and models of trade and industry (process-control); an emphasis on analyzing the process, instead of merely inspecting it; use of the Deming problem solving technique (plan, do, check, act); improvement of the process of care by altering perceptions of parties involved. We present an experience of application and utilization of this method in the University Hospital Maastricht, The Netherlands. The successful application of this model requires a favorable corporate culture and motivation of the health care workers. This model provides a useful framework to uplift the traditional approach to quality assurance in health care.

  11. Maintenance requirements associated with mandibular implant overdentures: clinical results after first year of service.

    Science.gov (United States)

    Bilhan, Hakan; Geckili, Onur; Mumcu, Emre; Bilmenoglu, Caglar

    2011-12-01

    The aim of this clinical study was to evaluate the prosthodontic maintenance requirements during the first year of service of mandibular overdentures supported by interforaminal implants and to assess the influence of attachment type, implant number, and bite force on these requirements. Fifty-nine patients treated with mandibular implant overdentures between the years 2004 and 2009 and appearing in the 12th-month recall were included in this study. The overdentures constituted 4 groups: 2 single interforaminal implants (1 group with locator and 1 group with ball attachments), 3 single interforaminal implants, 3 splinted interforaminal implants (bar), and 4 splinted interforaminal implants (bar). During the examination, prosthetic parameters such as occlusion, tissue adaptation, condition of the retentive mechanism (matrice and patrice), and the condition of the denture-bearing tissues were evaluated and recorded. No statistically significant relation was found between attachment type, bite force values, implant number, and the occurring complications except the need for relining, which was found significantly more in the ball attachments than in other attachment groups (P  =  .03). After 12 months following the overdenture insertion, there seems to be no relation between occurring complications and patient-related factors, such as maximum bite force, age, and gender, as well as factors related to the overdentures such as number and type of attachments.

  12. Mobile Marketing Applications of Travel Agencies

    Directory of Open Access Journals (Sweden)

    Murat Selim Selvi

    2014-11-01

    Full Text Available In recent years, the use of mobile devices in the marketing world is increasing parallel with technological advances. The main problem of this research is to determine agencies’ use of what type of mobile tools for what type of purposes in the marketing process. The aim of this research is to identify Mobile Marketing (MM applications used by group A travel agencies, and to describe the attitudes towards MM applications of agencies. According to related law, it is only group A agencies give all agency services. Therefore, it is thought that MM is more widely used by those agencies. Thus, this research was made only on the group A agencies. The population of study was consisted of 675 groups A agencies’ representatives deployed in the European and Asian sides of Istanbul. A questionnaire was used as data collection tool. Questionnaire form consisted of two parts. In the first part, questions concerning MM and in the second part, questions regarding demographic issues to managers and travel agents took place. The results were given as descriptive statistics (frequencies, percentages, mean and standard deviation on the tables. T-test and One Way ANOVA analysis were performed for the differences of mean among groups. In the study it was concluded that agencies use mobile phones mostly and mobile computers for increasing sales firstly and direct marketing. Thus, the main hypothesis established was confirmed partly.

  13. Mobile Marketing Applications of Travel Agencies

    Directory of Open Access Journals (Sweden)

    Murat Selim Selvi

    2016-01-01

    Full Text Available In recent years, the use of mobile devices in the marketing world is increasing parallel with technological advances. The main problem of this research is to determine agencies’ use of what type of mobile tools for what type of purposes in the marketing process. The aim of this research is to identify Mobile Marketing (MM applications used by group A travel agencies, and to describe the attitudes towards MM applications of agencies. According to related law, it is only group A agencies give all agency services. Therefore, it is thought that MM is more widely used by those agencies. Thus, this research was made only on the group A agencies. The population of study was consisted of 675 groups A agencies’ representatives deployed in the European and Asian sides of Istanbul. A questionnaire was used as data collection tool. Questionnaire form consisted of two parts. In the first part, questions concerning MM and in the second part, questions regarding demographic issues to managers and travel agents took place. The results were given as descriptive statistics (frequencies, percentages, mean and standard deviation on the tables. T-test and One Way ANOVA analysis were performed for the differences of mean among groups. In the study it was concluded that agencies use mobile phones mostly and mobile computers for increasing sales firstly and direct marketing. Thus, the main hypothesis established was confirmed partly.

  14. results

    Directory of Open Access Journals (Sweden)

    Salabura Piotr

    2017-01-01

    Full Text Available HADES experiment at GSI is the only high precision experiment probing nuclear matter in the beam energy range of a few AGeV. Pion, proton and ion beams are used to study rare dielectron and strangeness probes to diagnose properties of strongly interacting matter in this energy regime. Selected results from p + A and A + A collisions are presented and discussed.

  15. 77 FR 36510 - Applications for New Awards: Personnel Development To Improve Services and Results for Children...

    Science.gov (United States)

    2012-06-19

    ...., academic, social, emotional, behavioral) for all children, including children with disabilities (birth...). By using existing and emerging technologies such as application software, social media, and mobile... Results for Children With Disabilities; National Center for Development of Coursework and Training Modules...

  16. Human Resources as a Competitive Advantage of Travel Agencies in Montenegro

    Directory of Open Access Journals (Sweden)

    Aleksa Vučetić

    2012-04-01

    Full Text Available Human resources in travel agencies represent an especially valuable resource, which possesses the multidisciplinary and highly specialized knowledge and skills in the field of selective tourism. Human resources enable the agencies to create the services and products of superior value for the consumers within market niches, and thereby significantly contribute to increase in profitability of agencies, thereby becoming an important factor in competitive advantage of the agencies. Research results enable identification of the relation between human resources and servicing of travel agencies market niches. The paper presents an analysis of travel agencies’ human resources from the aspect of competitive advantage, with a special overview of their role in the domain of offer development and servicing of consumers in various types of selective tourism. The goal of the research is to prove, on a scientific basis, that the human resources represent a very important factor of competitive advantage of travel agencies.

  17. Transformative Agency

    DEFF Research Database (Denmark)

    Majgaard, Klaus

    The purpose of this paper is to enhance the conceptual understanding of the mediatory relationship between paradoxes on an organizational and an individual level. It presents a concept of agency that comprises and mediates between a structural and individual pole. The constitution of this agency ...... is achieved through narrative activity that oscillates between the poles and transforms paradoxes through the configuration of plots and metaphors. Empirical cases are introduced in order to illustrate the implications of this understanding....

  18. Internet-accessed sexually transmitted infection (e-STI testing and results service: A randomised, single-blind, controlled trial.

    Directory of Open Access Journals (Sweden)

    Emma Wilson

    2017-12-01

    Full Text Available Internet-accessed sexually transmitted infection testing (e-STI testing is increasingly available as an alternative to testing in clinics. Typically this testing modality enables users to order a test kit from a virtual service (via a website or app, collect their own samples, return test samples to a laboratory, and be notified of their results by short message service (SMS or telephone. e-STI testing is assumed to increase access to testing in comparison with face-to-face services, but the evidence is unclear. We conducted a randomised controlled trial to assess the effectiveness of an e-STI testing and results service (chlamydia, gonorrhoea, HIV, and syphilis on STI testing uptake and STI cases diagnosed.The study took place in the London boroughs of Lambeth and Southwark. Between 24 November 2014 and 31 August 2015, we recruited 2,072 participants, aged 16-30 years, who were resident in these boroughs, had at least 1 sexual partner in the last 12 months, stated willingness to take an STI test, and had access to the internet. Those unable to provide consent and unable to read English were excluded. Participants were randomly allocated to receive 1 text message with the web link of an e-STI testing and results service (intervention group or to receive 1 text message with the web link of a bespoke website listing the locations, contact details, and websites of 7 local sexual health clinics (control group. Participants were free to use any other services or interventions during the study period. The primary outcomes were self-reported STI testing at 6 weeks, verified by patient record checks, and self-reported STI diagnosis at 6 weeks, verified by patient record checks. Secondary outcomes were the proportion of participants prescribed treatment for an STI, time from randomisation to completion of an STI test, and time from randomisation to treatment of an STI. Participants were sent a £10 cash incentive on submission of self-reported data. We

  19. 77 FR 46077 - Applications for New Awards: Personnel Development To Improve Services and Results for Children...

    Science.gov (United States)

    2012-08-02

    ... Results for Children With Disabilities; Center To Support the Development of Effective Educators To Serve... Children With Disabilities--Center To Support the Development of Effective Educators To Serve Students With... prepare, license, support, and evaluate today's teachers. Traditionally, SEAs have exerted influence over...

  20. Results of the project on service quality in the eastern region of Spain

    Energy Technology Data Exchange (ETDEWEB)

    Martinez-Canales, J.F.; Alcaide, J. [IBERDROLA (Spain); Cavalle, F.; Romualdo, F. [Universidad Poltecnica de Valencia (Spain)

    1997-12-31

    The most significant results obtained from a study of short time interruptions in the Spanish electrical network and methods to minimise their effects are outlined. The areas covered are: monitoring of the incidence of interruptions and their effects on industrial consumers` facilities; proposed solutions; evaluation of the economic losses to consumers; recommendations on electricity supply quality; and recommendations to consumers on minimising the effects of disturbances in the network. (UK)

  1. Aging of snubbers in nuclear service: Phase I study results and Phase II plans

    International Nuclear Information System (INIS)

    Goodman, R.L.; Bush, S.H.; Page, R.E.

    1988-01-01

    Two major research areas were investigated in the Phase I snubber aging studies. The first area involved a preliminary evaluation of the effects of various aging mechanisms on snubber operation; failure modes of mechanisms were identified and their contributions to aging degradation were assessed relative to other failure modes. The second area involved estimating the efficacy of existing tests and examinations that are intended to determine the effects of aging and degradation. Available data on snubber behavior and operating experience were reviewed, using licensee event reports and other historical data for the 10-year period from 1973 through 1983. Value-impact was considered in terms of (1) exposure of workers to radioactive environments for examination/testing and (2) the cost for expansion of the snubber testing program due to failed snubbers. Results from the Phase I studies identified the need to modify or improve examination and testing procedures to enhance snubber reliability. Based on the results of the Phase I snubber studies, the seals and fluids were identified as the two principal elements affected by aging degradation in hydraulic snubbers. Phase II work, which was initiated in FY 1987, will develop cooperative activities between PNL and operating utilities through the Snubber Utility Group (SNUG), who will work to establish a strong data and experience base for both hydraulic and mechanical snubbers based on actual operating and maintenance history at nuclear power plants. Application guidelines for snubbers will be recommended based on the study results

  2. U-Healthcare Center Service in Busan City, South Korea: An Empirical Analysis and the Results of 1 Year of Service.

    Science.gov (United States)

    Bravo Santisteban, Ramiro D; Youm, Sekyoung; Park, Seung-Hun

    2015-10-01

    Studies have demonstrated that technological innovation is vital for prosperous economies, and greater technological innovation leads to improved public health indicators. The South Korean government has implemented policies to provide city services using information communication technologies, and ubiquitous healthcare (u-healthcare) wellness is one of these. This article presents the effects of using a u-healthcare center model that proves self-healthcare monitoring can work for the general population. The u-healthcare center has provided service to the public since April 2013. It is equipped with medical devices that evaluate physiological parameters such as weight, body mass index (BMI), blood pressure (BP), pulse rate (PR), and body fat (BF). This article focuses on the analysis of BMI, BP, PR, and BF parameters. Health test results from 12,766 voluntary patients of the u-healthcare center were analyzed during a 1-year period. The four health parameters from each of the four seasons were analyzed and compared, showing statistically significant seasonal differences. A Duncan's post hoc analysis showed that BMI did not differ between spring and summer, whereas BP differed throughout all seasons. Participation of females was higher compared with males, and men's average BMI was statistically higher than that of the women. Some additional significant findings for all participants were as follows: 48.8% scored normal in BMI, 31.7% scored normal-controlled in BP, 90.7% scored normal in PR, and 24.8% scored normal in BF. A survey showed that 96.4% found the u-healthcare center to be generally helpful, and 95.7% responded that they would recommend it. Implementation of u-healthcare projects provides a new public service toward evaluating health parameters, providing historical health information access, promoting self-monitoring, and motivating users to be more aware of their own health status.

  3. Factors influencing the turnover intention of Chinese community health service workers based on the investigation results of five provinces.

    Science.gov (United States)

    Sun, Yu; Luo, Zhenni; Fang, Pengqian

    2013-12-01

    After the implementation of the new health reform, the Chinese government paid increasing attention to developing its community health service (CHS). The focus is mainly on cultivating community general medical practitioners but paying less attention to the working status and occupational demands of in-service CHS workers. CHS requires a stable team that can provide good service to community residents. At present, the demission rate of CHS workers is high. Studying how to increase the stability of CHS workers is noteworthy. The goal of this study is to ascertain the key factors that influence the CHS worker turnover intention to increase their work satisfaction and stability. A total of 100 CHS organizations were sampled randomly in 10 cities from 5 Chinese provinces for this study. All CHS workers from these organizations took a questionnaire survey. In total, 3,212 valid answer sheets were collected. Pearson Chi square test and Binary logistic regression were used to analyze the related influencing factors that result in CHS worker turnover intention. A total of 38.7% of those who accomplished the questionnaire intended to quit. The influencing factors that result in CHS worker turnover intention are (1) socio-demographic factors such as age, post of duty, professional title, and working seniority, and (2) other work-related factors such as pay packets, learning and training opportunities, promotion and personal development space, and working stress. CHS workers were less satisfied with the balance between payment and work quantity, promotion opportunity, and working conditions. Based on the results, the government should pay more attention to the various demands of CHS workers in service, especially by increasing their income, providing more learning and training opportunities, and increasing the degree of their work satisfaction to avoid turnover intention and ensure the stability of the CHS workforce.

  4. Employment protection and temporary work agencies

    OpenAIRE

    Baumann, Florian; Mechtel, Mario; Stähler, Nikolai

    2008-01-01

    Employers who use temporary agency staff in contrast to regular staff are not affected by employment protection regulations when terminating a job. Therefore, services provided by temporary work agencies may be seen as a substitute for regular employment. In this paper, we analyze the effects of employment protection on the size of the temporary work agency sector in a model of equilibrium unemployment. We find that higher firing costs may even reduce temporary work agency employment if agenc...

  5. Do recommendations for institutional food service result in better food service? A study of compliance in Danish hospitals and nursing homes from 1995 to 2002-2003.

    Science.gov (United States)

    Mikkelsen, B E; Beck, A M; Lassen, A

    2007-01-01

    Since 1995, significant efforts by authorities and researchers have been directed towards addressing the nutritional problems in Danish hospitals and nursing homes. The purpose of this study was to investigate whether the increased focus on nutritional problems in patients and nursing home residents has resulted in measurable progress. A questionnaire-based study was carried out among foodservice managers in Danish hospitals (n=96) and nursing homes (n=898) in 1995 and 2002/3 (n=90) and (n=682), respectively. The study used compliance with selected issues in the official Danish recommendations for institutional food service as an indicator for progress. The issues included: using nutrient calculated recipes/menus, offering menu choice options, using feedback routines on acceptability of menus, maintaining nutritional steering committees, employing food and nutrition contact persons, employing official recommendations and offering choice between three different menu energy levels. Hospitals had a higher compliance compared to nursing homes. In 1995, this was the case for all questions asked and differences were statistically significant. Also in 2002/3, hospitals had a higher compliance, except in the case of established feedback routines. Differences were statistically significant. The results indicate that nutritional care is higher on the agenda in hospital, than in nursing homes. However, very little progress can be seen in compliance when results are analysed over the 8-year period. The only progress for nursing homes was that more homes had implemented feedback routines on acceptability of food service in 2002/3 than in 1995. The difference was statistically significant. For hospitals, however, no progress was found between 1995 and 2002/3. The attempts to improve the nutritional status of hospital patients and nursing home residents seem to have failed. Still, the initiatives taken to improve the situation seem relevant. Especially the nursing homes might

  6. 76 FR 40749 - Cost-Based and Inter-Agency Billing Rates for Medical Care or Services Provided by the Department...

    Science.gov (United States)

    2011-07-11

    ... Billed to Third Parties for Prescription Drugs Furnished by VA to a Veteran for a Nonservice-Connected... methodology set forth in 38 CFR 17.102, which was only to be used until such time as charges for prescription... follows: Cost-based Inter-agency rates rates A. Hospital Care per inpatient day General Medicine: All...

  7. Interior, Environment, and Related Agencies: FY2007 Appropriations

    National Research Council Canada - National Science Library

    Vincent, Carol H; Bearden, David M; Corn, M. L; Gorte, Ross W; Humphries, Marc; Sheikh, Pervaze A; Whiteman, David L; Boren, Susan; Walke, Roger; Bea, Keith

    2007-01-01

    ... of Health and Human Services. It also includes funding for arts and cultural agencies; the Environmental Protection Agency, which was recently transferred to the appropriations subcommittees that deal with Interior and Related Agencies...

  8. [Utilization of Physiotherapy Services by Children and Adolescents - Results of the KiGGS- Baseline Survey].

    Science.gov (United States)

    Weber, A; Karch, D; Thyen, U; Rommel, A; Schlack, R; Hölling, H; von Kries, R

    2017-03-01

    Aim of the study: The use of physical therapy in German children and adolescents has so far solely been analyzed on the basis of health insurance data, which can neither consider case history nor social factors. Using the KiGGS-baseline survey it is possible to examine the use of physical therapy on the basis of parental reported health problems and social factors. Methodology: Identifiable determinants for the use of physical therapy in the last 12 months in the KiGGS-baseline survey were examined bivariate and multivariate in logistic regression models with mutual adjustment. The following determinants were considered: social factors, somatic disorders and psychological abnormalities. The proportion of the use of physical therapy, which can be explained by these determinants, was estimated using population-attributable risk fraction. Results: The frequency of the use of physical therapy in the last 12 months in the 0 to 17-year-olds in the KiGGS-baseline survey was 6,4% with higher use during infancy and adolescence. The socio-economic status of parents was not associated with the use of physical therapy. A migration background decreased the probability of the use of physical therapy, for example, among children aged 0 to 2 years (OR adjusted : 0,5 [95% CI: 0,2-1,0]). In those with scoliosis, the use of physical therapy was almost twice as frequent in infancy as in adolescence (58,4 vs. 34,4%). A maximum of 15% of all children and adolescents with back pain reported the use of physical therapy. When ADHD was diagnosed at preschool age, the probability of using physical therapy was increased (OR adjusted : 5,1 [95% CI: 1,4-18,6]). The health problems, which were assessed in the KiGGS-baseline survey and considered for this analysis could explain 37% of the use of physical therapy in the 0 to 2-year-olds. In the other age groups, 59 to 62% could be explained. Conclusion: Comparison of the KiGGS-baseline survey with health insurance data shows similar frequencies

  9. Agency Theory

    DEFF Research Database (Denmark)

    Linder, Stefan; Foss, Nicolai Juul

    Agency theory studies the problems and solutions linked to delegation of tasks from principals to agents in the context of conflicting interests between the parties. Beginning from clear assumptions about rationality, contracting and informational conditions, the theory addresses problems of ex...... ante (“hidden characteristics”) as well as ex post information asymmetry (“hidden action”), and examines conditions under which various kinds of incentive instruments and monitoring arrangements can be deployed to minimize the welfare loss. Its clear predictions and broad applicability have allowed...... agency theory to enjoy considerable scientific impact on social science; however, it has also attracted considerable criticism....

  10. Agency Theory

    DEFF Research Database (Denmark)

    Linder, Stefan; Foss, Nicolai Juul

    2015-01-01

    Agency theory studies the problems and solutions linked to delegation of tasks from principals to agents in the context of conflicting interests between the parties. Beginning from clear assumptions about rationality, contracting, and informational conditions, the theory addresses problems of ex...... ante (‘hidden characteristics’) as well as ex post information asymmetry (‘hidden action’), and examines conditions under which various kinds of incentive instruments and monitoring arrangements can be deployed to minimize the welfare loss. Its clear predictions and broad applicability have allowed...... agency theory to enjoy considerable scientific impact on social science; however, it has also attracted considerable criticism....

  11. Dispatching demand response transit service maximizing productivity and service quality guidebook : final report, March 2009.

    Science.gov (United States)

    2009-03-01

    The ability of transit agencies to staff dispatch effectively and use technology to its full advantage is critical : in responding proactively as service changes occur and in making sound routing decisions. Sound routing : decisions result in improve...

  12. 76 FR 9584 - Agency Information Collection Activities: Submission for OMB Review; Comment Request

    Science.gov (United States)

    2011-02-18

    ... Services Administration, HHS. ACTION: Correction of Burden Table. SUMMARY: The Health Resources and Services Administration published an Agency Information Collection document in the Federal Register of... DEPARTMENT OF HEALTH AND HUMAN SERVICES Health Resources and Services Administration Agency...

  13. 75 FR 61765 - Agency Information Collection Activities: Submission for OMB Review; Comment Request

    Science.gov (United States)

    2010-10-06

    ... Services Administration, HHS. ACTION: Correction in Burden Table. SUMMARY: The Health Resources and Services Administration published an Agency Information Collection document in the Federal Register of... DEPARTMENT OF HEALTH AND HUMAN SERVICES Health Resources and Services Administration Agency...

  14. MAXIMIZING PROFIT - OPTICAL TRADITIONAL TRAVEL AGENCIES EXCEEDED

    OpenAIRE

    ENEA CONSTANŢA; ENEA CONSTANTIN

    2013-01-01

    Recently concepts of globalized the services the advertising only that and substantial modifications, but that just radicals, in the structure net of touristic states. Is directed to of a new conceive the organic fashions of structures ale net of realized and of casting of guy colaborative, baze on interconexion, the interface and flexible interactions, from which his. I result the competitive advantages popularly the partners of business. The optics traditional agencies of tourings considere...

  15. Marketing strategies: Study in travel agencies and tourism sector

    Directory of Open Access Journals (Sweden)

    Aléssio Bessa Sarquis

    2015-08-01

    Full Text Available The tourism sector has an important economic and social role and marketing strategies can help improve the market performance of service organizations. Thus, the study analyzed the marketing strategies applied in the travel agency services sector in the state of Santa Catarina and, therefore, a quantitative, descriptive inconclusive and in the form of field survey (survey was applied with self-administered questionnaires available in the Google Docs platform for a sample of 109 emissive agencies of small and medium. Statistical analyzes were performed by means, frequency, stand-ard deviation and hypothesis testing as the measurement scales applied. The results show that the vast majority of the surveyed agencies use internal marketing strategies, external, interactive and relationship management with clients and midsize agencies use more often most measured marketing strategies.

  16. A population-based study of physical function and risk for elder abuse reported to social service agency: findings from the Chicago health and aging project.

    Science.gov (United States)

    Dong, XinQi; Simon, Melissa; Evans, Denis

    2014-10-01

    We examined the association between physical function and the risk for reported elder abuse. In the Chicago Health and Aging Project (N = 8,932), 238 participants had reported elder abuse. The independent variable was objectively assessed physical function using both directly observed physical performance testing and self-reported physical function (Katz activity of daily living scale, Nagi physical activity scale, and Rosow Breslau mobility scales). Outcomes were elder abuse and specific subtypes of elder abuse. After adjusting for confounders, lower levels of physical performance testing (OR, 2.71[1.58-4.64]), Katz impairment (OR, 1.84[1.29-2.59]), Nagi impairment (OR, 1.65[1.15-2.37]) and Rosow Breslau (OR, 1.76[1.26-2.47]) were associated with increased risk for elder abuse. Lowest levels of physical performance testing were associated with increased risk for psychological abuse (OR, 2.69[1.27-5.71]), caregiver neglect (OR, 2.66[1.22-5.79]), and financial exploitation (OR, 2.35 [1.21-4.55]). Our results may have important implications to healthcare professional, social services and other disciplines to prevent and treat elder abuse. © The Author(s) 2012.

  17. ServiceNow

    Data.gov (United States)

    US Agency for International Development — A cloud based service for creating a single system of record for all types of business services used by OCIO. Service Now applications are built on a single platform...

  18. Multiple Agencies Provide Assistance to Service-disabled Veterans or Entrepreneurs, but Specific Needs Are Difficult to Identify and Coordination Is Weak

    National Research Council Canada - National Science Library

    2008-01-01

    .... In the Veterans Entrepreneurship and Small Business Development Act of 1999 (P.L. 106-50), Congress stated that too little had been done to help veterans particularly service-disabled veterans, in starting small businesses...

  19. Environmental Protection Agency (EPA) Facility Registry Service (FRS) Emergency Response (ER) Toxic Substances Control Act (TSCA) Facilities - Oil and Hazardous Materials

    Data.gov (United States)

    Department of Homeland Security — The purpose of this web feature service is to provide users with access to integrated facility information from FRS, limited to the subset of facilities that link to...

  20. Inside Logistics - Exploring the Heart of Logistics, Volume 23, Number 3, 1999. Collocating Air Force Weapon Systems Inventory with the Defense Logistics Agency Premium Service Facility

    National Research Council Canada - National Science Library

    Murphy, Monte

    1999-01-01

    With declining defense budgets and the inherent responsibility as stewards of taxpayer dollars, the Services must continue to search for more efficient processes while ensuring the mission can be accomplished...

  1. 专利服务机构网络营销模式优化研究%Research on network marketing model of patent services agency

    Institute of Scientific and Technical Information of China (English)

    罗正军; 戴婷婷; 王晓娟; 邱广华

    2012-01-01

    As background of a patent service network marketing, the use of web-based survey methods, combined with the characteristics of domestic small and medium enterprises to improve the platform and the patent to the site services, service capacity and service means , the purpose of optimizing patent services network marketing model, to achieve all-round assistance to innovative the small and medium enterprises in China,to help enterprises to enhance their core competitiveness.%以某专利服务机构网络营销为背景,采用网络调查方法,结合国内中小企业的特点,以达到提高该平台和专利网站的服务功能、服务能力和服务手段等目的,从而优化专利服务机构网络营销模式,实现全方位地协助中国中小企业创新,帮助企业提升其核心竞争力.

  2. Nuclear energy in the service of development and peace: the role of the International Atomic Energy Agency. New Delhi, 19 February 1999

    International Nuclear Information System (INIS)

    ElBaradei, M.

    1999-01-01

    The document reproduces the text of the conference given by the Director General of the IAEA at a meeting held at the India Habitat Centre, New Delhi, 19 February 1999. The following aspects from the Agency's activity are presented to emphasize its role in the use of nuclear energy for development and peace: nuclear power for electricity production, nuclear safety, transfer of nuclear technologies through the technical co-operation programme, safeguards and verification including the strengthened safeguards system, present verification activities and future prospects of verification, illicit trafficking of nuclear materials and other radioactive sources

  3. What should dental services for people with disabilities be like? Results of an Irish delphi panel survey.

    LENUS (Irish Health Repository)

    Mac Giolla Phadraig, Caoimhin

    2014-01-01

    This study aimed to generate prioritised goals for oral health services for people with disabilities as a first step in meeting the need for evidence based oral health services for people with disabilities in Ireland.

  4. Hotel services for hypotonics in Ukraine: scientific-practical results of eco-nomic-organizational and marketing substantiation

    Directory of Open Access Journals (Sweden)

    Pereyaslova Yuliya

    2015-10-01

    Full Text Available The article is dedicated to economic-organizational and marketing substantiation of the newest for Ukraine hotel service for patients with hypotension. The necessity of proposition of the market of such services is an extremely actual direction not only in hotel economy but in medical service of the country’s population today. It confirms the social targeting of the hotel service offer at the existent market, responsibility before the society and the future competitiveness of such hotel.

  5. Satisfaction with mental health services among people with schizophrenia in five European sites: Results from the EPSILON study

    NARCIS (Netherlands)

    Ruggeri, Mirella; Lasalvia, Antonio; Bisoffi, Giulia; Thornicroft, Graham; Vàzquez-Barquero, Josè Luis; Becker, Thomas; Knapp, Martin; Knudsen, Helle Charlotte; Schene, Aart; Tansella, Michele

    2003-01-01

    Patient satisfaction with services is an important outcome variable that is increasingly used in mental health service evaluation. This study includes 404 people with schizophrenia in five European sites and addresses five questions focused on site, service, and patient characteristics as variables

  6. What results when firms implement practices: the differential relationship between specific practices, firm financial performance, customer service, and quality.

    Science.gov (United States)

    Gibson, Cristina B; Porath, Christine L; Benson, George S; Lawler, Edward E

    2007-11-01

    Previous research on organizational practices is replete with contradictory evidence regarding their effects. Here, the authors argue that these contradictory findings may have occurred because researchers have often examined complex practice combinations and have failed to investigate a broad variety of firm-level outcomes. Thus, past research may obscure important differential effects of specific practices on specific firm-level outcomes. Extending this research, the authors develop hypotheses about the effects of practices that (a) enable information sharing, (b) set boundaries, and (c) enable teams on 3 different firm-level outcomes: financial performance, customer service, and quality. Relationships are tested in a sample of observations from over 200 Fortune 1000 firms. Results indicate that information-sharing practices were positively related to financial performance 1 year following implementation of the practices, boundary-setting practices were positively related to firm-level customer service, and team-enabling practices were related to firm-level quality. No single set of practices predicted all 3 firm-level outcomes, indicating practice-specific effects. These findings help resolve the theoretical tension in the literature regarding the effects of organizational practices and offer guidance as to how to best target practices to increase specific work-related outcomes. Implications for theory, research, and practice are discussed. (c) 2007 APA

  7. [Results of two surveys of immigrants and natives in Southeast Spain: health, use of services, and need for medical assistance].

    Science.gov (United States)

    Tormo, María-José; Salmerón, Diego; Colorado-Yohar, Sandra; Ballesta, Mónica; Dios, Sofía; Martínez-Fernández, Carmen; Pérez-Flores, Domingo; García-Pérez, Vicenta; Palomar, Joaquín A; Torres, Alberto M; Navarro, Carmen

    2015-01-01

    To compare the self-perceived health, use of health services and unmet need for health care (UNHC) among immigrants and native populations of Southeast Spain. Cross-sectional study of two representative samples of 1150 immigrants, and 1303 native participants from the National Health Survey. A single database was created with specific weights for each sample, and prevalence ratios (PR) were estimated by multivariate regression. Moroccans, Ecuadorians and Eastern Europeans (EE) reported poorer health than the native population (PRs [CI95%]: 2.45 [1.91-3.15]; 1.51 [1.28-1.79] and 1.44 [1.08-1.93], respectively). Immigrants made greater use of emergencies that natives (except for EE) and had lower use of medication. Moroccan showed the greatest difference in the frequency of UNHC (PR [CI95%]:12.20 [5.25 - 28.37]), mainly because of working limitations (46%). The health status and use of health services among immigrants differ significantly from those of natives. Results highlight the higher frequency of UNHC among immigrants, especially high in Moroccans.

  8. 31 CFR 208.7 - Agency responsibilities.

    Science.gov (United States)

    2010-07-01

    ... 31 Money and Finance: Treasury 2 2010-07-01 2010-07-01 false Agency responsibilities. 208.7 Section 208.7 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) FISCAL SERVICE, DEPARTMENT OF THE TREASURY FINANCIAL MANAGEMENT SERVICE MANAGEMENT OF FEDERAL AGENCY...

  9. Information Service.

    Science.gov (United States)

    Scofield, James

    Newspaper librarians discussed the public use of their newspapers' libraries. Policies run the gamut from well-staffed public information services, within or outside the newspaper library, to no service at all to those outside the staff of the paper. Problems of dealing with tax and law enforcement agencies were covered, as well as cooperative…

  10. 76 FR 4697 - Agency Information Collection Activities: Proposed Collection; Comment Request

    Science.gov (United States)

    2011-01-26

    ... engagement and on the current organizational culture and climate surrounding patient and family engagement... DEPARTMENT OF HEALTH AND HUMAN SERVICES Agency for Healthcare Research and Quality Agency Information Collection Activities: Proposed Collection; Comment Request AGENCY: Agency for Healthcare Research...

  11. Report of results of the tests of evaluation of the operation of service of personal dosimetry of the CNLV

    International Nuclear Information System (INIS)

    Alvarez R, J.T.; Tovar M, V.M.

    2005-11-01

    The ININ realized the evaluation of the service of personal dosimetry in the CNLV, in the categories: IV.- (Photons of high energy of 137 Cs) and the VA.- (Particles beta of 90 Sr/ 90 Y); in the category IV the test was satisfactory, however in the chart 1 has an underestimation a the American Standard HP over the value true conventional of a 9%; for this irregularity it is recommended to revise the procedures of evaluation of the process and the determination of the chart 1 of the HP. In the category VA, the test is also satisfactory, however the results contrasted with the chart 2 and the HP, the values were overestimated in 29% of the true conventional value, and for that problem is recommended to revise the evaluation procedures in contrast with the values determined by the standard HP. (Author)

  12. Do recommendations for institutional food service result in better food service? A study of compliance in Danish hospitals and nursing homes from 1995 to 2002-2003

    DEFF Research Database (Denmark)

    Mikkelsen, Bent Egberg; Beck, Anne Marie; Lassen, Anne Dahl

    2007-01-01

    in the official Danish recommendations for institutional food service as an indicator for progress. The issues included: using nutrient calculated recipes/menus, offering menu choice options, using feedback routines on acceptability of menus, maintaining nutritional steering committees, employing food...... are analysed over the 8-year period. The only progress for nursing homes was that more homes had implemented feedback routines on acceptability of food service in 2002/3 than in 1995. The difference was statistically significant. For hospitals, however, no progress was found between 1995 and 2002/3. Conclusion...

  13. The categorization of the impacts of the results of scientific and technological innovation in the Agency of Nuclear energy and advanced technologies (AENTA)

    International Nuclear Information System (INIS)

    Rodriguez Cardona, R.; Cobas Aranda, M.

    2010-01-01

    Science and technology are essential to the development of contemporary societies, however, there are different concepts and methodologies internationally to assess the economic and social impact of science and technology. In our country he has worked intensely with this aim and has established a national nomenclature of impact of science, technology and innovation. The Agency of Nuclear energy and advanced technologies (AEN-TA) is intended to improve the management of the programmes and projects management system framed within the system of science and technological innovation of the Republic of Cuba (SCIT) and one of the aspects of your special attention is the proper selection and follow-up (ex - before and during) projects to ensure that they contribute to improving the level of economic and social of our country one of his fundamental premises. This work has aims to show how the bases of the categorization of the impacts of the projects were established in the AEN-Mt management programs, as a management tool for the selection and monitoring of them, and which are characterized by a flexibility that keeping their identity do not differ from the established in the country. (author)

  14. Results of the ninth exercise of intercomparison in services of personal dosimetry in Argentina Republic in the year of 2011; Resultados del noveno ejercicio de intercomparacion de servicios de dosimetria personal realizado en la Republica Argentina en el ano 2011

    Energy Technology Data Exchange (ETDEWEB)

    Ferrufino, G.A.; Discacciatti, P.A.; Lopez, F.O., E-mail: gferrufino@am.gob.ar [Autoridad Regulatoria Nuclear (ARN), Buenos Aies (Argentina)

    2013-10-01

    In this paper we present the results of the ninth intercomparison exercise personal dosimetry services, conducted by the Nuclear Regulatory Authority in 2011. The exercise was designed to evaluate the performance of laboratories providing personal dosimetry services in Argentina , for X-rays and gamma radiation fields . This exercise was organized by the Nuclear Regulatory Authority with the Ministry of Health of the Nation and the Regional Reference Laboratory Centre for Dosimetry of the National Atomic Energy Commission . The irradiations were carried out in full accordance with ISO 4037-3 . Participates all private companies in Argentina serving all personal dosimetry laboratories and agencies, provincial and national. Furthermore, the Laboratories from Cuba, Brazil and Uruguay also participate. The performance of a laboratory is considered acceptable if it meets the criteria established in the IRAM- ISO 14146 , which states: 'It is recognized that at most, one-tenth of dosimeters irradiated to exceed the limits'. Of all of the laboratories that participated , 68% reported their results within the acceptance criteria above. The primary objective of this intercomparison exercise is to provide an objective tool to evaluate the ability of personnel dosimetry services. (author)

  15. Preliminary results of a program of quality assurance applied to the image service of a public hospital

    International Nuclear Information System (INIS)

    Almeida, Claudio Domingues de; Ferreira, Rubemar de Souza; Marechal, Maria Helena H.; Milano, Nelly Ester

    2001-01-01

    Overall quality in radiological protection and medical image depend largely on keeping certain safety standards and technical procedures in good levels. In this way, in June 1998, the Ministry of Health published the document 453 - Guidelines of Radiological Protection to Medical and Dental Practices, defining different levels of actions and responsibility for radiological installation where the critical starting point was the necessity of a previous quality assurance program (QAP) into the radiological service. Preliminary results of a QAP realized in the Department of Radiology of a high complexity Hospital in Rio de Janeiro has showed that, although the importance of 453 Regulation be recognized, there is a few motivation for implementing it. Besides, during 1999 it was possible to identify film losses of 14,9 % related only to the repetition of exposures in the patients, reflecting in terms of cost about U$ 100,000 a year. Results suggest that losses of 64% of total film are due to under or over exposures and 15% are due to inadequate positioning of either film or patient, evidencing the need for training the technical and medical staff . (author)

  16. Four aspects of the scope and quality of family planning services in US publicly funded health centers: Results from a survey of health center administrators.

    Science.gov (United States)

    Carter, Marion W; Gavin, Loretta; Zapata, Lauren B; Bornstein, Marta; Mautone-Smith, Nancy; Moskosky, Susan B

    2016-10-01

    This study aims to describe aspects of the scope and quality of family planning services provided by US publicly funded health centers before the release of relevant federal recommendations. Using nationally representative survey data (N=1615), we describe four aspects of service delivery: family planning services provided, contraceptive methods provided onsite, written contraceptive counseling protocols and youth-friendly services. We created a count index for each issue and used multivariable ordered logistic regression to identify health center characteristics associated with scoring higher on each. Half of the sample received Title X funding and about a third each were a community health center or health department clinic. The vast majority reported frequently providing contraceptive services (89%) and STD services (87%) for women in the past 3 months. Service provision to males was substantially lower except for STD screening. A total of 63% and 48% of health centers provided hormonal IUDs and implants onsite in the past 3 months, respectively. Forty percent of health centers included all five recommended contraceptive counseling practices in written protocols. Of youth-friendly services, active promotion of confidential services was among the most commonly reported (83%); offering weekend/evening hours was among the least (42%). In multivariable analyses, receiving Title X funding, having larger volumes of family planning clients and being a Planned Parenthood clinic were associated with higher scores on most indices. Many services were consistent with the recommendations for providing quality family planning services, but there was room for improvement across domains and health centers types. As assessed in this paper, the scope and quality of these family planning services was relatively high, particularly among Planned Parenthood clinics and Title X-funded centers. However, results point to important areas for improvement. Future studies should assess

  17. In-School Psychosocial Support Services for Safeguarding Children's Rights: Results and Implications of a Botswana Study

    Science.gov (United States)

    Ntinda, Kayi; Maree, Jacobus Gideon; Mpofu, Elias; Seeco, Elizabeth

    2014-01-01

    In-school psychosocial support services are intended to create safe learning environments for children, enabling the children to attain age-appropriate developmental tasks. This study investigated protections to children's right to safe learning environments through the provision of in-school psychosocial support services. Participants were 230…

  18. Food Service and Foods and Beverages Available at School: Results from the School Health Policies and Programs Study 2000.

    Science.gov (United States)

    Wechsler, Howell; Brener, Nancy D.; Kuester, Sarah; Miller, Clare

    2001-01-01

    Presents School Health Policies and Programs Study 2000 findings about state- and district-level policies and practices regarding various school food service issues, e.g., organization and staffing, food service and child nutrition requirements and recommendations, menu planning and food preparation, and collaboration. Also addressed are food…

  19. The determinants of logistics cooperation in the supply chain - selected results of the opinion poll within logistics service providers and their customers

    Directory of Open Access Journals (Sweden)

    Marcin Świtała

    2015-12-01

    Full Text Available Introduction: The paper is focused on some selected aspects of the cooperation between logistics service providers and their customers and considers the results of comparative analysis of importance assessment of the variables determining: the scope and nature of that cooperation, quality of providers' sales offer as well as changes in their customer service policy. Methods: To analyze the underlying problem direct research was conducted, i.e. a survey based on a questionnaire among 50 logistics service providers and 50 shippers. The sample was determined on special purpose. In the statistical analysis chi-square independence test, U Mann-Whitney's test as well as Cramer's V and Spearman's rho correlation ratios were used. Results: There were observed significant statistical differences between analyzed groups in the way the cooperation is perceived. The most vital discrepancies are related to customers' satisfaction degree and the assessment of the influence the providers' prices and competencies have on the cooperation. For the customers, declaring higher degree of the satisfaction from the cooperation, service quality was the most important factor. However, for the service providers, price factor was the most important one. Moreover, some differences in the answers related to changes in the service were observed, mainly with reference to: logistics capacity, out-of-loss shipments and communication. Conclusions: The group of customers revealed to be little demanding about logistics service. They tended to order mainly routine services, not demanding special skills from the service providers. This is the most probable reason why customers/providers preferred cooperation with greater number of entities. The customers, unlike service providers, also didn't have the need to develop more advanced forms of cooperation. Moreover, the observed differences related to the importance hierarchy of the cooperation determinants as well as service standards

  20. Nature and frequency of services provided by child and family health nurses in Australia: results of a national survey.

    Science.gov (United States)

    Schmied, Virginia; Fowler, Cathrine; Rossiter, Chris; Homer, Caroline; Kruske, Sue

    2014-05-01

    Australia has a system of universal child and family health (CFH) nursing services providing primary health services from birth to school entry. Herein, we report on the findings of the first national survey of CFH nurses, including the ages and circumstances of children and families seen by CFH nurses and the nature and frequency of the services provided by these nurses across Australia. A national survey of CFH nurses was conducted. In all, 1098 CFH nurses responded to the survey. Over 60% were engaged in delivering primary prevention services from a universal platform. Overall, 82.8% reported that their service made first contact with families within 2 weeks of birth, usually in the home (80.7%). The proportion of respondents providing regular support to families decreased as the child aged. Services were primarily health centre based, although 25% reported providing services in other locations (parks, preschools).The timing and location of first contact, the frequency of ongoing services and the composition of families seen by nurses varied across Australian jurisdictions. Nurses identified time constraints as the key barrier to the delivery of comprehensive services. CFH nurses play an important role in supporting families across Australia. The impact of differences in the CFH nursing provision across Australia requires further investigation. What is known about the topic? Countries that offer universal well child health services demonstrate better child health and developmental outcomes than countries that do not. Australian jurisdictions offer free, universal child and family health (CFH) nursing services from birth to school entry. What does this paper add? This paper provides nation-wide data on the nature of work undertaken by CFH nurses offering universal care. Across Australia, there are differences in the timing and location of first contact, the frequency of ongoing services and the range of families seen by nurses. What are the implications for

  1. [The activity of drug addiction service of the Russian Federation: an assessment of statistical parameters and an analysis of results].

    Science.gov (United States)

    Koshkina, E A; Kirzhanova, V V; Babicheva, L P; Mugantseva, L A

    2013-01-01

    The authors studied changes in the structure of drug addiction services, the dynamics of outpatient and inpatient referrals for drug addiction treatment and effectiveness of drug addiction services in 2011 compared to the preceding period. There was a reduction of availability of drug treatment services due to the reduction of the number of drug addiction units and the depletion of human resource potential. The lack of structural development of rehabilitation sector of drug care services and low rates of its development as well as the decrease in the number of patients seeking treatment are highlighted. It has been concluded that the drug addiction services require reorganization of its regulatory and legal framework and need innovative organizational and management decisions and human resources trained in innovative thinking and technologies.

  2. Customers’ travel practices of weekend routes (a case study for the travel agency «Voyage» in Gatchina

    Directory of Open Access Journals (Sweden)

    Aleksandrova A. A.

    2016-07-01

    Full Text Available the article reflects the results of an empirical research conducted in the travel agency «Voyage» in Gatchina in order to reveal the preferences of its customers about weekend routes to Saint Petersburg for the spring of 2016 and their willingness to pay for the service of the travel agency via online payment services. The authors describe the most perspective areas for routes in St. Petersburg in the spring of 2016 and specific examples. The research contains recommendations concerning implementation of online payment services of the travel agency.

  3. Scaling up integration: development and results of a participatory assessment of HIV/TB services, South Africa

    Directory of Open Access Journals (Sweden)

    Caldwell Judy

    2010-07-01

    Full Text Available Abstract Background In South Africa the need to integrate HIV, TB and STI programmes has been recognised at a policy and organisation level; the challenge is now one of translating policies into relevant actions and monitoring implementation to ensure that the anticipated benefits of integration are achieved. In this research, set in public primary care services in Cape Town, South Africa, we set out to determine how middle level managers could be empowered to monitor the implementation of an effective, integrated HIV/TB/STI service. Methods A team of managers and researchers designed an evaluation tool to measure implementation of key components of an integrated HIV/TB/STI package with a focus on integration. They used a comprehensive health systems framework based on conditions for programme effectiveness and then identified and collected tracer indicators. The tool was extensively piloted in two rounds involving 49 clinics in 2003 and 2004 to identify data necessary for effective facility-level management. A subsequent evaluation of 16 clinics (2 per health sub district, 12% of all public primary care facilities was done in February 2006. Results 16 clinics were reviewed and 635 records sampled. Client access to HIV/TB/STI programmes was limited in that 50% of facilities routinely deferred clients. Whilst the physical infrastructure and staff were available, there was problem with capacity in that there was insufficient staff training (for example, only 40% of clinical staff trained in HIV care. Weaknesses were identified in quality of care (for example, only 57% of HIV clients were staged in accordance with protocols and continuity of care (for example, only 24% of VCT clients diagnosed with HIV were followed up for medical assessment. Facility and programme managers felt that the evaluation tool generated information that was useful to manage the programmes at facility and district level. On the basis of the results facility managers drew

  4. Exploring the characteristics of nursing agencies in South Africa

    Directory of Open Access Journals (Sweden)

    Omolola I. Olojede

    2015-05-01

    Full Text Available Background: Nursing agencies are temporary employment service providers or labour brokers that supply nurses to health establishments. Objective: This study was conducted to determine the characteristics of nursing agencies and their relationship with clients in the health sector. Methods: During 2011, a cross-sectional national survey of 106 nursing agencies was conducted. After obtaining informed consent, telephone interviews were conducted with a representative of the selected nursing agency using a pretested structured questionnaire. Questions focused on the following: ownership, date of establishment, province of operation, distribution of clients across private and public health facilities; existence of a code of conduct; nature of the contractual relationship between nursing agencies and their clients, and numbers and cadres of nurses contracted. The survey data were analysed using STATA® 12. Results: Fifty-two nursing agencies participated in the survey, representing a 49% response rate. The study found that 32 nursing agencies (62% served private-sector clients only, which included private hospitals, homes for elderly people, patients in private homes, and private industry/company clinics, and only four (8% of the agencies served the public sector only. Twenty-seven percent of nursing agencies provided services to homes for elderly individuals. Nursing agencies were more likely to have contracts with private-sector clients (84% than with public-sector clients (16% (p = 0.04. Although 98% of nursing agencies reported that they had a code of conduct, the proportion was higher for private-sector clients (73% compared to public-sector clients (27%. In terms of quality checks and monitoring, 81% of agencies agreed with a statement that they checked the nursing council registration of nurses, 82% agreed with a statement that they requested certified copies of a nurse's qualifications. Only 21% indicated that they conducted reference checks

  5. Smart Location Database - Service

    Data.gov (United States)

    U.S. Environmental Protection Agency — The Smart Location Database (SLD) summarizes over 80 demographic, built environment, transit service, and destination accessibility attributes for every census block...

  6. CVP Service Area

    Data.gov (United States)

    California Natural Resource Agency — Federal Water Contract Service Area boundaries are incorporated boundaries of districts having contracts with the U.S. Bureau of Reclamation (Reclamation), within...

  7. Geospatial Services Laboratory

    Data.gov (United States)

    Federal Laboratory Consortium — FUNCTION: To process, store, and disseminate geospatial data to the Department of Defense and other Federal agencies.DESCRIPTION: The Geospatial Services Laboratory...

  8. Facility Registry Service (FRS)

    Data.gov (United States)

    U.S. Environmental Protection Agency — The Facility Registry Service (FRS) provides an integrated source of comprehensive (air, water, and waste) environmental information about facilities across EPA,...

  9. Changing values of lake ecosystem services as a result of bacteriological contamination on Lake Trzesiecko and Lake Wielimie, Poland

    Directory of Open Access Journals (Sweden)

    Cichoń Małgorzata

    2017-12-01

    Full Text Available Lake ecosystems, on the one hand, are affected by tourism, and on the other by development for tourism. Lake ecosystem services include: water with its self-cleaning processes, air with climate control processes, as well as flora and fauna. Utilisation of services leads to interventions in the structure of ecosystems and their processes. Only to a certain extent, this is specific to each type of environmental interference, remains within the limits of ecosystem resilience and does not lead to its degradation. One of the threats is bacteriological contamination, for which the most reliable sanitation indicator is Escherichia coli. In lake water quality studies it is assumed that the lakeshore cannot be a source of bacteria. It has been hypothesised that the problem of bacterial contamination can be serious for the places that do not have any infrastructure, especially sanitation. Consequently, the purpose of the study was to determine the extent to which lakeshore sanitation, in particular the level of bacteriological contamination, has an impact on the value of services provided by the selected lake ecosystems (Lake Trzesiecko and Lake Wielimie – Szczecinek Lake District. Five selected services related to lake ecosystems are: water, control over the spread of contagious diseases, aesthetic values, tourism and recreation, as well as the hydrological cycle with its self-cleaning function. Services, as well as the criteria adopted for evaluation, allow us to conclude that the services provided by the lake ecosystems are suitable to fulfill a recreation function. However, the inclusion of quality criteria for sanitary status has shown that the value of system services has dropped by as much as 50%. Value changes are visible primarily for water and aesthetic qualities. Such a significant decrease in the value of services clearly indicates the importance of the sanitary conditions of lakes and their appropriate infrastructure. In view of the

  10. The PM2.5 Fine Particle Background Network of the German Meteorological Service-First Results

    Directory of Open Access Journals (Sweden)

    Uwe Kaminski

    2013-04-01

    Full Text Available Since 2009, the measurement of the background concentration of the fine particle fraction has been a part of the climate-monitoring program of the German Meteorological Service (DWD. These particles are of high health relevance as a critical air pollutant affecting processes like the scattering and absorption of solar radiation and influencing cloud formation and visibility. At 12 weather stations, the coarse (2.5 to 10 l m and the fine particle fractions (PM2.5 are measured by means of passive and active samplers. First results are presented for the mass concentrations of coarse and fine particles as well as for the black carbon (BC content and the concentration of certain inorganic ions of fine particles. There is not only a seasonal correlation between the fraction of fine and coarse particles, but also a correlation with the location (urban background or rural background. With the help of light microscopy, coarse particles can be differentiated for a geogenic (predominantly wind blown mineral and sea salt particles of natural origin and road abrasion and for an anthropogenic opaque component (combustion residues, e.g. fly ash and non-exhaust vehicle emissions, e.g. abrasion particles of brakes and tires. Measuring the fine fraction and the coarse fraction separately instead of PM10 allows for a better source allocation and thus is a more appropriate method for the improvement of the air quality in, e.g. low emission zones.

  11. 76 FR 80902 - Senior Executive Service; Performance Review Board; Members

    Science.gov (United States)

    2011-12-27

    ... COURT SERVICES AND OFFENDER SUPERVISION AGENCY FOR THE DISTRICT OF COLUMBIA Senior Executive Service; Performance Review Board; Members AGENCY: Court Services and Offender Supervision Agency for the... agency's Senior Executive Service. The PRB established for the Court Services and Offender Supervision...

  12. How Does Temporary Agency Work Impact German Agency Workers?

    OpenAIRE

    Spermann, Alexander

    2013-01-01

    The enormous speed of change in the working world is associated with greater job insecurity. As a dynamic external flexibilization instrument, temporary agency work is characterized by high labor turnover rates. As a result, agency workers might perceive more job insecurity than permanent staff. This paper surveys German empirical studies on outcome variables such as job satisfaction, commitment, health, employability, social participation and effects on personal life for agency workers. It i...

  13. Customer service in the residential property market of South Africa

    Directory of Open Access Journals (Sweden)

    S Rudansky-KlopperS

    2004-07-01

    Full Text Available An increasing number of estate agencies are entering the real estate market in South Africa and many are struggling to survive as competition grows stronger. Customer service has become of overriding importance to establish a differential advantage that will ensure long-term survival. This study investigates customer service by estate agencies in the residential property market of South Africa. The results indicate that estate agencies seem to be aware of the importance of providing good customer service and of being service-oriented, but they do not always seem to realise the need to conduct marketing research and test the actual satisfaction of customers with the services provided, leaving a potential gap between what the customer wants and what the estate agency provides.

  14. How do health services researchers understand the concept of patient-centeredness? Results from an expert survey

    Directory of Open Access Journals (Sweden)

    Scholl I

    2014-08-01

    Full Text Available Isabelle Scholl, Jördis M Zill, Martin Härter, Jörg Dirmaier Department of Medical Psychology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany Background: The concept of patient-centeredness has gained in importance over recent decades, including its growing importance on a health policy level. However, many different definitions and frameworks exist. This renders both research and implementation into clinical practice difficult. This study aimed at assessing how German researchers conceptualize patient-centeredness, how they translate the German equivalent into English, and what they consider the most important references on the topic. Methods: All researchers within a German research priority program on patient-centeredness were invited to participate in an online survey with open questions. The data regarding the definitions of patient-centeredness were analyzed using the method of conventional content analysis. Descriptive statistics were used to analyze the responses on translations and references. Results: Thirty-eight (28% of 136 invited researchers participated in the study. The definitions given by the participants could be classified into ten categories: patient as a unique person, involvement in decision-making, patient information, essential characteristics of the physician, biopsychosocial perspective, patient empowerment, individualized services, patient-reported outcomes, involvement in health policy and coordination and teamwork. The results for the translation of the German word “Patientenorientierung” into English indicate that uncertainty regarding the appropriate English terminology exists. All participants provided a different reference on patient-centeredness that was important to them. Conclusion: The results show a certain degree of “shared meaning” regarding the concept of patient-centeredness. However, they also indicate a considerable amount of “surplus meaning”, which can be seen as an

  15. Reusable Component Services

    Data.gov (United States)

    U.S. Environmental Protection Agency — The Reusable Component Services (RCS) is a super-catalog of components, services, solutions and technologies that facilitates search, discovery and collaboration in...

  16. NAIP Public Image Services

    Data.gov (United States)

    Farm Service Agency, Department of Agriculture — This map provides a preview and information about the National Agriculture Imagery Program (NAIP) image services available on the APFO public image server. Click on...

  17. Payments for Environmental Services as source of development funding for small-scale farmers in northern Namibia: preliminary results

    Science.gov (United States)

    Angombe, Simon; Bloemertz, Lena; Käch, Simon; Asino, Josefina; Kuhn, Nikolaus J.

    2013-04-01

    Studies in Africa suggest that improving Soil Organic Carbon (SOC) on cropland soils increases yields, but also offers the opportunity of earning carbon credits. Further potential for earning carbon credits and generating Payments for Environmental Services (PES) lies in an integrated approach to landscape carbon management, including shrubland and pasture used for grazing and timber supply. These studies indicate that funds raised from PES could be used to foster the development of small-scale farming in northern Namibia. However, the limited information on soil quality and the rationale for particular soil management and land use practices applied by small-scale farmers in Namibia prohibits a conclusive assessment of the potential of Payment for PES as a source of income or funding opportunity for development initiatives in Northern Central Regions of Namibia. Therefore, the aim of this study is the identification of potential intervention mechanisms to improve the livelihood of small scale-farmers and reducing land degradation with the support of PES in the communal regions of northern Namibia. The work in Namibia aimed at identifying existing soil management and land use practices as well as soil quality, including carbon stocks, on land used by small-scale farmers in the densely populated northern central region. The main objective of the first part of the field work was to develop an overview of farming practices and soil quality as well as sampling and interviewing approaches. Four settlements were selected for the field work based on their distance to the urbanized road corridor between Oshakati and the Angolan border. Initial results confirm the potential to increase productivity on land used by small-scale farmers as well as the opportunity to develop landscape carbon stocks. However, limits to earning PES might be the lack of a market, and thus incentive for the farmers, to shift from subsistence to commercial farming.

  18. Meeting Postpartum Women’s Family Planning Needs Through Integrated Family Planning and Immunization Services: Results of a Cluster-Randomized Controlled Trial in Rwanda

    Science.gov (United States)

    Dulli, Lisa S; Eichleay, Marga; Rademacher, Kate; Sortijas, Steve; Nsengiyumva, Théophile

    2016-01-01

    ABSTRACT Objective The primary objective of this study was to test the effectiveness of integrating family planning service components into infant immunization services to increase modern contraceptive method use among postpartum women. Methods The study was a separate sample, parallel, cluster-randomized controlled trial. Fourteen randomly selected primary health facilities were equally allocated to intervention (integrated family planning and immunization services at the same time and location) and control groups (standard immunization services only). At baseline (May–June 2010), we interviewed postpartum women attending immunization services for their infant aged 6 to 12 months using a structured questionnaire. A separate sample of postpartum women was interviewed 16 months later after implementation of the experimental health service intervention. We used linear mixed regression models to test the study hypothesis that postpartum women attending immunization services for their infants aged 6–12 months in the intervention facilities will be more likely to use a modern contraceptive method than postpartum women attending immunization services for their infants aged 6–12 months in control group facilities. Results We interviewed and analyzed data for 825 women from the intervention group and 829 women from the control group. Results showed the intervention had a statistically significant, positive effect on modern contraceptive method use among intervention group participants compared with control group participants (regression coefficient, 0.15; 90% confidence interval [CI], 0.04 to 0.26). Although we conducted a 1-sided significance test, this effect was also significant at the 2-sided test with alpha = .05. Among those women who did not initiate a contraceptive method, awaiting the return of menses was the most common reason cited for non-use of a method. Women in both study groups overwhelmingly supported the concept of integrating family planning

  19. The interface between child/adolescent and adult mental health services: results from a European 28-country survey.

    Science.gov (United States)

    Signorini, Giulia; Singh, Swaran P; Marsanic, Vlatka Boricevic; Dieleman, Gwen; Dodig-Ćurković, Katarina; Franic, Tomislav; Gerritsen, Suzanne E; Griffin, James; Maras, Athanasios; McNicholas, Fiona; O'Hara, Lesley; Purper-Ouakil, Diane; Paul, Moli; Russet, Frederick; Santosh, Paramala; Schulze, Ulrike; Street, Cathy; Tremmery, Sabine; Tuomainen, Helena; Verhulst, Frank; Warwick, Jane; de Girolamo, Giovanni

    2018-04-01

    Transition-related discontinuity of care is a major socioeconomic and societal challenge for the EU. The current service configuration, with distinct Child and Adolescent Mental Health (CAMHS) and Adult Mental Health Services (AMHS), is considered a weak link where the care pathway needs to be most robust. Our aim was to delineate transitional policies and care across Europe and to highlight current gaps in care provision at the service interface. An online mapping survey was conducted across all 28 European Countries using a bespoke instrument: The Standardized Assessment Tool for Mental Health Transition (SATMEHT). The survey was directed at expert(s) in each of the 28 EU countries. The response rate was 100%. Country experts commonly (12/28) reported that between 25 and 49% of CAMHS service users will need transitioning to AMHS. Estimates of the percentage of AMHS users aged under 30 years who had has previous contact with CAMHS were most commonly in the region 20-30% (33% on average).Written policies for managing the interface were available in only four countries and half (14/28) indicated that no transition support services were available. This is the first survey of CAMHS transitional policies and care carried out at a European level. Policymaking on transitional care clearly needs special attention and further elaboration. The Milestone Study on transition should provide much needed data on transition processes and outcomes that could form the basis for improving policy and practice in transitional care.

  20. The contribution of an asthma diagnostic consultation service in obtaining an accurate asthma diagnosis for primary care patients: results of a real-life study.

    Science.gov (United States)

    Gillis, R M E; van Litsenburg, W; van Balkom, R H; Muris, J W; Smeenk, F W

    2017-05-19

    Previous studies showed that general practitioners have problems in diagnosing asthma accurately, resulting in both under and overdiagnosis. To support general practitioners in their diagnostic process, an asthma diagnostic consultation service was set up. We evaluated the performance of this asthma diagnostic consultation service by analysing the (dis)concordance between the general practitioners working hypotheses and the asthma diagnostic consultation service diagnoses and possible consequences this had on the patients' pharmacotherapy. In total 659 patients were included in this study. At this service the patients' medical history was taken and a physical examination and a histamine challenge test were carried out. We compared the general practitioners working hypotheses with the asthma diagnostic consultation service diagnoses and the change in medication that was incurred. In 52% (n = 340) an asthma diagnosis was excluded. The diagnosis was confirmed in 42% (n = 275). Furthermore, chronic rhinitis was diagnosed in 40% (n = 261) of the patients whereas this was noted in 25% (n = 163) by their general practitioner. The adjusted diagnosis resulted in a change of medication for more than half of all patients. In 10% (n = 63) medication was started because of a new asthma diagnosis. The 'one-stop-shop' principle was met with 53% of patients and 91% (n = 599) were referred back to their general practitioner, mostly within 6 months. Only 6% (n = 41) remained under control of the asthma diagnostic consultation service because of severe unstable asthma. In conclusion, the asthma diagnostic consultation service helped general practitioners significantly in setting accurate diagnoses for their patients with an asthma hypothesis. This may contribute to diminish the problem of over and underdiagnosis and may result in more appropriate treatment regimens. SERVICE HELPS GENERAL PRACTITIONERS MAKE ACCURATE DIAGNOSES: A consultation service can

  1. The National Aeronautics and Space Administration-U.S. Public Health Service Health Evaluation and Enhancement Program - Summary of results.

    Science.gov (United States)

    Durbeck, D. C.; Heinzelmann, F.; Schacter, J.; Haskell, W. L.; Payne, G. H.; Moxley, R. T., III; Nemiroff, M.; Limoncelli, D. D.; Arnoldi, L. B.; Fox, S. M., III

    1972-01-01

    An exercise program was initiated in a federal agency to assess the feasibility of such a program, and to identify the factors that influenced joining, adherence to, and effectiveness of the program. The program was utilized by 237 of the 998 eligible federal employees; mean attendance rate was 1.3 days/week. Those who volunteered perceived a need for increased physical activity, believed they had sufficient time to participate and derived subjective as well as objective benefits. Significant improvements were found in heart rate response to the standard exercise test, body weight, skinfold measurements and triglyceride levels.

  2. Integration of family planning services into HIV care clinics: Results one year after a cluster randomized controlled trial in Kenya.

    Directory of Open Access Journals (Sweden)

    Craig R Cohen

    Full Text Available To determine if integration of family planning (FP and HIV services led to increased use of more effective contraception (i.e. hormonal and permanent methods, and intrauterine devices and decreased pregnancy rates.Cohort analysis following cluster randomized trial, when the Kenya Ministry of Health led integration of the remaining control (delayed integration sites and oversaw integrated services at the original intervention (early integration sites.Eighteen health facilities in Kenya.Women aged 18-45 receiving care: 5682 encounters at baseline, and 11628 encounters during the fourth quarter of year 2."One-stop shop" approach to integrating FP and HIV services.Use of more effective contraceptive methods and incident pregnancy across two years of follow-up.Following integration of FP and HIV services at the six delayed integration clinics, use of more effective contraception increased from 31.7% to 44.2% of encounters (+12.5%; Prevalence ratio (PR = 1.39 (1.19-1.63. Among the twelve early integration sites, the proportion of encounters at which women used more effective contraceptive methods was sustained from the end of the first to the second year of follow-up (37.5% vs. 37.0%. Pregnancy incidence including all 18 integrated sites in year two declined in comparison to the control arm in year one (rate ratio: 0.72; 95% CI 0.60-0.87.Integration of FP services into HIV clinics led to a sustained increase in the use of more effective contraceptives and decrease in pregnancy incidence 24 months following implementation of the integrated service model.ClinicalTrials.gov NCT01001507.

  3. Results of the Collaborative Energy and Water Cycle Information Services (CEWIS) Workshop on Heterogeneous Dataset Analysis Preparation

    Science.gov (United States)

    Kempler, Steven; Teng, William; Acker, James; Belvedere, Deborah; Liu, Zhong; Leptoukh, Gregory

    2010-01-01

    In support of the NASA Energy and Water Cycle Study (NEWS), the Collaborative Energy and Water Cycle Information Services (CEWIS), sponsored by NEWS Program Manager Jared Entin, was initiated to develop an evolving set of community-based data and information services that would facilitate users to locate, access, and bring together multiple distributed heterogeneous energy and water cycle datasets. The CEWIS workshop, June 15-16, 2010, at NASA/GSFC, was the initial step of the process, starting with identifying and scoping the issues, as defined by the community.

  4. Can Internet-Based Sexual Health Services Increase Diagnoses of Sexually Transmitted Infections (STI)? Protocol for a Randomized Evaluation of an Internet-Based STI Testing and Results Service.

    Science.gov (United States)

    Wilson, Emma; Free, Caroline; Morris, Tim P; Kenward, Michael G; Syred, Jonathan; Baraitser, Paula

    2016-01-15

    Ensuring rapid access to high quality sexual health services is a key public health objective, both in the United Kingdom and internationally. Internet-based testing services for sexually transmitted infections (STIs) are considered to be a promising way to achieve this goal. This study will evaluate a nascent online STI testing and results service in South East London, delivered alongside standard face-to-face STI testing services. The aim of this study is to establish whether an online testing and results services can (1) increase diagnoses of STIs and (2) increase uptake of STI testing, when delivered alongside standard face-to-face STI testing services. This is a single-blind randomized controlled trial. We will recruit 3000 participants who meet the following eligibility criteria: 16-30 years of age, resident in the London boroughs of Lambeth and Southwark, having at least one sexual partner in the last 12 months, having access to the Internet and willing to take an STI test. People unable to provide informed consent and unable to read and understand English (the websites will be in English) will be excluded. Baseline data will be collected at enrolment. This includes participant contact details, demographic data (date of birth, gender, ethnicity, and sexual orientation), and sexual health behaviors (last STI test, service used at last STI test and number of sexual partners in the last 12 months). Once enrolled, participants will be randomly allocated either (1) to an online STI testing and results service (Sexual Health 24) offering postal self-administered STI kits for chlamydia, gonorrhoea, syphilis, and HIV; results via text message (short message service, SMS), except positive results for HIV, which will be delivered by phone; and direct referrals to local clinics for treatment or (2) to a conventional sexual health information website with signposting to local clinic-based sexual health services. Participants will be free to use any other interventions

  5. REMUNERATION FOR THE AUTHOR FOR THE CREATION AND USE OF THE SERVICE RESULT OF INTELLECTUAL ACTIVITY: HISTORIC AND PHILOSOPHICAL ASPECT

    Directory of Open Access Journals (Sweden)

    Tatyana Aleksandrovna Vilmova

    2017-10-01

    Full Text Available In the civil legislation in the field of regulation of legal relations between the author-worker and the employer concerning the creation and use of the service results of intellectual activity (RIA, there are a number of unresolved issues. One of them concerns the size, the procedure for determining and paying remuneration to the author of the work. Despite the availability to date of a sufficient number of legal and by-laws (which refer to each other, but do not provide answers to the questions posed, the question of the legal nature of remuneration remains unresolved, as a material benefit paid to the author. As a result, employers or third parties often abuse legislative gaps in order to obtain an object of creative work without payment to the employee for the fairness of the due goods. After the creation of the official RIA, the question arises of the payment or non-payment of remuneration to the employee. After all, it will be profitable for the employer to recognize an object created by a thoughtful way, performed by an employee in the framework of a labor activity or a specific job of the employer. At what, such task should not go beyond the scope of the job description. As compensation, as a rule, will be small. And what if the object is created outside the scope of the labor function? What will be the fair and lawful amount of remuneration? Therefore, it is precisely such concepts as «labor duty» and «specific task of the employer» that become a stumbling block in practice. And when solving the questions posed, the authors often begin to search for answers from the philosophical origins of the origin of remuneration for creative work, using methods of comparative analysis, historical legal methods and even the philosophical teachings of ancient thinkers. Let’s demonstrate this on this topic. The purpose of the scientific article is to solve the problem when collecting the author’s performance results of intellectual activity

  6. Quality control in low-level radionuclide analysis. Results of recent intercomparisons and programme for 1979/80 of the International Atomic Energy Agency

    Energy Technology Data Exchange (ETDEWEB)

    Suschny, O; Dybczynski, R; Tugsavul, A

    1979-05-01

    Several summary reports on the IAEA's analytical quality control programme have been issued in the past. A report mapping out areas of common interest with the ICRM has been presented to the Paris meeting of ICRM's low-level measurement techniques group in 1976 and subsequently published in environment international. General descriptions of the programme as it has developed in the past 15 years can be found in these publications, in addition detailed results of intercomparisons have been published in IAEA reports and in the open literature (about 30 publications), they are too numerous for citation here. This paper presents discussion of the results of recent intercomparisons of low level radionuclide determinations followed by a presentation of our schedule of distribution of intercomparison and reference materials for 1979 and 80.

  7. Improvement in image quality. Results of a pilot project coordinated by the International Atomic Energy Agency in the Republic of Moldova

    International Nuclear Information System (INIS)

    Kaplanis, P.A.; Rehani, M.M.; Chupov, A.; ); Bahnarel, I.; Roshka, A.; Catrinici, V.; Rabovila, E.; Donos, V.; Guzun, E.; Crivoi, V.

    2005-01-01

    The objective of this Pilot Project was to perform reanalysis and image quality checks, pin point problems, suggest methods of improvement. Seven departments/rooms participated in the study. The work was conducted in two phases. A total of 1538 films were evaluated over the period of May, 12-23 2003. The films were first evaluated by a radiographer and the reject rate at radiographer level was estimated. After the data of the analysis was collected, the experts of the IAEA evaluated the results. They identified suggestions for each department, based on the results and the aim of improvement of the image quality. This was called the Quality Control (QC) step and required different levels of emphasis to parameters i different hospitals. After each department adopted the QC actions, the image quality analysis was performed once again to investigate whether or not the suggestions helped towards the improvement of image quality. In this phase 1411 films were evaluated during the period of 09.22.2003-10.03.2003. Review of the first phase results indicated that the following causes contributed to poor quality films: kVp error, improper collimation, radiation output problems, scratchers due to hanger, intensifying screen problems, improper processing, finger marks and darkroom light leak. Corrective actions, qualitative control steps, were suggested on these factors. (authors)

  8. [Mental Health in the General Hospital: Results of the Patient Health Questionnaire (PHQ) in Four Hospital Services].

    Science.gov (United States)

    Castro-Camacho, Leonidas; Escobar, Juan Manuel; Sáenz-Moncaleano, Camilo; Delgado-Barrera, Lucía; Aparicio-Turbay, Soraya; Molano, Juan Carlos; Noguera, Efraín

    2012-03-01

    Few individuals have access to mental health services due in part to underdetection. As it is more likely to consult for medical conditions, primary care may be a useful gateway for early detection of mental health problems. Detection of the frequency of mental health problems in four hospital services at the Fundación Santa Fe de Bogotá: Outpatient unit, hospitalization, emergency department, and primary care through a brief detection questionnaire, the Patient Health Questionnaire (PHQ). Cross-sectional study of patients seen at the four services who answered a Demographic Data Questionnaire and the PHQ together with information gathered about current medical diagnosis, history of visits, and hospitalizations during the last year. 1094 patients seen at the four hospital services between September 2010 and May 2011 were selected at random. A mental health problem was detected in 36.7% of the total sample. Major depressive disorder (7.3%), alcohol abuse (14.4%), and any anxiety disorder (7.7%) showed the highest prevalence with the emergency department showing the highest frequency of detection. The usefulness of a brief detection questionnaire such as the PHQ in hospital settings is demonstrated and implications in the design of mental health programs in the general hospital are discussed. The need to replicate this study in other settings and to undertake further research is outlined. Copyright © 2012 Asociación Colombiana de Psiquiatría. Publicado por Elsevier España. All rights reserved.

  9. Preliminary results from a survey of U.S. Forest Service wildfire managers' attitudes toward aviation personnel exposure and risk

    Science.gov (United States)

    Matthew Wibbenmeyer; Michael Hand; David Calkin

    2012-01-01

    The U.S. Department of Agriculture, Forest Service (USFS) has, in recent years, increasingly emphasized the importance of safety to its employees, but wildfire management remains a risky endeavor. While wildfire management decisions affecting safety and exposure of firefighters to the wildland fire environment may be aided by decision support tools such the Wildfire...

  10. Nutrition Services and Foods and Beverages Available at School: Results from the School Health Policies and Programs Study 2006

    Science.gov (United States)

    O'Toole, Terrence P.; Anderson, Susan; Miller, Clare; Guthrie, Joanne

    2007-01-01

    Background: Schools are in a unique position to promote healthy dietary behaviors and help ensure appropriate nutrient intake. This article describes the characteristics of both school nutrition services and the foods and beverages sold outside of the school meals program in the United States, including state- and district-level policies and…

  11. A standards-based approach to quality improvement for HIV services at Zambia Defence Force facilities: results and lessons learned.

    Science.gov (United States)

    Kols, Adrienne; Kim, Young-Mi; Bazant, Eva; Necochea, Edgar; Banda, Joseph; Stender, Stacie

    2015-07-01

    The Zambia Defence Force adopted the Standards-Based Management and Recognition approach to improve the quality of the HIV-related services at its health facilities. This quality improvement intervention relies on comprehensive, detailed assessment tools to communicate and verify adherence to national standards of care, and to test and implement changes to improve performance. A quasi-experimental evaluation of the intervention was conducted at eight Zambia Defence Force primary health facilities (four facilities implemented the intervention and four did not). Data from three previous analyses are combined to assess the effect of Standards-Based Management and Recognition on three domains: facility readiness to provide services; observed provider performance during antiretroviral therapy (ART) and antenatal care consultations; and provider perceptions of the work environment. Facility readiness scores for ART improved on four of the eight standards at intervention sites, and one standard at comparison sites. Facility readiness scores for prevention of mother-to-child transmission (PMTCT) of HIV increased by 15 percentage points at intervention sites and 7 percentage points at comparison sites. Provider performance improved significantly at intervention sites for both ART services (from 58 to 84%; P improved at intervention sites and declined at comparison sites; differences in trends between study groups were significant for eight items. A standards-based approach to quality improvement proved effective in supporting healthcare managers and providers to deliver ART and PMTCT services in accordance with evidence-based standards in a health system suffering from staff shortages.

  12. The state of emergency obstetric care services in Nairobi informal settlements and environs: Results from a maternity health facility survey

    Directory of Open Access Journals (Sweden)

    Saliku Teresa

    2009-03-01

    Full Text Available Abstract Background Maternal mortality in Sub-Saharan Africa remains a challenge with estimates exceeding 1,000 maternal deaths per 100,000 live births in some countries. Successful prevention of maternal deaths hinges on adequate and quality emergency obstetric care. In addition to skilled personnel, there is need for a supportive environment in terms of essential drugs and supplies, equipment, and a referral system. Many household surveys report a reasonably high proportion of women delivering in health facilities. However, the quality and adequacy of facilities and personnel are often not assessed. The three delay model; 1 delay in making the decision to seek care; 2 delay in reaching an appropriate obstetric facility; and 3 delay in receiving appropriate care once at the facility guided this project. This paper examines aspects of the third delay by assessing quality of emergency obstetric care in terms of staffing, skills equipment and supplies. Methods We used data from a survey of 25 maternity health facilities within or near two slums in Nairobi that were mentioned by women in a household survey as places that they delivered. Ethical clearance was obtained from the Kenya Medical Research Institute. Permission was also sought from the Ministry of Health and the Medical Officer of Health. Data collection included interviews with the staff in-charge of maternity wards using structured questionnaires. We collected information on staffing levels, obstetric procedures performed, availability of equipment and supplies, referral system and health management information system. Results Out of the 25 health facilities, only two met the criteria for comprehensive emergency obstetric care (both located outside the two slums while the others provided less than basic emergency obstetric care. Lack of obstetric skills, equipment, and supplies hamper many facilities from providing lifesaving emergency obstetric procedures. Accurate estimation of burden

  13. Specialist perioperative allergy clinic services in the UK 2016: Results from the Royal College of Anaesthetists Sixth National Audit Project.

    Science.gov (United States)

    Egner, W; Cook, T; Harper, N; Garcez, T; Marinho, S; Kong, K L; Nasser, S; Thomas, M; Warner, A; Hitchman, J; Floss, K

    2017-10-01

    Guidelines for investigation of perioperative drug allergy exist, but the quality of services is unknown. Specialist perioperative anaphylaxis services were surveyed through the Royal College of Anaesthetists 6 th National Audit Project. We compare self-declared UK practice in specialist perioperative allergy services with national recommendations. A SurveyMonkey™ questionnaire was distributed to providers of allergy services in the UK. Responses were assessed for adherence to the best practice recommendations of the British Society for Allergy and Clinical Immunology (BSACI), the Association of Anaesthetists of Great Britain and Ireland and the National Institute for Health and Care Excellence (NICE) Guidance on Drug Allergy-CG183. Over 1200 patients were evaluated in 44 centres annually. Variation in workload, waiting times, access, staffing and diagnostic approach was noted. Paediatric centres had the longest routine waiting times (most wait >13 weeks) in contrast to adult centres (most wait specialist nurses and 18/44 (41%) an anaesthetist] and provision of information [18/44 (41%) gave immediate information in clinic and 5/44 (11%) sign-posted support groups]. Most centres were able to provide diagnostic challenges to antibiotics [40/44 (91%]) and local anaesthetics [41/44 (93%)]. Diagnostic testing is not harmonized, with marked variability in the NMBA panels used to identify safe alternatives. Chlorhexidine and latex are not part of routine testing in many centres. Poor access to services and patient information provision require attention. Harmonization of diagnostic approach is desirable, particularly with regard to a minimum NMBA panel for identification of safe alternatives. © 2017 John Wiley & Sons Ltd.

  14. Preliminary results of the national program of audit of quality in radiotherapy services in the Republic of Cuba; Resultados preliminares del programa nacional de auditoria de calidad en servicios de radioterapia en la Republica de Cuba

    Energy Technology Data Exchange (ETDEWEB)

    Dominguez Hung, Lourdes; Larrinaga Cortina, Eduardo F. [Centro de Control Estatal de Equipos Medicos, La Habana (Cuba); Morales Lopez, Jorge L.; Garcia Yip, Fernando [Instituto Nacional de Oncologia y Radiobiologia, La Habana (Cuba); Campa Menendez, Raudel [Centro de Proteccion y Higiene de las Radiaciones, La Habana (Cuba)

    2001-07-01

    The current state of the radiotherapy in Cuba has allowed to pass to a superior stage, the establishment of a National Quality Audit Program (PNAC). The National Control Center for Medical Devices as national regulator entity for the control and supervision of the medical devices of the National Health System is the responsible for it implementation. This paper presents the preliminary results of the execution of the PNAC in teletherapy services with isotopic units of {sup 60} Co. The audits were carried out according to the methodology settled down in the normalized procedure of operation of the PNAC. The physical aspects related with the treatment were audit, such as: the installation and unit's security, treatment unit's mechanical and dosimetric aspects and organizational aspects of the institution quality assurance program. Also were carried out, in the clinical aspect, verifications of cases type planned by the qualified personnel of the service. The results corresponding to the determination of the reference dose for each institution were compared with those obtained in a postal audit with the International Atomic Energy Agency. These first audits allowed to evaluate the performance of the institution's program of quality assurance and a feedback for the setting about to the PNAC. (author)

  15. 48 CFR 1.202 - Agency compliance with the FAR.

    Science.gov (United States)

    2010-10-01

    ... compliance with the FAR (see 1.304) is the responsibility of the Secretary of Defense (for the military departments and defense agencies), the Administrator of General Services (for civilian agencies other than...

  16. 75 FR 56501 - Information Collection; Land Management Agency Volunteer Surveys

    Science.gov (United States)

    2010-09-16

    ... Information Collection; Land Management Agency Volunteer Surveys AGENCY: Forest Service, USDA. ACTION: Notice... and test models of volunteer management; supply information to LMA program managers and other... is seeking comments from all interested individuals and organizations on the new information...

  17. Rules regarding voluntary contributions to the Agency

    International Nuclear Information System (INIS)

    2004-01-01

    The texts of the following Rules Regarding Voluntary Contributions to the Agency are reproduced for the information of all Members of the Agency. Rules to Govern the Acceptance of Gifts of Services, Equipment and Facilities - adopted by the Board of Governors on 10 March 2004; Rules Regarding the Acceptance of Voluntary Contributions of Money to the Agency - approved by the General Conference on 21 September 2001 (GC (45)/RES/9)

  18. Rules regarding voluntary contributions to the Agency

    International Nuclear Information System (INIS)

    2001-01-01

    The texts of the following Rules Regarding Voluntary Contributions to the Agency are reproduced for the information of all Members of the Agency. Rules to Govern the Acceptance of Gifts of Services, Equipment and Facilities - adopted by the Board of Governors on 13 June 2001; Rules Regarding the Acceptance of Voluntary Contributions of Money to the Agency - approved by the General Conference on 21 September 2001 (GC(45)/RES/9)

  19. Medicare Provider Payment Data - Home Health Agencies

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Home Health Agency PUF contains information on utilization, payment (Medicare payment and standard payment), and submitted charges organized by CMS Certification...

  20. Results from an experimental trial at a Head Start center to evaluate two meal service approaches to increase fruit and vegetable intake of preschool aged children

    Directory of Open Access Journals (Sweden)

    Harnack Lisa J

    2012-04-01

    Full Text Available Abstract Background Strategies to increase fruit and vegetable consumption of preschool aged children are needed. Objectives Evaluate the independent effects of the following meal service strategies on intake of fruits and vegetables of preschool children: 1. Serving fruits and vegetables in advance of other menu items as part of traditional family style meal service; and 2. Serving meals portioned and plated by providers. Methods Fifty-three preschool aged children completed a randomized crossover experiment conducted at a Head Start center in Minneapolis, MN. Over a six week trial period each of the experimental meal service strategies (serving fruits and vegetable first and serving meals portioned by providers was implemented during lunch service for two one-week periods. Two one-week control periods (traditional family style meal service with all menu items served at once were also included over the six week trial period. Childrens lunch intake was observed as a measure of food and nutrient intake during each experimental condition. Results Fruit intake was significantly higher (p Conclusions Serving fruits in advance of other meal items may be a low cost easy to implement strategy for increasing fruit intake in young children. However, serving vegetables first does not appear to increase vegetable intake. Results provide support for current recommendations for traditional family style meal service in preschool settings.

  1. 75 FR 54445 - Senior Executive Service; Financial Management Service Performance Review Board (PRB)

    Science.gov (United States)

    2010-09-07

    ..., Management (Chief Financial Officer). Alfred J. Kopec, Assistant Commissioner, Business Architecture. Sheryl... DEPARTMENT OF THE TREASURY Fiscal Service Senior Executive Service; Financial Management Service Performance Review Board (PRB) AGENCY: Financial Management Service, Fiscal Service, Treasury. ACTION: Notice...

  2. Technical and scale efficiency in the delivery of child health services in Zambia: results from data envelopment analysis.

    Science.gov (United States)

    Achoki, Tom; Hovels, Anke; Masiye, Felix; Lesego, Abaleng; Leufkens, Hubert; Kinfu, Yohannes

    2017-01-05

    Despite tremendous efforts to scale up key maternal and child health interventions in Zambia, progress has not been uniform across the country. This raises fundamental health system performance questions that require further investigation. Our study investigates technical and scale efficiency (SE) in the delivery of maternal and child health services in the country. The study focused on all 72 health districts of Zambia. We compiled a district-level database comprising health outcomes (measured by the probability of survival to 5 years of age), health outputs (measured by coverage of key health interventions) and a set of health system inputs, namely, financial resources and human resources for health, for the year 2010. We used data envelopment analysis to assess the performance of subnational units across Zambia with respect to technical and SE, controlling for environmental factors that are beyond the control of health system decision makers. Nationally, average technical efficiency with respect to improving child survival was 61.5% (95% CI 58.2% to 64.8%), which suggests that there is a huge inefficiency in resource use in the country and the potential to expand services without injecting additional resources into the system. Districts that were more urbanised and had a higher proportion of educated women were more technically efficient. Improved cooking methods and donor funding had no significant effect on efficiency. With the pressing need to accelerate progress in population health, decision makers must seek efficient ways to deliver services to achieve universal health coverage. Understanding the factors that drive performance and seeking ways to enhance efficiency offer a practical pathway through which low-income countries could improve population health without necessarily seeking additional resources. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

  3. Developing Multi-Agency Leadership in Education

    Science.gov (United States)

    Close, Paul

    2012-01-01

    This article contributes to the growing debate around how we understand and develop multi-agency leadership in children and young people's services. Bringing together a range of inter-disciplinary research, it presents a framework for multi-agency leadership development, which, it argues, is well theorised, multi-level and versed in key field…

  4. Rules Regarding Voluntary Contributions to the Agency

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1959-11-06

    The texts of the following rules are reproduced in this document for the information of all Members of the Agency: I. Rules to Govern the Acceptance of Gifts of Services, Equipment and Facilities; II. Rules Regarding the Acceptance of Voluntary Contributions of Money to the Agency.

  5. 7 CFR 3560.631 - Agency monitoring.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 15 2010-01-01 2010-01-01 false Agency monitoring. 3560.631 Section 3560.631 Agriculture Regulations of the Department of Agriculture (Continued) RURAL HOUSING SERVICE, DEPARTMENT OF AGRICULTURE DIRECT MULTI-FAMILY HOUSING LOANS AND GRANTS On-Farm Labor Housing § 3560.631 Agency monitoring. A...

  6. Rules regarding voluntary contributions to the Agency

    International Nuclear Information System (INIS)

    1989-11-01

    The texts of the following Rules Regarding Voluntary Contributions to the Agency are reproduced: 1. Rules to Govern the Acceptance of Gifts of Services, Equipment and Facilities (adopted by the Board of Governors on 13 June 1989); 2. Rules Regarding the Acceptance of Voluntary Contributions of Money to the Agency (approved by the General Conference on 29 September 1989)

  7. Rules Regarding Voluntary Contributions to the Agency

    International Nuclear Information System (INIS)

    1959-01-01

    The texts of the following rules are reproduced in this document for the information of all Members of the Agency: I. Rules to Govern the Acceptance of Gifts of Services, Equipment and Facilities; II. Rules Regarding the Acceptance of Voluntary Contributions of Money to the Agency

  8. 78 FR 52925 - Agency Information Collection

    Science.gov (United States)

    2013-08-27

    ..., RAs will observe case managers/social workers during their interaction with the patients. To evaluate... DEPARTMENT OF HEALTH AND HUMAN SERVICES Agency for Healthcare Research and Quality Agency... implementers of the EDT (RNs, case managers, social workers, research assistants), the objectives will include...

  9. State Library Agency Survey: Fiscal Year 2008

    Science.gov (United States)

    Henderson, Everett; Miller, Kim; Farrell, Michele; Brock, Faye; Dorinski, Suzanne; Freeman, Michael; Frid, Lisa; Hardesty, Laura; Music, Christopher; O'Shea, Patricia; Sheckells, Cindy

    2009-01-01

    This report marks the third release of library statistics data from the Institute of Museum and Library Services (IMLS). It contains data on state library agencies in the 50 states and the District of Columbia for state fiscal year (FY) 2008. The data were collected through the State Library Agencies (StLA) Survey, the product of a cooperative…

  10. Federal Aid and State Library Agencies.

    Science.gov (United States)

    Shavit, David

    1985-01-01

    Considers role of states as middlemen between federal government and local public libraries in administration of Library Services and Construction Act funds. An audit of Illinois state library agencies, 1970 federal mandates, state control of federal funds, and state library agencies' use of funds are discussed. Eight references are cited. (EJS)

  11. 5 CFR 179.305 - Agency review.

    Science.gov (United States)

    2010-01-01

    ... 5 Administrative Personnel 1 2010-01-01 2010-01-01 false Agency review. 179.305 Section 179.305 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT CIVIL SERVICE REGULATIONS CLAIMS COLLECTION STANDARDS Administrative Offset § 179.305 Agency review. (a) A debtor may dispute the existence of the debt, the amount of...

  12. 5 CFR 330.602 - Agency plans.

    Science.gov (United States)

    2010-01-01

    ... Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT CIVIL SERVICE REGULATIONS RECRUITMENT, SELECTION, AND... Employees § 330.602 Agency plans. (a) Each agency will establish a Career Transition Assistance Plan (CTAP) to actively assist its surplus and displaced employees. A copy of the final plan and any additional...

  13. Epistemic Agency

    Science.gov (United States)

    Elgin, Catherine Z.

    2013-01-01

    Virtue epistemologists hold that knowledge results from the display of epistemic virtues--open-mindedness, rigor, sensitivity to evidence, and the like. But epistemology cannot rest satisfied with a list of the virtues. What is wanted is a criterion for being an epistemic virtue. An extension of a formulation of Kant's categorical imperative…

  14. Facility-level, state, and financial factors associated with changes in the provision of smoking cessation services in US substance abuse treatment facilities: Results from the National Survey of Substance Abuse Treatment Services 2006 to 2012.

    Science.gov (United States)

    Cohn, Amy; Elmasry, Hoda; Niaura, Ray

    2017-06-01

    Cigarette smoking is common among patients in substance abuse treatment. Tobacco control programs have advocated for integrated tobacco dependence treatment into behavioral healthcare, including within substance abuse treatment facilities (SATFs) to reduce the public health burden of tobacco use. This study used data from seven waves (2006 to 2012) of the National Survey of Substance Abuse Treatment Services (n=94,145) to examine state and annual changes in the provision of smoking cessation services within US SATFs and whether changes over time could be explained by facility-level (private vs public ownership, receipt of earmarks, facility admissions, acceptance of government insurance) and state-level factors (cigarette tax per pack, smoke free policies, and percent of CDC recommended tobacco prevention spending). Results showed that the prevalence of SATFs offering smoking cessation services increased over time, from 13% to 65%. The amount of tax per cigarette pack, accepting government insurance, government (vs private) ownership, facility admissions, and CDC recommended tobacco prevention spending (per state) were the strongest correlates of the provision of smoking cessation programs in SATFs. Facilities that received earmarks were less likely to provide cessation services. Adult smoking prevalence and state-level smoke free policies were not significant correlates of the provision of smoking cessation services over time. Policies aimed at increasing the distribution of tax revenues to cessation services in SATFs may offset tobacco-related burden among those with substance abuse problems. Copyright © 2017. Published by Elsevier Inc.

  15. Merger of Science Agencies Proposed

    Science.gov (United States)

    1992-07-01

    A bill proposing the establishment of a cabinet-level Department of Science, Space, Energy and Technology was introduced in the House of Representatives on July 1 by Robert Walker (R-Pa.), George Brown (D-Calif.), Ron Packard (R-Calif.), and Joe Kolter (D-Pa.). The department would be a conglomerate of existing civilian science and technology agencies, including NASA, the Environmental Protection Agency, the National Oceanic and Atmospheric Administration, the National Institute of Standards and Technology, the National Telecommunications and Information Administration, the National Technical Information Service, and research functions at the Department of Energy.

  16. Analysis Of The Effectiveness Of Tax Billingusing A Letter Of Reprimand In Increasing The Acceptance Of Income Tax Year 2011-2014 Agency Study On Taxation Service Offices Pratama Medan East

    Directory of Open Access Journals (Sweden)

    Putri Kemala Dewi Lubis

    2017-06-01

    Full Text Available The purpose of this research is to know the effectiveness of tax billing using a letter of reprimand in increasing the Acceptance of Income Tax on Taxation Service Offices Pratama Medan East and also to know the effectiveness of the implementation of the tax Billing with a letter of reprimand on Taxation Service Offices Pratama Medan East. The type of research is descriptive and the research object is the tax billing using a letter of reprimand on Taxation Service Offices Pratama Medan East. In this research it is to measure the effectiveness of tax billing using a letter of reprimand in increasing the acceptance of the tax ratio of the effectiveness of tax billing with a letter of reprimand and the ratio of tax revenue contribution.The test result shows that the tax billing with a letter of reprimand in 2011 and 2014 classified as ineffective and contributed less to the receipt of income tax in Taxation Service Offices Pratama Medan East.Head of Taxation Service Offices Pratama Medan East can perform various business both internally and externally to increase the effectiveness and contribution of tax billing in working areas.

  17. Understanding social media program usage in public transit agencies

    Directory of Open Access Journals (Sweden)

    Jenny H. Liu

    2016-10-01

    Full Text Available Social media has been gaining prominence in public transit agencies in their communication strategies and daily management. This study aims to better understand recent trends in social media usage in public transit agencies, to examine which agencies use what kind of social media programs for what purposes, and how they measure their programs. A survey was conducted of the top transit agencies in the nation, and results are examined through descriptive statistical analysis, correlation analysis and regression modeling. We found that while most agencies still lack clearly-defined goals and performance metrics to guide their social media development, many are increasing their social media capacity with more structural components. Public transit service usage and the level of transit service provision are the most significant determinants of agencies’ social media programming and resource investments. In contrast, the measurement of social media usage and outcomes is more significantly related to city attributes and demographic characteristics. We anticipate an increase in the usage of social media to convey transit related stories and livability benefits, such as environmental sensitivity or safety improvements, as these programs expand. Public transit agencies’ commitment to measuring social media outcomes underscores the future research need to develop best practices for measuring the impacts and performance of social media communications and investments.

  18. Willingness to pay for physician services at a primary contact in Ukraine: results of a contingent valuation study.

    Science.gov (United States)

    Danyliv, Andriy; Pavlova, Milena; Gryga, Irena; Groot, Wim

    2013-06-08

    The existence of quasi-formal and informal payments in the Ukrainian health care system jeopardizes equity and creates barriers to access to proper care. Patient payment policies that better match patient preferences are necessary. We analyze the potential and feasibility of official patient charges for public health care services in Ukraine by studying the patterns of fee acceptability, ability and willingness to pay (WTP) for public health care among population groups. We use contingent valuation data collected from 303 respondents representative of the adult Ukrainian population. Three decision points were separated: objection to pay, inability to pay, and level of positive non-zero WTP. These decisions were studied for relations with quality profiles of the services, and socio-demographic characteristics of the respondents and their households. The likelihood to object to pay is mostly determined by the quality characteristics of the services. Objection to pay is not related to corresponding behavior in real life. The likelihood of being unable to pay is associated with older age, lower income, and a larger share of household members with no income. The level of positive WTP is positively related to income (+7% per 1000 UAH increase in income) and is lower for people who visited a doctor but did not pay (-22%). Rather substantial WTP levels (between 0.9% and 1.9% of household income) for one visit to physician indicate a potential for official patient charges in Ukraine. User fees may cover a substantial share of personnel cost in the out-patient sector. The patterns of inability to pay support well designed exemption criteria based on age, income, and other aspects of economic status. The WTP patterns highlight the necessity for payments that are proportional to income. Other methodological and policy implications are discussed.

  19. 77 FR 30050 - Financial Management Service Proposed Collection of Information: Resolution Authorizing Execution...

    Science.gov (United States)

    2012-05-21

    ... DEPARTMENT OF THE TREASURY Fiscal Service Financial Management Service Proposed Collection of... Depositary, Financial Agency, and Collateral Agreement AGENCY: Financial Management Service, Fiscal Service, Treasury. ACTION: Notice and request for comments. SUMMARY: The Financial Management Service, as part of...

  20. Factors associated with underutilization of antenatal care services in Indonesia: results of Indonesia Demographic and Health Survey 2002/2003 and 2007

    Directory of Open Access Journals (Sweden)

    Titaley Christiana R

    2010-08-01

    Full Text Available Abstract Background Antenatal care aims to prevent maternal and perinatal mortality and morbidity. In Indonesia, at least four antenatal visits are recommended during pregnancy. However, this service has been underutilized. This study aimed to examine factors associated with underutilization of antenatal care services in Indonesia. Methods We used data from Indonesia Demographic and Health Survey (IDHS 2002/2003 and 2007. Information of 26,591 singleton live-born infants of the mothers' most recent birth within five years preceding each survey was examined. Twenty-three potential risk factors were identified and categorized into four main groups, external environment, predisposing, enabling, and need factors. Logistic regression models were used to examine the association between all potential risk factors and underutilization of antenatal services. The Population Attributable Risk (PAR was calculated for selected significant factors associated with the outcome. Results Factors strongly associated with underutilization of antenatal care services were infants from rural areas and from outer Java-Bali region, infants from low household wealth index and with low maternal education level, and high birth rank infants with short birth interval of less than two years. Other associated factors identified included mothers reporting distance to health facilities as a major problem, mothers less exposed to mass media, and mothers reporting no obstetric complications during pregnancy. The PAR showed that 55% of the total risks for underutilization of antenatal care services were attributable to the combined low household wealth index and low maternal education level. Conclusions Strategies to increase the accessibility and availability of health care services are important particularly for communities in rural areas. Financial support that enables mothers from poor households to use health services will be beneficial. Health promotion programs targeting

  1. Service provision and outcome for deliberate self-poisoning in adults--results from a six centre descriptive study.

    Science.gov (United States)

    Kapur, Navneet; House, Allan; May, Chris; Creed, Francis

    2003-07-01

    The aim of the study was to compare the hospital management and direct costs of self-poisoning in six United Kingdom hospitals and to investigate whether hospital management influences outcome. This was a prospective descriptive study carried out at three teaching hospitals and three district general hospitals in North West England on adults (aged 16 or over) presenting to the study centres with deliberate self-poisoning over a 5-month period. Data were based on demographic and clinical characteristics, management of the current episode, direct costs and repetition of self-poisoning within 12 weeks of index episode. There were 1778 episodes of self-poisoning during the study period. There were marked differences in management between centres. There was a fivefold difference in the rate of admission to a medical bed (16.5%-81.3%), and a twofold difference in the rate of psychosocial assessment (28.5%-57.7%). These differences remained after adjustment for demographic and clinical factors. Hospital costs per episode varied from pound 228 to pound 422 and repetition rate ranged from 10% to 16%. Psychosocial assessment was associated with a twofold reduction in the risk of repetition. The marked variability of services for self-poisoning continue. It seems likely that this is having a detrimental effect on patient outcomes. Large scale intervention studies are required to inform both clinical practice and service provision.

  2. 76 FR 40677 - Farm Service Agency

    Science.gov (United States)

    2011-07-11

    ... following methods: Mail: Judy Fry, Agricultural Marketing Specialist, Commodity Operations Division, Farm..., large print, audiotape, etc.) should contact USDA's TARGET Center at (202) 720-2600 (voice and TDD...

  3. Results on Technical and Consultants Service Meetings on Lessons Learned from Operating Experience in Wet and Dry Spent Fuel Storage

    International Nuclear Information System (INIS)

    White, B.; Zou, X.

    2015-01-01

    Spent fuel storage has been and will continue to be a vital portion of the nuclear fuel cycle, regardless of whether a member state has an open or closed nuclear fuel cycle. After removal from the reactor core, spent fuel cools in the spent fuel pool, prior to placement in dry storage or offsite transport for disposal or reprocessing. Additionally, the inventory of spent fuel at many reactors worldwide has or will reach the storage capacity of the spent fuel pool; some facilities are alleviating their need for additional storage capacity by utilizing dry cask storage. While there are numerous differences between wet and dry storage; when done properly both are safe and secure. The nuclear community shares lessons learned worldwide to gain knowledge from one another’s good practices as well as events. Sharing these experiences should minimize the number of incidents worldwide and increase public confidence in the nuclear industry. Over the past 60 years, there have been numerous experiences storing spent fuel, in both wet and dry mediums, that when shared effectively would improve operations and minimize events. These lessons learned will also serve to inform countries, who are new entrants into the nuclear power community, on designs and operations to avoid and include as best practices. The International Atomic Energy Agency convened a technical and several consultants’ meetings to gather these experiences and produce a technical document (TECDOC) to share spent fuel storage lessons learned among member states. This paper will discuss the status of the TECDOC and briefly discuss some lessons learned contained therein. (author)

  4. Survey results of the American public's values, objectives, beliefs, and attitudes regarding forests and grasslands: A technical document supporting the 2000 USDA Forest Service RPA Assessment

    Science.gov (United States)

    Deborah J. Shields; Ingrid M. Martin; Wade E. Martin; Michelle A. Haefele

    2002-01-01

    The USDA Forest Service completed its Strategic Plan (2000 Revision) in October 2000. The goals and objectives included in the Plan were developed with input from the public, some of which was obtained through a telephone survey. We report results of the survey. Members of the American public were asked about their values with respect to public lands, objectives for...

  5. [Application of " Internet Plus" AIDS prevention services among men who have sex with men in Guangzhou, China: results from 2010 to 2015].

    Science.gov (United States)

    Cheng, W B; Xu, H F; Zhong, F; Cai, Y S; Chen, X B; Meng, G; Lu, Y H; Han, Z G; Fan, L R; Zhao, Y T; Chen, X; Liang, C Y; Wu, H; Gao, K; Mai, H X; Tang, C

    2016-10-06

    Objective: To introduce the development strategy of " Internet Plus" AIDS prevention services and its implementation results from 2010 to 2015 in Guangzhou, China. Methods: A gay men's health column was created for an active website aimed at men who have sex with men(MSM), in collaboration with local community organizations and the Guangzhou CDC. We designed intervention tools(including scenario-based applications and HIV risk self-assessment systems)and an online HIV testing service platform, integrated with applied psychology and behavioral theory as well as the " Internet Plus" concept, to intervene in HIV infection risk factors among MSM. Data of clients who accessed the " Internet Plus" AIDS services from 2010 to 2015 were used to evaluate service operation. Six-year consecutive surveys, conducted between April and July of each service year, were collected using a national AIDS sentinel surveillance questionnaire. For each year of surveillance, information on HIV prevalence, HIV interventions received during the past year, unprotected anal intercourse in the past 6 months, and HIV testing in the past year were compared using the chi-squared(χ 2 )test, to roughly reflect the effect of"Internet Plus" AIDS prevention services. Results: As of 31 December 2015, a total of 34 395 MSM had received " Internet Plus" services and HIV testing. The number of MSM tested increased from 2 338 in 2010 to 8 054 in 2015. From 2010 to 2015, newly identified HIV cases in each year were 59, 166, 312, 283, 291, and 270, which accounted for 25.0%, 32.8%, 38.8%, 35.1%, 30.5%, and 23.2% of MSM HIV cases of Guangzhou, respectively. Sentinel surveillance data showed that during the study period, 3 047 MSM were investigated, with 405, 400, 401, 633, 608, and 600 each year, respectively. The proportion of participants who had received any HIV intervention during the past year was 74.3%(301), 70.8%(283), 83.3%(334), 85.0%(538), 69.1%(420), and 83.8%(503)each year, respectively(trend χ 2

  6. 78 FR 61324 - Agency Information Collection Activities: Proposed Collection; Comment Request-Special Nutrition...

    Science.gov (United States)

    2013-10-03

    ..., Social Science Research Analyst, Office of Policy Support, Food and Nutrition Service, USDA, 3101 Park... DEPARTMENT OF AGRICULTURE Food and Nutrition Service Agency Information Collection Activities: Proposed Collection; Comment Request--Special Nutrition Program Operations Study (SNPOS) AGENCY: Food and...

  7. Europe sees mixed results from public-private partnerships for building and managing health care facilities and services.

    Science.gov (United States)

    Barlow, James; Roehrich, Jens; Wright, Steve

    2013-01-01

    Prompted in part by constrained national budgets, European governments are increasingly partnering with the private sector to underwrite the costs of constructing and operating public hospitals and other health care facilities and delivering services. Through such public-private partnerships, governments hope to avoid up-front capital expenditure and to harness private-sector efficiencies, while private-sector partners aim for a return on investment. Our research indicates that to date, experience with these partnerships has been mixed. Early models of these partnerships-for example, in which a private firm builds a hospital and carries out building maintenance, which we term an "accommodation-only" model-arguably have not met expectations for achieving greater efficiencies at lower costs. Newer models described in this article offer greater opportunities for efficiency gains but are administratively harder to set up and manage. Given the shortages in public capital for new infrastructure, it seems likely that the attractiveness of these partnerships to European governments will grow.

  8. Surviving "Payment by Results": a simple method of improving clinical coding in burn specialised services in the United Kingdom.

    Science.gov (United States)

    Wallis, Katy L; Malic, Claudia C; Littlewood, Sonia L; Judkins, Keith; Phipps, Alan R

    2009-03-01

    Coding inpatient episodes plays an important role in determining the financial remuneration of a clinical service. Insufficient or incomplete data may have very significant consequences on its viability. We created a document that improves the coding process in our Burns Centre. At Yorkshire Regional Burns Centre an inpatient summary sheet was designed to prospectively record and present essential information on a daily basis, for use in the coding process. The level of care was also recorded. A 3-month audit was conducted to assess the efficacy of the new forms. Forty-nine patients were admitted to the Burns Centre with a mean age of 27.6 years and TBSA ranging from 0.5% to 65%. The total stay in the Burns Centre was 758 days, of which 22% were at level B3-B5 and 39% at level B2. The use of the new discharge document identified potential income of about 500,000 GB pound sterling at our local daily tariffs for high dependency and intensive care. The new form is able to ensure a high quality of coding with a possible direct impact on the financial resources accrued for burn care.

  9. The patient experience of services for thyroid eye disease in the United Kingdom: results of a nationwide survey.

    Science.gov (United States)

    Estcourt, Stephanie; Hickey, Janis; Perros, Petros; Dayan, Colin; Vaidya, Bijay

    2009-09-01

    A recent consensus statement from the European Group on Graves' Orbitopathy recommends referring all patients with thyroid eye disease (TED), except the mildest cases, to a specialist multidisciplinary clinic. To study the patients' experiences of accessing services for the treatment of TED in the UK. A postal questionnaire survey of 395 members of two patients support organisations for TED in the UK, the TED Charitable Trust and the British Thyroid Foundation. The response rate was 67%. The majority of responders were females (91%) and aged above 45 (74%). There were delays in the diagnosis and referral. In 26% of responders, the time lapsed from the first symptoms to the diagnosis of TED for over 12 months. There was a wide variation in the type of clinic and healthcare professionals involved in the treatment of TED. Only 25% of the responders attended a specialist TED clinic. Out of these, 33% waited over 6 months from the first consultation with a doctor to being seen at a specialist TED clinic. Only 56% of responders were satisfied with the treatment they received for TED. More responders who had attended a specialist TED clinic were satisfied with the treatment than those who had not attended a specialist clinic (67 vs 52%, P<0.05). Only a minority of patients with TED are treated at a specialist TED clinic in the UK. Those patients who are treated at a specialist TED clinic are more likely to be satisfied with the treatment.

  10. 77 FR 25127 - Food and Nutrition Service

    Science.gov (United States)

    2012-04-27

    ... DEPARTMENT OF AGRICULTURE Food and Nutrition Service Agency Information Collection Activities... Nutrition Assistance Program (D-SNAP) AGENCY: Food and Nutrition Service, USDA. ACTION: Notice. SUMMARY: In... State agencies in order to receive approval from the Food and Nutrition Service (FNS) to operate a D...

  11. 76 FR 38401 - Agency Information Collection Activities: Proposed Collection: Comment Request

    Science.gov (United States)

    2011-06-30

    ... Administration, HHS. ACTION: Correction. SUMMARY: The Health Resources and Services Administration published an... DEPARTMENT OF HEALTH AND HUMAN SERVICES Health Resources and Services Administration Agency... Services Administration (HRSA) under the Health Center Program as authorized under section 330 of the...

  12. 77 FR 71425 - Agency Information Collection Activities: Submission to OMB for Review and Approval; Public...

    Science.gov (United States)

    2012-11-30

    ... DEPARTMENT OF HEALTH AND HUMAN SERVICES Health Resources and Services Administration Agency...: Workforce Recruitment in Health Resources and Services Administration (HRSA)--Funded Health Centers (OMB No...: Health Resources and Services Administration; HHS. ACTION: Notice. SUMMARY: In compliance with section...

  13. 77 FR 34390 - Agency Information Collection Activities: Submission for OMB Review; Comment Request

    Science.gov (United States)

    2012-06-11

    ... DEPARTMENT OF HEALTH AND HUMAN SERVICES Health Resources and Services Administration Agency... Resources and Services Administration (HRSA) publishes abstracts of information collection requests under... individuals for attendance at accredited schools of nursing. The Bureau of Clinician Recruitment and Service...

  14. 76 FR 73651 - Agency Information Collection Activities: Proposed Collection: Comment Request

    Science.gov (United States)

    2011-11-29

    ... DEPARTMENT OF HEALTH AND HUMAN SERVICES Health Resources and Services Administration Agency Information Collection Activities: Proposed Collection: Comment Request Periodically, the Health Resources and... Resources and Services Administration (HRSA), Bureau of Clinician Recruitment and Service (BCRS) places...

  15. 31 CFR 210.6 - Agencies.

    Science.gov (United States)

    2010-07-01

    ... 31 Money and Finance: Treasury 2 2010-07-01 2010-07-01 false Agencies. 210.6 Section 210.6 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) FISCAL SERVICE, DEPARTMENT OF THE TREASURY FINANCIAL MANAGEMENT SERVICE FEDERAL GOVERNMENT PARTICIPATION IN THE AUTOMATED...

  16. Inequities in access to HIV prevention services for transgender men: results of a global survey of men who have sex with men.

    Science.gov (United States)

    Scheim, Ayden I; Santos, Glenn-Milo; Arreola, Sonya; Makofane, Keletso; Do, Tri D; Hebert, Patrick; Thomann, Matthew; Ayala, George

    2016-01-01

    globally found that most reported inadequate access to basic prevention services and that they were less likely than cisgender MSM to have access to HIV testing and lubricants. Results indicate the need to enhance access to basic HIV prevention services for trans MSM, including MSM-specific services.

  17. 78 FR 48135 - Agency Information Collection Activities: Proposed Collection;

    Science.gov (United States)

    2013-08-07

    .... ADDRESSES: Comments should be sent to Richard Lucas, Office of Policy Support, Food and Nutrition Service, U... DEPARTMENT OF AGRICULTURE Food and Nutrition Service Agency Information Collection Activities: Proposed Collection; Comment Request--Enhancing Completion Rates for Supplemental Nutrition Assistance...

  18. 31 CFR 225.10 - Other agency practices and authorities.

    Science.gov (United States)

    2010-07-01

    ... (Continued) FISCAL SERVICE, DEPARTMENT OF THE TREASURY FINANCIAL MANAGEMENT SERVICE ACCEPTANCE OF BONDS... part by reason of the acceptance of bonds secured by Government obligations. (b) Agency authorities... for security in cases authorized by other provisions of law. ...

  19. Engaging the public in healthcare decision-making: results from a Citizens' Jury on emergency care services.

    Science.gov (United States)

    Scuffham, P A; Moretto, N; Krinks, R; Burton, P; Whitty, J A; Wilson, A; Fitzgerald, G; Littlejohns, P; Kendall, E

    2016-11-01

    Policies addressing ED crowding have failed to incorporate the public's perspectives; engaging the public in such policies is needed. This study aimed at determining the public's recommendations related to alternative models of care intended to reduce crowding, optimising access to and provision of emergency care. A Citizens' Jury was convened in Queensland, Australia, to consider priority setting and resource allocation to address ED crowding. Twenty-two jurors were recruited from the electoral roll, who were interested and available to attend the jury from 15 to 17 June 2012. Juror feedback was collected via a survey immediately following the end of the jury. The jury considered that all patients attending the ED should be assessed with a minority of cases diverted for assistance elsewhere. Jurors strongly supported enabling ambulance staff to treat patients in their homes without transporting them to the ED, and allowing non-medical staff to treat some patients without seeing a doctor. Jurors supported (in principle) patient choice over aspects of their treatment (when, where and type of health professional) with some support for patients paying towards treatment but unanimous opposition for patients paying to be prioritised. Most of the jurors were satisfied with their experience of the Citizens' Jury process, but some jurors perceived the time allocated for deliberations as insufficient. These findings suggest that the general public may be open to flexible models of emergency care. The jury provided clear recommendations for direct public input to guide health policy to tackle ED crowding. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

  20. 75 FR 33740 - Indoor Tanning Services; Cosmetic Services; Excise Taxes

    Science.gov (United States)

    2010-06-15

    ... 1545-BJ40 Indoor Tanning Services; Cosmetic Services; Excise Taxes AGENCY: Internal Revenue Service.... 7805. * * * Par. 5. Section 49.0-3 is added to read as follows: Sec. 49.0-3 Introduction; cosmetic...--Cosmetic Services Sec. 49.5000B-1 Indoor tanning services. [The text of this proposed Sec. 49.5000B-1 is...

  1. 26 CFR 1.42-13 - Rules necessary and appropriate; housing credit agencies' correction of administrative errors and...

    Science.gov (United States)

    2010-04-01

    ... INTERNAL REVENUE SERVICE, DEPARTMENT OF THE TREASURY INCOME TAX INCOME TAXES Credits Against Tax § 1.42-13... Internal Revenue Service, the Agency, or the Agency and the affected taxpayer, should complete and file the... already been filed with the Service, the Agency, or the Agency and the affected taxpayer, should refile a...

  2. MAXIMIZING PROFIT - OPTICAL TRADITIONAL TRAVEL AGENCIES EXCEEDED

    Directory of Open Access Journals (Sweden)

    ENEA CONSTANŢA

    2013-12-01

    Full Text Available Recently concepts of globalized the services the advertising only that and substantial modifications, but that just radicals, in the structure net of touristic states. Is directed to of a new conceive the organic fashions of structures ale net of realized and of casting of guy colaborative, baze on interconexion, the interface and flexible interactions, from which his. I result the competitive advantages popularly the partners of business. The optics traditional agencies of tourings considered the production and the delivery touristic services except through the of a alone objective major prism scilicet maximizarea of the profits, falls to is exceeded. For the past decades ale the century XX, the impact technological changes in the industry services becomes all determine maul influenced the „traditional sectors” in charge, as for example the education, the trade, the touring, the informatics. Certainly, globalized can be interpretation in different senses. Referenced to the touristic services, the globalized is define as be a form an advanced still more complex maul of which nationalization involves a degrees of functional integration between the touristic activities disperse on plans transfrontalier.

  3. Internal Revenue Service: Assessment of Budget Request for Fiscal Year 2003 and Interim Results of 2002 Tax Filing Season

    National Research Council Canada - National Science Library

    White, James

    2002-01-01

    ...) and the 2002 tax filing season. As you requested, our statement assesses the support for various aspects of IRS s budget request, including the linkage between resources requested and expected results, and IRS's performance...

  4. 76 FR 61707 - Agency for Healthcare Research and Quality Agency Information Collection Activities: Proposed...

    Science.gov (United States)

    2011-10-05

    ... will provide the grantees with technical assistance regarding research design, data collection, data... instruments are designed to capture a combination of quantitative and qualitative data. No claim is made that... DEPARTMENT OF HEALTH AND HUMAN SERVICES Agency for Healthcare Research and Quality Agency...

  5. Search Results | Page 819 | IDRC - International Development ...

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

    Results 8181 - 8190 of 9602 ... ... Ecohealth Emerging Infectious Diseases Research Initiative ... Business model of a public intermediary : a case study of China Science & Technology Service Center ... Research findings reveal that current management practices ... Agencies such as the Organization for Economic Cooperation ...

  6. Search Results | Page 3 | IDRC - International Development ...

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

    Results 21 - 30 of 102 ... ... deepen Canada-ASEAN relations through research and policy dialogue on ... How low- and middle-income countries support public science has a ... Gemini News Service (GNS) was a London-based news agency that ...

  7. 78 FR 40729 - Agency Information Collection Activities; Proposed Collection; Comment Request: Generic Clearance...

    Science.gov (United States)

    2013-07-08

    ... precision requirements or power calculations that justify the proposed sample size, the expected response... Qualitative Feedback on Agency Service Delivery AGENCY: Washington Headquarters Service (WHS), DOD. ACTION: 30... (Generic ICR): ``Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery...

  8. 75 FR 22689 - Fiscal Service

    Science.gov (United States)

    2010-04-29

    ... the U.S. Department of the Treasury, Financial Management Service, Financial Accounting and Services..., 2010. Sandra Paylor-Sanders, Acting Director, Financial Accounting and Services Division. [FR Doc. 2010... Bonding Company AGENCY: Financial Management Service, Fiscal Service, Department of the Treasury. ACTION...

  9. 77 FR 32178 - Fiscal Service

    Science.gov (United States)

    2012-05-31

    ... of the Treasury, Financial Management Service, Financial Accounting and Services Division, Surety... Carrico, Director, Financial Accounting and Services Division. [FR Doc. 2012-13044 Filed 5-30-12; 8:45 am...: Alterra Reinsurance USA, Inc. AGENCY: Financial Management Service, Fiscal Service, Department of the...

  10. 42 CFR 456.506 - Waiver options for Medicaid agency.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 4 2010-10-01 2010-10-01 false Waiver options for Medicaid agency. 456.506 Section 456.506 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN... options for Medicaid agency. (a) The agency may apply for a waiver at any time it has the procedures...

  11. State Arts Agency Fact Sheet: Support for Arts Education

    Science.gov (United States)

    Online Submission, 2015

    2015-01-01

    This national overview of state arts agency grants and services for arts education includes summary statistics and geographic distribution. The fact sheet uses data from Final Descriptive Reports of state arts agency grant-making activities submitted annually to the National Assembly of State Arts Agencies (NASAA) and the National Endowment for…

  12. Benefits and risks of shared services in healthcare.

    Science.gov (United States)

    Kennewell, Suzanne; Baker, Laura

    2016-05-16

    Purpose - The purpose of this paper is to explore the experiences of staff in a large, public health service involved in transitioning support services to a shared services model. It aims to understand their perceptions of the benefits and risks arising from this change. Design/methodology/approach - Thematic analysis of qualitative data from semi-structured interviews with both service provider and customer agency staff was used to identify, analyze and report patterns of benefits and risks within data. Findings - Staff expressed the need for relevant subject-matter-experts to work within customer agencies to facilitate effective communication between the customer agency and shared services provider, reflecting observations found in out-sourcing literature. Research limitations/implications - Results point to significant challenges continuing to occur for shared services in healthcare. Risks identified suggest a more intimate relationship between clinical and support services than previously discussed. Originality/value - Previous discussion of the shared services model has not considered the skills, knowledge and ability required by staff in the customer agency. This research indicates that in the absence of such consideration, the concepts of the shared services model are weakened.

  13. 76 FR 63351 - Senior Executive Service; Financial Management Service Performance Review Board (PRB)

    Science.gov (United States)

    2011-10-12

    ... DEPARTMENT OF THE TREASURY Senior Executive Service; Financial Management Service Performance Review Board (PRB) AGENCY: Financial Management Service, Treasury. ACTION: Notice. SUMMARY: This notice announces the appointment of members to the Financial Management Service (FMS) Performance Review Board (PRB...

  14. 77 FR 60177 - Senior Executive Service; Financial Management Service Performance Review Board (PRB)

    Science.gov (United States)

    2012-10-02

    ... DEPARTMENT OF THE TREASURY Senior Executive Service; Financial Management Service Performance Review Board (PRB) AGENCY: Financial Management Service, Treasury. ACTION: Notice. SUMMARY: This notice announces the appointment of members to the Financial Management Service (FMS) Performance Review Board (PRB...

  15. 77 FR 70780 - Agency Forms Undergoing Paperwork Reduction Act Review

    Science.gov (United States)

    2012-11-27

    ... requirements or power calculations that justify the proposed sample size, the expected response rate, methods... notice. Proposed Project Generic Clearance for the Collection of Qualitative Feedback on Agency Service... Collection of Qualitative Feedback on Agency Service Delivery'' to OMB for approval under the Paperwork...

  16. 78 FR 26033 - Agency Forms Undergoing Paperwork Reduction Act Review

    Science.gov (United States)

    2013-05-03

    ... precision requirements or power calculations that justify the proposed sample size, the expected response... Collection of Qualitative Feedback on Agency Service Delivery--NEW--Epidemiology and Analysis Program Office... Clearance for the Collection of Qualitative Feedback on Agency Service Delivery'' to OMB for approval under...

  17. 78 FR 17205 - Notice of Availability of Service Contract Inventories

    Science.gov (United States)

    2013-03-20

    ... FEDERAL MARITIME COMMISSION Notice of Availability of Service Contract Inventories AGENCY: Federal Maritime Commission. ACTION: Notice of availability of service contract inventories. FOR FURTHER... Service Contract Inventory Analysis, the FY 2012 Service Contract Inventory, and the FY 2012 Service...

  18. Predictive coding in Agency Detection

    DEFF Research Database (Denmark)

    Andersen, Marc Malmdorf

    2017-01-01

    Agency detection is a central concept in the cognitive science of religion (CSR). Experimental studies, however, have so far failed to lend support to some of the most common predictions that follow from current theories on agency detection. In this article, I argue that predictive coding, a highly...... promising new framework for understanding perception and action, may solve pending theoretical inconsistencies in agency detection research, account for the puzzling experimental findings mentioned above, and provide hypotheses for future experimental testing. Predictive coding explains how the brain......, unbeknownst to consciousness, engages in sophisticated Bayesian statistics in an effort to constantly predict the hidden causes of sensory input. My fundamental argument is that most false positives in agency detection can be seen as the result of top-down interference in a Bayesian system generating high...

  19. Disclosure of HIV positive result to a sexual partner among adult clinical service users in Kemissie district, northeast Ethiopia.

    Science.gov (United States)

    Seid, Mohammed; Wasie, Belaynew; Admassu, Mengesha

    2012-03-01

    HIV Status disclosure is vital for HIV prevention efforts and the couple's health in the context of accelerated highly active antiretroviral therapy. This study aimed to identify factors associated with disclosure of HIV Status to a sexual partner and its outcomes. A facility based cross-sectional study was conducted at Kemissie Health center on 360 HIV positive individuals selected by systematic random sampling. Data were collected using a structured, interviewer administered questionnaire. The level of disclosure to a sexual partner was 93.1%. Among those who disclosed, 74.5% were accepted, 10.8% minor challenges or suspicion of result and the last 7.8% faced physical abuse and blame. The main reasons for not disclosing were fear of divorce [32%], fear of stigma and discrimination [32%] and fear of physical abuse [16%]. Prior discussion, disclosure to family, smooth relationship and knowing partner status were significantly associated with disclosure. HIV prevention programs and counseling efforts should focus on mutual disclosure of HIV test results, by encouraging discussion, reduction of stigma, for better disclosure and continuing care.

  20. Assessing predictors of contraceptive use and demand for family planning services in underserved areas of Punjab province in Pakistan: results of a cross-sectional baseline survey.

    Science.gov (United States)

    Azmat, Syed Khurram; Ali, Moazzam; Ishaque, Muhammad; Mustafa, Ghulam; Hameed, Waqas; Khan, Omar Farooq; Abbas, Ghazunfer; Temmerman, Marleen; Munroe, Erik

    2015-03-28

    Although Pakistan was one of the first countries in Asia to launch national family planning programs, current modern contraceptive use stands at only 26% with a method mix skewed toward short-acting and permanent methods. As part of a multiyear operational research study, a baseline survey was conducted to understand the predictors of contraceptive use and demand for family planning services in underserved areas of Punjab province in Pakistan. This paper presents the baseline survey results; the outcomes of the intervention will be presented in a separate paper after the study has been completed. A cross-sectional baseline household survey was conducted with randomly selected 3,998 married women of reproductive age (MWRA) in the Chakwal, Mianwali, and Bhakkar districts of Punjab. The data were analyzed on SPSS 17.0 using simple descriptive and logistic regression. Most of the women had low socio-economic status and were younger than 30 years of age. Four-fifths of the women consulted private sector health facilities for reproductive health services; proximity, availability of services, and good reputation of the provider were the main predicators for choosing the facilities. Husbands were reported as the key decision maker regarding health-seeking and family planning uptake. Overall, the current contraceptive use ranged from 17% to 21% across the districts: condoms and female sterilization were widely used methods. Woman's age, husband's education, wealth quintiles, spousal communication, location of last delivery, and favorable attitude toward contraception have an association with current contraceptive use. Unmet need for contraception was 40.6%, 36.6%, and 31.9% in Chakwal, Mianwali, and Bhakkar, respectively. Notably, more than one fifth of the women across the districts expressed willingness to use quality, affordable long-term family planning services in the future. The baseline results highlight the need for quality, affordable long-term family planning

  1. Accounting for Agency

    Science.gov (United States)

    Valentine, Kylie

    2011-01-01

    Children are increasingly described as agents and agency is important to arguments for children's rights and participation. Yet agency is rarely defined or theorised in childhood studies. This article reviews common uses and meanings of agency and argues that critical, social conceptualisations have yet to be extensively taken up in childhood…

  2. 75 FR 4451 - Financial Management Service; Proposed Collection of Information: Final Rule-Management of...

    Science.gov (United States)

    2010-01-27

    ... DEPARTMENT OF THE TREASURY Fiscal Service Financial Management Service; Proposed Collection of Information: Final Rule--Management of Federal Agency Disbursements. AGENCY: Financial Management Service, Fiscal Service, Treasury. ACTION: Notice and Request for comments. SUMMARY: The Financial Management...

  3. 75 FR 45600 - Information Collection; Customer Data Worksheet Request for Service Center Information Management...

    Science.gov (United States)

    2010-08-03

    ... DEPARTMENT OF AGRICULTURE Farm Service Agency Information Collection; Customer Data Worksheet Request for Service Center Information Management System (SCIMS) Record Changes AGENCY: Farm Service... Customer Data Worksheet Request for Service Center Information Management System (SCIMS) that contains the...

  4. The impact of employee assistance services on workplace outcomes: Results of a prospective, quasi-experimental study.

    Science.gov (United States)

    Richmond, Melissa K; Pampel, Fred C; Wood, Randi C; Nunes, Ana P

    2017-04-01

    Employee Assistance Programs (EAPs) are widely used to help employees experiencing personal or work-related difficulties that impact work productivity. However, rigorous research on the effectiveness of programs to improve work-related outcomes is lacking. The current study represents a major advance in EAP research by using a prospective, quasi-experimental design with a large and diverse employee base. Using propensity scores calculated from demographic, social, work-related, and psychological variables collected on baseline surveys, we matched 156 employees receiving EAP to 188 non-EAP employees. Follow-up surveys were collected from 2 to 12 months post-baseline (M = 6.0). At follow-up, EAP employees had significantly greater reductions in absenteeism (b = -.596, p = .001) and presenteeism (b = -.217, p = .038), but not workplace distress (b = -.079, p = .448), than did non-EAP employees. Tests of moderation of baseline alcohol use, depression, anxiety, and productivity indicate that for the most part, the program works equally well for all groups. However, EAP did more to reduce absenteeism for those who began with lower severity of depression and anxiety at baseline. Results provide the scientific rigor needed to demonstrate EAP impact on improved work outcomes. In the first study of its kind, findings confirm the value of EAPs to help employees address personal and work-related concerns that are affecting job performance. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

  5. Icelandic media firms viewed from the perspective of agency theory

    Directory of Open Access Journals (Sweden)

    Guðbjörg Hildur Kolbeins

    2015-06-01

    Full Text Available It has previously been proposed that agency theory (principal-agent approach might be applied to media organizations to understand how media owners make sure that their companies are managed according to their wishes. Thus, the purpose of the present study was to investigate: a whether agency theory is applicable to three Icelandic media companies, and b how the theory manifests itself in the management practices of these companies. The media companies that were examined were: the Icelandic National Broadcasting Service (RÚV ohf., 365 miðlar ehf. and Árvakur hf. Qualitative interviews were conducted with three editors-in-chief, two CEOs/publishers, the director general of RÚV and the news director of RÚV in May of 2012. Two of the interviewees were also part- owners of the media companies. The results indicated that it is, indeed, possible to analyze management practices of media organizations from the perspective of agency theory. However, it varies how much the companies are driven by profit maximization, for instance – on which agency theory places an optimum emphasis. The media house 365 miðlar ehf. turned out to be the best example of how the underlying constructs of agency theory are incorporated into the management practices of a media organization.

  6. Secondary side corrosion in steam generator tubes: lessons learned in France from the in-service inspection results

    International Nuclear Information System (INIS)

    Comby, R.

    1997-01-01

    Non-destructive testing (NDT) has proved to be very important in the maintenance of steam generator tubing. This is particularly true in the case of secondary side corrosion, because this type of degradation leads to various morphologies which are often complex (intergranular attack) (IGA), intergranular stress corrosion cracking (IGSCC), or a mixture of both. Their detection and characterization by the usual NDT techniques have been achieved through numerous laboratory studies, which were conducted in order to determine the performance and limitations of NDT. Pulled tube examination in a hot laboratory was very valuable, for both NDT and fracture mechanics aspects. The eddy current bobbin coil probe, used for multipurpose inspection of tubes, allows the detection of IGA-SCC at the tube support plate elevation. In France, the use of rotating probes is not required for that type of degradation, since the repair criterion is based on bobbin coil results only. The bobbin coil is also used for detection of IGSCC occurring in free spans, within sludge deposits. The eddy current rotating probe allows, in that case, characterization of main cracks. Concerning the outer diameter initiated circumferential cracks which occur at the top of the tube sheet, only the rotating probe is used. An ultrasonic (UT) inspection was performed several times, in order to obtain information on UT capabilities. The goal of tube inspection is obviously knowledge of the status of steam generators, but also to follow up degradations and to estimate their revolution, and to verify the beneficial effect of some corrective measures, e.g. boric acid injection. (orig.)

  7. Enfermedad hipertensiva en la gestante: Resultados de un servicio Hypertensive disease in the pregnant woman: Results of a service

    Directory of Open Access Journals (Sweden)

    Vivian Asunción Álvarez Ponce

    2008-09-01

    Full Text Available La preeclampsia constituye una de las principales causas de mortalidad materna en el mundo. Se realizó un estudio retrospectivo, longitudinal y descriptivo en el Hospital Docente Ginecoobstétrico de Guanabacoa de los años 2004 y 2005, de todas las gestantes que ingresaron en la Sala de Cuidados Perinatales, clasificadas como hipertensas, y que tuvieron su parto en igual período. El grupo estudio correspondió a 71 pacientes. Se tomó como grupo control igual número de gestantes que tuvieron su parto en el mismo período, y que no eran hipertensas ni presentaron la enfermedad durante la gestación. Predominó la preeclampsia como entidad única o asociada a una hipertensión crónica. Entre los factores de riesgo fueron más frecuentes la nuliparidad con un 45,1 %, el sobrepeso y la obesidad (22,5 y 25,4 % respectivamente, lo cual resultó de gran significación estadística. Fue significativa la diferencia en el parto por cesárea (77,5 % en el grupo estudio, en relación con el parto transpelviano. También el bajo peso tuvo diferencias estadísticas significativas (21,1 %. La morbilidad materna fue baja.Preeclampsia is one of the main causes of maternal mortality in the world. A retrospective, longitudinal and descriptive study was conducted in the Gynecoobstetric Hospital of Guanabacoa in 2004 and 2005. All the expectants admitted in the Perinatal Care Ward that were classified as hypertensive and that delivered in the same period were studied. The study group was composed of 71 patients. The same number of pregnant women that gave birth during this period were included in the control group. They were not hypertensive and and they did not suffer from this disease during pregnancy. Preeclampsia predominated as a unique entity or associated with chronic hypertension.The most common risk factors were nuliparity with 45.1 %, overweight and obesity (22.5 and 25.4 %, respectively, which had a great statistical significance. In the study group

  8. Association between pain severity, depression severity, and use of health care services in Japan: results of a nationwide survey

    Directory of Open Access Journals (Sweden)

    Vietri J

    2015-03-01

    Full Text Available Jeffrey Vietri,1 Tempei Otsubo,2 William Montgomery,3 Toshinaga Tsuji,4 Eiji Harada5 1Health Outcomes Practice, Kantar Health, Milan, Italy; 2Tokyo Shinjuku Medical Center, Tokyo, Japan; 3Eli Lilly Australia Pty Ltd., West Ryde, Australia; 4Medical Affairs, Shionogi & Co., Ltd., Osaka, Japan; 5Eli Lilly Japan KK, Kobe, Japan Background: Depression is often associated with painful physical symptoms. Previous research has seldom assessed the relationship between the severity of physical symptoms and the severity of mental and emotional symptoms of depression or other health outcomes, and no such studies have been conducted previously among individuals with depression in Japan. The aim of this study was to assess the relationship between the severity of physical pain and depression and other outcomes among individuals in Japan diagnosed with depression.Methods: Data for individuals aged 18 and older in Japan who reported being diagnosed with depression and also reported physical pain were obtained from the Japan National Health and Wellness Survey. These respondents were characterized on sociodemographics and health characteristics, and the relationship between ratings of severity on pain in the last week and health outcomes were assessed using bivariate correlations and generalized linear models. Measures included the Patient Health Questionnaire for depression severity, Medical Outcomes Study 12-Item Short Form Survey Instrument for health-related quality of life, the Work Productivity and Activity Impairment for work and activity impairment, and 6-month report of health care use.Results: More severe physical pain in the past week was correlated with more severe depression, worse health-related quality of life, lower health utility, greater impairment at work, and more health care provider visits. These relationships remained significant after incorporating sociodemographics and health characteristics in the statistical models

  9. Perceptions of legally mandated public involvement processes in the U.S. Forest Service

    Science.gov (United States)

    S. Andrew Predmore; Marc J. Stern; Michael J. Mortimer; David N. Seesholtz

    2011-01-01

    Results from an agency-wide survey of U.S. Forest Service personnel indicate that respondents in our sample engage in National Environmental Policy Act (NEPA) public involvement processes primarily to accomplish two goals. The most commonly supported goal was to inform and disclose as mandated by the act. The other goal reflected interests in managing agency...

  10. Data Element Registry Services

    Data.gov (United States)

    U.S. Environmental Protection Agency — Data Element Registry Services (DERS) is a resource for information about value lists (aka code sets / pick lists), data dictionaries, data elements, and EPA data...

  11. Nuclear communication management. Case study: the Nuclear Agency of Cuba

    International Nuclear Information System (INIS)

    Contreras Izquierdo, Marta Alicia

    2011-01-01

    The development of the science is a hallmark of our time. Thousands of products, processes and services incorporated into daily newspaper innovations that are result of basic and applied research. A primary mechanism of existence and development of the science is the communication of its results, in both disclose, transmit and validate the science allows. For an institution in the sector nuclear is doubly important due to the ignorance of the technology and the public perception that it generates. The study responds to the need of the Nuclear Energy Agency and Advanced technologies to manage the communication of their activities and increase the visibility of their results in science and innovation. In response to the approach of the problem assessed the management of the communication of the agency taking into account four nuclear activity basic elements: the existence of policies, training, assessment or diagnosis and planning. The diagnosis of internal and external communication It was through a study of image. For the diagnosis was developed a method, from those used internationally for imaging studies. The results of the diagnostic allowed to conclude that insufficient visibility of the nuclear activity of the AENTA is due to internal and external factors related to communication. The study allowed to design a communication strategy for the Agency's Nuclear energy and advanced technologies for nuclear activities and develop a methodological proposal for the design of strategies of communication with the Agency. (author)

  12. Technical Agency in Practice

    DEFF Research Database (Denmark)

    Krummheuer, Antonia Lina

    2015-01-01

    ) description of hybrid networks in which human and non-human actants are granted agency without differentiating different kinds of agency, EMCA focuses on the member's perspectives and the situated construction of technical agency that is made relevant within an ongoing interaction. Based on an EMCA analysis......The paper combines the discussion of technical agency and hybrid networks of Actor-Network Theory (ANT) with an ethnomethodological/conversation analytical (EMCA) perspective on situated practices in which participants ascribe agency to technical artefacts. While ANT works with (ethnographic...... of three video recordings of situations in which technical agency is made relevant by the human participants, the paper demonstrates different ways in which agency is granted to technical artefacts. Human participants can treat a technology as communication partner, as an active part (and actant...

  13. The development of Korea's new long-term care service infrastructure and its results: focusing on the market-friendly policy used for expansion of the numbers of service providers and personal care workers.

    Science.gov (United States)

    Chon, Yongho

    2013-01-01

    One of the main reasons for reforming long-term care systems is a deficient existing service infrastructure for the elderly. This article provides an overview of why and how the Korean government expanded long-term care infrastructure through the introduction of a new compulsory insurance system, with a particular focus on the market-friendly policies used to expand the infrastructure. Then, the positive results of the expansion of the long-term care infrastructure and the challenges that have emerged are examined. Finally, it is argued that the Korean government should actively implement a range of practical policies and interventions within the new system.

  14. 75 FR 52716 - Transfer of Land to Forest Service

    Science.gov (United States)

    2010-08-27

    ... DEPARTMENT OF AGRICULTURE Forest Service Transfer of Land to Forest Service AGENCY: Forest Service... Forest Service, U.S. Department of Agriculture, respectively signed a land transfer agreement... from the Farm Service Agency to the Forest Service. This administrative transfer is authorized by...

  15. Organizational factors influencing implementation of evidence-based practices for integrated treatment in behavioral health agencies.

    Science.gov (United States)

    Bonham, Caroline A; Sommerfeld, David; Willging, Cathleen; Aarons, Gregory A

    2014-01-01

    Objective. In recent years, New Mexico has prioritized integrated treatment for cooccurring mental health and substance use disorders within its public behavioral health system. This report describes factors likely to be important when implementing evidence-based practices (EBPs) in community agencies. Methods. Our mixed-method research design consisted of observations, semistructured interviews, and surveys undertaken with employees at 14 agencies at baseline and after 18 months. We developed four-agency typologies based on iterative coding and analysis of observations and interviews. We then examined survey data from employees at the four exemplar agencies to validate qualitative findings. Results. Financial resources and strong leadership impacted agency capacity to train providers and implement EBPs. Quantitative analysis of service provider survey responses from these agencies (N = 38) supported qualitative findings and demonstrated significant mean score differences in leadership, organizational climate, and attitudes toward EBPs in anticipated directions. Conclusion. The availability of strong leadership and financial resources were key components to initial implementation success in this study of community agencies in New Mexico. Reliance only on external funding poses risks for sustainment when demoralizing work climates precipitate employee turnover. Strong agency leadership does not always compensate for deficient financial resources in vulnerable communities.

  16. Organizational Factors Influencing Implementation of Evidence-Based Practices for Integrated Treatment in Behavioral Health Agencies

    Directory of Open Access Journals (Sweden)

    Caroline A. Bonham

    2014-01-01

    Full Text Available Objective. In recent years, New Mexico has prioritized integrated treatment for cooccurring mental health and substance use disorders within its public behavioral health system. This report describes factors likely to be important when implementing evidence-based practices (EBPs in community agencies. Methods. Our mixed-method research design consisted of observations, semistructured interviews, and surveys undertaken with employees at 14 agencies at baseline and after 18 months. We developed four-agency typologies based on iterative coding and analysis of observations and interviews. We then examined survey data from employees at the four exemplar agencies to validate qualitative findings. Results. Financial resources and strong leadership impacted agency capacity to train providers and implement EBPs. Quantitative analysis of service provider survey responses from these agencies (N = 38 supported qualitative findings and demonstrated significant mean score differences in leadership, organizational climate, and attitudes toward EBPs in anticipated directions. Conclusion. The availability of strong leadership and financial resources were key components to initial implementation success in this study of community agencies in New Mexico. Reliance only on external funding poses risks for sustainment when demoralizing work climates precipitate employee turnover. Strong agency leadership does not always compensate for deficient financial resources in vulnerable communities.

  17. Investigative Jurisdiction of the RF Inquiry Agencies in Criminal Cases of Public Accusation

    Directory of Open Access Journals (Sweden)

    Suprun S. V.

    2013-10-01

    Full Text Available The article deals with the problem of authority conferring upon inquiry agencies of Federal Security Service, Federal Guard Service, Intelligence Service, Federal Service of Penal Bodies, Customs Agencies, Commanders of Military Units, formations, heads of military institutions and garrisons concerning investigation of separate kinds of cases in the form of inquiry.

  18. Cost that is Directly Incurred as a Result of Operating the Train Service on the 1520 mm Rail with Primarily Freight Transportation

    OpenAIRE

    Hudenko, J; Ribakova, N; Počs, R

    2016-01-01

    Under the Directive 2012/34/EU (21 November 2012) "the charges for … [rail] infrastructure … shall be set at the cost that is directly incurred as a result of operating the train service". This charging rule is new for Baltic States’ railways, where due to the favorable geographic position a full cost application without detalization was possible. Although, a big number of relevant studies on the issue was made in EU, all of them covered only 1435mm railways with primarily passenger transport...

  19. RESULTS OF INTRODUCTION OF A PROCESS APPROACH TO MANAGEMENT OF SUBJECTS OF SMALL BUSINESS (on an example of logistic service of the construction enterprise

    Directory of Open Access Journals (Sweden)

    E. V. Folomeev

    2013-01-01

    Full Text Available The article is devoted to subjects of small business of construction branch, their place in branch and to problems of management by them. The question of need of introduction of the most effective methods of management by the construction organization, in particular, a process approach is brought up. In article the characteristic of separate elements of this approach is given, methods and ways of their realization at the enterprise from the point of view of allocation and optimization of costs of the enterprise from the logistical point of view are considered and results of its introduction on an example of logistic service of the construction enterprise are given..

  20. 76 FR 46677 - Indoor Tanning Services; Cosmetic Services Excise Taxes

    Science.gov (United States)

    2011-08-03

    ... DEPARTMENT OF THE TREASURY Internal Revenue Service 26 CFR Parts 40 and 49 [REG-112841-10] RIN 1545-BJ40 Indoor Tanning Services; Cosmetic Services Excise Taxes AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice of public hearing on proposed rulemaking. SUMMARY: This document provides notice...

  1. [Monitoring of nursing service context factors: first descriptive results of a cross-sectional Swiss study prior the introduction of SwissDRG].

    Science.gov (United States)

    Kleinknecht-Dolf, Michael; Spichiger, Elisabeth; Frei, Irena Anna; Müller, Marianne; Martin, Jacqueline S; Spirig, Rebecca

    2015-04-01

    The adoption of DRG-based payment systems has narrowed hospitals' financial margins, necessitating streamlining and process optimization. The experience of other countries shows that this restructuring can influence context factors essential to the delivery of nursing care. As a result, nursing care quality and patient safety may be impacted. The Sinergia Project aims to develop a monitoring model and related instruments to continuously monitor the impact of DRG-based reimbursement on central nursing service context factors. The descriptive, quantitative results were collected within the framework of a study with a mixed methods design by means of an online survey in which nurses from five hospitals participated. The results show that the nursing service context factors examined (nursing care complexity, quality of the work environment, management, moral distress and job satisfaction), have relevance in all practice areas as regards practice setting and nursing care delivery. Patterns can be recognized that are consistent with those found in the literature and which could be an indication of the relationships between the context factors above, as was hypothesized in the model. The study has provided the participating hospitals with useful data upon which to base discussions on ensuring quality of nursing care and practice development, in addition to information important to the further development of the model and the instruments employed.

  2. Determinants of financial performance of home-visit nursing agencies in Japan.

    Science.gov (United States)

    Fukui, Sakiko; Yoshiuchi, Kazuhiro; Fujita, Junko; Ikezaki, Sumie

    2014-01-09

    Japan has the highest aging population in the world and promotion of home health services is an urgent policy issue. As home-visit nursing plays a major role in home health services, the Japanese government began promotion of this activity in 1994. However, the scale of home-visit nursing agencies has remained small (the average numbers of nursing staff and other staff were 4.2 and 1.7, respectively, in 2011) and financial performance (profitability) is a concern in such small agencies. Additionally, the factors related to profitability in home-visit nursing agencies in Japan have not been examined multilaterally and in detail. Therefore, the purpose of the study was to examine the determinants of financial performance of home-visit nursing agencies. We performed a nationwide survey of 2,912 randomly selected home-visit nursing agencies in Japan. Multinomial logistic regression was used to clarify the determinants of profitability of the agency (profitable, stable or unprofitable) based on variables related to management of the agency (operating structure, management by a nurse manager, employment, patient utilization, quality control, regional cooperation, and financial condition). Among the selected home-visit nursing agencies, responses suitable for analysis were obtained from 1,340 (effective response rate, 46.0%). Multinomial logistic regression analysis showed that both profitability and unprofitability were related to multiple variables in management of the agency when compared to agencies with stable financial performance. These variables included the number of nursing staff/rehabilitation staff/patients, being owned by a hospital, the number of cooperative hospitals, home-death rate among terminal patients, controlling staff objectives by nurse managers, and income going to compensation. The results suggest that many variables in management of a home-visit nursing agency, including the operating structure of the agency, regional cooperation, staff

  3. Collaboration, Competition, and Co-opetition: Interorganizational Dynamics Between Private Child Welfare Agencies and Child Serving Sectors.

    Science.gov (United States)

    Bunger, Alicia C; Collins-Camargo, Crystal; McBeath, Bowen; Chuang, Emmeline; Perez-Jolles, Monica; Wells, Rebecca

    2014-03-01

    Human service agencies are encouraged to collaborate with other public and private agencies in providing services to children and families. However, they also often compete with these same partners for funding, qualified staff, and clientele. Although little is known about complex interagency dynamics of competition and collaboration in the child-serving sector, evidence suggests that competition can undermine collaboration unless managed strategically. This study explores the interrelationship between competition and collaboration, sometimes referred to as "co-opetition." Using a national dataset of private child and family serving agencies, we examine their relationships with other child serving sectors (N=4460 pair-wise relationships), and explore how variations in patterns of collaboration and competition are associated with several organizational, environmental and relational factors. Results suggest that most relationships between private child welfare agencies and other child serving agencies are characterized by both competition and collaboration (i.e. "co-opetition"), and is most frequently reported with other local private child welfare agencies. Logistic regression analyses indicate that co-opetition is likely to occur when private child welfare agencies have a good perceived relationship or a sub-contract with their partner. Findings have implications for how agency leaders manage partner relationships, and how public child welfare administrators structure contracts.

  4. National Weatherization Assistance Program Impact Evaluation - Client Satisfaction Survey: WAP Service Delivery from the Client's Perspective

    Energy Technology Data Exchange (ETDEWEB)

    Miller, Carolyn [Carolyn Miller Consulting, Princeton, NJ (United States); Carroll, David [APPRISE, Inc., Princeton, NJ (United States); Berger, Jacqueline [APPRISE, Inc., Princeton, NJ (United States); Driscoll, Colleen [APPRISE, Inc., Princeton, NJ (United States); Tonn, Bruce Edward [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States)

    2015-10-01

    This report presents the results of a survey of recipients to measure satisfaction with services provided by local weatherization agencies being supported by funding from Department of Energy's Weatherization Assistance Program.

  5. Results of the Service of External Dosimetry of the Centro de Proteccion e Higiene de las Radiaciones (CPHR), Cuba during the biennium 2010 - 2011

    International Nuclear Information System (INIS)

    Molina Perez, Daniel; Verdecia Sanchez, Maribel; Castro Soler, Ailza; Farrada Neyra, Yamilia

    2013-01-01

    The Service of Personal Dosimetry of the External Dosimetry Laboratory of the Centro de Proteccion y Higiene de las Radiaciones - CPHR of Cuba works with an automatic RADOS TLD system and includes the surveillance of the doses of whole body and extremities for photon radiation. The work presents the results of the service in the period 2010-2011, showing data related to the number and distribution of workers monitored for areas. The levels of occupational exposure area analyzed using various indicators such as: annual average dose for areas, number of workers who receive annual doses greater than zero, distribution of workers by dose intervals, and others. These indicators are compared with previous periods and with the values published by the UNSCEAR. In general, the average annual dose for all areas was less than 1 mSv for whole body and 3 mSv for hands. The number of exposed workers experienced significant variation from one year to another, considerably decreasing from 60% to 12% of the total. The work presents an analysis of this behavior and highlights that the country guarantees the personal dosimetry to 100% of exposed workers and that the results of the occupational exposure are within the established requirements

  6. ADVERTISING AGENCY MARKETING MANAGEMENT

    OpenAIRE

    Denis Kislov, Yevgenia Horobei

    2015-01-01

    Goal of the paper. The goal of this article is to define the nature, specific features and factors pertaining to the advertising agency marketing management. One of the tools is the use of non-standard approaches to management of advertising agencies, which under certain conditions makes it possible to improve the situation and to bring the agency to a new higher level as well as to improve the efficiency of its functioning in the conditions of transformational economy of Ukraine. Methodol...

  7. Institutional entrepreneurship and agency

    DEFF Research Database (Denmark)

    Weik, E.

    2011-01-01

    of collective entrepreneurship and institutional work to see if they can overcome these incongruities. I conclude that although they can remedy some of the problems, these notions run the risk of describing everything until they describe nothing. In order to limit and enable the entrepreneurship literature...... to discuss agency meaningfully, I argue, it needs to develop analytical frames of agency derived either from existing sociological theories or from further developing its own brand of agency theory. © 2011 Blackwell Publishing Ltd....

  8. Social Support and Personal Agency in At-Risk Mothers

    Directory of Open Access Journals (Sweden)

    María José Rodrigo

    2011-04-01

    Full Text Available This study investigated: a mothers´ use and satisfaction with informal and formal supports in at-risk psychosocial contexts, and b the relationships between satisfaction with help and the mothers´ perception of their role (personal agency. Self-report data about the use and satisfaction with sources of help, and levels of internal control, self-efficacy, couple agreement, role difficulty and motivation for change were obtained from 519 mothers referred by Social Services and 519 non-referred mothers. Results indicated that at-risk mothers relied less upon close informal support and more on formal support than non atrisk mothers. They were also more satisfied with the formal sources of support and had lower levels of personal agency. There were beneficial effects of satisfaction with informal help and school support on several aspects of personal agency for both groups. However, satisfaction with school and social services support had a detrimental effect on couple agreement in the at-risk group. Implications of the results for providing social support to at-risk families are discussed.

  9. Measuring the degree of integration for an integrated service network

    Directory of Open Access Journals (Sweden)

    Chenglin Ye

    2012-09-01

    Full Text Available Background: Integration involves the coordination of services provided by autonomous agencies and improves the organization and delivery of multiple services for target patients. Current measures generally do not distinguish between agencies' perception and expectation. We propose a method for quantifying the agencies' service integration. Using the data from the Children's Treatment Network (CTN, we aimed to measure the degree of integration for the CTN agencies in York and Simcoe.  Theory and Methods: We quantified the integration by the agreement between perceived and expected levels of involvement and calculated four scores from different perspectives for each agency. We used the average score to measure the global network integration and examined the sensitivity of the global score.  Results: Most agencies' integration scores were less than 65%. As measured by the agreement between every other agency's perception and expectation, the overall integration of CTN in Simcoe and York was 44% (95% CI: 39% - 49% and 52% (95% CI: 48% - 56%, respectively. The sensitivity analysis showed that the global scores were robust.  Conclusion: Our method extends existing measures of integration and possesses a good extent of validity. We can also apply the method in monitoring improvement and linking integration with other outcomes.

  10. Measuring the degree of integration for an integrated service network

    Directory of Open Access Journals (Sweden)

    Chenglin Ye

    2012-09-01

    Full Text Available Background: Integration involves the coordination of services provided by autonomous agencies and improves the organization and delivery of multiple services for target patients. Current measures generally do not distinguish between agencies' perception and expectation. We propose a method for quantifying the agencies' service integration. Using the data from the Children's Treatment Network (CTN, we aimed to measure the degree of integration for the CTN agencies in York and Simcoe. Theory and Methods: We quantified the integration by the agreement between perceived and expected levels of involvement and calculated four scores from different perspectives for each agency. We used the average score to measure the global network integration and examined the sensitivity of the global score. Results: Most agencies' integration scores were less than 65%. As measured by the agreement between every other agency's perception and expectation, the overall integration of CTN in Simcoe and York was 44% (95% CI: 39% - 49% and 52% (95% CI: 48% - 56%, respectively. The sensitivity analysis showed that the global scores were robust. Conclusion: Our method extends existing measures of integration and possesses a good extent of validity. We can also apply the method in monitoring improvement and linking integration with other outcomes. 

  11. The relationship between childhood trauma and adult psychosis in a UK Early Intervention Service: results of a retrospective case note study

    Directory of Open Access Journals (Sweden)

    Reeder FD

    2017-02-01

    Full Text Available Francesca D Reeder,1 Nusrat Husain,2 Abdul Rhouma,3 Peter M Haddad,2 Tariq Munshi,4 Farooq Naeem,4 Davit Khachatryan,4 Imran B Chaudhry2 1School of Medicine, 2Neurosciences and Psychiatry Unit, University of Manchester, Manchester, 3Early Intervention Service, Lancashire Care NHS Foundation Trust, Preston, UK; 4Queen’s University, Kingston, Ontario, Canada Aim: There is evidence that childhood trauma is a risk factor for the development of psychosis and it is recommended that childhood trauma is inquired about in all patients presenting with psychosis. This study aimed to determine the prevalence of childhood trauma in patients in the UK Early Intervention Service based on a case note review.Methods: This is a retrospective case note study of 296 patients in an UK Early Intervention Service. Trauma history obtained on service entry was reviewed and trauma experienced categorized. Results were analyzed using crosstab and frequency analysis.Results: The mean age of the sample was 24 years, 70% were male, 66% were White, and 23% Asian (ethnicity not documented in 11% of the sample. Approximately 60% of patients reported childhood trauma, 21% reported no childhood trauma, and data were not recorded for the remaining 19%. Among those reporting trauma, the prevalence of most frequently reported traumas were: severe or repeated disruption (21%, parental mental illness (19%, bullying (18%, absence of a parent (13%, and ‘other’ trauma (24% – the majority of which were victimization events. Sixty-six percent of those reporting trauma had experienced multiple forms of trauma.Conclusion: A high prevalence of childhood trauma (particularly trauma related to the home environment or family unit was reported. This is consistent with other studies reporting on trauma and psychosis. The main weakness of the study is a lack of a control group reporting experience of childhood trauma in those without psychosis. Guidelines recommend that all patients with

  12. 76 FR 17423 - Agency Information Collection Activities: Proposed Collection; Comment Request

    Science.gov (United States)

    2011-03-29

    ... Services Administration publishes summaries of proposed data collection projects for public comment... DEPARTMENT OF HEALTH AND HUMAN SERVICES Health Resources and Services Administration Agency Information Collection Activities: Proposed Collection; Comment Request In compliance with the requirements of...

  13. 75 FR 43529 - Agency Information Collection Activities: Submission for OMB Review; Comment Request

    Science.gov (United States)

    2010-07-26

    ... DEPARTMENT OF HEALTH AND HUMAN SERVICES Health Resources and Services Administration Agency... Resources and Services Administration (HRSA) publishes abstracts of information collection requests under... Act of 1995: Proposed Project: Children's Hospital Graduate Medical Education (CHGME) Payment Program...

  14. 75 FR 23771 - Agency Information Collection Activities: Proposed Collection: Comment Request

    Science.gov (United States)

    2010-05-04

    ... DEPARTMENT OF HEALTH AND HUMAN SERVICES Health Resources and Services Administration Agency... Services Administration (HRSA) publishes periodic summaries of proposed projects being developed for...: Children's Hospital Graduate Medical Education Payment Program (CHGME PP) Annual Report (OMB No. 0915-0313...

  15. 76 FR 13420 - Agency Information Collection Activities: Submission for OMB Review; Comment Request

    Science.gov (United States)

    2011-03-11

    ... DEPARTMENT OF HEALTH AND HUMAN SERVICES Health Resources and Services Administration Agency... Resources and Services Administration (HRSA) publishes abstracts of information collection requests under... Act of 1995: Proposed Project: The Division of Independent Review Grant Reviewer Recruitment Form (OMB...

  16. An Analysis of Family as a Factor Affecting Purchase Decision Process I n Terms Of Costumers of Travel Agencies

    Directory of Open Access Journals (Sweden)

    Ramazan Pars Şahbaz

    2014-12-01

    Full Text Available In this study, it was aimed to determine the differences between family factor and kinds of products/services which consumers buy from travel agents, reasons for choosing travel agencies and sources of information that influence the choice of a travel agencies.For this purpose, questionnaire was applied to 1009 costumers of 50 Group A travel agents in Konya province. The data obtained from this study were analysed using statistical software package and frequency distributions were calculated and Chi-Squared= χ2 test was applied to measure the relationship between variables. According to the results of this study, differences have been detected between the family factor and kinds of products/services which consumers buy from travel agents, reasons for choosing travel agencies and sources of information that influence the choice of a travel agencies.

  17. 77 FR 34127 - Financial Management Service; Proposed Collection of Information: Electronic Transfer Account...

    Science.gov (United States)

    2012-06-08

    ... Information: Electronic Transfer Account (ETA) Financial Agency Agreement AGENCY: Financial Management Service... of information described below: Title: Electronic Transfer Account (ETA) Financial Agency Agreement... public and other Federal agencies to take this opportunity to comment on a continuing information...

  18. Clinical characteristics of patients assessed within an Improving Access to Psychological Therapies (IAPT) service: results from a naturalistic cohort study (Predicting Outcome Following Psychological Therapy; PROMPT).

    Science.gov (United States)

    Hepgul, Nilay; King, Sinead; Amarasinghe, Myanthi; Breen, Gerome; Grant, Nina; Grey, Nick; Hotopf, Matthew; Moran, Paul; Pariante, Carmine M; Tylee, André; Wingrove, Janet; Young, Allan H; Cleare, Anthony J

    2016-02-27

    A substantial number of patients do not benefit from first line psychological therapies for the treatment of depression and anxiety. Currently, there are no clear predictors of treatment outcomes for these patients. The PROMPT project aims to establish an infrastructure platform for the identification of factors that predict outcomes following psychological treatment for depression and anxiety. Here we report on the first year of recruitment and describe the characteristics of our sample to date. One hundred and forty-seven patients awaiting treatment within an Improving Access to Psychological Therapies (IAPT) service were recruited between February 2014 and February 2015 (representing 48 % of those eligible). Baseline assessments were conducted to collect information on a variety of clinical, psychological and social variables including a diagnostic interview using the Mini International Neuropsychiatric Interview (MINI). Our initial findings showed that over a third of our sample were not presenting to IAPT services for the first time, and 63 % had been allocated to receive higher intensity IAPT treatments. Approximately half (46 %) were taking prescribed psychotropic medication (most frequently antidepressants). Co-morbidity was common: 72 % of the sample met criteria for 2 or more current MINI diagnoses. Our initial data also indicated that 16 % met criteria for borderline personality disorder and 69 % were at high risk of personality disorder. Sixty-one percent scored above the screening threshold for bipolarity. Over half of participants (55 %) reported experiencing at least one stressful life event in the previous 12 months, whilst 67 % reported experiencing at least one form of childhood trauma. Our results to date highlight the complex nature of patients seen within an urban IAPT service, with high rates of psychiatric comorbidity, personality disorder, bipolarity and childhood trauma. Whilst there are significant challenges associated with researching

  19. Dose levels of the occupational radiation exposures in Poland based on results from the accredited dosimetry service at the IFJ PAN, Krakow.

    Science.gov (United States)

    Budzanowski, Maciej; Kopeć, Renata; Obryk, Barbara; Olko, Paweł

    2011-03-01

    Individual dosimetry service based on thermoluminescence (TLD) detectors has started its activity at the Institute of Nuclear Physics (IFJ) in Krakow in 1965. In 2002, the new Laboratory of Individual and Environment Dosimetry (Polish acronym LADIS) was established and underwent the accreditation according to the EN-PN-ISO/IEC 17025 standard. Nowadays, the service is based on the worldwide known standard thermoluminescent detectors MTS-N (LiF:Mg,Ti) and MCP-N (LiF:Mg,Cu,P), developed at IFJ, processed in automatic thermoluminescent DOSACUS or RE2000 (Rados Oy, Finland) readers. Laboratory provides individual monitoring in terms of personal dose equivalent H(p)(10) and H(p)(0.07) in photon and neutron fields, over the range from 0.1 mSv to 1 Sv, and environmental dosimetry in terms of air kerma K(a) over the range from 30 μGy to 1 Gy and also ambient dose equivalent H*(10) over the range from 30 μSv to 1 Sv. Dosimetric service is currently performed for ca. 3200 institutions from Poland and abroad, monitored on quarterly and monthly basis. The goal of this paper is to identify the main activities leading to the highest radiation exposures in Poland. The paper presents the results of statistical evaluation of ∼ 100,000 quarterly H(p)(10) and K(a) measurements performed between 2002 and 2009. Sixty-five per cent up to 90 % of all individual doses in Poland are on the level of natural radiation background. The dose levels between 0.1 and 5 mSv per quarter are the most frequent in nuclear medicine, veterinary and industrial radiography sectors.

  20. A supply chain perspective on the supplier relationship practices of travel agencies in Gauteng

    Directory of Open Access Journals (Sweden)

    Mornay Roberts-Lombard

    2009-11-01

    Full Text Available The purpose of the paper is to explore the supplier relationship practices of travel agencies in Gauteng. Gerber (2008 indicated that the current level of relationships that exists between travel agencies and their suppliers in Gauteng are fragmented and impact negatively on the ability of travel agents to deliver a quality service to their customers. It is against this background that the research was undertaken. The target population for this study was 228 travel agencies of which 134 managers and/or owners participated through personal interviews in the completion of questionnaires. The results indicate that the owners and managers of travel agencies are of the opinion that the level of trust between themselves and their suppliers needs to be strengthened. The stimulation of open channel communication between themselves and their suppliers could enhance the strengthening of a long-term relationship between the parties.

  1. 76 FR 55398 - Agency Information Collection Activities: Proposed Collection; Comment Request; Generic Clearance...

    Science.gov (United States)

    2011-09-07

    ... precision requirements or power calculations that justify the proposed sample size, the expected response... Qualitative Feedback on Agency Service Delivery AGENCY: National Institutes of Health, Eunice Kennedy Shriver...): ``Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery '' to OMB for...

  2. 76 FR 23536 - Agency Information Collection Activities: Proposed Collection; Comment Request; Generic Clearance...

    Science.gov (United States)

    2011-04-27

    ... requirements or power calculations that justify the proposed sample size, the expected response rate, methods... Qualitative Feedback on Agency Service Delivery April 22, 2011. AGENCY: Department of Agriculture (USDA... Qualitative Feedback on Agency Service Delivery'' to OMB for approval under the Paperwork Reduction Act (PRA...

  3. 76 FR 13977 - Agency Information Collection Activities: Proposed Collection; Comment Request; Generic Clearance...

    Science.gov (United States)

    2011-03-15

    ... requirements or power calculations that justify the proposed sample size, the expected response rate, methods... of Qualitative Feedback on Agency Service Delivery AGENCY: Office of the Secretary/Office of the...): ``Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery'' to OMB for...

  4. 76 FR 38355 - Agency Information Collection Activities: Proposed Collection; Comment Request; Generic Clearance...

    Science.gov (United States)

    2011-06-30

    ... calculations that justify the proposed sample size, the expected response rate, methods for assessing potential... of Qualitative Feedback on Agency Service Delivery AGENCY: Architectural and Transportation Barriers...: ``Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery'' to the Office of...

  5. 76 FR 31383 - Agency Information Collection Activities: Proposed Collection; Comment Request; Generic Clearance...

    Science.gov (United States)

    2011-05-31

    ... requirements or power calculations that justify the proposed sample size, the expected response rate, methods...; Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery AGENCY: Peace... Qualitative Feedback on Agency Service Delivery '' to OMB for approval under the Paperwork Reduction Act (PRA...

  6. 76 FR 29763 - Agency Information Collection Activities; Submission for Office of Management and Budget Review...

    Science.gov (United States)

    2011-05-23

    ... precision requirements or power calculations that justify the proposed sample size, the expected response... Request; Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery AGENCY... ``Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery.'' Also include...

  7. 76 FR 13019 - Agency Information Collection Activities: Comment Request; Generic Clearance for the Collection...

    Science.gov (United States)

    2011-03-09

    ... requirements or power calculations that justify the proposed sample size, the expected response rate, methods... Clearance for the Collection of Qualitative Feedback on Agency Service Delivery AGENCY: Department of...): ``Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery '' to OMB for...

  8. 76 FR 37825 - Agency Information Collection Activities; Generic Clearance for the Collection of Qualitative...

    Science.gov (United States)

    2011-06-28

    ... requirements or power calculations that justify the proposed sample size, the expected response rate, methods... Activities; Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery AGENCY: U...): ``Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery '' to OMB for...

  9. 76 FR 19826 - Agency Information Collection Activities: Proposed Collection; Comment Request; Generic Clearance...

    Science.gov (United States)

    2011-04-08

    ... calculations that justify the proposed sample size, the expected response rate, methods for assessing potential... Request; Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery AGENCY... (Generic ICR): ``Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery...

  10. 76 FR 20967 - Agency Information Collection Activities: Proposed Collection; Comment Request; Generic Clearance...

    Science.gov (United States)

    2011-04-14

    ... requirements or power calculations that justify the proposed sample size, the expected response rate, methods... Request; Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery AGENCY: U... Clearance for the Collection of Qualitative Feedback on Agency Service Delivery'' to OMB for approval under...

  11. 76 FR 10939 - Agency Information Collection Activities: Proposed Collection; Comment Request; Generic Clearance...

    Science.gov (United States)

    2011-02-28

    ... requirements or power calculations that justify the proposed sample size, the expected response rate, methods... of Qualitative Feedback on Agency Service Delivery AGENCY: Federal Railroad Administration (FRA... Qualitative Feedback on Agency Service Delivery'' to OMB for approval under the Paperwork Reduction Act (PRA...

  12. 76 FR 36139 - Agency Information Collection Activities: Submission for OMB Review; Comment Request; Generic...

    Science.gov (United States)

    2011-06-21

    ... requirements or power calculations that justify the proposed sample size, the expected response rate, methods... for the Collection of Qualitative Feedback on Agency Service Delivery AGENCY: Federal Emergency...): ``Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery'' to the Office of...

  13. 76 FR 13673 - National Endowment for the Arts; Agency Information Collection Activities: Proposed Collection...

    Science.gov (United States)

    2011-03-14

    ... calculations that justify the proposed sample size, the expected response rate, methods for assessing potential... of Qualitative Feedback on Agency Service Delivery AGENCY: The National Endowment for the Arts, NFAH... Qualitative Feedback on Agency Service Delivery'' to OMB for approval under the Paperwork Reduction Act (PRA...

  14. 78 FR 77095 - Agency Information Collection Activities: Proposed Collection; Comment Request-Form FNS-648, WIC...

    Science.gov (United States)

    2013-12-20

    ... DEPARTMENT OF AGRICULTURE Food and Nutrition Service Agency Information Collection Activities: Proposed Collection; Comment Request--Form FNS-648, WIC Local Agency Directory Report AGENCY: Food and... continuity of program services to migrant and other transient participants. It is also used as a mailing list...

  15. 75 FR 14165 - Agency Information Collection Activities: Submission for OMB Review; Comment Request

    Science.gov (United States)

    2010-03-24

    ... DEPARTMENT OF HEALTH AND HUMAN SERVICES Health Resources and Services Administration Agency... entry. These systems must be multi-agency and be comprised of the key public and private agencies that... family outcome indicators and provide a theory of change, or rationale, on how a specific ECCS activity...

  16. Energy Service Companies in Europe: assembling the puzzle. Preliminary analysis of the results to date from the first European ESCO database

    International Nuclear Information System (INIS)

    Rezessy, Silvia; Bertoldi, Paolo; Adnot, Jerome; Dupont, Maxime

    2005-01-01

    A recent survey of energy service companies (ESCOs) in the EU-25 has indicated that the ESCO industry is still in its infancy stage and that major differences exist in the development of the ESCO business among the various countries. With a few notable exceptions, such as Germany, Austria, and Hungary and to certain extent France, ESCO industries are still struggling to get off the ground. Major differences exist among Member States not only in the development of national ESCO industries, but also in terms of actual type of ESCO projects (sectors, sizes, etc.) and their implementation (contractual terms, financing, etc.). The present paper builds on and summarizes the first results of an ongoing in-depth survey of ESCO businesses in Europe (EU-25 plus candidate countries and selected neighbouring countries) and analyses a selection of ESCO projects, both ongoing and completed. The paper has three major parts. First, we review the most common types of companies providing energy services in Europe. Second, we discuss ESCO project specifics, such as the most widespread types of projects, preferred end-use technologies, sectors that receive most of the project developers' attention, most 'appealing' categories of clients and most common financing sources. Finally, we summarize on a country-by-country basis the features of the ESCO industry in selected EU Member States and candidate countries

  17. The health of newly arrived refugees to the Top End of Australia: results of a clinical audit at the Darwin Refugee Health Service.

    Science.gov (United States)

    Johnston, Vanessa; Smith, Le; Roydhouse, Heather

    2012-01-01

    Accurate data on the health of refugees in primary care is vital to inform clinical practice, monitor disease prevalence, influence policy and promote coordination. We undertook a retrospective clinical audit of newly arrived refugees attending the Darwin refugee primary health service in its first 12 months of operation. Data were collected from the clinic files of refugee patients who attended for their initial health assessment from 1 July 2009 to 30 June 2010 and were analysed descriptively. Among 187 refugees who attended in 2009-2010, ~60% were from Asia and 42% were female. The most common diagnoses confirmed by testing were vitamin D deficiency (23%), hepatitis B carrier status (22%), tuberculosis infection (18%), schistosomiasis (17%) and anaemia (17%). The most common documented health conditions recorded by the GPs were vitamin D deficiency or insufficiency (66%), followed by schistosomiasis (24%) and dental disease (23%). This clinical audit adds to a limited evidence base suggesting a high prevalence of infectious disease, nutrient deficiency and dental disease among refugees arriving to Australia. GPs involved in the care of refugees must be aware of the epidemiology of disease in this group, as some diseases are rare among the general Australian population. Our results also highlight the ongoing need for advocacy to address service constraints such as limited public dental access for this population.

  18. Duration of slip-resistant shoe usage and the rate of slipping in limited-service restaurants: results from a prospective and crossover study.

    Science.gov (United States)

    Verma, Santosh K; Zhao, Zhe; Courtney, Theodore K; Chang, Wen-Ruey; Lombardi, David A; Huang, Yueng-Hsiang; Brennan, Melanye J; Perry, Melissa J

    2014-01-01

    Several studies have indicated that slip-resistant shoes may have a positive effect on reducing the risk of slips and falls, a leading cause of injury at work. Few studies, however, have examined how duration of shoe usage affects their slip-resistance properties. This study examined the association between the duration of slip-resistant shoes usage and the self-reported rate of slipping in limited-service restaurant workers. A total of 475 workers from 36 limited-service restaurants in the USA were recruited to participate in a 12-week prospective study of workplace slipping. Of the 475 participants, 83 reported changing to a new pair of shoes at least once during the 12-week follow-up. The results show that slip-resistant shoes worn for less than six months were moderately more effective than those worn for more than six months. Changing to a new pair of shoes among those wearing slip-resistant shoes at baseline was associated with a 55% reduction in the rate of slipping (RR = 0.45, 95% CI = 0.23-0.89). Further research is needed to develop criteria for the replacement of slip-resistant shoes.

  19. LabPush: a pilot study of providing remote clinics with laboratory results via short message service (SMS in Swaziland, Africa.

    Directory of Open Access Journals (Sweden)

    Wen-Shan Jian

    Full Text Available BACKGROUND: Turnaround time (TAT is an important indicator of laboratory performance. It is often difficult to achieve fast TAT for blood tests conducted at clinics in developing countries. This is because clinics where the patient is treated are often far away from the laboratory, and transporting blood samples and test results between the two locations creates significant delay. Recent efforts have sought to mitigate this problem by using Short Message Service (SMS to reduce TAT. Studies reporting the impact of this technique have not been published in scientific literature however. In this paper we present a study of LabPush, a system developed to test whether SMS delivery of HIV related laboratory results to clinics could shorten TAT time significantly. METHOD: LapPush was implemented in six clinics of the Kingdom of Swaziland. SMS results were sent out from the laboratory as a supplement to normal transport of paper results. Each clinic was equipped with a mobile phone to receive SMS results. The laboratory that processes the blood tests was equipped with a system for digital input of results, and transmission of results via SMS to the clinics. RESULTS: Laboratory results were received for 1041 different clinical cases. The total number of SMS records received (1032 was higher than that of paper records (965, indicating a higher loss rate for paper records. A statistical comparison of TAT for SMS and paper reports indicates a statistically significant improvement for SMS. Results were more positive for more rural clinics, and an urban clinic with high workload. CONCLUSION: SMS can be used to reduce TAT for blood tests taken at clinics in developing countries. Benefits are likely to be greater at clinics that are further away from laboratories, due to the difficulties this imposes on transport of paper records.

  20. Understanding Agency and Educating Character

    Science.gov (United States)

    Roth, Klas

    2011-01-01

    How can we understand human agency, and what does it mean to educate character? In this essay Klas Roth develops a Kantian notion, one that suggests we render ourselves efficacious and autonomous in education and elsewhere. This requires, among other things, that we are successful in bringing about the intended result through our actions and the…

  1. The Copyright Agency Limited.

    Science.gov (United States)

    Morgan, Caroline

    1993-01-01

    The evolution and functions of Australia's Copyright Agency Limited are described. The agency is a copyright collecting organization which collectively administers the rights of authors and publishers whose works are copied in education, and enters into blanket agreements with educational authorities outside the existing statutory license. Some…

  2. The Effects of Socioeconomic Vulnerability, Psychosocial Services, and Social Service Spending on Family Reunification: A Multilevel Longitudinal Analysis.

    Science.gov (United States)

    Esposito, Tonino; Delaye, Ashleigh; Chabot, Martin; Trocmé, Nico; Rothwell, David; Hélie, Sonia; Robichaud, Marie-Joelle

    2017-09-09

    Socio-environmental factors such as poverty, psychosocial services, and social services spending all could influence the challenges faced by vulnerable families. This paper examines the extent to which socioeconomic vulnerability, psychosocial service consultations, and preventative social services spending impacts the reunification for children placed in out-of-home care. This study uses a multilevel longitudinal research design that draws data from three sources: (1) longitudinal administrative data from Quebec's child protection agencies; (2) 2006 and 2011 Canadian Census data; and, (3) intra-province health and social services data. The final data set included all children ( N = 39,882) placed in out-of-home care for the first time between 1 April 2002 and 31 March 2013, and followed from their initial out-of-home placement. Multilevel hazard results indicate that socioeconomic vulnerability, controlling for psychosocial services and social services spending, contributes to the decreased likelihood of reunification. Specifically, socioeconomic vulnerability, psychosocial services, and social services spending account for 24.0% of the variation in jurisdictional reunification for younger children less than 5 years of age, 12.5% for children age 5 to 11 years and 21.4% for older children age 12 to 17 years. These findings have implications for decision makers, funding agencies, and child protection agencies to improve jurisdictional resources to reduce the socioeconomic vulnerabilities of reunifying families.

  3. Best practices in transit service planning : final report, March 2009.

    Science.gov (United States)

    2009-03-01

    The provision of cost efficient and effective bus transit service is the basic premise upon which transit service is developed and the goal that all public transportations agencies strive to achieve. To attain this goal, public transit agencies must ...

  4. Marketing and Service Activities of the German Power Suppliers. Results of a recent investigation; Marketing-Outsourcing als strategische Option fuer Energieversorger. Effizienzsteigerungen und Kostensenkungen

    Energy Technology Data Exchange (ETDEWEB)

    Ruppert, G.; Sothmann, P. [MCG Marketing Consulting Group GmbH, Frankfurt am Main (Germany)

    2006-07-03

    Service activities have always played an important role for power suppliers. Facing the growing competitive environment, the enterprises' activities were given new directions, with more strength. The EU energy service regulation gives this subject even more importance. VDEW (Association of the Electricity Industry) has been regularly investigating the range of the services offered by the enterprises, for the last time by means of questionnaire in 2005. The findings give a general view of the marketing measures presently used by the enterprises and the services they offer. It was found out that services and special measures of customer care have kept their importance to customer binding and customer acquisition also in 2005.

  5. 76 FR 21746 - Agency Information Collection Activities: Proposed Collection; Comment Request; Generic Clearance...

    Science.gov (United States)

    2011-04-18

    ... calculations that justify the proposed sample size, the expected response rate, methods for assessing potential... of Qualitative Feedback on Agency Service Delivery AGENCY: Agency for Healthcare Research and Quality... Collection Request (Generic ICR): ``Generic Clearance for the Collection of Qualitative Feedback on Agency...

  6. 75 FR 53306 - Agency Information Collection Activities: Proposed Collection; Comment Request

    Science.gov (United States)

    2010-08-31

    ... system change and informs the implementation process and impact evaluation. Using a mixed-methods design... DEPARTMENT OF HEALTH AND HUMAN SERVICES Agency for Healthcare Research and Quality Agency Information Collection Activities: Proposed Collection; Comment Request AGENCY: Agency for Healthcare Research...

  7. 75 FR 35038 - Agency Information Collection Activities; Proposed Collection; Comment Request

    Science.gov (United States)

    2010-06-21

    ... system change and informs the implementation process and impact evaluation. Using a mixed-methods design... DEPARTMENT OF HEALTH AND HUMAN SERVICES Agency for Healthcare Research and Quality Agency Information Collection Activities; Proposed Collection; Comment Request AGENCY: Agency for Healthcare Research...

  8. Exhibition; Image display agency

    International Nuclear Information System (INIS)

    Normazlin Ismail

    2008-01-01

    This article touches on the role of Malaysian Nuclear Agency as nuclear research institutions to promote, develop and encourage the peaceful uses of nuclear technology in its agricultural, medical, manufacturing, industrial, health and environment for the development of the country running successfully. Maturity of Malaysian Nuclear Agency in dealing with nuclear technology that are very competitive and globalization cannot be denied. On this basis Malaysian Nuclear Agency was given the responsibility to strengthen the nuclear technology in Malaysia. One way is through an exhibition featuring the research, discoveries and new technology products of the nuclear technology. Through this exhibition is to promote the nuclear technology and introduce the image of the agency in the public eye. This article also states a number of exhibits entered by the Malaysian Nuclear Agency and achievements during the last exhibition. Authors hope that the exhibition can be intensified further in the future.

  9. 9 CFR 417.8 - Agency verification.

    Science.gov (United States)

    2010-01-01

    ....8 Animals and Animal Products FOOD SAFETY AND INSPECTION SERVICE, DEPARTMENT OF AGRICULTURE... ANALYSIS AND CRITICAL CONTROL POINT (HACCP) SYSTEMS § 417.8 Agency verification. FSIS will verify the... plan or system; (f) Direct observation or measurement at a CCP; (g) Sample collection and analysis to...

  10. 31 CFR 315.1 - Official agencies.

    Science.gov (United States)

    2010-07-01

    ... 31 Money and Finance: Treasury 2 2010-07-01 2010-07-01 false Official agencies. 315.1 Section 315.1 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) FISCAL SERVICE.... Federal Reserve Bank of Kansas City, 925 Grand Avenue, Kansas City, MO 64198 Dallas, San Francisco, Kansas...

  11. 31 CFR 353.1 - Official agencies.

    Science.gov (United States)

    2010-07-01

    ... 31 Money and Finance: Treasury 2 2010-07-01 2010-07-01 false Official agencies. 353.1 Section 353.1 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) FISCAL SERVICE.... Federal Reserve Bank of Kansas City, 925 Grand Avenue, Kansas City, MO 64198 Dallas, San Francisco, Kansas...

  12. 31 CFR 360.1 - Official agencies.

    Science.gov (United States)

    2010-07-01

    ... 31 Money and Finance: Treasury 2 2010-07-01 2010-07-01 false Official agencies. 360.1 Section 360.1 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) FISCAL SERVICE... Bank of Kansas City, 925 Grand Boulevard, Kansas City, MO 64106 Dallas, San Francisco, Kansas City, St...

  13. EPA Linked Open Data: Substance Registry Service

    Data.gov (United States)

    U.S. Environmental Protection Agency — Substance Registry Services (SRS) is the Environmental Protection Agency's (EPA) central system for information about substances that are tracked or regulated by EPA...

  14. Improvement of quality service in Uruguay - plans developed and its results in the period 93-95. Fault statistic as a parameter of measurement

    Energy Technology Data Exchange (ETDEWEB)

    Carrasco, J.; Rodriguez, R.; Rondoni, A.; Pardo, A. [U.T.E. (Uruguay)

    1997-12-31

    The present paper aims to describe the improvement process of the quality of the product and the technical service that has been undertaken in UTE since 1990 and to show the results obtained so far as well as the actions foreseen in the future. In addition the system for the quality control is developed. It is structured based on global and individual indexes supported by the corporate centralised and distributed informatic tools that the company possess. This control system has allowed us to carry out a pursuit of the relative evolution of the quality year to year and to establish absolute comparisons with companies from the region and from Europe. The current situation and the improvements for Montevideo, are described. (author)

  15. Can readmission after stroke be prevented? Results of a randomized clinical study: a postdischarge follow-up service for stroke survivors

    DEFF Research Database (Denmark)

    Andersen, H E; Schultz-Larsen, K; Kreiner, S

    2000-01-01

    the completion of inpatient rehabilitation, were discharged to their homes. The patients were randomized to 1 of 2 follow-up interventions provided in addition to standard care or to standard aftercare. Fifty-four received follow-up home visits by a physician (INT1-HVP), 53 were provided instructions......BACKGROUND AND PURPOSE: About 50% of stroke survivors are discharged to their homes with lasting disability. Knowledge, however, of the importance of follow-up services that targets these patients is sparse. The purpose of the present study was to evaluate 2 models of follow-up intervention after...... by a physiotherapist in their home (INT2-PI), and 48 received standard aftercare only (controls). Baseline characteristics for the 3 groups were comparable. Six months after discharge, data were obtained on readmission and institutionalization. RESULTS: The readmission rates within 6 months after discharge were...

  16. 76 FR 5431 - Publication of FY 2010 Service Contract Inventory

    Science.gov (United States)

    2011-01-31

    ... DEPARTMENT OF THE TREASURY Publication of FY 2010 Service Contract Inventory AGENCY: Departmental Offices, Treasury. ACTION: Notice of publication of Fiscal Year 2010 Service Contract Inventory. [[Page 5432

  17. Home health agency work environments and hospitalizations.

    Science.gov (United States)

    Jarrín, Olga; Flynn, Linda; Lake, Eileen T; Aiken, Linda H

    2014-10-01

    An important goal of home health care is to assist patients to remain in community living arrangements. Yet home care often fails to prevent hospitalizations and to facilitate discharges to community living, thus putting patients at risk of additional health challenges and increasing care costs. To determine the relationship between home health agency work environments and agency-level rates of acute hospitalization and discharges to community living. Analysis of linked Center for Medicare and Medicaid Services Home Health Compare data and nurse survey data from 118 home health agencies. Robust regression models were used to estimate the effect of work environment ratings on between-agency variation in rates of acute hospitalization and community discharge. Home health agencies with good work environments had lower rates of acute hospitalizations and higher rates of patient discharges to community living arrangements compared with home health agencies with poor work environments. Improved work environments in home health agencies hold promise for optimizing patient outcomes and reducing use of expensive hospital and institutional care.

  18. 7 CFR 800.117 - Who shall perform original services.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 7 2010-01-01 2010-01-01 false Who shall perform original services. 800.117 Section... REGULATIONS Original Services § 800.117 Who shall perform original services. (a) General. Original services... official agency is not available on a regular basis to provide original services, and no official agency...

  19. 77 FR 44306 - Service Delivery Plan

    Science.gov (United States)

    2012-07-27

    ... SOCIAL SECURITY ADMINISTRATION [Docket No. SSA-2012-0048] Service Delivery Plan AGENCY: Social... input as we develop our Service Delivery Plan (SDP). We recently completed our Agency Strategic Plan... how we plan to provide our services over the next four years and beyond. DATES: To ensure that we...

  20. Marketing and service activities of German power suppliers. Results of a recent investigation; Marketing- und Dienstleistungsktivitaeten der deutschen Stromversorger. Ergebnisse einer aktuellen Erhebung

    Energy Technology Data Exchange (ETDEWEB)

    Nickel, M. [Bereich Markt und Daten, Verband der Eiektrizitaetswirtschaft - VDEW - e.V., Berlin (Germany)

    2006-07-03

    Service activities have always played an important role for power suppliers. Facing the growing competitive environment, the enterprises' activities were given new directions, with more strength. The EU energy service regulation gives this subject even more importance. VDEW (Association of the Electricity Industry) has been regularly investigating the range of the services offered by the enterprises, for the last time by means of questionnaire in 2005. The findings give a general view of the marketing measures presently used by the enterprises and the services they offer. It was found out that services and special measures of customer care have kept their importance to customer binding and customer acquisition also in 2005. Services have always been of importance for power suppliers.

  1. User Acceptance Model on E-Billing Adoption: A Study of Tax Payment by Government Agencies

    Directory of Open Access Journals (Sweden)

    Maulana Yusup

    2015-11-01

    Full Text Available The development of information technology is to create the paradigm shift in public services by government agencies, particularly in the payment of taxes. The purpose of this study is to determine the user's perception of e-billing in paying taxes. The study population were employees of the 17 companies in the textile and garment industry in Bandung, West Java and the sample was taken by simple random sampling with as many as 269 people involved from 17 industries in textile and garment units. Analysis of data was using Structural Equation Modelling (SEM. The results showed that there was a significant effect of perceived ease of use, subjective norm, perceived usefulness, facilitating condition of the attitude, toward the attitude and the intention to use. Thus, it is evidence that e-billing based services may be one way to improve service of government agencies to facilitate the payment of taxes.

  2. 12 CFR 28.21 - Service of process.

    Science.gov (United States)

    2010-01-01

    ... 12 Banks and Banking 1 2010-01-01 2010-01-01 false Service of process. 28.21 Section 28.21 Banks... Federal Branches and Agencies of Foreign Banks § 28.21 Service of process. A foreign bank operating at any Federal branch or agency is subject to service of process at the location of the Federal branch or agency. ...

  3. 75 FR 67370 - Agency Information Collection Activities: Proposed Collection; Comment Request

    Science.gov (United States)

    2010-11-02

    ... Transforming Healthcare Quality through Information Technology (THQIT).'' In accordance with the Paperwork... Cooperative Agreements for Transforming Healthcare Quality Through Information Technology (THQIT) AHRQ's... DEPARTMENT OF HEALTH AND HUMAN SERVICES Agency for Healthcare Research and Quality Agency...

  4. 78 FR 77690 - Agency Information Collection Activities: Proposed Collection: Public Comment Request

    Science.gov (United States)

    2013-12-24

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

  5. 76 FR 47516 - Personnel Management in Agencies

    Science.gov (United States)

    2011-08-05

    ... that integrates five human capital systems--Strategic Alignment, Leadership and Knowledge Management...; and (2) Measurable, observable agency performance results. (b) Leadership and Knowledge Management. A.... The core standards for the Leadership and Knowledge Management system require that agency leaders and...

  6. Virtual Travel Agencies - Tourist Value through Travel Information Systems

    OpenAIRE

    Anckar, Bill

    1999-01-01

    Anckar, B. (1999), ?Virtual Travel Agencies - Tourist Value through Travel Information Systems?. IAMSR Research Report 5/99. Institute for Advanced Management Systems Research, ?bo Akademi University. As electronic commerce enables the tourist service providers to sell their products directly to the consumer, travel agencies are faced with the imminent threat of being by-passed in the travel industry chain in the information age. This paper suggests that virtual travel agencies can compete su...

  7. Detecting Social Innovation agency

    DEFF Research Database (Denmark)

    Pel, Bonno; Dorland, Jens; Wittmayer, Julia

    2017-01-01

    Considering that it is important for the social innovation research field to confront its methodological challenges, this contribution addresses the challenge of choosing appropriate units of analysis. In processes of transformative social innovation, the agency is distributed and therefore...

  8. Supernatural agency and forgiveness

    NARCIS (Netherlands)

    Nieuwboer, W.; Schie, H.T. van; Karremans, J.C.T.M.; Wigboldus, D.H.J.

    2015-01-01

    The present research examined the hypothesis that supernatural agency attributions underlie the relation between religion and forgiveness. In two experiments a priming procedure was used to make religious concepts temporarily more salient. In Experiment 1, a religion prime marginally enhanced

  9. State Agency Administrative Boundaries

    Data.gov (United States)

    Kansas Data Access and Support Center — This database comprises 28 State agency boundaries and point of contact. The Kansas Geological Survey collected legal descriptions of the boundaries for various...

  10. Agency IP Data

    Data.gov (United States)

    National Aeronautics and Space Administration — Public data set for NASA Agency Intellectual Property (IP). The distribution contains both Patent information as well as General Release of Open Source Software.

  11. White House Communications Agency

    National Research Council Canada - National Science Library

    Gimble, Thomas

    1995-01-01

    ...; and the Deputy Secretary of Defense requested the audit. The Deputy Secretary of Defense emphasized that this review should be as thorough as possible of all White House Communications Agency (WHCA...

  12. 78 FR 26406 - Product Change-Parcel Return Service Negotiated Service Agreement

    Science.gov (United States)

    2013-05-06

    ... POSTAL SERVICE Product Change--Parcel Return Service Negotiated Service Agreement AGENCY: Postal... United States Postal Service[supreg] hereby gives notice that, pursuant to 39 U.S.C. 3642 and 3632(b)(3... Postal Service to Add Parcel Return Service Contract 4 to Competitive Product List. Documents are...

  13. 78 FR 65392 - Product Change-Parcel Return Service Negotiated Service Agreement

    Science.gov (United States)

    2013-10-31

    ... POSTAL SERVICE Product Change--Parcel Return Service Negotiated Service Agreement AGENCY: Postal... INFORMATION: The United States Postal Service[supreg] hereby gives notice that, pursuant to 39 U.S.C. 3642 and... States Postal Service To Add Parcel Return Service Contract 5 to Competitive Product List. Documents are...

  14. 78 FR 12369 - Product Change-Parcel Return Service Negotiated Service Agreement

    Science.gov (United States)

    2013-02-22

    ... POSTAL SERVICE Product Change--Parcel Return Service Negotiated Service Agreement AGENCY: Postal...: The United States Postal Service[supreg] hereby gives notice that, pursuant to 39 U.S.C. 3642 and 3632... States Postal Service to Add Parcel Return Service Contract 3 to Competitive Product List. Documents are...

  15. How Do Persons with Mild Acquired Cognitive Impairment Use Information and Communication Technology and E-Services? Results from a Swedish National Survey.

    Science.gov (United States)

    Eghdam, Aboozar; Bartfai, Aniko; Oldenburg, Christian; Koch, Sabine

    2016-01-01

    Mild acquired cognitive impairment is a term used to describe a sub-group of persons with mild cognitive impairment who are expected to reach a stable cognitive level over time. One tactic that can be considered for further developing treatment for this group is the use of information and communication technology and e-services. The purpose of this study was to investigate the current use of regular e-services and social media by this group as well as their user experiences. Data were collected through a self-administered survey and analyzed using quantitative methods. The questionnaire included questions regarding the participants' use of and experience with e-services. Categorization of e-services was based on and cross-validated with the International Classification of Functioning, Disability and Health (ICF). To estimate participants' degree and type of impairment, the Cognitive Failure Questionnaire (CFQ), measuring cognitive difficulties in performing everyday tasks, was added. In total, 282 persons with acquired brain injury participated in the survey. The participants' CFQ scores showed that they were suffering from mild to moderate cognitive impairments, most often acquired from traumatic brain injuries (40%). The majority (89%) used e-services in different categories whereof the most popular and essential ones were communication services (59%) and banking (39%) services. Participants with higher total CFQ scores (>58) used more e-services in most of the categories compared to participants with lower scores (services to be trustworthy and supportive in different contexts. The usage of electronic devices decreased by age with the exception of electronic tablets that were used by older participants approximately as frequently as by other age groups. Although persons with mild to moderate acquired brain injury used various e-services that are not customized for them, very few participants used self-care health services (apps) and readers (e-readers). Further

  16. Does Mobile Care ('mCare') Improve Quality of Life and Treatment Satisfaction Among Service Members Rehabilitating in the Community? Results from a 36-Wk, Randomized Controlled Trial.

    Science.gov (United States)

    Little, Jeanette R; Pavliscsak, Holly H; Cooper, Mabel R; Goldstein, Lois A; Fonda, Stephanie J

    2018-03-01

    .2 (standard error = 1.0; t = -2.1; p = 0.0382). Estimated rate of change in CMQQ scores was -0.8 (standard error = 0.5; t = -1.52; p = 0.1299). Neither change was meaningful. Rates of change in the GWS and CMQQ scores did not differ by group or by behavioral health, mTBI, and PTS subgroups within the groups. The interviews found that 83% of mCare participants liked the communication with their care managers versus 73% of standard care management participants. Participants in both the mCare group and the care managers said that they liked the application's appointment tracking and reminders. Care managers thought mCare was particularly useful for people with mTBI, PTS, and cognitive problems. mCare did not result in differences in general well-being and satisfaction with care management among service members rehabilitating in their communities, some with mTBI, PTS, and/or behavioral health problems. But participants and care managers who used mCare said that they found it useful. Study limitations included the diversity of clinical issues of the participants, greater missing data among mCare participants, and the high baseline quality of care management in the settings observed. The fact that patients and care managers liked mCare, apart from no changes in outcomes, is important because health care is increasingly adopting mobile solutions.

  17. Agency privileges and immunities

    International Nuclear Information System (INIS)

    1969-01-01

    Switzerland has become the thirty-fifth Member State to be a party to the Agreement on the Privileges and Immunities of the International Atomic Energy Agency. Its Resident Representative, Ambassador Alfred Eschler, deposited his Government's instrument of acceptance on 16 September. This is the fourth such instrument to be deposited with the Agency since the beginning of this year, the others being Ecuador on 16 April, Niger on 17 June and Vietnam on 31 July. (author)

  18. Agency relations and managed performance in public universities in Uganda

    Directory of Open Access Journals (Sweden)

    James R.K. Kagaari

    2013-01-01

    Research purpose: The purpose of this article was to review the need for appropriate employer-employee relationships that will ensure quality services and service delivery in public universities in Uganda. Motivation for the study: The researchers set out to examine why managers of public universities in Uganda were continuously paying less attention to the needs of the employees. Research design, approach and method: A descriptive research design was employed and 12 respondents, purposively selected from 4 public universities, were interviewed. Data were recorded, transcribed and analysed using Nvivo software. This article is based on the perspective of agency theory, and discussed the contractual relationship between management and employees. The agency theory was deemed necessary because of its contribution to organisational literature. Main findings: There is a need to create and nurture a collegial working climate that promotes quality interactions through information sharing. This results in creating and retaining motivated and committed employees, and also helps to overcome the paradox of balancing the high demand for university education whilst offering quality services. Practical/managerial implications: Managers have to continuously monitor and accommodate employee needs and demands. Contribution/value-add: The potential value of the paper is its function as a guide for public universities to have visionary managers that will introduce new approaches to managing public universities in a competitive global environment.

  19. Agency relations and managed performance in public universities in Uganda

    Directory of Open Access Journals (Sweden)

    James R.K. Kagaari

    2013-01-01

    Full Text Available Orientation: This article focused on the need for improved employer-employee relationships in order for public universities in Uganda to achieve their intended objectives.Research purpose: The purpose of this article was to review the need for appropriate employer-employee relationships that will ensure quality services and service delivery in public universities in Uganda.Motivation for the study: The researchers set out to examine why managers of public universities in Uganda were continuously paying less attention to the needs of the employees.Research design, approach and method: A descriptive research design was employed and 12 respondents, purposively selected from 4 public universities, were interviewed. Data were recorded, transcribed and analysed using Nvivo software. This article is based on the perspective of agency theory, and discussed the contractual relationship between management and employees. The agency theory was deemed necessary because of its contribution to organisational literature.Main findings: There is a need to create and nurture a collegial working climate that promotes quality interactions through information sharing. This results in creating and retaining motivated and committed employees, and also helps to overcome the paradox of balancing the high demand for university education whilst offering quality services.Practical/managerial implications: Managers have to continuously monitor and accommodate employee needs and demands.Contribution/value-add: The potential value of the paper is its function as a guide for public universities to have visionary managers that will introduce new approaches to managing public universities in a competitive global environment.

  20. 75 FR 53311 - Agency Forms Undergoing Paperwork Reduction Act Review

    Science.gov (United States)

    2010-08-31

    ...; customer satisfaction surveying; ethnography/observational studies; and mystery shopping. The data will be... improvements in people's health. To do this, the agency is defining specific health protection goals to... development, implementation and satisfaction regarding public health services, products, communication...