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Sample records for survey results provide

  1. Transitions in Pediatric Gastroenterology: Results of a National Provider Survey.

    Science.gov (United States)

    Bensen, Rachel; McKenzie, Rebecca B; Fernandes, Susan M; Fishman, Laurie N

    2016-11-01

    Transition and transfer to adult-oriented health care is an important yet challenging task for adolescents and young adults with chronic medical conditions. Transition practices vary widely, but a paucity of data makes determination of best practices difficult. We described North American pediatric gastroenterologists' preferences and present transition practice patterns and explored whether experience affected providers' perspectives. An online survey was distributed via e-mail to members of the North American Society of Pediatric Gastroenterology, Hepatology and Nutrition. Participation was voluntary and answers were anonymous. Quantitative and qualitative analysis was performed. Almost three quarters of the 175 respondents describe providing transition or self-care management education, but only 23% use structured readiness assessments. Most respondents (88%) report having age cutoffs above which they no longer accept new referrals, with the most common age being 18 years (57%). One third report the ability to provide age-appropriate care to patients older than 21 years. Only 6% indicate that their practice or institution should provide care for individuals older than 25 years. Many (63%) indicate that their practice or institution has a policy regarding age of transfer, but most (79%) are flexible. Provider preferences for triggers to transfer to adult care diverge widely between age, milestones, and comorbidities. Overall, parent (81%) and patient (74%) attachment to pediatric health care providers are cited as the most common barriers to transition. Preferences and practices surrounding transition preparation and transfer to adult care vary widely, reflecting continued uncertainty regarding optimal transition strategies.

  2. Provider confidence in opioid prescribing and chronic pain management: results of the Opioid Therapy Provider Survey.

    Science.gov (United States)

    Pearson, Amy Cs; Moman, Rajat N; Moeschler, Susan M; Eldrige, Jason S; Hooten, W Michael

    2017-01-01

    Many providers report lack of confidence in managing patients with chronic pain. Thus, the primary aim of this study was to investigate the associations of provider confidence in managing chronic pain with their practice behaviors and demographics. The primary outcome measure was the results of the Opioid Therapy Provider Survey, which was administered to clinicians attending a pain-focused continuing medical education conference. Nonparametric correlations were assessed using Spearman's rho. Of the respondents, 55.0% were women, 92.8% were white, and 56.5% were physicians. Primary care providers accounted for 56.5% of the total respondents. The majority of respondents (60.8%) did not feel confident managing patients with chronic pain. Provider confidence in managing chronic pain was positively correlated with 1) following an opioid therapy protocol (P=0.001), 2) the perceived ability to identify patients at risk for opioid misuse (P=0.006), and 3) using a consistent practice-based approach to improve their comfort level with prescribing opioids (Pconfidence was negatively correlated with the perception that treating pain patients was a "problem in my practice" (P=0.005). In this study, the majority of providers did not feel confident managing chronic pain. However, provider confidence was associated with a protocolized and consistent practice-based approach toward managing opioids and the perceived ability to identify patients at risk for opioid misuse. Future studies should investigate whether provider confidence is associated with measurable competence in managing chronic pain and explore approaches to enhance appropriate levels of confidence in caring for patients with chronic pain.

  3. Provider confidence in opioid prescribing and chronic pain management: results of the Opioid Therapy Provider Survey

    Directory of Open Access Journals (Sweden)

    Pearson AC

    2017-06-01

    Full Text Available Amy CS Pearson,1 Rajat N Moman,2 Susan M Moeschler,3 Jason S Eldrige,3 W Michael Hooten3 1Department of Anesthesiology & Perioperative Medicine, Mayo School of Graduate Medical Education, Mayo Clinic, 2Mayo Clinic School of Medicine, 3Department of Anesthesiology & Perioperative Medicine, Mayo College of Medicine, Rochester, MN, USA Introduction: Many providers report lack of confidence in managing patients with chronic pain. Thus, the primary aim of this study was to investigate the associations of provider confidence in managing chronic pain with their practice behaviors and demographics.Materials and methods: The primary outcome measure was the results of the Opioid Therapy Provider Survey, which was administered to clinicians attending a pain-focused continuing medical education conference. Nonparametric correlations were assessed using Spearman’s rho.Results: Of the respondents, 55.0% were women, 92.8% were white, and 56.5% were physicians. Primary care providers accounted for 56.5% of the total respondents. The majority of respondents (60.8% did not feel confident managing patients with chronic pain. Provider confidence in managing chronic pain was positively correlated with 1 following an opioid therapy protocol (P=0.001, 2 the perceived ability to identify patients at risk for opioid misuse (P=0.006, and 3 using a consistent practice-based approach to improve their comfort level with prescribing opioids (P<0.001. Provider confidence was negatively correlated with the perception that treating pain patients was a “problem in my practice” (P=0.005.Conclusion: In this study, the majority of providers did not feel confident managing chronic pain. However, provider confidence was associated with a protocolized and consistent practice-based approach toward managing opioids and the perceived ability to identify patients at risk for opioid misuse. Future studies should investigate whether provider confidence is associated with measurable

  4. Pediatric Primary Care Providers' Relationships with Mental Health Care Providers: Survey Results

    Science.gov (United States)

    Pidano, Anne E.; Honigfeld, Lisa; Bar-Halpern, Miri; Vivian, James E.

    2014-01-01

    Background: As many as 20 % of children have diagnosable mental health conditions and nearly all of them receive pediatric primary health care. However, most children with serious mental health concerns do not receive mental health services. This study tested hypotheses that pediatric primary care providers (PPCPs) in relationships with mental…

  5. Service Providers in Psychology: Results of the 1982 APA Human Resources Survey.

    Science.gov (United States)

    VandenBos, Gary R.; Stapp, Joy

    1983-01-01

    Based on a survey of service provider psychologists, describes (1) their age, sex, ethnicity, years since degree licensure, state association membership, and "National Register" listing; (2) primary and secondary employment settings; (3) professional practices; and (4) aspects of independent practice. (GC)

  6. Results of a Nationwide Capacity Survey of Hospitals Providing Trauma Care in War-Affected Syria.

    Science.gov (United States)

    Mowafi, Hani; Hariri, Mahmoud; Alnahhas, Houssam; Ludwig, Elizabeth; Allodami, Tammam; Mahameed, Bahaa; Koly, Jamal Kaby; Aldbis, Ahmed; Saqqur, Maher; Zhang, Baobao; Al-Kassem, Anas

    2016-09-01

    The Syrian civil war has resulted in large-scale devastation of Syria's health infrastructure along with widespread injuries and death from trauma. The capacity of Syrian trauma hospitals is not well characterized. Data are needed to allocate resources for trauma care to the population remaining in Syria. To identify the number of trauma hospitals operating in Syria and to delineate their capacities. From February 1 to March 31, 2015, a nationwide survey of 94 trauma hospitals was conducted inside Syria, representing a coverage rate of 69% to 93% of reported hospitals in nongovernment controlled areas. Identification and geocoding of trauma and essential surgical services in Syria. Although 86 hospitals (91%) reported capacity to perform emergency surgery, 1 in 6 hospitals (16%) reported having no inpatient ward for patients after surgery. Sixty-three hospitals (70%) could transfuse whole blood but only 7 (7.4%) could separate and bank blood products. Seventy-one hospitals (76%) had any pharmacy services. Only 10 (11%) could provide renal replacement therapy, and only 18 (20%) provided any form of rehabilitative services. Syrian hospitals are isolated, with 24 (26%) relying on smuggling routes to refer patients to other hospitals and 47 hospitals (50%) reporting domestic supply lines that were never open or open less than daily. There were 538 surgeons, 378 physicians, and 1444 nurses identified in this survey, yielding a nurse to physician ratio of 1.8:1. Only 74 hospitals (79%) reported any salary support for staff, and 84 (89%) reported material support. There is an unmet need for biomedical engineering support in Syrian trauma hospitals, with 12 fixed x-ray machines (23%), 11 portable x-ray machines (13%), 13 computed tomographic scanners (22%), 21 adult (21%) and 5 pediatric (19%) ventilators, 14 anesthesia machines (10%), and 116 oxygen cylinders (15%) not functional. No functioning computed tomographic scanners remain in Aleppo, and 95 oxygen cylinders (42

  7. Health care provider advice for adolescent tobacco use: results from the 2011 National Youth Tobacco Survey.

    Science.gov (United States)

    Schauer, Gillian L; Agaku, Israel T; King, Brian A; Malarcher, Ann M

    2014-09-01

    Health care providers play an important role in promoting tobacco use abstinence among adolescents. This study aimed to provide nationally representative data on the prevalence of provider tobacco use screening and advice delivered to adolescents. Cessation behaviors and correlates of past year quit attempts among current smokers are also explored. Data came from the 2011 National Youth Tobacco Survey, a nationally representative school-based survey of adolescents in grades 6 through 12 (n = 18385). Provider screening and advice were assessed by smoking status and demographic characteristics. Logistic regression was used to assess the association between advice and past year quit attempt. The overall prevalence of current tobacco use was 16.6%; 10.8% were current cigarette smokers (3.6% were established smokers, 7.2% were nonestablished smokers); 17.3% were former smokers; and 71.9% were never smokers (22.6% high susceptibility, 77.4% low susceptibility). Among all respondents, the prevalence of being asked about tobacco use by a health care provider was 32.2%; the prevalence of being advised to quit or avoid tobacco was 31.4%. Established smokers were more likely than other groups to report provider assessment of tobacco use and advice. Receipt of advice was associated with a higher adjusted odds of having made a past year quit attempt (odds ratio: 1.47, 95% confidence interval: 1.18-1.82). Less than one-third of adolescents report being asked about tobacco use or being advised not to use tobacco. Increased tobacco use intervention by health care providers is needed to prevent initiation and increase cessation. Copyright © 2014 by the American Academy of Pediatrics.

  8. Who continues to stock oral artemisinin monotherapy? Results of a provider survey in Myanmar.

    Science.gov (United States)

    Thein, Si Thu; Sudhinaraset, May; Khin, Hnin Su Su; McFarland, Willi; Aung, Tin

    2016-06-22

    Artemisinin-based combination therapy (ACT) is a key strategy for global malaria elimination efforts. However, the development of artemisinin-resistant malaria parasites threatens progress and continued usage of oral artemisinin monotherapies (AMT) predisposes the selection of drug resistant strains. This is particularly a problem along the Myanmar/Thailand border. The artemisinin monotherapy replacement programme (AMTR) was established in 2012 to remove oral AMT from stocks in Myanmar, specifically by replacing oral AMT with quality-assured ACT and conducting behavioural change communication activities to the outlets dispensing anti-malarial medications. This study attempts to quantify the characteristics of outlet providers who continue to stock oral AMT despite these concerted efforts. A cross-sectional survey of all types of private sector outlets that were stocking anti-malarial drugs in 13 townships of Eastern Myanmar was implemented from July to August 2014. A total of 573 outlets were included. Bivariate and multivariable logistic regressions were conducted to assess outlet and provider-level characteristics associated with stocking oral AMT. In total, 2939 outlets in Eastern Myanmar were screened for presence of any anti-malarial drugs in August 2014. The study found that 573 (19.5 %) had some kind of oral anti-malarial drug in stock at the time of survey and among them, 96 (16.8 %) stocked oral AMT. In bivariate analyses, compared to health care facilities, itinerant drug vendors, retailers and health workers were less likely to stock oral AMT (33.3 vs 12.9, 10.0, 8.1 %, OR = 0.30, 0.22, 0.18, respectively). Providers who cut blister pack or sell partial courses (40.6 vs 11.7 %, OR 5.18, CI 3.18-8.44) and those who based their stock decision on consumer demand (32.8 vs 12.1 %, OR 3.54, CI 2.21-5.63) were more likely to stock oAMT. Multivariate logistic regressions produced similar significant associations. Private healthcare facilities and drug

  9. Family planning providers losing ground on salary front. 1998 salary survey results.

    Science.gov (United States)

    1998-11-01

    Findings from Contraceptive Technology Update's 1998 salary survey show that while physicians, administrators, and nurse midwives have realized gains in median income since 1997, nurse practitioners, registered nurses, physician assistants, and health educators have lost ground. 159 readers responded to the survey. 1998 median salaries for physicians, nurse midwives, and administrators were $100,000, $60,000, and $45,000, respectively. Nurse practitioners who held no other administrative titles reported a pay drop from the 1997 median of $42,500 to $41,111 in 1998, while the median pay for registered nurses fell from $32,500 in 1997 to $30,000 in 1998, physician assistants' median salary declined from $40,000 to $35,000, and health educators' median salary declined from $42,000 to $18,748. This is the second year of reduced salaries for nurse practitioners. 98% of survey participants were female; almost two-thirds of the responses were received from the Midwest and the South, two areas of traditionally lower salaries; almost all worked in a city or county health department; and more than 66% of responses came from respondents who worked in medium-size or rural communities. Nurses with master's degrees reported higher median salaries, and job placements for master's degree nursing graduates were among the highest for any degree level at graduation.

  10. Cancer and the LGBTQ Population: Quantitative and Qualitative Results from an Oncology Providers' Survey on Knowledge, Attitudes, and Practice Behaviors.

    Science.gov (United States)

    Tamargo, Christina L; Quinn, Gwendolyn P; Sanchez, Julian A; Schabath, Matthew B

    2017-10-07

    Despite growing social acceptance, the LGBTQ population continues to face barriers to healthcare including fear of stigmatization by healthcare providers, and providers' lack of knowledge about LGBTQ-specific health issues. This analysis focuses on the assessment of quantitative and qualitative responses from a subset of providers who identified as specialists that treat one or more of the seven cancers that may be disproportionate in LGBTQ patients. A 32-item web-based survey was emailed to 388 oncology providers at a single institution. The survey assessed: demographics, knowledge, attitudes, and practice behaviors. Oncology providers specializing in seven cancer types had poor knowledge of LGBTQ-specific health needs, with fewer than half of the surveyed providers (49.5%) correctly answering knowledge questions. Most providers had overall positive attitudes toward LGBTQ patients, with 91.7% agreeing they would be comfortable treating this population, and would support education and/or training on LGBTQ-related cancer health issues. Results suggest that despite generally positive attitudes toward the LGBTQ population, oncology providers who treat cancer types most prevalent among the population, lack knowledge of their unique health issues. Knowledge and practice behaviors may improve with enhanced education and training on this population's specific needs.

  11. Living with fibromyalgia: results from the functioning with fibro survey highlight patients' experiences and relationships with health care providers

    Directory of Open Access Journals (Sweden)

    Golden A

    2015-11-01

    Full Text Available Angela Golden,1 Yvonne D'Arcy,2 Elizabeth T Masters,3 Andrew Clair3 1NP from Home, LLC, Munds Park, AZ, 2Pain Management and Palliative Care, Suburban Hospital-Johns Hopkins Medicine, Bethesda, MD, 3Pfizer, New York, NY, USA Abstract: Fibromyalgia (FM is a chronic disorder characterized by widespread pain, which can limit patients' physical function and daily activities. FM can be challenging to treat, and the treatment approach could benefit from a greater understanding of patients' perspectives on their condition and their care. Patients with FM participated in an online survey conducted in the USA that sought to identify the symptoms that had the greatest impact on patients' daily lives. The purpose of the survey was to facilitate efforts toward improving care of patients by nurse practitioners, primary care providers, and specialists, in addition to contributing to the development of new outcome measures in both clinical trials and general practice. A total of 1,228 patients with FM completed the survey, responding to specific questions pertaining to symptoms, impact of symptoms, management of FM, and the relationship with health care providers. Chronic pain was identified as the key FM symptom, affecting personal and professional relationships, and restricting physical activity, work, and social commitments. Patients felt that the severity of their condition was underestimated by family, friends, and health care providers. The results of this survey highlight the need for nurse practitioners, primary care providers, and specialists to provide understanding and support to patients as they work together to enable effective diagnosis and management of FM. Keywords: fibromyalgia, pain, survey, impact, support

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

    Science.gov (United States)

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

    2012-01-01

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

  13. ER/LA opioid REMS and accredited education: Survey results provide insight into clinical roles, educational needs, and learner preferences.

    Science.gov (United States)

    Kear, Cynthia; McKeithen, Tom; Robertson, Sheila

    2017-01-01

    The Collaborative for REMS (Risk Evaluation and Mitigation Strategy) Education (CO*RE) includes 13 organizations that provide REMS Program Companies (RPC) grant-supported accredited education on extended-release and long-acting (ER/LA) opioid therapy. This report summarizes results of a survey designed to investigate the impact of participant criteria and to better understand the roles and preferences of continuing medical education/continuing education (CME/CE) participants. In April 2015, the authors made an online survey available to an estimated 10,000 clinicians who had completed a CO*RE CME/CE activity since 2013. The purpose of the survey was to (1) examine possible reasons learners may underreport prescribing status, (2) investigate ways in which learners engage in nonprescribing roles relevant to reducing adverse patient outcomes, and (3) determine the acceptability of a potential test-based learning tool that allows participants with mastery to test out in lieu of participating in 2- to 3-hour education. Findings revealed that there was little confusion or reluctance by learners to answer questions about Drug Enforcement Administration (DEA) licensing and whether they prescribed opioids in the past year. REMS "prescriber" education covers opioid management responsibilities that are distributed among team members who play critical nonprescribing roles in reducing serious adverse outcomes from both ER/LA and immediate-release (IR) opioids. Seventy-three percent of study participants would favor a test-based learning tool should future circumstances warrant it. The authors concluded the likelihood of underreporting is small, but there is an opportunity to clarify license and prescribing questions; opioid management responsibilities are distributed among nonprescribing team members who play roles in reducing adverse outcomes from both ER/LA and IR opioids, who would therefore benefit from REMS education; and clinicians favor a test-based learning tool, should

  14. HIV provider-patient communication regarding cardiovascular risk: results from the AIDS Treatment for Life International Survey.

    Science.gov (United States)

    Sherer, Renslow; Solomon, Suniti; Schechter, Mauro; Nachega, Jean B; Rockstroh, Jurgen; Zuniga, José M

    2014-01-01

    Few global studies have assessed HIV clinician-patient communication regarding cardiovascular disease (CVD) risks. We conducted a multicountry, comparative, cross-sectional survey of HIV-infected individuals in 12 countries on 5 continents in 2010, with 100 to 200 enrollees per country. HIV-infected adults >17 years and on antiretroviral therapy were recruited in clinics and community organizations and surveyed via direct interview, telephone encounter, or online. Chi-square analyses were performed with an 80% power to detect a difference of >20%. Of 2035 participants, 37% were women. Prevalence of self-reported CVD risk factors was 28% overall, and greater CVD risk was present in 55% of patients in North America, 12% in Africa, and 26% to 28% on other continents. Only 19% of patients ever discussed CVD with their physician, and 31% had ever discussed hypertension, hypercholesterolemia, family history of CVD, or smoking; these findings were true for HIV clinicians in all regions of the world. Forty-four percent of smokers reported never discussing smoking with their HIV clinician. We found that HIV clinicians worldwide are not sufficiently addressing CVD risk factors with their patients. Expanded training and education for HIV clinicians should include effective approaches to the mitigation of CV risk factors.

  15. Knowledge of Healthcare Coverage for Refugee Claimants: Results from a Survey of Health Service Providers in Montreal: e0146798

    National Research Council Canada - National Science Library

    Mónica Ruiz-Casares; Janet Cleveland; Youssef Oulhote; Catherine Dunkley-Hickin; Cécile Rousseau

    2016-01-01

      Following changes to the Interim Federal Health (IFH) program in Canada in 2012, this study investigates health service providers' knowledge of the healthcare coverage for refugee claimants living in Quebec...

  16. Knowledge of Healthcare Coverage for Refugee Claimants: Results from a Survey of Health Service Providers in Montreal

    National Research Council Canada - National Science Library

    Ruiz-Casares, Mónica; Cleveland, Janet; Oulhote, Youssef; Dunkley-Hickin, Catherine; Rousseau, Cécile

    2016-01-01

    Following changes to the Interim Federal Health (IFH) program in Canada in 2012, this study investigates health service providers' knowledge of the healthcare coverage for refugee claimants living in Quebec...

  17. Knowledge of Healthcare Coverage for Refugee Claimants: Results from a Survey of Health Service Providers in Montreal.

    Science.gov (United States)

    Ruiz-Casares, Mónica; Cleveland, Janet; Oulhote, Youssef; Dunkley-Hickin, Catherine; Rousseau, Cécile

    2016-01-01

    Following changes to the Interim Federal Health (IFH) program in Canada in 2012, this study investigates health service providers' knowledge of the healthcare coverage for refugee claimants living in Quebec. An online questionnaire was completed by 1,772 staff and physicians from five hospitals and two primary care centres in Montreal. Low levels of knowledge and significant associations between knowledge and occupational group, age, and contact with refugees were documented. Social workers, respondents aged 40-49 years, and those who reported previous contact with refugee claimants seeking healthcare were significantly more likely to have 2 or more correct responses. Rapid and multiple changes to the complex IFH policy have generated a high level of confusion among healthcare providers. Simplification of the system and a knowledge transfer strategy aimed at improving healthcare delivery for IFH patients are urgently needed, proposing easy avenues to access rapidly updated information and emphasizing ethical and clinical issues.

  18. Knowledge of Healthcare Coverage for Refugee Claimants: Results from a Survey of Health Service Providers in Montreal.

    Directory of Open Access Journals (Sweden)

    Mónica Ruiz-Casares

    Full Text Available Following changes to the Interim Federal Health (IFH program in Canada in 2012, this study investigates health service providers' knowledge of the healthcare coverage for refugee claimants living in Quebec. An online questionnaire was completed by 1,772 staff and physicians from five hospitals and two primary care centres in Montreal. Low levels of knowledge and significant associations between knowledge and occupational group, age, and contact with refugees were documented. Social workers, respondents aged 40-49 years, and those who reported previous contact with refugee claimants seeking healthcare were significantly more likely to have 2 or more correct responses. Rapid and multiple changes to the complex IFH policy have generated a high level of confusion among healthcare providers. Simplification of the system and a knowledge transfer strategy aimed at improving healthcare delivery for IFH patients are urgently needed, proposing easy avenues to access rapidly updated information and emphasizing ethical and clinical issues.

  19. The results of a survey highlighting issues with feedback on medical training in the United Kingdom and how a Smartphone App could provide a solution.

    Science.gov (United States)

    Gray, Thomas G; Hood, Gill; Farrell, Tom

    2015-11-06

    Feedback drives learning in medical education. Healthcare Supervision Logbook (HSL) is a Smartphone App developed at Sheffield Teaching Hospitals for providing feedback on medical training, from both a trainee's and a supervisor's perspective. In order to establish a mandate for the role of HSL in clinical practice, a large survey was carried out. Two surveys (one for doctors undertaking specialty training and a second for consultants supervising their training) were designed. The survey for doctors-in-training was distributed to all specialty trainees in the South and West localities of the Health Education Yorkshire and the Humber UK region. The survey for supervisors was distributed to all consultants involved in educational and clinical supervision of specialty trainees at Sheffield Teaching Hospitals. The results confirm that specialty trainees provide feedback on their training infrequently-66 % do so only annually. 96 % of the specialty trainees owned a Smartphone and 45 % said that they would be willing to use a Smartphone App to provide daily feedback on the clinical and educational supervision they receive. Consultant supervisors do not receive regular feedback on the educational and clinical supervision they provide to trainees-56 % said they never received such feedback and 33 % said it was only on an annual basis. 86 % of consultants surveyed owned a Smartphone and 41 % said they would be willing to use a Smartphone App to provide feedback on the performance of trainees they were supervising. Feedback on medical training is recorded by specialty trainees infrequently and consultants providing educational and clinical supervision often do not receive any feedback on their performance in this area. HSL is a simple, quick and efficient way to collect and collate feedback on medical training to improve this situation. Good support and education needs to be provided when implementing this new technology.

  20. Challenges to the provision of diabetes care in first nations communities: results from a national survey of healthcare providers in Canada

    Directory of Open Access Journals (Sweden)

    Macaulay Ann C

    2011-10-01

    Full Text Available Abstract Background Aboriginal peoples globally, and First Nations peoples in Canada particularly, suffer from high rates of type 2 diabetes and related complications compared with the general population. Research into the unique barriers faced by healthcare providers working in on-reserve First Nations communities is essential for developing effective quality improvement strategies. Methods In Phase I of this two-phased study, semi-structured interviews and focus groups were held with 24 healthcare providers in the Sioux Lookout Zone in north-western Ontario. A follow-up survey was conducted in Phase II as part of a larger project, the Canadian First Nations Diabetes Clinical Management and Epidemiologic (CIRCLE study. The survey was completed with 244 healthcare providers in 19 First Nations communities in 7 Canadian provinces, representing three isolation levels (isolated, semi-isolated, non-isolated. Interviews, focus groups and survey questions all related to barriers to providing optimal diabetes care in First Nations communities. Results the key factors emerging from interviews and focus group discussions were at the patient, provider, and systemic level. Survey results indicated that, across three isolation levels, healthcare providers' perceived patient factors as having the largest impact on diabetes care. However, physicians and nurses were more likely to rank patient factors as having a large impact on care than community health representatives (CHRs and physicians were significantly less likely to rank patient-provider communication as having a large impact than CHRs. Conclusions Addressing patient factors was considered the highest impact strategy for improving diabetes care. While this may reflect "patient blaming," it also suggests that self-management strategies may be well-suited for this context. Program planning should focus on training programs for CHRs, who provide a unique link between patients and clinical services

  1. Oregon's mobility needs : social service provider survey

    Science.gov (United States)

    1999-06-01

    In 1998, the Oregon Department of Transportation undertook the Social Services Provider Survey as part of an investigation of the transportation needs of mobility impaired individuals in Oregon. This survey was designed to gain information about the ...

  2. Retirement Applicant Satisfaction Survey Results

    Data.gov (United States)

    Social Security Administration — This dataset contains information about the Retirement Applicant Survey (RAS). The survey measured satisfaction results with the retirement application process. The...

  3. Satisfaction with childbirth services provided in public health facilities: results from a cross- sectional survey among postnatal women in Chhattisgarh, India

    Science.gov (United States)

    Jha, Paridhi; Larsson, Margareta; Christensson, Kyllike; Skoog Svanberg, Agneta

    2017-01-01

    ABSTRACT Background: A woman’s satisfaction with childbirth services can have a significant impact on her mental health and ability to bond with her neonate. Knowing postnatal women’s opinions and satisfaction with services makes the services more women-friendly. Indian women’s satisfaction with childbirth services has been explored qualitatively, or by using non-standard local questionnaires, but scientific data gathered with standardised questionnaires are extremely limited. Objective: To measure postnatal Indian women’s satisfaction with childbirth services at selected public health facilities in Chhattisgarh, India. Methods: Cross-sectional survey using consecutive sampling (n = 1004) was conducted from March to May 2015. Hindi-translated and validated versions of the Scale for Measuring Maternal Satisfaction for Vaginal Births (VB) and Caesarean Births (CB) were used for data collection. Results: Although most of the women (VB 68.7%; CB 79.2%) were satisfied with the overall childbirth services received, those who had VB were least satisfied with the processes around meeting their neonates (mean subscale score 1.8, SD 1.3), while women having CB were least satisfied with postpartum care received (mean subscale score 2.7, SD 1.2). Regression analyses revealed that among women having VB, interacting with care providers, being able to maintain privacy, and being free from fear of childbirth had a positive influence on overall satisfaction with the childbirth. Among women having CB, earning their own salary and having a positive perception of self-health had associations with overall birth satisfaction. Conclusions: Improving interpersonal interaction with nurse-midwives, and ensuring privacy during childbirth and hospital stay, are recommended first steps to improve women’s childbirth satisfaction, until the supply gap is eliminated. PMID:29087240

  4. Membership Survey Results

    Directory of Open Access Journals (Sweden)

    Dennis M Bowie

    2004-01-01

    Full Text Available In an effort to gather feedback from Canadian Thoracic Society (CTS members, the Executive sent out a survey to the membership and received replies from approximately one-third of the membership. This was an attempt to look at the role of the CTS and what the members wanted from the CTS.

  5. Bulletin Survey - Early Results

    CERN Multimedia

    2002-01-01

    There was a good response to our questionnaire on the Bulletin (around 450 so far). Many thanks to all of you - your views are invaluable to us. Pending publication of the full figures, which will give latecomers time to take part in the survey, here we give here answers some of your most frequent comments. Thank you for the many warm tributes and messages of encouragement we received. We also received criticisms about the way information is handled in the Bulletin and on its circulation. In today's issue we reply to these two points. Why is the Bulletin politically correct ? Many respondents reproach the Bulletin for a lack of objectivity and for being too politically correct to the point of being a propaganda organ. It is true that the Bulletin is not a newspaper, but rather a bulletin of communication (like SLAC's Beam Line). What is the difference ? A newspaper is objectively independent of the subjects it reports on, and when its reporters write stories they dig around for information from all parties...

  6. What score on the Vancouver Scar Scale constitutes a hypertrophic scar? Results from a survey of North American burn-care providers.

    Science.gov (United States)

    Thompson, Callie M; Sood, Ravi F; Honari, Shari; Carrougher, Gretchen J; Gibran, Nicole S

    2015-11-01

    Reliable characterization of a hypertrophic scar (HTS) is integral to epidemiologic studies designed to identify clinical and genetic risk factors for HTS. The Vancouver Scar Scale (VSS) has been widely used for this purpose; however, no publication has defined what score on this scale corresponds to a clinical diagnosis of HTS. In a survey of 1000 burn care providers, we asked respondents what VSS score indicates a HTS and asked them to score scar photos using the VSS. We used receiver-operating-characteristic (ROC) curves to evaluate VSS sub-scores and their combinations in diagnosis of HTS. Of 130 responses (13.5%), most were physicians (43.9%) who had worked in burn care for over 10 years (63.1%) and did not use the VSS in clinical practice (58.5%). There was no consensus as to what VSS score indicates a diagnosis of HTS. VSS height score (0-3) performed best for diagnosis of HTS; using a cut-off of ≥1, height score was 99.5% sensitive and 85.9% specific for HTS. Burn clinicians do not routinely use the VSS and perceptions vary widely regarding what constitutes a HTS. When a dichotomous variable is needed, the VSS height score with a cut-off of ≥1 may be optimal. Our findings underscore the need for an objective tool to reproducibly characterize HTS across burn centers. Published by Elsevier Ltd.

  7. [Expectations and attitudes concerning geriatric counseling : Results of a survey among general practitioners and hospital-based providers in two German states].

    Science.gov (United States)

    Burkhardt, H; Trojan, C

    2017-01-31

    Expertise in geriatrics in the field of ambulatory and hospital-based treatment does not have access to comparable medical specialist structures, such as those in internal medicine and neurology; therefore, it is recommended that geriatric diagnostics by general practitioners can be supported by networking with hospital-based geriatric centers for geriatric counseling. The attitudes and experiences of both faculties in Germany are, however, not well known. Representative samples of general practitioners and hospital-based faculty departments for internal medicine in two regions of Germany (Baden-Württemberg and Hessen) were identified using a systematic selection method. All departments of geriatrics in these regions were also contacted. Participants were asked to give their attitudes and experiences regarding geriatric counseling using a questionnaire. Responses to the questionnaire were received from 48 general practices (14.9%), 42 internal medicine departments (38.5%) and 25 hospital-based geriatric centers (34.7%). Of the general practices 79.2% reported performing geriatric assessments but only 31.3% had access to geriatric counseling. Of the faculties of internal medicine 71.4% reported providing geriatric counseling of which 16.7% also provided counseling on an outpatient basis. With respect to the spectrum of actual reasons for geriatric counseling, initiation of rehabilitative measures was the main reason in both geriatric and internal medicine departments. There were differences in the estimation of suitable rating topics for geriatric counseling. Geriatric departments more frequently indicated preventive aspects compared to general internal medicine (80% vs 47.6%) and general practices (56.3%). With respect to the domain level, general practitioners rated these in the order of cognition (72.9%), social situation (70.8%), emotion (50%), locomotion (50%) and incontinence (27.1%). Noteworthy was that they also rated much lower compared to hospital

  8. Use of contraceptive methods and contraceptive recommendations among health care providers actively involved in contraceptive counseling -- results of an international survey in 10 countries.

    Science.gov (United States)

    Gemzell-Danielsson, Kristina; Cho, SiHyun; Inki, Pirjo; Mansour, Diana; Reid, Robert; Bahamondes, Luis

    2012-12-01

    This study was conducted to determine the personal choices of contraceptive methods among an international sample of contraception health care professionals (HCPs) and to determine if these choices are concordant with their recommendations to women. In an anonymous online survey, 1001 HCPs actively involved in contraceptive counseling [obstetrician/gynecologists (OB/GYNs), general practitioners (GPs) and midwives (only in Sweden)] from 10 countries (Australia, Brazil, Canada, France, Germany, Korea, Mexico, Spain, Sweden and the United Kingdom) were asked about their personal use of contraceptive methods and their recommendations to women in two different clinical scenarios: for spacing between children (Group A) and after completion of the family (Group B). The largest HCP group was OB/GYNs (67.1%), followed by GPs (31.4%) and midwives (1.5%). A total of 42.7% of respondents were male, and 57.3% were female. The majority of respondents were aged 36-45 years (38.9%) or 46-55 years (42.8%), 79.7% had children, and 53.9% were currently using contraception (by themselves or by their partners). Among 540 contraceptive users, the three most common methods were the levonorgestrel-releasing intrauterine system (LNG-IUS; 29.3%), combined oral contraceptives (COCs; 20.0%) and condoms (17.0%). OB/GYNs were more likely to be using the LNG-IUS than GPs (p=.014). Gender did not seem to influence contraceptive preference. Reasons for these choices were largely influenced by family situation and high contraceptive efficacy (for the LNG-IUS) or side effects caused by other methods (for condoms). The top contraceptive recommendation was COCs for Group A and the LNG-IUS for Group B. HCPs currently using COCs and the LNG-IUS were more likely to recommend these methods than other contraceptive methods for Group A and Group B, respectively. The most popular contraceptive method in this sample of HCPs was the LNG-IUS. Choice of contraceptive method was driven by family situation, age

  9. Preliminary Results from the FLAMINGOS Extragalactic Survey

    Science.gov (United States)

    Gonzalez, A.; Dey, A.; Eisenhardt, P. R. M.; Jannuzi, B.; Lin, Y.-T.; McKenzie, E.; Mohr, J. J.; Raines, S. N.; Stanford, S. A.; Stern, D.; Brown, M.; Elston, R. J.

    2004-05-01

    We present initial results from the FLAMINGOS Extragalactic Survey, a deep near-infrared imaging survey within the NOAO Deep Wide-Field Survey regions. This program is designed to study evolution of the galaxy and galaxy cluster populations out to z ˜2. The field locations are selected to provide extensive overlap with observations at other wavelengths, and the target depths of the survey are Ks=20.5 and J=22 (Vega). The final observations for the survey were obtained in May, and final data reduction and quality assessment are nearing completion. During this talk we describe the initial science being done with the data set, highlight upcoming work, and discuss planned coordination with other surveys within the NDWFS region. Specific emphasis will be placed upon identification of galaxy clusters at z>1.

  10. Radarsat survey provides accurate map of Antarctica

    Science.gov (United States)

    Showstack, Randy

    Explorers of Antarctica have trudged with dog sleds, wintered in boats trapped in ice, and daringly flown across the coldest, windiest, highest, driest, and most desolate continental expanse. Their names are legendary: Ross, Scott, Amundsen, Byrd. And now add Radarsat.Taking about 5,500 microwave images over 18 days—from September 26 through October 14—a synthetic aperture radar (SAR) on this Earth-orbiting satellite completed the first-ever, real-time and high-resolution radar survey of Antarctica last week. The Canadian Space Agency (CSA) satellite, orbiting 800 km above Antarctica, accomplished this task by performing an unusual 180° yaw, or rotational maneuver, for NASA and the National Oceanic and Atmospheric Administration (NOAA).

  11. Literature survey results: Topical report

    Energy Technology Data Exchange (ETDEWEB)

    Willson, W.G.; Ness, R.O.; Hendrikson, J.G.; Entzminger, J.A.; Jha, M.; Sinor, J.E.

    1988-01-01

    This report reviews mild gasification processes with respect to processing conditions and configurations. Special emphasis was placed on processes which could be commercialized within five years. Detailed market information was provided by J.E. Sinor concerning markets and economic considerations of the various processing steps. Processing areas studied include coal cleaning; mild gasification; and upgrading of the char, condensables, and hydrocarbon gases. Pros and cons in the different processing areas as well as ''gaps'' in pertinent data were identified and integrated into a detailed process development program. The report begins with a summary of the market assessment and an evaluation of the co-product. The impacts of feed materials and operating parameters--including coal rank, heating rate, pressure, agglomeration, temperature, and feed gas composition--on the co- products and processes were evaluated through a literature survey. Recommendations were made as to the preferred product specifications and operating parameters for a commercial plant. A literature review of mild gasification processes was conducted and evaluated with regard to product specification and operating parameters. Two candidate processes were chosen and discussed in detail with respect to scale-up feasibility. Recommendations were then made to process development needs to further consideration of the two processes. 129 refs., 33 figs., 16 tabs.

  12. Measuring stigma among abortion providers: assessing the Abortion Provider Stigma Survey instrument.

    Science.gov (United States)

    Martin, Lisa A; Debbink, Michelle; Hassinger, Jane; Youatt, Emily; Eagen-Torkko, Meghan; Harris, Lisa H

    2014-01-01

    We explored the psychometric properties of 15 survey questions that assessed abortion providers' perceptions of stigma and its impact on providers' professional and personal lives referred to as the Abortion Provider Stigma Survey (APSS). We administered the survey to a sample of abortion providers recruited for the Providers' Share Workshop (N = 55). We then completed analyses using Stata SE/12.0. Exploratory factor analysis, which resulted in 13 retained items and identified three subscales: disclosure management, resistance and resilience, and discrimination. Stigma was salient in abortion provider's lives: they identified difficulties surrounding disclosure (66%) and felt unappreciated by society (89%). Simultaneously, workers felt they made a positive contribution to society (92%) and took pride in their work (98%). Paired t-test analyses of the pre- and post-Workshop APSS scores showed no changes in the total score. However, the Disclosure Management subscale scores were significantly lower (indicating decreased stigma) for two subgroups of participants: those over the age of 30 and those with children. This analysis is a promising first step in the development of a quantitative tool for capturing abortion providers' experiences of and responses to pervasive abortion stigma.

  13. RESULTS FROM A DIAGNOSTIC SURVEY

    African Journals Online (AJOL)

    The disease was absent at altitudes above 1500 m and in drier zones (3-5 wet months per year). Cladosporium freckle was present at all survey sites and also most severe in central Uganda. Key Words: ... the most important foliar disease of bananas. 145 .... greater ability to develop at lower temperatures than that of black ...

  14. Results from an International Survey

    OpenAIRE

    Kawase, Kazumi; Carpelan-Holmstrom, Monika; Kwong, Ava; Sanfey, Hilary

    2016-01-01

    Compared with male surgeons, women have less success advancing their careers and are underrepresented in leadership positions in surgery. The purpose of this study is to identify the qualifications necessary to become leaders in surgery and the career barriers faced by women surgeons in various cultural environments. A survey was performed with women surgeons in Japan, USA, Finland, and Hong Kong, China, to assess various barriers faced by women surgeons in the respective countries. To develo...

  15. Customer satisfaction surveys: Methodological recommendations for financial service providers

    Directory of Open Access Journals (Sweden)

    Đorđić Marko

    2010-01-01

    Full Text Available This methodological article investigates practical challenges that emerge when conducting customer satisfaction surveys (CSS for financial service providers such as banks, insurance or leasing companies, and so forth. It displays methodological recommendations in reference with: (a survey design, (b sampling, (c survey method, (d questionnaire design, and (e data acquisition. Article provides appropriate explanations that usage of: two-stage survey design, SRS method, large samples, and rigorous fieldwork preparation can enhance the overall quality of CSS in financial services. Proposed methodological recommendations can primarily be applied to the primary quantitative marketing research in retail financial services. However, majority of them can be successfully applied when conducting primary quantitative marketing research in corporate financial services as well. .

  16. Statistical Literacy and Sample Survey Results

    Science.gov (United States)

    McAlevey, Lynn; Sullivan, Charles

    2010-01-01

    Sample surveys are widely used in the social sciences and business. The news media almost daily quote from them, yet they are widely misused. Using students with prior managerial experience embarking on an MBA course, we show that common sample survey results are misunderstood even by those managers who have previously done a statistics course. In…

  17. Survey on Knowledge of Healthcare Providers about Childhood ...

    African Journals Online (AJOL)

    IRORO YARHERE

    dearth in knowledge. Key words: Survey, Knowledge, Diabetes Mellitus, Health care providers, Nigeria. Introduction. Childhood type 1 diabetes mellitus like many other non-communicable diseases is increasing in prevalence and its complications lead to death. 1 The Nigeria University commission curriculum for paediatric.

  18. Statistical literacy and sample survey results

    Science.gov (United States)

    McAlevey, Lynn; Sullivan, Charles

    2010-10-01

    Sample surveys are widely used in the social sciences and business. The news media almost daily quote from them, yet they are widely misused. Using students with prior managerial experience embarking on an MBA course, we show that common sample survey results are misunderstood even by those managers who have previously done a statistics course. In general, they fare no better than managers who have never studied statistics. There are implications for teaching, especially in business schools, as well as for consulting.

  19. Abortion practice in Mexico: a survey of health care providers.

    Science.gov (United States)

    Dayananda, Ila; Walker, Dilys; Atienzo, Erika E; Haider, Sadia

    2012-03-01

    Little is known about abortion practice in Mexico postlegalization of abortion in Mexico City in 2007. In 2009, we anonymously surveyed 418 Mexican health care providers at the Colegio Mexicano de Especialistas en Ginecologia y Obstetricia meeting using audio computer-assisted self-interview technology. The majority of respondents were obstetrician gynecologists (376, 90%), Catholic (341, 82%), 35-60 years old (332, 79%) and male (222, 53%) and worked with trainees (307, 74%). Prior to 2007, 11% (46) and 17% (71) provided medical and surgical abortions; now, 15% (62) and 21% (86) provide these services, respectively. Practitioners from Mexico City were more likely to provide services than those from other areas. Most medical abortion providers (50, 81%) used ineffective protocols. Surgical abortion providers mainly used either manual vacuum aspiration (39, 45%) or sharp curettage (27, 32%). Most abortion providers were trained in residency and wanted more training in medical (54, 87%) and surgical (59, 69%) abortion. Among nonproviders, 49% (175) and 27% (89) expressed interest in learning to perform medical and surgical abortion, respectively. Given the interest in learning to provide safe abortion services and the prevalent use of ineffective medical abortion regimens and sharp curettage, abortion training in Mexico should be strengthened. Copyright © 2012 Elsevier Inc. All rights reserved.

  20. Integrated alarm annunciation and entry control systems -- Survey results

    Energy Technology Data Exchange (ETDEWEB)

    Clever, J.J.; Arakaki, L.H.; Monaco, F.M.; Juarros, L.E.; Quintana, G.R.

    1993-10-01

    This report provides the results and analyses of a detailed survey undertaken in Summer 1993 to address integrated intrusion detection alarm annunciation and entry control system issues. This survey was undertaken as a first attempt toward beginning to answer questions about integrated systems and commercial capabilities to meet or partially meet US Department of Energy (DOE) site needs.

  1. [Utilization of CAP Survey, Based on Questionnaire Results from Survey Participants].

    Science.gov (United States)

    Hirano, Akiko; Ohno, Hiroie

    2015-08-01

    The survey provided by the College of American Pathologists (CAP) is chosen as one of the proficiency testing programs in Japan, and, recently, the numbers of participating facilities have increased. CAP provides 754 programs, and more than 1,000 tests were provided in 2014. Materials are translated as the "CAP global inter-laboratory comparison program" under the instruction of the Japanese Society of Laboratory Medicine (JSLM) selected from CAP surveys in Japan, and 68 programs and 261 items are provided. The total number of participating facilities was 174. CAP itself and the other services CAP provides are not well-known, while recognition of "the CAP survey as the proficiency test" has increased. The question "What is CAP and the CAP survey" was analyzed as a result of the questionnaire surveys conducted in 2014, and the advantage of the CAP survey and how to utilize it were considered. A questionnaire survey was conducted about the CAP survey for Japanese participants in 2014. Fifty-three questions were asked about their satisfaction level, intended use, and improvement. Eighty replies were analyzed. As a result, most CAP survey participants are satisfied. They intend to mainly use the CAP survey for their quality control. Furthermore, they can continuously monitor their systems throughout all testing phases as the survey has numbers of shipments a year and several specimens per each mailing. This helps in laboratory performance improvement. The Evaluation and Participant Summary (PSR) also effectively improves the laboratories' performance. CAP-accredited laboratories are required to participate in all survey programs concerning the test menu which they provide. Therefore, they have become accustomed to reviewing the evaluation and performing self-evaluation with a high usage rate of the Evaluation and PSR of the CAP survey. The questionnaire proved that performing the CAP survey properly enhanced the laboratories' quality control, and this meets the

  2. NREL Partnership Survey - FY 2016 Results

    Energy Technology Data Exchange (ETDEWEB)

    2016-09-01

    The National Renewable Energy Laboratory (NREL) conducts an annual partnership satisfaction survey in which we ask our clients to rate NREL in a number of areas. As a national laboratory, the principal areas we focus on include value, timeliness, quality, price, and capabilities. This fact sheet shows the results of a survey with 300 customers responding to 11 questions using ratings that vary from 'strongly agree' to 'strongly disagree.' In FY 16, 100% of the scores improved or were equal to FY 15 numbers.

  3. Long-term care insurance and market for aged care in Japan: focusing on the status of care service providers by locality and organisational nature based on survey results.

    Science.gov (United States)

    Kubo, Makoto

    2014-09-01

    The purpose of this paper is to examine the status of care service providers by locality and organisational nature. Questionnaires were sent to 9505 home-based care service providers registered in the databases of 17 prefectures. The prefectures were selected according to population size. Numerous for-profit providers have newly entered the aged care service market and are operating selectively in Tokyo, a typical example of a metropolitan area. Furthermore, both for-profit and non-profit providers have suffered from a shortage of care workers and difficult management conditions, which tend to be more pronounced in Tokyo. The market under long-term care insurance was successful in terms of the volume of services, but most providers were sceptical as to whether competition in the market could facilitate quality care services. © 2013 The Author. Australasian Journal on Ageing © 2013 ACOTA.

  4. San Francisco Estuary Midwinter Waterfowl Survey: 2012 Survey Results and Trend Analysis (1981-2012)

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This report provides results of the 2012 San Francisco Estuary Midwinter Waterfowl Survey and presents an analysis of trends in waterfowl counts from 1981-2012. The...

  5. Results of the staff survey: your priorities

    CERN Multimedia

    Staff Association

    2014-01-01

    This is the first in a series of articles which will give some details about the results of the Staff Association staff survey To know your priorities and the evolution of your concerns over the last decade we study how, in each of our latest three surveys, you chose from a list of 15 items the five most important and classified them by assigning them a priority, from the most important to the fifth most important. The list of fifteen items, and a short description, follows. Career evolution (classification, level of recruitment, advancement, promotion) Salary level Family policy (recognition of partners, allowances, school fees, kindergarten, nursery, crèche, parental leave) Health insurance Non-residence and international indemnity Annual salary adjustment (cost variation index) Contract policy (duration, recruitment, award of IC, conditions of the beginning and ending of the contract) Motivation at work (interest, team, supervision, mobility, reward scheme) Pensions (retirement, disability, o...

  6. Chandra Survey of Distant Galaxies Provides Evidence for Vigorous Starbursts

    Science.gov (United States)

    2000-05-01

    Using NASA's Chandra X-ray Observatory, astronomers have made the first long-duration X-ray survey of the Hubble Deep Field North. They detected X rays from six of the galaxies in the field, and were surprised by the lack of X rays from some of the most energetic galaxies in the field. The X-ray emitting objects discovered by the research team are a distant galaxy thought to contain a central giant black hole, three elliptically shaped galaxies, an extremely red distant galaxy, and a nearby spiral galaxy. "We were expecting about five X-ray sources in this field,"said Professor Niel Brandt of Penn State University, University Park, and one of the leaders of the research team that conducted the survey. "However, it was very surprising to find that none of the X-ray sources lined up with any of the submillimeter sources." The submillimeter sources are extremely luminous, dusty galaxies that produce large amounts of infrared radiation. Because they are over ten billion light years from Earth, their infrared radiation is shifted to longer, submillimeter wavelengths as it traverses the expanding universe. The primary source of the large power of the submillimeter sources is thought to be an unusually high rate of star formation, or the infall, or accretion of matter into a giant black hole in the center of the galaxy. X-ray observations provide the most direct measure of black hole accretion power. X rays, because of their high-energy, would be expected to pass through the gas and dust in these galaxies, unlike visible light. "With Chandra we have been able to place the best X-ray constraints ever on submillimeter sources," said Ann Hornschemeier, also of Penn State, and the lead author of an upcoming Astrophysical Journal paper describing the discovery. "Our results indicate that less than 15 percent of the submillimeter sources can be luminous X-ray sources." "That means," Brandt explains, "Either there is an enormous amount of star formation in those galaxies, or

  7. The ATLS course, a survey of 228 ATLS providers

    Science.gov (United States)

    Kennedy, D; Gentleman, D

    2001-01-01

    Advanced Trauma Life Support (ATLS) courses teach a system for the initial assessment and management of trauma patients that aims to optimise initial care and reduce mortality and morbidity, and have been adopted worldwide. This questionnaire survey characterised those who took up this particular educational resource in Scotland during a four year period after its introduction, and analysed how they felt it had affected their clinical competence. Irrespective of their previous level of training and experience, nearly all surgeons and anaesthetists who took this course felt that it had improved their clinical skills and other professional attributes. The significance of these results is discussed in the context of postgraduate surgical and anaesthetic training in Scotland. PMID:11310464

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

    Science.gov (United States)

    Walter, U; Noachtar, S; Hinrichs, H

    2018-02-01

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

  9. National wildlife refuge visitor survey results: 2010/2011

    Science.gov (United States)

    Sexton, Natalie R.; Dietsch, Alia M.; Don Carolos, Andrew W.; Miller, Holly M.; Koontz, Lynne M.; Solomon, Adam N.

    2012-01-01

    The U.S. Fish and Wildlife Service (Service) collaborated with the U.S. Geological Survey to conduct a national survey of visitors regarding their experiences on national wildlife refuges. The survey was conducted to better understand visitor needs and experiences and to design programs and facilities that respond to those needs. The survey results will inform Service performance planning, budget, and communications goals. Results will also inform Comprehensive Conservation Plan (CCPs), Visitor Services, and Transportation Planning processes. The survey was conducted on 53 refuges across the National Wildlife Refuge System (Refuge System) to better understand visitor needs and experiences and to design programs and facilities that respond to those needs. A total of 14,832 visitors agreed to participate in the survey between July 2010 and November 2011. In all, 10,233 visitors completed the survey for a 71% response rate. This report provides a summary of visitor and trip characteristics; visitor opinions about refuges and their offerings; and visitor opinions about alternative transportation and climate change, two Refuge System topics of interest. The Refuge System, established in 1903 and managed by the Service, is the leading network of protected lands and waters in the world dedicated to the conservation of fish, wildlife and their habitats. There are 556 National Wildlife Refuges and 38 wetland management districts nationwide, encompassing more than 150 million acres. The Refuge System attracts more than 45 million visitors annually, including 25 million people per year to observe and photograph wildlife, over 9 million to hunt and fish, and more than 10 million to participate in educational and interpretation programs. Understanding visitors and characterizing their experiences on national wildlife refuges are critical elements of managing these lands and meeting the goals of the Refuge System. These combined results are based on surveying at 53 participating

  10. Factors influencing healthcare provider respondent fatigue answering a globally administered in-app survey

    Directory of Open Access Journals (Sweden)

    Vikas N. O’Reilly-Shah

    2017-09-01

    Full Text Available Background Respondent fatigue, also known as survey fatigue, is a common problem in the collection of survey data. Factors that are known to influence respondent fatigue include survey length, survey topic, question complexity, and open-ended question type. There is a great deal of interest in understanding the drivers of physician survey responsiveness due to the value of information received from these practitioners. With the recent explosion of mobile smartphone technology, it has been possible to obtain survey data from users of mobile applications (apps on a question-by-question basis. The author obtained basic demographic survey data as well as survey data related to an anesthesiology-specific drug called sugammadex and leveraged nonresponse rates to examine factors that influenced respondent fatigue. Methods Primary data were collected between December 2015 and February 2017. Surveys and in-app analytics were collected from global users of a mobile anesthesia calculator app. Key independent variables were user country, healthcare provider role, rating of importance of the app to personal practice, length of time in practice, and frequency of app use. Key dependent variable was the metric of respondent fatigue. Results Provider role and World Bank country income level were predictive of the rate of respondent fatigue for this in-app survey. Importance of the app to the provider and length of time in practice were moderately associated with fatigue. Frequency of app use was not associated. This study focused on a survey with a topic closely related to the subject area of the app. Respondent fatigue rates will likely change dramatically if the topic does not align closely. Discussion Although apps may serve as powerful platforms for data collection, responses rates to in-app surveys may differ on the basis of important respondent characteristics. Studies should be carefully designed to mitigate fatigue as well as powered with the

  11. The Extended Northern ROSAT Galaxy Cluster Survey (NORAS II). I. Survey Construction and First Results

    Energy Technology Data Exchange (ETDEWEB)

    Böhringer, Hans; Chon, Gayoung; Trümper, Joachim [Max-Planck-Institut für Extraterrestrische Physik, D-85748 Garching (Germany); Retzlaff, Jörg [ESO, D-85748 Garching (Germany); Meisenheimer, Klaus [Max-Planck-Institut für Astronomy, Königstuhl 17, D-69117 Heidelberg (Germany); Schartel, Norbert [ESAC, Camino Bajo del Castillo, Villanueva de la Cañada, E-28692 Madrid (Spain)

    2017-05-01

    As the largest, clearly defined building blocks of our universe, galaxy clusters are interesting astrophysical laboratories and important probes for cosmology. X-ray surveys for galaxy clusters provide one of the best ways to characterize the population of galaxy clusters. We provide a description of the construction of the NORAS II galaxy cluster survey based on X-ray data from the northern part of the ROSAT All-Sky Survey. NORAS II extends the NORAS survey down to a flux limit of 1.8 × 10{sup −12} erg s{sup −1} cm{sup −2} (0.1–2.4 keV), increasing the sample size by about a factor of two. The NORAS II cluster survey now reaches the same quality and depth as its counterpart, the southern REFLEX II survey, allowing us to combine the two complementary surveys. The paper provides information on the determination of the cluster X-ray parameters, the identification process of the X-ray sources, the statistics of the survey, and the construction of the survey selection function, which we provide in numerical format. Currently NORAS II contains 860 clusters with a median redshift of z  = 0.102. We provide a number of statistical functions, including the log N –log S and the X-ray luminosity function and compare these to the results from the complementary REFLEX II survey. Using the NORAS II sample to constrain the cosmological parameters, σ {sub 8} and Ω{sub m}, yields results perfectly consistent with those of REFLEX II. Overall, the results show that the two hemisphere samples, NORAS II and REFLEX II, can be combined without problems into an all-sky sample, just excluding the zone of avoidance.

  12. Violence toward chronic pain care providers: A national survey.

    Science.gov (United States)

    David, Kim; Anuj, Daftari; Nabil, Sibai

    2015-10-01

    This study measured the following: violence rates against chronic pain care providers (CPCPs), character/context/risk factors for violence and CPCPs' mitigation strategies. An e-mail survey was sent to members of the American Society of Interventional Pain Physicians (ASIIP) to collect demographics, rates/type of violence, injury, risk mitigation, and context of violence. Correlation with demographic factors calculated using one-way ANOVA and χ2 test (Fisher test). Security was called by 64.85% of CPCPs and 51.52% received threats. The threats involved a gun 7.05% of the time. Injury was reported by 2.73% of CPCPs. The most common risk mitigation was discharging patient (85.33%). Others used protective equipment (16.89%) of which a significant percentage carried a gun (54%). Opioid management was the highest context for violence (89.9%; P < 0.0001). Those who practiced part-time were more likely to be harmed (P = 0.0290). Females were less likely to be threatened (P = 0.0507). Anesthesiology was the most threatened vs other specialties (P = 0.0215). Urban practices were less likely to move or close the practice (P = 0.0292). CPCPs were at high risk for violence. Risk factors were older age, male, working part time, and anesthesiology. Risk was highest in the context of opioid management and disability. Discharging patient was the most common risk mitigation. A significant number of physicians carried firearms. Wiley Periodicals, Inc.

  13. Effects of Survey Mode on Consumer Assessment of Healthcare Providers and Systems (CAHPS) Hospice Survey Scores.

    Science.gov (United States)

    Parast, Layla; Elliott, Marc N; Hambarsoomian, Katrin; Teno, Joan; Anhang Price, Rebecca

    2018-01-23

    To examine the effect of mode of survey administration on response rates and response tendencies for the Consumer Assessment of Healthcare Providers and Systems (CAHPS) Hospice Survey and develop appropriate adjustments. Survey response data were obtained after sampling and fielding of the CAHPS Hospice Survey in 2015. Sampled caregivers and decedents were randomized to one of three modes: mail only, telephone only, and mixed mode (mail with telephone follow-up). Linear regression analysis was used to examine the effect of mode on individual responses to questions (6 composite measures and 2 global measures that examine hospice quality). U.S. hospice programs (N = 57). Primary caregivers of individuals who died in hospice (N = 7,349). Outcomes were 8 hospice quality measures (6 composite measures, 2 global measures). Analyses were adjusted for differences in case-mix (e.g., decedent age, payer for hospice care, primary diagnosis, length of final episode of hospice care, respondent age, respondent education, relationship of decedent to caregiver, survey language, and language spoken at home) between hospices. Response rates were 42.6% for those randomized to mail only, 37.9%, for those randomized to telephone only, and 52.6% for those randomized to mixed mode (P mode effects (P mode experiments for hospital CAHPS, hospice primary caregivers tend to respond more negatively by telephone than by mail. Valid comparisons of hospice performance require that reported hospice scores be adjusted for survey mode. © 2018, Copyright the Authors Journal compilation © 2018, The American Geriatrics Society.

  14. SSL Adoption by Museums: Survey Results, Analysis, and Recommendations

    Energy Technology Data Exchange (ETDEWEB)

    Perrin, T. E. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Druzik, J. R. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Miller, N. J. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States)

    2014-11-01

    DOE Solid-State Lighting GATEWAY report that summarizes the results of a survey of the museum community regarding conversions to SSL in museums. Responses provided real-world insight into how LEDs are being incorporated into museums, and what successes and hurdles have been encountered in the process.

  15. Greek Alcohol Survey: Results and Analysis.

    Science.gov (United States)

    Jensen, Wesley; And Others

    Alcohol use among 458 members of Greek fraternities and sororities at the University of North Dakota was surveyed. The survey instrument, which was an adaptation of a questionnaire developed by Michael A. Looney, was directed to frequency of use, amounts consumed, type of beverage, attitudes, and demographic information. It was found that…

  16. Speak Up Speak Out Coalition Survey Results | Science ...

    Science.gov (United States)

    Comprehensive planning is a visionary planning process that integrates community values and land use policy. The Mayor of Duluth, Minnesota, directed the inclusion of two new values into the City’s comprehensive planning process to direct the community’s future, process: health and fairness. In order to understand the meanings of health and fairness that residents of the city hold, the Community Planning Department included questions in a city-wide survey of planning priorities. As a community organization reviewed the survey results that would inform the new directives, they realized that overburdened communities were underrepresented in the survey responses. To address this deficiency, the community organization asked the City of Duluth if they could conduct a survey of the underrepresented voices to ensure their input was included in the process. The Health in All Policies Coalition contacted the USEPA Office of Research and Development in Duluth, MN at the advice of the Planning Department. The support USEPA provided ensured that the Coalition could make recommendations to the City of Duluth based on systematically collected and analyzed data. This presentation will share the results of the survey. This presentation of the Speak Up Speak Out survey data represents support for local decision-making, technical assistance and data analysis. The data were collected and analyzed through advice and consultation with USEPA Office of Research and Development, an

  17. The LOFAR Multifrequency Snapshot Sky Survey (MSSS). I. Survey description and first results

    Science.gov (United States)

    Heald, G. H.; Pizzo, R. F.; Orrú, E.; Breton, R. P.; Carbone, D.; Ferrari, C.; Hardcastle, M. J.; Jurusik, W.; Macario, G.; Mulcahy, D.; Rafferty, D.; Asgekar, A.; Brentjens, M.; Fallows, R. A.; Frieswijk, W.; Toribio, M. C.; Adebahr, B.; Arts, M.; Bell, M. R.; Bonafede, A.; Bray, J.; Broderick, J.; Cantwell, T.; Carroll, P.; Cendes, Y.; Clarke, A. O.; Croston, J.; Daiboo, S.; de Gasperin, F.; Gregson, J.; Harwood, J.; Hassall, T.; Heesen, V.; Horneffer, A.; van der Horst, A. J.; Iacobelli, M.; Jelić, V.; Jones, D.; Kant, D.; Kokotanekov, G.; Martin, P.; McKean, J. P.; Morabito, L. K.; Nikiel-Wroczyński, B.; Offringa, A.; Pandey, V. N.; Pandey-Pommier, M.; Pietka, M.; Pratley, L.; Riseley, C.; Rowlinson, A.; Sabater, J.; Scaife, A. M. M.; Scheers, L. H. A.; Sendlinger, K.; Shulevski, A.; Sipior, M.; Sobey, C.; Stewart, A. J.; Stroe, A.; Swinbank, J.; Tasse, C.; Trüstedt, J.; Varenius, E.; van Velzen, S.; Vilchez, N.; van Weeren, R. J.; Wijnholds, S.; Williams, W. L.; de Bruyn, A. G.; Nijboer, R.; Wise, M.; Alexov, A.; Anderson, J.; Avruch, I. M.; Beck, R.; Bell, M. E.; van Bemmel, I.; Bentum, M. J.; Bernardi, G.; Best, P.; Breitling, F.; Brouw, W. N.; Brüggen, M.; Butcher, H. R.; Ciardi, B.; Conway, J. E.; de Geus, E.; de Jong, A.; de Vos, M.; Deller, A.; Dettmar, R.-J.; Duscha, S.; Eislöffel, J.; Engels, D.; Falcke, H.; Fender, R.; Garrett, M. A.; Grießmeier, J.; Gunst, A. W.; Hamaker, J. P.; Hessels, J. W. T.; Hoeft, M.; Hörandel, J.; Holties, H. A.; Intema, H.; Jackson, N. J.; Jütte, E.; Karastergiou, A.; Klijn, W. F. A.; Kondratiev, V. I.; Koopmans, L. V. E.; Kuniyoshi, M.; Kuper, G.; Law, C.; van Leeuwen, J.; Loose, M.; Maat, P.; Markoff, S.; McFadden, R.; McKay-Bukowski, D.; Mevius, M.; Miller-Jones, J. C. A.; Morganti, R.; Munk, H.; Nelles, A.; Noordam, J. E.; Norden, M. J.; Paas, H.; Polatidis, A. G.; Reich, W.; Renting, A.; Röttgering, H.; Schoenmakers, A.; Schwarz, D.; Sluman, J.; Smirnov, O.; Stappers, B. W.; Steinmetz, M.; Tagger, M.; Tang, Y.; ter Veen, S.; Thoudam, S.; Vermeulen, R.; Vocks, C.; Vogt, C.; Wijers, R. A. M. J.; Wucknitz, O.; Yatawatta, S.; Zarka, P.

    2015-10-01

    We present the Multifrequency Snapshot Sky Survey (MSSS), the first northern-sky Low Frequency Array (LOFAR) imaging survey. In this introductory paper, we first describe in detail the motivation and design of the survey. Compared to previous radio surveys, MSSS is exceptional due to its intrinsic multifrequency nature providing information about the spectral properties of the detected sources over more than two octaves (from 30 to 160 MHz). The broadband frequency coverage, together with the fast survey speed generated by LOFAR's multibeaming capabilities, make MSSS the first survey of the sort anticipated to be carried out with the forthcoming Square Kilometre Array (SKA). Two of the sixteen frequency bands included in the survey were chosen to exactly overlap the frequency coverage of large-area Very Large Array (VLA) and Giant Metrewave Radio Telescope (GMRT) surveys at 74 MHz and 151 MHz respectively. The survey performance is illustrated within the MSSS Verification Field (MVF), a region of 100 square degrees centered at (α,δ)J2000 = (15h,69°). The MSSS results from the MVF are compared with previous radio survey catalogs. We assess the flux and astrometric uncertainties in the catalog, as well as the completeness and reliability considering our source finding strategy. We determine the 90% completeness levels within the MVF to be 100 mJy at 135 MHz with 108″ resolution, and 550 mJy at 50 MHz with 166″ resolution. Images and catalogs for the full survey, expected to contain 150 000-200 000 sources, will be released to a public web server. We outline the plans for the ongoing production of the final survey products, and the ultimate public release of images and source catalogs.

  18. Do low survey response rates bias results? Evidence from Japan

    Directory of Open Access Journals (Sweden)

    Ronald R. Rindfuss

    2015-03-01

    Full Text Available Background: In developed countries, response rates have dropped to such low levels that many in the population field question whether the data can provide unbiased results. Objective: The paper uses three Japanese surveys conducted in the 2000s to ask whether low survey response rates bias results. A secondary objective is to bring results reported in the survey response literature to the attention of the demographic research community. Methods: Using a longitudinal survey as well as paradata from a cross-sectional survey, a variety of statistical techniques (chi square, analysis of variance (ANOVA, logistic regression, ordered probit or ordinary least squares regression (OLS, as appropriate are used to examine response-rate bias. Results: Evidence of response-rate bias is found for the univariate distributions of some demographic characteristics, behaviors, and attitudinal items. But when examining relationships between variables in a multivariate analysis, controlling for a variety of background variables, for most dependent variables we do not find evidence of bias from low response rates. Conclusions: Our results are consistent with results reported in the econometric and survey research literatures. Low response rates need not necessarily lead to biased results. Bias is more likely to be present when examining a simple univariate distribution than when examining the relationship between variables in a multivariate model. Comments: The results have two implications. First, demographers should not presume the presence or absence of low response-rate bias; rather they should test for it in the context of a specific substantive analysis. Second, demographers should lobby data gatherers to collect as much paradata as possible so that rigorous tests for low response-rate bias are possible.

  19. Diversity and Demographics of Zooarchaeologists: Results from a Digital Survey

    Directory of Open Access Journals (Sweden)

    Suzanne E. Pilaar Birch

    2015-12-01

    Full Text Available Nearly 25 years ago, a “Zooarchaeology Practitioner Survey” was distributed via conventional mail to individuals in the USA and Canada and received 122 responses over a period of several months in 1991. Now, a revised “Demographics in Zooarchaeology Survey” provides an update to  those data and assesses the current state of the field. The 2014 survey remained open for 3 months and received 288 responses from practitioners worldwide. Global participation was made possible by hosting the survey online. Key findings of the 1991 survey included disparities in employment rank for women despite similar levels of degree level attainment as men, a point which the 2014 survey sought to investigate. This trend appears to persist for those without the PhD and at the highest levels of income for those holding a PhD. In addition, the recent survey asked participants about their racial or ethnic identity in order to evaluate the demographic diversity of the discipline beyond sex, age, and nationality. Data regarding topical and geographic research area were also collected and reflect a subtle bias towards working with mammals and a focus on research questions grounded in prehistory in Europe and North America, followed by Australia and Southwest Asia. Results are compared with those of the earlier survey and membership information from the International Council for Archaeozoology.

  20. Healthcare quality management in Switzerland--a survey among providers.

    Science.gov (United States)

    Kaderli, Reto; Pfortmueller, Carmen A; Businger, Adrian P

    2012-04-27

    In the last decade assessing the quality of healthcare has become increasingly important across the world. Switzerland lacks a detailed overview of how quality management is implemented and of its effects on medical procedures and patients' concerns. This study aimed to examine the systematics of quality management in Switzerland by assessing the providers and collected parameters of current quality initiatives. In summer 2011 we contacted all of the medical societies in Switzerland, the Federal Office of Public Health, the Swiss Medical Association (FMH) and the head of Swiss medical insurance providers, to obtain detailed information on current quality initiatives. All quality initiatives featuring standardised parameter assessment were included. Of the current 45 initiatives, 19 were powered by medical societies, five by hospitals, 11 by non-medical societies, two by the government, two by insurance companies or related institutions and six by unspecified institutions. In all, 24 medical registers, five seals of quality, five circles of quality, two self-assessment tools, seven superior entities, one checklist and one combined project existed. The cost of treatment was evaluated by four initiatives. A data report was released by 24 quality initiatives. The wide variety and the large number of 45 recorded quality initiatives provides a promising basis for effective healthcare quality management in Switzerland. However, an independent national supervisory authority should be appointed to provide an effective review of all quality initiatives and their transparency and coordination.

  1. Results of the 2008-09 Campus Travel Survey

    OpenAIRE

    Lovejoy, Kristin; Handy, Susan L.; Contreras, Cliff

    2009-01-01

    This report summarizes findings from the 2008-09 UC Davis Campus Travel Survey, administered annually each fall to a stratified random sample of the UC Davis community. It includes estimates of the overall campus mode split, average vehicle occupancy, numbers of vehicles arriving on campus, distances traveled, transit ridership by provider, and carbon emissions associated with campus travel. Additional results include statistics on accidents, bike theft, bikes left on campus overnight, bike t...

  2. Practice Nurse Education Needs Analysis survey results.

    OpenAIRE

    Procter, Susan; Loveday, H; Nakisa, Mel; Nasir, L; Berry, Z; Chaggar, G; Wilson, JA

    2015-01-01

    This report describes the outcomes from a questionnaire completed by practice nurses in the CWHHE CCG collaborative and the outer NWL CCGs. Data from the CWHHE CCGs were collected by Bucks New University. Data from the outer NWL CCGs were collected by the University of West London, using a survey based on that used by Bucks. The Aims of the study were to: • identify the key education priorities for practice nursing across the 8 NW London CCGs; • explore future practice and education requireme...

  3. THE TIME DOMAIN SPECTROSCOPIC SURVEY: VARIABLE SELECTION AND ANTICIPATED RESULTS

    Energy Technology Data Exchange (ETDEWEB)

    Morganson, Eric; Green, Paul J. [Harvard Smithsonian Center for Astrophysics, 60 Garden St, Cambridge, MA 02138 (United States); Anderson, Scott F.; Ruan, John J. [Department of Astronomy, University of Washington, Box 351580, Seattle, WA 98195 (United States); Myers, Adam D. [Department of Physics and Astronomy, University of Wyoming, Laramie, WY 82071 (United States); Eracleous, Michael; Brandt, William Nielsen [Department of Astronomy and Astrophysics, 525 Davey Laboratory, The Pennsylvania State University, University Park, PA 16802 (United States); Kelly, Brandon [Department of Physics, Broida Hall, University of California, Santa Barbara, CA 93106-9530 (United States); Badenes, Carlos [Department of Physics and Astronomy and Pittsburgh Particle Physics, Astrophysics and Cosmology Center (PITT PACC), University of Pittsburgh, 3941 O’Hara St, Pittsburgh, PA 15260 (United States); Bañados, Eduardo [Max-Planck-Institut für Astronomie, Königstuhl 17, D-69117 Heidelberg (Germany); Blanton, Michael R. [Center for Cosmology and Particle Physics, Department of Physics, New York University, 4 Washington Place, New York, NY 10003 (United States); Bershady, Matthew A. [Department of Astronomy, University of Wisconsin, 475 N. Charter St., Madison, WI 53706 (United States); Borissova, Jura [Instituto de Física y Astronomía, Universidad de Valparaíso, Av. Gran Bretaña 1111, Playa Ancha, Casilla 5030, and Millennium Institute of Astrophysics (MAS), Santiago (Chile); Burgett, William S. [GMTO Corp, Suite 300, 251 S. Lake Ave, Pasadena, CA 91101 (United States); Chambers, Kenneth, E-mail: emorganson@cfa.harvard.edu [Institute for Astronomy, University of Hawaii at Manoa, Honolulu, HI 96822 (United States); and others

    2015-06-20

    We present the selection algorithm and anticipated results for the Time Domain Spectroscopic Survey (TDSS). TDSS is an Sloan Digital Sky Survey (SDSS)-IV Extended Baryon Oscillation Spectroscopic Survey (eBOSS) subproject that will provide initial identification spectra of approximately 220,000 luminosity-variable objects (variable stars and active galactic nuclei across 7500 deg{sup 2} selected from a combination of SDSS and multi-epoch Pan-STARRS1 photometry. TDSS will be the largest spectroscopic survey to explicitly target variable objects, avoiding pre-selection on the basis of colors or detailed modeling of specific variability characteristics. Kernel Density Estimate analysis of our target population performed on SDSS Stripe 82 data suggests our target sample will be 95% pure (meaning 95% of objects we select have genuine luminosity variability of a few magnitudes or more). Our final spectroscopic sample will contain roughly 135,000 quasars and 85,000 stellar variables, approximately 4000 of which will be RR Lyrae stars which may be used as outer Milky Way probes. The variability-selected quasar population has a smoother redshift distribution than a color-selected sample, and variability measurements similar to those we develop here may be used to make more uniform quasar samples in large surveys. The stellar variable targets are distributed fairly uniformly across color space, indicating that TDSS will obtain spectra for a wide variety of stellar variables including pulsating variables, stars with significant chromospheric activity, cataclysmic variables, and eclipsing binaries. TDSS will serve as a pathfinder mission to identify and characterize the multitude of variable objects that will be detected photometrically in even larger variability surveys such as Large Synoptic Survey Telescope.

  4. Medicinal Cannabis: A Survey Among Health Care Providers in Washington State

    Science.gov (United States)

    Carlini, Beatriz H; Garrett, Sharon B; Carter, Gregory T

    2017-02-01

    Washington State allows marijuana use for medical (since 1998) and recreational (since 2012) purposes. The benefits of medicinal cannabis (MC) can be maximized if clinicians educate patients about dosing, routes of administration, side effects, and plant composition. However, little is known about clinicians' knowledge and practices in Washington State. An anonymous online survey assessed providers' MC knowledge, beliefs, clinical practices, and training needs. The survey was disseminated through health care providers' professional organizations in Washington State. Descriptive analysis compared providers who had and had not authorized MC for patients. Survey results informed the approach and content of an online training on best clinical practices of MC. Four hundred ninety-four health care providers responded to the survey. Approximately two-third were women, aged 30 to 60 years, and working in family or internal medicine. More than half of the respondents were legally allowed to write MC authorizations per Washington State law, and 27% of those had issued written MC authorizations. Overall, respondents reported low knowledge and comfort level related to recommending MC. Respondents rated MC knowledge as important and supported inclusion of MC training in medical/health provider curriculum. Most Washington State providers have not received education on scientific basis of MC or training on best clinical practices of MC. Clinicians who had issued MC authorizations were more likely to have received MC training than those who had not issued MC authorization. The potential of MCs to benefit some patients is hindered by the lack of comfort of clinicians to recommend it. Training opportunities are badly needed to address these issues.

  5. PRES 2013: Results from the Postgraduate Research Experience Survey

    Science.gov (United States)

    Bennett, Paul; Turner, Gosia

    2013-01-01

    This document outlines the results of the "2013 Postgraduate Research Experience Survey" ("PRES"), where 48,401 replies were received from 122 participating institutions. Redeveloped for 2013, our biennial survey is the only national survey to gather insight from postgraduate research students about their learning and…

  6. The VLA Sky Survey (VLASS): Overview and First Results

    Science.gov (United States)

    Myers, Steven T.; VLASS Survey Team, Survey Science Group (SSG)

    2018-01-01

    The VLA Sky Survey (VLASS) is a 5520 hour spectropolarimetric synoptic survey covering the 33885 square degrees of the sky above Declination -40 degrees from 2-4 GHz at 2.5" angular resolution using the upgraded Karl G. Jansky Very Large Array (VLA). Over the survey duration of 7 years, each area of the sky will be covered in 3 epochs spaced 32 months apart, to a projected depth of 0.12mJy/beam rms noise per epoch and 0.07mJy/beam for 3 epochs combined. The VLASS employs on-the-fly mosaicking (OTFM) to rapidly scan the sky with a net speed of approximately 20 sq. degrees per hour. The high-level science goals for the survey include the identification and precise location of radio transients, the measurement of magnetic fields in our galaxy and beyond, and the study of radio emission from galaxies and active galactic nuclei throughout the Universe. The ability of the VLASS to see through dust allows us to unveil phenomena such as hidden cosmic explosions, emission from deep within our galaxy, and supermassive black holes buried within host galaxies.The VLASS was proposed in 2014 by our community-led Survey Science Group (SSG). VLASS Pilot observations were taken in mid-2016, and the first epoch covering half the area (VLASS1.1) commenced in September 2017. The raw data from the VLASS are available in the NRAO archive immediately with no proprietary period. The Basic Data Products (BDP) that will be produced by the survey team are public and will additionally include: calibrated visibility data, quick-look continuum images (with a goal of posting to the archive within 1 week of observation), single-epoch and cumulative combined-epoch images, spectral image cubes, and basic object catalogs. Single-epoch and cumulative images are in intensity and linear polarization (Stokes IQU). In addition to the BDP provided by NRAO and served through the NRAO archive, there are plans for Enhanced Data Products and Services to be provided by the community in partnership with the

  7. Engaging Employees in Interpreting Survey Results

    Directory of Open Access Journals (Sweden)

    Keith Owen

    2015-01-01

    Full Text Available A key change agent role is to help clients understand the systems to which they belong to improve performance. A major challenge is how to facilitate this understanding. Typically, the change agent collects the data and provides an interpretation about its significance for the client organization. This approach, however, often meets with resistance. What is needed is an approach that engages the author of the data in its interpretation and this article introduces just such an approach—PathMAP®. A case study is used to introduce PathMAP® and show how it can be used to engage system agents in a rigorous process of data interpretation leading to an increased understanding of the variables that influence system dynamics and of how to engage the system in change. This article will demonstrate how PathMAP® enables change agents to get an accurate picture of the current state of an organization by identifying the key issues facing the organization and their interrelationship, and using this knowledge to create meaningful action plans that make deep and intuitive sense to organization’s members.

  8. Medical Radioisotope Data Survey: 2002 Preliminary Results

    Energy Technology Data Exchange (ETDEWEB)

    Siciliano, Edward R.

    2004-06-23

    A limited, but accurate amount of detailed information about the radioactive isotopes used in the U.S. for medical procedures was collected from a local hospital and from a recent report on the U.S. Radiopharmaceutical Markets. These data included the total number of procedures, the specific types of procedures, the specific radioisotopes used in these procedures, and the dosage administered per procedure. The information from these sources was compiled, assessed, pruned, and then merged into a single, comprehensive and consistent set of results presented in this report. (PIET-43471-TM-197)

  9. CUSTOMIZATION IN THE MANUFACTURING INDUSTRY: SURVEY RESULTS IN SOUTHEASTERN BRAZIL

    Directory of Open Access Journals (Sweden)

    Alexandre Reis Graeml

    2010-01-01

    Full Text Available This paper discusses the advantage of using kanban, postponement, modularization, just-in-time, production sequencing, milk-run and cross-docking by companies that intend to increase their flexibility, agility and reliability in order to support web-based businesses. It presents the results of a survey carried out with more than 600 manufacturing companies in the state of Sao Paulo, Brazil, and evaluates the changes that are taking place in operations, in order to make companies better suited to provide customized products, which are made to meet the individual requirements of each customer.

  10. Fertility preservation in paediatric nephrology: results of a physician survey.

    Science.gov (United States)

    Miller, Steven D; Li, Yimei; Meyers, Kevin E C; Caplan, Arthur; Miller, Victoria A; Ginsberg, Jill P

    2014-12-01

    Fertility preservation (FP) is a widespread practice in paediatric oncology when gonadotoxic medications such as cyclophosphamide (CPO) are used. FP practice outside of oncology has not been studied, although nephrologists regularly use CPO. This is the first study to explore FP practice by paediatric nephrologists when CPO is used. Survey study. Descriptive statistics and chi-squared analyses were employed to analyse the data. US paediatric nephrologists were sent a survey via email. The survey queried participants about FP practice behaviours, FP attitudes and barriers to practice. Of 579 nephrologists invited, 32% responded to the survey. CPO was dosed in mg/kg by 23% of physicians, g/m(2) by 40% and both by 37%. About 80% agreed that pubertal females should be offered a fertility referral, while 58% report that they actually refer. Factors negatively associated with referral include lack of training, lack of referral network and adherence to gonadotoxic dose limits. Results were similar for male patients. The survey showed that FP practice in the United States is widespread among nephrologists. Lack of referral networks is a notable barrier for nephrologists. Perceived adherence to dose limits may be problematic given the variable dosing regimens utilised. This is due to the risk of unintended overdose in large adolescents dosed in mg/kg whose cumulative dose exceeds gonadotoxic limits in g/m(2) . This paper has implications for nephrology care providers and other specialists who utilise CPO, generalists who care for these patients and oncologists with extant FP referral networks. © 2014 European Dialysis and Transplant Nurses Association/European Renal Care Association.

  11. Numerical homogenization: survey, new results, and perspectives

    Directory of Open Access Journals (Sweden)

    Gloria Antoine

    2012-09-01

    Full Text Available These notes give a state of the art of numerical homogenization methods for linear elliptic equations. The guideline of these notes is analysis. Most of the numerical homogenization methods can be seen as (more or less different discretizations of the same family of continuous approximate problems, which H-converges to the homogenized problem. Likewise numerical correctors may also be interpreted as approximations of Tartar’s correctors. Hence the convergence analysis of these methods relies on the H-convergence theory. When one is interested in convergence rates, the story is different. In particular one first needs to make additional structure assumptions on the heterogeneities (say periodicity for instance. In that case, a crucial tool is the spectral interpretation of the corrector equation by Papanicolaou and Varadhan. Spectral analysis does not only allow to obtain convergence rates, but also to devise efficient new approximation methods. For both qualitative and quantitative properties, the development and the analysis of numerical homogenization methods rely on seminal concepts of the homogenization theory. These notes contain some new results. Ces notes de cours dressent un état de l’art des méthodes d’homogénéisation numérique pour les équations elliptiques linéaires. Le fil conducteur choisi est l’analyse. La plupart des méthodes d’homogénéisation numérique s’interprète comme des discrétisations (plus ou moins différentes d’une même famille de problèmes continus approchés qui H-converge vers le problème homogénéisé. De même, le concept de correcteur numérique s’interprète comme une approximation des correcteurs introduits par Tartar. Ainsi l’analyse de convergence repose essentiellement sur la théorie de la H-convergence. Si on s’intéresse aux estimations quantitatives d’erreur, il faut faire des hypothèses supplémentaires de structure sur les hétérogénéités (périodicité par

  12. PTSD among Bosnian refugees: a survey of providers' knowledge, attitudes and service patterns.

    Science.gov (United States)

    Weine, S M; Kuc, G; Dzudza, E; Razzano, L; Pavkovic, I

    2001-06-01

    The objective of this study was to investigate providers' knowledge, attitudes and service provision patterns for Bosnian refugees with PTSD and to consider the overall implications for trauma-related mental health services. A survey instrument was developed and administered to 30 randomly selected service providers working with Bosnian refugees in Chicago. This sample includes primary medical care providers (n = 7), community social service providers (n = 12), and mental health service providers (n = 11). Results showed that knowledge about PTSD is highest in mental health service providers, as is amount of previous training and education about PTSD. Less than half of all providers systematically assess for PTSD, and standardized instruments for PTSD are rarely used. The top three overall recommendations for services were ranked as: 1. Psychotherapy; 2. No intervention; 3. Psychiatric evaluation. In general, less than half of providers hold attitudes toward refugees as suffering from illnesses or mental disorders, or that "something" is wrong with them. Likewise, only half of the providers reported providing education to refugees and their families about the possible mental health consequences of trauma. In conclusion, assessment, intervention and educational activities of providers are not consistent with literature documenting that PTSD is highly prevalent in refugee populations. New training programs, model development, and research initiatives are needed to address the needs of refugees.

  13. Canadian Health Measures Survey pre-test: design, methods, results.

    Science.gov (United States)

    Tremblay, Mark; Langlois, Renée; Bryan, Shirley; Esliger, Dale; Patterson, Julienne

    2007-01-01

    The Canadian Health Measures Survey (CHMS) pre-test was conducted to provide information about the challenges and costs associated with administering a physical health measures survey in Canada. To achieve the specific objectives of the pre-test, protocols were developed and tested, and methods for household interviewing and clinic testing were designed and revised. The cost, logistics and suitability of using fixed sites for the CHMS were assessed. Although data collection, transfer and storage procedures are complex, the pre-test experience confirmed Statistics Canada's ability to conduct a direct health measures survey and the willingness of Canadians to participate in such a health survey. Many operational and logistical procedures worked well and, with minor modifications, are being employed in the main survey. Fixed sites were problematic, and survey costs were higher than expected.

  14. The perspective of rural physicians providing abortion in Canada: qualitative findings of the BC Abortion Providers Survey (BCAPS).

    Science.gov (United States)

    Dressler, Jennifer; Maughn, Nanamma; Soon, Judith A; Norman, Wendy V

    2013-01-01

    An increasing proportion of Canadian induced abortions are performed in large urban areas. For unknown reasons the number of rural abortion providers in Canadian provinces, such as British Columbia (BC), has declined substantially. This study explored the experiences of BC rural and urban physicians providing abortion services. The mixed methods BC Abortion Providers Survey employed self-administered questionnaires, distributed to all known current and some past BC abortion providers in 2011. The optional semi-structured interviews are the focus of this analysis. Interview questions probed the experiences, facilitators and challenges faced by abortion providers, and their future intentions. Interviews were transcribed and analyzed using cross-case and thematic analysis. Twenty interviews were completed and transcribed, representing 13/27 (48.1%) rural abortion providers, and 7/19 (36.8%) of urban providers in BC. Emerging themes differed between urban and rural providers. Most urban providers worked within clinics and reported a supportive environment. Rural physicians, all providing surgical abortions within hospitals, reported challenging barriers to provision including operating room scheduling, anesthetist and nursing logistical issues, high demand for services, professional isolation, and scarcity of replacement abortion providers. Many rural providers identified a need to "fly under the radar" in their small community. This first study of experiences among rural and urban abortion providers in Canada identifies addressable challenges faced by rural physicians. Rural providers expressed a need for increased support from hospital administration and policy. Further challenges identified include a desire for continuing professional education opportunities, and for available replacement providers.

  15. The perspective of rural physicians providing abortion in Canada: qualitative findings of the BC Abortion Providers Survey (BCAPS.

    Directory of Open Access Journals (Sweden)

    Jennifer Dressler

    Full Text Available An increasing proportion of Canadian induced abortions are performed in large urban areas. For unknown reasons the number of rural abortion providers in Canadian provinces, such as British Columbia (BC, has declined substantially. This study explored the experiences of BC rural and urban physicians providing abortion services.The mixed methods BC Abortion Providers Survey employed self-administered questionnaires, distributed to all known current and some past BC abortion providers in 2011. The optional semi-structured interviews are the focus of this analysis. Interview questions probed the experiences, facilitators and challenges faced by abortion providers, and their future intentions. Interviews were transcribed and analyzed using cross-case and thematic analysis.Twenty interviews were completed and transcribed, representing 13/27 (48.1% rural abortion providers, and 7/19 (36.8% of urban providers in BC. Emerging themes differed between urban and rural providers. Most urban providers worked within clinics and reported a supportive environment. Rural physicians, all providing surgical abortions within hospitals, reported challenging barriers to provision including operating room scheduling, anesthetist and nursing logistical issues, high demand for services, professional isolation, and scarcity of replacement abortion providers. Many rural providers identified a need to "fly under the radar" in their small community.This first study of experiences among rural and urban abortion providers in Canada identifies addressable challenges faced by rural physicians. Rural providers expressed a need for increased support from hospital administration and policy. Further challenges identified include a desire for continuing professional education opportunities, and for available replacement providers.

  16. Initial results from an online breast augmentation survey.

    Science.gov (United States)

    Young, V Leroy; Watson, Marla E; Boswell, C B; Centeno, Robert F

    2004-01-01

    rheumatologic diseases, were more common among women considering augmentation. Respondents with implants did not smoke at levels higher than comparable women in the general population and were not major consumers of alcohol. The Online Breast Augmentation Survey provides a wealth of previously unavailable data on women who have undergone or who are considering breast augmentation. The data indicate that women consider breast augmentation carefully, that they are well informed by their physicians before surgery, and that they are generally happy with the results.

  17. Results of a survey on current surgical smoke control practices.

    Science.gov (United States)

    Edwards, Ben E; Reiman, Robert E

    2008-04-01

    Researchers at Duke University Medical Center, Durham, NC, conducted a simple, web-based survey of AORN members to evaluate surgical smoke control practices. Survey respondents from various medical specialties and facilities throughout North America indicated their facilities' level of compliance with established surgical smoke control measures. Survey results indicate that many facilities have not implemented best practices for protecting patients and health care workers from surgical smoke hazards, especially smoke created during electrosurgical, electrocautery, and diathermy procedures. (c) AORN, Inc, 2008.

  18. Provide context when reporting on the use of protected and endangered wildlife in ethnopharmacological surveys.

    Science.gov (United States)

    Nijman, Vincent; Nekaris, K A I

    2016-12-24

    The value of reports on the use of wildlife in ethnopharmacological surveys increases when context is provided on the legality of its use and on the species' conservation status. To evaluate if context is provided when protected and threatened animals are reported as being used in traditional medicine, and to provide recommendations for future reporting. Review of recent papers in the Journal of Ethnopharmacology. Rarely is information provided on (1) the conservation status of the animals that are used in traditional medicine, (2) whether the parts can be obtained non-invasively or if the animals have to be killed, or (3) whether or not it is legal to use the animals, their parts or derivatives according to national law. When presenting the results of ethnopharmalogical surveys include (1) the conservation status of the species affected, (2) whether or not parts could be harvested non-invasively and (3) the legality of harvesting and / or trading these animals, their parts or their derivatives. Our focus here is on animals, given that more so than in plants or fungi, many of their parts used in natural medicine cannot be obtained non-invasively, but a similar set of guidelines could be developed for other taxa. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

  19. Providing dental care to pregnant patients: a survey of Oregon general dentists.

    Science.gov (United States)

    Huebner, Colleen E; Milgrom, Peter; Conrad, Douglas; Lee, Rosanna Shuk Yin

    2009-02-01

    A growing number of studies and reports indicate preventive, routine and emergency dental procedures can be provided safely to pregnant patients to alleviate dental problems and promote oral health of mothers and children. In 2006 and 2007, the authors conducted a survey of 1,604 general dentists in Oregon. The survey asked dentists about their attitudes, beliefs and practices regarding dental care for pregnant patients. The authors compared the responses with 2006 guidelines from a New York State Department of Health expert panel. The response rate was 55.2 percent. Most respondents (91.7 percent) agreed that dental treatment should be part of prenatal care. Two-thirds of respondents (67.7 percent) were interested in receiving continuing dental education (CDE) regarding the care of pregnant patients. Comparisons of self-reported knowledge and practice with the aforementioned guidelines revealed several points of difference; the greatest regarded obtaining full-mouth radiographs, providing nitrous oxide, administering long-acting anesthetic injections and use of over-the-counter pain medications. Dentists need pregnancy-specific education to provide up-to-date preventive and curative care to pregnant patients. The results of the study identified specific skills and misinformation that could be addressed through CDE. Comprehensive dental care provided during pregnancy is needed to ensure the oral health of all women at risk of experiencing pregnancy-specific problems, as well as the prevention of early childhood caries.

  20. Stigma in Canada: Results From a Rapid Response Survey

    Science.gov (United States)

    Stuart, Heather; Patten, Scott B; Koller, Michelle; Modgill, Geeta; Liinamaa, Tiina

    2014-01-01

    Objective: Our paper presents findings from the first population survey of stigma in Canada using a new measure of stigma. Empirical objectives are to provide a descriptive profile of Canadian’s expectations that people will devalue and discriminate against someone with depression, and to explore the relation between experiences of being stigmatized in the year prior to the survey among people having been treated for a mental illness with a selected number of sociodemographic and mental health–related variables. Method: Data were collected by Statistics Canada using a rapid response format on a representative sample of Canadians (n = 10 389) during May and June of 2010. Public expectations of stigma and personal experiences of stigma in the subgroup receiving treatment for a mental illness were measured. Results: Over one-half of the sample endorsed 1 or more of the devaluation discrimination items, indicating that they believed Canadians would stigmatize someone with depression. The item most frequently endorsed concerned employers not considering an application from someone who has had depression. Over one-third of people who had received treatment in the year prior to the survey reported discrimination in 1 or more life domains. Experiences of discrimination were strongly associated with perceptions that Canadians would devalue someone with depression, younger age (12 to 15 years), and self-reported poor general mental health. Conclusions: The Mental Health Experiences Module reflects an important partnership between 2 national organizations that will help Canada fulfill its monitoring obligations under the United Nations Convention on the Rights of Persons with Disabilities and provide a legacy to researchers and policy-makers who are interested in monitoring changes in stigma over time. PMID:25565699

  1. First Results From The Ultimate Spitzer Phase Curve Survey

    Science.gov (United States)

    Stevenson, Kevin B.; Bean, Jacob; Deming, Drake; Desert, Jean-Michel; Fortney, Jonathan J.; Kataria, Tiffany; Kempton, Eliza; Lewis, Nikole; Line, Michael R.; Morley, Caroline; Rauscher, Emily; Showman, Adam P.

    2017-10-01

    Exoplanet phase curves provide a wealth of information about exoplanet atmospheres, including longitudinal constraints on atmospheric composition, thermal structure, and energy transport, that continue to open new doors of scientific inquiry and propel future investigations. The measured heat redistribution efficiency (or ability to transport energy from a planet's highly-irradiated dayside to its eternally-dark nightside) shows considerable variation between exoplanets. Theoretical models predict a correlation between heat redistribution efficiency and planet temperature; however, the latest results are inconsistent with current predictions. We will present first results from a 660-hour Spitzer phase curve survey program that is targeting six short-period extrasolar planets. We will compare the measured heat redistribution efficiencies with planet temperature and rotation rate, examine trends in the phase curve peak offset, and discuss cloud coverage constraints. We will conclude with how to move forward with phase curve observations in the era of JWST.

  2. Results Of The Needs Assessment Survey Of Lecturers For ...

    African Journals Online (AJOL)

    The College of Medicine University of Nigeria as a first step in establishing an Office of Medical Education carried out a survey of the faculty members to determine their need for an office of medical education. This paper analysis the result of the survey. Method: A questionnaire to assess the faculty needs for establishing an ...

  3. Can high resolution 3D topographic surveys provide reliable grain size estimates in gravel bed rivers?

    Science.gov (United States)

    Pearson, E.; Smith, M. W.; Klaar, M. J.; Brown, L. E.

    2017-09-01

    High resolution topographic surveys such as those provided by Structure-from-Motion (SfM) contain a wealth of information that is not always exploited in the generation of Digital Elevation Models (DEMs). In particular, several authors have related sub-metre scale topographic variability (or 'surface roughness') to sediment grain size by deriving empirical relationships between the two. In fluvial applications, such relationships permit rapid analysis of the spatial distribution of grain size over entire river reaches, providing improved data to drive three-dimensional hydraulic models, allowing rapid geomorphic monitoring of sub-reach river restoration projects, and enabling more robust characterisation of riverbed habitats. However, comparison of previously published roughness-grain-size relationships shows substantial variability between field sites. Using a combination of over 300 laboratory and field-based SfM surveys, we demonstrate the influence of inherent survey error, irregularity of natural gravels, particle shape, grain packing structure, sorting, and form roughness on roughness-grain-size relationships. Roughness analysis from SfM datasets can accurately predict the diameter of smooth hemispheres, though natural, irregular gravels result in a higher roughness value for a given diameter and different grain shapes yield different relationships. A suite of empirical relationships is presented as a decision tree which improves predictions of grain size. By accounting for differences in patch facies, large improvements in D50 prediction are possible. SfM is capable of providing accurate grain size estimates, although further refinement is needed for poorly sorted gravel patches, for which c-axis percentiles are better predicted than b-axis percentiles.

  4. Pharmacy Survey on Patient Safety Culture: Benchmarking Results.

    Science.gov (United States)

    Herner, Sheryl J; Rawlings, Julia E; Swartzendruber, Kelly; Delate, Thomas

    2017-03-01

    This study's objective was to assess the patient safety culture in a large, integrated health delivery system's pharmacy department to allow for benchmarking with other health systems. This was a cross-sectional survey conducted in a pharmacy department consisting of staff members who provide dispensing, clinical, and support services within an integrated health delivery system. The U.S. Agency for Healthcare Research and Quality's 11-composite, validated Pharmacy Survey on Patient Safety Culture questionnaire was transcribed into an online format. All departmental staff members were invited to participate in this anonymous survey. Cronbach α and overall results and contrasts between dispensing and clinical services staff and dispensing pharmacists and technicians/clerks as percentage positive scores (PPSs) are presented. Differences in contrasts were assessed with χ tests of association. Completed questionnaires were received from 598 (69.9%) of 855 employees. Cronbach α ranged from 0.55 to 0.90. Overall, the highest and lowest composite PPSs were for patient counseling (94.5%) and staffing and work pressure (44.7%), respectively. Compared with dispensing service, the clinical service participants had statistically higher PPSs for all composites except patient counseling, communication about mistakes, and staffing and work pressure (all P > 0.05). The technicians/clerks had a statistically higher PPS compared with the pharmacists for communication about mistakes (P = 0.007). All other composites were equivalent between groups. Patient counseling consistently had the highest PPS among composites measured, but opportunities existed for improvement in all aspects measured. Future research should identify and assess interventions targeted to improving the patient safety culture in pharmacy.

  5. STARtorialist: Astronomy Fashion & Culture Blog and Reader Survey Results

    Science.gov (United States)

    Ash, Summer; Rice, Emily L.; Jarreau, Paige B.

    2016-01-01

    STARtorialist (startorialist.com) is a Tumblr-based blog that curates the proliferation of "Astro Fashion" - clothing accessories, decor, and more - with the goal of celebrating the beauty of the universe and highlighting the science behind the astronomical imagery. Since launching in January 2013, we have written over 1000 unique posts about everything from handmade and boutique products to mass-produced commercial items to haute couture seen on fashion runways. Each blog post features images and descriptions of the products with links to the original astronomical images or other relevant science content. We also feature profiles of astronomers, scientists, students, and communicators wearing, making, or decorating with "startorial" items. Our most popular posts accumulate hundreds or thousands of notes (faves or reblogs, in Tumblr parlance), and one post has nearly 150,000 notes. In our second year, we have grown from 1,000 to just shy of 20,000 followers on Tumblr, with an increased audience on Twitter, Instagram, and Facebook as well. We present preliminary results from a reader survey conducted September-October 2015 in collaboration with science communication researcher Dr. Paige Jarreau. The survey provides data on reader habits, motivations, attitudes, and demographics in order to assess how STARtorialist has influenced our readers' views on science, scientists, and the scientific community as a whole.

  6. NABat 2014 survey results : Baca National Wildlife Refuge

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This report is on the 2014 NABat survey results from Baca National Wildlife Refuge. The North American Bat Monitoring Program (NABat) is a national program to...

  7. The Impact of Repeated Lying on Survey Results

    Directory of Open Access Journals (Sweden)

    Thomas Chesney

    2013-01-01

    Full Text Available We study the effects on results of participants completing a survey more than once, a phenomenon known as farming. Using data from a real social science study as a baseline, three strategies that participants might use to farm are studied by Monte Carlo simulation. Findings show that farming influences survey results and can cause both statistical hypotheses testing Type I (false positive and Type II (false negative errors in unpredictable ways.

  8. The 2003 Australian Breast Health Survey: survey design and preliminary results

    Directory of Open Access Journals (Sweden)

    Favelle Simone

    2008-01-01

    Full Text Available Abstract Background The Breast Health Surveys, conducted by the National Breast Cancer Centre (NBCC in 1996 and 2003, are designed to gain insight into the knowledge, attitudes and behaviours of a nationally representative sample of Australian women on issues relevant to breast cancer. In this article, we focus on major aspects of the design and present results on respondents' knowledge about mammographic screening. Methods The 2003 BHS surveyed English-speaking Australian women aged 30–69 without a history of breast cancer using computer-assisted telephone interviewing. Questions covered the following themes: knowledge and perceptions about incidence, mortality and risk; knowledge and behaviour regarding early detection, symptoms and diagnosis; mammographic screening; treatment; and accessibility and availability of information and services. Respondents were selected using a complex sample design involving stratification. Sample weights against Australian population benchmarks were used in all statistical analyses. Means and proportions for the entire population and by age group and area of residence were calculated. Statistical tests were conducted using a level of significance of 0.01. Results Of the 3,144 respondents who consented to being interviewed, 138 (4.4% had a previous diagnosis of breast cancer and were excluded leaving 3,006 completed interviews eligible for analysis. A majority of respondents (61.1% reported ever having had a mammogram and 29.1% identified mammography as being the best way of finding breast cancer. A majority of women (85.9% had heard of the BreastScreen Australia (BSA program, the national mammographic screening program providing free biennial screening mammograms, with 94.5% believing that BSA attendance was available regardless of the presence or absence of symptoms. There have been substantial gains in women's knowledge about mammographic screening over the seven years between the two surveys. Conclusion The

  9. Turning Electromyography Reports Upside Down: A Pilot Study Surveying Referring Providers

    Science.gov (United States)

    Shenoy, Anant M.; Baquis, Kate G.; Baquis, George D.

    2016-01-01

    Providers are expressing a desire for more efficient ways to retrieve relevant clinical data from the Electronic Health Record. In an effort to improve our Electromyography and Nerve Conduction Study reports, we surveyed referring providers on the effects of having the IMPRESSION at the start of the report. Our survey respondents felt that using this format for an Electromyography and Nerve Conduction Study report significantly improved the quality of the report while saving them time and/or mouse clicks when interpreting the report. Electro diagnosticians might consider using this format for their Electromyography and Nerve Conduction Study reports to improve referring provider satisfaction. PMID:27708744

  10. Health care providers' and parents' attitudes toward administration of new infant vaccines--a multinational survey.

    Science.gov (United States)

    Bakhache, P; Rodrigo, C; Davie, S; Ahuja, A; Sudovar, B; Crudup, T; Rose, M

    2013-04-01

    The New Vaccinations of Infants in Practice online survey in seven countries evaluated vaccination-related attitudes and concerns of parents of infants and health care providers (HCPs) who provide pediatric medical care. The survey showed that HCPs and parents were open to adding new vaccines to the immunization schedule, even if it requires co-administration with current vaccines or introduction of new office visits. Parental disease awareness campaigns would be helpful to achieve widespread acceptance of changes to vaccination schedules. In addition, HCPs would ideally provide disease education to parents to accompany recommendations for a new vaccine.

  11. The transformation of South African librarianship: survey results and ...

    African Journals Online (AJOL)

    This research project seeks to investigate the status and role of the South African library profession within the current neo-liberal context, and to explore ways that socially responsible initiatives might provide some support for a more democratic and equitable South African future. The survey questions addressed four major ...

  12. Basic haemoglobinopathy diagnostics in Dutch laboratories; providing an informative test result.

    Science.gov (United States)

    Kaufmann, J O; Smit, J W; Huisman, W; Idema, R N; Bakker, E; Giordano, P C

    2013-08-01

    After a first survey in 2001, the Dutch Association of Hematological Laboratory Research (VHL) advised its members to adopt a basic protocol for haemoglobinopathy carrier detection and to provide genetic information with all positive results to allow health-care professionals to inform carriers about potential genetic risks. This article reports on the compliance with these recommendations and their consequences. Clinical chemists of all 106 Dutch laboratories were invited to answer a survey on patient population, diagnostic techniques used, (self-reported) knowledge, use and effect of the additional information. The average increase in diagnostic output was over 60% and the recommended basic protocol was applied by 65% of the laboratories. Over 84% of the laboratories reported to be aware of the additional recommendations and 77% to be using them. Most laboratories with limited diagnostic requests were still sending their cases to other laboratories and included the genetic information received from these laboratories in their diagnostic reports. The effect of information on subsequent 'family analysis' was estimated to be between 26 and 50%. The present study shows an increase in diagnostic potential for haemoglobinopathy over the last decade, especially in the larger cities. Low 'family testing' rates were mostly found in areas with lower carrier prevalence or associated with local reluctance to pass the information to carriers. In spite of a dramatic improvement, too many carriers are still not informed because of lack of awareness among health-care providers and more education is needed. © 2012 John Wiley & Sons Ltd.

  13. Early science results from the Next Generation Transit Survey (NGTS)

    Science.gov (United States)

    Gillen, E.; Guenther, M. N.

    2017-09-01

    The Next Generation Transit Survey (NGTS) is a new wide-field, ground-based exoplanet survey designed to detect Neptunes and super-Earths transiting bright stars, which are amenable to precise radial velocity confirmation and mass determination. NGTS comprises an array of twelve independent robotised 20-cm telescopes located at ESO's Paranal Observatory in Chile, and has been operational since early 2016. While monitoring 10% of the southern sky during it's survey time, the facility achieves sub-mmag photometric precision, which is unprecedented for wide-field ground-based transit surveys. We will introduce NGTS, describe our novel planet detection and vetting pipeline, and present early science results: new confirmed and candidate exoplanets, low-mass eclipsing binaries, variable stars and stellar flares.

  14. Preface: The LAMOST Galactic surveys and early results

    Science.gov (United States)

    Liu, Xiao-Wei; Zhao, Gang; Hou, Jin-Liang

    2015-08-01

    By the time of this writing, the ongoing LAMOST Galactic surveys have collected approximately 4.5 million stellar spectra with signal-to-noise ratios better than 10 per pixel. This special issue is devoted to early results from the surveys, mostly based on the LAMOST Data Release 1 (DR1; Luo et al., this volume) that contains data secured by May 2013, the end of the first year of regular surveys, although a few studies have made use of data collected in the second year of regular surveys. LAMOST DR1 was released to the Chinese astronomical community and international partners in August 2013 and made public to the whole world in March 2015. Here we briefly review the scope and motivation, data reduction and release, as well as early results of the surveys. As the project advances, one can expect that these surveys will yield an exquisite description of the distribution, kinematics and chemistry of Galactic stellar populations, especially those within a few kpc of the Sun, a robust measurement of the local dark matter density, and, consequently, shed light on how our Galaxy, and other galaxies in general, form and evolve.

  15. Survey results for oblique field magnetic flux leakage survey in comparison to axial field

    Energy Technology Data Exchange (ETDEWEB)

    Simek, James [T.D. Williamson, Inc., Tulsa, OK (United States)

    2012-07-01

    Pipeline operators worldwide have implemented integrity management programs in an effort to improve operation and maintenance efficiency along with continued safe operation of pipeline systems. Several types of monitoring and data collection activities are incorporated into these programs, with in line inspection (ILI) tools providing data for detection and quantification of features that may impact the integrity of the pipeline system. Magnetic flux leakage (MFL) ILI tools are among the most widely used in pipeline systems. Primarily used for metal loss detection and quantification, these tools are extremely robust, performing successfully in the harsh environments found in operating pipelines, with the majority of MFL tools in service today relying upon axially oriented magnetic fields. For feature classes whose principal axis is aligned parallel to the pipe axis, the use of an axially applied magnetic field may quite often result in decreased performance due to difficulties in detection and sizing. Through the use of fields applied either perpendicular or in an oblique direction to the principal axis, the magnetic leakage levels generated at feature locations are increased, providing usable signal levels. When used concurrently with an axially oriented magnetizer, an obliquely applied magnetic field may provide the ability to detect, quantify, or otherwise aid in discrimination of volumetric versus non-volumetric features. Providing the ability to collect both of these data sets in a single survey would allow operators to minimize the number of surveys required to address all categories of metal loss features that may be present within pipeline systems. This paper will discuss some of the variables that affect detection and sizing of metal loss zones with respect to the applied field direction, including graphs and tables to quantify the effects of angular displacement for specific feature shapes. Several classes of features have been chosen for evaluation

  16. A survey of lattice results on finite temperature quantum ...

    Indian Academy of Sciences (India)

    A survey of lattice results on finite temperature quantum chromodynamics. E LAERMANN. Fakultät für Physik, Universität Bielefeld, D-33615 Bielefeld, Germany. Abstract. The talk summarizes some new results of lattice investigations of QCD at finite temper- ature. The topics discussed cover the flavor dependence of the ...

  17. Tracheotomy-Related Catastrophic Events: Results of a National Survey

    Science.gov (United States)

    Das, Preety; Zhu, Hannah; Shah, Rahul K.; Roberson, David W.; Berry, Jay; Skinner, Margaret L.

    2012-01-01

    Objectives/Hypothesis To gather qualitative and semiquantitative information about catastrophic complications during and following tracheotomy. Study Design National survey distributed to American Academy of Otolaryngology–Head and Neck Surgery members via the Academy weekly email newsletter during April and May 2011. Methods A total of 478 respondents provided estimates of the number of four specific tracheotomy-related complications (innominate artery fistula, esophageal fistula, acute tracheotomy occlusion, and obstructing granuloma), all catastrophic events, and events resulting in death or permanent disability encountered during their careers. There were 253 respondents who provided 405 free-text descriptions of specific events. Results The respondents experienced approximately one catastrophic event every 10 years and one event resulting in death or permanent disability every 20 years. More than 90% occurred more than 1 week after surgery. Categories of physicians who experienced more events per year included academic physicians and laryngologists. Pediatric otolaryngologists had twice as many innominate artery fistulas per year of practice as others. Qualitative (free-text) descriptions of the most serious events demonstrated that more of these events involved loss of airway and volume bleeds, usually from innominate or carotid artery erosion. Many of the events due to airway loss involved potentially correctable deficits in family education, nursing care, home care, and other structural factors. Conclusions Even when we allow for selection bias, these data suggest that a substantial number of tracheotomy complications leading to death or permanent disability occur at a national level. The vast majority of events occur more than 1 week after the procedure. Many of the described events were caused by factors that should be amenable to prospective system improvement strategies. PMID:22183626

  18. Switching health insurance plans: results from a health survey.

    Science.gov (United States)

    Lako, Christiaan J; Rosenau, Pauline; Daw, Chris

    2011-12-01

    The study is designed to provide an informal summary of what is known about consumer switching of health insurance plans and to contribute to knowledge about what motivates consumers who choose to switch health plans. Do consumers switch plans largely on the basis of critical reflection and assessment of information about the quality, and price? The literature suggests that switching is complicated, not always possible, and often overwhelming to consumers. Price does not always determine choice. Quality is very hard for consumers to understand. Results from a random sample survey (n = 2791) of the Alkmaar region of the Netherlands are reported here. They suggest that rather than embracing the opportunity to be active critical consumers, individuals are more likely to avoid this role by handing this activity off to a group purchasing organization. There is little evidence that consumers switch plans on the basis of critical reflection and assessment of information about quality and price. The new data reported here confirm the importance of a group purchasing organizations. In a free-market-health insurance system confidence in purchasing groups may be more important for health insurance choice than health informatics. This is not what policy makers expected and might result a less efficient health insurance market system.

  19. A statistical evaluation of factors influencing aerial survey results on brown bears

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This report is a statistical evaluation of factors influencing aerial survey results on Brown Bears. The purpose of this study was to provide a statistical...

  20. Community survey results for Rappahannock River Valley National Wildlife Refuge : Completion report

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This report provides a summary of results for the survey of residents of communities adjacent to Rappahannock River Valley NWR conducted from the spring through the...

  1. Bridge Programs in Illinois: Results of the 2010 Illinois Bridge Status Survey

    Science.gov (United States)

    Taylor, J. L.; Harmon, T.

    2010-01-01

    This report provides a summary of major results of the Illinois Bridge Status Survey, administered online between April and June 2010. The purpose of the survey was to understand the extent to which bridge programs are being implemented in Illinois, as well as to build an online directory of bridge programs. Bridge programs are an emerging…

  2. Prior doctor shopping resulting from differential treatment correlates with differences in current patient-provider relationships.

    Science.gov (United States)

    Gudzune, Kimberly A; Bennett, Wendy L; Cooper, Lisa A; Clark, Jeanne M; Bleich, Sara N

    2014-09-01

    To determine the prevalence of doctor shopping resulting from differential treatment and to examine associations between this shopping and current primary care relationships. In 2012, a national internet-based survey of 600 adults receiving primary care in the past year with a BMI ≥ 25 kg/m(2) was conducted. Our independent variable was "switching doctors because I felt treated differently because of my weight." Logistic regression models to examine the association of prior doctor shopping with characteristics of current primary care relationships: duration, trust in primary care provider (PCP), and perceived PCP weight-related judgment, adjusted for patient factors were used. Overall, 13% of adults with overweight/obesity reported previously doctor shopping resulting from differential treatment. Prior shoppers were more likely to report shorter durations of their current relationships [73% vs. 52%; p = 0.01] or perceive that their current PCP judged them because of their weight [74% vs. 11%; p shop resulting from perceived differential treatment. These prior negative experiences have no association with trust in current relationships, but our results suggest that patients may remain sensitive to provider weight bias. © 2014 The Obesity Society.

  3. National wildlife refuge visitor survey 2012--Individual refuge results

    Science.gov (United States)

    Dietsch, Alia M.; Sexton, Natalie R.; Koontz, Lynne M.; Conk, Shannon J.

    2013-01-01

    The National Wildlife Refuge System (Refuge System), established in 1903 and managed by the U.S. Fish and Wildlife Service (Service), is the leading network of protected lands and waters in the world dedicated to the conservation of fish, wildlife and their habitats. There are 560 national wildlife refuges and 38 wetland management districts nationwide, encompassing more than 150 million acres. The Refuge System attracts nearly 45 million visitors annually, including 34.8 million people who observe and photograph wildlife, 9.6 million who hunt and fish, and nearly 675,000 teachers and students who use refuges as outdoor classrooms. Understanding visitor perceptions of refuges and characterizing their experiences on refuges are critical elements of managing these lands and meeting the goals of the Refuge System. The Service collaborated with the U.S. Geological Survey to conduct a national survey of visitors regarding their experiences on national wildlife refuges. The purpose of the survey was to better understand visitor experiences and trip characteristics, to gauge visitors’ levels of satisfaction with existing recreational opportunities, and to garner feedback to inform the design of programs and facilities. The survey results will inform performance, planning, budget, and communications goals. Results will also inform Comprehensive Conservation Plans (CCPs), visitor services, and transportation planning processes. This Data Series consists of 25 separate data files. Each file describes the results of the survey for an individual refuge and contains the following information: • Introduction: An overview of the Refuge System and the goals of the national surveying effort. • Methods: The procedures for the national surveying effort, including selecting refuges, developing the survey instrument, contacting visitors, and guidance for interpreting the results.• Refuge Description: A brief description of the refuge location, acreage, purpose, recreational

  4. The Chronic Migraineur and Health Services: National Survey Results.

    Science.gov (United States)

    Wachholtz, Amy; Malone, Christopher; Bhowmick, Amrita

    2015-11-01

    Chronic migraine is a costly and highly disabling condition that impacts millions of people in the United States. While chronic migraine is hypothesized to result from more infrequent forms of migraine, the precise mechanism by which this develops is still being researched. This study sought to better characterize the treatment patterns, disorder characteristics, and medical and disability profile of the chronic migraine population using the largest dataset of chronic migraineurs ever collected. The survey was started by 8,359 individuals and 4,787 met the inclusion criteria for diagnosed chronic migraine The number of stressful life events participants experienced due to their migraines related to number of therapies tried (pmigraineurs may misattribute aspects of psychiatric or medical comorbidities to their chronic migraines. Further, the sample underutilized mental health services and were unsatisfied with their migraine treatments. Providers to chronic migraineurs should ensure that patients are receiving appropriate mental health care in order to alleviate psychological distress as well as to potentially lessen negative life events previously associated with migraine symptoms.

  5. First Results from the Polar Environment and Science (POLES) Survey

    Science.gov (United States)

    Hamilton, L.

    2016-12-01

    Despite President Obama's well-publicized excursion to Kotzebue in 2015 - the first presidential visit to the US Arctic - most of the public remains unaware that their country has any inhabited Arctic territory. This striking result emerged from two nationwide surveys in 2016 that assessed public knowledge and perceptions about the changing polar regions. Other questions tested knowledge about polar geography and conditions, sought perceptions on the importance of global impacts such as sea level or extreme weather, and asked for opinions about trusted information sources (scientists, TV news, websites, etc.) and preferred mitigation policies. With an oversampling of Alaska residents, the POLES survey allows comparisons between perceptions of Alaska residents (including rural Alaska) and people from the other 49 states. It also supports analysis of relationships among knowledge, opinions, information sources, and individual respondent characteristics. We take a first look at results, analysis and interpretation of this unique new polar-oriented survey. Image: "Which country has territory with thousands of people living north of the Arctic Circle? US, China, Estonia, Britain, or none of these?" Graph shows results from a July 2016 pretest with 523 interviews; full results from two nationwide surveys, including Alaska/49-state comparisons, will be presented at AGU.

  6. Customer Apathy to Insurance in Nigeria: Survey Results ...

    African Journals Online (AJOL)

    Results of a recent survey of the Nigerian Insurance Industry reveal the underlying reasons for people's general indifference towards insurance. These include lack of communication by the industry, ignorance about insurance, doubts as to the integrity of insurance practitioners, and inability to afford the premium.

  7. Results of the Georgia STEP Employer Skills Survey

    OpenAIRE

    Rutkowski, Jan

    2013-01-01

    The objective of this note is to present the results of the recently completed employer skills survey, and to discuss their policy implications. The analysis finds that there is a skills shortage in Georgia despite high unemployment. It is difficult for employers, especially in the modern sector, to find workers with the required skills. Employers demand not only ‘hard’ technical skills, b...

  8. Verticillium survey results: Is it in red raspberry production fields?

    Science.gov (United States)

    Preliminary results of the survey for Verticillium dahliae, the cause of Verticillium wilt, in the Washington Red Raspberry industry were reported at the 2016 Washington Small Fruit Conference. Verticillium was found in many field soils, but was rarely isolated from plants and was just as likely to ...

  9. The Faint Sky Variability Survey II: Initial Results

    OpenAIRE

    Everett, M. E.; Huber, M.E.; Howell, S. B.

    2000-01-01

    We discuss the first results from the Faint Sky Variability Survey (Groot et al. 2000). The data consist of V-band light curves, BVI colours, astrometry, and morphology information on several hundred thousand point and extended sources in the magnitude range V=17-25. We discuss the first 30 survey fields covering an area of 8.4 square degrees towards moderate and high galactic latitudes. We analyse the quality of and discuss our differential photometry light curves. We employ statistical meth...

  10. First results of the indoor natural radiation survey in Italy

    Energy Technology Data Exchange (ETDEWEB)

    Bochicchio, F.; Campos Venuti, G.; Risica, S. (Istituto Superiore di Sanita, Rome (Italy)); Mancioppi, S.; Piermattei, S.; Tommasino, L.; Torri, G. (ENEA, Rome (Italy))

    1992-01-01

    A survey based on a statistically representative sample of 5000 dwellings distributed in 200 administrative districts has been planned in Italy to evaluate exposure indoors. Knowledge of the distribution of radon concentration and gamma absorbed doses in air allows a determination of the average risk to which the population is subjected and of the number of dwellings exceeding a given action level. Radon concentration is monitored for two 6 month periods, while the [gamma] exposure is measured for only one semester. Duplicate radon measurements are performed by using etched track detectors (typically LR-115 II type and CR-39). The survey is carried out at district level by local laboratories, under the coordination of the two central institutions ENEA/DISP and ISS. The overall structure of the survey is described together with the first results obtained. (author).

  11. Radiologists' Usage of Social Media: Results of the RANSOM Survey.

    Science.gov (United States)

    Ranschaert, Erik R; Van Ooijen, Peter M A; McGinty, Geraldine B; Parizel, Paul M

    2016-08-01

    The growing use of social media is transforming the way health care professionals (HCPs) are communicating. In this changing environment, it could be useful to outline the usage of social media by radiologists in all its facets and on an international level. The main objective of the RANSOM survey was to investigate how radiologists are using social media and what is their attitude towards them. The second goal was to discern differences in tendencies among American and European radiologists. An international survey was launched on SurveyMonkey ( https://www.surveymonkey.com ) asking questions about the platforms they prefer, about the advantages, disadvantages, and risks, and about the main incentives and barriers to use social media. A total of 477 radiologists participated in the survey, of which 277 from Europe and 127 from North America. The results show that 85 % of all survey participants are using social media, mostly for a mixture of private and professional reasons. Facebook is the most popular platform for general purposes, whereas LinkedIn and Twitter are more popular for professional usage. The most important reason for not using social media is an unwillingness to mix private and professional matters. Eighty-two percent of all participants are aware of the educational opportunities offered by social media. The survey results underline the need to increase radiologists' skills in using social media efficiently and safely. There is also a need to create clear guidelines regarding the online and social media presence of radiologists to maximize the potential benefits of engaging with social media.

  12. Selection of Voice Therapy Methods. Results of an Online Survey.

    Science.gov (United States)

    Burg, Iris; Meier, Birte; Nolte, Katharina; Oppermann, Tina; Rogg, Verena; Beushausen, Ulla

    2015-11-01

    Providing an evidence basis for voice therapy in the German-speaking countries faces the challenge that-for historical reasons-a variety of direct voice therapy methods is available. The aim of this study was to clarify which therapy methods are chosen and the underlying principles for this selection. An online survey was implemented to identify to what extent the variety of methods described in theory is also applied in practice. A total of 434 voice therapists in Germany, Austria, and Switzerland were asked, among other things, which methods they prefer. A significant majority of therapists do not apply one specific method but rather work with a unique combination of direct voice therapy methods for individual clients. These results show that the variety of methods described in the literature is also applied in voice therapy practice. The combination of methods becomes apparent during the choice of exercises. The type of voice disorder plays no decisive role in the method selection process, whereas certain patient variables do have an influence on this process. In particular, the patients' movement restrictions, their state of mind or mood on a given day, and aspects of learning theory are taken into account. The results suggest that a patient-oriented selection of appropriate exercises is of primary importance to voice therapists and that they rarely focus on specific direct voice therapy methods. It becomes clear that an evaluation of single methods does not correspond to practical experience, and therefore, an overall evaluation of voice therapy appears to be more useful. Copyright © 2015. Published by Elsevier Inc.

  13. Not my choice: results of an online survey.

    Science.gov (United States)

    Brodrick, Alison

    2014-02-01

    A survey into women's experiences of giving birth in the UK published in October 2013, provides a useful insight (Birthrights UK 2013). It is the first of its kind to capture women's views on dignity in childbirth. The survey reflects the importance of place of birth, with women who gave birth in obstetric units reporting much lower levels of satisfaction and a greater lack of control than those giving birth in birth centres or at home. Those who had an instrumental birth reported lower levels of respectful care and a much greater lack of control. The midwifery profession needs to reflect carefully on these findings and ensure the needs of running a busy maternity service efficiently do not take priority over the human rights of women.

  14. Health provider experiences with galactagogues to support breastfeeding: a cross-sectional survey

    Directory of Open Access Journals (Sweden)

    Bazzano AN

    2016-11-01

    Full Text Available Alessandra N Bazzano,1 Lisa Littrell,1 Amelia Brandt,1 Shelley Thibeau,2 Kamala Thriemer,3 Katherine P Theall1 1Department of Global Community Health and Behavioral Sciences, Tulane University School of Public Health and Tropical Medicine, 2Ochsner Health System, New Orleans, LA, USA; 3MLT EpiConsult, Jingili, NT, Australia Background: Exclusive breastfeeding for infants up to 6 months is widely recommended, yet breastfeeding rates are relatively low in the US. The most common reason women stop breastfeeding early is a perceived insufficiency of milk. Galactagogues are herbal and pharmaceutical products that can help increase milk supply; however, data on their efficacy and safety is limited. Lactation consultants, obstetricians, and other health providers are an important point of contact for breastfeeding women experiencing challenges with lactation. This study explored providers’ perceptions, experiences, and practices in relation to galactagogue recommendation. Method: A cross-sectional survey was conducted among a convenience sample of English-speaking health providers in the US who counsel breastfeeding women and their infants. Results: More than 70% of respondents reported to recommend galactagogues. The most frequently recommended galactagogue was fenugreek with respondents indicating that they recommend it either ‘always’ (8.5% or ‘most of the time’ (14.9% and ‘sometimes’ (46.8%. More than 80% of the respondents indicated that galactagogues were useful for their clients and only one-third reported side effects. Reasons for refraining from recommending galactagogues were insufficient evidence of its efficacy and safety. Respondents reported a wide variety of sources of information used for their own education about galactagogues. Discussion: Despite little evidence regarding safety and efficacy, some galactagogues are widely recommended and often perceived to be useful. However, concerns about their efficacy and safety

  15. Initial results from a ROSAT deep survey in Lynx

    Science.gov (United States)

    Anderson, S. F.; Windhorst, R. A.; Maccacaro, T.; Burstein, D.; Franklin, B. E.; Griffiths, R. E.; Koo, D. C.; Mathis, D. F.; Morgan, W. A.; Neuschaefer, L. W.

    1992-01-01

    Preliminary results from a deep (70 ksec) Rosat survey of the high galactic latitude selected area Lynx.3A are presented. Lynx.3A sensitivity was previously studied in both the optical radio, with deep Westerbork surveys and deep multicolor Charge Couple Device (CCD) images form the Palomar 200 inch Four-Shooter. About 70 x-ray sources were detected within the central 40 foot diameter region of the Position Sensitive Proportional Counter (PSPC), observed surface densities of approximately 200 x-ray sources/sq deg are suggested, and these x-ray sources alone account for approximately 30 percent of the cosmic x-ray background (0.9 to 2.2 keV). An initial look at the observed x-ray logN - logS curve is presented, but a detailed assessment requires further study. The 4 sigma limit of about 7 times 10 to the minus 15th power erg/s.sq cm (0.5 to 2.0 keV) is considerably deeper then the Einstein deep surveys, and of comparable sensitivity to the deepest current Rosat surveys. Cross correlation with our Four Shooter optical catalogs yields at least one likely optical candidate for nearly all of the Rosat x-ray sources; a number of the likely optical identifications have colors of quasi-stellar objects (and stellar PSF), but in other cases galaxies/groups are also viable candidates.

  16. Telephoning of interim blood culture results: a regional survey.

    Science.gov (United States)

    Petkar, H M; Breathnach, A S

    2008-10-01

    Most staphylococci grown from blood cultures are contaminants. Since they are microscopically indistinguishable from non-contaminants, considerable time and resources may be spent following up all patients with positive blood cultures before the identification is made the following day. Since there is no formal guidance or standard available in this area, this report surveyed practice in our region. An interview was conducted by telephone, using a standardised questionnaire. Results were analysed using descriptive techniques. The majority of microbiologists did not communicate all presumptive staphylococci but waited for identification in some cases. There is a range of practice in laboratories due to conflicting pressures: limited time, fear of criticism if results are not phoned, fear of causing confusion with provisional information and lack of clarity concerning what is "good practice." This survey concludes that a decision not to telephone every presumptive Staphylococcus in blood cultures on Day 1 is reasonable.

  17. correlation of vertical elecric sounding and agnetic survey results in ...

    African Journals Online (AJOL)

    S'outfiwestern _'/\\/igerin, using 'Vertica[ 'E[ectric Sounding ('i/LLS') anti the most uncommon. Sting-netir .S'urog. 77ie results were correlated to [ocate pfiysica[ features that are potentia[ aqui/ers in l/iL' area. (Ifie Magnetic Surveys were carried out a[ong 8 traverses: tfie South- .'Nort/i, :Mvtfi-Sout/i, anti 'East-'West directions ...

  18. Occupational therapy in primary care: Results from a national survey.

    Science.gov (United States)

    Donnelly, Catherine A; Leclair, Leanne L; Wener, Pamela F; Hand, Carri L; Letts, Lori J

    2016-04-12

    To support integration of occupational therapy in primary care and research in this area, it is critical to document examples of occupational therapy in primary care. This study describes occupational therapy roles and models of practice used in primary care. An electronic survey was sent to occupational therapists across Canada. Participants were identified using purposive and snowball sampling strategies. Descriptive statistics were used to analyze the data. Respondents (n = 52) were almost exclusively working on interprofessional teams. Intervention was provided most frequently to individual clients, and services were provided both within the home/community and in the clinic. Occupational therapists offered a range of health promotion and prevention services, predominantly to adults and older adults. A number of supports and barriers to the integration of occupational therapy were identified. A growing number of occupational therapists are working in primary care providing a broad range of services across the life span. © CAOT 2016.

  19. Contraception services for incarcerated women: a national survey of correctional health providers.

    Science.gov (United States)

    Sufrin, Carolyn B; Creinin, Mitchell D; Chang, Judy C

    2009-12-01

    Incarcerated women have had limited access to health care prior to their arrest. Although their incarceration presents an opportunity to provide them with health care, their reproductive health needs have been overlooked. We performed a cross-sectional study of a nationally representative sample of 950 correctional health providers who are members of the Academy of Correctional Health Providers. A total of 405 surveys (43%) were returned, and 286 (30%) were eligible for analysis. Most ineligible surveys were from clinicians at male-only facilities. Of eligible respondents, 70% reported some degree of contraception counseling for women at their facilities. Only 11% provided routine counseling prior to release. Seventy percent said that their institution had no formal policy on contraception. Thirty-eight percent of clinicians provided birth control methods at their facilities. Although the most frequently counseled and prescribed method was oral contraceptive pills, only 50% of providers rated their oral contraceptive counseling ability as good or very good. Contraception counseling was associated with working at a juvenile facility, and with screening for sexually transmitted infections. Contraception does not appear to be integrated into the routine delivery of clinical services to incarcerated women. Because the correctional health care system can provide important clinical and public health interventions to traditionally marginalized populations, services for incarcerated women should include access to contraception.

  20. Oral anticoagulant dosing, administration, and storage: a cross-sectional survey of Canadian health care providers.

    Science.gov (United States)

    Piran, Siavash; Schulman, Sam; Panju, Mohamed; Pai, Menaka

    2017-11-23

    Direct oral anticoagulant (DOAC) use is increasing worldwide. However, if not taken or prescribed correctly, DOACs have serious side effects. It is crucial that healthcare providers (HCPs) offer patients accurate information and counselling around DOACs, to optimize safe and effective use. To assess knowledge around oral anticoagulant indication, dosing, storage, and administration, an electronic survey was distributed to HCPs across Canada from June to August 2017, with 18 questions on the practical use of oral anticoagulants. A total of 191 responses were received: 100 from nurse practitioners, 42 from pharmacists, 27 from Hematologists, 5 from Thrombosis specialists, 4 from internists, 9 from residents and fellows, and 2 each from family physicians and registered nurses. Only 51 (26.7%) of the respondents correctly identified all the approved indications for warfarin and 4 DOACs. Only 101 (52.9%) correctly identified that DOACs are not approved for treatment of heparin-induced thrombocytopenia, cerebral sinus venous thrombosis, or mechanical prosthetic valves. 112 (58.6%) felt comfortable or very comfortable prescribing oral anticoagulants. Half of the respondents knew that dabigatran should not be crushed, however only 85 (44.5%) knew that it should not be exposed to moisture. 94 (49%) knew that higher dose rivaroxaban should be taken with food. The results of our study demonstrate that there are important knowledge gaps around HCPs' practical understanding of oral anticoagulants. Future research should focus on educational interventions to improve HCPs' knowledge around indications, dosing, storage, and administration, with the goal of enhancing patient safety.

  1. Short Form 36 (SF-36) Health Survey questionnaire: which normative data should be used? Comparisons between the norms provided by the Omnibus Survey in Britain, the Health Survey for England and the Oxford Healthy Life Survey.

    Science.gov (United States)

    Bowling, A; Bond, M; Jenkinson, C; Lamping, D L

    1999-09-01

    Population norms for the attributes included in measurement scales are required to provide a standard with which scores from other study populations can be compared. This study aimed to obtain population norms for the Short Form 36 (SF-36) Health Survey Questionnaire, derived from a random sample of the population in Britain who were interviewed at home, and to make comparisons with other commonly used norms. The method was a face-to-face interview survey of a random sample of 2056 adults living at home in Britain (response rate 78 per cent). Comparisons of the SF-36 scores derived from this sample were made with the Health Survey for England and the Oxford Healthy Life Survey. Controlling for age and sex, many of mean scores on the SF-36 dimensions differed between the three datasets. The British interview sample had better total means for Physical Functioning, Social Functioning, Mental Health, Energy/Vitality, and General Health Perceptions. The Health (interview) Survey for England had the lowest (worst) total mean scores for Physical Functioning, Social Functioning, Role Limitations (physical), Bodily Pain, and Health Perceptions. The postal sample in central England had the lowest (worst) total mean scores for Role Limitations (emotional), Mental Health and Energy/Vitality. Responses obtained from interview methods may suffer more from social desirability bias (resulting in inflated SF-36 scores) than postal surveys. Differences in SF-36 means between surveys are also likely to reflect question order and contextual effects of the questionnaires. This indicates the importance of providing mode-specific population norms for the various methods of questionnaire administration.

  2. Managing cardiac devices near the end of life: a survey of hospice and palliative care providers.

    Science.gov (United States)

    Morrison, Laura J; Calvin, Amy O; Nora, Hope; Porter Storey, C

    2010-12-01

    Implantable cardioverter defibrillators (ICDs) and pacemakers may change the character of an individual's eventual death. The objective of this study was to explore hospice and palliative care provider attitudes and experience in managing ICDs and pacemakers for patients near the end of life. A voluntary survey was distributed to session attendees at a national conference. Doctors and nurses surveyed overwhelmingly agreed it is appropriate to disable these devices in a terminally ill patient who does not wish to be resuscitated or prolong life. However, respondents emphasized a less defined burden for pacemakers. Respondents also reported limited involvement in such cases and few institutional protocols. As more terminal patients have these devices, research and education on device management protocols/guidelines and on provider communication skills are critical.

  3. Bolivia 1998: results from the Demographic and Health Survey.

    Science.gov (United States)

    2000-09-01

    This document presents the results of the Bolivia Demographic and Health Survey (DHS), or Encuesta Nacional de Demografia y Salud 1998, conducted by the Instituto Nacional de Estadistica, La Paz, Bolivia, within the framework of the DHS Program of Macro International. Data were collected from 12,109 households and complete interviews were conducted with 11,187 women aged 15-49. A male survey was also conducted, which collected data from 3780 men aged 15-64. The information collected include the following: 1) general characteristics of the population, 2) fertility, 3) fertility preferences, 4) current contraceptive use, 5) contraception, 6) marital and contraceptive status, 7) postpartum variables, 8) infant mortality, 9) health: disease prevention and treatment, and 10) nutritional status: anthropometric measures.

  4. Results of Fuelwood Consumption Survey in Kinshasa - Zaire

    Directory of Open Access Journals (Sweden)

    Tshibangu, KWT.

    1996-01-01

    Full Text Available Truly fuelwood is the principal source indeed even exclusive of energy in all developing countries. Some studies have been made in some towns of these countries in order to know energy consumption. In other countries on the other hand, these studies fail. Statistics that are available in those on fuelwood are the approximated values, often dissimilar and summary curried up with the politic object by the authorities. This is the case of Kinshasa, county town of Zaire. To cover up the deficiency inquiries on real norms of the consumption of fuelwood, we have held a sample survey in households of Kinshasa. Other complementary information that may implicate on the consumption fuelwood have been realized too close to other users of fuelwood. The results of the sample survey make up the backdrop of our work.

  5. Deployment of ITS: A Summary of the 2010 National Survey Results

    Energy Technology Data Exchange (ETDEWEB)

    Gordon, Stephen Reed [ORNL; Trombly, Jeff [Science Applications International Corporation (SAIC), Oak Ridge, TN

    2011-08-01

    This report presents summary results of the 2010 ITS Deployment Tracking survey, the most recent survey conducted by the ITS Deployment Tracking Project. The U.S. Department of Transportation and its member agencies, including the Research and Innovative Technology Administration, have pursued a research and development agenda, the Intelligent Transportation System (ITS) Program, designed to integrate the latest in information technologies to improve the safety, mobility, and reliability of surface transportation modes. Within metropolitan areas, implementation of these advanced technologies has been accomplished by a variety of state and local transportation and emergency management agencies as well as the private sector. In order to measure the rate of ITS deployment within the nation s largest metropolitan areas, the ITS Deployment Tracking Project has conducted a nationwide survey of state and local transportation and emergency management agencies nearly every year since 1997. The results presented in this report are intended to be a summary of the entire database from the 2010 survey. Access to the complete survey results and previous national surveys are available on-line at http://www.itsdeployment.its.dot.gov. The website also provides access to survey results in the form of downloadable reports, including a survey summary for each survey type and fact sheets. Nearly 1,600 surveys were distributed to state and local transportation agencies in 2010. A total of seven (7) survey types were distributed including: Freeway Management, Arterial Management, Transit Management, Transportation Management Center (TMC), Electronic Toll Collection (ETC), Public Safety Law Enforcement, and Public Safety Fire/Rescue. Among other things, the data collection results indicate that ITS has moved from being experimental to mainstream and interest in continuing investments in ITS continues to be very strong. When asked about future deployment plans, one-third to three

  6. National survey of provider opinions on controversial characteristics of liver transplant candidates.

    Science.gov (United States)

    Secunda, Katharine; Gordon, Elisa J; Sohn, Min W; Shinkunas, Laura A; Kaldjian, Lauris C; Voigt, Michael D; Levitsky, Josh

    2013-04-01

    Candidate selection for liver transplantation presents challenging ethical issues that require balancing the principles of justice and utility. The goal of this study was to assess the opinions of U.S. transplant providers regarding the ways in which controversial medical and psychosocial characteristics influence patient eligibility for liver transplantation. An online, anonymous survey about adult patient characteristics was sent to providers (hepatologists, surgeons, psychiatrists, and social workers) at all 102 active adult liver transplant centers in the United States. A majority of the providers (251/444 or 56.5%) completed the survey. The providers were queried about 8 characteristics, and the 3 that were ranked most controversial were incarceration, marijuana use, and psychiatric diagnoses. Most providers identified a patient age ≥ 80 years (62.7%), a body mass index ≥ 45 kg/m2 (56.6%), and current incarceration with a lifetime sentence (54.7%) as absolute contraindications to liver transplantation. In a multivariate analysis, the identification of absolute contraindications varied significantly with the provider type, the center volume, and the geographical region. Less than half of the providers reported that their centers had written policies regarding most of the characteristics examined. In conclusion, providers differ significantly in their opinions on controversial patient characteristics and transplant contraindications. Along with a paucity of literature data on outcomes, these provider differences may play a role in the fact that many centers do not have formal policies for selecting patients with these characteristics. Evidence-based data on the outcomes of such patients are needed to guide the formation of written policies to better standardize eligibility criteria. Copyright © 2013 American Association for the Study of Liver Diseases.

  7. Understanding the cost of dermatologic care: A survey study of dermatology providers, residents, and patients.

    Science.gov (United States)

    Steen, Aaron J; Mann, Julianne A; Carlberg, Valerie M; Kimball, Alexa B; Musty, Michael J; Simpson, Eric L

    2017-04-01

    The American Academy of Dermatology recommends dermatologists understand the costs of dermatologic care. This study sought to measure dermatology providers' understanding of the cost of dermatologic care and how those costs are communicated to patients. We also aimed to understand the perspectives of patients and dermatological trainees on how cost information enters into the care they receive or provide. Surveys were systematically developed and distributed to 3 study populations: dermatology providers, residents, and patients. Response rates were over 95% in all 3 populations. Dermatology providers and residents consistently underestimated the costs of commonly recommended dermatologic medications but accurately predicted the cost of common dermatologic procedures. Dermatology patients preferred to know the cost of procedures and medications, even when covered by insurance. In this population, the costs of dermatologic medications frequently interfered with patients' ability to properly adhere to prescribed regimens. The surveyed population was limited to the northwestern United States and findings may not be generalizable. Cost estimations were based on average reimbursement rates, which vary by insurer. Improving dermatology providers' awareness and communication of the costs of dermatologic care might enhance medical decision-making, improve adherence and outcomes, and potentially reduce overall health care expenditures. Copyright © 2016 American Academy of Dermatology, Inc. Published by Elsevier Inc. All rights reserved.

  8. Bullying in middle school: results from a 2008 survey.

    Science.gov (United States)

    Pergolizzi, Fabianna; Pergolizzi, Joseph; Gan, Zoe; Macario, Samantha; Pergolizzi, Joseph V; Ewin, T J; Gan, Tong J

    2011-01-01

    A survey conducted in 2008 among 346 American middle school students in several cities determined that 82.7% of respondents found bullying to be a problem of some degree, with 46.0% rating it a "medium", "bad", or "very bad" problem. It was found that 89% had witnessed an act of bullying and 49.1% said they had been the victim of a bully. Boys were significantly more likely than girls to say that a victim deserved to be bullied (11.1% vs. 1.3%, p = 0.01), whereas girls were significantly more likely than boys to fail to intervene because they did not know what to do (30.3% for girls vs. 11.1%, p bullied another (46.2% boys, 41.1% girls, p = 0.34); however, girls were significantly more likely than boys to bully by excluding others and gossiping about them than by hitting, teasing, or threatening. Cyberbullying, surveyed as a distinct entity, had affected 31.1% of respondents directly, with similar results from 2006 to 2007 surveys. Of those who found conventional bullying a "bad" or "very bad" problem at their schools, numbers fell from 17.3% in 2006-2007 vs. 11.3% in 2008.

  9. Recent Results of the NIRSPEC Brown Dwarf Spectroscopic Survey

    Science.gov (United States)

    Rice, Emily L.; McLean, I. S.; Prato, L.; McGovern, M. R.; Burgasser, A. J.; Kirkpatrick, J.; Kim, S. S.

    2006-12-01

    The NIRSPEC Brown Dwarf Spectroscopic Survey (BDSS) began in 1999 with the commissioning of NIRSPEC on Keck II. In the first phase of the survey, J-band spectra of 53 objects covering all spectral types from M6 to T8 were obtained at a resolving power of R 2000 (McLean et al. 2003). This poster presents results from the second phase of the survey, which focused on high-resolution (R 20,000) J-band observations for a sample of 16 very low mass stars and brown dwarfs from M2.5 to T6 (McLean et al. 2006, submitted). By comparing opacity plots and line lists to the high-resolution spectra we identify hundreds of FeH, H2O, and atomic features and analyze how these features change with spectral type. We also begin to explore the apparently complex dependence of spectral features on the metallicity and surface gravity of brown dwarf atmospheres, which is the topic of the current phase of the BDSS. Data presented herein were obtained at the W.M. Keck Observatory, which is operated as a scientific partnership among the California Institute of Technology, the University of California and the National Aeronautics and Space Administration. The Observatory was made possible by the generous financial support of the W.M. Keck Foundation.

  10. This Month in Astronomical History: Preliminary Survey Results

    Science.gov (United States)

    Wilson, Teresa

    2017-01-01

    This Month in Astronomical History is a short (~500 word) column on the AAS website that revisits significant astronomical events or the lives of people who have made a large impact on the field. The monthly column began in July 2016 at the request of the Historical Astronomical Division. Examples of topics that have been covered include Comet Shoemaker-Levy’s collision with Jupiter, the discovery of the moons of Mars, the life of Edwin Hubble, Maria Mitchell’s comet discovery, and the launch of Sputnik II. A survey concerning the column is in progress to ensure the column addresses the interests and needs of a broad readership, including historians, educators, research astronomers, and the general public. Eleven questions focus on the style and content of the column, while eight collect simple demographics. The survey has been available on the AAS website since and was mentioned in several AAS newsletters; however, non-members of AAS were also recruited to include respondents from a variety of backgrounds. Preliminary results of the survey are presented and will be used to hone the style and content of the column to serve the widest possible audience. Responses continue to be collected at: https://goo.gl/forms/Lhwl2aWJl2Vkoo7v1

  11. Coupled Interpretation of Geoelectrical Surveying Results in Environmental Site Investigations

    Science.gov (United States)

    Skold, M.; Hubbard, S. S.; Karaoulis, M.; Revil, A.; Spycher, N.; Watson, D. B.; Wu, Y.

    2011-12-01

    Geoelectric methods are sensitive to material properties which can be used to investigate subsurficial processes at contaminated sites. Electrical resistivity tomography (ERT) measures the electrical resistivity distribution in the ground; the self-potential (SP) method is based on source current densities resulting from ground water flow; and induced polarization (IP) responds to geochemical interactions between mineral surfaces and pore fluids. Ground water flow patterns and contaminant migration may be better understood if the results of these survey methods are interpreted jointly rather than separately. The purpose of this project is to jointly interpret results of geophysical surveying and laboratory characterization of soil and ground water samples to assess ground water flow patterns and contaminant migration at a site within the Oak Ridge National Laboratory. Historical disposal of liquid waste containing nitric acid and uranium in unlined ponds has resulted in contamination of soil and ground water. ERT, SP, and IP surveying was performed downgradient of the source area and the geophysical behavior of sediment and ground water samples was investigated in the laboratory. Measured electrical conductivity and self-potential anomalies coincided with elevated nitrate and uranium concentrations indicating preferential flow from the source area. The self-potential response can be related to ground water flow either by calculating the excess of charge in the diffuse layer surrounding mineral surfaces or by the streaming potential coupling coefficient. Geochemical reactions between pore water and minerals and their surfaces were modeled using the contaminant transport software TOUGHREACT. Surface complexation modeling using the Gouy-Chapman diffuse double layer was used to simulate charge density-surface potential relationship. Laboratory measurements of the streaming potential coupling coefficient of sediment samples at various pH and salt concentrations were

  12. Initiation of antiretroviral therapy in youth with HIV: a U.S.-based provider survey.

    Science.gov (United States)

    Gagliardo, Christina; Murray, Meghan; Saiman, Lisa; Neu, Natalie

    2013-09-01

    In 2009, the Department of Health and Human Services (DHHS) recommended initiating antiretroviral therapy (ART) for youth with HIV at higher CD4 counts (≤500 cells/mm³) than previously recommended (≤350 cells/mm³). Barriers experienced by providers regarding ART initiation in this population have not been assessed. From 12/2011-01/2012, we asked providers from the American Academy of HIV Medicine (AAHIVM) [corrected] listserv who prescribed ART to youth (ages 13-25 years) with behaviorally-acquired HIV to complete a web-based survey. We presented a clinical vignette to explore potential barriers for initiating ART. Overall, 274/290 (94%) respondents completed the survey. Most felt confident that evidence supported initiating ART at higher CD4 counts (94%), and that benefits outweighed the risks of long-term toxicity (98%) or developing resistance (88%). Most (96%) initiated ART in the patient vignette (age 19 years, CD4 count ~400). Patient characteristics (e.g., unstable housing or drug use) were perceived as large barriers to ART initiation. Low response rate (13%) was a limitation. Respondents were knowledgeable about relevant DHHS guidelines, believed sufficient evidence supported ART initiation at higher CD4 counts, and would provide treatment to those with CD4 counts ≤500cells/mm³. Understanding and overcoming barriers to initiation of ART perceived by providers is important to ensure implementation of ART treatment guidelines.

  13. Preliminary results of a galactic background survey at 45 MHz

    Energy Technology Data Exchange (ETDEWEB)

    Bitran, M.; May, J.; Aparici, J.

    1981-12-01

    Preliminary results of a survey of the galactic background at 45 MHz recently carried out at the MaipuRadio Astronomy Observatory are shown. The radiotelescope is a transit instrument that consists of a rectangular filled array of 528 dipoles with an angular resolution of 2.1 deg in declination and 4.6 deg in righ ascension. These first observations cover the region of the sky between declinations from -30 deg to -37 deg and they have been obtained with a multiple beam system.

  14. Providing written information increases patient satisfaction: a web-based questionnaire survey of Japanese cancer survivors.

    Science.gov (United States)

    Sakai, Hitomi; Katsumata, Noriyuki; Takahashi, Miyako

    2017-07-01

    The Institute of Medicine (IOM) of the United States recommends that all cancer survivors be provided with a survivorship care plan (SCP), which includes a patient treatment summary and a follow-up care plan. However, SCPs have not been widely adopted in Japan. To provide basic data necessary for implementing SCPs in Japan, we aimed to investigate the forms of clinical and survivorship-related information that Japanese cancer survivors receive from their healthcare providers, and to examine whether written information increases their satisfaction. We performed a cross-sectional online survey of cancer survivors who underwent acute cancer treatment and had at least one follow-up with a physician in the past year. Cancer survivors provided the elements and forms (verbally and/or written) of information they received, as well as the degree of satisfaction with the information provided. Responses were obtained from 545 cancer survivors. Information elements such as surgical procedure (98.3%), surgical outcome (98.1%), and names of administered chemotherapy agents (97.8%) were commonly provided, whereas mental care resources and providers (29.7%), effects on marital relationship and sexual health (35.7%), and effects on fertility (43.4%) were less common. A large proportion of cancer survivors received verbal information only. For 18 of 20 elements, except for effects on fertility and duration of hormonal therapy, satisfaction was significantly higher when both forms of information were provided (P information can better meet the needs of Japanese cancer survivors.

  15. Yoga in Australia: Results of a national survey

    Directory of Open Access Journals (Sweden)

    Stephen Penman

    2012-01-01

    Full Text Available Introduction: The therapeutic benefits of yoga and meditation are well documented, yet little is known about the practice of yoga in Australia or elsewhere, whether as a physical activity, a form of therapy, a spiritual path or a lifestyle. Materials and Methods: To investigate the practice of yoga in Australia, a national survey of yoga practitioners was conducted utilizing a comprehensive web-based questionnaire. Respondents were self-selecting to participate. A total of 3,892 respondents completed the survey. Sixty overseas respondents and 1265 yoga teachers (to be reported separately were excluded, leaving 2,567 yoga practitioner respondents. Results: The typical yoga survey respondent was a 41-year-old, tertiary educated, employed, health-conscious female (85% women. Asana (postures and vinyasa (sequences of postures represented 61% of the time spent practicing, with the other 39% devoted to the gentler practices of relaxation, pranayama (breathing techniques, meditation and instruction. Respondents commonly started practicing yoga for health and fitness but often continued practicing for stress management. One in five respondents practiced yoga for a specific health or medical reason which was seen to be improved by yoga practice. Of these, more people used yoga for stress management and anxiety than back, neck or shoulder problems, suggesting that mental health may be the primary health-related motivation for practicing yoga. Healthy lifestyle choices were seen to be more prevalent in respondents with more years of practice. Yoga-related injuries occurring under supervision in the previous 12 months were low at 2.4% of respondents. Conclusions: Yoga practice was seen to assist in the management of specific health issues and medical conditions. Regular yoga practice may also exert a healthy lifestyle effect including vegetarianism, non-smoking, reduced alcohol consumption, increased exercise and reduced stress with resulting cost benefits

  16. Ready, willing, and able to provide MTM services?: A survey of community pharmacists in the USA.

    Science.gov (United States)

    Law, Anandi V; Okamoto, Mark P; Brock, Kelly

    2009-12-01

    Changes in US Medicare legislation could benefit pharmacy's attempt to make medication therapy management (MTM) practice more commonplace; however, little is known about pharmacists' capabilities and preferences to do so. The purpose of this study was to explore US pharmacists' perceived preparedness, willingness, and challenges toward providing MTM services. A brief purpose of the survey and its website link were included in the electronic weekly newsletter of the National Community Pharmacists Association (NCPA) in January 2007. The web-based survey consisted of 8 demographic questions, 8 questions examining preparedness and willingness of the respondents regarding MTM, 2 questions regarding reimbursement to pharmacists, and 2 checklists for challenges in establishing MTM services. Most of the 143 respondents indicated that they were aware of MTM, and 92 (65%) reported that they were currently practicing MTM. A majority of the sample agreed that pharmacists should provide MTM and have the ability to do so. Major challenges reported by the sample include the different specification of MTM by each health plan, time, staffing, and reimbursement issues. Respondents selected valid measures of program effectiveness but revealed that they needed help with documentation and billing. Expected reimbursement range was $1-10/minute. Community independent pharmacists reported being ready, willing, and able to provide MTM services, but need assistance in the process, that is, standardized MTM protocols, documentation and billing.

  17. Line Transect and Triangulation Surveys Provide Reliable Estimates of the Density of Kloss' Gibbons (Hylobates klossii) on Siberut Island, Indonesia.

    Science.gov (United States)

    Höing, Andrea; Quinten, Marcel C; Indrawati, Yohana Maria; Cheyne, Susan M; Waltert, Matthias

    2013-02-01

    Estimating population densities of key species is crucial for many conservation programs. Density estimates provide baseline data and enable monitoring of population size. Several different survey methods are available, and the choice of method depends on the species and study aims. Few studies have compared the accuracy and efficiency of different survey methods for large mammals, particularly for primates. Here we compare estimates of density and abundance of Kloss' gibbons (Hylobates klossii) using two of the most common survey methods: line transect distance sampling and triangulation. Line transect surveys (survey effort: 155.5 km) produced a total of 101 auditory and visual encounters and a density estimate of 5.5 gibbon clusters (groups or subgroups of primate social units)/km(2). Triangulation conducted from 12 listening posts during the same period revealed a similar density estimate of 5.0 clusters/km(2). Coefficients of variation of cluster density estimates were slightly higher from triangulation (0.24) than from line transects (0.17), resulting in a lack of precision in detecting changes in cluster densities of triangulation and triangulation method also may be appropriate.

  18. Mobile phone use by drivers : 2009 - survey results for England

    Science.gov (United States)

    2009-01-01

    Premise/hypothesis : The Department for Transport has commissioned surveys to monitor the levels of mobile phone use by drivers across England since 2002. Methods : Two or three-person teams conducted observational surveys of mobile phone use on repr...

  19. National Wildlife Refuge Visitor Survey Results: 2010/2011

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — The U.S. Fish and Wildlife Service (Service) collaborated with the U.S. Geological Survey to conduct a national survey of visitors regarding their experiences on...

  20. National Wildlife Refuge Visitor Survey 2012: Individual Refuge Results

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — The U.S. Fish and Wildlife Service collaborated with the U.S. Geological Survey to conduct a national survey of visitors regarding their experiences on National...

  1. Results of the 2006 Sava survey: Aquatic macroinvertebrates

    Directory of Open Access Journals (Sweden)

    Paunović M.M.

    2008-01-01

    Full Text Available The paper presents some results of the 2006 Sava survey. The investigation was carried out at four locations along 188 km of the Serbian stretch of the Sava River (206 km of the river belongs to Serbia. Among other things (physical and chemical properties of water and sediment, phytoplankton, and phytobenthos, the study included investigation of aquatic macroinvertebrates. Sixty-two taxa were identified in this typical lowland river. Mollusks and oligochaetes were the most diverse groups of macroinvertebrates. Our results support the hypothesis that the Sava River is an important bio-invasion trajectory, a part of the Southern Invasive Corridor of Europe. Five alien macroinvertebrate taxa were identified, some of which (Corbicula fluminea, Branchyura sowerbyi, and Anodonta woodiana were found to be important components of the community.

  2. Results of the Navy Telework and Technology Survey

    Science.gov (United States)

    2012-05-01

    alternatives that were tested were conjoint analysis studies and surveys by text message. The current survey had two purposes in terms of technology. It...population at the time of the survey. Data were analyzed using SPSS 16. 8 N P R S T Analysis Key • Analyses are presented for each age group...follow-up survey field closed, but included analyses only based on text messages sent and received in first week and a half (prior to June 18, 2008

  3. Hearing Loss in Hospice and Palliative Care: A National Survey of Providers.

    Science.gov (United States)

    Smith, Alexander K; Ritchie, Christine S; Wallhagen, Margaret L

    2016-08-01

    Age-related hearing loss can impair patient-provider communication about symptom management, goals of care, and end-of-life decision-making. To determine whether hospice and palliative care providers screen for or received training about hearing loss, believe it impacts patient care, and use strategies to optimize communication. This was a national survey of hospice and palliative care providers conducted via email and social media. Survey questions were pilot tested with multidisciplinary providers in San Francisco. Of 510 responses (55% age 50+ years, 65% female, 64% in practice 5+ years, 57% practiced hospital-based palliative care, 45% hospice), 315 were physicians, 50 nurses, 48 nurse practitioners, 58 social workers, and 39 chaplains. Ninety-one percent reported that hearing loss has some or great impact on the quality of care for older adults. Eighty-eight percent recalled a situation where hearing loss created a communication problem with a patient and 56% a communication problem with a caregiver. Eighty-seven percent of physicians, nurses, and nurse practitioners reported not screening for hearing loss. Although 61% felt comfortable with their communication skills for patients with hearing loss, only 21% reported having received formal training in its management, 31% were unfamiliar with resources for patients with hearing loss, and 38% had never heard of a pocket talker amplification device. Hospice and palliative medicine providers believe age-related hearing loss impacts care yet most do not screen. Although they feel they are managing well, few have formal training. Knowledge about management approaches and resources is suboptimal. Published by Elsevier Inc.

  4. A survey of scientific literacy to provide a foundation for designing science communication in Japan.

    Science.gov (United States)

    Kawamoto, Shishin; Nakayama, Minoru; Saijo, Miki

    2013-08-01

    There are various definitions and survey methods for scientific literacy. Taking into consideration the contemporary significance of scientific literacy, we have defined it with an emphasis on its social aspects. To acquire the insights needed to design a form of science communication that will enhance the scientific literacy of each individual, we conducted a large-scale random survey within Japan of individuals older than 18 years, using a printed questionnaire. The data thus acquired were analyzed using factor analysis and cluster analysis to create a 3-factor/4-cluster model of people's interest and attitude toward science, technology and society and their resulting tendencies. Differences were found among the four clusters in terms of the three factors: scientific factor, social factor, and science-appreciating factor. We propose a plan for designing a form of science communication that is appropriate to this current status of scientific literacy in Japan.

  5. A Bathymetric Survey of Lake Toba, Indonesia: Further Results

    Science.gov (United States)

    Chesner, C. A.; Halsor, S. P.; Dolan, M. T.

    2008-12-01

    Lake Toba, the largest caldera lake in the world, formed following a supervolcano eruption 74,000 years ago in northern Sumatra. Explosive eruption of ~2800 km3 of silicic magma from a batholith sized magma body produced a 100 x 30 x 2 km deep caldera. Approximately 2/3 of the caldera floor is now covered by Lake Toba, obscuring volcanic landforms and geologic features critical to understanding the history of the caldera. In September 2005, we initiated a bathymetric survey of Lake Toba using a GPS linked sonar device mounted to a small boat. Traveling at a speed of 3-10 km/h, and using a bottom depth sampling rate of 1 sounding/sec, sonar data was collected along almost 200 km of transect lines. This survey produced lake-bottom profiles with detailed bathymetric expression, indicating that it would be possible to generate a high resolution bathymetric map of Lake Toba with additional surveying. The second phase of our data collection was done in May 2008. Collectively, the survey now consists of about 90 separate transect lines over nearly 600 km of lake bottom. Results from both surveys allow several first order observations concerning caldera formation, resurgent doming, lava dome emplacement, and large scale erosional events as follows. Samosir Island is a partly submerged resurgent dome whose overall size (~60 x 20 km) and shape can now be accurately determined. The dome retains its asymmetrical shape below the water line with gentle westward slopes that merge into the caldera wall. Its steep east face rapidly descends to water depths of >400 m near the eastern caldera margin. The Uluan block appears to be a smaller, symmetrical equivalent of the Samosir dome. However, its extremely steep western face is more similar to the abrupt caldera collapse scar than the east face of Samosir. The deepest parts of the lake are found at the base of the ring fracture fault, approximately 0.5 km from the shoreline, with depths of 500 m recorded along the northeastern ring

  6. Radon in Estonian dwellings - Results from a National Radon Survey

    Energy Technology Data Exchange (ETDEWEB)

    Pahapill, Lia; Rulkov, Anne; Rajamaee, Raivo [Estonian Radiation Protection Centre (Kiirguskeskus), Tallinn (Spain); Aakerblom, Gustav [Swedish Radiation Protection Authority, Stockholm (Sweden)

    2003-10-01

    A countrywide survey of radon concentrations in Estonian dwellings was carried out during the period 1998-2001. The survey formed a part of the cooperation program on radiation protection between the Estonian Radiation Protection (Kiirguskeskus) Centre and the Swedish Radiation Protection Authority (SSI). The survey included measurements in a number of dwellings representative for Estonia in detached houses and multifamily buildings (only dwellings on the bottom floor were included in the survey). Altogether, radon concentrations were measured in 515 dwellings, a number large enough to be statistically significant. All measurements were made with alphatrack film detectors of the same type that SSI uses in Sweden. The measurements were made during a 2-3 month period during the winter half-year. Two detectors were used in each dwelling. In Estonia there are 0.17 million dwellings in detached houses and 0.45 million in multi apartment buildings. Of the 1.26 million inhabitants in Estonia. 0.36 million live in detached houses and 0.90 million in multi apartment buildings. Most of the latter were built during the Soviet occupation. Of the dwellings in multifamily buildings 30 % are assumed to be situated on the first floor. The mean radon concentration in dwellings in detached hoses, according to the survey results, is 103 Bq/m{sup 3}, in dwellings on the bottom floor in multi apartment buildings it is 78 Bq/m{sup 3}. In 1% of the dwellings the radon concentration exceeded 400 Bq/m{sup 3}. The highest radon concentration found in the study was 1040 Bq/m{sup 3}. Based on the assumption that the average radon concentration in the dwellings in multi-apartment buildings that are not situated on the bottom floor is 30 Bq/m{sup 3}, and that these dwellings constitute 70% of all dwellings in multi apartment buildings, the mean radon concentration in dwellings in multi apartment buildings is calculated to be 44 Bq/m{sup 3}. The mean value for all Estonia dwellings is calculated

  7. Off-label use of oncology drugs: national survey results

    Directory of Open Access Journals (Sweden)

    Eva González-Haba Peña

    2015-09-01

    Full Text Available Purpose: identify by means of a survey the off-label treatments more often used in the oncohaematology area, as well as to know the established procedures and criteria used to authorise those treatments. Methods: a four-section survey was designed: 1 demographic data and hospital activity, 2 Off-label treatments protocol, 3 Approval criteria and 4 Off-label oncology treatments conducted during the last year. Results: in 42.1% of the hospitals it’s needed an authorisation before dispensing in more tan 80% of the treatments. The most influential factor in the approval-dispensation system is the available evidence. The consent of the hospital management with previous Pharmacy department’s report was the most common authorisation procedure. 55.3% of the hospitals settled specific patient criteria to help the decision-making altogether with the available safety and efficacy data of the drug for the requested indication. In most centers a lower level of evidence is accepted if there are no therapeutic alternatives as well as in tumors of low prevalence. Most of the centers have not clearly established a criterion of effectiveness to consider a benefit as clinically relevant, nor the cost-effectiveness threshold for approving a FFT. Conclusions: there is a great variability in the off-label treatments use and also in the criteria used for its approval.

  8. Salvia divinorum use and phenomenology: results from an online survey.

    Science.gov (United States)

    Sumnall, H R; Measham, F; Brandt, S D; Cole, J C

    2011-11-01

    Salvia divinorum is a hallucinogenic plant with ethnopharmacological and recreational uses. It differs from classic serotonergic hallucinogens such as LSD and psilocin in both phenomenology and potent agonist activity of the active component salvinorin A at κ-opioid receptors. Awareness of S. divinorum has grown recently, with both an increase in its public representation and concern over its potential harmful effects. This discussion is particularly relevant as S. divinorum is legal to use in many countries and regions and easily available through online retailers. Drawing upon previous investigations of S. divinorum and other hallucinogens, this study surveyed 154 recent users and questioned them on their use behaviours, consequences of use and other attitudinal measures. Although reporting an extensive substance use history, and considering the limitations of online surveys, there was little evidence of dysfunctional S. divinorum use, and few reports of troubling adverse consequences of use. Furthermore, there was no evidence that users exhibited increased schizotypy. Respondents reported that S. divinorum produced mixed hallucinogenic and dissociative effects, which lends support to assertions that it phenomenologically differs from other hallucinogens with primary serotonergic activity. The functions of use changed with greater experiences with the drug, and although many respondents reported use of S. divinorum as an alternative to illegal drugs it, was apparent that legal proscription would be unlikely to dissuade them from use. These results are discussed with reference to psychopharmacologically informed public health responses to substance use.

  9. The Danish airborne gamma-ray surveying results

    Energy Technology Data Exchange (ETDEWEB)

    Hovgaard, J. [Danish Emergency Management Agency, Birkeroed (Denmark)

    1997-12-31

    The Danish Emergency Management Agency (DEMA) in co-operation with the Technical University of Denmark (TUD), Department of Automation, participated in the international exercise RESUME-95 arranged in Finland in August 1995. DEMA performed measurement with their airborne gamma-ray surveying system. Surveys were done in the three areas known as AREA I, II, III. Results from AREA II (3 km x 6 km) show that the apparent {sup 137}Cs deposition assuming a deposition profile equal to the profile in AREA I based on soil samples varies from a few 10th kBqm{sup -2} up to 110 kBqm{sup -2}. However, a detailed analysis using a new method, Noise Adjusted Singular Value Decomposition (NASVD), shows that the true variations probably are smaller and that the observed differences to some extend are due to major variations in the depth distribution of the cesium. For example agricultural areas appears to have cesium much deeper deposit than the undisturbed areas. Another interesting result is that the NASVD analysis shows that the ration of {sup 134}Cs to {sup 137}Cs is fixed and approximately 0.03 (August 1995) a number in good agreement with the expected ratio from the Chernobyl accident. No true real-time software for source detection is yet integrated in the Danish system. Results from AREA III, however, show that the implemented software for rapid post processing of data worked excellent for detection of radioactive sources. Post analysis using NASVD demonstrates that all sources except for a small {sup 137}Cs source can be localized. (au).

  10. Palliative Care Providers' Practices Surrounding Psychological Distress Screening and Treatment: A National Survey.

    Science.gov (United States)

    Kozlov, Elissa; Eghan, Claude; Moran, Sheila; Herr, Keela; Reid, M Carrington

    2017-01-01

    To investigate how inpatient palliative care teams nationwide currently screen for and treat psychological distress. A web-based survey was sent to inpatient palliative care providers of all disciplines nationwide asking about their practice patterns regarding psychological assessment and treatment. Descriptive statistics were used to characterize the sample and responses, and analysis of variance was conducted to determine whether certain disciplines were more likely to utilize specific treatment modalities. A total of N = 236 respondents were included in the final analyses. Providers reported that they encounter psychological distress regularly in their practice and that they screen for distress using multiple methods. When psychological distress is detected, providers reported referring patients to an average of 3 different providers (standard deviation = 1.46), most frequently a social worker (69.6%) or chaplain (65.3%) on the palliative care team. A total of 84.6% of physicians and 54.5% of nurse practitioners reported that they prescribe anxiolytics or selective serotonin reuptake inhibitors to patients experiencing psychological distress. This study revealed significant variability and redundancy in how palliative care teams currently manage psychological distress. The lack of consistency potentially stems from the variability in the composition of palliative care teams across care settings and the lack of scientific evidence for best practices in psychological care in palliative care. Future research is needed to establish best practices in the screening and treatment of psychological distress for patients receiving palliative care.

  11. The DAFT/FADA Survey status and latest results

    Science.gov (United States)

    Guennou, L.

    2011-12-01

    We present here the latest results obtained from the American French collaboration called the Dark energy American French Team/French American DArk energy Team (DAFT/FADA). The goal of the DAFT/FADA collaboration is to carry out a weak lensing tomography survey of z = 0.4-0.9 rich clusters of galaxies. Unlike supernovae or other methods such as cluster of galaxy counts, weak lensing tomography is purely based on geometry and does not depend on knowledge of the physics of the objects used as distance indicators. In addition, the reason for analyzing observations in the direction of clusters is that the shear signal is enhanced by about 10 over the field. Our work will eventually contain results obtained on 91 rich clusters from the HST archive combined with ground based work to obtain photo-zs. This combination of photo-z and weak lensing tomography will enable us to constrain the equation of state of dark energy. We present here the latest results obtained so far in this study.

  12. Attitudes and beliefs toward the use of a dental diagnostic terminology A survey of dental providers in a dental practice

    Science.gov (United States)

    Ramoni, Rachel B.; Walji, Muhammad F.; Kim, Soyun; Tokede, Oluwabunmi; McClellan, Lyle; Simmons, Kristen; Skourtes, Eugene; Yansane, Alfa; White, Joel M.; Kalenderian, Elsbeth

    2015-01-01

    Background Attitudes and views are critical to the adoption of innovation. While there have been broadening calls for a standardized dental diagnostic terminology, little is known about the views of private practice dental team members towards the adoption of such a terminology. Methods A survey was developed using validated questions identified through literature review. Domain experts’ input allowed for further modifications. The final survey was administered electronically to 814 team members at a multi-office practice based in the Pacific Northwest. Results Response proportion was 92%. The survey had excellent reliability (Cronbach alpha coefficient = 0.87). Results suggested that participants showed, in general, positive attitudes and beliefs towards using a standardized diagnostic terminology in their practices. Additional written comments by participants highlighted the potential for improved communication with use of the terminology. Conclusions Dental providers and staff in one multi-office practice showed positive attitudes towards the use of a diagnostic terminology, specifically they believed it would improve communication between the dentist and patient as well as among providers, while expressing some concerns if using standardized dental diagnostic terms helps clinicians to deliver better dental care. Practical Implications As the dental profession is advancing towards the use of standardized diagnostic terminologies, successful implementation will require that dental team leaders prepare their dental teams by gauging their attitude toward the use of such a terminology. PMID:26025826

  13. Direct Measurement of Tree Height Provides Different Results on the Assessment of LiDAR Accuracy

    Directory of Open Access Journals (Sweden)

    Emanuele Sibona

    2016-12-01

    Full Text Available In this study, airborne laser scanning-based and traditional field-based survey methods for tree heights estimation are assessed by using one hundred felled trees as a reference dataset. Comparisons between remote sensing and field-based methods were applied to four circular permanent plots located in the western Italian Alps and established within the Alpine Space project NewFor. Remote sensing (Airborne Laser Scanning, ALS, traditional field-based (indirect measurement, IND, and direct measurement of felled trees (DIR methods were compared by using summary statistics, linear regression models, and variation partitioning. Our results show that tree height estimates by Airborne Laser Scanning (ALS approximated to real heights (DIR of felled trees. Considering the species separately, Larix decidua was the species that showed the smaller mean absolute difference (0.95 m between remote sensing (ALS and direct field (DIR data, followed by Picea abies and Pinus sylvestris (1.13 m and 1.04 m, respectively. Our results cannot be generalized to ALS surveys with low pulses density (<5/m2 and with view angles far from zero (nadir. We observed that the tree heights estimation by laser scanner is closer to actual tree heights (DIR than traditional field-based survey, and this was particularly valid for tall trees with conical shape crowns.

  14. What Do AEFA Members Say? Summary of Results of an Education Finance and Policy Survey

    Science.gov (United States)

    Stiefel, Leanna; Schwartz, Amy Ellen; Rotenberg, Anne

    2011-01-01

    In the spring of 2008 the authors surveyed members of the American Education Finance Association (AEFA) to gain insight into their views on education policy issues. The results summarize opinions of this broad group of education researchers and practitioners, providing AEFA members and education leaders with access to views that may be helpful as…

  15. Mentor Relationships in Clinical Psychology Doctoral Training: Results of a National Survey.

    Science.gov (United States)

    Clark, Richard A.; Harden, Sherry L.; Johnson, W. Brad

    2000-01-01

    Provides a contemporary picture of mentor relationships in clinical psychology, focusing on 787 survey respondents who were U.S. members or associates of the American Psychological Association and graduated with a PhD or PsyD in clinical psychology in 1994, 1995, or 1996. Presents the results and discusses implications for graduate education. (CMK)

  16. [Stalking of psychiatrists and psychotherapists : Results of an online survey].

    Science.gov (United States)

    Praus, P; Riedel-Heller, S; Dressing, H

    2018-01-01

    Currently, there are clear indications that due to their exposed occupational position psychiatrists and psychotherapists are at a higher risk than the general public to become the victim of stalking by patients. This study investigated the frequency of stalking and its psychosocial impact among psychiatrists and psychotherapists in the Federal Republic of Germany. Analysis of an online survey among members of the German Association for Psychiatry, Psychotherapy and Psychosomatics (DGPPN) from 23 September 2015 until 22 October 2015. Of the respondents 26.5% reported having been the victim of stalking. In more than a third of the reported cases the stalking was described as severely or very severely debilitating. The majority of the perpetrators suffered from psychotic or personality disorders. Male victims were significantly more frequently stalked by a female perpetrator. Approximately 1 in 10 stalking victims continued the treatment of the perpetrator. The majority of the stalking victims did not obtain substantial support from their employer. The phenomenon of stalking within therapeutic relationships needs to be incorporated into the medical and psychotherapeutic professional training, e. g. by implementing specialized training courses and the systematic integration of this topic into clinical supervision. The institutional dealing with stalking by patients needs to optimized, e. g. by promptly transferring treatment of patients who stalk to other professionals and, where required, providing assistance in reporting stalking incidents to the police.

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

    Science.gov (United States)

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

    2016-09-23

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

  18. Research notes : high-speed rail survey results.

    Science.gov (United States)

    2010-08-01

    The survey was conducted from April 2010 to June 2010 using both a print and a web version with identical questions. The print version of the survey was distributed at open house meetings on high-speed rail held in Eugene, Junction City, Albany, Sale...

  19. Survey Results: Idaho Public Library Public Relation Practices.

    Science.gov (United States)

    Idaho State Library, Boise.

    In order to study library public relations practices in Idaho, a survey was mailed to all Idaho public library directors and branch librarians in 1992. The state received 88 responses to the 141 surveys mailed. Seventy-five percent of respondents reported a lack of public relations budget, and in 76 percent of the libraries, one staff member was…

  20. Recessionary Layoffs in Museum Education: Survey Results and Implications

    Science.gov (United States)

    Kley, Ron

    2009-01-01

    A recent survey of recession-driven museum staff reductions suggests the possible loss of tens of thousands of museum personnel nationwide and identifies educators as among those most severely impacted. Survey findings are summarized, and the implications for both affected personnel and downsized institutions are considered.

  1. Survey of consultants in restorative dentistry in the UK regarding ongoing care of patients provided with dental implants.

    Science.gov (United States)

    Beddis, H P; Durey, K A; Chan, M F W Y

    2017-08-25

    Background Funding for implant-based treatment within secondary care is limited, and acceptance criteria are determined locally according to funding agreements with NHS England. Indefinite review of all patients in secondary care is unlikely to be feasible due to limitations on departmental capacity. The increasing number of patients provided with implant-based treatment in secondary care has resulted in a growing maintenance burden, raising the question of who should provide this care. Management of some complications within primary care would facilitate patients' access to treatment, although no specific provision for maintenance of implant-retained prostheses is made within the NHS Dental Charges Regulations.Materials and methods An online survey was carried out to review services provided within restorative dentistry departments across the UK, investigating departmental protocols for review and maintenance of patients provided with dental implants.Results There was no consensus view on review protocols, discharge or provision of maintenance following implant placement. Fifty-seven percent would indefinitely carry out remake of implant-retained overdentures when clinically indicated, replace worn inserts, housings or abutments. Sixty-one percent would manage loose/lost screw- or cement-retained restorations and 68% would manage fractured restorations. Re-referral for peri-implant disease would be accepted by 64% of respondents. The lack of clear NHS funding for the management of complications was of concern to respondents in this survey.

  2. The LOFAR Multifrequency Snapshot Sky Survey (MSSS). I. Survey description and first results

    NARCIS (Netherlands)

    Heald, G. H.; Pizzo, R. F.; Orrú, E.; Breton, R. P.; Carbone, D.; Ferrari, C.; Hardcastle, M. J.; Jurusik, W.; Macario, G.; Mulcahy, D.; Rafferty, D.; Asgekar, A.; Brentjens, M.; Fallows, R. A.; Frieswijk, W.; Toribio, M. C.; Adebahr, B.; Arts, M.; Bell, M. R.; Bonafede, A.; Bray, J.; Broderick, J.; Cantwell, T.; Carroll, P.; Cendes, Y.; Clarke, A. O.; Croston, J.; Daiboo, S.; de Gasperin, F.; Gregson, J.; Harwood, J.; Hassall, T.; Heesen, V.; Horneffer, A.; van der Horst, A. J.; Iacobelli, M.; Jelić, V.; Jones, D.; Kant, D.; Kokotanekov, G.; Martin, P.; McKean, J. P.; Morabito, L. K.; Nikiel-Wroczyński, B.; Offringa, A.; Pandey, V. N.; Pandey-Pommier, M.; Pietka, M.; Pratley, L.; Riseley, C.; Rowlinson, A.; Sabater, J.; Scaife, A. M. M.; Scheers, L. H. A.; Sendlinger, K.; Shulevski, A.; Sipior, M.; Sobey, C.; Stewart, A. J.; Stroe, A.; Swinbank, J.; Tasse, C.; Trüstedt, J.; Varenius, E.; van Velzen, S.; Vilchez, N.; van Weeren, R. J.; Wijnholds, S.; Williams, W. L.; de Bruyn, A. G.; Nijboer, R.; Wise, M.; Alexov, A.; Anderson, J.; Avruch, I. M.; Beck, R.; Bell, M. E.; van Bemmel, I.; Bentum, M. J.; Bernardi, G.; Best, P.; Breitling, F.; Brouw, W. N.; Brüggen, M.; Butcher, H. R.; Ciardi, B.; Conway, J. E.; de Geus, E.; de Jong, A.; de Vos, M.; Deller, A.; Dettmar, R.-J.; Duscha, S.; Eislöffel, J.; Engels, D.; Falcke, H.; Fender, R.; Garrett, M. A.; Grießmeier, J.; Gunst, A. W.; Hamaker, J. P.; Hessels, J. W. T.; Hoeft, M.; Hörandel, J.; Holties, H. A.; Intema, H.; Jackson, N. J.; Jütte, E.; Karastergiou, A.; Klijn, W. F. A.; Kondratiev, V. I.; Koopmans, L. V. E.; Kuniyoshi, M.; Kuper, G.; Law, C.; van Leeuwen, J.; Loose, M.; Maat, P.; Markoff, S.; McFadden, R.; McKay-Bukowski, D.; Mevius, M.; Miller-Jones, J. C. A.; Morganti, R.; Munk, H.; Nelles, A.; Noordam, J. E.; Norden, M. J.; Paas, H.; Polatidis, A. G.; Reich, W.; Renting, A.; Röttgering, H.; Schoenmakers, A.; Schwarz, D.; Sluman, J.; Smirnov, O.; Stappers, B. W.; Steinmetz, M.; Tagger, M.; Tang, Y.; ter Veen, S.; Thoudam, S.; Vermeulen, R.; Vocks, C.; Vogt, C.; Wijers, R. A. M. J.; Wucknitz, O.; Yatawatta, S.; Zarka, P.

    2015-01-01

    We present the Multifrequency Snapshot Sky Survey (MSSS), the first northern-sky Low Frequency Array (LOFAR) imaging survey. In this introductory paper, we first describe in detail the motivation and design of the survey. Compared to previous radio surveys, MSSS is exceptional due to its intrinsic

  3. European survey of chronic pain patients: results for Germany.

    Science.gov (United States)

    Müller-Schwefe, G H H

    2011-11-01

    This ongoing pan-European patient survey is being conducted to explore how chronic pain patients perceive their condition and the coping strategies they use to help deal with the pain. Participating doctors - general practitioners (GPs), pain specialists and orthopaedists - selected patients suffering from chronic pain who routinely visited their practices. Doctors provided details of individual pain diagnoses and treatment which were entered into a questionnaire. Each patient then answered additional questions about pain experience, pain therapy, possible areas for improvement and any coping strategies used. Completed questionnaires were sent to a healthcare-focused global consultancy for analysis and evaluation. The most common diagnosis was chronic back pain, in 61% of the 6435 patients. Using a five-point verbal rating scale (VRS), 70% of participants rated the intensity of their pain as moderate or severe. Approximately half were receiving monotherapy. The more intense the pain was, the higher the percentage of patients receiving combination therapy. The most frequently used combinations were NSAIDs/non-opioids with weak or strong opioids. Approximately two out of three patients received non-pharmacological treatment in addition to their pain medication. Almost all the patients (90%) perceived their pain intensity to be higher than it should be under successful pain management, and 30% were dissatisfied with their current treatment. Insufficient pain relief was the reason in most cases, but 29% of dissatisfied responders cited the side effects of medication. About half the patients identified a medium to high need for improvement in their ability to work, sleep and carry out general activities. For each specialisation, the more severe the pain, the fewer patients who were satisfied with their current pain treatment. More patients with severe and extreme pain were satisfied with treatment by a pain specialist than with a GP or orthopaedist. For all three

  4. Impact of psychosocial risk factors on prenatal care delivery: a national provider survey.

    Science.gov (United States)

    Krans, Elizabeth E; Moloci, Nicholas M; Housey, Michelle T; Davis, Matthew M

    2014-12-01

    To evaluate providers' perspectives regarding the delivery of prenatal care to women with psychosocial risk factors. A random, national sample of 2,095 prenatal care providers (853 obstetricians and gynecologists (Ob/Gyns), 270 family medicine (FM) physicians and 972 midwives) completed a mailed survey. We measured respondents' practice and referral patterns regarding six psychosocial risk factors: adolescence (age ≤19), unstable housing, lack of paternal involvement and social support, late prenatal care (>13 weeks gestation), domestic violence and drug or alcohol use. Chi square and logistic regression analyses assessed the association between prenatal care provider characteristics and prenatal care utilization patterns. Approximately 60 % of Ob/Gyns, 48.4 % of midwives and 32.2 % of FM physicians referred patients with psychosocial risk factors to clinicians outside of their practice. In all three specialties, providers were more likely to increase prenatal care visits with alternative clinicians (social workers, nurses, psychologists/psychiatrists) compared to themselves for all six psychosocial risk factors. Drug or alcohol use and intimate partner violence were the risk factors that most often prompted an increase in utilization. In multivariate analyses, Ob/Gyns who recently completed clinical training were significantly more likely to increase prenatal care utilization with either themselves (OR 2.15; 95 % CI 1.14-4.05) or an alternative clinician (2.27; 1.00-4.67) for women with high psychosocial risk pregnancies. Prenatal care providers frequently involve alternative clinicians such as social workers, nurses and psychologists or psychiatrists in the delivery of prenatal care to women with psychosocial risk factors.

  5. Comparing online and telephone survey results in the context of a skin cancer prevention campaign evaluation.

    Science.gov (United States)

    Hollier, L P; Pettigrew, S; Slevin, T; Strickland, M; Minto, C

    2017-03-01

    A large proportion of health promotion campaign evaluation research has historically been conducted via telephone surveys. However, there are concerns about the continued viability of this form of surveying in providing relevant and representative data. Online surveys are an increasingly popular alternative, and as such there is a need to assess the comparability between data collected using the two different methods to determine the implications for longitudinal comparisons. The present study compared these survey modes in the context of health promotion evaluation research. Data were collected via computer-assisted telephone interviewing and an online panel. In total, 688 and 606 respondents aged between 14 and 45 years completed the online and telephone surveys, respectively. Online respondents demonstrated higher awareness of the advertisement, rated the advertisement as more personally relevant and had better behavioural outcomes compared with the telephone respondents. The results indicate significant differences between the telephone and online surveys on most measures used to assess the effectiveness of a health promotion advertising campaign. Health promotion practitioners could consider the combination of both methods to overcome the deterioration in telephone survey response rates and the likely differences in respondent outcomes.

  6. Patient and provider determinants of nephrology referral in older adults with severe chronic kidney disease: a survey of provider decision making

    Directory of Open Access Journals (Sweden)

    O'Hare Ann M

    2011-09-01

    Full Text Available Abstract Background Although chronic kidney disease (CKD disproportionately affects older adults, they are less likely to be referred to a nephrologist. Factors that influence the referral decisions of primary care providers (PCPs specifically for older CKD patients have been incompletely described. Patient factors such as dementia, functional disability, and co-morbidity may complicate the decision to refer an older adult. This study evaluated the role of patient and PCP factors in the referral decisions for older adults with stage 4 CKD. Methods We administered a two-part survey to study the decisions of practicing PCPs. First, using a blocked factorial design, vignettes systematically varied 6 patient characteristics: age, race, gender, co-morbidity, functional status, and cognitive status. CKD severity, patient preferences, and degree of anemia were held constant. Second, covariates from a standard questionnaire included PCP estimates of life expectancy, demographics, reaction to clinical uncertainty, and risk aversion. The main outcome was the decision to refer to the nephrologist. Random effects logistic regression models tested independent associations of predictor variables with the referral decision. Results More than half (62.5% of all PCP decisions (n = 680 were to refer to a nephrologist. Vignette-based factors that independently decreased referral included older patient age (OR = 0.27; 95% CI, 0.15 to 0.48 and having moderate dementia (OR = 0.14; 95%CI, 0.07 to 0.25. There were no associations between co-morbidity or impaired functional activity with the referral decision. Survey-based PCP factors that significantly increased the referral likelihood include female gender (OR = 7.75; 95%CI, 2.07 to 28.93, non-white race (OR = 30.29; 95%CI, 1.30 to 703.73, those who expect nephrologists to discuss goals of care (OR = 53.13; 95%CI, 2.42 to 1168.00, those with higher levels of anxiety about uncertainty (OR = 1.28; 95%CI, 1.04 to 1

  7. How Czech firms deal with operational budgets? – Survey results

    Directory of Open Access Journals (Sweden)

    Boris Popesko

    2017-06-01

    Full Text Available In recent decades, academics and practitioners started a deep discussion about the limitations and perspectives of enterprise budgeting systems. Traditional budgets are frequently criticized due to their inflexibility, weak connection to corporate performance and demand on manager’s time. Recently, we have observed more frequent examples of firms which have undertaken budgeting system transformation and the adoption of modern, flexible and performance-based budgets. In this study, we have studied some trends in the budgeting of Czech firms with a focus on the manager´s behaviour. This paper contributes to the existing knowledge in two fields: Firstly, it summarizes the existing state of the art regarding the budgeting transformation; secondly, it presents the survey results focused on the operational budget utilization and its impact on the manager’s behaviour. Overall, the study presents some findings regarding the impact of an operational budget on the manager’s behaviour. We have tested how frequently situations occur, more specifically those frequently discussed in literature, in a given Czech firm´s budgeting practices.

  8. Recent Results from the Herschel Orion Protostar Survey

    Science.gov (United States)

    Fischer, William J.; Megeath, T.; Ali, B.; Watson, D.; Manoj, P.; Vavrek, R.; Poteet, C.; Tobin, J.; Stanke, T.; Stutz, A.; HOPS Team

    2011-05-01

    The Herschel Orion Protostar Survey (HOPS) is an ongoing 200-hour open-time key project with the Herschel Space Observatory to study protostars in the Orion molecular cloud complex. HOPS is obtaining PACS 70 and 160 micron imaging of 286 Orion protostars and PACS spectroscopy of a subset of 36, sampling the expected peaks of their spectral energy distributions (SEDs). The Herschel data are complemented by Spitzer 3-24 micron photometry and 5-40 micron spectroscopy, high angular resolution near-IR imaging with Hubble and ground-based telescopes, and millimeter observations of the surrounding gas. With these combined data we can determine the fundamental properties (multiplicity, gas infall rate, bolometric luminosity, outflow cavity geometry) of a large sample of protostars in a single cloud complex. With far-IR imaging and 1.6-160 micron SEDs for 171 protostars and 55-200 micron spectroscopy for 10 protostars expected to be in hand by mid-March 2011, we will present a selection of recent results.

  9. Community psychiatry: results of a public opinion survey.

    Science.gov (United States)

    Lauber, Christoph; Nordt, Carlos; Haker, Helene; Falcato, Luis; Rössler, Wulf

    2006-05-01

    Mental health authorities must know the public's attitude to community psychiatry when planning community mental health services. However, previous studies have only investigated the impact of demographic variables on the attitude to community psychiatry. To assess the influence of psychological and sociological parameters on the public opinion of community psychiatry in Switzerland. Linear regression analyses of the results of a public opinion survey on a representative population sample in Switzerland (n = 1737). Most respondents have positive attitudes to community psychiatry. In the regression analysis (R2 adjusted = 21.2%), negative emotions towards mentally ill people as depicted in the vignette, great social distance, a positive attitude to restrictions, negative stereotypes, high rigidity and no participation in community activities significantly influenced negative attitudes to community psychiatry. Additionally, other parameters, e.g. contact with mentally ill people and the nationality of the interviewee, have a significant influence. In planning psychiatric community services, general individual traits and emotive issues should be considered because they influence the response towards community psychiatry facilities in the host community.

  10. Providing services for acute low-back pain: A survey of Australian physiotherapists.

    Science.gov (United States)

    Keating, Jennifer L; McKenzie, Joanne E; O'Connor, Denise A; French, Simon; Walker, Bruce F; Charity, Melanie; Page, Matthew J; Green, Sally E

    2016-04-01

    To determine whether physiotherapists avoid lumbar X-rays for acute non-specific low back pain and advise people to stay active. We conducted a cross sectional survey of Australian physiotherapists. 880 physiotherapists were randomly sampled from Victoria (495), South Australia (158), and Western Australia (227). Physiotherapists were asked which investigations they would order and interventions they would provide for five acute low back pain (LBP) presentations described in vignettes. Four of the five vignettes represented people who would not require a plain lumbar X-ray and would benefit from advice to stay active; one described a patient with a suspected vertebral fracture and would require a plain X-ray. Participants selected from a list of response options or provided free text responses. Questionnaires were completed by 203 of 567 potentially eligible physiotherapists (response rate 36%). Across the four vignettes where an X-ray was not indicated, 75% (95%CI 71-78%) of physiotherapists reported they would practice concordant with the guidelines and not order an X-ray, and 62% (95%CI 57-66%) provided advice to stay active. Most physiotherapists report intended compliance with recommendations in Australian clinical practice guidelines (CPGs) regarding avoiding the use of X-rays and providing advice to stay active for people with simple acute low back pain, given a vignette based scenario. The majority of respondents reported that they would not advise bed rest. Possible opportunities to further enhance compliance need to be developed and tested to reinforce the role of CPGs in informing physiotherapy practice. Copyright © 2015 Elsevier Ltd. All rights reserved.

  11. The effect of mode and context on survey results: Analysis of data from the Health Survey for England 2006 and the Boost Survey for London

    Directory of Open Access Journals (Sweden)

    Roth Marilyn A

    2010-09-01

    Full Text Available Abstract Background Health-related data at local level could be provided by supplementing national health surveys with local boosts. Self-completion surveys are less costly than interviews, enabling larger samples to be achieved for a given cost. However, even when the same questions are asked with the same wording, responses to survey questions may vary by mode of data collection. These measurement differences need to be investigated further. Methods The Health Survey for England in London ('Core' and a London Boost survey ('Boost' used identical sampling strategies but different modes of data collection. Some data were collected by face-to-face interview in the Core and by self-completion in the Boost; other data were collected by self-completion questionnaire in both, but the context differed. Results were compared by mode of data collection using two approaches. The first examined differences in results that remained after adjusting the samples for differences in response. The second compared results after using propensity score matching to reduce any differences in sample composition. Results There were no significant differences between the two samples for prevalence of some variables including long-term illness, limiting long-term illness, current rates of smoking, whether participants drank alcohol, and how often they usually drank. However, there were a number of differences, some quite large, between some key measures including: general health, GHQ12 score, portions of fruit and vegetables consumed, levels of physical activity, and, to a lesser extent, smoking consumption, the number of alcohol units reported consumed on the heaviest day of drinking in the last week and perceived social support (among women only. Conclusion Survey mode and context can both affect the responses given. The effect is largest for complex question modules but was also seen for identical self-completion questions. Some data collected by interview and self

  12. U.S. Geological Survey shrub/grass products provide new approach to shrubland monitoring

    Science.gov (United States)

    Young, Steven M.

    2017-12-11

    In the Western United States, shrubland ecosystems provide vital ecological, hydrological, biological, agricultural, and recreational services. However, disturbances such as livestock grazing, exotic species invasion, conversion to agriculture, climate change, urban expansion, and energy development are altering these ecosystems.Improving our understanding of how shrublands are distributed, where they are changing, the extent of the historical change, and likely future change directions is critical for successful management of these ecosystems. Remote-sensing technologies provide the most likely data source for large-area monitoring of ecosystem disturbance—both near-real time and historically. A monitoring framework supported by remote-sensing data can offer efficient and accurate analysis of change across a range of spatial and temporal scales.The U.S. Geological Survey has been working to develop new remote-sensing data, tools, and products to characterize and monitor these changing shrubland landscapes. Nine individual map products (components) have been developed that quantify the percent of shrub, sagebrush, big sagebrush, herbaceous, annual herbaceous, litter, bare ground, shrub height, and sagebrush height at 1-percent intervals in each 30-meter grid cell. These component products are designed to be combined and customized to widely support different applications in rangeland monitoring, analysis of wildlife habitat, resource inventory, adaptive management, and environmental review.

  13. National Geochemical Survey Locations and Results for Iowa

    Data.gov (United States)

    Iowa State University GIS Support and Research Facility — The United States Geological Survey (USGS), in collaboration with other state and federal agencies, industry, and academia, is conducting a National Geochemical...

  14. A journal cancellation survey and resulting impact on interlibrary loan

    Directory of Open Access Journals (Sweden)

    Jacob L. Nash, MSLIS, AHIP

    2017-01-01

    Conclusions: Soliciting user feedback through an electronic survey can assist collections librarians to make electronic journal cancellation decisions during slim budgetary years. This methodology can be adapted and improved upon at other health sciences libraries.

  15. Positive Community Norm Survey 2011 : Methodology and Results

    Science.gov (United States)

    2012-09-01

    This survey established a baseline understanding of the positive norms that exist in Idaho, plus reveal the gaps in knowledge and perceived norms with regard to impaired driving. These gaps will indicate the most effective opportunities for future co...

  16. Squaw Creek National Wildlife Refuge contaminant survey results

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — As part of a baseline contaminant survey of all National Wildlife Refuges (NWR) in Missouri, fish were collected at the Squaw Creek NWR from Davis and Squaw creeks...

  17. Primary Care Providers' Recommendations for Hypertension Prevention, DocStyles Survey, 2012.

    Science.gov (United States)

    Fang, Jing; Ayala, Carma; Loustalot, Fleetwood

    2015-07-01

    Healthy behaviors, including maintaining an ideal body weight, eating a healthy diet, being physically active, limiting alcohol intake, and not smoking, can help prevent hypertension. The objective of this study was to determine the prevalence of recommending these behaviors to patients by primary care providers (PCPs) and to assess what PCP characteristics, if any, were associated with making the recommendations. DocStyles 2012, a Web-based panel survey, was used to assess PCPs' demographic characteristics, health-related behaviors, practice setting, and prevalence of making selected recommendations to prevent hypertension. Logistic regression was used to calculate the odds of making all 6 recommendations, by demographic, professional, or personal health behavior characteristics. Overall, 1253 PCPs responded to the survey (537 family physicians, 464 internists, and 252 nurse practitioners). To prevent hypertension, 89.4% recommended a healthy diet, 89.9% recommended lower salt intake, 90.3% recommended maintaining a healthy weight, 69.4% recommended limiting alcohol intake, 95.1% recommended being physically active, and 90.4% recommended smoking cessation for their patients who smoked. More than half (56.1%) of PCPs recommended all 6 healthy behaviors. PCPs' demographic characteristics and practice setting were not associated with recommending all 6. PCPs who reported participating in regular physical activity (odds ratio [OR] 1.68, 95% confidence interval [CI] 1.05-2.67) and eating healthy diet (OR 1.68, 95% CI 1.11-2.56) were more likely to offer all 6 healthy behavior recommendations than those without these behaviors. Most PCPs recommended healthy behaviors to their adult patients to prevent hypertension. PCPs' own healthy behaviors were associated with their recommendations. Preventing hypertension is a multifactorial effort, and in the clinical environment, PCPs have frequent opportunities to model and promote healthy lifestyles to their patients. © The

  18. Barriers to the dissemination of four harm reduction strategies: a survey of addiction treatment providers in Ontario

    Directory of Open Access Journals (Sweden)

    Cunningham John A

    2006-12-01

    Full Text Available Abstract A sample of service providers at addictions agencies' in Ontario were interviewed by telephone to assess attitudes toward, anticipated internal and external barriers to implementing, and expected benefits of four harm reduction strategies: needle exchange, moderate drinking goals, methadone treatment, and provision of free condoms to clients. Respondents were also asked to define harm reduction, list its most important elements, and describe what they find most troubling and most appealing about harm reduction. Attitudes toward harm reduction in general and the services provided at each agency were also assessed. Results indicated that the service providers surveyed had positive attitudes toward each of the four harm reduction strategies and harm reduction in general, and the majority of respondents were aware of the benefits associated with each strategy. Almost all of the agencies surveyed allowed for moderate drinking outcomes in the treatment of alcohol problems, and most agencies provided free condoms to clients. In terms of barriers, anticipated negative community reaction to needle exchange, methadone treatment, and free condoms was a major concern for the majority of respondents. Lack of staff, of funding, or anticipated staff resistance were also cited as potential barriers to introducing these strategies. In the case of methadone maintenance, the unavailability of a qualified physician was listed as the primary constraint. Implications for future efforts directed at encouraging the adoption of these strategies and suggestions for future research are discussed.

  19. A survey of midwives' views on providing aspects of antenatal care in Estonia

    DEFF Research Database (Denmark)

    Lazarus, Jeffrey V; Rull, Kristiina; Wyn Huws, Dyfed

    2007-01-01

    OBJECTIVE: to survey the views of midwives in Estonia about who they considered should have responsibility for carrying out certain aspects of antenatal care (ANC) in Estonia. DESIGN, SETTING AND STUDY POPULATION: in collaboration with key stakeholder organisations, the authors developed eight...... was sent with a covering letter and stamped addressed return envelope to all 366 midwives in Estonia. Two postal reminders were sent to non-responders. RESULTS: the response rate was 73.5%. There was no consensus among respondents about whose responsibility it was to diagnose pregnancy, carry out the risk...... assessment of a pregnancy, or carry out fetal monitoring during pregnancy. There was consensus among respondents that either midwives or obstetrician-gynaecologists could have responsibility for referring for further tests and examinations if a pregnancy was thought to be at risk. There was also consensus...

  20. Depression stigma and migration - results of a survey from Germany.

    Science.gov (United States)

    Makowski, Anna C; von dem Knesebeck, Olaf

    2017-11-29

    There are barely any studies focusing on migration in relation to mental illness stigma. We explore present attitudes regarding depression among migrants (either born in Germany or born abroad) and non-migrants in Germany, drawing upon three components of public stigma: stereotypes, emotional reactions and desire for social distance. Furthermore, differences in self-stigma of depression between the two groups are analyzed. Analyses are based on a representative telephone survey (N = 2013) in Germany. Respondents were presented with a vignette depicting either someone from Turkey or from Germany affected by depression, followed by questions on stereotypes, emotional reactions and desire for social distance. The (anticipated) self-stigma of depression was also assessed. Analyses of variance tested for differences between migrant and non-migrant respondents, stratified by migrant status in the vignette. Regarding the depression vignette depicting a non-migrant, there were only few differences between subgroups. However, when presented with a vignette describing someone from Turkey, respondents with migrant background who were foreign-born expressed greater stigmatizing attitudes, e.g. when it comes to stereotypes or desire for social distance. Furthermore, this subsample displayed higher levels of self-stigma of depression, especially regarding the ascription of own responsibility. The results underline the need to incorporate migration status/ethnicity in stigma research. Differences in attitudes as well as in (anticipated) self-stigma of depression identify foreign-born migrants in Germany as important target groups for tailored anti-stigma interventions, which need to consider diverse cultural backgrounds.

  1. Small Solar System Objects Spectroscopic Survey: First Results

    Science.gov (United States)

    Lazzaro, D.; Angeli, C. A.; Florczak, M.; Betzler, A.; Barucci, M. A.; Fulchignoni, M.

    1997-07-01

    We began a systematic study of primitive bodies, called S(3OS^2) , Small Solar System Objects Spectroscopic Survey. Among the objects we are studying are: Near-Earth objects, asteroid families, asteroids near resonances, dark objects, Centaurs, objects representing a possible transition comet-asteroid, and asteroids with a very slow or complex rotation. The chemical and mineralogical composition of an asteroid's surface is studied through the analysis of its reflectance spectra in different wavelenghts. Four observation missions were carried out at the European Southern Observatory (La Silla, Chile), when we obtained a mineral characterization of about 300 asteroids. The observations were realized with a 1.52 m telescope with a Boller & Chivens spectrograph and a 2048x2048 CCD. The spectra were obtained in wavelenghts from 3000 to 9200 { Angstroms} and were reduced using the IRAF reduction package with usual techniques like flat-field, He-Ar lamps and solar analogs. Concerning concentrations in the Main Belt due to resonances with Jupiter, we present the initial results of Cybeles, Hildas, Hungarias, NEAs and Phocaea. We observed also, along all its opposition, the Centaur object 2060 Chiron, that displays a small cometary activity represented by variations in its reflectance spectrum. Concerning asteroid families, concentrations we believe are debris of an energetic collision causing the total breakup of the original bodies, we observed members of Adeona, Dora, Eos, Eunomia, Flora, Merxia and Themis. The Main Belt is represented in our sample by Flora, in the most inner region, Eunomia, Adeona, Dora and Merxia in the intermediary region, and Themis and Eos representing the most outer region of the belt. *Based on observations made with the 1.52 m telescope at the European Southern Observatory (La Silla, Chile) under the agreement with the CNPq/Observatorio Nacional (Brazil).

  2. 1997 HIMSS/Hewlett-Packard leadership survey results. Survey results highlight infrastructure--the building block approach to IT strategy.

    Science.gov (United States)

    Elliott, J

    1997-04-01

    "Infrastructure" is the buzzword that emerged from the 1997 HIMSS/Hewlett-Packard Leadership Survey. Of the 1,220 survey respondents, 37 percent identified upgrading infrastructure as the most significant IT projects their organizations undertook over the last year. "In the past, organizations were not deliberately against building infrastructure; they just did not know what it takes," says researcher and survey analyst John Pollock, Princeton, N.J. "It is evident now they are looking more at the framework." Increasing pressure to achieve a competitive advantage has led to a real interest in integrating healthcare delivery systems, he explains.

  3. Current management of open fractures: results from an online survey.

    Science.gov (United States)

    Gümbel, Denis; Matthes, Gerrit; Napp, Matthias; Lange, Jörn; Hinz, Peter; Spitzmüller, Romy; Ekkernkamp, Axel

    2016-12-01

    Open fractures are orthopaedic emergencies that carry a high risk for infection, non-union and soft tissue complications. Evidence-based treatment is impeded by the lack of high-quality evidence-based studies. The aim of this investigation was to elucidate the current practice of open fracture management in Germany and to determine major differences in treatment. Surgeons were asked to complete an online questionnaire consisting of 45 items developed by an expert consensus. The first part covered questions on general principles of open fracture management. The second part included questions on soft tissue management, the preferred method of initial surgical stabilisation, microbiological testing, employment of pulsatile lavage and local antibiotics, antibiotic regimen, second-look operations, and blood testing. Of 653 respondents, 364 (65 %) completed the first part and 314 (48 %) completed the second part of the online survey. 55 % answered that a standard operating procedure for the diagnosis and treatment of patients with open fractures exists in their hospital. Only 25 % leave pre-hospitalisation applied dressings intact until arrival of the patient in the operating room, and 40 % make this decision depending on information provided by pre-hospitalisation emergency personnel. 84 % participants exclude the use of antibiotic-coated implants in the treatment of open fractures. The favoured stabilisation method in Gustilo type I fractures is definitive internal osteosynthesis and primary wound closure for 61 % of respondents. In Gustilo type II (74 %) and type III fractures (93 %), temporary external fixation is preferred. High-pressure pulsatile lavage is used by 22 % responding surgeons in Gustilo type I fractures, 53 % for type II fractures and 67 % for type III fractures. Open fracture management differs considerably among surgeons in Germany. Further studies are needed to deliver high-quality evidence concerning primary fracture stabilisation, soft

  4. Disability Weights for Chronic Mercury Intoxication Resulting from Gold Mining Activities: Results from an Online Pairwise Comparisons Survey.

    Science.gov (United States)

    Steckling, Nadine; Devleesschauwer, Brecht; Winkelnkemper, Julia; Fischer, Florian; Ericson, Bret; Krämer, Alexander; Hornberg, Claudia; Fuller, Richard; Plass, Dietrich; Bose-O'Reilly, Stephan

    2017-01-10

    In artisanal small-scale gold mining, mercury is used for gold-extraction, putting miners and nearby residents at risk of chronic metallic mercury vapor intoxication (CMMVI). Burden of disease (BoD) analyses allow the estimation of the public health relevance of CMMVI, but until now there have been no specific CMMVI disability weights (DWs). The objective is to derive DWs for moderate and severe CMMVI. Disease-specific and generic health state descriptions of 18 diseases were used in a pairwise comparison survey. Mercury and BoD experts were invited to participate in an online survey. Data were analyzed using probit regression. Local regression was used to make the DWs comparable to the Global Burden of Disease (GBD) study. Alternative survey (visual analogue scale) and data analyses approaches (linear interpolation) were evaluated in scenario analyses. A total of 105 participants completed the questionnaire. DWs for moderate and severe CMMVI were 0.368 (0.261-0.484) and 0.588 (0.193-0.907), respectively. Scenario analyses resulted in higher mean values. The results are limited by the sample size, group of interviewees, questionnaire extent, and lack of generally accepted health state descriptions. DWs were derived to improve the data basis of mercury-related BoD estimates, providing useful information for policy-making. Integration of the results into the GBD DWs enhances comparability.

  5. Effect of geophone mounting method on results of seismic surveys

    Energy Technology Data Exchange (ETDEWEB)

    Czech, E.; Kornowski, J.; Pilecki, Z.; Sokolowski, H.; Wasko, A. (Kopalnia Marcel (Poland))

    1990-05-01

    Presents results of seismo-acoustic tests performed in the Marcel mine with the use of geophones installed in sprag probes, shield-sprag pipes on resin-grouted bolts. It was found that wall-spragged probes are the best method for installing geophones provided that hole depth is over 1 m. Geophones installed on bolts outside holes have the disadvantage of recording noise from the environment. The quality of recording was evaluated by comparing the signals obtained with signals gained from accelerometers, taking into consideration that geophones sense velocity while accelerometers sense acceleration. The recommendation is made that geophone installation quality be evaluated on the basis of the width of the frequency spectrum recorded. Spectrograms of the pulses recorded and their spectra (up to 7.5 kH) are presented. Geophones installed in shield-sprag pipes in shallow (80 cm) holes gave poor results. 1 ref.

  6. [Survey on the barriers in providing the mental health services to the suicide attempters in ED].

    Science.gov (United States)

    Zhao, Xiaohui; Li, Tao; Hong, Xia; Jiang, Yinan; Xiong, Nana; Cao, Jinya; Wei, Jing

    2015-06-16

    The purpose of this study was to explore the barriers existing in medical settings behind the phenomenon that few suicide attempters were provided by mental health services when they got treatment in the general hospital ED. An anonymous and voluntary survey was administered among two groups: ED physicians and psychiatrists. Two tertiary general hospitals and one psychiatric hospital were chosen through convenience sampling. Suicide Behavior Attitude Questionnaire and a self-made questionnaire to evaluate barriers were used. The response rate was 68.7% for ED physicians, and 87.0% for psychiatrists. ED physicians generally scored unfavorably than psychiatrists on many items in SBAQ (P suicide attempters should have access to mental health services, the median of the scores = 10 for both group (P = 0.059), meaning highly agree. Some consistent barriers could be summarized from the self-made questionnaire. The majority of ED physicians in general hospitals still hold some misunderstanding about the suicide attempters, but they fully agree that the suicide attempters should have access to mental health services. The barriers for psychiatrists are clear.The barriers for ED physicians are complicated but workable.

  7. Understanding health care provider barriers to hospital affiliated medical fitness center facility referral: a questionnaire survey and semi structured interviews.

    Science.gov (United States)

    Smock, Carissa; Alemagno, Sonia

    2017-08-03

    The purpose of this study is to understand health care provider barriers to referring patients to Medical Fitness Center Facilities within an affiliated teaching hospital system using referral of diabetic services as an example. The aims of this study include: (1) to assess health care providers' awareness and use of facilities, (2) to determine barriers to referring patients to facilities, (3) identify current and needed resources and/or changes to increase referral to facilities. A 20-item electronic survey and requests for semi-structured interviews were administered to hospital system directors and managers (n = 51). Directors and managers instructed physicians and staff to complete the survey and interviews as applicable. Perceived barriers, knowledge, utilization, and referral of patients to Medical Fitness Center Facilities were collected and examined. Descriptive statistics were generated regarding practice characteristics, provider characteristics, and referral. Of the health care providers surveyed and interviewed (n = 25) 40% indicated verbally suggesting use of facilities, 24% provided a flyer about the facilities. No respondents indicated that they directly referred patients to the facilities. However, 16% referred patients to other locations for physical activity - including their own department's management and prevention services. 20% do not refer to Medical Fitness Center Facilities or any other lifestyle programs/locations. Lack of time (92%) and lack of standard guidelines and operating procedures (88%) are barriers to referral. All respondents indicated a strong ability to refer patients to Medical Fitness Center Facilities if given education about referral programs available as well as standard clinical guidelines and protocol for delivery. The results of this study indicate that, although few healthcare providers are currently referring patients to Medical Fitness Center Facilities, health care providers with an affiliated Medical Fitness

  8. SY 2008-09 Customer Satisfaction Survey Results (Full Report). DoDEA Results

    Science.gov (United States)

    Department of Defense Education Activity, 2009

    2009-01-01

    The Department of Defense Education Activity (DoDEA) Customer Satisfaction Survey is a biennial survey administered by DoDEA to parents and students to monitor DoDEA's success in meeting students' needs. The survey is administered every other year to sponsors with children in pre-kindergarten--12th grade and to students in grades 4-12. For the…

  9. SY 2010-11 Customer Satisfaction Survey Results (Full Report). DoDEA Results

    Science.gov (United States)

    Department of Defense Education Activity, 2011

    2011-01-01

    The Department of Defense Education Activity (DoDEA) Customer Satisfaction Survey is a biennial survey administered by DoDEA to parents and students to monitor DoDEA's success in meeting students' needs. The survey is administered every other year to sponsors with children in pre-kindergarten-12th grade and to students in grades 4-12. For the…

  10. Radiologists' Usage of Social Media : Results of the RANSOM Survey

    NARCIS (Netherlands)

    Ranschaert, Erik R.; Van Ooijen, Peter M. A.; McGinty, Geraldine B.; Parizel, Paul M.

    The growing use of social media is transforming the way health care professionals (HCPs) are communicating. In this changing environment, it could be useful to outline the usage of social media by radiologists in all its facets and on an international level. The main objective of the RANSOM survey

  11. Planck intermediate results XXXI. Microwave survey of Galactic supernova remnants

    DEFF Research Database (Denmark)

    Arnaud, M.; Ashdown, M.; Atrio-Barandela, F.

    2016-01-01

    The all-sky Planck survey in 9 frequency bands was used to search for emission from all 274 known Galactic supernova remnants. Of these, 16 were detected in at least two Planck frequencies. The radio-through-microwave spectral energy distributions were compiled to determine the mechanism for micr...

  12. Results of the 2010 Survey on Teaching Chemical Reaction Engineering

    Science.gov (United States)

    Silverstein, David L.; Vigeant, Margot A. S.

    2012-01-01

    A survey of faculty teaching the chemical reaction engineering course or sequence during the 2009-2010 academic year at chemical engineering programs in the United States and Canada reveals change in terms of content, timing, and approaches to teaching. The report consists of two parts: first, a statistical and demographic characterization of the…

  13. Navy Professional Reading Program: Results of the 2007 Survey

    National Research Council Canada - National Science Library

    Uriell, Zannette A; Johnson, J. S

    2008-01-01

    .... The program includes 60 books across 6 subject areas and 5 career states. Toward the end of the first year of implementation, a survey was conducted to look at reading habits of Navy personnel as well as opinions of the NPRP...

  14. results of a survey by the world association of medical

    African Journals Online (AJOL)

    interests of medical journal editors around the world. Design. Mail survey of senior editors at 727 .... a given country, and targeted for selection twice as many journals in countries with populations greater than 50 ..... review' - the interpretation of the term was intentionally left to the respondent for the purpose of gaining a ...

  15. Employment discrimination and HIV stigma: survey results from civil ...

    African Journals Online (AJOL)

    The article presents findings from three surveys of people living with HIV (PLHIV) and civil society organisations about the experience of employment discrimination and stigma in the workplace. The work seeks to contribute to efforts by businesses and other organisations to effectively respond to the HIV epidemic within the ...

  16. Main Results of the Azerbaijan STEP Employer Survey

    OpenAIRE

    Rutkowski, Jan J.

    2015-01-01

    This note summarizes the main findings of the STEP Employer Skills Survey carried out in Azerbaijan in 2013. The note argues that there is a skills shortage in Azerbaijan. Azeri employers claim that it is difficult to find workers with required skills. The shortage is particularly pronounced in the case of modern, innovative firms, which tend to required more advanced skills. The education...

  17. National Wildlife Refuge Visitor Survey Results: 2010/2011

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — ViSIT is an interactive web tool created by USGS to visualize the data collected as part of the National Wildlife Refuge Visitor Survey. The U.S. Fish and Wildlife...

  18. 2006 B100 Quality Survey Results: Milestone Report

    Energy Technology Data Exchange (ETDEWEB)

    Alleman, T. L.; McCormick, R. L.; Deutch, S.

    2007-05-01

    In 2006, the National Renewable Energy Laboratory conducted a nationwide quality survey of pure biodiesel (B100) intended to be used as a blendstock. The study collected random samples throughout the United States and analyzed them for quality against the current and proposed ASTM D6751 fuel quality specifications.

  19. Coppicing potential of Eucalyptus nitens : results from a field survey ...

    African Journals Online (AJOL)

    In order to determine factors which could have a positive influence on the coppicing potential of Eucalyptus nitens , a field survey was carried out at Draycott, near Estcourt in the KwaZulu-Natal Midlands. Five measures of the ability to coppice (stump survival, height of coppice, number of dominant shoots, coppicing ...

  20. A journal cancellation survey and resulting impact on interlibrary loan.

    Science.gov (United States)

    Nash, Jacob L; McElfresh, Karen R

    2016-10-01

    The research describes an extensible method of evaluating and cancelling electronic journals during a budget shortfall and evaluates implications for interlibrary loan (ILL) and user satisfaction. We calculated cost per use for cancellable electronic journal subscriptions (n=533) from the 2013 calendar year and the first half of 2014, cancelling titles with cost per use greater than $20 and less than 100 yearly uses. For remaining titles, we issued an online survey asking respondents to rank the importance of journals to their work. Finally, we gathered ILL requests and COUNTER JR2 turnaway reports for calendar year 2015. Three hundred fifty-four respondents completed the survey. Because of the level of heterogeneity of titles in the survey as well as respondents' backgrounds, most titles were reported to be never used. We developed criteria based on average response across journals to determine which to cancel. Based on this methodology, we cancelled eight journals. Examination of ILL data revealed that none of the cancelled titles were requested with any frequency. Free-text responses indicated, however, that many value free ILL as a suitable substitute for immediate full-text access to biomedical journal literature. Soliciting user feedback through an electronic survey can assist collections librarians to make electronic journal cancellation decisions during slim budgetary years. This methodology can be adapted and improved upon at other health sciences libraries.

  1. Surveys with Athena: results from detailed SIXTE simulations

    Science.gov (United States)

    Lanzuisi, G.; Comastri, A.; Aird, J.; Brusa, M.; Cappelluti, N.; Gilli, R.; Matute, I.

    2017-10-01

    "Formation and early growth of BH' and "Accretion by supermassive BH through cosmic time' are two of the scientific objectives of the Athena mission. To these and other topics (i.e. first galaxy groups, cold and warm obscuration and feedback signatures in AGN at high z), a large fraction (20-25%) of the Athena Mock Observing Plan is devoted, in the form of a multi-tiered (deep-medium-wide) survey with the WFI. We used the flexible SIXTE simulator to study the impact of different instrumental configurations, in terms of WFI FOV, mirror psf, background levels, on the performance in the three layers of the WFI survey. We mainly focus on the scientific objective that drives the survey configuration: the detection of at least 10 AGN at z=6-8 with Log(LX)=43-43.5 erg/s and 10 at z=8.10 with Log(LX)=44-44.5 erg/s. Implications for other scientific objectives involved in the survey are also discussed.

  2. Why might forest companies certify? Results from a Canadian survey

    NARCIS (Netherlands)

    Takahashi, T.; Kooten, van G.C.; Vertinsky, I.

    2003-01-01

    During the late 1980s/early 1990s, voluntary forest certification emerged as a new market-based incentive mechanism and had an important influence on the way the world's forests are managed. To understand the mechanism of its diffusion, we employed a survey instrument and probit regression analysis

  3. Retirement Confidence Survey 2000 including results from the RCS Minority Survey and the Small Employer Retirement Survey.

    Science.gov (United States)

    Salisbury, D L; Helman, R; Ostuw, P; Yakoboski, P

    2000-06-01

    The year 2000 represents the 10th anniversary of the Retirement Confidence Survey (RCS), and the third year for the Minority RCS and Small Employer Retirement Survey (SERS). Key RCS findings over the past 10 years include: The fraction of workers saving for retirement has trended upward, and today 80 percent of households report that they have begun to save. The fraction of workers who have attempted to calculate how much they need to save for retirement has risen noticeably over the past several years. Today, 56 percent of households report that they have attempted the calculation. One-half of workers who have attempted such a calculation report that it has changed their behavior, such as saving more and/or changing where they invest their retirement savings. Workers who have done the calculation appear to be in better shape regarding their retirement finances. Worker confidence in the ability of Social Security to maintain benefit levels bottomed out in 1994 and 1995. Workers today are just as confident as they were in 1992, although the majority remain not confident in Social Security. Regarding overall retirement confidence, Hispanic-Americans tend to be the least confident among the surveyed minority groups that they will have enough money to live comfortably throughout their retirement years. Key SERS findings include: While cost and administrative issues do matter to small employers, they are not the primary reasons for low plan sponsorship rates. Employee-related reasons are most often cited as the most important factor for not offering a retirement plan. Business-related reasons, such as profitability, are also a main decision-driver. It is important to note what small employers without plans do not know about plan sponsorship. Small employers that do sponsor a retirement plan report that offering a plan has a positive impact on both their ability to attract and retain quality employees and the attitude and performance of their employees. The survey

  4. Aviation and the environment : results from a survey of the nation's 50 busiest commercial service airports

    Science.gov (United States)

    2000-08-01

    This report provides a detailed, question-by-question analysis of the responses to our survey we received from officials at each of the nation's 50 busiest commercial service airports. The survey responses indicated that noise, water, and air quality...

  5. Patient-Provider Communication About Prostate Cancer Screening and Treatment: New Evidence From the Health Information National Trends Survey.

    Science.gov (United States)

    Bhuyan, Soumitra S; Chandak, Aastha; Gupta, Niodita; Isharwal, Sudhir; LaGrange, Chad; Mahmood, Asos; Gentry, Dan

    2015-11-26

    The American Urological Association, American Cancer Society, and American College of Physicians recommend that patients and providers make a shared decision with respect to prostate-specific antigen (PSA) testing for prostate cancer (PCa). The goal of this study is to determine the extent of patient-provider communication for PSA testing and treatment of PCa and to examine the patient specific factors associated with this communication. Using recent data from the Health Information National Trends Survey, this study examined the association of patient characteristics with four domains of patient-provider communication regarding PSA test and PCa treatment: (1) expert opinion of PSA test, (2) accuracy of PSA test, (3) side effects of PCa treatment, and (4) treatment need of PCa. The current results suggested low level of communication for PSA testing and treatment of PCa across four domains. Less than 10% of the respondents report having communication about all four domains. Patient characteristics like recent medical check-up, regular healthcare provider, global health status, age group, marital status, race, annual household income, and already having undergone a PSA test are associated with patient-provider communication. There are few discussions about PSA testing and PCa treatment options between healthcare providers and their patients, which limits the shared decision-making process for PCa screening and treatment as recommended by the current best practice guidelines. This study helps identify implications for changes in physician practice to adhere with the PSA screening guidelines. © The Author(s) 2015.

  6. Users, uses, and value of Landsat satellite imagery: results from the 2012 survey of users

    Science.gov (United States)

    Miller, Holly M.; Richardson, Leslie A.; Koontz, Stephen R.; Loomis, John; Koontz, Lynne

    2013-01-01

    Landsat satellites have been operating since 1972, providing a continuous global record of the Earth’s land surface. The imagery is currently available at no cost through the U.S. Geological Survey (USGS). Social scientists at the USGS Fort Collins Science Center conducted an extensive survey in early 2012 to explore who uses Landsat imagery, how they use the imagery, and what the value of the imagery is to them. The survey was sent to all users registered with USGS who had accessed Landsat imagery in the year prior to the survey and over 11,000 current Landsat imagery users responded. The results of the survey revealed that respondents from many sectors use Landsat imagery in myriad project locations and scales, as well as application areas. The value of Landsat imagery to these users was demonstrated by the high importance of and dependence on the imagery, the numerous environmental and societal benefits observed from projects using Landsat imagery, the potential negative impacts on users’ work if Landsat imagery was no longer available, and the substantial aggregated annual economic benefit from the imagery. These results represent only the value of Landsat to users registered with USGS; further research would help to determine what the value of the imagery is to a greater segment of the population, such as downstream users of the imagery and imagery-derived products.

  7. New results from the first exoplanet survey in the Canadian High Arctic

    Science.gov (United States)

    Law, Nicholas M.; Carlberg, Raymond; Fors, Octavi; Steinbring, Eric; Ngan, Wayne; Wulfken, Philip; Pedersen, Bjorn; Maire, Jérôme; Sivanandam, Suresh

    2014-07-01

    We present new results from the first search for transiting exoplanets undertaken from the High Arctic: the AWCam (Arctic Wide-field Cameras) survey. The survey, which has been operating for 2.5 years, is based at 80 degrees North on Ellesmere Island in the Canadian High Arctic. The small telescopes monitor 70,000 bright stars in a several-hundred square-degree region around Polaris, with milli-magnitude photometric precision, and are capable of discovering giant planets around 10,000 bright, nearby solar-type stars. We present the first longterm monitoring results from the AWCams, including an assessment of the site characteristics and the systems' long-term performance. The High-Arctic site provided excellent survey efficiency, without diurnal windowing and largely uninterrupted by clouds. Useful data was obtained over the entire survey field 71% of the time; the sky was clear 62% of the time. One pristine clear, dark period in winter 2012/13 persisted for 480 hours. In 2012/13 we recorded a period of 480 hours of continuous photometric conditions, attaining 3-4 millimag photometric stability over the entire period. We report the long-term photometric performance of the AWCam systems and detail the discovery of a bright (V=8) low-amplitude eclipsing binary. Finally, we present a concept for an extremely-wide-field arctic survey based on the Evryscope telescope-array design.

  8. Fluid resuscitation practices in cardiac surgery patients in the USA: a survey of health care providers

    Directory of Open Access Journals (Sweden)

    Solomon Aronson

    2017-10-01

    Full Text Available Abstract Background Fluid resuscitation during cardiac surgery is common with significant variability in clinical practice. Our goal was to investigate current practice patterns of fluid volume expansion in patients undergoing cardiac surgeries in the USA. Methods We conducted a cross-sectional online survey of 124 cardiothoracic surgeons, cardiovascular anesthesiologists, and perfusionists. Survey questions were designed to assess clinical decision-making patterns of intravenous (IV fluid utilization in cardiovascular surgery for five types of patients who need volume expansion: (1 patients undergoing cardiopulmonary bypass (CPB without bleeding, (2 patients undergoing CPB with bleeding, (3 patients undergoing acute normovolemic hemodilution (ANH, (4 patients requiring extracorporeal membrane oxygenation (ECMO or use of a ventricular assist device (VAD, and (5 patients undergoing either off-pump coronary artery bypass graft (OPCABG surgery or transcatheter aortic valve replacement (TAVR. First-choice fluid used in fluid boluses for these five patient types was requested. Descriptive statistics were performed using Kruskal-Wallis test and follow-up tests, including t tests, to evaluate differences among respondent groups. Results The most commonly preferred indicators of volume status were blood pressure, urine output, cardiac output, central venous pressure, and heart rate. The first choice of fluid for patients needing volume expansion during CPB without bleeding was crystalloids, whereas 5% albumin was the most preferred first choice of fluid for bleeding patients. For volume expansion during ECMO or VAD, the respondents were equally likely to prefer 5% albumin or crystalloids as a first choice of IV fluid, with 5% albumin being the most frequently used adjunct fluid to crystalloids. Surgeons, as a group, more often chose starches as an adjunct fluid to crystalloids for patients needing volume expansion during CPB without bleeding. Surgeons

  9. Internet use and e-mail communications between patients and providers: a survey of rheumatology outpatients.

    Science.gov (United States)

    Siva, Chokkalingam; Smarr, Karen L; Hanson, Kathleen Donovan; Parikh, Meghal; Lawlor, Kenneth; Ge, Bin

    2008-12-01

    As health care costs rise in the United States and elsewhere, adopting health information technology is being advocated to reduce costs and improve efficiency. Physician e-mail communication is a frequently proposed tool in this strategy. We examined the interest of rheumatology outpatients in using E-mail for communication with their rheumatologist. We sought to identify their privacy and cost concerns on this issue, and examine the patients' demographics, internet usage, and preferences. An anonymous survey was given to 150 consecutive patients. Patients responded to questions on demographics, rheumatic diseases, comorbidities, computer/internet access, E-mail use, privacy concerns, payment issues, and preferences regarding communication with their rheumatologist. Statistical analyses on the relationships between demographics and patient preferences on communications with their rheumatologist were conducted. There were 145 respondents; the mean age was 52.3 years, mean education level was 13.6 years. The sample tended to be women (74%), retired/disabled (46%) or employed full time (35%). Most had internet access (74.5%). Differences were found based on gender, age, education, and income levels. Younger adults were more likely to desire E-mail communication with their rheumatologists, especially if paid by insurance. More men than women had concerns about privacy; persons with higher income levels were more willing to self-pay for E-mail. As a significant number of patients with rheumatic diseases express interest in E-mail communication with their providers, rheumatologists need to be cognizant of patients' preferences. To deliver patient-centered care, rheumatology practices might consider incorporating E-mail communication into their practices.

  10. MICROBIOLOGICAL SURVEY ON JELLYFISH FOOD PRODUCTS: PRELIMINARY RESULTS

    Directory of Open Access Journals (Sweden)

    A Guidi

    2009-09-01

    Full Text Available A microbiological survey was performed on ten brined jellyfish products, sampled in Italy from Chinese food markets. In general, the microbiological conditions were good and respected the standards contemplated in the regulations CE 2073/2005 e 1441/2007. The presence of inhibiting substances and the absence of aerobic mesophilic bacteria in two samples suggest a treatment to preserve the product.

  11. A survey of results on mobile phone datasets analysis

    CERN Document Server

    Blondel, Vincent D; Krings, Gautier

    2015-01-01

    In this paper, we review some advances made recently in the study of mobile phone datasets. This area of research has emerged a decade ago, with the increasing availability of large-scale anonymized datasets, and has grown into a stand-alone topic. We will survey the contributions made so far on the social networks that can be constructed with such data, the study of personal mobility, geographical partitioning, urban planning, and help towards development as well as security and privacy issues.

  12. Dental public health capacity worldwide: Results of a global survey.

    Science.gov (United States)

    Lomazzi, Marta; Wordley, Valerie; Bedi, Raman

    2016-12-01

    The World Federation of Public Health Associations' Oral Health Working Group (WFPHA OHWG) carried out a survey to establish the extent of global dental public health (DPH) capacity. Senior stakeholders in DPH completed 124 surveys, covering 73 countries and all WHO regions. The survey evaluated DPH workforce within the country, funding, education, current services, and integration between public health and DPH in countries across the world. In 62 per cent of countries, DPH is only partially integrated in the public health system, while in 25 per cent of countries it has not yet been formally integrated. DPH programs at Masters level are available in 44 per cent of countries. Over half of countries have 0 to 10 trained DPH professionals. Because both poor oral and general health share several common risk factors, DPH must be integrated into national health systems and budgets, with an emphasis on having trained DPH specialists available in every country to collaborate in healthcare policy and provision.

  13. "Health inequalities in Armenia--analysis of survey results".

    Science.gov (United States)

    Tonoyan, Tamara; Muradyan, Lusine

    2012-06-13

    Prevailing sociopolitical and economic obstacles have been implicated in the inadequate utilization and delivery of the Armenian health care system. A random survey of 1,000 local residents, from all administrative regions of Armenia, concerned with health care services cost and satisfaction was conducted. Participation in the survey was voluntary and the information was collected using anonymous telephone interviews. The utilization of health care services was low, particularly in rural areas. This under-utilization of services correlated with low income of the population surveyed. The state funded health care services are inadequate to ensure availability of free-of-charge services even to economically disadvantaged groups. Continued reliance on direct out-of pocket and illicit payments, for medical services, are serious issues which plague healthcare, pharmaceutical and medical technology sectors of Armenia. Restructuring of the health care system to implement a cost-effective approach to the prevention and treatment of diseases, especially disproportionately affect the poor, should be undertaken. Public payments, increasing the amount of subsidies for poor and lower income groups through a compulsory health insurance system should be evaluated and included as appropriate in this health system redesign. Current medical services reimbursement practices undermine the principle of equity in financing and access. Measures designed to improve healthcare access and affordability for poor and disadvantaged households should be enacted.

  14. New Results from the AO327 Drift Pulsar Survey

    Science.gov (United States)

    Deneva, Julia S.; Stovall, K.; McLaughlin, M.; Bates, S.; Freire, P.; Martinez, J.; Jenet, F.; Bagchi, M.

    2014-01-01

    The Arecibo 327 MHz drift pulsar survey (AO327) has operated since 2010 and aims to cover the entire Arecibo sky (declinations of -1 to 38 degrees). We present details on the progress of the survey and a new set of discoveries over the past year. Phase 1 of AO327 targets declinations of -1 to 28 degrees and is 55% complete; Phase 2 will target declinations of 28 to 38 degrees. The survey is expected to be completed in 2017. Out of a total of 28 new pulsars, 12 were found in 2013, including three millisecond pulsars. PSR J2234+06 has a rotation period of 3.58 ms and is in a 32-day orbit in a binary system with a white dwarf companion. This pulsar is bright and a very stable rotator, making it suitable for inclusion in Pulsar Timing Arrays. The orbit of J2234+06 has an eccentricity of 0.13, which cannot be accounted for by stellar evolution but may be explained by an origin in a subsequently disrupted hierarchical triple, or by an exchange interaction. PSR J0509+08 has a period of 4.06 ms and is in a 4.9-day binary system with a white dwarf companion. This pulsar is also a candidate for inclusion in PTAs.

  15. Clinical management of gastric cancer: results of a multicentre survey

    Directory of Open Access Journals (Sweden)

    Xu Feng

    2011-08-01

    Full Text Available Abstract Background The National Comprehensive Cancer Network clinical practice guidelines in oncology-gastric cancer guidelines have been widely used to provide appropriate recommendations for the treatment of patients with gastric cancer. The aim of this study was to examine the adherence of surgical oncologists, medical oncologists, and radiation oncologists' to the recommended guidelines. Methods A questionnaire asking the treatment options for gastric cancer cases was sent to 394 Chinese oncology specialists, including surgical oncologists, medical oncologists, and radiation oncologists working in hospitals joined in The Western Cooperative Gastrointestinal Oncology Group of China. The questionnaire involved a series of clinical scenarios regarding the interpretation of surgery, neoadjuvant, adjuvant, and advanced treatment planning of gastric cancer. Results Analysis of 358 respondents (91% showed variations between each specialization and from the recommended guidelines in the management approaches to specific clinical scenarios. The majority of specialists admitted that less than 50% of patients received multidisciplinary evaluation before treatment. The participants gave different responses to questions involving adjuvant, neoadjuvant, and advanced settings, compared to the recommended guidelines. Conclusions These results highlight the heterogeneity of the treatment of gastric cancer. Surgical oncologists, medical oncologists, and radiation oncologists are not adhering to the recommended guidelines.

  16. Primary Care Tasks Associated with Provider Burnout: Findings from a Veterans Health Administration Survey.

    Science.gov (United States)

    Kim, Linda Y; Rose, Danielle E; Soban, Lynn M; Stockdale, Susan E; Meredith, Lisa S; Edwards, Samuel T; Helfrich, Christian D; Rubenstein, Lisa V

    2017-09-25

    The patient-centered medical home (PCMH) is a primary care delivery model predicated on shared responsibility for patient care among members of an interprofessional team. Effective task sharing may reduce burnout among primary care providers (PCPs). However, little is known about the extent to which PCPs share these responsibilities, and which, if any, of the primary care tasks performed independently by the PCPs (vs. shared with the team) are particularly associated with PCP burnout. A better understanding of the relationship between these tasks and their effects on PCP burnout may help guide focused efforts aimed at reducing burnout. To investigate (1) the extent to which PCPs share responsibility for 14 discrete primary care tasks with other team members, and (2) which, if any, of the primary care tasks performed by the PCPs (without reliance on team members) are associated with PCP burnout. Secondary data analysis of Veterans Health Administration (VHA) survey data from two time periods. 327 providers from 23 VA primary care practices within one VHA regional network. The dependent variable was PCP report of burnout. Independent variables included PCP report of the extent to which they performed 14 discrete primary care tasks without reliance on team members; team functioning; and PCP-, clinic-, and system-level variables. In adjusted models, PCP reports of intervening on patient lifestyle factors and educating patients about disease-specific self-care activities, without reliance on their teams, were significantly associated with burnout (intervening on lifestyle: b = 4.11, 95% CI = 0.39, 7.83, p = 0.03; educating patients: b = 3.83, 95% CI = 0.33, 7.32, p = 0.03). Performing behavioral counseling and self-management education tasks without relying on other team members for assistance was associated with PCP burnout. Expanding the roles of nurses and other healthcare professionals to assume responsibility for these tasks may ease PCP burden and

  17. A Danish survey of spinal cord stimulation baseline data: First results from a national neuromodulation database

    DEFF Research Database (Denmark)

    Meier, Kaare; Scherer, Christian; Rosenlund, Christina

    A Danish survey of spinal cord stimulation baseline data: First results from a national neuromodulation database......A Danish survey of spinal cord stimulation baseline data: First results from a national neuromodulation database...

  18. Knowledge, attitude, willingness and readiness of primary health care providers to provide oral health services to children in Niagara, Ontario: a cross-sectional survey.

    Science.gov (United States)

    Singhal, Sonica; Figueiredo, Rafael; Dupuis, Sandy; Skellet, Rachel; Wincott, Tara; Dyer, Carolyn; Feller, Andrea; Quiñonez, Carlos

    2017-01-01

    Most children are exposed to medical, but not dental, care at an early age, making primary health care providers an important player in the reduction of tooth decay. The goal of this research was to understand the feasibility of using primary health care providers in promoting oral health by assessing their knowledge, attitude, willingness and readiness in this regard. Using the Dillman method, a mail-in cross-sectional survey was conducted among all family physicians and pediatricians in the Niagara region of Ontario who have primary contact with children. A descriptive analysis was performed. Close to 70% (181/265) of providers responded. More than 90% know that untreated tooth decay could affect the general health of a child. More than 80% examine the oral cavity for more than 50% of their child patients. However, more than 50% are not aware that white spots or lines on the tooth surface are the first signs of tooth decay. Lack of clinical time was the top reason for not performing oral disease prevention measures. Overall, survey responses show a positive attitude and willingness to engage in the oral health of children. To capitalize on this, there is a need to identify mechanisms of providing preventive oral health care services by primary health care providers; including improving their knowledge of oral health and addressing other potential barriers.

  19. Health survey of radiation workers. Results of questionnaire

    Energy Technology Data Exchange (ETDEWEB)

    Morikawa, Kaoru [Osaka Univ., Suita (Japan). Medical School; Aoyama, Takashi; Kawagoe, Yasumitsu; Sunayashiki, Tadashi; Tanaka, Kiyoshi; Nishitani, Motohiro; Yoshinaga, Nobuharu

    1998-11-01

    The Japanese Society of Radiological Technology asked radiation workers about the radiation doses and the state of their health as well as family. The reports by the Health and Welfare Ministry were referenced to compare radiation workers with others. The questionnaire was sent to about 4,000 members, and returned from 2,479. The survey showed that 684 persons (27.6%) felt health anxiety, 455 persons (18.4%) had medical check for recent one year, and 1,645 persons (66.4%) had anamnesis. Radiation doses for one year and cumulated doses varied according to engaging duration. (K.H.)

  20. Acquisition Information Management system telecommunication site survey results

    Energy Technology Data Exchange (ETDEWEB)

    Hake, K.A. [Oak Ridge National Lab., TN (United States); Key, B.G. [COR, Inc., Oak Ridge, TN (United States)

    1993-09-01

    The Army acquisition community currently uses a dedicated, point-to-point secure computer network for the Army Material Plan Modernization (AMPMOD). It must transition to the DOD supplied Defense Secure Network 1 (DSNET1). This is one of the first networks of this size to begin the transition. The type and amount of computing resources available at individual sites may or may not meet the new network requirements. This task surveys these existing telecommunications resources available in the Army acquisition community. It documents existing communication equipment, computer hardware, associated software, and recommends appropriate changes.

  1. First results from Faint Infrared Grism Survey (FIGS)

    DEFF Research Database (Denmark)

    Tilvi, V.; Pirzkal, N.; Malhotra, S.

    2016-01-01

    in the Faint Infrared Grism Survey (FIGS). These spectra, taken with G102 grism on Hubble Space Telescope (HST), show a significant emission line detection (6{\\sigma}) in multiple observational position angles (PA), with total integrated Ly{\\alpha} line flux of 1.06+/- 0.12 e10-17erg s-1cm-2. The line flux...... is nearly a factor of four higher than the previous MOSFIRE spectroscopic observations of faint Ly{\\alpha} emission at {\\lambda} = 1.0347{\\mu}m, yielding z = 7.5078+/- 0.0004. This is consistent with other recent observations implying that ground-based near-infrared spectroscopy underestimates total...

  2. Overview of cycling injuries: results of a cycling club survey.

    Science.gov (United States)

    Decalzi, Javier F; Narvy, Steven J; Vangsness, C Thomas

    2013-04-01

    Participation in competitive bicycling has increased substantially over the past decade, and bicycle injuries have increased accordingly. Cycling has been reported in several studies to have higher rates of injury than other sports and recreational activities; accordingly, riders must be cognizant of the potential for injury and protect themselves appropriately. The purpose of the current study was to survey an established competitive Los Angeles-based road cycling team to determine the epidemiology of and circumstances for traumatic cycling injuries. Copyright 2013, SLACK Incorporated.

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

    CERN Document Server

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

    2017-01-01

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

  4. Pediatric Cardiology Provider Attitudes About Palliative Care: A Multicenter Survey Study.

    Science.gov (United States)

    Balkin, Emily Morell; Kirkpatrick, James N; Kaufman, Beth; Swetz, Keith M; Sleeper, Lynn A; Wolfe, Joanne; Blume, Elizabeth D

    2017-10-01

    While availability of palliative care consultation for children with advanced heart disease increases, little is known about cardiologist attitudes towards palliative care. We sought to describe perspectives of cardiologists regarding palliative care and to characterize their perceived competence in palliative care concepts. A cross-sectional survey of pediatric cardiologists and cardiac surgeons from 19 pediatric medical centers was performed. Overall response rate was 31% (183/589). Respondents had a median of 18 years of experience since medical school (range 2-49) and most practiced at academic centers (91%). Sixty-percent of respondents felt that palliative care consultations occur "too late" and the majority (85%) agreed that palliative care consultations are helpful. Barriers to requesting palliative care consultation were most frequently described as "referring to palliative care services too early will undermine parents' hope" (45%) and "concern that parents will think I am giving up on their child" (56%). Only 33% of cardiologists reported feeling "very" or "moderately" competent in prognosticating life expectancy while over 60% felt competent caring for children with heart disease around end of life, and nearly 80% felt competent discussing goals of care and code status. Greater perceived competence was associated with subspecialty (heart failure/intensivist vs. other) (OR 3.6, 95% CI 1.6-8.1, p = 0.003) and didactic training (OR 6.27, 95% CI 1.8-21.8, p = 0.004). These results underscore the need for further training in palliative care skills for pediatric cardiologists. Enhancing palliative care skills among cardiologists and facilitating partnership with subspecialty palliative care teams may improve overall care of children with advanced heart disease.

  5. Pediatric dentists' job satisfaction: results of a national survey.

    Science.gov (United States)

    Bates, Lyndsay F; Buehler, Amy M; Boynton, James R; Majewski, Robert F; Inglehart, Marita R

    2013-01-01

    The purpose of this study was to determine pediatric dentists' level of job satisfaction and to explore which factors (demographic and practice/work/patient characteristics) are related to their satisfaction. Data were collected with mailed surveys from 385 and with web-based surveys from 966 pediatric dentists in the United States. Professional satisfaction was measured with the Professional Satisfaction Scale and the Dentists' Satisfaction Scale. Most respondents would choose dentistry (89 percent) and pediatric dentistry (92 percent) again and would recommend dentistry (85 percent) and pediatric dentistry (83 percent) to their child as a career. Male respondents were more satisfied with income, personal and professional time, staff, and practice management aspects, and female respondents were more satisfied with patient relations. The older the dentists were, the more satisfied they were. Respondents in academia were less stressed and less satisfied with their income than respondents in nonacademic settings. The more time spent in the operatory and the less administrative work, the more satisfied the respondents were. The fewer patients from a lower socioeconomic background they treated, the more satisfied they were. Overall, pediatric dentists have a high level of job satisfaction. Demographic factors and practice/work/patient characteristic are related to job satisfaction.

  6. Dark Energy Survey Year 1 Results: Weak Lensing Shape Catalogues

    Energy Technology Data Exchange (ETDEWEB)

    Zuntz, J.; et al.

    2017-08-04

    We present two galaxy shape catalogues from the Dark Energy Survey Year 1 data set, covering 1500 square degrees with a median redshift of $0.59$. The catalogues cover two main fields: Stripe 82, and an area overlapping the South Pole Telescope survey region. We describe our data analysis process and in particular our shape measurement using two independent shear measurement pipelines, METACALIBRATION and IM3SHAPE. The METACALIBRATION catalogue uses a Gaussian model with an innovative internal calibration scheme, and was applied to $riz$-bands, yielding 34.8M objects. The IM3SHAPE catalogue uses a maximum-likelihood bulge/disc model calibrated using simulations, and was applied to $r$-band data, yielding 21.9M objects. Both catalogues pass a suite of null tests that demonstrate their fitness for use in weak lensing science. We estimate the 1$\\sigma$ uncertainties in multiplicative shear calibration to be $0.013$ and $0.025$ for the METACALIBRATION and IM3SHAPE catalogues, respectively.

  7. RESULTS OF THE MEGAVERTEBRATE ANALGESIA SURVEY: ELEPHANTS AND RHINO.

    Science.gov (United States)

    Kottwitz, Jack; Boothe, Matthew; Harmon, Roy; Citino, Scott B; Zuba, Jeffery R; Boothe, Dawn M

    2016-03-01

    An online survey utilizing Survey Monkey linked through the American Association of Zoo Veterinarians listserve examined current practices in megavertebrate analgesia. Data collected included drugs administered, dosing regimens, ease of administration, efficacy, and adverse events. Fifty-nine facilities (38 housing elephants, 33 housing rhinoceroses) responded. All facilities administered nonsteroidal anti-inflammatory drugs (NSAIDs), with phenylbutazone (0.25-10 mg/kg) and flunixin meglumine (0.2-4 mg/kg) being most common. Efficacy was reported as "good" to "excellent" for these medications. Opioids were administered to elephants (11 of 38) and rhinoceroses (7 of 33), with tramadol (0.5-3.0 mg/kg) and butorphanol (0.05-1.0 mg/kg) being most common. Tramadol efficacy scores were highly variable in both elephants and rhinoceroses. While drug choices were similar among institutions, substantial variability in dosing regimens and reported efficacy between and within facilities indicates the need for pharmacokinetic studies and standardized methods of analyzing response to treatment to establish dosing regimens and clinical trials to establish efficacy and safety.

  8. Nanosafety practices: results from a national survey at research facilities

    Science.gov (United States)

    Díaz-Soler, Beatriz María; López-Alonso, Mónica; Martínez-Aires, María Dolores

    2017-05-01

    The exposure to engineered nanomaterials (ENMs) is a new emerging risk at work due to an increase in the number of workers potentially exposed to them and the current lack of data on their health and safety risks. This paper reports the findings of a survey designed to study the safety practices employed by workers in Spanish research facilities performing tasks involving the use of ENMs at research level. A questionnaire pretested and validated by an expert panel was sent by e-mail to the target audience. The 425 surveys completed show that most of the respondents handled up to 5 different ENMs, in suspension, in small amounts during short periods of exposure. The implementation of common hygienic practices, such as the use of protection for hands and the implementation of fume hoods, is widely indicated. The selection of the preventive and protective measures does not depend on the characteristics of ENMs handled. Also, the risks posed by ENMs are widely ignored. Besides the performance of risk assessment, hygienic monitoring and the conducting of a specific health surveillance are practically non-existent although some accidents relating to ENMs were identified. In conclusion, workers' exposure to ENMs seems to be low. Even though the best practices and preventive and protective measures reported were employed, most of the respondents could not be correctly protected. Moreover, workers do not associate the measures implemented with the nanorisks. Finally, there is a lack of proactive action underway to protect the workers, and concerns about safety are weakly evidenced.

  9. Burden of allergic rhinitis: results from the Pediatric Allergies in America survey.

    Science.gov (United States)

    Meltzer, Eli O; Blaiss, Michael S; Derebery, M Jennifer; Mahr, Todd A; Gordon, Bruce R; Sheth, Ketan K; Simmons, A Larry; Wingertzahn, Mark A; Boyle, John M

    2009-09-01

    Allergic rhinitis (AR), a chronic inflammatory disease of the upper airway, is one of the most common chronic diseases in the United States and is estimated to affect up to 60 million people. Pediatric Allergies in America is the largest and most comprehensive survey to date of pediatric patients and parents of patients with allergy, as well as health care providers (HCPs), regarding AR in children and its treatment. The goals of the survey were to determine the prevalence of AR in the US pediatric population and to collect information on what effect the condition has on patients in terms of symptom burden, quality of life, productivity, disease management, and pharmacologic treatment. This national survey screened 35,757 households to identify 500 children with HCP-diagnosed nasal allergies and 504 children without nasal allergies who were between the ages of 4 and 17 years. Parents of young children, as well as children 10 to 17 years of age, were questioned about the condition and its treatment. In parallel, 501 HCPs were interviewed. This survey has captured previously unavailable data on the prevalence of nasal allergies and their most common and most bothersome symptoms, on the effect of nasal allergies on the quality of life of children, and on medication use, including both over-the-counter and prescription medications, and has identified factors affecting satisfaction with treatment. The Pediatric Allergies in America survey also identifies distinct areas for improvement in the management of AR in children. In fact, based on the results of this survey, it appears that HCPs overestimate patients' and parents' satisfaction with disease management and the benefit of medications used for the treatment of nasal allergies in children. Findings from this national survey have identified important challenges to the management of AR, suggesting that its burden on children in the United States has been significantly underestimated.

  10. State of the art of expert searching: results of a Medical Library Association survey.

    Science.gov (United States)

    Holst, Ruth; Funk, Carla J

    2005-01-01

    Medical Library Association (MLA) members were surveyed to gather background about the current state of expert searching in institutions. The survey results were intended to guide the recommendations of the Task Force on Expert Searching for promoting the importance of expert searching and implementing those recommendations. MLA members were surveyed, and data obtained from the survey were compiled and analyzed to answer three general questions: what is the perceived value of searching skills to the institution, how do health sciences librarians maintain and improve their searching skills, and how are searching services promoted and/or mandated in the institution. There were 256 responses to the survey. Over 95% of the respondents saw their expert-searching skills were of value to their institutions, primarily through performing mediated searches and search consultations. Over 83% of the respondents believed that their searching skills had improved over the past 10 years. Most indicated that continued training was very important in maintaining and improving their skills. Respondents promoted searching services most frequently through orientations, brochures, and the libraries' Web pages. No respondent's institution mandated expert searching. Less than 2% of respondents' institutions had best practice guidelines related to expert searching, and only about 8% had guidelines or policies that identified situations where expert searching was recommended. The survey supports the belief that health sciences librarians still play a valuable role in searching, particularly in answering questions about treatment options and in providing education. It also highlights the need for more expert searching courses. There has been minimal discussion about the perceived need for expert-searching guidelines in the institutions represented by survey respondents.

  11. Barriers to Rural Induced Abortion Services in Canada: Findings of the British Columbia Abortion Providers Survey (BCAPS)

    Science.gov (United States)

    Norman, Wendy V.; Soon, Judith A.; Maughn, Nanamma; Dressler, Jennifer

    2013-01-01

    Background Rural induced abortion service has declined in Canada. Factors influencing abortion provision by rural physicians are unknown. This study assessed distribution, practice, and experiences among rural compared to urban abortion providers in the Canadian province of British Columbia (BC). Methods We used mixed methods to assess physicians on the BC registry of abortion providers. In 2011 we distributed a previously-published questionnaire and conducted semi-structured interviews. Results Surveys were returned by 39/46 (85%) of BC abortion providers. Half were family physicians, within both rural and urban cohorts. One-quarter (17/67) of rural hospitals offer abortion service. Medical abortions comprised 14.7% of total reported abortions. The three largest urban areas reported 90% of all abortions, although only 57% of reproductive age women reside in the associated health authority regions. Each rural physician provided on average 76 (SD 52) abortions annually, including 35 (SD 30) medical abortions. Rural physicians provided surgical abortions in operating rooms, often using general anaesthesia, while urban physicians provided the same services primarily in ambulatory settings using local anaesthesia. Rural providers reported health system barriers, particularly relating to operating room logistics. Urban providers reported occasional anonymous harassment and violence. Conclusions Medical abortions represented 15% of all BC abortions, a larger proportion than previously reported (under 4%) for Canada. Rural physicians describe addressable barriers to service provision that may explain the declining accessibility of rural abortion services. Moving rural surgical abortions out of operating rooms and into local ambulatory care settings has the potential to improve care and costs, while reducing logistical challenges facing rural physicians. PMID:23840578

  12. Prominent medical journals often provide insufficient information to assess the validity of studies with negative results

    Directory of Open Access Journals (Sweden)

    Dittus Robert S

    2002-09-01

    Full Text Available Abstract Background Physicians reading the medical literature attempt to determine whether research studies are valid. However, articles with negative results may not provide sufficient information to allow physicians to properly assess validity. Methods We analyzed all original research articles with negative results published in 1997 in the weekly journals BMJ, JAMA, Lancet, and New England Journal of Medicine as well as those published in the 1997 and 1998 issues of the bimonthly Annals of Internal Medicine (N = 234. Our primary objective was to quantify the proportion of studies with negative results that comment on power and present confidence intervals. Secondary outcomes were to quantify the proportion of these studies with a specified effect size and a defined primary outcome. Stratified analyses by study design were also performed. Results Only 30% of the articles with negative results comment on power. The reporting of power (range: 15%-52% and confidence intervals (range: 55–81% varied significantly among journals. Observational studies of etiology/risk factors addressed power less frequently (15%, 95% CI, 8–21% than did clinical trials (56%, 95% CI, 46–67%, p Conclusion Prominent medical journals often provide insufficient information to assess the validity of studies with negative results.

  13. Community Mobilization and Awareness Creation for Orofacial Cleft Services: A Survey of Nigerian Cleft Service Providers.

    Science.gov (United States)

    Adebola, Raphael A; Bamgbose, Babatunde O; Adeoye, Joshua B

    2014-01-01

    Background. The opportunity to provide free surgical care for orofacial clefts has opened a new vista and is enhanced by well-informed communities who are aware of the free surgical services available to them. It is the responsibility of cleft care providers to adequately inform these communities via a combination of community mobilization and awareness creation. Methods. This was a nationwide, cross-sectional descriptive study of all orofacial cleft service providers in Nigeria using a structured, self-administered questionnaire. Results. A total of 4648 clefts have been repaired, 50.8% by the ten government-owned and 49.2% by the five nongovernment-owned organizations included in the study. The nongovernment-owned institutions seemed to be more aggressive about community mobilization and awareness creation than government-owned ones, and this was reflected in their patient turnout. Most of the organizations studied would prefer a separate, independent body to handle their awareness campaign. Conclusion. Community mobilization requires skill and dedication and may require formal training or dedicated budgets by government-owned and nongovernment-owned institutions alike. Organizations involved in cleft care provision must take community mobilization and awareness seriously if the largely unmet needs of orofacial cleft patients in Nigeria are to be tackled.

  14. The science of trail surveys: Recreation ecology provides new tools for managing wilderness trails

    Science.gov (United States)

    Marion, Jeffrey L.; Wimpey, Jeremy F.; Park, Logan O.

    2011-01-01

    Recreation ecology examines the effects of recreation on protected area ecosystems. One core focus of recreation ecology research is trail science, including the development of efficient protocols to assess and monitor the type and severity of resource impacts, analyses to improve knowledge of factors that influence trail conditions, and studies to assist land managers in improving trail design, maintenance, and visitor management. This article reviews alternative trail survey methodologies most useful for the management of wilderness and backcountry trail networks. Illustrations and implications from survey data for trail planning, design, and management are included.

  15. Improving PTSD/substance abuse treatment in the VA: a survey of providers.

    Science.gov (United States)

    Najavits, Lisa M; Norman, Sonya B; Kivlahan, Daniel; Kosten, Thomas R

    2010-01-01

    We surveyed 205 Veterans Affairs (VA) staff on treatment of posttraumatic stress disorder (PTSD), substance use disorder (SUD), and the combination (PTSD/SUD). The survey was anonymous and VA-wide. PTSD/SUD was perceived as more difficult to treat than either disorder alone; gratification in the work was stronger than difficulty (for PTSD, SUD, and PTSD/SUD); and difficulty and gratification appeared separate constructs. Respondents endorsed views that represent expert treatment for the comorbidity; however, there was also endorsement of "myths." Thus, there is a need for more training, policy clarifications, service integration, and adaptations for veterans returning from Iraq and Afghanistan. Limitations are described.

  16. Leadership Development Programs at Academic Health Centers: Results of a National Survey.

    Science.gov (United States)

    Lucas, Raymond; Goldman, Ellen F; Scott, Andrea R; Dandar, Valerie

    2018-02-01

    To identify the prevalence and characteristics of faculty leadership development programs (LDPs) offered by North American academic health centers (AHCs) and to uncover gaps in leadership training. Faculty development/affairs deans of the 161 Association of American Medical Colleges member schools were surveyed in 2015 on their approach to faculty leadership training. For AHCs delivering their own training, the survey included questions about LDP participants, objectives, curriculum, delivery, resources, and evaluation. The literature on leadership and leadership development was used to develop a taxonomy of leadership competencies, which formed the basis of the survey questions related to program content. Survey results were analyzed with descriptive statistics and chi-square analysis for categorical data. Of the 94 respondents (response rate 58%), 93 provided some form of leadership training and 61 provided a formal internal faculty LDP. Content was variable and rarely based on a specific leadership competency model. Although programs described innovative approaches to learning, lectures and case discussions were the predominant approaches. Evaluation beyond participant satisfaction was uncommon. Faculty LDPs were common, with some programs describing elements informed by the leadership literature. However, nationally programs can improve by basing content on a leadership competency model, incorporating multiple approaches to teaching, and implementing more rigorous program evaluation.

  17. Survey Results on Fashion Consumption and Sustainability among Young Swedes

    DEFF Research Database (Denmark)

    Gwozdz, Wencke; Netter, Sarah; Bjartmarz, Thordis

    Sustainable choices and behaviours are becoming ever more important in our daily lives in all consumption domains. This report focuses specifically on the consumption of textile fashion of young Swedish consumers. The purpose of this report is twofold: a) To describe current fashion consumption...... of young consumers and sustainability related attitudes and knowledge and b) to compare attitudes, knowledge and behaviour between consumers with different levels of awareness and commitment towards sustainability. The survey was conducted among 1,175 young Swedish consumers (aged 16-30) in 2012....... The average age of respondents is 23.5 years, with 48.7% females and 51.3% males. The report focuses on three consumption phases: purchase (including pre-purchase), use & maintenance and discarding....

  18. Results of a tuberculin skin testing survey in Albania.

    Science.gov (United States)

    Hafizi, Hasan; Aliko, Anila; Sharra, Elda; Fico, Albana; Migliori, Giovanni Battista; Castiglia, Paolo; Sotgiu, Giovanni

    2014-03-13

    Tuberculosis affected about 8.5 million patients in 2011. Numerous efforts are needed to reduce the pool of individuals with latent TB infection (LTBI). The aim of the study was to describe a tuberculin skin testing (TST) survey carried out in Albania to estimate the LTBI burden; furthermore, knowledge of TB was evaluated through an ad hoc questionnaire. A TST survey was performed in three geographical districts of Albania: Tirana-Kamez, Vlora, and Dibra. Cluster sampling was carried out of young Albanian students. In addition, the same students were given a questionnaire to assess their knowledge, attitudes, and any misconceptions about TB. The mean (standard deviation) age of the individuals, according to their educational level, was the following: grade five, 11.03 (0.18) years; grade six, 12.02 (0.17) years; and grade seven, 13.02 (0.16) years. The TST induration size was read in 4,648 students. About 5.0% showed a reaction >5 mm, with a significant variability in the districts selected (12.1% in the district of Dibra). An induration diameter >15 mm was found mainly in those areas with high TB incidence (i.e., Tirana-Kamez and Dibra). About 13% of the students had no knowledge of TB. LTBI prevalent cases are estimated to be low in Albania, although there are areas where the TB management should be improved to reduce the probability of Mycobacterium tuberculosis transmission. The level of knowledge about TB disease is inadequate and new public health strategies should be implemented, focusing on educational TV programs.

  19. Results of the American Academy of Neurology resident survey.

    Science.gov (United States)

    Freeman, W D; Nolte, C M; Matthews, B R; Coleman, M; Corboy, J R

    2011-03-29

    To assess the effect of neurology residency education as trainees advance into independent practice, the American Academy of Neurology (AAN) elected to survey all graduating neurology residents at time of graduation and in 3-year cycles thereafter. A 22-question survey was sent to all neurology residents completing residency training in the United States in 2007. Of 523 eligible residents, 285 (54.5%) responded. Of these, 92% reported good to excellent quality teaching of basic neurology from their faculty; however, 47% noted less than ideal training in basic neuroscience. Two-thirds indicated that the Residency In-service Training Examination was used only as a self-assessment tool, but reports of misuse were made by some residents. After residency, 78% entered fellowships (with 61% choosing a fellowship based on interactions with a mentor at their institution), whereas 20% entered practice directly. After adjustment for the proportion of residents who worked before the duty hour rules were implemented and after their implementation, more than half reported improvement in quality of life (87%), education (60%), and patient care (62%). The majority of international medical graduates reported wanting to stay in the United States to practice rather than return to their country of residence. Neurology residents are generally satisfied with training, and most entered a fellowship. Duty hour implementation may have improved resident quality of life, but reciprocal concerns were raised about impact on patient care and education. Despite the majority of international trainees wishing to stay in the United States, stricter immigration laws may limit their entry into the future neurology workforce.

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

    Energy Technology Data Exchange (ETDEWEB)

    G. B. Gordon; N. Hall

    1999-04-01

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

  1. Current Practices in Home Management of Nasogastric Tube Placement in Pediatric Patients: A Survey of Parents and Homecare Providers.

    Science.gov (United States)

    Northington, LaDonna; Lyman, Beth; Guenter, Peggi; Irving, Sharon Y; Duesing, Lori

    Enteral feeding tubes are used in pediatric patients to deliver nutrition, fluids or medications. The literature related to short-term feeding tube (nasogastric [NG], hereafter known as NGT, or orogastric [OGT],) use in pediatric homecare patients is sparse. This descriptive study sought to gather baseline information about these children and how their feeding tubes are managed at home. Specifically, we sought to better understand how the tubes are placed and the method(s) used for tube placement verification. Two surveys were distributed: one to parents and one to homecare providers who have direct patient contact. Responses were obtained from 144 parents and 66 homecare providers. Over half of the children were 12months of age or younger and had a 6 Fr feeding tube. Over 75% (108) had an NGT for 1year or less. Predominantly parents replaced the NGT but a few children self-inserted their tubes. Feeding tube placement was verified by auscultation (44%) or measurement of gastric pH (25%) in the parent's survey. Twenty-six percent of parents indicated they had misplaced an NGT at least once and 35 parents described symptoms of pulmonary misplacement. The homecare provider data indicated auscultation (39%) and pH measurement of gastric contents (28%) to verify NG tube placement location. Study results confirms a need for consistency of practice among health care professionals and in parent education for those children who require NGTs at home. It is troubling that auscultation is still widely used for NGT location confirmation despite practice alerts that warn against its use. Copyright © 2017 Elsevier Inc. All rights reserved.

  2. Asthma management among allergists in Italy: results from a survey.

    Science.gov (United States)

    Magnoni, M S; Caminati, M; Canonica, G W; Arpinelli, F; Rizzi, A; Senna, G

    2017-01-01

    In Europe more than 50% of asthmatic treated patients have not well-controlled asthma. Asthma affects about 2.5 million of patients in Italy. The present survey aims at investigating how Italian allergists approach asthmatic patients, in order to highlight pitfalls and unmet needs concerning real-life asthma management. An anonymous 16 item web questionnaire was available (April-October 2015) to all allergists who visited the web site of SIAAIC (Società Italiana di Allergologia, Asma Immunologia Clinica). Those who wished to give their contribution had the opportunity to answer about epidemiology, risk factors, treatment approaches, and adherence to therapy. One hundred and seventy four allergists answered the survey. 54% of them reported up to 10 patient visits per week and 35.3% between 10 and 30. The most frequent reasons of follow up visits are routine check-up (56.5% of allergists), and worsening of symptoms (41% of allergists). Nocturnal apnoeas, gastro-esophageal reflux and obesity are the most important comorbidities/risk factors of poorly controlled asthma. Bronchial hyper-responsiveness, increased NO levels and reduced exercise tolerance are the most important indicators of asthma severity. Concerning therapy, ICS combined with LABA is the treatment of choice suitable for the majority of patients. A rapid onset of action and a flexible ICS dosage are indicated as the optimal characteristics for achieving the therapeutic goals. Poor adherence to therapy is an important reason for symptom worsening for the majority of allergists. Complex dosage regimens and economic aspects are considered the most important factors impacting on adherence. Allergists are involved in the management of asthma, regularly seeing their patients. Co-morbidities are frequent in asthmatic patients and may impact negatively on disease control, thus identifying patients who need a more careful and strict monitoring. Airway hyper-responsiveness to methacholine challenge test and

  3. Training pediatric health care providers in prevention of dental decay: results from a randomized controlled trial

    Directory of Open Access Journals (Sweden)

    Zeldin Leslie P

    2007-11-01

    Full Text Available Abstract Background Physicians report willingness to provide preventive dental care, but optimal methods for their training and support in such procedures are not known. This study aimed to evaluate the effect of three forms of continuing medical education (CME on provision of preventive dental services to Medicaid-enrolled children by medical personnel in primary care physician offices. Methods Practice-based, randomized controlled trial. Setting: 1,400 pediatric and family physician practices in North Carolina providing care to an estimated 240,000 Medicaid-eligible children aged 0–3 years. Interventions: Group A practices (n = 39 received didactic training and course materials in oral health screening, referral, counseling and application of fluoride varnish. Group B practices (n = 41 received the same as Group A and were offered weekly conference calls providing advice and support. Group C practices (n = 41 received the same as Group B and were offered in-office visit providing hands-on advice and support. In all groups, physicians were reimbursed $38–$43 per preventive dental visit. Outcome measures were computed from reimbursement claims submitted to NC Division of Medical Assistance. Primary outcome measure: rate of preventive dental services provision per 100 well-child visits. Secondary outcome measure: % of practices providing 20 or more preventive dental visits. Results 121 practices were randomized, and 107 provided data for analysis. Only one half of Group B and C practices took part in conference calls or in-office visits. Using intention-to-treat analysis, rates of preventive dental visits did not differ significantly among CME groups: GroupA = 9.4, GroupB = 12.9 and GroupC = 8.5 (P = 0.32. Twenty or more preventive dental visits were provided by 38–49% of practices in the three study groups (P = 0.64. Conclusion A relatively high proportion of medical practices appear capable of adopting these preventive dental services

  4. Exoplanets -New Results from Space and Ground-based Surveys

    Science.gov (United States)

    Udry, Stephane

    Earth. Its geology, from lakes and seas to broad river valleys and mountains, while carved in ice is, in its balance of processes, again most like Earth. Beneath this panoply of Earth-like processes an ice crust floats atop what appears to be a liquid water ocean. Titan is also rich in organic molecules—more so in its surface and atmosphere than anyplace in the solar system, including Earth [4]. These molecules were formed in the atmosphere, deposited on the surface and, in coming into contact with liquid water may undergo an aqueous chemistry that could replicate aspects of life's origins. I will discuss our current understanding of Titan's complex environment in view of recent exploration, in particular on the atmospheric structure (temperature and composition), and the surface nature. I will show how these and other elements can give us clues as to the origin and evolution of the satellite, and how they connect to the observations of the planet and the other satellites and rings. Future space missions to Titan can help us understand the kronian and also our Solar System as a whole. In particular, I will describe the future exploration of Titan and the Saturnian System with TSSM, a mission studied jointly by ESA and NASA in 2008 [1] and prioritized second for a launch around 2023-2025. TSSM comprises a Titan Orbiter provided by NASA that would carry two Titan in situ elements provided by ESA: a montgolfiere and a lake-landing lander. The mission would arrive 9 years later for a 4-year duration in the Saturn system. Following delivery of the ESA in situ elements to Titan, the Titan Orbiter would explore the Saturn system via a 2-year tour that includes Enceladus and Titan flybys. The montgolfiere would last at least 6 months at Titan and the lake lander 8-10 hours. Following the Saturn system tour, the Titan Orbiter would culminate in a —2-year orbit around Titan. References 1. TSSM and EJSM NASA/ESA Joint Summary Report, 16 January 2009 2. Coustenis et al. (2008

  5. Results of a baghouse operation and maintenance survey on industry and utility coal-fired boilers

    Energy Technology Data Exchange (ETDEWEB)

    Reynolds, J.; Kreidenweis, S.; Theodore, L.

    1982-06-01

    This paper presents results of a baghouse operation and maintenance survey on industry and utility coal-fired boilers. The survey consisted of a comprehensive questionnaire suitable to statistical interpretation and computer analysis.

  6. Characteristics of Social Network Gamers: Results of an Online Survey.

    Science.gov (United States)

    Geisel, Olga; Panneck, Patricia; Stickel, Anna; Schneider, Michael; Müller, Christian A

    2015-01-01

    Current research on Internet addiction (IA) reported moderate to high prevalence rates of IA and comorbid psychiatric symptoms in users of social networking sites (SNS) and online role-playing games. The aim of this study was to characterize adult users of an Internet multiplayer strategy game within a SNS. Therefore, we conducted an exploratory study using an online survey to assess sociodemographic variables, psychopathology, and the rate of IA in a sample of adult social network gamers by Young's Internet Addiction Test (IAT), the Toronto Alexithymia Scale (TAS-26), the Beck Depression Inventory-II (BDI-II), the Symptom Checklist-90-R (SCL-90-R), and the WHO Quality of Life-BREF (WHOQOL-BREF). All participants were listed gamers of "Combat Zone" in the SNS "Facebook." In this sample, 16.2% of the participants were categorized as subjects with IA and 19.5% fulfilled the criteria for alexithymia. Comparing study participants with and without IA, the IA group had significantly more subjects with alexithymia, reported more depressive symptoms, and showed poorer quality of life. These findings suggest that social network gaming might also be associated with maladaptive patterns of Internet use. Furthermore, a relationship between IA, alexithymia, and depressive symptoms was found that needs to be elucidated by future studies.

  7. Survey on In-vehicle Technology Use: Results and Findings

    Directory of Open Access Journals (Sweden)

    Raj K. Kamalanathsharma

    2015-06-01

    Full Text Available The use of advanced technology in automobiles has increased dramatically in the past couple of years. Driver-assisting gadgets such as navigation systems, advanced cruise control, collision avoidance systems, and other safety systems have moved down the ladder from luxury to more basic vehicles. Concurrently, auto manufacturers are also designing and testing driving algorithms that can assist with basic driving tasks, many of which are being continuously scrutinized by traffic safety agencies to ensure that these systems do not pose a safety hazard. The research presented in this paper brings a third perspective to in-vehicle technology by conducting a two-stage survey to collect public opinion on advanced in-vehicle technology. Approximately 64 percent of the respondents used a smartphone application to assist with their travel. The top-used applications were navigation and real-time traffic information systems. Among those who used smartphones during their commutes, the top-used applications were navigation and entertainment.

  8. Early mobilization after uncomplicated medial subtalar dislocation provides successful functional results.

    Science.gov (United States)

    Lasanianos, Nikolaos G; Lyras, Dimitrios N; Mouzopoulos, George; Tsutseos, Nikolaos; Garnavos, Christos

    2011-03-01

    Subtalar dislocation is a rare injury, with the medial type occurring in the majority of cases. The period of postreduction immobilization is a matter of controversy. Most studies set the period of immobilization between 4 and 8 weeks. The hypothesis in this study is that a period of 2-3 weeks of immobilization in a cast, followed by early mobilization, could provide better functional results than longer periods of immobilization. During a period of 4 years, eight patients (six men, two women) with mean age of 37.2 years and uncomplicated medial subtalar dislocation were treated in our institution. Immediate reduction under sedation and cast immobilization was provided in all cases. Our rehabilitation protocol consisted of two completed weeks of immobilization and thereafter ankle range-of-motion exercises and partial weight-bearing mobilization. Patients were followed up for a mean period of 3 years. Clinical results were evaluated using the AOFAS Ankle-Hindfoot scale. All patients achieved almost normal ankle range of motion and good clinical outcome (mean AOFAS score 92.25). No radiographic evidence of arthritis or avascular necrosis of the talus was detected. Two patients complained of mild pain of the hindfoot. All patients returned to daily routine activities in about 2 months from injury. Immediate reduction and early mobilization could be key factors for uneventful recovery of uncomplicated medial subtalar dislocation. Multicenter clinical trials are needed for further validation of our initial results. III, prospective clinical series study.

  9. Result of 2004 extended trypanosomosis survey of ruminants at ...

    African Journals Online (AJOL)

    The PDF file you selected should load here if your Web browser has a PDF reader plug-in installed (for example, a recent version of Adobe Acrobat Reader). If you would like more information about how to print, save, and work with PDFs, Highwire Press provides a helpful Frequently Asked Questions about PDFs.

  10. Firearm Acquisition Without Background Checks: Results of a National Survey.

    Science.gov (United States)

    Miller, Matthew; Hepburn, Lisa; Azrael, Deborah

    2017-02-21

    In 1994, 40% of U.S. gun owners who had recently acquired a firearm did so without a background check. No contemporary estimates exist. To estimate the proportion of current U.S. gun owners who acquired their most recent firearm without a background check, by time since and manner of acquisition, for the nation as a whole and separately in states with and without legislation regulating private sales. Probability-based online survey. United States, 2015. 1613 adult gun owners. Current gun owners were asked where and when they acquired their last firearm; if they purchased the firearm; and whether, as part of that acquisition, they had a background check (or were asked to show a firearm license or permit). 22% (95% CI, 16% to 27%) of gun owners who reported obtaining their most recent firearm within the previous 2 years reported doing so without a background check. For firearms purchased privately within the previous 2 years (that is, other than from a store or pawnshop, including sales between individuals in person, online, or at gun shows), 50% (CI, 35% to 65%) were obtained without a background check. This percentage was 26% (CI, 5% to 47%) for owners residing in states regulating private firearm sales and 57% (CI, 40% to 75%) for those living in states without regulations on private firearm sales. Potential inaccuracies due to recall and social desirability bias. 22% of current U.S. gun owners who acquired a firearm within the past 2 years did so without a background check. Although this represents a smaller proportion of gun owners obtaining firearms without background checks than in the past, millions of U.S. adults continue to acquire guns without background checks, especially in states that do not regulate private firearm sales. Fund for a Safer Future and the Joyce Foundation.

  11. 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...

  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. Inhalation Incidents and Respiratory Health: Results From the European Community Respiratory Health Survey

    Science.gov (United States)

    Mirabelli, Maria C.; Olivieri, Mario; Kromhout, Hans; Norbäck, Dan; Radon, Katja; Torén, Kjell; van Sprundel, Marc; Villani, Simona; Zock, Jan-Paul

    2009-01-01

    Background Inhalation incidents are an important cause of acute respiratory symptoms, but little is known about how these incidents affect chronic respiratory health. Methods We assessed reported inhalation incidents among 3,763 European Community Respiratory Health Survey (ECRHS) participants with and without cough, phlegm, asthma, wheezing or bronchial hyperresponsiveness. We then examined whether inhalation incidents during the 9-year ECRHS follow-up period were associated with a new onset of any of these respiratory outcomes among 2,809 participants who were free of all five outcomes at the time of the baseline ECRHS survey. Results Inhalation incidents were reported by 5% of participants, with higher percentages reported among individuals with asthma-related outcomes at the time of the baseline survey. Among participants without symptoms at baseline, our analyses generated non-statistically significant elevated estimates of the risk of cough, phlegm, asthma and wheezing and a non-statistically significant inverse estimate of the risk of bronchial hyperresponsiveness among participants who reported an inhalation incident compared to those without such an event reported. Discussion Our findings provide limited evidence of an association between inhalation incidents and asthma-related symptoms. These data could be affected by differences in the reporting of inhalation incidents according to symptom status at the time of the baseline survey; they should thus be interpreted with caution. PMID:18942122

  14. Applying national survey results for strategic planning and program improvement: the National Diabetes Education Program.

    Science.gov (United States)

    Griffey, Susan; Piccinino, Linda; Gallivan, Joanne; Lotenberg, Lynne Doner; Tuncer, Diane

    2015-02-01

    Since the 1970s, the federal government has spearheaded major national education programs to reduce the burden of chronic diseases in the United States. These prevention and disease management programs communicate critical information to the public, those affected by the disease, and health care providers. The National Diabetes Education Program (NDEP), the leading federal program on diabetes sponsored by the National Institutes of Health (NIH) and the Centers for Disease Control and Prevention (CDC), uses primary and secondary quantitative data and qualitative audience research to guide program planning and evaluation. Since 2006, the NDEP has filled the gaps in existing quantitative data sources by conducting its own population-based survey, the NDEP National Diabetes Survey (NNDS). The NNDS is conducted every 2–3 years and tracks changes in knowledge, attitudes and practice indicators in key target audiences. This article describes how the NDEP has used the NNDS as a key component of its evaluation framework and how it applies the survey results for strategic planning and program improvement. The NDEP's use of the NNDS illustrates how a program evaluation framework that includes periodic population-based surveys can serve as an evaluation model for similar national health education programs.

  15. [Intravenous rehydration for diarrheal dehydration of eutrophic children: survey of protocols provided at Colombian medical schools].

    Science.gov (United States)

    Flórez, Iván Darío; Ramos, Esteban; Bernal, Carlos; Cuéllar, Olga Juliana; Cornejo, José William

    2011-01-01

    In all cases of severe dehydration from diarrhea, WHO recommends rapid rehydration. If oral rehydration in children is contraindicated, intravenous rehydration is recommended for immediate administration. However, methods of intravenous rehydration appear to be inadequately addressed in the medical schools of Colombia. Current approaches to oral rehydration were summarized, and instructors were informed concerning current WHO recommendations. A survey was designed for pediatric instructors in Colombian medical schools. Direct questions about rehydration methods were included as well as presentation of theoretical clinical situations with dehydrated children. The survey also asked for the conditions necessary for intravenous rehydration and method of administration (volume, solution, concentration and speed of infusion). Forty-one surveys were included (82% of medical schools in Colombia). Inadequate contraindications for oral rehydration therapy were made in 41%. Rapid and slow intravenous rehydration was recommended in 71% and 29%, respectively; 57% recommended fluid bolus to rehydrate. Adequate volumes were recommended by less than half of the respondents and adequate sodium concentration was recommended by 85%. In 56% of medical schools, glucose was not included in solutions and 66% use Ringer lactate. Normal saline solution, dextrose solution with electrolytes and polyelectrolytes solutions are also used. Misconceptions are common concerning the contraindications to oral rehydration therapy. One-third of medical schools promote a slow therapy despite the superiority of the rapid therapy. Uniformity for rapid therapy schemes is lacking. Bolus rehydration is commonly advocated despite the fact that this method is unsupported by the literature. Concepts about rehydration must be updated in medical schools and a national guide for intravenous rehydration is recommended.

  16. Future of S&T: Delphi Survey Results

    OpenAIRE

    Alexander Sokolov

    2009-01-01

    The paper is devoted to the analysis of S&T trends as a part of the Russian Long-term S&T Foresight 2025 which was carried out in 2007-2008 by request from the Ministry of Education and Science of the Russian Federation and Federal Agency for Science and Innovation. The paper provides an expert assessment of Russia’s positioning on the global S&T landscape. It also highlights the fields of S&T development whose support allows to raise competitiveness of Russian economy and to solve actual tas...

  17. Medical abortion service in rural areas of Henan Province, China: a provider survey.

    Science.gov (United States)

    Ji, Ning; Zhou, You; Zhang, Ying; He, Dian; Pang, Cheng; Xi, Maomao; Cheng, Yimin

    2013-03-01

    The aim of this study was to explore the knowledge, attitudes and practices on medical abortion of abortion service providers in rural areas of China. A cross-sectional study via self-administered questionnaire was conducted among 362 abortion service providers from family planning service centers (FPSC) and hospitals in rural areas of Henan Province, China, between November 2009 and May 2010. Most of the providers were female (99.4%) and obstetricians/gynecologists (63.3%). The knowledge score achieved ranged from 9.4 to 78.1 points, with both the median and the mode of 56.3 points. Of the 52.2% (189/362) of providers having a preference on abortion method, 30.2% (57/189) preferred medical abortion, while 69.8% (132/189) preferred surgical abortion. In total, 50.7% (174/343) of the providers indicated the provision of medical abortion should be expanded, with the three biggest challenges in its further expansion being increased complications/failures, poor client knowledge/awareness, and problems with drug/equipment supplies. Of all the providers, 81.7% and 92.2% reported they had experience in providing medical abortion and surgical abortion, respectively. Medical abortion providers were mainly experienced in misoprostol with oral (81.8%)/vaginal (79.6%) prostaglandin (misoprostol/gemeprost). Knowledge on medical abortion of providers working in rural China was at a moderate level. Providers preferred surgical abortion to medical abortion. Providers have more experience in providing surgical abortion than medical abortion. Efforts should be made to overcome the perceived challenges in future expansion of medical abortion. © 2012 The Authors. Journal of Obstetrics and Gynaecology Research © 2012 Japan Society of Obstetrics and Gynecology.

  18. The SAGES Legacy Unifying Globulars and Galaxies survey (SLUGGS): sample definition, methods, and initial results

    Energy Technology Data Exchange (ETDEWEB)

    Brodie, Jean P.; Romanowsky, Aaron J.; Jennings, Zachary G.; Pota, Vincenzo; Kader, Justin; Roediger, Joel C.; Villaume, Alexa; Arnold, Jacob A.; Woodley, Kristin A. [University of California Observatories, 1156 High Street, Santa Cruz, CA 95064 (United States); Strader, Jay [Department of Physics and Astronomy, Michigan State University, East Lansing, MI 48824 (United States); Forbes, Duncan A.; Pastorello, Nicola; Usher, Christopher; Blom, Christina; Kartha, Sreeja S. [Centre for Astrophysics and Supercomputing, Swinburne University, Hawthorn, VIC 3122 (Australia); Foster, Caroline; Spitler, Lee R., E-mail: jbrodie@ucsc.edu [Australian Astronomical Observatory, P.O. Box 915, North Ryde, NSW 1670 (Australia)

    2014-11-20

    We introduce and provide the scientific motivation for a wide-field photometric and spectroscopic chemodynamical survey of nearby early-type galaxies (ETGs) and their globular cluster (GC) systems. The SAGES Legacy Unifying Globulars and GalaxieS (SLUGGS) survey is being carried out primarily with Subaru/Suprime-Cam and Keck/DEIMOS. The former provides deep gri imaging over a 900 arcmin{sup 2} field-of-view to characterize GC and host galaxy colors and spatial distributions, and to identify spectroscopic targets. The NIR Ca II triplet provides GC line-of-sight velocities and metallicities out to typically ∼8 R {sub e}, and to ∼15 R {sub e} in some cases. New techniques to extract integrated stellar kinematics and metallicities to large radii (∼2-3 R {sub e}) are used in concert with GC data to create two-dimensional (2D) velocity and metallicity maps for comparison with simulations of galaxy formation. The advantages of SLUGGS compared with other, complementary, 2D-chemodynamical surveys are its superior velocity resolution, radial extent, and multiple halo tracers. We describe the sample of 25 nearby ETGs, the selection criteria for galaxies and GCs, the observing strategies, the data reduction techniques, and modeling methods. The survey observations are nearly complete and more than 30 papers have so far been published using SLUGGS data. Here we summarize some initial results, including signatures of two-phase galaxy assembly, evidence for GC metallicity bimodality, and a novel framework for the formation of extended star clusters and ultracompact dwarfs. An integrated overview of current chemodynamical constraints on GC systems points to separate, in situ formation modes at high redshifts for metal-poor and metal-rich GCs.

  19. The JCMT Plane Survey: early results from the ℓ = 30° field

    NARCIS (Netherlands)

    Moore, T. J. T.; Plume, R.; Thompson, M. A.; Parsons, H.; Urquhart, J. S.; Eden, D. J.; Dempsey, J. T.; Morgan, L. K.; Thomas, H. S.; Buckle, J.; Brunt, C. M.; Butner, H.; Carretero, D.; Chrysostomou, A.; deVilliers, H. M.; Fich, M.; Hoare, M. G.; Manser, G.; Mottram, J. C.; Natario, C.; Olguin, F.; Peretto, N.; Polychroni, D.; Redman, R. O.; Rigby, A. J.; Salji, C.; Summers, L. J.; Berry, D.; Currie, M. J.; Jenness, T.; Pestalozzi, M.; Traficante, A.; Bastien, P.; diFrancesco, J.; Davis, C. J.; Evans, A.; Friberg, P.; Fuller, G. A.; Gibb, A. G.; Gibson, S.; Hill, T.; Johnstone, D.; Joncas, G.; Longmore, S. N.; Lumsden, S. L.; Martin, P. G.; Lu'o'ng, Q. Nguyê˜n.; Pineda, J. E.; Purcell, C.; Richer, J. S.; Schieven, G. H.; Shipman, R.; Spaans, M.; Taylor, A. R.; Viti, S.; Weferling, B.; White, G. J.; Zhu, M.

    2015-01-01

    We present early results from the JCMT (James Clerk Maxwell Telescope) Plane Survey (JPS), which has surveyed the northern inner Galactic plane between longitudes ℓ = 7° and ℓ = 63° in the 850-μm continuum with SCUBA-2 (Submm Common-User Bolometer Array 2), as part of the JCMT Legacy Survey

  20. The green bank northern celestial cap pulsar survey. I. Survey description, data analysis, and initial results

    Energy Technology Data Exchange (ETDEWEB)

    Stovall, K.; Dartez, L. P.; Ford, A. J.; Garcia, A.; Hinojosa, J.; Jenet, F. A.; Leake, S. [Center for Advanced Radio Astronomy, University of Texas at Brownsville, One West University Boulevard, Brownsville, TX 78520 (United States); Lynch, R. S.; Archibald, A. M.; Karako-Argaman, C.; Kaspi, V. M. [Department of Physics, McGill University, 3600 University Street, Montreal, QC H3A 2T8 (Canada); Ransom, S. M. [National Radio Astronomy Observatory, 520 Edgemont Road, Charlottesville, VA 22901 (United States); Banaszak, S.; Biwer, C. M.; Day, D.; Flanigan, J.; Kaplan, D. L. [Physics Department, University of Wisconsin-Milwaukee, Milwaukee, WI 53211 (United States); Boyles, J. [Department of Physics and Astronomy, Western Kentucky University, Bowling Green, KY 42101 (United States); Hessels, J. W. T.; Kondratiev, V. I., E-mail: stovall.kevin@gmail.com [ASTRON, the Netherlands Institute for Radio Astronomy, Postbus 2, 7990 AA Dwingeloo (Netherlands); and others

    2014-08-10

    We describe an ongoing search for pulsars and dispersed pulses of radio emission, such as those from rotating radio transients (RRATs) and fast radio bursts, at 350 MHz using the Green Bank Telescope. With the Green Bank Ultimate Pulsar Processing Instrument, we record 100 MHz of bandwidth divided into 4096 channels every 81.92 μs. This survey will cover the entire sky visible to the Green Bank Telescope (δ > –40°, or 82% of the sky) and outside of the Galactic Plane will be sensitive enough to detect slow pulsars and low dispersion measure (<30 pc cm{sup –3}) millisecond pulsars (MSPs) with a 0.08 duty cycle down to 1.1 mJy. For pulsars with a spectral index of –1.6, we will be 2.5 times more sensitive than previous and ongoing surveys over much of our survey region. Here we describe the survey, the data analysis pipeline, initial discovery parameters for 62 pulsars, and timing solutions for 5 new pulsars. PSR J0214+5222 is an MSP in a long-period (512 days) orbit and has an optical counterpart identified in archival data. PSR J0636+5129 is an MSP in a very short-period (96 minutes) orbit with a very low mass companion (8 M{sub J}). PSR J0645+5158 is an isolated MSP with a timing residual RMS of 500 ns and has been added to pulsar timing array experiments. PSR J1434+7257 is an isolated, intermediate-period pulsar that has been partially recycled. PSR J1816+4510 is an eclipsing MSP in a short-period orbit (8.7 hr) and may have recently completed its spin-up phase.

  1. The Green Bank Northern Celestial Cap Pulsar Survey. I. Survey Description, Data Analysis, and Initial Results

    Science.gov (United States)

    Stovall, K.; Lynch, R. S.; Ransom, S. M.; Archibald, A. M.; Banaszak, S.; Biwer, C. M.; Boyles, J.; Dartez, L. P.; Day, D.; Ford, A. J.; Flanigan, J.; Garcia, A.; Hessels, J. W. T.; Hinojosa, J.; Jenet, F. A.; Kaplan, D. L.; Karako-Argaman, C.; Kaspi, V. M.; Kondratiev, V. I.; Leake, S.; Lorimer, D. R.; Lunsford, G.; Martinez, J. G.; Mata, A.; McLaughlin, M. A.; Roberts, M. S. E.; Rohr, M. D.; Siemens, X.; Stairs, I. H.; van Leeuwen, J.; Walker, A. N.; Wells, B. L.

    2014-08-01

    We describe an ongoing search for pulsars and dispersed pulses of radio emission, such as those from rotating radio transients (RRATs) and fast radio bursts, at 350 MHz using the Green Bank Telescope. With the Green Bank Ultimate Pulsar Processing Instrument, we record 100 MHz of bandwidth divided into 4096 channels every 81.92 μs. This survey will cover the entire sky visible to the Green Bank Telescope (δ > -40°, or 82% of the sky) and outside of the Galactic Plane will be sensitive enough to detect slow pulsars and low dispersion measure (pulsars (MSPs) with a 0.08 duty cycle down to 1.1 mJy. For pulsars with a spectral index of -1.6, we will be 2.5 times more sensitive than previous and ongoing surveys over much of our survey region. Here we describe the survey, the data analysis pipeline, initial discovery parameters for 62 pulsars, and timing solutions for 5 new pulsars. PSR J0214+5222 is an MSP in a long-period (512 days) orbit and has an optical counterpart identified in archival data. PSR J0636+5129 is an MSP in a very short-period (96 minutes) orbit with a very low mass companion (8 M J). PSR J0645+5158 is an isolated MSP with a timing residual RMS of 500 ns and has been added to pulsar timing array experiments. PSR J1434+7257 is an isolated, intermediate-period pulsar that has been partially recycled. PSR J1816+4510 is an eclipsing MSP in a short-period orbit (8.7 hr) and may have recently completed its spin-up phase.

  2. Cyclists and traffic sounds : the results of an internet survey.

    NARCIS (Netherlands)

    Stelling-Konczak, A. Hagenzieker, M.P. & Wee, G.P. van

    2014-01-01

    Many cyclists, especially youngsters, listen to music and talk on their mobile phones while cycling. As a result, auditory traffic information that can be used by cyclists to make safe decisions is less available. Also the growing number of quiet (electric) vehicles on the road makes use of auditory

  3. Is there a demand for physical activity interventions provided by the health care sector? Findings from a population survey

    Directory of Open Access Journals (Sweden)

    Walter Lars

    2010-01-01

    Full Text Available Abstract Background Health care providers in many countries have delivered interventions to improve physical activity levels among their patients. Thus far, less is known about the population's interest to increase their physical activity levels and their opinion about the health care provider's role in physical activity promotion. The aims of this paper were to investigate the self-reported physical activity levels of the population and intention to increase physical activity levels, self-perceived need for support, and opinions about the responsibilities of both individuals and health care providers to promote physical activity. Methods A regional public health survey was mailed to 13 440 adults (aged 18-84 years living in Östergötland County (Sweden in 2006. The survey was part of the regular effort by the regional Health Authorities. Results About 25% of the population was categorised as physically active, 38% as moderately active, 27% as somewhat active, and 11% as low active. More than one-third (37% had no intentions to increase their physical activity levels, 36% had thought about change, while 27% were determined to change. Lower intention to change was mainly associated with increased age and lower education levels. 28% answered that physical activity was the most important health-related behaviour to change "right now" and 15% of those answered that they wanted or needed support to make this change. Of respondents who might be assumed to be in greatest need of increased activity (i.e. respondents reporting poor general health, BMI>30, and inactivity more than one-quarter wanted support to make improvements to their health. About half of the respondents who wanted support to increase their physical activity levels listed health care providers as a primary source for support. Conclusions These findings suggest that there is considerable need for physical activity interventions in this population. Adults feel great responsibility for

  4. Current practice and knowledge of oral care for cancer patients: a survey of supportive health care providers

    NARCIS (Netherlands)

    Barker, Gerry J.; Epstein, Joel B.; Williams, Karen B.; Gorsky, Meir; Raber-Durlacher, Judith E.

    2005-01-01

    The Oral Care Study Section of the Multinational Association of Supportive Care in Cancer (MASCC) and the International Society for Oral Oncology (ISOO) conducted a survey on clinical practices of oral/dental management of cancer patients among supportive health care providers. The main purpose was

  5. Student Entrepreneurship in Hungary: Selected Results Based on GUESSS Survey

    Directory of Open Access Journals (Sweden)

    Andrea S. Gubik

    2016-12-01

    Full Text Available Objective: This study investigates students’ entrepreneurial activities and aims to answer questions regarding to what extent do students utilize the knowledge gained during their studies and the personal connections acquired at universities, as well as what role a family business background plays in the development of students’ business start-ups. Research Design & Methods: This paper is based on the database of the GUESSS project investigates 658 student entrepreneurs (so-called ‘active entrepreneurs’ who have already established businesses of their own. Findings: The rate of self-employment among Hungarian students who study in tertiary education and consider themselves to be entrepreneurs is high. Motivations and entrepreneurial efforts differ from those who owns a larger company, they do not necessarily intend to make an entrepreneurial path a career option in the long run. A family business background and family support play a determining role in entrepreneurship and business start-ups, while entrepreneurial training and courses offered at higher institutions are not reflected in students’ entrepreneurial activities. Implications & Recommendations: Universities should offer not only conventional business courses (for example, business planning, but also new forms of education so that students meet various entrepreneurial tasks and problems, make decisions in different situations, explore and acquaint themselves with entrepreneurship. Contribution & Value Added: The study provides literature overview of youth entrepreneurship, describes the main characteristics of students’ enterprises and contributes to understanding the factors of youth entrepreneurship.

  6. Factors associated with providing social security benefits for traumatic brain injury resulting from occupational accidents

    Directory of Open Access Journals (Sweden)

    Denismar Borges de Miranda

    2014-03-01

    Full Text Available INTRODUCTION: The Occupational Accident (OA is considered to be an important public health problem in Brazil. Traumatic Brain Injury (TBI is the most common among them. The TBI is associated with high morbidity and mortality rates among workers. OBJECTIVE: To identify factors associated with providing social security benefits for TBI due to occupational accidents according to the specific type of economic activity in Brazil, in 2009. METHODS: This is a cross-sectional study that was conducted with all workers who were part of the General Regime of Social Security (RGPS of Brazil. Secondary data were obtained from the National Information System Benefit, from the Synchronized National Register of the Ministry of Finance and from the General Register of Employed and Unemployed Persons. Data were analyzed using the multiple logistic regression method. RESULTS: We analyzed 2,006 cases of social security benefits for traumatic brain injury due to Occupational Accident. Factors associated with the concession of the benefit according to the economic activity of the Company of the beneficiary were identified. Associations were found with sex, income and the region of the Company. CONCLUSION: Factors associated with the concession of social security benefits by TBI resulting from OA differ depending on the type of economic activity in the study. Understanding these factors may contribute to the planning of preventive policies.

  7. Sodium oxybate therapy provides multidimensional improvement in fibromyalgia: results of an international phase 3 trial

    Science.gov (United States)

    Spaeth, Michael; Bennett, Robert M; Benson, Beverly A; Wang, Y Grace; Lai, Chinglin; Choy, Ernest H

    2012-01-01

    Background Fibromyalgia is characterised by chronic musculoskeletal pain and multiple symptoms including fatigue, multidimensional function impairment, sleep disturbance and tenderness. Along with pain and fatigue, non-restorative sleep is a core symptom of fibromyalgia. Sodium oxybate (SXB) is thought to reduce non-restorative sleep abnormalities. This study evaluated effects of SXB on fibromyalgia-related pain and other symptoms. Methods 573 patients with fibromyalgia according to 1990 American College of Rheumatology criteria were enrolled at 108 centres in eight countries. Subjects were randomly assigned to placebo, SXB 4.5 g/night or SXB 6 g/night. The primary efficacy endpoint was the proportion of subjects with ≥30% reduction in pain visual analogue scale from baseline to treatment end. Other efficacy assessments included function, sleep quality, effect of sleep on function, fatigue, tenderness, health-related quality of life and subject's impression of change in overall wellbeing. Results Significant improvements in pain, sleep and other symptoms associated with fibromyalgia were seen in SXB treated subjects compared with placebo. The proportion of subjects with ≥30% pain reduction was 42.0% for SXB4.5 g/night (p=0.002) and 51.4% for SXB6 g/night (panxiety, somnolence, fatigue, muscle spasms and peripheral oedema. Conclusion These results, combined with findings from previous phase 2 and 3 studies, provide supportive evidence that SXB therapy affordsimportant benefits across multiple symptoms in subjects with fibromyalgia. PMID:22294641

  8. Universality of Wigner random matrices: a survey of recent results

    Energy Technology Data Exchange (ETDEWEB)

    Erdos, Laszlo [Ludwig-Maximilians-University of Munich (Germany)

    2011-06-30

    This is a study of the universality of spectral statistics for large random matrices. Considered are NxN symmetric, Hermitian, or quaternion self-dual random matrices with independent identically distributed entries (Wigner matrices), where the probability distribution of each matrix element is given by a measure {nu} with zero expectation and with subexponential decay. The main result is that the correlation functions of the local eigenvalue statistics in the bulk of the spectrum coincide with those of the Gaussian Orthogonal Ensemble (GOE), the Gaussian Unitary Ensemble (GUE), and the Gaussian Symplectic Ensemble (GSE), respectively, in the limit as N {yields} {infinity}. This approach is based on a study of the Dyson Brownian motion via a related new dynamics, the local relaxation flow. As a main input, it is established that the density of the eigenvalues converges to the Wigner semicircle law, and this holds even down to the smallest possible scale. Moreover, it is shown that the eigenvectors are completely delocalized. These results hold even without the condition that the matrix elements are identically distributed: only independence is used. In fact, for the matrix elements of the Green function strong estimates are given that imply that the local statistics of any two ensembles in the bulk are identical if the first four moments of the matrix elements match. Universality at the spectral edges requires matching only two moments. A Wigner-type estimate is also proved, and it is shown that the eigenvalues repel each other on arbitrarily small scales. Bibliography: 108 titles.

  9. Worldwide survey of the results of treating gestational trophoblastic disease.

    Science.gov (United States)

    Kohorn, Ernest I

    2014-01-01

    To determine factors influencing outcome for patients with gestational trophoblastic disease (GTD) from throughout the world. Physicians known to treat GTD were sent a questionnaire. There were 32 responses from 17 countries, totaling 26,153 patients. Of 14,093 patients with complete mole 20.6% developed trophoblastic neoplasia, and 5.7% died. There were 10,230 patients with partial mole, of whom 6.5% received therapy for neoplasia. There were 548 patients with post-term pregnancy choriocarcinoma, of whom 13.4% died. Of 137 patients with placental site trophoblastic tumor 16.1% died. The remaining 1,165 patients did not fit into a designated diagnostic category. The mortality rate for 2,818 patients with GTD primarily treated at a trophoblast center was 2.1%, as compared with 8% among 1,854 patients referred after failure of primary treatment (p trophoblastic disease have better results and survival.

  10. Haemophilia Experiences, Results and Opportunities (HERO) Study: survey methodology and population demographics.

    Science.gov (United States)

    Forsyth, A L; Gregory, M; Nugent, D; Garrido, C; Pilgaard, T; Cooper, D L; Iorio, A

    2014-01-01

    Psychosocial factors have a significant impact on the quality of life of persons with haemophilia (PWH). The Haemophilia Experiences, Results and Opportunities (HERO) initiative was developed to provide a greater understanding of the psychological components which influence the lives of PWH. This article describes the HERO methodology and the characteristics of respondents. Two online surveys (one for adult PWH ≥18 years and one for parents of children HERO is one of the largest multinational studies focused on psychosocial issues in haemophilia, including historical and treatment information that will allow for multivariate analyses of determinants of health in haemophilia. © 2013 John Wiley & Sons Ltd.

  11. Beliefs about the empirical support of drug abuse treatment interventions: a survey of outpatient treatment providers.

    Science.gov (United States)

    Benishek, Lois A; Kirby, Kimberly C; Dugosh, Karen Leggett; Padovano, Alicia

    2010-03-01

    This study assessed substance abuse treatment providers' beliefs about empirically supported treatments (ESTs) to determine if providing information about empirical support for interventions would change beliefs. Treatment providers (N=136) completed an interview regarding five interventions with varied empirical support: contingency management (CM), motivational interviewing (MI), relapse prevention (RP), 12-step approaches (TSA), and verbal confrontation (VC). Participants then read primers describing empirical support for each intervention prior to completing a repeat interview. Overall, providers reported positive beliefs about ESTs. Baseline beliefs about empirical support for each intervention were inflated relative to that of expert raters except for CM. After reading the primers, beliefs about efficacy changed in the direction of the experts for all interventions except MI, but continued to be inflated except for CM. Willingness to utilize interventions increased for RP, MI, and CM and decreased for TSA and VC, but remained higher than warranted by empirical support. Copyright 2009. Published by Elsevier Ireland Ltd.

  12. Providing Dental Care to Pregnant Patients: A Survey of Oregon General Dentists

    National Research Council Canada - National Science Library

    Huebner, Colleen E; Milgrom, Peter; Conrad, Douglas; Lee, Rosanna Shuk Yin

    2009-01-01

    A growing number of studies and reports indicate preventive, routine and emergency dental procedures can be provided safely to pregnant patients to alleviate dental problems and promote oral health...

  13. Quality of reproductive healthcare for adolescents: A nationally representative survey of providers in Mexico.

    Directory of Open Access Journals (Sweden)

    Aremis Villalobos

    Full Text Available Adolescents need sexual and reproductive health services but little is known about quality-of-care in lower- and middle-income countries where most of the world's adolescents reside. Quality-of-care has important implications as lower quality may be linked to higher unplanned pregnancy and sexually transmitted infection rates. This study sought to generate evidence about quality-of-care in public sexual and reproductive health services for adolescents.This cross-sectional study had a complex, probabilistic, stratified sampling design, representative at the national, regional and rural/urban level in Mexico, collecting provider questionnaires at 505 primary care units in 2012. A sexual and reproductive quality-of-healthcare index was defined and multinomial logistic regression was utilized in 2015.At the national level 13.9% (95%CI: 6.9-26.0 of healthcare units provide low quality, 68.6% (95%CI: 58.4-77.3 medium quality and 17.5% (95%CI: 11.9-25.0 high quality reproductive healthcare services to adolescents. Urban or metropolitan primary care units were at least 10 times more likely to provide high quality care than those in rural areas. Units with a space specifically for counseling adolescents were at least 8 times more likely to provide high quality care. Ministry of Health clinics provided the lowest quality of service, while those from Social Security for the Underserved provided the best.The study indicates higher quality sexual and reproductive healthcare services are needed. In Mexico and other middle- to low-income countries where quality-of-care has been shown to be a problem, incorporating adolescent-friendly, gender-equity and rights-based perspectives could contribute to improvement. Setting and disseminating standards for care in guidelines and providing tools such as algorithms could help healthcare personnel provide higher quality care.

  14. Polarimetric survey of main-belt asteroids. VI. New results from the second epoch of the CASLEO survey

    Science.gov (United States)

    Gil-Hutton, R.; García-Migani, E.

    2017-11-01

    Aims: We present the results of a polarimetric survey of main-belt asteroids at Complejo Astronómico El Leoncito (CASLEO), San Juan, Argentina. The aims of this survey are to increase the database of asteroid polarimetry and to estimate the diversity in the polarimetric properties of asteroids that belong to different taxonomic classes. Methods: The data were obtained using the CASPOL polarimeter at the 2.15 m telescope. CASPOL is a polarimeter based on a CCD detector and a Savart plate. The survey began in 1995 and data on a large sample of asteroids were obtained until 2012. A second period began in 2013 using a polarimeter with a more sensitive detector in order to study small asteroids, families, and special taxonomic groups. Results: We present and analyze the unpublished results for 128 asteroids of different taxonomic types, 55 of them observed for the first time. The observational data allowed us to find probable new cases of Barbarian objects but also two D-type objects, (565) Marbachia and (1481) Tubingia, that seem to have phase-polarization curves with a large inversion angle. The data obtained combined with data from the literature enabled us to find phase-polarization curves for 121 objects of different taxonomic types and to study the relations between several polarimetric and physical parameters. Using an approximation for the phase-polarization curve we found the index of refraction of the surface material and the scatter separation distance for all the objects with known polarimetric parameters. We also found that the inversion angle is a function of the index of refraction of the surface, while the phase angle where the minimum of polarization is produced provides information about the distance between scatter particles or, to some extent, the porosity of the surface. Based on observations carried out at the Complejo Astronómico El Leoncito, operated under agreement between the Consejo Nacional de Investigaciones Científicas y Técnicas de la

  15. The Green Bank Northern Celestial Cap Pulsar Survey - I: Survey Description, Data Analysis, and Initial Results

    OpenAIRE

    Stovall, K.; Lynch, R. S.; Ransom, S. M.; Archibald, A. M.; Banaszak, S.; Biwer, C. M.; Boyles, J.; Dartez, L. P.; Day, D.; Ford, A. J.; Flanigan, J.; Garcia, A.; Hessels, J. W. T.; Hinojosa, J.; Jenet, F. A.

    2014-01-01

    We describe an ongoing search for pulsars and dispersed pulses of radio emission, such as those from rotating radio transients (RRATs) and fast radio bursts (FRBs), at 350 MHz using the Green Bank Telescope. With the Green Bank Ultimate Pulsar Processing Instrument, we record 100 MHz of bandwidth divided into 4,096 channels every 81.92 $\\mu s$. This survey will cover the entire sky visible to the Green Bank Telescope ($\\delta > -40^\\circ$, or 82% of the sky) and outside of the Galactic Plane ...

  16. A comparison of results from an alcohol survey of a prerecruited Internet panel and the National Epidemiologic Survey on Alcohol and Related Conditions.

    Science.gov (United States)

    Heeren, Timothy; Edwards, Erika M; Dennis, J Michael; Rodkin, Sergei; Hingson, Ralph W; Rosenbloom, David L

    2008-02-01

    Given today's telecommunications environment, random digit dial (RDD) telephone surveys face declining response rates and coverage, and increasing costs. As an alternative to RDD, we surveyed participants in a randomly recruited standing Internet panel supplemented with a randomly sampled telephone survey of nonpanel members for a study of associations between onset of alcohol use and later alcohol-related problems. The purpose of this paper was to compare results from our survey with results from the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC), a face-to-face probability sample survey of 43,093 adults, with a focus on associations between demographics, age of drinking onset, and alcohol dependence. Demographic and drinking characteristics from our survey of 4,021 ever-drinkers between the ages of 18 and 39 years were compared with the characteristics of 11,549 similarly aged ever-drinkers from the NESARC. Weighted analyses accounting for sampling design compared these 2 samples on drinking characteristics over the past year and during a respondent's heaviest period of drinking, and in multivariate models examining associations between demographics, age of drinking onset, and lifetime alcohol dependence. Participants in the supplemented Internet panel were similar to the national population of 18- to 39-year-old ever drinkers on gender, education, and race/ethnicity, while adults who were aged 18 to 25 years were under-represented in the Internet panel. The supplemented Internet panel reported higher rates of moderate risk drinking over the past 12 months, lifetime high-risk drinking, and lifetime (ever) alcohol dependence. Estimates of the associations between alcohol dependence and age of drinking onset, risky drinking, and family history of alcohol problems did not significantly differ between the supplemented Internet sample and the NESARC survey. Randomly recruited Internet-based panels may provide an alternative to random digit

  17. Microsystems in medicine - results of an international survey.

    Science.gov (United States)

    Schostek, S; Fischer, H; Kalanovic, D; Schurr, M O

    2005-01-01

    The utilization of microsystems technology (MST) in medical applications is instrumental in opening up new market segments, in the creation of novel, more effective diagnosis and therapy options in medicine, as well as in the further development of MST. However, the players in the healthcare industry are faced with technical and non-technical difficulties. The present study analyzes this emerging field from the viewpoint of medicine, market, and MST. It identifies applications of medical devices with microsystems components and analyzes their potentials in great detail. Thus, especially the creation of new market segments is expected from a broad use of MST in medicine. Furthermore, problems and conditions during the entry of microsystems into medical products are illuminated, in particular considering the specific market features of the healthcare industry. The high expenditure necessary for establishing this technology in healthcare industry is the most significant obstacle, since this market is dominated by small and medium-sized enterprises (SMEs). But there are non-technical difficulties as well. This article presents selected results of the study, which was carried out in the scope of the EU project netMED (virtual institute on micromechatronics for biomedical industry).

  18. Epidemiology of Hypertension in Serbia: Results of a National Survey

    Science.gov (United States)

    Vera, Grujić; Nataša, Dragnić; Svetlana, Kvrgić; Sonja, Šušnjević; Jasmina, Grujić; Sonja, Travar

    2012-01-01

    Background We evaluated the prevalence of high blood pressure and the level of awareness, treatment, and control of hypertension in a Serbian population. Methods A cross-sectional study of an adult population was carried out across Serbia in 2006. The study involved 14 204 adults aged 20 years or older. Interviews and measurements of blood pressure were performed at participants’ homes. Results Overall, 47% of the Serbian adult population had hypertension: 25.3% had stage 1 hypertension and 18.1% had stage 2 hypertension. Only 58.0% of the hypertensive population were aware that they had the disease, and 60.4% were receiving medical treatment. Among those receiving medical treatment, only 20.9% had a blood pressure within the normal range. One in 10 participants with hypertension were not treated because, among other reasons, they thought treatment was unnecessary (55.3%) or they lacked money for medication (19.3%). Conclusions The prevalence of undiagnosed and untreated hypertension is high in the adult population of Serbia. Further action is required to hasten detection and treatment of high blood pressure. Attention should be directed toward educational programs that improve knowledge, attitudes, and awareness of hypertension among adults. PMID:22374365

  19. The Frontier Fields: Survey Design and Initial Results

    Energy Technology Data Exchange (ETDEWEB)

    Lotz, J. M.; Koekemoer, A.; Grogin, N.; Mack, J.; Anderson, J.; Avila, R.; Barker, E. A.; Borncamp, D.; Durbin, M.; Gunning, H.; Hilbert, B.; Jenkner, H.; Khandrika, H.; Levay, Z.; Lucas, R. A.; MacKenty, J.; Ogaz, S. [Space Telescope Science Institute, 3700 San Martin Drive, Baltimore, MD 21218 (United States); Coe, D.; Capak, P.; Brammer, G., E-mail: lotz@stsci.edu [European Space Agency/Space Telescope Science Institute, 3700 Sam Martin Drive, Baltimore, MD 21218 (United States); and others

    2017-03-01

    What are the faintest distant galaxies we can see with the Hubble Space Telescope ( HST ) now, before the launch of the James Webb Space Telescope ? This is the challenge taken up by the Frontier Fields, a Director’s discretionary time campaign with HST and the Spitzer Space Telescope to see deeper into the universe than ever before. The Frontier Fields combines the power of HST and Spitzer with the natural gravitational telescopes of massive high-magnification clusters of galaxies to produce the deepest observations of clusters and their lensed galaxies ever obtained. Six clusters—Abell 2744, MACSJ0416.1-2403, MACSJ0717.5+3745, MACSJ1149.5+2223, Abell S1063, and Abell 370—have been targeted by the HST ACS/WFC and WFC3/IR cameras with coordinated parallel fields for over 840 HST orbits. The parallel fields are the second-deepest observations thus far by HST with 5 σ point-source depths of ∼29th ABmag. Galaxies behind the clusters experience typical magnification factors of a few, with small regions magnified by factors of 10–100. Therefore, the Frontier Field cluster HST images achieve intrinsic depths of ∼30–33 mag over very small volumes. Spitzer has obtained over 1000 hr of Director’s discretionary imaging of the Frontier Field cluster and parallels in IRAC 3.6 and 4.5 μ m bands to 5 σ point-source depths of ∼26.5, 26.0 ABmag. We demonstrate the exceptional sensitivity of the HST Frontier Field images to faint high-redshift galaxies, and review the initial results related to the primary science goals.

  20. The Frontier Fields: Survey Design and Initial Results

    Science.gov (United States)

    Lotz, J. M.; Koekemoer, A.; Coe, D.; Grogin, N.; Capak, P.; Mack, J.; Anderson, J.; Avila, R.; Barker, E. A.; Borncamp, D.; Brammer, G.; Durbin, M.; Gunning, H.; Hilbert, B.; Jenkner, H.; Khandrika, H.; Levay, Z.; Lucas, R. A.; MacKenty, J.; Ogaz, S.; Porterfield, B.; Reid, N.; Robberto, M.; Royle, P.; Smith, L. J.; Storrie-Lombardi, L. J.; Sunnquist, B.; Surace, J.; Taylor, D. C.; Williams, R.; Bullock, J.; Dickinson, M.; Finkelstein, S.; Natarajan, P.; Richard, J.; Robertson, B.; Tumlinson, J.; Zitrin, A.; Flanagan, K.; Sembach, K.; Soifer, B. T.; Mountain, M.

    2017-03-01

    What are the faintest distant galaxies we can see with the Hubble Space Telescope (HST) now, before the launch of the James Webb Space Telescope? This is the challenge taken up by the Frontier Fields, a Director’s discretionary time campaign with HST and the Spitzer Space Telescope to see deeper into the universe than ever before. The Frontier Fields combines the power of HST and Spitzer with the natural gravitational telescopes of massive high-magnification clusters of galaxies to produce the deepest observations of clusters and their lensed galaxies ever obtained. Six clusters—Abell 2744, MACSJ0416.1-2403, MACSJ0717.5+3745, MACSJ1149.5+2223, Abell S1063, and Abell 370—have been targeted by the HST ACS/WFC and WFC3/IR cameras with coordinated parallel fields for over 840 HST orbits. The parallel fields are the second-deepest observations thus far by HST with 5σ point-source depths of ˜29th ABmag. Galaxies behind the clusters experience typical magnification factors of a few, with small regions magnified by factors of 10-100. Therefore, the Frontier Field cluster HST images achieve intrinsic depths of ˜30-33 mag over very small volumes. Spitzer has obtained over 1000 hr of Director’s discretionary imaging of the Frontier Field cluster and parallels in IRAC 3.6 and 4.5 μm bands to 5σ point-source depths of ˜26.5, 26.0 ABmag. We demonstrate the exceptional sensitivity of the HST Frontier Field images to faint high-redshift galaxies, and review the initial results related to the primary science goals.

  1. Providers' beliefs about the effectiveness of the HPV vaccine in preventing cancer and their recommended age groups for vaccination: Findings from a provider survey, 2012.

    Science.gov (United States)

    Berkowitz, Z; Malone, M; Rodriguez, J; Saraiya, M

    2015-12-01

    The human papillomavirus (HPV) vaccine was recommended in 2007 by the Advisory Committee on Immunization Practices (ACIP) to preadolescent and adolescent girls. Vaccination initiation was recommended at age 11-12 years with the option to start at age 9. Catchup vaccination was recommended to females aged 13-26 previously not vaccinated. However, vaccination coverage remains low. Studies show that the HPV vaccine can prevent cervical, vulvar, vaginal, anal and some oropharyngeal cancers and that provider recommendation of vaccines can improve low vaccination rates. Using data from 2012 DocStyles, an annual, web-based survey of U.S. healthcare professionals including physicians and nurse practitioners (n=1753), we examined providers' knowledge about the effectiveness of the HPV vaccine in preventing cancer and their vaccine recommendation to all age-eligible females (9-26 years). Descriptive statistics and Chi-square tests were used to assess differences across specialties. Knowledge about HPV vaccine effectiveness in preventing cervical cancer was highly prevalent (96.9%), but less so for anal, vaginal, vulvar and oropharyngeal cancers. Only 14.5% of providers recommended the vaccine to all age-eligible females and 20.2% recommended it to females aged 11-26 years. Knowledge assessment of cancers associated with HPV and vaccination recommendations varied significantly among providers (pvaccine to girls older than 11-12 years. Improving providers' knowledge about HPV-associated cancers and the age for vaccination initiation, communicating messages focusing on the vaccine safety and benefits in cancer prevention and on the importance of its delivery prior to sexual onset, may improve HPV vaccine coverage. Published by Elsevier Inc.

  2. Pharmacists' roles in oncology pharmacy services: Results of a global survey.

    Science.gov (United States)

    Holle, Lisa M; Harris, Christy S; Chan, Alexandre; Fahrenbruch, Rebecca J; Labdi, Bonnie A; Mohs, Jocelyn E; Norris, Leann B; Perkins, Janelle; Vela, Cory M

    2017-04-01

    Background Oncology pharmacists are capable of providing medication therapy management (MTM) because of their level of training, practice experiences, and responsibilities. Very little data exist about their current practice, including changing roles in the multidisciplinary team, overall impact, and effects in the education of patients and healthcare professionals. Methods A 70-item survey about oncology pharmacists' activities in oral chemotherapy programs, MTM, and collaborative practice agreements (CPAs) was deployed using a web survey tool (Qualtrics, Provo, UT, USA), targeting pharmacist members of American College of Clinical Pharmacy (ACCP) Hematology/Oncology Practice and Research Network (PRN). The objective of this study was to determine oncology pharmacists' activities in areas of oral chemotherapy programs, MTM, and CPAs. A cross-sectional survey was distributed to the ACCP Hematology/Oncology PRN membership. Investigational Review Board approval was obtained. Results Of the 795 members who were sent the survey, 81 members (10%) responded; 33 respondents (47%) are involved with an oral chemotherapy program; with 42% measuring outcomes of programs. Only six pharmacists (19%) have published or presented their data. A total of 28 (35%) respondents provide MTM services, with almost half (43%) of these MTM services being dictated by CPAs. A small fraction of these pharmacists (21.4%) reported conducting quality assurance evaluations of their MTM services and three pharmacists (10.7%) reported publishing their results. Those pharmacists practicing under CPAs ( n = 28) were surveyed as to activities included in their CPA. The most common activities included adjusting medication, ordering, interpreting, and monitoring lab tests, developing therapeutic plans and educating patients. Reimbursement for providing these services was uncommon: MTM (4%), oral chemotherapy program (6%), and CPA services (11%). Reported obstacles to reimbursement included lack of

  3. A Comparative Genomic and Transcriptomic Survey Provides Novel Insights into N-Acetylserotonin Methyltransferase (ASMT in Fish

    Directory of Open Access Journals (Sweden)

    Kai Zhang

    2017-10-01

    Full Text Available Melatonin is a multifunctional bioactive molecule that plays comprehensive physiological roles in all living organisms. N-acetylserotonin methyltransferase (ASMT, also known as hydroxyindole O-methyltransferase or HIOMT is the final enzyme for biosynthesis of melatonin. Here, we performed a comparative genomic and transcriptomic survey to explore the ASMT family in fish. Two ASMT isotypes (ASMT1 and ASMT2 and a new ASMT-like (ASMTL are all extracted from teleost genomes on the basis of phylogenetic and synteny analyses. We confirmed that C-terminal of the ASMTL proteins (ASMTL-ASMT is homology to the full length of ASMT1 and ASMT2. Our results also demonstrate that the two ASMT isotypes and their distribution in teleosts seem to be the result of combinations of whole-genome duplication (WGD and gene loss. Differences were also observed in tissue distribution and relative transcript abundances of ASMT1, ASMT2 and ASMTL through transcriptomic analysis. Protein sequence alignment and 3D structure prediction of ASMTs and ASMTL suggest differential roles for these ASMT genes. In summary, our current work provides novel insights into the ASMT genes in fish by combination of genomic and transcriptomic data.

  4. Pediatricians' beliefs and prescribing patterns of adolescent contraception: a provider survey.

    Science.gov (United States)

    Swanson, K J; Gossett, D R; Fournier, M

    2013-12-01

    Teen pregnancy and sexually transmitted infection (STI) rates continue to be significant public health problems in the United States. While general pediatricians are in a unique position to improve these issues by addressing contraception with their adolescent patients, there are no data describing their current prescribing patterns. This study sought to elucidate the beliefs and prescribing patterns of general pediatricians and pediatrics residents and to distinguish whether these were affected by practice setting, level of training, or gender. General pediatricians and pediatrics residents affiliated with Lurie Children's Hospital in Chicago, IL, were asked to complete a survey regarding adolescent contraception. Questions were related to obtaining information about contraception, contraceptive counseling, knowledge of contraceptive methods, prescribing patterns of contraceptives, and concerns about individual contraceptive methods. 120 physicians of an eligible 411 physicians participated in this study (29%). 79% of participants had prescribed at least 1 contraceptive method. The most commonly prescribed method was oral contraceptive pills at 72%. We noted few differences in prescribing patterns based on above criteria. Numerous misconceptions existed among participants, including a high rate of concern about infertility with IUD use (29% among physicians who prescribed at least 1 method of contraception). General pediatricians can improve their rates of prescribing contraception to adolescents, and could utilize more of the approved methods. One way to do so may be to implement educational interventions among general pediatricians. Copyright © 2013 North American Society for Pediatric and Adolescent Gynecology. Published by Elsevier Inc. All rights reserved.

  5. The Mission Accessible Near-Earth Objects Survey (MANOS): photometric results

    Science.gov (United States)

    Thirouin, Audrey; Moskovitz, Nicholas; Binzel, Richard; Christensen, Eric J.; DeMeo, Francesca; Person, Michael J.; Polishook, David; Thomas, Cristina; Trilling, David E.; Willman, Mark; Hinkle, Mary L.; Burt, Brian; Avner, Dan

    2016-10-01

    The Mission Accessible Near-Earth Object Survey (MANOS) is a physical characterization survey of Near-Earth Objects (NEOs) to provide physical data for several hundred mission accessible NEOs across visible and near-infrared wavelengths. Using a variety of 1-m to 8-m class telescopes, we observe 5 to 10 newly discovered sub-km NEOs per month in order to derive their rotational properties and taxonomic class.Rotational data can provide useful information about physical properties, like shape, surface heterogeneity/homogeneity, density, internal structure, and internal cohesion. Here, we present results of the MANOS photometric survey for more than 200 NEOs. We report lightcurves from our first three years of observing and show objects with rotational periods from a couple of hours down to a few seconds. MANOS found the three fastest rotators known to date with rotational periods below 20s. A physical interpretation of these ultra-rapid rotators is that they are bound through a combination of cohesive and/or tensile strength rather than gravity. Therefore, these objects are important to understand the internal structure of NEOs. Rotational properties are used for statistical study to constrain overall properties of the NEO population. We also study rotational properties according to size, and dynamical class. Finally, we report a sample of NEOs that are fully characterized (lightcurve and visible spectra) as the most suitable candidates for a future robotic or human mission. Viable mission targets are objects with a rotational period >1h, and a delta-v lower than 12 km/s. Assuming the MANOS rate of object characterization, and the current NEO population estimates by Tricarico (2016), and by Harris and D'Abramo (2015), 10,000 to 1,000,000 NEOs with diameters between 10m and 1km are expected to be mission accessible. We acknowledge funding support from NASA NEOO grant number NNX14AN82G, and NOAO survey program.

  6. Patient and provider perceptions of care for diabetes: results of the cross-national DAWN Study

    DEFF Research Database (Denmark)

    Peyrol, Mark; Rubin, Richard R.; Lauritzen, Torsten

    2006-01-01

    , Europe and North America. Participants were randomly selected adults with type 1 or type 2 diabetes (n=5,104), and randomly selected diabetes-care providers, including primary-care physicians (n=2,070), diabetes specialist physicians (n=635) and nurses (n=1,122). Multivariate analysis was used to examine....... Patients reported moderate levels of collaboration among providers, and providers indicated that several specialist disciplines were not readily available to them. Patients reported high levels of collaboration with providers in their own care. Provider endorsement of primary prevention strategies for type......Aims/hypothesis We assessed country-level and individual-level patterns in patient and provider perceptions of diabetes care. Methods The study used a cross-sectional design with face-to-face or telephone interviews of diabetic patients and healthcare providers in 13 countries from Asia, Australia...

  7. Factors associated with providing social security benefits for traumatic brain injury resulting from occupational accidents.

    Science.gov (United States)

    de Miranda, Denismar Borges; Rego, Rita Franco; Viola, Denise Nunes; Lima, Verônica Maria Cadena; Teixeira, Edriene Barros

    2014-01-01

    The Occupational Accident (OA) is considered to be an important public health problem in Brazil. Traumatic Brain Injury (TBI) is the most common among them. The TBI is associated with high morbidity and mortality rates among workers. To identify factors associated with providing social security benefits for TBI due to occupational accidents according to the specific type of economic activity in Brazil, in 2009. This is a cross-sectional study that was conducted with all workers who were part of the General Regime of Social Security (RGPS) of Brazil. Secondary data were obtained from the National Information System Benefit, from the Synchronized National Register of the Ministry of Finance and from the General Register of Employed and Unemployed Persons. Data were analyzed using the multiple logistic regression method. We analyzed 2,006 cases of social security benefits for traumatic brain injury due to Occupational Accident. Factors associated with the concession of the benefit according to the economic activity of the Company of the beneficiary were identified. Associations were found with sex, income and the region of the Company. Factors associated with the concession of social security benefits by TBI resulting from OA differ depending on the type of economic activity in the study. Understanding these factors may contribute to the planning of preventive policies.

  8. 'Not another safety culture survey': using the Canadian patient safety climate survey (Can-PSCS) to measure provider perceptions of PSC across health settings.

    Science.gov (United States)

    Ginsburg, Liane R; Tregunno, Deborah; Norton, Peter G; Mitchell, Jonathan I; Howley, Heather

    2014-02-01

    The importance of a strong safety culture for enhancing patient safety has been stated for over a decade in healthcare. However, this complex construct continues to face definitional and measurement challenges. Continuing improvements in the measurement of this construct are necessary for enhancing the utility of patient safety climate surveys (PSCS) in research and in practice. This study examines the revised Canadian PSCS (Can-PSCS) for use across a range of care settings. Confirmatory factor analytical approaches are used to extensively test the Can-PSCS. Initial and cross-validation samples include 13 126 and 6324 direct care providers from 119 and 35 health settings across Canada, respectively. Results support a parsimonious model of direct care provider perceptions of patient safety climate (PSC) with 19 items in six dimensions: (1) organisational leadership support for safety; (2) incident follow-up; (3) supervisory leadership for safety; (4) unit learning culture; (5) enabling open communication I: judgement-free environment; (6) enabling open communication II: job repercussions of error. Results also support the validity of the Can-PSCS across a range of care settings. The Can-PSCS has several advantages: (1) it is a theory-based instrument with a small number of actionable dimensions central to the construct of PSC; (2) it has robust psychometric properties; (3) it is validated for use across a range of care settings, therefore suitable for use in regionalised health delivery systems and can help to raise expectations about acceptable levels of PSC across the system; (4) it has been tested in a publicly funded universal health insurance system and may be suitable for similar international systems.

  9. "CONFIRMATORY SURVEY RESULTS FOR THE ABB COMBUSTION ENGINEERING SITE WINDSOR, CONNECTICUT DCN 5158-SR-02-2

    Energy Technology Data Exchange (ETDEWEB)

    ADAMS, WADE C

    2013-03-25

    The objectives of the confirmatory activities were to provide independent contractor field data reviews and to generate independent radiological data for use by the NRC in evaluating the adequacy and accuracy of the contractor's procedures and FSS results. ORAU reviewed ABB CE's decommissioning plan, final status survey plan, and the applicable soil DCGLs, which were developed based on an NRC-approved radiation dose assessment. The surveys include gamma surface scans, gamma direct measurements, and soil sampling.

  10. FINAL REPORT FOR INDEPENDENT CONFIRMATORY SURVEY SUMMARY AND RESULTS FOR THE HEMATITE DECOMMISSIONING PROJECT, FESTUS, MISSOURI

    Energy Technology Data Exchange (ETDEWEB)

    Bailey, Erika N.; Lee, Jason D.

    2012-09-21

    ORAU conducted confirmatory surveys of the Hematite site during the period of June 12 through June 13, 2012. The survey activities included in-process inspections, document review, walkover surveys, sampling activities, and laboratory analysis of split samples. WEC was forthcoming with information relating to practices, procedures, and surface scan results. Scans performed by the WEC technician were extremely thorough and methodical. The WEC and ORAU technicians identified the same areas of elevated activity with comparable detector responses. WEC sampling of re-use soils, waste soils, sediments, and groundwater were conducted under ORAU observation. The sampling efforts observed by ORAU were performed in accordance with site-specific procedures and in a manner sufficient to provide quality supporting data. Three observations were made during groundwater sampling activities. First, the water level indicator was re-used without submitting rinse blank. Second, bubbles created during tubing extraction could indicate the presence of volatilized organic compounds. Third, samplers did not use a photo ionization detector prior to sample collection to indicate the presence of volatile organic vapors. Results of split samples indicated a high level of comparability between the WEC and ORAU/ORISE radiological laboratories. Analytical practices and procedures appear to be sufficient in providing quality radiochemical data. All concentrations from the Soil Re-Use Area and sediment samples are below Uniform radionuclide-specific derived concentration guideline level (DCGL{sub W}) limits; thus, comparisons to the less conservative stratified geometry were not required. Results were compared to individual DCGLs and using the sum of fractions approach. Both composite soil samples collected from the Waste Handling Area (Bins 1 and 4) were well below the prescribed USEI waste acceptance criteria.

  11. Demographics of Australian horse owners: results from an internet-based survey.

    Science.gov (United States)

    Smyth, G B; Dagley, K

    2015-12-01

    To obtain information on the demographics of Australian horse owners. An invitation to participate in an opt-in, internet-based survey was sent to 7000 persons who had registered an email address to receive information from the Australian Horse Industry Council Inc. These horse owners represented approximately 1.75% of the total horse owners in Australia. The survey was available for completion between 1 and 31 July 2009. There were 3377 (48%) useable responses. The respondents were a self-selected group of approximately 0.85% of the estimated total horse owners in Australia. The overall geographic distribution of respondents was the same as the general population at a state and territory level. In general, respondents were female and aged between 31 and 60 years; most lived in rural areas of Queensland, New South Wales or Victoria; had at least a secondary education, but no formal horse industry qualification; had a higher weekly income if based in a capital city; earned less than 10% of weekly income from horse-related activities; were a member of more than one horse industry organisation; reported an affiliation with one of more than 300 different horse industry organisations; spent 10-30% of their daily time with horses; and preferred to receive information by email. The responses from this survey of horse owners provided demographic information that was previously unavailable. Horse owners tended to be older than the general population, had a higher level of education attainment, were in higher weekly income brackets and lived mostly in non-metropolitan areas of Australia. Because of the self-selection and small sample size, the results need to be interpreted with caution. Nevertheless, the present results are compatible with other smaller random and non-random surveys of horse owners internationally. © 2015 Australian Veterinary Association.

  12. Vertical integration of teaching in Australian general practice--a survey of regional training providers.

    Science.gov (United States)

    Stocks, Nigel P; Frank, Oliver; Linn, Andrew M; Anderson, Katrina; Meertens, Sarah

    2011-06-06

    To examine vertical integration of teaching and clinical training in general practice and describe practical examples being undertaken by Australian general practice regional training providers (RTPs). A qualitative study of all RTPs in Australia, mid 2010. All 17 RTPs in Australia responded. Eleven had developed some vertical integration initiatives. Several encouraged registrars to teach junior doctors and medical students, others encouraged general practitioner supervisors to run multilevel educational sessions, a few coordinated placements, linkages and support across their region. Three RTPs provided case studies of vertical integration. Many RTPs in Australia use vertical integration of teaching in their training programs. RTPs with close associations with universities and rural clinical schools seem to be leading these initiatives.

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

    Science.gov (United States)

    Ewton, Tiffany A; Lingas, Elena O

    2015-12-01

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

  14. First results for the solar neighborhood of the Asiago Red Clump Survey

    Directory of Open Access Journals (Sweden)

    Montalbán J.

    2012-02-01

    Full Text Available The Asiago Red Clump Spectroscopic Survey (ARCS is an ongoing survey that provides atmospheric parameters, distances and space velocities of a well selected sample of Red Clump stars distributed along the celestial equator. We used the ARCS catalog for a preliminary investigation of the Galactic disk in the Solar Neighborhood, in particular we focused on detection and characterization of moving groups.

  15. Barriers to early mobility of hospitalized general medicine patients: survey development and results.

    Science.gov (United States)

    Hoyer, Erik H; Brotman, Daniel J; Chan, Kitty S; Needham, Dale M

    2015-04-01

    Functional status decline commonly accompanies hospitalization making patients vulnerable to complications. Such decline can be mitigated through hospital-based early mobility programs. Success in implementing patient mobility quality improvement processes requires evaluating providers' knowledge, attitudes, and behaviors. A cross-sectional, self-administered survey in two different hospital settings was completed by 120 nurses and physical and occupational therapists (rehabilitation therapists, 38; nurses, 82) from six general medicine units. The survey was developed using published guidelines, literature review, and provider meetings and refined through pilot testing. Psychometric properties were assessed, and regression analyses were conducted to examine barriers to early mobility by hospital site, provider discipline, and years of experience. Internal consistency reliability, item consistency, and discriminant validity psychometric characteristics were acceptable. In multivariable regression analysis, overall perceived barriers were similar between the two hospitals (P = 0.25) and significantly higher for staff with less experience (P = 0.02) and for nurses vs. rehabilitation therapists (P mobilizing medical inpatients that were similar across two hospital settings. These results can assist with the implementation of quality improvement projects for increasing early hospital-based patient mobility.

  16. Correlation Results for a Mass Loaded Vehicle Panel Test Article Finite Element Models and Modal Survey Tests

    Science.gov (United States)

    Maasha, Rumaasha; Towner, Robert L.

    2012-01-01

    High-fidelity Finite Element Models (FEMs) were developed to support a recent test program at Marshall Space Flight Center (MSFC). The FEMs correspond to test articles used for a series of acoustic tests. Modal survey tests were used to validate the FEMs for five acoustic tests (a bare panel and four different mass-loaded panel configurations). An additional modal survey test was performed on the empty test fixture (orthogrid panel mounting fixture, between the reverb and anechoic chambers). Modal survey tests were used to test-validate the dynamic characteristics of FEMs used for acoustic test excitation. Modal survey testing and subsequent model correlation has validated the natural frequencies and mode shapes of the FEMs. The modal survey test results provide a basis for the analysis models used for acoustic loading response test and analysis comparisons

  17. Difficult airway equipment in departments of emergency medicine in Ireland: results of a national survey.

    LENUS (Irish Health Repository)

    Walsh, K

    2012-02-03

    BACKGROUND AND OBJECTIVE: Adverse effects associated with difficult airway management can be catastrophic and include death, brain injury and myocardial injury. Closed-malpractice claims have shown prolonged and persistent attempts at endotracheal intubation to be the most common situation leading to disastrous respiratory events. To date, there has been no evaluation of the types of difficult airway equipment currently available in Irish departments of emergency medicine. The objective of this survey was to identify the difficult airway equipment available in Irish departments of emergency medicine. METHODS: Departments of emergency medicine in the Republic of Ireland with at least one dedicated Emergency Medicine consultant were surveyed via telephone. RESULTS: All of the departments contacted held at least one alternative device on site for both ventilation and intubation. The most common alternative ventilation device was the laryngeal mask airway (89%). The most common alternative intubating device was the surgical airway device (100%). CONCLUSIONS: Irish departments of emergency medicine compare well with those in the UK and USA, when surveyed concerning difficult airway equipment. However, we believe that this situation could be further improved by training inexperienced healthcare providers in the use of the laryngeal mask airway and intubating laryngeal mask airway, by placing greater emphasis on the ready availability of capnography and by the increased use of portable difficult airway storage units.

  18. [Child psychiatric documentation in child visitation and custody disputes--results of a survey].

    Science.gov (United States)

    Andritzky, Walter

    2003-12-01

    In the last decade, increasing divorce rates, a joint custodial concept, and a deficient legal situation of non-married fathers have been involuntarily provoking cases of a parent with child custody alienating that child in order to exclude the other parent from visitations and educational participation. Medical certificates are frequently of fateful importance in child custody litigation. In an mail survey conduced in six German cities, N = 133 child psychiatrists were asked about the frequency in which they issue such certificates, what certificates contained, what recommendations were made, and where possible the reasons why the other parent was not included in the diagnostic process. According to the results 74.4% of those surveyed were asked to issue such medical certificates at least once in the year prior to the survey; 42% of the psychiatrists stating that the other parent never or only sometimes participated. The symptoms most frequently certified were behavioural disorders (46%), aggression (34%), problems in school/ADD (28%), anxiety (26%), bed-wetting (23%), depression (21%), and psychosomatic reactions (20%). Outlining the characteristics of alienated children and of alienating parents, of "natural" and of "induced" stress-symptoms in children after parental separation, the article provides physicians and institutions of the health system with support to prevent medical certificates being abused in child custody litigation. Some fundamental guidelines are presented as to what aspects and should be explored and which persons referred to before certificates are issued to parents, social workers or judges of family law courts.

  19. Self-reported preparedness of New Zealand acute care providers to mass emergencies before the Canterbury Earthquakes: a national survey.

    Science.gov (United States)

    Al-Shaqsi, Sultan; Gauld, Robin; McBride, David; Al-Kashmiri, Ammar; Al-Harthy, Abdullah

    2015-02-01

    Disasters occur more frequently. Acute care providers are the first to respond to mass emergencies from the healthcare sector. The preparedness of acute care providers in New Zealand to respond to mass emergencies has not been previously studied. To assess the self-reported training and experience of New Zealand acute care providers to respond to mass emergencies and the factors associated with strong preparedness. A cross-sectional national survey of 1500 acute care providers in New Zealand carried out between 2009 and 2010. The survey assessed experience, training and self-reported preparedness. It also determined the factors associated with strong perceived preparedness. The response rate to this survey was 60.7%. Nurses had a higher response rate than doctors or paramedics. Only 29.2% of acute care providers reported responding to a previous mass emergency event. There were 53.5% of acute care providers who reported having formal training in how to deal with mass emergencies, whereas 58.1% of participants reported that they were aware of their role during a healthcare mass emergency response. The factors associated with self-reported strong preparedness to deal with mass emergencies included: being a paramedic, previous training, participation in a drill, willingness to report to work during an infection or man-made emergency, ability to triage and general awareness of the role during a mass emergency. Almost half of New Zealand acute healthcare providers have no training in dealing with mass emergency events. Training and general awareness of the role during a mass emergency response were the main factors associated with strong self-reported preparedness of acute care providers. The apparent efficacy of training allied to lack of availability means that it should be a national priority. © 2015 Australasian College for Emergency Medicine and Australasian Society for Emergency Medicine.

  20. Pledgeted repair of giant hiatal hernia provides excellent long-term results.

    Science.gov (United States)

    Kang, Thomas; Urrego, Hernan; Gridley, Asahel; Richardson, William S

    2014-10-01

    Use of mesh in hiatal hernia repairs is a topic of debate. We present our experience in laparoscopic primary (nonmesh) repair of giant hiatal hernia. All laparoscopic antireflux procedures done by a single surgeon from November 1997 to October 2006 were retrospectively reviewed. Inclusion criteria were primary crural closure with pledgets and giant hiatal hernia (greater than one-third of the stomach in the chest by esophagram, greater than 5 cm in length endoscopically, or greater than one-third of the stomach in the chest operatively). We attempted to reach all patients who met inclusion criteria and administered the Reflux Symptom Index (RSI) and Quality of Life Scale for Gastroesophageal Reflux Disease (QLSGR) questionnaires. In total, 89 patients met inclusion criteria. The male-to-female ratio was 32:57. Average age was 62.7 years. Average body mass index was 29.3 kg/m(2). Average length of stay was 2 days, and mean clinic follow-up was 161 days. At the most recent follow-up, 62% of patients were asymptomatic. The most common postoperative symptoms were dysphagia (16%), reflux/emesis (5%), bloating (5%), nausea (4%), epigastric pain (4%), and heartburn (3%). There were six (6.7%) recurrences on esophagogastroduodenoscopy or upper gastrointestinal examination. Five patients with recurrence were symptomatic. Of the 89 patients, 29 (33%) completed the questionnaire, with a mean follow-up of 69.7 months. Average RSI score was 12 (maximum possible score, 45). In six of nine categories, the average score was less than 1 (possible score, 0-5). Average QLSGR score was 12 (maximum possible score, 45). For satisfaction with the present condition, the average score was 4.34 (maximum score, 5), and 82.7% of respondents were satisfied or very satisfied with their present condition. Laparoscopic primary repair of giant hiatal hernia provides excellent long-term results. We found that 62% of patients were asymptomatic at the last follow-up and that 82% of respondents were

  1. Results and Recommendations from a Survey of Army Deserters and Leaders

    National Research Council Canada - National Science Library

    Ramsberger, Peter

    2004-01-01

    ... could have been avoided. A sample of 241 Army supervisors completed a survey in which they provided information about a specific case of desertion with which they were familiar, as well as general opinions...

  2. Educational Psychology in Portugal: Results of the 2013 International School Psychology Survey

    Science.gov (United States)

    Coelho, Vitor Alexandre; Marchante, Marta; Raimundo, Raquel; Jimerson, Shane

    2016-01-01

    This study provides valuable information regarding the characteristics, training, roles, activities, preferences, research interests and challenges reported by 803 Portuguese educational psychologists. The study includes responses to the International School Psychology Survey (ISPS) from educational psychologists across various regions of…

  3. Functional requirements with survey results for integrated intrusion detection and access control annunciator systems

    Energy Technology Data Exchange (ETDEWEB)

    Arakaki, L.H.; Monaco, F.M.

    1995-09-01

    This report contains the guidance Functional Requirements for an Integrated Intrusion Detection and Access Control Annunciator System, and survey results of selected commercial systems. The survey questions were based upon the functional requirements; therefore, the results reflect which and sometimes how the guidance recommendations were met.

  4. Trends and Correlates of Consenting to Provide Social Security Numbers: Longitudinal Findings from the General Social Survey (1993-2010)

    Science.gov (United States)

    Kim, Jibum; Shin, Hee-Choon; Rosen, Zohn; Kang, Jeong-han; Dykema, Jennifer; Muennig, Peter

    2015-01-01

    Privacy and confidentiality are often of great concern to respondents answering sensitive questions posed by interviewers. Using the 1993-2010 General Social Survey, we examined trends in the provision of social security numbers (SSNs) and correlates of those responses. Results indicate that the rate of SSN provision has declined over the past…

  5. Collaborative arrangements and privately practising nurse practitioners in Australia: results from a national survey.

    Science.gov (United States)

    Currie, Jane; Chiarella, Mary; Buckley, Thomas

    2017-10-01

    Objective Since the introduction of legislative changes in 2010, services provided by privately practising nurse practitioners (PPNPs) in Australia have been eligible for subsidisation through the Medicare Benefits Schedule (MBS) and Pharmaceutical Benefits Scheme (PBS). To provide eligible services, PPNPs must collaborate formally with a medical practitioner or an entity that employs medical practitioners. This paper provides data from a national survey on these collaborative arrangements in Australia. The aim of the study was to evaluate the impact of PPNP services on patient access to care in Australia. Methods PPNPs in Australia were invited to complete an electronic survey. Quantitative data were analysed using descriptive statistics, whereas qualitative data were analysed using thematic analysis. Seventy-three surveys were completed. Results Ninety-three per cent of participants reported having a collaborative arrangement in place. Frequency of communication ranged from daily (27%) to never (1%). Participants reported that collaborative arrangements facilitate learning, patient care and offer support to PPNPs. However, for some PPNPs, organising a formal collaborative arrangement is demanding because it is dependent on the availability and willingness of medical practitioners and the open interpretation of the arrangement. Only 19% of participants believed that collaborative arrangements should be a prerequisite for PPNPs to access the MBS and PBS. Conclusion Although there are benefits to collaborative arrangements, there is also concern from PPNPs that mandating such arrangements through legislation presents a barrier to establishing PPNP services and potentially reduces patient access to care. Collaboration with medical practitioners is intrinsic to nursing practice. Thus, legislating for collaborative arrangements is unnecessary, because it makes the normal abnormal. What is known about the topic? To access the MBS and PBS, PPNPs are required by law to

  6. Transition in Patients with Congenital Heart Disease in Germany: Results of a Nationwide Patient Survey

    Directory of Open Access Journals (Sweden)

    Paul C. Helm

    2017-05-01

    Full Text Available BackgroundA growing number of adults with congenital heart disease (ACHD pose a particular challenge for health care systems across the world. Upon turning into 18 years, under the German national health care system, ACHD patients are required to switch from a pediatric to an adult cardiologist or an ACHD-certified provider. To date, reliable data investigating the treatment situation of ACHD patients in Germany are not available.Materials and methodsAn online survey was conducted in collaboration with patient organizations to address the life situation and the conditions of health care provision for ACHD patients in Germany. ACHD patients were recruited from the database of the National Register for Congenital Heart Defects (NRCHD and informed about the survey via email, websites, and social networks. A total of 1,828 ACHD patients (1,051 females participated in this study. The mean age was 31.7 ± 11.7 years. Participants were surveyed about treating physicians and the institution mainly involved in the treatment of their CHD. In addition, participants were asked questions to assess the level of trust toward their treating physician and their familiarity with the term “ACHD-certified provider.”ResultsAmong the surveyed patients, 25.4% stated that they attended a specific ACHD clinic at a heart center regularly, 32.7% were treated in a private practice setting by a pediatric cardiologist, 32.4% in a private practice (adult cardiology setting, and 9.5% were treated by an “other physician.” Only 24.4% of the male and 29.7% of the female ACHD patients were familiar with the term “ACHD-certified provider.”ConclusionThe transfer from pediatric cardiology to ACHD care requires further attention as many adult patients have not transferred to certified ACHD providers. The question of whether ACHD patients in Germany are offered consistent and adequate care should also be investigated in more detail. The answers regarding the ACHD

  7. Enteral feeding practices in the NICU: results from a 2009 Neonatal Enteral Feeding Survey.

    Science.gov (United States)

    Gregory, Katherine E; Connolly, Teresa C

    2012-02-01

    enteral feeding are variable across NICUs and, as reported, are often inconsistent with the current research published to date. : Research is needed to provide a foundation on which to develop effective enteral feeding protocols that are appropriate for the diversity of infants cared for in the NICU. Such research findings will culminate in the development and implementation of enteral feeding protocols in the NICU, which will result in improved nutrition, growth, and development outcomes for premature infants.

  8. Schizophrenia through the carers' eyes: results of a European cross-sectional survey.

    Science.gov (United States)

    Svettini, A; Johnson, B; Magro, C; Saunders, J; Jones, K; Silk, S; Hargarter, L; Schreiner, A

    2015-09-01

    Schizophrenia is a serious mental disorder affecting approximately 29 million people worldwide. The ideal treatment and care of patients with schizophrenia should be provided by a multidisciplinary 'team' involving psychiatrists, nurses and other healthcare professionals, together with carers and patients. In light of the key role carers play in the care of patients with schizophrenia, the present survey was designed to assess the opinions of family members and friends of patients with schizophrenia across Europe and to ascertain their attitudes towards the illness, medication and adherence to medication. Among carers participating in this survey, there was widespread awareness of the issues involved in supporting patients with schizophrenia and the importance of their role in improving poor adherence to medication. Three differences in opinion emerged between the views of carers and psychiatrists; psychiatrists rely more on the patient themselves when assessing adherence than carers would recommend; in contrast to psychiatrists, many carers believe the illness itself contributes to non-adherence; two thirds of carers think that schizophrenia medication damages health (higher than estimated by psychiatrists). The findings from the present survey, taken together with the results from the Adherencia Terapéutica en la Esquizofrenia surveys of psychiatrists and nurses, support the need for a collaborative approach to the issue of treatment nonadherence. In particular, healthcare professionals should recognize the valuable contribution that family carers can make to improve treatment adherence and consequently clinical outcomes for patients with schizophrenia. Schizophrenia carries a significant burden for families providing care. The Adherencia Terapéutica en la Esquizofrenia (ADHES) carers' survey was designed to assess the opinions of family and friends of patients with schizophrenia across Europe and ascertain their attitudes towards the illness, medication and

  9. Information and Decision-Making Needs Among People with Anxiety Disorders: Results of an Online Survey.

    Science.gov (United States)

    Liebherz, Sarah; Härter, Martin; Dirmaier, Jörg; Tlach, Lisa

    2015-12-01

    People with anxiety disorders are faced with treatment decisions considerably affecting their life. Patient decision aids are aimed at enabling patients to deliberate treatment options based on individual values and to participate in medical decisions. This is the first study to determine patients' information and decision-making needs as a pre-requisite for the development of patient decision aids for anxiety disorders. An online cross-sectional survey was conducted between January and April 2013 on the e-health portal http://www.psychenet.de by using a self-administered questionnaire with items on internet use, online health information needs, role in decision making and important treatment decisions. Descriptive and inferential statistical as well as qualitative data analyses were performed. A total of 60 people with anxiety disorders with a mean age of 33.3 years (SD 10.5) participated in the survey. The most prevalent reasons for online health information search were the need for general information on anxiety disorders, the search for a physician or psychiatrist and the insufficiency of information given by the healthcare provider. Respondents experienced less shared and more autonomous decisions than they preferred. They assessed decisions on psychotherapy, medication, and treatment setting (inpatient or outpatient) as the most difficult decisions. Our results confirm the importance of offering patient decision aids for people with anxiety disorders that encourage patients to participate in decision making by providing information about the pros and cons of evidence-based treatment options.

  10. The XID Results Database of the XMM-Newton Survey Science Center

    Science.gov (United States)

    Michel, L.; Motch, C.

    2011-07-01

    (Written on behalf of the Survey Science Center of the XMM-Newton satellite) The Survey Science Center (SSC) of the XMM-Newton satellite has carried out several large optical campaigns aiming at the spectroscopic identification of samples of about a thousand X-ray sources at various X-ray flux levels and towards different Galactic directions. In addition, the SSC has obtained multi-color wide-field imaging for hundreds of XMM-Newton fields. Building learning samples for the statistical identification of all 2XMM sources was one of the main drivers for undertaking these observing campaigns. However, as demonstrated by the amount of papers published, these collections of data also constitute a very valuable resource which can be used for addressing a wide range of astrophysical issues. We describe the content and architecture of the XID results database recently opened by the SSC and containing a first installment of these data. The interface provides easy selection and browsing through catalogs and access to all optical images and spectral data associated with any given X-ray source as well as all relevant XMM-Newton data. The database was created using the database generator Saada and, together with the XCat-DB already deployed at the Observatoire de Strasbourg, provides another example of the flexibility, ease of use and scalability offered by Saada.

  11. Nutrition education in European medical schools: results of an international survey.

    Science.gov (United States)

    Chung, M; van Buul, V J; Wilms, E; Nellessen, N; Brouns, F J P H

    2014-07-01

    Consumers and patients are unsure of whom to trust for nutritional advice. Although medical doctors are seen as experts in nutrition and their advice is regularly followed, data are lacking on the amount of nutrition education in European medical school curricula. In line with US research, we distributed a survey on required and/or optional nutrition contact hours to medical education directors of all accredited medical schools (N=217) in Western European Union countries (N=14). In total, respondents from 32 medical schools (14.7%) from 10 countries indicated that nutrition education, in some form, was required in 68.8% of schools where, on average, 23.68 h of required nutrition education was provided. The results from this small-scale survey are comparable to a 2010 US study; conversely, European educators were satisfied with the amount of nutrition education. We substantiate the increasing concern over the inadequate amounts of nutrition education provided to medical students in Europe.

  12. Education and informed consent about increased risk donor kidneys: a national survey of non-physician transplant providers.

    Science.gov (United States)

    Gordon, E J; Mullee, J; Beauvais, N; Warren, E; Theodoropoulos, N; McNatt, G; Rassiwala, J; Ison, M G

    2014-04-01

    Transplant providers must understand the definition of increased risk donor (IRD) organs to effectively educate transplant candidates and obtain informed consent. This study surveyed non-physician providers from 20 transplant centers about their educational and informed consent practices of IRD kidneys. An anonymous, web-based survey about the content and timing of education and informed consent for potential recipients of IRD kidneys, providers' knowledge of IRD kidneys, and provider and center characteristics was completed by most (67%; 90 of 135) of those invited to participate; 87 responses were included in analysis. Most (80%) reported understanding the concept of IRD kidneys. However, few reported sufficient knowledge of the Organ Procurement and Transplantation Network definition of IRDs, risk factors, screening tests, window periods, and infection transmission rates. Most (56%) felt uncomfortable with obtaining specific informed consent for IRD kidneys. Most respondents received informal education about IRD kidneys (78%), and recognized the need for (98%) and were interested in receiving (99%) further education on this topic. Non-physician transplant providers need and are interested in better education about IRD kidneys to effectively educate patients and obtain patients' informed consent. © 2014 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  13. Impact of the Medical Faculty on Study Success in Freiburg: Results from Graduate Surveys

    Directory of Open Access Journals (Sweden)

    Biller, Silke

    2015-10-01

    Full Text Available Aim: Using the data from graduate surveys, this study aims to analyze which factors related to teaching and learning at the Freiburg Faculty of Medicine can influence study success.Background: Study success and the factors influencing it have long been the subject of investigation, with study success being measured in terms of easily quantifiable indicators (final grades, student satisfaction, etc.. In recent years, it has also frequently been assessed in terms of graduate competency levels. Graduate surveys are considered suitable instruments for measuring these dimensions of study success.Method: Data from three Freiburg graduate surveys conducted one and a half years after graduation were drawn upon for the analysis.Study success was operationalized using four indicators: results on the written section of the M2 exam, self-assessment of medical expertise and scientific expertise, and student satisfaction. Using multiple regression analyses, the predictive power was calculated for selected variables, also measured by the graduate surveys, for the different study success indicators.Results: It was possible to identify models that contribute slightly or moderately to the prediction of study success. The score earned on the university entrance qualification demonstrated itself to be the strongest predictor for forecasting the M2 written exam: R is between 0.08 and 0.22 for the three surveys. Different variables specific to degree program structure and teaching are helpful for predicting medical expertise (R=0.04-0.32 and student satisfaction (R=0.12-0.35. The two variables, and , show themselves to be significant, sample-invariant predictors (β-weight=0.21-0.58, β-weight=0.27-0.56. For scientific expertise, no sample-independent predictors could be determined.Conclusion: Factors describing teaching hardly provide any assistance when predicting the written M2 exam score, which makes sense to the extent that teaching goes far beyond the heavily

  14. Impact of the Medical Faculty on Study Success in Freiburg: Results from Graduate Surveys

    Science.gov (United States)

    Biller, Silke; Boeker, Martin; Fabry, Götz; Giesler, Marianne

    2015-01-01

    Aim: Using the data from graduate surveys, this study aims to analyze which factors related to teaching and learning at the Freiburg Faculty of Medicine can influence study success. Background: Study success and the factors influencing it have long been the subject of investigation, with study success being measured in terms of easily quantifiable indicators (final grades, student satisfaction, etc.). In recent years, it has also frequently been assessed in terms of graduate competency levels. Graduate surveys are considered suitable instruments for measuring these dimensions of study success. Method: Data from three Freiburg graduate surveys conducted one and a half years after graduation were drawn upon for the analysis. Study success was operationalized using four indicators: results on the written section of the M2 exam, self-assessment of medical expertise and scientific expertise, and student satisfaction. Using multiple regression analyses, the predictive power was calculated for selected variables, also measured by the graduate surveys, for the different study success indicators. Results: It was possible to identify models that contribute slightly or moderately to the prediction of study success. The score earned on the university entrance qualification demonstrated itself to be the strongest predictor for forecasting the M2 written exam: R2 is between 0.08 and 0.22 for the three surveys. Different variables specific to degree program structure and teaching are helpful for predicting medical expertise (R2=0.04-0.32) and student satisfaction (R2=0.12-0.35). The two variables, structure and curricular sequencing of the degree program and combination of theory and practice, show themselves to be significant, sample-invariant predictors (β-weightStructure=0.21-0.58, β-weightCombination=0.27-0.56). For scientific expertise, no sample-independent predictors could be determined. Conclusion: Factors describing teaching hardly provide any assistance when

  15. Knowledge and Antibiotics Prescription Pattern among Ugandan Oral Health Care Providers: A Cross-sectional Survey

    Directory of Open Access Journals (Sweden)

    Adriane Kamulegeya

    2011-06-01

    Full Text Available Background and aims. Irrational prescription of antibiotics by clinicians might lead to drug resistance. Clinicians do prescribe antibiotics for either prophylactic or therapeutic reasons. The decision of when and what to prescribe leaves room for misuse and therefore it is imperative to continuously monitor knowledge and pattern of prescription. The aim of the present study was to determine the knowledge of antibiotic use and the prescription pattern among dental health care practitioners in Uganda. Materials and methods. A structured and pretested questionnaire was sent to 350 dental health care practitioners by post or physical delivery. All the questionnaires were sent with self-addressed and prepaid postage envelopes to enable respondents to mail back the filled questionnaires. Chi-squared test was used to test for any significant differences between groups of respondents based on qualitative variables. Results. The response rate was 40.3% (n=140. Of these 52.9 % were public health dental officers (PHDOs and 47.1% were dental surgeons. The males constituted 74.3% of the respondents. There were statistically significant differences between dental surgeons and (PHDOs in knowledge on prophylactic antibiotic use (P = 0.001 and patient influence on prescription (P = 0.001. Amoxicillin, in combination with metronidazole, was the most common combination of antibiotics used followed by co-trimoxazole with metronidazole. Conclusion. The knowledge of dental health care practitioners in antibiotic use in this study was generally low. A combination of amoxicillin with metronidazole was the most commonly prescribed antibiotics subsequent to different dental procedures.

  16. Design and Practice on Metadata Service System of Surveying and Mapping Results Based on Geonetwork

    Science.gov (United States)

    Zha, Z.; Zhou, X.

    2011-08-01

    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 distributed deployment

  17. 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

  18. CERN result provides definite answer to one of nature's most subtle secrets

    CERN Multimedia

    CERN Press Office. Geneva

    2001-01-01

    At a seminar at CERN on 10 May the NA48 collaboration announced its final result on one of nature's best-kept secrets : direct Charge Parity (CP)-violation. This subtle effect explains nature's preference for matter over antimatter.

  19. The JCMT Plane Survey: early results from the ℓ = 30° field

    OpenAIRE

    Moore, TJT; Plume, R.; Thompson, MA; Parsons, H; Urquhart, JS; Eden, DJ; Dempsey, JT; Morgan, LK; Thomas, HS; Buckle, J.; Brunt, CM; Butner, H.; Carretero, D; Chrysostomou, A.; deVilliers, HM

    2015-01-01

    We present early results from the JCMT (James Clerk Maxwell Telescope) Plane Survey (JPS), which has surveyed the northern inner Galactic plane between longitudes ℓ = 7° and ℓ = 63° in the 850-μm continuum with SCUBA-2 (Submm Common-User Bolometer Array 2), as part of the JCMT Legacy Survey programme. Data from the ℓ = 30° survey region, which contains the massive-star-forming regions W43 and G29.96, are analysed after approximately 40 per cent of the observations had been completed. The pixe...

  20. Elimination of Iodine Deficiency in Georgia: Results of National Survey in 2005

    Directory of Open Access Journals (Sweden)

    S Sehniashvily

    2008-06-01

    Full Text Available In Georgia a law was passed in 2005 that banned the import and sale of non-iodized salt. To measure the impact of this legislation, a national survey was conducted in November 2005. A cross-sectional school-based 30 cluster survey of children aged 6—12 years measured urinary iodine excretion (UIE and the iodine content of household salt. Approximately 30 children from each school were requested to provide a urine sample and bring a household salt sample to school. Urine samples were sent for laboratory analysis to Brussels University (Belgium, and salt samples were analyzed onsite using rapid kits. Only 40 (4.4% of 900 urinary samples analyzed had a low UIE (below 100 @мg/L; the median UIE was 320.7 @мg/L. Of 957 salt samples analyzed with rapid salt testing kits, 867 (95.9% were adequately iodized (>15 mg/kg, and only 39 (4.1% had no iodine. Iodization of salt was validated in 136 random samples using iodometric titration; 128 (94.1% were adequately iodized. These results indicate dramatic improvements both in the prevalence of low UIE among Georgian children (80% in 1998 and in the percentage of Georgian households using salt with adequate iodine (8% in 1999 and 67% in 2003. These results show that, Georgia has achieved universal salt iodization (USI and now meets the primary WHO, UNICEF and ICCIDD criteria for elimination of iodine deficiency.

  1. First Kepler results on compact pulsators - I. Survey target selection and the first pulsators

    DEFF Research Database (Denmark)

    Østensen, Roy H.; Silvotti, Roberto; Charpinet, S.

    2010-01-01

    We present results from the first two quarters of a survey to search for pulsations in compact stellar objects with the Kepler spacecraft. The survey sample and the various methods applied in its compilation are described, and spectroscopic observations are presented to separate the objects...

  2. Primary School Principals and the Purposes of Education in Australia: Results of a National Survey

    Science.gov (United States)

    Cranston, Neil; Mulford, Bill; Keating, Jack; Reid, Alan

    2010-01-01

    Purpose: The purpose of this paper is to report the results of a national survey of government primary school principals in Australia, investigating the purposes of education, in terms of the importance and level of enactment of those purposes in schools. Design/methodology/approach: In 2009, an electronic survey was distributed to government…

  3. InnoDemo Survey Report: Aims and results of demonstration projects in renewable energy and transport

    OpenAIRE

    Olsen, Dorothy Sutherland

    2014-01-01

    This report summarises the findings of a survey of demonstration projects related to energy and transport. The survey was designed to develop an overview of the aims of these projects and the results they have achieved. The projects were carried out in Norway, Sweden and Denmark in the period between 2002 and 2012 and all of them received public funding.

  4. Social Media Use of Cooperative Extension Family Economics Educators: Online Survey Results and Implications

    Science.gov (United States)

    O'Neill, Barbara; Zumwalt, Andrew; Bechman, Janet

    2011-01-01

    This article describes results of an online survey conducted by the eXtension Financial Security for All (FSA) Community of Practice (CoP) to determine the social media capacity and activity of its members. The survey was conducted to inform two subsequent FSA CoP programs: an archived webinar on social media programs and impact evaluation methods…

  5. User Needs in Green ITS : Results of a Questionnaire Survey and Proposal for Green ITS Design

    NARCIS (Netherlands)

    Man, W.Y.; Bie, J.; Van Arem, B.

    2012-01-01

    An internet survey has been conducted among drivers in the Netherlands and Japan to study their attitude towards Green ITS. The survey focuses on driving behavior and ITS experience, attitude towards environment, and Green ITS preferences. The results show that money-related information gives the

  6. User needs in green ITS: results of a questionnaire survey and proposal for green ITS design

    NARCIS (Netherlands)

    Man, Wing Yan; Bie, Jing; van Arem, Bart

    2011-01-01

    An internet survey has been conducted among drivers in the Netherlands and Japan to study their attitude towards Green ITS. The survey focuses on driving behavior and ITS experience, attitude towards environment, and Green ITS preferences. The results show that money-related information gives the

  7. Teaching Non-Beginner Programmers with App Inventor: Survey Results and Implications

    Science.gov (United States)

    Soares, Andrey; Martin, Nancy L.

    2015-01-01

    This paper reports the results of a survey with 40 students enrolled in an Android Application Development course offered during the spring semester of 2013 and 2014. The course used App Inventor to build the apps and required students to have an introduction to programming course as a prerequisite. The survey asked for demographic information and…

  8. The health reform monitoring survey: addressing data gaps to provide timely insights into the affordable care act.

    Science.gov (United States)

    Long, Sharon K; Kenney, Genevieve M; Zuckerman, Stephen; Goin, Dana E; Wissoker, Douglas; Blavin, Fredric; Blumberg, Linda J; Clemans-Cope, Lisa; Holahan, John; Hempstead, Katherine

    2014-01-01

    The Health Reform Monitoring Survey (HRMS) was launched in 2013 as a mechanism to obtain timely information on the Affordable Care Act (ACA) during the period before federal government survey data for 2013 and 2014 will be available. Based on a nationally representative, probability-based Internet panel, the HRMS provides quarterly data for approximately 7,400 nonelderly adults and 2,400 children on insurance coverage, access to health care, and health care affordability, along with special topics of relevance to current policy and program issues in each quarter. For example, HRMS data from summer 2013 show that more than 60 percent of those targeted by the health insurance exchanges struggle with understanding key health insurance concepts. This raises concerns about some people's ability to evaluate trade-offs when choosing health insurance plans. Assisting people as they attempt to enroll in health coverage will require targeted education efforts and staff to support those with low health insurance literacy.

  9. Are Canadians more willing to provide chest-compression-only cardiopulmonary resuscitation (CPR)?-a nation-wide public survey.

    Science.gov (United States)

    Cheskes, Lindsay; Morrison, Laurie J; Beaton, Dorcas; Parsons, Janet; Dainty, Katie N

    2016-07-01

    Bystander cardiopulmonary resuscitation (CPR) improves the likelihood of survival from out-of-hospital cardiac arrest (OHCA), yet it is performed in only 30% of cases. The 2010 guidelines promote chest-compression-only bystander CPR-a change intended to increase willingness to provide CPR. 1) To determine whether the Canadian general public is more willing to perform chest-compression-only CPR compared to traditional CPR; 2) to characterize public knowledge of OHCA; and 3) to identify barriers and facilitators to bystander CPR. A 32-item survey assessing resuscitation knowledge, and willingness to provide CPR were disseminated in five Canadian regions. Descriptive statistics were used to characterize response distribution. Logistic regression analysis was applied to assess shifts in intention to provide CPR. A total of 428 completed surveys were analysed. When presented with a scenario of being a bystander in an OHCA, a greater proportion of respondents were willing to provide chest-compression-only CPR compared to traditional CPR for all victims (61.5% v. 39.7%, pCPR, but this was mediated by victim characteristics, skill confidence, and recognition of a cardiac arrest.

  10. CERN result provides answer to one of nature's most subtle secrets

    CERN Multimedia

    CERN Press Office. Geneva

    1999-01-01

    At a seminar at CERN on 18 June Pascal Debu, spokesman of the Laboratory's NA48 experiment, announced its preliminary result, after analysis of 10% of the expected data, on one of nature's best-kept secrets. Direct CP-violation, as it is called, is a subtle effect that betrays nature's preference for matter over antimatter, the reason why we are here.

  11. Becoming a health literate organization: Formative research results from healthcare organizations providing care for undeserved communities.

    Science.gov (United States)

    Adsul, Prajakta; Wray, Ricardo; Gautam, Kanak; Jupka, Keri; Weaver, Nancy; Wilson, Kristin

    2017-11-01

    Background Integrating health literacy into primary care institutional policy and practice is critical to effective, patient centered health care. While attributes of health literate organizations have been proposed, approaches for strengthening them in healthcare systems with limited resources have not been fully detailed. Methods We conducted key informant interviews with individuals from 11 low resourced health care organizations serving uninsured, underinsured, and government-insured patients across Missouri. The qualitative inquiry explored concepts of impetus to transform, leadership commitment, engaging staff, alignment to organization wide goals, and integration of health literacy with current practices. Findings Several health care organizations reported carrying out health literacy related activities including implementing patient portals, selecting easy to read patient materials, offering community education and outreach programs, and improving discharge and medication distribution processes. The need for change presented itself through data or anecdotal staff experience. For any change to be undertaken, administrators and medical directors had to be supportive; most often a champion facilitated these changes in the organization. Staff and providers were often resistant to change and worried they would be saddled with additional work. Lack of time and funding were the most common barriers reported for integration and sustainability. To overcome these barriers, managers supported changes by working one on one with staff, seeking external funding, utilizing existing resources, planning for stepwise implementation, including members from all staff levels and clear communication. Conclusion Even though barriers exist, resource scarce clinical settings can successfully plan, implement, and sustain organizational changes to support health literacy.

  12. Interpreting household survey data intended to measure insecticide-treated bednet coverage: results from two surveys in Eritrea

    Directory of Open Access Journals (Sweden)

    Yukich Josh

    2006-05-01

    Full Text Available Abstract Background As efforts are currently underway to roll-out insecticide-treated bednets (ITNs to populations within malarious areas in Africa, there is an unprecedented need for data to measure the effectiveness of such programmes in terms of population coverage. This paper examines methodological issues to using household surveys to measure core Roll Back Malaria coverage indicators of ITN possession and use. Methods ITN coverage estimates within Anseba and Gash Barka Provinces from the 2002 Eritrean Demographic and Health Survey, implemented just prior to a large-scale ITN distribution programme, are compared to estimates from the same area from a sub-national Bednet Survey implemented 18 months later in 2003 after the roll-out of the ITN programme. Results Measures of bednet possession were dramatically higher in 2003 compared to 2002. In 2003, 82.2% (95% confidence interval (CI 77.4–87.0 of households in Anseba and Gash Barka possessed at least one ITN. RBM coverage indicators for ITN use were also dramatically higher in 2003 as compared to 2002, with 76.1% (95% CI 69.9–82.2 of children under five years old and 52.4% (95% CI 38.2–66.6 of pregnant women sleeping under ITNs. The ITN distribution programme resulted in a gross increase in ITN use among children and pregnant women of 68.3% and 48% respectively. Conclusion Eritrea has exceeded the Abuja targets of 60% coverage for ITN household possession and use among children under five years old within two malarious provinces. Results point to several important potential sources of bias that must be considered when interpreting data for ITN coverage over time, including: disparate survey universes and target populations that may include non-malarious areas; poor date recall of bednet procurement and treatment; and differences in timing of surveys with respect to malaria season.

  13. Home Care Pharmacy Practice in Canada: A Cross-Sectional Survey of Services Provided, Remuneration, Barriers, and Facilitators.

    Science.gov (United States)

    Houle, Sherilyn; MacKeigan, Linda

    2017-01-01

    As the population ages, and individuals desire to remain in their homes as long as possible, the need for in-home care is expected to increase. However, pharmacists have rarely been included in studies of in-home care, and little is known about the prevalence or effectiveness of pharmacists' home-based services in Canada. To identify pharmacy practices in Canada that regularly provide in-home patient care and to identify specific services provided, remuneration obtained, and barriers and facilitators influencing the provision of home-based care. A link to a web-based survey was posted in e-newsletters of provincial, territorial, and national pharmacy associations in Canada. In addition, pharmacists known to the researchers as providing in-home clinical services were contacted directly. The survey was open from October to December 2015. Practices or organizations that performed at least one home visit per week for clinical purposes, with documentation of the services provided, were eligible to participate. One response per practice or organization was allowed. Seventeen practices meeting the inclusion criteria were identified, representing community, hospital, and clinic settings. Home visits were most commonly performed for individuals with complex medication regimens or nonadherence to medication therapy. The most common services were conducting medication reconciliation and reviews and counselling patients about medication adherence. No practices or organizations billed patients for these services, yet lack of remuneration was an important barrier identified by many respondents. Although 12 (71%) of the respondents collected data for evaluative purposes, collection of clinical or health system outcome data was rare. Few Canadian pharmacy practices that provide in-home patient care at least once a week could be identified. Data collection suitable to establish an evidence base for this service was infrequently performed by practices and organizations providing

  14. A query result merging scheme for providing energy efficiency in underwater sensor networks.

    Science.gov (United States)

    Kim, Yunsung; Park, Soo-Hyun

    2011-01-01

    Underwater sensor networks are emerging as a promising distributed data management system for various applications in underwater environments, despite their limited accessibility and restricted energy capacity. With the aid of recent developments in ubiquitous data computing, an increasing number of users are expected to overcome low accessibility by applying queries to underwater sensor networks. However, when multiple users send queries to an underwater sensor network in a disorganized manner, it may incur lethal energy waste and problematic network traffic. The current query management mechanisms cannot effectively deal with this matter due to their limited applicability and unrealistic assumptions. In this paper, a novel query management scheme involving query result merging is proposed for underwater sensor networks. The mechanism is based on a relational database model and is adjusted to the practical restrictions affecting underwater communication environments. Network simulations will prove that the scheme becomes more efficient with a greater number of queries and a smaller period range.

  15. Rapid survey protocol that provides dynamic information on reef condition to managers of the Great Barrier Reef.

    Science.gov (United States)

    Beeden, R J; Turner, M A; Dryden, J; Merida, F; Goudkamp, K; Malone, C; Marshall, P A; Birtles, A; Maynard, J A

    2014-12-01

    Managing to support coral reef resilience as the climate changes requires strategic and responsive actions that reduce anthropogenic stress. Managers can only target and tailor these actions if they regularly receive information on system condition and impact severity. In large coral reef areas like the Great Barrier Reef Marine Park (GBRMP), acquiring condition and impact data with good spatial and temporal coverage requires using a large network of observers. Here, we describe the result of ~10 years of evolving and refining participatory monitoring programs used in the GBR that have rangers, tourism operators and members of the public as observers. Participants complete Reef Health and Impact Surveys (RHIS) using a protocol that meets coral reef managers' needs for up-to-date information on the following: benthic community composition, reef condition and impacts including coral diseases, damage, predation and the presence of rubbish. Training programs ensure that the information gathered is sufficiently precise to inform management decisions. Participants regularly report because the demands of the survey methodology have been matched to their time availability. Undertaking the RHIS protocol we describe involves three ~20 min surveys at each site. Participants enter data into an online data management system that can create reports for managers and participants within minutes of data being submitted. Since 2009, 211 participants have completed a total of more than 10,415 surveys at more than 625 different reefs. The two-way exchange of information between managers and participants increases the capacity to manage reefs adaptively, meets education and outreach objectives and can increase stewardship. The general approach used and the survey methodology are both sufficiently adaptable to be used in all reef regions.

  16. Promoting oral health of children through schools--results from a WHO global survey 2012

    DEFF Research Database (Denmark)

    Jürgensen, N; Petersen, P E

    2013-01-01

    This paper reviews the range of school-based approaches to oral health and describes what is meant by a Health Promoting School. The paper then reports the results of a World Health Organization global survey of school-based health promotion. Purposive sampling across 100 countries produced 108...... evaluations of school oral health projects spread across 61 countries around the globe. The Ottawa Charter for Health Promotion noted that schools can provide a supportive environment for promoting children's health. However, while a number of well-known strategies are being applied, the full range of health...... promoting actions is not being used globally. A greater emphasis on integrated health promotion is advised in place of narrower, disease- or project-specific approaches. Recommendations are made for improving this situation, for further research and for specifying an operational framework for sharing...

  17. Physical activity recommendations for patients with electrophysiologic and structural congenital heart disease: a survey of Canadian health care providers.

    Science.gov (United States)

    Roston, Thomas M; De Souza, Astrid M; Sandor, George G S; Sanatani, Shubhayan; Potts, James E

    2013-08-01

    Determining safe levels of physical activity for children and adolescents with electrophysiologic and structural congenital heart disease is a challenging clinical problem. The body of evidence for making these recommendations is limited and likely based on expert opinion, medicolegal concerns, and perceived risks of sudden cardiac death (SCD) with activity. The Bethesda Conference has established consensus guidelines for determining the eligibility of athletes with cardiovascular abnormalities for competitive sports and their disqualification from them. However, literature on guidelines for noncompetitive physical activity is not available. A survey was designed to determine practice patterns for patients with electrophysiologic and structural congenital heart disease. Between July 2011 and December 2011, approximately 350 health care providers working with this group of patients were recruited by email or while attending professional meetings. The survey received 81 responses, primarily from pediatric cardiologists (70 %). The findings indicate that the majority of Canadian cardiac care providers surveyed are only partially implementing current recommendations. Areas of variance included physical activity recommendations for hypertrophic cardiomyopathy, long QT syndrome, catecholaminergic polymorphic ventricular tachycardia, and heart transplantation, among others. The development of comprehensive consensus guidelines for activity recommendations was supported by 96 % of the respondents. The heterogeneity of responses may be attributable to conflicting and poorly evidenced information in the literature, a lack of emphasis on recreational activity, an entrenched tendency toward bed rest in the cardiology community, and a lack of awareness by cardiac care providers regarding the actual risk associated with physical activity in electrophysiologic and structural congenital heart disease. A balanced discussion is required in considering both the significant benefit of

  18. Cultural adaptation of a survey to assess medical providers' knowledge of and attitudes towards HIV/AIDS in Albania.

    Science.gov (United States)

    Morrison, Shane D; Rashidi, Vania; Banushi, Vilson H; Barbhaiya, Namrata J; Gashi, Valbona H; Sarnquist, Clea; Maldonado, Yvonne; Harxhi, Arjan

    2013-01-01

    Though the HIV/AIDS epidemic in Southeastern Europe is one of low reported prevalence, numerous studies have described the pervasiveness of medical providers' lack of knowledge of HIV/AIDS in the Balkans. This study sought to culturally adapt an instrument to assess medical providers' knowledge of and attitudes towards HIV/AIDS in Albania. Cultural adaptation was completed through development of a survey from previously validated instruments, translation of the survey into Albanian, blinded back translation, expert committee review of the draft instrument, focus group pre-testing with community- and University Hospital Center of Tirana-based physicians and nurses, and test-retest reliability testing. Blinded back translation of the instrument supported the initial translation with slight changes to the idiomatic and conceptual equivalences. Focus group pre-testing generally supported the instrument, yet some experiential and idiomatic changes were implemented. Based on unweighted kappa and/or prevalence adjusted bias adjusted kappa (PABAK), 20 of the 43 questions were deemed statistically significant at kappa and/or PABAK ≥0.5, while 12 others did not cross zero on the 95% confidence interval for kappa, indicating their probable significance. Subsequently, an instrument to assess medical providers' knowledge of and attitudes toward HIV/AIDS for an Albanian population was developed which can be expanded within Albania and potentially to other countries within the Balkans, which have an Albanian-speaking population.

  19. Cultural adaptation of a survey to assess medical providers' knowledge of and attitudes towards HIV/AIDS in Albania.

    Directory of Open Access Journals (Sweden)

    Shane D Morrison

    Full Text Available Though the HIV/AIDS epidemic in Southeastern Europe is one of low reported prevalence, numerous studies have described the pervasiveness of medical providers' lack of knowledge of HIV/AIDS in the Balkans. This study sought to culturally adapt an instrument to assess medical providers' knowledge of and attitudes towards HIV/AIDS in Albania. Cultural adaptation was completed through development of a survey from previously validated instruments, translation of the survey into Albanian, blinded back translation, expert committee review of the draft instrument, focus group pre-testing with community- and University Hospital Center of Tirana-based physicians and nurses, and test-retest reliability testing. Blinded back translation of the instrument supported the initial translation with slight changes to the idiomatic and conceptual equivalences. Focus group pre-testing generally supported the instrument, yet some experiential and idiomatic changes were implemented. Based on unweighted kappa and/or prevalence adjusted bias adjusted kappa (PABAK, 20 of the 43 questions were deemed statistically significant at kappa and/or PABAK ≥0.5, while 12 others did not cross zero on the 95% confidence interval for kappa, indicating their probable significance. Subsequently, an instrument to assess medical providers' knowledge of and attitudes toward HIV/AIDS for an Albanian population was developed which can be expanded within Albania and potentially to other countries within the Balkans, which have an Albanian-speaking population.

  20. ARABIC TRANSLATION AND ADAPTATION OF THE HOSPITAL CONSUMER ASSESSMENT OF HEALTHCARE PROVIDERS AND SYSTEMS (HCAHPS) PATIENT SATISFACTION SURVEY INSTRUMENT.

    Science.gov (United States)

    Dockins, James; Abuzahrieh, Ramzi; Stack, Martin

    2015-01-01

    To translate and adapt an effective, validated, benchmarked, and widely used patient satisfaction measurement tool for use with an Arabic-speaking population. Translation of survey's items, survey administration process development, evaluation of reliability, and international benchmarking Three hundred-bed tertiary care hospital in Jeddah, Saudi Arabia. 645 patients discharged during 2011 from the hospital's inpatient care units. INTERVENTIONS; The Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) instrument was translated into Arabic, a randomized weekly sample of patients was selected, and the survey was administered via telephone during 2011 to patients or their relatives. Scores were compiled for each of the HCAHPS questions and then for each of the six HCAHPS clinical composites, two non-clinical items, and two global items. Clinical composite scores, as well as the two non-clinical and two global items were analyzed for the 645 respondents. Clinical composites were analyzed using Spearman's correlation coefficient and Cronbach's alpha to demonstrate acceptable internal consistency for these items and scales demonstrated acceptable internal consistency for the clinical composites. (Spearman's correlation coefficient = 0.327 - 0.750, P translation and adaptation of the HCAHPS is a valid, reliable, and feasible tool for evaluation and benchmarking of inpatient satisfaction in Arabic speaking populations.

  1. The Far Ultraviolet M-dwarf Evolution Survey (FUMES): Overview and Initial Results

    Science.gov (United States)

    Pineda, J. Sebastian; France, Kevin; Youngblood, Allison

    2018-01-01

    M-dwarf stars are prime targets for exoplanet searches because of their close proximity and favorable properties for both planet detection and characterization, with current searches around these targets having already discovered several Earth-sized planets within their star’s habitable zones. However, the atmospheric characterization and potential habitability of these exoplanetary systems depends critically on the high-energy stellar radiation environment from X-rays to NUV. Strong radiation at these energies can lead to atmospheric mass loss and is a strong driver of photochemistry in planetary atmospheres. Recently, the MUSCLES Treasury Survey provided the first comprehensive assessment of the high-energy radiation field around old, planet hosting M-dwarfs. However, the habitability and potential for such exoplanetary atmospheres to develop life also depends on the evolution of the atmosphere and hence the evolution of the incident radiation field. The strong high-energy spectrum of young M-dwarfs can have devastating consequences for the potential habitability of a given system. We, thus, introduce the Far Ultraviolet M-dwarf Evolution Survey (FUMES), a new HST-STIS observing campaign targeting 10 early-mid M dwarfs with known rotation periods, including 6 targets with known ages, to assess the evolution of the FUV radiation, including Lyα, of M-dwarf stars with stellar rotation period. We present the initial results of our survey characterizing the FUV emission features of our targets and the implications of our measurements for the evolution of the entire high-energy radiation environment around M-dwarfs from youth to old age.

  2. Quality of Malaria Case Management in Malawi: Results from a Nationally Representative Health Facility Survey

    Science.gov (United States)

    Steinhardt, Laura C.; Chinkhumba, Jobiba; Wolkon, Adam; Luka, Madalitso; Luhanga, Misheck; Sande, John; Oyugi, Jessica; Ali, Doreen; Mathanga, Don; Skarbinski, Jacek

    2014-01-01

    Background Malaria is endemic throughout Malawi, but little is known about quality of malaria case management at publicly-funded health facilities, which are the major source of care for febrile patients. Methods In April–May 2011, we conducted a nationwide, geographically-stratified health facility survey to assess the quality of outpatient malaria diagnosis and treatment. We enrolled patients presenting for care and conducted exit interviews and re-examinations, including reference blood smears. Moreover, we assessed health worker readiness (e.g., training, supervision) and health facility capacity (e.g. availability of diagnostics and antimalarials) to provide malaria case management. All analyses accounted for clustering and unequal selection probabilities. We also used survey weights to produce estimates of national caseloads. Results At the 107 facilities surveyed, most of the 136 health workers interviewed (83%) had received training on malaria case management. However, only 24% of facilities had functional microscopy, 15% lacked a thermometer, and 19% did not have the first-line artemisinin-based combination therapy (ACT), artemether-lumefantrine, in stock. Of 2,019 participating patients, 34% had clinical malaria (measured fever or self-reported history of fever plus a positive reference blood smear). Only 67% (95% confidence interval (CI): 59%, 76%) of patients with malaria were correctly prescribed an ACT, primarily due to missed malaria diagnosis. Among patients without clinical malaria, 31% (95% CI: 24%, 39%) were prescribed an ACT. By our estimates, 1.5 million of the 4.4 million malaria patients seen in public facilities annually did not receive correct treatment, and 2.7 million patients without clinical malaria were inappropriately given an ACT. Conclusions Malawi has a high burden of uncomplicated malaria but nearly one-third of all patients receive incorrect malaria treatment, including under- and over-treatment. To improve malaria case

  3. Pre-existing biotherapeutic-reactive antibodies: survey results within the American Association of Pharmaceutical Scientists.

    Science.gov (United States)

    Xue, Li; Fiscella, Michele; Rajadhyaksha, Manoj; Goyal, Jaya; Holland, Claire; Gorovits, Boris; Morimoto, Alyssa

    2013-07-01

    The immunogenicity profile of a biotherapeutic is determined by a multitude of product and patient-related risk factors that can influence the observed incidence and clinical consequences of immunogenicity. Pre-existing antibodies, i.e., biotherapeutic-reactive antibodies present in samples from treatment-naïve subjects, have been commonly observed during immunogenicity assessments; however their relevance in terms of the safety and efficacy of a biotherapeutic is poorly understood. An American Association of Pharmaceutical Scientists-sponsored survey was conducted to gather information about the prevalence, nature, and consequences of pre-existing antibodies in clinical and nonclinical studies. The survey results indicate that pre-existing antibodies against a variety of biotherapeutics (e.g., mAbs, fusion proteins) are frequently encountered, especially in the context of autoimmune diseases, but that the methods and approaches used to detect, characterize, and report these antibodies vary. In most cases, pre-existing antibodies did not appear to have clinical consequences; however, a few of the respondents reported having observed an effect on pharmacokinetic, pharmacodynamic, safety, and/or efficacy parameters. The findings from this survey are an important first step in evaluating the potential risks associated with the presence of pre-existing antibodies and highlight the importance of standardizing the approaches for detection and characterization of these antibodies. Cross-industry sharing of case studies and relevant data collection will help better inform biotherapeutic risk/benefit profiles and provide deeper understanding of the biological consequences of pre-existing antibodies.

  4. [Interdisciplinary management in geriatric trauma surgery : Results of a survey in Austria].

    Science.gov (United States)

    Stadler, C; Gosch, M; Roth, T; Neuerburg, C; Kammerlander, C

    2017-09-01

    The treatment of geriatric patients in the field of trauma surgery is increasingly gaining importance. To provide optimized treatment to these mostly multimorbid patients, interdisciplinary treatment concepts between trauma surgeons and geriatricians have been designed and implemented successfully. The aim of this survey was to evaluate the current state of interdisciplinary management in the treatment of geriatric patients on trauma surgery wards throughout Austria. The directors of 64 Austrian trauma surgery wards were surveyed using an online-questionnaire regarding the current interdisciplinary treatment of geriatric patients. A total of 39 (61 %) questionnaires were analyzed. Of the participating wards, 20 % distinguished between geriatric and non-geriatric patients. There were various criteria to classify the patients. The average percentage of patients older than 70 years was 43 %. Of the participating wards, 26 % had established a periodical cooperation between trauma surgeons and geriatricians and 8 % of the participants stated that there is no interdisciplinary cooperation. The establishment of an interdisciplinary treatment concept in the near future was planned in 28 %. The most commonly mentioned obstacle that prevented trauma surgery wards from establishing an interdisciplinary management model was the lack of personnel resources (59 %) - especially the lack of geriatricians (62 %). The survey's results underline the geriatric trauma surgery's great importance especially regarding the high percentage of geriatric patients, as well as the fact that the significance of the interdisciplinary cooperation between trauma surgeons and geriatricians is not yet perceived by the majority of Austrian trauma surgery wards.

  5. THE MISSION ACCESSIBLE NEAR-EARTH OBJECTS SURVEY (MANOS): FIRST PHOTOMETRIC RESULTS

    Energy Technology Data Exchange (ETDEWEB)

    Thirouin, A.; Moskovitz, N.; Burt, B. [Lowell Observatory, 1400 W Mars Hill Rd, Flagstaff, AZ 86001 (United States); Binzel, R. P.; DeMeo, F. E.; Person, M. J. [Massachusetts Institute of Technology (MIT), 77 Massachusetts Avenue, Cambridge, MA 02139 (United States); Christensen, E. [University of Arizona, Tucson, AZ (United States); Polishook, D. [Department of Earth and Planetary Science, Weizmann Institute, Herzl St 234, Rehovot, 7610001 (Israel); Thomas, C. A. [Planetary Science Institute (PSI), 1700 E Fort Lowell Road 106, Tucson, AZ 85719 (United States); Trilling, D.; Hinkle, M.; Avner, D. [Department of Physics and Astronomy, P.O. Box 6010, Northern Arizona University, Flagstaff AZ 86001 (United States); Willman, M. [University of Hawaii, Pukalani, HI 96788 (United States); Aceituno, F. J., E-mail: thirouin@lowell.edu [Instituto de Astrofísica de Andalucía (IAA-CSIC), Glorieta de la Astronomía, S/N, Granada, E-18008 (Spain)

    2016-12-01

    The Mission Accessible Near-Earth Objects Survey aims to physically characterize sub-km near-Earth objects (NEOs). We report the first photometric results from the survey that began in 2013 August. Photometric observations were performed using 1–4 m class telescopes around the world. We present rotational periods and light curve amplitudes for 86 sub-km NEOs, though in some cases only lower limits are provided. Our main goal is to obtain light curves for small NEOs (typically, sub-km objects) and estimate their rotational periods, light curve amplitudes, and shapes. These properties are used for a statistical study to constrain overall properties of the NEO population. A weak correlation seems to indicate that smaller objects are more spherical than larger ones. We also report seven NEOs that are fully characterized (light curve and visible spectra) as the most suitable candidates for a future human or robotic mission. Viable mission targets are objects fully characterized, with Δ v {sup NHATS} ≤ 12 km s{sup −1}, and a rotational period P  > 1 hr. Assuming a similar rate of object characterization as reported in this paper, approximately 1230 NEOs need to be characterized in order to find 100 viable mission targets.

  6. [Physical activity: results of the German Health Interview and Examination Survey for Adults (DEGS1)].

    Science.gov (United States)

    Krug, S; Jordan, S; Mensink, G B M; Müters, S; Finger, J; Lampert, T

    2013-05-01

    Regular physical activity can have a positive effect on health at any age. Today's lifestyles, however, can often be characterised as sedentary. Therefore, the promotion of physical activity and sports has become an integral part of public health measures. The representative data of adults aged 18 to 79 years in Germany obtained from the "German Health Interview and Examination Survey for Adults" (DEGS1) provide an overview of self-estimated current physical activity behaviour. The results show that one third of the adult population claims to pay close attention to reaching a sufficient level of physical activity and one fourth participates in sports for at least 2 h/week on a regular basis. Thus, the percentage of adults regularly engaged in sports has increased compared to the previous "German National Health Interview and Examination Survey 1998". Still, four out of five adults do not achieve at least 2.5 h/week of moderate-intensity physical activity as recommended by the World Health Organisation. Consequently, future individual-level and population-level interventions should focus on target group-specific measures while continuing to promote regular physical activity in all segments of the population. An English full-text version of this article is available at SpringerLink as supplemental.

  7. The Use of Complementary and Alternative Medicine among Lebanese Adults: Results from a National Survey

    Directory of Open Access Journals (Sweden)

    F. Naja

    2015-01-01

    Full Text Available Objective. To examine the prevalence and correlates of Complementary and Alternative Medicine (CAM use in Lebanon. Methods. A cross-sectional survey was conducted through face to face interviews on a nationally representative sample of 1,475 Lebanese adults. The survey questionnaire explored the sociodemographic and health related characteristics as well as the types and modes of CAM use. The main outcome in this study was the use of CAM during the last 12 months. Results. Prevalence of CAM use was 29.87% with “folk herbs” being the most commonly used (75%. Two out of five CAM users indicated using it as alternative to conventional therapies and only 28.4% of users disclosed the use of CAM to their physician. CAM use was significantly associated with higher income, presence of a chronic disease, and lack of access to needed health care. Lower odds of CAM use were observed among older adults and those with a higher education level. Conclusions. This study revealed a high prevalence of CAM use in Lebanon. Health policy and decision makers need to facilitate proper regulation and integration of CAM into mainstream medicine and educate health care providers and the public alike on the safe and effective use of CAM therapies.

  8. Caregivers' perceived adequacy of support in end-stage lung disease: results of a population survey

    Directory of Open Access Journals (Sweden)

    Currow David C

    2011-11-01

    Full Text Available Abstract Background End-stage lung disease (ESLD is a frequent cause of death. What are the differences in the supports needed by caregivers of individuals with ESLD at end of life versus other life-limiting diagnoses? Methods The South Australian Health Omnibus is an annual, random, face-to-face, cross-sectional survey. In 2002, 2003 and 2005-2007, respondents were asked a range of questions about end-of-life care; there were approximately 3000 survey participants annually (participation rate 77.9%. Responses were standardised for the whole population. The families and friends who cared for someone with ESLD were the focus of this analysis. In addition to describing caring, respondents reported additional support that would have been helpful. Results Of 1504 deaths reported, 145 (9.6% were due to ESLD. The ESLD cohort were older than those with other 'expected' causes of death (> 65 years of age; 92.6% versus 70.6%; p physical care, information provision, and emotional and spiritual support. Conclusions Caregiver needs were similar regardless of the underlying diagnosis although access to palliative care specialist services occurred less often for ESLD patients. This was despite significantly longer periods of time for which care was provided.

  9. Sociodemographic Correlates of Dietary Practices among Asian-Americans: Results from the California Health Interview Survey.

    Science.gov (United States)

    Sarwar, Evangel; Arias, Devin; Becerra, Benjamin J; Becerra, Monideepa Bhattacharya

    2015-12-01

    Studies show that Asian-American subgroups do not always meet dietary recommendations and are at high risk of cardiovascular diseases. The purpose of our research is to illustrate the various sociodemographic correlates of dietary habits for six subgroups of Asian-Americans in California. The 2005 California Health Interview Survey (CHIS) was utilized. A total of 3772 Asian-Americans were included in this study, with the largest subgroup being Chinese (n = 1280; N = 913,798). The outcome variable for this study was dietary behavior defined as consuming five or more fruits and vegetables per day (5-a-day), provided by CHIS. Univariate and multivariable regression analyses were conducted accounting for complex survey design. Being a female (Chinese, Filipina, Korean, and Vietnamese), not being married (Chinese), not being a college graduate (Chinese), living in poverty (South Asian), and speaking only English language at home (Chinese and Japanese) were associated with higher odds of not meeting a 5-a-day requirement. Results highlighted several sociodemographic correlates to not meeting 5-a-day requirement among six Asian-American subgroups. Targeted health promotion measures for such at-risk groups should be implemented to improve dietary practices.

  10. A survey of patient doses from conventional diagnostic radiology examinations: first results from Serbia and Montenegro.

    Science.gov (United States)

    Ciraj, Olivera; Kosutic, Dusko; Kovacevic, Milojko; Markovic, Srpko

    Diagnostic reference levels provide framework to reduce variability. The aim of this study is to establish, for the first time, a baseline for national diagnostic reference levels in Serbia and Montenegro for the most common X-ray examination types. Measurements of patient dose using kerma-area product meter and entrance surface air kerma assessment were performed on at least ten patients for each examination type, in each of 16 randomly selected hospitals in Serbia and Montenegro, so that a total of 3,026 procedures for nine different examination categories were included in the survey. Exposure settings and individual data were recorded for each patient. Mean, median and third quartile values of patient doses are reported. Results have shown wide variation of mean hospital doses, with factor of four for barium enema to 23 for thoracic spine radiography. Entrance surface air kerma were compared with previously published diagnostic reference levels (DRL) proposed by Commission of European Communities (CEC). Doses for all studied examination types except chest radiography were within European DRL. The reasons for dose variation are discussed. Survey data are aimed to help in development of an on-going national quality assurance and quality control programme in diagnostic radiology. The findings emphasize the importance of regular patient dose measurement to ensure that patient doses are kept as low as reasonable achievable.

  11. Perceptions and impact of bipolar disorder in Japan: results of an Internet survey.

    Science.gov (United States)

    Watanabe, Koichiro; Harada, Eiji; Inoue, Takeshi; Tanji, Yuka; Kikuchi, Toshiaki

    2016-01-01

    Bipolar disorder is a recurrent and episodic illness. This survey study assessed experiences and identified clinical insights of individuals with bipolar disorder. An Internet-based monitor system database was screened for patients with bipolar disorder in Japan (February and March 2013). Of 1,050 patients, 457 completed surveys, and results were analyzed with descriptive statistics. Approximately one-fourth of respondents were diagnosed with bipolar disorder on their first visit to medical institutions, although the most common initial diagnosis was depression/depressive state (65%). Mean time lag between first-time visit to a medical institution and receipt of correct diagnosis of bipolar disorder was 4 years; one-third of patients experienced more than 5 years of lag time. Three perceived reasons for lapsed time before correct diagnosis were "(patients) Did not consider manic symptoms as illness, and did not tell the doctor about them," "I (patient) did not know of bipolar disorder," and "Lack of communication between my doctor and myself (patient)." Among participants who believed that they were initially incorrectly diagnosed and improperly treated, most experienced socioeconomic problems, such as having long-term inability to work or to study (65%). Sources of encouragement for participants included "To have someone to consult with" (41%) followed by having "People around me treat me the same as before" (40%). Individuals with bipolar disorder reported a time lag of many years before accurate diagnosis, and substantial burden imposed by the illness. Encouragement should be provided for individuals to live positively with bipolar disorder.

  12. Research diversity in accounting doctoral education: survey results from the German-speaking countries

    National Research Council Canada - National Science Library

    Pelger, Christoph; Grottke, Markus

    2017-01-01

    ... normative research was widespread. In this paper, we present the survey results retrieved from 293 doctoral students in accounting in 2009, a period of transition in which old and new approaches to doctoral education co-existed...

  13. Aspects of annoyance due to noise of road traffic. Survey results at 10 sites

    Science.gov (United States)

    1981-01-01

    Results of surveys per highway site are given. A discussion is given of factors studied such as contribution of various noise sources, variation of noise levels at different sites, times and activities disturbed, and noise level and annoyance.

  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. National wildlife refuge visitor survey 2010/2011: Individual refuge results

    Science.gov (United States)

    Sexton, Natalie R.; Dietsch, Alia M.; Don Carlos, Andrew W.; Koontz, Lynne M.; Solomon, Adam N.; Miller, Holly M.

    2012-01-01

    The National Wildlife Refuge System (Refuge System), established in 1903 and managed by the U.S. Fish and Wildlife Service (Service), is the leading network of protected lands and waters in the world dedicated to the conservation of fish, wildlife and their habitats. There are 556 national wildlife refuges and 38 wetland management districts nationwide, encompassing more than 150 million acres. The Refuge System attracts more than 45 million visitors annually, including 25 million people per year to observe and photograph wildlife, over 9 million to hunt and fish, and more than 10 million to participate in educational and interpretation programs. Understanding visitors and characterizing their experiences on national wildlife refuges are critical elements of managing these lands and meeting the goals of the Refuge System. The Service collaborated with the U.S. Geological Survey to conduct a national survey of visitors regarding their experiences on national wildlife refuges. The survey was conducted to better understand visitor needs and experiences and to design programs and facilities that respond to those needs. The survey results will inform Service performance planning, budget, and communications goals. Results will also inform Comprehensive Conservation Plan (CCPs), Visitor Services, and Transportation Planning processes. This data series consists of 53 separate data files. Each file describes the results of the survey for an individual refuge and contains the following information: * Introduction: An overview of the Refuge System and the goals of the national surveying effort. * Methods: The procedures for the national surveying effort, including selecting refuges, developing the survey instrument, contacting visitors, and guidance for interpreting the results. * Refuge Description: A brief description of the refuge location, acreage, purpose, recreational activities, and visitation statistics, including a map (where available) and refuge website link

  16. Perceptions and use of complementary and alternative medicine in American Samoa: a survey of health care providers.

    Science.gov (United States)

    Krosch, Sara L

    2010-06-01

    American Samoa health care providers' use and perceptions of common complementary and alternative treatments, with a focus on traditional Samoan healing for women diagnosed with breast cancer or cervical cancer, was investigated to inform the development of the first locally produced women's cancer prevention radio drama and the first cancer patient navigator program in the US Territory. A 10-item self-administered survey was completed by a total of 47 health care providers employed at the Lyndon B. Johnson Tropical Medical Center and the American Samoa Department of Health Breast and Cervical Cancer Early Detection Program. Comprehensive health care is limited in American Samoa, especially cancer treatment. Dissatisfaction or disconnection with Western medicine leads some patients to seek complementary or alternative health care from traditional Samoan healers who provide massage and herbal remedies. Health care providers in American Samoa use and recommend many complementary and alternative medicines (CAM) popular in the United States. The most common CAM recommended to patients is exercise (81%), diet modification (81%), prayer (36%), massage (36%), support group participation (26%), and relaxation techniques (19%). Traditional Samoan healing methods are unique CAM that 19% of mainstream health care providers have used, and 17% have recommended these techniques to patients. Most survey respondents believe traditional Samoan healing methods have a harmful effect on patient quality of life and 72% have advised a patient to discontinue using this type of CAM. While most providers feel that the majority of American Samoan patients use traditional healing methods to complement Western healthcare, 55% are aware of a breast cancer or cervical cancer patient utilizing these techniques as an alternative to hospital treatment. A provider's ethnicity, gender, age and years of professional experience appear to be indicators of different CAM method endorsement and patient

  17. Cancer and the LGBTQ Population: Quantitative and Qualitative Results from an Oncology Providers’ Survey on Knowledge, Attitudes, and Practice Behaviors

    Directory of Open Access Journals (Sweden)

    Christina L. Tamargo

    2017-10-01

    Full Text Available Background: Despite growing social acceptance, the LGBTQ population continues to face barriers to healthcare including fear of stigmatization by healthcare providers, and providers’ lack of knowledge about LGBTQ-specific health issues. This analysis focuses on the assessment of quantitative and qualitative responses from a subset of providers who identified as specialists that treat one or more of the seven cancers that may be disproportionate in LGBTQ patients. Methods: A 32-item web-based survey was emailed to 388 oncology providers at a single institution. The survey assessed: demographics, knowledge, attitudes, and practice behaviors. Results: Oncology providers specializing in seven cancer types had poor knowledge of LGBTQ-specific health needs, with fewer than half of the surveyed providers (49.5% correctly answering knowledge questions. Most providers had overall positive attitudes toward LGBTQ patients, with 91.7% agreeing they would be comfortable treating this population, and would support education and/or training on LGBTQ-related cancer health issues. Conclusion: Results suggest that despite generally positive attitudes toward the LGBTQ population, oncology providers who treat cancer types most prevalent among the population, lack knowledge of their unique health issues. Knowledge and practice behaviors may improve with enhanced education and training on this population’s specific needs.

  18. Knowledge, Attitudes, and Practices Regarding Epidemiology and Management of Travelers' Diarrhea: A Survey of Front-Line Providers in Iraq and Afghanistan

    National Research Council Canada - National Science Library

    Sanders, John W

    2005-01-01

    To evaluate the relationship between medical knowledge and clinical practice, a survey on travelers' diarrhea was administered to military health care providers attending a professional development...

  19. Criteria for selecting implementation science theories and frameworks: results from an international survey

    Directory of Open Access Journals (Sweden)

    Sarah A. Birken

    2017-10-01

    Full Text Available Abstract Background Theories provide a synthesizing architecture for implementation science. The underuse, superficial use, and misuse of theories pose a substantial scientific challenge for implementation science and may relate to challenges in selecting from the many theories in the field. Implementation scientists may benefit from guidance for selecting a theory for a specific study or project. Understanding how implementation scientists select theories will help inform efforts to develop such guidance. Our objective was to identify which theories implementation scientists use, how they use theories, and the criteria used to select theories. Methods We identified initial lists of uses and criteria for selecting implementation theories based on seminal articles and an iterative consensus process. We incorporated these lists into a self-administered survey for completion by self-identified implementation scientists. We recruited potential respondents at the 8th Annual Conference on the Science of Dissemination and Implementation in Health and via several international email lists. We used frequencies and percentages to report results. Results Two hundred twenty-three implementation scientists from 12 countries responded to the survey. They reported using more than 100 different theories spanning several disciplines. Respondents reported using theories primarily to identify implementation determinants, inform data collection, enhance conceptual clarity, and guide implementation planning. Of the 19 criteria presented in the survey, the criteria used by the most respondents to select theory included analytic level (58%, logical consistency/plausibility (56%, empirical support (53%, and description of a change process (54%. The criteria used by the fewest respondents included fecundity (10%, uniqueness (12%, and falsifiability (15%. Conclusions Implementation scientists use a large number of criteria to select theories, but there is little

  20. Attitudes, practices, and barriers to adolescent suicide and mental health screening: a survey of pennsylvania primary care providers.

    Science.gov (United States)

    Diamond, Guy S; O'Malley, Alana; Wintersteen, Matthew B; Peters, Sherry; Yunghans, Suzanne; Biddle, Virginia; O'Brien, Connell; Schrand, Susan

    2012-01-01

    To determine primary care providers' rates of screening for suicide and mental health problems in adolescents and the factors that promote or discourage this practice. Overall, 671 medical professionals (ie, pediatricians, family physicians, nurse practitioners, physician assistants) completed an electronic survey. The 53 items focused on (1) attitudes, knowledge, and comfort with general psychosocial and suicide screening and (2) current practices and barriers regarding screening and referrals to behavioral health services. Forty percent had a patient attempt suicide in the past year, and 7.7% had 6 or more patients attempt suicide. At a well visit, 67% screened for mental health, and 35.2% screened for suicide risk. Most (61.1%) primary care providers rarely screened for suicide or only when it was indicated. Only 14.2% of primary care providers often used a standardized suicide screening tool. Factors associated with screening were being knowledgeable about suicide risk, being female, working in an urban setting, and having had a suicidal patient. Only 3.0% reported adequate compensation for these practices, and 44% agreed that primary care providers frequently use physical health billing codes for behavioral health services. Nearly 90% said parent involvement was needed if adolescents were to follow through with referrals to mental health services. Only 21% frequently heard back from the behavioral health providers after a referral was made. Policy that promotes mental health education for primary care providers, provides reimbursement for mental health screening, and encourages better service integration could increase suicide screening and save healthcare costs and patients' lives.

  1. Software Design Aspects and First Test Results of VLT Survey Telescope Control System

    Science.gov (United States)

    Brescia, M.; Schipani, P.; Marty, L.; Capaccioli, M.

    2006-08-01

    The 2.6 m VLT Survey Telescope (VST) is going to be installed at Cerro Paranal (Chile) as a powerful survey instrument for the ESO VLT. The tightest requirements to be respected for such a telescope, (large field of view of 1°x1°, pixel scale of 0.21 arcsec/pixel, and hosted in a one of the best worldwide astronomical sites), are basically very high performances of active optics and autoguiding systems and an excellent axes control, in order to obtain the best overall image quality of the telescope. The VST active optics software must basically provide the analysis of the image coming from the 10x10 subpupils Shack Hartmann wavefront sensor and the calculation of primary mirror forces and secondary mirror displacements to correct the intrinsic aberrations of the optical system and the ones originated for thermal or gravity reasons. The algorithm to select the guide star depends on the specific geometry of the adapter system. The adapter of the VST hosts many devices handled by the overall telescope control software: a probe system to select the guide star realized with motions in polar coordinates, a pickup mirror to fold the light to the image analysis and guiding cameras, a selectable reference light system and a focusing device. All these devices deeply interface with autoguiding, active optics and field rotation compensation systems. A reverse engineering approach mixed to the integration of new specific solutions has been fundamental to match the ESO commitments in terms of software re-use, in order to smoothen the integration of a new telescope designed and built by an external institute in the ESO environment. The control software architecture, the simulation code to validate the results and the status of work are here described. This paper includes also first results of preliminary tracking tests performed at the VST integration site for azimuth, altitude and rotator axes, that already match system quality requirements.

  2. Resources Used to Teach the Physical Exam to Preclerkship Medical Students: Results of a National Survey.

    Science.gov (United States)

    Uchida, Toshiko; Achike, Francis I; Blood, Angela D; Boyle, Mary; Farnan, Jeanne M; Gowda, Deepthiman; Hojsak, Joanne; Ovitsh, Robin K; Park, Yoon Soo; Silvestri, Ronald

    2017-11-07

    To examine the resources utilized in teaching the physical exam to preclerkship students at U.S. medical schools. The Directors of Clinical Skills Courses (DOCS) developed a 49-question survey addressing the resources and pedagogical methods employed in preclerkship physical exam curricula. The survey was sent to all 141 LCME-accredited medical schools in October 2015. Results were averaged across schools and data were weighted by class size. Results from 106 medical schools (75% response rate) identified a median of 59 hours devoted to teaching the physical exam. Thirty-eight percent of the time spent teaching the physical exam involved the use of standardized patients, 30% utilized peer-to-peer practice and 25% involved examining actual patients. Approximately half of the practice time with actual patients was observed by faculty. At 48% of schools (50),less than 15% of practice time was with actual patients, and at 20% of schools (21) faculty never observed students practicing with actual patients. Forty-eight percent of schools (50) did not provide compensation for their physical exam faculty. There is wide variation in the resources utilized to teach the physical examination to preclerkship medical students. At some schools, the amount of faculty observation of students examining actual patients may not be enough for students to achieve competency. A significant percentage of faculty teaching the physical exam remain uncompensated for their effort. Improving faculty compensation and increasing the use of senior students as teachers might allow for greater observation and feedback and improved physical exam skills among students.

  3. Radiation dose from multidetector CT studies in children: results from the first Italian nationwide survey

    Energy Technology Data Exchange (ETDEWEB)

    Granata, Claudio [IRCCS Istituto Giannina Gaslini, Department of Radiology, Genoa (Italy); Origgi, Daniela; Palorini, Federica [Istituto Europeo di Oncologia, Department of Medical Physics, Milan (Italy); Matranga, Domenica [University of Palermo, Department of Sciences for Health Promotion and Mother and Child Care ' ' G. D' Alessandro' ' , Palermo (Italy); Salerno, Sergio [University of Palermo, Department of Medical and Forensic Biopathology and Biotechnologies, Section of Radiology, Palermo (Italy)

    2015-05-01

    Multidetector CT (MDCT) scanners have contributed to the widespread use of CT in paediatric imaging. However, concerns are raised for the associated radiation exposure. Very few surveys on radiation exposure from MDCT studies in children are available. The aim of this study was to outline the status of radiation exposure in children from MDCT practice in Italy. In this retrospective multicentre study we asked Italian radiology units with an MDCT scanner with at least 16 slices to provide dosimetric and acquisition parameters of CT examinations in three age groups (1-5, 6-10, 11-15 years) for studies of head, chest and abdomen. The dosimetric results were reported in terms of third-quartile volumetric CT dose index (CTDI{sub vol}) (mGy), size-specific dose estimate (SSDE) (mGy), dose length product (DLP) (mGy cm), and total DLP for multiphase studies. These results were compared with paediatric European and adult Italian published data. A multivariate analysis assessed the association of CTDI{sub vol} with patient characteristics and scanning modalities. We collected data from 993 MDCT examinations performed at 25 centres. For age groups 1-5 years, 6-10 years and 11-15 years, the CTDI{sub vol}, DLP and total DLP values were statistically significantly below the values observed in our analogous national survey in adults, although the difference decreased with increasing age. CTDI{sub vol} variability among centres was statistically significant (variance = 0.07; 95% confidence interval = 0.03-0.16; P < 0.001). This study reviewed practice in Italian centres performing paediatric imaging with MDCT scanners. The variability of doses among centres suggests that the use of standardised CT protocols should be encouraged. (orig.)

  4. Japanese corporate finance: What factors affect the financial decisions of Japanese firms? A survey result

    OpenAIRE

    YAMORI, Nobuyoshi

    2006-01-01

    In June 2005, a questionnaire survey was sent to 9000 companies in the Kansai Area (Osaka, Kyoto and Hyogo), the second largest economic block in Japan, with 2041 companies responding. This article introduces the results of this questionnaire survey. The greatest feature of this study is that, unlike previous works on traditional corporate finance, much information on unlisted companies is included. The dividend policy of Japanese companies, awareness of corporate governance, funding behavior...

  5. The Municipal Solid-State Street Lighting Consortium Public Outdoor Lighting Inventory: Phase I: Survey Results

    Energy Technology Data Exchange (ETDEWEB)

    Kinzey, Bruce R.; Smalley, Edward; Haefer, R.

    2014-09-30

    This document presents the results of a voluntary web-based inventory survey of public street and area lighting across the U.S. undertaken during the latter half of 2013.This survey attempts to access information about the national inventory in a “bottoms-up” manner, going directly to owners and operators. Adding to previous “top down” estimates, it is intended to improve understanding of the role of public outdoor lighting in national energy use.

  6. A comparison of patients' and pharmacists' satisfaction with medication counseling provided by community pharmacies: a cross-sectional survey.

    Science.gov (United States)

    Yang, Seungwon; Kim, Dasohm; Choi, Hye Joung; Chang, Min Jung

    2016-04-14

    Medication counseling is a critical component of pharmaceutical care to promote the safe and effective use of medications and to maximize therapeutic outcomes. The assessment of patients' and pharmacists' satisfaction with medication counseling services could be one of the vital parameters for predicting the quality of pharmacy services. No study has measured and compared both patients' and pharmacists' satisfaction with medication counseling. The objectives of this study were to describe and compare patients' and pharmacists' levels of satisfaction with medication counseling services offered by community pharmacists in South Korea. This was a descriptive, cross-sectional survey. The online survey was distributed to patients and community pharmacists using a structured questionnaire. The questionnaires consisted of 4 main areas: (1) responders' characteristics (2) current state of medication counseling methods provided by community pharmacies (3) overall satisfaction with medication counseling (4) demand for the development of medication counseling standards. A comparison between patients and pharmacists was made using either a chi-square test or a Fisher's exact test. Between June 13, 2014 and July 15, 2014, a total of 252 patients and 620 pharmacists completed the survey. It was found that 47.3% of pharmacists and 34.0% of patients were satisfied with the current medication counseling service. Pharmacists showed a higher degree of satisfaction with the medication counseling service compared to patients (p <0.05). A major reason for patients not being satisfied with the medication counseling from community pharmacists was the insufficient time spent on counseling (51.2%). The pharmacists' perception of a major barrier to providing appropriate medication counseling for patients was the lack of time (24.3%). Moreover, a substantial number of patients (88%) and pharmacists (73%) supported the development of medication counseling standards to improve community

  7. Patient satisfaction between primary care providers and hospitals: a cross-sectional survey in Jilin province, China.

    Science.gov (United States)

    Li, Jinghua; Wang, Pingping; Kong, Xuan; Liang, Hailun; Zhang, Xiumin; Shi, Leiyu

    2016-06-01

    To assess patient satisfaction with outpatient and inpatient care between primary care providers and secondary/tertiary hospitals, and to examine its association with socio-demographic characteristics and type of institution, based on self-reported survey data. Cross-sectional survey. Healthcare facilities within Jilin province, China. In total, 993 outpatients and 925 inpatients aged ≥15 years old were recruited. Patient satisfaction with the care experience. Patient satisfaction with outpatient and inpatient care was significantly associated with type of healthcare delivery setting in Jilin, China. Seeking outpatient care from community health centers (CHCs) was significantly associated with a higher ratio of patient satisfaction. Patients of county and tertiary hospitals complained about long-waiting times, bad attitudes of health workers, high expense of treatment, and their overall satisfaction towards outpatient care was lower. In the terms of inpatient care, patients were more satisfied with treatment expense in CHCs compared with county hospitals. CHCs and hospitals face different challenges regarding patient satisfaction. Further healthcare reform in China need to adopt more measures (e.g. increasing quality of primary care, setting up a referral medical system etc.) to improve patient satisfaction. © The Author 2016. Published by Oxford University Press in association with the International Society for Quality in Health Care; all rights reserved.

  8. Criteria for selecting implementation science theories and frameworks: results from an international survey.

    Science.gov (United States)

    Birken, Sarah A; Powell, Byron J; Shea, Christopher M; Haines, Emily R; Alexis Kirk, M; Leeman, Jennifer; Rohweder, Catherine; Damschroder, Laura; Presseau, Justin

    2017-10-30

    Theories provide a synthesizing architecture for implementation science. The underuse, superficial use, and misuse of theories pose a substantial scientific challenge for implementation science and may relate to challenges in selecting from the many theories in the field. Implementation scientists may benefit from guidance for selecting a theory for a specific study or project. Understanding how implementation scientists select theories will help inform efforts to develop such guidance. Our objective was to identify which theories implementation scientists use, how they use theories, and the criteria used to select theories. We identified initial lists of uses and criteria for selecting implementation theories based on seminal articles and an iterative consensus process. We incorporated these lists into a self-administered survey for completion by self-identified implementation scientists. We recruited potential respondents at the 8th Annual Conference on the Science of Dissemination and Implementation in Health and via several international email lists. We used frequencies and percentages to report results. Two hundred twenty-three implementation scientists from 12 countries responded to the survey. They reported using more than 100 different theories spanning several disciplines. Respondents reported using theories primarily to identify implementation determinants, inform data collection, enhance conceptual clarity, and guide implementation planning. Of the 19 criteria presented in the survey, the criteria used by the most respondents to select theory included analytic level (58%), logical consistency/plausibility (56%), empirical support (53%), and description of a change process (54%). The criteria used by the fewest respondents included fecundity (10%), uniqueness (12%), and falsifiability (15%). Implementation scientists use a large number of criteria to select theories, but there is little consensus on which are most important. Our results suggest that the

  9. Results from a National Needs Assessment Survey: A View of Assessment Efforts within Chemistry Departments

    Science.gov (United States)

    Emenike, Mary Elizabeth; Schroeder, Jacob; Murphy, Kristen; Holme, Thomas

    2013-01-01

    As is true for virtually all of higher education, chemistry departments are often required to provide evidence of student learning at both course and curricular levels through evaluation and assessment. The ACS Exams Institute conducted a needs assessment survey of 1500 chemistry faculty members from across the country to investigate motivation,…

  10. Inappropriate survey design analysis of the Korean National Health and Nutrition Examination Survey may produce biased results.

    Science.gov (United States)

    Kim, Yangho; Park, Sunmin; Kim, Nam-Soo; Lee, Byung-Kook

    2013-03-01

    The inherent nature of the Korean National Health and Nutrition Examination Survey (KNHANES) design requires special analysis by incorporating sample weights, stratification, and clustering not used in ordinary statistical procedures. This study investigated the proportion of research papers that have used an appropriate statistical methodology out of the research papers analyzing the KNHANES cited in the PubMed online system from 2007 to 2012. We also compared differences in mean and regression estimates between the ordinary statistical data analyses without sampling weight and design-based data analyses using the KNHANES 2008 to 2010. Of the 247 research articles cited in PubMed, only 19.8% of all articles used survey design analysis, compared with 80.2% of articles that used ordinary statistical analysis, treating KNHANES data as if it were collected using a simple random sampling method. Means and standard errors differed between the ordinary statistical data analyses and design-based analyses, and the standard errors in the design-based analyses tended to be larger than those in the ordinary statistical data analyses. Ignoring complex survey design can result in biased estimates and overstated significance levels. Sample weights, stratification, and clustering of the design must be incorporated into analyses to ensure the development of appropriate estimates and standard errors of these estimates.

  11. Benchmarking US Department of Veterans Affairs dermatologic services: results from a national survey.

    Science.gov (United States)

    Krause, L Kendall; Townsend, Leilani; Orser, Michael L; Mulhausen, Jennifer; Duke, Jodi; Waxweiler, Weston T; Dellavalle, Robert P

    2012-03-01

    How well Department of Veterans Affairs (VA) dermatology services provide clinical care, medical education, and innovative research is a largely unexplored topic in the literature. We sought to benchmark VA dermatology services by surveying VA dermatologists about their environment, resources, and the pros and cons of working in the VA. Printed surveys were mailed to VA dermatologists and responses were compiled and analyzed. Of 105 dermatology services surveyed, 48% returned surveys completed by board-certified dermatologists (n = 50); 20 surveys completed by nondermatologists were excluded from the analysis. Most services trained dermatology residents (72%) and medical students (80%). One third of services reported significant research involvement. Qualitative analysis revealed the academic environment, patient population, and decreased business management responsibilities as the 3 most commonly cited advantages to VA employment. The most commonly listed disadvantages included low salaries, bureaucracy, and lack of resources. The survey data were self-reported and not independently verified. Not all services returned the survey. Outpatient VA dermatology services accomplish significant primary care and preventive services (eg, sun safety counseling, skin cancer screening, and treatment). However, the small number of dedicated dermatology services, their irregular geographic distribution, and the lack of staffing and resources may adversely affect optimal patient care. Dermatologist responses regarding the positive and negative aspects of working in the VA system may lead to improved management strategies to better retain and recruit dermatologists to provide patient care, medical education, and medical research despite dramatically lower dermatologist salaries within the VA system compared with private practice. Copyright © 2011 American Academy of Dermatology, Inc. Published by Mosby, Inc. All rights reserved.

  12. Prevalence and Factors Associated with Teen Pregnancy in Vietnam: Results from Two National Surveys

    Directory of Open Access Journals (Sweden)

    Huong Nguyen

    2016-05-01

    Full Text Available This study asked two broad questions: (1 what is the prevalence of teen pregnancy in contemporary Vietnam; and (2 what selected social, family, and individual factors are associated with teen pregnancy in Vietnam? The study utilized Vietnam Survey Assessment of Vietnamese Youth surveys conducted in 2003 and 2008 to answer the two research questions within the context of fast political, economic, and social change in Vietnam in the last two decades. Results of this study show that the prevalence of pregnancy among Vietnamese teenagers in the surveys was stable at 4%, or 40 pregnancies per 1000 adolescent girls aged 14 to 19. Age, experience of domestic violence, and early sexual debut were positively correlated with higher odds of teenage pregnancy for both survey cohorts; however, being an ethnic minority, educational attainment, sexual education at school, Internet use, and depressive symptoms were significantly related to teenage pregnancy only in the 2008 cohort.

  13. Non-governmental organizations assisting victims of crime in Belgrade: Survey results

    Directory of Open Access Journals (Sweden)

    Milivojević Sanja K.

    2003-01-01

    Full Text Available This paper presents the results of survey regarding non-governmental organizations assisting victims of crime in Belgrade. The survey was completed at the end of 2002 for purposes of establishing a Victim Support Service in Serbia. In introduction authors give a short review of victim support services development in the World and the region, explaining the need for such service in Serbia, the subject and the aim of the article as well as the purpose of the survey. Second part of the paper contains the sample, methodology and the aim of the interview with NGO representatives. In the third section authors present the analysis of the survey data. Finally, in conclusion authors summarize the data and observed problems, suggestions for possible solution and directions of future development of services and organizations assisting victims of crime in Serbia.

  14. A comparison of inflation expectations and inflation credibility in South Africa: results from survey data

    Directory of Open Access Journals (Sweden)

    Jannie Rossouw

    2011-08-01

    Full Text Available This paper reports a comparison of South African household inflation expectations and inflation credibility surveys undertaken in 2006 and 2008. It tests for possible feed-through between inflation credibility and inflation expectations. It supplements earlier research that focused only on the 2006 survey results. The comparison shows that inflation expectations differed between different income groups in both 2006 and 2008. Inflation credibility differed between male and female respondents, but this difference did not feed through to inflation expectations. More periodic survey data will be required for developing final conclusions on the possibility of feed-through effects. To this end the structure of credibility surveys should be reconsidered, as a large percentage of respondents indicated that they ‘don’t know’ whether the historic rate of inflation is an accurate indication of price increases.

  15. Results and lessons from the GMOS survey of transiting exoplanet atmospheres

    Science.gov (United States)

    Todorov, Kamen; Desert, Jean-Michel; Huitson, Catherine; Bean, Jacob; Fortney, Jonathan; Bergmann, Marcel; Stevenson, Kevin

    2018-01-01

    We present results from the first comprehensive survey program dedicated to probing transiting exoplanet atmospheres using transmission spectroscopy with a multi-object spectrograph (MOS). Our four-years survey focussed on ten close-in giant planets for which the wavelength dependent transit depths in the visible were measured with Gemini/GMOS. We present the complete analysis of all the targets observed (50 transits, 300 hours), and the challenges to overcome to achieve the best spectrophotometric precision (200-500 ppm / 10 nm). We also present the main results and conclusions from this survey. We show that the precision achieved by this survey permits to distinguish hazy atmospheres from cloud-free ones. We discuss the challenges faced by such an experiment, and the lessons learnt for future MOS survey. We lay out the challenges facing future ground based MOS transit surveys aiming for the atmospheric characterization of habitable worlds, and utilizing the next generation of multi-object spectrographs mounted on extremely large ground based telescopes (ELT, TMT).

  16. Sociodemographic characteristics of tobacco users as determinants of tobacco use screening done by healthcare providers: Global Adult Tobacco Survey India 2009-2010

    Directory of Open Access Journals (Sweden)

    Rohini Ruhil

    2016-01-01

    Full Text Available Introduction: World Health Organization and Indian Public Health Standards recommend provision of tobacco use screening and cessation help at primary care settings. Evidence shows that brief advice by healthcare provider helps tobacco user quit. It starts with asking the patient about his tobacco use status. The rate of tobacco use screening done by healthcare providers is very low and also depends on sociodemographic characteristics of patients along with several other factors. Objectives: This paper intends to study how sociodemographic characteristics (age, gender, residence [rural/urban], education, and occupation of tobacco users influence the tobacco use screening done by healthcare providers. Materials and Methods: The study was a secondary data analysis of the Global Adult Tobacco Survey India 2009-2010. There were 4958 smokers and 7255 smokeless tobacco users included in the study who visited healthcare provider in the past 12 months prior to the survey. Results and Discussion: The results showed that male smokers were more likely to be screened for smoking by healthcare providers as compared to female smokers. Furthermore, tobacco users in younger age groups were less likely to be screened for tobacco use by healthcare providers as compared to tobacco users in older age groups. Urban smokeless tobacco users were more likely to be screened for tobacco use by healthcare provider as compared to rural smokeless tobacco users. Conclusion: Healthcare providers were being biased in tobacco use screening of their patients based on demographic characteristics of patients, i.e., their age, gender, and rural/urban residence. However, the evidence shows that it is very imperative to screen each and every patient for tobacco use habit.

  17. Barriers to Office-Based Mental Health Care and Interest in E-Communication With Providers: A Survey Study.

    Science.gov (United States)

    Rai, Minnie; Vigod, Simone N; Hensel, Jennifer M

    2016-08-01

    With rising availability and use of Internet and mobile technology in society, the demand and need for its integration into health care is growing. Despite great potential within mental health care and growing uptake, there is still little evidence to guide how these tools should be integrated into traditional care, and for whom. To examine factors that might inform how e-communication should be implemented in our local outpatient mental health program, including barriers to traditional office-based care, patient preferences, and patient concerns. We conducted a survey in the waiting room of our outpatient mental health program located in an urban, academic ambulatory hospital. The survey assessed (1) age, mobile phone ownership, and general e-communication usage, (2) barriers to attending office-based appointments, (3) preferences for, and interest in, e-communication for mental health care, and (4) concerns about e-communication use for mental health care. We analyzed the data descriptively and examined associations between the presence of barriers, identifying as a social media user, and interest level in e-communication. Respondents (N=68) were predominantly in the age range of 25-54 years. The rate of mobile phone ownership was 91% (62/68), and 59% (40/68) of respondents identified as social media users. There was very low existing use of e-communication between providers and patients, with high levels of interest endorsed by survey respondents. Respondents expressed an interest in using e-communication with their provider to share updates and get feedback, coordinate care, and get general information. In regression analysis, both a barrier to care and identifying as a social media user were significantly associated with e-communication interest (P=.03 and P=.003, respectively). E-communication interest was highest among people who both had a barrier to office-based care and were a social media user. Despite high interest, there were also many concerns

  18. Assessing the Economics of Dengue: Results from a Systematic Review of the Literature and Expert Survey.

    Science.gov (United States)

    Constenla, Dagna; Garcia, Cristina; Lefcourt, Noah

    2015-11-01

    The economics of dengue is complex and multifaceted. We performed a systematic review of the literature to provide a critical overview of the issues related to dengue economics research and to form a background with which to address the question of cost. Three literature databases were searched [PubMed, Embase and Latin American and Caribbean Health Sciences Literature (LILACS)], covering a period from 1980 to 2013, to identify papers meeting preset inclusion criteria. Studies were reviewed for methodological quality on the basis of a quality checklist developed for this purpose. An expert survey was designed to identify priority areas in dengue economics research and to identify gaps between the methodology and actual practice. Survey responses were combined with the literature review findings to determine stakeholder priorities in dengue economics research. The review identified over 700 papers. Forty-two of these papers met the selection criteria. The studies that were reviewed presented results from 32 dengue-endemic countries, underscoring the importance of dengue as a global public health problem. Cost analyses were the most common, with 21 papers, followed by nine cost-effectiveness analyses and seven cost-of-illness studies, indicating a relatively strong mix of methodologies. Dengue annual overall costs (in 2010 values) ranged from US$13.5 million (in Nicaragua) to $56 million (in Malaysia), showing cost variations across countries. Little consistency exists in the way costs were estimated and dengue interventions evaluated, making generalizations around costs difficult. The current evidence suggests that dengue costs are substantial because of the cost of hospital care and lost earnings. Further research in this area will broaden our understanding of the true economic impact of dengue.

  19. Pharmacological Neuroenhancement in the field of economics. Poll results from an online survey

    Directory of Open Access Journals (Sweden)

    Pavel eDietz

    2016-04-01

    Full Text Available Introduction: The use of over-the-counter, prescription, and illicit drugs to increase attention, concentration or memory – often called (pharmacological neuroenhancement – shows a broad range of prevalence rates among students. However, very little data is available on neuroenhancement among employed persons. The aim of this study was to provide first data on substance use for neuroenhancement among readers of the German Handelsblatt coming from the field of economics.Methods: Readers of the online edition of the Handelsblatt, a leading print and online medium for the field of economics, were invited to participate in a survey via a link on the journal homepage to complete a web-based questionnaire. Within the questionnaire, participants were asked for their gender, current age, current professional status, hours of work per week, prevalence rates of substance use for the purpose of neuroenhancement as well as for reasons of its use. Binary regression analyses with stepwise forward selection were used to predict the dependent variables use of illicit and prescription drugs for neuroenhancement (yes/no, use of over-the-counter drugs for neuroenhancement (yes/no, and use of any drug for neuroenhancement (yes/no.Results: A total of 1,021 participants completed the anonymous survey. Lifetime prevalence for the use of any drug for neuroenhancement was 88.0% and for the use of illicit and prescription drugs for neuroenhancement 19.0%. Reasons and situations that predicted neuroenhancement with illicit and prescription drugs were curiosity, to enhance mood, for a confident appearance, stress/pressure to perform, and deadline pressure.Discussion: The study shows that neuroenhancement with drugs is a widespread and frequent phenomenon among people belonging to the professional field of economics. Given in the literature that the use of drugs, especially prescription and illicit drugs, may be associated with side effects, the high epidemic of drug

  20. Factors Associated With Burnout Among US Hospital Clinical Pharmacy Practitioners: Results of a Nationwide Pilot Survey.

    Science.gov (United States)

    Jones, G Morgan; Roe, Neil A; Louden, Les; Tubbs, Crystal R

    2017-12-01

    Background: In health care, burnout has been defined as a psychological process whereby human service professionals attempting to positively impact the lives of others become overwhelmed and frustrated by unforeseen job stressors. Burnout among various physician groups who primarily practice in the hospital setting has been extensively studied; however, no evidence exists regarding burnout among hospital clinical pharmacists. Objective: The aim of this study was to characterize the level of and identify factors independently associated with burnout among clinical pharmacists practicing in an inpatient hospital setting within the United States. Methods: We conducted a prospective, cross-sectional pilot study utilizing an online, Qualtrics survey. Univariate analysis related to burnout was conducted, with multivariable logistic regression analysis used to identify factors independently associated with the burnout. Results: A total of 974 responses were analyzed (11.4% response rate). The majority were females who had practiced pharmacy for a median of 8 years. The burnout rate was high (61.2%) and largely driven by high emotional exhaustion. On multivariable analysis, we identified several subjective factors as being predictors of burnout, including inadequate administrative and teaching time, uncertainty of health care reform, too many nonclinical duties, difficult pharmacist colleagues, and feeling that contributions are underappreciated. Conclusions: The burnout rate of hospital clinical pharmacy providers was very high in this pilot survey. However, the overall response rate was low at 11.4%. The negative effects of burnout require further study and intervention to determine the influence of burnout on the lives of clinical pharmacists and on other health care-related outcomes.

  1. Insights into optimal basal insulin titration in type 2 diabetes: Results of a quantitative survey.

    Science.gov (United States)

    Berard, Lori; Bonnemaire, Mireille; Mical, Marie; Edelman, Steve

    2018-02-01

    Basal insulin (BI) treatment initiation and dose titration in type 2 diabetes (T2DM) are often delayed. Such "clinical inertia" results in poor glycaemic control and high risk of long-term complications. This survey aimed to determine healthcare professional (HCP) and patient attitudes to BI initiation and titration. An online survey (July-August 2015) including HCPs and patients with T2DM in the USA, France and Germany. Patients were ≥18 years old and had been on BI for 6 to 36 months, or discontinued BI within the previous 12 months. Participants comprised 386 HCPs and 318 people with T2DM. While >75% of HCPs reported discussing titration at the initiation visit, only 16% to 28% of patients remembered such discussions, many (32%-42%) were unaware of the need to titrate BI, and only 28% to 39% recalled mention of the time needed to reach glycaemic goals. Most HCPs and patients agreed that more effective support tools to assist BI initiation/titration are needed; patients indicated that provision of such tools would increase confidence in self-titration. HCPs identified fear of hypoglycaemia, failure to titrate in the absence of symptoms, and low patient motivation as important titration barriers. In contrast, patients identified weight gain, the perception that titration meant worsening disease, frustration over the time to reach HbA1c goals and fear of hypoglycaemia as major factors. A disconnect exists between HCP- and patient-perceived barriers to effective BI titration. To optimize titration, strategies should be targeted to improve HCP-patient communication, and provide support and educational tools. © 2017 The Authors. Diabetes, Obesity and Metabolism published by John Wiley & Sons Ltd.

  2. Soil Survey Geographic (SSURGO) Special Line Features for the State of Rhode Island: Bristol, Kent, Newport, Providence, and Washington County

    Data.gov (United States)

    University of Rhode Island Geospatial Extension Program — This data set is a digital soil survey and generally is the most detailed level of soil geographic data developed by the National Cooperative Soil Survey. The...

  3. Soil Survey Geographic (SSURGO) Special Point Features for the State of Rhode Island: Bristol, Kent, Newport, Providence, and Washington Counties

    Data.gov (United States)

    University of Rhode Island Geospatial Extension Program — This data set is a digital soil survey and generally is the most detailed level of soil geographic data developed by the National Cooperative Soil Survey. The...

  4. Results of the 2014 Survey of the Association of Directors of Radiation Oncology Programs (ADROP).

    Science.gov (United States)

    Jani, Ashesh B; Marshall, David; Vapiwala, Neha; Davis, Sara Beth; Langer, Mark

    2015-01-01

    In 2014, the Association of Directors of Radiation Oncology Programs (ADROP) conducted an in-depth survey of program directors along several axes. We report the results of this survey and compare the major findings with those of the 2007 ADROP survey. The survey was written and approved by ADROP leadership in 2012, announced online through broadcasts throughout 2013 and early 2014, and closed in mid-2014. The results based on question groups related to (1) hours spent in activities, (2) budget and nonprogram resources, (3) physics/biology didactics, (4) mock exams/didactics/research, (5) electives, (6) students, and (7) resources/challenges were tabulated. Descriptive comparisons with the 2007 survey were performed. There was 26% participation (23/88 programs). Major areas of time commitment were faculty and site organization, maintenance, and corrections (70 hours/year) and didactics/conferences and rounds (200 hours/year). The median program director protected time was 23% (range 0%-50%). All responding programs (100%) had biology and physics courses and assigned directors, but only approximately 20% of respondents had a threshold grade in these courses for graduation. Major resources desired were templates of goals/objectives by disease site, competency evaluations by level, journal club repository, and software for contouring, oral examination preparation, grant writing, publication writing, oral presentation, and effective teaching. Major activity challenges were Accreditation Council for Graduate Medical Education external review and time commitment. Overall, the 2014 results are similar to those of the 2007 survey. The average time commitment remains considerably higher than the 10% minimum required in the current ACGME program requirements. The survey results may guide ADROP membership in centralizing some of the identified resources needed. Copyright © 2015 American Society for Radiation Oncology. Published by Elsevier Inc. All rights reserved.

  5. The Northeastern area's objectives and beliefs responses regarding forests and grasslands: 2004 survey results

    Science.gov (United States)

    Lori B. Shelby; Deborah J. Shields; Michael D. Miller; Donna L. Lybecker; Brian M. Kent; Vesna Bashovska

    2009-01-01

    The USDA Forest Service revises its Strategic Plan according to the 1993 Government Performance and Results Act. The goals and objectives included in the Strategic Plan are developed from natural resource trend data (Forest and Rangeland Renewable Planning Act) and from public input such as the results from this telephone survey. The purpose of this report is to...

  6. Common Core Math in the K-8 Classroom: Results from a National Teacher Survey

    Science.gov (United States)

    Bay-Williams, Jennifer

    2016-01-01

    Successful implementation of the Common Core State Standards for Mathematics (CCSS-M) should result in noticeable differences in primary and middle school math classrooms across the United States. "Common Core Math in the K-8 Classroom: Results from a National Teacher Survey" takes a close look at how educators are implementing the…

  7. The American public's objectives and beliefs regarding forests and grasslands: 2004 survey results

    Science.gov (United States)

    Lori B. Shelby; Deborah J. Shields; Donna L. Lybecker; Michael D. Miller; Brian M. Kent; Vesna Bashovska

    2008-01-01

    The USDA Forest Service revises its Strategic Plan according to the 1993 Government Performance and Results Act (Public Law 103-62). The goals and objectives included in the Strategic Plan are developed from natural resource trend data (Forest and Rangeland Renewable Resources Planning Act) and public input such as the results from this survey. The purpose of this...

  8. How (and What) Political Theorists Teach: Results of a National Survey

    Science.gov (United States)

    Moore, Matthew J.

    2011-01-01

    The article reports the results of a 2008 national survey of political theorists concerning what and how they teach. The results are based on 1,086 responses from professors at accredited, four-year colleges and universities in the United States. The responses include information about which thinkers are currently being taught, the status of…

  9. Navigating Law School: Paths in Legal Education. Annual Survey Results, 2011

    Science.gov (United States)

    Law School Survey of Student Engagement, 2011

    2011-01-01

    The Law School Survey of Student Engagement (LSSSE) focuses on activities that affect learning in law school. This year's results show how law students spend their time, what they think about their experience in law school, and guide schools in their efforts to improve engagement and learning. The selected results are based on responses from more…

  10. A helicopter AEM survey providing an environmental assessment of the Eastfield quarry/landfill site, West Lothian, Scotland

    OpenAIRE

    Beamish, David

    2005-01-01

    This report describes an airborne electromagnetic survey carried out in February 2004 in the vicinity of the Eastfield quarry, former landfill situated in West Lothian, Scotland. The landfill is situated on the former Polkemmet colliery site. The survey consisted of 54 km of line coverage. The purpose of the survey was to investigate the capabilities of the technique in relation to mapping subsurface leakage and migration of conductive materials from a former waste disposal site. The survey t...

  11. Flight Crew Sleep in Long-Haul Aircraft Bunk Facilities: Survey Results

    Science.gov (United States)

    Rosekind, Mark R.; Miller, Donna L.; Gregory, Kevin B.; Dinges, David F.; Shafto, Michael G. (Technical Monitor)

    1995-01-01

    Modem long-haul aircraft can fly up to 16 continuous hours and provide a 24-hour, global capability. Extra (augmented) flight crew are available on long flights to allow planned rest periods, on a rotating basis, away from the flight deck in onboard crew rest facilities (2 bunks). A NASA/FAA study is under-way to examine the quantity and quality of sleep obtained in long-haul aircraft bunks and the factors that promote or interfere with that sleep. The first phase of the study involved a retrospective survey, followed by a second phase field study to collect standard polysomnographic data during inflight bunk sleep periods. A summary of the Phase I survey results are reported here. A multi-part 54-question retrospective survey was completed by 1,404 flight crew (37% return rate) at three different major US air carriers flying B747-100, 200, 400, and MD- 11 long-haul aircraft. The questions examined demographics, quantity and quality of sleep at home and in onboard bunks, factors that promote or interfere with sleep, and effects on subsequent performance and alertness. Flight crew reported a mean bunk sleep latency of 39.4 mins (SD=28.3 mins) (n=1,276) and a mean total sleep time of 2.2 hrs (SD=1.3 hrs) (n=603). (Different flight lengths could affect overall time available for sleep.) Crew rated 25 factors for their interference or promotion of bunk sleep. Figure I portrays the average ratings for each factor across all three carriers. A principal components analysis of the 25 factors revealed three areas that promoted bunk sleep: physiological (e.g., readiness for sleep), physical environment (e.g., bunk size, privacy), and personal comfort (e.g., blankets, pillows). Five areas were identified that interfered with sleep: environmental disturbance (e.g., background noise, turbulence), luminosity (e.g., lighting), personal disturbances (e.g., bathroom trips, random thoughts), environmental discomfort (e.g., low humidity, cold), and interpersonal disturbances (e

  12. The Lyα reference sample. I. Survey outline and first results for Markarian 259

    Energy Technology Data Exchange (ETDEWEB)

    Östlin, Göran; Hayes, Matthew; Duval, Florent; Sandberg, Andreas; Rivera-Thorsen, Thøger; Marquart, Thomas; Adamo, Angela; Melinder, Jens; Guaita, Lucia; Micheva, Genoveva [Department of Astronomy, Stockholm University, Oscar Klein Centre, AlbaNova, Stockholm SE-106 91 (Sweden); Orlitová, Ivana [Observatoire de Genève, Université de Genève, Chemin des Maillettes 51, 1290 Versoix (Switzerland); Atek, Hakim [Laboratoire d' Astrophysique, Ecole Polytechnique Fédérale de Lausanne, Observatoire de Sauverny, CH-1290 Versoix (Switzerland); Cannon, John M.; Pardy, Stephen A. [Department of Physics and Astronomy, Macalester College, 1600 Grand Avenue, Saint Paul, MN 55105 (United States); Gruyters, Pieter [Department of Physics and Astronomy, Division of Astronomy and Space Physics, Uppsala University, Box 516, 75120 Uppsala (Sweden); Herenz, Edmund Christian [Leibniz-Institute for Astrophysics Potsdam (AIP), innoFSPEC, An der Sternwarte 16, D-14482 Potsdam (Germany); Kunth, Daniel [Institut d' Astrophysique Paris, 98bis Bd Arago, F-75014 Paris (France); Laursen, Peter [Dark Cosmology Centre, Niels Bohr Institute, University of Copenhagen, DK-2100 Copenhagen (Denmark); Mas-Hesse, J. Miguel [Centro de Astrobiologa (CSIC-INTA), Departamento de Astrofsica, POB 78, E-28691, Villanueva de la Cañada (Spain); Otí-Floranes, Héctor [Instituto de Astronoma, Universidad Nacional Autnoma de Mxico, Apdo. Postal 106, Ensenada B. C. 22800 (Mexico); and others

    2014-12-10

    The Lyα Reference Sample (LARS) is a substantial program with the Hubble Space Telescope (HST) that provides a sample of local universe laboratory galaxies in which to study the detailed astrophysics of the visibility and strength of the Lyαline of neutral hydrogen. Lyα is the dominant spectral line in use for characterizing high-redshift (z) galaxies. This paper presents an overview of the survey, its selection function, and HST imaging observations. The sample was selected from the combined GALEX+Sloan Digital Sky Survey catalog at z = 0.028-0.19, in order to allow Lyα to be captured with combinations of long-pass filters in the Solar Blind Channel (SBC) of the Advanced Camera for Surveys (ACS) onboard HST. In addition, LARS utilizes Hα and Hβ narrowband and u, b, i broadband imaging with ACS and the Wide Field Camera 3 (WFC3). In order to study galaxies in which large numbers of Lyα photons are produced (whether or not they escape), we demanded an Hα equivalent width W(Hα) ≥100 Å. The final sample of 14 galaxies covers far-UV (FUV, λ ∼ 1500 Å) luminosities that overlap with those of high-z Lyα emitters (LAEs) and Lyman break galaxies (LBGs), making LARS a valid comparison sample. We present the reduction steps used to obtain the Lyα images, including our LARS eXtraction software (LaXs), which utilizes pixel-by-pixel spectral synthesis fitting of the energy distribution to determine and subtract the continuum at Lyα. We demonstrate that the use of SBC long-pass-filter combinations increase the signal-to-noise ratio by an order of magnitude compared to the nominal Lyα filter available in SBC. To exemplify the science potential of LARS, we also present some first results for a single galaxy, Mrk 259 (LARS #1). This irregular galaxy shows bright and extended (indicative of resonance scattering) but strongly asymmetric Lyα emission. Spectroscopy from the Cosmic Origins Spectrograph on board HST centered on the brightest UV knot shows a moderate

  13. How well are we supporting hospice staff? Initial results of the Survey of Team Attitudes and Relationships (STAR) validation study.

    Science.gov (United States)

    Qaseem, Brye; Shea, Judy; Connor, Stephen R; Casarett, David

    2007-10-01

    Despite the emotional and interpersonal challenges that hospice staff face in providing care to patients near the end of life, no systematic effort has been made to evaluate the work environment that hospices provide to their staff. The aim of this project was to develop a job satisfaction survey that could be used to evaluate the hospice work environment and, ultimately, to guide interventions to improve the work experience for hospice staff. A first draft of the Survey of Team Attitudes and Relationships (STAR) was developed through semi-structured interviews with an interdisciplinary sample of staff from nine hospices, and then refined with input from additional interviews and from an expert panel. The draft was tested on larger samples of staff (n=160) from six hospices and revised with input from the expert panel. The final survey was tested with 599 staff from 10 hospices. The final survey contains 45 items in six domains: individual work rewards, teamwork, management support, organizational support, workload issues, and global assessment of job satisfaction. Items had excellent psychometric characteristics, with acceptable floor and ceiling effects. The overall STAR had a Cronbach's alpha of 0.93, indicating good homogeneity, and each domain had alpha values that are appropriate for between-group comparisons (range 0.74-0.84). These results suggest that the STAR offers a unique instrument to measure the work environment hospices provide to their staff.

  14. Public's perception and satisfaction on the roles and services provided by pharmacists - Cross sectional survey in Sultanate of Oman.

    Science.gov (United States)

    Jose, Jimmy; Al Shukili, Marwa Nasser; Jimmy, Beena

    2015-11-01

    An important factor that will help in advancement of the pharmacy services in any country would be to understand the public needs, expectation and satisfaction. There are limited published studies conducted in Sultanate of Oman regarding the perception and satisfaction of public on the role and services provided by pharmacists. The present study was conducted to assess the perception and satisfaction of general public in Sultanate of Oman on the roles, and services received from the pharmacists. The survey was conducted among public in the Governorates of A'Dahera and Muscat in Oman during 2013. The questionnaire had items to assess two aspects: perception on the roles and responsibilities of pharmacists and satisfaction on the services provided. The responses to the questions marked in a five point Likert scale were assessed using a scoring scheme. Accordingly, the median perception, and satisfaction score and median total score for the participants were estimated. The median scores of the participants were related with the demographics of the participants and frequency of visit to pharmacy. A total of 390 completed questionnaires were obtained. The median total score of the participants based on all the questions was 79 (Inter Quartile Range (IQR), 12) which represents a moderate score. The median perception and satisfaction scores were 44 (IQR 5) and 34 (IQR 7) which represent a good and moderate score, respectively. Perception of the participants differed based on employment status, frequency of visit to pharmacy and governorate represented by participants while satisfaction was influenced by educational qualification and frequency of visit to pharmacy. Public had a good perception regarding the roles of the pharmacists while they were only moderately satisfied with the services provided. Steps have to be taken to improve the services and relationship of pharmacists, and thereby improve the satisfaction of the customers. An extended study in a broader

  15. Indoor Environment and Energy Use in Historic Buildings - Comparing Survey Results with Measurements and Simulations

    DEFF Research Database (Denmark)

    Rohdin, P.; Dalewski, M.; Moshfegh, B.

    2012-01-01

    Increasing demand for energy efficiency places new requirements on energy use in historic buildings. Efficient energy use is essential if a historic building is to be used and preserved, especially buildings with conventional uses such as residential buildings and offices. This paper presents...... results which combine energy auditing with building energy simulation and an indoor environment survey among the occupants of the building. Both when comparing simulations with measurements as well as with survey results good agreement was found. The two efficiency measures that are predicted to increase...

  16. Lack of consensus on corneal abrasion management: results of a national survey.

    Science.gov (United States)

    Calder, Lisa; Balasubramanian, Sowmya; Stiell, Ian

    2004-11-01

    Our objective was to determine the practice patterns of Canadian emergency physicians with respect to the management of traumatic corneal abrasions. After developing our instrument and pilot testing it on a sample of emergency residents, we randomly surveyed 470 members of the Canadian Association of Emergency Physicians, using a modified Dillman technique. We distributed a pre-notification letter, an 18-item survey, and appropriate follow-up surveys to non-responders. Those members with an email address (n = 400) received a Web-based survey, and those without (n = 70) received a survey by post. The survey focused on the indications and utilization of analgesics (oral and topical), cycloplegics, eye patches and topical antibiotics. Our response rate was 64% (301/470), and the median age of respondents was 38 years. Most (77.7%) were male, 71.8% were full-time emergency physicians, 76.5% were emergency medicine certified, and 64.4% practised in teaching hospitals. Pain management preferences (offered usually or always) included oral analgesics (82.1%), cycloplegics (65.1%) and topical non-steroidal anti-inflammatory drugs (NSAIDs) (52.8%). Only 21.6% of respondents performed patching, and most (71.2%) prescribed topical antibiotics, particularly for contact lens wearers and patients with ocular foreign bodies. Two-thirds of the respondents provided tetanus toxoid if a foreign body was present, and 46.2% did so even if a foreign body was not present. Most respondents (88.0%) routinely arranged follow-up. This national survey of emergency physicians demonstrates a lack of consensus on the management of traumatic corneal abrasions. Further study is indicated to determine the optimal treatment, particularly regarding the use of topical NSAIDs.

  17. Sociodemographic characteristics of tobacco users as determinants of tobacco use screening done by healthcare providers: Global Adult Tobacco Survey India 2009-2010.

    Science.gov (United States)

    Ruhil, Rohini

    2016-01-01

    World Health Organization and Indian Public Health Standards recommend provision of tobacco use screening and cessation help at primary care settings. Evidence shows that brief advice by healthcare provider helps tobacco user quit. It starts with asking the patient about his tobacco use status. The rate of tobacco use screening done by healthcare providers is very low and also depends on sociodemographic characteristics of patients along with several other factors. This paper intends to study how sociodemographic characteristics (age, gender, residence [rural/urban], education, and occupation) of tobacco users influence the tobacco use screening done by healthcare providers. The study was a secondary data analysis of the Global Adult Tobacco Survey India 2009-2010. There were 4958 smokers and 7255 smokeless tobacco users included in the study who visited healthcare provider in the past 12 months prior to the survey. The results showed that male smokers were more likely to be screened for smoking by healthcare providers as compared to female smokers. Furthermore, tobacco users in younger age groups were less likely to be screened for tobacco use by healthcare providers as compared to tobacco users in older age groups. Urban smokeless tobacco users were more likely to be screened for tobacco use by healthcare provider as compared to rural smokeless tobacco users. Healthcare providers were being biased in tobacco use screening of their patients based on demographic characteristics of patients, i.e., their age, gender, and rural/urban residence. However, the evidence shows that it is very imperative to screen each and every patient for tobacco use habit.

  18. Essential literature for the chiropractic profession: Results and implementation challenges from a survey of international chiropractic faculty

    Science.gov (United States)

    Mansholt, Barbara A.; Salsbury, Stacie A.; Corber, Lance G.; Stites, John S.

    2017-01-01

    Objective: Scientific literature applicable to chiropractic practice proliferates in quantity, quality, and source. Chiropractic is a worldwide profession and varies in scope between states or provinces and from country to country. It is logical to consider that the focus and emphasis of chiropractic education varies between programs as well. This original research study endeavored to determine “essential literature” recommended by chiropractic faculty. The purpose of this article is (1) to share our results and (2) to promote discussion and explore means for future collaboration of chiropractic faculty through a worldwide platform. Methods: A 2-phase recruitment occurred initially at the institutional level and subsequently at the faculty level. A Web-based survey used qualitative data collection methods to gather bibliographic citations. Descriptive statistics were calculated for demographics, and citation responses were ranked per number of recommendations, grouped into categories, and tabulated per journal source and publication date. Results: Forty-one chiropractic programs were contacted, resulting in 30 participating chiropractic programs (16 US and 14 international). Forty-five faculty members completed the entire survey, submitting 126 peer-reviewed publications and 25 additional citations. Readings emphasized clinical management of spine pain, the science of spinal manipulation, effectiveness of manual therapies, teaching of chiropractic techniques, outcomes assessments, and professional issues. Conclusion: A systematic approach to surveying educators in international chiropractic institutions was accomplished. The results of the survey provide a list of essential literature for the chiropractic profession. We recommend establishing a chiropractic faculty registry for improved communication and collaboration. PMID:28768114

  19. Algorithms for personalized therapy of type 2 diabetes: results of a web-based international survey

    Science.gov (United States)

    Gallo, Marco; Mannucci, Edoardo; De Cosmo, Salvatore; Gentile, Sandro; Candido, Riccardo; De Micheli, Alberto; Di Benedetto, Antonino; Esposito, Katherine; Genovese, Stefano; Medea, Gerardo; Ceriello, Antonio

    2015-01-01

    Objective In recent years increasing interest in the issue of treatment personalization for type 2 diabetes (T2DM) has emerged. This international web-based survey aimed to evaluate opinions of physicians about tailored therapeutic algorithms developed by the Italian Association of Diabetologists (AMD) and available online, and to get suggestions for future developments. Another aim of this initiative was to assess whether the online advertising and the survey would have increased the global visibility of the AMD algorithms. Research design and methods The web-based survey, which comprised five questions, has been available from the homepage of the web-version of the journal Diabetes Care throughout the month of December 2013, and on the AMD website between December 2013 and September 2014. Participation was totally free and responders were anonymous. Results Overall, 452 physicians (M=58.4%) participated in the survey. Diabetologists accounted for 76.8% of responders. The results of the survey show wide agreement (>90%) by participants on the utility of the algorithms proposed, even if they do not cover all possible needs of patients with T2DM for a personalized therapeutic approach. In the online survey period and in the months after its conclusion, a relevant and durable increase in the number of unique users who visited the websites was registered, compared to the period preceding the survey. Conclusions Patients with T2DM are heterogeneous, and there is interest toward accessible and easy to use personalized therapeutic algorithms. Responders opinions probably reflect the peculiar organization of diabetes care in each country. PMID:26301097

  20. The voice of experience: results from Cancer Control New Zealand's first national cancer care survey.

    Science.gov (United States)

    O'Brien, Inga; Britton, Emma; Sarfati, Diana; Naylor, Wayne; Borman, Barry; Ellison-Loschmann, Lis; Simpson, Andrew; Tamblyn, Craig; Atkinson, Chris

    2010-11-05

    The 2009 Cancer Care Survey aimed to gather information from patients about their experiences receiving outpatient cancer care. In mid-2009, Cancer Control New Zealand sent an NRC+Picker postal survey to a stratified sample of 3251 eligible adults, who had received outpatient cancer care between October 2008 and March 2009. Eight cancer treatment facilities across New Zealand provided patient lists from which potential respondents were selected. The final response rate to the survey was 68%. Most of the patients surveyed responded very positively to questions related to specialist care coordination (91% positive response; 95%CI: 90-93), the level of privacy (87% positive response; 95%CI: 85-89), and the dignity and respect provided by healthcare professionals (86% positive response; 95%CI: 85-88). However, patients tended to be much less positive about the level of information they received on the effects of cancer treatment on their day-to-day life (responses ranging between 30% and 40% positive) and the level of emotional support provided (36% positive response; 95%CI: 33-39). Responses from different cancer services tended to follow similar patterns, although for twelve questions there was at least a 20% difference in response between services. Overall, patients rated their outpatient cancer care experiences as positive, but important gaps exist in the provision of information, emotional support, and treating patients within the context of their living situation. Cancer patient experience surveys can achieve high response rates and generate useful information on patient perceptions of their care. This data can be used to inform quality improvement efforts at both national and cancer treatment service levels.

  1. Defining Medical Student Patient Care Responsibilities Before Intern Year: Results of a National Survey.

    Science.gov (United States)

    King, Christopher J; Bolton, Andrew; Guerrasio, Jeannette; Trosterman, Adam

    2017-12-01

    Program directors have noted that first-year residents struggle with many of the patient care responsibilities they assume as they enter the US graduate medical education system. A national description of medical students' patient care experience in advance of graduation has not been published. We sought to describe the experience of US medical students during their clinical training by surveying the student representatives of each school. We developed a mixed-methods survey that was delivered to representatives of 82 schools via an e-mail link to an online survey. Our response rate was 54% (44/82). Of those responding, 28% reported that students do not write any patient care orders at their institution and 34% reported not receiving pages related to patient care. Only 26% of institutions provide an increased patient load to students during their final year of training. Students identified many areas to improve the role of fourth-year medical students, including writing patient care orders, answering pages, increasing autonomy, defining their role better, and providing them with a longer subinternship experience. Our survey suggests that students are graduating from the undergraduate medical education system and moving to the graduate medical education system in the United States without a guarantee of having answered a page related to patient care or having placed a patient care order. Further studies of students' experiences should be conducted to explore whether exposure to these skills improves first-year resident performance.

  2. Economic instruments for obesity prevention: results of a scoping review and modified delphi survey

    Directory of Open Access Journals (Sweden)

    LaFrance Jeffrey

    2011-10-01

    Full Text Available Abstract Background Comprehensive, multi-level approaches are required to address obesity. One important target for intervention is the economic domain. The purpose of this study was to synthesize existing evidence regarding the impact of economic policies targeting obesity and its causal behaviours (diet, physical activity, and to make specific recommendations for the Canadian context. Methods Arksey and O'Malley's (2005 methodological framework for conducting scoping reviews was adopted for this study and this consisted of two phases: 1 a structured literature search and review, and 2 consultation with experts in the research field through a Delphi survey and an in-person expert panel meeting in April 2010. Results Two key findings from the scoping review included 1 consistent evidence that weight outcomes are responsive to food and beverage prices. The debate on the use of food taxes and subsidies to address obesity should now shift to how best to address practical issues in designing such policies; and 2 very few studies have examined the impact of economic instruments to promote physical activity and clear policy recommendations cannot be made at this time. Delphi survey findings emphasised the relatively modest impact any specific economic instrument would have on obesity independently. Based on empirical evidence and expert opinion, three recommendations were supported. First, to create and implement an effective health filter to review new and current agricultural polices to reduce the possibility that such policies have a deleterious impact on population rates of obesity. Second, to implement a caloric sweetened beverage tax. Third, to examine how to implement fruit and vegetable subsidies targeted at children and low income households. Conclusions In terms of economic interventions, shifting from empirical evidence to policy recommendation remains challenging. Overall, the evidence is not sufficiently strong to provide clear policy

  3. Adolescent end of life preferences and congruence with their parents' preferences: results of a survey of adolescents with cancer.

    Science.gov (United States)

    Jacobs, Shana; Perez, Jennie; Cheng, Yao Iris; Sill, Anne; Wang, Jichuan; Lyon, Maureen E

    2015-04-01

    Little is known about how well family members accurately represent adolescents when making EOL decisions on their behalf. This study reports on surveys given to adolescents with cancer and their parents as part of a larger study facilitating advanced care discussions, as well as the results of a survey for health care providers. Trained facilitators administered surveys orally to adolescents and families in the intervention arm of the FAmily CEntered Advance Care Planning (ACP) for Teens with Cancer (FACE-TC) study. In addition, a post-hoc survey was sent to oncology providers. Seventeen adolescent/family dyads completed this survey. Seventy five percent of adolescents believed it was appropriate to discuss EOL decisions early and only 12% were not comfortable discussing death. Most preferred to be at home if dying. There were substantial areas of congruence between adolescents and their surrogates, but lower agreement on the importance of dying a natural death, dying at home and "wanting to know if I were dying." Among providers, 83% felt their patients' participation in the study was helpful to the patients and 78% felt it was helpful to them as providers. Adolescents with cancer were comfortable discussing EOL, and the majority preferred to talk about EOL issues before they are facing EOL. There were substantive areas of agreement between adolescents and their surrogates, but important facets of adolescents' EOL wishes were not known by their families, reinforcing the importance of eliciting individual preferences and engaging dyads so parents can understand their children's wishes. © 2014 Wiley Periodicals, Inc.

  4. Response rates for providing a blood specimen for HIV testing in a population-based survey of young adults in Zimbabwe

    Directory of Open Access Journals (Sweden)

    Dube Hazel M

    2007-07-01

    Full Text Available Abstract Background To determine differences among persons who provided blood specimens for HIV testing compared with those who did not among those interviewed for the population-based Zimbabwe Young Adult Survey (YAS. Methods Chi-square analysis of weighted data to compare demographic and behavioral data of persons interviewed who provided specimens for anonymous testing with those who did not. Prevalence estimation to determine the impact if persons not providing specimens had higher prevalence rates than those who did. Results Comparing those who provided specimens with those who did not, there was no significant difference by age, residence, education, marital status, perceived risk, sexual experience or number of sex partners for women. A significant difference by sexual experience was found for men. Prevalence estimates did not change substantially when prevalence was assumed to be two times higher for persons not providing specimens. Conclusion When comparing persons who provided specimens for HIV testing with those who did not, few significant differences were found. If those who did not provide specimens had prevalence rates twice that of those who did, overall prevalence would not be substantially affected. Refusal to provide blood specimens does not appear to have contributed to an underestimation of HIV prevalence.

  5. Survey results of the training, nutrition, and mental preparation of triathletes: practical implications of findings.

    Science.gov (United States)

    Dolan, Shawn H; Houston, Melinda; Martin, Scott B

    2011-07-01

    Although triathlon is growing in popularity at a remarkable rate, it has not been extensively studied. The aims of this research were to identify preparation strategies used by triathletes and to categorize these strategies according to gender and consultation with triathlon coaches. Survey data collected from 401 triathletes (207 males, 194 females) revealed training, nutritional, and mental preparation habits. Most participants engaged in strength training, consumed food and/or fluids during and after training, set training and competition goals, and applied mental preparation strategies during training and the hour before racing. Water was the most commonly consumed fluid; positive self-talk was the most used mental strategy. Participants were more likely to consult with a triathlon coach than a nutrition or sport psychology professional. Athletes with more years of experience in triathlon and those competing in longer distances were more likely to consult a triathlon coach. Female triathletes were more likely than male triathletes to train with others, use mental preparation strategies, and report feeling anxious before competitions. More male triathletes reported using nutritional supplements during training than their female counterparts. These findings add to the limited research base on triathletes' training habits, and hopefully will help guide practitioners who work with this group. The results provide guidance for collaborative efforts among training, nutrition, and mental health professionals to best support triathletes.

  6. Barriers to Mental Health Treatment: Results from the WHO World Mental Health (WMH) Surveys

    Science.gov (United States)

    Andrade, L. H.; Alonso, J.; Mneimneh, Z.; Wells, J. E.; Al-Hamzawi, A.; Borges, G.; Bromet, E.; Bruffaerts, R.; de Girolamo, G.; de Graaf, R.; Florescu, S.; Gureje, O.; Hinkov, H. R.; Hu, C.; Huang, Y.; Hwang, I.; Jin, R.; Karam, E. G.; Kovess-Masfety, V.; Levinson, D.; Matschinger, H.; O’Neill, S.; Posada-Villa, J.; Sagar, R.; Sampson, N. A.; Sasu, C.; Stein, D.; Takeshima, T.; Viana, M. C.; Xavier, M.; Kessler, R. C.

    2014-01-01

    Background To examine barriers to initiation and continuation of mental health treatment among individuals with common mental disorders. Methods Data are from the WHO World Mental Health (WMH) Surveys. Representative household samples were interviewed face-to-face in 24 countries. Reasons to initiate and continue treatment were examined in a subsample (n= 63,678) and analyzed at different levels of clinical severity. Results Among those with a DSM-IV disorder in the past twelve months, low perceived need was the most common reason for not initiating treatment and more common among moderate and mild than severe cases. Women and younger people with disorders were more likely to recognize a need for treatment. Desire to handle the problem on one’s own was the most common barrier among respondents with a disorder who perceived a need for treatment (63.8%). Attitudinal barriers were much more important than structural barriers both to initiating and continuing treatment. However, attitudinal barriers dominated for mild-moderate cases and structural barriers for severe cases. Perceived ineffectiveness of treatment was the most commonly reported reason for treatment dropout (39.3%) followed by negative experiences with treatment providers (26.9% of respondents with severe disorders). Conclusions Low perceived need and attitudinal barriers are the major barriers to seeking and staying in treatment among individuals with common mental disorders worldwide. Apart from targeting structural barriers, mainly in countries with poor resources, increasing population mental health literacy is an important endeavor worldwide. PMID:23931656

  7. Quality metrics currently used in academic radiology departments: results of the QUALMET survey.

    Science.gov (United States)

    Walker, Eric A; Petscavage-Thomas, Jonelle M; Fotos, Joseph S; Bruno, Michael A

    2017-03-01

    We present the results of the 2015 quality metrics (QUALMET) survey, which was designed to assess the commonalities and variability of selected quality and productivity metrics currently employed by a large sample of academic radiology departments representing all regions in the USA. The survey of key radiology metrics was distributed in March-April of 2015 via personal e-mail to 112 academic radiology departments. There was a 34.8% institutional response rate. We found that most academic departments of radiology commonly utilize metrics of hand hygiene, report turn around time (RTAT), relative value unit (RVU) productivity, patient satisfaction and participation in peer review. RTAT targets were found to vary widely. The implementation of radiology peer review and the variety of ways in which peer review results are used within academic radiology departments, the use of clinical decision support tools and requirements for radiologist participation in Maintenance of Certification also varied. Policies for hand hygiene and critical results communication were very similar across all institutions reporting, and most departments utilized some form of missed case/difficult case conference as part of their quality and safety programme, as well as some form of periodic radiologist performance reviews. Results of the QUALMET survey suggest many similarities in tracking and utilization of the selected quality and productivity metrics included in our survey. Use of quality indicators is not a fully standardized process among academic radiology departments. Advances in knowledge: This article examines the current quality and productivity metrics in academic radiology.

  8. Enabling a Community of Practice: Results of the LSCHE Web Portal Survey

    Science.gov (United States)

    Hoff, Meagan A.; Hodges, Russ; Lin, Yuting; McConnell, Michael C.

    2017-01-01

    The study explored usage patterns of the Learning Support Centers in Higher Education (LSCHE) web portal, an open educational resource (OER) that serves learning support center professionals. Results of an online survey taken by LSCHE users (N = 41) tracked their self-reported usage and perceived value of resources on the web portal, which…

  9. Student Experiences at Off-Campus Parties: Results from a Multicampus Survey

    Science.gov (United States)

    Jakeman, Rick C.; Silver, Blake R.; Molasso, William

    2014-01-01

    The need to understand the settings in which students drink represents an ongoing challenge for universities. Undergraduate students (N = 2,146) completed an online multicampus survey to capture the perceptions of off-campus party guests regarding common party behaviors and events. Results indicate that students frequently attend off-campus…

  10. Tenure Standards in Political Science Departments: Results from a Survey of Department Chairs

    Science.gov (United States)

    Rothgeb, John M., Jr.; Burger, Betsy

    2009-01-01

    This article presents the results from a survey of political science department chairs regarding the tenure procedures and standards at their colleges or universities. The findings reveal that only a small fraction of the colleges and universities in the United States refuse to offer tenure or are attempting to limit tenure. We also find general…

  11. Wildland fire, risk, and recovery: results of a national survey with regional and racial perspectives

    Science.gov (United States)

    J. Michael Bowker; Siew Hoon Lim; H. Ken Cordell; Gary T. Green; Sandra Rideout-Hanzak; Cassandra Y. Johnson

    2008-01-01

    We used a national household survey to examine knowledge, attitudes, and preferences pertaining to wildland fire. First, we present nationwide results and trends. Then, we examine opinions across region and race. Despite some regional variation, respondents are fairly consistent in their beliefs about assuming personal responsibility for living in fire-prone areas and...

  12. Bullying in Middle Schools: Results from a Four-School Survey

    Science.gov (United States)

    Pergolizzi, Fabianna; Richmond, Darren; Macario, Samantha; Gan, Zoe; Richmond, Charlotte; Macario, Everly

    2009-01-01

    The suicide of a cyberbullied student prompted the school-aged authors of this article to administer a Child Abuse Prevention Services survey to 587 students in seventh and eighth grades at four schools. Results showed that 4 of 5 students felt bullying is a problem, with 1 in 3 admitting to having bullied someone. Of those who did nothing when…

  13. Results from a survey of the South African GISc community show ...

    African Journals Online (AJOL)

    This article presents results of a survey by the Geo-information Society of South Africa (GISSA) to gain a better understanding of who the members of the South ... members of the GISc community fulfil roles of data analysis and interpretation, together with data acquisition, data management, and/or visualization/mapping.

  14. Literacy for Life: Further Results from the Adult Literacy and Life Skills Survey

    Science.gov (United States)

    OECD Publishing (NJ3), 2011

    2011-01-01

    Literacy for Life is the second report from the Adult Literacy and Life Skills Survey. It presents additional results on the nature and magnitude of the literacy gaps faced by OECD countries and how these gaps have evolved over the medium term. It offers new insights into the factors that influence the formation of adult skills in various…

  15. Results of User Satisfaction Surveys for 18 buildings, 3rd Draft

    DEFF Research Database (Denmark)

    Larsen, Olena Kalyanova; Heiselberg, Per

    This report is prepared to assemble and to summarise all user satisfaction surveys available for buildings from Building AdVent project. The report is organised so, that results for each building presented in a separate chapter. Moreover, the report is divided into six parts, these are, as follow...

  16. Inadequate control of heart rate in patients with stable angina: results from the European heart survey.

    NARCIS (Netherlands)

    Daly, C.A.; Clemens, F.; Sendon, J.L.; Tavazzi, L.; Boersma, E.; Danchin, N.; Delahaye, F.; Gitt, A.; Julian, D.; Mulcahy, D.; Ruzyllo, W.; Thygesen, K.; Verheugt, F.W.A.; Fox, K.M.

    2010-01-01

    AIMS: To examine resting heart rate (HR) in a population presenting with stable angina in relation to prior and subsequent pharmacological treatment, comorbid conditions and clinical outcome. METHODS AND RESULTS: The European Heart Survey was a prospective, observational, cohort study of 3779

  17. What Extension Professionals Say about Teaching Health Insurance: Results from a Nationwide Survey

    Science.gov (United States)

    Brown, Virginia; Koonce, Joan C.; Martin, Ken; Kiss, Elizabeth; Katras, Mary Jo; Wise, Dena

    2017-01-01

    The Extension Committees on Organization and Policy adopted a new Health and Wellness Framework with six priority areas. A health insurance literacy team was appointed to assess current system efforts and develop research, programs, and professional development opportunities. Survey results show that finance educators were the most likely…

  18. Factors Influencing Service-Learning Utilization in Social Work: Results from an Online Survey of Faculty

    Science.gov (United States)

    Cronley, Courtney; Madden, Elissa; Davis, Jaya; Preble, Kathleen

    2014-01-01

    The current study (N = 209) explored service-learning utilization in social work education by examining the influence of personal and institutional characteristics, perceived barriers, and beliefs about service-learning outcomes. Results of an online survey of social work educators showed that neither personal nor institutional characteristics…

  19. A blood-result turn-around time survey to improve congenital ...

    African Journals Online (AJOL)

    The results of a turn-around time study of blood specimens for syphilis serology in antenatal clinic attenders between 19 rural clinics and their base hospital, including a follow-up survey to assess the impact of interventions, are described. The objective of the study was to detennine how long blood samples took to get.

  20. Incidence, patient satisfaction, and perceptions of post-surgical pain: results from a US national survey.

    Science.gov (United States)

    Gan, Tong J; Habib, Ashraf S; Miller, Timothy E; White, William; Apfelbaum, Jeffrey L

    2014-01-01

    During the past two decades, professional associations, accrediting bodies, and payors have made post-surgical pain treatment a high priority. In light of the disappointing findings in previous surveys, a survey was conducted to assess patient perceptions and characterize patient experiences/levels of satisfaction with post-surgical pain management. Survey included a random sample of US adults who had undergone surgery within 5 years from the survey date. Participants were asked about their concerns before surgery, severity of perioperative pain, pain treatments, perceptions about post-surgical pain and pain medications, and satisfaction with treatments they received. Of the 300 participants, ∼86% experienced pain after surgery; of these, 75% had moderate/extreme pain during the immediate post-surgical period, with 74% still experiencing these levels of pain after discharge. Post-surgical pain was the most prominent pre-surgical patient concern, and nearly half reported they had high/very high anxiety levels about pain before surgery. Approximately 88% received analgesic medications to manage pain; of these, 80% experienced adverse effects and 39% reported moderate/severe pain even after receiving their first dose. Key study limitations include the relatively small population size, potential for recall bias associated with the 14-month average time delay from surgery date to survey date, and the inability to account for influences of type of surgery and intraoperative anesthetic/analgesic use on survey results. Despite heightened awareness and clinical advancements in pain management, there has been little improvement in post-surgical analgesia as measured by this survey of post-surgical patients.

  1. Results of an Institutional LGBT Climate Survey at an Academic Medical Center.

    Science.gov (United States)

    Chester, Sean D; Ehrenfeld, Jesse M; Eckstrand, Kristen L

    2014-12-01

    The purpose of this study was to characterize the climate and culture experienced by lesbian, gay, bisexual, and transgender (LGBT) employees and students at one large academic medical center. An anonymous, online institutional climate survey was used to assess the attitudes and experiences of LGBT employees and students. There were 42 LGBT and 14 non-LGBT survey participants. Results revealed that a surprisingly large percentage of LGBT individuals experienced pressure to remain "closeted" and were harassed despite medical center policies of non-discrimination. Continuing training, inclusive policies and practices, and the development of mechanisms to address LGBT-specific harassment are necessary for improving institutional climate.

  2. Head teacher professional networks in Italy: preliminary results of a national survey

    Directory of Open Access Journals (Sweden)

    Maurissens Isabel de

    2016-06-01

    Full Text Available In this article, we present the preliminary results of a national survey conducted by INDIRE on head teachers communities and professional networks. About one-fourth of the total population of Italian public school leaders participated in the survey. One of the main intents of this research is to contribute to understanding of the phenomenon of professional networks frequented by school leaders and to pave the way for a further reflection on how to use such networks for head teachers’ training so as to support their daily professional practice conducted too often in isolation.

  3. Vulnerability to risk among small farmers in Tajikistan: results of a 2011 survey

    OpenAIRE

    Lerman, Zvi; Wolfgramm, Bettina

    2011-01-01

    Tajikistan is judged to be highly vulnerable to risk, including food insecurity risks and climate change risks. By some vulnerability measures it is the most vulnerable among all 28 countries in the World Bank’s Europe and Central Asia Region – ECA (World Bank 2009). The rural population, with its relatively high incidence of poverty, is particularly vulnerable. The Pilot Program for Climate Resilience (PPCR) in Tajikistan (2011) provided an opportunity to conduct a farm-level survey with the...

  4. European farmers' intentions to invest in 2014-2020: survey results

    OpenAIRE

    LEFEBVRE MARIANNE; DE CUYPER Kim; LOIX Ellen; VIAGGI Davide; GOMEZ Y PALOMA Sergio

    2014-01-01

    The present study aims to analyse farmers’ intentions to invest in the period 2014-2020, focussing on investments in land, buildings, machinery and equipment, training, and quotas and production rights. It provides up-to-date information on EU farm investment patterns that is not otherwise available in traditional agricultural statistics (such as Farm Accountancy Data Network or the Eurostat Farm Structure Survey). Use of the data in this study contributes to the general understandin...

  5. Neglect-like symptoms in complex regional pain syndrome: results of a self-administered survey.

    Science.gov (United States)

    Galer, B S; Jensen, M

    1999-09-01

    Reflex sympathetic dystrophy (RSD), recently reclassified as a complex regional pain syndrome, type I (CRPS-I), is best known for its disabling sensory symptoms, including pain, allodynia, and abnormal skin temperature. Yet, motor dysfunction is common in CRPS and can result in major disability. In addition to weakness of the involved limb, CRPS patients may develop symptoms akin to a neurological neglect-like syndrome, whereby the limb may feel foreign ("cognitive neglect") and directed mental and visual attention is needed to move the limb ("motor neglect"). Members of the patient support group, the Reflex Sympathetic Dystrophy Syndrome Association (RSDSA), were mailed a questionnaire inserted in their newsletter which inquired about the presence of these neglect-like symptoms; in addition, a separate medical history questionnaire was included to assess adequate documentation for the diagnosis of CRPS. A total of 242 patients returned the questionnaire but only 224 of the questionnaires were analyzed; 15 were excluded due to inadequate documentation of CRPS and 3 were excluded due to non-limb involvement. Eighty-four percent (84%) of these respondents endorsed the presence of at least one neglect symptom and 47% indicated they had both "cognitive" and "motor" neglect symptoms. Of interest, approximately 33% of respondents spontaneously wrote comments regarding the significant disability due to these neglect symptoms and the difficulty explaining these unusual symptoms to their health care providers and family. This patient survey confirms the presence of neglect-like symptoms in a subset of CRPS patients. Neglect-like symptoms need to be addressed and validated by health care providers.

  6. Science Resulting from U.S. Geological Survey's "Did You Feel It?" Citizen Science Portal

    Science.gov (United States)

    Wald, D. J.; Dewey, J. W.; Atkinson, G. M.; Worden, C. B.; Quitoriano, V. P. R.

    2016-12-01

    The U.S. Geological Survey (USGS) "Did You Feel It?" (DYFI) system, in operation since 1999, is an automated approach for rapidly collecting macroseismic intensity data from internet users' shaking and damage reports and generating intensity maps immediately following earthquakes felt around the globe. As with any citizen science project, a significant component of the DYFI system is public awareness and participation in the immediate aftermath of any widely felt earthquake, allowing the public and the USGS to exchange valuable post-earthquake information. The data collected are remarkably robust and useful, as indicated by the range of peer-reviewed literature that rely on these citizen-science intensity reports. A Google Scholar search results in 14,700 articles citing DYFI, a number of which rely exclusively on these data. Though focused on topics of earthquake seismology (including shaking attenuation and relationships with damage), other studies cover social media use in disasters, human risk perception, earthquake-induced landslides, rapid impact assessment, emergency response, and science education. DYFI data have also been analyzed for non-earthquake events, including explosions, aircraft sonic booms, and even bolides and DYFI is now one of the best data sources from which to study induced earthquakes. Yet, DYFI was designed primarily as an operational system to rapidly assess the effects of earthquakes for situational awareness. Oftentimes, DYFI data are the only data available pertaining to shaking levels for much of the United States. As such, DYFI provides site-specific constraints of the shaking levels that feed directly into ShakeMap; thus, these data are readily available to emergency managers and responders, the media, and the general public. As an early adopter of web-based citizen science and having worked out many kinks in the process, DYFI developers have provided guidance on many other citizen-science endeavors across a wide range of

  7. An Exploration of Canadian Physiotherapists' Decisions about Whether to Supervise Physiotherapy Students: Results from a National Survey.

    Science.gov (United States)

    Hall, Mark; Poth, Cheryl; Manns, Patricia; Beaupre, Lauren

    2016-01-01

    Purpose: To explore Canadian physiotherapists' perceptions of the factors that influence their decisions whether to supervise students in clinical placements. Methods: Using accepted survey development methodology, a survey was developed and administered to 18,110 physiotherapists to identify which factors contribute to the decision to supervise students. The survey also gave respondents opportunities to provide comments; these were analyzed via directed content analysis, using the factors identified in an exploratory factor analysis as an organizing structure. Results: A representative sample of 3,148 physiotherapists responded to the survey. Qualitative analysis of respondent comments provided a rich understanding of the factors contributing to the decision on whether to supervise students, which centred on themes related to stress, workplace productivity, the evaluation instrument, student preparation, and physiotherapists' professional roles and responsibilities. Challenges specific to loss of income and the ethics of charging for student services in private practice were also identified. Conclusions: Supervising students can be stressful, and stress is perceived by respondents to be most influential in deciding whether to supervise students. Effective supervisor training may mitigate some of the stresses related to supervising students. A collaborative approach involving all stakeholders is needed to resolve the issues of student placement capacity.

  8. 2016 Annual Inspection and Radiological Survey Results for the Piqua, Ohio, Decommissioned Reactor Site, July 2016

    Energy Technology Data Exchange (ETDEWEB)

    Zimmerman, Brian [USDOE Office of Legacy Management, Washington, DC (United States); Miller, Michele [Navarro Research and Engineering, Oak Ridge, TN (United States)

    2016-07-01

    This report presents the findings of the annual inspection and radiological survey of the Piqua, Ohio, Decommissioned Reactor Site (site). The decommissioned nuclear power demonstration facility was inspected and surveyed on April 15, 2016. The site, located on the east bank of the Great Miami River in Piqua, Ohio, was in fair physical condition. There is no requirement for a follow-up inspection, partly because City of Piqua (City) personnel participated in a March 2016 meeting to address reoccurring safety concerns. Radiological survey results from 104 locations revealed no removable contamination. One direct beta activity reading in a floor drain on the 56-foot level (1674 disintegrations per minute [dpm]/100 square centimeters [cm2]) exceeded the minimum detectable activity (MDA). Beta activity has been detected in the past at this floor drain. The reading was well below the action level of 5000 dpm/100 cm2.

  9. A cross-sectional study of early identification of postpartum depression: Implications for primary care providers from The Ontario Mother & Infant Survey

    Directory of Open Access Journals (Sweden)

    Sword Wendy

    2002-04-01

    Full Text Available Abstract Background This survey's objective was to provide planning information by examining utilization patterns, health outcomes and costs associated with existing practices in the management of postpartum women and their infants. In particular, this paper looks at a subgroup of women who score ≥ 12 on the Edinburgh Postnatal Depression Survey (EPDS. Methods The design is cross-sectional with follow-up at four weeks after postpartum hospital discharge. Five Ontario hospitals, chosen for their varied size, practice characteristics, and geographic location, provided the setting for the study. The subjects were 875 women who had uncomplicated vaginal deliveries of live singleton infants. The main outcome measures were the EPDS, the Duke UNC Functional Social Support Questionnaire and the Health and Social Services Utilization Questionnaire. Results EPDS scores of ≥ 12 were found in 4.3 to 15.2% of otherwise healthy women. None of these women were being treated for postpartum depression. Best predictors of an EPDS score of ≥ 12 were lack: of confident support, lack of affective support, household income of Conclusions Primary care physicians, midwives, and public health nurses need to screen for depression at every opportunity early in the postpartum period. A mother's expression of undue concern about her own or her baby's health may be predictive of postpartum depression. Flexible, mother-focused support from community providers may decrease the prevalence of postpartum depression.

  10. DIRECT secure messaging as a common transport layer for reporting structured and unstructured lab results to outpatient providers.

    Science.gov (United States)

    Sujansky, Walter; Wilson, Tom

    2015-04-01

    This report describes a grant-funded project to explore the use of DIRECT secure messaging for the electronic delivery of laboratory test results to outpatient physicians and electronic health record systems. The project seeks to leverage the inherent attributes of DIRECT secure messaging and electronic provider directories to overcome certain barriers to the delivery of lab test results in the outpatient setting. The described system enables laboratories that generate test results as HL7 messages to deliver these results as structured or unstructured documents attached to DIRECT secure messages. The system automatically analyzes generated HL7 messages and consults an electronic provider directory to determine the appropriate DIRECT address and delivery format for each indicated recipient. The system also enables lab results delivered to providers as structured attachments to be consumed by HL7 interface engines and incorporated into electronic health record systems. Lab results delivered as unstructured attachments may be printed or incorporated into patient records as PDF files. The system receives and logs acknowledgement messages to document the status of each transmitted lab result, and a graphical interface allows searching and review of this logged information. The described system is a fully implemented prototype that has been tested in a laboratory setting. Although this approach is promising, further work is required to pilot test the system in production settings with clinical laboratories and outpatient provider organizations. Copyright © 2015 Elsevier Inc. All rights reserved.

  11. OzDES multifibre spectroscopy for the Dark Energy Survey: first-year operation and results

    Energy Technology Data Exchange (ETDEWEB)

    Yuan, Fang; Lidman, C.; Davis, T. M.; Childress, M.; Abdalla, F. B.; Banerji, M.; Buckley-Geer, E.; Carnero Rosell, A.; Carollo, D.; Castander, F. J.; D' Andrea, C. B.; Diehl, H. T.; Cunha, C. E.; Foley, R. J.; Frieman, J.; Glazebrook, K.; Gschwend, J.; Hinton, S.; Jouvel, S.; Kessler, R.; Kim, A. G.; King, A. L.; Kuehn, K.; Kuhlmann, S.; Lewis, G. F.; Lin, H.; Martini, P.; McMahon, R. G.; Mould, J.; Nichol, R. C.; Norris, R. P.; O' Neill, C. R.; Ostrovski, F.; Papadopoulos, A.; Parkinson, D.; Reed, S.; Romer, A. K.; Rooney, P. J.; Rozo, E.; Rykoff, E. S.; Sako, M.; Scalzo, R.; Schmidt, B. P.; Scolnic, D.; Seymour, N.; Sharp, R.; Sobreira, F.; Sullivan, M.; Thomas, R. C.; Tucker, D.; Uddin, S. A.; Wechsler, R. H.; Wester, W.; Wilcox, H.; Zhang, B.; Abbott, T.; Allam, S.; Bauer, A. H.; Benoit-L?vy, A.; Bertin, E.; Brooks, D.; Burke, D. L.; Carrasco Kind, M.; Covarrubias, R.; Crocce, M.; da Costa, L. N.; DePoy, D. L.; Desai, S.; Doel, P.; Eifler, T. F.; Evrard, A. E.; Fausti Neto, A.; Flaugher, B.; Fosalba, P.; Gaztanaga, E.; Gerdes, D.; Gruen, D.; Gruendl, R. A.; Honscheid, K.; James, D.; Kuropatkin, N.; Lahav, O.; Li, T. S.; Maia, M. A. G.; Makler, M.; Marshall, J.; Miller, C. J.; Miquel, R.; Ogando, R.; Plazas, A. A.; Roodman, A.; Sanchez, E.; Scarpine, V.; Schubnell, M.; Sevilla-Noarbe, I.; Smith, R. C.; Soares-Santos, M.; Suchyta, E.; Swanson, M. E. C.; Tarle, G.; Thaler, J.; Walker, A. R.

    2015-07-29

    We present results for the first three years of OzDES, a six-year program to obtain redshifts for objects in the Dark Energy Survey (DES) supernova fields using the 2dF fibre positioner and AAOmega spectrograph on the Anglo-Australian Telescope. OzDES is a multi-object spectroscopic survey targeting multiple types of targets at multiple epochs over a multi-year baseline, and is one of the first multi-object spectroscopic surveys to dynamically include transients into the target list soon after their discovery. At the end of three years, OzDES has spectroscopically confirmed almost 100 supernovae, and has measured redshifts for 17,000 objects, including the redshifts of 2,566 supernova hosts. We examine how our ability to measure redshifts for targets of various types depends on signal-to-noise, magnitude, and exposure time, finding that our redshift success rate increases significantly at a signal-to-noise of 2 to 3 per 1-A° ngstrom bin. We also find that the change in signal-to-noise with exposure time closely matches the Poisson limit for stacked exposures as long as 10 hours.We use these results to predict the redshift yield of the full OzDES survey, as well as the potential yields of future surveys on other facilities such as 4MOST, PFS, and MSE. This work marks the first OzDES data release, comprising 15,327 redshifts. OzDES is on target to obtain over 30,000 redshifts over the six-year duration of the survey, including a yield of approximately 5,700 supernova host-galaxy redshifts.

  12. The 18 Household Food Security Survey items provide valid food security classifications for adults and children in the Caribbean

    Directory of Open Access Journals (Sweden)

    Nunes Cheryl

    2006-02-01

    Full Text Available Abstract Background We tested the properties of the 18 Household Food Security Survey (HFSS items, and the validity of the resulting food security classifications, in an English-speaking middle-income country. Methods Survey of primary school children in Trinidad and Tobago. Parents completed the HFSS. Responses were analysed for the 10 adult-referenced items and the eight child-referenced items. Item response theory models were fitted. Item calibrations and subject scores from a one-parameter logistic (1PL model were compared with those from either two-parameter logistic model (2PL or a model for differential item functioning (DIF by ethnicity. Results There were 5219 eligible with 3858 (74% completing at least one food security item. Adult item calibrations (standard error in the 1PL model ranged from -4.082 (0.019 for the 'worried food would run out' item to 3.023 (0.042 for 'adults often do not eat for a whole day'. Child item calibrations ranged from -3.715 (0.025 for 'relied on a few kinds of low cost food' to 3.088 (0.039 for 'child didn't eat for a whole day'. Fitting either a 2PL model, which allowed discrimination parameters to vary between items, or a differential item functioning model, which allowed item calibrations to vary between ethnic groups, had little influence on interpretation. The classification based on the adult-referenced items showed that there were 19% of respondents who were food insecure without hunger, 10% food insecure with moderate hunger and 6% food insecure with severe hunger. The classification based on the child-referenced items showed that there were 23% of children who were food insecure without hunger and 9% food insecure with hunger. In both children and adults food insecurity showed a strong, graded association with lower monthly household income (P Conclusion These results support the use of 18 HFSS items to classify food security status of adults or children in an English-speaking country where food

  13. Characteristics of service users and provider organisations associated with experience of out of hours general practitioner care in England: population based cross sectional postal questionnaire survey

    Science.gov (United States)

    Abel, Gary; Lyratzopoulos, Georgios; Elliott, Marc N; Richards, Suzanne; Barry, Heather E; Roland, Martin; Campbell, John L

    2015-01-01

    Objective To investigate the experience of users of out of hours general practitioner services in England, UK. Design Population based cross sectional postal questionnaire survey. Setting General Practice Patient Survey 2012-13. Main outcome measures Potential associations between sociodemographic factors (including ethnicity and ability to take time away from work during working hours to attend a healthcare consultation) and provider organisation type (not for profit, NHS, or commercial) and service users’ experience of out of hours care (timeliness, confidence and trust in the out of hours clinician, and overall experience of the service), rated on a scale of 0-100. Which sociodemographic/provider characteristics were associated with service users’ experience, the extent to which any observed differences could be because of clustering of service users of a particular sociodemographic group within poorer scoring providers, and the extent to which observed differences in experience varied across types of provider. Results The overall response rate was 35%; 971 232/2 750 000 patients returned surveys. Data from 902 170 individual service users were mapped through their registered practice to one of 86 providers of out of hours GP care with known organisation type. Commercial providers of out of hours GP care were associated with poorer reports of overall experience of care, with a mean difference of −3.13 (95% confidence interval −4.96 to −1.30) compared with not for profit providers. Asian service users reported lower scores for all three experience outcomes than white service users (mean difference for overall experience of care −3.62, −4.36 to −2.89), as did service users who were unable to take time away from work compared with service users who did not work (mean difference for overall experience of care −4.73, −5.29 to −4.17). Conclusions Commercial providers of out of hours GP care were associated with poorer experience of care

  14. Providing health information to the general public: a survey of current practices in academic health sciences libraries*

    Science.gov (United States)

    Hollander, Sue M.

    2000-01-01

    A questionnaire was mailed to 148 publicly and privately supported academic health sciences libraries affiliated with Association of American Medical Colleges (AAMC)–accredited medical schools in the United States and Canada to determine level of access and services provided to the general public. For purposes of this study, “general public” was defined as nonaffiliated students or health care professionals, attorneys and other nonhealth-related professionals, patients from affiliated or other hospitals or clinics, and general consumers. One hundred five (71%) libraries responded. Results showed 98% of publicly supported libraries and 88% of privately supported libraries provided access to some or all of the general public. Publicly supported libraries saw greater numbers of public patrons, often provided more services, and were more likely to circulate materials from their collections than were privately supported libraries. A significant number of academic health sciences libraries housed a collection of consumer-oriented materials and many provided some level of document delivery service, usually for a fee. Most allowed the public to use some or all library computers. Results of this study indicated that academic health sciences libraries played a significant role in serving the information-seeking public and suggested a need to develop written policies or guidelines covering the services that will be provided to minimize the impact of this service on primary clientele. PMID:10658965

  15. Work related risk factors for musculoskeletal complaints in the nursing profession: results of a questionnaire survey.

    OpenAIRE

    Engels, J.A.; Gulden, J.W.J. van der; Senden, Th.F.; Hof, M.A. van 't

    1996-01-01

    OBJECTIVES: To determine the prevalence of musculoskeletal complaints of the back, arms or neck, and legs among nurses, and to investigate the relation between these complaints and various work related and personal variables. METHODS: A questionnaire survey was carried out in four nursing homes in The Netherlands. RESULTS: The response was 95% and resulted in 846 completed questionnaires. It was found that a large proportion of the subjects regularly had back complaints (36%) but also had arm...

  16. Results of the survey activities and mobile gamma scanning in Monticello, Utah

    Energy Technology Data Exchange (ETDEWEB)

    Little, C.A.; Berven, B.A.

    1985-11-01

    The town of Monticello, Utah, was once the site of an active mill which processed vanadium ore (1942 to 1948), and uranium ore (1948 to 1960). Properties in the vicinity of that mill have become contaminated with radioactive material from ore processing. The Radiological Survey Activities (RASA) group at Oak Ridge National Laboratory (ORNL) was requested by the Division of Remedial Action Projects (DRAP) in the Department of Energy (DOE) to: (1) identify potentially contaminated properties; (2) assess natural background radiation levels; and (3) rapidly assess the magnitude, extent, and type (i.e. ore, tailings, etc.) of contamination present on these properties (if any). This survey was conducted by RASA during April 1983. In addition to the 114 properties previously identified from historical information, the ORNL mobile gamma scanning van located 36 new properties exhibiting anomalous gamma radiation levels. Onsite surveys were conducted on 145 of the 150 total properties identified either historically or with the gamma scanning van. Of these 145 properties, 122 of them appeared to have some type of contaminated material present on them; however, only 48 appeared to be contaminated to the extent where they were in excess of Environmental Protection Agency (EPA) criteria (40 CFR 192). Twenty-one other properties were recommended for additional investigation (indoor gamma scanning and radon daughter measurements); of these, only ten required further analysis. This report provides the detailed data and analyses related to the radiological survey efforts performed by ORNL in Monticello, Utah.

  17. More Results from a Long-Term Radar Survey of M-Class Asteroids.

    Science.gov (United States)

    Shepard, Michael K.; Clark, B. E.; Benner, L. A.; Giorgini, J. D.; Magri, C.; Nolan, M. C.; Ostro, S. J.

    2006-09-01

    We present more results from our long-term radar survey of main-belt M-class asteroids. Because metals are denser and more radar reflective than silicates, an asteroid's radar cross-section can provide unambiguous information on its composition and near surface porosity [1]. The composition of this enigmatic class has important implications for the structure and evolution of the asteroid belt. As of July 2006 the following twelve main-belt M-class asteroids had been observed with radar: 16 Psyche [2,3,5], 21 Lutetia [3,5], 22 Kalliope [3], 83 Beatrix [4], 97 Klotho [3], 129 Antigone [5], 135 Hertha [5], 224 Oceana [5], 325 Heidelberga [5], and 785 Zwetana [5], 216 Kleopatra [4], and 796 Sarita [3]. Only one-third of this sample -- 16 Psyche, 129 Antigone, 216 Kleopatra and 785 Zwetana -- have radar albedos unambiguously consistent with metallic compositions [1,5]. Our goal is to triple the number of radar observed M-class targets within the next five years. We will present results focusing on the unusual radar variability of 129 Antigone. Acknowledgements. This work was partially supported by a grant from Bloomsburg University to MKS and NSF grant AST-0605903. The Arecibo Observatory is part of the National Astronomy and Ionosphere Center, which is operated by Cornell University under a cooperative agreement with the National Science Foundation. [1] Ostro et al. Science 252, 1399-1404, 1991. [2] Ostro et al. Science 229,442-446, 1985. [3] Magri et al. Icarus 140, 379-407, 1999. [4] Magri et al. submitted to Icarus. [5] Shepard et al in prep.

  18. Burden of road traffic injuries in Nepal: results of a countrywide population-based survey.

    Science.gov (United States)

    Nepal, Sarthak; Gupta, Shailvi; Wong, Evan G; Gurung, Susant; Swaroop, Mamta; Kushner, Adam L; Nwomeh, Benedict C

    2015-04-27

    Road traffic injury has emerged as a leading cause of mortality, contributing to 2·1% of deaths globally and is predicted to be the third highest contributor to the global burden of mortality by 2020. This major public health problem disproportionately affects low-income and middle-income countries, where such incidents are too often underreported. Our study aims to explore the epidemiology of road traffic injurys in Nepal at a population level via a countrywide study. The Surgeons OverSeas Assessment of Surgical Need (SOSAS) tool, a cluster randomised, cross-sectional nationwide survey, was conducted in Nepal between May 25, and June 12, 2014. Two-stage cluster sampling was performed: 15 of 75 districts were chosen randomly proportional to population; within each district, after stratification for urban and rural, and three clusters were randomly chosen. Questions were structured anatomically and designed around a representative spectrum of surgical conditions. Road traffic injury-related results were reported. 1350 households and 2695 individuals were surveyed with a response rate of 97%. 75 road traffic injuries were reported in 72 individuals (2·67% [95% CI 2·10-3·35] of the study population), with a mean age of 33·2 years (SD 1·85). The most commonly affected age group was 30-44 years, with females showing significantly lower odds of sustaining a road traffic injury than men (crude odds ratio 0·29 [95% CI 0·16-0·52]). Road traffic injuries composed 19·8% of the injuries reported. Motorcycle crashes were the most common road traffic injuries (48·0%), followed by car, truck, or bus crashes (26·7%), and pedestrian or bicycle crashes (25·3%). The extremity was the most common anatomic site injured (74·7%). Of the 80 deaths reported in the previous year, 7·5% (n=6) were due to road traffic injuries. This study provides the epidemiology of road traffic injuries at a population-based level in the first countrywide surgical needs assessment in Nepal

  19. Perceptions and impact of bipolar disorder in Japan: results of an Internet survey

    Directory of Open Access Journals (Sweden)

    Watanabe K

    2016-11-01

    Full Text Available Koichiro Watanabe,1 Eiji Harada,2 Takeshi Inoue,3 Yuka Tanji,2 Toshiaki Kikuchi1 1Department of Neuropsychiatry, Kyorin University, School of Medicine, Tokyo, 2Medical Science, Medicines Development Unit-Japan, Eli Lilly Japan KK, Hyogo, 3Department of Psychiatry, Tokyo Medical University, Tokyo, Japan Abstract: Bipolar disorder is a recurrent and episodic illness. This survey study assessed experiences and identified clinical insights of individuals with bipolar disorder. An Internet-based monitor system database was screened for patients with bipolar disorder in Japan (February and March 2013. Of 1,050 patients, 457 completed surveys, and results were analyzed with descriptive statistics. Approximately one-fourth of respondents were diagnosed with bipolar disorder on their first visit to medical institutions, although the most common initial diagnosis was depression/depressive state (65%. Mean time lag between first-time visit to a medical institution and receipt of correct diagnosis of bipolar disorder was 4 years; one-third of patients experienced more than 5 years of lag time. Three perceived reasons for lapsed time before correct diagnosis were “(patients Did not consider manic symptoms as illness, and did not tell the doctor about them,” “I (patient did not know of bipolar disorder,” and “Lack of communication between my doctor and myself (patient.” Among participants who believed that they were initially incorrectly diagnosed and improperly treated, most experienced socioeconomic problems, such as having long-term inability to work or to study (65%. Sources of encouragement for participants included “To have someone to consult with” (41% followed by having “People around me treat me the same as before” (40%. Individuals with bipolar disorder reported a time lag of many years before accurate diagnosis, and substantial burden imposed by the illness. Encouragement should be provided for individuals to live positively

  20. FOREST unbiased Galactic plane imaging survey with the Nobeyama 45 m telescope (FUGIN). I. Project overview and initial results

    Science.gov (United States)

    Umemoto, Tomofumi; Minamidani, Tetsuhiro; Kuno, Nario; Fujita, Shinji; Matsuo, Mitsuhiro; Nishimura, Atsushi; Torii, Kazufumi; Tosaki, Tomoka; Kohno, Mikito; Kuriki, Mika; Tsuda, Yuya; Hirota, Akihiko; Ohashi, Satoshi; Yamagishi, Mitsuyoshi; Handa, Toshihiro; Nakanishi, Hiroyuki; Omodaka, Toshihiro; Koide, Nagito; Matsumoto, Naoko; Onishi, Toshikazu; Tokuda, Kazuki; Seta, Masumichi; Kobayashi, Yukinori; Tachihara, Kengo; Sano, Hidetoshi; Hattori, Yusuke; Onodera, Sachiko; Oasa, Yumiko; Kamegai, Kazuhisa; Tsuboi, Masato; Sofue, Yoshiaki; Higuchi, Aya E.; Chibueze, James O.; Mizuno, Norikazu; Honma, Mareki; Muller, Erik; Inoue, Tsuyoshi; Morokuma-Matsui, Kana; Shinnaga, Hiroko; Ozawa, Takeaki; Takahashi, Ryo; Yoshiike, Satoshi; Costes, Jean; Kuwahara, Sho

    2017-10-01

    The FUGIN project is one of legacy projects using a new multi-beam FOREST (four-beam receiver system on the 45 m telescope). This project aims to simultaneously investigate the distribution, kinematics, and physical properties of both diffuse and dense molecular gases in the Galaxy by observing 12CO, 13CO, and C18O J = 1-0 lines simultaneously. Mapping regions are parts of the first quadrant (10° ≤ l ≤ 50°, |b| ≤ 1°) and the third quadrant (198° ≤ l ≤ 236°, |b| ≤ 1°) of the Galaxy, where spiral arms, bar structure, and the molecular gas ring are included. This survey achieves the highest angular resolution to date (˜20″) for the Galactic plane survey in the CO J = 1-0 lines, which makes it possible to find dense clumps located farther away than the previous surveys. FUGIN will provide us an invaluable dataset for investigating the physics of the Galactic interstellar medium (ISM), particularly the evolution of interstellar gas covering galactic-scale structures to the internal structures of giant molecular clouds, such as small filaments/clumps/cores. We present an overview of the FUGIN project, the observation plan and initial results. These results reveal wide-field and detailed structures of molecular clouds, such as entangled filaments that have not been obvious in previous surveys, and large-scale kinematics of molecular gas, such as spiral arms.

  1. Placebo use in the United kingdom: results from a national survey of primary care practitioners.

    Directory of Open Access Journals (Sweden)

    Jeremy Howick

    Full Text Available OBJECTIVES: Surveys in various countries suggest 17% to 80% of doctors prescribe 'placebos' in routine practice, but prevalence of placebo use in UK primary care is unknown. METHODS: We administered a web-based questionnaire to a representative sample of UK general practitioners. Following surveys conducted in other countries we divided placebos into 'pure' and 'impure'. 'Impure' placebos are interventions with clear efficacy for certain conditions but are prescribed for ailments where their efficacy is unknown, such as antibiotics for suspected viral infections. 'Pure' placebos are interventions such as sugar pills or saline injections without direct pharmacologically active ingredients for the condition being treated. We initiated the survey in April 2012. Two reminders were sent and electronic data collection closed after 4 weeks. RESULTS: We surveyed 1715 general practitioners and 783 (46% completed our questionnaire. Our respondents were similar to those of all registered UK doctors suggesting our results are generalizable. 12% (95% CI 10 to 15 of respondents used pure placebos while 97% (95% CI 96 to 98 used impure placebos at least once in their career. 1% of respondents used pure placebos, and 77% (95% CI 74 to 79 used impure placebos at least once per week. Most (66% for pure, 84% for impure respondents stated placebos were ethical in some circumstances. CONCLUSION AND IMPLICATIONS: Placebo use is common in primary care but questions remain about their benefits, harms, costs, and whether they can be delivered ethically. Further research is required to investigate ethically acceptable and cost-effective placebo interventions.

  2. Competitiveness of firms, performance and customer orientation measures – empirical survey results

    Directory of Open Access Journals (Sweden)

    Alena Klapalová

    2011-01-01

    Full Text Available The purpose of this paper is to presents results from two empirical surveys concerning selected factors which can be connected to customer orientation, performance and competitiveness of firms. The purpose of the surveys was also to reveal potential differences between sectors arising from not only the different influences of internal but as well as external environment. A survey instrument was developed to analyse the relationship between several variables measuring customer orientation of surveyed firms and between these factors and level of financial performance. Several statistical methods were applied to analyse the data, specifically descriptive statistics (means and standard deviations, one-way analysis of variance (ANOVA with Bonferroni post-hoc test using financial performance for clustering firms and for assessment of potential differences of customer orientation criteria evaluation and Spearman rank correlation coefficients to assess the linear bivariate relationship between customer orientation variables. The results of ANOVA show that only the innovativeness is distinctive distinguishing criteria in conformity with the indicators of financial prosperity and that there are some differences between companies from two groups of sectors within the managers’ perception of customer orientation criteria performance.

  3. Medical physics aspects of cancer care in the Asia Pacific region: 2011 survey results

    Science.gov (United States)

    Kron, T; Azhari, HA; Voon, EO; Cheung, KY; Ravindran, P; Soejoko, D; Inamura, K; Han, Y; Ung, NM; Bold, L; Win, UM; Srivastava, R; Meyer, J; Farrukh, S; Rodriguez, L; Kuo, M; Lee, JCL; Kumara, A; Lee, CC; Krisanachinda, A; Nguyen, XC; Ng, KH

    2012-01-01

    Background: Medical physicists are essential members of the radiation oncology team. Given the increasing complexity of radiotherapy delivery, it is important to ensure adequate training and staffing. The aim of the present study was to update a similar survey from 2008 and assess the situation of medical physicists in the large and diverse Asia Pacific region. Methods: Between March and July 2011, a survey on profession and practice of radiation oncology medical physicists (ROMPs) in the Asia Pacific region was performed. The survey was sent to senior physicists in 22 countries. Replies were received from countries that collectively represent more than half of the world’s population. The survey questions explored five areas: education, staffing, work patterns including research and teaching, resources available, and job satisfaction. Results and discussion: Compared to a data from a similar survey conducted three years ago, the number of medical physicists in participating countries increased by 29% on average. This increase is similar to the increase in the number of linear accelerators, showing that previously identified staff shortages have yet to be substantially addressed. This is also highlighted by the fact that most ROMPs are expected to work overtime often and without adequate compensation. While job satisfaction has stayed similar compared to the previous survey, expectations for education and training have increased somewhat. This is in line with a trend towards certification of ROMPs. Conclusion: As organisations such as the International Labour Organization (ILO) start to recognise medical physics as a profession, it is evident that despite some encouraging signs there is still a lot of work required towards establishing an adequately trained and resourced medical physics workforce in the Asia Pacific region. PMID:22970066

  4. Reasons for discrepancy between incidence and prevalence of epilepsy in lower income countries: Epilepsia's survey results.

    Science.gov (United States)

    Mathern, Gary W; Beninsig, Laurie; Nehlig, Astrid

    2015-02-01

    From July to August 2014, Epilepsia conducted an online survey seeking opinions that explained the discrepancy between the incidence and prevalence of epilepsy in lower income countries. Data on cumulative incidence suggest a higher rate of active epilepsy than reported in lifetime prevalence surveys. This study reports the findings of that poll addressing the proposal in our Controversy in Epilepsy series that it could be from increased death rates. The survey consisted of a question addressing possible reasons to explain the discrepancy between the incidence and prevalence of epilepsy. Another four questions addressed demographic information. There were 34 responders who completed the survey. Half (50%) of the responders felt that the discrepancy between cumulative incidence and lifetime prevalence was due to lack of uniform definitions and misclassification of patients in study design, 23.5% said the discrepancy was due to a higher mortality from diseases and conditions such as trauma and infections associated with epilepsy, 23.5% indicated that the stigma of epilepsy prevented people from acknowledging their disease in prevalence surveys, and 2.9% felt it was from poor access to qualified medical personal and utilization of medical treatments that increased death rates directly related to epilepsy. Within the limitations of sample size, the results of this survey support that the discrepancy between the incidence and prevalence of epilepsy in lower income regions of the world is due to problems in acquiring the data and stigma rather than higher mortality from diseases associated with epilepsy and repeated seizures. Wiley Periodicals, Inc. © 2014 International League Against Epilepsy.

  5. SU-E-T-200: IBA ProteusOne Compact Proton Therapy System Radiation Survey Results

    Energy Technology Data Exchange (ETDEWEB)

    Zhang, J; Syh, J; Syh, J; White, M; Patel, B; Song, X; Wu, H [Willis-Knighton Cancer Center, Shreveport, LA (United States)

    2014-06-01

    Purpose: This study summarizes the results of an initial radiation survey of the Willis-Knighton Cancer Center in Shreveport, Louisiana. The facility houses an IBA ProteusOne compact single room proton therapy unit coupled with a C230 cyclotron that operates at a maximum energy of 230 MeV. Methods: A calibrated survey meter was used for the photon measurements to obtain reliable results. A neutron detector was used as the measuring instrument for neutrons. The locations of the survey and measurements were planned carefully in order to get a proper evaluation of the facility shielding configuration. The walls, ceiling, vault entrance, and the adjacent environment were each surveyed with suitable measurement instruments. A total of 22 locations were chosen for radiation survey. Dose equivalent values were calculated for both the photon and the neutron radiation using measured data. Results: All measured dose values are presented in millisievert per year. The highest dose measured at the vault entrance is 0.34 mSv/year. A dedicated shielding door was not present at the time of the measurement. The vault entrance area is considered as a controlled area. The shielding design goals are not to exceed 5 mSv/year for the controlled area and 1 mSv/year the uncontrolled area. The total combined neutron and photon dose equivalent values were found to be compliant with the Louisiana Department of Environmental Quality radiation protection regulatory codes. Conclusion: In our efforts to evaluate the radiation levels at the Willis-Knighton Cancer Center proton treatment facility, we have found that all the measured values of the radiation shielding are below the critical radiation limits per year. Since the total dose measured at the vault entrance is below the shielding design goal, a shielding door is not required at this proton treatment vault.

  6. Web-Based and Telephone Surveys to Assess Public Perception Toward the National Health Insurance in Taiwan: A Comparison of Cost and Results

    Science.gov (United States)

    Tan, Elise Chia-Hui

    2015-01-01

    Background Numerous studies have examined the impact of global budget payment systems of health insurance on patient access to medical care. In order to monitor the population’s accessibility to health services, a series of survey are often used to understand public perceptions of the health care provider. Taiwan implemented the single-payer National Health Insurance in 1995 and has been conducting a series of surveys to monitor public perception of the NHI after adopting a global budget payment system in 2002. Although telephone surveys are commonly used in obtaining public opinions on various public health issues, limitations such as higher cost and influence of interviewers do raise some concerns. Web-based surveys, one of the alternative methods, may be free from these problems. Objective Our aim was to examine the difference of sociodemographic characteristics, satisfaction of NHI and NHI-contracted health care providers, attitude toward NHI-related issues, behavior in seeking medical advice and self-reported health status between those who completed Web-based surveys and those reached by telephone. Methods This study compared the demographic factors of participants who took either a Web-based survey (1313 participants) or random digit dialing telephone survey (2411 participants) that contained identical questions. Results Compared to telephone survey respondents, Web-based respondents tended to be younger (Psurvey respondents reported greater satisfaction with NHI services. Web-based surveys were also shown to provide a lower average cost per sample (US$0.71) compared to telephone surveys (US$3.98). Conclusions Web-based surveys provide a low-cost alternative method for the polling of public attitudes toward NHI-related issues. Despite general similarities between the two polling methods with regard to responses, respondents to telephone surveys reported a stronger agreement with regard to satisfaction with NHI services and a more positive self

  7. Designing Messaging to Engage Patients in an Online Suicide Prevention Intervention: Survey Results From Patients With Current Suicidal Ideation

    Science.gov (United States)

    Lungu, Anita; Richards, Julie; Simon, Gregory E; Clingan, Sarah; Siler, Jaeden; Snyder, Lorilei; Ludman, Evette

    2014-01-01

    Background Computerized, Internet-delivered interventions can be efficacious; however, uptake and maintaining sustained client engagement are still big challenges. We see the development of effective engagement strategies as the next frontier in online health interventions, an area where much creative research has begun. We also argue that for engagement strategies to accomplish their purpose with novel targeted populations, they need to be tailored to such populations (ie, content is designed with the target population in mind). User-centered design frameworks provide a theoretical foundation for increasing user engagement and uptake by including users in development. However, deciding how to implement this approach to enage users in mental health intervention development is challenging. Objective The aim of this study was to get user input and feedback on acceptability of messaging content intended to engage suicidal individuals. Methods In March 2013, clinic intake staff distributed flyers announcing the study, “Your Feedback Counts” to potential participants (individuals waiting to be seen for a mental health appointment) together with the Patient Health Questionnaire. The flyer explained that a score of two or three (“more than half the days” or “nearly every day” respectively) on the suicide ideation question made them eligible to provide feedback on components of a suicide prevention intervention under development. The patient could access an anonymous online survey by following a link. After providing consent online, participants completed the anonymous survey. Results Thirty-four individuals provided data on past demographic information. Participants reported that they would be most drawn to an intervention where they knew that they were cared about, that was personalized, that others like them had found it helpful, and that included examples with real people. Participants preferred email invitations with subject lines expressing concern and

  8. Nurse Practitioners' Use of Communication Techniques: Results of a Maryland Oral Health Literacy Survey

    Science.gov (United States)

    Koo, Laura W.; Horowitz, Alice M.; Radice, Sarah D.; Wang, Min Q.; Kleinman, Dushanka V.

    2016-01-01

    Objectives We examined nurse practitioners’ use and opinions of recommended communication techniques for the promotion of oral health as part of a Maryland state-wide oral health literacy assessment. Use of recommended health-literate and patient-centered communication techniques have demonstrated improved health outcomes. Methods A 27-item self-report survey, containing 17 communication technique items, across 5 domains, was mailed to 1,410 licensed nurse practitioners (NPs) in Maryland in 2010. Use of communication techniques and opinions about their effectiveness were analyzed using descriptive statistics. General linear models explored provider and practice characteristics to predict differences in the total number and the mean number of communication techniques routinely used in a week. Results More than 80% of NPs (N = 194) routinely used 3 of the 7 basic communication techniques: simple language, limiting teaching to 2–3 concepts, and speaking slowly. More than 75% of respondents believed that 6 of the 7 basic communication techniques are effective. Sociodemographic provider characteristics and practice characteristics were not significant predictors of the mean number or the total number of communication techniques routinely used by NPs in a week. Potential predictors for using more of the 7 basic communication techniques, demonstrating significance in one general linear model each, were: assessing the office for user-friendliness and ever taking a communication course in addition to nursing school. Conclusions NPs in Maryland self-reported routinely using some recommended health-literate communication techniques, with belief in their effectiveness. Our findings suggest that NPs who had assessed the office for patient-friendliness or who had taken a communication course beyond their initial education may be predictors for using more of the 7 basic communication techniques. These self-reported findings should be validated with observational studies

  9. The prostate cancer journey: results of an online survey of men and their partners.

    Science.gov (United States)

    O'Shaughnessy, Peter Kevin; Laws, Thomas A; Esterman, Adrian J

    2015-01-01

    The initial impact of treatments for men with prostate cancer is well reported in the literature. Less is known about the psychosocial needs of these men as their journey after diagnosis and treatment continues into the months and years. The objective of this study was to examine and understand the supportive care needs of men diagnosed and treated for prostate cancer at key identifiable periods of their cancer journey. An international Web-based survey was conducted in 2012, investigating men's prostate cancer pathways. The survey was based on substantial qualitative research and assessed for validity and reliability before piloting. To provide a unique insight into men living with prostate cancer, the views of partners were also elicited. Completed questionnaires were obtained from 193 men and 40 partners from 6 nations. The physical and psychosocial impact of treatment and need for support varied along the cancer journey. Fear, distress, loss, regret, anxiety, low self-esteem, depression, changes in sexuality, masculinity, and relationships were also described by both men and partners as adverse effects of the diagnosis and treatment for prostate cancer. Wives and partners are a key psychosocial support to men with prostate cancer. They may also provide valuable insight into men's supportive care needs that men are often unable to recognize themselves. Findings suggest that wives and partners of men with prostate cancer can provide nurses and healthcare authorities with a powerful and unique resource in providing supportive care for men who are challenged by prostate cancer.

  10. Buprenorphine/naloxone treatment practices in Malaysia: Results of national surveys of physicians and patients.

    Science.gov (United States)

    Vicknasingam, B; Dazali, M N M; Singh, D; Schottenfeld, R S; Chawarski, M C

    2015-07-01

    Medication assisted treatment with buprenorphine/naloxone (Bup/Nx), including prescribing and dispensing practices of general practitioners (GPs) in Malaysia and their patients' experiences with this treatment have not been systematically examined. The current study surveyed GPs providing Bup/Nx treatment and patients receiving office-based Bup/Nx treatment in Malaysia. Two cross-sectional surveys of GPs (N=115) providing outpatient Bup/Nx maintenance treatment and of patients (N=253) currently receiving Bup/Nx treatment throughout peninsular Malaysia. Physicians prescribed Bup/Nx dosages in the range of 2-4mg daily for 70% of patients and conducted urine testing in the past month on approximately 16% of their patients. In the patient survey, 79% reported taking daily Bup/Nx doses of 2mg or less; 82% reported that no urine toxicology testing had been conducted on them in the past month, 36% had an opiate positive urine test at the time of the survey, 43% reported illicit opiate use, 15% reported injection of heroin and 22% reported injection of Bup/Nx in the past month. Low daily Bup/Nx doses, lack of behavioral monitoring or counseling, and high rates of continued drug use, including injection of drugs and medications during Bup/Nx treatment in Malaysia, indicate continuing problems with implementation and less than optimal treatment effectiveness. High cost of Bup/Nx in Malaysia may deter patients from seeking treatment and contribute to taking low Bup/Nx dosages. Improved training of physicians and establishing standards for Bup/Nx dosing, routine toxicology testing, and counseling may be needed to improve care and treatment response. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

  11. Kawasaki Disease in Mongolia: Results From 2 Nationwide Retrospective Surveys, 1996–2008

    Science.gov (United States)

    Davaalkham, Dambadarjaa; Nakamura, Yosikazu; Baigalmaa, Davaakhuu; Davaa, Gombojav; Chimedsuren, Ochir; Sumberzul, Nyamjav; Lkhagvasuren, Tserenkhuu; Uehara, Ritei; Yanagawa, Hiroshi; Kawasaki, Tomisaku

    2011-01-01

    Background Kawasaki disease (KD) has been reported in many countries. However, the incidence of KD in Mongolia is not known. This is the first report of incident cases of KD in Mongolia, which were identified using data from 2 nationwide surveys. Methods Two nationwide retrospective surveys were conducted: medical histories were collected from patients aged 0 to 16 years who were hospitalized countrywide between 1996 and 2008. Hospital records for these patients were also reviewed. Nationwide training seminars on KD were conducted before each survey. Results For the nationwide surveys, the participation rates among all hospitals with pediatric wards were 97% and 94%. Inpatient medical histories from 1996 through 2008 were reviewed, and, among children younger than 16 years, 9 patients with KD were investigated. The age of KD patients ranged from 1.4 to 14 years; 7 of 9 patients were male. Six (67%) patients fulfilled all 6 clinical diagnostic criteria; the other 3 (33%) were defined as having KD based on the presence of 5 such criteria. Fever persisting 5 or more days, bilateral conjunctival congestion, and changes of the lips and oral cavity were the most common symptoms, and cervical lymphadenopathy was the least common symptom. Cardiac sequelae developed in 5 of the patients, 4 of whom were older than 10 years. Conclusions The results of these nationwide surveys reveal that KD cases do exist in Mongolia. However, knowledge of KD among Mongolian pediatricians is likely to be poor. Thus, there is a need to augment their understanding to improve management of KD patients. Further studies are crucial to clarify the epidemiologic characteristics of KD in Mongolia. PMID:21691035

  12. ESRD QIP - In- Center Hemodialysis Consumer Assessment Of Healthcare Providers And Services Systems ( ICH CAHPS) Survey - Payment Year 2018

    Data.gov (United States)

    U.S. Department of Health & Human Services — This dataset include facility details, performance rate, measure score, and the state and national average scores for each of the ICH CAHPS survey metrics that are...

  13. Soil Survey Geographic (SSURGO) Soil Polygons for the State of Rhode Island: Bristol, Kent, Newport, Providence, and Washington Counties

    Data.gov (United States)

    University of Rhode Island Geospatial Extension Program — 2013 VERSION 6 Spatial: This data set is a digital soil survey and generally is the most detailed level of soil geographic data developed by the National Cooperative...

  14. Contemporary training practices in elite British powerlifters: survey results from an international competition.

    Science.gov (United States)

    Swinton, Paul A; Lloyd, Ray; Agouris, Ioannis; Stewart, Arthur

    2009-03-01

    The primary objective of this study was to investigate current powerlifting training methods in light of anecdotal evidence purporting increased similarity with the explosive training practices of weightlifters. The study also assessed the prevalence of contemporary training practices frequently recommended for powerlifters in the popular literature. A 20-item survey was distributed to 32 elite British powerlifters at an International competition. The subject group included multiple national, international, and commonwealth champions and record holders. Based on 2007 competition results, the average Wilks score of the group was 450.26 +/- 34.7. The response rate for the surveys was 88% (28 of 32). The survey was sectioned into 6 areas of inquiry: a) repetition speed, b) explosive training load, c) resistance materials used, d) adjunct power training methods, e) exercise selection, and f) training organization. The results demonstrate that the majority of powerlifters train with the intention to explosively lift maximal and submaximal loads (79 and 82%, respectively). Results revealed that 39% of the lifters regularly used elastic bands and that 57% incorporated chains in their training. Evidence for convergence of training practices between powerlifters and weightlifters was found when 69% of the subjects reported using the Olympic lifts or their derivatives as part of their powerlifting training. Collectively, the results demonstrate that previous notions of how powerlifters train are outdated. Contemporary powerlifters incorporate a variety of training practices that are focused on developing both explosive and maximal strength.

  15. Experiences and Attitudes of Primary Care Providers Under the First Year of ACA Coverage Expansion: Findings from the Kaiser Family Foundation/Commonwealth Fund 2015 National Survey of Primary Care Providers.

    Science.gov (United States)

    2015-06-01

    A new survey from The Kaiser Family Foundation and The Commonwealth Fund asked primary care providers--physicians, nurse practitioners, and physician assistants--about their views of and experiences with the Affordable Care Act (ACA) and other changes in health care delivery and payment, as well as their thoughts on the future of primary care. In this first brief based on the survey, many providers reported seeing an increased number of patients since the coverage expansions went into effect, but not an accompanying compromise in quality of care. A large majority of primary care providers are satisfied with their medical practice, but a substantial percentage of physicians expressed pessimism about the future of primary care. Similar to the population overall, providers' views of the ACA are divided along party lines. A second brief will report on providers' reactions to other changes occurring in primary care delivery and payment.

  16. Marine magnetic survey between Cabo da Roca and Cabo Espichel (near Lisbon, Portugal): first results

    Science.gov (United States)

    Neres, Marta; Terrinha, Pedro; Calado, António; Miranda, Miguel; Madureira, Pedro

    2016-04-01

    We present a magnetic survey conducted in the offshore region between Cabo da Roca and Sesimbra (mouth of Tagus River, Portugal). Strong magnetic anomalies are recognized in this area since a first marine survey in 1958 (Allan, 1965) and by further aeromagnetic survey (c.f. Silva et al, 2000). The anomalies have been linked to Cretaceous magmatic events related to the Upper Cretaceous Sintra magmatic complex and Lisbon volcanic complex, but their geometry and extension has yet not been resolved. The aim of the present survey was to unravel the location, geometry and type of the magnetic sources, thus contributing for the characterization of the main magmatic and tectonic features in the region. The survey was conducted in two legs (October 2014 and June 2015), consisting of 27 lines and 6 tielines, extending up to 40 km from the coast. The line spacing was 1 mile for the main lines and 5-6 miles for the tielines. The bathymetry of the surveyed area varies from very shallow (about 10 m) to near 3000 m. Total field was measured with a G-882 Cesium marine magnetometer of Geometrics (self-oscillating split-beam Cesium vapor), with frequency of acquisition of 10 Hz. Layback was real-time corrected using the acquisition software. Noise was removed by despike in Magpick software (Geometrics), and further processing was done using Oasis montaj (Geosoft) software. Data were subtracted of IGRF values and levelled by tielines to retrieve the final map of anomalies. Several punctual and linear anomalies with varying amplitude and wavenumber were identified, which cannot be explained by bathymetric variation; therefore they must then be due to the presence of higher susceptibility, likely volcanic rocks, and to structural inheritance associated with rifting and Alpine orogeny. The highest anomaly corresponds to the Cabo Raso positive magnetic anomaly, with maximum and minimum of 2800 nT and -1350 nT, respectively. This anomaly, already surveyed in 1958, has been compared to a

  17. Placebo use in the United kingdom: results from a national survey of primary care practitioners.

    Science.gov (United States)

    Howick, Jeremy; Bishop, Felicity L; Heneghan, Carl; Wolstenholme, Jane; Stevens, Sarah; Hobbs, F D Richard; Lewith, George

    2013-01-01

    Surveys in various countries suggest 17% to 80% of doctors prescribe 'placebos' in routine practice, but prevalence of placebo use in UK primary care is unknown. We administered a web-based questionnaire to a representative sample of UK general practitioners. Following surveys conducted in other countries we divided placebos into 'pure' and 'impure'. 'Impure' placebos are interventions with clear efficacy for certain conditions but are prescribed for ailments where their efficacy is unknown, such as antibiotics for suspected viral infections. 'Pure' placebos are interventions such as sugar pills or saline injections without direct pharmacologically active ingredients for the condition being treated. We initiated the survey in April 2012. Two reminders were sent and electronic data collection closed after 4 weeks. We surveyed 1715 general practitioners and 783 (46%) completed our questionnaire. Our respondents were similar to those of all registered UK doctors suggesting our results are generalizable. 12% (95% CI 10 to 15) of respondents used pure placebos while 97% (95% CI 96 to 98) used impure placebos at least once in their career. 1% of respondents used pure placebos, and 77% (95% CI 74 to 79) used impure placebos at least once per week. Most (66% for pure, 84% for impure) respondents stated placebos were ethical in some circumstances. Placebo use is common in primary care but questions remain about their benefits, harms, costs, and whether they can be delivered ethically. Further research is required to investigate ethically acceptable and cost-effective placebo interventions.

  18. Swedish homeowners' perceptions of innovative heating systems - results of three surveys

    Energy Technology Data Exchange (ETDEWEB)

    Mahapatra, Krushna; Gustavsson, Leif; Nair, Gireesh (Dept. of Engineering and Sustainable Development, Mid Sweden Univ., Oestersund (Sweden)). e-mail: Krushna.mahapatra@miun.se

    2009-07-01

    Replacing oil and electric heating systems with innovative heating systems (IHSs) such as bedrock heat pumps, district heating system, and pellet boilers will significantly reduce greenhouse gas emission from Swedish detached houses. However, realizing this potential depends on homeowners' adoption decision, which is influenced by their need, awareness and perception of the advantages associated with the IHSs. In this context, we conducted mail-in questionnaire surveys of 1,500 Swedish homeowners, selected through stratified random sampling method, in Fall 2004, Spring 2007, and Summer 2008. A response rate of 42%, 48% and 37% was obtained in the 2004, 2007 and 2008 surveys, respectively. One of the aims of the series of surveys was to find out if external factors such as provision of investment subsidies and mass media discussion of climate change issues had influenced homeowners awareness and perception of the advantages associated with the IHSs. Results showed that there was no appreciable change in homeowners' perceptions between the years surveyed. They consistently gave higher priority to economic factors over environmental factors in their decision to install a new heating system. Heat pumps were best perceived with respect to the annual energy cost of heating, environmental benignity, increased market value of the house, and low greenhouse gas emissions. Respondents felt that pellet boilers had the lowest investment cost, while district heating system had the perceived advantage of functional reliability.

  19. Job Profiles of Biomedical Informatics Graduates. Results of a Graduate Survey.

    Science.gov (United States)

    Ammenwerth, E; Hackl, W O

    2015-01-01

    Biomedical informatics programs exist in many countries. Some analyses of the skills needed and of recommendations for curricular content for such programs have been published. However, not much is known of the job profiles and job careers of their graduates. To analyse the job profiles and job careers of 175 graduates of the biomedical informatics bachelor and master program of the Tyrolean university UMIT. Survey of all biomedical informatics students who graduated from UMIT between 2001 and 2013. Information is available for 170 graduates. Eight percent of graduates are male. Of all bachelor graduates, 86% started a master program. Of all master graduates, 36% started a PhD. The job profiles are quite diverse: at the time of the survey, 35% of all master graduates worked in the health IT industry, 24% at research institutions, 9% in hospitals, 9% as medical doctors, 17% as informaticians outside the health care sector, and 6% in other areas. Overall, 68% of the graduates are working as biomedical informaticians. The results of the survey indicate a good job situation for the graduates. The job opportunities for biomedical informaticians who graduated with a bachelor or master degree from UMIT seem to be quite good. The majority of graduates are working as biomedical informaticians. A larger number of comparable surveys of graduates from other biomedical informatics programs would help to enhance our knowledge about careers in biomedical informatics.

  20. Expertise, needs and challenges of medical educators: Results of an international web survey.

    Science.gov (United States)

    Huwendiek, Sören; Mennin, Stewart; Dern, Peter; Ben-David, Miriam Friedman; Van Der Vleuten, Cees; Tönshoff, Burkhard; Nikendei, Christoph

    2010-01-01

    Little is known about how medical educators perceive their own expertise, needs and challenges in relation to medical education. To survey an international community of medical educators with a focus on: (1) their expertise, (2) their need for training and (3) perceived challenges. A web-based survey comprising closed and open free-text questions was sent to 2200 persons on the mailing list of the Association for Medical Education in Europe. Of the 2200 medical educators invited to participate, 860 (39%) from 76 different countries took part in the survey. In general, their reported areas of expertise mainly comprised principles of teaching, communication skills training, stimulation of students in self-directed learning and student assessment. Respondents most often indicated a need for training with respect to development in medical-education-research methodology, computer-based training, curriculum evaluation and curriculum development. In the qualitative analysis of 1836 free-text responses concerning the main challenges faced, respondents referred to a lack of academic recognition, funding, faculty development, time for medical education issues and institutional support. The results of this survey indicate that medical educators face several challenges, with a particular need for more academic recognition, funding and academic qualifications in medical education.

  1. Science Results from the VISTA Survey of the Orion Star-forming Region

    Science.gov (United States)

    Petr-Gotzens, M.; Alcalá, J. M.; Briceño, C.; González-Solares, E.; Spezzi, L.; Teixeira, P.; Osorio, M. R. Z.; Comerón, F.; Emerson, J.; Hodgkin, S.; Hussain, G.; McCaughrean, M.; Melnick, J.; Oliveira, J.; Ramsay, S.; Stanke, T.; Winston, E.; Zinnecker, H.

    2011-09-01

    As part of the VISTA Science Verification programme, a large set of images in Orion was obtained at five near-infrared wavelength bands, from 0.9 to 2.2 μm. The resulting multi-band catalogue contains approximately three million sources, allowing investigation of various issues concerning star and brown dwarf formation, such as a) the difference in the shape of the substellar mass function in a cluster vs. non-clustered environment, b) the influence of massive OB stars on the process of brown dwarf formation, c) the size and morphology of dust envelopes around protostars, and d) the comparative role of mass and environment on the evolution of circumstellar discs. The data from the VISTA Orion Survey, including catalogues, are available to the community. In this article we present an overview of selected science results that have emerged so far from this survey.

  2. The Einstein/CFA stellar survey - Overview of the data and interpretation of results

    Science.gov (United States)

    Vaiana, G. S.

    1981-01-01

    Results are presented from an extensive survey of stellar X-ray emission, using the Einstein Observatory. Over 140 stars have been detected to date, throughout the H-R diagram, thus showing that soft X-ray emission is the norm rather than the exception for stars in general. This finding is strongly at odds with pre-Einstein expectations based on standard acoustic theories of coronal heating. Typical examples of stellar X-ray detections and an overview of the survey data are presented. In combination with recent results from solar X-ray observations, the new Einstein data argue for the general applicability of magnetic field-related coronal heating mechanisms.

  3. What influences the willingness of community physicians to provide palliative care for patients with terminal cancer? Evidence from a nationwide survey.

    Science.gov (United States)

    Peng, Jen-Kuei; Chiu, Tai-Yuan; Hu, Wen-Yu; Lin, Cheng-Chieh; Chen, Ching-Yu; Hung, Shou-Hung

    2013-03-01

    Community physicians have a vital role in delivering palliative care, yet their willingness and factors that influence its provision have rarely been explored. Our aims were to identify the willingness of community physicians to provide palliative care for patients with terminal cancer and to investigate the factors that influence their willingness to provide such care. Through a structured questionnaire, this nationwide study surveyed 708 community physicians who were potential pilots to provide palliative care. Four hundred and ten valid questionnaires (58.0%) were retrieved and analysed. The majority of respondents expressed a willingness (92.4%) to provide palliative care if they encountered patients with terminal cancer. However, they would limit their services to consultation (83.4%) and referral (86.8%), and were less likely to see patients and prescribe medicine (62.0%), to provide phone follow-ups (45.6%), to provide home visits (42.2%) or to offer bereavement care for the family (35.1%). The results of stepwise logistic regression analysis for the willingness to provide home visits showed that 'less perception of barriers', 'family medicine specialist' and 'older than 50 years' significantly predicted higher willingness, while 'female' predicted lower willingness. There was no significant association between the willingness and the knowledge score. Community physicians' beliefs and experience in palliative care rather than their knowledge influence their willingness to provide palliative care for patients with terminal cancer. Only through active participation in the real-world clinical setting and active health policy administration can community physicians overcome obstacles to providing palliative care.

  4. Anti-Semitism and criticism of Israel: Methodology and results of the ASCI survey

    OpenAIRE

    Wilhelm Kempf

    2015-01-01

    Building upon psychological conflict theory, on the one hand, and item-response models, on the other, the present paper develops an integrated methodology that aims at differentiating the various ways of criticizing Israel. An application of this methodology to the Anti-Semitism and Criticism of Israel (ASCI) survey found two ways of criticizing Israel resulting from two different and antipodal processes. (1) Anti-Semitic criticism of Israel is generally laden with prejudice and shares not on...

  5. Iron supplementation among pregnant women: results from a population-based survey study

    OpenAIRE

    Juraci Almeida Cesar; Samuel Carvalho Dumith; Maria Aurora Dropa Chrestani; Raul Andrés Mendoza-Sassi

    2013-01-01

    Objectives: To measure the prevalence and risk factors associated with iron supplementation among pregnant women in the municipality of Rio Grande, Southern Brazil. Methods: All mothers living in this municipality who had children in 2007 were surveyed for demographic, socioeconomic and health care received during pregnancy and childbirth. The statistical analysis consisted of Poisson regression with robust adjustment of variance, and the measure of effect was prevalence ratio (PR). Results: ...

  6. Results of a gravity survey of the south-west margin of Dartmoor, Devon

    OpenAIRE

    Tombs, J.M.C.

    1980-01-01

    A gravity survey (station density 4-6 per km2) of the south-western margin of Dartmoor, including the Hemerdon stockwork, was interpreted using previously developed computer techniques, with some refinements, to indicate the depth to buried granite. The results showed (i) that the Hemerdon Ball granite is an isolated block and does not extend to depth, and (ii) that no vertically-continuous shallow granite occurs at any distance from the known outcrop. Various computer-graph...

  7. Analysing Consumer Responses to Food Safety Results of a Survey in the Netherlands

    OpenAIRE

    Dagevos, Hans; Hansman, Harrie

    2004-01-01

    Consumer confidence in food safety appears to be under pressure as a result of several food scandals and food scares in recent years. Regaining the trust of food consumers in food production and food products is talk of the town in both government buildings and agribusiness offices. Instead of talking about consumers, this article is first and foremost about what consumers themselves think and feel about food safety. The foundation of this research is a survey among nearly 1100 Dutch consumer...

  8. Results and Interpretations of U.S. Geological Survey Data Collected In and Around the Tuba City Open Dump, Arizona

    Science.gov (United States)

    Johnson, Raymond H.; Otton, James K.; Horton, Robert J.

    2009-01-01

    This Open-File Report was originally an Administrative Report presentation to the Bureau of Indian Affairs based on U.S. Geological Survey data that has been collected and presented in four previous reports (Open-File Reports 2009-1020, 2008-1380, and 2008-1374, and an Administrative Report on geophysical data). This presentation was given at a technical meeting requested by the BIA on March 3 and 4, 2009, in Phoenix, Arizona. The idea for this meeting was for all the technical people working on issues related to the Tuba City Open Dump site to come together and share their data collection procedures, results, interpretations, and working hypotheses. The meeting goal was to have a clear record of each party's interpretations and a summary of additional data that would be needed to solve differences of opinion. The intention of this presentation is not to provide an exhaustive summary of U.S. Geological Survey efforts at the Tuba City Open Dump site given in the four previously published Open-File Reports listed above, since these reports have already been made available. This presentation briefly summarizes the data collected for those reports and provides results, interpretations, and working hypotheses relating to the data available in these reports. The major questions about the Tuba City Open Dump addressed by the U.S. Geological Survey are (1) what are the sources for uranium and other constituents found in the ground water in and around the Tuba City Open Dump, (2) what is the current distribution of ground water contaminants away from the Tuba City Open Dump (can plume limits be delineated), and (3) what controls the mobility of uranium and other constituents in and around the Tuba City Open Dump? Data collection, results, and interpretations by the U.S. Geological Survey that address these questions are presented herein.

  9. Results of the First Survey in the Longitudinal Study of Astronomy Graduate Students

    Science.gov (United States)

    Ivie, Rachel

    2010-01-01

    I will discuss the results of the first survey in the planned longitudinal study of astronomy graduate students. Preliminary analyses show that women are: less likely to agree that the environment in the department is welcoming, more likely to believe they lack ability, and are less confident in their careers. These results also apply to men who have been in the program more than three years. Final results will be presented at the session. We are grateful for the financial support of AAS and for the sponsorship of CSWA.

  10. International Volunteer Programs for Dental Students: Results of 2009 and 2016 Surveys of U.S. Dental Schools.

    Science.gov (United States)

    Woodmansey, Karl F; Rowland, Briana; Horne, Steve; Serio, Francis G

    2017-02-01

    The aims of this study were to determine the prevalence and nature of international volunteer programs for predoctoral students at U.S. dental schools and to document the change over five years. Web-based surveys were conducted in 2009 and 2016. An invitation to participate in the study, along with a hyperlink to the survey, was emailed to the deans of all U.S. dental schools in the two years. In 2009, 47 of 58 dental school deans responded to the survey, for a response rate of 81%. In 2016, 48 of 64 dental school deans responded, for a response rate of 75%. From 2009 to 2016, the number of schools reporting dental student international experiences increased from 25 to 31. In 2016, 65% of responding schools offered dental student international experiences, an 11.5% increase over the results of the 2009 survey. Concomitantly, the number of deans reporting their students' participation in international opportunities not officially sanctioned by the school decreased from 41 to 34. These findings showed an increase in the number of dental schools providing international experiences for their students and established baseline data to assess trends in the future.

  11. Certified peer specialist roles and activities: results from a national survey.

    Science.gov (United States)

    Salzer, Mark S; Schwenk, Edward; Brusilovskiy, Eugene

    2010-05-01

    In 2001 Georgia became the first state to allow services provided by certified peer specialists (CPSs) to be reimbursed by Medicaid. Six other states have since followed Georgia's lead, with many others in the process of doing so. This study examined where CPSs work and what they do. CPSs (N=291) from 28 states completed an online survey. CPSs primarily did their work within the agency rather than in the community and worked most often with individuals rather than groups. CPSs frequently provided peer support and focus on self-determination, health and wellness, hope, communication with providers, illness management, and stigma. They spent the least amount of time supporting people's family, parenting, dating, or spiritual relationships. CPS work settings and modalities varied greatly, although a core set of activities was identified. Implications for developing and refining CPS roles in the system are discussed, along with suggestions for additional training and supervision.

  12. Protostars in Orion: New results from the Herschel Orion Protostar Survey Key Program

    Science.gov (United States)

    Ali, Babar; Fischer, W.; Megeath, T.; Tobin, J.; Poteet, C.; Hartmann, L.; Watson, D.; Manoj, P.; Allen, L.; Stutz, A.; Krause, O.; Henning, T.; Stanke, T.; Bergin, E.; Calvet, N.; Maret, S.; Furlan, E.; Neufeld, D.; Osorio, M.; Wilson, T.

    2011-01-01

    We present new far-IR photometry results on 131 proto-stars from the Herschel Orion Protostar Survey (HOPS). HOPS is a 200-hour Herschel key program that will systematically survey 286 protostars encompassing a wide range of source luminosities, evolutionary phases, and environments in a single molecular cloud in the 60-210 micron window where we will sample the peak of the thermal emission from the protostellar envelope. We will focus on PACS imaging at 70 and 160 um taken as part of the imaging component of the HOPS program. From these data we extract 70 and 160 um photometry which are then combined with existing ground-based and HST near-IR imaging, IRAC and MIPS 3-24 um photometry and IRS 5-35 um spectra to create 1.6-160 um SEDs. These SEDS are integrated to find the bolometric luminosities and compared to the results of radiative transfer models (Whitney et al. 2003, ApJ, 591, 1049) to constrain the envelope morphologies, envelope densities, and infall rates. Our initial results (Fischer et al. 2010, A&A, 518, L122) on only protostars 4 stars showed a range of evolutionary states for the protostars. In this contribution, we extend our sample to 131 protostars -- the first large survey of its kind in the far-IR. We will examine the distribution of luminosities and SED properties as a function of environment. We will also present preliminary fits to radiative transfer models of the protostars.

  13. Designing messaging to engage patients in an online suicide prevention intervention: survey results from patients with current suicidal ideation.

    Science.gov (United States)

    Whiteside, Ursula; Lungu, Anita; Richards, Julie; Simon, Gregory E; Clingan, Sarah; Siler, Jaeden; Snyder, Lorilei; Ludman, Evette

    2014-02-07

    provided feedback about a media prototype including a brand design and advertisement video for introducing the intervention. This paper provides one model (including development of an engagement survey, audience for an engagement survey, methods for presenting results of an engagement survey) for including target users in the development of uptake strategies for online mental health interventions.

  14. 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

  15. Kawasaki disease in Mongolia: results from 2 nationwide retrospective surveys, 1996-2008.

    Science.gov (United States)

    Davaalkham, Dambadarjaa; Nakamura, Yosikazu; Baigalmaa, Davaakhuu; Davaa, Gombojav; Chimedsuren, Ochir; Sumberzul, Nyamjav; Lkhagvasuren, Tserenkhuu; Uehara, Ritei; Yanagawa, Hiroshi; Kawasaki, Tomisaku

    2011-01-01

    Kawasaki disease (KD) has been reported in many countries. However, the incidence of KD in Mongolia is not known. This is the first report of incident cases of KD in Mongolia, which were identified using data from 2 nationwide surveys. Two nationwide retrospective surveys were conducted: medical histories were collected from patients aged 0 to 16 years who were hospitalized countrywide between 1996 and 2008. Hospital records for these patients were also reviewed. Nationwide training seminars on KD were conducted before each survey. For the nationwide surveys, the participation rates among all hospitals with pediatric wards were 97% and 94%. Inpatient medical histories from 1996 through 2008 were reviewed, and, among children younger than 16 years, 9 patients with KD were investigated. The age of KD patients ranged from 1.4 to 14 years; 7 of 9 patients were male. Six (67%) patients fulfilled all 6 clinical diagnostic criteria; the other 3 (33%) were defined as having KD based on the presence of 5 such criteria. Fever persisting 5 or more days, bilateral conjunctival congestion, and changes of the lips and oral cavity were the most common symptoms, and cervical lymphadenopathy was the least common symptom. Cardiac sequelae developed in 5 of the patients, 4 of whom were older than 10 years. The results of these nationwide surveys reveal that KD cases do exist in Mongolia. However, knowledge of KD among Mongolian pediatricians is likely to be poor. Thus, there is a need to augment their understanding to improve management of KD patients. Further studies are crucial to clarify the epidemiologic characteristics of KD in Mongolia.

  16. Status of neurology medical school education: results of 2005 and 2012 clerkship director survey.

    Science.gov (United States)

    Carter, Jonathan L; Ali, Imran I; Isaacson, Richard S; Safdieh, Joseph E; Finney, Glen R; Sowell, Michael K; Sam, Maria C; Anderson, Heather S; Shin, Robert K; Kraakevik, Jeff A; Coleman, Mary; Drogan, Oksana

    2014-11-04

    To survey all US medical school clerkship directors (CDs) in neurology and to compare results from a similar survey in 2005. A survey was developed by a work group of the American Academy of Neurology Undergraduate Education Subcommittee, and sent to all neurology CDs listed in the American Academy of Neurology database. Comparisons were made to a similar 2005 survey. Survey response rate was 73%. Neurology was required in 93% of responding schools. Duration of clerkships was 4 weeks in 74% and 3 weeks in 11%. Clerkships were taken in the third year in 56%, third or fourth year in 19%, and fourth year in 12%. Clerkship duration in 2012 was slightly shorter than in 2005 (fewer clerkships of ≥4 weeks, p = 0.125), but more clerkships have moved into the third year (fewer neurology clerkships during the fourth year, p = 0.051). Simulation training in lumbar punctures was available at 44% of schools, but only 2% of students attempted lumbar punctures on patients. CDs averaged 20% protected time, but reported that they needed at least 32%. Secretarial full-time equivalent was 0.50 or less in 71% of clerkships. Eighty-five percent of CDs were "very satisfied" or "somewhat satisfied," but more than half experienced "burnout" and 35% had considered relinquishing their role. Trends in neurology undergraduate education since 2005 include shorter clerkships, migration into the third year, and increasing use of technology. CDs are generally satisfied, but report stressors, including inadequate protected time and departmental support. © 2014 American Academy of Neurology.

  17. Women's perceptions and treatment patterns related to contraception: results of a survey of US women.

    Science.gov (United States)

    Nelson, Anita L; Cohen, Stephen; Galitsky, Alex; Hathaway, Mark; Kappus, Dale; Kerolous, Majid; Patel, Kiren; Dominguez, Linda

    2017-09-25

    The aim of this survey was to understand US women's contraception journey from her first prescribed method to her current one including reasons for choosing and stopping/switching methods, healthcare provider relationships, and bleeding preferences. We administered a nationally-representative, web-based survey of US women aged 16 to 50 years currently using (N=1656) or had previously used (N=1448) prescription contraception, or who had never used it but would consider using it in the future (N=103). Statistical analyses were based on overlap formulae with sample weights adjusted to 2010 US census demographic benchmarks. The survey was sent to 11,906 women, and 5957 responded (50% response rate). Among qualified respondents, 3104 had experience with prescription contraception. Oral contraceptives (OC) remain the most frequently prescribed method as first or subsequent contraception. However, as women switch to their current prescription method, more chose IUD contraception. As reported by respondents, only 48% of current users received counseling on how to use specific methods, and 58% were counseled on bleeding patterns to expect, while 67% were offered counseling on potential side effects. Many of the side effects reported in this study for first and current prescription contraception were nonspecific and may be related to a nocebo effect, lack of understanding about normal bodily fluctuations, or poor compliance. Many women (34%) reported 'making their periods lighter' as a reason for using their current prescription method, and 53% would prefer to skip their monthly period altogether. Misperceptions about contraception are common, and prescription contraception choice can be quite complex. Clinicians can enhance patient satisfaction by providing adequate information and matching methods to women's lifestyles, reproductive choices, and pregnancy risk. This study provides insight into modern women's attitudes and views toward prescription contraception that may be

  18. Aspirin use among adults in the U.S.: results of a national survey.

    Science.gov (United States)

    Williams, Craig D; Chan, Andrew T; Elman, Miriam R; Kristensen, Alyson H; Miser, W Fred; Pignone, Michael P; Stafford, Randall S; McGregor, Jessina C

    2015-05-01

    The use of aspirin in patients without cardiovascular disease remains controversial. Patients' understanding of the risks and benefits of aspirin likely contribute to the decision of whether or not to use aspirin regularly. The purpose of this study is to assess patients' knowledge of aspirin and identify factors contributing to regular use. A survey of U.S. adults aged 45-75 years was performed to ascertain aspirin use and factors that may be associated with use. Multivariate logistic regression was used to identify predictors of current use of aspirin among those with a primary prevention indication. The survey was completed in 2012 with data analysis performed in 2013. Among 2,509 respondents, 52% reported current aspirin use. Among 2,039 respondents without a history of cardiovascular disease, current use of aspirin was 47%. Regular use of aspirin for primary prevention was associated with the presence of major cardiovascular disease risk factors (OR=3.0, 95% CI=2.4, 3.7), high self-assessed knowledge of aspirin (OR=9.1, 95% CI=5.2, 15.7), and having discussed aspirin therapy with a provider (OR=25.9, 95% CI=19.7, 34.1). Several markers of healthy lifestyle choices were also associated with regular use. After multivariate analysis, the strongest independent predictor of regular aspirin use was having discussed aspirin therapy with a provider (OR=23.79, 95% CI=17.8, 31.5). Approximately half of the nationwide survey of U.S. adults reported regular aspirin use. Among those with a primary prevention indication, having discussed aspirin with a provider was the strongest predictor of regular use. Copyright © 2015 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.

  19. Community burden of undiagnosed HIV infection among adolescents in Zimbabwe following primary healthcare-based provider-initiated HIV testing and counselling: A cross-sectional survey.

    Directory of Open Access Journals (Sweden)

    Victoria Simms

    2017-07-01

    Full Text Available Children living with HIV who are not diagnosed in infancy often remain undiagnosed until they present with advanced disease. Provider-initiated testing and counselling (PITC in health facilities is recommended for high-HIV-prevalence settings, but it is unclear whether this approach is sufficient to achieve universal coverage of HIV testing. We aimed to investigate the change in community burden of undiagnosed HIV infection among older children and adolescents following implementation of PITC in Harare, Zimbabwe.Over the course of 2 years (January 2013-January 2015, 7 primary health clinics (PHCs in southwestern Harare implemented optimised, opt-out PITC for all attendees aged 6-15 years. In February 2015-December 2015, we conducted a representative cross-sectional survey of 8-17-year-olds living in the 7 communities served by the study PHCs, who would have had 2 years of exposure to PITC. Knowledge of HIV status was ascertained through a caregiver questionnaire, and anonymised HIV testing was carried out using oral mucosal transudate (OMT tests. After 1 participant taking antiretroviral therapy was observed to have a false negative OMT result, from July 2015 urine samples were obtained from all participants providing OMTs and tested for antiretroviral drugs to confirm HIV status. Children who tested positive through PITC were identified from among survey participants using gender, birthdate, and location. Of 7,146 children in 4,251 eligible households, 5,486 (76.8% children in 3,397 households agreed to participate in the survey, and 141 were HIV positive. HIV prevalence was 2.6% (95% CI 2.2%-3.1%, and over a third of participants with HIV were undiagnosed (37.7%; 95% CI 29.8%-46.2%. Similarly, among the subsample of 2,643 (48.2% participants with a urine test result, 34.7% of those living with HIV were undiagnosed (95% CI 23.5%-47.9%. Based on extrapolation from the survey sample to the community, we estimated that PITC over 2 years identified

  20. U.S. Residential Miscellaneous Refrigeration Products: Results from Amazon Mechanical Turk Surveys

    Energy Technology Data Exchange (ETDEWEB)

    Greenblatt, Jeffery B. [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Young, Scott J. [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Yang, Hung-Chia [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Long, Timothy [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Beraki, Bereket [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Price, Sarah K. [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Pratt, Stacy [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Willem, Henry [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Desroches, Louis-Benoit [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States)

    2013-04-01

    Amazon Mechanical Turk was used, for the first time, to collect statistically representative survey data from U.S. households on the presence, number, type and usage of refrigerators, freezers, and various “miscellaneous” refrigeration products (wine/beverage coolers, residential icemakers and non-vapor compression refrigerators and freezers), along with household and demographic information. Such products have been poorly studied to date, with almost no information available about shipments, stocks, capacities, energy use, etc. A total of 9,820 clean survey responses were obtained from four distinct surveys deployed in 2012. General refrigeration product survey responses were weighted to demographics in the U.S. Energy Information Administration’s Residential Energy Consumption Survey 2009 dataset. Miscellaneous refrigeration product survey responses were weighted according to demographics of product ownership found in the general refrigeration product surveys. Model number matching for a portion of miscellaneous refrigeration product responses allowed validation of refrigeration product characteristics, which enabled more accurate estimates of the penetrations of these products in U.S. households. We estimated that there were 12.3±1.0 million wine/beverage coolers, 5.5(–3.5,+3.2) million residential icemakers and 2.9(–2.5,+4.5) million non-vapor compression refrigerators in U.S. households in 2012. (All numerical results are expressed with ranges indicating the 95% confidence interval.) No evidence was found for the existence of non-vapor compression freezers. Moreover, we found that 15% of wine/beverage coolers used vapor compression cooling technology, while 85% used thermoelectric cooling technology, with the vast majority of thermoelectric units having capacities of less than 30 wine bottles (approximately 3.5 cubic feet). No evidence was found for the existence of wine/beverage coolers with absorption cooling technology. Additionally, we estimated