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Sample records for surveys administrative record

  1. Record Management in Nigerian Secondary School Administration

    Science.gov (United States)

    Nakpodia, E. D.

    2009-01-01

    This paper examined the usefulness of record management in Nigerian Secondary Schools. Record keeping is one of the administrative principles in secondary school administration and it cannot be overemphasized in any organisation. The continuity of any school organisation depends on availability of useful records of past activities. In a complex…

  2. The Quality and Selectivity of Linking Federal Administrative Records to Respondents and Nonrespondents in a General Population Sample Survey of Germany

    Directory of Open Access Journals (Sweden)

    Joseph Sakshaug

    2017-04-01

    Full Text Available Various forms of auxiliary information are being sought to augment survey samples and adjust for possible nonresponse bias in key survey estimates. Auxiliary data options are typically limited in most general population surveys and there are questions concerning their utility for nonresponse bias evaluation and adjustment. Federal administrative databases provide a potentially rich source of auxiliary information for nonresponse purposes, but linking them to general population samples is usually restricted to surveys which draw their samples from population registers containing unique personal identity numbers which can be directly linked to federal databases containing more detailed substantive information. In this article, we examine the quality and selectivity of augmenting a federal administrative database to a general population survey when such a unique personal identifier is not available. We employ a series of standard linkage procedures that rely instead on non-unique and error-prone identifiers collected from the sampling frame to link a federal employment database to a general population survey in Germany. The quality and selectivity of the established links are evaluated using household- and person-level interview data in accordance with German data protection laws. We report a linkage rate of 60 percent for the entire sample under a strict linkage criterion, and 80 percent under a more relaxed criterion. We find that linkage rates vary across some household- and person-level characteristics that are likely specific to the particular administrative database used in this case study. We conclude with a general discussion of the practical implications of this work for survey organizations considering performing similar linkages and highlight some opportunities for future research.

  3. Survey of Records Management Practices in Wisconsin.

    Science.gov (United States)

    Blue, Richard I.; Schramm, Robert M.

    A 1990 survey of 68 records management operations in Wisconsin indicates current practices regarding records retention schedules, retention audits, use of computers, record destruction practices, and the effects of federal legislation on records management operations. The 1990 survey results are compared to similar surveys in the 1970s and 1980s.…

  4. Power Subscription Strategy: Administrator`s Record of Decision.

    Energy Technology Data Exchange (ETDEWEB)

    United States. Bonneville Power Administration

    1998-12-01

    The Bonneville Power Administration (BPA) has decided to adopt a Power Subscription Strategy for entering into new power sales contracts with its Pacific Northwest customers. The Strategy equitably distributes the electric power generated by the Federal Columbia River Power System (FCRPS) within the framework of existing law. The Power Subscription Strategy addresses the availability of power; describes power products; lays out strategies for pricing, including risk management; and discusses contract elements. In proceeding with this Subscription Strategy, BPA is guided by and committed to the Fish and Wildlife funding Principles for the BPA announced by the Vice President of the US in September 1998. This Record of Decision (ROD) addresses the issues raised by commenters who responded to BPA`s Power Subscription Strategy Proposal during and after the comment period that began with the release of the Proposal on September 18, 1998. The ROD is organized in approximately the same way as the Proposal and the Power Subscription Strategy that BPA developed based on the comments received. Abbreviations of party names used in citations appear in the section just preceding this introduction; a list of all the commenters follows the text of the ROD.

  5. Measuring the Accuracy of Survey Responses using Administrative Register Data

    DEFF Research Database (Denmark)

    Kreiner, Claus Thustrup; Lassen, David Dreyer; Leth-Petersen, Søren

    2015-01-01

    This paper shows how Danish administrative register data can be combined with survey data at the person level and be used to validate information collected in the survey. Register data are collected by automatic third party reporting and the potential errors associated with the two data sources...... data are used to impute total expenditure which is then compared to the survey measure. Results suggest that the two measures match each other well on average. In the second example we compare responses to a one-shot recall question about total gross personal income ¿collected in another survey......¿ with tax records. Tax records hold detailed information about different types of income and this makes it possible to test if errors in the survey responseare related to the reporting of particular types of income. Results show bias in the mean and that the survey error has substantial variance. Results...

  6. Measuring the Accuracy of Survey Responses using Administrative Register Data

    DEFF Research Database (Denmark)

    Kreiner, Claus Thustrup; Lassen, David Dreyer; Leth-Petersen, Søren

    2015-01-01

    This paper shows how Danish administrative register data can be combined with survey data at the person level and be used to validate information collected in the survey. Register data are collected by automatic third party reporting and the potential errors associated with the two data sources...... are therefore plausibly orthogonal. Two examples are given to illustrate the potential of combining survey and register data. In the first example expenditure survey records with information about total expenditure are merged with income tax records holding information about income and wealth. Income and wealth...... data are used to impute total expenditure which is then compared to the survey measure. Results suggest that the two measures match each other well on average. In the second example we compare responses to a one-shot recall question about total gross personal income ¿collected in another survey...

  7. 29 CFR 8.8 - Filing of administrative record.

    Science.gov (United States)

    2010-07-01

    ... 29 Labor 1 2010-07-01 2010-07-01 true Filing of administrative record. 8.8 Section 8.8 Labor Office of the Secretary of Labor PRACTICE BEFORE THE ADMINISTRATIVE REVIEW BOARD WITH REGARD TO FEDERAL SERVICE CONTRACTS Review of Other Proceedings and Related Matters § 8.8 Filing of administrative record...

  8. Southeast Region Headboat Survey-Catch Records

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The Southeast Region Headboat Survey (SRHS), administered by National Marine Fisheries Service (NMFS) Southeast Fisheries Science Center (SEFSC) personnel based at...

  9. Measuring Income and Wealth at the Top Using Administrative and Survey Data

    National Research Council Canada - National Science Library

    JESSE BRICKER; ALICE HENRIQUES; JACOB KRIMMEL; JOHN SABELHAUS

    2016-01-01

    .... Household surveys are the traditional data source used to measure the top shares, but recent studies using administrative tax records suggest that these survey-based top share estimates may not be...

  10. Impact of an electronic medication administration record on medication administration efficiency and errors.

    Science.gov (United States)

    McComas, Jeffery; Riingen, Michelle; Chae Kim, Son

    2014-12-01

    The study aims were to evaluate the impact of electronic medication administration record implementation on medication administration efficiency and occurrence of medication errors as well as to identify the predictors of medication administration efficiency in an acute care setting. A prospective, observational study utilizing time-and-motion technique was conducted before and after electronic medication administration record implementation in November 2011. A total of 156 cases of medication administration activities (78 pre- and 78 post-electronic medication administration record) involving 38 nurses were observed at the point of care. A separate retrospective review of the hospital Midas+ medication error database was also performed to collect the rates and origin of medication errors for 6 months before and after electronic medication administration record implementation. The mean medication administration time actually increased from 11.3 to 14.4 minutes post-electronic medication administration record (P = .039). In a multivariate analysis, electronic medication administration record was not a predictor of medication administration time, but the distractions/interruptions during medication administration process were significant predictors. The mean hospital-wide medication errors significantly decreased from 11.0 to 5.3 events per month post-electronic medication administration record (P = .034). Although no improvement in medication administration efficiency was observed, electronic medication administration record improved the quality of care with a significant decrease in medication errors.

  11. 42 CFR 8.32 - Administrative record.

    Science.gov (United States)

    2010-10-01

    ... Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL PROVISIONS CERTIFICATION OF OPIOID TREATMENT PROGRAMS Procedures for Review of Suspension or Proposed Revocation of OTP Certification, and of Adverse Action Regarding Withdrawal of Approval of an Accreditation Body § 8.32 Administrative...

  12. Records management and football administration in Ghana ...

    African Journals Online (AJOL)

    This study seeks to evaluate the nature and scale of the Ghana Premier League Board's records management practices, and propose recommendations based on findings. The study was qualitative. Data used for analysis were drawn from twelve (12) respondents with the use of face-to-face interviews and personal ...

  13. 40 CFR 300.800 - Establishment of an administrative record.

    Science.gov (United States)

    2010-07-01

    ... 40 Protection of Environment 27 2010-07-01 2010-07-01 false Establishment of an administrative...) SUPERFUND, EMERGENCY PLANNING, AND COMMUNITY RIGHT-TO-KNOW PROGRAMS NATIONAL OIL AND HAZARDOUS SUBSTANCES POLLUTION CONTINGENCY PLAN Administrative Record for Selection of Response Action § 300.800 Establishment of...

  14. Court Records Management and Efficient Administration of Justice ...

    African Journals Online (AJOL)

    This study investigated the records management practices in Nigerian courts as they affect the administration of justice in Nigeria. Focusing particularly on the Court of Appeal and the Supreme Court of Nigeria, the population of the study comprised 634 records personnel out of which 160 were purposively sampled.

  15. Digital clinical records and practice administration in primary dental care.

    Science.gov (United States)

    Wagner, I-V; Ireland, R S; Eaton, K A

    2008-04-12

    Usually, a 'computerised dental practice' has included a series of diagnostic instruments, intra-oral cameras, digital radiographic systems, treatment planning systems, CAD-CAM systems, management systems etc. However, these 'island solutions' have not been integrated into one system. Nevertheless, it is possible to produce fully integrated systems for digital clinical records, based on established physiologic and cognitive-ergonomic concepts. The first part of this paper outlines the philosophy behind the development of such a totally integrated system for digital clinical records. The second--digital practice administration--considers how the 'digital revolution' has impacted upon practice administration.

  16. Evolution of Medication Administration Workflow in Implementing Electronic Health Record System

    Science.gov (United States)

    Huang, Yuan-Han

    2013-01-01

    This study focused on the clinical workflow evolutions when implementing the health information technology (HIT). The study especially emphasized on administrating medication when the electronic health record (EHR) systems were adopted at rural healthcare facilities. Mixed-mode research methods, such as survey, observation, and focus group, were…

  17. Evaluation of Electronic Medical Record Administrative data Linked Database (EMRALD).

    Science.gov (United States)

    Tu, Karen; Mitiku, Tezeta F; Ivers, Noah M; Guo, Helen; Lu, Hong; Jaakkimainen, Liisa; Kavanagh, Doug G; Lee, Douglas S; Tu, Jack V

    2014-01-01

    Primary care electronic medical records (EMRs) represent a potentially rich source of information for research and evaluation. To assess the completeness of primary care EMR data compared with administrative data. Retrospective comparison of provincial health-related administrative databases and patient records for more than 50,000 patients of 54 physicians in 15 geographically distinct clinics in Ontario, Canada, contained in the Electronic Medical Record Administrative data Linked Database (EMRALD). Physician billings, laboratory tests, medications, specialist consultation letters, and hospital discharges captured in EMRALD were compared with health-related administrative data in a universal access healthcare system. The mean (standard deviation [SD]) percentage of clinic primary care outpatient visits captured in EMRALD compared with administrative data was 94.4% (4.88%). Consultation letters from specialists for first consultations and for hospital discharges were captured at a mean (SD) rate of 72.7% (7.98%) and 58.5% (15.24%), respectively, within 30 days of the occurrence. The mean (SD) capture within EMRALD of the most common laboratory tests billed and the most common drugs dispensed was 67.3% (21.46%) and 68.2% (8.32%), respectively, for all clinics. We found reasonable capture of information within the EMR compared with administrative data, with the advantage in the EMR of having actual laboratory results, prescriptions for patients of all ages, and detailed clinical information. However, the combination of complete EMR records and administrative data is needed to provide a full comprehensive picture of patient health histories and processes, and outcomes of care.

  18. 48 CFR 4.705-2 - Pay administration records.

    Science.gov (United States)

    2010-10-01

    ... 48 Federal Acquisition Regulations System 1 2010-10-01 2010-10-01 false Pay administration records. 4.705-2 Section 4.705-2 Federal Acquisition Regulations System FEDERAL ACQUISITION REGULATION...) Payroll sheets, registers, or their equivalent, of salaries and wages paid to individual employees for...

  19. A Survey on Selection and Administration of Perioperative ...

    African Journals Online (AJOL)

    Background: Perioperative antibiotic administration for prophylaxis of surgical site infections can increase the anaesthetists workload. However, timely administration is essential to reduce risks and improve patient outcome. Objective: This survey evaluates anaesthetists' opinion concerning perioperative antibiotic therapy ...

  20. Estimates of Year-to-Year Volatility in Earnings and in Household Incomes from Administrative,Survey, and Matched Data

    Science.gov (United States)

    Dahl, Molly; DeLeire, Thomas; Schwabish, Jonathan A.

    2011-01-01

    We document trends in the volatility in earnings and household incomes between 1985 and 2005 in three different data sources: administrative earnings records, the Survey of Income and Program Participation (SIPP) matched to administrative earnings records, and SIPP survey data. In all data sources, we find a substantial amount of year-to-year…

  1. Health plan administrative records versus birth certificate records: quality of race and ethnicity information in children.

    Science.gov (United States)

    Smith, Ning; Iyer, Rajan L; Langer-Gould, Annette; Getahun, Darios T; Strickland, Daniel; Jacobsen, Steven J; Chen, Wansu; Derose, Stephen F; Koebnick, Corinna

    2010-11-23

    To understand racial and ethnic disparities in health care utilization and their potential underlying causes, valid information on race and ethnicity is necessary. However, the validity of pediatric race and ethnicity information in administrative records from large integrated health care systems using electronic medical records is largely unknown. Information on race and ethnicity of 325,810 children born between 1998-2008 was extracted from health plan administrative records and compared to birth certificate records. Positive predictive values (PPV) were calculated for correct classification of race and ethnicity in administrative records compared to birth certificate records. Misclassification of ethnicity and race in administrative records occurred in 23.1% and 33.6% children, respectively; the majority due to missing ethnicity (48.3%) and race (40.9%) information. Misclassification was most common in children of minority groups. PPV for White, Black, Asian/Pacific Islander, American Indian/Alaskan Native, multiple and other was 89.3%, 86.6%, 73.8%, 18.2%, 51.8% and 1.2%, respectively. PPV for Hispanic ethnicity was 95.6%. Racial and ethnic information improved with increasing number of medical visits. Subgroup analyses comparing racial classification between non-Hispanics and Hispanics showed White, Black and Asian race was more accurate among non-Hispanics than Hispanics. In children, race and ethnicity information from administrative records has significant limitations in accurately identifying small minority groups. These results suggest that the quality of racial information obtained from administrative records may benefit from additional supplementation by birth certificate data.

  2. Health plan administrative records versus birth certificate records: quality of race and ethnicity information in children

    Directory of Open Access Journals (Sweden)

    Chen Wansu

    2010-11-01

    Full Text Available Abstract Background To understand racial and ethnic disparities in health care utilization and their potential underlying causes, valid information on race and ethnicity is necessary. However, the validity of pediatric race and ethnicity information in administrative records from large integrated health care systems using electronic medical records is largely unknown. Methods Information on race and ethnicity of 325,810 children born between 1998-2008 was extracted from health plan administrative records and compared to birth certificate records. Positive predictive values (PPV were calculated for correct classification of race and ethnicity in administrative records compared to birth certificate records. Results Misclassification of ethnicity and race in administrative records occurred in 23.1% and 33.6% children, respectively; the majority due to missing ethnicity (48.3% and race (40.9% information. Misclassification was most common in children of minority groups. PPV for White, Black, Asian/Pacific Islander, American Indian/Alaskan Native, multiple and other was 89.3%, 86.6%, 73.8%, 18.2%, 51.8% and 1.2%, respectively. PPV for Hispanic ethnicity was 95.6%. Racial and ethnic information improved with increasing number of medical visits. Subgroup analyses comparing racial classification between non-Hispanics and Hispanics showed White, Black and Asian race was more accurate among non-Hispanics than Hispanics. Conclusions In children, race and ethnicity information from administrative records has significant limitations in accurately identifying small minority groups. These results suggest that the quality of racial information obtained from administrative records may benefit from additional supplementation by birth certificate data.

  3. Reflecting on the ethical administration of computerized medical records

    Science.gov (United States)

    Collmann, Jeff R.

    1995-05-01

    This presentation examines the ethical issues raised by computerized image management and communication systems (IMAC), the ethical principals that should guide development of policies, procedures and practices for IMACS systems, and who should be involved in developing a hospital's approach to these issues. The ready access of computerized records creates special hazards of which hospitals must beware. Hospitals must maintain confidentiality of patient's records while making records available to authorized users as efficiently as possible. The general conditions of contemporary health care undermine protecting the confidentiality of patient record. Patients may not provide health care institutions with information about themselves under conditions of informed consent. The field of information science must design sophisticated systems of computer security that stratify access, create audit trails on data changes and system use, safeguard patient data from corruption, and protect the databases from outside invasion. Radiology professionals must both work with information science experts in their own hospitals to create institutional safeguards and include the adequacy of security measures as a criterion for evaluating PACS systems. New policies and procedures on maintaining computerized patient records must be developed that obligate all members of the health care staff, not just care givers. Patients must be informed about the existence of computerized medical records, the rules and practices that govern their dissemination and given the opportunity to give or withhold consent for their use. Departmental and hospital policies on confidentiality should be reviewed to determine if revisions are necessary to manage computer-based records. Well developed discussions of the ethical principles and administrative policies on confidentiality and informed consent and of the risks posed by computer-based patient records systems should be included in initial and continuing

  4. Survey Response Rates and Survey Administration in Counseling and Clinical Psychology: A Meta-Analysis

    Science.gov (United States)

    Van Horn, Pamela S.; Green, Kathy E.; Martinussen, Monica

    2009-01-01

    This article reports results of a meta-analysis of survey response rates in published research in counseling and clinical psychology over a 20-year span and describes reported survey administration procedures in those fields. Results of 308 survey administrations showed a weighted average response rate of 49.6%. Among possible moderators, response…

  5. National Highway Traffic Safety Administration : 1997 customer satisfaction survey

    Science.gov (United States)

    1998-03-13

    In 1995, the National Highway Traffic Safety Administration (NHTSA) conducted its first Customer Satisfaction Survey in response to the requirements of the National Performance Review and Executive Order 12862. An independent research organization, S...

  6. National Highway Traffic Safety Administration 1995 customer satisfaction survey

    Science.gov (United States)

    1996-05-01

    The National Highway Traffic Safety Administration (NHTSA) conducted a national Customer Satisfaction Survey in response to the requirements of the National Performance Review and Executive Order 12862. An independent research organization, Schulman,...

  7. 77 FR 7184 - Public Availability of the National Archives and Records Administration FY 2011 Service Contract...

    Science.gov (United States)

    2012-02-10

    ... RECORDS ADMINISTRATION Public Availability of the National Archives and Records Administration FY 2011 Service Contract Inventory AGENCY: National Archives and Records Administration. ACTION: Notice of public... Administration (NARA) is publishing this notice to advise the public of the availability of its FY 2011 Service...

  8. UMTRA Project Administrative Files Collection Records Management Program

    Energy Technology Data Exchange (ETDEWEB)

    1994-09-01

    The UPAFC Records Management Plan is based on the life cycle of a record - the evolution of a record from creation until final disposition. There are three major phases in the life cycle of a record: (1) creation and receipt, (2) maintenance and use, and (3) disposition. Accordingly, the Records Management Plan is structured to follow each of those phases. During each of the three phases, some kind of control is mandatory. The Records Management Plan establishes appropriate standards, policies, and procedures to ensure adequate control is always maintained. It includes a plan for records management, a plan for records management training activities, and a plan for auditing and appraising the program.

  9. Cancer Registration Manual Understanding by Medical Record Administrators

    Science.gov (United States)

    Lim, Hyun-Sook; Boo, Yoo-Kyung; Won, Young-Joo

    2017-04-01

    Background: This study examined: (a) whether medical record administrators (MRAs) properly understand and apply a cancer registration manual; (b) weaknesses in cancer registration: and (c) factors influencing the accuracy of cancer registration. Methods: MRAs dealing with cancer registration in 81 national member hospitals were asked by mail to answer 17 questions about cancer information among registration items. After calculating rates of correct and incorrect answers to each question, an analysis was conducted of whether they were related to particular factors (hospital type, hospital location, number of hospital beds, experience of cancer registration, and experience of consulting cancer registration). Results: A total of 45.7% of the participants gave approximately 90% correct answers. The rates for correct answers about general rules were under 90% for objectives of cancer registration and treatment. The rate concerning histologic type was over 90%, while few correct answers exceeded 50% to questions concerning newly revised rules for the colorectal system. For questions about initial treatment, date of diagnosis, and method of final diagnosis, as well as four questions on checking the validity of registered data, the correct answer rates were 70-90%. Regarding the features of hospitals and respondents, number of hospital beds and prior experience in cancer registration questions were found to contribute to the high rate of correct answers. Conclusion: To improve the accuracy of cancer registration, the manual needs to be supplemented in areas demonstrating low correct answer rates. Education opportunities and methods for MRAs should be diversified. Creative Commons Attribution License

  10. Use of Electronic Medication Administration Records to Reduce Perceived Stress and Risk of Medication Errors in Nursing Homes.

    Science.gov (United States)

    Alenius, Malin; Graf, Peter

    2016-07-01

    Concerns have been raised about the effects of current medication administration processes on the safety of many of the aspects of medication administration. Keeping electronic medication administration records could decrease many of these problems. Unfortunately, there has not been much research on this topic, especially in nursing homes. A prospective case-control survey was consequently performed at two nursing homes; the electronic record system was introduced in one, whereas the other continued to use paper records. The personnel were asked to fill in a questionnaire of their perceptions of stress and risk of medication errors at baseline (n = 66) and 20 weeks after the intervention group had started recording medication administration electronically (n = 59). There were statistically significant decreases in the perceived risk of omitting a medication, of medication errors occurring because of communication problems, and of medication errors occurring because of inaccurate medication administration records in the intervention group (all P electronic medication administration records will reduce many of the concerns regarding the medication administration process.

  11. Non-Federal Participation Capacity Ownership : Administrator`s Final Record of Decision.

    Energy Technology Data Exchange (ETDEWEB)

    United States. Bonneville Power Administration.

    1994-03-01

    In a September 1988 Record of Decision (ROD), Bonneville Power Administration (BPA) explained its decision to proceed with the Third Alternating Current (Third AC) Intertie addition construction project using its own funding. At that time, BPA`s decision on non-Federal ownership access to the added capacity was deferred to a separate non-Federal participation policy development process. BPA`s preferred alternative for providing non-Federal Intertie access is to adopt Capacity Ownership for 725 MW. Capacity Ownership allows non-Federal PNW scheduling utilities to purchase contract rights to use protions of BPA`s share of AC Intertie capacity for the life of the Intertie facilities. This ROD documents BPA`s decision to proceed with Capacity Ownership for non-Federal parties.

  12. Promoting institutional and organisational development in surveying and land administration

    DEFF Research Database (Denmark)

    Enemark, Stig; Greenway, Iain

    2006-01-01

    A key component of capacity building is ensuring that a country’s organisations are sufficiently robust to develop, enable and ensure the effective operation of surveying and land administration activities. The relevant organisations include the professional surveying associations (the FIG member...... associations), the private surveying companies, as well as the government agencies such as the mapping organisations and the organisations with land registration and land administration responsibilities. This paper provides a conceptual understanding covering the area of institutional and organisational...... development, and outlines some of the key tools and techniques to be used in the institutional reform process. This process will normally include four steps: Where are we now (assessment of the current situation and needs); Where do we want to be (design of vision and mission); How do we get there (strategies...

  13. 20 CFR 655.850 - Who has custody of the administrative record?

    Science.gov (United States)

    2010-04-01

    ... 20 Employees' Benefits 3 2010-04-01 2010-04-01 false Who has custody of the administrative record... Applications and H-1B1 and E-3 Labor Attestations § 655.850 Who has custody of the administrative record? The... part shall be maintained and filed under the custody and control of the Chief Administrative Law Judge...

  14. An Australian survey of current practice regarding radiation treatment records

    Energy Technology Data Exchange (ETDEWEB)

    Manderson, C.; Berry, M.; Gebski, V [Westmead Hospital, Westmead, NSW (Australia). Dept of Radiation Oncology

    1996-12-01

    Thirty one Radiation Oncology Departments were surveyed to assess the structure and content of their external photon beam treatment sheets. A master index of standard data items was compiled from previously published recommendations and the frequency of recording these items was tabulated. A wide variation in practice was observed. The data highlights the need for agreed common data recording for quality assurance, outcome analysis and participation in clinical trials. 4 tabs.

  15. European perspective on less invasive surfactant administration-a survey.

    Science.gov (United States)

    Klotz, Daniel; Porcaro, Ugo; Fleck, Thilo; Fuchs, Hans

    2017-02-01

    Less invasive surfactant administration or minimally invasive surfactant therapy (LISA/MIST) has been proposed for the administration of surfactant in preterm infants without intubation. The aim of our survey was to assess the rate of utilization, premedication as well as technique and equipment used for LISA/MIST. Furthermore, attitudes and experiences in regard to indications, side effects, and efficacy should be assessed. An online-based survey was sent to 324 neonatologists from different centers within 37 European countries between December 2015 and March 2016. Of those 165 who responded (response rate 51%), 86 (52%) were using LISA/MIST. It is regarded the standard procedure for surfactant administration by 41%, with a wide variation in personal views on patient selection in terms of indication, appropriate gestational and postnatal age. Policies concerning premedication, devices, and technique of LISA/MIST differed widely. Side effects like surfactant reflux, bradycardia, and hypoxia were observed by 77% of neonatologists. Of neonatologists inexperienced in LISA/MIST, 89% would consider utilizing it in the future. Perceived efficacy of LISA/MIST was high (52%) to medium (33%). The use of LISA/MIST within Europe is widespread. There is a wide variation concerning all aspects of LISA in daily clinical routine and different views on when and how LISA should be performed. What is Known: • Noninvasive surfactant administration has been the subject of randomized controlled trials and has found its way into clinical routine. What is New: • Noninvasive surfactant administration techniques are widely applied in European neonatal units. • There is a wide variety of equipment used and techniques applied for less invasive surfactant delivery as well as different views on the indications and perceived efficacy of this intervention.

  16. Collaboratively planning for medicines administration competency: a survey evaluation.

    Science.gov (United States)

    Hemingway, Steve; Baxter, Hazel; Smith, George; Burgess-Dawson, Rebecca; Dewhirst, Kate

    2011-04-01

    This survey evaluated the experiences of mental health nurses who had undergone assessment of their competence in the administration of medicines using established assessment frameworks. Medicines management activities have at times been widely criticized. Joint collaborations between Higher Education Authorities and the National Health Service in education and training can start to address some of these criticisms. A questionnaire using 22 closed and open response questions was distributed to 827 practising mental health nurses and 44 graduate mental health nurses. A total of 70 registered and 41 graduate mental health nurses who had completed the assessment of administration competency frameworks responded to the survey. Response rates were 24 and 96%, respectively. The assessment frameworks were received positively. Environmental factors were perceived as the main barrier to medicines safety; however, this was not reflected in how this aspect of the competency framework was perceived. The administration of medicines is an area of mental health and all fields of nursing practice that needs attention. The use of competency frameworks as outlined in the 'Medicine with Respect Project' is one strategy to achieve the improvement in this essential clinical skill. © 2011 The Authors. Journal compilation © 2011 Blackwell Publishing Ltd.

  17. 21 CFR 20.101 - Administrative enforcement records.

    Science.gov (United States)

    2010-04-01

    ... with companies following factory inspection, recall or detention requests, notice of refusal of admission of an imported product, regulatory letters, information letters, Forms FD-483 and FD-2275 furnished to companies after factory inspection, and similar records. (b) To the extent that any of such...

  18. 40 CFR 300.805 - Location of the administrative record file.

    Science.gov (United States)

    2010-07-01

    ... 40 Protection of Environment 27 2010-07-01 2010-07-01 false Location of the administrative record...) SUPERFUND, EMERGENCY PLANNING, AND COMMUNITY RIGHT-TO-KNOW PROGRAMS NATIONAL OIL AND HAZARDOUS SUBSTANCES POLLUTION CONTINGENCY PLAN Administrative Record for Selection of Response Action § 300.805 Location of the...

  19. 40 CFR 300.815 - Administrative record file for a remedial action.

    Science.gov (United States)

    2010-07-01

    ... 40 Protection of Environment 27 2010-07-01 2010-07-01 false Administrative record file for a... (CONTINUED) SUPERFUND, EMERGENCY PLANNING, AND COMMUNITY RIGHT-TO-KNOW PROGRAMS NATIONAL OIL AND HAZARDOUS SUBSTANCES POLLUTION CONTINGENCY PLAN Administrative Record for Selection of Response Action § 300.815...

  20. 40 CFR 300.820 - Administrative record file for a removal action.

    Science.gov (United States)

    2010-07-01

    ... 40 Protection of Environment 27 2010-07-01 2010-07-01 false Administrative record file for a... (CONTINUED) SUPERFUND, EMERGENCY PLANNING, AND COMMUNITY RIGHT-TO-KNOW PROGRAMS NATIONAL OIL AND HAZARDOUS SUBSTANCES POLLUTION CONTINGENCY PLAN Administrative Record for Selection of Response Action § 300.820...

  1. 21 CFR 20.120 - Records available in Food and Drug Administration Public Reading Rooms.

    Science.gov (United States)

    2010-04-01

    ... Public Reading Rooms. 20.120 Section 20.120 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF....120 Records available in Food and Drug Administration Public Reading Rooms. (a) The Food and Drug Administration operates two public reading rooms. The Freedom of Information Staff's Public Reading Room is...

  2. Pharmacy-based automated medication records: methods, application, and a survey of use.

    Science.gov (United States)

    Grabowski, B S

    1994-10-01

    A literature review of articles describing the development and implementation of automated medication administration records is summarized, and the results of a survey undertaken of all hospitals in Missouri to determine the extent of an automated medication administration record (MAR) are reported. For hospitals with an automated MAR, the survey compiled information about the demographics of responding facilities and production and distribution, design, implementation, and procedures for use of automated MARs. The most frequently reported advantages of an automated MAR were a more legible document, increased accuracy, savings in nursing personnel time, and fewer medication errors. The most frequently reported disadvantages were increases in pharmacy personnel time, different interpretation of orders by pharmacy and nursing, and multiple entries required for a medication order to appear correctly on the MAR.

  3. Medical Services: Medical Record Administration and Health Care Documentation

    Science.gov (United States)

    1999-05-03

    formerly prescribed by AR 40-400 (para 6-4b(1)). o Converts DA Form 8006 ( Pediatric Dentistry Diagnostic Form) into a reproducible form, DA 8006-R (para 6-7e...will be used when needed and will be filed on top of the original SF 603. See paragraph 5-18. e. DA Form 8006-R ( Pediatric Dentistry Diagnostic Form...DA 40 AR 40–66 • 3 May 1999 Form 8006-R will be used for recording the examination, diagnosis, and treatment planning of pediatric dentistry patients

  4. Appraising U.S. Geological Survey science records

    Science.gov (United States)

    Faundeen, John L.

    2010-01-01

    The U.S. Geological Survey (USGS) Earth Resources Observation and Science (EROS) Center has legislative charters to preserve and make accessible land remote sensing records important to the United States. This essay explains the appraisal process developed by EROS to ensure the science records it holds and those offered to it align with those charters. The justifications behind the questions employed to weed and to complement the EROS archive are explained along with the literature reviewed supporting their inclusion. Appraisal results are listed by individual collection and include the recommendations accepted by EROS management.

  5. 76 FR 51358 - National Nuclear Security Administration Amended Record of Decision: Disposition of Surplus...

    Science.gov (United States)

    2011-08-18

    ... Uranium Environmental Impact Statement AGENCY: National Nuclear Security Administration, U.S. Department of Energy. ACTION: Amended Record of Decision. SUMMARY: The National Nuclear Security Administration..., 2004 and 74 FR 4173; January 23, 2009) for the Environmental Impact Statement on a Proposed Nuclear...

  6. Survey of administration of medicines to pupils in primary schools within the London area.

    Science.gov (United States)

    Wong, I C K; Awolowo, T; Gordon, K; Mo, Y W

    2004-11-01

    To examine the policy, administration, and supervision of medicine administration in primary schools within the Greater London area (GLA). A prospective survey using postal questionnaires sent to 172 randomly selected primary schools within the GLA. Head teachers of primary schools. Some 65% of head teachers replied. Less than 50% of responding head teachers had actually read the national guidelines Supporting Pupils with Medical Needs and only 30% of respondents were aware of other members of staff who had read the document. A total of 95% of respondents followed a policy/procedure in caring for the medical needs of pupils. Over 80% of respondents had staff handling the pupils' medical needs, staff handling access to stored medicines, and prior arrangements for staff training. However, it is worrying that a quarter of the schools did not keep a written record of medicines given to children in schools. The majority of staff with responsibility for medicine administration in schools are support staff. The most encouraging findings were that for the majority of schools with children using the EpiPen and rectal diazepam, there were trained staff to administer these medicines. The majority of schools had a policy in place to deal with medicine administration, although further work should be conducted to analyse the content of such policies. It is very important that training is directed at staff responsible for medicine administration and not just at teachers. Most schools were willing to administer rectal diazepam and EpiPen treatment in an emergency.

  7. Defining Welfare Spells: Coping with Problems of Survey Responses and Administrative Data.

    Science.gov (United States)

    Luks, Samantha; Brady, Henry E.

    2003-01-01

    Discusses how to define a welfare spell (period on welfare) and how well surveys measure welfare spells. A look at survey and administrative data from two studies shows that a substantial amount of administrative churning occurs in administrative data. A single definition of a welfare spell does not appear applicable to all respondents. (SLD)

  8. Medication administration via enteral tubes: a survey of nurses' practices.

    Science.gov (United States)

    Phillips, Nicole Margaret; Endacott, Ruth

    2011-12-01

    This article is a report of a study examining the practices of acute care nurses when administering medication via enteral tubes. Administering medication via enteral tubes is predominantly a nursing responsibility across countries. It is important to establish what nurses actually do when giving enteral medication to inform policy and continuing education development. In 2007, a survey was conducted using a random sample of acute care nurses at two large metropolitan hospitals in Melbourne, Australia. There were 181 Registered Nurses who participated in the study; 92 (50.8%) practised in intensive care units, 52 (28.7%) in surgical areas, 30 (16.6%) in medical areas and 7 (3.9%) were from combined medical-surgical areas. The questionnaire was developed by the researchers and a pilot study was conducted in August 2006 to test reliability, face validity and user-friendliness of the tool. Nurses reported using a range of methods to verify enteral tube position prior to administering enteral medication; some were unreliable methods. A majority reported administering enteric-coated and slow or extended release forms of medication, and giving solid forms of medication when liquid form was available. Nearly all (96%) reported flushing a tube after giving medication, 28% before, and 12% always flushed between each medication. Enteral medication administration practices are inconsistent. Some nurses are using unsafe practices and may therefore compromise patient care. © 2011 Blackwell Publishing Ltd.

  9. Public Administration as an academic disicpline: Trends and changes in the COCOPS academic survey of European Public Administration scholars

    NARCIS (Netherlands)

    S.G.J. Van de Walle (Steven); D.S.D. Curry; S. Gadellaa (Stefanie)

    2014-01-01

    markdownabstract__Abstract__ This report summarises the finding from the COCOPS academic survey, a survey of public administration academics in European countries fielded in 2013. Respondents were asked to reflect on the state of the discipline and general trends within the discipline and in

  10. 10 CFR 35.2404 - Records of surveys after source implant and removal.

    Science.gov (United States)

    2010-01-01

    ... 10 Energy 1 2010-01-01 2010-01-01 false Records of surveys after source implant and removal. 35.2404 Section 35.2404 Energy NUCLEAR REGULATORY COMMISSION MEDICAL USE OF BYPRODUCT MATERIAL Records § 35.2404 Records of surveys after source implant and removal. A licensee shall maintain a record of...

  11. Optimizing the electronic health record to standardize administration and documentation of nutritional supplements.

    Science.gov (United States)

    Citty, Sandra W; Kamel, Amir; Garvan, Cynthia; Marlowe, Lee; Westhoff, Lynn

    2017-01-01

    Malnutrition in hospitalized patients is a major cause for hospital re-admission, pressure ulcers and increased hospital costs. Methods to improve the administration and documentation of nutritional supplements for hospitalized patients are needed to improve patient care, outcomes and resource utilization. Staff at a medium-sized academic health science center hospital in the southeastern United States noted that nutritional supplements ordered for patients at high risk for malnutrition were not offered or administered to patients in a standardized manner and/or not documented clearly in the electronic health record as per prescription. This paper reports on a process improvement project that redesigned the ordering, administration and documentation process of oral nutritional supplements in the electronic health record. By adding nutritional products to the medication order sets and adding an electronic nutrition administration record (ENAR) tab, the multidisciplinary team sought to standardize nutritional supplement ordering, documentation and administration at prescribed intervals. This process improvement project used a triangulated approach to evaluating pre- and post-process change including: medical record reviews, patient interviews, and nutrition formula room log reports. Staff education and training was carried out prior to initiation of the system changes. This process change resulted in an average decrease in the return of unused nutritional formula from 76% returned at baseline to 54% post-process change. The process change resulted in 100% of nutritional supplement orders having documentation about nutritional medication administration and/or reason for non-administration. Documentation in the ENAR showed that 41% of ONS orders were given and 59% were not given. Significantly more patients reported being offered the ONS product (p=0.0001) after process redesign and more patients (5% before ENAR and 86% after ENAR reported being offered the correct

  12. Local Government Administration and Development: A Survey of ...

    African Journals Online (AJOL)

    User

    Administration, University of Benin, Benin City, Edo State, Nigeria. Edigin, Lambert Uyi - Department of ... administration and development with particular emphasis on Oredo Local. Government Area of Edo State. .... With the coming of the military in 1966, most of those councils in Southern. Nigeria was dissolved, while in ...

  13. Electronic Survey Administration: Assessment in the Twenty-First Century

    Science.gov (United States)

    Olsen, Danny R.; Wygant, Steven A.; Brown, Bruce L.

    2004-01-01

    Recent advances in electronic data collection have opened broad new possibilities for educational assessment. Potentially significant savings in time, money, and effort make Web-based and e-mail-based surveys more and more attractive as alternatives to mail surveys and face-to-face interviews. Yet, as with any major change, questions and obstacles…

  14. Surveying clinicians by web: current issues in design and administration.

    Science.gov (United States)

    Dykema, Jennifer; Jones, Nathan R; Piché, Tara; Stevenson, John

    2013-09-01

    The versatility, speed, and reduced costs with which web surveys can be conducted with clinicians are often offset by low response rates. Drawing on best practices and general recommendations in the literature, we provide an evidence-based overview of methods for conducting online surveys with providers. We highlight important advantages and disadvantages of conducting provider surveys online and include a review of differences in response rates between web and mail surveys of clinicians. When administered online, design-based features affect rates of survey participation and data quality. We examine features likely to have an impact including sample frames, incentives, contacts (type, timing, and content), mixed-mode approaches, and questionnaire length. We make several recommendations regarding optimal web-based designs, but more empirical research is needed, particularly with regard to identifying which combinations of incentive and contact approaches yield the highest response rates and are the most cost-effective.

  15. Veterans Health Administration Survey of Healthcare Experiences of Patients (SHEP)

    Data.gov (United States)

    U.S. Department of Health & Human Services — A list of VHA hospitals with inpatient experience of care survey data. The VA SHEP uses the same questions as the Hospital Consumer Assessment of Health Providers...

  16. Does Gender Influence Online Survey Participation? A Record-Linkage Analysis of University Faculty Online Survey Response Behavior

    Science.gov (United States)

    Smith, William G.

    2008-01-01

    The purpose of this study was to examine the correlation between online survey non-response and various demographic factors, including gender. Studies have shown that trends exist with regard to who responds to surveys, at least with regard to traditional modes of survey administration. Reports suggest that many demographic and other correlates…

  17. Local Government Administration and Development: A Survey of ...

    African Journals Online (AJOL)

    wise that this paper takes a survey of the opinions of people in Oredo Local Government Area of Edo State. Using simple percentages to analyze responses to questions, the authors found out that though funds available to local governments are grossly inadequate, there is the general impression that the little money made ...

  18. Drug Administration Errors by South African Anaesthetists – a Survey

    African Journals Online (AJOL)

    Adele

    TRAVEL FELLOWSHIP. Objectives. To investigate the incidence, nature of and factors contributing towards “wrong drug administrations” by South African anaesthetists. Design. A confidential, self-reporting survey was sent out to the 720 anaesthetists on the database of the South African Society of. Anaesthesiologists.

  19. Long-Term Consequences of Secondary School Vouchers: Evidence from Administrative Records in Colombia

    OpenAIRE

    Joshua Angrist; Eric Bettinger; Michael Kremer

    2004-01-01

    Colombia's PACES program provided over 125,000 poor children with vouchers that covered half the cost of private secondary school. The vouchers were renewable annually conditional on adequate academic progress. Since many vouchers were assigned by lottery, program effects can reliably be assessed by comparing lottery winners and losers. Estimates using administrative records suggest the PACES program increased secondary school completion rates by 15-20 percent. Correcting for the greater perc...

  20. Combining survey and administrative data using state space models

    Science.gov (United States)

    Stephen Horn; Ray Czaplewski

    2013-01-01

    Even as access to transactional data has been transformed by harnessing electronic flows, use of satellite imagery, research access to linked customer level records, and harmonising collections across jurisdictions, official statisticians are under pressure to detect significant turning points within response times and resolutions that cannot be handled by present...

  1. 77 FR 55829 - Western Area Power Administration; Grapevine Canyon Wind Project Record of Decision (DOE/EIS-0427)

    Science.gov (United States)

    2012-09-11

    ... Area Power Administration; Grapevine Canyon Wind Project Record of Decision (DOE/EIS-0427) AGENCY: Western Area Power Administration, DOE. ACTION: Record of Decision. SUMMARY: Western Area Power... proposed wind park would be built in one or more phases, dependent on one or more power sale contracts. The...

  2. Multimorbidity in Australia: Comparing estimates derived using administrative data sources and survey data

    Science.gov (United States)

    Simpson, Judy M.; Zwar, Nicholas; Hosseinzadeh, Hassan; Jorm, Louisa

    2017-01-01

    Background Estimating multimorbidity (presence of two or more chronic conditions) using administrative data is becoming increasingly common. We investigated (1) the concordance of identification of chronic conditions and multimorbidity using self-report survey and administrative datasets; (2) characteristics of people with multimorbidity ascertained using different data sources; and (3) whether the same individuals are classified as multimorbid using different data sources. Methods Baseline survey data for 90,352 participants of the 45 and Up Study—a cohort study of residents of New South Wales, Australia, aged 45 years and over—were linked to prior two-year pharmaceutical claims and hospital admission records. Concordance of eight self-report chronic conditions (reference) with claims and hospital data were examined using sensitivity (Sn), positive predictive value (PPV), and kappa (κ).The characteristics of people classified as multimorbid were compared using logistic regression modelling. Results Agreement was found to be highest for diabetes in both hospital and claims data (κ = 0.79, 0.78; Sn = 79%, 72%; PPV = 86%, 90%). The prevalence of multimorbidity was highest using self-report data (37.4%), followed by claims data (36.1%) and hospital data (19.3%). Combining all three datasets identified a total of 46 683 (52%) people with multimorbidity, with half of these identified using a single dataset only, and up to 20% identified on all three datasets. Characteristics of persons with and without multimorbidity were generally similar. However, the age gradient was more pronounced and people speaking a language other than English at home were more likely to be identified as multimorbid by administrative data. Conclusions Different individuals, with different combinations of conditions, are identified as multimorbid when different data sources are used. As such, caution should be applied when ascertaining morbidity from a single data source as the agreement

  3. Categorized diagnoses and procedure records in an administrative database improved mortality prediction.

    Science.gov (United States)

    Yamana, Hayato; Matsui, Hiroki; Sasabuchi, Yusuke; Fushimi, Kiyohide; Yasunaga, Hideo

    2015-09-01

    Comorbidity measures are widely used in administrative databases to predict mortality. The Japanese Diagnosis Procedure Combination database is unique in that secondary diagnoses are recorded into subcategories, and procedures are precisely recorded. We investigated the influence of these features on the performance of mortality prediction models. We obtained data of adult patients with main diagnosis of acute myocardial infarction, congestive heart failure, acute cerebrovascular disease, gastrointestinal hemorrhage, pneumonia, or septicemia during a 1-year period. Multiple models were constructed representing different subcategories from which Charlson and Elixhauser comorbidities were extracted. Prevalence of comorbidities and C statistics of logistic regression models predicting in-hospital mortality was compared. Associations between four procedures (computed tomography, oxygen administration, urinary catheter, and vasopressors) and mortality were also evaluated. C statistics of the model using all secondary diagnoses (Charlson: 0.717; Elixhauser: 0.762) were greater than those using a limited subcategory to strictly specify comorbidities (Charlson: 0.708; Elixhauser: 0.744). However, misidentification of complications and main diagnoses as comorbidities was observed in the all-diagnosis model. The four procedures were associated with mortality. Subcategorized diagnoses allowed correct identification of comorbidities and procedures predicted mortality. Incorporation of these two features should be considered for other administrative databases. Copyright © 2015 Elsevier Inc. All rights reserved.

  4. Methods for the design and administration of web-based surveys.

    Science.gov (United States)

    Schleyer, T K; Forrest, J L

    2000-01-01

    This paper describes the design, development, and administration of a Web-based survey to determine the use of the Internet in clinical practice by 450 dental professionals. The survey blended principles of a controlled mail survey with data collection through a Web-based database application. The survey was implemented as a series of simple HTML pages and tested with a wide variety of operating environments. The response rate was 74.2 percent. Eighty-four percent of the participants completed the Web-based survey, and 16 percent used e-mail or fax. Problems identified during survey administration included incompatibilities/technical problems, usability problems, and a programming error. The cost of the Web-based survey was 38 percent less than that of an equivalent mail survey. A general formula for calculating breakeven points between electronic and hardcopy surveys is presented. Web-based surveys can significantly reduce turnaround time and cost compared with mail surveys and may enhance survey item completion rates.

  5. [Perioperative colloid administration: a survey of Spanish anesthesiologists' attitudes].

    Science.gov (United States)

    Basora, M; Moral, V; Llau, J V; Silva, S

    2007-03-01

    To determine the availability of intravascular fluid volume replacement solutions in Spanish hospitals, to survey the extent of use of colloids by anesthesiologists, to ascertain the possible adverse effects they seek to prevent when using each solution, and to assess their level of knowledge about the subject. A questionnaire was administered over a period of 6 months (July 2004-January 2005). The questionnaire was available online at www.encuestacoloides.com. The address was distributed by e-mail to anesthesiologists of all the Spanish autonomous communities and published in the Revista Española de Anestesiología y Reanimación. One hundred forty-two anesthesiologists responded. Crystalloids and colloids were widely available in most hospitals. Hydroxyethyl starch (HES) solutions were the colloids most often used (73%), followed by gelatins (28%). Dextran solutions, on the other hand, were no longer being used. The reasons the respondents gave for using these solutions were related to the time they remained in the vascular system, their greater effect of volume expansion, and the preservation of hemostasis. The most-feared complication was anaphylactic reaction to gelatins and there were concerns about the dose limit for infusion of HES solutions and about hemodynamic instability caused by dextran solutions. Fifty-four percent felt that scientific meetings provide little information about colloids and volume replacement. There is widespread use of colloids other than dextran along with crystalloids for plasma volume replacement. Spanish anesthesiologists are clear about important concepts related to colloid use. However, a high percentage have doubts about certain fundamental issues. Continuing professional development opportunities related to intravascular fluid replacement therapy should be increased.

  6. Accuracy of Coverage Survey Recall following an Integrated Mass Drug Administration for Lymphatic Filariasis, Schistosomiasis, and Soil-Transmitted Helminthiasis.

    Directory of Open Access Journals (Sweden)

    Philip J Budge

    2016-01-01

    Full Text Available Achieving target coverage levels for mass drug administration (MDA is essential to elimination and control efforts for several neglected tropical diseases (NTD. To ensure program goals are met, coverage reported by drug distributors may be validated through household coverage surveys that rely on respondent recall. This is the first study to assess accuracy in such surveys.Recall accuracy was tested in a series of coverage surveys conducted at 1, 6, and 12 months after an integrated MDA in Togo during which three drugs (albendazole, ivermectin, and praziquantel were distributed. Drug distribution was observed during the MDA to ensure accurate recording of persons treated during the MDA. Information was obtained for 506, 1131, and 947 persons surveyed at 1, 6, and 12 months, respectively. Coverage (defined as the percentage of persons taking at least one of the MDA medications within these groups was respectively 88.3%, 87.4%, and 80.0%, according to the treatment registers; it was 87.9%, 91.4% and 89.4%, according to survey responses. Concordance between respondents and registers on swallowing at least one pill was >95% at 1 month and >86% at 12 months; the lower concordance at 12 months was more likely due to difficulty matching survey respondents with the year-old treatment register rather than inaccurate responses. Respondents generally distinguished between pills similar in appearance; concordance for recall of which pills were taken was over 80% in each survey.In this population, coverage surveys provided remarkably consistent coverage estimates for up to one year following an integrated MDA. It is not clear if similar consistency will be seen in other settings, however, these data suggest that in some settings coverage surveys might be conducted as much as one year following an MDA without compromising results. This might enable integration of post-MDA coverage measurement into large, multipurpose, periodic surveys, thereby conserving

  7. Risk adjustment using administrative data-based and survey-derived methods for explaining physician utilization.

    Science.gov (United States)

    Sibley, Lyn M; Moineddin, Rahim; Agha, Mohammad M; Glazier, Richard H

    2010-02-01

    The objective of this study was to evaluate an administrative data-based risk adjustment method for predicting physician utilization and the contribution of survey-derived indicators of health status. The results of this study will support the use of administrative data for planning, reimbursement, and assessing equity of physician utilization. The Ontario portion of the 2000-2001 Canadian Community Health Survey was linked with administrative physician claims data from 2002-2003 and 2003-2004. Explanatory models of family physician (FP) and specialist physician (SP) utilization were run using demographic information and The Johns Hopkins University Adjusted Clinical Groups (ACG) Case-mix System. Survey-based measures of health status were then added to the models. The coefficient of determination, R, indicated the models' explanatory power. The study sample consisted of 25,558 individuals aged 20 to 79 years representing approximately 7.8 million people. Over the 2 years of study period, 82.5% of the study population had a FP visit with a median of 6 visits and 53.2% had a SP visit with a median of 1 visit. The R values based on administrative data alone were 33% and 21% for the frequency of FP and SP visits and 16% and 35% for having one or more visit to an FPs and SPs, respectively. The addition of the survey-based measures to the administrative data-based models produced less than a 2% increase in explanatory power for any outcome. Administrative data-based measures of morbidity burden are valid and useful indicators of future physician utilization. The survey-derived measures used in this study did not contribute significantly to models on the basis of administrative data-based measures. These findings support the future use of administrative data-based data and Adjusted Clinical Groups for planning, reimbursement, and research.

  8. Sizing up the individual market for health insurance: a comparison of survey and administrative data sources.

    Science.gov (United States)

    Abraham, Jean M; Karaca-Mandic, Pinar; Boudreaux, Michel

    2013-08-01

    Provisions within the Affordable Care Act, including the introduction of subsidized, Exchange-based coverage for lower income Americans lacking access to employer coverage, are expected to greatly expand the size and importance of the individual market. Using multiple federal surveys and administrative data from the National Association of Insurance Commissioners, we generate national-, regional-, and state-level estimates of the individual market. In 2009, the number of nonelderly persons with individual coverage ranged from 9.55 million in the Medical Expenditure Panel Survey to 25.3 million in the American Community Survey. Notable differences also exist between survey estimates and National Association of Insurance Commissioners administrative counts, an outcome likely driven by variation in the type and measurement of individual coverage considered by surveys relative to administrative data. Future research evaluating the impact of the Affordable Care Act coverage provisions must be mindful of differences across surveys and administrative sources as it relates to the measurement of individual market coverage.

  9. Systematic review and meta-analysis of validation studies on a diabetes case definition from health administrative records.

    Science.gov (United States)

    Leong, Aaron; Dasgupta, Kaberi; Bernatsky, Sasha; Lacaille, Diane; Avina-Zubieta, Antonio; Rahme, Elham

    2013-01-01

    Health administrative data are frequently used for diabetes surveillance. We aimed to determine the sensitivity and specificity of a commonly-used diabetes case definition (two physician claims or one hospital discharge abstract record within a two-year period) and their potential effect on prevalence estimation. Following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, we searched Medline (from 1950) and Embase (from 1980) databases for validation studies through August 2012 (keywords: "diabetes mellitus"; "administrative databases"; "validation studies"). Reviewers abstracted data with standardized forms and assessed quality using Quality Assessment of Diagnostic Accuracy Studies (QUADAS) criteria. A generalized linear model approach to random-effects bivariate regression meta-analysis was used to pool sensitivity and specificity estimates. We applied correction factors derived from pooled sensitivity and specificity estimates to prevalence estimates from national surveillance reports and projected prevalence estimates over 10 years (to 2018). The search strategy identified 1423 abstracts among which 11 studies were deemed relevant and reviewed; 6 of these reported sensitivity and specificity allowing pooling in a meta-analysis. Compared to surveys or medical records, sensitivity was 82.3% (95%CI 75.8, 87.4) and specificity was 97.9% (95%CI 96.5, 98.8). The diabetes case definition underestimated prevalence when it was ≤10.6% and overestimated prevalence otherwise. The diabetes case definition examined misses up to one fifth of diabetes cases and wrongly identifies diabetes in approximately 2% of the population. This may be sufficiently sensitive and specific for surveillance purposes, in particular monitoring prevalence trends. Applying correction factors to adjust prevalence estimates from this definition may be helpful to increase accuracy of estimates.

  10. Availability of Needed Information to Educational Administrators in Pakistan: A Survey

    Directory of Open Access Journals (Sweden)

    Farzana Shafique

    2011-12-01

    Full Text Available This study aimed at exploring the status of needed information and its availability to educational administrators in Pakistan. To achieve these objectives, literature reviews and a questionnaire survey were conducted. For this survey, the educational administrators (i.e., principals of schools and colleges and Registrars/Deans/Chairpersons in universities were identified as the target population and were selected through cluster sampling. The respondents were from the Punjab Province and Islamabad Capital Territory (ICT. In total, 297 (99% responses were received and analyzed quantitatively. Recommendations and conclusions were drawn in the light of the findings of this study. The study is the first one of its type that attempted to probe the status of needed information and its availability to educational administrators and planners in Pakistan. The findings of the study can be useful to design information services and facilities for educational administrators not only in Pakistan but also in other countries of the world with similar conditions.

  11. Defining the PACS profession: an initial survey of skills, training, and capabilities for PACS administrators.

    Science.gov (United States)

    Nagy, Paul; Bowers, George; Reiner, Bruce I; Siegel, Eliot L

    2005-12-01

    The need for specialized individuals to manage picture archiving and communications systems (PACS) has been recognized with the creation of a new professional title: PACS administrator. This position requires skill sets that bridge the current domains of radiology technologists (RTs), information systems analysts, and radiology administrators. Health care organizations, however, have reported difficulty in defining the functions that a PACS administrator should perform-a challenge compounded when the tries to combine this complex set of capabilities into one individual. As part of a larger effort to define the PACS professional, we developed an extensive but not exclusive consensus list of business, technical, and behavioral competencies desirable in the dedicated PACS professional. Through an on-line survey, radiologists, RTs, information technology specialists, corporate information officers, and radiology administrators rated the importance of these competencies. The results of this survey are presented, and the implications for implementation in training and certification efforts are discussed.

  12. Medication errors in chemotherapy preparation and administration: a survey conducted among oncology nurses in Turkey.

    Science.gov (United States)

    Ulas, Arife; Silay, Kamile; Akinci, Sema; Dede, Didem Sener; Akinci, Muhammed Bulent; Sendur, Mehmet Ali Nahit; Cubukcu, Erdem; Coskun, Hasan Senol; Degirmenci, Mustafa; Utkan, Gungor; Ozdemir, Nuriye; Isikdogan, Abdurrahman; Buyukcelik, Abdullah; Inanc, Mevlude; Bilici, Ahmet; Odabasi, Hatice; Cihan, Sener; Avci, Nilufer; Yalcin, Bulent

    2015-01-01

    Medication errors in oncology may cause severe clinical problems due to low therapeutic indices and high toxicity of chemotherapeutic agents. We aimed to investigate unintentional medication errors and underlying factors during chemotherapy preparation and administration based on a systematic survey conducted to reflect oncology nurses experience. This study was conducted in 18 adult chemotherapy units with volunteer participation of 206 nurses. A survey developed by primary investigators and medication errors (MAEs) defined preventable errors during prescription of medication, ordering, preparation or administration. The survey consisted of 4 parts: demographic features of nurses; workload of chemotherapy units; errors and their estimated monthly number during chemotherapy preparation and administration; and evaluation of the possible factors responsible from ME. The survey was conducted by face to face interview and data analyses were performed with descriptive statistics. Chi-square or Fisher exact tests were used for a comparative analysis of categorical data. Some 83.4% of the 210 nurses reported one or more than one error during chemotherapy preparation and administration. Prescribing or ordering wrong doses by physicians (65.7%) and noncompliance with administration sequences during chemotherapy administration (50.5%) were the most common errors. The most common estimated average monthly error was not following the administration sequence of the chemotherapeutic agents (4.1 times/month, range 1-20). The most important underlying reasons for medication errors were heavy workload (49.7%) and insufficient number of staff (36.5%). Our findings suggest that the probability of medication error is very high during chemotherapy preparation and administration, the most common involving prescribing and ordering errors. Further studies must address the strategies to minimize medication error in chemotherapy receiving patients, determine sufficient protective measures

  13. Statistical Estimators Using Jointly Administrative and Survey Data to Produce French Structural Business Statistics

    Directory of Open Access Journals (Sweden)

    Brion Philippe

    2015-12-01

    Full Text Available Using as much administrative data as possible is a general trend among most national statistical institutes. Different kinds of administrative sources, from tax authorities or other administrative bodies, are very helpful material in the production of business statistics. However, these sources often have to be completed by information collected through statistical surveys. This article describes the way Insee has implemented such a strategy in order to produce French structural business statistics. The originality of the French procedure is that administrative and survey variables are used jointly for the same enterprises, unlike the majority of multisource systems, in which the two kinds of sources generally complement each other for different categories of units. The idea is to use, as much as possible, the richness of the administrative sources combined with the timeliness of a survey, even if the latter is conducted only on a sample of enterprises. One main issue is the classification of enterprises within the NACE nomenclature, which is a cornerstone variable in producing the breakdown of the results by industry. At a given date, two values of the corresponding code may coexist: the value of the register, not necessarily up to date, and the value resulting from the data collected via the survey, but only from a sample of enterprises. Using all this information together requires the implementation of specific statistical estimators combining some properties of the difference estimators with calibration techniques. This article presents these estimators, as well as their statistical properties, and compares them with those of other methods.

  14. Usability Evaluation of An Electronic Medication Administration Record (eMAR) Application

    Science.gov (United States)

    Guo, J.; Iribarren, S.; Kapsandoy, S.; Perri, S.; Staggers, N.

    2011-01-01

    Background Electronic medication administration records (eMARs) have been widely used in recent years. However, formal usability evaluations are not yet available for these vendor applications, especially from the perspective of nurses, the largest group of eMAR users. Objective To conduct a formal usability evaluation of an implemented eMAR. Methods Four evaluators examined a commercial vendor eMAR using heuristic evaluation techniques. The evaluators defined seven tasks typical of eMAR use and independently evaluated the application. Consensus techniques were used to obtain 100% agreement of identified usability problems and severity ratings. Findings were reviewed with 5 clinical staff nurses and the Director of Clinical Informatics who verified findings with a small group of clinical nurses. Results Evaluators found 60 usability problems categorized into 233 heuristic violations. Match, Error, and Visibility heuristics were the most frequently violated. Administer Medication and Order and Modify Medications tasks had the highest number of heuristic violations and usability problems rated as major or catastrophic. Conclusion The high number of usability problems could impact the effectiveness, efficiency and satisfaction of nurses’ medication administration activities and may include concerns about patient safety. Usability is a joint responsibility between sites and vendors. We offer a call to action for usability evaluations at all sites and eMAR application redesign as necessary to improve the user experience and promote patient safety. PMID:23616871

  15. Ranking hospitals for outcomes in total hip replacement - administrative data with or without patient surveys? - Part 2: Patient survey and administrative data

    Directory of Open Access Journals (Sweden)

    Schäfer, Thomas

    2007-03-01

    Full Text Available Background: Many hospital rankings rely on the frequency of adverse outcomes and are based on administrative data. In the study presented here, we tried to find out, to what extent available administrative data of German Sickness Funds allow for an adequate hospital ranking and compared this with rankings based on additional information derived from a patient survey. Total hip replacement was chosen as an example procedure. In part II of the publication, we present the results of the approach based on administrative and patient-derived data. Methods: We used administrative data from a large health insurance (AOK-Lower Saxony of the year 2002 and from a patient survey. The study population comprised mainly beneficiaries, who received primary total hip replacement in the year 2002, were mailed a survey 6 month post-operatively and participated in the survey. Performance indicators used where “Revision”, “Complications” and “Change of functional impairment”. Hospitals were ranked if they performed at least 20 procedures on AOK-beneficiaries. Multivariate modelling (logistic regression and generalized linear models was used to estimate the performance indicators by case-mix variables (a.o. age, sex, co-morbidity, medical history and hospital characteristics (hospital size, surgical volume. The actual ranking was based on these multivariate models, excluding hospital variables and adding dummy-variables for each hospital. Hospitals were ranked by their case-mix adjusted odds ratio or Standardized Difference (SDR with respect to a pre-selected reference hospital. The resulting rankings were compared with each other and with regard to the impact of case-mix variables. Results: 4089 beneficiaries received primary total hip replacement in 2002. 3293 patients participated in the survey (80.5%. The ranking included 60 hospitals. The agreement of rankings based on different performance indicators in the same year was low to high (a correlation

  16. Supervising the Campus Media: U.S. Survey Finds Varied Approaches, Little Administration Interference

    Science.gov (United States)

    Xie, Lei; Simon, James

    2012-01-01

    Media Advisory Boards have been created by many colleges to mediate communication between administration and student media organizations. This national survey provided rich baseline data on how these boards are distributed across the United States, what kinds of schools are more likely to adopt media boards, and to whom these boards report. The…

  17. 78 FR 30939 - Notice of Proposed Information Collection Requests: State Library Administrative Agencies Survey...

    Science.gov (United States)

    2013-05-23

    ... Administrative Agencies Survey, FY 2014 AGENCY: Institute of Museum and Library Services, The National Foundation.... SUMMARY: The Institute of Museum and Library Service (``IMLS'') as part of its continuing effort to reduce.... Background The Institute of Museum and Library Services (IMLS) is an independent Federal grant-making agency...

  18. 75 FR 26282 - Notice of Proposed Information Collection Requests: State Library Administrative Agencies Survey...

    Science.gov (United States)

    2010-05-11

    ... Administrative Agencies Survey, FY 2011-2013 AGENCY: Institute of Museum and Library Services, The National.... SUMMARY: The Institute of Museum and Library Service (``IMLS'') as part of its continuing effort to reduce... of Museum and Library Services, 1800 M Street, NW., 9th Floor, Washington DC 20036. Ms. Miller can be...

  19. Metric Survey and Bim Technologies to Record Decay Conditions

    Science.gov (United States)

    Lo Turco, M.; Mattone, M.; Rinaudo, F.

    2017-05-01

    The paper proposes a method able to describe, classify and organize information assets concerned with Architectural Heritage, through the use of integrated survey procedures, mainly based on Terrestrial Laser Scanner (TLS). The point clouds are then imported into the Building Information Modeling (BIM) software to start with the modeling phase. With regard to this issue, in the last period Building Information Modeling is emerging as the most reliable method to manage architectural design and building processes. Literature supplies both theoretical approaches and several practical applications. However, very little researches are devoted to BIM applied to historical architecture, even if some initial results indicate the actual HBIM (Historic/Heritage BIM) as a possible instrument for the design of an intervention aimed at the conservation of the Cultural Heritage. The focus of the research is the creation of parametric objects representing the preservation status of materials and building components: 3D modeling of decays in the BIM platform ensures to enrich the related database with graphic, geometric and alphanumeric data that can be effectively used to design and manage future interventions. The added value consists in its capability to associate new parameters that describe both the state of conservation of the materials and the detailed description of interventions needed to restore the building. The analyzed case study belongs to Ferrovie dello Stato (the main Italian Railways company) and it is part of the maintenance area, which was originally constituted by a roundhouse containing 51 sheltered railroad tracks and two big sheds.

  20. METRIC SURVEY AND BIM TECHNOLOGIES TO RECORD DECAY CONDITIONS

    Directory of Open Access Journals (Sweden)

    M. Lo Turco

    2017-05-01

    Full Text Available The paper proposes a method able to describe, classify and organize information assets concerned with Architectural Heritage, through the use of integrated survey procedures, mainly based on Terrestrial Laser Scanner (TLS. The point clouds are then imported into the Building Information Modeling (BIM software to start with the modeling phase. With regard to this issue, in the last period Building Information Modeling is emerging as the most reliable method to manage architectural design and building processes. Literature supplies both theoretical approaches and several practical applications. However, very little researches are devoted to BIM applied to historical architecture, even if some initial results indicate the actual HBIM (Historic/Heritage BIM as a possible instrument for the design of an intervention aimed at the conservation of the Cultural Heritage. The focus of the research is the creation of parametric objects representing the preservation status of materials and building components: 3D modeling of decays in the BIM platform ensures to enrich the related database with graphic, geometric and alphanumeric data that can be effectively used to design and manage future interventions. The added value consists in its capability to associate new parameters that describe both the state of conservation of the materials and the detailed description of interventions needed to restore the building. The analyzed case study belongs to Ferrovie dello Stato (the main Italian Railways company and it is part of the maintenance area, which was originally constituted by a roundhouse containing 51 sheltered railroad tracks and two big sheds.

  1. Survey shows large differences between the Nordic countries in the use of less invasive surfactant administration

    DEFF Research Database (Denmark)

    Jonsson, Baldvin; Andersson, Sture; Björklund, Lars J

    2017-01-01

    AIM: Less invasive surfactant administration (LISA), namely surfactant instillation through a thin catheter in the trachea during spontaneous breathing, is increasingly used for premature infants. We surveyed the use of this technique in the Nordic countries in autumn 2015. METHODS: A link to a web......-based survey of surfactant administration methods was emailed to the directors of all neonatal units in the Nordic Region, apart from Finland, where only the five university-based departments were invited. RESULTS: Of the 73 units (85%) who responded, 23 (32%) said that they used LISA. The country rates were......%. The main reasons for not using LISA were lack of familiarity with the technique (61%), no perceived benefit over other methods (22%) and concerns about patient discomfort (26%). CONCLUSION: Less invasive surfactant administration was used in 32% of Nordic neonatal units, most commonly in level three units...

  2. Administration

    DEFF Research Database (Denmark)

    Bogen handler om den praksis, vi kalder administration. Vi er i den offentlige sektor i Danmark hos kontorfolkene med deres sagsmapper, computere, telefoner,, lovsamlinger,, retningslinier og regneark. I bogen udfoldes en mangfoldighed af konkrete historier om det administrative arbejde fra...... forskellige områder i den offentlige sektor. Hensigten er at forstå den praksis og faglighed der knytter sig til det administrative arbejde...

  3. Beyond surveys: The research frontier moves to the use of administrative data to evaluate R&D grants

    OpenAIRE

    Michele Morris; Oliver J. Herrmann

    2013-01-01

    Evaluation has relied on survey data sources. Different fields of social sciences (political science, sociology, and economics) were revolutionized using modern survey methods and techniques for analysing these data. However, the research frontier moves to the use of administrative data. Administrative data are highly preferable to survey data because (1) full population files are generally available and offer much larger sample sizes, (2) administrative data have a longitudinal structure tha...

  4. Evaluating ambulatory practice safety: the PROMISES project administrators and practice staff surveys.

    Science.gov (United States)

    Singer, Sara J; Reyes Nieva, Harry; Brede, Namara; Ling, Judy; Leydon, Nicholas; Weissman, Joel S; Goldmann, Don; Griswold, Paula; Yoon, Catherine; Orav, E John; Bates, David W; Biondolillo, Madeleine; Schiff, Gordon D

    2015-02-01

    Ambulatory practices deliver most health care services and contribute to malpractice risk. Yet, policymakers and practitioners often lack information about safety and malpractice risk needed to guide improvement. To assess staff and administrator perceptions of safety and malpractice risk in ambulatory settings. We administered surveys in small-sized to medium-sized primary care practices in Massachusetts as part of a randomized controlled trial to reduce ambulatory malpractice risk. Twenty-five office practice managers/administrators and 482 staff, including [physicians, physician assistants, and nurse practitioners (MD/PA/NPs)], nurses, other clinicians, managers, and administrators. Surveys included structured questions about 3 high-risk clinical domains: referral, test result, and medication management, plus communication with patients and among staff. The 30-item administrator survey evaluated the presence of organizational safety structures and processes; the 63-item staff survey queried safety and communication concerns. Twenty-two administrators (88%) and 292 staff (61%) responded. Administrators frequently reported important safety systems and processes were absent. Suboptimal or incomplete implementation of referral and test result management systems related to staff perceptions of their quality (Pmanagement system safety, talking openly about safety problems, willingness to report mistakes, and feeling rushed. MD/PA/NPs viewed high-risk system reliability more negatively (P<0.0001) and teamwork more positively (P<0.03) than others. Results show opportunities for improvement in closing informational loops and establishing more reliable systems and environments where staff feels respected and safe speaking up. Initiatives to transform primary care should emphasize improving communication among facilities and practitioners.

  5. Adoption of electronic health records: a qualitative study of academic and private physicians and health administrators.

    Science.gov (United States)

    Grabenbauer, L; Fraser, R; McClay, J; Woelfl, N; Thompson, C B; Cambell, J; Windle, J

    2011-01-01

    Less than 20% of hospitals in the US have an electronic health record (EHR). In this qualitative study, we examine the perspectives of both academic and private physicians and administrators as stakeholders, and their alignment, to explore their perspectives on the use of technology in the clinical environment. Focus groups were conducted with 74 participants who were asked a series of open-ended questions. Grounded theory was used to analyze the transcribed data and build convergent themes. The relevance and importance of themes was constructed by examining frequency, convergence, and intensity. A model was proposed that represents the interactions between themes. Six major themes emerged, which include the impact of EHR systems on workflow, patient care, communication, research/outcomes/billing, education/learning, and institutional culture. Academic and private physicians were confident of the future benefits of EHR systems, yet cautious about the current implementations of EHR, and its impact on interactions with other members of the healthcare team and with patients, and the amount of time necessary to use EHR's. Private physicians differed on education and were uneasy about the steep learning curve necessary for use of new systems. In contrast to physicians, university and hospital administrators are optimistic, and value the availability of data for use in reporting. The results of our study indicate that both private and academic physicians concur on the need for features that maintain and enhance the relationship with the patient and the healthcare team. Resistance to adoption is related to insufficient functionality and its potential negative impact on patient care. Integration of data collection into clinical workflows must consider the unexpected costs of data acquisition.

  6. Geologic interpretation of the sidescan sonar mosaic of National Oceanic and Atmospheric Administration (NOAA) survey H11043 off Branford, Connecticut

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey, in cooperation with the National Oceanic and Atmospheric Administration and the Connecticut Department of Environmental Protection, has...

  7. Interpretation of Bottom Features from National Oceanic and Atmospheric Administration (NOAA) Survey H12324 in Narragansett Bay (Geographic, WGS 84)

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey (USGS), in cooperation with the National Oceanic and Atmospheric Administration (NOAA), is producing detailed geologic maps of the coastal...

  8. Ranking hospitals for outcomes in total hip replacement - administrative data with or without additional patient surveys? - Part 1: Administrative data

    Directory of Open Access Journals (Sweden)

    Dörning, Hans

    2007-03-01

    Full Text Available Background: Many hospital rankings rely on the frequency of adverse outcomes and are based on administrative data. In the study presented here, we tried to find out, to what extent available administrative data of German Sickness Funds allow for an adequate hospital ranking and compared this with rankings based on additional information derived from a patient survey. Total hip replacement was chosen as an example procedure. In part I of the publication, we present the results of the approach based on administrative data. Methods: We used administrative data from the AOK-Lower Saxony of the years 2000, 2001 and 2002. The study population comprised all beneficiaries, who received total hip replacement in the years 2000 or 2001. Performance indicators used where “critical incident (Mortality or revision” and “number of revisions” within the first year. Hospitals were ranked if they performed at least 20 procedures on AOK-beneficiaries in each of the two years. Multivariate modelling (logistic and poisson regression was used to estimate the performance indicators by case-mix variables (age, sex, co-diagnoses and hospital characteristics (hospital size, surgical volume. The actual ranking was based on these multivariate models, excluding hospital variables and adding dummy-variables for each hospital. Hospitals were ranked by their case-mix adjusted odds ratio or SMR respectively with respect to a pre-selected reference hospital. The resulting rankings were compared with each other, with regard to temporal stability, and the impact of case-mix variables.Results: About 4500 beneficiaries received total hip replacement in each year (n2000: 4482; n2001: 4579. The ranking included 65 hospitals. Comparing the years 2000 and 2001, the temporal stability of the rankings based on a single performance indicator was low (Spearman rang correlation coefficients 0.158 and 0.191. The agreement of rankings based on different performance indicators in the

  9. Administration

    OpenAIRE

    2009-01-01

    Cet imposant volume constitue un registre des cours magistraux tenus par l’auteur à l’École supérieure allemande des sciences administratives de Spire, enrichis des résultats de travaux scientifiques menés principalement à l'Institut Allemand de Recherche en Administration Publique (Deutsches Forschungsinstitut für öffentliche Verwaltung Speyer, FÖV). Il s’agit donc d’une entreprise au long cours, destinée à apporter un nouvel éclairage (quasi ?) exhaustif sur l’administration publique : son ...

  10. The Vital Role of Administrative Cost Allowances to Student Financial Aid Offices: Key Findings from NASFAA's Administrative Cost Allowance Survey, July 2011

    Science.gov (United States)

    National Association of Student Financial Aid Administrators (NJ1), 2011

    2011-01-01

    The National Association of Student Financial Aid Administrators (NASFAA) recently conducted a survey on the 2009-10 award year Administrative Cost Allowances (ACA), which are funds used by colleges and universities to support operations and professional development. Specifically, ACA is often used in essential areas that support the day-to-day…

  11. 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.

  12. A continuous usability evaluation of an electronic medication administration record application.

    Science.gov (United States)

    Vicente Oliveros, Noelia; Gramage Caro, Teresa; Pérez Menéndez-Conde, Covadonga; Álvarez-Diaz, Ana María; Martín-Aragón Álvarez, Sagrario; Bermejo Vicedo, Teresa; Delgado Silveira, Eva

    2017-12-01

    The complexity of an electronic medication administration record (eMAR) has been underestimated by most designers in the past. Usability issues, such as poorly designed user application flow in eMAR, are therefore of vital importance, since they can have a negative impact on nursing activities and result in poor outcomes. The purpose of this study was to evaluate the usability of an eMAR application during its development. A usability evaluation was conducted during the development of the eMAR application. Two usability methods were used: a heuristic evaluation complemented by usability testing. Each eMAR application version provided by the vendor was evaluated by 2 hospital pharmacists, who applied the heuristic method. They reviewed the eMAR tasks, detected usability problems and their heuristic violations, and rated the severity of the usability problems. Usability testing was used to assess the final application version by observing how 3 nurses interacted with the application. Thirty-four versions were assessed before the eMAR application was considered usable. During the heuristic evaluation, the usability problems decreased from 46 unique usability problems in version 1 (V1) to 9 in version 34 (V34). In V1, usability problems were categorized into 154 heuristic violations, which decreased to 27 in V34. The average severity rating also decreased from major usability problem (2.96) to no problem (0.23). During usability testing, the 3 nurses did not encounter new usability problems. A thorough heuristic evaluation is a good method for obtaining a usable eMAR application. This evaluation points key areas for improvement and decreases usability problems and their severity. © 2017 John Wiley & Sons, Ltd.

  13. A national survey of dental hygiene education administrators: demographics, characteristics, and academic profile.

    Science.gov (United States)

    Holt, M P

    1998-01-01

    The purpose of this study was to develop a comprehensive demographic database of dental hygiene education administrators and to examine their academic professional profile. On April 1, 1996, a survey was mailed to all dental hygiene education administrators in the U.S. The survey requested participants to respond to specific questions regarding demographic characteristics, professional academic profile, and extent of management theory background. The results were analyzed using descriptive statistics, including frequencies and percentages. Cross-tabulations and chi-square tests were calculated for type of institution, type of program, extent of management theory background, highest degree earned, and rank. One hundred thirty-eight valid surveys (63%) were returned. The demographic profile determined the majority of administrators were Caucasian (95.6%), female (87.6%), dental hygienists (87.6%), with a mean age of 47. The highest degree earned was a master's degree (64.5%) with a specialization in education (47.7%). Additionally, 87.5 percent had some form of educational management theory background, and 22.6 percent held the rank of full professor. Professional experience ranged from one to 30 years, with a mean of 10 years. The majority of participants worked in public (95.7%) institutions, primarily community and technical colleges (67.4%) that awarded associate's degrees (72.5%). Cross-tabulations and chi-square tests for type of institution, type of program, extent of management theory background, and rank were calculated. Significance was found between rank and type of institution, type of program, highest degree earned, and gender. Additionally, a relationship was found between gender and highest degree earned. These findings help develop a demographic database and professional academic profile of dental hygiene education administrators that can be used for future research and theory development, trends identification, problem solving, decision making, and

  14. Rationales behind the choice of administration form with fentanyl: Delphi survey among Danish general practitioners.

    Science.gov (United States)

    Jacobsen, Ramune; Møldrup, Claus; Christrup, Lona

    2010-01-01

    The aim of this study was to describe the rationale behind the choice of fentanyl administration forms among Danish general practitioners (GPs). Thirty-eight Danish GPs were contacted via an Internet survey system to perform a Delphi survey. In the brainstorming phase, the main reasons for prescribing and not prescribing fentanyl patches, oral transmucosal systems (OTFCs), and nasal sprays were identified. In the second phase, GPs were asked to rate the importance of each reason. Thirty-three GPs responded in the brainstorming phase, and 33 and 31 in two rating rounds, respectively. The most important reason to choose fentanyl patches was that patients' clinical condition did not allow them to take analgesia orally. OTFCs were primarily seen as a self-administrative alternative to injections in case of breakthrough pain. The main reasons for not choosing OTFCs were intolerance to fentanyl and price. The most important possible rationale to choose fentanyl nasal spray was easy administration. The most important possible reasons to not choose fenanyl nasal spray were application side effects. The rationale behind the choice of administration form with fentanyl partly differed from those overviewed in the literature. Fentanyl nasal spray was seen as a better option for treatment of breakthrough pain among terminally ill patients if compared with OTFCs.

  15. Comparison of 2010 Census Nonresponse Follow-Up Proxy Responses with Administrative Records Using Census Coverage Measurement Results

    Directory of Open Access Journals (Sweden)

    Mulry Mary H.

    2017-06-01

    Full Text Available The U.S. Census Bureau is currently conducting research on ways to use administrative records to reduce the cost and improve the quality of the 2020 Census Nonresponse Followup (NRFU at addresses that do not self-respond electronically or by mail. Previously, when a NRFU enumerator was unable to contact residents at an address, he/she found a knowledgeable person, such as a neighbor or apartment manager, who could provide the census information for the residents. This was called a proxy response. The Census Bureau’s recent advances in merging federal and third-party databases raise the question: Are proxy responses for NRFU addresses more accurate than the administrative records available for the housing unit? Our study attempts to answer this question by comparing the quality of proxy responses and the administrative records for those housing units in the same timeframe using the results of 2010 Census Coverage Measurement (CCM Program. The assessment of the quality of the proxy responses and the administrative records in the CCM sample of block clusters takes advantage of the extensive fieldwork, processing, and clerical matching conducted for the CCM.

  16. Hospitalizations of Infants and Young Children with Down Syndrome: Evidence from Inpatient Person-Records from a Statewide Administrative Database

    Science.gov (United States)

    So, S. A.; Urbano, R. C.; Hodapp, R. M.

    2007-01-01

    Background: Although individuals with Down syndrome are increasingly living into the adult years, infants and young children with the syndrome continue to be at increased risk for health problems. Using linked, statewide administrative hospital discharge records of all infants with Down syndrome born over a 3-year period, this study "follows…

  17. Attitudes towards the administration of long-acting antipsychotics: a survey of physicians and nurses

    Science.gov (United States)

    2013-01-01

    Background Discontinuation of antipsychotic treatment for schizophrenia can interrupt improvement and exacerbate the illness. Reasons for discontinuing treatment are multifactorial and include adherence, efficacy and tolerability issues. Poor adherence may be addressed through non-pharmacological approaches as well as through pharmacological ones, ie ensured delivery of medication, such as that achieved with long-acting injectable (LAI) antipsychotics. However, attitudes of healthcare professionals (HCPs) towards LAI antipsychotics may influence their prescribing decisions and may influence medication choices offered to patients. We therefore conducted a survey to investigate factors driving LAI use as well as physician and nurse attitudes to LAI antipsychotics and to different injection sites. Methods An independent market research agency conducted the survey of HCPs across Europe. Participants were recruited by telephone and completed the survey online. Using conjoint analyses (a multivariate statistical technique analysing preferences on the basis of ranking a limited number of attributes which are presented repetitively), attitudes to oral versus LAI medication and gluteal versus deltoid injection routes were assessed. Results A total of 891 HCPs across Europe were surveyed. Of these, 40% would choose LAI antipsychotics for first episode patients whereas 90% would select LAI antipsychotics for chronic patients with two to five psychotic episodes. Dominant elements in antipsychotic choice were low sedation but no tardive dyskinesia, no or mild pain at injection and low risk of embarrassment or impact upon therapeutic alliance. Eighty-six per cent of respondents considered that having the choice of a deltoid as well as gluteal administration site was beneficial over not having that choice. Two thirds of respondents said they agreed that medication administration via the deltoid muscle may reduce social embarrassment associated with LAI antipsychotics and most

  18. Administration options for pegfilgrastim prophylaxis: patient and physician preferences from a cross-sectional survey.

    Science.gov (United States)

    Brett Hauber, A; Mange, Brennan; Price, Mark A; Wolin, Daniel; Bensink, Mark; Kaye, James A; Chandler, David

    2018-01-01

    Although clinical guidelines recommend administration of pegfilgrastim 1-4 days after a myelosuppressive chemotherapy cycle to decrease the incidence of febrile neutropenia (FN), some physicians administer pegfilgrastim on the same day as chemotherapy administration. A novel on-body injector (OBI) that automatically delivers pegfilgrastim the day after chemotherapy is also available. Our objective was to estimate patient and physician preferences among the pegfilgrastim administration options. We conducted a cross-sectional survey of patients receiving pegfilgrastim and physicians prescribing pegfilgrastim. Respondents' preferences for pegfilgrastim administration options were elicited using direct elicitation; the relative importance of features associated with the options was estimated in a point-allocation exercise. Physicians considered two hypothetical patient profiles when completing the exercises. The samples included 200 patients and 200 physicians. Patients generally preferred the administration option with which they had experience. Among patients, 48.5% with previous in-clinic injections 24 hours after chemotherapy preferred this option; 56.8% with previous OBI administration preferred this option. For a clinically compromised patient, 37.5% of physicians preferred an in-clinic injection option; 49.5% preferred the OBI. For a less compromised patient, 55.5% preferred an in-clinic injection option; 28.0% preferred the OBI. Avoiding the need to return to the clinic was chosen most often as the most important treatment feature for patients and physicians. Patients and physicians identified that returning clinic visits for pegfilgrastim administration may be burdensome. A potential solution to mitigate this burden is the OBI, which allows adherence to the labeled use of pegfilgrastim without return visits to the clinic.

  19. Improving English Reading Comprehension Ability through Survey, Questions, Read, Record, Recite, Review Strategy (SQ4R)

    Science.gov (United States)

    Khusniyah, Nurul Lailatul; Lustyantie, Ninuk

    2017-01-01

    The aim of this study is to examine the effect of the survey, questions, read, record, recite, review (SQ4R) strategy of the reading comprehension ability students of 2nd semester. The research study was used action research method. The sampling was taken by 34 students. The validity of data used credibility, transferability, dependability, and…

  20. Students and recorded lectures: survey on current use and demands for higher education

    NARCIS (Netherlands)

    Gorissen, Pierre; Van Bruggen, Jan; Jochems, Wim

    2012-01-01

    Gorissen, P., Van Bruggen, J., & Jochems, W. M. G. (2012). Students and recorded lectures: survey on current use and demands for higher education. Research In Learning Technology, 20(3). doi:10.3402/rlt.v20i0.17299

  1. The Use of Electronic Medical Records in Jordanian Hospitals: A Nationwide Survey.

    Science.gov (United States)

    Tubaishat, Ahmad; Al-Rawajfah, Omar M

    2017-10-01

    No previous nationwide study has estimated to what extent electronic health records have been implemented in Jordanian hospitals. The purpose of this descriptive, cross-sectional study was to explore the level of adoption and use of electronic health records in Jordanian hospitals across all major healthcare service providers. The standardized American Hospital Association annual survey was used. The level of use of electronic functionalities of electronic health records was determined. The association of certain hospital characteristics with the adoption of electronic health records was examined. A proportion of 10.3% of the participating hospitals had a comprehensive use of electronic health records in all units, and 15.5% had a basic system in at least one unit. Most (74.2%, n = 72) had not implemented electronic health records. The hospitals with a higher rate of adoption were found to be larger, government, urban, and teaching hospitals that had coronary care units. The level of adoption of electronic health records in Jordan is relatively low. This fact should impel policy makers to resolve the challenges and obstacles for such adoption. National strategic plans are needed to address the goals and implementation processes of electronic health record systems in all Jordanian hospitals.

  2. Linkage of clinical trial and administrative data: a survey of cancer patient preferences.

    Science.gov (United States)

    Hay, A E; Leung, Y W; Pater, J L; Brown, M C; Bell, E; Howell, D; Kassam, Z; Willing, S; Tian, C; Liu, G

    2017-06-01

    Personal health information, including diagnoses and hospital admissions, is routinely collected in administrative databases. Patients enrolling on clinical trials consent to separate collection and storage of their personal health information. We evaluated patient preferences for linking long-term data from administrative databases with clinical trials. Adults with cancer attending outpatient clinics at 3 Ontario hospitals were surveyed about their willingness, when faced with the hypothetical scenario of participating in a clinical trial, to provide potentially identifying information such as initials and date of birth to facilitate long-term research access to normally deidentified publicly collected databases. Of 569 patients surveyed, 335 (59%) were women, 452 (79%) were white, 385 (68%) had a post-secondary education, and 386 (68%) had never participated in a clinical trial. Median age in the group was 59 years. Most participants (93%, cohort 1) would allow long-term access to their information and allow personal information to be used to match clinical trial with administrative data. At the time of clinical trial closure, two thirds of participants (68%, cohort 2) preferred to make additional clinical information available through linkage with administrative databases, and 8 (9%) preferred to have no further information made available to researchers. No significant differences were found in the subset of patients who were part of a clinical trial and those who had never participated (p = 0.65). Almost all patients would allow a clinical trial research team to access their confidential information, providing a more comprehensive assessment of an intervention's long-term risks and benefits.

  3. 77 FR 10753 - Draft Guidance for Industry: Food and Drug Administration Records Access Authority Under the...

    Science.gov (United States)

    2012-02-23

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HEALTH AND... Authority Provided in Title III, Subtitle A, of the Public Health Security and Bioterrorism Preparedness and... (HFS-317), Food and Drug Administration, 5100 Paint Branch Pkwy., College Park, MD 20740. Send one self...

  4. Factors affecting the use of patient survey data for quality improvement in the Veterans Health Administration

    Directory of Open Access Journals (Sweden)

    Davies Elizabeth A

    2011-12-01

    Full Text Available Abstract Background Little is known about how to use patient feedback to improve experiences of health care. The Veterans Health Administration (VA conducts regular patient surveys that have indicated improved care experiences over the past decade. The goal of this study was to assess factors that were barriers to, or promoters of, efforts to improve care experiences in VA facilities. Methods We conducted case studies at two VA facilities, one with stable high scores on inpatient reports of emotional support between 2002 and 2006, and one with stable low scores over the same period. A semi-structured interview was used to gather information from staff who worked with patient survey data at the study facilities. Data were analyzed using a previously developed qualitative framework describing organizational, professional and data-related barriers and promoters to data use. Results Respondents reported more promoters than barriers to using survey data, and particularly support for improvement efforts. Themes included developing patient-centered cultures, quality improvement structures such as regular data review, and training staff in patient-centered behaviors. The influence of incentives, the role of nursing leadership, and triangulating survey data with other data on patients' views also emerged as important. It was easier to collect data on current organization and practice than those in the past and this made it difficult to deduce which factors might influence differing facility performance. Conclusions Interviews with VA staff provided promising examples of how systematic processes for using survey data can be implemented as part of wider quality improvement efforts. However, prospective studies are needed to identify the most effective strategies for using patient feedback to improve specific aspects of patient-centered care.

  5. 21 CFR 20.31 - Retention schedule of requests for Food and Drug Administration records.

    Science.gov (United States)

    2010-04-01

    ... limits authorized by GSA General Records Schedule 14, FPMR 101-11-4, January 10, 1977, as follows: (1) Files created by the receipt of and response to freedom of information requests, except denials and/or appeals, may be destroyed 2 years from date of final response. (2) Files created by a freedom of...

  6. Children's medicines in Tanzania: a national survey of administration practices and preferences.

    Directory of Open Access Journals (Sweden)

    Lisa V Adams

    Full Text Available OBJECTIVE: The dearth of age-appropriate formulations of many medicines for children poses a major challenge to pediatric therapeutic practice, adherence, and health care delivery worldwide. We provide information on current administration practices of pediatric medicines and describe key stakeholder preferences for new formulation characteristics. PATIENTS AND METHODS: We surveyed children aged 6-12 years, parents/caregivers over age 18 with children under age 12, and healthcare workers in 10 regions of Tanzania to determine current pediatric medicine prescription and administration practices as well as preferences for new formulations. Analyses were stratified by setting, pediatric age group, parent/caregiver education, and healthcare worker cadre. RESULTS: Complete data were available for 206 children, 202 parents/caregivers, and 202 healthcare workers. Swallowing oral solid dosage forms whole or crushing/dissolving them and mixing with water were the two most frequently reported methods of administration. Children frequently reported disliking medication taste, and many had vomited doses. Healthcare workers reported medicine availability most significantly influences prescribing practices. Most parents/caregivers and children prefer sweet-tasting medicine. Parents/caregivers and healthcare workers prefer oral liquid dosage forms for young children, and had similar thresholds for the maximum number of oral solid dosage forms children at different ages can take. CONCLUSIONS: There are many impediments to acceptable and accurate administration of medicines to children. Current practices are associated with poor tolerability and the potential for under- or over-dosing. Children, parents/caregivers, and healthcare workers in Tanzania have clear preferences for tastes and formulations, which should inform the development, manufacturing, and marketing of pediatric medications for resource-limited settings.

  7. [The impact of technological change on census taking: some thoughts on implications for the 1990 round of censuses and on the statistical use of administrative records].

    Science.gov (United States)

    Brackstone, G J

    1984-01-01

    The author presents some general thoughts on the implications of technological change for the 1990 round of censuses and for the statistical use of administrative records. Consideration is also given to alternative methods of obtaining the type of data traditionally collected in a population census, by using these new technologies in association with administrative record systems.

  8. Transmission Assessment Surveys (TAS) to Define Endpoints for Lymphatic Filariasis Mass Drug Administration: A Multicenter Evaluation

    Science.gov (United States)

    Chu, Brian K.; Deming, Michael; Biritwum, Nana-Kwadwo; Bougma, Windtaré R.; Dorkenoo, Améyo M.; El-Setouhy, Maged; Fischer, Peter U.; Gass, Katherine; Gonzalez de Peña, Manuel; Mercado-Hernandez, Leda; Kyelem, Dominique; Lammie, Patrick J.; Flueckiger, Rebecca M.; Mwingira, Upendo J.; Noordin, Rahmah; Offei Owusu, Irene; Ottesen, Eric A.; Pavluck, Alexandre; Pilotte, Nils; Rao, Ramakrishna U.; Samarasekera, Dilhani; Schmaedick, Mark A.; Settinayake, Sunil; Simonsen, Paul E.; Supali, Taniawati; Taleo, Fasihah; Torres, Melissa; Weil, Gary J.; Won, Kimberly Y.

    2013-01-01

    Background Lymphatic filariasis (LF) is targeted for global elimination through treatment of entire at-risk populations with repeated annual mass drug administration (MDA). Essential for program success is defining and confirming the appropriate endpoint for MDA when transmission is presumed to have reached a level low enough that it cannot be sustained even in the absence of drug intervention. Guidelines advanced by WHO call for a transmission assessment survey (TAS) to determine if MDA can be stopped within an LF evaluation unit (EU) after at least five effective rounds of annual treatment. To test the value and practicality of these guidelines, a multicenter operational research trial was undertaken in 11 countries covering various geographic and epidemiological settings. Methodology The TAS was conducted twice in each EU with TAS-1 and TAS-2 approximately 24 months apart. Lot quality assurance sampling (LQAS) formed the basis of the TAS survey design but specific EU characteristics defined the survey site (school or community), eligible population (6–7 year olds or 1st–2nd graders), survey type (systematic or cluster-sampling), target sample size, and critical cutoff (a statistically powered threshold below which transmission is expected to be no longer sustainable). The primary diagnostic tools were the immunochromatographic (ICT) test for W. bancrofti EUs and the BmR1 test (Brugia Rapid or PanLF) for Brugia spp. EUs. Principal Findings/Conclusions In 10 of 11 EUs, the number of TAS-1 positive cases was below the critical cutoff, indicating that MDA could be stopped. The same results were found in the follow-up TAS-2, therefore, confirming the previous decision outcome. Sample sizes were highly sex and age-representative and closely matched the target value after factoring in estimates of non-participation. The TAS was determined to be a practical and effective evaluation tool for stopping MDA although its validity for longer-term post-MDA surveillance

  9. Chronic disease prevalence from Italian administrative databases in the VALORE project: a validation through comparison of population estimates with general practice databases and national survey

    Science.gov (United States)

    2013-01-01

    Background Administrative databases are widely available and have been extensively used to provide estimates of chronic disease prevalence for the purpose of surveillance of both geographical and temporal trends. There are, however, other sources of data available, such as medical records from primary care and national surveys. In this paper we compare disease prevalence estimates obtained from these three different data sources. Methods Data from general practitioners (GP) and administrative transactions for health services were collected from five Italian regions (Veneto, Emilia Romagna, Tuscany, Marche and Sicily) belonging to all the three macroareas of the country (North, Center, South). Crude prevalence estimates were calculated by data source and region for diabetes, ischaemic heart disease, heart failure and chronic obstructive pulmonary disease (COPD). For diabetes and COPD, prevalence estimates were also obtained from a national health survey. When necessary, estimates were adjusted for completeness of data ascertainment. Results Crude prevalence estimates of diabetes in administrative databases (range: from 4.8% to 7.1%) were lower than corresponding GP (6.2%-8.5%) and survey-based estimates (5.1%-7.5%). Geographical trends were similar in the three sources and estimates based on treatment were the same, while estimates adjusted for completeness of ascertainment (6.1%-8.8%) were slightly higher. For ischaemic heart disease administrative and GP data sources were fairly consistent, with prevalence ranging from 3.7% to 4.7% and from 3.3% to 4.9%, respectively. In the case of heart failure administrative estimates were consistently higher than GPs’ estimates in all five regions, the highest difference being 1.4% vs 1.1%. For COPD the estimates from administrative data, ranging from 3.1% to 5.2%, fell into the confidence interval of the Survey estimates in four regions, but failed to detect the higher prevalence in the most Southern region (4.0% in

  10. Comparison of 2 systems for clinical practice profiling in diabetic care: medical records versus claims and administrative data.

    Science.gov (United States)

    Maclean, J Ross; Fick, Donna M; Hoffman, Wayne K; King, Coleman T; Lough, Eric R; Waller, Jennifer L

    2002-02-01

    To (1) describe the rate of glycosylated hemoglobin (HbA1c) testing and control in a primary care clinic at an academic medical center; (2) compare academic medical center and health maintenance organization (HMO) data for a subgroup of the same patients; and (3) discuss the challenges to accurate clinical practice profiling. Retrospective analysis of medical records and claims and administrative data. We reviewed the medical records of 300 patients with diabetes mellitus from the Primary Care practice at an academic medical center (AMC). The HMO and AMC were in the southeastern United States. The study adhered to the National Committee for Quality Assurance's Health Plan Employer Data and Information Set 3.0 (1998) guidelines for collection of the numerator and denominator data. Overall, 275 (91.7%) of 300 patients underwent a documented HbA1c test (range, 77.8%-98.0% across the 5 Primary Care Associates clinic physicians). Of these 275 patients, 206 (74.9%; range, 52.4%-84.7%) were under "good control" (defined by the National Committee for Quality Assurance as an HbA1c level of academic medical center. Current administrative and claims-based information systems have inherent weaknesses if used for performance measurement. Reliance solely on medical record review is time and cost prohibitive. To ensure complete reporting of mandated "quality measures" will necessitate the tracking of data across different healthcare systems.

  11. 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.

  12. Survey on medical records and EHR in Asia-Pacific region: languages, purposes, IDs and regulations.

    Science.gov (United States)

    Kimura, M; Croll, P; Li, B; Wong, C P; Gogia, S; Faud, A; Kwak, Y-S; Chu, S; Marcelo, A; Chow, Y-H; Paoin, W; Li, Y-C

    2011-01-01

    To clarify health record background information in the Asia-Pacific region, for planning and evaluation of medical information systems. The survey was carried out in the summer of 2009. Of the 14 APAMI (Asia-Pacific Association for Medical Informatics) delegates 12 responded which were Australia, China, Hong Kong, India, Indonesia, Japan, Korea, New Zealand, the Philippines, Singapore, Thailand, and Taiwan. English is used for records and education in Australia, Hong Kong, India, New Zealand, the Philippines, Singapore and Taiwan. Most of the countries/regions are British Commonwealth. Nine out of 12 delegates responded that the second purpose of medical records was for the billing of medical services. Seven out of nine responders to this question answered that the second purpose of EHR (Electronic Health Records) was healthcare cost cutting. In Singapore, a versatile resident ID is used which can be applied to a variety of uses. Seven other regions have resident IDs which are used for a varying range of purposes. Regarding healthcare ID, resident ID is simply used as healthcare ID in Hong Kong, Singapore and Thailand. In most cases, disclosure of medical data with patient's name identified is allowed only for the purpose of disease control within a legal framework and for disclosure to the patient and referred doctors. Secondary use of medical information with the patient's identification anonymized is usually allowed in particular cases for specific purposes. This survey on the health record background information has yielded the above mentioned results. This information contributes to the planning and evaluation of medical information systems in the Asia-Pacific region.

  13. Doctors' use of electronic medical records systems in hospitals: cross sectional survey

    Science.gov (United States)

    Lærum, Hallvard; Ellingsen, Gunnar; Faxvaag, Arild

    2001-01-01

    Objectives To compare the use of three electronic medical records systems by doctors in Norwegian hospitals for general clinical tasks. Design Cross sectional questionnaire survey. Semistructured telephone interviews with key staff in information technology in each hospital for details of local implementation of the systems. Setting 32 hospital units in 19 Norwegian hospitals with electronic medical records systems. Participants 227 (72%) of 314 hospital doctors responded, equally distributed between the three electronic medical records systems. Main outcome measures Proportion of respondents who used the electronic system, calculated for each of 23 tasks; difference in proportions of users of different systems when functionality of systems was similar. Results Most tasks listed in the questionnaire (15/23) were generally covered with implemented functions in the electronic medical records systems. However, the systems were used for only 2-7 of the tasks, mainly associated with reading patient data. Respondents showed significant differences in frequency of use of the different systems for four tasks for which the systems offered equivalent functionality. The respondents scored highly in computer literacy (72.2/100), and computer use showed no correlation with respondents' age, sex, or work position. User satisfaction scores were generally positive (67.2/100), with some difference between the systems. Conclusions Doctors used electronic medical records systems for far fewer tasks than the systems supported. What is already known on this topicElectronic information systems in health care have not undergone systematic evaluation, and few comparisons between electronic medical records systems have been madeGiven the information intensive nature of clinical work, electronic medical records systems should be of help to doctors for most clinical tasksWhat this study addsDoctors in Norwegian hospitals reported a low level of use of all electronic medical records systems

  14. An exploratory comparison of medication lists at hospital admission with administrative database records.

    Science.gov (United States)

    Warholak, Terri L; McCulloch, Matthew; Baumgart, Alysson; Smith, Mindy; Fink, William; Fritz, William

    2009-01-01

    Medication reconciliation is recognized as important, but no one method has been recommended. Research has shown that the most common medication reconciliation errors are attributable to omitted medications and doses. The pharmacy claims aggregator used in this evaluation is a private company that gathers pharmacy claims data from disparate pharmacy benefit managers into a secure repository (hereafter referred to as the claims database) under contracts with public and private health plans. A web interface for the repository can be used by subscribing health systems and health care providers to view patient-level pharmacy claims data to support patient care. At the time of this study, the claims database contained information from 5 public and private health insurance programs covering approximately 500,000 enrollees in Arizona. To compare current medication lists (medication name and strength) collected by patient interview upon admission at a medical center with those collected by a company that aggregates pharmacy claims data. This study was a retrospective chart review. A list of 300 patients was produced by a medical center using random number generation for patients who were (a) admitted to the medical center from January 1, 2007, through June 30, 2007; (b) aged 18 years or older; and (c) enrollees of health plans that send pharmacy claims data to the claims database. The first 100 patients on this list who were found in the claims database were included in the study sample. Patient-reported current medication information recorded on the medical center's admission medication reconciliation form was compared with the current medication information in the claims database at the time of admission. Medications, including prescription drugs, over-the-counter (OTC) products, supplements, and herbals, were considered current in the medication reconciliation form based on patient reports of medications still being taken upon admission to the medical center

  15. Survey of demersal fishes from southern Saudi Arabia, with five new records for the Red Sea.

    Science.gov (United States)

    Bogorodsky, Sergey V; Alpermann, Tilman J; Mal, Ahmad O; Gabr, Mohamed H

    2014-08-18

    During a survey of demersal fishes of the southern Red Sea coast of Saudi Arabia off Jizan, 98 species were collected by trawling. Five of these represent new records for the Red Sea: Saurida longimanus, Dactyloptena gilberti, Jaydia novaeguineae, Pomadasys maculatus and Parapercis maculata. Additionally a specimen of the rare moray Gymnothorax reticularis, previously known from only three specimens, was collected. Records of two species, Parastromateus niger and Pseudorhombus arsius, that formerly were considered questionable, are confirmed by collection of new voucher specimens. Validity of Laeops sinusarabici is confirmed. This study documents parts of the diversity of the demersal fish communities on sandy areas of the southern Red Sea, but also emphasizes that a large proportion of this area has not been explored. 

  16. Survey of academic pediatric hospitalist programs in the US: organizational, administrative, and financial factors.

    Science.gov (United States)

    Gosdin, Craig; Simmons, Jeffrey; Yau, Connie; Sucharew, Heidi; Carlson, Douglas; Paciorkowski, Natalia

    2013-06-01

    Many pediatric academic centers have hospital medicine programs. Anecdotal data suggest that variability exists in program structure. To provide a description of the organizational, administrative, and financial structures of academic pediatric hospital medicine (PHM). This online survey focused on the organizational, administrative, and financial aspects of academic PHM programs, which were defined as hospitalist programs at US institutions associated with accredited pediatric residency program (n = 246) and identified using the Accreditation Council for Graduate Medical Education (ACGME) Fellowship and Residency Electronic Interactive Database. PHM directors and/or residency directors were targeted by both mail and the American Academy of Pediatrics Section on Hospital Medicine LISTSERV. The overall response rate was 48.8% (120/246). 81.7% (98/120) of hospitals reported having an academic PHM program, and 9.1% (2/22) of hospitals without a program reported plans to start a program in the next 3 years. Over a quarter of programs provide coverage at multiple sites. Variability was identified in many program factors, including hospitalist workload and in-house coverage provided. Respondents reported planning increased in-house hospitalist coverage coinciding with the 2011 ACGME work-hour restrictions. Few programs reported having revenues greater than expenses (26% single site, 4% multiple site). PHM programs exist in the majority of academic centers, and there appears to be variability in many program factors. This study provides the most comprehensive data on academic PHM programs and can be used for benchmarking as well as program development. Copyright © 2013 Society of Hospital Medicine.

  17. The effect of a monetary incentive for administrative assistants on the survey response rate: a randomized controlled trial

    Directory of Open Access Journals (Sweden)

    Arnav Agarwal

    2016-08-01

    Full Text Available Abstract Background There is sufficient evidence that monetary incentives are effective in increasing survey response rates in the general population as well as with physicians. The objective of this study was to assess the impact of a monetary incentive intended for administrative assistants on the survey response rate of physicians in leadership positions. Methods This was an ancillary study to a national survey of chairs of academic Departments of Medicine in the United States about measuring faculty productivity. We randomized survey participants to receive or not receive a $5 gift card enclosed in the survey package. The cover letter explained that the gift card was intended for the administrative assistants as a “thank you for their time.” We compared the response rates between the 2 study arms using the Chi-square test. Results Out of 152 participants to whom survey packages were mailed to, a total of 78 responses were received (51 % response rate. The response rates were 59 % in the incentive arm and 46 % in the no incentive arm. The relative effect of the incentive compared to no monetary incentive was borderline statistically significant (relative risk (RR = 1.36, 95 % confidence interval (CI 0.99 to 1.87; p = 0.055. Conclusion Monetary incentives intended for administrative assistants likely increase the response rate of physicians in leadership positions.

  18. Institutional Level Identity Control Strategies in the Distance Education Environment: A Survey of Administrative Staff

    Directory of Open Access Journals (Sweden)

    Alexander Amigud

    2013-12-01

    Full Text Available Physical separation of students and instructors creates the gap of anonymity and limited control over the remote learning environment. The ability of academic institutions to authenticate students and validate authorship of academic work at various points during a course is necessary for preserving not only perceived credibility but also public safety. With the growing scope of distance education programs that permeate critical areas such as healthcare, airspace, water management, and food solutions, universities have a moral obligation to employ secure measures to verify learning outcomes. This study examines the measures universities with large distance education programs employ to align identity of learners with the academic work they do, as well as the effectiveness of and challenges and barriers to their implementation. The research was undertaken using a multiple case approach and examined survey responses from five academic administrators at five officially accredited post secondary institutions in three countries. The cases examined in the study include: Athabasca University, Open University UK, Penn State University World Campus, University of Maryland University College, and eConcordia, Concordia University’s distance learning facility. This study is not an exhaustive attempt to examine all aspects of academic integrity, but rather to create awareness about various learner authentication strategies. This study confirms that secure learner authentication in the distance education environment is possible. However, with greater pressure to enhance security of learner authentication, the openness of open learning is challenged and may change as we know it.

  19. Comparing administrative and survey data for ascertaining cases of irritable bowel syndrome: a population-based investigation

    Directory of Open Access Journals (Sweden)

    Targownick Laura E

    2010-02-01

    Full Text Available Abstract Background Administrative and survey data are two key data sources for population-based research about chronic disease. The objectives of this methodological paper are to: (1 estimate agreement between the two data sources for irritable bowel syndrome (IBS and compare the results to those for inflammatory bowel disease (IBD; (2 compare the frequency of IBS-related diagnoses in administrative data for survey respondents with and without self-reported IBS, and (3 estimate IBS prevalence from both sources. Methods This retrospective cohort study used linked administrative and health survey data for 5,134 adults from the province of Manitoba, Canada. Diagnoses in hospital and physician administrative data were investigated for respondents with self-reported IBS, IBD, and no bowel disorder. Agreement between survey and administrative data was estimated using the κ statistic. The χ2 statistic tested the association between the frequency of IBS-related diagnoses and self-reported IBS. Crude, sex-specific, and age-specific IBS prevalence estimates were calculated from both sources. Results Overall, 3.0% of the cohort had self-reported IBS, 0.8% had self-reported IBD, and 95.3% reported no bowel disorder. Agreement was poor to fair for IBS and substantially higher for IBD. The most frequent IBS-related diagnoses among the cohort were anxiety disorders (34.4%, symptoms of the abdomen and pelvis (26.9%, and diverticulitis of the intestine (10.6%. Crude IBS prevalence estimates from both sources were lower than those reported previously. Conclusions Poor agreement between administrative and survey data for IBS may account for differences in the results of health services and outcomes research using these sources. Further research is needed to identify the optimal method(s to ascertain IBS cases in both data sources.

  20. Impact of Survey Administration Mode on the Results of a Health-Related Discrete Choice Experiment: Online and Paper Comparison.

    Science.gov (United States)

    Determann, Domino; Lambooij, Mattijs S; Steyerberg, Ewout W; de Bekker-Grob, Esther W; de Wit, G Ardine

    Electronic data collection is increasingly being used for discrete choice experiments (DCEs). To study whether paper or electronic administration results in measurement effects. Respondents were drawn from the same sample frame (an Internet panel) and completed a nearly identical DCE survey either online or on paper during the same period. A DCE on preferences for basic health insurance served as a case study. We used panel mixed logit models for the analysis. In total, 898 respondents completed the survey: 533 respondents completed the survey online, whereas 365 respondents returned the paper survey. There were no significant differences with respect to sociodemographic characteristics between the respondents in both samples. The median response time was shorter for the online sample than for the paper sample, and a smaller proportion of respondents from the online sample were satisfied with the number of choice sets. Although some willingness- to-pay estimates were higher for the online sample, the elicited preferences for basic health insurance characteristics were similar between both modes of administration. We find no indication that online surveys yield inferior results compared with paper-based surveys, whereas the price per respondent is lower for online surveys. Researchers might want to include fewer choice sets per respondent when collecting DCE data online. Because our findings are based on a nonrandomized DCE that covers one health domain only, research in other domains is needed to support our findings. Copyright © 2017 International Society for Pharmacoeconomics and Outcomes Research (ISPOR). Published by Elsevier Inc. All rights reserved.

  1. The Effect of the Social Security Earnings Test on Male Labor Supply: New Evidence from Survey and Administrative Data

    Science.gov (United States)

    Haider, Steven J.; Loughran, David S.

    2008-01-01

    Despite numerous empirical studies, there is surprisingly little agreement about whether the Social Security earnings test affects male labor supply. In this paper, we provide a comprehensive analysis of the labor supply effects of the earnings test using longitudinal administrative earnings data and more commonly used survey data. We find that…

  2. Accuracy of administratively-assigned ancestry for diverse populations in an electronic medical record-linked biobank.

    Directory of Open Access Journals (Sweden)

    Jacob B Hall

    Full Text Available Recently, the development of biobanks linked to electronic medical records has presented new opportunities for genetic and epidemiological research. Studies based on these resources, however, present unique challenges, including the accurate assignment of individual-level population ancestry. In this work we examine the accuracy of administratively-assigned race in diverse populations by comparing assigned races to genetically-defined ancestry estimates. Using 220 ancestry informative markers, we generated principal components for patients in our dataset, which were used to cluster patients into groups based on genetic ancestry. Consistent with other studies, we find a strong overall agreement (Kappa  = 0.872 between genetic ancestry and assigned race, with higher rates of agreement for African-descent and European-descent assignments, and reduced agreement for Hispanic, East Asian-descent, and South Asian-descent assignments. These results suggest caution when selecting study samples of non-African and non-European backgrounds when administratively-assigned race from biobanks is used.

  3. Publishing data from electronic health records while preserving privacy: a survey of algorithms.

    Science.gov (United States)

    Gkoulalas-Divanis, Aris; Loukides, Grigorios; Sun, Jimeng

    2014-08-01

    The dissemination of Electronic Health Records (EHRs) can be highly beneficial for a range of medical studies, spanning from clinical trials to epidemic control studies, but it must be performed in a way that preserves patients' privacy. This is not straightforward, because the disseminated data need to be protected against several privacy threats, while remaining useful for subsequent analysis tasks. In this work, we present a survey of algorithms that have been proposed for publishing structured patient data, in a privacy-preserving way. We review more than 45 algorithms, derive insights on their operation, and highlight their advantages and disadvantages. We also provide a discussion of some promising directions for future research in this area. Copyright © 2014 Elsevier Inc. All rights reserved.

  4. Consumer support for health information exchange and personal health records: a regional health information organization survey.

    Science.gov (United States)

    Patel, Vaishali N; Dhopeshwarkar, Rina V; Edwards, Alison; Barrón, Yolanda; Sparenborg, Jeffrey; Kaushal, Rainu

    2012-06-01

    In order to characterize consumer support for electronic health information exchange (HIE) and personal health records (PHRs) in a community where HIE is underway, we conducted a survey of English speaking adults who visited primary care practices participating in a regional community-wide clinical data exchange, during August, 2008. Amongst the 117 respondents, a majority supported physicians' use of HIE (83%) or expressed interest in potentially using PHRs (76%). Consumers' comfort sending personal information electronically over the Internet and their perceptions regarding the potential benefits of HIE were independently associated with their support for HIE. Consumers' prior experience using the Internet to manage their healthcare, perceptions regarding the potential benefits of PHRs and college education were independently associated with potential PHR use. Bolstering consumer support for HIE and PHRs will require addressing privacy and security concerns, demonstrating clinical benefits, and reaching out to those who are less educated and computer literate.

  5. Ethno-botanical survey of edible wild fruits in Benguet, Cordillera administrative region, the Philippines

    Science.gov (United States)

    Chua-Barcelo, Racquel Tan

    2014-01-01

    Objective To conduct a survey on the common name/s, traditional uses and cultural importance of the edible wild fruits in different municipalities of Benguet, Cordillera administrative region. Methods Interviews using questionnaires with barangay leaders and indigenous people were conducted with 176 key informants from June 2011 to July 2013. Results A total of 36 fruit species were found in different municipalities of Benguet. These fruit species belong to 27 genera and 20 families. Among the 13 municipalities of Benguet, Kibungan has the highest number of species. There are many uses of wild fruits which ranged from food (snack/dessert/table food), forage (especially for birds, monkeys and wild animals such as cloud rat and grass eaters), offertory, processed/preserved (as jam, jellies, candies, juice and wine), condiment or ingredient (for cooking), source of dye or ink, decoration (to garnish food) and as medicine to common ailments or health problems. Based on the inventory and calculated cultural importance index, Garcinia binucao (balokok) belonging to Clusiaceae is the most abundant fruit, hence it is the commonly used fruit for various purposes such as food, forage, processing/preservation and condiment/ingredient; Vaccinium myrtoides (ayusip) for offerings and as source of dye/ink; Saurauia elegans (uyok) for decoration, and, Antidesma bunius (bugnay) for medicine. Conclusions Benguet province in the Cordillera region provides a diversity of edible wild fruits. The data gathered from the study signifies that collection, processing and utilization of edible wild fruits are still part of the daily activities of the people in Benguet. PMID:25183144

  6. 2-m Bathymetric ArcRaster Grid of National Oceanic and Atmospheric Administration (NOAA) Survey H11250 of Eastern Long Island Sound (H11250U, UTM, Zone 18)

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey, in cooperation with the National Oceanic and Atmospheric Administration and the Connecticut Department of Environmental Protection, has...

  7. 2-m Bathymetric Grid of National Oceanic and Atmospheric Administration (NOAA) Survey H11996 in Rhode Island Sound (H11996_2M_GEO, Geographic, WGS84)

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey (USGS), in cooperation with the National Oceanic and Atmospheric Administration (NOAA), is producing detailed geologic maps of the coastal...

  8. Interpretation of Bottom Features from National Oceanic and Atmospheric Administration (NOAA) Survey H12012 Offshore in Northeastern Long Island Sound (Geographic, WGS84, H12012_INTERP.SHP)

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey (USGS), in cooperation with the National Oceanic and Atmospheric Administration (NOAA) and the Connecticut Department of Energy and...

  9. Interpretation of Bottom Features from National Oceanic and Atmospheric Administration (NOAA) Survey H11346 of Edgartown Harbor, MA (H11346_INTERP.SHP, Geographic, WGS84)

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey (USGS), in cooperation with the National Oceanic and Atmospheric Administration (NOAA) and the Massachusetts Office of Coastal Zone...

  10. Interpretation of Bottom Features from National Oceanic and Atmospheric Administration (NOAA) Survey H12023 in Block Island Sound (H12023_INTERP shapefile, Geographic, WGS84)

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey (USGS), in cooperation with the National Oceanic and Atmospheric Administration (NOAA), is producing detailed geologic maps of the coastal...

  11. Interpretation of Bottom Features from National Oceanic and Atmospheric Administration (NOAA) Survey H11997 Offshore in Eastern Long Island Sound (H11997_INTERP.SHP, Geographic, WGS84)

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey (USGS), in cooperation with the National Oceanic and Atmospheric Administration (NOAA), is producing detailed geologic maps of the coastal...

  12. Interpretations of Bottom Features from National Oceanic and Atmospheric Administration (NOAA) Survey H11076 of Quicks Hole, MA (H11076_INTERP.SHP, Geographic)

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey (USGS), in cooperation with the National Oceanic and Atmospheric Administration (NOAA) and the Massachusetts Office of Coastal Zone...

  13. Interpretation of Bottom Features from National Oceanic and Atmospheric Administration (NOAA) Survey H11251 Offshore of Rocky Point, New York (H11251_INTERP.SHP, Geographic, WGS84)

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey (USGS), in cooperation with the National Oceanic and Atmospheric Administration (NOAA), is producing detailed geologic maps of the coastal...

  14. Outline of the Bathymetric Data Collected During National Oceanic and Atmospheric Administration (NOAA) Survey H11997 (H11997OUTLINE, Geographic, WGS84)

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey (USGS), in cooperation with the National Oceanic and Atmospheric Administration (NOAA), is producing detailed geologic maps of the coastal...

  15. Esri Binary 1-m Bathymetric Grid of National Oceanic and Atmospheric Administration (NOAA) Survey H12324 in Narragansett Bay (UTM Zone 19, NAD 83)

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey (USGS), in cooperation with the National Oceanic and Atmospheric Administration (NOAA), is producing detailed geologic maps of the coastal...

  16. Outline of the Multibeam Bathymetry Data Collected During National Oceanic and Atmospheric Administration (NOAA) Survey H11922 (H11922OUTLINE, Geographic, WGS84)

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey (USGS), in cooperation with the National Oceanic and Atmospheric Administration (NOAA), is producing detailed geologic maps of the coastal...

  17. H11321_GEO45M: 45-m Grid of National Oceanic and Atmospheric Administration (NOAA) Survey H11321 in Central Rhode Island Sound (Geographic)

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The United States Geological Survey (USGS) is working cooperatively with the National Oceanic and Atmospheric Administration (NOAA) to interpret the surficial...

  18. H11320_GEO_4M: 4-m ArcRaster Grid of National Oceanic and Atmospheric Administration (NOAA) Survey H11320 in Geographic

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The United States Geological Survey (USGS) is working cooperatively with the National Oceanic and Atmospheric Administration (NOAA) to interpret the surficial...

  19. Geologic Interpretation of the Acoustic Data Collected During National Oceanic and Atmospheric Administration (NOAA) Survey H11252 (H11252_INTERP.SHP, Geographic)

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey, in cooperation with the National Oceanic and Atmospheric Administration and the Connecticut Department of Environmental Protection, has...

  20. Geologic Interpretation of the Acoustic Data Collected During National Oceanic and Atmospheric Administration (NOAA) Survey H11361 (H11361_INTERP.SHP, Geographic)

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey, in cooperation with the National Oceanic and Atmospheric Administration and the Connecticut Department of Environmental Protection, has...

  1. H11079_GEO_B: 3-m Bathymetric Grid of National Oceanic and Atmospheric Administration (NOAA) Survey H11079 of Great Round Shoal Channel, Offshore Massachusetts (Geographic)

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey (USGS), in cooperation with the National Oceanic and Atmospheric Administration (NOAA) and the Massachusetts Office of Coastal Zone...

  2. Interpretations of the Surficial Geology from National Oceanic and Atmospheric Administration (NOAA) Survey H11079 of Great Round Shoal Channel, MA (H11079_SURFGEOL.SHP, Geographic)

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey (USGS), in cooperation with the National Oceanic and Atmospheric Administration (NOAA) and the Massachusetts Office of Coastal Zone...

  3. Interpretation of the distribution of sedimentary environments of the sidescan sonar mosaic of National Oceanic and Atmospheric Administration (NOAA) survey H11043 off Branford, Connecticut

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey, in cooperation with the National Oceanic and Atmospheric Administration and the Connecticut Department of Environmental Protection, has...

  4. Surficial sediment distribution interpretation of the sidescan sonar mosaic of National Oceanic and Atmospheric Administration (NOAA) survey H11043 off Branford, Connecticut

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey, in cooperation with the National Oceanic and Atmospheric Administration and the Connecticut Department of Environmental Protection, has...

  5. Interpretation of Bottom Features from National Oceanic and Atmospheric Administration (NOAA) Survey H11996 in Rhode Island Sound (H11996_INTERP, Geographic, WGS84)

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey (USGS), in cooperation with the National Oceanic and Atmospheric Administration (NOAA), is producing detailed geologic maps of the coastal...

  6. Interpretation of Bottom Features from National Oceanic and Atmospheric Administration (NOAA) Survey H12298 in Block Island Sound (Geographic, WGS 84, H12298INTERP)

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey (USGS), in cooperation with the National Oceanic and Atmospheric Administration (NOAA), is producing detailed geologic maps of the coastal...

  7. Outline of the Multibeam-Bathymetric Data Collected During National Oceanic and Atmospheric Administration (NOAA) Survey H11995 (H11995OUTLINE.SHP, Geographic)

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey (USGS), in cooperation with the National Oceanic and Atmospheric Administration (NOAA), is producing detailed geologic maps of the coastal...

  8. Interpretive Data Layer Showing the Framework Geology of National Oceanic and Atmospheric Administration (NOAA) Survey H11250 (H11250G_GEOL, Geographic)

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey, in cooperation with the National Oceanic and Atmospheric Administration and the Connecticut Department of Environmental Protection, has...

  9. [Opinion survey on the use of personal health records in the Region of Murcia (Spain)].

    Science.gov (United States)

    Fernández Alemán, José Luis; Hernández, Isabel; Sánchez García, Ana Belén

    2013-01-01

    To identify the opinions of patients of the Murcia Health Service on the adoption of personal health records (PHRs) and the factors associated with these opinions. A cross sectional and descriptive study was performed by personal survey of a sample of individuals (N=156) aged between 14 and 80 years old in five public health facilities of districts VI and VII of the Health Service of Murcia. A total of 87.8% of the population stated they would use PHRs. Respondents aged 24-33 years old were 13.15 times more willing to use PHRs (95% CI: 1.09-157.42) than people over 63 years old. A lower probability of using PHRs was found in people who did not use the Internet, with an odds ratio of 0.31 (95% CI: 0.07-1.29); this difference was not statistically significant. Most of the patients surveyed had never heard of PHRs but most would be willing to use them. Copyright © 2012 SESPAS. Published by Elsevier Espana. All rights reserved.

  10. Automated anesthesia carts reduce drug recording errors in medication administrations - A single center study in the largest tertiary referral hospital in China.

    Science.gov (United States)

    Wang, Ying; Du, Yingying; Zhao, Yingying; Ren, Yang; Zhang, Wei

    2017-08-01

    To clinically evaluate a type of patented automated anesthesia cart in medication administrations in anesthesia. This was a prospectively randomized open label clinical trial. In 10 designated operating suits in the First Affiliated Hospital of Zhengzhou University, in China. 1066 cases originated from 10,812 medication administrations in anesthesia were randomized. 78 registered anesthesiologists managed the medication. The patients received medication administrations in anesthesia with either an automated or a conventional manual cart. American Society of Anesthesiologists (ASA) score, sex, duration of anesthesia and surgical specialty, errors in administration of medications (incorrect medication given (substitution), medication not given (omission) and drug recordings errors"), compliance and satisfaction were recorded. The total error rate was 7.3% with the automated anesthesia carts (1 in 14 administrations) and 11.9% with conventional manual carts (1 in 8 administrations). Automated anesthesia carts significantly reduced the drug recording error rate compared to conventional manual carts (Perrors omission errors was found between groups of automated anesthesia carts and conventional manual carts. The anesthesiologists' compliance with the automated anesthesia carts was unsatisfactory, and all the errors in medication recordings with the automated anesthesia carts were due to the incorrect use of the carts. Most of the participating anesthesiologists preferred the automated anesthesia carts (Perrors in medication administrations of anesthesia. Copyright © 2017 Elsevier Inc. All rights reserved.

  11. 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

  12. Pharmacist use of the electronic medical record to identify adults at risk for anaphylaxis without epinephrine for self-administration.

    Science.gov (United States)

    Stewart, Autumn; Sulkowski, Katherine

    To describe an innovative pharmacist-led approach, with the use of electronic medical record (EMR) data, to identify patients at risk of anaphylaxis in need of epinephrine auto-injector (EAI) for self-administration. An urban free health care center for an uninsured indigent adult population in Pittsburgh, PA. In this pilot service, patients with allergy history fields containing the words "anaphylaxis," "nut," "bee," or "shellfish" were screened for inclusion. Patients were identified with the use of a report generated by the EMR vendor and were contacted via telephone by a clinical pharmacist. Using the patient-reported clinical history related to anaphylaxis and allergies, the pharmacist assessed the need for EAI, counseled the patient, and provided physician referral when appropriate. The service was evaluated with the use of a cross-sectional study of patients with electronic records at the health center during the time period studied. Data obtained from patient interviews were used to classify patients who were candidates for EAI and to assess prescribing and access to EAI. Demographic data and outcomes related to the availability of non-expired EAI were collected and analyzed using descriptive statistics. Ninety-five patients were identified as potential candidates for the service, and 20 patients were able to be contacted via telephone. Fourteen participants provided consent for their data to be used in the program evaluation. A treatment gap likely existed for 11 of the 14 participants (79%) owing to history of anaphylaxis (57%) or history of systemic reaction (29%). The most common indication for EAI was anaphylaxis in response to bee stings. The findings from this project demonstrate that pharmacist use of EMR data, coupled with patient interview, may be an effective means for identifying treatment gaps in the long-term management of anaphylaxis and has the potential to ultimately improve management of anaphylaxis in patients within the community

  13. 2002 Status of the Armed Forces Survey- Workplace and Gender Relations: Administration, Datasets, and Codebook

    National Research Council Canada - National Science Library

    Willis, Elizabeth

    2002-01-01

    The 2002 Status of the Armed Forces Survey - Workplace and Gender Relations gathered information on demographics, workplace information, mentoring, readiness, and health and well-being, gender related...

  14. Consistency between education reported in health survey and recorded in death certificate.

    Science.gov (United States)

    Khang, Young-Ho; Kim, Hye Ryun; Lynch, John W

    2007-10-18

    Education level is one indicator of socioeconomic position which, in several countries including South Korea, is provided though death certificate data. Its validity determines the usefulness of death certificate data for exploring the association between socioeconomic position and mortality. This study was to compare education recorded on the death certificate with that reported before death in a nationally representative cohort of participants in the National Health and Nutrition Examination Survey (NHANES). The 1998/2001 NHANES data contained unique 13-digit personal identification numbers that were individually linked to death certificate data from the Korean National Statistical Office. Duration of mortality follow-up was 7.1 years. The data from 513 deaths were used to determine sensitivity and specificity of education in death certificate and estimate agreement rates of education level between NHANES data and death certificate data. Odds ratios for agreement in education were also estimated. Covariates considered in the analyses were gender, age, duration between NHANES and death, and cause of death. The proportion of deaths without recorded education in death certificate was very low (0.2%). A total of 29.4% discordant pairs were found. Sensitivity and specificity for college or higher education were 0.84 (95% confidence interval 0.71-0.97) and 0.99 (0.98-1.00). However, sensitivity was poor for middle school education. The overall agreement rate was 70.7% (66.8%-74.6%) when education was categorized into five groups and increased up to 88.9% (86.2%-91.6%) when three education categories were used. The magnitude of validity and reliability for education did not generally vary with age, duration between health survey and death, and cause of death. However, a significantly smaller likelihood of agreement was found for middle and elementary school education after adjusting for covariates. Low percentage of missing information on education in South Korean death

  15. CKD screening and management in the Veterans Health Administration: the impact of system organization and an innovative electronic record.

    Science.gov (United States)

    Patel, Thakor G; Pogach, Leonard M; Barth, Robert H

    2009-03-01

    At the beginning of this decade, Healthy People 2010 issued a series of objectives to "reduce the incidence, morbidity, mortality and health care costs of chronic kidney disease." A necessary feature of any program to reduce the burden of kidney disease in the US population must include mechanisms to screen populations at risk and institute early the aspects of management, such as control of blood pressure, management of diabetes, and, in patients with advanced chronic kidney disease (CKD), preparation for dialysis therapy and proper vascular access management, that can retard CKD progression and improve long-term outcome. The Department of Veterans Affairs and the Veterans Health Administration is a broad-based national health care system that is almost uniquely situated to address these issues and has developed a number of effective approaches using evidence-based clinical practice guidelines, performance measures, innovative use of a robust electronic medical record system, and system oversight during the past decade. In this report, we describe the application of this systems approach to the prevention of CKD in veterans through the treatment of risk factors, identification of CKD in veterans, and oversight of predialysis and dialysis care. The lessons learned and applicability to the private sector are discussed.

  16. Medication administration via enteral feeding tube: a survey of pharmacists' knowledge

    OpenAIRE

    Joos, Elke; Verbeke, Stacey; Mehuys, Els; Van Bocxlaer, Jan; Remon, Jean Paul; Van Winckel, Myriam; Boussery, Koen

    2016-01-01

    Background: Medication administration to patients with an enteral feeding tube (EFT) is complex and prone to errors. Community pharmacists may be ideally placed to provide training and advice on this topic in individual patients as well as in institutions supplied by the pharmacy. Objective: To assess community pharmacists' knowledge on guideline recommendations regarding medication preparation and administration through EFT. Method: Knowledge of guideline recommendations was assessed u...

  17. 41 CFR 102-193.15 - What are the records management responsibilities of the Administrator of General Services (the...

    Science.gov (United States)

    2010-07-01

    ... management responsibilities of the Administrator of General Services (the Administrator), the Archivist of the United States (the Archivist), and the Heads of Federal agencies? 102-193.15 Section 102-193.15... Administrator), the Archivist of the United States (the Archivist), and the Heads of Federal agencies? (a) The...

  18. 2005 Workplace and Equal Opportunity Survey of Active-Duty Members Administration, Datasets, and Codebook

    Science.gov (United States)

    2007-06-01

    1 .B No survey return 13726 15.1 1 1 More now 12760 14.0 2 2 About the same 1814 2.0 3 3 Fewer now 91024 100.0 TOTALS WEOA2005 Workplace...60.7 -1 .B No survey return 1814 2.0 1 1 Fewer now 12760 14.0 2 2 About the same 13726 15.1 3 3 More now 91024 100.0 TOTALS WEOA2005

  19. 2013 Workplace and Equal Opportunity Survey of Active Duty Members: Administration, Datasets, and Codebook

    Science.gov (United States)

    2016-05-01

    ended items were spell -checked. Identifiers (e.g., proper names, addresses, e-mail addresses, phone numbers, locations, or social security numbers...TOTAL DOES NOT = 100 DUT TO ROUNDING ERROR 13 G-4 26 1. Codebook title and item text. The codebook title is the same for every...what the variables document. 3. Survey item text. For survey items, this text is the verbatim item wording . For other variables, this text provides a

  20. A common data model to assess cardiovascular hospitalization and mortality in atrial fibrillation patients using administrative claims and medical records

    Directory of Open Access Journals (Sweden)

    Panaccio MP

    2015-01-01

    Full Text Available Mary P Panaccio,1 Gordon Cummins,2 Charles Wentworth,3 Stephan Lanes,4 Shannon L Reynolds,5 Matthew W Reynolds,3 Raymond Miao,1 Andrew Koren1 1US Medical Affairs, Sanofi, Bridgewater, NJ, USA; 2Health Engagement and Communications, Quintiles, Durham, NC, USA; 3Evidera, Lexington, MA, USA; 4HealthCore Inc., Andover, MA, USA; 5Comprehensive Health Insights, Louisville, KY, USA Purpose: Atrial fibrillation/flutter (AF is frequently associated with cardiovascular comorbidities. Observational health care databases are commonly used for research purposes in studies of quality of care, health economics, outcomes research, drug safety, and epidemiology. This retrospective cohort study applied a common data model to administrative claims data (Truven Health Analytics MarketScan® claims databases [MS-Claims] and electronic medical records data (Geisinger Health System's MedMining electronic medical record database [MG-EMR] to examine the risk of cardiovascular hospitalization and all-cause mortality in relation to clinical risk factors in recent-onset AF and to assess the consistency of analyses for each data source. Methods: Cohorts of patients with newly diagnosed AF (n=105,262 [MS-Claims] and n=3,919 [MG-EMR] and demographically similar patients without AF (n=105,262 [MS-Claims] and n=3,872 [MG-EMR] were followed from the qualifying AF diagnosis until cardiovascular hospitalization, death, database disenrollment, or study completion. A common data model standardized the data in structure, format, content, and nomenclature to allow for systematic assessment and comparison of outcomes from two disparate data sets. Results: In both databases, AF patients had greater overall baseline comorbidity and higher incidence rates of cardiovascular hospitalization (threefold higher and all-cause mortality (46% higher than non-AF patients. For AF patients, incidence rates of cardiovascular hospitalization and all-cause mortality were increased by the concomitant

  1. Medication administration via enteral feeding tube: a survey of pharmacists' knowledge.

    Science.gov (United States)

    Joos, Elke; Verbeke, Stacey; Mehuys, Els; Van Bocxlaer, Jan; Remon, Jean Paul; Van Winckel, Myriam; Boussery, Koen

    2016-02-01

    Medication administration to patients with an enteral feeding tube (EFT) is complex and prone to errors. Community pharmacists may be ideally placed to provide training and advice on this topic in individual patients as well as in institutions supplied by the pharmacy. To assess community pharmacists’ knowledge on guideline recommendations regarding medication preparation and administration through EFT. Knowledge of guideline recommendations was assessed using a 15-item self-administered online questionnaire (April–June 2014). Questions reflected key aspects of guideline recommendations on medication administration via EFT. All graduated community pharmacists from the Dutch-speaking part of Belgium were eligible for participation. A total of 105 community pharmacists completed the questionnaire. Median self-perceived knowledge of medication administration via EFT was 2 (on a 0–10 scale). On average 5.2 (SD 2.6) out of the 15 questions were answered correctly. Strikingly, the ability to select suspensions in a list of liquid medications and knowledge on crushability of solid dosage forms were low. Our findings demonstrate that pharmacists’ knowledge on correct medication administration via EFT is too limited to be able to provide good advice to EFT patients or their caregivers. Tailored training on this topic is needed.

  2. Transient and sustained changes in operational performance, patient evaluation, and medication administration during electronic health record implementation in the emergency department.

    Science.gov (United States)

    Ward, Michael J; Froehle, Craig M; Hart, Kimberly W; Collins, Sean P; Lindsell, Christopher J

    2014-03-01

    Little is known about the transient and sustained operational effects of electronic health records on emergency department (ED) performance. We quantify how the implementation of a comprehensive electronic health record was associated with metrics of operational performance, test ordering, and medication administration at a single-center ED. We performed a longitudinal analysis of electronic data from a single, suburban, academic ED during 28 weeks between May 2011 and November 2011. We assessed length of stay, use of diagnostic testing, medication administration, radiologic imaging, and patient satisfaction during a 4-week baseline measurement period and then tracked changes in these variables during the 24 weeks after implementation of the electronic health record. Median length of stay increased and patient satisfaction was reduced transiently, returning to baseline after 4 to 8 weeks. Rates of laboratory testing, medication administration, overall radiologic imaging, radiographs, computed tomography scans, and ECG ordering all showed sustained increases throughout the 24 weeks after electronic health record implementation. Electronic health record implementation in this single-center study was associated with both transient and sustained changes in metrics of ED performance, as well as laboratory and medication ordering. Understanding ways in which an ED can be affected by electronic health record implementation is critical to providing insight about ways to mitigate transient disruption and to maximize potential benefits of the technology. Copyright © 2013 American College of Emergency Physicians. Published by Mosby, Inc. All rights reserved.

  3. Gravity Data for Southwestern Alaska (1294 records compiled)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The gravity station data (1294 records) were compiled by the Alaska Geological Survey and the U.S. Geological Survey, Menlo Park, California. This data base was...

  4. Timing of Survey Administration After Hospice Patient Death: Stability of Bereaved Respondents.

    Science.gov (United States)

    DiBiasio, Eleanor L; Clark, Melissa A; Gozalo, Pedro L; Spence, Carol; Casarett, David J; Teno, Joan M

    2015-07-01

    The Centers for Medicare & Medicaid Services have elected to include a bereaved family member survey in public reporting of hospice quality data as mandated in the Affordable Care Act. However, it is not known what time point after death offers the most reliable responses. To examine the stability of bereaved family members' survey responses when administered three, six, and nine months after hospice patient death. Bereaved family members from six geographically diverse hospices were interviewed three, six, and nine months after patient death. All respondents completed a core survey. Those whose family member died at home, in a freestanding inpatient unit, or in a nursing home also completed a site-specific module. Stability was based on top-box scoring of each item with kappa statistics, and multivariable regression models were used to assess directionality and predictors of change. To analyze the effects of grief, we assessed response stability among respondents at least one SD from the mean change in grief between three and six months. We had 1532 surveys (536 three-month surveys, 529 six-month surveys, and 467 nine-month surveys) returned by 643 respondents (average age 61.7 years, 17.4% black, and 50.5% a child respondent) about hospice decedents (55.3% females, average age 78.6 years, 57.0% noncancer, and 40.0% at home). The average kappa for core items between three and nine months was 0.54 (range 0.42-0.74), 0.58 (0.41-0.69) for home-specific items, and 0.54 (0.39-0.63) for nursing home. Even among individuals demonstrating large grief changes, core items demonstrated moderate to high stability over time. Bereaved family member responses are stable between three and nine months after the death of the patient. Copyright © 2015 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved.

  5. Personal factors influence use of cervical cancer screening services: epidemiological survey and linked administrative data address the limitations of previous research.

    Science.gov (United States)

    Olesen, Sarah C; Butterworth, Peter; Jacomb, Patricia; Tait, Robert J

    2012-02-14

    National screening programs have reduced cervical cancer mortality; however participation in these programs varies according to women's personal and social characteristics. Research into these inequalities has been limited by reliance on self-reported service use data that is potentially biased, or administrative data that lacks personal detail. We address these limitations and extend existing research by examining rates and correlates of cervical screening in a large epidemiological survey with linked administrative data. The cross-sectional sample included 1685 women aged 44-48 and 64-68 years from the Australian Capital Territory and Queanbeyan, Australia. Relative risk was assessed by logistic regression models and summary Population Attributable Risk (PAR) was used to quantify the effect of inequalities on rates of cervical cancer screening. Overall, 60.5% of women participated in screening over the two-year period recommended by Australian guidelines. Screening participation was associated with having children, moderate or high use of health services, employment, reported lifetime history of drug use, and better physical functioning. Conversely, rates of cervical screening were lower amongst women who were older, reliant on welfare, obese, current smokers, reported childhood sexual abuse, and those with anxiety symptoms. A summary PAR showed that effective targeting of women with readily observable risk-factors (no children, no partner, receiving income support payments, not working, obese, current smoker, anxiety, poor physical health, and low overall health service use) could potentially reduce overall non-participation in screening by 74%. This study illustrates a valuable method for investigating the personal determinants of health service use by combining representative survey data with linked administrative records. Reliable knowledge about the characteristics that predict uptake of cervical cancer screening services will inform targeted health

  6. The impact of the mode of survey administration on estimates of daily smoking for mobile phone only users.

    Science.gov (United States)

    Hanna, Joseph; Cordery, Damien V; Steel, David G; Davis, Walter; Harrold, Timothy C

    2017-04-20

    Over the past decade, there have been substantial changes in landline and mobile phone ownership, with a substantial increase in the proportion of mobile-only households. Estimates of daily smoking rates for the mobile phone only (MPO) population have been found to be substantially higher than the rest of the population and telephone surveys that use a dual sampling frame (landline and mobile phones) are now considered best practice. Smoking is seen as an undesirable behaviour; measuring such behaviours using an interviewer may lead to lower estimates when using telephone based surveys compared to self-administered approaches. This study aims to assess whether higher daily smoking estimates observed for the mobile phone only population can be explained by administrative features of surveys, after accounting for differences in the phone ownership population groups. Data on New South Wales (NSW) residents aged 18 years or older from the NSW Population Health Survey (PHS), a telephone survey, and the National Drug Strategy Household Survey (NDSHS), a self-administered survey, were combined, with weights adjusted to match the 2013 population. Design-adjusted prevalence estimates and odds ratios were calculated using survey analysis procedures available in SAS 9.4. Both the PHS and NDSHS gave the same estimates for daily smoking (12%) and similar estimates for MPO users (20% and 18% respectively). Pooled data showed that daily smoking was 19% for MPO users, compared to 10% for dual phone owners, and 12% for landline phone only users. Prevalence estimates for MPO users across both surveys were consistently higher than other phone ownership groups. Differences in estimates for the MPO population compared to other phone ownership groups persisted even after adjustment for the mode of collection and demographic factors. Daily smoking rates were consistently higher for the mobile phone only population and this was not driven by the mode of survey collection. This supports

  7. The impact of the mode of survey administration on estimates of daily smoking for mobile phone only users

    Directory of Open Access Journals (Sweden)

    Joseph Hanna

    2017-04-01

    Full Text Available Abstract Background Over the past decade, there have been substantial changes in landline and mobile phone ownership, with a substantial increase in the proportion of mobile-only households. Estimates of daily smoking rates for the mobile phone only (MPO population have been found to be substantially higher than the rest of the population and telephone surveys that use a dual sampling frame (landline and mobile phones are now considered best practice. Smoking is seen as an undesirable behaviour; measuring such behaviours using an interviewer may lead to lower estimates when using telephone based surveys compared to self-administered approaches. This study aims to assess whether higher daily smoking estimates observed for the mobile phone only population can be explained by administrative features of surveys, after accounting for differences in the phone ownership population groups. Methods Data on New South Wales (NSW residents aged 18 years or older from the NSW Population Health Survey (PHS, a telephone survey, and the National Drug Strategy Household Survey (NDSHS, a self-administered survey, were combined, with weights adjusted to match the 2013 population. Design-adjusted prevalence estimates and odds ratios were calculated using survey analysis procedures available in SAS 9.4. Results Both the PHS and NDSHS gave the same estimates for daily smoking (12% and similar estimates for MPO users (20% and 18% respectively. Pooled data showed that daily smoking was 19% for MPO users, compared to 10% for dual phone owners, and 12% for landline phone only users. Prevalence estimates for MPO users across both surveys were consistently higher than other phone ownership groups. Differences in estimates for the MPO population compared to other phone ownership groups persisted even after adjustment for the mode of collection and demographic factors. Conclusions Daily smoking rates were consistently higher for the mobile phone only population and this was

  8. Survey of electronic veterinary medical record adoption and use by independent small animal veterinary medical practices in Massachusetts

    Science.gov (United States)

    Krone, Lauren M.; Brown, Catherine M.; Lindenmayer, Joann M.

    2016-01-01

    Objective To estimate the proportion of independent small animal veterinary medical practices in Massachusetts that use electronic veterinary medical records (EVMRs), determine the purposes for which EVMRs are used, and identify perceived barriers to their use. Design Survey. Sample 100 veterinarians. Procedures 213 of 517 independent small animal veterinary practices operating in Massachusetts were randomly chosen for study recruitment. One veterinarian at each practice was invited by telephone to answer a hardcopy survey regarding practice demographics, medical records type (electronic, paper, or both), purposes of EVMR use, and perceived barriers to adoption. Surveys were mailed to the first 100 veterinarians who agreed to participate. Practices were categorized by record type and size (large [≥ 5 veterinarians], medium [3 to 4 veterinarians], or small [1 to 2 veterinarians]). Results 84 surveys were returned; overall response was 84 of 213 (39.4%). The EVMRs were used alone or together with paper records in 66 of 82 (80.5%) practices. Large and medium-sized practices were significantly more likely to use EVMRs combined with paper records than were small practices. The EVMRs were most commonly used for ensuring billing, automating reminders, providing cost estimates, scheduling, recording medical and surgical information, and tracking patient health. Least common uses were identifying emerging infectious diseases, research, and insurance. Eleven veterinarians in paper record–only practices indicated reluctance to change, anticipated technological problems, time constraints, and cost were barriers to EVMR use. Conclusions and Clinical Relevance Results indicated EVMRs were underutilized as a tool for tracking and improving population health and identifying emerging infectious diseases. Efforts to facilitate adoption of EVMRs for these purposes should be strengthened by the veterinary medical, human health, and public health professions. PMID:25029312

  9. Determining use of preventive health care in Ontario: comparison of rates of 3 maneuvers in administrative and survey data.

    Science.gov (United States)

    Wang, Li; Jason, X Nie; Upshur, Ross E G

    2009-02-01

    To examine rates of influenza vaccination, mammography, and Papanicolaou smear by comparing data obtained from the Ontario Health Insurance Plan administrative database with rates as self-reported in the Canadian Community Health Survey. Retrospective cohort study using data from Statistics Canada's 2000-2001 Canadian Community Health Survey and from the Ontario Health Insurance Plan administrative database for the same period. Ontario. Those aged 12 and older who had received influenza vaccination, women aged 35 or older who had had mammograms within the past 2 years, and women aged 18 or older who had had Pap smears within the past 3 years who were surveyed during the Canadian Community Health Survey in 2001. Rates of influenza vaccination, mammography, and Pap smear in Ontario's 14 Local Health Integration Networks by network, age group, and socioeconomic status. Rates varied by health network. Analysis by age showed that influenza vaccination rates increased with age and peaked among those 75 and older. Rates of mammography screening increased with age but dropped substantially among those 75 and older. Rates of Pap smear peaked among those 20 to 39 and decreased with increasing age. Rates of mammography and Pap smear increased with rising socioeconomic status, but influenza vaccination rates did not differ substantially by socioeconomic status. Rates for all 3 preventive maneuvers were lower in the Ontario Health Insurance Plan data than in the self-reported Canadian Community Health Survey data. There are obstacles to finding out the true rates of preventive health care use in Ontario. We need to ascertain these rates in order to establish a criterion standard for delivery of these services. Development of programs to target specific geographic locations, socioeconomic classes, and high-risk groups are needed to increase the overall use of preventive health services in Ontario.

  10. Why Is Sexual Abuse Declining? A Survey of State Child Protection Administrators.

    Science.gov (United States)

    Jones, Lisa M.; Finkelhor, David; Kopiec, Kathy

    2001-01-01

    Interviews were conducted with child protection administrators in 43 states. More than half in states with large declines of cases of substantiated sexual abuse were unaware of any discussion of the declines within their agency or state. Possible causes for decline included increased evidentiary requirements and increased caseworker caution.…

  11. Transmission assessment surveys (TAS) to define endpoints for lymphatic filariasis mass drug administration

    DEFF Research Database (Denmark)

    Chu, Brian K.; Deming, Michael; Biritwum, Nana-Kwadwo

    2013-01-01

    Lymphatic filariasis (LF) is targeted for global elimination through treatment of entire at-risk populations with repeated annual mass drug administration (MDA). Essential for program success is defining and confirming the appropriate endpoint for MDA when transmission is presumed to have reached...

  12. 78 FR 42761 - Proposed Information Collection-2014 Election Administration and Voting Survey; Comment Request

    Science.gov (United States)

    2013-07-17

    ... on: (a) Whether the proposed collection of information is necessary for the proper performance of the... phone number) at U.S. Election Assistance Commission, 1201 New York Avenue NW., Suite 300, Washington... administration of Federal Elections. This includes the obligation to study and report on election activities...

  13. 78 FR 78345 - Proposed Information Collection-2014 Election Administration and Voting Survey; Comment Request

    Science.gov (United States)

    2013-12-26

    ...: (a) Whether the proposed collection of information is necessary for the proper performance of the... phone number) at U.S. Election Assistance Commission, 1335 East West Highway, Suite 4300, Silver Spring... administration of Federal Elections. This includes the obligation to study and report on election activities...

  14. Students and recorded lectures: Survey on current use and demands for higher education

    NARCIS (Netherlands)

    prof. dr. Wim Jochems; dr. Pierre Gorissen; Dr. Jan van Bruggen

    2012-01-01

    Online recordings of lectures provide students with anytime-anyplace access to lectures. Research shows that students prefer courses accompanied by online recordings and an increasing number of universities provide recorded lectures. This paper presents the results of a study into the use of

  15. Documenting Federal Scientific and Technical Information (STI): A Discussion of Appraisal Criteria and Applications for the National Archives and Records Administration.

    Science.gov (United States)

    Long, Suzanna Maupin

    1995-01-01

    Examines the major producers of U.S. federal government scientific technical information, principal data categories, and the role of the National Archives in documenting scientific data. Discusses appraisal, accessioning, and preservation of scientific data by the National Archives and Records Administration. (Author/AEF)

  16. Open All Night: Using the Internet To Improve Access to Archives: A Case Study of the New York State Archives and Records Administration.

    Science.gov (United States)

    Ruller, Thomas J.

    1997-01-01

    Archives can use the Internet to enhance access to information about holdings, programs, and services; improve efficiency of traditional reference services; and expand use without an increased burden on existing resources. Reviews the experiences of the New York State Archives and Records Administration which operates Internet services using…

  17. Energy Survey Activities off Atlantic Coast Get Green Light From Obama Administration

    Science.gov (United States)

    Showstack, Randy

    2014-03-01

    The 27 February release of an environmental review of geological and geophysical (G&G) survey activities off the mid- and South Atlantic outer continental shelf is a key step toward potentially opening the area to oil and gas exploration, according to industry and environmental groups. That is a prospect industry groups favor and environmental groups say will harm marine life.

  18. December 2005 Status of Forces Survey of Active Duty Members: Administration, Datasets, and Codebook

    Science.gov (United States)

    2006-06-01

    Costs of moving pets n. Costs of moving vehicles o. Costs of setting up...library, cyber cafe ) (Continued) Where did you take this survey? Mark "Yes" or "No" for each item. Yes No f. Home/barracks...or cafe ) computer d. Other COMMENTS 147. If you have comments or concerns that you were not able to express in

  19. Study Project Comprising Two Surveys on Behalf of the National Association of State Boating Law Administrators.

    Science.gov (United States)

    1975-06-01

    Box 3085, Honolulu, Hawaii 96802. MARYLAND The Maryland Wing, Civil Air Patrol which consists of 1,500 members utilizing the 20 corporate aircraft and...designates the Boating Law Administrator. CONNECTICUT (203) 566-4522 FLORIDA (coat.) * Mr. Theodore B. Bampton Mr. Otho B. Clark Deputy Comissioner Chief...Huntington Station, New York 11746 Mr. Robert Lundin President KOIIG & KOEBIG, INC. 1053 Sunset Boulevard Los Angeles, California 90012 * | Mr

  20. Antenatal magnesium sulphate administration for fetal neuroprotection: a French national survey

    OpenAIRE

    Chollat, Cl?ment; Le Doussal, Lise; de la Vill?on, Ga?lle; Provost, Delphine; Marret, St?phane

    2017-01-01

    Background Magnesium sulphate (MgSO4) is the only treatment approved for fetal neuroprotection. No information on its use is available in the absence of a national registry of neonatal practices. The objective of our study was to evaluate the use of MgSO4 for fetal neuroprotection in French tertiary maternity hospitals (FTMH). Methods Online and phone survey of all FTMH between August 2014 and May 2015. A participation was expected from one senior obstetrician, one senior anaesthetist and one...

  1. A validation of well-being and happiness surveys for administration via the Internet.

    Science.gov (United States)

    Howell, Ryan T; Rodzon, Katrina S; Kurai, Mark; Sanchez, Amy H

    2010-08-01

    Internet research is appealing because it is a cost- and time-efficient way to access a large number of participants; however, the validity of Internet research for important subjective well-being (SWB) surveys has not been adequately assessed. The goal of the present study was to validate the Satisfaction With Life Scale (SWLS; Diener, Emmons, Larsen, & Griffin, 1985), the Positive and Negative Affect Schedule (PANAS-X; Watson & Clark, 1994), and the Subjective Happiness Scale (SHS; Lyubomirsky & Lepper, 1999) for use on the Internet. This study compared the quality of data collected using paper-based (paper-and-pencil version in a lab setting), computer-based (Web-based version in a lab setting), and Internet (Web-based version on a computer of the participant's choosing) surveys for these three measures of SWB. The paper-based and computer-based experiment recruited two college student samples; the Internet experiments recruited a college student sample and an adult sample responding to ads on different social-networking Web sites. This study provides support for the reliability, validity, and generalizability of the Internet format of the SWLS, PANAS-X, and SHS. Across the three experiments, the results indicate that the computer-based and Internet surveys had means, standard deviations, reliabilities, and factor structures that were similar to those of the paper-based versions. The discussion examines the difficulty of higher attrition for the Internet version, the need to examine reverse-coded items in the future, and the possibility that unhappy individuals are more likely to participate in Internet surveys of SWB.

  2. Hepatitis B serologic survey and review of immunization records of children, adolescents and adults in Fiji, 2008-2009.

    Science.gov (United States)

    Tsukakoshi, Tatsuhiko; Samuela, Josaia; Rafai, Eric V; Rabuatoka, Uraia; Honda, Sumihisa; Kamiya, Yasuhiko; Buerano, Corazon C; Morita, Kouichi

    2015-03-03

    In Fiji, hepatitis B (HB) vaccine was introduced into childhood immunization program in 1989 and has been administered as a pentavalent since 2006. This study aimed to: (i) survey and examine the extent to which HB infection continue to occur in children, adolescents and adults in Fiji, and (ii) determine HB coverage rates and timeliness of vaccine administration to children. Serum samples of children, adolescents and adults (aged 6 months to Fiji's HB vaccine control program is achieving its objectives.

  3. Method of administration affects adolescent post-immunization survey response rate: phone, paper, internet.

    Science.gov (United States)

    Pielak, Karen L; Buxton, Jane; McIntyre, Cheryl; Tu, Andrew; Botnick, Michael

    2011-01-01

    The recent introduction of new vaccines into the school-based immunization program in British Columbia (BC) included monitoring of adverse events following immunization (AEFI) for these new vaccines. This commentary discusses different methods used to collect AEFIs in school immunization campaigns and the effects on response rate. The results of a study using an internet-based tool inspired this paper. The study examined adverse events following human papillomavirus (HPV) vaccine given to grades 6 and 9 students. The low response rate of the internet survey resulted in insufficient findings regarding adverse events. Consequent to the analysis of the study's data, a literature review was conducted to examine survey methodologies used to collect adverse event data following school-based immunization of adolescents. A PubMed search used various combinations of the following terms: vaccine, immunization, immunization programs, reactogenicity, adverse reactions, safety, adolescent, schoolchildren, and survey. Potentially relevant papers were identified based upon the titles and abstracts and subsequently reviewed. Only four studies were deemed appropriate for comparison purposes: all were done in Canada.

  4. A survey of first-year biology student opinions regarding live lectures and recorded lectures as learning tools.

    Science.gov (United States)

    Simcock, D C; Chua, W H; Hekman, M; Levin, M T; Brown, S

    2017-03-01

    A cohort of first-year biology students was surveyed regarding their opinions and viewing habits for live and recorded lectures. Most respondents (87%) attended live lectures as a rule (attenders), with 66% attending more than two-thirds of the lectures. In contrast, only 52% accessed recordings and only 13% viewed more than two-thirds of the available recordings. Respondents regarded lectures as efficient for information delivery (75%), and 89% enjoyed live lectures because they were useful for learning (89%), understanding coursework (94%), and keeping up with the subject (93%). Lecture enjoyment was driven less by entertainment (34%) or interaction with the lecturers (47%), although most students preferred an entertaining lecturer to a factual expert (72%). Exam marks were positively correlated with the number of lectures attended (P 0.05). Lecture attenders mostly missed lectures to complete assessments during the same week (68%), whereas nonattenders were more likely to miss lectures due to outside commitments or preference for study from books or recorded lectures (P < 0.001). Recordings were used to replace missed lectures (64%), rather than for revision, and were viewed mostly alone (96%) in one sitting (65%). Only 22% of respondents agreed that some lectures could be replaced by recordings, but 59% agreed with having some videoconference lectures from experts on another campus. Overall, this cohort showed a clear preference for live lectures over recordings, with limited support for synchronous videoconference lectures. Copyright © 2017 the American Physiological Society.

  5. The Management of Chieftaincy Records in Ghana: An Overview ...

    African Journals Online (AJOL)

    Using data obtained through a survey, the study examined the management of chieftaincy records in Ghana. The study revealed that chieftaincy records serve as source material for both traditional administration and research. However, requests for records as research material tilt towards land administration and the history ...

  6. Records Control Schedules Repository

    Data.gov (United States)

    National Archives and Records Administration — The Records Control Schedules (RCS) repository provides access to scanned versions of records schedules, or Standard Form 115, Request for Records Disposition...

  7. [The Role of Municipalities in Lower Saxony for Future Physician's Care - A Survey of Mayors and District Administrators].

    Science.gov (United States)

    Kuhn, Bertolt; Steinhäuser, Jost; Eberhard, Sveja; Hufenbach, Rolf; Amelung, Volker Eric

    2017-05-15

    Background Comprehensive outpatient medical care is being increasingly threatened due to the decreasing willingness of physicians to establish their practices in rural areas. Partly, municipalities feel impelled to support doctors setting up their practices with their own resources. The aim of this study was to get the community perspective on the ambulatory care situation and to examine the role and influence of the local authorities. Methods The mayors (n=411) and district administrators (n=38) in Lower Saxony received a self-developed written questionnaire in September 2015 (comprehensive survey). Results The response rate was 72%. Availability of general practitioners was considered as inadequate by 30% of those surveyed and 71% described specialist care as being insufficient. Two-thirds of respondents saw local problems with filling vacant doctors' offices. 42% of mayors and 65% of district administrators said they had already supported outpatient doctors. The most frequent measures carried out so far included financial support, consulting services and the development of cooperation and networks. The majority considered the model of medical care centers being operated under municipal sponsorship to be unsuitable in principle. Conclusions Local governments prevalently see problems with filling vacant doctors' offices as well as a need for local support. A significant proportion of municipalities has already implemented various support measures. Community participation in the outpatient care with medical care centers under municipal sponsorship is assessed rather critically. © Georg Thieme Verlag KG Stuttgart · New York.

  8. Continuing education needs for fishery professionals: a survey of North American fisheries administrators

    Science.gov (United States)

    Rassam, G.N.; Eisler, R.

    2001-01-01

    North American fishery professionals? continuing education needs were investigated in an American Fisheries Society questionnaire sent to 111 senior fishery officials in winter 2000. Based on a response rate of 52.2% (N = 58), a minimum of 2,967 individuals would benefit from additional training, especially in the areas of statistics and analysis (83% endorsement rate), restoration and enhancement (81%), population dynamics (81%), multi-species interactions (79%), and technical writing (79%). Other skills and techniques recommended by respondents included computer skills (72%), fishery modeling (69%), habitat modification (67%), watershed processes (66%), fishery management (64%), riparian and stream ecology (62%), habitat management (62%), public administration (62%), nonindigenous species (57%), and age and growth (55%). Additional comments by respondents recommended new technical courses, training in various communications skills, and courses to more effectively manage workloads.

  9. Benzodiazepine administration during adult cardiac surgery: a survey of current practice among Canadian anesthesiologists working in academic centres.

    Science.gov (United States)

    Spence, Jessica; Belley-Côté, Emilie; Devereaux, P J; Whitlock, Richard; Um, Kevin; McClure, Graham; Lamy, Andre; LeManach, Yannick; Connolly, Stuart; Syed, Summer

    2018-03-01

    Benzodiazepines are commonly administered during cardiac surgery because of their limited effect on hemodynamics and presumed role in preventing intraoperative awareness. Recent concerns about an increased risk of delirium with benzodiazepines have resulted in decreased usage in the intensive care unit and in geriatric perioperative practice. Little is known, however, about current benzodiazepine usage in the setting of adult cardiac surgery. We contacted all academic anesthesia departments in Canada to identify practicing attending cardiac anesthesiologists; this group constituted our sampling frame. Information regarding participant demographics, benzodiazepine usage, type, dose, and other administration details were obtained by electronic survey. Responses were analyzed descriptively. The survey was completed by 243/346 (70%) of cardiac anesthesiologists. Eleven percent of respondents do not administer benzodiazepines. Midazolam was the most commonly used benzodiazepine, with a mean (standard deviation) dose of 4.9 (3.8) mg given to an average patient. When respondents were asked the proportion of patients that they gave benzodiazepines, the response was bimodal. The most common considerations that influenced benzodiazepine use were patient age (73%), patient anxiety (63%), history of alcohol/drug/benzodiazepine use (60%), and the presence of risk factors for intraoperative awareness (44%). Benzodiazepine use is common among academic cardiac anesthesiologists in Canada. Nonetheless, heterogeneity exists between individual practices, suggesting clinical equipoise between restrictive and liberal administration of benzodiazepines for cardiac anesthesia. L'administration de benzodiazépines pendant la chirurgie cardiaque chez l'adulte: évaluation de la pratique actuelle des anesthésiologistes canadiens exerçant en milieu universitaire.

  10. Issues surrounding the administration of a credit course for medical students: survey of US academic health sciences librarians.

    Science.gov (United States)

    Miller, Jolene Michelle

    2004-07-01

    For librarians developing a credit course for medical students, the process often involves trial and error. This project identified issues surrounding the administration of a credit course, so that librarians nationally can rely more upon shared knowledge of common practices and less upon trial and error. A questionnaire was sent to the education services librarian at each medical school listed in the 2000 AAMC Data Book. A second questionnaire was sent to those librarians who did not return the first one. Of the 125 librarians surveyed, 82 returned the questionnaire. Of those 82, only 11 offered a credit course for medical students, though 19 more were in the process of developing one. Data were gathered on the following aspects of course administration: credit course offerings, course listing, information learned to administer the course, costs associated with the course, relationships with other departments on campus, preparation for teaching and grading, and evaluation of the course. Because of small number of respondents offering a credit course and institutional variations, making generalizations about issues surrounding the administration of a credit course is difficult. The article closes with a list of recommendations for librarians planning to develop a course.

  11. Orthopedic Implant Value Drivers: A Qualitative Survey Study of Hospital Purchasing Administrators.

    Science.gov (United States)

    Li, Chuan Silvia; Vannabouathong, Christopher; Sprague, Sheila; Bhandari, Mohit

    2015-01-01

    Osteoarthritis (OA) is a chronic, degenerative disease that is highly prevalent in the population, yet the factors that affect purchasing decisions related to this condition are poorly understood. A questionnaire was developed and administered to hospital executives across North America to determine the factors that affect purchasing decisions related to OA. Thirty-four individuals participated in the survey. Clinical evidence and cost effectiveness were deemed to be the most important factors in the process of making purchasing decisions. The most important considerations for adopting new technology were whether there was sufficient evidence in the literature, followed by thoughts of key opinion leaders, and cost of intervention/device. Ongoing research is still needed, but the current study allowed us to identify some trends in the data, providing new insight on how hospital purchasing decisions are made, which could have an immediate impact on those currently involved with making these decisions.

  12. Publishing data from electronic health records while preserving privacy: a survey of algorithms

    National Research Council Canada - National Science Library

    Gkoulalas-Divanis, Aris; Loukides, Grigorios; Sun, Jimeng

    2014-01-01

    The dissemination of Electronic Health Records (EHRs) can be highly beneficial for a range of medical studies, spanning from clinical trials to epidemic control studies, but it must be performed in a way that preserves patients' privacy...

  13. Does Pre-Survey Training Impact Knowledge of Survey Administrators and Survey Outcomes in Developing Countries? Evaluation Findings of a Training of Trainers Workshop for National AIDS and Reproductive Health Survey-Plus in Nigeria

    Directory of Open Access Journals (Sweden)

    Solomon Kolawole Oyedeji PhD

    2013-07-01

    Full Text Available Background: Although, Nigeria had conducted various national surveys followed by central and state level trainings for survey administrators, prior pre-survey trainings have not been systematically evaluated to assess their impact on knowledge gain and final outcome of the survey. A central training of trainers’ session was organized for master trainers on the conduct of the 2012 National AIDS and Reproductive Health Survey. Objectives: To evaluate the impact of training on the quality of conduct of a national research survey in the 36 states and the Federal Capital Territory in Nigeria. Method: A total of 185 participants consisting of State AIDS Program Coordinators, Reproductive Health Coordinators, State Laboratory Scientists, Lead Supervisors and Counselor Testers were invited from the 36 states in Nigeria and the FCT for the central training of trainers in Abuja. The training lasted 5 days and the trainees were grouped into two on the basis of behavioral epidemiology and laboratory components. Training tools such as the developed protocol, training power point slides, practical sessions such as role plays, and usage of HIV rapid test kits were utilized during the training. The facilitators were drawn from Federal Ministry of Health (FMoH, universities and research Institutions as well as Non-Governmental Organizations (NGOs. The facilitators prepared and administered 25 structured questions for the behavioral group and 28 questions for the laboratory group at the beginning of the training to assess the participants’ knowledge of HIV and the survey. The same questions answered by Trainees responded to the same questions prior to the commencement and at the end of the trainings. Scores were aggregated to 100 for each test. We conducted paired t-test to determine statistically significant differences between pre-test and post-test results at 0.05 significance level and ANOVA to determine if there were differences in knowledge level among

  14. Split-Half Administration of the 2015 School Crime Supplement to the National Crime Victimization Survey. Methodology Report. NCES 2017-004

    Science.gov (United States)

    Lessne, Deborah; Cidade, Melissa

    2016-01-01

    This report outlines the development, methodology, and results of the split-half administration of the 2015 School Crime Supplement (SCS) to the National Crime Victimization Survey (NCVS). The National Crime Victimization Survey (NCVS) is sponsored by the U.S. Department of Justice, Bureau of Justice Statistics (BJS). The National Center for…

  15. Split-Half Administration of the 2015 School Crime Supplement to the National Crime Victimization Survey: Methodology Report. NCES 2017-004

    Science.gov (United States)

    Lessne, Deborah; Cidade, Melissa

    2016-01-01

    This report outlines the development, methodology, and results of the split-half administration of the 2015 School Crime Supplement (SCS) to the National Crime Victimization Survey (NCVS). The National Crime Victimization Survey (NCVS) is sponsored by the U.S. Department of Justice, Bureau of Justice Statistics (BJS). The U.S. Census Bureau…

  16. 77 FR 31163 - Designation of Officers of the National Archives and Records Administration To Act as Archivist...

    Science.gov (United States)

    2012-05-25

    ... Administration To Act as Archivist of the United States Memorandum for the Archivist of the United States By the... office of the Archivist of the United States (Archivist), during any period in which the Archivist or the Deputy Archivist has died, resigned, or otherwise become unable to perform the functions and duties of...

  17. Antenatal magnesium sulphate administration for fetal neuroprotection: a French national survey.

    Science.gov (United States)

    Chollat, Clément; Le Doussal, Lise; de la Villéon, Gaëlle; Provost, Delphine; Marret, Stéphane

    2017-09-13

    Magnesium sulphate (MgSO4) is the only treatment approved for fetal neuroprotection. No information on its use is available in the absence of a national registry of neonatal practices. The objective of our study was to evaluate the use of MgSO4 for fetal neuroprotection in French tertiary maternity hospitals (FTMH). Online and phone survey of all FTMH between August 2014 and May 2015. A participation was expected from one senior obstetrician, one senior anaesthetist and one senior neonatologist from each FTMH. Information was obtained from 63/63 (100%) FTMH and 138/189 (73%) physicians. Use of MgSO4 for fetal neuroprotection, regimen and injection protocols, reasons for non-use were the main outcome measures. 60.3% of FTMH used MgSO4 for fetal neuroprotection. No significant difference was observed between university and non-university hospitals or according to the annual number of births. Protocols differed especially in terms of the maximum gestational age (3% <28 WG, 71% <33 WG, 18% <34 WG and 8% < 35 WG). Eighty seven percent of centers using MgSO4 prescribed retreatment when necessary, but according to non-consensual modalities in terms of number of treatments or between-treatment intervals. Injections and monitoring were mostly performed in the delivery room (97%) but also in the recovery room in one half of hospitals. Lack of experience (52%), absence of a written protocol (49%) and national guidelines (46%) were the reasons most commonly reported to explain non-use of MgSO4 as a neuroprotective agent. Sixty percent of FTMH used MgSO4 for fetal neuroprotection, but according to heterogeneous regimens. National guidelines could allow standardization of practices and better MgSO4 coverage.

  18. National Oceanic and Atmospheric Administration hydrographic survey data used in a U.S. Geological Survey regional geologic framework study along the Delmarva Peninsula

    Science.gov (United States)

    Pendleton, Elizabeth A.; Brothers, Laura L.; Thieler, E. Robert; Danforth, William W.; Parker, Castle E.

    2014-01-01

    The U.S. Geological Survey initiated a research effort in 2014 to define the geologic framework of the Delmarva Peninsula inner continental shelf, which included new data collection and assembly of relevant extant datasets. Between 2006 and 2011, Science Applications International Corporation, under contract to the National Oceanic and Atmospheric Administration National Ocean Service, carried out 23 hydrographic surveys covering more than 4,100 square kilometers of the continental shelf using Reson multibeam echosounders and Klein towed sidescan sonars to update nautical charts along the Delmarva Peninsula. Acoustic backscatter data from these instruments are valuable for characterizing aspects of shallow geologic framework, including seafloor geology, sediment transport pathways, and marine resources. The data cover an area that extends from the entrance of Delaware Bay, Delaware, south to Parramore Island, Virginia, in water depths of about 3 to 35 meters below mean lower low water. Data were collected along lines spaced 40 meters apart, resulting in 40 to 100 percent seafloor coverage for multibeam bathymetry. Processed bathymetric data within the Delmarva Peninsula study area are available through a National Ocean Service interactive map interface, but towed sidescan data products are limited, and multibeam backscatter data products have not been available in the past.

  19. Comparison of electronic laboratory reports, administrative claims, and electronic health record data for acute viral hepatitis surveillance.

    Science.gov (United States)

    Allen-Dicker, Joshua; Klompas, Michael

    2012-01-01

    Public health surveillance systems for acute hepatitis are limited: clinician reporting is insensitive and electronic laboratory reporting is nonspecific. Insurance claims and electronic health records are potential alternative sources. To compare the utility of laboratory data, diagnosis codes, and electronic health record combination data (current and prior viral hepatitis studies, liver function tests, and diagnosis codes) for acute hepatitis A and B surveillance. Retrospective chart review. Massachusetts ambulatory practice serving 350 000 patients per year. All patients seen between 1990 and 2008. Sensitivity and positive predictive value of immunoglobulin M (IgM), International Classification of Disease-Ninth Revision (ICD-9) diagnosis codes, and combination electronic health record data for acute hepatitis A and B. During the study period, there were 111 patients with positive hepatitis A IgMs, 154 with acute hepatitis A ICD-9 codes, and 77 with positive IgM and elevated liver function tests. On review, 79 cases were confirmed. Sensitivity and positive predictive value were 100% and 71% (95% confidence interval, 62%-79%) for IgM, 94% (92%-100%) and 48% (40%-56%) for ICD-9 codes and 97% (92%-100%) and 100% (96%-100%) for combination electronic health record data. There were 14 patients with positive hepatitis B core IgMs, 2564 with acute hepatitis B ICD-9 codes, and 125 with suggestive combinations of electronic health record data. Acute hepatitis B was confirmed in 122 patients. Sensitivity and positive predictive value were 9.4% (5.2%-16%) and 86% (60%-98%) for hepatitis B core IgM, 73% (65%-80%) and 3.6% (2.9%-4.4%) for ICD-9 codes, and 96% (91%-99%) and 98% (94%-99%) for electronic health record data. Laboratory surveillance using IgM tests overestimates the burden of acute hepatitis A and underestimates the burden of acute hepatitis B. Claims data are subject to many false positives. Electronic health record data are both sensitive and predictive

  20. A survey of the administration of prednisolone versus ibuprofen analgesic protocols after ambulatory tonsillectomy.

    Science.gov (United States)

    Aveline, Christophe; Le Hetet, Hubert; Le Roux, Alain; Bonnet, Francis

    2015-10-01

    Postoperative pain, nausea and vomiting are frequent symptoms after tonsillectomy. There have been controversies concerning the advantages and drawbacks of different analgesics in this setting, especially non-steroidal anti-inflammatory drugs, because of potential side effects. We have evaluated the effectiveness and safety of a shift from prednisolone to ibuprofen for postoperative analgesia after tonsillectomy. Data from 1231 children scheduled for tonsillectomy over a period of 30 months were analysed. During the first period, children received a combination of paracetamol-prednisolone with codeine as a rescue therapy; in the second period, they received paracetamol and ibuprofen, with tramadol as a rescue therapy. All children received IV dexamethasone at 0.1mg/kg for antiemetic prophylaxis. The primary end-point was the incidence of severe pain defined as an Objective Pain Scale (OPS) score≥6 at the seventh postoperative day (POD7). Other end-points were postoperative nausea or emesis (PONV), sleep disturbance, oral intake and postoperative haemorrhage and reoperation. Six hundred and seventy-two and 559 children were included in the prednisolone and ibuprofen groups respectively. OPS scores≥6 were observed in 3.1% of cases (95% confidence interval, 2.3-4.2%) on POD7 for the entire study population. Ibuprofen reduced the incidence of OPS scores≥6 on POD7 (relative risk 0.37, 95% CI: 0.18-0.78; P=0.009), OPS scores in the ambulatory unit (PIbuprofen enhanced sleep quality on POD0 (P4 on the morning and the evening of POD1 (OR 1.24, 95% CI 1.02-1.49, P=0.03 and OR 1.30, 95% CI 1.12-1.55, P=0.008, respectively) and prednisolone use (OR 2.37, 95% CI 1.06-5.31, P=0.04). The administration of ibuprofen compared to prednisolone improves postoperative comfort in children undergoing ambulatory tonsillectomy without increasing the incidence of side effects. Copyright © 2015 Société française d’anesthésie et de réanimation (Sfar). Published by Elsevier

  1. ShoreZone Survey Data

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This dataset is a point file showing GPS trackline data collected during a ShoreZone aerial imaging survey. This flight trackline is recorded at 1-second intervals...

  2. A Survey of National Record Keeping Systems for Visually Handicapped Children

    Science.gov (United States)

    Jones, Robert; Spungin, Susan Jay

    1977-01-01

    The American Foundation for the Blind survey on reporting systems for school-age visually handicapped children and youth concludes that there is no uniform retrieval system for educational, medical, or demographic information on blind and visually handicapped students. (Author/SBH)

  3. Stranding survey as a framework to investigate rare cetacean records of the north and north-eastern Brazilian coasts

    Science.gov (United States)

    Costa, Alexandra Fernandes; Siciliano, Salvatore; Emin-Lima, Renata; Martins, Bruna Maria Lima; Sousa, Maura Elisabeth Moraes; Giarrizzo, Tommaso; Júnior, José de Sousa e Silva

    2017-01-01

    Abstract Marine mammal stranding events are used as an important tool for understanding cetacean biology worldwide. Nonetheless, there are vast gaps of knowledge to be filled in for a wide range of species. Reputable information is required regarding species from large baleen whales to sperm and beaked whales, as well as pelagic dolphins. This paper describes new cetacean records from north and north-eastern Brazil, which are both the least surveyed areas regarding aquatic mammals. Regular beach surveys were conducted to recover cetacean carcasses along the coast of Pará beginning November 2005. At the coasts of the Maranhão and Piauí states, the surveys were conducted between 2003 and 2013. From 2003 to 2014, 34 strandings of cetaceans were registered. The study provides four additional species records’ in the area based on strandings (Balaenoptera borealis, Balaenoptera physalus, Peponocephala electra, and Pseudorca crassidens). A mass stranding of Guiana dolphins (Sotalia guianensis, N = 12), the most common species for the region, was reported for the first time. The records presented herein are of special concern, since they expand the knowledge on cetaceans from the Brazilian coast. In addition, this study conducted an analysis to verify the similarity between cetacean compositions described for north and north-eastern Brazil and the southern Caribbean region. The results showed a high similarity between these regions, proving the connection with the Caribbean cetacean fauna. PMID:29118593

  4. Stranding survey as a framework to investigate rare cetacean records of the north and north-eastern Brazilian coasts

    Directory of Open Access Journals (Sweden)

    Alexandra Fernandes Costa

    2017-08-01

    Full Text Available Marine mammal stranding events are used as an important tool for understanding cetacean biology worldwide. Nonetheless, there are vast gaps of knowledge to be filled in for a wide range of species. Reputable information is required regarding species from large baleen whales to sperm and beaked whales, as well as pelagic dolphins. This paper describes new cetacean records from north and north-eastern Brazil, which are both the least surveyed areas regarding aquatic mammals. Regular beach surveys were conducted to recover cetacean carcasses along the coast of Pará beginning November 2005. At the coasts of the Maranhão and Piauí states, the surveys were conducted between 2003 and 2013. From 2003 to 2014, 34 strandings of cetaceans were registered. The study provides four additional species records’ in the area based on strandings (Balaenoptera borealis, Balaenoptera physalus, Peponocephala electra, and Pseudorca crassidens. A mass stranding of Guiana dolphins (Sotalia guianensis, N = 12, the most common species for the region, was reported for the first time. The records presented herein are of special concern, since they expand the knowledge on cetaceans from the Brazilian coast. In addition, this study conducted an analysis to verify the similarity between cetacean compositions described for north and north-eastern Brazil and the southern Caribbean region. The results showed a high similarity between these regions, proving the connection with the Caribbean cetacean fauna.

  5. Attitudes of nursing staff towards electronic patient records: a questionnaire survey.

    NARCIS (Netherlands)

    Veer, A.J.E. de; Francke, A.L.

    2010-01-01

    BACKGROUND: A growing number of health care organizations are implementing a system of electronic patient records (EPR). This implies a change in work routines for nursing staff, but it could also be regarded as an opportunity to improve the quality of care. OBJECTIVE: The objective of this paper is

  6. Record of Assessment Moderation Practice (RAMP): Survey Software as a Mechanism of Continuous Quality Improvement

    Science.gov (United States)

    Johnson, Genevieve Marie

    2015-01-01

    In higher education, assessment integrity is pivotal to student learning and satisfaction, and, therefore, a particularly important target of continuous quality improvement. This paper reports on the preliminary development and application of a process of recording and analysing current assessment moderation practices, with the aim of identifying…

  7. A survey of the magnetization reversal for CoCr films and some particulate recording media

    NARCIS (Netherlands)

    Lodder, J.C.; Li, C.Z.

    1989-01-01

    In addition to previous research on the magnetization reversal for sputtered CoCr films, two particulate perpendicular recording media, namely Ba-ferrite and Alumite have been measured. For comparison an isotropic Ba-ferrite sample and an in-plane g Fe2O3 magnetic tape have also been evaluated. Only

  8. Clinical information seeking in traumatic brain injury: a survey of Veterans Health Administration polytrauma care team members.

    Science.gov (United States)

    Hogan, Timothy; Martinez, Rachael; Evans, Charlesnika; Saban, Karen; Proescher, Eric; Steiner, Monica; Smith, Bridget

    2017-12-12

    The polytraumatic nature of traumatic brain injury (TBI) makes diagnosis and treatment difficult. To (1) characterise information needs among Veterans Health Administration (VHA) polytrauma care team members engaged in the diagnosis and treatment of TBI; (2) identify sources used for TBI related information; and (3) identify barriers to accessing TBI related information. Cross-sectional online survey of 236 VHA polytrauma care team members. Most respondents (95.8%) keep at least somewhat current regarding TBI, but 31.5% need more knowledge on diagnosing TBI and 51.3% need more knowledge on treating TBI. Respondents use VHA affiliated sources for information, including local colleagues (81.7%), VHA offsite conferences/meetings (78.3%) and onsite VHA educational offerings (73.6%); however, limited time due to administrative responsibilities (50.9%), limited financial resources (50.4%) and patient care (50.4%) were prominent barriers. Medical librarians are in a unique position to develop information services, resources and other electronic tools that reflect the clinical context in which polytrauma care team members practice, and the different tasks they perform. Polytrauma care team members could benefit from additional information regarding the diagnosis and treatment of TBI. Addressing their information needs and supporting their information seeking requires a mulit-pronged approach to time and financial constraints. Published 2017. This article is a U.S. Government work and is in the public domain in the USA.

  9. Rationale, Procedures, and Response Rates for the 2015 Administration of NCI's Health Information National Trends Survey: HINTS-FDA 2015.

    Science.gov (United States)

    Blake, Kelly D; Portnoy, David B; Kaufman, Annette R; Lin, Chung-Tung Jordan; Lo, Serena C; Backlund, Eric; Cantor, David; Hicks, Lloyd; Lin, Amy; Caporaso, Andrew; Davis, Terisa; Moser, Richard P; Hesse, Bradford W

    2016-12-01

    The National Cancer Institute (NCI) developed the Health Information National Trends Survey (HINTS) to monitor population trends in cancer communication practices, information preferences, health risk behaviors, attitudes, and cancer knowledge. The U.S. Food and Drug Administration (FDA) recognized HINTS as a unique data resource for informing its health communication endeavors and partnered with NCI to field HINTS-FDA 2015. HINTS-FDA 2015 was a self-administered paper instrument sent by mail May 29 to September 8, 2015, using a random probability-based sample of U.S. postal addresses stratified by county-level smoking rates, with an oversampling of high and medium-high smoking strata to increase the yield of current smokers responding to the survey. The response rate for HINTS-FDA 2015 was 33% (N = 3,738). The yield of current smokers (n = 495) was lower than expected, but the sampling strategy achieved the goal of obtaining more former smokers (n = 1,132). Public-use HINTS-FDA 2015 data and supporting documentation have been available for download and secondary data analyses since June 2016 at http://hints.cancer.gov . NCI and FDA encourage the use of HINTS-FDA for health communication research and practice related to tobacco-related communications, public knowledge, and behaviors as well as beliefs and actions related to medical products and dietary supplements.

  10. Difficulties in administration of oral medication formulations to pet cats: an e-survey of cat owners.

    Science.gov (United States)

    Sivén, M; Savolainen, S; Räntilä, S; Männikkö, S; Vainionpää, M; Airaksinen, S; Raekallio, M; Vainio, O; Juppo, A M

    2017-03-11

    The purpose here was to determine the problems cat owners encounter in medicating their cats with orally administered drugs at home. The study was carried out as an open e-questionnaire survey addressed to cat owners in which the authors focused on the oral administration route. A total of 46 completed questionnaires were included in the survey. In the study, 46 cats received 67 orally administered drugs. Approximately half of the drugs were registered for use in cats by the European Medicines Agency (54 per cent), and there were also off-label drugs registered for human (36 per cent) and canine medication (7.4 per cent) and an ex tempore drug (3.0 per cent). The owners were unable to give the doses as prescribed for their cats for one-fourth of the medications (16/67). Drugs that were registered for feline medication were significantly more palatable than drugs registered for other species (odds ratio (OR) 4.9), and liquid formulations were significantly more palatable than solid formulations (OR 4.8). However, most of the owners (22/38) preferred a solid dosage form, while few (4/38) chose a liquid formulation. The results indicate that there is still a need for more palatable and easily administered oral drugs for cats. British Veterinary Association.

  11. Record year ahead for pipeline construction and world-wide construction scoreboard. [Survey of 200 companies

    Energy Technology Data Exchange (ETDEWEB)

    Lambert, D.E.

    1976-01-01

    A survey of 200 companies indicates world-wide projects (excluding Russian and Chinese) will total 26,177 miles in 1976. Nearly all of the mileage will be in liquids and offshore construction. A breakdown of the survey shows: US construction, 7,647 miles, up 23.6 percent from 1975; outside US, 18,530 miles, up 7.8 percent from 1975; new compressor/pump station additions world-wide are expected to total 2,454,158 hp, up 173,628 hp over 1975. Details are given for US liquids projects, Gulf of Mexico projects, and onshore gas lines in the US. Data are tabulated for 240 companies including information on estimated costs, project location, length, pipeline characteristics, contractor, completion date, and project status. (MCW)

  12. Health utilities in people with chronic pain using a population-level survey and linked health care administrative data.

    Science.gov (United States)

    Hogan, Mary-Ellen; Taddio, Anna; Katz, Joel; Shah, Vibhuti; Krahn, Murray

    2017-03-01

    Health utilities are a preference-based measure of health-related quality of life that facilitates comparison of disease burden across conditions. We estimated utilities using a population-based, matched sample of adolescents and adults with and without chronic pain, controlling for comorbidity. Ontarians aged ≥12 years with and without chronic pain were identified from the Canadian Community Health Survey (CCHS) 2000-2001 and 2009-2010 and linked to their provincial health care administrative data. Individuals with chronic pain were matched to those without using age, sex, survey year, and a propensity score for having chronic pain estimated from a rurality index, income quintile, and comorbidity. The Health Utilities Index Mark 3 instrument, included in the Canadian Community Health Survey, was used. Mean utilities were calculated for each group. Utility decrement for chronic pain was also calculated for each matched pair. A total of 65,246 responses were available for analysis. After matching, there were 12,146 matched pairs with and without pain. In the matched cohort, mean age was 54 years (SD 12); 61% were female. The matched cohort with chronic pain had a mean utility of 0.59 (95% confidence interval 0.58-0.59), and the decrement associated with chronic pain was 0.32 (95% confidence interval 0.31-0.32). Utilities in people with chronic pain were lower than, and decrements larger than, those seen with most other chronic diseases including heart disease, diabetes, and chronic obstructive pulmonary disease. These data will be useful to inform priorities and future strategies for the prevention and control of chronic pain.

  13. Changing the route of immunotherapy administration: an 18-year survey in pediatric patients with allergic rhinitis and asthma.

    Science.gov (United States)

    Pajno, Giovanni B; Caminiti, Lucia; Passalacqua, Giovanni

    2013-01-01

    Immunotherapy can be administered either sublingually (sublingual immunotherapy [SLIT]) or subcutaneously (subcutaneous immunotherapy [SCIT]). The rate of route switching, required by patients, can provide an indirect evaluation of patients' preferences and adherence. The authors retrospectively reviewed patients' files over an 18-year period to quantify the changes in the route of administration. The clinical records of children referred for respiratory allergy between 1994 and 2011 and prescribed with SLIT or SCIT were reviewed. The specific causes of the shift from SLIT to SCIT and vice versa were always assessed, with a special attention to adverse events. The records of 4933 children (2289 male patients, aged 4-18 years) were reviewed. Six hundred forty-eight patients received SCIT and 4285 patients received SLIT. Of the 4285 SLIT patients, 340 (7.9%) shifted to SCIT, mainly with Parietaria judaica and grasses. The 85.8% of the changes were caused by a perceived low efficacy. None of the parents required the route change for side effects. Of the 648 patients initially treated with SCIT, 54 (8.3%) shifted to SLIT, 85% of them for local or systemic side effects, but none for poor efficacy. The rate of SCIT/SLIT changes is, overall, low and because of poor efficacy for SLIT and side effects for SCIT.

  14. Physician experience with electronic health record systems that meet meaningful use criteria: NAMCS physician workflow survey, 2011.

    Science.gov (United States)

    Jamoom, Eric; Patel, Vaishali; King, Jennifer; Furukawa, Michael F

    2013-09-01

    Data from the National Ambulatory Medical Care Survey's (NAMCS) Physician Workflow Survey, 2011. About three-quarters of physicians with electronic health record (EHR) systems have systems that meet meaningful use criteria. Physicians with EHR systems that meet meaningful use criteria were more likely to report that their system provides time savings than physicians with systems not meeting meaningful use criteria, but only in some areas. Physicians with EHR systems that meet meaningful use criteria were more likely to report enhanced confidentiality and less disruption in their interactions with patients than physicians with systems not meeting meaningful use criteria. Physicians with EHR systems that meet meaningful use criteria were no more likely to report financial benefits and selected clinical benefits than those with systems not meeting meaningful use criteria. All material appearing in this report is in the public domain and may be reproduced or copied without permission; citation as to source, however, is appreciated.

  15. Evaluation of Daily Physical Activity (DPA) policy implementation in Ontario: surveys of elementary school administrators and teachers.

    Science.gov (United States)

    Allison, Kenneth R; Vu-Nguyen, Karen; Ng, Bessie; Schoueri-Mychasiw, Nour; Dwyer, John J M; Manson, Heather; Hobin, Erin; Manske, Steve; Robertson, Jennifer

    2016-08-08

    School-based structured opportunities for physical activity can provide health-related benefits to children and youth, and contribute to international guidelines recommending 60 min of moderate-to-vigorous physical activity (MVPA) per day. In 2005, the Ministry of Education in Ontario, Canada, released the Daily Physical Activity (DPA) policy requiring school boards to "ensure that all elementary students, including students with special needs, have a minimum of twenty minutes of sustained MVPA each school day during instructional time". This paper reports on the first provincial study evaluating implementation fidelity to the DPA policy in Ontario elementary schools and classrooms. Using an adapted conceptual framework, the study also examined associations between implementation of DPA and a number of predictors in each of these respective settings. Separate cross-sectional online surveys were conducted in 2014 with Ontario elementary school administrators and classroom teachers, based on a representative random sample of schools and classrooms. An implementation fidelity score was developed based on six required components of the DPA policy. Other survey items measured potential predictors of implementation at the school and classroom levels. Descriptive analyses included frequency distributions of implementation fidelity and predictor variables. Bivariate analyses examining associations between implementation and predictors included binary logistic regression for school level data and generalized linear mixed models for classroom level data, in order to adjust for school-level clustering effects. Among administrators, 61.4 % reported implementation fidelity to the policy at the school level, while 50.0 % of teachers reported fidelity at the classroom level. Several factors were found to be significantly associated with implementation fidelity in both school and classroom settings including: awareness of policy requirements; scheduling; monitoring; use of

  16. Evaluation of Daily Physical Activity (DPA policy implementation in Ontario: surveys of elementary school administrators and teachers

    Directory of Open Access Journals (Sweden)

    Kenneth R. Allison

    2016-08-01

    Full Text Available Abstract Background School-based structured opportunities for physical activity can provide health-related benefits to children and youth, and contribute to international guidelines recommending 60 min of moderate-to-vigorous physical activity (MVPA per day. In 2005, the Ministry of Education in Ontario, Canada, released the Daily Physical Activity (DPA policy requiring school boards to “ensure that all elementary students, including students with special needs, have a minimum of twenty minutes of sustained MVPA each school day during instructional time”. This paper reports on the first provincial study evaluating implementation fidelity to the DPA policy in Ontario elementary schools and classrooms. Using an adapted conceptual framework, the study also examined associations between implementation of DPA and a number of predictors in each of these respective settings. Methods Separate cross-sectional online surveys were conducted in 2014 with Ontario elementary school administrators and classroom teachers, based on a representative random sample of schools and classrooms. An implementation fidelity score was developed based on six required components of the DPA policy. Other survey items measured potential predictors of implementation at the school and classroom levels. Descriptive analyses included frequency distributions of implementation fidelity and predictor variables. Bivariate analyses examining associations between implementation and predictors included binary logistic regression for school level data and generalized linear mixed models for classroom level data, in order to adjust for school-level clustering effects. Results Among administrators, 61.4 % reported implementation fidelity to the policy at the school level, while 50.0 % of teachers reported fidelity at the classroom level. Several factors were found to be significantly associated with implementation fidelity in both school and classroom settings including: awareness

  17. A cross-sectional survey of soil-transmitted helminthiases in two Myanmar villages receiving mass drug administration: epidemiology of infection with a focus on adults.

    Science.gov (United States)

    Dunn, Julia C; Bettis, Alison A; Wyine, Nay Yee; Lwin, Aye Moe Moe; Lwin, Soe Thiha; Su, Khine Khine; Sein, Myint Myint; Tun, Aung; Maung, Nay Soe; Anderson, Roy M

    2017-08-04

    Soil-transmitted helminths (STH) are still highly prevalent in southeast Asia. The country of Myanmar has had ongoing mass drug administration (MDA) programmes since 2003 in an attempt to control STH and reduce STH-related morbidities. Whilst the MDA programmes have reported high nationwide coverage, there have been no epidemiological surveys that included measurements from adults. This paper details three cross-sectional surveys that took place over the course of a year in two villages endemic for STH and receiving MDA in lower Myanmar. At baseline, 27.81% of participants were infected with at least one type of STH. The most prevalent STH was Trichuris trichiura (18.12%) followed by hookworm (8.71%) and Ascaris lumbricoides (5.34%). Most infections were of low intensity, measured by eggs per gram of faeces (EPG). Gender stratification revealed that A. lumbricoides prevalence was significantly higher in females, whereas hookworm prevalence was significantly higher in males. The distribution of EPG in the study sample was highly overdispersed, suggesting that most people release few eggs whereas a few people release many eggs. Adults harbour a major proportion of the overall STH burden; 65.15% of STH infections were harboured by adults. STH infection remains at medium prevalence in the study villages despite past and recent MDA. Recorded prevalence of STH in school-aged children has not substantially decreased since the last monitoring and evaluation activities in Myanmar in 2013. Analyses suggest that adults are a major contributor to the total STH prevalence and EPG burden, probably perpetuating transmission.

  18. Veterans' voices: use of the American Customer Satisfaction Index (ACSI) Survey to identify My HealtheVet personal health record users' characteristics, needs, and preferences.

    Science.gov (United States)

    Nazi, Kim M

    2010-01-01

    Consumer research reveals considerable interest in the use of Personal Health Records (PHRs), yet adoption remains relatively low. Both adopters and nonadopters represent important perspectives from which to understand this paradox. This study focuses on direct feedback from adopters obtained using the American Customer Satisfaction Index (ACSI) survey on the My HealtheVet PHR portal (http://www.myhealth.va.gov) of the Veterans Health Administration (VHA). The results represent a source of direct feedback with which to better understand veterans' needs and preferences. The ACSI Survey was implemented in October 2007 to measure satisfaction and elicit information about characteristics and preferences of My HealtheVet PHR adopters. The data represent a continuous random sample of site visitors who have navigated at least four pages on the site. A total of 100 617 surveys were completed (17.2%). Satisfaction with My HealtheVet is high (8.3/10.0), and users are highly likely to return to the site (8.6/10.0) and recommend the site to other veterans (9.1/10.0). The majority of system adopters are male (91%), between the ages of 51 and 70 (68%), and served in the Vietnam War (60%). Most veterans currently visit the site to utilize pharmacy-related features. VHA has used the ACSI to monitor satisfaction, and to better understand the characteristics, needs, and preferences of early adopters. The data provide an important source of direct feedback to inform program development. Future research will include monitoring the impact of enhancements and new features on satisfaction, and conducting additional research with nonadopters to identify barriers to adoption and use.

  19. Veterans' voices: use of the American Customer Satisfaction Index (ACSI) Survey to identify My HealtheVet personal health record users' characteristics, needs, and preferences

    Science.gov (United States)

    2010-01-01

    Background Consumer research reveals considerable interest in the use of Personal Health Records (PHRs), yet adoption remains relatively low. Both adopters and nonadopters represent important perspectives from which to understand this paradox. Objective This study focuses on direct feedback from adopters obtained using the American Customer Satisfaction Index (ACSI) survey on the My HealtheVet PHR portal (http://www.myhealth.va.gov) of the Veterans Health Administration (VHA). The results represent a source of direct feedback with which to better understand veterans' needs and preferences. Methods The ACSI Survey was implemented in October 2007 to measure satisfaction and elicit information about characteristics and preferences of My HealtheVet PHR adopters. The data represent a continuous random sample of site visitors who have navigated at least four pages on the site. A total of 100 617 surveys were completed (17.2%). Results Satisfaction with My HealtheVet is high (8.3/10.0), and users are highly likely to return to the site (8.6/10.0) and recommend the site to other veterans (9.1/10.0). The majority of system adopters are male (91%), between the ages of 51 and 70 (68%), and served in the Vietnam War (60%). Most veterans currently visit the site to utilize pharmacy-related features. Conclusion VHA has used the ACSI to monitor satisfaction, and to better understand the characteristics, needs, and preferences of early adopters. The data provide an important source of direct feedback to inform program development. Future research will include monitoring the impact of enhancements and new features on satisfaction, and conducting additional research with nonadopters to identify barriers to adoption and use. PMID:20190065

  20. Accuracy of administrative data for detection and categorization of adult congenital heart disease patients from an electronic medical record.

    Science.gov (United States)

    Broberg, Craig; McLarry, Joel; Mitchell, Julie; Winter, Christiane; Doberne, Julie; Woods, Patricia; Burchill, Luke; Weiss, Joseph

    2015-04-01

    Diagnostic codes used in healthcare administration have been employed extensively in clinical research to identify target patient populations, including demonstration of important clinical outcomes among adults with congenital heart disease. However, little is known about the reliability of code-derived data in this context. We sought to determine the accuracy of International Classification of Disease-9th Revision (ICD-9) diagnoses and the reliability of retrieval algorithms in adults with congenital heart disease (ACHD). Pilot testing of a hierarchical algorithm to identify ACHD patients and determine their principle congenital diagnosis was performed. A revised algorithm was then applied retrospectively to a sample of all outpatients seen by providers who see general cardiology and ACHD patients. Using all ICD-9 codes available from any encounter, accuracy for detection and categorization of sub-types were compared to physician chart review. After initial testing on 334 patients, the revised algorithm was applied to 740 patients. The sensitivity and specificity for ACHD patient identification from this specialty clinic population were 99 and 88 %, respectively. Of 411 (56 %) non-ACHD patients, 49 were incorrectly categorized as ACHD by the algorithm. Of ACHD patients, 326 of 329 were correctly identified by diagnostic codes and categorization of ACHD defect sub-type was correct in 263 (80 %). Administrative data can be used for identification of ACHD patients based on ICD-9 codes with excellent sensitivity and reasonable specificity. Accurate categorization that would be utilized for quality indicators by ACHD defect type is less robust. Additional testing should be done using non-referral populations.

  1. Present epidemiology of chronic subdural hematoma in Japan: analysis of 63,358 cases recorded in a national administrative database.

    Science.gov (United States)

    Toi, Hiroyuki; Kinoshita, Keita; Hirai, Satoshi; Takai, Hiroki; Hara, Keijiro; Matsushita, Nobuhisa; Matsubara, Shunji; Otani, Makoto; Muramatsu, Keiji; Matsuda, Shinya; Fushimi, Kiyohide; Uno, Masaaki

    2017-02-03

    OBJECTIVE Aging of the population may lead to epidemiological changes with respect to chronic subdural hematoma (CSDH). The objectives of this study were to elucidate the current epidemiology and changing trends of CSDH in Japan. The authors analyzed patient information based on reports using a Japanese administrative database associated with the diagnosis procedure combination (DPC) system. METHODS This study included patients with newly diagnosed CSDH who were treated in hospitals participating in the DPC system. The authors collected data from the administrative database on the following clinical and demographic characteristics: patient age, sex, and level of consciousness on admission; treatment procedure; and outcome at discharge. RESULTS A total of 63,358 patients with newly diagnosed CSDH and treated in 1750 DPC participation hospitals were included in this study. Analysis according to patient age showed that the most common age range for these patients was the 9th decade of life (in their 80s). More than half of patients 70 years old or older presented with some kind of disturbance of consciousness. Functional outcomes at discharge were good in 71.6% (modified Rankin Scale [mRS] score 0-2) of cases and poor in 28.4% (mRS score 3-6). The percentage of poor outcomes tended to be higher in elderly patients. Approximately 40% of patients 90 years old or older could not be discharged to home. The overall recurrence rate for CSDH was 13.1%. CONCLUSIONS This study shows a chronological change in the age distribution of CSDH among Japanese patients, which may be affecting the prognosis of this condition. In the aging population of contemporary Japan, patients in their 80s were affected more often than patients in other age categories, and approximately 30% of patients with CSDH required some help at discharge. CSDH thus may no longer have as good a prognosis as had been thought.

  2. A survey of student nurses' and midwives' experiences of learning to use electronic health record systems in practice.

    Science.gov (United States)

    Baillie, Lesley; Chadwick, Sandra; Mann, Robert; Brooke-Read, Melanie

    2013-09-01

    The study aimed to investigate student nurses' and midwives' experiences of learning to use electronic health records (EHR) in practice. Good record keeping and documentation are integral to nursing and midwifery practice. As EHRs become more widespread, student nurses and midwives need opportunities to access and learn how to use them in practice. A survey of nursing and midwifery students was conducted using questionnaires (n = 215) and three focus groups: one with midwifery students (n = 6); one with mental health nursing students (n = 5) and one with adult nursing students (n = 6). The University research ethics committee approved the study. The questionnaire data were analysed using SPSS v19. The focus group data were analysed thematically following transcription. The results presented relate to two themes: 1) Preparation for using EHRs and skills development; 2) Access to EHRs and involvement. Students had variable experiences in relation to opportunities to access and use EHRs, training on EHR systems used in practice and guidance from mentors. Some mentors had concerns about students' legitimacy to access EHRs and verification of students' EHR entries was a challenging issue in some areas. To promote opportunities for students to develop competence in using EHRs in practice, training on EHR systems in use, and clear processes for authorised access, are needed. Following the survey, the University and practice partners collaboratively established formalised EHR training for students with clear governance procedures for access and use. Copyright © 2012 Elsevier Ltd. All rights reserved.

  3. Survey Administration Tool

    Energy Technology Data Exchange (ETDEWEB)

    2015-02-12

    This software allows a student/user at some point during the flow of content on a web page to input comments and rate the content with things such as: 1) True false 2) Text Comments 3) Ratings 1-5 4) etc. This information is stored anonymously in the database and can be retrieved and reported on.

  4. Importance-Performance Analysis of Personal Health Records in Taiwan: A Web-Based Survey.

    Science.gov (United States)

    Rau, Hsiao-Hsien; Wu, Yi-Syuan; Chu, Chi-Ming; Wang, Fu-Chung; Hsu, Min-Huei; Chang, Chi-Wen; Chen, Kang-Hua; Lee, Yen-Liang; Kao, Senyeong; Chiu, Yu-Lung; Wen, Hsyien-Chia; Fuad, Anis; Hsu, Chien-Yeh; Chiu, Hung-Wen

    2017-04-27

    Empowering personal health records (PHRs) provides basic human right, awareness, and intention for health promotion. As health care delivery changes toward patient-centered services, PHRs become an indispensable platform for consumers and providers. Recently, the government introduced "My health bank," a Web-based electronic medical records (EMRs) repository for consumers. However, it is not yet a PHR. To date, we do not have a platform that can let patients manage their own PHR. This study creates a vision of a value-added platform for personal health data analysis and manages their health record based on the contents of the "My health bank." This study aimed to examine consumer expectation regarding PHR, using the importance-performance analysis. The purpose of this study was to explore consumer perception regarding this type of a platform: it would try to identify the key success factors and important aspects by using the importance-performance analysis, and give some suggestions for future development based on it. This is a cross-sectional study conducted in Taiwan. Web-based invitation to participate in this study was distributed through Facebook. Respondents were asked to watch an introductory movie regarding PHR before filling in the questionnaire. The questionnaire was focused on 2 aspects, including (1) system functions, and (2) system design and security and privacy. The questionnaire would employ 12 and 7 questions respectively. The questionnaire was designed following 5-points Likert scale ranging from 1 ("disagree strongly") to 5 ("Agree strongly"). Afterwards, the questionnaire data was sorted using IBM SPSS Statistics 21 for descriptive statistics and the importance-performance analysis. This research received 350 valid questionnaires. Most respondents were female (219 of 350 participants, 62.6%), 21-30 years old (238 of 350 participants, 68.0%), with a university degree (228 of 350 participants, 65.1%). They were still students (195 out of 350

  5. Electronic health record use in an affluent region in India: Findings from a survey of Chandigarh hospitals.

    Science.gov (United States)

    Powell, Adam C; Ludhar, Jasmine K; Ostrovsky, Yuri

    2017-07-01

    To characterize the electronic health record (EHR) systems in use in an affluent region of India in order to understand the state-of-the-art within the Indian market. A survey on EHR features was created by combining an instrument developed by the Organisation for International Cooperation and Development and an instrument developed by an American team of researchers. An interviewer directly administered the survey to leaders from hospitals in greater Chandigarh which possessed electronic health information systems. Summary statistics from the survey are reported. 24 hospitals offering multi-specialty inpatient care were identified in greater Chandigarh. 18 of these hospitals had electronic health information systems, 17 of which were interviewed. Of the hospitals with systems, 17 (100%) could access patient demographic information internally, but 12 (71%) could not access vital sign, allergy, or immunization data internally. 11 (65%) of the systems were capable of sharing patient summaries internally, but 13 (76%) could not send electronic referrals internally. Among organizations which have adopted systems, major barriers tend to have been around financial and staff matters. Concerns over interoperability, privacy, and security were infrequently cited as barriers to adoption. EHRs are ubiquitous in at least one region of India. Systems are more likely to have capabilities for intra-organizational information sharing than for inter-organizational information sharing. The availability of EHR data may foster clinical research. Copyright © 2017 Elsevier B.V. All rights reserved.

  6. Reducing sensitive survey response bias in research on adolescents: a comparison of web-based and paper-and-pencil administration.

    Science.gov (United States)

    Wyrick, David L; Bond, Lloyd

    2011-01-01

    Using the Problem Oriented Screening Instrument for Teenagers (POSIT), the effect of mode of administration on (1) students' willingness to disclose sensitive information and (2) response rates was investigated. A 2 × 2 unequal N factorial analysis of variance (ANOVA) design was employed. Mode of administration (paper-and-pencil vs. Web-based) was crossed with grade level (middle vs. high school). The study was conducted in two middle and two high schools. A total of 628 middle and high school students completed the survey. The POSIT is a self-report measure with 139 yes/no items that identifies stressors in 10 functional areas (e.g., Substance Use). An unequal N 2 (mode) × 2 (grade level) factorial ANOVA was employed. No statistically significant differences were found for self-reported risk across modes of administration. Students completing the Web-based version of the survey were four times more likely to skip an item. Effect of Mode on Reporting of Sensitive Information-Students completed the Web-based surveys in computer labs with other students. The intent of the Web-based survey was to increase perceived privacy but the environment likely negated any effect. Effect of Mode on Response Rates-The higher response rate for the paper-and-pencil survey was the opposite of what was expected and revealed that students were more likely to skip sensitive items on the Web survey. Copyright © 2011 by American Journal of Health Promotion, Inc.

  7. Video Game Preservation in the UK: A Survey of Records Management Practices

    Directory of Open Access Journals (Sweden)

    Alasdair Bachell

    2014-10-01

    Full Text Available Video games are a cultural phenomenon; a medium like no other that has become one of the largest entertainment sectors in the world. While the UK boasts an enviable games development heritage, it risks losing a major part of its cultural output through an inability to preserve the games that are created by the country’s independent games developers. The issues go deeper than bit rot and other problems that affect all digital media; loss of context, copyright and legal issues, and the throwaway culture of the ‘next’ game all hinder the ability of fans and academics to preserve video games and make them accessible in the future. This study looked at the current attitudes towards preservation in the UK’s independent (‘indie’ video games industry by examining current record-keeping practices and analysing the views of games developers. The results show that there is an interest in preserving games, and possibly a desire to do so, but issues of piracy and cost prevent the industry from undertaking preservation work internally, and from allowing others to assume such responsibility. The recommendation made by this paper is not simply for preservation professionals and enthusiasts to collaborate with the industry, but to do so by advocating the commercial benefits that preservation may offer to the industry.

  8. The Miocene Roof Mapping Using Microtremor Recording and Electrical Survey Method in Blida City, Algeria

    Science.gov (United States)

    Bouchelouh, Assia; Bensalem, Rabah; Zaourar, Naima; Machane, Djamel; Moulouel, Hakim; Oubaiche, El Hadi

    2018-01-01

    Bedrock depths in the Mitidja basin in general and in the Blida region in particular are still poorly known despite, the existence of some relatively deep hydraulic boreholes that intersect only superficial alluvial formations. To assess the seismic risk of Blida town, knowledge of soil amplification requires the thickness and properties of sedimentary formations that cover the substratum. For the purposes of our study, the thicknesses obtained by the vertical electric soundings, carried out in the hydrogeological study of the basin, were combined with horizontal-to-vertical spectral ratio (HVSR) microtremor recordings. This combination made it possible to determine an empirical relationship between frequency and thickness specific to the Blida site area, which enabled the roof of the Miocene to be mapped and shows slight undulations with directions compatible with the tectonic constraints of the region. The boundaries between the low and high frequencies obtained by HVSR are well materialized, at south by Sidi El Kebir river, at west by Chiffa river and in the central part by a line of direction SE-NW corresponding to the old passage of Sidi El Kebir river. The presence of low frequencies attributed to the old alluvial deposits with significant thicknesses that originate just after Sidi El Kebir river confirms that the South Mitidjian contact is subvertical.

  9. Acceptability of Human Papillomavirus Vaccine: A Survey among Master of Business Administration Students in KwaZulu-Natal, South Africa

    Directory of Open Access Journals (Sweden)

    Muhammad Ehsanul Hoque

    2014-01-01

    Full Text Available Cervical cancer is a preventable public health problem. The two new human papillomavirus (HPV vaccines are available but not accessible to everyone in South Africa, as they are very expensive. This study aimed to investigate educated peoples acceptability regarding HPV vaccination. This was a cross-sectional survey conducted among 146 master of business administration students by self-administered, anonymous questionnaire. The majority (74% of the participants ever heard of cervical cancer, but only 26.2% heard about HPV. After reading the fact information regarding cervical cancer and HPV, the intention to vaccinate their daughters increased from 88% to 97.2% (P=0.003. The majority (75.4% indicated that HPV vaccination should be given before their daughters are mature enough to understand about sex, and 80.3% reported that they will discuss matters related to sex with their daughters if their daughters want to know about the vaccine. Those who did not want to vaccinate their daughters highlighted that they want more information regarding safety of the vaccine which might change their decision towards HPV vaccination. A health education information method can increase the vaccination acceptance rate in South Africa.

  10. Reaching endpoints for lymphatic filariasis elimination- results from mass drug administration and nocturnal blood surveys, South Gujarat, India.

    Science.gov (United States)

    Modi, Anjali; Gamit, Sukesha; Jesalpura, Bharat S; Kurien, George; Kosambiya, Jayendra K

    2017-04-01

    Following the World Health Assembly resolution on Elimination of lymphatic filariasis (ELF) as a public health problem by the year 2020, a Global Program (GPELF) was launched in 1997 to help endemic countries to initiate national programs. The current strategy to interrupt transmission of LF, is administration of once-yearly, single-dose, two-drug regimen (Albendazole with Diethylcarbamazine (DEC) to be used in endemic areas with the goal of reaching 65% epidemiological coverage for 4-6 years. We report findings of independent assessment from year 2010 to 2015 for last six rounds, after initial five rounds of Mass Drug Administration (MDA) since 2005 for ELF in endemic area of Gujarat. Independent assessment of MDA was performed to find coverage and compliance indicators, reasons for non-coverage and non-compliance in five Implementation Units (IUs). Pre, during and post MDA evaluations were done in three phases. The impact of MDA was measured by microfilaraemia survey. A total of eight sites, four random and four fixed sentinel sites were selected to calculate microfilaria rate (MF) per IUs per year. In years 2010 to 2015, we report results from 125,936 nocturnal blood smears and 17551 population in 120 selected clusters. Four clusters were selected per year in each of the five IUs for assessment of MDA round. Post MDA survey showed drug coverage between 81%-88% and epidemiological coverage 77%-89% across years. Main reasons for non-coverage were drug administrator related (the team did not visit or missed people) while non-compliance was population related (fear of side effects, sickness, people forgot or absent). During MDA findings show that the directly observed consumption is considerably improved from 58% in 2010 to 82% in 2015. The knowledge about benefits of drug provided also increased from 59% to 90% over the years. The current MF rate is less than one in all IUs with an overall 68% percent decrease from baseline year 2005 to year 2015. The average MF

  11. HIDING IN PLAIN SIGHT: RECORD-BREAKING COMPACT STELLAR SYSTEMS IN THE SLOAN DIGITAL SKY SURVEY

    Energy Technology Data Exchange (ETDEWEB)

    Sandoval, Michael A.; Vo, Richard P.; Romanowsky, Aaron J. [Department of Physics and Astronomy, San José State University, One Washington Square, San Jose, CA 95192 (United States); Strader, Jay [Department of Physics and Astronomy, Michigan State University, East Lansing, MI 48824 (United States); Choi, Jieun; Conroy, Charlie [Harvard–Smithsonian Center for Astrophysics, 60 Garden Street, Cambridge, MA 02138 (United States); Jennings, Zachary G.; Villaume, Alexa [Department of Astronomy and Astrophysics, University of California, Santa Cruz, CA 95064 (United States); Brodie, Jean P. [University of California Observatories, 1156 High Street, Santa Cruz, CA 95064 (United States); Foster, Caroline [Australian Astronomical Observatory, P.O. Box 915, North Ryde, NSW 1670 (Australia); Norris, Mark A. [Max Planck Institut für Astronomie, Königstuhl 17, D-69117, Heidelberg (Germany); Janz, Joachim; Forbes, Duncan A. [Centre for Astrophysics and Supercomputing, Swinburne University, Hawthorn, VIC 3122 (Australia)

    2015-07-20

    Motivated by the recent, serendipitous discovery of the densest known galaxy, M60-UCD1, we present two initial findings from a follow-up search, using the Sloan Digital Sky Survey, Subaru/Suprime-Cam, and Hubble Space Telescope imaging, and SOuthern Astrophysical Research (SOAR)/Goodman spectroscopy. The first object discovered, M59-UCD3, has a similar size to M60-UCD1 (half-light radius of r{sub h} ∼ 20 pc) but is 40% more luminous (M{sub V} ∼ −14.6), making it the new densest-known galaxy. The second, M85-HCC1, has a size like a typical globular cluster (GC; r{sub h} ∼ 1.8 pc) but is much more luminous (M{sub V} ∼ −12.5). This hypercompact cluster is by far the densest confirmed free-floating stellar system, and is equivalent to the densest known nuclear star clusters. From spectroscopy, we find that both objects are relatively young (∼9 and ∼3 Gyr, respectively), with metal-abundances that resemble those of galaxy centers. Their host galaxies show clear signs of large-scale disturbances, and we conclude that these dense objects are the remnant nuclei of recently accreted galaxies. M59-UCD3 is an ideal target for follow-up with high-resolution imaging and spectroscopy to search for an overweight central supermassive black hole as was discovered in M60-UCD1. These findings also emphasize the potential value of ultra-compact dwarfs and massive GCs as tracers of the assembly histories of galaxies.

  12. Protocol for determining primary healthcare practice characteristics, models of practice and patient accessibility using an exploratory census survey with linkage to administrative data in Nova Scotia, Canada.

    Science.gov (United States)

    Marshall, Emily Gard; Gibson, Richard J; Lawson, Beverley; Burge, Frederick

    2017-03-16

    There is little evidence on how primary care providers (PCPs) model their practices in Nova Scotia (NS), Canada, what services they offer or what accessibility is like for the average patient. This study will create a database of all family physicians and primary healthcare nurse practitioners in NS, including information about accessibility and the model of care in which they practice, and will link the survey data to administrative health databases. 3 census surveys of all family physicians, primary care nurse practitioners (ie, PCPs) and their practices in NS will be conducted. The first will be a telephone survey conducted during typical daytime business hours. At each practice, the person answering the telephone will be asked questions about the practice's accessibility and model of care. The second will be a telephone survey conducted after typical daytime business hours to determine what out-of-office services PCP practices offer their patients. The final will be a tailored fax survey that will collect information that could not be obtained in the first 2 surveys plus new information on scope of practice, practice model and willingness to participate in research. Survey data will be linked with billing data from administrative health databases. Multivariate regression analysis will be employed to assess whether access and availability outcome variables are associated with PCP and model of practice characteristics. Negative binomial regression analysis will be employed to assess the association between independent variables from the survey data and health system use outcomes from administrative data. This study has received ethical approval from the Nova Scotia Health Authority and the Health Data Nova Scotia Data Access Committee. Dissemination approached will include stakeholder engagement at local and national levels, conference presentations, peer-reviewed publications and a public website. Published by the BMJ Publishing Group Limited. For permission to

  13. County and Parish Boundaries, This was created and maintained by Johnson County Records and Tax Administration and is updated when changes occur to county boundaries, Published in 2007, Johnson County Government.

    Data.gov (United States)

    NSGIC Local Govt | GIS Inventory — County and Parish Boundaries dataset current as of 2007. This was created and maintained by Johnson County Records and Tax Administration and is updated when changes...

  14. 0.5-m Bathymetric Grid of National Oceanic and Atmospheric Administration (NOAA) Survey H11077 in the Vicinity of Woods Hole, Massachusetts (H11077_05UTM, UTM Zone 19)

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey (USGS), in cooperation with the National Oceanic and Atmospheric Administration (NOAA) and the Massachusetts Office of Coastal Zone...

  15. 0.5-m Bathymetric Grid of National Oceanic and Atmospheric Administration (NOAA) Survey H11077 in the Vicinity of Woods Hole, Massachusetts (H11077_05GEO, Geographic)

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey (USGS), in cooperation with the National Oceanic and Atmospheric Administration (NOAA) and the Massachusetts Office of Coastal Zone...

  16. 2-m Bathymetric ArcRaster Grid of National Oceanic and Atmospheric Administration (NOAA) Survey H11361 from Eastern Long Island Sound (H11361U_2M, UTM Zone 18)

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey, in cooperation with the National Oceanic and Atmospheric Administration and the Connecticut Department of Environmental Protection, has...

  17. Composite 2-m ASCII Bathymetric grid from National Oceanic and Atmospheric Administration (NOAA) Surveys H11252 and h11361 of the Sea Floor in Eastern Long Island Sound (SMR_COMP_2MUTM_XYZ.TXT, UTM Zone18)

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey, in cooperation with the National Oceanic and Atmospheric Administration and the Connecticut Department of Environmental Protection, has...

  18. 1-meter composite digital sidescan sonar mosaic of National Oceanic and Atmospheric Administration (NOAA) survey H11043 in north-central Long Island Sound off Branford, Connecticut (H11043_GEO_WGS84.TIF)

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey, in cooperation with the National Oceanic and Atmospheric Administration and the Connecticut Department of Environmental Protection, has...

  19. 1-m Stretched Sidescan-Sonar Image of National Oceanic and Atmospheric Administration (NOAA) Survey H11322 in Western Rhode Island Sound (H11322_1M_SSS_UTM_STR.TIF, UTM)

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The United States Geological Survey (USGS) is working cooperatively with the National Oceanic and Atmospheric Administration (NOAA) to interpret the surficial...

  20. 2-m Bathymetric Grid of National Oceanic and Atmospheric Administration (NOAA) Survey H12012 Offshore in Northeastern Long Island Sound (UTM Zone 18, NAD83, H12012_2M_UTM)

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey (USGS), in cooperation with the National Oceanic and Atmospheric Administration (NOAA) and the Connecticut Department of Energy and...

  1. Interpretation of Sedimentary Environments Within the Area of National Oceanic and Atmospheric Administration (NOAA) Survey H12013 Offshore in Northeastern Long Island Sound (Geographic, WGS84, H12012_SEDENV.SHP)

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey (USGS), in cooperation with the National Oceanic and Atmospheric Administration (NOAA) and the Connecticut Department of Energy and...

  2. Color Shaded-Relief GeoTIFF Image Showing the 1-m Bathymetry Generated from National Oceanic and Atmospheric Administration (NOAA) Survey H11076 in Quicks Hole, Elizabeth Islands, MA (H11076_GEO_1MMBES.TIF, Geographic)

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey (USGS), in cooperation with the National Oceanic and Atmospheric Administration (NOAA) and the Massachusetts Office of Coastal Zone...

  3. 1-m Bathymetric ArcRaster Grid of National Oceanic and Atmospheric Administration (NOAA) Survey H11076 of Quicks Hole, Massachusetts (H11076_UTM_B, UTM Zone 19)

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey (USGS), in cooperation with the National Oceanic and Atmospheric Administration (NOAA) and the Massachusetts Office of Coastal Zone...

  4. Composite Grayscale Image of the Sidescan Sonar Data From National Oceanic and Atmospheric Administration (NOAA) Survey H11076 of the Sea Floor in Quicks Hole, MA (H11076_GEO_1MSSS.TIF, Geographic)

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey (USGS), in cooperation with the National Oceanic and Atmospheric Administration (NOAA) and the Massachusetts Office of Coastal Zone...

  5. 3-m Hill-Shaded Bathymetric Grid of National Oceanic and Atmospheric Administration (NOAA) Survey H11079 of Great Round Shoal Channel (H11079_UTM_HS, UTM Zone 19)

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey (USGS), in cooperation with the National Oceanic and Atmospheric Administration (NOAA) and the Massachusetts Office of Coastal Zone...

  6. Esri Binary 2-m Bathymetric Grid of National Oceanic and Atmospheric Administration (NOAA) Survey H12298 in Block Island Sound (UTM Zone 19, NAD 83, H12298_2M_UTM)

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey (USGS), in cooperation with the National Oceanic and Atmospheric Administration (NOAA), is producing detailed geologic maps of the coastal...

  7. ESRI Binary 2-m Bathymetric Grid of National Oceanic and Atmospheric Administration (NOAA) Survey H11999 in Long Island Sound, North of Duck Pond Point, New York (H11999_2M_UTM, UTM Zone 18, NAD83)

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey (USGS), in cooperation with the Connecticut Department of Environmental Protection and National Oceanic and Atmospheric Administration...

  8. Combined 2-m and Interpolated 10-m Bathymetric Grid of National Oceanic and Atmospheric Administration (NOAA) Survey H12013 Off the Entrance to the Connecticut River in Northeastern Long Island Sound (H12013_INTGEO, Geographic, WGS-84)

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey (USGS), in cooperation with the National Oceanic and Atmospheric Administration (NOAA) and the Connecticut Department of Energy and...

  9. 25-m Bathymetric Grid of National Oceanic and Atmospheric Administration (NOAA) Survey H11346 in the Vicinity of Edgartown Harbor, Massachusetts (H11346_UTM25, UTM Zone 19, WGS84)

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey (USGS), in cooperation with the National Oceanic and Atmospheric Administration (NOAA) and the Massachusetts Office of Coastal Zone...

  10. Color Shaded-Relief GeoTIFF Image Showing the 2-m Bathymetry Generated from National Oceanic and Atmospheric Administration (NOAA) Survey H11995 in Rhode Island Sound (H11995_MB2M_GEO.TIF, Geographic, WGS84)

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey (USGS), in cooperation with the National Oceanic and Atmospheric Administration (NOAA), is producing detailed geologic maps of the coastal...

  11. Esri Binary 2-m Bathymetric Grid of National Oceanic and Atmospheric Administration (NOAA) Survey H12023 in Block Island Sound (H12023_2M_GEO, Geographic, WGS84)

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey (USGS), in cooperation with the National Oceanic and Atmospheric Administration (NOAA), is producing detailed geologic maps of the coastal...

  12. 4-m Hill-Shaded Bathymetric GeoTIFF Image of National Oceanic and Atmospheric Administration (NOAA) Survey H11320 in UTM Zone 19 (H11320_UTM_4M.TIF)

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The United States Geological Survey (USGS) is working cooperatively with the National Oceanic and Atmospheric Administration (NOAA) to interpret the surficial...

  13. 1-m Stretched Sidescan Sonar Image of National Oceanic and Atmospheric Administration (NOAA) Survey H11321 in Central Rhode Island Sound (H11321_1M_SSS_UTM_STR.TIF, UTM)

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The United States Geological Survey (USGS) is working cooperatively with the National Oceanic and Atmospheric Administration (NOAA) to interpret the surficial...

  14. H11321_1M_SSS_GEO_STR.TIF: Stretched Sidescan-Sonar Image of National Oceanic and Atmospheric Administration (NOAA) Survey H11321 in Central Rhode Island Sound (Geographic)

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The United States Geological Survey (USGS) is working cooperatively with the National Oceanic and Atmospheric Administration (NOAA) to interpret the surficial...

  15. Interpretation of Bottom Features from National Oceanic and Atmospheric Administration (NOAA) Survey H12013 Off the Entrance to the Connecticut River in Eastern Long Island Sound (H12013_INTERP.SHP, Geographic, WGS84)

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey (USGS), in cooperation with the National Oceanic and Atmospheric Administration (NOAA) and the Connecticut Department of Energy and...

  16. Composite sidescan sonar mosaic of National Oceanic and Atmospheric Administration (NOAA) survey H11044 in West-Central Long Island Sound off Milford, Connecticut (H11044_GEO_WGS84.TIF, geographic)

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey, in cooperation with the National Oceanographic and Atmospheric Administration and the Connecticut Department of Environmental Protection,...

  17. Color Hill-Shaded GeoTIFF Image Showing the 2-m bathymetry Generated from National Oceanic and Atmospheric Administration (NOAA) Survey H11250 in Eastern Long Island Sound (H11250_GEO_2MMBES.TIF, Geographic)

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey, in cooperation with the National Oceanic and Atmospheric Administration and the Connecticut Department of Environmental Protection, has...

  18. 2-m ASCII Bathymetric Grid from National Oceanic and Atmospheric Administration (NOAA) Survey H11361 of the Sea Floor in Eastern Long Island Sound (H11361_2MUTM18_XYZ.TXT, UTM Zone18)

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey, in cooperation with the National Oceanic and Atmospheric Administration and the Connecticut Department of Environmental Protection, has...

  19. 1-meter Composite Mosaic of the Sidescan Sonar Survey National Oceanic and Atmospheric Administration (NOAA) H11045 in west-central Long Island Sound off Bridgeport, Connecticut in Geographic (H11045_GEO1M_WGS84_INV.TIF)

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey, in cooperation with the National Oceanic and Atmospheric Administration and the Connecticut Department of Environmental Protection, has...

  20. Composite 2-m Bathymetric ArcRaster Grid of National Oceanic and Atmospheric Administration (NOAA) Surveys H11252 and H11361 from Eastern Long Island Sound (COMP2M_UTM, UTM Zone 18)

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey, in cooperation with the National Oceanic and Atmospheric Administration and the Connecticut Department of Environmental Protection, has...

  1. 2-m Bathymetric ArcRaster Grid of National Oceanic and Atmospheric Administration (NOAA) Survey H11252 from Eastern Long Island Sound (H11252U_2M, UTM Zone 18)

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey, in cooperation with the National Oceanic and Atmospheric Administration and the Connecticut Department of Environmental Protection, has...

  2. H11077_05GEO: 0.5-m Bathymetric Grid of National Oceanic and Atmospheric Administration (NOAA) Survey H11077 in the Vicinity of Woods Hole, Massachusetts (Geographic)

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey (USGS), in cooperation with the National Oceanic and Atmospheric Administration (NOAA) and the Massachusetts Office of Coastal Zone...

  3. 0.5-m Bathymetry from National Oceanic and Atmospheric Administration (NOAA) Survey H11077 of the Sea Floor in the Vicinity of Woods Hole, Massachusetts (H11077_0.5MUTM19_XYZ.TXT, UTM Zone 19)

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey (USGS), in cooperation with the National Oceanic and Atmospheric Administration (NOAA) and the Massachusetts Office of Coastal Zone...

  4. H11079_1MGEO_SSS.TIF: 1-meter Composite Grayscale Image of the Sidescan Sonar Data From National Oceanic and Atmospheric Administration (NOAA) Survey H11079 of the Sea Floor in Great Round Shoal Channel, Offshore Massachusetts (Geographic)

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey (USGS), in cooperation with the National Oceanic and Atmospheric Administration (NOAA) and the Massachusetts Office of Coastal Zone...

  5. Interpretation of Sedimentary Environments from National Oceanic and Atmospheric Administration (NOAA) Survey H12007 in the Vicinity of Cross Rip Channel in Nantucket Sound, Offshore Southeastern Massachusetts (H12007_SEDENV.SHP, Geographic, WGS84)

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey (USGS), in cooperation with the National Oceanic and Atmospheric Administration (NOAA), is producing detailed geologic maps of the coastal...

  6. 1-m Bathymetric Grid Generated from National Oceanic and Atmospheric Administration (NOAA) Survey H12007 in the Vicinity of Cross Rip Channel, Nantucket Sound (H12007_UTM, UTM Zone 19, NAD83)

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey (USGS), in cooperation with the National Oceanic and Atmospheric Administration (NOAA), is producing detailed geologic maps of the coastal...

  7. H11251_2M_GEO: 2-m Bathymetric Grid of National Oceanic and Atmospheric Administration (NOAA) Survey H11251 Offshore of Rocky Point, New York (Geographic, WGS84)

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey (USGS), in cooperation with the National Oceanic and Atmospheric Administration (NOAA), is producing detailed geologic maps of the coastal...

  8. H11320_1M_SSS_GEO_EN.TIF: Enhanced Composite Sidescan Sonar Mosaic of National Oceanic and Atmospheric Administration (NOAA) Survey H11320 in Rhode Island Sound (Geographic)

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey (USGS) is working cooperatively with the National Oceanic and Atmospheric Administration (NOAA) to interpret the surficial geology in...

  9. ESRI Binary 2-m Bathymetric Grid of National Oceanic and Atmospheric Administration (NOAA) Survey H11995 in Rhode Island Sound (H11995_2M_UTM, UTM Xone 19, NAD83)

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey (USGS), in cooperation with the National Oceanic and Atmospheric Administration (NOAA), is producing detailed geologic maps of the coastal...

  10. Esri Binary 2-m Bathymetric Grid of National Oceanic and Atmospheric Administration (NOAA) Survey H12296 in Block Island Sound (H12296_2M_UTM, UTM Zone 19, NAD 83)

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey (USGS), in cooperation with the National Oceanic and Atmospheric Administration (NOAA), is producing detailed geologic maps of the coastal...

  11. COMP2M_GEO: Composite 2-m Bathymetric ArcRaster Grid of National Oceanic and Atmospheric Administration (NOAA) Surveys H11252 and H11361 from Eastern Long Island Sound (Geographic)

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey, in cooperation with the National Oceanic and Atmospheric Administration and the Connecticut Department of Environmental Protection, has...

  12. Self-administration of epinephrine in children: a survey of current prescription practice and recommendations for improvement.

    Science.gov (United States)

    Hughes, J L; Stewart, M

    2003-11-01

    The prevalence of peanut allergy is increasing rapidly and many children are now prescribed self-injectable epinephrine as part of their management. We aimed to examine the current extent of self-injectable epinephrine dispensing to children in the Eastern Health and Social Services Board (EHSSB), Northern Ireland, including indications for prescription, investigations performed, information and training provided and actual usage. Dispensing records held by the EHSSB were examined for the period May to August 1998. All general practitioners prescribing 'Epipens' during this period were contacted and asked to identify the patient and provide contact details. Information was gathered using postal questionnaires sent to General Practitioners and parents. A total of 104 'Epipen' prescriptions were dispensed. Thirty-seven (36%) general practitioners responded to the initial questionnaire; of these 36 (35%) were suitable for analysis. Thirty-four parents were then contacted; 28 (82%) returned questionnaires were reviewed. The commonest indication for 'Epipen' prescription was peanut allergy (32 of 36 (89%) general practitioner responses; 25 of 28 (89%) parent responses). Twenty-six (72%) children had been seen by a specialist; all except one had either blood or skin tests. Six of the remaining eight children had no investigations. General practitioners reported 14 (39%) parents to have basic life support training, compared with six (21%) parents. Eighteen (64%) parents had been given written information regarding their child's allergy, nine (32%) had been referred to a dietician and seven (25%) children wore a medical warning bracelet. The Epipen had been used by three children; all three had multiple food allergies. This study has identified a great variability in the management of children with allergy including the need for specialist referral, further investigation, written allergy advice, referral to a dietician and formalised training in basic life support and

  13. Comparison of administrative and survey data for estimating vitamin A supplementation and deworming coverage of children under five years of age in Sub-Saharan Africa.

    Science.gov (United States)

    Janmohamed, Amynah; Doledec, David

    2017-07-01

    To compare administrative coverage data with results from household coverage surveys for vitamin A supplementation (VAS) and deworming campaigns conducted during 2010-2015 in 12 African countries. Paired t-tests examined differences between administrative and survey coverage for 52 VAS and 34 deworming dyads. Independent t-tests measured VAS and deworming coverage differences between data sources for door-to-door and fixed-site delivery strategies and VAS coverage differences between 6- to 11-month and 12- to 59-month age group. For VAS, administrative coverage was higher than survey estimates in 47 of 52 (90%) campaign rounds, with a mean difference of 16.1% (95% CI: 9.5-22.7; P < 0.001). For deworming, administrative coverage exceeded survey estimates in 31 of 34 (91%) comparisons, with a mean difference of 29.8% (95% CI: 16.9-42.6; P < 0.001). Mean ± SD differences in coverage between administrative and survey data were 12.2% ± 22.5% for the door-to-door delivery strategy and 25.9% ± 24.7% for the fixed-site model (P = 0.06). For deworming, mean ± SD differences in coverage between data sources were 28.1% ± 43.5% and 33.1% ± 17.9% for door-to-door and fixed-site distribution, respectively (P = 0.64). VAS administrative coverage was higher than survey estimates in 37 of 49 (76%) comparisons for the 6- to 11-month age group and 45 of 48 (94%) comparisons for the 12- to 59-month age group. Reliance on health facility data alone for calculating VAS and deworming coverage may mask low coverage and prevent measures to improve programmes. Countries should periodically validate administrative coverage estimates with population-based methods. © 2017 John Wiley & Sons Ltd.

  14. Testing the Electronic Personal Health Record Acceptance Model by Nurses for Managing Their Own Health: A Cross-sectional Survey.

    Science.gov (United States)

    Gartrell, K; Trinkoff, A M; Storr, C L; Wilson, M L; Gurses, A P

    2015-01-01

    To our knowledge, no evidence is available on health care professionals' use of electronic personal health records (ePHRs) for their health management. We therefore focused on nurses' personal use of ePHRs using a modified technology acceptance model. To examine (1) the psychometric properties of the ePHR acceptance model, (2) the associations of perceived usefulness, ease of use, data privacy and security protection, and perception of self as health-promoting role models to nurses' own ePHR use, and (3) the moderating influences of age, chronic illness and medication use, and providers' use of electronic health record (EHRs) on the associations between the ePHR acceptance constructs and ePHR use. A convenience sample of registered nurses, those working in one of 12 hospitals in the Maryland and Washington, DC areas and members of the nursing informatics community (AMIA and HIMSS), were invited to respond to an anonymous online survey; 847 responded. Multiple logistic regression identified associations between the model constructs and ePHR use, and the moderating effect. Overall, ePHRs were used by 47%. Sufficient reliability for all scales was found. Three constructs were significantly related to nurses' own ePHR use after adjusting for covariates: usefulness, data privacy and security protection, and health-promoting role model. Nurses with providers that used EHRs who perceived a higher level of data privacy and security protection had greater odds of ePHR use than those whose providers did not use EHRs. Older nurses with a higher self-perception as health-promoting role models had greater odds of ePHR use than younger nurses. Nurses who use ePHRs for their personal health might promote adoption by the general public by serving as health-promoting role models. They can contribute to improvements in patient education and ePHR design, and serve as crucial resources when working with their individual patients.

  15. Field Surveys of Rare Plants on Santa Cruz Island, California, 2003-2006: Historical Records and Current Distributions

    Science.gov (United States)

    McEachern, A. Kathryn; Chess, Katherine A.; Niessen, Ken

    2010-01-01

    Santa Cruz Island is the largest of the northern Channel Islands located off the coast of California. It is owned and managed as a conservation reserve by The Nature Conservancy and the Channel Islands National Park. The island is home to nine plant taxa listed in 1997 as threatened or endangered under the federal Endangered Species Act, because of declines related to nearly 150 years of ranching on the island. Feral livestock were removed from the island as a major conservation step, which was part of a program completed in early 2007 with the eradication of pigs and turkeys. For the first time in more than a century, the rare plants of Santa Cruz Island have a chance to recover in the wild. This study provides survey information and living plant materials needed for recovery management of the listed taxa. We developed a database containing information about historical collections of the nine taxa and used it to plan a survey strategy. Our objectives were to relocate as many of the previously known populations as possible, with emphasis on documenting sites not visited in several decades, sites that were poorly documented in the historical record, and sites spanning the range of environmental conditions inhabited by the taxa. From 2003 through 2006, we searched for and found 39 populations of the taxa, indicating that nearly 80 percent of the populations known earlier in the 1900s still existed. Most populations are small and isolated, occupying native-dominated habitat patches in a highly fragmented and invaded landscape; they are still at risk of declining through population losses. Most are not expanding beyond the edges of their habitat patches. However, most taxa appeared to have good seed production and a range of size classes in populations, indicating a good capacity for plant recruitment and population growth in these restricted sites. For these taxa, seed collection and outplanting might be a good strategy to increase numbers of populations for species

  16. Phenological Records

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Phenology is the scientific study of periodic biological phenomena, such as flowering, breeding, and migration, in relation to climatic conditions. The few records...

  17. Task-specific usability requirements of electronic medical records systems: Lessons learned from a national survey of end-users.

    Science.gov (United States)

    Farzandipour, Mehrdad; Meidani, Zahra; Riazi, Hossein; Sadeqi Jabali, Monireh

    2017-04-11

    There are various approaches to evaluating the usability of electronic medical record (EMR) systems. User perspectives are an integral part of evaluation. Usability evaluations efficiently and effectively contribute to user-centered design and supports tasks and increase user satisfaction. This study determined the main usability requirements for EMRs by means of an end-user survey. A mixed-method strategy was conducted in three phases. A qualitative approach was employed to collect and formulate EMR usability requirements using the focus group method and the modified Delphi technique. Classic Delphi technique was used to evaluate the proposed requirements among 380 end-users in Iran. The final list of EMR usability requirements was verified and included 163 requirements divided into nine groups. The highest rates of end-user agreement relate to EMR visual clarity (3.65 ± 0.61), fault tolerance (3.58 ± 0.56), and suitability for learning (3.55 ± 0.54). The lowest end-user agreement was for auditory presentation (3.18 ± 0.69). The highest and lowest agreement among end-users was for visual clarity and auditory presentation by EMRs, respectively. This suggests that user priorities in determination of EMR usability and their understanding of the importance of the types of individual tasks and context characteristics differ.

  18. Impact of Survey Administration Mode on the Results of a Health-Related Discrete Choice Experiment : Online and Paper Comparison

    NARCIS (Netherlands)

    Determann, Domino; Lambooij, Mattijs S.; Steyerberg, Ewout W.; de Bekker-Grob, Esther W; de Wit, G Ardine|info:eu-repo/dai/nl/167546589

    2017-01-01

    BACKGROUND: Electronic data collection is increasingly being used for discrete choice experiments (DCEs). OBJECTIVES: To study whether paper or electronic administration results in measurement effects. METHODS: Respondents were drawn from the same sample frame (an Internet panel) and completed a

  19. Effect of candesartan monotherapy on lipid metabolism in patients with hypertension: a retrospective longitudinal survey using data from electronic medical records

    Directory of Open Access Journals (Sweden)

    Nishida Yayoi

    2010-08-01

    Full Text Available Abstract Background Studies focusing on the add-on effects of angiotensin II type 1 receptor blockers (ARBs other than their antihypertensive effect are receiving attention. However, the effects of prolonged administration of ARBs on lipid metabolism in clinical cases are unclear. Our aims were to survey the changes in plasma lipid profile in patients with hypertension over a one-year period, and to examine the correlations between these values and the time after the start of ARB monotherapy with candesartan. Methods We carried out candesartan monotherapy in patients with mild to moderate hypertension and examined the longitudinal changes in plasma lipid profile. Data from 405 patients for triglyceride (TG, 440 for total cholesterol (TC, 313 for high density lipoprotein cholesterol (HDL-C and 304 for low density lipoprotein cholesterol (LDL-C were obtained from the electronic medical records (EMRs in the Clinical Data Warehouse (CDW of Nihon University School of Medicine (NUSM. The inverse probability of treatment weighting (IPTW method (calculated from the inverse of the propensity score was used to balance the covariates and reduce bias in each treatment duration. Linear mixed effects models were used to analyse the relationship between these longitudinal data of blood examinations and covariates of patient sex, age, diagnosis of diabetes mellitus (DM and duration of candesartan monotherapy. Results Plasma HDL-C level was associated with sex, duration of treatment, and interaction of sex and treatment duration, but not with age or diagnosis of DM. HDL-C level was significantly decreased during the 6~9 months period (p = 0.0218 compared with baseline. TG and TC levels were associated with sex, but not with age, diagnosis of DM or treatment duration. LDL-C level was not associated with any covariate. Analysis of the subjects divided by sex revealed a decrease in HDL-C in female subjects (during the 6~9 months period: p = 0.0054, but not in male

  20. The Impact of an Electronic Medication Administration Record (eMAR) and Computerized Physician Order Entry (CPOE) on Nurse Extender and Unit Clerk Staffing.

    Science.gov (United States)

    Robinson, Edmondo J; Bergey, Meredith R; Brady, Elizabeth; Mapp, Alexandra M; Goldsack, Jennifer C

    2017-12-01

    The aim of this study is to describe the impact of the introduction of health information technology (HIT) on the utilization and payroll costs of nurse extenders and unit clerks in medicine and surgery units in a large regional health system. Long-term policy goals of HIT implementation are reported to include system-level reductions in labor costs, achieved through improved efficiency. Using a retrospective cohort model, we analyzed how hours worked per patient day and staffing costs per patient day varied with the implementation of HIT over time at 2 different hospitals within a health system. Implementation of electronic medication administration records was not associated with significant changes in staffing or labor costs. Both labor hours and costs associated with nurse extenders and unit clerks were significantly reduced after the subsequent addition of computerized provider order entry. Simultaneously, units that did not implement any HIT experienced a significant increase in both labor hours and costs. Health information technology implementation in the inpatient setting is associated with significant savings in labor hours and costs in non-registered nursing roles.

  1. Electronic Health Records and Meaningful Use in Local Health Departments: Updates From the 2015 NACCHO Informatics Assessment Survey.

    Science.gov (United States)

    Williams, Karmen S; Shah, Gulzar H

    2016-01-01

    Electronic health records (EHRs) are evolving the scope of operations, practices, and outcomes of population health in the United States. Local health departments (LHDs) need adequate health informatics capacities to handle the quantity and quality of population health data. The purpose of this study was to gain an updated view using the most recent data to identify the primary storage of clinical data, status of data for meaningful use, and characteristics associated with the implementation of EHRs in LHDs. Data were drawn from the 2015 Informatics Capacity and Needs Assessment Survey, which used a stratified random sampling design of LHD populations. Oversampling of larger LHDs was conducted and sampling weights were applied. Data were analyzed using descriptive statistics and logistic regression in SPSS. Forty-two percent of LHDs indicated the use of an EHR system compared with 58% that use a non-EHR system for the storage of primary health data. Seventy-one percent of LHDs had reviewed some or all of the current systems to determine whether they needed to be improved or replaced, whereas only 6% formally conducted a readiness assessment for health information exchange. Twenty-seven percent of the LHDs had conducted informatics training within the past 12 months. LHD characteristics statistically associated with having an EHR system were having state or centralized governance, not having created a strategic plan related to informatics within the past 2 years throughout LHDs, provided informatics training in the past 12 months, and various levels of control over decisions regarding hardware allocation or acquisition, software selection, software support, and information technology budget allocation. A focus on EHR implementation in public health is pertinent to examining the impact of public health programming and interventions for the positive change in population health.

  2. Surficial Sediment Data Collected Within National Oceanic and Atmospheric Administration Survey H12012 During U.S. Geological Survey Cruises 2010-010-FA and 2010-015-FA Offshore in Northeastern Long Island Sound (Geographic, WGS84, H12012_SEDDATA.SHP)

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey (USGS), in cooperation with the National Oceanic and Atmospheric Administration (NOAA) and the Connecticut Department of Energy and...

  3. Accuracy of routinely recorded ethnic group information compared with self-reported ethnicity: evidence from the English Cancer Patient Experience survey.

    Science.gov (United States)

    Saunders, C L; Abel, G A; El Turabi, A; Ahmed, F; Lyratzopoulos, G

    2013-06-28

    To describe the accuracy of ethnicity coding in contemporary National Health Service (NHS) hospital records compared with the 'gold standard' of self-reported ethnicity. Secondary analysis of data from a cross-sectional survey (2011). All NHS hospitals in England providing cancer treatment. 58 721 patients with cancer for whom ethnicity information (Office for National Statistics 2001 16-group classification) was available from self-reports (considered to represent the 'gold standard') and their hospital record. We calculated the sensitivity and positive predictive value (PPV) of hospital record ethnicity. Further, we used a logistic regression model to explore independent predictors of discordance between recorded and self-reported ethnicity. Overall, 4.9% (4.7-5.1%) of people had their self-reported ethnic group incorrectly recorded in their hospital records. Recorded White British ethnicity had high sensitivity (97.8% (97.7-98.0%)) and PPV (98.1% (98.0-98.2%)) for self-reported White British ethnicity. Recorded ethnicity information for the 15 other ethnic groups was substantially less accurate with 41.2% (39.7-42.7%) incorrect. Recorded 'Mixed' ethnicity had low sensitivity (12-31%) and PPVs (12-42%). Recorded 'Indian', 'Chinese', 'Black-Caribbean' and 'Black African' ethnic groups had intermediate levels of sensitivity (65-80%) and PPV (80-89%, respectively). In multivariable analysis, belonging to an ethnic minority group was the only independent predictor of discordant ethnicity information. There was strong evidence that the degree of discordance of ethnicity information varied substantially between different hospitals (pethnicity information in NHS hospital records support valid profiling of White/non-White ethnic differences. However, profiling of ethnic differences in process or outcome measures for specific minority groups may contain a substantial and variable degree of misclassification error. These considerations should be taken into account when

  4. Comparison of Paper-and-Pencil versus Web Administration of the Youth Risk Behavior Survey (YRBS): Risk Behavior Prevalence Estimates

    Science.gov (United States)

    Eaton, Danice K.; Brener, Nancy D.; Kann, Laura; Denniston, Maxine M.; McManus, Tim; Kyle, Tonja M.; Roberts, Alice M.; Flint, Katherine H.; Ross, James G.

    2010-01-01

    The authors examined whether paper-and-pencil and Web surveys administered in the school setting yield equivalent risk behavior prevalence estimates. Data were from a methods study conducted by the Centers for Disease Control and Prevention (CDC) in spring 2008. Intact classes of 9th- or 10th-grade students were assigned randomly to complete a…

  5. Validity of smoking prevalence estimates from primary care electronic health records compared with national population survey data for England, 2007 to 2011.

    Science.gov (United States)

    Booth, Helen P; Prevost, A Toby; Gulliford, Martin C

    2013-12-01

    Primary care electronic health records (EHRs) are increasingly used as a resource for epidemiological research. Cigarette smoking is an important variable in many epidemiological studies. We evaluated the validity of smoking records in primary care EHRs by comparing estimates for smoking prevalence from primary care EHRs with national health survey data. Data were analysed for adults over 30 years of age from the Clinical Practice Research Datalink (CPRD) in comparison with data from the Health Survey for England between 2007 and 2011. Electronic health records in the CPRD were searched for records of smoking status and smoking cessation treatment. Annual age- and sex-standardised prevalence of current-, non- and former smoking were calculated, and compared with equivalent data from the Health Survey for England (HSE). The difference between estimates of current smoking in CPRD and HSE was generally HSE 24.2%. The mean difference was 0.1% (95% confidence interval −1.5 to 1.7%). In women, current smoking prevalence was CPRD 20.3%, HSE 19.0%; mean difference 1.3% (0.0 to 2.6%). Estimates for former smoking were lower in CPRD than HSE for men (CPRD 26.7%, HSE 31.3%) and women (CPRD 22.9%, HSE 25.0%). Prevalence estimates for current smoking, and non-smoking, from primary care EHRs are similar to those from nationally representative surveys, but former smoking may be under-recorded. © 2013 The Authors. Pharmacoepidemiology and Drug Safety published by John Wiley & Sons, Ltd.

  6. In custody deaths of men related to mental illness and substance use: A cross-sectional analysis of administrative records in Ontario, Canada.

    Science.gov (United States)

    Vaughan, Adam D; Zabkiewicz, Denise M; Verdun-Jones, Simon N

    2017-05-01

    Highly publicized incidents of in-custody deaths have drawn attention to the well-being of individuals who are held in custodial settings and have contributed to questions surrounding the role played by mental illness and substance use. The data for this descriptive study consist of administrative records from the Office of the Chief Coroner of Ontario. Section 10(4) jury verdicts filed from January 1, 1996 through December 31, 2010 were drawn for analysis. The final sample includes 478 males who died while in custody. Logistic and multinomial regressions were conducted to assess how a history of mental illness and substance use is related to deaths in custody and how those deaths vary across custodial jurisdictions. Approximately half of all deaths in custody occurred among those with a history of mental illness or substance use and those deaths disproportionately occurred in local police or provincial custody, compared to those held in federal custody. Further, the joint effects of a co-occurring history of mental illness and substance use were found to be statistically significant with the strongest effects observed in local police custody. The results from this study underscore concerns surrounding the well-being of individuals with a history of mental illness or substance use and who come into contact with the criminal justice system. With more offenders presenting with complex mental-health and substance-use problems, the implications for local police become apparent in the context of developing policies and practices directed towards preventing deaths. Copyright © 2017 Elsevier Ltd and Faculty of Forensic and Legal Medicine. All rights reserved.

  7. The medicinal use of cannabis and cannabinoids--an international cross-sectional survey on administration forms.

    Science.gov (United States)

    Hazekamp, Arno; Ware, Mark A; Muller-Vahl, Kirsten R; Abrams, Donald; Grotenhermen, Franjo

    2013-01-01

    Cannabinoids, including tetrahydrocannabinol and cannabidiol, are the most important active constituents of the cannabis plant. Over recent years, cannabinoid-based medicines (CBMs) have become increasingly available to patients in many countries, both as pharmaceutical products and as herbal cannabis (marijuana). While there seems to be a demand for multiple cannabinoid-based therapeutic products, specifically for symptomatic amelioration in chronic diseases, therapeutic effects of different CBMs have only been directly compared in a few clinical studies. The survey presented here was performed by the International Association for Cannabinoid Medicines (IACM), and is meant to contribute to the understanding of cannabinoid-based medicine by asking patients who used cannabis or cannabinoids detailed questions about their experiences with different methods of intake. The survey was completed by 953 participants from 31 countries, making this the largest international survey on a wide variety of users of cannabinoid-based medicine performed so far. In general, herbal non-pharmaceutical CBMs received higher appreciation scores by participants than pharmaceutical products containing cannabinoids. However, the number of patients who reported experience with pharmaceutical products was low, limiting conclusions on preferences. Nevertheless, the reported data may be useful for further development of safe and effective medications based on cannabis and single cannabinoids.

  8. CMS Records Schedule

    Data.gov (United States)

    U.S. Department of Health & Human Services — The CMS Records Schedule provides disposition authorizations approved by the National Archives and Records Administration (NARA) for CMS program-related records...

  9. Social Security income measurement in two surveys.

    Science.gov (United States)

    Iams, Howard M; Purcell, Patrick J

    2013-01-01

    As a major source of income for retired persons in the United States, Social Security benefits directly influence economic well-being. That fact underscores the importance of measuring Social Security income accurately in household surveys. Using Social Security Administration (SSA) records, we examine Social Security income as reported in two Census Bureau surveys, the Survey of Income and Program Participation (SIPP) and the Current Population Survey (CPS). Although SSA usually deducts Medicare premiums from benefit payments, both the CPS and the SIPP aim to collect and record gross Social Security benefit amounts (before Medicare premium deductions). We find that the Social Security benefit recorded in the CPS closely approximates the gross benefit recorded for CPS respondents in SSA's records, but the Social Security benefit recorded in the SIPP more closely approximates SSA's record of net benefit payments (after deducting Medicare premiums).

  10. Improving Coverage and Compliance in Mass Drug Administration for the Elimination of LF in Two 'Endgame' Districts in Indonesia Using Micronarrative Surveys.

    Science.gov (United States)

    Krentel, Alison; Damayanti, Rita; Titaley, Christiana Rialine; Suharno, Nugroho; Bradley, Mark; Lynam, Timothy

    2016-11-01

    As the Global Programme to Eliminate Lymphatic Filariasis (LF) approaches its 2020 goal, an increasing number of districts will enter the endgame phase where drug coverage rates from mass drug administration (MDA) are used to assess whether MDA can be stopped. As reported, the gap between reported and actual drug coverage in some contexts has overestimated the true rates, thus causing premature administration of transmission assessment surveys (TAS) that detect ongoing LF transmission. In these cases, districts must continue with additional rounds of MDA. Two districts in Indonesia (Agam District, Depok City) fit this criteria-one had not met the pre-TAS criteria and the other, had not passed the TAS criteria. In both cases, the district health teams needed insight into their drug delivery programs in order to improve drug coverage in the subsequent MDA rounds. To inform the subsequent MDA round, a micronarrative survey tool was developed to capture community members' experience with MDA and the social realm where drug delivery and compliance occur. A baseline survey was implemented after the 2013 MDA in endemic communities in both districts using the EPI sampling criteria (n = 806). Compliance in the last MDA was associated with perceived importance of the LF drugs for health (p<0.001); perceived safety of the LF drugs (p<0.001) and knowing someone in the household has complied (p<0.001). Results indicated that specialized messages were needed to reach women and younger men. Both districts used these recommendations to implement changes to their MDA without additional financial support. An endline survey was performed after the 2014 MDA using the same sampling criteria (n = 811). Reported compliance in the last MDA improved in both districts from 57% to 77% (p<0.05). Those who reported having ever taken the LF drug rose from 79% to 90% (p<0.001) in both sites. Micronarrative surveys were shown to be a valid and effective tool to detect operational issues within

  11. Improving Coverage and Compliance in Mass Drug Administration for the Elimination of LF in Two ‘Endgame’ Districts in Indonesia Using Micronarrative Surveys

    Science.gov (United States)

    Krentel, Alison; Damayanti, Rita; Titaley, Christiana Rialine; Suharno, Nugroho; Bradley, Mark; Lynam, Timothy

    2016-01-01

    Background As the Global Programme to Eliminate Lymphatic Filariasis (LF) approaches its 2020 goal, an increasing number of districts will enter the endgame phase where drug coverage rates from mass drug administration (MDA) are used to assess whether MDA can be stopped. As reported, the gap between reported and actual drug coverage in some contexts has overestimated the true rates, thus causing premature administration of transmission assessment surveys (TAS) that detect ongoing LF transmission. In these cases, districts must continue with additional rounds of MDA. Two districts in Indonesia (Agam District, Depok City) fit this criteria—one had not met the pre-TAS criteria and the other, had not passed the TAS criteria. In both cases, the district health teams needed insight into their drug delivery programs in order to improve drug coverage in the subsequent MDA rounds. Methodology/Principal Findings To inform the subsequent MDA round, a micronarrative survey tool was developed to capture community members’ experience with MDA and the social realm where drug delivery and compliance occur. A baseline survey was implemented after the 2013 MDA in endemic communities in both districts using the EPI sampling criteria (n = 806). Compliance in the last MDA was associated with perceived importance of the LF drugs for health (p<0.001); perceived safety of the LF drugs (p<0.001) and knowing someone in the household has complied (p<0.001). Results indicated that specialized messages were needed to reach women and younger men. Both districts used these recommendations to implement changes to their MDA without additional financial support. An endline survey was performed after the 2014 MDA using the same sampling criteria (n = 811). Reported compliance in the last MDA improved in both districts from 57% to 77% (p<0.05). Those who reported having ever taken the LF drug rose from 79% to 90% (p<0.001) in both sites. Conclusions/Significance Micronarrative surveys were shown

  12. Improving Coverage and Compliance in Mass Drug Administration for the Elimination of LF in Two 'Endgame' Districts in Indonesia Using Micronarrative Surveys.

    Directory of Open Access Journals (Sweden)

    Alison Krentel

    2016-11-01

    Full Text Available As the Global Programme to Eliminate Lymphatic Filariasis (LF approaches its 2020 goal, an increasing number of districts will enter the endgame phase where drug coverage rates from mass drug administration (MDA are used to assess whether MDA can be stopped. As reported, the gap between reported and actual drug coverage in some contexts has overestimated the true rates, thus causing premature administration of transmission assessment surveys (TAS that detect ongoing LF transmission. In these cases, districts must continue with additional rounds of MDA. Two districts in Indonesia (Agam District, Depok City fit this criteria-one had not met the pre-TAS criteria and the other, had not passed the TAS criteria. In both cases, the district health teams needed insight into their drug delivery programs in order to improve drug coverage in the subsequent MDA rounds.To inform the subsequent MDA round, a micronarrative survey tool was developed to capture community members' experience with MDA and the social realm where drug delivery and compliance occur. A baseline survey was implemented after the 2013 MDA in endemic communities in both districts using the EPI sampling criteria (n = 806. Compliance in the last MDA was associated with perceived importance of the LF drugs for health (p<0.001; perceived safety of the LF drugs (p<0.001 and knowing someone in the household has complied (p<0.001. Results indicated that specialized messages were needed to reach women and younger men. Both districts used these recommendations to implement changes to their MDA without additional financial support. An endline survey was performed after the 2014 MDA using the same sampling criteria (n = 811. Reported compliance in the last MDA improved in both districts from 57% to 77% (p<0.05. Those who reported having ever taken the LF drug rose from 79% to 90% (p<0.001 in both sites.Micronarrative surveys were shown to be a valid and effective tool to detect operational issues

  13. SURVEY

    DEFF Research Database (Denmark)

    SURVEY er en udbredt metode og benyttes inden for bl.a. samfundsvidenskab, humaniora, psykologi og sundhedsforskning. Også uden for forskningsverdenen er der mange organisationer som f.eks. konsulentfirmaer og offentlige institutioner samt marketingsafdelinger i private virksomheder, der arbejder...

  14. 2-meter backscatter images produced from 20 multibeam hydrographic surveys collected off the Delmarva Peninsula by the National Oceanic and Atmospheric Administration's National Ocean Service between 2006 and 2011 (TIFF, UTM Zone 18N, WGS 84)

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — Between 2006 and 2011 Science Applications International Corporation (SAIC), under contract by the National Oceanic and Atmospheric Administration's (NOAA) National...

  15. What explains the quality and price of GP services? An investigation using linked survey and administrative data.

    Science.gov (United States)

    Johar, Meliyanni; Jones, Glenn; Savage, Elizabeth

    2014-09-01

    We examine patient socioeconomic status, the strength of the patient-doctor relationship and local area competition as determinants of the quality and price of GP services. We exploit a large-sample patient data set in Australia and its linkage to administrative databases. The sample contains over 260,000 patients and over 12,600 GPs, observed between 2005 and 2010. Controlling for GP fixed effects and patient health, we find no strong evidence that quality differs by patient age, gender, country of origin, health concession card status and income, but quality is increased by stronger patient-doctor relationship. Using a competition measure that is defined at the individual GP level and not restricted to a local market, we find that competition lowers quality. Price is increasing in patient income, whereas competition has a small impact on price. Copyright © 2014 John Wiley & Sons, Ltd.

  16. Developing and Implementing a Simulated Electronic Medication Administration Record for Undergraduate Nursing Education: Using Sociotechnical Systems Theory to Inform Practice and Curricula.

    Science.gov (United States)

    Booth, Richard G; Sinclair, Barbara; Brennan, Laura; Strudwick, Gillian

    2017-03-01

    Knowledge and skills related to medication administration are a fundamental element of nursing education. With the increased use of electronic medication administration technology in practice settings where nurses work, nursing educators need to consider how best to implement these forms of technology into clinical simulation. This article describes the development of a simulated electronic medication administration system, including the use of sociotechnical systems theory to inform elements of the design, implementation, and testing of the system. Given the differences in the medication administration process and workflow generated by electronic medication administration technology, nursing educators should explore sociotechnical theory as a potentially informative lens from which to plan and build curricula related to simulation activities involving clinical technology.

  17. The ANTIBIOPERF study: a nationwide cross-sectional survey about practices for β-lactam administration and therapeutic drug monitoring among critically ill patients in France.

    Science.gov (United States)

    Charmillon, A; Novy, E; Agrinier, N; Leone, M; Kimmoun, A; Levy, B; Demoré, B; Dellamonica, J; Pulcini, C

    2016-07-01

    Our objective was to assess current practices about the administration (intermittent, extended, or continuous infusions) and therapeutic drug monitoring (TDM) of β-lactam antibiotics and vancomycin in France. We conducted a nationwide cross-sectional survey in May-August 2015, using an online questionnaire, sent as an e-mail link to infectious disease specialists and intensive care specialists through national mailing lists. We used clinical vignettes of critically ill patients to assess physicians' practices about administration and TDM practices for amoxicillin, cloxacillin, piperacillin/tazobactam, cefotaxime, ceftazidime, cefepime, meropenem and vancomycin. In all, 507 physicians participated (507/1200, response rate 42%). TDM was rarely available for β-lactams (from 16.5% (81/490) for cloxacillin to 30% (145/490) for ceftazidime), whereas vancomycin TDM was available in 97% (477/490) of the cases. In the clinical vignettes, ceftazidime and piperacillin/tazobactam were the β-lactams administered most frequently by extended or continuous infusions (76% (336/440) and 57% (252/444), respectively). Gaps in knowledge about the duration of stability of intravenous β-lactams were common (correct answers ranged from 8% (35/432) for cloxacillin to 33% (146/438) for ceftazidime). Most physicians (77%, 339/442) were convinced of the value of extended or continuous infusions for β-lactams in critically ill patients, but 48% (211/442) did not have access to practical guidelines. Our survey found that most infectious disease and intensive care specialists are favourable to optimized administration of β-lactams in critically ill patients. But the lack of guidelines and limited TDM availability for β-lactams in hospitals are potential barriers to its implementation. Copyright © 2016 European Society of Clinical Microbiology and Infectious Diseases. Published by Elsevier Ltd. All rights reserved.

  18. Comparison of Patterns of Use of Unrecorded and Recorded Spirits: Survey of Adult Drinkers in Rural Central China

    Directory of Open Access Journals (Sweden)

    Shiqing Wei

    2017-09-01

    Full Text Available About 70% of the beverage alcohol consumed in China annually is spirits. Recorded spirits make up most spirit consumption, but about 25% of total alcohol consumption (1.7 L pure alcohol per capita annually is unrecorded spirits (bai jiu, either homemade or made in unregulated distilleries. In some parts of China, the consumption of unrecorded spirits is higher than average. This paper compares the patterns of use of unrecorded distilled spirits and recorded distilled spirits among rural residents in Central China. Interviews were conducted with 3298 individuals in 21 towns/villages in 10 counties in the Hubei, Anhui, and Hebei provinces in the People’s Republic of China. Unrecorded bai jiu drinkers chose it because of its taste and its low price. It was consumed mostly by older men, mostly at home with family, more regularly and at higher alcohol by volume (ABV compared to recorded alcohol. Recorded bai jiu drinkers were more likely to drink away from their homes, consumed more bai jiu at memorable drinking occasions, and reported feeling sick after drinking more often than unrecorded bai jiu drinkers. This comparison of patterns of use of unrecorded bai jiu and recorded bai jiu does not suggest that unrecorded bai jiu is more problematic for drinkers.

  19. A cloud on the horizon-a survey into the use of electronic vaping devices for recreational drug and new psychoactive substance (NPS) administration.

    Science.gov (United States)

    Blundell, M; Dargan, P; Wood, D

    2018-01-01

    There is limited published scientific data on vaping recreational drugs other than cannabis. A recent review suggested that 15% of people vaping cannabis have also vaped a synthetic cannabinoid receptor agonist (SCRA) and identified over 300 Internet reports of e-liquid manufacture of recreational drugs and/or new psychoactive substances (NPS). To determine the prevalence of use of electronic vaping devices for recreational drug and NPS delivery in the UK. A voluntary online survey using a convenience sample of UK adult participants (aged 16 years old and over) identified by a market research company. Data was collected regarding demographics, smoking history, electronic vaping device history and recreational drug/NPS use and route of administration. There were 2501 respondents. The mean (±SD) age was 46.2 ± 16.8 years old. The commonest lifetime recreational drug used was Cannabis (818, 32.7%). The majority of respondents had smoked (1545, 61.8%) with 731 (29.2%) being current smokers. The most commonly used SCRA product was 'Spice Gold' (173, 6.9%) and SCRA compound was ADB-CHMICA (48, 1.9%). 861 (34.4%) had used an electronic vaping device; 340 (13.6%) having used them for recreational drug administration; 236 (9.4%) reporting current use. The commonest lifetime recreational drug to be vaped was cannabis (155, 65.7%), with electronic cigarettes (230, 48.2%) being the commonest reported route of SCRA compound administration. 9.4% of respondents currently use electronic vaping devices for recreational drug administration with 6.2% reporting lifetime cannabis vaping use. Further larger scale studies are required to help inform the appropriate treatment and primary prevention strategies.

  20. [Is smoking cessation part of the basic nursing education curriculum in Quebec? A survey of the program administrators].

    Science.gov (United States)

    Lepage, Mario; Dumas, Louise; Saint-Pierre, Chantal

    2014-01-01

    Basic nursing education has a major impact on the future professional practices of nurses. Nurses must be adequately trained to perform health promotion activities, such as smoking cessation. However, nurses play only a minor role in this field. The objective of this research was to describe the smoking cessation content in basic nursing programmes in Quebec. A simple descriptive mixed design (quantitative and qualitative) study was conducted among nursing programme administrators in Quebec, using a validated online questionnaire. On average, the time devoted to smoking cessation was reported to be less than one hour per year, essentially concerning the physiological and pathophysiological factors of tobacco consumption, while nursing professional assessment and counselling in smoking cessation were almost non-existent. The results confirm the need to increase and improve the time and content devoted to smoking cessation in the basic nursing education curriculum. It is also important to structure basic training courses so to improve knowledge, attitudes, and skills of future nurses in order to influence their role in smoking cessation in their future professional practice.

  1. 77 FR 67820 - Privacy Act of 1974; Report of a New System of Records; Food and Drug Administration User Fee System

    Science.gov (United States)

    2012-11-14

    ... Internal Revenue Service, issue a subpoena to HHS for records in this system of records, HHS will make such... Devices and Radiological Health, Center for Biologics Evaluation and Research, Center for Veterinary Medicine, Center for Tobacco Products, Center for Food Safety and Applied Nutrition, and the Office of...

  2. Lymphatic filariasis mapping by Immunochromatographic Test cards and baseline microfilaria survey prior to mass drug administration in Sierra Leone

    Directory of Open Access Journals (Sweden)

    Koroma Joseph B

    2012-01-01

    Full Text Available Abstract Background National mapping of lymphatic filariasis (LF was conducted using Immunochromatographic tests (ICT in 2005 to determine endemicity and geographic spread of the disease. A baseline microfilaria survey was then conducted to determine LF prevalence and microfilaria intensity. Methods In 2005 1,982 persons of 15 years and over from 14 health districts were selected and fingertip blood samples were tested with ICT cards. In 2007-8 blood samples were taken between 10 p.m. and 2 a.m. and examined for microfilaria (mf from 9,288 persons from 16 sentinel sites representing each district and 2 additional sites for districts with populations over 500,000 (Bo and Kenema. Results The overall LF prevalence by ICT cards was 21% (males 28%, females 15%. All districts had a prevalence of Wuchereria bancrofti antigen > 1%. Distribution of LF prevalence showed a strong spatial correlation pattern with high prevalence in a large area in the northeast gradually decreasing to a relatively low prevalence in the southwest coast. High prevalence was found in the northeast, Bombali (52%, Koinadugu (46%, Tonkolili (37% and Kono (30%. Low prevalence was found in the southwest, Bonthe (3% and Pujehun (4%. The mf prevalence was higher in the northeast: Bombali, 6.7%, Koinadugu 5.7%, Port Loko 4.4% and Kono 2.4%. Overall there was a significant difference in mf prevalence by gender: males 2.9%, females 1.8% (p = 0.0002 and within districts in Kailahun, Kono, Port Loko, Moyamba and Koinadugu (all p 20 years (2.5% than in people ≤ 20 years (1.7% (p = 0.043. The overall arithmetic mean mf density was 50.30 mf/ml among mf-positive individuals and 1.19 mf/ml in the population examined which varied significantly between districts. Conclusions The ICT results showed that LF was endemic nationwide and that preventive chemotherapy (PCT was justified across the country. Both the ICT and microfilaraemia surveys found that prevalence was greater in males than females

  3. Nurses and opioids: results of a bi-national survey on mental models regarding opioid administration in hospitals.

    Science.gov (United States)

    Guest, Charlotte; Sobotka, Fabian; Karavasopoulou, Athina; Ward, Stephen; Bantel, Carsten

    2017-01-01

    Pain remains insufficiently treated in hospitals. Increasing evidence suggests human factors contribute to this, due to nurses failing to administer opioids. This behavior might be the consequence of nurses' mental models about opioids. As personal experience and conceptions shape these models, the aim of this prospective survey was to identify model-influencing factors. A questionnaire was developed comprising of 14 statements concerning ideations about opioids and seven questions concerning demographics, indicators of adult learning, and strength of religious beliefs. Latent variables that may underlie nurses' mental models were identified using undirected graphical dependence models. Representative items of latent variables were employed for ordinal regression analysis. Questionnaires were distributed to 1,379 nurses in two London, UK, hospitals (n=580) and one German (n=799) hospital between September 2014 and February 2015. A total of 511 (37.1%) questionnaires were returned. Mean (standard deviation) age of participants were 37 (11) years; 83.5% participants were female; 45.2% worked in critical care; and 51.5% had more than 10 years experience. Of the nurses, 84% were not scared of opioids, 87% did not regard opioids as drugs to help patients die, and 72% did not view them as drugs of abuse. More English (41%) than German (28%) nurses were afraid of criminal investigations and were constantly aware of side effects (UK, 94%; Germany, 38%) when using opioids. Four latent variables were identified which likely influence nurses' mental models: "conscious decision-making"; "medication-related fears"; "practice-based observations"; and "risk assessment". They were predicted by strength of religious beliefs and indicators of informal learning such as experience but not by indicators of formal learning such as conference attendance. Nurses in both countries employ analytical and affective mental models when administering the opioids and seem to learn from experience

  4. SURVEY OF SHORT-TERM ORAL CORTICOSTEROID ADMINISTRATION BY ORTHOPAEDIC PHYSICIANS IN COLLEGE AND HIGH SCHOOL ATHLETES

    Directory of Open Access Journals (Sweden)

    Albert W. Pearsall IV

    2009-03-01

    Full Text Available The use of oral corticosteroid (OCS drugs is advocated because of their potent anti-inflammatory effects. They also possess many potential adverse effects. No study has assessed physician prescribing practices of OCS therapy in high school (HS or college (COL athletes. This paper reports the prescribing patterns of sports medicine physicians who used short-term OCS therapy and to describe associated complications in HS and COL athletes within a 24- month period. An internet link to a descriptive epidemiology survey was included in an e-mail to all members of the Arthroscopy Association of North America and the American Orthopaedic Society for Sports Medicine. Descriptive statistics and correlation analysis were used to examine responses. Total response rate was 32% (615/1,928. Sixty-six percent of the physicians indicated prescribing OCS to both groups of athletes, while 29% reported prescribing OCS to COL athletes and 5% to HS athletes for musculoskeletal injuries. Physicians who prescribed multiple OCS regimens to the same athlete within the same season (P = 0.01 and physicians who prescribed OCS to the skeletally immature athlete (P = 0.009 reported more complications than other physicians. Among the 412 physicians who did not prescribe OCS in the treatment of athletic induced musculoskeletal injury, 251 (61% cited a risk of developing medical complications as the primary reason for avoiding use. The reported number of medical complications was low with no cases of avascular necrosis reported for the 2-year recall period. Orthopaedic surgeons who treated athletic induced musculoskeletal injuries with a short-term course of oral corticosteroids reported that high school and college athletes benefited with few medical complications

  5. Nurses and opioids: results of a bi-national survey on mental models regarding opioid administration in hospitals

    Directory of Open Access Journals (Sweden)

    Guest C

    2017-03-01

    Full Text Available Charlotte Guest,1 Fabian Sobotka,2 Athina Karavasopoulou,3 Stephen Ward,3 Carsten Bantel4,5 1Pain Medicine, Chelsea and Westminster Hospital NHS Foundation Trust, London, UK; 2Division of Epidemiology and Biometry, Department of Health Services Research, Faculty 6, Medicine and Health Sciences, Carl von Ossietzky Universität Oldenburg, Oldenburg, Germany; 3Pain Service, Barts Health, St Bartholomew’s Hospital, London, UK; 4Department of Anaesthesiology, Intensive Care, Emergency Medicine and Pain Therapy, Oldenburg University, Klinikum Oldenburg Campus, Oldenburg, Germany; 5Department of Surgery and Cancer, Anaesthetics Section, Imperial College London, Chelsea and Westminster Hospital Campus, London, UK Objective: Pain remains insufficiently treated in hospitals. Increasing evidence suggests human factors contribute to this, due to nurses failing to administer opioids. This behavior might be the consequence of nurses’ mental models about opioids. As personal experience and conceptions shape these models, the aim of this prospective survey was to identify model-influencing factors. Material and methods: A questionnaire was developed comprising of 14 statements concerning ideations about opioids and seven questions concerning demographics, indicators of adult learning, and strength of religious beliefs. Latent variables that may underlie nurses’ mental models were identified using undirected graphical dependence models. Representative items of latent variables were employed for ordinal regression analysis. Questionnaires were distributed to 1,379 nurses in two London, UK, hospitals (n=580 and one German (n=799 hospital between September 2014 and February 2015. Results: A total of 511 (37.1% questionnaires were returned. Mean (standard deviation age of participants were 37 (11 years; 83.5% participants were female; 45.2% worked in critical care; and 51.5% had more than 10 years experience. Of the nurses, 84% were not scared of opioids, 87

  6. Panitumumab Use in Metastatic Colorectal Cancer and Patterns of KRAS Testing: Results from a Europe-Wide Physician Survey and Medical Records Review.

    Directory of Open Access Journals (Sweden)

    Jörg Trojan

    Full Text Available From 2008-2013, the European indication for panitumumab required that patients' tumor KRAS exon 2 mutation status was known prior to starting treatment. To evaluate physician awareness of panitumumab prescribing information and how physicians prescribe panitumumab in patients with metastatic colorectal cancer (mCRC, two European multi-country, cross-sectional, observational studies were initiated in 2012: a physician survey and a medical records review. The first two out of three planned rounds for each study are reported.The primary objective in the physician survey was to estimate the prevalence of KRAS testing, and in the medical records review, it was to evaluate the effect of test results on patterns of panitumumab use. The medical records review study also included a pathologists' survey.In the physician survey, nearly all oncologists (299/301 were aware of the correct panitumumab indication and the need to test patients' tumor KRAS status before treatment with panitumumab. Nearly all oncologists (283/301 had in the past 6 months of clinical practice administered panitumumab correctly to mCRC patients with wild-type KRAS status. In the medical records review, 97.5% of participating oncologists (77/79 conducted a KRAS test for all of their patients prior to prescribing panitumumab. Four patients (1.3% did not have tumor KRAS mutation status tested prior to starting panitumumab treatment. Approximately one-quarter of patients (85/306 were treated with panitumumab and concurrent oxaliplatin-containing chemotherapy; of these, 83/85 had confirmed wild-type KRAS status prior to starting panitumumab treatment. All 56 referred laboratories that participated used a Conformité Européenne-marked or otherwise validated KRAS detection method, and nearly all (55/56 participated in a quality assurance scheme.There was a high level of knowledge amongst oncologists around panitumumab prescribing information and the need to test and confirm patients

  7. Panitumumab Use in Metastatic Colorectal Cancer and Patterns of KRAS Testing: Results from a Europe-Wide Physician Survey and Medical Records Review.

    Science.gov (United States)

    Trojan, Jörg; Mineur, Laurent; Tomášek, Jiří; Rouleau, Etienne; Fabian, Pavel; de Maglio, Giovanna; García-Alfonso, Pilar; Aprile, Giuseppe; Taylor, Aliki; Kafatos, George; Downey, Gerald; Terwey, Jan-Henrik; van Krieken, J Han

    2015-01-01

    From 2008-2013, the European indication for panitumumab required that patients' tumor KRAS exon 2 mutation status was known prior to starting treatment. To evaluate physician awareness of panitumumab prescribing information and how physicians prescribe panitumumab in patients with metastatic colorectal cancer (mCRC), two European multi-country, cross-sectional, observational studies were initiated in 2012: a physician survey and a medical records review. The first two out of three planned rounds for each study are reported. The primary objective in the physician survey was to estimate the prevalence of KRAS testing, and in the medical records review, it was to evaluate the effect of test results on patterns of panitumumab use. The medical records review study also included a pathologists' survey. In the physician survey, nearly all oncologists (299/301) were aware of the correct panitumumab indication and the need to test patients' tumor KRAS status before treatment with panitumumab. Nearly all oncologists (283/301) had in the past 6 months of clinical practice administered panitumumab correctly to mCRC patients with wild-type KRAS status. In the medical records review, 97.5% of participating oncologists (77/79) conducted a KRAS test for all of their patients prior to prescribing panitumumab. Four patients (1.3%) did not have tumor KRAS mutation status tested prior to starting panitumumab treatment. Approximately one-quarter of patients (85/306) were treated with panitumumab and concurrent oxaliplatin-containing chemotherapy; of these, 83/85 had confirmed wild-type KRAS status prior to starting panitumumab treatment. All 56 referred laboratories that participated used a Conformité Européenne-marked or otherwise validated KRAS detection method, and nearly all (55/56) participated in a quality assurance scheme. There was a high level of knowledge amongst oncologists around panitumumab prescribing information and the need to test and confirm patients' tumors as

  8. Comparison of two food record-based dietary assessment methods for a pan-European food consumption survey among infants, toddlers, and children using data quality indicators

    DEFF Research Database (Denmark)

    Freisling, Heinz; C. Ocké, Marga; Casagrande, Corinne

    2014-01-01

    Purpose We aimed (1) to describe and evaluate the "EPIC-Soft DataEntry" application developed as a user-friendly data entry tool for pan-European and national food consumption surveys among infants and children, and (2) to compare two food record-based dietary assessment methods in terms of food...... description and quantification using data quality indicators. EPIC-Soft DataEntry was used for both methods. Methods Two pilot studies were performed in both Belgium and Czech Republic in a total of 376 children (3 months to 10 year olds): one using a consecutive 3-day food diary; and the second with two non...

  9. Uncontrolled Web-based administration of surveys on factual health-related knowledge: a randomized study of untimed versus timed quizzing.

    Science.gov (United States)

    Domnich, Alexander; Panatto, Donatella; Signori, Alessio; Bragazzi, Nicola Luigi; Cristina, Maria Luisa; Amicizia, Daniela; Gasparini, Roberto

    2015-04-13

    ) and the effect size was medium (Cohen's d=0.67). By contrast, no significant between-group difference in AHQ scores was documented. Unexpectedly high AHQ scores were recorded in 23% (7/31) and 19% (6/32) untimed and timed respondents, respectively, very probably owing to "e-cheating". Cribbing answers to health knowledge items in researcher-uncontrolled conditions is likely to lead to overestimation of people's knowledge; this should be considered during the design and implementation of Web-based surveys. Setting a time limit alone may not completely prevent cheating, as some cheats may be very fast in Web searching. More complex and contextualized wording of items and checking for the "findability" properties of items before implementing a Web-based health knowledge survey may discourage help-seeking, thus reducing measurement error. Studies with larger sample sizes and diverse populations are needed to confirm our results.

  10. Health system responsiveness and chronic disease care - What is the role of disease management programs? An analysis based on cross-sectional survey and administrative claims data.

    Science.gov (United States)

    Röttger, Julia; Blümel, Miriam; Linder, Roland; Busse, Reinhard

    2017-07-01

    Health system responsiveness is an important aspect of health systems performance. The concept of responsiveness relates to the interpersonal and contextual aspects of health care. While disease management programs (DMPs) aim to improve the quality of health care (e.g. by improving the coordination of care), it has not been analyzed yet whether these programs improve the perceived health system responsiveness. Our study aims to close this gap by analyzing the differences in the perceived health system responsiveness between DMP-participants and non-participants. We used linked survey- and administrative claims data from 7037 patients with coronary heart disease in Germany. Of those, 5082 were enrolled and 1955 were not enrolled in the DMP. Responsiveness was assessed with an adapted version of the WHO responsiveness questionnaire in a postal survey in 2013. The survey covered 9 dimensions of responsiveness and included 17 items for each, GP and specialist care. Each item had five answer categories (very good - very bad). We handled missing values in the covariates by multiple imputation and applied propensity score matching (PSM) to control for differences between the two groups (DMP/non-DMP). We used Wilcoxon-signed-rank and McNemar test to analyze differences regarding the reported responsiveness. The PSM led to a matched and well balanced sample of 1921 pairs. Overall, DMP-participants rated the responsiveness of care more positive. The main difference was found for the coordination of care at the GP, with 62.0% of 1703 non-participants reporting a "good" or "very good" experience, compared to 69.1% of 1703 participants (p < 0.001). The results of our study indicate an overall high responsiveness for CHD-care, as well for DMP-participants as for non-participants. Yet, the results also clearly indicate that there is still a need to improve the coordination of care. Copyright © 2017 Elsevier Ltd. All rights reserved.

  11. A primary care physician perspective survey on the limited use of handwriting and pen computing in the electronic medical record

    Directory of Open Access Journals (Sweden)

    Gary Arvary

    2002-09-01

    The use of handwriting in the EMR was broadly supported by this group of PCPs in private practice. Likewise, wireless pen computers were the overwhelming choice of computer for use during a consultation. In this group, older and lower volume physicians were less likely to desire a computer for use during a consultation. User acceptance of the EMR may be related to how closely it resembles the processes that are being automated. More surveys are required to determine the needs and expectations of physicians. The data also support other research studies that demonstrate the preference for handwriting and wireless computers, and the need for a limited, standardised and controlled vocabulary.

  12. Panitumumab use in metastatic colorectal cancer and patterns of RAS testing: results from a Europe-wide physician survey and medical records review.

    Science.gov (United States)

    Han van Krieken, J; Kafatos, George; Bennett, James; Mineur, Laurent; Tomášek, Jiří; Rouleau, Etienne; Fabian, Pavel; De Maglio, Giovanna; García-Alfonso, Pilar; Aprile, Giuseppe; Parkar, Parijan; Downey, Gerald; Demonty, Gaston; Trojan, Jörg

    2017-11-28

    In Europe, treatment of metastatic colorectal cancer (mCRC) with panitumumab requires prior confirmation of RAS wild-type mutation status. Two studies - a physician survey and a medical records review (MRR) - were conducted to evaluate the use of panitumumab and awareness among prescribing oncologists of the associated RAS testing requirements in clinical practice. Both studies enrolled participants from nine European countries and were carried out in three consecutive rounds. Rounds 1 and 2 (2012-2013) examined KRAS (exon 2) testing only; the results have been published in full previously. Round 3 (2014-2015) examined full RAS testing (exons 2, 3, 4 of KRAS and NRAS) and was initiated following a change in prescribing guidelines, from requiring KRAS alone to requiring full RAS testing. For the physician survey, telephone interviews were conducted with oncologists who had prescribed panitumumab to patients with mCRC in the previous 6 months. For the MRR, oncologists were asked to provide anonymised clinical information, extracted from their patients' records. In Round 3, 152 oncologists and 131 patients' records were included in the physician survey and MRR, respectively. In Round 3 of the physician survey, 95.4% (n = 145) of participants correctly identified that panitumumab should only be prescribed in RAS wild-type mCRC compared with 99.0% (n = 298) of 301 participants in Rounds 1 and 2, responding to the same question about KRAS testing. In Round 3 of the MRR, 100% (n = 131) of patients included in the study had confirmed KRAS or RAS wild-type status prior to initiation of panitumumab compared with 97.7% (n = 299) of 306 patients in Rounds 1 and 2 (KRAS only). Of those patients in Round 3, 83.2% (n = 109) had been tested for RAS status and 16.8% (n = 22) had been tested for KRAS status only. Physicians' adherence to prescribing guidelines has remained high over time in Europe, despite the change in indication for panitumumab treatment, from KRAS to

  13. Daily Weather Records

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — These daily weather records were compiled from a subset of stations in the Global Historical Climatological Network (GHCN)-Daily dataset. A weather record is...

  14. Iraq Radiosonde Launch Records

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Iraqi upper air records loaned to NCDC from the Air Force 14th Weather Squadron. Scanned notebooks containing upper air radiosonde launch records and data. Launches...

  15. Climate Record Books

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Climate Record Books contain daily, monthly, seasonal, and annual averages, extremes, or occurrences. Most data are sequential by period of record 1871-1910,...

  16. Do geological field survey and remote sensing record the same fractures? The case of the corallian Loyalty Islands (SW Pacific)

    Science.gov (United States)

    Thovert, J.; Huaman, D.; Genthon, P.; Adler, P. M.

    2010-12-01

    The Loyalty Islands are a series of corallian islands uplifted on the elastic bulge of the Australian lithosphere before its subduction at the Vanuatu (formerly New Hebrides) Trench. They are located on the non seismic Loyalty Ridge, which is starting colliding the Vanuatu Trench. The interiors of the islands are covered with dense forests and devoid of outcrops. Lineaments seen on remote sensing data (aerial photos, SPOT 3 and 4, Envisat) are compared with fractures and joints measured on a geological survey near the coasts, where corallian limestones outcrop. Lineaments observed by remote sensing in the inner Islands correspond to one main N110 direction with a large variance of nearly 15° in rms, two minor directions nearly 45° apart (N150 and N60) and no systematic evolution with distance to coasts. The three lineament families are seen near coasts as centimetric to decimetric aperture cracks without evidence of any displacement. However, an extensive geological survey of the fractures near the coast of the islands reveals a clear N135 direction and possibly an EW direction in the Lifou Island, while in the Maré island fractures present a large variance with a single N70 direction. The directions N 135, N110 and N60 are also observed regionally on the seafloor and are presumably present in the basement of the islands. It is shown that lineaments longer than 2000 m are close to the N110 direction and that the mean orientation shifts progressively to reach the N125 direction for L<400 m. Therefore, it is likely that the progressive shift in orientation continues up to the N135 direction observed in the field at the 10-50 m scale. The origin of this apparent difference between field data and remote sensing lineaments is discussed, considering (i) the intense karstification of these islands, where dissolution occurs during infiltration of rainwater, but also due to corrosion mixing at the top and the bottom of the freshwater lens and at its tips near coast. This

  17. AFSC/RACE/EcoFOCI - Ichthyoplankton data collected in support of FOCI assessment surveys and ecosystem observations in the Bering, Beaufort, and Chukchi Seas and the Gulf of Alaska 1972 to Present

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The dataset contains records of fish eggs and larvae collected during FOCI assessment surveys. Records include all data pertinent to identify where specimens were...

  18. Ant species (Hymenoptera, Formicidae from the seasonally dry tropical forest of northeastern Brazil: a compilation from field surveys in Bahia and literature records

    Directory of Open Access Journals (Sweden)

    Mônica A. Ulysséa

    2013-06-01

    Full Text Available Ant species (Hymenoptera, Formicidae from the seasonally dry tropical forest of northeastern Brazil: a compilation from field surveys in Bahia and literature records. The Caatingas occur predominantly in northeastern Brazil and comparatively it is the biome that received less attention than any other ecosystem in Brazil, representing the region where invertebrate groups are less known. We present here the first list of ant species of the Caatingas, compiling information from the literature, from a study of samples preserved in alcohol in the Laboratory of Entomology (Universidade Estadual de Feira de Santana, and from a field survey conducted in Milagres, Bahia, submitting standardized 1-m² samples of the leaf-litter to Winkler extractors. Summing all information, 11 subfamilies, 61 genera and 173 species (plus one subspecies of ants are recognized in the biome. This species number does not consider morphospecies that could not be named due to the lack of reliable recent taxonomic information for some Neotropical ant genera. The list presented here for ant species of the Caatingas is therefore underestimated, but it is relevant because it allows the identification of areas to be sampled in order to improve our knowledge of the diversity of ants in this biome.

  19. History of malaria treatment as a predictor of subsequent subclinical parasitaemia: a cross-sectional survey and malaria case records from three villages in Pailin, western Cambodia.

    Science.gov (United States)

    Peto, Thomas J; Kloprogge, Sabine E; Tripura, Rupam; Nguon, Chea; Sanann, Nou; Yok, Sovann; Heng, Chhouen; Promnarate, Cholrawee; Chalk, Jeremy; Song, Ngak; Lee, Sue J; Lubell, Yoel; Dhorda, Mehul; Imwong, Mallika; White, Nicholas J; von Seidlein, Lorenz; Dondorp, Arjen

    2016-04-26

    Treatment of the sub-clinical reservoir of malaria, which may maintain transmission, could be an important component of elimination strategies. The reliable detection of asymptomatic infections with low levels of parasitaemia requires high-volume quantitative polymerase chain reaction (uPCR), which is impractical to conduct on a large scale. It is unknown to what extent sub-clinical parasitaemias originate from recent or older clinical episodes. This study explored the association between clinical history of malaria and subsequent sub-clinical parasitaemia. In June 2013 a cross-sectional survey was conducted in three villages in Pailin, western Cambodia. Demographic and epidemiological data and blood samples were collected. Blood was tested for malaria by high-volume qPCR. Positive samples were analysed by nested PCR to determine the Plasmodium species. To identify previous episodes of malaria, case records were collected from village malaria workers and local health facilities and linked to study participants. Among 1343 participants, 40/122 (32.8 %) with a history of clinical malaria were parasitaemic during the cross-sectional survey, compared to 172/1221 (14.1 %) without this history (p history of clinical malaria, compared to 87 out of 1131 (7.7 %) parasite-negative participants; p history of Plasmodium vivax was associated with sub-clinical P. vivax parasitaemia in the survey (p history of P. falciparum. A clinical episode of vivax malaria was associated with subsequent sub-clinical parasitaemia. Treatment of P. vivax with artemisinin-based combination therapy without primaquine often resulted in recurrent episodes. Targeting individuals with a history of clinical malaria will be insufficient to eliminate the sub-clinical reservoir as they constitute a minority of parasitaemias.

  20. Readiness of the Belgian network of sentinel general practitioners to deliver electronic health record data for surveillance purposes: results of survey study

    Directory of Open Access Journals (Sweden)

    Vanthomme Katrien

    2010-06-01

    Full Text Available Abstract Background In order to proceed from a paper based registration to a surveillance system that is based on extraction of electronic health records (EHR, knowledge is needed on the number and representativeness of sentinel GPs using a government-certified EHR system and the quality of EHR data for research, expressed in the compliance rate with three criteria: recording of home visits, use of prescription module and diagnostic subject headings. Methods Data were collected by annual postal surveys between 2005 and 2009 among all sentinel GPs. We tested relations between four key GP characteristics (age, gender, language community, practice organisation and use of a certified EHR system by multivariable logistic regression. The relation between EHR software package, GP characteristics and compliance with three quality criteria was equally measured by multivariable logistic regression. Results A response rate of 99% was obtained. Of 221 sentinel GPs, 55% participated in the surveillance without interruption from 2005 onwards, i.e. all five years, and 78% were participants in 2009. Sixteen certified EHR systems were used among 91% of the Dutch and 63% of the French speaking sentinel GPs. The EHR software package was strongly related to the community and only one EHR system was used by a comparable number of sentinel GPs in both communities. Overall, the prescription module was always used and home visits were usually recorded. Uniform subject headings were only sometimes used and the compliance with this quality criterion was almost exclusively related to the EHR software package in use. Conclusions The challenge is to progress towards a sentinel network of GPs delivering care-based data that are (partly extracted from well performing EHR systems and still representative for Belgian general practice.

  1. The independent associations of recorded crime and perceived safety with physical health in a nationally representative cross-sectional survey of men and women in New Zealand

    Science.gov (United States)

    Lovasi, Gina S; Goh, Charlene E; Pearson, Amber L; Breetzke, Gregory

    2014-01-01

    Objectives We investigated associations of officially recorded crime and perceived neighbourhood safety with physical health, evaluating potential effect modification by gender. Setting Nationally representative population-based survey in New Zealand. Participants Individual-level data from 6995 New Zealand General Social Survey (2010–2011) participants with complete data on physical health status, perceived neighbourhood safety, sociodemographic characteristics and smoking. Crime rate for each participant's home census was estimated based on data from the New Zealand Police (2008–2010). Primary outcome measure The Transformed Physical Composite Score from the SF-12, a physical health summary score based on self-report ranging from 0 to 100. Results We used cluster robust multivariable regression models to examine the associations among neighbourhood crime rates, perceived neighbourhood safety and the physical health summary score. Crime rates predicted adults’ perception that it was unsafe to walk in their neighbourhood at night: for each additional crime per 100 000 residents adults were 1.9% more likely to perceive their neighbourhood as unsafe (95% CI 1.2% to 2.5%). While relatively uncommon, the rate of crime with a weapon strongly predicted perceived safety: for each additional crime per 100 000 residents in this category, adults were 12.9% more likely to report the neighbourhood as unsafe (95% CI 8.8% to 17.0%). Police-recorded violent and night crime rates were associated with worse physical health among women: for each additional crime per 100 000 residents in these category women had a 0.3 point lower physical health score (95% CIs −0.6 to −0.1 for violent crime and −0.5 to −0.1 for crime at night, gender interaction p values 0.08 and 0.01, respectively). Perceiving the neighbourhood as unsafe was independently associated with 1.0 point lower physical health score (95% CI −1.5 to −0.5). Conclusions Gender may modify the

  2. The independent associations of recorded crime and perceived safety with physical health in a nationally representative cross-sectional survey of men and women in New Zealand.

    Science.gov (United States)

    Lovasi, Gina S; Goh, Charlene E; Pearson, Amber L; Breetzke, Gregory

    2014-03-10

    We investigated associations of officially recorded crime and perceived neighbourhood safety with physical health, evaluating potential effect modification by gender. Nationally representative population-based survey in New Zealand. Individual-level data from 6995 New Zealand General Social Survey (2010-2011) participants with complete data on physical health status, perceived neighbourhood safety, sociodemographic characteristics and smoking. Crime rate for each participant's home census was estimated based on data from the New Zealand Police (2008-2010). The Transformed Physical Composite Score from the SF-12, a physical health summary score based on self-report ranging from 0 to 100. We used cluster robust multivariable regression models to examine the associations among neighbourhood crime rates, perceived neighbourhood safety and the physical health summary score. Crime rates predicted adults' perception that it was unsafe to walk in their neighbourhood at night: for each additional crime per 100 000 residents adults were 1.9% more likely to perceive their neighbourhood as unsafe (95% CI 1.2% to 2.5%). While relatively uncommon, the rate of crime with a weapon strongly predicted perceived safety: for each additional crime per 100 000 residents in this category, adults were 12.9% more likely to report the neighbourhood as unsafe (95% CI 8.8% to 17.0%). Police-recorded violent and night crime rates were associated with worse physical health among women: for each additional crime per 100 000 residents in these category women had a 0.3 point lower physical health score (95% CIs -0.6 to -0.1 for violent crime and -0.5 to -0.1 for crime at night, gender interaction p values 0.08 and 0.01, respectively). Perceiving the neighbourhood as unsafe was independently associated with 1.0 point lower physical health score (95% CI -1.5 to -0.5). Gender may modify the associations of officially recorded crime rates with physical health. Perceived neighbourhood safety was

  3. Selective enrollment in Disease Management Programs for coronary heart disease in Germany - An analysis based on cross-sectional survey and administrative claims data.

    Science.gov (United States)

    Röttger, Julia; Blümel, Miriam; Busse, Reinhard

    2017-04-04

    In 2002, Disease Management Programs (DMPs) were introduced within the German healthcare system with the aim to increase the quality of chronic disease care. Due to the enrollment procedures, it can be assumed a) that only certain patients actively decide to enroll in a DMP and/or b) that only certain patients get the recommendation for DMP enrollment from their physician. How strong this assumed effect of self- and/or professional selection is, is still unclear. We used data from a cross-sectional postal-survey linked on individual level with administrative claims data from a German sickness fund. The sample consisted of individuals suffering from coronary heart disease (CHD) who i) were either enrolled in the respective DMP or ii) fulfilled the disease related criteria for enrollment but were not enrolled. We applied multivariate logistic regression analyses to assess factors on patient level associated with DMP enrollment. We included 7070 individuals in our analyses. Male sex, higher age and receiving old age pension, a higher Charlson Score and a diagnosis of type 2 diabetes increased the odds for DMP-CHD enrollment significantly. Individuals with a diagnosed myocardial infarction (MI) were also more likely to be enrolled in the DMP-CHD. We found a significant interaction effect for MI and sex, indicating that the association between MI and DMP enrollment is stronger for women than for men. DMP-enrollees and non-enrollees differ in various factors. Studies analyzing the effectiveness of DMP-CHD should carefully take into account these group differences. Furthermore, the results suggest that the DMP-CHD assessed reaches men better than women.

  4. Color Shaded-Relief GeoTIFF Image Showing the Combined 2-m and Interpolated 10-m Bathymetry Generated from National Oceanic and Atmospheric Administration (NOAA) Survey H12013 Off the Entrance to the Connecticut River in Northeastern Long Island Sound (H12013_INT2M_GEO.TIF, Geographic, WGS84)

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey (USGS), in cooperation with the National Oceanic and Atmospheric Administration (NOAA) and the Connecticut Department of Energy and...

  5. Color Hill-Shaded GeoTIFF Image Showing the Composite 2-m Bathymetry Generated from National Oceanic and Atmospheric Administration (NOAA) Surveys H11252 and H11361 in Eastern Long Island Sound (SMR_COMP_2MUTM.TIF, UTM, Zone 18)

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey, in cooperation with the National Oceanic and Atmospheric Administration and the Connecticut Department of Environmental Protection, has...

  6. H11077_SSS100_GEO.TIF: 0.5-m Stretched Grayscale Image of the Sidescan-Sonar Data From National Oceanic and Atmospheric Administration (NOAA) Survey H11077 of the Sea Floor in the Vicinity of Woods Hole, Massachusetts (Geographic)

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey (USGS), in cooperation with the National Oceanic and Atmospheric Administration (NOAA) and the Massachusetts Office of Coastal Zone...

  7. Color Hill-Shaded GeoTIFF Image Showing the 2-m Bathymetry Generated from National Oceanic and Atmospheric Administration (NOAA) Survey H11361 in Eastern Long Island Sound (H11361_2MUTM18_MB.TIF, UTM Zone 18)

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey, in cooperation with the National Oceanic and Atmospheric Administration and the Connecticut Department of Environmental Protection, has...

  8. Color Shaded-Relief GeoTIFF Image Showing the 2-m Bathymetry Generated from National Oceanic and Atmospheric Administration (NOAA) Survey H12012 Offshore in Northeastern Long Island Sound (UTM Zone 18, NAD83, H12012_2MMB_UTM18.TIF)

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey (USGS), in cooperation with the National Oceanic and Atmospheric Administration (NOAA) and the Connecticut Department of Energy and...

  9. Interpretation of Bottom Features from National Oceanic and Atmospheric Administration (NOAA) Survey H12007 and USGS Cruise 2011-006-FA in the Vicinity of Cross Rip Channel in Nantucket Sound, Offshore Southeastern Massachusetts (H12007_INTERP.SHP, Geographic, WGS84)

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey (USGS), in cooperation with the National Oceanic and Atmospheric Administration (NOAA), is producing detailed geologic maps of the coastal...

  10. Color Shaded-Relief GeoTIFF Image Showing the 3-m Bathymetry Generated from National Oceanic and Atmospheric Administration (NOAA) Survey H11079 in Great Round Shoal Channel, Offshore Massachusetts (H11079_3MUTM19_MB.TIF, UTM Zone 19)

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey (USGS), in cooperation with the National Oceanic and Atmospheric Administration (NOAA) and the Massachusetts Office of Coastal Zone...

  11. Color Shaded-Relief GeoTIFF Image Showing the 2-m Bathymetry Generated from National Oceanic and Atmospheric Administration (NOAA) Survey H11446 North of Orient Point, New York (H11446_MB2M_GEO.TIF, Geographic, WGS84)

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey (USGS), in cooperation with the Connecticut Department of Environmental Protection and National Oceanic and Atmospheric Administration...

  12. Color Shaded-Relief GeoTIFF Image Showing the 2-m Bathymetry Generated from National Oceanic and Atmospheric Administration (NOAA) Survey H11999 North of Duck Pond Point, New York (H11999_MB2M_GEO.TIF, Geographic, WGS84)

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey (USGS), in cooperation with the Connecticut Department of Environmental Protection and National Oceanic and Atmospheric Administration...

  13. Enhanced Grayscale TIFF Image of the 1-m Sidescan-Sonar Data From National Oceanic and Atmospheric Administration (NOAA) Survey H11251 Offshore of Rocky Point, New York (H11251_1MSSS_UTM18.TIF, UTM Zone 18, NAD83)

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey (USGS), in cooperation with the National Oceanic and Atmospheric Administration (NOAA), is producing detailed geologic maps of the coastal...

  14. Grayscale GeoTIFF Image of the 1-m Sidescan-Sonar Data From National Oceanic and Atmospheric Administration (NOAA) Survey H12023 in Block Island Sound (H12023_1MSSS_UTM19.TIF, UTM Zone 19, NAD83)

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey (USGS), in cooperation with the National Oceanic and Atmospheric Administration (NOAA), is producing detailed geologic maps of the coastal...

  15. Color Shaded-Relief GeoTIFF Image Showing the 2-m Bathymetry Generated from National Oceanic and Atmospheric Administration (NOAA) Survey H11922 in Rhode Island Sound (H11922_2MMB_UTM19.TIF, UTM Zone 19, NAD83)

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey (USGS), in cooperation with the National Oceanic and Atmospheric Administration (NOAA), is producing detailed geologic maps of the coastal...

  16. Color Shaded-Relief GeoTIFF Image Showing the 1.5-m Bathymetry Generated from National Oceanic and Atmospheric Administration (NOAA) Survey H11077 in Woods Hole, MA (H11077_MB1.5M_GEO.TIF, Geographic)

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey (USGS), in cooperation with the National Oceanic and Atmospheric Administration (NOAA) and the Massachusetts Office of Coastal Zone...

  17. Color Shaded-Relief GeoTIFF Image Showing the 2-m Bathymetry Generated from National Oceanic and Atmospheric Administration (NOAA) Survey H11995 in Rhode Island Sound (H11995_MB2M_UTM.TIF, UTM Zone 19, NAD83)

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey (USGS), in cooperation with the National Oceanic and Atmospheric Administration (NOAA), is producing detailed geologic maps of the coastal...

  18. Color Hill-Shaded GeoTIFF Image Showing the 2-m bathymetry Generated from National Oceanic and Atmospheric Administration (NOAA) Survey H11252 in Eastern Long Island Sound (H11252_2MUTM18_MB.TIF, UTM Zone 18)

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey, in cooperation with the National Oceanic and Atmospheric Administration and the Connecticut Department of Environmental Protection, has...

  19. Color Shaded-Relief GeoTIFF Image Showing the 1-m Bathymetry Generated from National Oceanic and Atmospheric Administration (NOAA) Survey H12007 in the Vicinity of Cross Rip Channel, Nantucket Sound (H12007_1MMB_UTM19.TIF, UTM Zone 19, NAD83)

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey (USGS), in cooperation with the National Oceanic and Atmospheric Administration (NOAA), is producing detailed geologic maps of the coastal...

  20. 0.5-m Stretched Grayscale Image of the Sidescan-Sonar Data From National Oceanic and Atmospheric Administration (NOAA) Survey H11077 of the Sea Floor in the Vicinity of Woods Hole, Massachusetts (H11077_SSS100_UTM19.TIF, UTM Zone 19)

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey (USGS), in cooperation with the National Oceanic and Atmospheric Administration (NOAA) and the Massachusetts Office of Coastal Zone...

  1. Color Shaded-Relief GeoTIFF Image Showing the 25-m Bathymetry Generated from National Oceanic and Atmospheric Administration (NOAA) Survey H11346 in the vicinity of Edgartown Harbor, MA (H11346_MB25M_GEO.TIF, Geographic, WGS84)

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey (USGS), in cooperation with the National Oceanic and Atmospheric Administration (NOAA) and the Massachusetts Office of Coastal Zone...

  2. Color Shaded-Relief GeoTIFF Image Showing the 0.5-m Bathymetry Generated from National Oceanic and Atmospheric Administration (NOAA) Survey H11077 in Woods Hole, MA (H11077_MB0.5M_GEO.TIF, Geographic)

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey (USGS), in cooperation with the National Oceanic and Atmospheric Administration (NOAA) and the Massachusetts Office of Coastal Zone...

  3. 0.5-m Stretched Grayscale Image of the Sidescan-Sonar Data From National Oceanic and Atmospheric Administration (NOAA) Survey H11077 of the Sea Floor in the Vicinity of Woods Hole, Massachusetts (H11077_SSS100_GEO.TIF, Geographic)

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey (USGS), in cooperation with the National Oceanic and Atmospheric Administration (NOAA) and the Massachusetts Office of Coastal Zone...

  4. Color Shaded-Relief GeoTIFF Image Showing the 2-m Bathymetry Generated from National Oceanic and Atmospheric Administration (NOAA) Survey H11446 North of Orient Point, New York (H11446_MB2M_UTM.TIF, UTM Zone 18, NAD83)

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey (USGS), in cooperation with the Connecticut Department of Environmental Protection and National Oceanic and Atmospheric Administration...

  5. Color Shaded-Relief GeoTIFF Image Showing the 2-m Bathymetry Generated from National Oceanic and Atmospheric Administration (NOAA) Survey H12023 in Block Island Sound (H12023_MB2M_UTM.TIF, UTM Zone 19, NAD83)

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey (USGS), in cooperation with the National Oceanic and Atmospheric Administration (NOAA), is producing detailed geologic maps of the coastal...

  6. Grayscale TIFF Image of the 1-m Sidescan-Sonar Data From National Oceanic and Atmospheric Administration (NOAA) Survey H12013 off the entrance to the Connecticut River in northeastern Long Island Sound (H12013_1MSSS_UTM18.TIF, UTM Zone 18, NAD83)

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey (USGS), in cooperation with the National Oceanic and Atmospheric Administration (NOAA) and the Connecticut Department of Energy and...

  7. Color Shaded-Relief GeoTIFF Image Showing the 2-m Bathymetry Generated from National Oceanic and Atmospheric Administration (NOAA) Survey H12296 in Block Island Sound (H12296_MB2M_UTM.TIF, UTM Zone 19, NAD 83)

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey (USGS), in cooperation with the National Oceanic and Atmospheric Administration (NOAA), is producing detailed geologic maps of the coastal...

  8. Color Shaded-Relief GeoTIFF Image Showing the 2-m Bathymetry Generated from National Oceanic and Atmospheric Administration (NOAA) Survey H12013 Off the Entrance to the Connecticut River in Northeastern Long Island Sound (H12013_2M_UTM18.TIF, UTM Zone 18, NAD83)

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey (USGS), in cooperation with the National Oceanic and Atmospheric Administration (NOAA) and the Connecticut Department of Energy and...

  9. White House Tapes of the Nixon Administration, 1971 to 1973

    Data.gov (United States)

    National Archives and Records Administration — This dataset provides information about the Nixon Administration's White House Tapes. The White House Tapes contain sound recordings of President Richard Nixon's...

  10. A Nationwide Survey on Patient's versus Physician´s Evaluation of Biological Therapy in Rheumatoid Arthritis in Relation to Disease Activity and Route of Administration: The Be-Raise Study.

    Science.gov (United States)

    De Mits, Sophie; Lenaerts, Jan; Vander Cruyssen, Bert; Mielants, Herman; Westhovens, René; Durez, Patrick; Elewaut, Dirk

    2016-01-01

    Biological treatment of rheumatoid arthritis (RA) is one of the cornerstones of current treatment strategies for the disease. Surprisingly little information exists on whether the route of administration affects patients' treatment satisfaction. It is equally unclear whether rheumatologists are able to accurately perceive their patients' appreciation. Thus, the Belgian Be-raise survey aimed to examine whether RA patient's experience of their current biological treatment coincided with the treating physician's perception. A nationwide cross-sectional survey was conducted by 67 Belgian rheumatologists providing data obtained from 550 RA patients. Patients under stable dose of biologics for at least 6 months, were enrolled consecutively and all completed questionnaires. Separate questionnaires were completed by the treating rheumatologist which evaluated their patient's perception of the route of treatment administration. This study therefore evaluates whether a treating physician perceives the satisfaction with the route of administration to the same degree as the patient. Completed questionnaires were obtained from 293 and 257 patients who obtained treatment via the intravenous (IV) or subcutaneous (SC) route of administration, respectively. 58.4% of patients were in DAS28-CRP(3) remission. Patient satisfaction with disease control was higher (44% scored ≥ 9) than that of the treating physician (35%), regardless of the route of administration (pbiological treatment is high, but there is a considerable mismatch between patients´ and rheumatologists´ appreciation on the route of administration of biological therapy in RA. Physicians consistently consider IV biological therapy to be less satisfactory. Patient´s appreciation is largely dependent on disease control, irrespective of the route of administration. Therefore, and encouraging shared decision making, we suggest that physicians and patients discuss the route of administration of biologicals in an open way.

  11. Are welders more at risk of respiratory infections? Findings from a cross-sectional survey and analysis of medical records in shipyard workers: the WELSHIP project.

    Science.gov (United States)

    Marongiu, Andrea; Hasan, Omar; Ali, Anila; Bakhsh, Sharoon; George, Bobby; Irfan, Nabeel; Minelli, Cosetta; Canova, Cristina; Schofield, Susie; De Matteis, Sara; Cullinan, Paul

    2016-07-01

    Exposure to welding fume increases the risk of pneumococcal infection; whether such susceptibility extends to other respiratory infections is unclear. We report findings from a survey and from medical consultation data for workers in a large shipyard in the Middle East. Between January 2013 and December 2013, we collected cross-sectional information from 529 male workers variously exposed to welding fume. Adjusted ORs for respiratory symptoms (cough, phlegm, wheezing, shortness of breath and 'chest illness') were estimated using multivariable logistic regression. Subsequently, we examined consultation records from 2000 to 2011 for 15 954 workers who had 103 840 consultations for respiratory infections; the associations between respiratory infections and levels of welding exposure were estimated using a count regression model with a negative binomial distribution. 13% of surveyed workers reported respiratory symptoms with a higher prevalence in winter, particularly among welders. The adjusted OR in welders versus other manual labourers was 1.72 (95% CI 1.02 to 3.01) overall and 2.31 (1.05 to 5.10) in winter months; no effect was observed in summer. The risk of consultation for respiratory infections was higher in welders than in manual labourers, with an adjusted incidence rate ratio of 1.45 (1.59 to 1.83) overall, 1.47 (1.42 to 1.52) in winter and 1.33 (1.23 to 1.44) in summer (interaction, prespiratory symptoms and consultations for respiratory infection in welders are more common in winter may indicate an enhanced vulnerability to a broad range of infections. If confirmed, this would have important implications for the occupational healthcare of a very large, global workforce. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

  12. Do service innovations influence the adoption of electronic health records in long-term care organizations? Results from the U.S. National Survey of Residential Care Facilities.

    Science.gov (United States)

    Bhuyan, Soumitra S; Zhu, He; Chandak, Aastha; Kim, Jungyoon; Stimpson, Jim P

    2014-12-01

    Healthcare organizations including residential care facilities (RCFs) are diversifying their services to meet market demands. Service innovations have been linked to the changes in the way that healthcare organizations organize their work. The objective of this study is to explore the relationship between organizational service innovations and Electronic Health Record (EHR) adoption in the RCFs. We used the data from the 2010 National Survey of Residential Care Facilities conducted by the Centers for Disease Control and Prevention. The outcome was whether an RCF adopted EHR or not, and the predictors were the organizational service innovations including provision of skilled nursing care and medication review. We also added facility characteristics as control variables. Weighted multivariate logistic regressions were used to estimate the relationship between service innovation factors and EHR adoption in the RCFs. In 2010, about 17.4% of the RCFs were estimated to use EHR. Multivariate analysis showed that RCFs employing service innovations were more likely to adopt EHR. The residential care facilities that provide skilled nursing services to their residents are more likely (OR: 1.42; 95% CI: 1.09-1.87) to adopt EHR. Similarly, RCFs with a provision of medication review were also more likely to adopt EHR (OR: 1.40; 95% CI: 1.00-1.95). Among the control variables, facility size, chain affiliation, ownership type, and Medicaid certification were significantly associated with EHR adoption. Our findings suggest that service innovations may drive EHR adoption in the RCFs in the United States. This can be viewed as a strategic attempt by RCFs to engage in a new business arrangement with hospitals and other health care organizations, where quality of care and interoperability of patients' records might play a vital role under the current healthcare reform. Future research could examine the relationship between service innovations and use of different EHR functionality in

  13. 36 CFR 1235.50 - What specifications and standards for transfer apply to electronic records?

    Science.gov (United States)

    2010-07-01

    ... Records Administration, Electronic/Special Media Records Services Division (NWME), 8601 Adelphi Road... and Records Administration, Electronic/Special Media Records Services Division (NWME), 8601 Adelphi... photographs and metadata, or the National Archives and Records Administration, Electronic/Special Media...

  14. Administrative Methods for Reducing Crime in Primary and Secondary Schools: A Regression Analysis of the U.S. Department of Education School Survey of Crime and Safety

    Science.gov (United States)

    Noonan, James H.

    2011-01-01

    Since the 1999 Columbine High School shooting school administrators have been tasked with creating positive education environments while also maximizing the safety of the students and staff. However, limited resources require school administrators to only employ safety policies which are actually effective in reducing crime. In order to help…

  15. Fluid Intake of Pregnant and Breastfeeding Women in Indonesia: A Cross-Sectional Survey with a Seven-Day Fluid Specific Record.

    Science.gov (United States)

    Bardosono, Saptawati; Prasmusinto, Damar; Hadiati, Diah R; Purwaka, Bangun T; Morin, Clementine; Pohan, Rizki; Sunardi, Diana; Chandra, Dian N; Guelinckx, Isabelle

    2016-11-22

    During pregnancy and lactation, the adequate intake (AI) for total water intake is increased. This cross-sectional survey aimed to assess Total Fluid Intake (TFI; sum of drinking water and all other fluids) of 300 pregnant and 300 breastfeeding women in Indonesia. A seven-day fluid specific record was used to assess TFI. Mean TFI of pregnant and breastfeeding women were 2332 ± 746 mL/day and 2525 ± 843 mL/day, respectively. No significant difference in TFI between pregnancy trimesters was observed, while TFI of women breastfeeding for 12-24 months postpartum (2427 ± 955 mL/day) was lower than that of the two other groups (0-5 months: 2607 ± 754 mL/day; 6-11 months: 2538 ± 807 mL/day, respectively). Forty-two and 54% of the pregnant and breastfeeding subjects, respectively, did not reach the AI of water from fluids. These AI were actually known by only 14% and 23% of the pregnant and breastfeeding subjects. However, having the knowledge about the AI did not increase the odds of reaching the AI. Concluding that a high proportion of the pregnant and breastfeeding subjects did not reach the AI of water from fluid, it seems pertinent to further assess the fluid intake, as well as their hydration status, in other countries.

  16. A malacological survey in the Manso Power Plant, State of Mato Grosso, Brazil: new records of freshwater snails, including transmitters of schistosomiasis and exotic species

    Directory of Open Access Journals (Sweden)

    Monica Ammon Fernandez

    2014-07-01

    Full Text Available Introduction Schistosomiasis is a parasitic disease of public health concern in Brazil, and the construction of hydroelectric dams, in addition to increasing permanent human settlement and tourism, has created conditions suitable for the establishment of mollusks that can transmit schistosomiasis. Such areas require a number of actions to prevent the establishment of schistosomiasis. This paper reports on a freshwater malacological survey carried out in the geographical area of the Manso Power Plant. Methods Mollusks were collected in 18 municipalities in the State of Mato Grosso between February 2002 and February 2004 (qualitative study and from April 2009 to February 2011 (quantitative study. Results Thirty-one species of mollusks were collected, including newly recorded species (Antillorbis nordestensis and Burnupia ingae. In addition, the geographic distributions of known species, including Biomphalaria straminea, a snail vector of Schistosoma mansoni, were expanded. A total of 4,507 specimens were collected in the APM Manso reservoir (Usina Hidrelétrica de Aproveitamento Múltiplo de Manso during the quantitative study, and Biomphalaria amazonica was found in six of the 10 localities analyzed. The Afroasiatic species Melanoides tuberculata, introduced after February 2009, was the dominant species (relative abundance 94.96%. Conclusions The study area is epidemiologically important due to the occurrence of B. straminea and B. amazonica, which are vectors of schistosomiasis, and M. tuberculata, a snail host of Centrocestus formosanus, which is responsible for centrocestiasis transmission. Observations of M. tuberculata and the exotic freshwater clams Corbicula fluminea and Corbicula largillierti raise concerns about biodiversity.

  17. The Effect of Electronic Health Record Use and Patient-Centered Communication on Cancer Screening Behavior: An Analysis of the Health Information National Trends Survey.

    Science.gov (United States)

    Totzkay, Daniel; Silk, Kami J; Sheff, Sarah E

    2017-07-01

    The present study used the 2013 Health Information National Trends Survey (N = 3185) to examine the effects of patient-centered communication (PCC) and the use of electronic health records (EHRs) on the likelihood of patients receiving a recommended screening for cancer (i.e., mammogram, PSA test). Self-determination theory, a framework of self-initiated extrinsic behaviors, was applied to test mediation models of PCC and EHR use, respectively, through patient activation. The results demonstrated that PCC and EHR use predicted cancer screening (mediated through patient activation), but only for women recommended for biannual mammograms. The aforementioned relationship was not found for men who are recommended for prostate cancer screening. PCC and EHRs do appear to facilitate a patient's ability to take care of their own health, but only under certain circumstances. It was additionally found that men were more likely to report higher degrees of physician PCC when their physicians maintained an EHR, whereas women reported no difference. Future research should examine more nuanced personality factors that affect the perception of PCC in the presence of EHRs and the relationship between men's activation and likelihood of receiving a cancer screen.

  18. Survey Data

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Cleaned and QCd data for the Fishing Effort Survey. Questions on fishing and other out are asked on weather and outdoor activity, including fishing trips. Used for...

  19. Insolvency administrator

    OpenAIRE

    Marková, Jana

    2014-01-01

    This thesis analyses the role of an insolvency administrator in insolvency proceedings. It focuses not only on general duties of insolvency administrators in insolvency proceedings, but it also deals with prerequisites necessary to meet in order to be eligible for the function of an insolvency administrator. The thesis presents various types of insolvency administrators, the appointment procedure and changes to the appointment of an insolvency administrator, the possibility to recall, expel a...

  20. H11044N_10GEO: 10-m Interpolated Bathymetric Grid of the Northern Part of National Oceanic and Atmospheric Administration (NOAA) Survey H11044 off Milford, Connecticut (Geographic)

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — During 2001 the NOAA Ship RUDE completed charting survey H11044 that covered a roughly 293 km2 area of the sea floor in north-central Long Island Sound, off Milford...

  1. Interpreting land records

    CERN Document Server

    Wilson, Donald A

    2014-01-01

    Base retracement on solid research and historically accurate interpretation Interpreting Land Records is the industry's most complete guide to researching and understanding the historical records germane to land surveying. Coverage includes boundary retracement and the primary considerations during new boundary establishment, as well as an introduction to historical records and guidance on effective research and interpretation. This new edition includes a new chapter titled "Researching Land Records," and advice on overcoming common research problems and insight into alternative resources wh

  2. U.S. Geological Survey Polar Bear Mark-Recapture Records, Alaska Portion of the Southern Beaufort Sea, 2001-2010

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — These data were collected by the U.S. Geological Survey, Alaska Science Center, Polar Bear Research Program as part of long-term research on the southern Beaufort...

  3. Comparison of two food record-based dietary assessment methods for a pan-European food consumption survey among infants, toddlers, and children using data quality indicators.

    Science.gov (United States)

    Freisling, Heinz; Ocké, Marga C; Casagrande, Corinne; Nicolas, Geneviève; Crispim, Sandra P; Niekerk, Maryse; van der Laan, Jan; de Boer, Evelien; Vandevijvere, Stefanie; de Maeyer, Mieke; Ruprich, Jiri; Dofkova, Marcela; Huybrechts, Inge; Trolle, Ellen; Slimani, Nadia

    2015-04-01

    We aimed (1) to describe and evaluate the "EPIC-Soft DataEntry" application developed as a user-friendly data entry tool for pan-European and national food consumption surveys among infants and children, and (2) to compare two food record-based dietary assessment methods in terms of food description and quantification using data quality indicators. EPIC-Soft DataEntry was used for both methods. Two pilot studies were performed in both Belgium and Czech Republic in a total of 376 children (3 months to 10 year olds): one using a consecutive 3-day food diary; and the second with two non-consecutive 1-day food diaries with data entry during a completion interview. The collected dietary data were compared between the two dietary assessment methods by country and by age groups: (i) 3-10 years. Overall, 70% of the interviewers evaluated the work with EPIC-Soft DataEntry as easy. With both dietary assessment methods, an equally high proportion of specific food names (e.g., "yoghurt, strawberry") were reported, where only between 5 and 15% of foods were non-specified (e.g., "yoghurt, n.s."). The two 1-day food diaries yielded a higher proportion of foods with detailed description. For example, in the age category of 1-3 year olds in Belgium, for 7 out of 16 systematic questions on food description (e.g., "preservation method,") specific answers were significantly higher (all P < 0.03). The proportion of missing quantities of consumed foods was comparable between the two methods. The EPIC-Soft DataEntry application was positively evaluated by the majority of the interviewers. Two non-consecutive 1-day food diaries with data entry during a completion interview provide a more detailed description of consumed foods as compared with a 3-day food diary.

  4. Administrating Solr

    CERN Document Server

    Mohan, Surendra

    2013-01-01

    A fast-paced, example-based guide to learning how to administrate, monitor, and optimize Apache Solr.""Administrating Solr"" is for developers and Solr administrators who have a basic knowledge of Solr and who are looking for ways to keep their Solr server healthy and well maintained. A basic working knowledge of Apache Lucene is recommended, but this is not mandatory.

  5. Space administration

    OpenAIRE

    Worthington, Scott; Worthington, Scott

    2015-01-01

    My dissertation consists of two parts. The larger portion is an hour-long piece for double bass, electronics, and projected text called Space Administration. The second portion, this essay, discusses my musical background leading up to Space Administration, details of the composition itself, and what new directions I see in my work that in part stem from creating the piece Space Administration

  6. Weighing Rain Gauge Recording Charts

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Weighing rain gauge charts record the amount of precipitation that falls at a given location. The vast majority of the Weighing Rain Gauge Recording Charts...

  7. Administrative Circulars

    CERN Document Server

    Département des Ressources humaines

    2004-01-01

    Administrative Circular N° 2 (Rev. 2) - May 2004 Guidelines and procedures concerning recruitment and probation period of staff members This circular has been revised. It cancels and replaces Administrative Circular N° 2 (Rev. 1) - March 2000. Administrative Circular N° 9 (Rev. 3) - May 2004 Staff members contracts This circular has been revised. It cancels and replaces Administrative Circular N° 9 (Rev. 2) - March 2000. Administrative Circular N° 26 (Rev. 4) - May 2004 Procedure governing the career evolution of staff members This circular has also been revised. It Administrative Circulars Administrative Circular N° 26 (Rev. 3) - December 2001 and brings up to date the French version (Rev. 4) published on the HR Department Web site in January 2004. Operational Circular N° 7 - May 2004 Work from home This circular has been drawn up. Operational Circular N° 8 - May 2004 Dealing with alcohol-related problems...

  8. NCDC Southeast Federal Records Center Inventory

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — East Point, Georgia is the former location of the National Archives and Records Administration (NARA) Southeast regional Federal Records Center (FRC). The southeast...

  9. Comparison of the information provided by electronic health records data and a population health survey to estimate prevalence of selected health conditions and multimorbidity.

    Science.gov (United States)

    Violán, Concepción; Foguet-Boreu, Quintí; Hermosilla-Pérez, Eduardo; Valderas, Jose M; Bolíbar, Bonaventura; Fàbregas-Escurriola, Mireia; Brugulat-Guiteras, Pilar; Muñoz-Pérez, Miguel Ángel

    2013-03-21

    Health surveys (HS) are a well-established methodology for measuring the health status of a population. The relative merit of using information based on HS versus electronic health records (EHR) to measure multimorbidity has not been established. Our study had two objectives: 1) to measure and compare the prevalence and distribution of multimorbidity in HS and EHR data, and 2) to test specific hypotheses about potential differences between HS and EHR reporting of diseases with a symptoms-based diagnosis and those requiring diagnostic testing. Cross-sectional study using data from a periodic HS conducted by the Catalan government and from EHR covering 80% of the Catalan population aged 15 years and older. We determined the prevalence of 27 selected health conditions in both data sources, calculated the prevalence and distribution of multimorbidity (defined as the presence of ≥2 of the selected conditions), and determined multimorbidity patterns. We tested two hypotheses: a) health conditions requiring diagnostic tests for their diagnosis and management would be more prevalent in the EHR; and b) symptoms-based health problems would be more prevalent in the HS data. We analysed 15,926 HS interviews and 1,597,258 EHRs. The profile of the EHR sample was 52% women, average age 47 years (standard deviation: 18.8), and 68% having at least one of the selected health conditions, the 3 most prevalent being hypertension (20%), depression or anxiety (16%) and mental disorders (15%). Multimorbidity was higher in HS than in EHR data (60% vs. 43%, respectively, for ages 15-75+, P <0.001, and 91% vs. 83% in participants aged ≥65 years, P <0.001). The most prevalent multimorbidity cluster was cardiovascular. Circulation disorders (other than varicose veins), chronic allergies, neck pain, haemorrhoids, migraine or frequent headaches and chronic constipation were more prevalent in the HS. Most symptomatic conditions (71%) had a higher prevalence in the HS, while less than a third

  10. Survey of Israel Three-Dimensional Cadastre and the ISO 19152 : The Land Administration Domain Model. Technical Report 2 (updated version)

    NARCIS (Netherlands)

    Van Oosterom, P.J.M.

    2014-01-01

    This report contains the results of the second phase of the 3D Cadastre and LADM investigations in context of possible future renewal of the Cadastral database at the Survey of Israel. This report sequels the report of phase 1 and complements the presentation given on 17 July 2014 ‘Towards an

  11. AFSC/RACE/GAP/Palsson: Globe navigation data collected during the Gulf of Alaska and Aleutian Islands Biennial Bottom Trawl Survey

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — These data are haul positions and haul depths collected throughout the Gulf of Alaska and Aleutian Islands groundfish trawl surveys. Vessel positions are recorded...

  12. 78 FR 22604 - Privacy Act of 1974, as Amended; System of Records

    Science.gov (United States)

    2013-04-16

    ... disposal: In accordance with the National Archives and Records Administration (NARA), General Records.... Retention and disposal: In accordance with National Archives and Records Administration (NARA), General... permissions. Retention and disposal: In accordance with the National Archives and Records Administration (NARA...

  13. 76 FR 52991 - Renewal of Advisory Committee on Electronic Records Archives

    Science.gov (United States)

    2011-08-24

    ... RECORDS ADMINISTRATION Renewal of Advisory Committee on Electronic Records Archives AGENCY: National Archives and Records Administration. ACTION: Notice of Charter Renewal. SUMMARY: This notice is published... Administration's (NARA) Advisory Committee on Electronic Records Archives. In accordance with Office of...

  14. Political administration

    OpenAIRE

    Åkerstrøm Andersen, Niels

    2000-01-01

    One of the major discussions of the 1990s has been about the relation between politics and administration. The themes of the discussions have been many and varied. It has been suggested that the level of politics should concentrate on the general political outlining and entrust the remaining to the administration. It has been criticised that politicians make their decisions on the basis of single cases, which ought to be an administrative matter entirely. It has been a theme that efficient op...

  15. The Effects of Survey Administration on Disclosure Rates to Sensitive Items Among Men: A Comparison of an Internet Panel Sample with a RDD Telephone Sample.

    Science.gov (United States)

    Hines, Denise A; Douglas, Emily M; Mahmood, Sehar

    2010-11-01

    Research using Internet surveys is an emerging field, yet research on the legitimacy of using Internet studies, particularly those targeting sensitive topics, remains under-investigated. The current study builds on the existing literature by exploring the demographic differences between Internet panel and RDD telephone survey samples, as well as differences in responses with regard to experiences of intimate partner violence perpetration and victimization, alcohol and substance use/abuse, PTSD symptomatology, and social support. Analyses indicated that after controlling for demographic differences, there were few differences between the samples in their disclosure of sensitive information, and that the online sample was more socially isolated than the phone sample. Results are discussed in terms of their implications for using Internet samples in research on sensitive topics.

  16. Opportunities for administrators to promote disease management.

    Science.gov (United States)

    Kash, Bita A; Gamm, Larry D; Bolin, Jane Nelson; Peck, B Mitchell

    2005-01-01

    Studies of disease management (DM) have shown that patients who participate in such programs achieve better health status and make fewer emergency room visits. Private and government payers have recently increased their efforts to promote DM initiatives through financial incentives to healthcare providers. This article explores opportunities for administrators of health services organizations (HSO) to promote DM in the current political and economic environment. Our survey of professionals (DM leaders, physicians, and DM nurses) in six DM programs reveals these professionals' assessments of the key players and resources that they deem important to their respective DM programs. They view DM programs as heavily dependent on the support of physicians, nurses, and health plan leaders but relatively less so on the support of HSO administrators- a situation that may suggest opportunities for administrators to take on greater leadership in moving the HSO toward developing DM programs. Survey results also indicate a strong need for the integration of resources such as communication systems, electronic medical records, and DM reporting. Taken collectively, these needs suggest a number of strategies for the administrator to play a larger role in supporting the adoption and effective implementation of DM. In the article, we propose that DM programs can benefit substantially from an administrator who can demonstrate a thorough knowledge of DM-related government and private-payer initiatives and who has the ability to provide leadership to develop and implement viable DM programs. Valued contributions that the administrator should bring to the table include support of standardized DM processes, use of practice guidelines, and provision of pertinent information systems.

  17. 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...

  18. 20 CFR 405.360 - Official record.

    Science.gov (United States)

    2010-04-01

    ... Employees' Benefits SOCIAL SECURITY ADMINISTRATION ADMINISTRATIVE REVIEW PROCESS FOR ADJUDICATING INITIAL DISABILITY CLAIMS Administrative Law Judge Hearing § 405.360 Official record. All hearings will be recorded. All evidence upon which the administrative law judge relies for the decision must be contained in the...

  19. NOS_5m_INT_HS.tif: 5-meter hillshaded-relief image produced from 23 multibeam hydrographic surveys collected off the Delmarva Peninsula by the National Oceanic and Atmospheric Administration's National Ocean Service between 2006 and 2011 (GeoTIFF, UTM Zone 18N, WGS 84)

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — Between 2006 and 2011 Science Applications International Corporation (SAIC), under contract by the National Oceanic and Atmospheric Administration's (NOAA) National...

  20. nos_5mint: 5-meter bathymetry grid produced from 23 multibeam hydrographic surveys collected off the Delmarva Peninsula by the National Oceanic and Atmospheric Administration's National Ocean Service between 2006 and 2011 (Esri binary grid, UTM Zone 18N, WGS 84)

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — Between 2006 and 2011 Science Applications International Corporation (SAIC), under contract by the National Oceanic and Atmospheric Administration's (NOAA) National...

  1. Megaptera Novaeangliae sightings recorder (Borowski, 1781) in the capixaba coast during marine seismic survey; Registro de avistagens de Megaptera Novaeangliae (Borowski, 1781) no litoral capixaba durante levantamento sismico maritimo

    Energy Technology Data Exchange (ETDEWEB)

    Costa, Leandro Damiao S. da; Almeida, Alexandre N. Ferraz de [Okeanos Consultoria e Meio Ambiente Ltda. (Brazil); Uller, George A.; Oliveira, Joao Luiz Martinez de [CGG do Brasil, Rio de Janeiro, RJ (Brazil); Derntl, Jose Renato; Pereira, Edisio; Silva, Camila C. da [GEOCOOP Cooperativa de Trabalho, Rio de Janeiro, RJ (Brazil); Miranda, Cristina M. de [Nautilus Cooperativa de Trabalho (Brazil)

    2004-07-01

    This work presents Megaptera novaeangliae (Humpback Whale) sightings recorded during CGG seismic survey along south of Espirito Santo coast. The seismic vessel executed transects perpendicular to the coastline between 50 and 3.200 m depth. Two environmental technicians recorded all sightings during seismic survey; They worked on the highest point of the vessel (bridge) observing the presence and behavior of the marine biota around vessel. There were recorded 38 sightings of Humpback Whales and a total of 81 organisms. 61% of the sightings were concentrated between 40 and 80 m depth. About 60,5% of the sightings were recorded females with puppies, mainly in the afternoon. There were observed no difference between sightings with the source working on and off. The results obtained suggest similarity between the number of sightings and the distance of the animals related to seismic source activity, suggesting non evasive behavior, as well as any indicative change on the behavior regarding to the presence of the Seismic Vessel. Nevertheless, we know that it's necessary to make more studies to obtain definitive conclusions about the subject. (author)

  2. 4 CFR 83.2 - Administration.

    Science.gov (United States)

    2010-01-01

    ... 4 Accounts 1 2010-01-01 2010-01-01 false Administration. 83.2 Section 83.2 Accounts GOVERNMENT ACCOUNTABILITY OFFICE RECORDS PRIVACY PROCEDURES FOR PERSONNEL RECORDS § 83.2 Administration. The administration of this part is the duty and responsibility of the Director, Personnel, U.S. Government...

  3. Administrative data for public health surveillance and planning.

    Science.gov (United States)

    Virnig, B A; McBean, M

    2001-01-01

    Electronically available administrative data are increasingly used by public health researchers and planners. The validity of the data source has been established, and its strengths and weaknesses relative to data abstracted from medical records and obtained via survey are documented. Administrative data are available from a variety of state, federal, and private sources and can, in many cases, be combined. As a tool for planning and surveillance, administrative data show great promise: They contain consistent elements, are available in a timely manner, and provide information about large numbers of individuals. Because they are available in an electronic format, they are relatively inexpensive to obtain and use. In the United States, however, there is no administrative data set covering the entire population. Although Medicare provides health care for an estimated 96% of the elderly, age 65 years and older, there is no comparable source for those under 65.

  4. Accuracy of Administrative Data for Antimicrobial Administration in Hospitalized Children.

    Science.gov (United States)

    Courter, Joshua D; Parker, Sarah K; Thurm, Cary; Kronman, Matthew P; Weissman, Scott J; Shah, Samir S; Hersh, Adam L; Brogan, Thomas V; Patel, Sameer J; Smith, Michael J; Lee, Brian R; Newland, Jason G; Gerber, Jeffrey S

    2017-08-18

    Administrative data are often used as a proxy for medication-administration record (MAR) data. Multicenter MAR data were compared retrospectively with administrative data from January 2010 through June 2013 from the Pediatric Health Information Systems database. We found that administrative data were more concordant with bill-upon-administration than bill-upon-dispense data. © The Author 2017. Published by Oxford University Press on behalf of The Journal of the Pediatric Infectious Diseases Society. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  5. Comparison between telephone and self-administration of Short Form Health Survey Questionnaire (SF-36 Estudio comparativo entre la encuesta telefónica y la autoaplicada del cuestionario de salud SF-36

    Directory of Open Access Journals (Sweden)

    María García

    2005-12-01

    Full Text Available Objective: The characteristics of the 36 item Medical Outcome Short Form Health Study Survey (SF-36 questionnaire, designed as a generic indicator of health status for the general population, allow it to be self-administered or used in personal or telephone interviews. The main objective of the study was to compare the telephone and self-administered modes of SF-36 for a population from Girona (Spain. Methods: A randomized crossover administration of the questionnaire design was used in a cardiovascular risk factor survey. Of 385 people invited to participate in the survey, 351 agreed to do so and were randomly assigned to two orders of administration (i.e., telephone-self and self-telephone; 261 completed both questionnaires. Scores were compared between administration modes using a paired t test. Internal consistency and agreement between modalities were analyzed by respectively applying Chronbach's alpha and intraclass correlation coefficients. The effect of the order of administration on the test-retest difference was analyzed by one-way ANOVA for repeated measurements. Results: Physical function, physical role and social functioning received significantly lower scores when the self-administered questionnaire was used prior to the telephone survey. When the initial survey was conducted by telephone, all Chronbach's alpha coefficients (except social functioning scored over 0.70 in the self-administered modality. The intraclass correlation coefficient ranged from 0.41 to 0.83 for the telephone-self order and from 0.32 to 0.73 for the self-telephone order. No clinically significant effect was observed for the order of application. Conclusions: The results of the present study suggest that the telephone-administration mode of SF-36 is equivalent to and as valid as the self-administered mode.Objetivo: El cuestionario de salud SF-36 puede ser autoaplicado o utilizado en entrevistas personales o telefónicas. El objetivo principal de este trabajo

  6. Training and administration of epinephrine auto-injectors for anaphylaxis treatment in US schools: results from the EpiPen4Schools® pilot survey

    Directory of Open Access Journals (Sweden)

    Hogue SL

    2016-06-01

    Full Text Available Susan L Hogue,1 Diana Goss,1 Kelly Hollis,1 Suyapa Silvia,2 Martha V White3 1Health Solutions, RTI International, Research Triangle Park, NC, 2Education and Workforce Development, RTI International, Research Triangle Park, NC, 3Institute for Asthma and Allergy, Wheaton, MD, USA Background: Anaphylaxis is a serious, potentially life-threatening condition. Adequate preparation for anaphylaxis management is imperative for school personnel. This descriptive pilot study assessed preparedness of US schools to manage anaphylactic reactions. Methods: An exploratory, cross-sectional, web-based, pilot survey assessed the occurrence and characteristics of anaphylactic events, as well as training provided to school personnel for the recognition and treatment of anaphylaxis. Eligible US schools were participants in the EpiPen4Schools® program during the 2013–2014 school year. EpiPen4Schools provides EpiPen® (epinephrine injection Auto-Injectors and training materials to qualifying US schools. Survey data were parsed by US Census Bureau region and state and were evaluated using descriptive statistics. Results: Schools from all 50 states and the District of Columbia participated in the survey (N=6,019. Among schools that provided information on anaphylactic events, 11% (607/5,683 reported the occurrence of one or more events, with significant variability in incidence across census regions and among states. A total of 5,613 schools provided information regarding which staff members were trained to recognize the signs and symptoms of anaphylaxis. Thirty-six percent of schools (2,022/5,613 indicated that only the school nurse and select staff were trained in anaphylaxis recognition. The proportion of schools in which most or all school staff received such training differed by region/state (range, 13%–100%. A total of 5,578 schools provided information on which staff were permitted to administer epinephrine. The majority of schools (54%; 3

  7. Training and administration of epinephrine auto-injectors for anaphylaxis treatment in US schools: results from the EpiPen4Schools® pilot survey

    Science.gov (United States)

    Hogue, Susan L; Goss, Diana; Hollis, Kelly; Silvia, Suyapa; White, Martha V

    2016-01-01

    Background Anaphylaxis is a serious, potentially life-threatening condition. Adequate preparation for anaphylaxis management is imperative for school personnel. This descriptive pilot study assessed preparedness of US schools to manage anaphylactic reactions. Methods An exploratory, cross-sectional, web-based, pilot survey assessed the occurrence and characteristics of anaphylactic events, as well as training provided to school personnel for the recognition and treatment of anaphylaxis. Eligible US schools were participants in the EpiPen4Schools® program during the 2013–2014 school year. EpiPen4Schools provides EpiPen® (epinephrine injection) Auto-Injectors and training materials to qualifying US schools. Survey data were parsed by US Census Bureau region and state and were evaluated using descriptive statistics. Results Schools from all 50 states and the District of Columbia participated in the survey (N=6,019). Among schools that provided information on anaphylactic events, 11% (607/5,683) reported the occurrence of one or more events, with significant variability in incidence across census regions and among states. A total of 5,613 schools provided information regarding which staff members were trained to recognize the signs and symptoms of anaphylaxis. Thirty-six percent of schools (2,022/5,613) indicated that only the school nurse and select staff were trained in anaphylaxis recognition. The proportion of schools in which most or all school staff received such training differed by region/state (range, 13%–100%). A total of 5,578 schools provided information on which staff were permitted to administer epinephrine. The majority of schools (54%; 3,024/5,578) permitted only the school nurse and select staff to administer epinephrine, although percentages varied by region/state (range, 4%–100%). Conclusion Schools differed substantially in their preparedness to manage anaphylaxis, with significant disparities in staff training and permission to treat. Given

  8. Training and administration of epinephrine auto-injectors for anaphylaxis treatment in US schools: results from the EpiPen4Schools(®) pilot survey.

    Science.gov (United States)

    Hogue, Susan L; Goss, Diana; Hollis, Kelly; Silvia, Suyapa; White, Martha V

    2016-01-01

    Anaphylaxis is a serious, potentially life-threatening condition. Adequate preparation for anaphylaxis management is imperative for school personnel. This descriptive pilot study assessed preparedness of US schools to manage anaphylactic reactions. An exploratory, cross-sectional, web-based, pilot survey assessed the occurrence and characteristics of anaphylactic events, as well as training provided to school personnel for the recognition and treatment of anaphylaxis. Eligible US schools were participants in the EpiPen4Schools(®) program during the 2013-2014 school year. EpiPen4Schools provides EpiPen(®) (epinephrine injection) Auto-Injectors and training materials to qualifying US schools. Survey data were parsed by US Census Bureau region and state and were evaluated using descriptive statistics. Schools from all 50 states and the District of Columbia participated in the survey (N=6,019). Among schools that provided information on anaphylactic events, 11% (607/5,683) reported the occurrence of one or more events, with significant variability in incidence across census regions and among states. A total of 5,613 schools provided information regarding which staff members were trained to recognize the signs and symptoms of anaphylaxis. Thirty-six percent of schools (2,022/5,613) indicated that only the school nurse and select staff were trained in anaphylaxis recognition. The proportion of schools in which most or all school staff received such training differed by region/state (range, 13%-100%). A total of 5,578 schools provided information on which staff were permitted to administer epinephrine. The majority of schools (54%; 3,024/5,578) permitted only the school nurse and select staff to administer epinephrine, although percentages varied by region/state (range, 4%-100%). Schools differed substantially in their preparedness to manage anaphylaxis, with significant disparities in staff training and permission to treat. Given the ramifications of delayed treatment

  9. Offentlig administration

    DEFF Research Database (Denmark)

    Nielsen, Elof Nellemann; Rehr, Preben René

    En undervisningsbog der henvender sig til administrationsbacheloruddannelsen. Kapitlerne er inddelt efter modulerne på uddannelsen og indeholder derfor elementer af administration, forvaltning, økonomistyring, innovation, samfundsvidenskabelige metoder og politisk styrede organisationer.......En undervisningsbog der henvender sig til administrationsbacheloruddannelsen. Kapitlerne er inddelt efter modulerne på uddannelsen og indeholder derfor elementer af administration, forvaltning, økonomistyring, innovation, samfundsvidenskabelige metoder og politisk styrede organisationer....

  10. Records Management

    Data.gov (United States)

    U.S. Environmental Protection Agency — All Federal Agencies are required to prescribe an appropriate records maintenance program so that complete records are filed or otherwise preserved, records can be...

  11. Key Obama officials leave administration

    Science.gov (United States)

    Showstack, Randy

    2013-01-01

    Secretary of the Interior Ken Salazar is one of the latest members of the Obama administration to announce that he is leaving his position near the start of President Obama's second term in office. Salazar, who has served as interior secretary since January 2009, intends to leave the department by the end of March, the department noted on 16 January. Salazar joins a number of other key officials who are planning to leave the administration. They include Environmental Protection Agency administrator Lisa Jackson, National Oceanic and Atmospheric Administration administrator Jane Lubchenco, and U.S. Geological Survey director Marcia McNutt.

  12. [Quality assurance in basic psychosomatic care. Report of an expert survey within the scope of the Federal Public Health Administration instigated pilot project].

    Science.gov (United States)

    Sandholzer, H; Pelz, J

    1996-08-01

    This article outlines a nationwide quality improvement project in counselling funded by the German Ministry of Health. To develop the project, expert surveys and consensus conferences are currently organized by the coordination center. A questionnaire with mainly open questions was sent to 32 teachers in general practice. Counselling for psychiatric, psychosomatic and psychosocial problems in primary care was regarded as an important field for quality assurance. The experts believed short psychotherapy to be an integral part of family medicine as some 30% of our patients present with complaints caused by psychosocial or psychological reasons. However, only some 70% of patients receive a specific treatment. The experts rated better recognition of psychosomatic problems as the most important area for quality improvement. Suitable interventions to improve the physicians' ability in the area mentioned were continuing medical education, balint groups, quality circles and flexible guidelines. The experts made invaluable contributions to the development of a practice documentation for psychosocial problems.

  13. 77 FR 38218 - Office of Privacy, Records, and Disclosure; Privacy Act of 1974; Proposed Implementation

    Science.gov (United States)

    2012-06-27

    ....S.C. 552a if the system of records is ``investigatory material compiled for law enforcement purposes..., surveys, or compliance projects concerning the administration of the internal revenue laws before any... within the agency from certain provisions of the Privacy Act of 1974 if the system is investigatory...

  14. Federal Agency and Federal Library Reports. Library of Congress; Center for the Book; Federal Library and Information Center Committee; National Commission on Libraries and Information Science; National Agricultural Library; National Library of Medicine;United States Government Printing Office; National Technical Information Service; National Archives and Records Administration; National Center for Education Statistics Library Statistics Program; National Library of Education; Educational Resources Information Center.

    Science.gov (United States)

    Fischer, Audrey; Cole, John Y.; Tarr, Susan M.; Vlach, Rosalie B.; Carey, Len; Mehnert, Robert; Sherman, Andrew M.; Davis, Linda; Vecchiarelli, Marion H.; Chute, Adrienne; Dunn, Christina

    2002-01-01

    Includes reports from Library of Congress, Center for the Book, Federal Library and Information Center Committee, National Commission on Libraries and Information Science, National Agricultural Library, National Library of Medicine, Government Printing Office, National Technical Information Service, National Archives and Records Administration,…

  15. Sea Scallop Survey

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The standardized NEFSC Sea Scallop Survey began in 1980 and has covered an area from Cape Hatteras to Georges Bank. The survey aims to determine the distribution and...

  16. Large Pelagics Intercept Survey

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The Large Pelagics Intercept Survey (LPIS) is a dockside survey of private and charterboat captains who have just completed fishing trips directed at large pelagic...

  17. 1998 Harrisburg Airport Survey

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This data set includes data collected in 1998 to evaluate the ability of lidar to survey airport obstructions in collaboration with NOAA National Geodetic Survey....

  18. NGS Survey Control Map

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The NGS Survey Control Map provides a map of the US which allows you to find and display geodetic survey control points stored in the database of the National...

  19. Prevalence of Chlamydia trachomatis-Specific Antibodies before and after Mass Drug Administration for Trachoma in Community-Wide Surveys of Four Communities in Nepal.

    Science.gov (United States)

    Gwyn, Sarah E; Xiang, Lingwei; Kandel, Ram Prasad; Dean, Deborah; Gambhir, Manoj; Martin, Diana L

    2017-11-06

    The target end date for the global elimination of trachoma as a public health problem is 2020. As countries begin the process for submitting their dossier for the validation of elimination of trachoma as a public health problem, strategies for post-validation surveillance must be considered. Seroprevalence of antibodies against antigens from the causative bacteria Chlamydia trachomatis (Ct) in young children has been shown to reflect trachomatous inflammation-follicular (TF) rates in both endemic and previously endemic settings. However, none of these studies has directly compared age seroprevalence in the same communities before and after mass drug administration (MDA) for trachoma. Here we report a marked shift in age seroprevalence curves in four villages in Kapilvastu District, Nepal, before and after MDA. Clinical examinations were performed and blood was taken before (N = 659) and 5 years after (N = 646) MDA. Rates of TF decreased from 17.6% in ≤ 9-year-olds before MDA (N = 52) to 0% in ≤ 9-year-olds (N = 73) after MDA. Positive antibody responses to Ct in the entire population decreased from 82.1% pre-MDA to 35.8% post-MDA, whereas those among ≤ 9-year-olds decreased from 59.6% to 4.1%. These data show that the postintervention decrease in TF was reflected in a drop in anti-Ct antibody responses, suggesting that antibody responses could be useful indicators for post-validation surveillance.

  20. Recommendations and administration of the HPV vaccine to 11- to 12-year-old girls and boys: a statewide survey of Georgia vaccines for children provider practices.

    Science.gov (United States)

    Luque, John S; Tarasenko, Yelena N; Dixon, Betty T; Vogel, Robert L; Tedders, Stuart H

    2014-10-01

    This study explores the prevalence and provider- and practice-related correlates of physician recommendation and administration of the quadrivalent human papillomavirus (HPV) vaccine, Gardasil, to 11- to 12-year-old girls and the intention to recommend the HPV vaccine to 11- to 12-year-old boys in Georgia. The study also describes physician knowledge about and barriers to HPV vaccination. This cross-sectional study was conducted from December 2010 to February 2011. The study sample was drawn using the Georgia Vaccines for Children (VFC) provider list as a sampling frame and probability 1-stage cluster sampling with counties as clusters. The final analytic sample was restricted to 206 provider locations. Weighted percentages and corresponding statistics were calculated accounting for selection probabilities, nonresponse, and the cluster sample design. Among Georgia VFC providers attending to 11- to 12-year-old girls, 46% had always recommended that their patients get the HPV vaccination and 41% had vaccinated their female patients. Among Georgia VFC providers attending to 11- to 12-year-old boys, 20% would always recommend that their male patients get vaccinated.Physicians most frequently endorsed costs of stocking the vaccine (73%), upfront costs (69%), vaccination (68%), and insurance reimbursements (63%) as barriers to their HPV vaccination practices. Despite the Advisory Committee on Immunization Practices' recommendations on HPV vaccination, the prevalence of recommending and administering the HPV vaccine to female and male patients, aged 11 to 12 years, by VFC providers is an ongoing challenge in Georgia.

  1. Spirometry, questionnaire and electronic medical record based COPD in a population survey: comparing prevalence, level of agreement and associations with potential risk factors.

    NARCIS (Netherlands)

    Borlée, F.; Yzermans, C.J.; Krop, E.; Rooijackers, J.; Aalders, B.; Zock, J.P.; Dijk, C.E. van; Maassen, C.B.M.; Schellevis, F.; Heederik, D.; Smit, L.A.M.

    2017-01-01

    Background: COPD-diagnosis is confirmed by post-bronchodilator (BD) spirometry. However, epidemiological studies often rely on pre-BD spirometry, self-reports, or medical records. This population-based study aims to determine COPD-prevalence based on four different operational definitions and their

  2. Spirometry, questionnaire and electronic medical record based COPD in a population survey : Comparing prevalence, level of agreement and associations with potential risk factors

    NARCIS (Netherlands)

    Borlée, Floor|info:eu-repo/dai/nl/315138661; Yzermans, C Joris; Krop, Esmeralda|info:eu-repo/dai/nl/30482383X; Aalders, Bernadette; Rooijackers, Jos; Zock, Jan-Paul|info:eu-repo/dai/nl/095184309; van Dijk, Christel E; Maassen, Catharina B M; Schellevis, François; Heederik, Dick|info:eu-repo/dai/nl/072910542; Smit, Lidwien A M|info:eu-repo/dai/nl/311470882

    2017-01-01

    BACKGROUND: COPD-diagnosis is confirmed by post-bronchodilator (BD) spirometry. However, epidemiological studies often rely on pre-BD spirometry, self-reports, or medical records. This population-based study aims to determine COPD-prevalence based on four different operational definitions and their

  3. SIS - Species and Stock Administrative Data Set

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The Species and Stock Administrative data set within the Species Information System (SIS) defines entities within the database that serve as the basis for recording...

  4. 76 FR 18145 - Privacy Act of 1974; New System of Records

    Science.gov (United States)

    2011-04-01

    ... appropriate General Records Schedules of the National Archives and Records Administration. Electronic records... allow USDA's Forest Service to maintain records for agency compliance and administration of the FOIA and... Archives and Records Administration or to the General Services Administration for records management...

  5. Webb Administration

    OpenAIRE

    Prahl, Hampus

    2005-01-01

    I’ve built an Internet based administration front-end for the company Allt I Brand in Jamjö. Allt I Brand’s main goals are maintenance and sale of fire preventive equipment. This front-end is programmed mostly in PHP, connected to a MySQL database. Because both Allt I Brand’s main page and my administration front-end use the same database and the database is designed to virtually fit any type of company, the result is both dynamic and powerful. The front-end design is made to make it easy to ...

  6. Database Administrator

    Science.gov (United States)

    Moore, Pam

    2010-01-01

    The Internet and electronic commerce (e-commerce) generate lots of data. Data must be stored, organized, and managed. Database administrators, or DBAs, work with database software to find ways to do this. They identify user needs, set up computer databases, and test systems. They ensure that systems perform as they should and add people to the…

  7. Engineering Administration.

    Science.gov (United States)

    Naval Personnel Program Support Activity, Washington, DC.

    This book is intended to acquaint naval engineering officers with their duties in the engineering department. Standard shipboard organizations are analyzed in connection with personnel assignments, division operations, and watch systems. Detailed descriptions are included for the administration of directives, ship's bills, damage control, training…

  8. Administrative IT

    Science.gov (United States)

    Grayson, Katherine, Ed.

    2006-01-01

    When it comes to Administrative IT solutions and processes, best practices range across the spectrum. Enterprise resource planning (ERP), student information systems (SIS), and tech support are prominent and continuing areas of focus. But widespread change can also be accomplished via the implementation of campuswide document imaging and sharing,…

  9. Two new species of Papuagrion Ris, 1913 (Odonata: Coenagrionidae) from New Guinea with a survey of distribution records for the genus.

    Science.gov (United States)

    Orr, A G; Kalkman, V J

    2016-10-02

    Two new species of Papuagrion Ris, 1913 are described from Papua Province, Indonesia. These are P. marirobi sp .nov. from Japen Island and P. stellimontanum sp .nov., from the Star Mountains. The new species are, respectively, most closely allied to P. degeneratum Lieftinck and P. digitiferum Lieftinck. They bring the number of Papuagrion species to 28. New locality records of several other species are noted.

  10. Spirometry, questionnaire and electronic medical record based COPD in a population survey: Comparing prevalence, level of agreement and associations with potential risk factors

    OpenAIRE

    Borl?e, Floor; Yzermans, C. Joris; Krop, Esmeralda; Aalders, Bernadette; Rooijackers, Jos; Zock, Jan-Paul; van Dijk, Christel E.; Maassen, Catharina B. M.; Schellevis, Fran?ois; Heederik, Dick; Smit, Lidwien A. M.

    2017-01-01

    Background: COPD-diagnosis is confirmed by post-bronchodilator (BD) spirometry. However, epidemiological studies often rely on pre-BD spirometry, self-reports, or medical records. This population-based study aims to determine COPD-prevalence based on four different operational definitions and their level of agreement, and to compare associations between COPD-definitions and risk factors. Methods: COPD-prevalence in 1,793 adults from the general Dutch population (aged 18–70 years) was assessed...

  11. PLSS Townships and Sections, This data set consists of a set of diagrams containing control survey information for the Southeastern Wisconsin Region. The information on the Control Survey Summary Diagrams is compiled from the records of U.S. Public Land Survey System (USPLSS) survey, Published in Not Provided, 1:2400 (1in=200ft) scale, Racine County Government.

    Data.gov (United States)

    NSGIC Local Govt | GIS Inventory — PLSS Townships and Sections dataset current as of unknown. This data set consists of a set of diagrams containing control survey information for the Southeastern...

  12. Black Rail Pilot Survey

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — Aural surveys using tape recorded calls proved to be an efficient and effective way to survey large expanses of shallow marsh for black rails (Laterallus...

  13. 36 CFR 1290.3 - Sources of assassination records and additional records and information.

    Science.gov (United States)

    2010-07-01

    ... NATIONAL ARCHIVES AND RECORDS ADMINISTRATION JFK ASSASSINATION RECORDS GUIDANCE FOR INTERPRETATION AND IMPLEMENTATION OF THE PRESIDENT JOHN F. KENNEDY ASSASSINATION RECORDS COLLECTION ACT OF 1992 (JFK ACT) § 1290.3...

  14. Spirometry, questionnaire and electronic medical record based COPD in a population survey: Comparing prevalence, level of agreement and associations with potential risk factors.

    Directory of Open Access Journals (Sweden)

    Floor Borlée

    Full Text Available COPD-diagnosis is confirmed by post-bronchodilator (BD spirometry. However, epidemiological studies often rely on pre-BD spirometry, self-reports, or medical records. This population-based study aims to determine COPD-prevalence based on four different operational definitions and their level of agreement, and to compare associations between COPD-definitions and risk factors.COPD-prevalence in 1,793 adults from the general Dutch population (aged 18-70 years was assessed based on self-reported data, Electronic Medical Records (EMR, and post-BD spirometry: using the FEV1/FVC below the lower limit of normal (LLN and GOLD fixed cut-off (FEV1/FVC <0.70. Using spirometry as a reference, sensitivity was calculated for self-reported and EMR-based COPD. Associations between COPD and known risk factors were assessed with logistic regression. Data were collected as part of the cross-sectional VGO study (Livestock Farming and Neighboring Residents' Health Study.The highest prevalence was found based on spirometry (GOLD: 10.9%, LLN: 5.9%, followed by self-report (4.6% and EMR (2.9%. Self-reported or EMR-based COPD identified less than 30% of all COPD-cases based on spirometry. The direction of association between known risk factors and COPD was similar across the four definitions, however, magnitude and significance varied. Especially indicators of allergy were more strongly associated with self-reported COPD compared to the other definitions.COPD-prevalence varied depending on the used definition. A substantial number of subjects with spirometry-based COPD cannot be identified with questionnaires or medical records which can cause underestimation of COPD-prevalence. The influence of the different COPD-definitions on associations with known risk factors was limited.

  15. Spirometry, questionnaire and electronic medical record based COPD in a population survey: Comparing prevalence, level of agreement and associations with potential risk factors.

    Science.gov (United States)

    Borlée, Floor; Yzermans, C Joris; Krop, Esmeralda; Aalders, Bernadette; Rooijackers, Jos; Zock, Jan-Paul; van Dijk, Christel E; Maassen, Catharina B M; Schellevis, François; Heederik, Dick; Smit, Lidwien A M

    2017-01-01

    COPD-diagnosis is confirmed by post-bronchodilator (BD) spirometry. However, epidemiological studies often rely on pre-BD spirometry, self-reports, or medical records. This population-based study aims to determine COPD-prevalence based on four different operational definitions and their level of agreement, and to compare associations between COPD-definitions and risk factors. COPD-prevalence in 1,793 adults from the general Dutch population (aged 18-70 years) was assessed based on self-reported data, Electronic Medical Records (EMR), and post-BD spirometry: using the FEV1/FVC below the lower limit of normal (LLN) and GOLD fixed cut-off (FEV1/FVC spirometry as a reference, sensitivity was calculated for self-reported and EMR-based COPD. Associations between COPD and known risk factors were assessed with logistic regression. Data were collected as part of the cross-sectional VGO study (Livestock Farming and Neighboring Residents' Health Study). The highest prevalence was found based on spirometry (GOLD: 10.9%, LLN: 5.9%), followed by self-report (4.6%) and EMR (2.9%). Self-reported or EMR-based COPD identified less than 30% of all COPD-cases based on spirometry. The direction of association between known risk factors and COPD was similar across the four definitions, however, magnitude and significance varied. Especially indicators of allergy were more strongly associated with self-reported COPD compared to the other definitions. COPD-prevalence varied depending on the used definition. A substantial number of subjects with spirometry-based COPD cannot be identified with questionnaires or medical records which can cause underestimation of COPD-prevalence. The influence of the different COPD-definitions on associations with known risk factors was limited.

  16. Register-based follow-up of social benefits and other transfer payments: accuracy and degree of completeness in a Danish interdepartmental administrative database compared with a population-based survey

    DEFF Research Database (Denmark)

    Hjøllund, Niels Henrik Ingvar; Andersen, Johan Hvid; Larsen, F. B.

    2007-01-01

    BACKGROUND: Social consequences of disease may be subject to register based follow-up. A Danish database, DREAM, allows weekly follow-up of any public transfer payment. This study aimed to evaluate the feasibility of the register for use in public health research. MATERIAL AND METHODS: The DREAM...... database includes information on all public transfer payments administered by Danish ministries, municipalities, and Statistics Denmark for all Danish citizens on a weekly basis since 1991. The DREAM database was compared with self-reported information on sources of income in a population survey from 2001......-related benefit (sickness benefit, vocational rehabilitation allowance, salary from subsidized jobs for persons with limited work capacity, anticipatory pension), 10.1% a voluntary retirement pension, while 74.4% had no record of transfer payment for that week. The predictive value of DREAM was 74.8% for health...

  17. "I would never want to have a mental health diagnosis on my record": A survey of female physicians on mental health diagnosis, treatment, and reporting.

    Science.gov (United States)

    Gold, Katherine J; Andrew, Louise B; Goldman, Edward B; Schwenk, Thomas L

    Physicians have high rates of suicide and depression. Most state medical boards require disclosure of mental health problems on physician licensing applications, which has been theorized to increase stigma about mental health and prevent help-seeking among physicians. We surveyed a convenience sample of female physician-parents on a closed Facebook group. The anonymous 24-question survey asked about mental health history and treatment, perceptions of stigma, opinions about state licensing questions on mental health, and personal experiences with reporting. 2106 women responded, representing all 50 states and the District of Columbia. Most respondents were aged 30-59. Almost 50% of women believed that they had met the criteria for mental illness but had not sought treatment. Key reasons for avoiding care included a belief they could manage independently, limited time, fear of reporting to a medical licensing board, and the belief that diagnosis was embarrassing or shameful. Only 6% of physicians with formal diagnosis or treatment of mental illness had disclosed to their state. Women physicians report substantial and persistent fear regarding stigma which inhibits both treatment and disclosure. Licensing questions, particularly those asking about a diagnosis or treatment rather than functional impairment may contribute to treatment reluctance. Copyright © 2016 Elsevier Inc. All rights reserved.

  18. 5 CFR 530.205 - Records.

    Science.gov (United States)

    2010-01-01

    ... 5 Administrative Personnel 1 2010-01-01 2010-01-01 false Records. 530.205 Section 530.205 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT CIVIL SERVICE REGULATIONS PAY RATES AND SYSTEMS (GENERAL) Aggregate Limitation on Pay § 530.205 Records. An agency must maintain appropriate records to administer...

  19. 77 FR 76052 - Health Resources and Services Administration

    Science.gov (United States)

    2012-12-26

    ... HUMAN SERVICES Health Resources and Services Administration Agency Information Collection Activities... and Services Administration (HRSA) publishes periodic summaries of proposed projects being developed...: The Health Resources and Services Administration (HRSA) plans to conduct a survey of the National...

  20. An Integrated Approach Based on Traditional Archaeological Surveys, Digital Recording Techniques and Historical Documentation for the Assessment of Threats Related to the Climate-Sensitive Territorial Context

    Science.gov (United States)

    Stanga, C.; Valente, R.; Previtali, M.

    2017-05-01

    This essay describes an integrated approach - field survey, historic research, climate data, and topography - for the analysis of a complex stratigraphical archaeological site, highlighting its peculiar aspects and its conservation state, and contributing to the studies of this area. The case study is San Calocero monastery in Albenga, one of the most important historical evidence of the city, located on the San Martino Hillside, dating back to the VI century but with a complex historical stratigraphy until the XVI century, along with other relevant archaeological sites, such as the Baptistery, the Ponte Lungo, the churches of San Clemente and San Vittore, which, as long as San Calocero, went through several changes over the years.

  1. Administrative Reform

    DEFF Research Database (Denmark)

    Plum, Maja

    Through the example of a Danish reform of educational plans in early childhood education, the paper critically addresses administrative educational reforms promoting accountability, visibility and documentation. Drawing on Foucaultian perspectives, the relation between knowledge and governing......, implied in the reform, is analysed as a technology of accounting. A technology producing ‘the professional nursery teacher' as a reflective daily researcher, who outlives her pedagogical desire as an analytical care of the optimisation of ‘the learning child'. Thus, the paper analyses the micro physics......, in this way, can be seen as a practice which mobilises and optimises this humanistic legacy, reproducing and transforming it into a new pedagogical desire....

  2. Establishing a Records Appraisal Workflow

    National Research Council Canada - National Science Library

    Maik Schmerbauch

    2016-01-01

      RIM conducted several records appraisal projects for such departments as human resources and the procurement unit as part of the general administrative program, which for two decades had secured...

  3. 4 CFR 81.2 - Administration.

    Science.gov (United States)

    2010-01-01

    ... 4 Accounts 1 2010-01-01 2010-01-01 false Administration. 81.2 Section 81.2 Accounts GOVERNMENT ACCOUNTABILITY OFFICE RECORDS PUBLIC AVAILABILITY OF GOVERNMENT ACCOUNTABILITY OFFICE RECORDS § 81.2 Administration. The Chief Quality Officer administers this part and may promulgate such supplemental rules or...

  4. 1993 Department of Energy Records Management Conference

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1993-12-31

    This document consists of viewgraphs from the presentations at the conference. Topics included are: DOE records management overview, NIRMA and ARMA resources, NARA records management training, potential quality assurance records, filing systems, organizing and indexing technical records, DOE-HQ initiatives, IRM reviews, status of epidemiologic inventory, disposition of records and personal papers, inactive records storage, establishing administrative records, managing records at Hanford, electronic mail -- legal and records issues, NARA-GAO reports status, consultive selling, automated indexing, decentralized approach to scheduling at a DOE office, developing specific records management programs, storage and retrieval at Savannah River Plant, an optical disk case study, and special interest group reports.

  5. 2010 Election Administration and Voting Survey

    Data.gov (United States)

    Election Assistance Commission — This dataset contains data about domestic absentee voting, provisional balloting, poll books, polling place, precincts, poll workers, and voting technology used in...

  6. 2008 Election Administration and Voting Survey

    Data.gov (United States)

    Election Assistance Commission — This dataset contains data about domestic absentee voting, provisional balloting, poll books, polling place, precincts, poll workers, and voting technology used in...

  7. Administrative Coaching Practices: Content, Personalization, and Support

    Science.gov (United States)

    Hayashi, Christine A.

    2016-01-01

    This study surveys educators who have completed, or are in their second year of, an administrative coaching program that results in a California Clear Administrative Credential, also known as Tier II. The purpose of the study is to determine the perceptions of these educators regarding whether current practices in administrative coaching programs…

  8. ADMINISTRATIVE CIRCULARS

    CERN Multimedia

    Division des ressources humaines

    2000-01-01

    N° 2 (Rev. 1) - March 2000Guidelines and procedures concerning recruitment and probation period of staff membersN° 9 (Rev. 2) - March 2000Staff members contractsN° 16 (Rev. 2) - January 2000TrainingN° 30 (Rev. 1) - January 2000Indemnities and reimbursements upon taking up appointment and termination of contractN° 32 - February 2000Principles and procedures governing complaints of harassmentThese circular have been amended (No 2, N° 9, N° 16 and N° 30) or drawn up (N° 32).Copies are available in the Divisional Secretariats.Note:\tAdministrative and operational circulars, as well as the lists of those in force, are available for consultation in the server SRV4_Home in the Appletalk zone NOVELL (as GUEST or using your Novell username and password), volume PE Division Data Disk.The Word files are available in the folder COM, folder Public, folder ADM.CIRC.docHuman Resources DivisionTel. 74128

  9. 78 FR 54491 - Records Schedules; Availability and Request for Comments

    Science.gov (United States)

    2013-09-04

    ... temporary items). Notes and recordings of criminal cases not involving capital punishment. Proposed for permanent retention are notes and recordings of cases involving capital punishment. 18. Administrative...

  10. Reasons for and consequences of missed appointments in general practice in the UK: questionnaire survey and prospective review of medical records

    Directory of Open Access Journals (Sweden)

    Lawlor Debbie A

    2005-11-01

    Full Text Available Abstract Background Missed appointments are a common occurrence in primary care in the UK, yet little is known about the reasons for them, or the consequences of missing an appointment. This paper aims to determine the reasons for missed appointments and whether patients who miss an appointment subsequently consult their general practitioner (GP. Secondary aims are to compare psychological morbidity, and the previous appointments with GPs between subjects and a comparison group. Methods Postal questionnaire survey and prospective medical notes review of adult patients missing an appointment and the comparison group who attended appointments over a three week period in seven general practices in West Yorkshire. Results Of the 386 who missed appointments 122 (32% responded. Of the 386 in the comparison group 223 (58% responded, resulting in 23 case-control matched pairs with complete data collection. Over 40% of individuals who missed an appointment and participated said that they forgot the appointment and a quarter said that they tried very hard to cancel the appointment or that it was at an inconvenient time. A fifth reported family commitments or being too ill to attend. Over 90% of the patients who missed an appointment subsequently consulted within three months and of these nearly 60% consulted for the stated problem that was going to be presented in the missed consultation. The odds of missing an appointment decreased with increasing age and were greater among those who had missed at least one appointment in the previous 12 months. However, estimates for comparisons between those who missed appointments and the comparison group were imprecise due to the low response rate. Conclusion Patients who miss appointments tend to cite practice factors and their own forgetfulness as the main reasons for doing so, and most attend within three months of a missed appointment. This study highlights a number of implications for future research. More work

  11. Pathogenic Mutations in Cancer-Predisposing Genes: A Survey of 300 Patients with Whole-Genome Sequencing and Lifetime Electronic Health Records.

    Directory of Open Access Journals (Sweden)

    Karen Y He

    Full Text Available It is unclear whether and how whole-genome sequencing (WGS data can be used to implement genomic medicine. Our objective is to retrospectively evaluate whether WGS can facilitate improving prevention and care for patients with susceptibility to cancer syndromes.We analyzed genetic mutations in 60 autosomal dominant cancer-predisposition genes in 300 deceased patients with WGS data and nearly complete long-term (over 30 years medical records. To infer biological insights from massive amounts of WGS data and comprehensive clinical data in a short period of time, we developed an in-house analysis pipeline within the SeqHBase software framework to quickly identify pathogenic or likely pathogenic variants. The clinical data of the patients who carried pathogenic and/or likely pathogenic variants were further reviewed to assess their clinical conditions using their lifetime EHRs. Among the 300 participants, 5 (1.7% carried pathogenic or likely pathogenic variants in 5 cancer-predisposing genes: one in APC, BRCA1, BRCA2, NF1, and TP53 each. When assessing the clinical data, each of the 5 patients had one or more different types of cancers, fully consistent with their genetic profiles. Among these 5 patients, 2 died due to cancer while the others had multiple disorders later in their lifetimes; however, they may have benefited from early diagnosis and treatment for healthier lives, had the patients had genetic testing in their earlier lifetimes.We demonstrated a case study where the discovery of pathogenic or likely pathogenic germline mutations from population-wide WGS correlates with clinical outcome. The use of WGS may have clinical impacts to improve healthcare delivery.

  12. World War II Weather Record Transmittances

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — World War II Weather Record Transmittances are a record of the weather and meteorological data observed during World War II and transferred to the archive. It...

  13. 21 CFR 870.1220 - Electrode recording catheter or electrode recording probe.

    Science.gov (United States)

    2010-04-01

    ... recording probe. 870.1220 Section 870.1220 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH... Devices § 870.1220 Electrode recording catheter or electrode recording probe. (a) Identification. An electrode recording catheter or an electrode recording probe is a device used to detect an intracardiac...

  14. 77 FR 16019 - Privacy Act of 1974; System of Records

    Science.gov (United States)

    2012-03-19

    ... logistical areas. Administration: Administrative functions, such as control of office space, visits..., functions, and procedures pertaining to security assistance. Information Management: Records concerning...; life cycle management of information systems; and records pertaining to all five Information Mission...

  15. 5 CFR 850.302 - Record maintenance.

    Science.gov (United States)

    2010-01-01

    ... 5 Administrative Personnel 2 2010-01-01 2010-01-01 false Record maintenance. 850.302 Section 850... (CONTINUED) RETIREMENT SYSTEMS MODERNIZATION Records § 850.302 Record maintenance. (a) The retirement and..., for the initiation and maintenance of records, evidence, or other information described in this title...

  16. Corals as climate recorders

    Science.gov (United States)

    Flannery, Jennifer A.; Poore, Richard Z.

    2010-01-01

    The U.S. Geological Survey (USGS) Coral Reef Ecosystem Studies (CREST) Project is analyzing corals from various sites in the Caribbean region, Dry Tortugas National Park, Biscayne National Park, other areas of the Florida Keys, and the Virgin Islands. The objective of this project is to develop records of past environmental change to better our understanding of climate variability. The records are being used to document changes over the last few centuries and to determine how corals and coral reefs have responded to any changes.

  17. 幼教人員對女性主管行政領導認知態度之調查研究 The Survey Study of Early Childhood Educators’ Cognitive Attitudes Towards the Administrational Leadership of Female Managers

    Directory of Open Access Journals (Sweden)

    陳儒晰 Ru-Si Chen

    2010-03-01

    Full Text Available 本研究以臺北地區幼教人員為研究對象進行問卷調查,探討其對於女性主管在幼教行政領導實務中的思考及認知態度。研究者自編「女性主管行政領導認知態度量表」問卷,涵蓋「社會結構」、「弱勢地位」、「個人特質」、「積極參與」與「表現優勢」等層面,運用結構方程模式探討幼教人員對此議題之想法。統計結果顯示,問卷的假設因素構念之測量模式檢定具有良好適配,且路徑關係的結構模式分析證明研究假設之成立。研究發現,幼教人員認為社會結構因素影響女性主管的弱勢地位、積極參與和表現優勢等態度,且指出個人特質及積極參與態度亦會影響女性主管之表現優勢,社會結構與個人特質構念則呈現負相關。最後,研究者針對研究發現進行討論並提出未來研究之參考。 This study explored the early childhood educators’ attitudes toward administrational leadership in Taipei area by questionnaire. An Attitude Scales toward Administrational Leadership of Female Managers Survey was developed. The questionnaire consisted of five factors, including social structure, minority status, personal traits, affirmative engagement, and superior performance, employing structural equation modeling to analyze the data. According to the results, this measurement model indicated the good quality of confirmatory factory analysis, and the path analysis confirmed the study hypotheses. The results indicated that early childhood educators considered the social gender structural factors influence female managers’ minority status, affirmative engagement, and superior performance. Their attitudes toward personal traits and affirmative engagement could influence female managers’ performance, and there was the negative effect between the construct of social structure and personal traits. The follow-up discussions also conducted and the

  18. Certified records manager exam

    Energy Technology Data Exchange (ETDEWEB)

    1990-01-01

    The Institute of Certified Records Managers (ICRM) is a non-profit, certifying organization of professional records managers and administrators. ICRM members are experienced in information requirements, records and information systems, and the related office systems and technologies. All members have met certification requirements and have received the Certified Records Manager (CRM) designation. As the field of information and records management moves toward standardization, and as the application of new technologies and technicalities complicate the measurement and demonstration of professional competence, the need for a means of identifying persons who have basic competency increases. The ICRM is providing such a means by testing and certifying basic knowledge. More and more job announcements are requiring this evidence of competency. Unfortunately, as an organization, NIRMA has a relatively small number of CRMs. The goal of the ICRM Development Group is two-fold; (1) to encourage NIRMA members to obtain their certification by providing basic information and support and; (2) to develop the Nuclear Specialist test module which will demonstrate that bearers have demonstrated expertise in nuclear records management as well as basic competencies. This report covers the examination process.

  19. RECORDS REACHING RECORDING DATA TECHNOLOGIES

    OpenAIRE

    G. W. L. Gresik; S. Siebe; R. Drewello

    2013-01-01

    The goal of RECORDS (Reaching Recording Data Technologies) is the digital capturing of buildings and cultural heritage objects in hard-to-reach areas and the combination of data. It is achieved by using a modified crane from film industry, which is able to carry different measuring systems. The low-vibration measurement should be guaranteed by a gyroscopic controlled advice that has been , developed for the project. The data were achieved by using digital photography, UV-fluorescence...

  20. Geodetic Survey Water Level Observations

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Over one million images of National Coast & Geodetic Survey (now NOAA's National Geodetic Survey/NGS) forms captured from microfiche. Tabular forms and charts...

  1. NEFSC Survey Indices of Abundance

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Northeast Fisheries Survey Bottom trawl survey indices of abundance such as stratified mean number per tow or mean weight per tow by species stock. Includes indices...

  2. Herpetofauna Surveys, Northern California - 2010 [ds694

    Data.gov (United States)

    California Department of Resources — We recorded all incidental herpetofauna encountered during visual encounter and dipnet surveys in northern California. Surveys took place from April 2, 2010 to...

  3. Levantamento planorbídico do Estado de São Paulo: sexta Região Administrativa Planorbidic survey of the 6th Administrative Region of the State of S.Paulo, Brazil

    Directory of Open Access Journals (Sweden)

    Jorge Faria Vaz

    1986-10-01

    Full Text Available Com o objetivo de conhecer a distribuição dos planorbídeos na sexta Região Administrativa do Estado de São Paulo, Brasil, com sede na cidade de Ribeirão Preto, foram realizadas, durante sete meses, coletas de moluscos em ambientes hídricos de toda área. Foi verificado que os planorbídeos mais comuns no território, por ordem de freqüência são: Drepanotrema lucidum, Biomphalaria intermedia, Biomphalaria peregrina e Biomphalaria tenagophila. A última espécie ocorre em poucos criadouros mas vem sendo responsabilizada pela transmissão natural da esquistossomose em Bebedouro, desde 1976. B.straminea prolifera em um córrego no município de Serrana e, em uma vala, de Ribeirão Preto. Os dados epidemiológicos e o baixo número de hospedeiros intermediários encontrados levam a crer que a possibilidade da doença disseminar-se pela região é pequena.A systematic survey was carried out in the area of the 6th Administrative Region of the State of S.Paulo, in order to discover the distributional patterns of planorbidic snails. Biomphalaria tenagophila is incriminated as the intermediary of Schistosoma mansoni in Bebedouro county where some human cases of the disease have been observed since 1976. Biomphalaria straminea lives at two breeding places - in Serrana and Ribeirão Preto. It is concluded that there is little possibility of schistosomiasis spreading in the studied area.

  4. Levantamento planorbídico do Estado de São Paulo (Brasil: 4ª Região Administrativa Planorbidic survey of the 4th Administrative Region of the State of S. Paulo, Brazil

    Directory of Open Access Journals (Sweden)

    Jorge Faria Vaz

    1987-10-01

    Full Text Available A fim de conhecer a distribuição dos hospedeiros intermediários de S. mansoni no Estado de São Paulo (Brasil, a Superintendência de Controle de Endemias (SUCEN procedeu a amplo inquérito malacológico em todos os municípios paulistas que teve a duração de 4 anos. As pesquisas realizadas na 4ª Região Administrativa que tem sede em Sorocaba e que constituem o objeto do presente relato, mostraram que Biomphalaria tenagophila (d'Orbigny, 1835 ocorre em 26 dos 59 municípios nela compreendidos. Biomphalaria glabrata (Say, 1818 é encontrada em 9 municípios e Biomphalaria straminea (Dunker, 1848, em 2. Vários casos de esquistossomose em migrantes já foram observados na área estudada. B. tenagophila parece estar implicada na cadeia natural de transmissão de S. mansoni em Itu e em São Roque, municípios em que foram descobertos os dois únicos casos da doença, até agora considerados como autóctones em toda a região.In order to discover the actual distribution of the intermediate hosts of Schistosoma mansoni in the State of São Paulo, Brazil, a planorbidic survey was made in the 572 counties of the State. Investigation carried out in the State's 4th Administrative Region, which comprises 59 counties, has shown that Biomphalaria tenagophila (d'Orbigny, 1835, Biomphalaria glabrata (Say, 1818 and Biomphalaria straminea (Dunker, 1848 are found, respectively, in twenty nine, nine and two of the counties. Many cases of schistosomiasis were detected among migrants to the Region but, up to the present, only two patients - at Itu and São Roque - could have contracted, the disease in the studied area. It seems that the fluke was intermediated by B. tenagophila.

  5. Vaccination timeliness and co-administration among Kenyan children.

    Science.gov (United States)

    Masters, Nina B; Wagner, Abram L; Carlson, Bradley F; Boulton, Matthew L

    2018-03-07

    Timely administration of recommended vaccines requires children to have multiple vaccines co-administered in the first year of life. The objectives of this study were to estimate the proportion of timely vaccinations and the proportion of co-administered vaccines, and to assess the relationship between vaccine co-administration and vaccine timeliness in Kenyan children. Using the 2014 Kenyan Demographic and Health Survey (DHS), we calculated the proportion of children who received co-administered and timely vaccine doses. Co-administration was defined as doses administered on the same day with dates recorded on vaccination cards. Vaccines were considered timely if given within four days before to four weeks after the recommended interval for administration. 10,385 children aged 1-4 years in the Kenyan 2014 DHS dataset had vaccination cards which comprised the study sample. Analysis revealed wide a range for receipt of timely doses, from 90.2% for OPV0 to 56.0% for Measles. Co-administration of the 6-week dose was associated with 2.81 times higher odds of a timely Penta dose 1 (95% CI: 2.28, 3.46) and birth-dose co-administration was associated with a substantial increase in timely BCG vaccination: AOR 7.43 (95% CI: 6.31, 8.75). Though vaccine coverage in Kenya was high, timely vaccination was markedly low, with resultant implications for population immunity and potential spread of communicable diseases in unvaccinated infants. Co-administration of vaccines, place of residence, wealth index, and child age were consistently related to the odds of timely vaccine receipt. These relationships reinforce the importance of dedicating resources to programs that educate low socio-economic groups about the importance of vaccine co-administration. Copyright © 2018 Elsevier Ltd. All rights reserved.

  6. NOTES ON ADMINISTRATIVE LAW: Introduction 1. Administrative ...

    African Journals Online (AJOL)

    eliasn

    administrative litigation and not general administrative law dealing with relations between agencies of the administration. The notes will deal with judicial review of administrative action. This paper is limited to a comparative exposition of the manner in which judicial review is treated in England and. France. The purpose is ...

  7. 150-meter Fledermaus bathymetry grid from U.S. Geological Survey Cruise 03032, National Oceanic and Atmospheric Administration RB0305, 28 August to 4 September 2003 (RB2003Augustsd.sd)

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — In 2002 and 2003, the U.S. Geological Survey (USGS), Woods Hole Coastal and Marine Science Center (WHCMSC), in cooperation with the National Oceanic and Atmospheric...

  8. DH_bathy5m: Bathymetric data collected by the U.S. Geological Survey and the National Oceanic and Atmospheric Administration offshore of Massachusetts between Duxbury and Hull (ESRI BINARY GRID)

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — These data were collected under a cooperative agreement with the Massachusetts Office of Coastal Zone Management (CZM) and the U.S. Geological Survey (USGS), Coastal...

  9. Navigation Tracklines of the Puerto Rico Trench U.S. Geological Survey Cruise 03008 (National Oceanic and Atmospheric Administration 0303) February 18 to March 7, 2003 (nav2003.shp, polyline shapefile, geographic, WGS84)

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — In 2002 and 2003, the U.S. Geological Survey (USGS), Woods Hole Coastal and Marine Science Center (WHCMSC), in cooperation with the National Oceanic and Atmospheric...

  10. Navigation Tracklines of the Puerto Rico Trench U.S. Geological Survey Cruise 02051 (National Oceanic and Atmospheric Administration 0208) September 24 to September 30, 2002 (nav2002.shp, polyline shapefile, geographic, WGS84)

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — In 2002 and 2003, the U.S. Geological Survey (USGS), Woods Hole Coastal and Marine Science Center (WHCMSC), in cooperation with the National Oceanic and Atmospheric...

  11. Bathymetric data collected by the U.S. Geological Survey and the National Oceanic and Atmospheric Administration offshore of Massachusetts between Duxbury and Hull (DH_bathy5m, Esri binary grid, UTM Zone 19, WGS84)

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — These data were collected under a cooperative agreement with the Massachusetts Office of Coastal Zone Management (CZM) and the U.S. Geological Survey (USGS), Coastal...

  12. Identifying collaborative care teams through electronic medical record utilization patterns.

    Science.gov (United States)

    Chen, You; Lorenzi, Nancy M; Sandberg, Warren S; Wolgast, Kelly; Malin, Bradley A

    2017-04-01

    The goal of this investigation was to determine whether automated approaches can learn patient-oriented care teams via utilization of an electronic medical record (EMR) system. To perform this investigation, we designed a data-mining framework that relies on a combination of latent topic modeling and network analysis to infer patterns of collaborative teams. We applied the framework to the EMR utilization records of over 10 000 employees and 17 000 inpatients at a large academic medical center during a 4-month window in 2010. Next, we conducted an extrinsic evaluation of the patterns to determine the plausibility of the inferred care teams via surveys with knowledgeable experts. Finally, we conducted an intrinsic evaluation to contextualize each team in terms of collaboration strength (via a cluster coefficient) and clinical credibility (via associations between teams and patient comorbidities). The framework discovered 34 collaborative care teams, 27 (79.4%) of which were confirmed as administratively plausible. Of those, 26 teams depicted strong collaborations, with a cluster coefficient > 0.5. There were 119 diagnostic conditions associated with 34 care teams. Additionally, to provide clarity on how the survey respondents arrived at their determinations, we worked with several oncologists to develop an illustrative example of how a certain team functions in cancer care. Inferred collaborative teams are plausible; translating such patterns into optimized collaborative care will require administrative review and integration with management practices. EMR utilization records can be mined for collaborative care patterns in large complex medical centers.

  13. Personality pathology recorded by severity: national survey.

    Science.gov (United States)

    Yang, Min; Coid, Jeremy; Tyrer, Peter

    2010-09-01

    Current classifications of personality disorders do not classify severity despite clinical practice favouring such descriptions. To assess whether an existing measure of severity of personality disorder predicted clinical pathology and societal dysfunction in a community sample. UK national epidemiological study in which personality status was measured using the screening version of the Structured Clinical Interview for DSM-IV Personality Disorders (SCID-II) and reclassified to five levels using a modified severity index. Associations between levels of severity of personality pathology and social, demographic and clinical variables were measured. Of 8391 individuals interviewed and their personality status assessed, only a minority (n = 1933, 23%) had no personality pathology. The results supported the hypothesis. More severe personality pathology was associated incrementally with younger age, childhood institutional care, expulsion from school, contacts with the criminal justice system, economic inactivity, more Axis I pathology and greater service contact (primary care and secondary care, all Phandicap was noted among people with even low levels of personality pathology. No differences contradicted the main hypothesis. A simple reconstruction of the existing classification of personality disorder is a good predictor of social dysfunction and supports the development of severity measures as a critical requirement in both DSM-V and ICD-11 classifications.

  14. Billfish Angler Survey

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The Billfish Angler Survey provides estimates of billfish angling activities in the Pacific and Indian Oceans. This collection of recreational billfish catch and...

  15. Industry Based Monkfish Survey

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Monkfish industry leaders expressed concerns that the NEFSC bottom trawl surveys did not sample in all monkfish habitats; particularly the deeper water outside the...

  16. Winter Bottom Trawl Survey

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The standardized NEFSC Winter Bottom Trawl Survey was initiated in 1992 and covered offshore areas from the Mid-Atlantic to Georges Bank. Inshore strata were covered...

  17. Hake Survey ADCP (2005)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Shipboard acoustic Doppler current profiler data collected during the Integrated Acoustic and Trawl Surveys of Pacific Hake. Processing by: Stephen Pierce, Oregon...

  18. Hake Survey ADCP (1998)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Shipboard acoustic Doppler current profiler data collected during the Integrated Acoustic and Trawl Surveys of Pacific Hake. Processing by: Stephen Pierce, Oregon...

  19. Hake Survey ADCP (2003)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Shipboard acoustic Doppler current profiler data collected during the Integrated Acoustic and Trawl Surveys of Pacific Hake. Processing by: Stephen Pierce, Oregon...

  20. Hake Survey ADCP (2001)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Shipboard acoustic Doppler current profiler data collected during the Integrated Acoustic and Trawl Surveys of Pacific Hake. Processing by: Stephen Pierce, Oregon...

  1. Hake Survey ADCP (1995)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Shipboard acoustic Doppler current profiler data collected during the Integrated Acoustic and Trawl Surveys of Pacific Hake. Processing by: Stephen Pierce, Oregon...

  2. Fisheries Disaster Survey, 2000

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Responses to selected questions from the Social and Economic Survey administered in spring and summer 2000 to recipients of the second round (Round II) of financial...

  3. Fall Bottom Trawl Survey

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The standardized NEFSC Fall Bottom Trawl Survey was initiated in 1963 and covered an area from Hudson Canyon, NY to Nova Scotia, Canada. Throughout the years,...

  4. Atlantic Herring Acoustic Surveys

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The NEFSC Advanced Sampling Technologies Research Group conducts annual fisheries acoustic surveys using state-of-the-art acoustic, midwater trawling, and underwater...

  5. Large Pelagics Telephone Survey

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The Large Pelagics Telephone Survey (LPTS) collects fishing effort information directly from captains holding Highly Migratory Species (HMS) permits (required by...

  6. Deep Water Survey Data

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The deep water biodiversity surveys explore and describe the biodiversity of the bathy- and bentho-pelagic nekton using Midwater and bottom trawls centered in the...

  7. NMFS Reef Survey Forms

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The Reef Environmental Survey Project (REEF) mission to educate and enlist divers in the conservation of marine habitats is accomplished primarily through its Fish...

  8. Large Pelagics Biological Survey

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The Large Pelagics Biological Survey (LPBS) collects additional length and weight information and body parts such as otoliths, caudal vertebrae, dorsal spines, and...

  9. Shrimp Survey Data

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The Northern Shrimp Survey was initiated in 1983 by the Atlantic States Marine Fisheries Commission (ASMFC) and monitors the relative abundance (number of shrimp),...

  10. Spring Bottom Trawl Survey

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The standardized NEFSC Spring Bottom Trawl Survey was initiated in 1968 and covered an area from Cape Hatteras, NC, to Nova Scotia, Canada, at depths >27m....

  11. Perceptions of Electronic Health Records in Mississippi

    Directory of Open Access Journals (Sweden)

    Jennifer L. Styron

    2014-08-01

    Full Text Available This study reports perceptions of Electronic Health Record (EHR adoption among key constituents in Mississippi to inform health care professionals and administrators about factors that influence the adoption and integration of EHRs into practice. The results from a survey conducted at two statewide health conferences in Mississippi indicated a high degree of optimism in regards to successful EHR adoption, but less for specific practices and in rural areas. These results are relevant to healthcare decision and policy makers to determine needed professional preparation and programming, if any, for current and future healthcare professionals; and to identify workforce development challenges lending insight into the technology skills needed to adopt and utilize EHRs at a meaningful level. Further, the assessment identified potential factors that may be associated with the current level of adoption of utilization of EHRs.

  12. Vinyl Record

    DEFF Research Database (Denmark)

    Bartmanski, Dominik; Woodward, Ian

    2018-01-01

    In this paper, we use the case of the vinyl record to show that iconic objects become meaningful via a dual process. First, they offer immersive engagements which structure user interpretations through various material experiences of handling, use, and extension. Second, they always work via enta...

  13. Administration of Anesthesia

    Science.gov (United States)

    ... a Surgeon What We Do Administration of Anesthesia Administration of Anesthesia Oral and maxillofacial surgeons are extensively ... Injury Wisdom Teeth Management Procedures Administration of Anesthesia Administration of Anesthesia Oral and maxillofacial surgeons are extensively ...

  14. Records Reaching Recording Data Technologies

    Science.gov (United States)

    Gresik, G. W. L.; Siebe, S.; Drewello, R.

    2013-07-01

    The goal of RECORDS (Reaching Recording Data Technologies) is the digital capturing of buildings and cultural heritage objects in hard-to-reach areas and the combination of data. It is achieved by using a modified crane from film industry, which is able to carry different measuring systems. The low-vibration measurement should be guaranteed by a gyroscopic controlled advice that has been , developed for the project. The data were achieved by using digital photography, UV-fluorescence photography, infrared reflectography, infrared thermography and shearography. Also a terrestrial 3D laser scanner and a light stripe topography scanner have been used The combination of the recorded data should ensure a complementary analysis of monuments and buildings.

  15. RECORDS REACHING RECORDING DATA TECHNOLOGIES

    Directory of Open Access Journals (Sweden)

    G. W. L. Gresik

    2013-07-01

    Full Text Available The goal of RECORDS (Reaching Recording Data Technologies is the digital capturing of buildings and cultural heritage objects in hard-to-reach areas and the combination of data. It is achieved by using a modified crane from film industry, which is able to carry different measuring systems. The low-vibration measurement should be guaranteed by a gyroscopic controlled advice that has been , developed for the project. The data were achieved by using digital photography, UV-fluorescence photography, infrared reflectography, infrared thermography and shearography. Also a terrestrial 3D laser scanner and a light stripe topography scanner have been used The combination of the recorded data should ensure a complementary analysis of monuments and buildings.

  16. National Geodetic Survey's Airport Aerial Photography

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The National Geodetic Survey (NGS), formerly part of the U.S. Coast and Geodetic Survey, has been performing Aeronautical surveys since the 1920's. NGS, in...

  17. ATLAS Recordings

    CERN Multimedia

    Steven Goldfarb; Mitch McLachlan; Homer A. Neal

    Web Archives of ATLAS Plenary Sessions, Workshops, Meetings, and Tutorials from 2005 until this past month are available via the University of Michigan portal here. Most recent additions include the Trigger-Aware Analysis Tutorial by Monika Wielers on March 23 and the ROOT Workshop held at CERN on March 26-27.Viewing requires a standard web browser with RealPlayer plug-in (included in most browsers automatically) and works on any major platform. Lectures can be viewed directly over the web or downloaded locally.In addition, you will find access to a variety of general tutorials and events via the portal.Feedback WelcomeOur group is making arrangements now to record plenary sessions, tutorials, and other important ATLAS events for 2007. Your suggestions for potential recording, as well as your feedback on existing archives is always welcome. Please contact us at wlap@umich.edu. Thank you.Enjoy the Lectures!

  18. Administrative Discretionary Grants (FY 1996-2014)

    Data.gov (United States)

    Institute of Museum and Library Services — Review the administrative records for discretionary grant recipients who were awarded funds by IMLS from FY 1996 to FY 2014. Data include information on the...

  19. 32 CFR 806.10 - Records management.

    Science.gov (United States)

    2010-07-01

    ... 32 National Defense 6 2010-07-01 2010-07-01 false Records management. 806.10 Section 806.10 National Defense Department of Defense (Continued) DEPARTMENT OF THE AIR FORCE ADMINISTRATION AIR FORCE FREEDOM OF INFORMATION ACT PROGRAM § 806.10 Records management. Keep records that were fully released for...

  20. 12 CFR 609.945 - Records retention.

    Science.gov (United States)

    2010-01-01

    ... 12 Banks and Banking 6 2010-01-01 2010-01-01 false Records retention. 609.945 Section 609.945 Banks and Banking FARM CREDIT ADMINISTRATION FARM CREDIT SYSTEM ELECTRONIC COMMERCE Standards for Boards and Management § 609.945 Records retention. Records stored electronically must be accurate, accessible, and reproducible for later reference...

  1. 32 CFR 806.12 - Record availability.

    Science.gov (United States)

    2010-07-01

    ... National Defense Department of Defense (Continued) DEPARTMENT OF THE AIR FORCE ADMINISTRATION AIR FORCE.... Each Air Force activity must make 5 U.S.C. 552(a)(2)(D) records (“FOIA-processed (a)(2)(D) records... receives, or anticipates receiving, five or more requests for the same record in a quarter, they will...

  2. 14 CFR 152.305 - Accounting records.

    Science.gov (United States)

    2010-01-01

    ... 14 Aeronautics and Space 3 2010-01-01 2010-01-01 false Accounting records. 152.305 Section 152.305... AIRPORT AID PROGRAM Accounting and Reporting Requirements § 152.305 Accounting records. (a) Airport... individual project, an accounting record satisfactory to the Administrator which segregates cost information...

  3. Communication Technologies Preferred by School Based Administrators

    Science.gov (United States)

    Weir, Paul

    2012-01-01

    The purpose of this study was to determine the communication technologies preferred by school based administrators. This study surveyed and interviewed 96 school based administrators in a mid-sized suburban school system. The data show that individual emails, email lists, and cell phone technologies had the highest percentage effectiveness ratings…

  4. Primer on Health Surveys

    Directory of Open Access Journals (Sweden)

    David L Nordstrom

    2012-06-01

    Full Text Available The aim of this paper is to introduce novice researchers to surveys as a method of data collection. It starts with the definition of a survey, its major purposes and types as well as changes in the goals surveys have helped to achieve over time. Advantages and disadvantages of surveys over population censuses and medical examinations are discussed. Approaches to questionnaire construction are introduced along with properties that questionnaires are evaluated for. Modes of administration, sample size issues, and data analysis approaches are also introduced. The primer is illustrated with examples of surveys conducted in different countries with various public health purposes.

  5. Senior Administrators Should Have Administrative Contracts.

    Science.gov (United States)

    Posner, Gary J.

    1987-01-01

    Recognizing that termination is viewed by the employee as the equivalent to capital punishment of a career, an administrative contract can reduce the emotional and financial entanglements that often result. Administrative contracts are described. (MLW)

  6. The use of electronic health records in Spanish hospitals.

    Science.gov (United States)

    Marca, Guillem; Perez, Angel; Blanco-Garcia, Martin German; Miravalles, Elena; Soley, Pere; Ortiga, Berta

    The aims of this study were to describe the level of adoption of electronic health records in Spanish hospitals and to identify potential barriers and facilitators to this process. We used an observational cross-sectional design. The survey was conducted between September and December 2011, using an electronic questionnaire distributed through email. We obtained a 30% response rate from the 214 hospitals contacted, all belonging to the Spanish National Health Service. The level of adoption of electronic health records in Spanish hospitals was found to be high: 39.1% of hospitals surveyed had a comprehensive EHR system while a basic system was functioning in 32.8% of the cases. However, in 2011 one third of the hospitals did not have a basic electronic health record system, although some have since implemented electronic functionalities, particularly those related to clinical documentation and patient administration. Respondents cited the acquisition and implementation costs as the main barriers to implementation. Facilitators for EHR implementation were: the possibility to hire technical support, both during and post implementation; security certification warranty; and objective third-party evaluations of EHR products. In conclusion, the number of hospitals that have electronic health records is in general high, being relatively higher in medium-sized hospitals.

  7. Artesian Wetlands Survey

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — The Artesian Wetlands Survey includes data on the wetlands in the San Luis Valley in Colorado. Data recorded includes location, area of influence, area inundated,...

  8. 14 CFR 1275.106 - Administrative actions.

    Science.gov (United States)

    2010-01-01

    ... 1275.106 Aeronautics and Space NATIONAL AERONAUTICS AND SPACE ADMINISTRATION RESEARCH MISCONDUCT § 1275... correct the research record. The administrative actions range from minimal restrictions (Group I Actions... condition of an award that for a specified period of time an individual, department, or institution obtain...

  9. Record Club

    CERN Multimedia

    Record Club

    2011-01-01

    http://cern.ch/Record.Club November  Selections Just in time for the holiday season, we have added a number of new CDs and DVDs into the Club. You will find the full lists at http://cern.ch/record.club; select the "Discs of the Month" button on the left side on the left panel of the web page and then Nov 2011. New films include the all 5 episodes of Fast and Furious, many of the most famous films starring Jean-Paul Belmondo and those of Louis de Funes and some more recent films such as The Lincoln Lawyer and, according to some critics, Woody Allen’s best film for years – Midnight in Paris. For the younger generation there is Cars 2 and Kung Fu Panda 2. New CDs include the latest releases by Adele, Coldplay and the Red Hot Chili Peppers. We have also added the new Duets II CD featuring Tony Bennett singing with some of today’s pop stars including Lady Gaga, Amy Winehouse and Willy Nelson. The Club is now open every Monday, Wednesday and Friday ...

  10. ATLAS Recordings

    CERN Multimedia

    Jeremy Herr; Homer A. Neal; Mitch McLachlan

    The University of Michigan Web Archives for the 2006 ATLAS Week Plenary Sessions, as well as the first of 2007, are now online. In addition, there are a wide variety of Software and Physics Tutorial sessions, recorded over the past couple years, to chose from. All ATLAS-specific archives are accessible here.Viewing requires a standard web browser with RealPlayer plug-in (included in most browsers automatically) and works on any major platform. Lectures can be viewed directly over the web or downloaded locally.In addition, you will find access to a variety of general tutorials and events via the portal. Shaping Collaboration 2006The Michigan group is happy to announce a complete set of recordings from the Shaping Collaboration conference held last December at the CICG in Geneva.The event hosted a mix of Collaborative Tool experts and LHC Users, and featured presentations by the CERN Deputy Director General, Prof. Jos Engelen, the President of Internet2, and chief developers from VRVS/EVO, WLAP, and other tools...

  11. Record club

    CERN Multimedia

    Record club

    2010-01-01

      Bonjour a tous, Voici les 24 nouveaux DVD de Juillet disponibles depuis quelques jours, sans oublier les 5 CD Pop musique. Découvrez la saga du terroriste Carlos, la vie de Gainsbourg et les aventures de Lucky Luke; angoissez avec Paranormal Activity et évadez vous sur Pandora dans la peau d’Avatar. Toutes les nouveautés sont à découvrir directement au club. Pour en connaître la liste complète ainsi que le reste de la collection du Record Club, nous vous invitons sur notre site web: http://cern.ch/crc. Toutes les dernières nouveautés sont dans la rubrique « Discs of the Month ». Rappel : le club est ouvert les Lundis, Mercredis, Vendredis de 12h30 à 13h00 au restaurant n°2, bâtiment 504. A bientôt chers Record Clubbers.  

  12. Record Club

    CERN Multimedia

    Record Club

    2011-01-01

    http://cern.ch/Record.Club Nouveautés été 2011 Le club de location de CDs et de DVDs vient d’ajouter un grand nombre de disques pour l’été 2011. Parmi eux, Le Discours d’un Roi, oscar 2011 du meilleur film et Harry Potter les reliques de la mort (1re partie). Ce n’est pas moins de 48 DVDs et 10 CDs nouveaux qui vous sont proposés à la location. Il y en a pour tous les genres. Alors n’hésitez pas à consulter notre site http://cern.ch/record.club, voir Disc Catalogue, Discs of the month pour avoir la liste complète. Le club est ouvert tous les Lundi, Mercredi, Vendredi de 12h30 à 13h dans le bâtiment du restaurent N°2 (Cf. URL: http://www.cern.ch/map/building?bno=504) A très bientôt.  

  13. Record Club

    CERN Multimedia

    Record Club

    2011-01-01

    http://cern.ch/Record.Club June Selections We have put a significant number of new CDs and DVDs into the Club You will find the full lists at http://cern.ch/record.club and select the «Discs of the Month» button on the left side on the left panel of the web page and then June 2011. New films include the latest Action, Suspense and Science Fiction film hits, general drama movies including the Oscar-winning The King’s Speech, comedies including both chapter of Bridget Jones’s Diary, seven films for children and a musical. Other highlights include the latest Harry Potter release and some movies from the past you may have missed including the first in the Terminator series. New CDs include the latest releases by Michel Sardou, Mylene Farmer, Jennifer Lopez, Zucchero and Britney Spears. There is also a hits collection from NRJ. Don’t forget that the Club is now open every Monday, Wednesday and Friday lunchtimes from 12h30 to 13h00 in Restaurant 2, Building 504. (C...

  14. 10-m Interpolated Bathymetric Grid of the Northern Part of National Oceanic and Atmospheric Administration (NOAA) Survey H11044 off Milford, Connecticut (H11044N_10UTM, UTM Zone 18, WGS84)

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — During 2001 the NOAA Ship RUDE completed charting survey H11044 that covered a roughly 293 km2 area of the sea floor in north-central Long Island Sound, off Milford...

  15. Salaries and Wages Paid Professional and Support Personnel in Public Schools, 2010-2011. National Survey of Salaries and Wages in Public Schools: A Reference Tool for School Administrators. 38th Edition

    Science.gov (United States)

    Protheroe, Nancy; Licciardi, Christopher M.; Cooke, Willa D.

    2011-01-01

    This report presents salary and wage data collected as part of the "ERS National Survey of Salaries and Wages in Public Schools, 2010-2011." The survey, conducted in Fall 2010, collected data on salaries scheduled and salaries paid for 23 selected professional positions and 10 selected support positions in public school systems throughout the…

  16. Ship's log recorded during U.S. Geological Survey field activity 2012-005-FA conducted in Baltimore, Washington, and Norfolk Canyons in a Microsoft Excel 2010 spreadsheet format

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — A large number of high-resolution geophysical surveys between Cape Hatteras and Georges Bank have been conducted by federal, state, and academic institutions since...

  17. Trajetória das Anotações de Enfermagem: um levantamento em periódicos nacionais (1957-2005 Trajectoria de las Anotaciones de Enfermería: un survey en periódicos nacionales (1957-2005 Nursing Records trajectory: a survey of national journals (1957-2005

    Directory of Open Access Journals (Sweden)

    Alessandra Rosa Carrijo

    2006-01-01

    Full Text Available Este estudo é resultado de um levantamento sobre anotação de enfermagem, em uma base de dados informatizada denominada PeriEnf da Escola de Enfermagem da Universidade de São Paulo, realizado em 2005. Objetivou-se descrever os achados por categorias e analisar os temas mais citados no conteúdo das anotações de enfermagem. Pautou-se na técnica de análise de conteúdo, proposta por Bardin, para analisar os 51 textos selecionados no período de 1957 a 2005. Houve um acentuado crescimento do número de estudos que envolvem o tema, sendo a anotação do tipo descritiva, a mais pesquisada e discutida, entretanto esta prática de enfermagem permanece sendo realizada como um ato mecânico, escasso em conteúdo e sem refletir a assistência de enfermagem efetivamente prestada ao paciente.Este estudio es resultado de un survey sobre anotaciones de enfermería hecho en 2005, en una basis de datos informatizada llamada PeriEnf, de la Escuela de Enfermería de la Universidad de São Paulo. Se buscó describir los datos por categorias y analisar los temas más citados en el contenido de la anotación de enfermería. Se utilizó la técnica de analisis de contenido, propuesta por Bardin, para hacer las análises de 51 textos seleccionados de 1957 al 2005. Hubo un crescimiento notable del número de estudios sobre el tema, siendo la anotación descriptiva la más estudiada y discutida. Sin embargo, esta práctica de enfermería sigue siendo realizada como un acto mecánico, com escaso contenido y sin reflexionar la atención de enfermería efectivamente prestada al paciente.This paper is an outcome of a survey on nursing records, made in 2005, through the University of São Paulo, School of Nursing, data basis called Perienf. It aimed at describing data according to categories and analyse themes most cited in the content of the nursing records. Content analysis by Bardin was utilized for this technical analysis of 51 selected texts from 1957 to 2005

  18. Record dynamics

    DEFF Research Database (Denmark)

    Robe, Dominic M.; Boettcher, Stefan; Sibani, Paolo

    2016-01-01

    When quenched rapidly beyond their glass transition, colloidal suspensions fall out of equilibrium. The pace of their dynamics then slows down with the system age, i.e., with the time elapsed after the quench. This breaking of time translational invariance is associated with dynamical observables...... which depend on two time-arguments. The phenomenology is shared by a broad class of aging systems and calls for an equally broad theoretical description. The key idea is that, independent of microscopic details, aging systems progress through rare intermittent structural relaxations that are de......-facto irreversible and become increasingly harder to achieve. Thus, a progression of record-sized dynamical barriers are traversed in the approach to equilibration. Accordingly, the statistics of the events is closely described by a log-Poisson process. Originally developed for relaxation in spin glasses...

  19. RECORD CLUB

    CERN Multimedia

    Record Club

    2010-01-01

    DVD James Bond – Series Complete To all Record Club Members, to start the new year, we have taken advantage of a special offer to add copies of all the James Bond movies to date, from the very first - Dr. No - to the latest - Quantum of Solace. No matter which of the successive 007s you prefer (Sean Connery, George Lazenby, Roger Moore, Timothy Dalton, Pierce Brosnan or Daniel Craig), they are all there. Or perhaps you have a favourite Bond Girl, or even perhaps a favourite villain. Take your pick. You can find the full selection listed on the club web site http://cern.ch/crc; use the panel on the left of the page “Discs of the Month” and select Jan 2010. We remind you that we are open on Mondays, Wednesdays and Fridays from 12:30 to 13:00 in Restaurant 2 (Bldg 504).

  20. Record breakers

    CERN Multimedia

    Antonella Del Rosso

    2012-01-01

    In the sixties, CERN’s Fellows were but a handful of about 50 young experimentalists present on site to complete their training. Today, their number has increased to a record-breaking 500. They come from many different fields and are spread across CERN’s different activity areas.   “Diversifying the Fellowship programme has been the key theme in recent years,” comments James Purvis, Head of the Recruitment, Programmes and Monitoring group in the HR Department. “In particular, the 2005 five-yearly review introduced the notion of ‘senior’ and ‘junior’ Fellowships, broadening the target audience to include those with Bachelor-level qualifications.” Diversification made CERN’s Fellowship programme attractive to a wider audience but the number of Fellows on site could not have increased so much without the support of EU-funded projects, which were instrumental in the growth of the programme. ...