Can Texas' Physicians Be as Diverse as Texas?

Science.gov (United States)

Price, Sean

2017-07-01

The United States and Texas have a chronic shortage of doctors, but the shortage of minority physicians is even more acute. To address this, and the health disparities that come with it, Texas medical schools are working to increase minority enrollment, but challenges remain.

Impact of boarding pediatric psychiatric patients on a medical ward.

Science.gov (United States)

Claudius, Ilene; Donofrio, J Joelle; Lam, Chun Nok; Santillanes, Genevieve

2014-05-01

Psychiatric disorders account for an increasing number of pediatric hospitalizations. Due to lack of psychiatric beds, patients on involuntary psychiatric holds may be admitted to medical units. Our objectives were to evaluate the rate of admission of psychiatric patients to a medical unit, psychiatric care provided, and estimated cost of care. The study involved retrospective chart review of all patients on involuntary psychiatric holds presenting to 1 pediatric emergency department from July 2009 to December 2010. We determined the rate of admission to a medical unit, the rate of counseling or psychiatric medication administration, and the estimated cost of nonmedical admissions (boarding) of patients on the medical unit. A total of 555 (50.1%) of 1108 patients on involuntary psychiatric holds were admitted to the pediatric medical unit. The majority (523 [94.2%]) were admitted for boarding because no psychiatric bed was available. Thirty-two (6.1%) patients admitted for isolated psychiatric reasons had counseling documented, and 105 (20.1%) received psychiatric medications. Patients admitted to an affiliated psychiatric hospital were significantly more likely to receive counseling and medications. Psychiatric patients were boarded in medical beds for 1169 days at an estimated cost of $2 232 790 or $4269 per patient over the 18-month period. We found high admission rates of patients on involuntary psychiatric holds to a pediatric medical unit with little psychiatric treatment in 1 hospital. Further research in other centers is required to determine the extent of the issue. Future studies of longer term outcomes (including readmission rates and assessments of functioning) are needed.

Precipitation and Evaporation Trends in Texas

Science.gov (United States)

Dixon, R. W.

2009-05-01

Texas is a large land area with at least three different climate types. As such it is expected that the results of climate change will not be homogenous. This paper presents results of a study of long trends in Texas precipitation and evaporation using data from the US Historical Climatology Network and the Texas Water Development Board. It shows that the long term trends of these variables is not homogenous and exhibits great variability in both spatial extent and magnitude. This variability must be considered in planning for future water supply or other mitigation projects.

78 FR 49254 - Foreign-Trade Zone 84-Houston, Texas; Application for Subzone; Toshiba International Corporation...

Science.gov (United States)

2013-08-13

... DEPARTMENT OF COMMERCE Foreign-Trade Zones Board [B-77-2013] Foreign-Trade Zone 84--Houston, Texas; Application for Subzone; Toshiba International Corporation; Houston, Texas An application has been submitted to the Foreign-Trade Zones (FTZ) Board by the Port of Houston Authority, grantee of FTZ 84...

21 CFR 808.93 - Texas.

Science.gov (United States)

2010-04-01

... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Texas. 808.93 Section 808.93 Food and Drugs FOOD... and Local Exemptions § 808.93 Texas. (a) The following Texas medical device requirement is enforceable... that, in enforcing this requirement, Texas apply the definition of “used hearing aid” in § 801.420(a)(6...

Technical Training seminar: Texas Instruments

CERN Multimedia

2006-01-01

Monday 6 November TECHNICAL TRAINING SEMINAR 14:00 to 17:30 - Training Centre Auditorium (bldg. 593) Texas Instruments Technical Seminar Michael Scholtholt, Field Application Engineer / TEXAS INSTRUMENTS (US, D, CH) POWER - A short approach to Texas Instruments power products Voltage mode vs. current mode control Differentiating DC/DC converters by analyzing control and compensation schemes: line / load regulation, transient response, BOM, board space, ease-of-use Introduction to the SWIFT software FPGA + CPLD power solutions WIRELESS / CHIPCON Decision criteria when choosing a RF platform Introduction to Texas Instruments wireless products: standardized platforms proprietary platforms ( 2.4 GHz / sub 1 GHz) development tools Antenna design: example for 2.4 GHz questions, discussion Industrial partners: Robert Medioni, François Caloz / Spoerle Electronic, CH-1440 Montagny (VD), Switzerland Phone: +41 24 447 0137, email: RMedioni@spoerle.com, http://www.spoerle.com Language: English. Free s...

A Study to Evaluate the Organization and the Operating Procedures of the Patient Assistance Function at Brooke Army Medical Center, Fort Sam Houston, Texas

Science.gov (United States)

1979-08-01

15 March 1979. 59Interview with Wendy L. Farace , Head Nurse, Obstetrics/Gynecology Clinic, Brooke Army Medical Center, Fort Sam Houston, Texas, 8...6 February 1979. Farace , Wendy L. Head Nurse, Obstetrica/Gynecology Clinic, Brooke Army Medical Center, Fort Sam Houston, Texas. Interview, 8 January

The risk of disciplinary action by state medical boards against physicians prescribing opioids.

Science.gov (United States)

Richard, Jack; Reidenberg, Marcus M

2005-02-01

Concern of physicians about being disciplined for prescribing opioids for patients in pain is one cause for undertreatment of pain. This study was done to assess the actual risk of being disciplined by state medical boards. A review of records of actions by the New York State Board for Professional Medical Misconduct for 3 years and of all medical boards in the United States for 9 months was done to determine this risk. New York State, with 7.8% of U.S. physicians, had 10 physicians disciplined annually related to overprescribing opioids, while the total for the entire U.S. was 120 physicians annually. Most physicians disciplined had multiple violations in addition to overprescribing controlled substances. In the national sample, 43% were prescribing for themselves or for nonpatients, 12% prescribed for addicts without addressing the patients' problems of addiction, 42% had inadequate records, 19% prescribed without indication for opioids, 13% were incompetent in additional ways, and 8% were having sexual activity with patients. Not a single physician, for whom information was available, was disciplined solely for overprescribing opioids. The actual risk of an American physician being disciplined by a state medical board for treating a real patient with opioids for a painful medical condition is virtually nonexistent.

Variations by state in physician disciplinary actions by US medical licensure boards.

Science.gov (United States)

Harris, John Alexander; Byhoff, Elena

2017-03-01

To investigate the variation in the rate of state medical board physician disciplinary actions between US states. Longitudinal study of state medical board physician disciplinary action rates using the US National Practitioner Data Bank and American Medical Association estimates of physician demographics across all 50 states and the District of Columbia from 2010 to 2014. Results were reliability adjusted using a multilevel logistic model controlling for year of disciplinary action, physicians per capita in each state and the rate of malpractice claims per physician in each state. From 2010 to 2014, there were a total of 5046 506 physician licensure years present. Medical boards reported a total of 21 647 disciplinary actions, of which 5137 (23.7%) were major disciplinary actions involving revocation, suspension or surrender of licence. The mean, reliability-adjusted rate of all disciplinary actions was 3.76 (95% CI 3.21 to 4.42) with a significant variation between states. State rates ranged from 2.13 (95% CI 1.86 to 2.45) to 7.93 (95% CI 6.33 to 9.93) actions per 1000 physicians. The mean rate of major disciplinary actions was 2.71 (95% CI 1.93 to 3.82), ranging from 0.64 (95% CI 0.53 to 0.76) to 2.71 (95% CI 1.93 to 3.82) actions per 1000 physicians. The correlation between the rate of major disciplinary action and minor disciplinary actions was 0.34. There is a significant, fourfold variation in the annual rate of medical board physician disciplinary action by state in the USA. When indicated, state medical boards should consider policies aimed at improving standardisation and coordination to provide consistent supervision to physicians and ensure public safety. 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/.

Maternal Mortality in Texas.

Science.gov (United States)

Baeva, Sonia; Archer, Natalie P; Ruggiero, Karen; Hall, Manda; Stagg, Julie; Interis, Evelyn Coronado; Vega, Rachelle; Delgado, Evelyn; Hellerstedt, John; Hankins, Gary; Hollier, Lisa M

2017-05-01

A commentary on maternal mortality in Texas is provided in response to a 2016 article in Obstetrics & Gynecology by MacDorman et al. While the Texas Department of State Health Services and the Texas Maternal Mortality and Morbidity Task Force agree that maternal mortality increased sharply from 2010 to 2011, the percentage change or the magnitude of the increase in the maternal mortality rate in Texas differs depending on the statistical methods used to compute and display it. Methodologic challenges in identifying maternal death are also discussed, as well as risk factors and causes of maternal death in Texas. Finally, several state efforts currently underway to address maternal mortality in Texas are described. Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Evaluation of Board Performance in Iran’s Universities of Medical Sciences

Directory of Open Access Journals (Sweden)

Haniye Sajadi

2014-10-01

Full Text Available Background The critical role that the board plays in governance of universities clarifies the necessity of evaluating its performance. This study was aimed to evaluate the performance of the boards of medical universities and provide solutions to enhance its performance. Methods The first phase of present study was a qualitative research in which data were collected through face-to-face semi-structured interviews. Data were analyzed by thematic approach. The second phase was a mixed qualitative and quantitative study, with quantitative part in cross-sectional format and qualitative part in content analysis format. In the quantitative part, data were collected through Ministry of Health and Medical Education (MoHME. In the qualitative part, the content of 2,148 resolutions that were selected by using stratified sampling method were analyzed. Results Participants believed that the boards had no acceptable performance for a long time. Results also indicated the increasing number of meetings and resolutions of the boards in these 21 years. The boards’ resolutions were mostly operational in domain and administrative in nature. The share of specific resolutions was more than the general ones. Conclusion Given the current pace of change and development and the need to timely respond them, it is recommended to accelerate the slow pace of improvement process of the boards. It appears that more delegation and strengthening the position of the boards are the effective strategies to speed up this process.

The Influence of Medical Evaluation Board Status on Symptom Reporting Among Service Members with Traumatic Brain Injury

Science.gov (United States)

2017-04-21

MDW/SGVU SUBJECT: Professional Presentation Approvai 11APR 20 17 1. Your paper, entitled The Influence of Medical Evaluation Board Status on... influence o f medical evaluation board status on symptom reporting among service members w ith traumatic brain injury 7. FUNDING RECEIVED FOR THIS STUDY? D...Page 3 of 3 Pages Title: The influence of medical evaluation board status on symptom reporting among service members with traumatic brain injury

Majors Matter: Differences in Wages over Time in Texas

Science.gov (United States)

Schneider, Mark

2016-01-01

The Texas Higher Education Coordinating Board (THECB) has developed an extensive data system that captures the wages earned by graduates of public colleges and universities, by major. The board then makes those data available, providing a highly detailed look at the wages of completers at various points between 1 and 10 years after attaining a…

The American Board of Internal Medicine Maintenance of Certification Examination and State Medical Board Disciplinary Actions: a Population Cohort Study.

Science.gov (United States)

McDonald, Furman S; Duhigg, Lauren M; Arnold, Gerald K; Hafer, Ruth M; Lipner, Rebecca S

2018-03-07

Some have questioned whether successful performance in the American Board of Internal Medicine (ABIM) Maintenance of Certification (MOC) program is meaningful. The association of the ABIM Internal Medicine (IM) MOC examination with state medical board disciplinary actions is unknown. To assess risk of disciplinary actions among general internists who did and did not pass the MOC examination within 10 years of initial certification. Historical population cohort study. The population of internists certified in internal medicine, but not a subspecialty, from 1990 through 2003 (n = 47,971). ABIM IM MOC examination. General internal medicine in the USA. The primary outcome measure was time to disciplinary action assessed in association with whether the physician passed the ABIM IM MOC examination within 10 years of initial certification, adjusted for training, certification, demographic, and regulatory variables including state medical board Continuing Medical Education (CME) requirements. The risk for discipline among physicians who did not pass the IM MOC examination within the 10 year requirement window was more than double than that of those who did pass the examination (adjusted HR 2.09; 95% CI, 1.83 to 2.39). Disciplinary actions did not vary by state CME requirements (adjusted HR 1.02; 95% CI, 0.94 to 1.16), but declined with increasing MOC examination scores (Kendall's tau-b coefficient = - 0.98 for trend, p actions were less severe among those passing the IM MOC examination within the 10-year requirement window than among those who did not pass the examination. Passing a periodic assessment of medical knowledge is associated with decreased state medical board disciplinary actions, an important quality outcome of relevance to patients and the profession.

78 FR 53426 - Expansion of Foreign-Trade Zone 84; Houston, Texas

Science.gov (United States)

2013-08-29

... 84; Houston, Texas Pursuant to its authority under the Foreign-Trade Zones Act of June 18, 1934, as..., the Port of Houston Authority, grantee of Foreign-Trade Zone 84, submitted an application to the Board for authority to expand FTZ 84 to include a site in Brazos County, Texas, adjacent to the Houston...

Prevalence of chronic medical conditions among inmates in the Texas prison system.

Science.gov (United States)

Harzke, Amy J; Baillargeon, Jacques G; Pruitt, Sandi L; Pulvino, John S; Paar, David P; Kelley, Michael F

2010-05-01

Given the rapid growth and aging of the US prison population in recent years, the disease profile and health care needs of inmates portend to have far-reaching public health implications. Although numerous studies have examined infectious disease prevalence and treatment in incarcerated populations, little is known about the prevalence of non-infectious chronic medical conditions in US prison populations. The purpose of this study was to estimate the prevalence of selected non-infectious chronic medical conditions among inmates in the Texas prison system. The study population consisted of the total census of inmates who were incarcerated in the Texas Department of Criminal Justice for any duration from September 1, 2006 through August 31, 2007 (N=234,031). Information on medical diagnoses was obtained from a system-wide electronic medical record system. Overall crude prevalence estimates for the selected conditions were as follows: hypertension, 18.8%; asthma, 5.4%; diabetes, 4.2%; ischemic heart disease, 1.7%; chronic obstructive pulmonary disease, 0.96%; and cerebrovascular disease, 0.23%. Nearly one quarter (24.5%) of the study population had at least one of the selected conditions. Except for asthma, crude prevalence estimates of the selected conditions increased monotonically with age. Nearly two thirds (64.6%) of inmates who were >or=55 years of age had at least one of the selected conditions. Except for diabetes, crude prevalence estimates for the selected conditions were lower among Hispanic inmates than among non-Hispanic White inmates and African American inmates. Although age-standardized prevalence estimates for the selected conditions did not appear to exceed age-standardized estimates from the US general population, a large number of inmates were affected by one or more of these conditions. As the prison population continues to grow and to age, the burden of these conditions on correctional and community health care systems can be expected to increase.

Boarding is associated with higher rates of medication delays and adverse events but fewer laboratory-related delays.

Science.gov (United States)

Sri-On, Jiraporn; Chang, Yuchiao; Curley, David P; Camargo, Carlos A; Weissman, Joel S; Singer, Sara J; Liu, Shan W

2014-09-01

Hospital crowding and emergency department (ED) boarding are large and growing problems. To date, there has been a paucity of information regarding the quality of care received by patients boarding in the ED compared with the care received by patients on an inpatient unit. We compared the rate of delays and adverse events at the event level that occur while boarding in the ED vs while on an inpatient unit. This study was a secondary analysis of data from medical record review and administrative databases at 2 urban academic teaching hospitals from August 1, 2004, through January 31, 2005. We measured delayed repeat cardiac enzymes, delayed partial thromboplastin time level checks, delayed antibiotic administration, delayed administration of home medications, and adverse events. We compared the incidence of events during ED boarding vs while on an inpatient unit. Among 1431 patient medical records, we identified 1016 events. Emergency department boarding was associated with an increased risk of home medication delays (risk ratio [RR], 1.54; 95% confidence interval [CI], 1.26-1.88), delayed antibiotic administration (RR, 2.49; 95% CI, 1.72-3.52), and adverse events (RR, 2.36; 95% CI, 1.15-4.72). On the contrary, ED boarding was associated with fewer delays in repeat cardiac enzymes (RR, 0.17; 95% CI, 0.09-0.27) and delayed partial thromboplastin time checks (RR, 0.54; 95% CI, 0.27-0.96). Compared with inpatient units, ED boarding was associated with more medication-related delays and adverse events but fewer laboratory-related delays. Until we can eliminate ED boarding, it is critical to identify areas for improvement. Copyright © 2014 Elsevier Inc. All rights reserved.

Texas' Influence over Textbook Content Could Shift with Changes in the Market

Science.gov (United States)

Robelen, Erik W.

2010-01-01

As the Texas board of education prepares to adopt controversial new standards for social studies in May, many observers and news outlets have emphasized that the action may have ripple effects that reach classrooms far beyond the Lone Star State. Yet the extent of Texas' reach is a matter of debate, and recent legislation opens up new sources of…

School Consolidation Impact on State and Local Revenues and Expenditures in Texas

Science.gov (United States)

Stewart, Marvin

2011-01-01

This study examined financial aspects of the consolidation or annexation of 12 pairs of school districts in Texas during the period 1996-2006. Nine of the twelve districts consolidated by mutual agreement of the two school boards and three annexations were by order of the Commissioner of Education of Texas. Financial criteria studied were: (a) per…

7 CFR 1250.510 - Determination of Board Membership.

Science.gov (United States)

2010-01-01

..., Georgia, Louisiana, Mississippi, North Carolina, Oklahoma, South Carolina; Area 3 (East North Central..., Oregon, Texas, Utah, and Washington. (b) Board representation among the 6 geographic areas is apportioned...

Looking to the Future: Health Professions Education in Texas

National Research Council Canada - National Science Library

Rettig, Richard

2000-01-01

...? How can underserved populations be better served? The broad scope of RAND's assignment-identifying for the Texas Higher Education Coordinating Board important issues in health professions education-was made more complicated by the fact that issues...

78 FR 36523 - Foreign-Trade Zone 84-Houston, Texas; Authorization of Production Activity; Toshiba International...

Science.gov (United States)

2013-06-18

... DEPARTMENT OF COMMERCE Foreign-Trade Zones Board [B-17-2013] Foreign-Trade Zone 84--Houston, Texas; Authorization of Production Activity; Toshiba International Corporation; (Hybrid Electric Vehicle Motors and Generators Production); Houston, Texas On February 11, 2013, the Port of Houston Authority, grantee of FTZ 84...

National Coal Board Medical Service annual report 1981-82

Energy Technology Data Exchange (ETDEWEB)

1983-01-01

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

Evaluation of Cases Applying to Child and Adolescent Psychiatry Outpatient Clinic to Receive Medical Board Report

Directory of Open Access Journals (Sweden)

Sibelnur Avcil

2017-11-01

Full Text Available Objective: The aim of this study was to evaluate socio-demographic characteristics, application reasons and diagnoses of cases applying to child and adolescent psychiatry outpatient clinic in order to receive a medical board report. Materials and Methods: File data of 405 cases in the child and adolescent group (0-18 years, who applied to Child and Adolescent Psychiatry Outpatient clinics of Adnan Menderes University Faculty of Medicine between 1 November 2014 and 31 October 2015 in order to receive a medical board report, were retrospectively examined. Results: Average age of the cases was determined as 6.32±4.62 years, and 42.7% (173 were female and 57.3% (232 were male. When reasons of applications to medical board for the disabled were examined, it was found that the most frequent reason of application is to make them receive special education or to continue their special education at the rate of 66%; when diagnosis distribution of the cases was examined, the most frequent diagnoses included mild mental retardation (28.3%, borderline intellectual functioning (23.5%, attention-deficit/hyperactivity disorder (13.6%, and learning disorder (12.6%. Conclusion: In our study, it was determined that the most frequent diagnosis in children applying to receive a medical board report was mild mental retardation and the most frequent reason of application was to receive special education report. The studies to be conducted with relation to cases applying to medical board for the disabled will help in formation of healthy demographic data about pathologies in our field and in approaching clinically to such cases.

Status report on Texas Low-Level Radioactive Waste Disposal Authority activities

International Nuclear Information System (INIS)

Avant, R.V. Jr.

1990-01-01

In 1981, the Texas Low-Level Radioactive Waste Disposal Authority was created by Article 4590f-1 to site, develop, operate, decommission, and close a low-level radioactive waste disposal facility for Texas generated waste. In 1989, the Authority's act was recodified by the Texas legislature in the Health and Safety Code., Title 5. Sanitation and Environmental Quality, Subtitle D. Nuclear and Radioactive Materials, Chapter 402. The Authority is governed by a Board of Directors appointed by the Governor, composed of a certified health physicist, geologist, attorney, medical doctor, and two private citizens. Under the statute, low-level radioactive waste is defined as any radioactive material with a half-life of 35 years or less or having less than 10 nanocuries per gram of transuranics. Materials with half-lives of greater than 35 years may be classed as low-level waste if special criteria are established by the Texas Department of Health Bureau of Radiation Control. Subsequent sessions of the legislature have amended the act to revise siting criteria, require consideration of state land, create a Citizen's Advisory Committee, incorporate alternative designs, and establish a special low-level radioactive waste account in the state treasury. The Authority began its activities in 1982. The Authority has proposed a site in far West Texas near Fort Hancock, but El Paso County, the neighboring county to the west, has instituted three separate lawsuits to slow or stop the site selection process. Particular attention was paid early in the site selection process to items which could be fatal flaws from a licensing standpoint. This paper discusses the Fort Hancock site description, site evaluation studies, siting issues, waste volume projections, facility design, license application, cost and schedule

Organization of accident medical service in emergency situations in the system of Federal administration board for medical-biological and emergency problems at the Ministry of public health and medical industry of Russia

International Nuclear Information System (INIS)

Parfenova, L.N.

1995-01-01

Federal Administration Board for medical-biological problems at the Ministry of Public Health and Medical Industry of Russia, in accordance with the entrusted functions, provides medical-sanitary service for the workers of the branches of industry with especially dangerous labour conditions. For these purpose, there is functioning in its system a network of therapeutic-prophylactic, sanitary, scientific-research, educational and other establishments. A high degree of accident danger of the attended industrial plants determines the state policy of organizations and administrations as well as scientific-practical establishments of the Federal Administration Board in respect of elaboration and introduction of a complex of measures which would enable to guarantee the safe functioning of the plants. All sub-administration establishments have the necessary structures, settle the questions of liquidation of medical-sanitary after-effects of accidents at the attended plants, and are regarded to be the organizations of specialized emergency medical aid of the Federal Administration Board

Texas Medication Algorithm Project: development and feasibility testing of a treatment algorithm for patients with bipolar disorder.

Science.gov (United States)

Suppes, T; Swann, A C; Dennehy, E B; Habermacher, E D; Mason, M; Crismon, M L; Toprac, M G; Rush, A J; Shon, S P; Altshuler, K Z

2001-06-01

Use of treatment guidelines for treatment of major psychiatric illnesses has increased in recent years. The Texas Medication Algorithm Project (TMAP) was developed to study the feasibility and process of developing and implementing guidelines for bipolar disorder, major depressive disorder, and schizophrenia in the public mental health system of Texas. This article describes the consensus process used to develop the first set of TMAP algorithms for the Bipolar Disorder Module (Phase 1) and the trial testing the feasibility of their implementation in inpatient and outpatient psychiatric settings across Texas (Phase 2). The feasibility trial answered core questions regarding implementation of treatment guidelines for bipolar disorder. A total of 69 patients were treated with the original algorithms for bipolar disorder developed in Phase 1 of TMAP. Results support that physicians accepted the guidelines, followed recommendations to see patients at certain intervals, and utilized sequenced treatment steps differentially over the course of treatment. While improvements in clinical symptoms (24-item Brief Psychiatric Rating Scale) were observed over the course of enrollment in the trial, these conclusions are limited by the fact that physician volunteers were utilized for both treatment and ratings. and there was no control group. Results from Phases 1 and 2 indicate that it is possible to develop and implement a treatment guideline for patients with a history of mania in public mental health clinics in Texas. TMAP Phase 3, a recently completed larger and controlled trial assessing the clinical and economic impact of treatment guidelines and patient and family education in the public mental health system of Texas, improves upon this methodology.

Learning Medical Microbiology and Infectious Diseases by Means of a Board Game: Can It Work?

Science.gov (United States)

Struwig, Magdalena C.; Beylefeld, Adriana A.; Joubert, Georgina

2014-01-01

Innovative teaching and learning is increasingly becoming part of medical education. We report the evaluation of a medical microbiology board game, Med Micro Fun With Facts (MMFWF), based on Trivial Pursuit™ principles. The game was developed to stimulate medical students' interest in microbiology and expose students to the subject content of an…

Waste Not Want Not: Water Reuse and Recycling in Texas

Science.gov (United States)

The Texas Water Development Board has provided more than $300 million to over 28 projects using its CWSRF to fund a diversification of water reclamation, reuse and supply development solutions to augment community resiliency in the face of drought events.

Comparison of a Padded Patient Litter and Long Spine Board for Spinal Immobilization in Air Medical Transport.

Science.gov (United States)

Weber, Steven R; Rauscher, Patrick; Winsett, Rebecca P

2015-01-01

The long spinal board is the immobilization standard during prehospital transport. The flat surface of the board increases the pressure placed on both the thoracic kyphosis and the sacrum and increases the risk for pressure ulcers. This study compared patient stability and comfort between a padded litter system used in air medical transport and the long spine board. The study was completed at a large 350-bed Magnet Recognized nonteaching hospital. The hospital owns and operates an air medical transport service. Subjects were secured to a padded litter and a long spinal board with a cervical collar and head blocks and 3 straps. Laser pointers were used to mark neutral at points on the subject's head, sternum, and pelvis. The subject was tilted 45 degrees left and right with movement measured in inches. Comfort level was measured before and after. Paired t-tests were used to detect differences in movement. No statistical difference in movement was found between devices for the head; however, there was statistically significant greater movement on the padded litter for the sternum and pelvis. The padded litter did not immobilize as tightly as the long board although the effect of the differences was small. Copyright © 2015 Air Medical Journal Associates. Published by Elsevier Inc. All rights reserved.

Preserving the Legitimacy of Board Certification.

Science.gov (United States)

Hanemann, Michael S; Wall, Holly C; Dean, John A

2017-06-01

The aims of this discussion were to inform the medical community about the American Board of Cosmetic Surgery's ongoing attempts in Louisiana to achieve equivalency to American Board of Medical Specialties (ABMS) member boards so that its diplomates may use the term "board certified" in advertising and to ensure public safety by upholding the standards for medical board certification. In 2011, Louisiana passed a truth in medical advertising law, which was intended to protect the public by prohibiting the use of the term "board certified" by improperly credentialed physicians. An American Board of Cosmetic Surgery diplomate petitioned the Louisiana State Board of Medical Examiners to approve a rule that would establish a pathway to equivalency for non-ABMS member boards, whose diplomates have not completed training approved by the Accreditation Council for Graduate Medical Education (ACGME) in the specialty they are certifying. Physicians and physician organizations representing multiple specialties (facial plastic and reconstructive surgery, otolaryngology [head and neck surgery], orthopedic spine surgery, pediatric neurosurgery, dermatology, and plastic surgery) urged the Louisiana State Board of Medical Examiners to clarify its advertising policy, limiting the use of the term "board certified" to physicians who have completed ACGME-approved training in the specialty or subspecialty named in the certificate. The public equates the term "board certified" with the highest level of expertise in a medical specialty. When a certifying board does not require completion of ACGME or American Osteopathic Association (AOA)-accredited training in the specialty it certifies, the result is an unacceptable degree of variability in the education and training standards applied to its diplomates. Independent, third-party oversight of certifying boards and training programs is necessary to ensure quality standards are upheld. Any system that assesses a non-ABMS member or non

Investigation of medical board reports of disability due to mental health problems

Directory of Open Access Journals (Sweden)

Mesut Yildiz

2016-06-01

Conclusion: We think that this report might be helpful for regulations related to disabled people, and might guide adult psychiatric services for patients who present to medical boards for disability due to mental health problems. [Cukurova Med J 2016; 41(2.000: 253-258

CSHCN in Texas: meeting the need for specialist care.

Science.gov (United States)

Young, M Cherilyn; Drayton, Vonna L C; Menon, Ramdas; Walker, Lesa R; Parker, Colleen M; Cooper, Sam B; Bultman, Linda L

2005-06-01

Assuring the sufficiency and suitability of systems of care and services for children with special health care needs (CSHCN) presents a challenge to Texas providers, agencies, and state Title V programs. To meet the need for specialist care, referrals from primary care doctors are often necessary. The objective of this study was to describe the factors associated with the need for specialist care and problems associated with obtaining referrals in Texas. Bivariate and multivariate analyses were performed using the National Survey of Children with Special Health Care Needs (NS-CSHCN) weighted sample for Texas (n = 719,014) to identify variables associated with the need for specialist care and problems obtaining referrals for specialist care. Medical need of the CSHCN and sensitivity to family values/customs was associated with greater need for specialist care, and Hispanic ethnicity and lower maternal education were associated with less need. Medical need, amount of time spent with doctors and sensitivity to values/customs, living in a large metropolitan statistical area, and lack of medical information were associated with problems obtaining a specialist care referral. Findings revealed some similarities and differences with meeting the need for specialist care when comparing Texas results to other studies. In Texas, aspects of customer satisfaction variables, especially doctors' sensitivity to family values/customs and parents' not receiving enough information on medical problems, were significantly associated with problems obtaining specialist referrals. Findings indicate a need to further research relationships and communication among doctors, CSHCN, and their families.

Long-term changes in river system hydrology in Texas

Directory of Open Access Journals (Sweden)

Y. Zhang

2018-06-01

Full Text Available Climate change and human actives are recognized as a topical issue that change long-term water budget, flow-frequency, and storage-frequency characteristics of different river systems. Texas is characterized by extreme hydrologic variability both spatially and temporally. Meanwhile, population and economic growth and accompanying water resources development projects have greatly impacted river flows throughout Texas. The relative effects of climate change, water resources development, water use, and other factors on long-term changes in river flow, reservoir storage, evaporation, water use, and other components of the water budgets of different river basins of Texas have been simulated in this research using the monthly version of the Water Rights Analysis Package (WRAP modelling system with input databases sets from the Texas Commission on Environmental Quality (TCEQ and Texas Water Development Board (TWDB. The results show that long-term changes are minimal from analysis monthly precipitation depths. Evaporation rates vary greatly seasonally and for much of the state appear to have a gradually upward trend. River/reservoir system water budgets and river flow characteristics have changed significantly during the past 75 years in response to water resources development and use.

Expanding Educators' Contributions to Continuous Quality Improvement of American Board of Medical Specialties Maintenance of Certification.

Science.gov (United States)

Nora, Lois Margaret; Pouwels, Mellie Villahermosa; Irons, Mira

2016-01-01

The American Board of Medical Specialties board certification has transformed into a career-long process of learning, assessment, and performance improvement through its Program for Maintenance of Certification (MOC). Medical educators across many medical professional organizations, specialty societies, and other institutions have played important roles in shaping MOC and tailoring its overarching framework to the needs of different specialties. This Commentary addresses potential barriers to engagement in work related to MOC for medical school (MS) and academic health center (AHC) educators and identifies reasons for, and ways to accomplish, greater involvement in this work. The authors present ways that medical and other health professions educators in these settings can contribute to the continuous improvement of the MOC program including developing educational and assessment activities, engaging in debate about MOC, linking MOC with institutional quality improvement activities, and pursuing MOC-related scholarship. MS- and AHC-based educators have much to offer this still-young and continually improving program, and their engagement is sought, necessary, and welcomed.

The Texas medication algorithm project: clinical results for schizophrenia.

Science.gov (United States)

Miller, Alexander L; Crismon, M Lynn; Rush, A John; Chiles, John; Kashner, T Michael; Toprac, Marcia; Carmody, Thomas; Biggs, Melanie; Shores-Wilson, Kathy; Chiles, Judith; Witte, Brad; Bow-Thomas, Christine; Velligan, Dawn I; Trivedi, Madhukar; Suppes, Trisha; Shon, Steven

2004-01-01

In the Texas Medication Algorithm Project (TMAP), patients were given algorithm-guided treatment (ALGO) or treatment as usual (TAU). The ALGO intervention included a clinical coordinator to assist the physicians and administer a patient and family education program. The primary comparison in the schizophrenia module of TMAP was between patients seen in clinics in which ALGO was used (n = 165) and patients seen in clinics in which no algorithms were used (n = 144). A third group of patients, seen in clinics using an algorithm for bipolar or major depressive disorder but not for schizophrenia, was also studied (n = 156). The ALGO group had modestly greater improvement in symptoms (Brief Psychiatric Rating Scale) during the first quarter of treatment. The TAU group caught up by the end of 12 months. Cognitive functions were more improved in ALGO than in TAU at 3 months, and this difference was greater at 9 months (the final cognitive assessment). In secondary comparisons of ALGO with the second TAU group, the greater improvement in cognitive functioning was again noted, but the initial symptom difference was not significant.

Supply and demand of board-certified emergency physicians by U.S. state, 2005.

Science.gov (United States)

Sullivan, Ashley F; Ginde, Adit A; Espinola, Janice A; Camargo, Carlos A

2009-10-01

The objective was to estimate the emergency medicine (EM) board-certified emergency physician (EP) workforce supply and demand by U.S. state. The 2005 National Emergency Department Inventories-USA provided annual visit volumes for U.S. emergency departments (EDs). We estimated full-time equivalent (FTE) EP demand at each ED by dividing the actual number of visits by the estimated average EP visit volume (3,548 visits/year) and then summing FTEs by state. Our model assumed that at least one EP should be present 24/7 in each ED. The number of EM board-certified EPs per state was provided by the American Board of Medical Specialties (American Board of Emergency Medicine, American Board of Pediatrics) and the American Osteopathic Board of Emergency Medicine. We used U.S. Census Bureau civilian population estimates to calculate EP population density by state. The supply of EM board-certified EPs was 58% of required FTEs to staff all EDs nationally and ranged from 10% in South Dakota to 104% in Hawai'i (i.e., there were more EPs than the estimated need). Texas and Florida had the largest absolute shortages of EM board-certified EPs (2,069 and 1,146, respectively). The number of EM board-certified EPs per 100,000 U.S. civilian population ranged from 3.6 in South Dakota to 13.8 in Washington, DC. States with a higher population density of EM board-certified EPs had higher percent high school graduates and a lower percent rural population and whites. The supply and demand of EM board-certified EPs varies by state. Only one state had an adequate supply of EM board-certified EPs to fully staff its EDs.

45 CFR 60.8 - Reporting licensure actions taken by Boards of Medical Examiners.

Science.gov (United States)

2010-10-01

... 45 Public Welfare 1 2010-10-01 2010-10-01 false Reporting licensure actions taken by Boards of Medical Examiners. 60.8 Section 60.8 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL ADMINISTRATION NATIONAL PRACTITIONER DATA BANK FOR ADVERSE INFORMATION ON PHYSICIANS AND OTHER HEALTH CARE...

Discharge between San Antonio Bay and Aransas Bay, southern Gulf Coast, Texas, May-September 1999

Science.gov (United States)

East, Jeffery W.

2001-01-01

Along the Gulf Coast of Texas, many estuaries and bays are important habitat and nurseries for aquatic life. San Antonio Bay and Aransas Bay, located about 50 and 30 miles northeast, respectively, of Corpus Christi, are two important estuarine nurseries on the southern Gulf Coast of Texas (fig. 1). According to the Texas Parks and Wildlife Department, “Almost 80 percent of the seagrasses [along the Texas Gulf Coast] are located in the Laguna Madre, an estuary that begins just south of Corpus Christi Bay and runs southward 140 miles to South Padre Island. Most of the remaining seagrasses, about 45,000 acres, are located in the heavily traveled San Antonio, Aransas and Corpus Christi Bay areas” (Shook, 2000).Population growth has led to greater demands on water supplies in Texas. The Texas Water Development Board, the Texas Parks and Wildlife Department, and the Texas Natural Resource Conservation Commission have the cooperative task of determining inflows required to maintain the ecological health of the State’s streams, rivers, bays, and estuaries. To determine these inflow requirements, the three agencies collect data and conduct studies on the need for instream flows and freshwater/ saline water inflows to Texas estuaries.To assist in the determination of freshwater inflow requirements, the U.S. Geological Survey (USGS), in cooperation with the Texas Water Development Board, conducted a hydrographic survey of discharge (flow) between San Antonio Bay and Aransas Bay during the period May–September 1999. Automated instrumentation and acoustic technology were used to maximize the amount and quality of data that were collected, while minimizing personnel requirements. This report documents the discharge measured at two sites between the bays during May–September 1999 and describes the influences of meteorologic (wind and tidal) and hydrologic (freshwater inflow) conditions on discharge between the two bays. The movement of water between the bays is

ONBORD (On-Board Navigation of Ballistic ORDnance): Gun-Launched Munitions Flight Controller

National Research Council Canada - National Science Library

Wilson, Michael

2004-01-01

.... The electronics consist of a single 1.4-inch printed circuit board that includes the Texas Instruments TMS320F2812 digital signal processor whose microcontroller-like capabilities reduce the amount of peripheral circuitry necessary...

Addressing medical school diversity through an undergraduate partnership at Texas A&M Health Science Center: a blueprint for success.

Science.gov (United States)

Parrish, Alan R; Daniels, Dennis E; Hester, R Kelly; Colenda, Christopher C

2008-05-01

Imperative to increasing diversity in the physician workforce is increasing the pool of qualified underrepresented minority applicants to medical schools. With this goal in mind, the Texas A&M Health Science Center College of Medicine (A&M College of Medicine) has partnered with Prairie View A&M University (PVAMU), a historically black college and university that is a component of the Texas A&M university system, to develop the undergraduate medical academy (UMA). The UMA was established by legislative mandate in 2003 and is a state-funded program. The authors describe the development of partnership between the A&M College of Medicine and PVAMU, focusing on the key attributes that have been identified for success. The administrative structure of the UMA ensures that the presidents of the two institutions collaborate to address issues of program oversight and facilitates a direct relationship between the dean and associate dean for academic affairs of A&M College of Medicine and the director of the UMA to define the program objectives and structure. The authors delineate the admission process to the UMA, as well as the academic requirements of the program. Students attend lecture series during the academic year and participate in summer programs on the A&M College of Medicine campus in addition to receiving intensive academic counseling and opportunities for tutoring in several subjects. The authors also describe the initial success in medical school admissions for UMA students. This partnership provides a model blueprint that can be adopted and adapted by other medical schools focused on increasing diversity in medicine.

Developing emission reduction credit trading in Texas

International Nuclear Information System (INIS)

Dodds, J.E.

1993-01-01

The Texas Air Control Board has begun to develop a system of emission reduction credit training. The system will be developed incrementally over time. The first step, banking of VOC and NO x Emission Reduction Credits, began March 15, 1993. Additional programs under study and development include NO x RACT trading, emission credits for motor vehicle scrappage and alternative fuel conversion, and establishment of community organizations to generate and acquire emission reduction credits for economic development purposes

Are study strategies related to medical licensing exam performance?

Science.gov (United States)

West, Courtney; Kurz, Terri; Smith, Sherry; Graham, Lori

2014-11-02

To examine the relationship between study strategies and performance on a high stakes medical licensing exam entitled the United States Medical Licensing Examination Step 1. The action research project included seventy nine student participants at the Texas A & M Health Science Center College of Medicine during their pre-clinical education. Data collection included pre-matriculation and matriculation academic performance data, standardized exam data, and the Learning and Study Strategies Instrument. Multiple regression analyses were conducted. For both models, the dependent variable was the Step 1 score, and the independent variables included Medical College Admission Test, Undergraduate Grade Point Average, Year 1 Average, Year 2 Average, Customized National Board of Medical Examiners Average, Comprehensive Basic Science Exam score, and Learning and Study Strategy Instrument sub-scores. Model 2 added Comprehensive Basic Science Self-Assessment average. Concentration (Model 1 - β = .264; Model 2 - β = .254) was the only study strategy correlated with Step 1 performance. The other statistically significant predictors were Customized National Board of Medical Examiners Average (β = .315) and Year 2 Average (β = .280) in Model 1 and Comprehensive Basic Science Self-Assessment Average (β = .338) in Model 2. There does appear to be a relationship between the study strategy concentration and Step 1 licensing exam performance. Teaching students to practice and utilize certain techniques to improve concentration skills when preparing for and taking exams may help improve licensing exam scores.

Emergency department boarding and adverse hospitalization outcomes among patients admitted to a general medical service.

Science.gov (United States)

Lord, Kito; Parwani, Vivek; Ulrich, Andrew; Finn, Emily B; Rothenberg, Craig; Emerson, Beth; Rosenberg, Alana; Venkatesh, Arjun K

2018-03-20

Overcrowding in the emergency department (ED) has been associated with patient harm, yet little is known about the association between ED boarding and adverse hospitalization outcomes. We sought to examine the association between ED boarding and three common adverse hospitalization outcomes: rapid response team activation (RRT), escalation in care, and mortality. We conducted an observational analysis of consecutive patient encounters admitted from the ED to the general medical service between February 2013 and June 2015. This study was conducted in an urban, academic hospital with an annual adult ED census over 90,000. We defined boarding as patients with greater than 4h from ED bed order to ED departure to hospital ward. The primary outcome was a composite of adverse outcomes in the first 24h of admission, including RRT activation, care escalation to intensive care, or in-hospital mortality. A total of 31,426 patient encounters were included of which 3978 (12.7%) boarded in the ED for 4h or more. Adverse outcomes occurred in 1.92% of all encounters. Comparing boarded vs. non-boarded patients, 41 (1.03%) vs. 244 (0.90%) patients experienced a RRT activation, 53 (1.33%) vs. 387 (1.42%) experienced a care escalation, and 1 (0.03%) vs.12 (0.04%) experienced unanticipated in-hospital death, within 24h of ED admission. In unadjusted analysis, there was no difference in the composite outcome between boarding and non-boarding patients (1.91% vs. 1.91%, p=0.994). Regression analysis adjusted for patient demographics, acuity, and comorbidities also showed no association between boarding and the primary outcome. A sensitivity analysis showed an association between ED boarding and the composite outcome inclusive of the entire inpatient hospital stay (5.8% vs. 4.7%, p=0.003). Within the first 24h of hospital admission to a general medicine service, adverse hospitalization outcomes are rare and not associated with ED boarding. Copyright © 2018 Elsevier Inc. All rights

Texas Instruments Technical Seminar: Power Management and Wireless

CERN Multimedia

2006-01-01

Monday 6 November TECHNICAL TRAINING SEMINAR 14:00 to 17:30 - Training Centre Auditorium (bldg. 593) Texas Instruments Technical Seminar: Power Management and Wireless Michael Scholtholt, Field Application Engineer / TEXAS INSTRUMENTS (US, D, CH) The range of power management products available today offers the possibility to find the best solution for each application. To select the right product it is therefore necessary to understand system requirements, how power supply products work, and where they differentiate. This Technical Training Seminar will also present an overview of how to choose the right RF platform based on markets and applications: nowadays almost everbody has at least one wireless product in use, and this tendency seems to increase significantly. Power Management Voltage mode vs. current mode control Differentiating DC/DC converters by analyzing control and compensation schemes: line / load regulation, transient response, BOM, board space, ease-of-use Introduction to evaluati...

Texas Instruments Technical Seminar: Power Management and Wireless

CERN Multimedia

2006-01-01

Monday 6 November TECHNICAL TRAINING SEMINAR 14:00 to 17:30 - Training Centre Auditorium (bldg. 593) Texas Instruments Technical Seminar: Power Management and Wireless Michael Scholtholt, Field Application Engineer / TEXAS INSTRUMENTS (US, D, CH) The range of power management products available today offers the possibility to find the best solution for each application. To select the right product it is therefore necessary to understand system requirements, how power supply products work, and where they differentiate. This Technical Training Seminar will also present an overview of how to choose the right RF platform based on markets and applications: nowadays almost everbody has at least one wireless product in use, and this tendency seems to increase significantly. Power Management Voltage mode vs. current mode control Differentiating DC/DC converters by analyzing control and compensation schemes: line / load regulation, transient response, BOM, board space, ease-of-use Introduction to evalu...

Texas Medication Algorithm Project, phase 3 (TMAP-3): rationale and study design.

Science.gov (United States)

Rush, A John; Crismon, M Lynn; Kashner, T Michael; Toprac, Marcia G; Carmody, Thomas J; Trivedi, Madhukar H; Suppes, Trisha; Miller, Alexander L; Biggs, Melanie M; Shores-Wilson, Kathy; Witte, Bradley P; Shon, Steven P; Rago, William V; Altshuler, Kenneth Z

2003-04-01

Medication treatment algorithms may improve clinical outcomes, uniformity of treatment, quality of care, and efficiency. However, such benefits have never been evaluated for patients with severe, persistent mental illnesses. This study compared clinical and economic outcomes of an algorithm-driven disease management program (ALGO) with treatment-as-usual (TAU) for adults with DSM-IV schizophrenia (SCZ), bipolar disorder (BD), and major depressive disorder (MDD) treated in public mental health outpatient clinics in Texas. The disorder-specific intervention ALGO included a consensually derived and feasibility-tested medication algorithm, a patient/family educational program, ongoing physician training and consultation, a uniform medical documentation system with routine assessment of symptoms and side effects at each clinic visit to guide ALGO implementation, and prompting by on-site clinical coordinators. A total of 19 clinics from 7 local authorities were matched by authority and urban status, such that 4 clinics each offered ALGO for only 1 disorder (SCZ, BD, or MDD). The remaining 7 TAU clinics offered no ALGO and thus served as controls (TAUnonALGO). To determine if ALGO for one disorder impacted care for another disorder within the same clinic ("culture effect"), additional TAU subjects were selected from 4 of the ALGO clinics offering ALGO for another disorder (TAUinALGO). Patient entry occurred over 13 months, beginning March 1998 and concluding with the final active patient visit in April 2000. Research outcomes assessed at baseline and periodically for at least 1 year included (1) symptoms, (2) functioning, (3) cognitive functioning (for SCZ), (4) medication side effects, (5) patient satisfaction, (6) physician satisfaction, (7) quality of life, (8) frequency of contacts with criminal justice and state welfare system, (9) mental health and medical service utilization and cost, and (10) alcohol and substance abuse and supplemental substance use information

[Reporting ethics board approval in German medical theses and journals].

Science.gov (United States)

Zenz, Michael; Zenz, Julia; Grieger, Maximilian

2018-06-05

Since 1975, the Declaration of Helsinki of the World Medical Association (WMA) has clearly required ethics committee approval for research into humans. Nevertheless, this Declaration is violated quite often. As many English-language publications have addressed the theme of ethics board approval in theses and other published works, it is now to be investigated in Germany for the first time.From 2013 to 2014, a total of 1,482 medical theses at four selected universities in addition to three German-language scientific journals were reviewed. In 543 theses, reference to ethics approval would have been required according to the criteria of the Declaration of Helsinki.However, ethics approval was stated in only 58.7% of cases, and even less frequently if the prevailing doctoral regulations or instructions did not refer to the necessity of obtaining ethics approval. Theses on pediatrics mentioned ethics approval most frequently (78.6%), whereas the proportion of surgical papers was the lowest (34.9%). Among the journals, Der Nervenarzt mentioned ethics approval most frequently (59.4%) and Der Chirurg least frequently (30%).Our results point to significant deficits in mentioning ethics approval in medical theses and publications. These deficits could easily be compensated for by a thorough approach of the referees of doctoral regulations and by journal reviewers and editors.

78 FR 15682 - Foreign-Trade Zone 84-Houston, Texas, Authorization of Production Activit, Mitsubishi Caterpillar...

Science.gov (United States)

2013-03-12

... DEPARTMENT OF COMMERCE Foreign-Trade Zones Board [B-88-2012] Foreign-Trade Zone 84--Houston, Texas, Authorization of Production Activit, Mitsubishi Caterpillar Forklift America Inc. (Forklift Trucks), Houston, TX On November 2, 2012, the Port of Houston Authority, grantee of FTZ 84, submitted a notification of...

[The role of university hospital executive board members].

Science.gov (United States)

Debatin, J F; Rehr, J

2009-09-01

Demographic changes and medical progress in combination with vastly altered regulatory and economic environments have forced considerable change in the structure of German university hospitals in recent years. These changes have affected medical care as well as research and medical school training. To allow for more flexibility and a higher level of reactivity to the changing environment German university hospitals were transferred from state agencies to independent corporate structures. All but one remains wholly owned by the respective state governments. The governing structure of these independent medical hospitals consists of an executive board, generally made up of a medical director, a financial director, a director for nursing, and the dean of the medical faculty. In most hospitals, the medical director serves as chief executive officer. The regulations governing the composition and responsibility of the members of the executive board differ from state to state. These differences do affect to some degree the interactive effectiveness of the members of the executive boards. Modalities that stress the overall responsibility for all board members seem to work better than those that define clear portfolio limits. Even more than organizational and regulatory differences, the effectiveness of the work of the executive boards is influenced by the personality of the board members themselves. Success appears to be a clear function of the willingness of all members to work together.

Pathology and medical malpractice. Academic and trainee empirical review of cases by State of Texas physicians.

Science.gov (United States)

Allen, Timothy Craig; Stafford, Mehary; Liang, Bryan A

2014-04-01

This study examines whether the assumptions that pathologists understand the medical malpractice negligence rule and have a clear single standard of care are reasonable. Two hundred eighty-one Texas academic pathologists and trainees were presented 10 actual pathology malpractice cases from publicly available sources, representing the tort system's signal. Of the respondents, 55.52% were trainees, and 44.48% were pathology faculty. Only in two cases did more than 50% of respondents correctly identify the behavior of pathologists as defined by legal outcomes. In only half of the cases did more than 50% of pathologists concur with the jury verdict. This study provides further evidence that physicians do not understand the legal rule of negligence. Pathologists have a poor understanding of negligence and cannot accurately predict a jury verdict. There is significant divergence from the single standard of care assumption. Alternative methods to provide appropriate compensation and to establish physician accountability should be explored. Additional education about medical negligence is needed.

Women on professional society and journal editorial boards.

Science.gov (United States)

Morton, Melinda J; Sonnad, Seema S

2007-07-01

Membership on a professional medical society or journal editorial board is a marker of influence and prestige for those in academic medicine. This study presents the first comprehensive quantification of women on these boards and the implications for women in medicine. The numbers of women and men on professional society and journal editorial boards across 28 specialties (March 2004) were counted. The number of women holding multiple roles on these boards and the number of women holding top leadership positions on these boards were counted, and these proportions were compared. Three-thousand-four-hundred-seventy-three individuals on 39 professional medical society boards and 54 journal editorial boards were included. Eighty-three percent (2,884) of board members were male. Men occupied > 80% of top leadership positions on these boards. Thirty-five of the 589 women in the study held multiple roles. Anesthesiology (p women on boards in comparison to the total women in the specialty. Internal medicine, plastic surgery, cardiology and general surgery had nearly equivalent proportions; in otolaryngology and family medicine, female board members slightly exceeded the proportion of women in the field. Women's representation on society and editorial boards does not always reflect their presence in medical specialties, and it is critically lacking in certain specialties. Efforts should be made to attain parity of women leaders on these boards. Further efforts should be made to eliminate barriers to women's leadership in medicine.

The other shoe drops--FASB (Financial Accounting Standards Board) issues its proposed statement on employers' accounting for postretirement medical benefits.

Science.gov (United States)

Melbinger, M S

1989-06-01

The Financial Accounting Standards Board recently issued an exposure draft dealing with employers' accounting for postretirement medical or life insurance benefits. Mr. Melbinger explains the implications of these proposed changes in accounting procedures and discusses the status of case law dealing with employers' rights to modify or terminate retiree medical coverage.

Texas situation

International Nuclear Information System (INIS)

Avant, R.V. Jr.; Bowmer, W.J.

1986-01-01

The Texas Low-Level Radioactive Waste Disposal Authority was formed in 1981 to address the Texas low-level radioactive waste problem consistent with the direction of P.L. 96-573. The Authority has completed technical tasks, including source term evaluations, preliminary conceptual designs, economic assessments, and long-range planning, and has work in progress on facility design, site selection, operating procedures, and licensing. Site selection has been the major technical activity and will be completed in 1987 after on-site evaluations of potential sites. The Authority expects to have its site licensed and operating in 1992. Texas has been the leader in site selection. Political concerns and the uncertainty of the national agenda led Texas policy makers to slow down the state's progress. The lessons learned through the Texas situation should be instructive to other states and compacts and may well be a prediction of events for these other groups. This paper discusses the background and status of Texas development activities, future plans, and lessons learned

Everything's Bigger in Texas: Except the Medmal Settlements

NARCIS (Netherlands)

T. Baker (Tom); E. Helland (Eric); J.M. Klick (Jonathan)

2016-01-01

textabstractRecent work using Texas closed claim data finds that physicians are rarely required to use personal assets in medical malpractice settlements even when plaintiffs secure judgments above the physician's insurance limits. In equilibrium, this should lead physicians to purchase less

The Texas concurrent characterization, licensing, and development process

Energy Technology Data Exchange (ETDEWEB)

Avant, R.V. Jr. [Texas Low-Level Radioactive Waste Disposal Authority, Austin, TX (United States)

1993-03-01

The 72nd Texas Legislature specifically delineated a 400-square-mile area in southeast Hudspeth County where siting activities would be limited. The Authority was given unprecedented powers of property access and eminent domain and expanded budget authority to conduct site selection, characterization, and licensing. In the summer of 1991, the Authority identified five general siting areas in the prescribed region, and in the fall of 1991, the Authority narrowed the siting area to one large ranch composed of about 16,000 acres--called the Faskin Ranch. Site characterization began in 1991 and will be complete by September 1993. In September 1991, Authority staff began preparing the license application and included all available information on the Faskin Ranch. At its February meeting, the Authority`s board directed staff to submit the license application to the Texas Water Commission (the new Texas radiation control agency). The license application was submitted on March 2, 1992, and on April 15, 1992, the Commission determined that the application was sufficiently complete to begin review. Discrete technical packages such as groundwater hydrology, surface water hydrology, design, etc., will be submitted to the agency for review on the completion of each package. A schedule has been developed to allow the regulators the maximum time possible to review critical technical areas while minimizing the total review period.

Texas Bull Nettle (Cnidoscolus texanus) Exposures Reported to Texas Poison Centers.

Science.gov (United States)

Forrester, Mathias B

2017-06-01

Texas bull nettle (Cnidoscolus texanus) is covered in bristly hairs similar to stinging nettle. Contact with the plant may result in intense dermal pain, burning, itching, cellulitis, and allergic reaction. This study characterizes C texanus exposures reported to a large state-wide poison center system. Cases were C texanus exposures reported to Texas poison centers during 2000-2015. The distribution of cases was determined for patient demographics, exposure circumstances, and patient outcome. A total of 140 C texanus exposures were identified. Twenty percent of the patients were aged ≤5 years, 21% were 6 to 12 years, 5% were 13 to 19 years, and 51% were ≥20years; and 51% of the patients were male. Eighty-one percent of the exposures occurred at the patient's own residence, 11% in a public area, 2% at another residence, and 1% at school. Seventy-eight percent of the patients were managed on site, 13% were already at or en route to a health care facility, and 6% were referred to a health care facility. Eighty-eight percent of the exposures resulted in dermal effects: irritation or pain (56%), erythema or flushing (31%), edema (27%), pruritus (24%), rash (19%), puncture or wound (19%), and hives or welts (11%). C texanus exposures reported to Texas poison centers were most likely to be unintentional and occur at the patient's own residence. The outcomes of the exposures tended not to be serious and could be managed successfully outside of health care facilities. Copyright © 2017 Wilderness Medical Society. Published by Elsevier Inc. All rights reserved.

‘Execrable bad habits’: medical campaign fighting against masturbation and homosexuality among students from boarding schools (1845-1927)

OpenAIRE

Joaquim Tavares Conceição

2015-01-01

This article is about the discourse practice of Brazilian doctors over the risks of masturbation and homosexuality among students from boarding schools, aiming at understanding aspects about the reality of such students in Brazilian social life. Theses produced by doctors trained in the medical schools of Bahia and Rio de Janeiro in the period between 1845-1927 were used as main source. One characteristic of the medical-hygienic discourse was the statement that life in bo...

Design of a highly parallel board-level-interconnection with 320 Gbps capacity

Science.gov (United States)

Lohmann, U.; Jahns, J.; Limmer, S.; Fey, D.; Bauer, H.

2012-01-01

A parallel board-level interconnection design is presented consisting of 32 channels, each operating at 10 Gbps. The hardware uses available optoelectronic components (VCSEL, TIA, pin-diodes) and a combination of planarintegrated free-space optics, fiber-bundles and available MEMS-components, like the DMD™ from Texas Instruments. As a specific feature, we present a new modular inter-board interconnect, realized by 3D fiber-matrix connectors. The performance of the interconnect is evaluated with regard to optical properties and power consumption. Finally, we discuss the application of the interconnect for strongly distributed system architectures, as, for example, in high performance embedded computing systems and data centers.

Boarding school rules.

Science.gov (United States)

Griffiths, Matt

2017-01-04

Ofsted inspects and regulates services that care for children and young people, including boarding facilities. Medication management is an integral part of caring for children in boarding schools, and robust systems must be in place to pass inspection. These systems must cover how medicines are dispensed, administered and stored at the facility, risk assessments, identifying which pupils can manage their own medicines and the individual health needs of boarders, so that care plans can be put in place for children with specific needs.

Treasured Texas Theaters

Science.gov (United States)

Horton, Anita

2012-01-01

Dallas artist Jon Flaming's deep love of Texas is evident in his paintings and sculpture. Although he has created one sculptural Texas theater, his work primarily showcases old Texas barbershops, vacant homes, and gas stations. In this article, the author describes how her students, inspired by Flaming's works, created three-dimensional historical…

42 CFR 456.716 - DUR Board.

Science.gov (United States)

2010-10-01

... most effectively lead to improvement in the quality of drug therapy. The DUR board recommendations must... review, evaluation, and intervention. (4) Medical quality assurance. (b) Board composition. At least one... predetermined standards that pharmacies not using approved software must use in conducting prospective DUR. (2...

Assessment of ADHD Documentation from Candidates Requesting Americans with Disabilities Act (ADA) Accommodations for the National Board of Osteopathic Medical Examiners COMLEX Exam

Science.gov (United States)

Joy, Javed A.; Julius, Rose J.; Akter, Rashida; Baron, David A.

2010-01-01

Purpose: Every year increasing numbers of candidates request special accommodations for high-stakes medical licensing examinations, due to ADHD, on the basis of the Americans with Disabilities Act (ADA). This poses significant challenges for both the applicant and the medical boards and has significant financial, legal, and ethical implications.…

Texas motorcycle crash countermeasure workshop.

Science.gov (United States)

2013-06-01

The Texas Department of Transportation (TxDOT) contracted with the Texas A&M : Transportation Institute (TTI) to develop a 5-year strategic plan for improving motorcycle safety : in the State of Texas. The Texas Strategic Action Plan for Motorcycl...

Development of a low level radioactive waste disposal site in Texas - 1994 status

International Nuclear Information System (INIS)

Jacobi, L.R. Jr.

1995-01-01

The Texas Low Level Radioactive Waste Disposal Authority, an agency of the State of Texas, has been trying to develop a site for the disposal of low level radioactive waste in Texas for over ten years. Since 1991, the agency has been evaluating a site near Sierra Blanca, in far west Texas. Site characterization has been completed and a license application has been filed with the Texas Natural Resource Conservation Commission. Construction plans were completed in 1993, and the agency is prepared to begin construction and operations as soon as a license can be issued. Development costs for the site are borne by the utility companies and other major generators in Texas through the assessment of a planning and implementation fee. Total costs to date are approximately $26 million. As the project moves toward completion, state and national anti-nuclear activist groups have become more involved in attempts to thwart the Texas government's effort to solve the radioactive waste problem. To counter this increased opposition, the Texas utility companies and medical radioactive waste generators have also become more active in responding to these groups. This has been very helpful and is in keeping with the elements of building block 12 of the Nuclear Power Oversight Committee's Strategic Plan for Building New Nuclear Power Plants. This paper and poster session look at the schedule, design, and long term prospects for ultimate success of the project

Hazardous waste incinerator permitting in Texas from inception to operation

International Nuclear Information System (INIS)

Simms, M.D.; McDonnell, R.G. III

1991-01-01

The regulatory permitting process for hazardous waste incinerators i a long and arduous proposition requiring a well-developed overall strategy. In Texas, RCRA permits for the operation of hazardous waste incinerator facilities are issued through the federally delegated Texas Water Commission (TWC). While the TWC has primacy in the issuance of RCRA permits for hazardous waste incinerators, the Texas Air Control Board (TACB) provides a significant portion of the Part B application review and provides much of the permit language. In addition to dealing with regulatory agencies, RCRA permitting provides by significant public involvement. Often the lack of public support becomes a major roadblock for an incinerator project. In order to establish an effective strategy which addresses the concerns of regulatory agencies and the public, it is important to have an understanding of the steps involved in obtaining a permit. A permit applicant seeking to construct a new hazardous waste incinerator can expect to go through a preapplication meeting with government regulators, a site selection process, file an application, respond to calls for additional technical information from both the TACB and the TWC, defend the application in a hearing, have a recommendation from a TWC hearing examiner and, finally, receive a determination from the TWC's Commissioners. Presuming a favorable response from the Commission, the permittee will be granted a trial burn permit and may proceed with the construction, certification and execution of a trial burn at the facility. Subsequent to publication of the trial burn results and approval by the TWC, the permittee will possess an operational hazardous waste incinerator permit. The paper describes the major steps required to receive an operational permit for a hazardous waste incinerator in the State of Texas. Important issues involved in each step will be discussed including insights gained from recent incinerator permitting efforts

Phosphine Exposure Among Emergency Responders - Amarillo, Texas, January 2017.

Science.gov (United States)

Hall, Emily M; Patel, Ketki; Victory, Kerton R; Calvert, Geoffrey M; Nogueira, Leticia M; Bojes, Heidi K

2018-04-06

Phosphine is a highly toxic gas that forms when aluminum phosphide, a restricted-use pesticide* typically used in agricultural settings, reacts with water. Acute exposure can lead to a wide range of respiratory, cardiovascular, and gastrointestinal symptoms, and can be fatal (1). On January 2, 2017, the Texas Department of State Health Services (DSHS) was notified by the Texas Panhandle Poison Center of an acute phosphine exposure incident in Amarillo, Texas. DSHS investigated potential occupational phosphine exposures among the 51 on-scene emergency responders; 40 (78.4%) did not use respiratory protection during response operations. Fifteen (37.5%) of these 40 responders received medical care for symptoms or as a precaution after the incident, and seven (17.5%) reported new or worsening symptoms consistent with phosphine exposure within 24 hours of the incident. Emergency response organizations should ensure that appropriate personal protective equipment (PPE) is used during all incidents when an unknown hazardous substance is suspected. Additional evaluation is needed to identify targeted interventions that increase emergency responder PPE use during this type of incident.

Use of the National Board of Medical Examiners® Comprehensive Basic Science Exam: survey results of US medical schools.

Science.gov (United States)

Wright, William S; Baston, Kirk

2017-01-01

The National Board of Medical Examiners ® (NBME) Comprehensive Basic Science Exam (CBSE) is a subject exam offered to US medical schools, where it has been used for external validation of student preparedness for the United States Medical Licensing Examination ® (USMLE) Step 1 in new schools and schools undergoing curricular reform. Information regarding the actual use of the NBME CBSE is limited. Therefore, the aim of the survey was to determine the scope and utilization of the NBME CBSE by US medical schools. A survey was sent in May 2016 to curriculum leadership of the 139 US medical schools listed on the Liaison Committee on Medical Education (LCME ® ) website with provisional or full accreditation as of February 29, 2016. Responses were received from 53 schools (38% response rate). A series of different follow-up questions were asked if respondents stated "yes" or "no" to the initial question "Does your institution administer the NBME CBSE prior to the USMLE Step 1?". A total of 37 schools (70%) administered the NBME CBSE. In all, 36 of the 37 schools responded to follow-up questions. Of 36 schools, 13 schools (36%) used the NBME CBSE for curriculum modification. Six schools (17%) used the NBME CBSE for formative assessment for a course, and five schools (14%) used the NBME CBSE for summative assessment for a course. A total of 28 schools (78%) used the NBME CBSE for identifying students performing below expectations and providing targeted intervention strategies. In all, 24 schools (67%) of the 36 responding schools administering the NBME CBSE administered the test once prior to the administration of the USMLE Step 1, whereas 10 (28%) schools administered the NBME CBSE two or more times prior to the administration of the USMLE Step 1. Our data suggest that the NBME CBSE is administered by many US medical schools. However, the objective, timing, and number of exams administered vary greatly among schools.

Typhus in Texas

Centers for Disease Control (CDC) Podcasts

Dr. Kristy Murray, an associate professor in pediatrics and assistant dean of the National School of Tropical Medicine at Baylor College of Medicine and Texas Children's Hospital, discusses increased cases of typhus in southern Texas.

SUPERCOLLIDER: Texas meeting

International Nuclear Information System (INIS)

Anon.

1992-01-01

With preparations pushing forward for the Superconducting Supercollider (SSC) to be built in Ellis County, Texas, there was a full agenda at the third SSC fall conference, held in Corpus Christi, Texas, from 14-17 October

Texas Yehaa !!!

DEFF Research Database (Denmark)

Kjellberg, Kurt

2001-01-01

Indtryk fra et besøg på SLA, Special Libraries Associations årlige konference, San Antonio, Texas, USA, 9.-13. juni 2001. "An Information Odyssey: Seizing the Competitive Advantage"......Indtryk fra et besøg på SLA, Special Libraries Associations årlige konference, San Antonio, Texas, USA, 9.-13. juni 2001. "An Information Odyssey: Seizing the Competitive Advantage"...

75 FR 68398 - Texas, Oklahoma & Eastern Railroad, LLC-Acquisition and Operation Exemption-Texas, Oklahoma...

Science.gov (United States)

2010-11-05

... & Eastern Railroad, LLC--Acquisition and Operation Exemption--Texas, Oklahoma & Eastern Railroad Company Texas, Oklahoma & Eastern Railroad, LLC (TOE), a noncarrier, has filed a verified notice of exemption under 49 CFR 1150.31 to acquire from Texas, Oklahoma & Eastern Railroad Company and to operate...

75 FR 45695 - Final Federal Agency Actions on Trans-Texas Corridor 35 (TTC-35) in Texas

Science.gov (United States)

2010-08-03

...-Texas Corridor 35 (TTC-35) in Texas AGENCY: Federal Highway Administration (FHWA), DOT. ACTION: Notice... proposed transportation project, TTC-35, extending from the Texas- Oklahoma line to the City of Laredo, generally paralleling existing I- 35 in the State of Texas. DATES: By this notice, the FHWA is advising the...

Alternative dispute resolution of medical-legal issues.

Science.gov (United States)

Barton, H M

1991-02-01

Even the most casual observer of medical-legal litigation knows that such disputes take a long time to resolve, cost too much, and often leave parties no better off than before. Litigation also has deleterious effects where the parties have an ongoing relationship outside the courtroom. Such problems plague all litigation, however, and have prompted courts and legislatures to explore alternatives to the traditional means of solving private disputes through the filing and trial of lawsuits. In Texas, this effort resulted in the 1989 passage of the Texas Alternative Dispute Resolution Act (Texas ADR Act), which declares a state policy encouraging "the peaceable resolution of disputes....and the early settlement of pending litigation through voluntary settlement procedures" (1). This article examines alternative dispute resolution methods and explores their application to medical-legal issues.

Methodology of quality improvement projects for the Texas Medicare population.

Science.gov (United States)

Pendergrass, P W; Abel, R L; Bing, M; Vaughn, R; McCauley, C

1998-07-01

The Texas Medical Foundation, the quality improvement organization for the state of Texas, develops local quality improvement projects for the Medicare population. These projects are developed as part of the Health Care Quality Improvement Program undertaken by the Health Care Financing Administration. The goal of a local quality improvement project is to collaborate with providers to identify and reduce the incidence of unintentional variations in the delivery of care that negatively impact outcomes. Two factors are critical to the success of a quality improvement project. First, as opposed to peer review that is based on implicit criteria, quality improvement must be based on explicit criteria. These criteria represent key steps in the delivery of care that have been shown to improve outcomes for a specific disease. Second, quality improvement must be performed in partnership with the health care community. As such, the health care community must play an integral role in the design and evaluation of a quality improvement project and in the design and implementation of the resulting quality improvement plan. Specifically, this article provides a historical perspective for the transition from peer review to quality improvement. It discusses key steps used in developing and implementing local quality improvement projects including topic selection, quality indicator development, collaborator recruitment, and measurement of performance/improvement. Two Texas Medical Foundation projects are described to highlight the current methodology and to illustrate the impact of quality improvement projects.

33 CFR 165.804 - Snake Island, Texas City, Texas; mooring and fleeting of vessels-safety zone.

Science.gov (United States)

2010-07-01

... 33 Navigation and Navigable Waters 2 2010-07-01 2010-07-01 false Snake Island, Texas City, Texas... Guard District § 165.804 Snake Island, Texas City, Texas; mooring and fleeting of vessels—safety zone. (a) The following is a safety zone: (1) The west and northwest shores of Snake Island; (2) The...

Iguana bites reported to Texas poison centers.

Science.gov (United States)

Forrester, Mathias B

2010-09-01

Although thousands of iguanas are kept as pets in the United States, information on their bites is limited. The intent of this investigation was to describe the pattern of iguana bites reported to Texas poison centers. Iguana bites reported during 1998-2008 were identified. The distribution of cases by various factors was determined. Of 59 total bites, 71% were managed on-site, 17% of the patients were at or en route to a health care facility when the poison center was contacted, and 10% were referred to a health care facility. The medical outcome was no effect in 9% of the cases, minor effect in 24%, moderate effect in 2%, not followed but minimal effects possible in 64%, and unable to follow but potentially toxic in 2%. Most iguana bites reported to Texas poison centers did not result in serious effects and were managed on-site. Copyright © 2010 Elsevier Inc. All rights reserved.

76 FR 17544 - Board of Veterans' Appeals: Remand or Referral for Further Action; Notification of Evidence...

Science.gov (United States)

2011-03-30

... medical treatise or medical dictionary for the limited purpose of defining a medical term and that... recognized medical treatise, and to remove the notice procedures the Board must currently follow when... the notice procedures the Board must follow when supplementing the record with a recognized medical...

Texas Disasters II: Utilizing NASA Earth Observations to Assist the Texas Forest Service in Mapping and Analyzing Fuel Loads and Phenology in Texas Grasslands

Science.gov (United States)

Brooke, Michael; Williams, Meredith; Fenn, Teresa

2016-01-01

The risk of severe wildfires in Texas has been related to weather phenomena such as climate change and recent urban expansion into wild land areas. During recent years, Texas wild land areas have experienced sequences of wet and dry years that have contributed to increased wildfire risk and frequency. To prevent and contain wildfires, the Texas Forest Service (TFS) is tasked with evaluating and reducing potential fire risk to better manage and distribute resources. This task is made more difficult due to the vast and varied landscape of Texas. The TFS assesses fire risk by understanding vegetative fuel types and fuel loads. To better assist the TFS, NASA Earth observations, including Landsat and Moderate Resolution Imaging Specrtoradiometer (MODIS) data, were analyzed to produce maps of vegetation type and specific vegetation phenology as it related to potential wildfire fuel loads. Fuel maps from 2010-2011 and 2014-2015 fire seasons, created by the Texas Disasters I project, were used and provided alternating, complementary map indicators of wildfire risk in Texas. The TFS will utilize the end products and capabilities to evaluate and better understand wildfire risk across Texas.

Use of the National Board of Medical Examiners® Comprehensive Basic Science Exam: survey results of US medical schools

Directory of Open Access Journals (Sweden)

Wright WS

2017-06-01

Full Text Available William S Wright,1 Kirk Baston2 1Department of Biomedical Sciences, 2Department of Pathology, University of South Carolina School of Medicine Greenville, Greenville, SC, USA Purpose: The National Board of Medical Examiners® (NBME Comprehensive Basic Science Exam (CBSE is a subject exam offered to US medical schools, where it has been used for external validation of student preparedness for the United States Medical Licensing Examination® (USMLE Step 1 in new schools and schools undergoing curricular reform. Information regarding the actual use of the NBME CBSE is limited. Therefore, the aim of the survey was to determine the scope and utilization of the NBME CBSE by US medical schools.Methods: A survey was sent in May 2016 to curriculum leadership of the 139 US medical schools listed on the Liaison Committee on Medical Education (LCME® website with provisional or full accreditation as of February 29, 2016. Responses were received from 53 schools (38% response rate. A series of different follow-up questions were asked if respondents stated “yes” or “no” to the initial question “Does your institution administer the NBME CBSE prior to the USMLE Step 1?”.Results: A total of 37 schools (70% administered the NBME CBSE. In all, 36 of the 37 schools responded to follow-up questions. Of 36 schools, 13 schools (36% used the NBME CBSE for curriculum modification. Six schools (17% used the NBME CBSE for formative assessment for a course, and five schools (14% used the NBME CBSE for summative assessment for a course. A total of 28 schools (78% used the NBME CBSE for identifying students performing below expectations and providing targeted intervention strategies. In all, 24 schools (67% of the 36 responding schools administering the NBME CBSE administered the test once prior to the administration of the USMLE Step 1, whereas 10 (28% schools administered the NBME CBSE two or more times prior to the administration of the USMLE Step 1.Conclusion

TEXAS MIGRANT LABOR, THE 1964 MIGRATION.

Science.gov (United States)

Good Neighbor Commission of Texas, Austin.

THE MAJORITY OF TEXAS MIGRANTS LIVE IN SOUTH TEXAS AND APPROXIMATELY 95 PERCENT OF THEM ARE OF MEXICAN EXTRACTION. MOST OF THE OTHER FIVE PERCENT ARE EAST TEXAS NEGROES. THE MECHANIZATION OF COTTON HARVESTING AND THE EXPIRATION OF THE "BRACERO PROGRAM" IN 1964 HAVE CAUSED MORE TEXAS MIGRANTS TO SEEK EMPLOYMENT OUTSIDE OF THE STATE. DURING 1964,…

[Complaint to the disciplinary board about a resident].

Science.gov (United States)

Linthorst, Gabor E; Lauw, Fanny N; Hanekamp, Lilian A; Hoekstra, Joost B L

2014-01-01

We describe the course of two complaints that were filed by patients to the Dutch Medical Disciplinary Board against two internal medicine residents. In the procedure following the complaints the supervisor and the teacher were actively involved, which resulted in one complaint being dropped. We describe the importance of adequate moral support in such cases, as the complaint may lead to loss of work satisfaction or self-esteem, especially for those in training. We make some recommendations on how the resident and the supervisor/head of the department should engage in complaints filed to the Medical Disciplinary Board. In addition, we suggest that routine 'error-meetings' may help to provide an open atmosphere where disclosure of errors and the various procedures at the hospital or disciplinary boards are promoted.

Time required for institutional review board review at one Veterans Affairs medical center.

Science.gov (United States)

Hall, Daniel E; Hanusa, Barbara H; Stone, Roslyn A; Ling, Bruce S; Arnold, Robert M

2015-02-01

Despite growing concern that institutional review boards (IRBs) impose burdensome delays on research, little is known about the time required for IRB review across different types of research. To measure the overall and incremental process times for IRB review as a process of quality improvement. After developing a detailed process flowchart of the IRB review process, 2 analysts abstracted temporal data from the records pertaining to all 103 protocols newly submitted to the IRB at a large urban Veterans Affairs medical center from June 1, 2009, through May 31, 2011. Disagreements were reviewed with the principal investigator to reach consensus. We then compared the review times across review types using analysis of variance and post hoc Scheffé tests after achieving normally distributed data through logarithmic transformation. Calendar days from initial submission to final approval of research protocols. Initial IRB review took 2 to 4 months, with expedited and exempt reviews requiring less time (median [range], 85 [23-631] and 82 [16-437] days, respectively) than full board reviews (median [range], 131 [64-296] days; P = .008). The median time required for credentialing of investigators was 1 day (range, 0-74 days), and review by the research and development committee took a median of 15 days (range, 0-184 days). There were no significant differences in credentialing or research and development times across review types (exempt, expedited, or full board). Of the extreme delays in IRB review, 80.0% were due to investigators' slow responses to requested changes. There were no systematic delays attributable to the information security officer, privacy officer, or IRB chair. Measuring and analyzing review times is a critical first step in establishing a culture and process of continuous quality improvement among IRBs that govern research programs. The review times observed at this IRB are substantially longer than the 60-day target recommended by expert panels

In regard to the change of the editorial board and the advisory board of the Bosnian Journal of Basic Medical Sciences

Directory of Open Access Journals (Sweden)

Bakir Mehić

2014-02-01

Full Text Available The most vital part of a scientific journal is the Editorial board and Advisory board. So, it is never good that the composition of these boards lasts longer than 2-3 years.With the first number of BJBMS in 2014, a new composition of the Editorial board and Advisory Board of this journal was published. They consist of eminent scientists with adequate qualifications from nine countries and who can actively contribute to the good management of the journal and its further development. Their tasks will be: -Supporting and promotion of the journal (being true ambassadors of the journal,-Writing editorials, reviews and commentaries on works from the field of their expertise,-Giving opinions and suggestions on the management and policy of the journal, with the timely identification of the upcoming challenges. Commitment to upholding the ethics of publishing with impartiality and confidentiality, the fight against plagiarism and multiple or simultaneous publication of articles will remain a priority in the work of the Editorial Board and Advisory Board of BJBMS. Also, the newly appointed boards will continue to work in the way of protection of copyright for authors who were victims of plagiarism. In this sense, the editor in chief, together with the Editorial Board will take measures in accordance with the guidelines of the Committee for Ethics in publishing [1].Quality assurance in publishing and also in BJBMS is focused on the detection of forged data, images, and plagiarized articles. In its future work Editorial Board of BJBMS is obliged to pay attention to supporting academic integrity, ensuring the integrity of academic records and intellectual property. This latter implies: -Request for evidence of ethics for the approved research, that is, authors will be asked to prove that they obtained the consent of the patient for the study or in the case of experiments on animals, which methods were used so the animals would not suffer?-Ensuring that

Enhancing board oversight on quality of hospital care: an agency theory perspective.

Science.gov (United States)

Jiang, H Joanna; Lockee, Carlin; Fraser, Irene

2012-01-01

Community hospitals in the United States are almost all governed by a governing board that is legally accountable for the quality of care provided. Increasing pressures for better quality and safety are prompting boards to strengthen their oversight function on quality. In this study, we aimed to provide an update to prior research by exploring the role and practices of governing boards in quality oversight through the lens of agency theory and comparing hospital quality performance in relation to the adoption of those practices. Data on board practices from a survey conducted by The Governance Institute in 2007 were merged with data on hospital quality drawn from two federal sources that measured processes of care and mortality. The study sample includes 445 public and private not-for-profit hospitals. We used factor analysis to explore the underlying dimensions of board practices. We further compared hospital quality performance by the adoption of each individual board practice. Consistent with the agency theory, the 13 board practices included in the survey appear to center around enhancing accountability of the board, management, and the medical staff. Reviewing the hospital's quality performance on a regular basis was the most common practice. A number of board practices, not examined in prior research, showed significant association with better performance on process of care and/or risk-adjusted mortality: requiring major new clinical programs to meet quality-related criteria, setting some quality goals at the "theoretical ideal" level, requiring both the board and the medical staff to be as involved as management in setting the agenda for discussion on quality, and requiring the hospital to report its quality/safety performance to the general public. Hospital governing boards should examine their current practices and consider adopting those that would enhance the accountability of the board itself, management, and the medical staff.

Applying the institutional review board data repository approach to manage ethical considerations in evaluating and studying medical education.

Science.gov (United States)

Thayer, Erin K; Rathkey, Daniel; Miller, Marissa Fuqua; Palmer, Ryan; Mejicano, George C; Pusic, Martin; Kalet, Adina; Gillespie, Colleen; Carney, Patricia A

2016-01-01

Medical educators and educational researchers continue to improve their processes for managing medical student and program evaluation data using sound ethical principles. This is becoming even more important as curricular innovations are occurring across undergraduate and graduate medical education. Dissemination of findings from this work is critical, and peer-reviewed journals often require an institutional review board (IRB) determination. IRB data repositories, originally designed for the longitudinal study of biological specimens, can be applied to medical education research. The benefits of such an approach include obtaining expedited review for multiple related studies within a single IRB application and allowing for more flexibility when conducting complex longitudinal studies involving large datasets from multiple data sources and/or institutions. In this paper, we inform educators and educational researchers on our analysis of the use of the IRB data repository approach to manage ethical considerations as part of best practices for amassing, pooling, and sharing data for educational research, evaluation, and improvement purposes. Fostering multi-institutional studies while following sound ethical principles in the study of medical education is needed, and the IRB data repository approach has many benefits, especially for longitudinal assessment of complex multi-site data.

University of Texas Southwestern Medical Center: High-Throughput siRNA Screening of a Non-Small Cell Lung Cancer (NSCLC) Cell Line Panel | Office of Cancer Genomics

Science.gov (United States)

The goal of this project is to use siRNA screens to identify NSCLC-selective siRNAs from two genome-wide libraries that will allow us to functionally define genetic dependencies of subtypes of NSCLC. Using bioinformatics tools, the CTD2 center at the University of Texas Southwestern Medical Center are discovering associations between this functional data (siRNAs) and NSCLC mutational status, methylation arrays, gene expression arrays, and copy number variation data that will help us identify new targets and enrollment biomarkers. 

Public Outreach of the South Texas Health Physic Society and Texas A and M University Nuclear Engineering Department

International Nuclear Information System (INIS)

Berry, R. O.

2003-01-01

In a cooperative effort of the members of the South Texas Chapter of the Heath Physics Society (STC-HPS) and the Texas A and M University Nuclear Engineering Department, great efforts have been made to reach out and provide educational opportunities to members of the general public, school age children, and specifically teachers. These efforts have taken the form of Science Teacher Workshops (STW), visits to schools all over the state of Texas, public forums, and many other educational arenas. A major motivational factor for these most recent efforts can be directly tied to the attempt of the State of Texas to site a low-level radioactive waste facility near Sierra Blanca in West Texas. When the State of Texas first proposed to site a low level radioactive waste site after the Low-Level Radioactive Waste Policy Act of 1980 was passed, many years of political struggle ensued. Finally, a site at Sierra Blanca in far West Texas was selected for study and characterization for a disposal site for waste generated in the Texas Compact states of Maine, Vermont and Texas. During this process, the outreach to and education of the local public became a paramount issue

An empirical assessment of boarding and quality of care: delays in care among chest pain, pneumonia, and cellulitis patients.

Science.gov (United States)

Liu, Shan W; Chang, Yuchiao; Weissman, Joel S; Griffey, Richard T; Thomas, James; Nergui, Suvd; Hamedani, Azita G; Camargo, Carlos A; Singer, Sara

2011-12-01

As hospital crowding has increased, more patients have ended up boarding in the emergency department (ED) awaiting their inpatient beds. To the best of our knowledge, no study has compared the quality of care of boarded and nonboarded patients. This study sought to examine whether being a boarded patient and boarding longer were associated with more delays, medication errors, and adverse events among ED patients admitted with chest pain, pneumonia, or cellulitis. This study was a retrospective cohort design in which data collection was accomplished via medical record review from two urban teaching hospitals. Patients admitted with chest pain, pneumonia, or cellulitis between August 2004 and January 2005 were eligible for inclusion. Our outcomes measures were: 1) delays in administration of home medications, cardiac enzyme tests, partial thromboplastin time (PTT), and antibiotics; 2) medication errors; and 3) adverse events or near misses. Primary independent variables were boarded status, boarding time, and boarded time interval. Multiple logistic regression models controlling for patient, ED, and hospital characteristics were used. A total of 1,431 patient charts were included: 811 with chest pain, 387 with pneumonia, and 233 with cellulitis. Boarding time was associated with an increased odds of home medication delays (adjusted odds ratio [AOR] = 1.07, 95% confidence interval [CI] = 1.05 to 1.10), as were boarded time intervals of 12, 18, and 24 hours. Boarding time also was associated with lower odds of having a late cardiac enzyme test (AOR = 0.93, 95% CI = 0.88 to 0.97). Boarding was associated with home medication delays, but fewer cardiac enzyme test delays. Boarding was not associated with delayed PTT checks, antibiotic administration, medication errors, or adverse events/near misses. These findings likely reflect the inherent resources of the ED and the inpatient units. © 2011 by the Society for Academic Emergency Medicine.

Forests of east Texas, 2016

Science.gov (United States)

Kerry Dooley

2018-01-01

This resource update provides an overview of forest resources in east Texas based on an inventory conducted by the U.S. Forest Service, Forest Inventory and Analysis (FIA) program at the Southern Research Station (SRS) in cooperation with Texas A&M Forest Service. The 254 counties of Texas are consolidated into seven FIA survey units—Southeast (unit 1),...

Sylvatic trichinellosis in Texas

Directory of Open Access Journals (Sweden)

Pence D.B.

2001-06-01

Full Text Available There are no published reports of domestic or sylvatic trichinellosis in Texas. The aim of the present survey was to determine the presence of Trichinella species in selected representative species of potential wildlife reservoirs in southern Texas. In 1998-99, tongues of 211 wild mammals were collected in southern Texas: 154 coyotes (Canis latrans, three bobcats (Lynx rufus, 32 racoons (Procyon lotor, 1 3 opossum (Didelphis marsupialis, four ocelots (Leopardus pardalis and five wild boars (Sus scrofa. Presence of Trichinella sp. larvae was investigated by artificial digestion and larvae of positive samples were identified at the species level by a multiple-polymerase chain reaction analysis. Nine (5.8 % coyotes had trichinellosis ; in the muscles of seven of these coyotes, the larvae were identified as Trichinella murrelli. This is the first report of sylvatic trichinellosis in Texas.

Commentary: presenting the value of medical quality to nonclinical senior management and boards of directors.

Science.gov (United States)

Fetterolf, Donald E

2003-01-01

Many physicians find hospital or health plan boards of directors to be intimidating arenas for medical quality presentations. This essay presents a number of "pearls" gleaned from successful senior clinician managers who have learned to relate to senior management and advance in their careers. This commentary was developed from research and a presentation of the same title delivered at the American College of Medical Quality Annual Meeting held in Las Vegas in October, 2001. It is important that medical directors who work with financial managers convert quality concepts into "business value" concepts. Talking in the language of business, rather than the language of doctors, makes it much easier to communicate with management (although some translation is often in order). As a clinician presenting to financial managers, you should become familiar with financial terms and how they are used. Indeed, the development of a financial model representing clinical activity results in the highest level of success. There are a number of methods for estimating impact that have been found within general business and health services research areas that are acceptable. Successful presenters of information approach their task effectively. Reports are in a more readable format and convey information for action by the corporation rather than as a scholarly treatise. Approaching senior management, one must consider the psychology of individuals in senior positions. Senior medical executives who are successful report similar approaches to their tasks, and offer helpful insight into career advancement.

Typhus in Texas

Centers for Disease Control (CDC) Podcasts

2017-07-06

Dr. Kristy Murray, an associate professor in pediatrics and assistant dean of the National School of Tropical Medicine at Baylor College of Medicine and Texas Children’s Hospital, discusses increased cases of typhus in southern Texas.  Created: 7/6/2017 by National Center for Emerging and Zoonotic Infectious Diseases (NCEZID).   Date Released: 7/6/2017.

An updated understanding of Texas bumble bee (Hymenoptera: Apidae species presence and potential distributions in Texas, USA

Directory of Open Access Journals (Sweden)

Jessica L. Beckham

2017-08-01

Full Text Available Texas is the second largest state in the United States of America, and the largest state in the contiguous USA at nearly 700,000 sq. km. Several Texas bumble bee species have shown evidence of declines in portions of their continental ranges, and conservation initiatives targeting these species will be most effective if species distributions are well established. To date, statewide bumble bee distributions for Texas have been inferred primarily from specimen records housed in natural history collections. To improve upon these maps, and help inform conservation decisions, this research aimed to (1 update existing Texas bumble bee presence databases to include recent (2007–2016 data from citizen science repositories and targeted field studies, (2 model statewide species distributions of the most common bumble bee species in Texas using MaxEnt, and (3 identify conservation target areas for the state that are most likely to contain habitat suitable for multiple declining species. The resulting Texas bumble bee database is comprised of 3,580 records, to include previously compiled museum records dating from 1897, recent field survey data, and vetted records from citizen science repositories. These data yielded an updated state species list that includes 11 species, as well as species distribution models (SDMs for the most common Texas bumble bee species, including two that have shown evidence of range-wide declines: B. fraternus (Smith, 1854 and B. pensylvanicus (DeGeer, 1773. Based on analyses of these models, we have identified conservation priority areas within the Texas Cross Timbers, Texas Blackland Prairies, and East Central Texas Plains ecoregions where suitable habitat for both B. fraternus and B. pensylvanicus are highly likely to co-occur.

Ecological Baseline, Fort Hood, Texas

Science.gov (United States)

1980-08-01

cedar eTm (Uiimus crassifolia), Texas ash (Fraxinus texansis), and Texas persimmon ( Diospyros texana). Conversely, the two predominant tree species...Ilex decidua), Mex- ican buckeye (Ungnadia spjeciosa), and Texas persimmon ( Diospyros texana). Vines included greenbrier (Smilax bona-nox) and white...Hedgehey Cactus (Echinocereus sp.) has been observed on Fort Hood. Due to the brief period of flowering for this genus , the individual species were not

Water supply and needs for West Texas

Science.gov (United States)

This presentation focused on the water supplies and needs of West Texas, Texas High Plains. Groundwater is the most commonly used water resources on the Texas High Plains, with withdrawals from the Ogallala Aquifer dominating. The saturation thickness of the Ogallala Aquifer in Texas is such that t...

75 FR 21534 - Texas Regulatory Program

Science.gov (United States)

2010-04-26

... improve operational efficiency. This document gives the times and locations that the Texas program and... during regular business hours at the following location: Surface Mining and Reclamation Division... locations listed above under ADDRESSES. Texas proposes to revise its regulation at 16 Texas Administrative...

What are the qualifications and selection criteria for women to be appointed to society journal editorial boards?

Science.gov (United States)

Tomizawa, Yasuko

2014-02-01

Japan ranks extremely low in global ranking of gender equality. It is not easy for female doctors to acquire leadership positions in member societies of the Japanese Association of Medical Science (JAMS). Very few women are included on editorial boards of English medical journals in Japan. Furthermore, until last year, there had been no female editors in English language journals of surgical societies. The qualifications and criteria for selecting editorial board members of medical journals should be clarified. Medical journals in Japan would gain diversity by including women on editorial boards in the same proportion as women membership in the corresponding medical societies.

76 FR 50708 - Texas Regulatory Program

Science.gov (United States)

2011-08-16

..., renewals, and significant revisions. Texas intends to revise its program to improve operational efficiency. This document provides the times and locations that the Texas program and proposed amendments to that... business hours at the following location: Railroad Commission of Texas, 1701 North Congress Ave., Austin...

78 FR 11579 - Texas Regulatory Program

Science.gov (United States)

2013-02-19

... Interest and Compliance Information (Underground Mining). Texas proposed to delete old language in Sec. 12.... Therefore, we approve Texas' deletion. Texas proposed to delete old language in Sec. 12.156 regarding the... proposed to add new language regarding certifying and updating existing permit information, permit...

Using an International Medical Advisory Board to guide clinical governance in a corporate refractive surgery model.

Science.gov (United States)

Vukich, John A

2009-07-01

To describe the role played by the International Medical Advisory Board (IMAB) in clinical and corporate governance at Optical Express, a corporate provider of refractive surgery. A review of goals, objectives, and actions of the IMAB. The IMAB has contributed to study design, data analysis, and selection of instruments and procedures. Through interactions with Optical Express corporate and clinical staff, the IMAB has supported management's effort to craft a corporate culture focused on continuous improvement in the safety and visual outcomes of refractive surgery. The IMAB has fashioned significant changes in corporate policies and procedures and has had an impact on corporate culture at Optical Express.

Chagas disease risk in Texas.

Science.gov (United States)

Sarkar, Sahotra; Strutz, Stavana E; Frank, David M; Rivaldi, Chissa-Louise; Sissel, Blake; Sánchez-Cordero, Victor

2010-10-05

Chagas disease, caused by Trypanosoma cruzi, remains a serious public health concern in many areas of Latin America, including México. It is also endemic in Texas with an autochthonous canine cycle, abundant vectors (Triatoma species) in many counties, and established domestic and peridomestic cycles which make competent reservoirs available throughout the state. Yet, Chagas disease is not reportable in Texas, blood donor screening is not mandatory, and the serological profiles of human and canine populations remain unknown. The purpose of this analysis was to provide a formal risk assessment, including risk maps, which recommends the removal of these lacunae. The spatial relative risk of the establishment of autochthonous Chagas disease cycles in Texas was assessed using a five-stage analysis. 1. Ecological risk for Chagas disease was established at a fine spatial resolution using a maximum entropy algorithm that takes as input occurrence points of vectors and environmental layers. The analysis was restricted to triatomine vector species for which new data were generated through field collection and through collation of post-1960 museum records in both México and the United States with sufficiently low georeferenced error to be admissible given the spatial resolution of the analysis (1 arc-minute). The new data extended the distribution of vector species to 10 new Texas counties. The models predicted that Triatoma gerstaeckeri has a large region of contiguous suitable habitat in the southern United States and México, T. lecticularia has a diffuse suitable habitat distribution along both coasts of the same region, and T. sanguisuga has a disjoint suitable habitat distribution along the coasts of the United States. The ecological risk is highest in south Texas. 2. Incidence-based relative risk was computed at the county level using the Bayesian Besag-York-Mollié model and post-1960 T. cruzi incidence data. This risk is concentrated in south Texas. 3. The

Chagas disease risk in Texas.

Directory of Open Access Journals (Sweden)

Sahotra Sarkar

Full Text Available BACKGROUND: Chagas disease, caused by Trypanosoma cruzi, remains a serious public health concern in many areas of Latin America, including México. It is also endemic in Texas with an autochthonous canine cycle, abundant vectors (Triatoma species in many counties, and established domestic and peridomestic cycles which make competent reservoirs available throughout the state. Yet, Chagas disease is not reportable in Texas, blood donor screening is not mandatory, and the serological profiles of human and canine populations remain unknown. The purpose of this analysis was to provide a formal risk assessment, including risk maps, which recommends the removal of these lacunae. METHODS AND FINDINGS: The spatial relative risk of the establishment of autochthonous Chagas disease cycles in Texas was assessed using a five-stage analysis. 1. Ecological risk for Chagas disease was established at a fine spatial resolution using a maximum entropy algorithm that takes as input occurrence points of vectors and environmental layers. The analysis was restricted to triatomine vector species for which new data were generated through field collection and through collation of post-1960 museum records in both México and the United States with sufficiently low georeferenced error to be admissible given the spatial resolution of the analysis (1 arc-minute. The new data extended the distribution of vector species to 10 new Texas counties. The models predicted that Triatoma gerstaeckeri has a large region of contiguous suitable habitat in the southern United States and México, T. lecticularia has a diffuse suitable habitat distribution along both coasts of the same region, and T. sanguisuga has a disjoint suitable habitat distribution along the coasts of the United States. The ecological risk is highest in south Texas. 2. Incidence-based relative risk was computed at the county level using the Bayesian Besag-York-Mollié model and post-1960 T. cruzi incidence data. This

77 FR 18738 - Texas Regulatory Program

Science.gov (United States)

2012-03-28

... improve operational efficiency. This document gives the times and locations that the Texas program and... location: Surface Mining and Reclamation Division, Railroad Commission of Texas, 1701 North Congress Avenue... available for you to read at the locations listed above under ADDRESSES. Texas proposes to revise its...

Assessing the Effects of the 2003 Resident Duty Hours Reform on Internal Medicine Board Scores

Science.gov (United States)

Romano, Patrick S.; Itani, Kamal M.F.; Rosen, Amy K.; Small, Dylan; Lipner, Rebecca S.; Bosk, Charles L.; Wang, Yanli; Halenar, Michael J.; Korovaichuk, Sophia; Even-Shoshan, Orit; Volpp, Kevin G.

2014-01-01

Purpose To determine whether the 2003 Accreditation Council for Graduate Medical Education (ACGME) duty hours reform affected medical knowledge as reflected by written board scores for internal medicine (IM) residents. Method The authors conducted a retrospective cohort analysis of postgraduate year 1 (PGY-1) Internal Medicine residents who started training before and after the 2003 duty hour reform using a merged data set of American Board of Internal Medicine (ABIM) Board examination and the National Board of Medical Examiners (NMBE) United States Medical Licensing Examination (USMLE) Step 2 Clinical Knowledge test scores. Specifically, using four regression models, the authors compared IM residents beginning PGY-1 training in 2000 and completing training unexposed to the 2003 duty hours reform (PGY-1 2000 cohort, n = 5,475) to PGY-1 cohorts starting in 2001 through 2005 (n = 28,008), all with some exposure to the reform. Results The mean ABIM board score for the unexposed PGY-1 2000 cohort (n = 5,475) was 491, SD = 85. Adjusting for demographics, program, and USMLE Step 2 exam score, the mean differences (95% CI) in ABIM board scores between the PGY-1 2001, 2002, 2003, 2004 and 2005 cohorts minus the PGY-1 2000 cohort were −5.43 (−7.63, −3.23), −3.44 (−5.65, −1.24), 2.58 (0.36, 4.79), 11.10 (8.88, 13.33) and 11.28 (8.98, 13.58) points respectively. None of these differences exceeded one-fifth of an SD in ABIM board scores. Conclusions The duty hours reforms of 2003 did not meaningfully affect medical knowledge as measured by scores on the ABIM board examinations. PMID:24556772

27 CFR 9.155 - Texas Davis Mountains.

Science.gov (United States)

2010-04-01

...) “Fort Davis, Texas,” 1985. (2) “Mount Livermore, Texas—Chihuahua,” 1985. (c) Boundary. The Texas Davis... follows Highway 166 in a southwesterly direction onto the Mt. Livermore, Texas-Chihuahua, U.S.G.S. map; (6... Grapevine Canyon on the Mt. Livermore, Texas-Chihuahua, U.S.G.S. map; (14) The boundary then proceeds in a...

Texas Medication Algorithm Project, phase 3 (TMAP-3): clinical results for patients with a history of mania.

Science.gov (United States)

Suppes, Trisha; Rush, A John; Dennehy, Ellen B; Crismon, M Lynn; Kashner, T Michael; Toprac, Marcia G; Carmody, Thomas J; Brown, E Sherwood; Biggs, Melanie M; Shores-Wilson, Kathy; Witte, Bradley P; Trivedi, Madhukar H; Miller, Alexander L; Altshuler, Kenneth Z; Shon, Steven P

2003-04-01

The Texas Medication Algorithm Project (TMAP) assessed the clinical and economic impact of algorithm-driven treatment (ALGO) as compared with treatment-as-usual (TAU) in patients served in public mental health centers. This report presents clinical outcomes in patients with a history of mania (BD), including bipolar I and schizoaffective disorder, bipolar type, during 12 months of treatment beginning March 1998 and ending with the final active patient visit in April 2000. Patients were diagnosed with bipolar I disorder or schizoaffective disorder, bipolar type, according to DSM-IV criteria. ALGO was comprised of a medication algorithm and manual to guide treatment decisions. Physicians and clinical coordinators received training and expert consultation throughout the project. ALGO also provided a disorder-specific patient and family education package. TAU clinics had no exposure to the medication algorithms. Quarterly outcome evaluations were obtained by independent raters. Hierarchical linear modeling, based on a declining effects model, was used to assess clinical outcome of ALGO versus TAU. ALGO and TAU patients showed significant initial decreases in symptoms (p =.03 and p <.001, respectively) measured by the 24-item Brief Psychiatric Rating Scale (BPRS-24) at the 3-month assessment interval, with significantly greater effects for the ALGO group. Limited catch-up by TAU was observed over the remaining 3 quarters. Differences were also observed in measures of mania and psychosis but not in depression, side-effect burden, or functioning. For patients with a history of mania, relative to TAU, the ALGO intervention package was associated with greater initial and sustained improvement on the primary clinical outcome measure, the BPRS-24, and the secondary outcome measure, the Clinician-Administered Rating Scale for Mania (CARS-M). Further research is planned to clarify which elements of the ALGO package contributed to this between-group difference.

Focusing on the "T" in LGBT: an online survey of related content in texas nursing programs.

Science.gov (United States)

Walsh, David; Hendrickson, Sherry Garrett

2015-06-01

As nurses, we advocate for the most vulnerable and underserved, who, within the lesbian, gay, bisexual, and transgender (LGBT) community, are transgender individuals. Yet, the existence of LGBT education in nursing schools has not been examined. After approval by the university institutional review board, 113 nursing programs in Texas were surveyed between November 2013 and January 2014, with a 12-question, Web-based questionnaire. A Verisign certificate and 128-bit encryption program supported compliance with the Health Insurance Portability and Accountability Act of 1996. Nineteen percent of the surveys were returned. Ten (47.62%) of 21 respondents addressed transgender or transsexual individuals. Fifteen (71.43%) of 21 answered a free-text question to estimate the number of hours spent addressing LGBT content, reporting an average of 1.6 hours. Our study suggests that, in Texas, nursing students may not be receiving sufficient content, nor do they understand transgender health needs or how to best deliver competent, compassionate care to this population. Copyright 2015, SLACK Incorporated.

Use of trees by the Texas ratsnake (Elaphe obsoleta) in eastern Texas

Science.gov (United States)

Josh B. Pierce; Robert R. Fleet; Lance McBrayer; D. Craig Rudolph

2008-01-01

We present information on the use of trees by Elaphe obsoleta (Texas Ratsnake) in a mesic pine-hardwood forest in eastern Texas. Using radiotelemetry, seven snakes (3 females, 4 males) were relocated a total of 363 times from April 2004 to May 2005, resulting in 201 unique locations. Snakes selected trees containing cavities and used hardwoods and...

Ready Texas: Stakeholder Convening. Proceedings Report

Science.gov (United States)

Intercultural Development Research Association, 2016

2016-01-01

With the adoption of substantial changes to Texas high school curricula in 2013 (HB5), a central question for Texas policymakers, education and business leaders, families, and students is whether and how HB5 implementation impacts the state of college readiness and success in Texas. Comprehensive research is needed to understand the implications…

Texas pavement preservation center four-year summary report.

Science.gov (United States)

2009-07-04

The Texas Pavement Preservation Center (TPPC), in joint collaboration with the Center for Transportation Research (CTR) of the University of Texas at Austin and the Texas Transportation Institute (TTI) of Texas A&M University, promotes the use of pav...

Comparison of hospitalizations, emergency department visits, and costs in a historical cohort of Texas Medicaid patients with chronic obstructive pulmonary disease, by initial medication regimen.

Science.gov (United States)

Rascati, Karen L; Akazawa, Manabu; Johnsrud, Michael; Stanford, Richard H; Blanchette, Christopher M

2007-06-01

Limited information is available on the relative outcomes and treatment costs of various pharmacotherapies for chronic obstructive pulmonary disease (COPD) in a Medicaid population. This study compared the effects of initial medication regimens for COPD on COPD-related and all-cause events (hospitalizations and/or emergency department [ED] visits) and COPD-related and all-cause costs. The study population was a historical cohort of Texas Medicaid beneficiaries aged 40 to 64 years with COPD-related medical costs (International Classification of Diseases, Ninth Revision, Clinical Modification codes 491.xx, 492.xx, 496.xx), 24 months of continuous Medicaid enrollment (12 months before and after the index prescription), and at least 1 prescription claim (index) for a combination product containing fluticasone propionate + salmeterol, an inhaled corticosteroid, salmeterol, or ipratropium between April 1, 2001, and March 31, 2003. The analyses of events employed Cox proportional hazards regression, controlling for baseline factors and preindex events. The analyses of costs used a 2-part model with logistic regression and generalized linear model to adjust for baseline characteristics and preindex utilization and costs. The study population included 6793 patients (1211 combination therapy, 968 inhaled corticosteroid, 401 salmeterol, and 4213 ipratropium). Only combination therapy was associated with a significantly lower risk for any COPD-related event (hazard ratio [HR] = 0.733; 95% CI, 0.650-0.826) and any all-cause event (HR = 0.906; 95% CI, 0.844-0.972) compared with ipratropium. COPD-related prescription costs were higher in all cohorts compared with the ipratropium cohort, but COPD-related medical costs were lower, offsetting the increase in prescription costs. For all-cause costs, prescription costs were higher in the combination-therapy cohort (+$415; P costs in the combination-therapy cohort (-$1735; P costs. In this historical population of Texas Medicaid

DOE Center of Excellence in Medical Laser Applications. Final report, December 1, 1994--November 30, 1997

Energy Technology Data Exchange (ETDEWEB)

Jacques, S.L.

1998-01-01

An engineering network of collaborating medical laser laboratories are developing laser and optical technologies for medical diagnosis and therapy and are translating the engineering into medical centers in Portland OR, Houston TX, and Galveston TX. The Center includes the University of Texas M.D. Anderson Cancer Center, the University of Texas-Austin, Texas A and M University, Rice University, the University Texas Medical Branch-Galveston, Oregon Medical Laser Center (Providence St. Vincent Medical Center, Oregon Health Sciences University, and Oregon Graduate Institute, Portland, OR), and the University of Oregon. Diagnostics include reflectance, fluorescence, Raman IR, laser photoacoustics, optical coherence tomography, and several new video techniques for spectroscopy and imaging. Therapies include photocoagulation therapy, laser welding, pulsed laser ablation, and light-activated chemotherapy of cancer (photodynamic therapy, or PDT). Medical applications reaching the clinic include optical monitoring of hyperbilirubinemia in newborns, fluorescence detection of cervical dysplasia, laser thrombolysis of blood clots in heart attack and brain stroke, photothermal coagulant of benign prostate hyperplasia, and PDT for both veterinary and human cancer. New technologies include laser optoacoustic imaging of breast tumors and hemorrhage in head trauma and brain stroke, quality control monitoring of dosimetry during PDT for esophageal and lung cancer, polarization video reflectometry of skin cancer, laser welding of artificial tissue replacements, and feedback control of laser welding.

Effect of Boarding on Mortality in ICUs.

Science.gov (United States)

Stretch, Robert; Della Penna, Nicolás; Celi, Leo Anthony; Landon, Bruce E

2018-04-01

Hospitals use a variety of strategies to maximize the availability of limited ICU beds. Boarding, which involves assigning patients to an open bed in a different subspecialty ICU, is one such practice employed when ICU occupancy levels are high, and beds in a particular unit are unavailable. Boarding disrupts the normal geographic colocation of patients and care teams, exposing patients to nursing staff with different training and expertise to those caring for nonboarders. We analyzed whether medical ICU patients boarding in alternative specialty ICUs are at increased risk of mortality. Retrospective cohort study using an instrumental variable analysis to control for unmeasured confounding. A semiparametric bivariate probit estimation strategy was employed for the instrumental model. Propensity score matching and standard logistic regression (generalized linear modeling) were used as robustness checks. The medical ICU of a tertiary care nonprofit hospital in the United States between 2002 and 2012. All medical ICU admissions during the specified time period. None. The study population consisted of 8,429 patients of whom 1,871 were boarders. The instrumental variable model demonstrated a relative risk of 1.18 (95% CI, 1.01-1.38) for ICU stay mortality for boarders. The relative risk of in-hospital mortality among boarders was 1.22 (95% CI, 1.00-1.49). GLM and propensity score matching without use of the instrument yielded similar estimates. Instrumental variable estimates are for marginal patients, whereas generalized linear modeling and propensity score matching yield population average effects. Mortality increased with boarding of critically ill patients. Further research is needed to identify safer practices for managing patients during periods of high ICU occupancy.

78 FR 27342 - Radio Broadcasting Services; Moran, Texas

Science.gov (United States)

2013-05-10

... Broadcasting Services; Moran, Texas AGENCY: Federal Communications Commission. ACTION: Proposed rule. SUMMARY... service at Moran, Texas. Channel 281A can be allotted at Moran, Texas, in compliance with the Commission's... parties should serve petitioner as follows: Katherine Pyeatt, 215 Cedar Springs Rd., 1605, Dallas, Texas...

The current status of education and career paths of students after completion of medical physicist programs in Japan: a survey by the Japanese Board for Medical Physicist Qualification.

Science.gov (United States)

Kadoya, Noriyuki; Karasawa, Kumiko; Sumida, Iori; Arimura, Hidetaka; Yamada, Syogo

2015-07-01

To standardize educational programs and clinical training for medical physics students, the Japanese Board for Medical Physicist Qualification (JBMP) began to accredit master's, doctorate, and residency programs for medical physicists in 2012. At present, 16 universities accredited by the JBMP offer 22 courses. In this study, we aimed to survey the current status of educational programs and career paths of students after completion of the medical physicist program in Japan. A questionnaire was sent in August 2014 to 32 universities offering medical physicist programs. The questionnaire was created and organized by the educational course certification committee of the JBMP and comprised two sections: the first collected information about the university attended, and the second collected information about characteristics and career paths of students after completion of medical physicist programs from 2008 to 2014. Thirty universities (16 accredited and 14 non-accredited) completed the survey (response rate 94 %). A total of 209, 40, and 3 students graduated from the master's, doctorate, and residency programs, respectively. Undergraduates entered the medical physicist program constantly, indicating an interest in medical physics among undergraduates. A large percentage of the students held a bachelor's degree in radiological technology (master's program 94 %; doctorate program 70 %); graduates obtained a national radiological technologist license. Regarding career paths, although the number of the graduates who work as medical physicist remains low, 7 % with a master's degree and 50 % with a doctorate degree worked as medical physicists. Our results could be helpful for improving the medical physicist program in Japan.

A retrospective analysis of boarding times for adolescents in psychiatric crisis.

Science.gov (United States)

Campbell, Michael; Pierce, Jessica

2018-02-05

The boarding of children and adolescents with identified psychiatric conditions at medical facilities has numerous negative effects on the patients and the systems that treat them. Efforts to minimize boarding times serves to increase patients' access to appropriate levels of care, redirect medical resources to patients who need them most, and reduce safety risks to people and property. This study explores the role Clinical Social Workers can play in facilitation of care and highlights the advantages of a coordinated data collection process facilitated by the effective use of the Electronic Medical Record. A retrospective chart analysis of 100 patients admitted to the Emergency department at a pediatric hospital in Central Florida was conducted for patients seen between 1 January 2015 and 30 June 2016. The data suggest key correlates that may impact the boarding times of pediatric patients presenting in a psychiatric crisis and the average duration of boarding time in hours (M = 5.11, SD = 2.07) was found to be significantly lower than prior published studies in the adult and pediatric literature. Discussion of these data implications on behavioral health practice is discussed.

American Board of Orthodontics: Time for change.

Science.gov (United States)

Chung, Chun-Hsi; Tadlock, Larry P; Barone, Nicholas; Pangrazio-Kulbersh, Valmy; Sabott, David G; Foley, Patrick F; Trulove, Timothy S; Park, Jae Hyun; Dugoni, Steven A

2018-03-01

The American Board of Orthodontics (ABO) works to certify orthodontists in a fair, reliable, and valid manner. The process must examine an orthodontist's knowledge, abilities, and critical thinking skills to ensure that each certified orthodontist has the expertise to provide the highest level of patient care. Many medical specialty boards and 4 American Dental Association specialty boards use scenario-based testing for board certification. Changing to a scenario-based clinical examination will allow the ABO to test more orthodontists. The new process will not result in an easier examination; standards will not be lowered. It will offer an improved testing method that will be fair, valid, and reliable for the specialty of orthodontics while increasing accessibility and complementing residency curricula. The ABO's written examination will remain as it is. Copyright © 2018 American Association of Orthodontists. Published by Elsevier Inc. All rights reserved.

[Is there a physician on board?].

Science.gov (United States)

Andersen, H T

1998-11-01

Physicians responding to emergency calls on board airliners in intercontinental traffic may not be aware of certain legal complications which may arise. For instance, the medical practitioner may hold a license valid in one country, the air carrier may be registered in another, and the patient may be a third state national. Legislation varies between nations, as do court decisions. Physicians may be aware neither of the laws and regulations which apply nor the subtle differences between terms and interpretations used in formal language. This article contains a scenario description from a commercial air liner in intercontinental transit carrying a patient unknown to the physician who responds to a call for medical assistance. The main considerations to be made, the more likely diagnoses and various strategies for immediate interventions are reviewed. Likewise, appraisal and use of medical equipment on board are discussed, as are issues concerning responsibility and liability when equipment is used in supposedly "trained hands". Main themes in the current international medico-legal debate are considered with emphasis on the "Good Samaritan Principle", the responsibility of commercial air carriers, and telemedicine with insurance against law suits. The article concludes with some practical advice to the travelling medical community.

9 CFR 72.5 - Area quarantined in Texas.

Science.gov (United States)

2010-01-01

... 9 Animals and Animal Products 1 2010-01-01 2010-01-01 false Area quarantined in Texas. 72.5... AGRICULTURE INTERSTATE TRANSPORTATION OF ANIMALS (INCLUDING POULTRY) AND ANIMAL PRODUCTS TEXAS (SPLENETIC) FEVER IN CATTLE § 72.5 Area quarantined in Texas. The area quarantined in Texas is the quarantined area...

The State of Texas Children: Texas KIDS COUNT Annual Data Book--The Importance of Investing in Children

Science.gov (United States)

Deviney, Frances; Phillips, Pace; Dickerson, Carrie; Tibbitt, Laura

2011-01-01

On February 4, the Center for Public Policy Priorities (CPPP) released the 18th annual Texas KIDS COUNT data book, "The State of Texas Children 2011." The annual data book and free data warehouse provide the latest look at more than 80 different measures of child well-being in Texas and every county in the state. This year, the opening…

Impact of Texas high school science teacher credentials on student performance in high school science

Science.gov (United States)

George, Anna Ray Bayless

A study was conducted to determine the relationship between the credentials held by science teachers who taught at a school that administered the Science Texas Assessment on Knowledge and Skills (Science TAKS), the state standardized exam in science, at grade 11 and student performance on a state standardized exam in science administered in grade 11. Years of teaching experience, teacher certification type(s), highest degree level held, teacher and school demographic information, and the percentage of students who met the passing standard on the Science TAKS were obtained through a public records request to the Texas Education Agency (TEA) and the State Board for Educator Certification (SBEC). Analysis was performed through the use of canonical correlation analysis and multiple linear regression analysis. The results of the multiple linear regression analysis indicate that a larger percentage of students met the passing standard on the Science TAKS state attended schools in which a large portion of the high school science teachers held post baccalaureate degrees, elementary and physical science certifications, and had 11-20 years of teaching experience.

Who's boarding in the psychiatric emergency service?

Science.gov (United States)

Simpson, Scott A; Joesch, Jutta M; West, Imara I; Pasic, Jagoda

2014-09-01

When a psychiatric patient in the emergency department requires inpatient admission, but no bed is available, they may become a "boarder." The psychiatric emergency service (PES) has been suggested as one means to reduce psychiatric boarding, but the frequency and characteristics of adult PES boarders have not been described. We electronically extracted electronic medical records for adult patients presenting to the PES in an urban county safety-net hospital over 12 months. Correlative analyses included Student's t-tests and multivariate regression. 521 of 5363 patient encounters (9.7%) resulted in boarding. Compared to non-boarding encounters, boarding patient encounters were associated with diagnoses of a primary psychotic, anxiety, or personality disorder, or a bipolar manic/mixed episode. Boarders were also more likely to be referred by family, friends or providers than self-referred; arrive in restraints; experience restraint/seclusion in the PES; or be referred for involuntary hospitalization. Boarders were more likely to present to the PES on the weekend. Substance use was common, but only tobacco use was more likely associated with boarding status in multivariate analysis. Boarding is common in the PES, and boarders have substantial psychiatric morbidity requiring treatment during extended PES stays. We question the appropriateness of PES boarding for seriously ill psychiatric patients.

Safety Evaluation Report related to the operation of South Texas Project, Units 1 and 2 (Docket Nos. 50-498 and 50-499)

International Nuclear Information System (INIS)

1986-04-01

The Safety Evaluation Report for the application filed by Houston Lighting and Power Company, City Public Service Board of San Antonio, Central Power and Light Company, and the City of Austin, as applicants and owners, for licenses to operate the South Texas Project Units 1 and 2 (Docket Nos. 50-498 and 50-499) has been prepared by the Office of Nuclear Reactor Regulation of the US Nuclear Regulatory Commission. The facility is located in Matagorda County, Texas, west of the Colorado River, 8 miles north-northwest of the town of Matagorda and about 89 miles southwest of Houston. Subject to resolution of the items discussed in this report, the staff concludes that the applicant can operate the facility without endangering the health and safety of the public

Software pi/4 DQPSK Modem: A Student Project Using the TMS320-C6201 EVM Board

OpenAIRE

Weiss, S; Braithwaite, SJ; Stewart, RD

2000-01-01

This paper reports on a student project performed at the University of Southampton jointly by 4th year MEng students within the course "Advanced Radio Communications". The aim was to design a software modem capable of transmitting 16kb/s of data, whereby random number generation, advanced modulation, pulse shaping, synchronisation, and error counting techniques had to be applied. The ultimate aim was the implementation on a Texas Instruments TMS320-C6201 EVM board, which dictated some of the ...

The Demographics of Corporal Punishment in Texas

Science.gov (United States)

Phillips, Stephanie

2012-01-01

This dissertation examined the student discipline policies of 1,025 Texas school districts, as well as data from the Texas Education Agency's Academic Excellence Indicator System in order to identify demographic patterns regarding corporal punishment policies in Texas schools. The study also studied the relationship between a district's corporal…

40 CFR 81.344 - Texas.

Science.gov (United States)

2010-07-01

... AREAS FOR AIR QUALITY PLANNING PURPOSES Section 107 Attainment Status Designations § 81.344 Texas. Texas... County, Deaf Smith County, Dickens County, Donley County, Floyd County, Garza County, Gray County, Hale..., Cochran County, Collingsworth County, Crosby County, Dallam County, Deaf Smith County, Dickens County...

Air quality permits in Texas and New Mexico

International Nuclear Information System (INIS)

Fusselman, D.K.; Hofmann, J.E.

1991-01-01

Permitting gas processing equipment ranges from fairly simple procedures under the Texas Air Control Board (TACB) Standard Exemption List and the New Mexico Environmental Improvement Division (NMEID) Registration Regulations to an extremely complicated procedure requiring a federal Prevention of Significant Deterioration (PSD) and/or non-attainment review. The following topics relating to obtaining air permits for gas plants will be addressed in this paper: Type of permit/exemption necessary for construction, Specific permit/exemption requirements, New Source Performance Standards (NSPS) Subparts KKK, LLL, GG, K, Ka and Kb, Potential effects of the Federal Clean Air Act Amendments (FCAA). This paper only addresses specific permitting concerns and requirements that apply to the natural gas production industry. The same requirements apply to other industries, with possible additional requirements of National Emission Standards for Hazardous Air Pollutants (NESHAP), NSPS other than Subparts KKK, LLL, GG, K, Ka and Kb, and non-attainment review for pollutants other than ozone

Texas Real Estate Curriculum Workshop Summary Report.

Science.gov (United States)

Lyon, Robert

The Texas Real Estate Research Center-Texas Education Agency (TRERC-TEA) curriculum workshop was attended by over 40 participants representing 26 Texas community colleges. These participants divided into eight small groups by real estate specialty area and developed curriculum outlines and learning objectives for the following real estate courses:…

A history and overview of the certification exam for medical dosimetrists

International Nuclear Information System (INIS)

Pusey, Damien; Smith, Lisette; Zeman, Elaine M.; Adams, Robert

2005-01-01

During the last century, the creation and implementation of board certification has had a powerful impact on the medical community. Board certification has helped to shape the scope and practice of medical professionals and the care they provide, as well as to influence the way the health insurance industry sets standards for reimbursement. One profession that offers board certification to its members is medical dosimetry. The Medical Dosimetrist Certification Board exam has been administered since 1988 and its content covers a broad spectrum of information from the radiation therapy sciences. The exam has strict application requirements and is rather difficult to pass. Those who pass the exam can then call themselves Certified Medical Dosimetrists. For data purposes of this study, several members of the dosimetry community were solicited to participate in a survey regarding the exam's content and history, and to provide relevant statistical data. Currently 2,177 medical dosimetrists are board certified, with an additional 1,500 estimated to be working without certification. Although board certification is not currently required to practice medical dosimetry, new legislation known as the CARE Bill could change this. The CARE Bill, if passed, would mandate nationwide compulsory licensure and/or certification for medical dosimetrists and other medical professionals who want to work in radiation-related health care. Health maintenance organizations and other insurance carriers may likewise require certification for reimbursement purposes

40 CFR 81.429 - Texas.

Science.gov (United States)

2010-07-01

... 40 Protection of Environment 17 2010-07-01 2010-07-01 false Texas. 81.429 Section 81.429 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED) DESIGNATION OF... Visibility Is an Important Value § 81.429 Texas. Area name Acreage Public Law establishing Federal land...

76 FR 7833 - Texas Eastern Transmission, LP; Notice of Application

Science.gov (United States)

2011-02-11

...] Texas Eastern Transmission, LP; Notice of Application Take notice that on January 25, 2011, Texas Eastern Transmission, LP (Texas Eastern), 5400 Westheimer Court, Houston, Texas 77056, filed in the above... TEAM 2012 Project. Specifically, Texas Eastern requests: (i) Authorization under NGA sections 7(b) and...

Atomic Energy Control Board vocabulary - preliminary edition

Energy Technology Data Exchange (ETDEWEB)

Nolet, D [Public Works and Government Services Canada, Montreal, PQ (Canada). Terminology and Documentation Directorate

1995-09-01

This preliminary edition was prepared at the Board`s request to help it establish a standardized terminology. It was produced by scanning the 99 French and English documents listed at the end of this Vocabulary. The documents include legislation concerning atomic energy and the transportation of radioactive materials, as well as the Board`s publications, such as the Consultative Documents, Regulatory Documents and Notices. The terms included from the following areas are: radiation protection, reactor technology, nuclear fuel cycle, radioactive material packaging and transportation, radioactive waste management, uranium mines, and medical and industrial applications of radioelements. Also included are the titles of publications and the names of organizations and units. The vocabulary contains 2,589 concepts, sometimes accompanied by definitions, contexts or usage examples. Where terms have been standardized by the Canadian Committee for the Standardization of Nuclear Terminology, this has been indicated. Where possible, we have verified the terms using the TERMIUM, the Government of Canada Linguistic Data Bank. (author).

Trends in boarding of admitted patients in US Emergency Departments 2003-2005.

Science.gov (United States)

Carr, Brendan G; Hollander, Judd E; Baxt, William G; Datner, Elizabeth M; Pines, Jesse M

2010-10-01

Boarding of admitted patients in the Emergency Department (ED) is common and is associated with poor patient outcomes. We sought to estimate the magnitude of and trends for ED boarding in the US. We used the 2003-2005 National Hospital Ambulatory Medical Care Survey to estimate the time patients spent boarding in EDs in the US. We used fixed and imputed times required to evaluate, treat, and decide to admit each patient using the number of medications and diagnostic tests received. We calculated the absolute and relative patient-care hours spent boarding in US EDs over the 3-year period. Total patient-hours spent in US EDs increased from 209 million to 217 million between 2003 and 2005. Overall admission rates decreased between 2003 and 2005 (13.9% in 2003, 12.3% in 2005), whereas intensive care unit admission rates increased (1.3% in 2003, 2.0% in 2005). Mean ED length of stay decreased (5.4 h in 2003, 4.6 h in 2005). The proportion of patient-hours accounted for by ED boarding decreased over the study period (11.3-17.1% in 2003, 5.9-15.3% in 2004, and 2.8-12.0% 2005). Boarding of admitted patients in the ED accounts for a substantial portion of ED patient-care hours. Overall boarding time decreased over the 3 years. Copyright © 2010 Elsevier Inc. All rights reserved.

78 FR 12010 - Radio Broadcasting Services; Pearsall, Texas

Science.gov (United States)

2013-02-21

... Broadcasting Services; Pearsall, Texas AGENCY: Federal Communications Commission. ACTION: Proposed rule... (``Petitioner''), licensee of FM Station KSAG, Channel 277A, Pearsall, Texas. Petitioner proposes to amend the... be allotted at Pearsall, Texas, in compliance with the Commission's minimum distance separation...

Texas, 2008 forest inventory and analysis factsheet

Science.gov (United States)

James Bentley

2011-01-01

This science update summarizes the findings of the first statewide annual inventory conducted by the Southern Forest Inventory and Analysis (FIA) Program in cooperation with the Texas Forest Service of the forest resource attributes in Texas. The 254 counties of Texas are consolidated into seven FIA survey units—southeast (unit 1), the northeast (unit 2), the north...

Texas, 2010 forest inventory and analysis factsheet

Science.gov (United States)

James W. Bentley

2012-01-01

This science update summarizes the findings of the statewide annual inventory conducted by the Southern Forest Inventory and Analysis (FIA) Program in cooperation with the Texas Forest Service of the forest resource attributes in Texas. The 254 counties of Texas are consolidated into seven FIA survey units – southeast (unit 1), northeast (unit 2), north central (unit 3...

Tumor boards and the quality of cancer care.

Science.gov (United States)

Keating, Nancy L; Landrum, Mary Beth; Lamont, Elizabeth B; Bozeman, Samuel R; Shulman, Lawrence N; McNeil, Barbara J

2013-01-16

Despite the widespread use of tumor boards, few data on their effects on cancer care exist. We assessed whether the presence of a tumor board, either general or cancer specific, was associated with recommended cancer care, outcomes, or use in the Veterans Affairs (VA) health system. We surveyed 138 VA medical centers about the presence of tumor boards and linked cancer registry and administrative data to assess receipt of stage-specific recommended care, survival, or use for patients with colorectal, lung, prostate, hematologic, and breast cancers diagnosed in the period from 2001 to 2004 and followed through 2005. We used multivariable logistic regression to assess associations of tumor boards with the measures, adjusting for patient sociodemographic and clinical characteristics. All statistical tests were two-sided. Most facilities (75%) had at least one tumor board, and many had several cancer-specific tumor boards. Presence of a tumor board was associated with only seven of 27 measures assessed (all P < .05), and several associations were not in expected directions. Rates of some recommended care (eg, white blood cell growth factors with cyclophosphamide, adriamycin, vincristine, and prednisone in diffuse large B-cell lymphoma) were lower in centers with hematologic-specialized tumor boards (39.4%) than in centers with general tumor boards (61.3%) or no tumor boards (56.4%; P = .002). Only one of 27 measures was statistically significantly associated with tumor boards after applying a Bonferroni correction for multiple comparisons. We observed little association of multidisciplinary tumor boards with measures of use, quality, or survival. This may reflect no effect or an effect that varies by structural and functional components and participants' expertise.

Clean Energy Technology Incubator Initiative Launched in Texas

Science.gov (United States)

- including the State Energy Conservation Office, the General Land Office, the Texas Natural Resources Conservation Commission, the Texas Energy Coordination Council and the Texas Department of Economic Development from market entry. The alliance is interested in a broad range of company types, from technology-based

Military otolaryngology resident case numbers and board passing rates during the Afghanistan and Iraq wars.

Science.gov (United States)

Scalzitti, Nicholas; Brennan, Joseph; Bothwell, Nici; Brigger, Matthew; Ramsey, Mitchell; Gallagher, Thomas; Maturo, Stephen

2014-05-01

During the wars in Iraq and Afghanistan, the US military has continued to train medical residents despite concern that postgraduate medical education at military training facilities has suffered. This study compares the experience of otolaryngology residents at military programs with the experience of their civilian counterparts. Retrospective review. Academic military medical centers. Resident caseload data and board examination passing rates were requested from each of the 6 Department of Defense otolaryngology residency programs for 2001 to 2010. The American Board of Otolaryngology and the Accreditation Council for Graduate Medical Education provided the national averages for resident caseload. National board passing rates from 2004 to 2010 were also obtained. Two-sample t tests were used to compare the pooled caseloads from the military programs with the national averages. Board passing rates were compared with a test of proportions. Data were available for all but one military program. Regarding total cases, only 2001 and 2003 showed a significant difference (P < .05), with military residents completing more cases in those years. For individual case categories, the military averages were higher in Otology (299.6 vs 261.2, P = .033) and Plastics/Reconstruction (248.1 vs 149.2, P = .003). Only the Head & Neck category significantly favored the national average over the military (278.3 and 226.0, P = .039). The first-time board passing rates were identical between the groups (93%). Our results suggest that the military otolaryngology residency programs are equal in terms of caseload and board passing rates compared with civilian programs over this time period.

Forests of East Texas, 2014

Science.gov (United States)

Thomas J. Brandeis

2015-01-01

This resource update provides an overview of forest resources in east Texas derived from an inventory conducted by the U.S. Forest Service, Forest Inventory and Analysis (FIA) Program at the Southern Research Station in cooperation with the Texas A&M Forest Service. These estimates are based on field data collected using the FIA annualized sample design and are...

Forests of east Texas, 2013

Science.gov (United States)

K.J.W. Dooley; T.J. Brandeis

2014-01-01

This resource update provides an overview of forest resources in east Texas based on an inventory conducted by the U.S. Forest Service, Forest Inventory and Analysis (FIA) program at the Southern Research Station in cooperation with the Texas A&M Forest Service. Forest resource estimates are based on field data collected using the FIA annualized sample design and...

In Memoriam: Dr. Frank John Fenner

Centers for Disease Control (CDC) Podcasts

This podcast reflects on one of the greatest pioneers in virology, Dr. Frank John Fenner. Dr. Frederick Murphy, a member of EID's editorial board and the Institute of Medicine, and professor of Pathology at the University of Texas Medical Branch in Galveston, shares professional and personal stories of Dr. Frank Fenner.

The Texas Ten Percent Plan's Impact on College Enrollment

Science.gov (United States)

Daugherty, Lindsay; Martorell, Paco; McFarlin, Isaac, Jr.

2014-01-01

The Texas Ten Percent Plan (TTP) provides students in the top 10 percent of their high-school class with automatic admission to any public university in the state, including the two flagship schools, the University of Texas at Austin and Texas A&M. Texas created the policy in 1997 after a federal appellate court ruled that the state's previous…

Compilation of hydrologic data, Little Elm Creek, Trinity River basin, Texas, 1968

Science.gov (United States)

,

1972-01-01

The U.S. Soil Conservation Service is actively engaged in the installation of flood and soil erosion reducing measures in Texas under the authority of "The Flood Control Act ot 1936 and 1944" and ''Watershed Protection and Flood Prevention Act" (Public Law 566), as amended. In June 1968, the Soil Conservation Service estimated approximately 3,500 structures to be physically and economically feasible for installation in Texas. As of September 30, 1968, 1,271 of these structures had been built. This watershed-development program will have varying but important effects on the surface- and ground-water resources of river basins, especially where a large number of the floodwater-retarding structures are built. Basic hydrologic data are needed to appraise the effects of the structures on water yield and the mode of occurrence of runoff. Hydrologic investigations of these small watersheds were begun by the Geological Survey in 1951 and are now being made in 11 areas (fig. 1). These studies are being made in cooperation with t he Texas Water Development Board, the Soil Conservation Service, the San Antonio River Authority, the city of Dallas, and the Tarrant County Water Control and Improvement District No. 1. The 11 study areas were choson to sample watersheds having different rainfall, topography, geology, and soils. In four of the study areas (Mukewater, North, Little Elm, and Pin Oak Creeks), streamflow and rainfall records were collected prior to construction of the floodwater-retarding structures, thus affording the opportunity for analyses to the conditions before and after" development. Structures have now been built in three of these study areas. A summary of the development of the floodwater-retarding structures on each study area as of September 30, 1968, is shown in table 1.

High-level radioactive-waste-disposal investigations in Texas

International Nuclear Information System (INIS)

Smith, R.D.

1983-01-01

The Texas Energy and Natural Resources Advisory Council (TENRAC) was designated in 1980 to coordinate the interaction between the State of Texas and the federal government relating to the high-level radioactive waste disposal issue. This report was prepared to summarize the many aspects of that issue with particular emphasis on the activities in Texas. The report is intended to provide a comprehensive introduction for individuals with little or no previous exposure to the issue and to provide a broader perspective for those individuals who have addressed specific aspects of the issue but have not had the opportunity to study it in a broader context. Following the introduction, contents of this report are as follows: (1) general status of major repository siting investigations in the US; (2) detailed review of Texas studies; (3) possible facilities to be sited in Texas; (4) current Texas policy; (5) federal regulations; and (6) federal legislation. 9 figures, 2 tables

Making Texas Restaurants Healthier for Children

Centers for Disease Control (CDC) Podcasts

Sylvia Crixell, PhD, RD, Professor of Nutrition at Texas State University, discusses her study which details the success of a community-based program in Texas aimed at combatting childhood obesity by improving children’s menus in restaurants.

Correlation of the National Board of Medical Examiners Emergency Medicine Advanced Clinical Examination Given in July to Intern American Board of Emergency Medicine in-training Examination Scores: A Predictor of Performance?

Science.gov (United States)

Hiller, Katherine; Franzen, Doug; Heitz, Corey; Emery, Matthew; Poznanski, Stacy

2015-11-01

There is great variation in the knowledge base of Emergency Medicine (EM) interns in July. The first objective knowledge assessment during residency does not occur until eight months later, in February, when the American Board of EM (ABEM) administers the in-training examination (ITE). In 2013, the National Board of Medical Examiners (NBME) released the EM Advanced Clinical Examination (EM-ACE), an assessment intended for fourth-year medical students. Administration of the EM-ACE to interns at the start of residency may provide an earlier opportunity to assess the new EM residents' knowledge base. The primary objective of this study was to determine the correlation of the NBME EM-ACE, given early in residency, with the EM ITE. Secondary objectives included determination of the correlation of the United States Medical Licensing Examination (USMLE) Step 1 or 2 scores with early intern EM-ACE and ITE scores and the effect, if any, of clinical EM experience on examination correlation. This was a multi-institutional, observational study. Entering EM interns at six residencies took the EM-ACE in July 2013 and the ABEM ITE in February 2014. We collected scores for the EM-ACE and ITE, age, gender, weeks of clinical EM experience in residency prior to the ITE, and USMLE Step 1 and 2 scores. Pearson's correlation and linear regression were performed. Sixty-two interns took the EM-ACE and the ITE. The Pearson's correlation coefficient between the ITE and the EM-ACE was 0.62. R-squared was 0.5 (adjusted 0.4). The coefficient of determination was 0.41 (95% CI [0.3-0.8]). For every increase of one in the scaled EM-ACE score, we observed a 0.4% increase in the EM in-training score. In a linear regression model using all available variables (EM-ACE, gender, age, clinical exposure to EM, and USMLE Step 1 and Step 2 scores), only the EM-ACE score was significantly associated with the ITE (pcorrelation with ITE. Clinical EM experience prior to the in-training exam did not affect the

Predictive value of grade point average (GPA), Medical College Admission Test (MCAT), internal examinations (Block) and National Board of Medical Examiners (NBME) scores on Medical Council of Canada qualifying examination part I (MCCQE-1) scores.

Science.gov (United States)

Roy, Banibrata; Ripstein, Ira; Perry, Kyle; Cohen, Barry

2016-01-01

To determine whether the pre-medical Grade Point Average (GPA), Medical College Admission Test (MCAT), Internal examinations (Block) and National Board of Medical Examiners (NBME) scores are correlated with and predict the Medical Council of Canada Qualifying Examination Part I (MCCQE-1) scores. Data from 392 admitted students in the graduating classes of 2010-2013 at University of Manitoba (UofM), College of Medicine was considered. Pearson's correlation to assess the strength of the relationship, multiple linear regression to estimate MCCQE-1 score and stepwise linear regression to investigate the amount of variance were employed. Complete data from 367 (94%) students were studied. The MCCQE-1 had a moderate-to-large positive correlation with NBME scores and Block scores but a low correlation with GPA and MCAT scores. The multiple linear regression model gives a good estimate of the MCCQE-1 (R2 =0.604). Stepwise regression analysis demonstrated that 59.2% of the variation in the MCCQE-1 was accounted for by the NBME, but only 1.9% by the Block exams, and negligible variation came from the GPA and the MCAT. Amongst all the examinations used at UofM, the NBME is most closely correlated with MCCQE-1.

Crustal deformation and seismic measurements in the region of McDonald Observatory, West Texas. [Texas and Northern Chihuahua, Mexico

Science.gov (United States)

Dorman, H. J.

1981-01-01

The arrival times of regional and local earthquakes and located earthquakes in the Basin and Range province of Texas and in the adjacent areas of Chihuahua, Mexico from January 1976 to August 1980 at the UT'NASA seismic array are summarized. The August 1931 Texas earthquake is reevaluated and the seismicity and crustal structure of West Texas is examined. A table of seismic stations is included.

78 FR 42700 - Radio Broadcasting Services; Matagorda, Texas

Science.gov (United States)

2013-07-17

... Broadcasting Services; Matagorda, Texas AGENCY: Federal Communications Commission. ACTION: Final rule. SUMMARY... FM Channel 252A at Matagorda, Texas. This allotment change is part of a hybrid rule making and FM... 291A at Matagorda, Texas, is located within 320 kilometers (199 miles) of the U.S.-Mexican border...

Overall comparative analysis of management and outcomes of cardiac cases reported on board merchant ships.

Science.gov (United States)

Apostolatos, Charalampos; Andria, Vivian; Licari, Julie

Telemedical assistance has always been the cornerstone of medical care on board. Significant technological progress has provided improved scientific tools and equipment for high-quality communication and prompt management of either minor incidents or major emergencies on board. Med Solutions International is a medical management company, offering services exclusively to the maritime industry. Registered vessels contact the medical team and healthcare professionals provide immediate guidelines for onboard management as well as necessary action thereafter, i.e. examination ashore or urgent medical evacuation. Since cardiac conditions or diseases are potentially the most dangerous when traveling at sea, it is of major importance to analyse and evaluate the overall management and outcomes of cases reporting symptoms of possible heart disease so as to improve telemedical assistance services in future. The study included cases reporting cardiac symptoms from 5 major shipping companies during the year 2016. Data was collected from telecommunication, emails and seafarers' final medical reports. A descriptive analysis of overall management and outcomes was performed. The study showed that the number of confirmed cardiovascular cases on board was very low. Among 551 total cases and 44 cases with reported cardiac symptoms there was only one heart attack, one pulmonary oedema and one suspected myocarditis. In the majority of cases, chest pain was musculoskeletal or due to respiratory infection. Symptoms resulting from issues such as stress or anxiety often present as potential cardiac conditions. Stress may also amplify the severity of symptoms. Language barriers between the seafarer, the master and the doctor often make communication very difficult. According to our findings there are grounds to intensify the prevention process through more efficient pre-employment medical examinations and improve management on board through more intensive training. Communication problems

Clone of EPA Approved Regulations in the Texas SIP

Science.gov (United States)

changed name to EPA Approved Regulations in the Texas SIP, Add links to:Texas Read Me; Texas SIP History;Current/Previous SIP-Approved Regulations; Delete regulations--now in /node/191099, removed tables

76 FR 67397 - Radio Broadcasting Services; Llano, Texas

Science.gov (United States)

2011-11-01

...] Radio Broadcasting Services; Llano, Texas AGENCY: Federal Communications Commission. ACTION: Proposed... substituting Channel 242C3 for vacant Channel 293C3, at Llano, Texas. The proposal is part of a contingently... required for the allotment of Channel 242C3 at Llano, Texas, because the proposed allotment is located...

76 FR 18210 - Texas Eastern Transmission, LP; Notice of Application

Science.gov (United States)

2011-04-01

... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [Docket No. CP11-138-000] Texas Eastern Transmission, LP; Notice of Application On March 15, 2011, Texas Eastern Transmission Corporation (Texas Eastern), 5400 Westheimer Court, Houston, Texas 77056-5310, filed with the Federal Energy Regulatory...

Oceanographic measurements from the Texas Automated Buoy System (TABS)

Data.gov (United States)

National Oceanic and Atmospheric Administration, Department of Commerce — The Texas Automated Buoy System contains daily oceanographic measurements from seven buoys off the Texas coast from Brownsville to Sabine. The Texas General Land...

[Endocrinology in Portugal - Census 2016. Board of the Portuguese College of Endocrinology and Nutrition of the Portuguese Medical Association].

Science.gov (United States)

Guimarães, Joana; Afonso, António; Carvalho, Davide; Marques, Ana Paula; Martins, Teresa; Mascarenhas, Mário Rui; Pereira, Conceição; Rodrigues, Dírcea; Saraiva, Catarina; Cardoso, Helena

2017-09-29

On September 2016, the Board of the College of Endocrinology and Nutrition of the Portuguese Medical Association carried out a national survey, about all Endocrinology, Diabetes and Metabolism Departments of the public hospitals included in the Portuguese National Health Service and a simplified version of this survey was sent to all endocrinologists working in Portugal and registered with the Portuguese Medical Association. Data related to organizational and human resources were collected, reporting the situation by the end of year 2015. The census registered 107 individuals and 27 Departments. The ratio of endocrinologists-population was 1.4, much lower than in the other European countries (varies between 2 to 4), resulting in alarming shortages of services in some areas of Portugal and in worse quality indicators. These data suggest that actions should be taken to increase the number of endocrinologists and departments in the country. In recent years, the number of residents has significantly increased, which will make it possible to correct this situation.

77 FR 66574 - Texas Regulatory Program

Science.gov (United States)

2012-11-06

... regulations and improve operational efficiency. This document gives the times and locations that the Texas... during regular business hours at the following location: Surface Mining and Reclamation Division... for you to read at the locations listed above under ADDRESSES or at www.regulations.gov . Texas...

77 FR 25949 - Texas Regulatory Program

Science.gov (United States)

2012-05-02

... regulations and improve operational efficiency. This document gives the times and locations that the Texas... during regular business hours at the following location: Surface Mining and Reclamation Division... locations listed above under ADDRESSES or at www.regulations.gov . Texas proposes to revise its regulation...

76 FR 49760 - Texas Eastern Transmission, LP; Notice of Application

Science.gov (United States)

2011-08-11

... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [Docket No. CP11-524-000] Texas Eastern Transmission, LP; Notice of Application Take notice that on July 29, 2011, Texas Eastern Transmission, LP (Texas Eastern), 5400 Westheimer Court, Houston, Texas 77056-5310, filed with the Federal Energy...

78 FR 64933 - Texas Eastern Transmission, LP; Notice of Application

Science.gov (United States)

2013-10-30

... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [Docket No. CP14-4-000] Texas Eastern Transmission, LP; Notice of Application Take notice that on October 10, 2013, Texas Eastern Transmission, (Texas Eastern), having its principal place of business at 5400 Westheimer Court, Houston, Texas, 77056...

Impact of Time Lapse on ASCP Board of Certification Medical Laboratory Scientist (MLS) and Medical Laboratory Technician (MLT) Examination Scores.

Science.gov (United States)

Brown, Karen A; Fenn, JoAnn P; Freeman, Vicki S; Fisher, Patrick B; Genzen, Jonathan R; Goodyear, Nancy; Houston, Mary Lunz; O'Brien, Mary Elizabeth; Tanabe, Patricia A

2015-01-01

Research in several professional fields has demonstrated that delays (time lapse) in taking certification examinations may result in poorer performance by examinees. Thirteen states and/or territories require licensure for laboratory personnel. A core component of licensure is passing a certification exam. Also, many facilities in states that do not require licensure require certification for employment or preferentially hire certified individuals. To analyze examinee performance on the American Society for Clinical Pathology (ASCP) Board of Certification (BOC) Medical Laboratory Scientist (MLS) and Medical Laboratory Technician (MLT) certification examinations to determine whether delays in taking the examination from the time of program completion are associated with poorer performance. We obtained examination data from April 2013 through December 2014 to look for changes in mean (SD) exam scaled scores and overall pass/fail rates. First-time examinees (MLS: n = 6037; MLT, n = 3920) were divided into 3-month categories based on the interval of time between date of program completion and taking the certification exam. We observed significant decreases in mean (SD) scaled scores and pass rates after the first quarter in MLS and MLT examinations for applicants who delayed taking their examination until the second, third, and fourth quarter after completing their training programs. Those who take the ASCP BOC MLS and MLT examinations are encouraged to do so shortly after completion of their educational training programs. Delays in taking an exam are generally not beneficial to the examinee and result in poorer performance on the exam. Copyright© by the American Society for Clinical Pathology (ASCP).

Lessons from past experiences: Texas

International Nuclear Information System (INIS)

Blackburn, T.W. III

1986-01-01

A site selection study was conducted in which technical criteria were developed and potential sites numerically ranked. Three candidate sites were chosen, two in south Texas and one in west Texas. Adamant public opposition to the two sites forced a reevaluation and redirection of the siting process. Three sites on state owned lands in west Texas have been identified under the second site selection study. The following are recommended guidelines to incorporate in any public participation program: use multiple approaches at both the regional and local level; identify the public and their true concerns; approach the public at their level and their style; use a slow, deliberate process, siting cannot be forced; be honest and available; give the public an active part in the decision making process; keep elected officials informed and active and encourage information exchange; and be prepared for surprises. Two ranking exercises were also undertaken and are briefly described. The first ranked eleven major issues in order of perceived importance. The second ranked waste disposal technologies. Detailed information on both ranking exercises can be obtained from the Texas Low-Level Radioactive Waste Disposal Authority

Endangered Species Management Plan for Fort Hood, Texas: FY06-10

Science.gov (United States)

2007-05-01

Texas red oak, post oak, Texas ash (Fraxinus texensis), shin oak, blackjack oak (Quercus marilandica), slippery elm (Ulmus rubra), cedar elm ...by Ashe juniper and Texas oak. Other important tree species included live oak, cedar elm (Ulmus crassifolia), Lacey oak (Quercus laceyi), Arizona...0.83 m (Cimprich 2005). Nest substrates include shin oak, Texas red oak, Texas redbud, Ashe juniper, Texas ash, Plateau live oak, cedar elm , rusty

78 FR 43874 - Texas Eastern Transmission, LP; Notice of Application

Science.gov (United States)

2013-07-22

... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [Docket No. CP13-514-000] Texas Eastern Transmission, LP; Notice of Application On July 2, 2013, Texas Eastern Transmission, LP (Texas Eastern) filed... natural gas facilities no longer in service. As described more fully in the Application, Texas Eastern...

76 FR 38381 - Texas Eastern Transmission, LP; Notice of Amendment

Science.gov (United States)

2011-06-30

... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [Docket No. CP11-67-001] Texas Eastern Transmission, LP; Notice of Amendment Take notice that on June 13, 2011, Texas Eastern Transmission, LP (Texas Eastern), 5400 Westheimer Court, Houston, Texas 77056, filed in the above referenced docket an amendment...

77 FR 20015 - Texas Eastern Transmission, LP; Notice of Application

Science.gov (United States)

2012-04-03

... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [Docket No. CP12-88-000] Texas Eastern Transmission, LP; Notice of Application Take notice that on March 19, 2012, Texas Eastern Transmission, LP (Texas Eastern), 5400 Westheimer Court, Houston, Texas 77056-5310, filed an application in Docket No...

77 FR 12045 - Texas Eastern Transmission, LP; Notice of Application

Science.gov (United States)

2012-02-28

... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [Docket No. CP12-68-000] Texas Eastern Transmission, LP; Notice of Application Take notice that on February 16, 2012, Texas Eastern Transmission, LP (Texas Eastern), PO Box 1642, Houston, Texas 77056 filed an application in the above referenced docket...

Who’s Boarding in the Psychiatric Emergency Service?

Science.gov (United States)

Simpson, Scott A.; Joesch, Jutta M.; West, Imara I.; Pasic, Jagoda

2014-01-01

Introduction When a psychiatric patient in the emergency department requires inpatient admission, but no bed is available, they may become a “boarder.” The psychiatric emergency service (PES) has been suggested as one means to reduce psychiatric boarding, but the frequency and characteristics of adult PES boarders have not been described. Methods We electronically extracted electronic medical records for adult patients presenting to the PES in an urban county safety-net hospital over 12 months. Correlative analyses included Student’s t-tests and multivariate regression. Results 521 of 5363 patient encounters (9.7%) resulted in boarding. Compared to non-boarding encounters, boarding patient encounters were associated with diagnoses of a primary psychotic, anxiety, or personality disorder, or a bipolar manic/mixed episode. Boarders were also more likely to be referred by family, friends or providers than self-referred; arrive in restraints; experience restraint/seclusion in the PES; or be referred for involuntary hospitalization. Boarders were more likely to present to the PES on the weekend. Substance use was common, but only tobacco use was more likely associated with boarding status in multivariate analysis. Conclusion Boarding is common in the PES, and boarders have substantial psychiatric morbidity requiring treatment during extended PES stays. We question the appropriateness of PES boarding for seriously ill psychiatric patients. PMID:25247041

Who’s Boarding in the Psychiatric Emergency Service?

Directory of Open Access Journals (Sweden)

Scott A. Simpson

2014-09-01

Full Text Available Introduction: When a psychiatric patient in the emergency department requires inpatient admission, but no bed is available, they may become a “boarder.” The psychiatric emergency service (PES has been suggested as one means to reduce psychiatric boarding, but the frequency and characteristics of adult PES boarders have not been described. Methods: We electronically extracted electronic medical records for adult patients presenting to the PES in an urban county safety-net hospital over 12 months. Correlative analyses included Student’s t-tests and multivariate regression. Results: 521 of 5363 patient encounters (9.7% resulted in boarding. Compared to non-boarding encounters, boarding patient encounters were associated with diagnoses of a primary psychotic, anxiety, or personality disorder, or a bipolar manic/mixed episode. Boarders were also more likely to be referred by family, friends or providers than self-referred; arrive in restraints; experience restraint/ seclusion in the PES; or be referred for involuntary hospitalization. Boarders were more likely to present to the PES on the weekend. Substance use was common, but only tobacco use was more likely associated with boarding status in multivariate analysis. Conclusion: Boarding is common in the PES, and boarders have substantial psychiatric morbidity requiring treatment during extended PES stays. We question the appropriateness of PES boarding for seriously ill psychiatric patients. [West J Emerg Med. 2014;15(6:669-674

78 FR 66352 - Texas Eastern Transmission, LP; Notice of Application

Science.gov (United States)

2013-11-05

... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [Docket No. CP14-9-000] Texas Eastern Transmission, LP; Notice of Application Take notice that on October 17, 2013, Texas Eastern Transmission, LP (Texas Eastern), 5400 Westheimer Court, Houston, Texas 77056, filed an application in Docket No. CP14-9...

78 FR 79687 - Texas Eastern Transmission, LP; Notice of Application

Science.gov (United States)

2013-12-31

... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [Docket No. CP14-29-000] Texas Eastern Transmission, LP; Notice of Application Take notice that on December 10, 2013 Texas Eastern Transmission, LP (Texas Eastern), at 5400 Westheimer Court, Houston, Texas 77056, filed an application in Docket No. CP14...

77 FR 26534 - Texas Eastern Transmission, LP; Notice of Application

Science.gov (United States)

2012-05-04

... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [Docket No. CP12-164-000] Texas Eastern Transmission, LP; Notice of Application Take notice that on April 19, 2012, Texas Eastern Transmission, LP (Texas Eastern), 5400 Westheimer Court, Houston, Texas 77056, filed in Docket No. CP12-164-000, a request...

A Dual Digital Signal Processor VME Board for Instrumentation and Control Applications

International Nuclear Information System (INIS)

H. Dong; R. Flood; C. Hovater; J. Musson

2001-01-01

A Dual Digital Signal Processing VME Board is being developed for the CEBAF Beam Current Monitor system at Jefferson Lab. It is a versatile general-purpose digital signal processing board using an open architecture, which allows for adaptation to various applications. The base design uses two independent Texas Instrument (TI) TMS320C6711, which are 900 MFLOPS floating-point digital signal processors (DSP). Applications that require a fixed point DSP can be implemented by replacing the baseline DSP with the pin-for-pin compatible TMS320C6211. Both parallel and serial protocols have been implemented for communicating with off board devices. The initial implementation makes use of TI Multi-channel Serial protocol and VME bus protocol. Other communication protocols can be implemented by reprogramming the FPGA. Each DSP is equipped with FLASH PROM and SDRAM for program and data storage. Additionally, each DSP has 16 bits of digital I/O, two digital analog converters, and two analog to digital converters. Dual 160 pins mezzanine connectors provide expansion capability without design modifications. The mezzanine interface conforms to the TI Expansion Daughter Card Interface standard. The design can be manufactured with a reduced chip set without redesigning the printed circuit board. For example, it can be implemented as a single-channel DSP with no analog I/O. The board supports JTAG 1149 boundary scan to facilitate testing, debugging, and programming. It is fully programmable using software development tools such as TI Code Composer Studio and a JTAG emulator such as Spectrum Digital DS510PP-PLUS. Using these tools allows one program the flash memory and FPGA through the JTAG ports, thus eliminating the need for a separate ROM/FPGA programmer. This work supported by U.S. DOE Contract No. DE-AC05-84ER40150

The relationship between patient-related factors and medication ...

African Journals Online (AJOL)

2017-09-03

Sep 3, 2017 ... Health Outcomes and Pharmacy Practice Division, The University of Texas at Austin College of Pharmacy,. Austin ... medication for life with at as high as 95% adherence for ..... for improving patients' organizational skills.

Failure to report and provide commentary on research ethics board approval and informed consent in medical journals.

Science.gov (United States)

Finlay, K A; Fernandez, C V

2008-10-01

The Declaration of Helsinki prohibits the publication of articles that do not meet defined ethical standards for reporting of research ethics board (REB) approval and informed consent. Despite this prohibition and a call to highlight the deficiency for the reader, articles with potential ethical shortcomings continue to be published. To determine what proportion of articles in major medical journals lack statements confirming REB approval and informed consent, and whether accompanying commentary alerts readers to this deficiency. Retrospective, observational study. Online review of five major medical journals. All clinical research articles published online between 1 January 2005 and 31 December 2006 in the BMJ, Lancet, Annals of Internal Medicine, JAMA and the New England Journal of Medicine. Statement of REB approval and informed consent. Of 1780 articles reviewed, 1133 (63.7%) met inclusion criteria (manuscripts reporting human subjects, human tissue or identifiable personal data research), 36 (3.2%) articles lacked a statement of REB approval, 62 (5.5%) lacked disclosure of informed consent and 15 (1.3%) articles lacked both. Articles that did not state REB approval were associated with not stating informed consent (pjournals without editorial statements to alert the reader to this deficiency.

Evaluating the longitudinal risk of social vigilance on atherosclerosis: study protocol for the North Texas Heart Study.

Science.gov (United States)

Ruiz, John M; Taylor, Daniel J; Uchino, Bert N; Smith, Timothy W; Allison, Matthew; Ahn, Chul; Johnson, Jillian J; Smyth, Joshua M

2017-08-14

Psychosocial factors are increasingly recognised as important determinants of cardiovascular disease risk. The North Texas Heart Study aims to understand the mechanisms responsible for this association with a focus on social vigilance (ie, scanning the environment for social threats). There is also growing interest in supplementing traditional methods (eg, survey assessment of psychosocial risk paired with cross-sectional and longitudinal health outcomes) with daily or repeated momentary assessment of psychosocial factors. However, there are relatively few longitudinal studies directly comparing these approaches with hard endpoints. The North Texas Heart Study proposes a longitudinal measurement burst design to examine psychosocial determinants of subclinical atherosclerosis. A sample of 300 healthy community participants, stratified by age and gender, will complete survey measures, as well as 2 days of ecological momentary assessment at baseline and at a 2-year follow-up. A range of psychosocial and behavioural factors, objective biomarkers, as well as carotid intima-media thickness (cIMT) will be assessed at both time points. Unadjusted and adjusted models will evaluate cross-sectional associations and determinants of change in the cIMT. The Institutional Review Board at the study coordinating institute (University of North Texas) has approved this study. Positive, negative or inconclusive primary and ancillary findings will be disseminated in scientific journals and conferences. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

Psychiatric boarding incidence, duration, and associated factors in United States emergency departments.

Science.gov (United States)

Nolan, Jason M; Fee, Christopher; Cooper, Bruce A; Rankin, Sally H; Blegen, Mary A

2015-01-01

Boarding, especially among psychiatric patients, has been characterized as a significant cause of ED crowding, but no quantitative analysis has described boarding nationally. This study determines the incidence, duration, and factors associated with ED boarding in the United States. 2008 National Hospital Ambulatory Medical Care Survey ED data were stratified by visit type (psychiatric vs. non-psychiatric), boarding status, and patient and hospital characteristics. Boarding was defined as a visit with an ED length of stay >6 hours, and boarding time as ED length of stay minus 6 hours. Pearson's chi-square tests describe hospital and patient characteristics stratified by boarding status. Multilevel multivariable logistic and linear regressions determine associations with boarding and boarding time. While 11% of all ED patients boarded, 21.5% of all psychiatric ED patients boarded. Boarding was also more prolonged for psychiatric ED patients. Controlling for confounders, odds of boarding for psychiatric patients were 4.78 (2.63-8.66) times higher than non-psychiatric, and psychiatric patients boarded 2.78 (1.91-3.64) hours longer than non-psychiatric. US EDs experienced high proportions and durations of boarding with psychiatric patients disproportionately affected. Additional research concerning mental health care services and legislation may be required to address ED psychiatric patient boarding. Copyright © 2015 Emergency Nurses Association. Published by Elsevier Inc. All rights reserved.

75 FR 45611 - Texas Eastern Transmission LP; Notice of Application

Science.gov (United States)

2010-08-03

... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [Docket No. CP10-471-000] Texas Eastern Transmission LP; Notice of Application July 27, 2010. Take notice that on July 15, 2010, Texas Eastern Transmission (Texas Eastern), P.O. Box 1642, Houston, Texas 77251-1642, filed in Docket No. CP10-471-000, an...

Texas Hydrogen Education Final Scientific/Technical Report

Energy Technology Data Exchange (ETDEWEB)

Hitchcock, David; Bullock, Dan

2011-06-30

The Texas Hydrogen Education project builds on past interest in hydrogen and fuel cells to help create better informed leaders and stakeholders and thereby improve decision making and planning for inclusion of hydrogen and fuel cell technologies as energy alternatives in Texas. In past years in Texas, there was considerable interest and activities about hydrogen and fuel cells (2000-­2004). During that time, the Houston Advanced Research Center (HARC) created a fuel cell consortium and a fuel cell testing lab. Prior to 2008, interest and activities had declined substantially. In 2008, in cooperation with the Texas H2 Coalition and the State Energy Conservation Office, HARC conducted a planning process to create the Texas Hydrogen Roadmap. It was apparent from analysis conducted during the course of this process that while Texas has hydrogen and fuel cell advantages, there was little program and project activity as compared with other key states. Outreach and education through the provision of informational materials and organizing meetings was seen as an effective way of reaching decision makers in Texas. Previous hydrogen projects in Texas had identified the five major urban regions for program and project development. This geographic targeting approach was adopted for this project. The project successfully conducted the five proposed workshops in four of the target metropolitan areas: San Antonio, Houston, Austin, and the Dallas-­Ft. Worth area. In addition, eight outreach events were included to further inform state and local government leaders on the basics of hydrogen and fuel cell technologies. The project achieved its primary objectives of developing communication with target audiences and assembling credible and consistent outreach and education materials. The major lessons learned include: (1) DOE’s Clean Cities programs are a key conduit to target transportation audiences, (2) real-­world fuel cell applications (fuel cell buses, fuel cell fork lifts

East Texas, 2011 forest inventory and analysis factsheet

Science.gov (United States)

Jason A. Cooper; James W. Bentley

2012-01-01

This science update summarizes the findings of the annual inventory conducted by the Southern Forest Inventory and Analysis (FIA) Program in cooperation with the Texas Forest Service of the forest resource attributes in east Texas. The 254 counties of Texas are consolidated into 7 FIA survey units—southeast (unit 1), northeast (unit 2), north central (unit 3), south (...

Texas Heart Institute

Science.gov (United States)

... of seminars and conferences. Resources Texas Heart Institute Journal Scientific Publications Library & Learning Resources Resources for Physicians Fellowships & Residencies School of Perfusion Technology THI Spotlight Check out the ...

75 FR 14359 - FM TABLE OF ALLOTMENTS, Stonewall, Texas

Science.gov (United States)

2010-03-25

... TABLE OF ALLOTMENTS, Stonewall, Texas AGENCY: Federal Communications Commission. ACTION: Final rule... allotment of Channel 280A at Stonewall, Texas, as the community's first local transmission service. The..., Texas. It is Commission policy to protect applications against subsequently-filed and conflicting rule...

Distribution of indoor radon concentrations and uranium-bearing rocks in Texas

International Nuclear Information System (INIS)

Hudak, P.F.

1996-01-01

The purpose of this study was to compare regional patterns of indoor radon concentration with uranium-bearing rock zones and county populations in Texas. Zones yielding radon concentrations that are relatively high for Texas include shale and sandstone in northwest Texas; red beds in north-central Texas; felsic volcanic rocks in west Texas; and sandstone, limestone, and igneous rocks in central Texas. Located in northwest Tecas, only five of the 202 counties evaluated have mean indoor radon concentrations above 4.0 pCi l -1 . Two of those counties have populations above the state median of 20115. The highest county mean concentration is 8.8 pCi l -1 . Results of the study suggest that (1) regional geology influences indoor radon concentrations in Texas, (2) statewide, the radon concentrations are relatively low, (3) highly populated counties do not coincide with regions of high indoor radon concentration, and (4) regions that may warrant further monitoring include northwest Texas and, to a lesser degree, west and central Texas. (orig.)

The association between length of emergency department boarding and mortality.

Science.gov (United States)

Singer, Adam J; Thode, Henry C; Viccellio, Peter; Pines, Jesse M

2011-12-01

Emergency department (ED) boarding has been associated with several negative patient-oriented outcomes, from worse satisfaction to higher inpatient mortality rates. The current study evaluates the association between length of ED boarding and outcomes. The authors expected that prolonged ED boarding of admitted patients would be associated with higher mortality rates and longer hospital lengths of stay (LOS). This was a retrospective cohort study set at a suburban academic ED with an annual ED census of 90,000 visits. Consecutive patients admitted to the hospital from the ED and discharged between October 2005 and September 2008 were included. An electronic medical record (EMR) system was used to extract patient demographics, ED disposition (discharge, admit to floor), ED and hospital LOS, and in-hospital mortality. Boarding was defined as ED LOS 2 hours or more after decision for admission. Descriptive statistics were used to evaluate the association between length of ED boarding and hospital LOS, subsequent transfer to an intensive care unit (ICU), and mortality controlling for comorbidities. There were 41,256 admissions from the ED. Mortality generally increased with increasing boarding time, from 2.5% in patients boarded less than 2 hours to 4.5% in patients boarding 12 hours or more (p boarding time (p boarded for more than 24 hours. The increases were still apparent after adjustment for comorbid conditions and other factors. Hospital mortality and hospital LOS are associated with length of ED boarding. © 2011 by the Society for Academic Emergency Medicine.

Distribution and characterization of Heterobilharzia americana in dogs in Texas.

Science.gov (United States)

Rodriguez, J Y; Lewis, B C; Snowden, K F

2014-06-16

Heterobilharzia americana is a trematode parasite (family Schistosomatidae) that infects a wide range of wild mammalian hosts. Canine cases have been reported in the Gulf coast and south Atlantic states, Kansas, and Oklahoma. A total of 238 canine H. americana cases in Texas were retrospectively collected for a period of approximately 22 years from case records at the Texas Veterinary Medical Diagnostic Laboratory and the Veterinary Medical Teaching Hospital pathology service, diagnostic parasitology service, and Gastrointestinal Laboratory at Texas A&M University College of Veterinary Medicine. Of these cases, 26 patients had 1-2 repeat positive tests for a total of 268 positive tests (26 biopsies, 39 necropsies, 160 fecal examinations, and 43 PCR). Multiple dogs were infected in 12 households. Cases were distributed primarily in the eastern region of Texas in 42 of 254 counties. Cases were seen as far west as Kerr county and in counties bordering Oklahoma, Louisiana, Mexico, and the Gulf of Mexico. The median dog age was 5.6 years (2.7 months to 17.2 years) and the median weight was 20.5 kg (1-61.6 kg). All American Kennel Club (AKC) breed groups were represented (n=186): crossbred (20%), herding (17.8%), sporting (16.1%), toy (10.8%), hounds (10.8%), working (10.1%), terrier (8.5%), non-sporting (4.9%), and miscellaneous (1%). No seasonal pattern of diagnosis was apparent. Clinical signs reported (n=90) were diarrhea (67%), weight loss (38%), anorexia/hyporexia (27%), vomiting (22%), hematochezia (20%), lethargy (17%), polyuria/polydipsia (6%), and collapse (3%). In 39 necropsy cases, trematode eggs were identified by histopathology in the small intestine (84%), liver (84%), large intestine (39%), pancreas (35%), lung (9%), lymph node (8%), spleen (4%), and stomach (3%). Adult parasites were identified histologically in four cases. Granulomatous inflammation associated with the eggs was the most commonly reported histopathologic change. Other changes reported

The Myth of the Texas Miracle in Education

Directory of Open Access Journals (Sweden)

Walt Haney

2000-08-01

Full Text Available I summarize the recent history of education reform and statewide testing in Texas, which led to introduction of the Texas Assessment of Academic Skills (TAAS in 1990-91. A variety of evidence in the late 1990s led a number of observers to conclude that the state of Texas had made near miraculous progress in reducing dropouts and increasing achievement. The passing scores on TAAS tests were arbitrary and discriminatory. Analyses comparing TAAS reading, writing and math scores with one another and with relevant high school grades raise doubts about the reliability and validity of TAAS scores. I discuss problems of missing students and other mirages in Texas enrollment statistics that profoundly affect both reported dropout statistics and test scores. Only 50% of minority students in Texas have been progressing from grade 9 to high school graduation since the initiation of the TAAS testing program. Since about 1982, the rates at which Black and Hispanic students are required to repeat grade 9 have climbed steadily, such that by the late 1990s, nearly 30% of Black and Hispanic students were "failing" grade 9. Cumulative rates of grade retention in Texas are almost twice as high for Black and Hispanic students as for White students. Some portion of the gains in grade 10 TAAS pass rates are illusory. The numbers of students taking the grade 10 tests who were classified as "in special education" and hence not counted in schools' accountability ratings nearly doubled between 1994 and 1998. A substantial portion of the apparent increases in TAAS pass rates in the 1990s are due to such exclusions. In the opinion of educators in Texas, schools are devoting a huge amount of time and energy preparing students specifically for TAAS, and emphasis on TAAS is hurting more than helping teaching and learning in Texas schools, particularly with at-risk students, and TAAS contributes to retention in grade and dropping out. Five different sources of evidence about

Institutionalising health technology assessment: establishing the Medical Technology Assessment Board in India.

Science.gov (United States)

Downey, Laura E; Mehndiratta, Abha; Grover, Ashoo; Gauba, Vijay; Sheikh, Kabir; Prinja, Shankar; Singh, Ravinder; Cluzeau, Francoise A; Dabak, Saudamini; Teerawattananon, Yot; Kumar, Sanjiv; Swaminathan, Soumya

2017-01-01

India is at crossroads with a commitment by the government to universal health coverage (UHC), driving efficiency and tackling waste across the public healthcare sector. Health technology assessment (HTA) is an important policy reform that can assist policy-makers to tackle inequities and inefficiencies by improving the way in which health resources are allocated towards cost-effective, appropriate and feasible interventions. The equitable and efficient distribution of health budget resources, as well as timely uptake of good value technologies, are critical to strengthen the Indian healthcare system. The government of India is set to establish a Medical Technology Assessment Board to evaluate existing and new health technologies in India, assist choices between comparable technologies for adoption by the healthcare system and improve the way in which priorities for health are set. This initiative aims to introduce a more transparent, inclusive, fair and evidence-based process by which decisions regarding the allocation of health resources are made in India towards the ultimate goal of UHC. In this analysis article, we report on plans and progress of the government of India for the institutionalisation of HTA in the country. Where India is home to one-sixth of the global population, improving the health services that the population receives will have a resounding impact not only for India but also for global health.

The Texas low-level waste compact: Classification and semantic problems

International Nuclear Information System (INIS)

LeMone, D.V.

1995-01-01

The disposal of low-level radioactive wastes for the State of Texas, as well as the participating compact states of Maine and Vermont, will require a stable classification scheme and a mutually acceptable series of definitions for the orderly planning, development, emplacement, and closure of the proposed Texas low-level site. Under the currently utilized system of classification, low-level radioactive wastes are usually segregated under six basic classes. These classes are: Class A, Class B, Class C, NARM, NORM, and Mixed Low-Level Waste. These wastes originate from two primary sources: utility generators and non-utility generators (medical/industrial/university). The Texas Low-Level Radioactive Waste Disposal Site currently will not accept either Greater Than Class C (GTCC) waste or Transuranic (TRU) waste (exceeding 370 Bq/g (10 nCi/g)), thereby establishing the upper limits for disposal. One basic problem for all low-level entities is the national classification scheme. There is no currently defined lower limit for radioactive wastes. This standard is essential and must be addressed in order to effectively project future waste streams. Semantic problems include the rendering of precise definitions for such common words as processing, recycling, generation, etc.; they are not necessarily defined or used in the same sense between generators or states. Consistency in terminology is an absolute essential for adequate nuclear waste management. Other problems that must be addressed include such areas as: types of beneficiation of waste (supercompaction and incineration versus untreated waste), validation of point of origin, consistent and easily recognizable labeling that includes an inventory, transport tracking, and package standards

Knowledge and Attitudes of Oman Medical Specialty Board Residents towards Evidence-Based Medicine

Directory of Open Access Journals (Sweden)

Aiman Al Wahaibi

2014-05-01

Full Text Available Objective: This study aims to evaluate the knowledge and attitudes of Oman Medical Specialty Board (OMSB residents towards Evidence-Based Medicine (EBM. Methods: This cross sectional study was conducted on all OMSB residents through a self-administered online questionnaire between October 2012 and March 2013. An electronic survey was designed to identify and determine residents' knowledge and attitudes toward the use of EBM. Results: The survey was completed by 93 (21% OMSB residents, 76 (82% of whom took part in continuing education courses and 50 (54% belonged to professional practice-oriented organizations. On average, the residents were reportedly involved in patient care for approximately 70% (Standard Deviation [SD] 17% of their time, while 14% (SD 12% participated in research activities. The results showed that 53 respondents (57% were competent users of medical search engines compared to 23 residents (25% who rated their skills as neutral. Sixteen percent of the respondents strongly agreed and 46% only agreed that the facility supports the use of current research in practice. Fourteen percent strongly agreed and fifty-three percent only agreed that the foundation of EBM is part of OMSB academic preparation. On the other hand, 17% of the respondents thought that insufficient time is always a barrier against EBM, while another 27% perceived insufficient time as a usual barrier. The lack of information resources was reported to always be a barrier in 11% of the respondents while 32% thought that it usually acts as a barrier. Conclusion: Time constraints and skills in EBM were found to be the two major obstacles. This study was, however, limited by the low response rate of the survey; thus larger studies with a previously validated questionnaire should be conducted in the future.

Slang 'on board'. A moral analysis of medical jargon.

Science.gov (United States)

McCrary, S; Christensen, R C

1993-01-01

Medical jargon is commonly used by health-care professionals. The use of such jargon is sometimes criticized as insensitive or callous. Rather than generalize, we identify four basic types of medical jargon and discuss their relevant moral distinctions. Our characterizations of jargon include medical acronyms, euphemisms, and initiatory and derogatory language. Physicians should be aware of the ways in which they use medical slang. Jargon can serve useful purposes but its moral status is often dependent on the function it serves and the context in which it is used. Jargon that is clearly derogatory can reflect negatively on the moral character of the medical profession and should be avoided when possible.

Trusted Care In The Air Force Medical Service: Practical Recommendations For Transformation

Science.gov (United States)

2016-02-16

in the U.S. Air Force Dental Corps. As a dental officer, he completed his residency in periodontics in 2006 at The University of Texas Health...Force Academy, followed by a position on the teaching staff at the periodontics residency at Joint Base San Antonio-Lackland. Prior to his current...military organization may be fully on board with changes in policy and/or transformation, the process for getting rid of those who are chronic resisters

78 FR 5558 - Medical Review Board Public Meeting

Science.gov (United States)

2013-01-25

... fatigue-related research concerning bus and motorcoach drivers to identify relevant scientific and medical... ``medical standards for operators of commercial motor vehicles that will ensure that the physical condition... of the MRB is open to the public. Oral comments on the topic from the public will be heard during the...

Boarding ICU patients: Are our rounding practices subpar?

Science.gov (United States)

Nunn, Andrew M; Hatchimonji, Justin S; Holena, Daniel N; Seamon, Mark J; Smith, Brian P; Kaplan, Lewis J; Martin, Niels D; Reilly, Patrick M; Schwab, C William; Pascual, Jose L

2018-04-01

Surgical Intensive Care Unit (SICU) patients "boarding" in ICUs other than the designated home unit have been shown to suffer increased rates of complications. We hypothesized that ICU rounding practices are different when SICU patients are housed in home vs. boarding ICUs. SICU rounds were observed at an academic quaternary medical center. Individual patient rounding time and order seen on rounds along with patient data and demographics were recorded. Multivariable regression analysis was used for comparison between patients. Non-boarders were older, observed on a later post ICU admission day and were more likely to be mechanically ventilated. Boarded patients were often seen at the end of rounds and for less time. Not being a boarder, age, APACHE II score on admission, vasopressor use, and positive pressure ventilation all predicted increased rounding time. Surgical ICU patients boarding in non-preferred units are often seen at the end of rounds, result in a greater reliance upon telephone communication, and receive less bedside attention from ICU provider teams. Copyright © 2017 Elsevier Inc. All rights reserved.

Organization and Management of the International Space Station (ISS) Multilateral Medical Operations

Science.gov (United States)

Duncan, J. M.; Bogomolov, V. V.; Castrucci, F.; Koike, Y.; Comtois, J. M.; Sargsyan, A. E.

2007-01-01

The goal of this work is to review the principles, design, and function of the ISS multilateral medical authority and the medical support system of the ISS Program. Multilateral boards and panels provide operational framework, direct, and supervise the ISS joint medical operational activities. The Integrated Medical Group (IMG) provides front-line medical support of the crews. Results of ongoing activities are reviewed weekly by physician managers. A broader status review is conducted monthly to project the state of crew health and medical support for the following month. All boards, panels, and groups function effectively and without interruptions. Consensus prevails as the primary nature of decisions made by all ISS medical groups, including the ISS medical certification board. The sustained efforts of all partners have resulted in favorable medical outcomes of the initial fourteen long-duration expeditions. The medical support system appears to be mature and ready for further expansion of the roles of all Partners, and for the anticipated increase in the size of ISS crews.

Board Task Performance

DEFF Research Database (Denmark)

Minichilli, Alessandro; Zattoni, Alessandro; Nielsen, Sabina

2012-01-01

identify three board processes as micro-level determinants of board effectiveness. Specifically, we focus on effort norms, cognitive conflicts and the use of knowledge and skills as determinants of board control and advisory task performance. Further, we consider how two different institutional settings....... The findings show that: (i) Board processes have a larger potential than demographic variables to explain board task performance; (ii) board task performance differs significantly between boards operating in different contexts; and (iii) national context moderates the relationships between board processes...... and board task performance....

Spectrum of tablet computer use by medical students and residents at an academic medical center.

Science.gov (United States)

Robinson, Robert

2015-01-01

Introduction. The value of tablet computer use in medical education is an area of considerable interest, with preliminary investigations showing that the majority of medical trainees feel that tablet computers added value to the curriculum. This study investigated potential differences in tablet computer use between medical students and resident physicians. Materials & Methods. Data collection for this survey was accomplished with an anonymous online questionnaire shared with the medical students and residents at Southern Illinois University School of Medicine (SIU-SOM) in July and August of 2012. Results. There were 76 medical student responses (26% response rate) and 66 resident/fellow responses to this survey (21% response rate). Residents/fellows were more likely to use tablet computers several times daily than medical students (32% vs. 20%, p = 0.035). The most common reported uses were for accessing medical reference applications (46%), e-Books (45%), and board study (32%). Residents were more likely than students to use a tablet computer to access an electronic medical record (41% vs. 21%, p = 0.010), review radiology images (27% vs. 12%, p = 0.019), and enter patient care orders (26% vs. 3%, p e-Books, and to study for board exams. Residents were more likely to use tablet computers to complete clinical tasks. Conclusions. Tablet computer use among medical students and resident physicians was common in this survey. All learners used tablet computers for point of care references and board study. Resident physicians were more likely to use tablet computers to access the EMR, enter patient care orders, and review radiology studies. This difference is likely due to the differing educational and professional demands placed on resident physicians. Further study is needed better understand how tablet computers and other mobile devices may assist in medical education and patient care.

Catahoula formation as a source of sedimentary uranium deposits in east Texas

International Nuclear Information System (INIS)

Ledger, E.B.; Tieh, T.T.

1983-01-01

Volcanic glass-rich mudstone and siltstone samples from the Oligocene/Miocene Catahoula formation of Jasper County, Texas, and coeval volcaniclastic rock samples from Trans-Pecos, Texas, have been compared as to U, Th, Zr, Ti, K, Rb, and Sr contents. Uranium is slightly greater in the distal ash (5.85 ppM U) compared to the Trans-Pecos samples (average 5.41 ppM U). Diagenetic and pedogenetic alteration of Catahoula volcanic glass releases uranium to solution and, under favorable conditions, this uranium may accumulate to form ore bodies. Uranium has been produced from such ore bodies in south Texas, but economic deposits are not known in east Texas. Significant differences between south and east Texas include: (1) a greater amount of volcanic debris delivered to south Texas, both as air-fall ash and stream-transported material, (2) delivery of only air-fill ash to east Texas, (3) the possibility of more petroleum-related reductants such as H 2 S in south Texas, and (4) pervasive glass alteration with subsequent uranium release in south Texas due to late calichification. These differences argue against economic deposits of the south Texas type being found in east Texas. If economic deposits occur they are likely to be far downdip making exploration difficult and expensive

Adult Basic Education: Aligning Adult Basic Education and Postsecondary Education

Science.gov (United States)

Texas Higher Education Coordinating Board, 2008

2008-01-01

In 2007, the 80th Texas Legislature included a rider to the General Appropriations Act for the Texas Higher Education Coordinating Board. The rider directed the agency to coordinate with the Texas Education Agency to develop and implement plans to align adult basic education with postsecondary education. The Coordinating Board, in collaboration…

Online medical professionalism: patient and public relationships: policy statement from the American College of Physicians and the Federation of State Medical Boards.

Science.gov (United States)

Farnan, Jeanne M; Snyder Sulmasy, Lois; Worster, Brooke K; Chaudhry, Humayun J; Rhyne, Janelle A; Arora, Vineet M

2013-04-16

User-created content and communications on Web-based applications, such as networking sites, media sharing sites, or blog platforms, have dramatically increased in popularity over the past several years, but there has been little policy or guidance on the best practices to inform standards for the professional conduct of physicians in the digital environment. Areas of specific concern include the use of such media for nonclinical purposes, implications for confidentiality, the use of social media in patient education, and how all of this affects the public's trust in physicians as patient-physician interactions extend into the digital environment. Opportunities afforded by online applications represent a new frontier in medicine as physicians and patients become more connected. This position paper from the American College of Physicians and the Federation of State Medical Boards examines and provides recommendations about the influence of social media on the patient-physician relationship, the role of these media in public perception of physician behaviors, and strategies for physician-physician communication that preserve confidentiality while best using these technologies.

Catahoula Formation as uranium source rock in East Texas

International Nuclear Information System (INIS)

Ledger, E.B.; Tieh, T.T.; Rowe, N.W.

1984-01-01

The Oligocene-Miocene Catahoula Formation of the Texas Gulf coastal plain is a fluvial and lacustrine volcaniclastic unit composed of normal fluvial material mixed with distal rhyolitic air-fall ash. In the lower Texas Gulf coastal plain, it consists of stream-transported detritus from the volcanic source area in Trans-Pecos Texas and adjacent Mexico. This volcaniclastic component has altered to release uranium to mineralization processes in the lower Gulf Coast, but there has not been uranium production in the middle and upper Gulf Coast. To evaluate the potential of the upper Texas Gulf coastal plain for uranium ore deposits, a geochemical study was undertaken. The Catahoula Formation was analyzed for U, Th, K, Rb, Sr, Zr, and Ti to estimate the nature of volcanic glass and its abundance and alteration. Concentrations from three key outcrops were compared. They were also compared to samples from a volcanic area in Trans-Pecos Texas, which is chemically appropriate as a source for the volcanic material in the Catahoula Formation. In the lower Texas Gulf coastal plain, where uranium is produced, the glassy volcanic material has been pervasively altered, but in the upper coastal plain much glass remains. Because glass alteration is necessary for uranium release and concentration, the potential is low for large, shallow uranium ore bodies in the upper Texas Gulf coastal plain

East Texas, 2012—Forest Inventory and Analysis Factsheet

Science.gov (United States)

Thomas J. Brandeis; Jason A. Cooper; James W. Bentley

2014-01-01

This science update summarizes the findings of the statewide annual inventory of the forest resource attributes in Texas conducted by the Southern Forest Inventory and Analysis (FIA) Program in cooperation with the Texas A&M Forest Service. The 254 counties of Texas are consolidated into seven FIA survey units—southeast (unit 1), northeast (unit 2), north central (...

Texas LPG fuel cell development and demonstration project

Energy Technology Data Exchange (ETDEWEB)

None, None

2004-07-26

The State Energy Conservation Office has executed its first Fuel Cell Project which was awarded under a Department of Energy competitive grant process. The Texas LPG Fuel Processor Development and Fuel Cell Demonstration Program is a broad-based public/private partnership led by the Texas State Energy Conservation Office (SECO). Partners include the Alternative Fuels Research and Education Division (AFRED) of the Railroad Commission of Texas; Plug Power, Inc., Latham, NY, UOP/HyRadix, Des Plaines, IL; Southwest Research Institute (SwRI), San Antonio, TX; the Texas Natural Resource Conservation Commission (TNRCC), and the Texas Department of Transportation (TxDOT). The team proposes to mount a development and demonstration program to field-test and evaluate markets for HyRadix's LPG fuel processor system integrated into Plug Power's residential-scale GenSys(TM) 5C (5 kW) PEM fuel cell system in a variety of building types and conditions of service. The program's primary goal is to develop, test, and install a prototype propane-fueled residential fuel cell power system supplied by Plug Power and HyRadix in Texas. The propane industry is currently funding development of an optimized propane fuel processor by project partner UOP/HyRadix through its national checkoff program, the Propane Education and Research Council (PERC). Following integration and independent verification of performance by Southwest Research Institute, Plug Power and HyRadix will produce a production-ready prototype unit for use in a field demonstration. The demonstration unit produced during this task will be delivered and installed at the Texas Department of Transportation's TransGuide headquarters in San Antonio, Texas. Simultaneously, the team will undertake a market study aimed at identifying and quantifying early-entry customers, technical and regulatory requirements, and other challenges and opportunities that need to be addressed in planning commercialization of the units

Benchmark West Texas Intermediate crude assayed

International Nuclear Information System (INIS)

Rhodes, A.K.

1994-01-01

The paper gives an assay of West Texas Intermediate, one of the world's market crudes. The price of this crude, known as WTI, is followed by market analysts, investors, traders, and industry managers around the world. WTI price is used as a benchmark for pricing all other US crude oils. The 41 degree API < 0.34 wt % sulfur crude is gathered in West Texas and moved to Cushing, Okla., for distribution. The WTI posted prices is the price paid for the crude at the wellhead in West Texas and is the true benchmark on which other US crudes are priced. The spot price is the negotiated price for short-term trades of the crude. And the New York Mercantile Exchange, or Nymex, price is a futures price for barrels delivered at Cushing

The impact of water use fees on dispatching and water requirements for water-cooled power plants in Texas.

Science.gov (United States)

Sanders, Kelly T; Blackhurst, Michael F; King, Carey W; Webber, Michael E

2014-06-17

We utilize a unit commitment and dispatch model to estimate how water use fees on power generators would affect dispatching and water requirements by the power sector in the Electric Reliability Council of Texas' (ERCOT) electric grid. Fees ranging from 10 to 1000 USD per acre-foot were separately applied to water withdrawals and consumption. Fees were chosen to be comparable in cost to a range of water supply projects proposed in the Texas Water Development Board's State Water Plan to meet demand through 2050. We found that these fees can reduce water withdrawals and consumption for cooling thermoelectric power plants in ERCOT by as much as 75% and 23%, respectively. To achieve these water savings, wholesale electricity generation costs might increase as much as 120% based on 2011 fuel costs and generation characteristics. We estimate that water saved through these fees is not as cost-effective as conventional long-term water supply projects. However, the electric grid offers short-term flexibility that conventional water supply projects do not. Furthermore, this manuscript discusses conditions under which the grid could be effective at "supplying" water, particularly during emergency drought conditions, by changing its operational conditions.

Board effectiveness: Investigating payment asymmetry between board members and shareholders

Directory of Open Access Journals (Sweden)

Wuchun Chi

2008-01-01

Full Text Available Board members may well be responsible for dissension between themselves and shareholders since they are simultaneously the setters and receivers of both board remuneration and dividends. They may act out of their own personal interests at the expense of external shareholders. We investigate the impact of ownership structure, board structure and control deviation on payment asymmetry, where excessively high remuneration is paid to board members but considerably lower dividends are distributed to shareholders. We find strong evidence confirming that the smaller the shareholdings of board members and outside blockholders are, the more asymmetric the payments are. With controlling family members on the board and a higher percentage of seats held by independent board members, there is a slight reduction in the likelihood and severity of payment asymmetry. In addition, it is abundantly clear that the larger the board seat-control deviation is, the greater is the likelihood and severity of payment asymmetry. While prior research has primarily focused on board-manager agency issues, the board-shareholder perspective could be even more important in that it is the board that is the most directly delegated agent of shareholders, not the managers

An assessment of the SSC impact on the training and employment needs of North Central Texas

International Nuclear Information System (INIS)

Orsak, C.G.; McGlohen, P.; Jenkens, L.

1992-01-01

The Texas Higher Education Coordinating Board has funded the Navarro College/Dallas County Community College Districe SSC Technical Training Project to determine the direct and inderect manpower needs in the eighteen-county North Cenbtral Texas area surrounding the Superconducting Super Collider Laboratory (SSCL) and to identify training programs to be developed by local community colleges. The tasks of this project were specifically designed to maximize the use of existing informatiion resources of various organizations and agencies concerned with lobor force development issues to provide custom databases focusied upon the SSCL. The labor market informataion (LMI) resources developed in this project provide a strong foundation for examining the impacts of the SSCL on the training and employment needs of the North Central Texas region. The direct and indirect effects of the SSCL are analyzed to the smallest level of occupational detail feasible. Regional labor demand estimates and forecasts were updated and expanded, county level demand data was developed, statewide vocational education programs were inventoried and lists of affected regional employers were extracted. All of the data developed in this project is available in standard Dbase disk files, formatted to be compatible with other LMI resources such as INTERLINK's LMIS. Further, a custom version of INTERLINK's PC-based LMIS software was developed for the SSC Technical Training Project to provide the greatest access to and linkage between the labor demand and supply data developed in this study. Future efforts to develop additional information resources relevant to the event of the SSCL must focus upon comparative analyses of similar projects, such as Fermilab and others, to provide more detail to the products developed in this project

Angiostrongylus cantonensis Meningitis and Myelitis, Texas, USA.

Science.gov (United States)

Al Hammoud, Roukaya; Nayes, Stacy L; Murphy, James R; Heresi, Gloria P; Butler, Ian J; Pérez, Norma

2017-06-01

Infection with Angiostrongylus cantonensis roundworms is endemic in Southeast Asia and the Pacific Basin. A. cantonensis meningitis and myelitis occurred in summer 2013 in a child with no history of travel outside of Texas, USA. Angiostrongyliasis is an emerging neurotropic helminthic disease in Texas and warrants increased awareness among healthcare providers.

Enrollment in Texas Public Schools, 2014-15

Science.gov (United States)

Texas Education Agency, 2016

2016-01-01

This report provides information on enrollment in the Texas public school system from the 2004-05 through 2014-15 school years, based on data collected through the Texas Public Education Information Management System. Enrollment data are provided by grade, race/ethnicity, gender, and economically disadvantaged status, and for special populations…

Enrollment in Texas Public Schools, 2015-16

Science.gov (United States)

Texas Education Agency, 2016

2016-01-01

This report provides information on enrollment in the Texas public school system from the 2005-06 through 2015-16 school years, based on data collected through the Texas Public Education Information Management System. Enrollment data are provided by grade, race/ethnicity, gender, and economically disadvantaged status, and for special populations…

Texas' forests, 2008

Science.gov (United States)

James W. Bentley; Consuelo Brandeis; Jason A. Cooper; Christopher M. Oswalt; Sonja N. Oswalt; KaDonna Randolph

2014-01-01

This bulletin describes forest resources of the State of Texas at the time of the 2008 forest inventory. This bulletin addresses forest area, volume, growth, removals, mortality, forest health, timber product output, and the economy of the forest sector.

Texas Instruments : Veiligheid is niet iets om over te stemmen

NARCIS (Netherlands)

Blijswijk, M. van; Pennekamp, E.

1990-01-01

In dit artikel wordt het VGW-beleid bij Texas Instruments beschreven. Hiertoe zijn interviews gehouden met B. Veekamp, hoofd opleidingen bij Texas Instruments Holland BV (TIH) en de J. Stapel, voorzitter van de VGW-commissie. Occupational health and safety policy of Texas Instruments Holland B.V.

Board of Directors or Supervisory Board

DEFF Research Database (Denmark)

Werlauff, Erik

2009-01-01

The article analyses the legal consequences of the choice now available to Danish public limited companies, which can now opt for a two-tier management structure, in which the management board undertakes both the day-to-day and the overall management, while a supervisory board exercises control...... over the management board, including its appointment and dismissal. The article considers which companies a two-tier structure may be relevant for, and reviews the consequences for the composition, election and functioning of the company organs....

Making Texas Restaurants Healthier for Children

Centers for Disease Control (CDC) Podcasts

2014-12-30

Sylvia Crixell, PhD, RD, Professor of Nutrition at Texas State University, discusses her study which details the success of a community-based program in Texas aimed at combatting childhood obesity by improving children’s menus in restaurants.  Created: 12/30/2014 by Preventing Chronic Disease (PCD), National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP).   Date Released: 12/30/2014.

Relationship between internal medicine program board examination pass rates, accreditation standards, and program size.

Science.gov (United States)

Falcone, John L; Gonzalo, Jed D

2014-01-19

To determine Internal Medicine residency program compliance with the Accreditation Council for Graduate Medical Education 80% pass-rate standard and the correlation between residency program size and performance on the American Board of Internal Medicine Certifying Examination. Using a cross-sectional study design from 2010-2012 American Board of Internal Medicine Certifying Examination data of all Internal Medicine residency pro-grams, comparisons were made between program pass rates to the Accreditation Council for Graduate Medical Education pass-rate standard. To assess the correlation between program size and performance, a Spearman's rho was calculated. To evaluate program size and its relationship to the pass-rate standard, receiver operative characteristic curves were calculated. Of 372 Internal Medicine residency programs, 276 programs (74%) achieved a pass rate of =80%, surpassing the Accreditation Council for Graduate Medical Education minimum standard. A weak correlation was found between residency program size and pass rate for the three-year period (p=0.19, pInternal Medicine residency programs complied with Accreditation Council for Graduate Medical Education pass-rate standards, a quarter of the programs failed to meet this requirement. Program size is positively but weakly associated with American Board of Internal Medicine Certifying Examination performance, suggesting other unidentified variables significantly contribute to program performance.

Overview: Texas College and Career Readiness Standards

Science.gov (United States)

Texas Higher Education Coordinating Board, 2009

2009-01-01

The Texas College and Career Readiness Standards define what students should know and be able to accomplish in order to succeed in entry-level college courses or skilled workforce opportunities upon graduation from high school. This paper answers the following questions: (1) Who developed the Texas College and Career Readiness Standards?; (2) What…

Enrollment in Texas Public Schools, 2016-17

Science.gov (United States)

Texas Education Agency, 2017

2017-01-01

This report provides information on enrollment in the Texas public school system from the 2006-07 through 2016-17 school years, based on data collected through the Texas Student Data System. Enrollment data are provided by grade, race/ethnicity, gender, and economically disadvantaged status, and for special populations and instructional programs.…

Spectrum of tablet computer use by medical students and residents at an academic medical center

Directory of Open Access Journals (Sweden)

Robert Robinson

2015-07-01

Full Text Available Introduction. The value of tablet computer use in medical education is an area of considerable interest, with preliminary investigations showing that the majority of medical trainees feel that tablet computers added value to the curriculum. This study investigated potential differences in tablet computer use between medical students and resident physicians.Materials & Methods. Data collection for this survey was accomplished with an anonymous online questionnaire shared with the medical students and residents at Southern Illinois University School of Medicine (SIU-SOM in July and August of 2012.Results. There were 76 medical student responses (26% response rate and 66 resident/fellow responses to this survey (21% response rate. Residents/fellows were more likely to use tablet computers several times daily than medical students (32% vs. 20%, p = 0.035. The most common reported uses were for accessing medical reference applications (46%, e-Books (45%, and board study (32%. Residents were more likely than students to use a tablet computer to access an electronic medical record (41% vs. 21%, p = 0.010, review radiology images (27% vs. 12%, p = 0.019, and enter patient care orders (26% vs. 3%, p < 0.001.Discussion. This study shows a high prevalence and frequency of tablet computer use among physicians in training at this academic medical center. Most residents and students use tablet computers to access medical references, e-Books, and to study for board exams. Residents were more likely to use tablet computers to complete clinical tasks.Conclusions. Tablet computer use among medical students and resident physicians was common in this survey. All learners used tablet computers for point of care references and board study. Resident physicians were more likely to use tablet computers to access the EMR, enter patient care orders, and review radiology studies. This difference is likely due to the differing educational and professional demands placed on

An Analysis of Laboratory Safety in Texas.

Science.gov (United States)

Fuller, Edward J.; Picucci, Ali Callicoatte; Collins, James W.; Swann, Philip

This paper reports on a survey to discover the types of laboratory accidents that occur in Texas public schools, the factors associated with such accidents, and the practices of schools with regard to current laboratory safety requirements. The purpose of the survey is to better understand safety conditions in Texas public schools and to help…

Confronting the Graduation Rate Crisis in Texas

Science.gov (United States)

Losen, Daniel; Orfield, Gary; Balfanz, Robert

2006-01-01

The most accurate method for tracking high school graduation rates is to provide each student with a single lifetime school identification number that would follow him or her throughout his or her entire school career. Texas has this system in place, but this report demonstrates that the official rates Texas has historically reported dramatically…

Defense Business Board

Science.gov (United States)

Skip to main content (Press Enter). Toggle navigation Defense Business Board Search Search Defense Business Board: Search Search Defense Business Board: Search Defense Business Board Business Excellence in Defense of the Nation Defense Business Board Home Charter Members Meetings Studies Contact Us The Defense

Patients overwhelmingly prefer inpatient boarding to emergency department boarding.

Science.gov (United States)

Viccellio, Peter; Zito, Joseph A; Sayage, Valerie; Chohan, Jasmine; Garra, Gregory; Santora, Carolyn; Singer, Adam J

2013-12-01

Boarding of admitted patients in the emergency department (ED) is a major cause of crowding. One alternative to boarding in the ED, a full-capacity protocol where boarded patients are redeployed to inpatient units, can reduce crowding and improve overall flow. Our aim was to compare patient satisfaction with boarding in the ED vs. inpatient hallways. We performed a structured telephone survey regarding patient experiences and preferences for boarding among admitted ED patients who experienced boarding in the ED hallway and then were subsequently transferred to inpatient hallways. Demographic and clinical characteristics, as well as patient preferences, including items related to patient comfort and safety using a 5-point scale, were recorded and descriptive statistics were used to summarize the data. Of 110 patients contacted, 105 consented to participate. Mean age was 57 ± 16 years and 52% were female. All patients were initially boarded in the ED in a hallway before their transfer to an inpatient hallway bed. The overall preferred location after admission was the inpatient hallway in 85% (95% confidence interval 75-90) of respondents. In comparing ED vs. inpatient hallway boarding, the following percentages of respondents preferred inpatient boarding with regard to the following 8 items: rest, 85%; safety, 83%; confidentiality, 82%; treatment, 78%; comfort, 79%; quiet, 84%; staff availability, 84%; and privacy, 84%. For no item was there a preference for boarding in the ED. Patients overwhelmingly preferred the inpatient hallway rather than the ED hallway when admitted to the hospital. Copyright © 2013 Elsevier Inc. All rights reserved.

The Texas Advanced Directive Law: Unfinished Business.

Science.gov (United States)

Kapottos, Michael; Youngner, Stuart

2015-01-01

The Texas Advance Directive Act allows physicians and hospitals to overrule patient or family requests for futile care. Purposefully not defining futility, the law leaves its determination in specific cases to an institutional process. While the law has received several criticisms, it does seem to work constructively in the cases that come to the review process. We introduce a new criticism: While the law has been justified by an appeal to professional values such as avoiding harm to patients, avoiding the provision of unseemly care, and good stewardship of medical resources, it is applied incompletely. It allows physicians and institutional committees to refuse "futile" treatments desired by patients and families while at the same time providing no way of regulating physicians who recommend or even push "futile" treatments in similar cases. In this sense, the TADA is incomplete on its own terms.

Correlation of the National Board of Medical Examiners Emergency Medicine Advanced Clinical Examination given in July to intern American Board of Emergency Medicine in-training examination scores, a predictor of performance?

Directory of Open Access Journals (Sweden)

Katherine Hiller

2015-11-01

Full Text Available Introduction: There is great variation in the knowledge base of Emergency Medicine (EM interns in July. The first objective knowledge assessment during residency does not occur until eight months later, in February, when the American Board of EM (ABEM administers the in-training examination (ITE. In 2013, the National Board of Medical Examiners (NBME released the EM Advanced Clinical Examination (EM-ACE, an assessment intended for fourth-year medical students. Administration of the EM-ACE to interns at the start of residency may provide an earlier opportunity to assess the new EM residents’ knowledge base. The primary objective of this study was to determine the correlation of the NBME EM-ACE, given early in residency, with the EM ITE. Secondary objectives included determination of the correlation of the United States Medical Licensing Examination (USMLE Step 1 or 2 scores with early intern EM-ACE and ITE scores and the effect, if any, of clinical EM experience on examination correlation. Methods: This was a multi-institutional, observational study. Entering EM interns at six residencies took the EM-ACE in July 2013 and the ABEM ITE in February 2014. We collected scores for the EMACE and ITE, age, gender, weeks of clinical EM experience in residency prior to the ITE, and USMLE Step 1 and 2 scores. Pearson’s correlation and linear regression were performed. Results: Sixty-two interns took the EM-ACE and the ITE. The Pearson’s correlation coefficient between the ITE and the EM-ACE was 0.62. R-squared was 0.5 (adjusted 0.4. The coefficient of determination was 0.41 (95% CI [0.3-0.8]. For every increase of one in the scaled EM-ACE score, we observed a 0.4% increase in the EM in-training score. In a linear regression model using all available variables (EM-ACE, gender, age, clinical exposure to EM, and USMLE Step 1 and Step 2 scores, only the EM-ACE score was significantly associated with the ITE (p<0.05. We observed significant colinearity

75 FR 18200 - Enterprise Texas Pipeline LLC; Notice of Compliance Filing

Science.gov (United States)

2010-04-09

... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [Docket No. PR07-12-005] Enterprise..., Enterprise Texas Pipeline LLC (Enterprise Texas), filed its Statement of Operating Conditions in compliance... Commission's regulations. Enterprise Texas states that the revisions include modifications consistent with...

75 FR 18496 - Enterprise Texas Pipeline LLC; Notice of Compliance Filing

Science.gov (United States)

2010-04-12

... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [Docket No. PR07-12-005] Enterprise..., Enterprise Texas Pipeline LLC (Enterprise Texas), filed its Statement of Operating Conditions in compliance... Commission's regulations. Enterprise Texas states that the revisions include modifications consistent with...

Organizational Behavior Analysis Focusing on the University of Texas System

Science.gov (United States)

Terry, Bobby K.

2011-01-01

This project analyzes the organizational behavior of the University of Texas System. The University of Texas System is comprised of nine academic and six health institutions. The University of Texas System has over 85,000 employees; the student enrollment is 202,240 with a budget of $2.25 billion dollars. This project has a total of four parts and…

Texas turns on lignite

International Nuclear Information System (INIS)

Faulkner, T.

1992-01-01

The paper describes the author's involvement with the Texas Mining and Reclamation Association (TMRA) and some of its activities. The mission of TMRA is to solidify the needs and opinions of the various mining sectors into one voice which can be heard on the vital matters of balance between mineral production, environmental protection, economic strength and public welfare. To make this voice effective, TMRA will present the mining industry - and its value to the Texas economy and lifestyle - to the public, educators and students, regulatory officials, legislators and to the media to enhance their understanding. TMRA will promote the active participation of its members in association affairs and strive for integrity, clarity and vision throughout all its operations and activities

Providing Elementary Teachers in South Texas with Professional Development to Improve Earth Science Instruction

Science.gov (United States)

Borrego, H.; Ellins, K. K.

2011-12-01

Through three years of participation in the TeXas Earth and Space Science (TXESS) Revolution, an NSF-sponsored teacher professional development program, my knowledge of earth science, new pedagogical approaches, and confidence has improved dramatically. I have also received instructional materials and learned how to access high quality online resources and use a variety of web-based tools. In this session, I will share my experiences and report on how I used my own learning to help both teachers and students to become more earth science literate individuals. Earth Science test scores at the elementary level throughout South Texas are consistently low in comparison to other regions in the state. The majority of the teachers lack the content-knowledge, confidence, or experience to teach Earth Sciences. My TXESS Revolution experience helped me to understand the needs of these teachers and to identify teaching resources that would be useful to them. Particularly noteworthy are TERC's EarthLabs: Earth System Science and GLOBE activities. Although these Earthlab investigations are designed for high schools students, I demonstrated how they could be adapted for elementary students. As a result, I have provided professional development in the Earth Sciences to about 300 South Texas elementary teachers. TXESS Revolution has also equipped me to empower the students I teach. My students this past year presented their challenge Legacy Cycle Project to the community. The TXESS Revolution teamed up with the Texas Water Development Board to deliver training on the implementation of a new online challenged-based curriculum called the Water Exploration Legacy Cycles. This training gave me the tools to guide my students learning through authentic scientific research. To carry out their challenge, students researched an area of interest, read literature, consulted with experts in the field, consider different prospective, and presented their final products via PowerPoint, poster

Spatially pooled depth-dependent reservoir storage, elevation, and water-quality data for selected reservoirs in Texas, January 1965-January 2010

Science.gov (United States)

Burley, Thomas E.; Asquith, William H.; Brooks, Donald L.

2011-01-01

The U.S. Geological Survey (USGS), in cooperation with Texas Tech University, constructed a dataset of selected reservoir storage (daily and instantaneous values), reservoir elevation (daily and instantaneous values), and water-quality data from 59 reservoirs throughout Texas. The period of record for the data is as large as January 1965-January 2010. Data were acquired from existing databases, spreadsheets, delimited text files, and hard-copy reports. The goal was to obtain as much data as possible; therefore, no data acquisition restrictions specifying a particular time window were used. Primary data sources include the USGS National Water Information System, the Texas Commission on Environmental Quality Surface Water-Quality Management Information System, and the Texas Water Development Board monthly Texas Water Condition Reports. Additional water-quality data for six reservoirs were obtained from USGS Texas Annual Water Data Reports. Data were combined from the multiple sources to create as complete a set of properties and constituents as the disparate databases allowed. By devising a unique per-reservoir short name to represent all sites on a reservoir regardless of their source, all sampling sites at a reservoir were spatially pooled by reservoir and temporally combined by date. Reservoir selection was based on various criteria including the availability of water-quality properties and constituents that might affect the trophic status of the reservoir and could also be important for understanding possible effects of climate change in the future. Other considerations in the selection of reservoirs included the general reservoir-specific period of record, the availability of concurrent reservoir storage or elevation data to match with water-quality data, and the availability of sample depth measurements. Additional separate selection criteria included historic information pertaining to blooms of golden algae. Physical properties and constituents were water

Ebonyi Medical Journal: Editorial Policies

African Journals Online (AJOL)

The journal publishes original research findings, reviews, case reports and letters to the editor in clinical and basic medical sciences to disseminate same to medical doctors, ... Each paper is reviewed by the editorial board before review by two assessors for peer review (anonymous). ... Circulating/Marketing: Dr JO Mbazor

76 FR 73618 - Enterprise Texas Pipeline LLC; Notice of Compliance Filing

Science.gov (United States)

2011-11-29

... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [Docket Nos. PR11-92-001] Enterprise Texas Pipeline LLC; Notice of Compliance Filing Take notice that on November 22, 2011, Enterprise Texas Pipeline LLC (Enterprise Texas) filed a revised Statement of Operating Conditions to comply with a...

Paleocene coal deposits of the Wilcox group, central Texas

Science.gov (United States)

Hook, Robert W.; Warwick, Peter D.; SanFilipo, John R.; Schultz, Adam C.; Nichols, Douglas J.; Swanson, Sharon M.; Warwick, Peter D.; Karlsen, Alexander K.; Merrill, Matthew D.; Valentine, Brett J.

2011-01-01

Coal deposits in the Wilcox Group of central Texas have been regarded as the richest coal resources in the Gulf Coastal Plain. Although minable coal beds appear to be less numerous and generally higher in sulfur content (1 percent average, as-received basis; table 1) than Wilcox coal deposits in the Northeast Texas and Louisiana Sabine assessment areas (0.5 and 0.6 percent sulfur, respectively; table 1), net coal thickness in coal zones in central Texas is up to 32 ft thick and more persistent along strike (up to 15 mi) at or near the surface than coals of any other Gulf Coast assessment area. The rank of the coal beds in central Texas is generally lignite (table 1), but some coal ranks as great as subbituminous C have been reported (Mukhopadhyay, 1989). The outcrop of the Wilcox Group in central Texas strikes northeast, extends for approximately 140 mi between the Trinity and Colorado Rivers, and covers parts of Bastrop, Falls, Freestone, Lee, Leon, Limestone, Milam, Navarro, Robertson, and Williamson Counties (Figure 1). Three formations, in ascending order, the Hooper, Simsboro, and Calvert Bluff, are recognized in central Texas (Figure 2). The Wilcox Group is underlain conformably by the Midway Group, a mudstone-dominated marine sequence, and is overlain and scoured locally by the Carrizo Sand, a fluvial unit at the base of the Claiborne Group.

Board members’ contribution to strategy: The mediating role of board internal processes

Directory of Open Access Journals (Sweden)

Carmen Barroso-Castro

2017-05-01

Full Text Available This study aims to explore what directors do on the board, to what extent the processes occurring in the board allow the sharing and integrating of the existing knowledge, thus facilitating the board members’ contributions to strategy. We adopt the view that the internal board processes increase the impact of the cognitive resources on board performance. Using survey data from 200 large Spanish companies we demonstrate that directors’ level of knowledge of the firm and board job-related diversity positively influence the degree of the board's strategic involvement. Additionally, the internal processes that take place within the board – particularly Cognitive Conflict, the Critical and Independent Approach and the Comprehensive Discussion Process – influence the board's strategic involvement and play a partial mediating role on the aforementioned relationships. However, our results show no evidence for a positive relationship between Board Meeting Dynamics and the board's strategic involvement.

United States Medical Licensing Examination and American Board of Pediatrics Certification Examination Results: Does the Residency Program Contribute to Trainee Achievement.

Science.gov (United States)

Welch, Thomas R; Olson, Brad G; Nelsen, Elizabeth; Beck Dallaghan, Gary L; Kennedy, Gloria A; Botash, Ann

2017-09-01

To determine whether training site or prior examinee performance on the US Medical Licensing Examination (USMLE) step 1 and step 2 might predict pass rates on the American Board of Pediatrics (ABP) certifying examination. Data from graduates of pediatric residency programs completing the ABP certifying examination between 2009 and 2013 were obtained. For each, results of the initial ABP certifying examination were obtained, as well as results on National Board of Medical Examiners (NBME) step 1 and step 2 examinations. Hierarchical linear modeling was used to nest first-time ABP results within training programs to isolate program contribution to ABP results while controlling for USMLE step 1 and step 2 scores. Stepwise linear regression was then used to determine which of these examinations was a better predictor of ABP results. A total of 1110 graduates of 15 programs had complete testing results and were subject to analysis. Mean ABP scores for these programs ranged from 186.13 to 214.32. The hierarchical linear model suggested that the interaction of step 1 and 2 scores predicted ABP performance (F[1,1007.70] = 6.44, P = .011). By conducting a multilevel model by training program, both USMLE step examinations predicted first-time ABP results (b = .002, t = 2.54, P = .011). Linear regression analyses indicated that step 2 results were a better predictor of ABP performance than step 1 or a combination of the two USMLE scores. Performance on the USMLE examinations, especially step 2, predicts performance on the ABP certifying examination. The contribution of training site to ABP performance was statistically significant, though contributed modestly to the effect compared with prior USMLE scores. Copyright © 2017 Elsevier Inc. All rights reserved.

Predictors of psychiatric boarding in the emergency department.

Science.gov (United States)

Misek, Ryan K; DeBarba, Ashley E; Brill, April

2015-01-01

The emergency psychiatric care is system is overburdened in the United States. Patients experiencing psychiatric emergencies often require resources not available at the initial treating facility and frequently require transfer to an appropriate psychiatric facility. Boarding of psychiatric patients, defined as a length of stay greater than four hours after medical clearance, is ubiquitous throughout emergency departments (EDs) nationwide. Boarding is recognized as a major cause of ambulance diversions and ED crowding and has a significant adverse impact on healthcare providers, patient satisfaction, and hospital costs. We sought to identify differences between patients who boarded versus patients who did not board, to identify factors amenable to change and identify interventions that could lead to a decrease in overall psychiatric patient length of stay and improve patient care. This study is a retrospective multicenter cohort study of all patients assessed to require inpatient psychiatric hospitalization at two community EDs in Illinois from July 1, 2010 through June 30, 2012. We identified 671 patients and collected insurance status, sex, age, time of arrival, time of disposition and time of transfer. There was a statistically significant difference in the insurance status between the cohort of patients boarding in the ED compared to non-boarders prior to inpatient psychiatric admission. Our study identified 95.4% of uninsured patients who were boarded in the ED, compared to 71.8% of Medicare/Medicaid patients and 78.3% of patients with private insurance (χ(2)=50.6, df=2, pboarded significantly longer than Medicare/Medicaid and privately insured patients. Patients with private insurance boarded longer than those with Medicare/Medicaid. Patients transferred to publicly funded facilities had significantly longer ED length of stay than patients transferred to private facilities.

[Cracow medical chamber in the special collection of the main medical library].

Science.gov (United States)

Szkudaj, T

2000-01-01

The article on Cracow Medical Chamber in the Special Collection of the Main Medical Library concerns the history of establishing medical chambers and covers the period from 1893 to 1950. It presents in detail the territorial extent of Cracow Medical Chamber, its membership and presidents' functions as well as the composition of its various boards and councils. It also talks about the legal acts regulating the functioning of medical chambers and their sphere of activity. The collection of archived records kept in the Special Collection of Main Medical Library constitutes a small percentage of the preserved records; these being mainly personal files of doctors comprising personal questionnaires, registration cards and photographs.

76 FR 14387 - Texas Eastern Transmission, LP; Notice of Request Under Blanket Authorization

Science.gov (United States)

2011-03-16

... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [Docket No. CP11-118-000] Texas Eastern... Eastern Transmission, LP (Texas Eastern), Post Office Box 1642, Houston, Texas 77251-1642, filed in Docket... West Cameron Blocks 566, 565, and 548, offshore Louisiana, under Texas Eastern's blanket certificate...

77 FR 22773 - Texas Eastern Transmission, L.P.; Notice of Response

Science.gov (United States)

2012-04-17

... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [ Docket No. RP12-318-001] Texas Eastern... order of the Federal Energy Regulatory Commission in the above- captioned proceeding Texas Eastern Transmission, LP (Texas Eastern) submits its response to show cause why it should not be required to file...

Tornado from Texas.

Science.gov (United States)

Vail, Kathleen

1996-01-01

Santa Fe School Superintendent Yvonne Gonzales, the "Texas Tornado," was hired to fix a 40% student-dropout rate and a white/Hispanic gap in achievement test scores. Gonzales is an avid integrationist; relies on humor, appeasement, and persuasion tactics; and has alienated some school employees by increasing central office…

Historical Channel Adjustment and Estimates of Selected Hydraulic Values in the Lower Sabine River and Lower Brazos River Basins, Texas and Louisiana

Science.gov (United States)

Heitmuller, Franklin T.; Greene, Lauren E.

2009-01-01

The U.S. Geological Survey, in cooperation with the Texas Water Development Board, evaluated historical channel adjustment and estimated selected hydraulic values at U.S. Geological Survey streamflow-gaging stations in the lower Sabine River Basin in Texas and Louisiana and lower Brazos River Basin in Texas to support geomorphic assessments of the Texas Instream Flow Program. Channel attributes including cross-section geometry, slope, and planform change were evaluated to learn how each river's morphology changed over the years in response to natural and anthropogenic disturbances. Historical and contemporary cross-sectional channel geometries at several gaging stations on each river were compared, planform changes were assessed, and hydraulic values were estimated including mean flow velocity, bed shear stress, Froude numbers, and hydraulic depth. The primary sources of historical channel morphology information were U.S. Geological Survey hard-copy discharge-measurement field notes. Additional analyses were done using computations of selected flow hydraulics, comparisons of historical and contemporary aerial photographs, comparisons of historical and contemporary ground photographs, evaluations of how frequently stage-discharge rating curves were updated, reviews of stage-discharge relations for field measurements, and considerations of bridge and reservoir construction activities. Based on historical cross sections at three gaging stations downstream from Toledo Bend Reservoir, the lower Sabine River is relatively stable, but is subject to substantial temporary scour-and-fill processes during floods. Exceptions to this characterization of relative stability include an episode of channel aggradation at the Sabine River near Bon Wier, Texas, during the 1930s, and about 2 to 3 feet of channel incision at the Sabine River near Burkeville, Texas, since the late 1950s. The Brazos River, at gaging stations downstream from Waco, Texas, has adjusted to a combination of

Instructional Technology Practices in Developmental Education in Texas

Science.gov (United States)

Martirosyan, Nara M.; Kennon, J. Lindsey; Saxon, D. Patrick; Edmonson, Stacey L.; Skidmore, Susan T.

2017-01-01

The purpose of this study was to examine the current state of technology integration in developmental education in Texas higher education. Analyzing survey data from developmental education faculty members in 70 2- and 4-year colleges in Texas, researchers identified instructor-reported best instructional technology practices in developmental…

Texas coral snake (Micrurus tener) bites.

Science.gov (United States)

Morgan, David L; Borys, Douglas J; Stanford, Rhandi; Kjar, Dean; Tobleman, William

2007-02-01

The clinical features of bites from Texas coral snakes (Micrurus tener) have not been well studied. Our goal was to review the largest number of victims of Texas coral snakebites to determine their characteristics, effects, treatment, and outcome. Retrospective case series of Micrurus tener exposures reported to the Texas Poison Center Network from 2000 to 2004. Eighty-two patients were included in the analysis. Most (57.3%) were 18 to 49-year-old men. Almost 90% had local swelling, pain, erythema, or paresthesias. Only 7.3% had systemic effects, and none of these were severe. Over half received coral snake antivenin, and 15.9% were given opioids for pain. No patient died and no patient required mechanical ventilation due to hypoventilation from the snakebite. There were more local findings and less severe systemic effects than previously reported. Antivenin is not needed for most of these patients, and opioids may be administered safely.

Nuclear energy in Texas: major issues and policy recommendations

International Nuclear Information System (INIS)

1979-01-01

On December 15, 1978 the Texas Energy Advisory Council (TEAC) adopted the Texas Energy Policy, 1978 Update. The Council recognized the great complexity of technical, economic, social, and political issues which have an impact on nuclear power, and therefore decided that a special committee was needed to examine in greater detail the nuclear energy issues facing Texas. This report summarizes the work of the Advisory Committee on Nuclear energy. Topics discussed include: biological affects of low levels of radiation; transportation of radioactive material in Texas; uranium mining and milling; severance tax on uranium mining; alternate reactor designs and fuel cycles; financing nuclear plant construction; cost of disposing of nuclear wastes and decommissioning nuclear plants; low-level wastes; disposal of high-level wastes; commercial spent nuclear fuel reprocessing; and transmutation of radioactive wastes

A Low-Power Medical Oxygen Generator, Phase II

Data.gov (United States)

National Aeronautics and Space Administration — An on-board oxygen concentrator is required during long duration manned space missions to supply medical oxygen. The commercial medical oxygen generators based on...

A Low-Power Medical Oxygen Generator, Phase I

Data.gov (United States)

National Aeronautics and Space Administration — An on-board oxygen concentrator is required during long duration manned space missions to supply medical oxygen. The commercial medical oxygen generators based on...

The impact of declining vaccination coverage on measles control: a ...

African Journals Online (AJOL)

abp

2013-07-22

Jul 22, 2013 ... Chukwuemeka Anthony Umeh1,&, Hycienth Peterson Ahaneku2. 1 Hospitals Management Board, Bayelsa state Nigeria, 2Department of Epidemiology, University of Texas School of Public Health, Houston, Texas,. USA. &Corresponding author: Chukwuemeka AnthonyUmeh, Hospitals Management Board, ...

76 FR 13610 - Enterprise Texas Pipeline LLC; Notice of Compliance Filing

Science.gov (United States)

2011-03-14

... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [Docket Nos. PR10-14-002; PR11-92-000] Enterprise Texas Pipeline LLC; Notice of Compliance Filing Take notice that on March 1, 2011, Enterprise Texas Pipeline LLC (Enterprise Texas) filed a revised Statement of Rates to its Statement of Operating...

Defense Base Realignment and Closure Budget Data for Naval Air Stations Dallas, Texas, and Memphis, Tennessee, Realigning to Carswell Air Reserve Base, Texas

National Research Council Canada - National Science Library

Granetto, Paul

1994-01-01

.... This report provides the results of the audit of 16 projects, valued at $122 million, for the realignment of the Naval Air Stations Memphis, Tennessee, and Dallas, Texas, to Carswell Air Reserve Base, Texas...

Commercial Space Port Planning in Texas

Science.gov (United States)

Bell, L.; Looke, B.

2002-01-01

The Texas Legislature is providing funding to support research and planning activities aimed at creating a commercial spaceport in the state. These monies have been allocated to regional Spaceport Development Corporations that have been established in three countries containing candidate site locations: Willacy County (in South Texas); Brazoria County (East Texas); and Pecos County (West Texas). This program is being sponsored and coordinated by the Texas Aerospace Commission (TAC). The Sasakawa International Center for Space Architecture (SICSA) at the University of Houston is providing research, planning and design support to TAC and is a member of each of the three regional development teams. Planning must carefully consider special support requirements and operational characteristics of all prospective launch systems along with geographic, infrastructure and environmental factors at each site. Two of the candidate sites are in coastal areas; a priority for certain launch service providers; whereas the third inland site is more attractive to others. Candidate launch systems include winged horizontal takeoff air-launch vehicles, vertical multi-stage reusable launch vehicles, and expendable sub-orbital surrounding rockets. Important research and planning activities include environmental impact assessments, analyses of overflight hazards, investigations of economic impacts and business plan development. The results of these activities will guide master plan development for each site, including: a physical plan (site layout, infrastructure improvements and facility construction); and a strategic plan (user agreements, licenses, finance sources and participants). Commercial spaceport development demands compliance with stringent FAA regulations established by the Office of Commercial Space Transportation (OCST) which exceed minimum standards allowed for U.S. Government spaceport facilities. Key among these requirements are 15,000 ft. radius on-site clear zones

Work and Family Programs in Texas State Agencies.

Science.gov (United States)

Texas Work and Family Clearinghouse, Austin.

A survey of work and family policies in state-supported organizations in Texas was conducted for the Texas Workforce Commission's Work and Family Clearinghouse. Survey questions addressed the prevalence, perceived need, and future direction of dependent care programs and flexible work arrangements (FWA). Key findings in dependent care include: (1)…

76 FR 25330 - Texas Eastern Transmission, LP; Notice of Request Under Blanket Authorization

Science.gov (United States)

2011-05-04

... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [Docket No. CP11-216-000] Texas Eastern... Eastern Transmission, LP (Texas Eastern), 5400 Westheimer Court, Houston, Texas 77056, filed in Docket No... in the termination of any services to Texas Eastern's customers, all as more fully set forth in the...

Monitoring work zone safety and mobility impacts in Texas.

Science.gov (United States)

2009-05-01

In this report, Texas Transportation Institute researchers identify key work zone safety and mobility : performance measures that the Texas Department of Transportation (TxDOT) should target as part of a work : zone monitoring program within a distri...

76 FR 29234 - Texas Eastern Transmission, LP; Notice of Request Under Blanket Authorization

Science.gov (United States)

2011-05-20

... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [Docket No. CP11-477-000] Texas Eastern Transmission, LP; Notice of Request Under Blanket Authorization Take notice that on May 10, 2011 Texas Eastern Transmission, LP (Texas Eastern), 5400 Westheimer Court, Houston, Texas 77056, filed in Docket No. CP11-477-000...

Bulletin of the Texas Archeological Society, Volume 71 (2000, Austin, Paper.

Directory of Open Access Journals (Sweden)

Larry D. Banks

2000-11-01

Full Text Available This annual bulletin of the Texas Archeological Society is a unique contribution specifically focused upon the history of Texas archaeology in a format that no others have done previously. The volume contains 150 pages, the majority of which consists of interviews (146 pages conducted by the first State Archaeologist of Texas, Curtis Tunnell. In 1968 Tunnell conceived of the idea of obtaining personal interviews from individuals whom he considered his heroes for their pioneering efforts in Texas archeology. This volume entails the first publication of such information, but more will certainly follow. The remaining four pages comprise two different reviews of other publications important in their own right to those interested in Southern Plains archeology of Texas. These two reviews by Timothy K Pertulla and David T. Hughes, respectively, are of The Coronado Expedition to Tierra Nueva: The 1540·1542 Route Across the Southwest by Richard Flint and Shirley Cushing flint, and GaffCreek: Artifact Collection Strategy and Occupation Prehistory on the Southern High Plains, Texas County. Oklahoma. The section by Tunnell titled "In Their Own Words: Stories from Some Pioneer Texas Archeologists" contains numerous previously unpublished photographs of people, sites and artifacts referred to the texts.

78 FR 66384 - Membership of the Merit Systems Protection Board's Performance Review Board

Science.gov (United States)

2013-11-05

... MERIT SYSTEMS PROTECTION BOARD Membership of the Merit Systems Protection Board's Performance Review Board AGENCY: Merit Systems Protection Board. ACTION: Notice. SUMMARY: Notice is hereby given of the members of the Merit Systems Protection Board's Performance Review Board. DATES: November 5, 2013...

Mississippian depositional history of the Texas Panhandle: A reappraisal

International Nuclear Information System (INIS)

Ruppel, S.C.

1988-01-01

Recent lithostratigraphic and biostratigraphic study of subsurface Mississippian rocks of the Texas Panhandle indicates that previous interpretations of the sequence and timing of depositional events in the area need revision. Early Mississippian (Kinderhookian to Osagean) deposition in the area was restricted to the northeastern Panhandle (Anadarko Basin). The Texas Arch, a Devonian structure, remained positive and effectively limited sediment accumulation throughout the remainder of the area at this time. Major inundation of the southern Panhandle did not occur until the Meramecian. At that time shallow platform conditions developed in the area of the submerged Texas Arch; carbonate buildups formed locally on the outer ramp along the previous margin of the Arch. This marine transgression correlates with drowning of platform margins throughout the midcontinent region. The Texas Arch continued intermittently to control deposition until the end of the Mississippian Period. 20 refs., 2 figs

Nuevo Leon during the Independence of Texas, 1835-1836

Directory of Open Access Journals (Sweden)

Miguel Ángel González Quiroga

2006-10-01

Full Text Available The new-born Mexican Republic suffered one of its strongest shocks in 1836, during the Texas War. The impact of this conflict in the neighbouring state of Nuevo Leon is the main subject of this work, which also describes the situation of Mexico and its army, as well as the state's reaction towards the centralist shift — Texas' main argument  for splitting from Mexico. The study of the separation of Texas, widely reviewed in Mexican historiography, is enriched through the viewpoint of one of the most affected states.

Texas freight 2055 roundtable.

Science.gov (United States)

2016-03-01

Participants were welcomed to the Roundtable discussion and to the Dallas/Fort Worth region by : Mr. Michael Morris (Director of Transportation, North Central Texas Council of Governments : (NCTCOG)). Mr. Morris began his remarks by noting the import...

Performance during internal medicine residency training and subsequent disciplinary action by state licensing boards.

Science.gov (United States)

Papadakis, Maxine A; Arnold, Gerald K; Blank, Linda L; Holmboe, Eric S; Lipner, Rebecca S

2008-06-03

Physicians who are disciplined by state licensing boards are more likely to have demonstrated unprofessional behavior in medical school. Information is limited on whether similar performance measures taken during residency can predict performance as practicing physicians. To determine whether performance measures during residency predict the likelihood of future disciplinary actions against practicing internists. Retrospective cohort study. State licensing board disciplinary actions against physicians from 1990 to 2006. 66,171 physicians who entered internal medicine residency training in the United States from 1990 to 2000 and became diplomates. Predictor variables included components of the Residents' Annual Evaluation Summary ratings and American Board of Internal Medicine (ABIM) certification examination scores. 2 performance measures independently predicted disciplinary action. A low professionalism rating on the Residents' Annual Evaluation Summary predicted increased risk for disciplinary action (hazard ratio, 1.7 [95% CI, 1.3 to 2.2]), and high performance on the ABIM certification examination predicted decreased risk for disciplinary action (hazard ratio, 0.7 [CI, 0.60 to 0.70] for American or Canadian medical school graduates and 0.9 [CI, 0.80 to 1.0] for international medical school graduates). Progressively better professionalism ratings and ABIM certification examination scores were associated with less risk for subsequent disciplinary actions; the risk ranged from 4.0% for the lowest professionalism rating to 0.5% for the highest and from 2.5% for the lowest examination scores to 0.0% for the highest. The study was retrospective. Some diplomates may have practiced outside of the United States. Nondiplomates were excluded. Poor performance on behavioral and cognitive measures during residency are associated with greater risk for state licensing board actions against practicing physicians at every point on a performance continuum. These findings support

The Findings and Activities of the Texas Commission on Braille Textbook Production. A Report from the State Board of Education, Submitted to the Governor, Lt. Governor, Speaker, and the Seventy-Third Texas Legislature. Excellence and Equity for All Students.

Science.gov (United States)

Texas Education Agency, Austin.

This report describes activities and recommendations of the Texas Commission on Braille Textbook Production, which monitors the acquisition Commission on Braille Textbook Production. The primary purpose of the commission is to monitor the expeditious acquisition of publisher computerized files in the form of textbook diskettes which are needed for…

Floods in Central Texas, September 7-14, 2010

Science.gov (United States)

Winters, Karl E.

2012-01-01

Severe flooding occurred near the Austin metropolitan area in central Texas September 7–14, 2010, because of heavy rainfall associated with Tropical Storm Hermine. The U.S. Geological Survey, in cooperation with the Upper Brushy Creek Water Control and Improvement District, determined rainfall amounts and annual exceedance probabilities for rainfall resulting in flooding in Bell, Williamson, and Travis counties in central Texas during September 2010. We documented peak streamflows and the annual exceedance probabilities for peak streamflows recorded at several streamflow-gaging stations in the study area. The 24-hour rainfall total exceeded 12 inches at some locations, with one report of 14.57 inches at Lake Georgetown. Rainfall probabilities were estimated using previously published depth-duration frequency maps for Texas. At 4 sites in Williamson County, the 24-hour rainfall had an annual exceedance probability of 0.002. Streamflow measurement data and flood-peak data from U.S. Geological Survey surface-water monitoring stations (streamflow and reservoir gaging stations) are presented, along with a comparison of September 2010 flood peaks to previous known maximums in the periods of record. Annual exceedance probabilities for peak streamflow were computed for 20 streamflow-gaging stations based on an analysis of streamflow-gaging station records. The annual exceedance probability was 0.03 for the September 2010 peak streamflow at the Geological Survey's streamflow-gaging stations 08104700 North Fork San Gabriel River near Georgetown, Texas, and 08154700 Bull Creek at Loop 360 near Austin, Texas. The annual exceedance probability was 0.02 for the peak streamflow for Geological Survey's streamflow-gaging station 08104500 Little River near Little River, Texas. The lack of similarity in the annual exceedance probabilities computed for precipitation and streamflow might be attributed to the small areal extent of the heaviest rainfall over these and the other gaged

The Editorial Board is Changing

Directory of Open Access Journals (Sweden)

LE Nicolle

2005-01-01

Full Text Available The success of The Canadian Journal of Infectious Diseases & Medical Microbiology over the past 16 years is largely attributable to the continuing and substantial support from a dedicated and enthusiastic Editorial Board. The individuals who have participated are listed on the masthead in each issue of the Journal. Many of the current Editorial Board members have participated continually since the initiation of the Journal - a commitment of over 16 years. They have provided oversight as the Journal has evolved, and their critical insights in the discussion of issues as they have developed, as well as their suggestions for new directions, have significantly contributed to the maintenance of Journal quality. Our associate editors have been particularly active. They have coordinated and, frequently, developed much of the content for the special sections - adult and paediatric infectious disease notes, clinical vignettes and reviews. They have also facilitated the peer review of submitted manuscripts by identifying reviewers and making recommendations for revisions and publication. These contributions have been essential to the continuing operation and high, scientific quality of the Journal.

A cross-sectional study of emergency department boarding practices in the United States.

Science.gov (United States)

Pitts, Stephen R; Vaughns, Frances L; Gautreau, Marc A; Cogdell, Matthew W; Meisel, Zachary

2014-05-01

The median emergency department (ED) boarding time for admitted patients has been a nationally reportable core measure that now also affects ED accreditation and reimbursement. However, no direct national probability samples of ED boarding data have been available to guide this policy until now. The authors studied new National Hospital Ambulatory Medical Care Survey (NHAMCS) survey items to establish baseline values, to generate hypotheses for future research, and to help improve survey quality in the future. This was a cross-sectional, multistage, stratified annual analysis of EDs and ED visits from the National Hospital Ambulatory Medical Care Survey public use files from 2007 to 2010, a total of 139,502 visit records. These data represent the only national measure of ED boarding. The main outcome of interest was boarding duration for individual patient visits. Data analyses accounted for complex sampling design. The national median boarding time was 79 minutes, with an interquartile range of 36 to 145 minutes. The prevalence of boarding for more than 2 hours among admitted patients was 32% (95% confidence interval [CI] = 30% to 35%). Average ED volume, occupancy, acuity, and hospital admission rates increased abruptly from the second to the third quartile of median boarding duration. The half of hospitals with the longest median boarding times accounted for 73% of ED visits and 79% of ED hospitalizations nationally. Thirty-nine percent of EDs (95% CI = 32% to 46%) reported never holding patients for more than 2 hours, but visit-level analysis at these EDs found that 21% of admissions did in fact stay in the ED over 2 hours. Only 19% of EDs (95% CI = 16% to 22%) used a strategy of moving admitted patients to alternative sites in the hospital during crowded times. In this national survey, ED boarding of admitted patients disproportionately affects hospitals with higher ED volumes, which also see sicker patients who wait longer to be seen, but not hospitals with

Hospital board effectiveness: relationships between board training and hospital financial viability.

Science.gov (United States)

Molinari, C; Morlock, L; Alexander, J; Lyles, C A

1992-01-01

This study examined whether hospital governing boards that invest in board education and training are more informed and effective decision-making bodies. Measures of hospital financial viability (i.e., selected financial ratios and outcomes) are used as indicators of hospital board effectiveness. Board participation in educational programs was significantly associated with improved profitability, liquidity, and occupancy levels, suggesting that investment in the education of directors is likely to enhance hospital viability and thus increase board effectiveness.

Texstar: The all-Texas educational satellite system

Science.gov (United States)

1990-01-01

Longhorn Satellite Company (LSC) has designed Texstar, and educational satellite communications system which will be considered as a means of equalizing the distribution of educational resources throughout the state of Texas. Texstar will be capable of broadcasting live lectures and documentaries in addition to transmitting data from a centralized receiving-transmitting station. Included in the design of Texstar is the system and subsystem design for the satellite and the design of the ground stations. The launch vehicle used will be the Texas-built Conestoga 421-48. The Texstar system incorporates three small satellites in slightly inclined geosynchronous orbits. Due to the configuration and spacing of these satellites, the system will be accessed as if it were one large, geostationary satellite. Texstar is shown to be a viable option to the educational crisis in the state of Texas.

Effects of Year-Round Education on Texas Middle School Student Performance

Science.gov (United States)

Coopersmith, Michael

2011-01-01

This study was designed to investigate the effects of the year-round calendar on student performance in Texas middle schools as measured by achievement on the Texas Assessment of Knowledge and Skills (TAKS) test. In the State of Texas, 15 schools served students in grades six through eight using the year-round calendar in 2009-2010. The 15…

Wind/solar resource in Texas

Energy Technology Data Exchange (ETDEWEB)

Nelson, V.; Starcher, K.; Gaines, H. [West Texas A& M Univ., Canyon, TX (United States)

1997-12-31

Data are being collected at 17 sites to delineate a baseline for the wind and solar resource across Texas. Wind data are being collected at 10, 25, and 40 m (in some cases at 50 m) to determine wind shear and power at hub heights of large turbines. Many of the sites are located in areas of predicted terrain enhancement. The typical day in a month for power and wind turbine output was calculated for selected sites and combination of sites; distributed systems. Major result to date is that there is the possibility of load matching in South Texas during the summer months, even though the average values by month indicate a low wind potential.

Policy Brief: What is the Legal Framework for Automated Vehicles in Texas?

Science.gov (United States)

2017-11-01

During the 85th Texas Legislature in 2017, Texas enacted a law related to automated vehicles. The bill, SB 2205, creates the legal framework for automated vehicle operation and testing in Texas. Although this law addresses a number of issues that can...

A survey of collection development for United States Medical Licensing Examination (USMLE) and National Board Dental Examination (NBDE) preparation material.

Science.gov (United States)

Hendrix, Dean; Hasman, Linda

2008-07-01

The research sought to ascertain medical and dental libraries' collection development policies, evaluation methods, purchase decisions, and issues that relate to print and electronic United States Medical Licensing Examination (USMLE) and National Board Dental Examination (NBDE) preparation materials. The investigators surveyed librarians supporting American Association of Medical Colleges (AAMC)-accredited medical schools (n = 58/125) on the USMLE and librarians supporting American Dental Association (ADA)-accredited dental schools (n = 23/56) on the NBDE. The investigators analyzed the data by cross-tabulating and filtering the results using EFM Continuum web survey software. Investigators also surveyed print and electronic USMLE and NBDE preparation materials from 2004-2007 to determine the number of publications and existence of reviews. A majority of responding AAMC libraries (62%, n = 58) provide at least 1 electronic or online USMLE preparation resource and buy an average of 11.6 print USMLE titles annually. Due to a paucity of NBDE print and electronic resources, ADA libraries bought significantly fewer print resources, and only 1 subscribed to an electronic resource. The most often reported evaluation methods for both populations were feedback from medical or dental students, feedback from medical or dental faculty, and online trials. Some AAMC (10%, n = 58) and ADA libraries (39%, n = 23) libraries reported that no evaluation of these materials occured at their libraries. From 2004-2007, publishers produced 45 USMLE preparation resources (total n = 546) to every 1 NBDE preparation resource (total n = 12). Users' needs, institutional missions and goals, financial status, and official collection policies most often underlie decisions to collect or not collect examination preparation materials. Evaluating the quality of examination preparation materials can be problematic due to lack of published reviews, lack of usability testing by libraries, and

A Compact Medical Oxygen Generator for Spacecraft, Phase I

Data.gov (United States)

National Aeronautics and Space Administration — An on-board oxygen concentrator is required during long duration manned space missions to supply medical oxygen. Commercial medical oxygen generators are pressure...

Rural southeast Texas air quality measurements during the 2006 Texas Air Quality Study.

Science.gov (United States)

Schade, Gunnar W; Khan, Siraj; Park, Changhyoun; Boedeker, Ian

2011-10-01

The authors conducted air quality measurements of the criteria pollutants carbon monoxide, nitrogen oxides, and ozone together with meteorological measurements at a park site southeast of College Station, TX, during the 2006 Texas Air Quality Study II (TexAQS). Ozone, a primary focus of the measurements, was above 80 ppb during 3 days and above 75 ppb during additional 8 days in summer 2006, suggestive of possible violations of the ozone National Ambient Air Quality Standard (NAAQS) in this area. In concordance with other air quality measurements during the TexAQS II, elevated ozone mixing ratios coincided with northerly flows during days after cold front passages. Ozone background during these days was as high as 80 ppb, whereas southerly air flows generally provided for an ozone background lower than 40 ppb. Back trajectory analysis shows that local ozone mixing ratios can also be strongly affected by the Houston urban pollution plume, leading to late afternoon ozone increases of as high as 50 ppb above background under favorable transport conditions. The trajectory analysis also shows that ozone background increases steadily the longer a southern air mass resides over Texas after entering from the Gulf of Mexico. In light of these and other TexAQS findings, it appears that ozone air quality is affected throughout east Texas by both long-range and regional ozone transport, and that improvements therefore will require at least a regionally oriented instead of the current locally oriented ozone precursor reduction policies.

A Project to Develop a Marketing Plan in Support of William Beaumont Army Medical Center, Fort Bliss, Texas

Science.gov (United States)

1989-12-01

stressed by the Texas Hospital Association (1982), "the key to success in applying and understanding the marketing mix lies in the concept of rightness...alternatives 8. Develop the marketing mix 9. Select a strategy option Phase III (Finalization)’ 10. Design the tactics 11. Present the plan 12. Write the plan...usage incentive Marketing mix Product, price, distribution [place], marketing communication [promotion] Contingency strategies Marketing Budget (How Much

Gastrointestinal helminths in raccoons in Texas.

Science.gov (United States)

Kresta, Amy E; Henke, Scott E; Pence, Danny B

2009-01-01

Raccoons (n=590) were collected from October 1999 to August 2003 from 35 counties across Texas, and gastrointestinal tracts were examined for helminth parasites. Prevalence was calculated and differences in mean abundance were examined among habitat ecoregions, age classes, and between sexes. Twenty different species of helminths (13 nematodes, two cestodes, two acanthocephalans, and three trematodes) were positively identified in the gastrointestinal tracts of 590 raccoons in Texas. Five of the 20 helminth species collected (Physaloptera rara, Placoconus lotoris, Molineus barbatus, Atriotaenia procyonis, and Macracanthorhynchus ingens) had a prevalence >20%. The total number of individuals of these five species (n=22,777) accounted for over 86% of the total number of individuals of all helminth species (n=26,426) collected. Subsequent analyses were based on these five helminths. Mean abundance differed among habitat ecoregions, age classes, and between sexes for all five parasites evaluated. This study is the most comprehensive statewide survey ever done of gastrointestinal helminths of raccoons across Texas. The five most prevalent helminths identified have all been reported in at least one previous survey, indicating that these parasites are not new to Texas and that raccoons are not naïve to the effects these parasites have on them. It may be helpful to wildlife rehabilitators, trappers, wildlife biologists, and other professionals to be aware of parasite abundance in raccoons from different areas of the state, as frequent human-raccoon interactions occur, and some of these parasites could be harmful to humans and domestic animals.

A review of efforts to restructure Texas' electricity market

International Nuclear Information System (INIS)

Zarnikau, Jay

2005-01-01

Comparisons suggest that Texas has been relatively successful in its efforts to introduce greater competition and customer choice into its unique electricity market (Center for Advancement of Electricity Markets, 2002). Yet, Texas has defied many of the common prescriptions in designing its market. Texas has yet to establish a nodal congestion management system that directly assigns local congestion costs to entities responsible for creating transmission congestion. A liquid power exchange or spot market is absent. Programs designed to encourage demand side responsiveness had a slow start. Market concentration remains high. Market oversight activities are poorly funded. A generation adequacy mechanism or planning reserve margin requirement remains under debate. Has Texas simply been lucky in averting any real disasters? Or are these market features less important than commonly recognized? This article reviews the restructuring initiative and reports some key lessons learned following the first twenty months under the new wholesale market structure and fifteen months of retail competition

A review of efforts to restructure Texas' electricity market

International Nuclear Information System (INIS)

Zarnikau, J.

2005-01-01

Comparisons suggest that Texas has been relatively successful in its efforts to introduce greater competition and customer choice into its unique electricity market (Center for Advancement of Electricity Markets, 2002). Yet, Texas has defied many of the common prescriptions in designing its market. Texas has yet to establish a nodal congestion management system that directly assigns local congestion costs to entities responsible for creating transmission congestion. A liquid power exchange or spot market is absent. Programs designed to encourage demand side responsiveness had a slow start. Market concentration remains high. Market oversight activities are poorly funded. A generation adequacy mechanism or planning reserve margin requirement remains under debate. Has Texas simply been lucky in averting any real disasters? Or are these market features less important than commonly recognized? This article reviews the restructuring initiative and reports some key lessons learned following the first twenty months under the new wholesale market structure and fifteen months of retail competition. (author)

The dBoard: a Digital Scrum Board for Distributed Software Development

DEFF Research Database (Denmark)

Esbensen, Morten; Tell, Paolo; Cholewa, Jacob Benjamin

2015-01-01

In this paper we present the dBoard - a digital Scrum Board for distributed Agile software development teams. The dBoard is designed as a 'virtual window' between two Scrum team spaces. It connects two locations with live video and audio, which is overlaid with a synchronized and interactive...... digital Scrum board, and it adapts the fidelity of the video/audio to the presence of people in front of it. The dBoard is designed to work (i) as a passive information radiator from which it is easy to get an overview of the status of work, (ii) as a media space providing awareness about the presence...... of remote co-workers, and (iii) as an active meeting support tool. The paper presents a case study of distributed Scrum in a large software company that motivates the design of the dBoard, and details the design and technical implementation of the dBoard. The paper also reports on an initial user study...

Organizational forms of medical care in the event of radiation accidents in the German Democratic Republic

International Nuclear Information System (INIS)

Nack, P.; Arndt, D.; Schuettmann, W.

1977-01-01

Medical care of radiation casualties in the German Democratic Republic (GDR) is organized on two levels. On the level of users the responsible Medical Officers guarantee both the routine control of persons occupationally exposed to radiation and first aid in the event of accidents. On the second level medical treatment is given either in the Clinical Department of the National Board of Nuclear Safety and Radiation Protection or in specialized national health system clinics having facilities for intensive medical care. A decision on hospitalization is made according to the conditions of the accident and the necessary diagnostic and therapeutic measures as a rule are based on consultations between the responsible Medical Officer and the departments of the Board (Emergency Assistance Service, Clinical Department, Consultative Committee). For serious cases where haematological complications can be expected, a central medical clinic with facilities for bone-marrow transplants is available. The casualties are treated in local clinics which are provided with continuous support and advice by the Board. This support consists in: (i) immediate activity by a consultative committee of the Board's physicians and scientists experienced and trained in radiation protection and the treatment of radiation accidents; (ii) the requirement of compulsory examination methods and take-over of specialized laboratory investigations; and (iii) the use of a mobile emergency measuring system in cases of additional incorporation. It is the main principle of medical care in case of radiation accidents to consult, as early as possible, a medical consultative committee of the Board in the field of radiation protection at each step of medical care. (author)

NCATE and Texas Eyeball to Eyeball: Who Will Blink?

Science.gov (United States)

Watts, Doyle

1989-01-01

The National Council for Accreditation of Teacher Education (NCATE) and Texas teacher training institutions are squaring off because of Texas SB 994, a law that eliminates undergraduate degrees in education and caps required credit hours in undergraduate teacher education courses. This article interviews Carl Parker, Hendrik Gideonse, Mary…

TEXAS TAXES: A COMPARISON WITH OTHER STATES

OpenAIRE

Stallmann, Judith I.; Jones, Lonnie L.

1998-01-01

This document is part of an educational series on Texas taxes. State and local taxes in Texas are compared with those of the fifty states and the District of Columbia. Taxes are compared per capita and per $1,000 of personal income. The taxes include: all state and local taxes, property taxes, sales and gross receipts taxes, personal income taxes, corporate income taxes and corporate franchise taxes. For each tax the national average, median, maximum and minimum are given along with the corre...

Isolation of avian influenza virus in Texas.

Science.gov (United States)

Glass, S E; Naqi, S A; Grumbles, L C

1981-01-01

An avian influenza virus with surface antigens similar to those of fowl plague virus (Hav 1 Nav 2) was isolated in 1979 from 2 commercial turkey flocks in Central Texas. Two flocks in contact with these infected flocks developed clinical signs, gross lesions, and seroconversion but yielded no virus. This was the first recorded incidence of clinical avian influenza in Texas turkeys and only the second time that an agent with these surface antigens was isolated from turkeys in U.S.

Comal County, Texas: Preparing for Life after High School

Science.gov (United States)

Walter, Frank

2018-01-01

Comal County, Texas, may be rural but its students face many of the same challenges as students in urban districts. Communities In Schools of South Central Texas works with the local school district to identify student needs and provide critical supports to help young people prepare for life after high school.

Using Pill Identification Calls to Poison Centers as a Marker of Drug Abuse at Three Texas Military Bases.

Science.gov (United States)

Ng, Patrick C; Maddry, Joseph K; Sessions, Daniel; Borys, Douglas J; Bebarta, Vikhyat S

2017-11-01

Opioid abuse is a growing problem in civilian communities, and it has developed in the military as well. Telephone calls to poison centers requesting pill identification (ID) is a marker of drug abuse. This study identifies the number of pill ID calls made to the poison centers from areas containing and surrounding three Texas military bases during an 8-year period. We performed a retrospective observational study identifying calls to certified poison centers in Texas from 2002 to 2009 that identified hydrocodone tablets and other pain medications. We noted the calls made from ZIP codes containing and surrounding the three largest military bases in Texas. We reviewed 75,537 drug ID calls for any drug from the ZIP codes of interest. Total drug ID calls increased 105% and the number of calls for hydrocodone increased 463%. In our study most of the drug ID calls from military communities in Texas were for hydrocodone. The rate of calls for hydrocodone increased more than the rate of calls for other analgesics from 2002 to 2009. Using drug ID calls as a surrogate of drug abuse, our results suggest that hydrocodone abuse has increased within military communities and that poison center data can be a reliable surrogate for prescription drug abuse near military bases. Future studies are needed to further understand the extent of this problem in military and civilian communities. We can use this information to heighten awareness, influence prescription practices, establish practice guidelines, and develop educational programs to mitigate the increasing rate of prescription analgesic abuse in the United States.

Board game

International Nuclear Information System (INIS)

Brennan, N.S.

1982-01-01

A board game comprises a board, a number of counters and two dice. The board is marked to provide a central area, representing the nucleus of an atom, and six or more annular rings extending concentrically around the central area, the rings being divided into 2,8,18,32,48 and 72 squares. Each ring represents an electron shell, and some of the squares are numbered, the number representing the atomic number of different elements. (author)

Commercial truck platooning demonstration in Texas – level 2 automation.

Science.gov (United States)

2017-08-01

Through this project, the Texas Department of Transportation (TxDOT) funded the creation of a comprehensive truck platooning demonstration in Texas, serving as a proactive effort in assessing innovative operational strategies to position TxDOT as a l...

Development of an Adjustable board and a Rotational Board for Scaffold

Science.gov (United States)

Jang, Myunghoun

2017-06-01

Scaffold is widely used in high work-places inside and outside of a building construction site. It is inexpensive and is installed and dismantled easily. Although standards and ledgers of a steel tube and coupler scaffold are installed in a regular distance, the distances of transoms are not equal in some places. Sometimes a working platform or a board is absent in the corner of scaffold. This may cause safety accidents because a foothold is not stable on the transoms. An adjustable safety board and a rotational safety board are suggested in this paper. The adjustable board consists of two footholds. The small one is inserted into the large one. The rotational board covers not only right angle but also acute or obtuse angles. These safety boards for scaffold help to decrease safety accidents in construction sites.

The economic efficiency of allowing longer combination vehicles in Texas.

Science.gov (United States)

2011-08-01

This paper shows the economic efficiency of allowing longer combination vehicles in Texas. First, an : overview of the truck size and weight policies is explained, with an emphasis on those that affect : Texas. Next, LCV operations in other countries...

Delivery of workshops on corridor management and preservation in Texas.

Science.gov (United States)

2010-12-01

This report summarizes the delivery and outcome of a series of workshops conducted at 23 Texas : Department of Transportation (TxDOT) districts across the state on corridor management and preservation : in Texas. The workshops served as follow-up imp...

Predictors of psychiatric boarding in the pediatric emergency department: implications for emergency care.

Science.gov (United States)

Wharff, Elizabeth A; Ginnis, Katherine B; Ross, Abigail M; Blood, Emily A

2011-06-01

Patients who present to the emergency department (ED) and require psychiatric hospitalization may wait in the ED or be admitted to a medical service because there are no available inpatient psychiatric beds. These patients are psychiatric "boarders." This study describes the extent of the boarder problem in a large, urban pediatric ED, compares characteristics of psychiatrically hospitalized patients with boarders, and compares predictors of boarding in 2 ED patient cohorts. A retrospective cohort study was conducted in 2007-2008. The main outcome measure was placement into a psychiatric facility or boarding. Predictors of boarding in the present analysis were compared with predictors from a similar study conducted in the same ED in 1999-2000. Of 461 ED patient encounters requiring psychiatric admission, 157 (34.1%) boarded. Mean and median boarding duration for the sample were 22.7(SD, 8.08) and 21.18 hours, respectively. Univariate generalized estimating equations demonstrated increased boarding odds for patients carrying Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition diagnoses of autism, mental retardation, and/or developmental delay (P = 0.01), presenting during the weekend (P = 0.03) or presenting during months without school vacation (P = 0.02). Suicidal ideation (SI) significantly predicted boarding status, with increased likelihood of boarding for severe SI (P = 0.02). Age, race, insurance status, and homicidal ideation did not significantly predict boarding in the 2007-2008 patient cohort, although they did in the earlier study. Systemic factors and SI predicted boarding status in both cohorts. Suicidal patients continue to board. Limits within the system, including timing of ED presentation and a dearth of specialized services, still exist, elevating the risk of boarding for some populations. Implications for pediatric ED psychiatric care delivery are discussed.

Tracking the Career Paths of Physics Teachers in Texas

Science.gov (United States)

Mount, Jennifer; Marshall, Jill; Fuller, Edward

2013-10-01

In Texas, and some other states, there is a documented shortage of physics teachers, in terms of both number and qualifications. The shortage in Texas is due as much to teachers leaving the field (attrition) as to a lack of teachers entering. There are efforts under way to prepare more and better-qualified physics teachers who will stay in the field longer,2 but increasing the overall supply and retention will not necessarily address localized teacher shortages. To investigate this issue, we obtained a database cataloging every teacher who taught science in Texas public schools from 2003 to 2008, indicating the school where they taught during each of those years, the subjects they taught, and their route to certification. This allowed us to track not only teachers entering and leaving the public school system, but also migration between schools within the system. We found that migration poses a much bigger problem than attrition for some schools. We also found patterns in the movement of physics teachers in Texas that we would not necessarily have predicted and that varied substantially depending on certification.

Muleshoe Virus and Other Hantaviruses Associated with Neotomine or Sigmodontine Rodents in Texas.

Science.gov (United States)

Milazzo, Mary Louise; Cajimat, Maria N B; Richter, Martin H; Bradley, Robert D; Fulhorst, Charles F

2017-10-01

The broad objective of this study was to increase our knowledge of Muleshoe virus and other hantaviruses associated with cricetid rodents in Texas. Anti-hantavirus antibody was found in 38 (3.2%) of 1171 neotomine rodents and 6 (1.8%) of 332 sigmodontine rodents from 10 Texas counties; hantaviral RNA was detected in 23 (71.9%) of 32 antibody-positive rodents. Analyses of nucleocapsid protein gene sequences indicated Muleshoe virus infection in four hispid cotton rats (Sigmodon hispidus) from northern Texas; Bayou virus, three Texas marsh oryzomys (Oryzomys texensis) from the Gulf Coast; Limestone Canyon virus, five brush mice (Peromyscus boylii) from western Texas; and Sin Nombre virus-five Texas mice (P. attwateri), one Lacey's white-ankled deer mouse (P. laceianus), four white-footed mice (P. leucopus), and one fulvous harvest mouse (Reithrodontomys fulvescens) from northern, central, or southern Texas. The results of this study together with the results of a previous study revealed that Muleshoe virus, perhaps in association with S. hispidus, is distributed across northern Texas. Finally, the results of Bayesian analyses of glycoprotein precursor (GPC) gene sequences and pairwise comparisons of complete GPC (amino acid) sequences strengthened support for the notion that Muleshoe virus is distinct from Black Creek Canal virus, Bayou virus, and all other species included in the Bunyaviridae, genus Hantavirus.

The art and science of switching antipsychotic medications, part 2.

Science.gov (United States)

Weiden, Peter J; Miller, Alexander L; Lambert, Tim J; Buckley, Peter F

2007-01-01

In the presentation "Switching and Metabolic Syndrome," Weiden summarizes reasons to switch antipsychotics, highlighting weight gain and other metabolic adverse events as recent treatment targets. In "Texas Medication Algorithm Project (TMAP)," Miller reviews the TMAP study design, discusses results related to the algorithm versus treatment as usual, and concludes with the implications of the study. Lambert's presentation, "Dosing and Titration Strategies to Optimize Patient Outcome When Switching Antipsychotic Therapy," reviews the decision-making process when switching patients' medication, addresses dosing and titration strategies to effectively transition between medications, and examines other factors to consider when switching pharmacotherapy.

Texas State Briefing Book for low-level radioactive waste management

Energy Technology Data Exchange (ETDEWEB)

1981-08-01

The Texas State Briefing Book is one of a series of state briefing books on low-level radioactivee waste management practices. It has been prepared to assist state and federal agency officials in planning for safe low-level radioactive waste disposal. The report contains a profile of low-level radioactive waste generators in Texas. The profile is the result of a survey of NRC licensees in Texas. The briefing book also contains a comprehensive assessment of low-level radioactive waste management issues and concerns as defined by all major interested parties including industry, government, the media, and interest groups. The assessment was developed through personal communications with representatives of interested parties, and through a review of media sources. Lastly, the briefing book provides demographic and socioeconomic data and a discussion of relevant government agencies and activities, all of which may impact waste management practices in Texas.

Texas State Briefing Book for low-level radioactive waste management

International Nuclear Information System (INIS)

1981-08-01

The Texas State Briefing Book is one of a series of state briefing books on low-level radioactivee waste management practices. It has been prepared to assist state and federal agency officials in planning for safe low-level radioactive waste disposal. The report contains a profile of low-level radioactive waste generators in Texas. The profile is the result of a survey of NRC licensees in Texas. The briefing book also contains a comprehensive assessment of low-level radioactive waste management issues and concerns as defined by all major interested parties including industry, government, the media, and interest groups. The assessment was developed through personal communications with representatives of interested parties, and through a review of media sources. Lastly, the briefing book provides demographic and socioeconomic data and a discussion of relevant government agencies and activities, all of which may impact waste management practices in Texas

75 FR 19645 - Enterprise Texas Pipeline LLC; Notice of Petition for Rate Approval

Science.gov (United States)

2010-04-15

... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [Docket No. PR10-14-000] Enterprise..., 2010, Enterprise Texas Pipeline LLC (Enterprise Texas) filed a petition for rate approval pursuant to section 284.123(b)(2) of the Commission's regulations. Enterprise Texas proposes rates of $0.6090 per...

American College of Medical Toxicology

Science.gov (United States)

... Publications Journal of Medical Toxicology About ACMT About Us History of ACMT ACMT Fact Sheet Strategic Plan ACMT ... Policies IJMT JMT Editorial Board About ACMT About Us History of ACMT ACMT Fact Sheet Strategic Plan ACMT ...

Analysis of KROTOS KS-2 and KS-4 steam explosion experiments with TEXAS-VI

Energy Technology Data Exchange (ETDEWEB)

Chen, Ronghua, E-mail: rhchen@mail.xjtu.edu.cn [State Key Laboratory of Multiphase Flow in Power Engineering, School of Nuclear Science and Technology, Xi’an Jiaotong University, Xi’an 710049 (China); Wang, Jun [Nuclear Engineering and Engineering Physics, College of Engineering, University of Wisconsin Madison, WI 53706 (United States); Su, G.H.; Qiu, Suizheng [State Key Laboratory of Multiphase Flow in Power Engineering, School of Nuclear Science and Technology, Xi’an Jiaotong University, Xi’an 710049 (China); Corradini, M.L., E-mail: Corradini@engr.wisc.edu [Nuclear Engineering and Engineering Physics, College of Engineering, University of Wisconsin Madison, WI 53706 (United States)

2016-12-01

Highlights: • The KS-2 and KS-4 steam explosion experiments were analyzed by TEXAS-VI. • The coarse mixing status up to the explosion triggering time was well predicted by TEXAS-VI. • The predicted dynamic explosion pressure was in good agreement with the experimental results. - Abstract: TEXAS-VI is a transient, three-field, one-dimensional mechanistic model for the steam explosion phenomena. A fuel solidification model and associated fragmentation criteria of the solidifying particle for both the mixing phase and explosion phase were developed and incorporated into TEXAS-VI to account for solidification. In the present study, TEXAS-VI was used to analyze the KS-2 and KS-4 steam explosion experiments, which were performed in the KROTOS facility as part of the OECD-SERENA-2 program. In the simulation, the KROTOS experimental facility was modeled as Eulerian control volumes based on the facility geometry. The molten corium jet was divided up into a series of LaGrangian master particles equal to the initial jet diameter. Both the mixing phase and the explosion phase of the experiments were simulated by TEXAS-VI. Comparison to test data indicates that the fuel jet kinematics and the vapor volume during the mixing phase were well predicted by TEXAS-VI. The TEXAS-VI prediction of the dynamic explosion pressure at different axial locations in the test was also in good agreement with the experimental results. The maximum pressure of KS-2 and KS-4 predicted by TEXAS-VI were 16.7 MPa and 41.9 MPa, respectively. The KS-4 maximum steam explosion pressure predicted by TEXAS-VI was higher than that of KS-2, which was consistent with experiment observation. The observed differences of the dynamic explosion pressure between the KS-2 and KS-4 experiments were also successfully simulated by TEXAS-VI. This suggests that TEXAS-VI is able to analyze the effect of prototypic melt compositions on the steam explosion phenomena. Additional benchmarking and evaluations are ongoing.

Industrial and medical applications of accelerators with energies less than 20 MeV

International Nuclear Information System (INIS)

Duggan, J.L.

1983-01-01

In this paper the medical and industrial application of small accelerators is reviewed. Most of the material is taken from the Seventh Conference on the Application of Accelerators in Research and Industry, which was held in Denton, Texas in November of 1982. The areas covered include medical linacs, cyclotron design and production of medical radioisotopes, radiation processing, ion implantation for the metallurgical and semiconductor industries, oil and mineral exploration, trace, surface and bulk analysis, and unique accelerators for all of the above applications

7 CFR 1160.105 - Board.

Science.gov (United States)

2010-01-01

... and Orders; Milk), DEPARTMENT OF AGRICULTURE FLUID MILK PROMOTION PROGRAM Fluid Milk Promotion Order Definitions § 1160.105 Board. Board means the National Processor Advertising and Promotion Board established... Promotion Board or Board). ...

Atomic Energy Control Board vocabulary - preliminary edition

International Nuclear Information System (INIS)

Nolet, D.

1995-09-01

This preliminary edition was prepared at the Board's request to help it establish a standardized terminology. It was produced by scanning the 99 French and English documents listed at the end of this Vocabulary. The documents include legislation concerning atomic energy and the transportation of radioactive materials, as well as the Board's publications, such as the Consultative Documents, Regulatory Documents and Notices. The terms included from the following areas are: radiation protection, reactor technology, nuclear fuel cycle, radioactive material packaging and transportation, radioactive waste management, uranium mines, and medical and industrial applications of radioelements. Also included are the titles of publications and the names of organizations and units. The vocabulary contains 2,589 concepts, sometimes accompanied by definitions, contexts or usage examples. Where terms have been standardized by the Canadian Committee for the Standardization of Nuclear Terminology, this has been indicated. Where possible, we have verified the terms using the TERMIUM, the Government of Canada Linguistic Data Bank. (author)

In Memoriam: Dr. Frank John Fenner

Centers for Disease Control (CDC) Podcasts

2011-04-22

This podcast reflects on one of the greatest pioneers in virology, Dr. Frank John Fenner. Dr. Frederick Murphy, a member of EID's editorial board and the Institute of Medicine, and professor of Pathology at the University of Texas Medical Branch in Galveston, shares professional and personal stories of Dr. Frank Fenner.  Created: 4/22/2011 by National Center for Emerging Zoonotic and Infectious Diseases (NCEZID).   Date Released: 4/26/2011.

Establishing a Research and Evaluation Capability for the Joint Medical Education and Training Campus

OpenAIRE

Kirby, Sheila Nataraj; Marsh, Julie A.; Thie, Harry J.

2011-01-01

In calling for the transformation of military medical education and training, the 2005 Base Realignment and Closure Commission recommended relocating basic and specialty enlisted medical training to a single site to take advantage of economies of scale and the opportunity for joint training. As a result, a joint medical education and training campus (METC) has been established at Fort Sam Houston, Texas. Two of METC's primary long-term goals are to become a high-performing learning organizati...

77 FR 58025 - Texas Regulatory Program

Science.gov (United States)

2012-09-19

... appropriation. When calculating anticipated costs to the Commission for regulating coal mining activity, Texas... (c) Does not have significant adverse effects on competition, employment, investment, productivity...

Decision-Making Processes in Texas School Districts That Arm Personnel

Science.gov (United States)

Domain, Melinda Willoughby

2014-01-01

This qualitative phenomenological study employed narrative inquiry to describe the decision-making processes that Texas school districts followed in enacting firearms policies that allow school employees to carry concealed weapons on district property. Exploration of the lived experiences of eight Texas superintendents in such schools contributed…

Residential Energy Efficiency Potential: Texas

Energy Technology Data Exchange (ETDEWEB)

Wilson, Eric J [National Renewable Energy Laboratory (NREL), Golden, CO (United States)

2017-11-02

Energy used by Texas single-family homes that can be saved through cost-effective improvements. Prepared by Eric Wilson and Noel Merket, NREL, and Erin Boyd, U.S. Department of Energy Office of Energy Policy and Systems Analysis.

Qualifying cogeneration in Texas and Louisiana

International Nuclear Information System (INIS)

Jenkins, S.C.; Cabe, R.; Stauffaeher, J.J.

1992-01-01

This paper reports that cogeneration of electricity and useful thermal energy by industrials along the Gulf Coast grew significantly more rapidly than in other parts of the country during and immediately following World War II as a result of the concentration of chemical and plastics processing facilities there. In 1982, Texas passed its version of PURPA, the Public Utility Regulatory Act (PURA) and designated those non-utility generators from which public utilities must purchase electricity as Qualifying Cogenerators. In 1991, there were nearly 7,500 MW of QF power generated for inside-the-fence use or firm capacity sale to utilities, with the two largest utilities in Texas purchasing over half that amount

The Effect of Computer Automation on Institutional Review Board (IRB) Office Efficiency

Science.gov (United States)

Oder, Karl; Pittman, Stephanie

2015-01-01

Companies purchase computer systems to make their processes more efficient through automation. Some academic medical centers (AMC) have purchased computer systems for their institutional review boards (IRB) to increase efficiency and compliance with regulations. IRB computer systems are expensive to purchase, deploy, and maintain. An AMC should…

The impact of the board's strategy-setting role on board-management relations and hospital performance.

Science.gov (United States)

Büchner, Vera Antonia; Schreyögg, Jonas; Schultz, Carsten

2014-01-01

The appropriate governance of hospitals largely depends on effective cooperation between governing boards and hospital management. Governing boards play an important role in strategy-setting as part of their support for hospital management. However, in certain situations, this active strategic role may also generate discord within this relationship. The objective of this study is to investigate the impact of the roles, attributes, and processes of governing boards on hospital performance. We examine the impact of the governing board's strategy-setting role on board-management collaboration quality and on financial performance while also analyzing the interaction effects of board diversity and board activity level. The data are derived from a survey that was sent simultaneously to German hospitals and their associated governing board, combined with objective performance information from annual financial statements and quality reports. We use a structural equation modeling approach to test the model. The results indicate that different board characteristics have a significant impact on hospital performance (R = .37). The strategy-setting role and board-management collaboration quality have a positive effect on hospital performance, whereas the impact of strategy-setting on collaboration quality is negative. We find that the positive effect of strategy-setting on performance increases with decreasing board diversity. When board members have more homogeneous backgrounds and exhibit higher board activity levels, the negative effect of the strategy-setting on collaboration quality also increases. Active strategy-setting by a governing board may generally improve hospital performance. Diverse members of governing boards should be involved in strategy-setting for hospitals. However, high board-management collaboration quality may be compromised if managerial autonomy is too highly restricted. Consequently, hospitals should support board-management collaboration about

Tracking the Career Paths of Physics Teachers in Texas

Science.gov (United States)

Mount, Jennifer; Marshall, Jill; Fuller, Edward

2013-01-01

In Texas, and some other states, there is a documented shortage of physics teachers, in terms of both number and qualifications. The shortage in Texas is due as much to teachers leaving the field (attrition) as to a lack of teachers entering. There are efforts under way to prepare more and better-qualified physics teachers who will stay in the…

Regulating Abortion: Impact on Patients and Providers in Texas

Science.gov (United States)

Colman, Silvie; Joyce, Ted

2011-01-01

The State of Texas began enforcement of the Woman's Right to Know (WRTK) Act on January 1, 2004. The law requires that all abortions at or after 16 weeks' gestation be performed in an ambulatory surgical center (ASC). In the month the law went into effect, not one of Texas's 54 nonhospital abortion providers met the requirements of a surgical…

Noteworthy: Fortune 500: Texas ties California for national lead

OpenAIRE

Michael Nicholson

2010-01-01

According to the 2010 Fortune 500, released in April, Texas hosts the headquarters of 57 of the nation's 500 largest companies, ranked by gross revenues. Texas secured its place as a Fortune 500 leader through its position as focal point of the domestic energy industry, its relatively strong economic growth over the past decade, and its relatively low tax rates and living costs.

Perspectives on medical malpractice self-insurance financial reporting.

Science.gov (United States)

Frese, Richard C; Kitchen, Patrick J

2012-11-01

Financial reporting of medical malpractice self-insurance is evolving. The Financial Accounting Standards Board Accounting Standards Codification Section 954-450-25 provides guidance for accounting and financial reporting for medical malpractice. Discounting of medical malpractice liabilities has been reassessed in recent years. Malpractice litigation reform efforts continue in several states. Accountable care organizations could increase the frequency of medical malpractice claims because of patients' heightened expectations regarding quality of care.

Use of Nondisclosure Agreements in Medical Malpractice Settlements by a Large Academic Health Care System.

Science.gov (United States)

Sage, William M; Jablonski, Joseph S; Thomas, Eric J

2015-07-01

Honesty and transparency are essential aspects of health care, including in physicians' and hospitals' responses to medical error. Biases and habits associated with medical malpractice litigation, however, may work at cross-purposes with compassion in clinical care and with efforts to improve patient safety. To determine the frequency of nondisclosure agreements in medical malpractice settlements and the extent to which the restrictions in these agreements seem incompatible with good patient care. We performed a retrospective review of medical malpractice claim files, including settlement agreements, for claims closed before (fiscal year 2001-2002), during (fiscal year 2006-2007), and after (fiscal years 2009-2012) the implementation of tort reform in Texas. We studied The University of Texas System, which self-insures malpractice claims that involve 6000 physicians at 6 medical campuses in 5 cities. Nondisclosure provisions in medical malpractice settlements. During the 5 study years, The University of Texas System closed 715 malpractice claims and made 150 settlement payments. For the 124 cases that met our selection criteria, the median compensation paid by the university was $100,000 (range, $500-$1.25 million), and the mean compensation was $185,372. A total of 110 settlement agreements (88.7%) included nondisclosure provisions. All the nondisclosure clauses prohibited disclosure of the settlement terms and amount, 61 (55.5%) prohibited disclosure that the settlement had been reached, 51 (46.4%) prohibited disclosure of the facts of the claim, 29 (26.4%) prohibited reporting to regulatory agencies, and 10 (9.1%) prohibited disclosure by the settling physicians and hospitals, not only by the claimant. Three agreements (2.7%) included specific language that prohibited the claimant from disparaging the physicians or hospitals. The 50 settlement agreements signed after tort reform took full effect in Texas (2009-2012) had stricter nondisclosure provisions than the

A comparison of crashes and fatalities in Texas by age group : selected cities in Texas.

Science.gov (United States)

2012-10-01

In recent decades, great strides have been made to lower the number of accidents that occur on Texas roadways through graduated drivers licensing programs, messages against texting and driving, and discouraging drunk driving. Statistics show that you...

BLM/OCS South Texas Outer Continental Shelf (STOCS) Project Sediment Data

Data.gov (United States)

National Oceanic and Atmospheric Administration, Department of Commerce — The South Texas Outer Continental Shelf Project (STOCS) conducted by the University of Texas and the USGS with funding from BLM/NOAA. The USGS produced geochemical...

It's about time : investing in transportation to keep Texas economically competitive.

Science.gov (United States)

2011-03-01

This current report, It's About Time: Investing in Transportation to Keep Texas : Economically Competitive, updates the February 2009 report by providing : an enhanced analysis of the current state of the Texas transportation system, : determining th...

STS-2 medical report

International Nuclear Information System (INIS)

Pool, S.L.; Johnson, P.C. Jr.; Mason, J.A.

1982-05-01

All medically related activities of the Space Transportation System 2 flight are described, ranging from preflight to postflight. Several medical problems occured during the flight. There was marginal operation on-board potable water system caused by a malfunctioning fuel cell. Work and rest cycles by the crew were altered to maximize the scientific data acquisition. Inadequate time was allocated for food preparation and consumption. There was low water intake by the crew because of the water shortage

Texas Academy of Mathematics and Science: 25 Years of Early College STEM Opportunities

Science.gov (United States)

Sayler, Michael F.

2015-01-01

The University of North Texas's Texas Academy of Mathematics and Science began admitting students to its 2-year early college entrance science, technology, engineering, and mathematics (STEM) program in the fall of 1988. This program provided accelerated entry for top students in Texas in the areas of mathematics and science. Approximately 200…

Evaluations of NOx and highly reactive VOC emission inventories in Texas and their implications for ozone plume simulations during the Texas Air Quality Study 2006

NARCIS (Netherlands)

Kim, S.-W.; McKeen, S.A.; Frost, G.J.; Lee, S.-H.; Trainer, M.; Richter, A.; Angevine, W. M.; Atlas, E.; Bianco, L.; Boersma, K.F.; Brioude, J.; Burrow, J.P.; Gouw, de J.; Fried, A.; Gleason, J.F.; Hilboll, A.; Mellqvist, J.; Peischl, J.; Richter, D.; Rivera, C.; Ryerson, T.; Lintel Hekkert, te L.; Walega, J.; Warneke, C.; Weibring, P.; Williams, E.

2011-01-01

Satellite and aircraft observations made during the 2006 Texas Air Quality Study (TexAQS) detected strong urban, industrial and power plant plumes in Texas. We simulated these plumes using the Weather Research and Forecasting-Chemistry (WRF-Chem) model with input from the US EPA's 2005 National

33 CFR 110.197 - Galveston Harbor, Bolivar Roads Channel, Texas.

Science.gov (United States)

2010-07-01

... 33 Navigation and Navigable Waters 1 2010-07-01 2010-07-01 false Galveston Harbor, Bolivar Roads Channel, Texas. 110.197 Section 110.197 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF... Roads Channel, Texas. (a)(1) Anchorage area (A). The water bounded by a line connecting the following...

Quantifying Potential Groundwater Recharge In South Texas

Science.gov (United States)

Basant, S.; Zhou, Y.; Leite, P. A.; Wilcox, B. P.

2015-12-01

Groundwater in South Texas is heavily relied on for human consumption and irrigation for food crops. Like most of the south west US, woody encroachment has altered the grassland ecosystems here too. While brush removal has been widely implemented in Texas with the objective of increasing groundwater recharge, the linkage between vegetation and groundwater recharge in South Texas is still unclear. Studies have been conducted to understand plant-root-water dynamics at the scale of plants. However, little work has been done to quantify the changes in soil water and deep percolation at the landscape scale. Modeling water flow through soil profiles can provide an estimate of the total water flowing into deep percolation. These models are especially powerful with parameterized and calibrated with long term soil water data. In this study we parameterize the HYDRUS soil water model using long term soil water data collected in Jim Wells County in South Texas. Soil water was measured at every 20 cm intervals up to a depth of 200 cm. The parameterized model will be used to simulate soil water dynamics under a variety of precipitation regimes ranging from well above normal to severe drought conditions. The results from the model will be compared with the changes in soil moisture profile observed in response to vegetation cover and treatments from a study in a similar. Comparative studies like this can be used to build new and strengthen existing hypotheses regarding deep percolation and the role of soil texture and vegetation in groundwater recharge.

Texas floods of 1940

Science.gov (United States)

Breeding, Seth D.

1948-01-01

Floods occurred in Texas during, June, July, and November 1940 that exceeded known stages on many small streams and at a few places on the larger streams. Stages at several stream-gaging stations exceeded the maximum known at those places since the collection of daily records began. A storm, haying its axis generally on a north-south line from Cameron to Victoria and extending across the Brazos, Colorado, Lavaca, and Guadalupe River Basins, caused heavy rainfall over a large part of south-central Texas. The maximum recorded rain of 22.7 inches for the 2-day period June 29-30 occurred at Engle. Of this amount, 17.5 inches fell in the 12-hour period between 8 p.m. June 29, and 8 a.m. June 30. Light rains fell at a number of places on June 28, and additional light rains fell at many places within the area from July 1 to 4. During the period June 28 to July 4 more than 20 inches of rain fell over an area of 300 square miles, more than 15 inches over 1,920 square miles, and more than 10 inches over 5,100 square miles. The average annual rainfall for the area experiencing the heaviest rainfall during this storm is about 35 inches. Farming is largely confined to the fertile flood plains in much of the area subjected to the record-breaking floods in June and July. Therefore these floods, coming at the height of the growing season, caused severe losses to crops. Much damage was done also to highways and railways. The city of Hallettsville suffered the greatest damage of any urban area. The Lavaca River at that place reached a stage 8 feet higher than ever known before, drowned several people, destroyed many homes, and submerged almost the entire business district. The maximum discharge there was 93,100 second-feet from a drainage area of 101 square miles. Dry Creek near Smithville produced a maximum discharge of 1,879 second-feet from an area of 1.48 square miles and a runoff of 11.3 inches in a 2-day period from a rainfall of 19.5 inches. The area in the Colorado River

Odor and the Clean Air Act

International Nuclear Information System (INIS)

Morse, H.N.

1993-01-01

The case described in this paper involves the interpretation of language contained in the Texas Clean Air Act Texas Health and Safety Code Ann. Sections 382.001-382.141. The State of Texas, on behalf of the Texas Air Control Board, brought suit in the District Court of Erath County, Texas against the F/R Cattle Company, Inc., alleging that, because of odors emanating from the company's cattle feeding facility, the company was violating the Clean Air Act. The Board is granted the power and duty to administer the Clean Air Act and is directed to accomplish the purposes of the Act through the control of air contaminants by all practical and economically feasible methods. Described here is the evidence presented at and proceedings of the trial

Impact of the clinical ultrasound elective course on retention of anatomical knowledge by second-year medical students in preparation for board exams.

Science.gov (United States)

Kondrashov, Peter; Johnson, Jane C; Boehm, Karl; Rice, Daris; Kondrashova, Tatyana

2015-03-01

Ultrasound has been integrated into a gross anatomy course taught during the first year at an osteopathic medical school. A clinical ultrasound elective course was developed to continue ultrasound training during the second year of medical school. The purpose of this study was to evaluate the impact of this elective course on the understanding of normal anatomy by second-year students. An anatomy exam was administered to students enrolled in the clinical ultrasound elective course before the start of the course and after its conclusion. Wilcoxon signed ranks tests were used to determine whether exam scores changed from the pre-test to the post-test. Scores from two classes of second-year students were analyzed. Students who took the elective course showed significant improvement in the overall anatomy exam score between the pre-test and post-test (P students with an important review of key anatomical concepts while preparing them for board exams. Our results suggested that more emphasis should be placed on head and neck ultrasound to improve student performance in those areas. Musculoskeletal, abdominal, and heart ultrasound labs were more successful for retaining relevant anatomical information. © 2014 Wiley Periodicals, Inc.

Bm86 midgut protein sequence variation in South Texas cattle fever ticks

Directory of Open Access Journals (Sweden)

Kammlah Diane M

2010-11-01

Full Text Available Abstract Background Cattle fever ticks, Rhipicephalus (Boophilus microplus and R. (B. annulatus, vector bovine and equine babesiosis, and have significantly expanded beyond the permanent quarantine zone established in South Texas. Currently, there are no vaccines approved for use within the United States for controlling these vectors. Vaccines developed in Australia and Cuba based on the midgut antigen Bm86 have variable efficacy against cattle fever ticks. A possible explanation for this variation in vaccine efficacy is amino acid sequence divergence between the recombinant Bm86 vaccine component and native Bm86 expressed in ticks from different geographical regions of the world. Results There was 91.8% amino acid sequence identity in Bm86 among R. microplus and R. annulatus sequenced from South Texas infestations. When South Texas isolates were compared to the Australian Yeerongpilly and Cuban Camcord vaccine strains, there was 89.8% and 90.0% identity, respectively. Most of the sequence divergence was focused in one region of the protein, amino acids 206-298. Hydrophilicity profiles revealed that two short regions of Bm86 (amino acids 206-210 and 560-570 appear to be more hydrophilic in South Texas isolates compared to vaccine strains. Only one amino acid difference was found between South Texas and vaccine strains within two previously described B-cell epitopes. A total of 4 amino acid differences were observed within three peptides previously shown to induce protective immune responses in cattle. Conclusions Sequence differences between South Texas isolates and Yeerongpilly and Camcord strains are spread throughout the entire Bm86 sequence, suggesting that geographic variation does exist. Differences within previously described B-cell epitopes between South Texas isolates and vaccine strains are minimal; however, short regions of hydrophilic amino acids found unique to South Texas isolates suggest that additional unique surface exposed

Motives and Power of School Board Members: Implications for School Board-Superintendent Relationships

Science.gov (United States)

Mountford, Meredith

2004-01-01

The qualitative study presented in this article explores motivations for school board membership and conceptions of power held by school board members. The findings of the study suggest a relationship exists between the way board members define power and the type of motivation board members have for service. The implications of these findings for…

Financial assurance for decontamination and decommissioning: a Texas perspective

International Nuclear Information System (INIS)

Rao, C.D.; Etter, S.D.; Dziuk, T.W.

1986-01-01

The Texas Department of Health (TDH) has the regulatory responsibility to ensure that funds are available for decontamination, decommissioning, and reclamation of uranium recovery facilities in Texas. Uranium recovery licensees are required to post financial security with the Agency for that purpose. Texas uranium facilities include (1) conventional surface mining and milling plants, including tailings ponds, and (2) in situ solution mining plants, each with somewhat different cost elements for decontamination, decommissioning, reclamation, and closure. Cost estimates for decontamination, decommissioning, and reclamation, along with a facility closure plan, are initially submitted to the Agency by the licensees. These are verified and compared with detailed independent cost estimates prepared by Agency staff. Significant differences between the two estimates are examined and resolved by negotiation and/or recalculation to the satisfaction of the state. The Texas philosophy for maintaining financial security permits flexibility in the closure plan without jeopardizing or compromising the ultimate long-term objectives of closure. Review of closure plans incorporates new technological developments In contrast, financial security is established expeditiously by applying the best available cost data to necessarily conservative estimates of the work involved. Financial security cost estimates are subject to annual review and adjustment

77 FR 2541 - Board Meeting

Science.gov (United States)

2012-01-18

... FARM CREDIT SYSTEM INSURANCE CORPORATION Board Meeting AGENCY: Farm Credit System Insurance Corporation Board; Regular Meeting. SUMMARY: Notice is hereby given of the regular meeting of the Farm Credit System Insurance Corporation Board (Board). DATE AND TIME: The meeting of the Board will be held at the...

HEALTH INSURANCE SCHEME -- announcement from the CHIS Board

CERN Document Server

2005-01-01

A number of members of our Health Insurance Scheme are currently experiencing difficulties getting reimbursement for consulting an acupuncture practitioner. The CHIS Board wishes to remind you that in order to be reimbursed, you must receive your acupuncture treatment from doctors recognised by the competent authorities of the country in which they have their medical practice. In Switzerland, these are people possessing the title of doctor of medicine recognised by the Swiss Medical Association (FMH). Treatment provided by medical auxiliaries must be prescribed beforehand by a recognised doctor. As the practitioner in question is currently not recognised as a doctor in Switzerland, his services are not reimbursed. In order to avoid any inconvenience, we advise you to contact uniqa before undergoing such treatment. You will find all details concerning reimbursement of complementary medicine (acupuncture, chiropractic, osteopathy and ethiopathy) in CHISbull’ No. 18 dated November 2004, which can ...

HEALTH INSURANCE SCHEME - announcement from the CHIS Board

CERN Multimedia

2005-01-01

A number of members of our Health Insurance Scheme are currently experiencing difficulties getting reimbursement for consulting an acupuncture practitioner. The CHIS Board wishes to remind you that in order to be reimbursed, you must receive your acupuncture treatment from doctors recognised by the competent authorities of the country in which they have their medical practice. In Switzerland, these are people possessing the title of doctor of medicine recognised by the Swiss Medical Association (FMH). Treatment provided by medical auxiliaries must be prescribed beforehand by a recognised doctor. As the practitioner in question is currently not recognised as a doctor in Switzerland, his services are not reimbursed. In order to avoid any inconvenience, we advise you to contact uniqa before undergoing such treatment. You will find all details concerning reimbursement of complementary medicine (acupuncture, chiropractic, osteopathy and ethiopathy) in CHISbull' No. 18 dated November 2004, which can also be co...

Closing the Gaps: 2014 Progress Report. College for All Texans

Science.gov (United States)

Texas Higher Education Coordinating Board, 2014

2014-01-01

"Closing the Gaps: The Texas Higher Education Plan" was adopted in October 2000 by the Texas Higher Education Coordinating Board (THECB). The goal of the "Closing the Gaps" ("CTG") plan is to close educational gaps in participation, success, excellence, and research within Texas and between Texas and other states by…

Does Board Diversity Really Matter?

DEFF Research Database (Denmark)

Rose, Caspar; Munch-Madsen, Peter; Funch, Maja

2013-01-01

We study the impact of female board representation as well as citizenship on corporate performance based on a sample of the largest listed firms in the Nordic countries as well as Germany. We also seek to determine the variation of board structures using factor analysis. We find no support for any...... performance impact relating to female board representation. However, we find an impact of board citizenship on performance showing that board members with a background from common law have a significant positive influence on corporate performance measured as ROA, ROE and ROCE. Consistent with other studies we...... also document that large boards impact corporate performance negatively. Moreover we also show that data set on boards can be explained by four underlying factors. This article adds insight to board determinants of corporate performance as well as the classification of board variation. Specifically...

Procedural aspects of the organization of the comprehensive European Board of Ophthalmology Diploma examination

Directory of Open Access Journals (Sweden)

Danny G.P. Mathysen

2016-07-01

Full Text Available The comprehensive European Board of Ophthalmology Diploma (EBOD examination is one of 38 European medical specialty examinations. This review aims at disclosing the specific procedures and content of the EBOD examination. It is a descriptive study summarizing the present organization of the EBOD examination. It is the 3rd largest European postgraduate medical assessment after anaesthesiology and cardiology. The master language is English for the Part 1 written test (knowledge test with 52 modified type X multiple-choice questions (in the past the written test was also available in French and German. Ophthalmology training of minimum 4 years in a full or associated European Union of Medical Specialists (UEMS member state is a prerequisite. Problem-solving skills are tested in the Part 2 oral assessment, which is a viva of 4 subjects conducted in English with support for native language whenever feasible. The comprehensive EBOD examination is one of the leading examinations organized by UEMS European Boards or Specialist Sections from the point of number of examinees, item banking, and item contents.

Comparison Between Emergency Department and Inpatient Nurses’ Perceptions of Boarding of Admitted Patients

Science.gov (United States)

Pulliam, Bryce C.; Liao, Mark Y.; Geissler, Theodore M.; Richards, John R.

2013-01-01

Introduction: The boarding of admitted patients in the emergency department (ED) is a major cause of crowding and access block. One solution is boarding admitted patients in inpatient ward (W) hallways. This study queried and compared ED and W nurses’ opinions toward ED and W boarding. It also assessed their preferred boarding location if they were patients. Methods: A survey administered to a convenience sample of ED and W nurses was performed in a 631-bed academic medical center (30,000 admissions/year) with a 68-bed ED (70,000 visits/ year). We identified nurses as ED or W, and if W, whether they had previously worked in the ED. The nurses were asked if there were any circumstances where admitted patients should be boarded in ED or W hallways. They were also asked their preferred location if they were admitted as a patient. Six clinical scenarios were then presented, and the nurses’ opinions on boarding based on each scenario were queried. Results: Ninety nurses completed the survey, with a response rate of 60%; 35 (39%) were current ED nurses (cED), 40 (44%) had previously worked in the ED (pED). For all nurses surveyed 46 (52%) believed admitted patients should board in the ED. Overall, 52 (58%) were opposed to W boarding, with 20% of cED versus 83% of current W (cW) nurses (P boarding, with 82% of cED versus 33% of cW nurses (P boarding were lack of monitoring and patient privacy. For the 6 clinical scenarios, significant differences in opinion regarding W boarding existed in all but 2 cases: a patient with stable chronic obstructive pulmonary disease but requiring oxygen, and an intubated, unstable sepsis patient. Conclusion: Inpatient nurses and those who have never worked in the ED are more opposed to inpatient boarding than ED nurses and nurses who have worked previously in the ED. Primary nursing concerns about boarding are lack of monitoring and privacy in hallway beds. Nurses admitted as patients seemed to prefer not being boarded where they work

Comparison between emergency department and inpatient nurses' perceptions of boarding of admitted patients.

Science.gov (United States)

Pulliam, Bryce C; Liao, Mark Y; Geissler, Theodore M; Richards, John R

2013-03-01

The boarding of admitted patients in the emergency department (ED) is a major cause of crowding and access block. One solution is boarding admitted patients in inpatient ward (W) hallways. This study queried and compared ED and W nurses' opinions toward ED and W boarding. It also assessed their preferred boarding location if they were patients. A survey administered to a convenience sample of ED and W nurses was performed in a 631-bed academic medical center (30,000 admissions/year) with a 68-bed ED (70,000 visits/ year). We identified nurses as ED or W, and if W, whether they had previously worked in the ED. The nurses were asked if there were any circumstances where admitted patients should be boarded in ED or W hallways. They were also asked their preferred location if they were admitted as a patient. Six clinical scenarios were then presented, and the nurses' opinions on boarding based on each scenario were queried. Ninety nurses completed the survey, with a response rate of 60%; 35 (39%) were current ED nurses (cED), 40 (44%) had previously worked in the ED (pED). For all nurses surveyed 46 (52%) believed admitted patients should board in the ED. Overall, 52 (58%) were opposed to W boarding, with 20% of cED versus 83% of current W (cW) nurses (P boarding, with 82% of cED versus 33% of cW nurses (P boarding were lack of monitoring and patient privacy. For the 6 clinical scenarios, significant differences in opinion regarding W boarding existed in all but 2 cases: a patient with stable chronic obstructive pulmonary disease but requiring oxygen, and an intubated, unstable sepsis patient. Inpatient nurses and those who have never worked in the ED are more opposed to inpatient boarding than ED nurses and nurses who have worked previously in the ED. Primary nursing concerns about boarding are lack of monitoring and privacy in hallway beds. Nurses admitted as patients seemed to prefer not being boarded where they work. ED and inpatient nurses seemed to agree that

Health-hazard evaluation report HETA 86-456-1877, South Texas Nuclear Project, Wadsworth, Texas

International Nuclear Information System (INIS)

Sinks, T.H.; Hartle, R.W.

1988-03-01

An evaluation was made of an outbreak of dermatitis among workers at the South Texas Nuclear Project construction site, Wadsworth, Texas. The dermatitis occurred ten times more frequently among carpenters than other laborers, with the incidence in 1986 being 250% greater than it was in 1985. Some workers demonstrated pruritic, macular/papular lesions. Carpenters working on the inside of the power-project buildings had a higher incidence of skin disease than those employed on the outside of the buildings. Samples of plywood and lumber treated with fire-retardant indicated that they contained 3 and 5% phosphate, respectively. Arsenic was not detected but formaldehyde was detected at 59 parts per million. General environmental air samples were taken with no evidence found of airborne phosphate, melamine, dicyandiamide, or formaldehyde. Concentrations of total particulates ranged from 0.1 to 0.6mg/m 3 . The authors conclude that the workers were probably suffering from a contact dermatitis. The authors recommend specific precautions

Hospital boards and hospital strategic focus: the impact of board involvement in strategic decision making.

Science.gov (United States)

Ford-Eickhoff, Karen; Plowman, Donde Ashmos; McDaniel, Reuben R

2011-01-01

Despite pressures to change the role of hospital boards, hospitals have made few changes in board composition or director selection criteria. Hospital boards have often continued to operate in their traditional roles as either "monitors" or "advisors." More attention to the direct involvement of hospital boards in the strategic decision-making process of the organizations they serve, the timing and circumstances under which board involvement occurs, and the board composition that enhances their abilities to participate fully is needed. We investigated the relationship between broader expertise among hospital board members, board involvement in the stages of strategic decision making, and the hospital's strategic focus. We surveyed top management team members of 72 nonacademic hospitals to explore the participation of critical stakeholder groups such as the board of directors in the strategic decision-making process. We used hierarchical regression analysis to explore our hypotheses that there is a relationship between both the nature and involvement of the board and the hospital's strategic orientation. Hospitals with broader expertise on their boards reported an external focus. For some of their externally-oriented goals, hospitals also reported that their boards were involved earlier in the stages of decision making. In light of the complex and dynamic environment of hospitals today, those charged with developing hospital boards should match the variety in the external issues that the hospital faces with more variety in board makeup. By developing a board with greater breadth of expertise, the hospital responds to its complex environment by absorbing that complexity, enabling a greater potential for sensemaking and learning. Rather than acting only as monitors and advisors, boards impact their hospitals' strategic focus through their participation in the strategic decision-making process.

76 FR 62087 - Draft Conservation Plan and Draft Environmental Assessment; Dunes Sagebrush Lizard, Texas

Science.gov (United States)

2011-10-06

...] Draft Conservation Plan and Draft Environmental Assessment; Dunes Sagebrush Lizard, Texas AGENCY: Fish... draft Texas Conservation Plan for the Dunes Sagebrush Lizard (TCP). The draft TCP will function as a... the Applicant for the dunes sagebrush lizard (Sceloporus arenicolus) throughout its range in Texas...

Biogeochemical Impact of Hurricane Harvey on Texas Coastal Lagoons

Science.gov (United States)

Montagna, P.; Hu, X.; Walker, L.; Wetz, M.

2017-12-01

Hurricane Harvey made landfall Friday 25 August 2017 as a Category 4 hurricane, which is the strongest hurricane to hit the middle Texas coast since Carla in 1961. After the wind storm and storm surge, coastal flooding occurred due to the storm lingering over Texas for four more days, dumping as much as 50" of rain near Houston, producing 1:1000 year flood event. The Texas coast is characterized by lagoons behind barrier islands, and their ecology and biogeochemistry are strongly influenced by coastal hydrology. The ensuing inflow event replaced brackish water with fresh water that was high in inorganic an organic matter, significantly enhancing respiration of coastal blue carbon, and dissolved oxygen went to zero for a long period of time. Recovery will likely take months or nearly one year.

Assessment of the economic implications of 10CFR61 on the south Texas project

International Nuclear Information System (INIS)

Kniazewyez, B.G.; Turner, C.M.

1984-01-01

The State of Texas, as an Agreement State, is developing Texas Part 45, ''Licensing Requirements fo Near-Surface Land Disposal of Radioactive Waste'' to implement the intent of the Nuclear Regulatory Commission's (NRC) Title 10 to the Code of Federal Regulations, Part 61 (10CFR61) ''Licensing Requirement for Land Disposal of Radioactive Waste.'' This paper addresses the potential economic impact of the proposed Texas Part 45 and 10CFR61 on the South Texas Project (STP). The Texas Department of Health is developing the proposed rule making Texas Part 45 pertaining to land disposal of radioactive waste, which together with proposed amendments to related portions of Texas Parts 11 and 21, provide the licensing procedures, performance objectives, and technical criteria for licensing disposal facilities. These regulations establish requirements concerning allowable waste forms, classification, packaging, and labeling of waste, as well as acceptable shipping records and manifests. Thus, the regulations' impact upon a nuclear power plant such as STP include not only shipping and disposal costs, but also the costs of proper preparation, classification, and labeling of waste, and the cost of associated record keeping and paperwork required for compliance with the regulations

Advancing technician practice: Deliberations of a regulatory board.

Science.gov (United States)

Adams, Alex J

2018-01-01

In 2016, the Idaho State Board of Pharmacy (U.S.) undertook a major rulemaking initiative to advance pharmacy practice by broadening the ability of pharmacists to delegate tasks to pharmacy technicians. The new rules of the Board thus moved the locus of control in technician scope of practice from law to pharmacist delegation. Pharmacist delegation is individualistic and takes into account the individual technician's capabilities, the pharmacist's comfort level, facility policies, and the risk mitigation strategies present at the facility, among other factors. State law limits, by contrast, are rigid and can mean that pharmacists are unable to delegate tasks that are or could otherwise be within the abilities of their technicians. The expanded technician duties are in two domains: 1) medication dispensing support (e.g., tech-check-tech, accepting verbal prescriptions, transferring prescriptions, and performing remote data entry); and 2) technical support for pharmacist clinical services (e.g., administering immunizations). This commentary reviews the evidence behind these expanded duties, as well as the key regulatory decision points for each task. The Board's rules and approach may prove useful to other states and even other governing bodies outside the U.S. as they consider similar issues. Copyright © 2017 Elsevier Inc. All rights reserved.

Potential conflict of interest of editorial board members of five leading spine journals

NARCIS (Netherlands)

Janssen, S.; Bredenoord, AL; Dhert, W.J.A.; de Kleuver, M.; Oner, FC; Verlaan, JJ

2015-01-01

Conflicts of interest arising from ties between pharmaceutical industry and physicians are common and may bias research. The extent to which these ties exist among editorial board members of medical journals is not known. This study aims to determine the prevalence and financial magnitude of

Particle Board and Oriented Strand Board Prepared with Nanocellulose-Reinforced Adhesive

Directory of Open Access Journals (Sweden)

Stefan Veigel

2012-01-01

Full Text Available Adhesives on the basis of urea-formaldehyde (UF and melamine-urea-formaldehyde (MUF are extensively used in the production of wood-based panels. In the present study, the attempt was made to improve the mechanical board properties by reinforcing these adhesives with cellulose nanofibers (CNFs. The latter were produced from dissolving grade beech pulp by a mechanical homogenization process. Adhesive mixtures with a CNF content of 0, 1, and 3 wt% based on solid resin were prepared by mixing an aqueous CNF suspension with UF and MUF adhesives. Laboratory-scale particle boards and oriented strand boards (OSBs were produced, and the mechanical and fracture mechanical properties were investigated. Particle boards prepared with UF containing 1 wt% CNF showed a reduced thickness swelling and better internal bond and bending strength than boards produced with pure UF. The reinforcing effect of CNF was even more obvious for OSB where a significant improvement of strength properties of 16% was found. For both, particle board and OSB, mode I fracture energy and fracture toughness were the parameters with the greatest improvement indicating that the adhesive bonds were markedly toughened by the CNF addition.

Annual compilation and analysis of hydrologic data for Escondido Creek, San Antonio River basin, Texas

Science.gov (United States)

Reddy, D.R.

1971-01-01

IntroductionHistory of Small Watershed Projects in TexasThe U.S. Soil Conservation Service is actively engaged in the installation of flood and soil erosion reducing measures in Texas under the authority of the "Flood Control Act of 1936 and 1944" and "Watershed Protection and Flood Prevention Act" (Public Law 566), as amended. The Soil Conservation Service has found a total of approximately 3,500 floodwater-retarding structures to be physically and economically feasible in Texas. As of September 30, 1970, 1,439 of these structures had been built.This watershed-development program will have varying but important effects on the surface and ground-water resources of river basins, especially where a large number of the floodwater-retarding structures are built. Basic hydrologic data under natural and developed conditions are needed to appraise the effects of the structures on the yield and mode of occurrence of runoff.Hydrologic investigations of these small watersheds were begun by the Geological Survey in 1951 and are now being made in 12 study areas (fig. 1). These investigations are being made in cooperation with the Texas Water Development Board, the Soil Conservation Service, the San Antonio River Authority, the city of Dallas, and the Tarrant County Water Control and Improvement District No. 1. The 12 study areas were chosen to sample watershed having different rainfall, topography, geology, and soils. In five of the study areas, (North, Little Elm, Mukewater, little Pond-North Elm, and Pin Oak Creeks), streamflow and rainfall records were collected prior to construction of the floodwater-retarding structures, thus affording the opportunity for analyses of the conditions "before and after" development. A summary of the development of the floodwater-retarding structures in each study areas of September 30, 1970, is shown in table 1.Objectives of the Texas Small Watersheds ProjectThe purpose of these investigations is to collect sufficient data to meeting the

A Thematic Analysis of Online Discussion Boards for Vasectomy.

Science.gov (United States)

Samplaski, Mary K

2018-01-01

To examine posts on Internet discussion groups related to vasectomies, and identify common ideas through a structured theme analysis. Internet discussion boards were identified using the search term "vasectomy." Three discussion boards were identified as having the most posts and were chosen for analysis. Using an iterative and structured analysis process, each post was analyzed using thematic analysis in 3 steps (open coding, axial coding, and selective coding) to determine common themes. A total of 129 posts were analyzed. The most common posts related to changes in sexual function after vasectomy. The second most common theme was pain after vasectomy. There were also posts about considerations before vasectomy, planning for postvasectomy care, what to expect after vasectomy, potential issues after vasectomy and how to manage these, and feelings about vasectomy. Some of the information present did not have a factual basis. Posts dedicated to postvasectomy pain and sexual dysfunction were of the highest quantity. There was no medical provider input to these discussion boards. Educational efforts should be targeted to these areas and should include a health-care professional. Copyright © 2017 Elsevier Inc. All rights reserved.

Epidemiology of falls in older adults in Texas.

Science.gov (United States)

Alamgir, Hasanat; Wong, Nicole J; Hu, Yueha; Yu, Mo; Marshall, Amanda; Yu, Shicheng

2015-02-01

The expected increase in the US older adult population implies an increased risk of fall-related injury among these individuals. We describe the epidemiology of fall morbidity among older adults in Texas, a large US state with a diverse population base. Texas Behavioral Risk Factor Surveillance System 2010 data were analyzed. The falls outcome was defined as falling: any fall in the past 3 months and a serious fall: a fall resulting in limited activities for at least 1 day or requiring medical attention. A total of 5996 subjects were included in this analysis; 17.6% (n = 1055) reported falling 1 to 5 times in the previous 3 months, and 361 (6%) experienced serious falls. Risk of falling had a significant positive association among respondents who rated their general health as fair to poor (relative risk [RR] 2.39, 95% confidence interval [CI] 1.55-3.68) and a negative association for those who reported regular physical activity (RR 0.59, 95% CI 0.42-0.82). A similar model examined the risk of serious falls and found statistically positive associations in respondents who reported fair or poor general health (RR 3.29, 95% CI 2.00-5.43). Negative associations were found for those who reported regular physical activity (RR 0.56, 95% CI 0.38-0.83) and for men (RR 0.62, 95% CI 0.39-0.98). No statistically significant correlations for either of the fall outcomes were found with residence, obesity, education, income, age, ethnicity, employment, marital status, diabetes mellitus, or cardiovascular disease. Interventions aimed at the prevention of falls should focus on maintaining and improving general health and promoting physical activity among older adults.

Predicting Student Success on the Texas Chemistry STAAR Test: A Logistic Regression Analysis

Science.gov (United States)

Johnson, William L.; Johnson, Annabel M.; Johnson, Jared

2012-01-01

Background: The context is the new Texas STAAR end-of-course testing program. Purpose: The authors developed a logistic regression model to predict who would pass-or-fail the new Texas chemistry STAAR end-of-course exam. Setting: Robert E. Lee High School (5A) with an enrollment of 2700 students, Tyler, Texas. Date of the study was the 2011-2012…

14 CFR 250.5 - Amount of denied boarding compensation for passengers denied boarding involuntarily.

Science.gov (United States)

2010-01-01

... 14 Aeronautics and Space 4 2010-01-01 2010-01-01 false Amount of denied boarding compensation for passengers denied boarding involuntarily. 250.5 Section 250.5 Aeronautics and Space OFFICE OF THE SECRETARY... boarding compensation for passengers denied boarding involuntarily. (a) Subject to the exceptions provided...

Monitoring and Mapping the Hurricane Harvey Flooding in Houston, Texas.

Science.gov (United States)

Balaji Bhaskar, M. S.

2017-12-01

Monitoring and Mapping the Hurricane Harvey Flooding in Houston, Texas.Urban flooding is a hazard that causes major destruction and loss of life. High intense precipitation events have increased significantly in Houston, Texas in recent years resulting in frequent river and bayou flooding. Many of the historical storm events such as Allison, Rita and Ike have caused several billion dollars in losses for the Houston-Galveston Region. A category 4 Hurricane Harvey made landfall on South Texas resulting in heavy precipitation from Aug 25 to 29 of 2017. About 1 trillion gallons of water fell across Harris County over a 4-day period. This amount of water covers Harris County's 1,800 square miles with an average of 33 inches of water. The long rain event resulted in an average 40inch rainfall across the area in several rain gauges and the maximum rainfall of 49.6 inches was recorded near Clear Creek. The objectives of our study are to 1) Process the Geographic Information System (GIS) and satellite data from the pre and post Hurricane Harvey event in Houston, Texas and 2) Analyze the satellite imagery to map the nature and pattern of the flooding in Houston-Galveston Region. The GIS data of the study area was downloaded and processed from the various publicly available resources such as Houston Galveston Area Council (HGAC), Texas Commission of Environmental Quality (TCEQ) and Texas Natural Resource Information Systems (TNRIS). The satellite data collected soon after the Harvey flooding event were downloaded and processed using the ERDAS image processing software. The flood plain areas surrounding the Brazos River, Buffalo Bayou and the Addicks Barker reservoirs showed severe inundation. The different watershed areas affected by the catastrophic flooding in the wake of Hurricane Harvey were mapped and compared with the pre flooding event.

Organization, Management and Function of International Space Station (ISS) Multilateral Medical Operations

Science.gov (United States)

Duncan, James M.; Bogomolov, V. V.; Castrucci, F.; Koike, Y.; Comtois, J. M.; Sargsyan, A. E.

2007-01-01

Long duration crews have inhabited the ISS since November of 2000. The favorable medical outcomes of its missions can be largely attributed to sustained collective efforts of all ISS Partners medical organizations. In-flight medical monitoring and support, although crucial, is just a component of the ISS system of Joint Medical Operations. The goal of this work is to review the principles, design, and function of the multilateral medical support of the ISS Program. The governing documents, which describe the relationships among all ISS partner medical organizations, were evaluated, followed by analysis of the roles, responsibilities, and decision-making processes of the ISS medical boards, panels, and working groups. The degree of integration of the medical support system was evaluated by reviewing the multiple levels of the status reviews and mission assurance activities carried out throughout the last six years. The Integrated Medical Group, consisting of physicians and other essential personnel in the mission control centers represents the front-line medical support of the ISS. Data from their day-to-day activities are presented weekly at the Space Medicine Operations Team (SMOT), where known or potential concerns are addressed by an international group of physicians. A broader status review is conducted monthly to project the state of crew health and medical support for the following month, and to determine measures to return to nominal state. Finally, a comprehensive readiness review is conducted during preparations for each ISS mission. The Multilateral Medical Policy Board (MMPB) issues medical policy decisions and oversees all health and medical matters. The Multilateral Space Medicine Board (MSMB) certifies crewmembers and visitors for training and space flight to the Station, and physicians to practice space medicine for the ISS. The Multilateral Medical Operations Panel (MMOP) develops medical requirements, defines and supervises implementation of

Facts about Texas Children. Excerpted from Children, Choice, and Change.

Science.gov (United States)

Harris, Lorwen Connie

The environment in which Texas children grow up is crucial to their future and to the future of the state. Almost 500,000 Texas families were poor in 1985. Poverty sets the stage for numerous childhood maladies: infant mortality, health problems, child abuse, learning disabilities, malnutrition, and mental health problems. As poor children grow up…

Texas trip generation manual : 1st edition-volume 1 : user's guide.

Science.gov (United States)

2014-08-01

The purpose of this Manual is to provide a summary of Texas trip generation data for various : Land Use Codes (LUCs) and time periods, for data obtained from workplace and special : generator (WSG) surveys performed as part of the Texas Travel Survey...

Refinement of boards' role required.

Science.gov (United States)

Umbdenstock, R J

1987-01-01

The governing board's role in health care is not changing, but new competitive forces necessitate a refinement of the board's approach to fulfilling its role. In a free-standing, community, not-for-profit hospital, the board functions as though it were the "owner." Although it does not truly own the facility in the legal sense, the board does have legal, fiduciary, and financial responsibilities conferred on it by the state. In a religious-sponsored facility, the board fulfills these same obligations on behalf of the sponsoring institute, subject to the institute's reserved powers. In multi-institutional systems, the hospital board's power and authority depend on the role granted it by the system. Boards in all types of facilities are currently faced with the following challenges: Fulfilling their basic responsibilities, such as legal requirements, financial duties, and obligations for the quality of care. Encouraging management and the board itself to "think strategically" in attacking new competitive market forces while protecting the organization's traditional mission and values. Assessing recommended strategies in light of consequences if constituencies think the organization is abandoning its commitments. Boards can take several steps to match their mode of operation with the challenges of the new environment. Boards must rededicate themselves to the hospital's mission. Trustees must expand their understanding of health care trends and issues and their effect on the organization. Boards must evaluate and help strengthen management's performance, rather than acting as a "watchdog" in an adversarial position. Boards must think strategically, rather than focusing solely on operational details. Boards must evaluate the methods they use for conducting business.

Decamp Clock Board Firmware

Energy Technology Data Exchange (ETDEWEB)

Vicente, J. de; Castilla, J.; Martinez, G.

2007-09-27

Decamp (Dark Energy Survey Camera) is a new instrument designed to explore the universe aiming to reveal the nature of Dark Energy. The camera consists of 72 CCDs and 520 Mpixels. The readout electronics of DECam is based on the Monsoon system. Monsoon is a new image acquisition system developed by the NOAO (National Optical Astronomical Observatory) for the new generation of astronomical cameras. The Monsoon system uses three types of boards inserted in a Eurocard format based crate: master control board, acquisition board and clock board. The direct use of the Monsoon system for DECam readout electronics requires nine crates mainly due to the high number of clock boards needed. Unfortunately, the available space for DECam electronics is constrained to four crates at maximum. The major drawback to achieve such desired compaction degree resides in the clock board signal density. This document describes the changes performed at CIEMAT on the programmable logic of the Monsoon clock board aiming to meet such restricted space constraints. (Author) 5 refs.

Decamp Clock Board Firmware

International Nuclear Information System (INIS)

Vicente, J. de; Castilla, J.; Martinez, G.

2007-01-01

Decamp (Dark Energy Survey Camera) is a new instrument designed to explore the universe aiming to reveal the nature of Dark Energy. The camera consists of 72 CCDs and 520 Mpixels. The readout electronics of DECam is based on the Monsoon system. Monsoon is a new image acquisition system developed by the NOAO (National Optical Astronomical Observatory) for the new generation of astronomical cameras. The Monsoon system uses three types of boards inserted in a Eurocard format based crate: master control board, acquisition board and clock board. The direct use of the Monsoon system for DECam readout electronics requires nine crates mainly due to the high number of clock boards needed. Unfortunately, the available space for DECam electronics is constrained to four crates at maximum. The major drawback to achieve such desired compaction degree resides in the clock board signal density. This document describes the changes performed at CIEMAT on the programmable logic of the Monsoon clock board aiming to meet such restricted space constraints. (Author) 5 refs

Geothermal and heavy-oil resources in Texas

Energy Technology Data Exchange (ETDEWEB)

Seni, S.J.; Walter, T.G.

1994-01-01

In a five-county area of South Texas, geopressured-geothermal reservoirs in the Paleocene-Eocene Wilcox Group lie below medium- to heavy-oil reservoirs in the Eocene Jackson Group. This fortuitous association suggests the use of geothermal fluids for thermally enhanced oil recovery (TEOR). Geothermal fairways are formed where thick deltaic sandstones are compartmentalized by growth faults. Wilcox geothermal reservoirs in South Texas are present at depths of 11,000 to 15,000 ft (3,350 to 4,570 m) in laterally continuous sandstones 100 to 200 ft (30 to 60 m) thick. Permeability is generally low (typically 1 md), porosity ranges from 12 to 24 percent, and temperature exceeds 250{degrees}F (121{degrees}C). Reservoirs containing medium (20{degrees} to 25{degrees} API gravity) to heavy (10{degrees} to 20{degrees} API gravity) oil are concentrated along the Texas Coastal Plain in the Jackson-Yegua Barrier/Strandplain (Mirando Trend), Cap Rock, and Piercement Salt Dome plays and in the East Texas Basin in Woodbine Fluvial/Deltaic Strandplain and Paluxy Fault Line plays. Injection of hot, moderately fresh to saline brines will improve oil recovery by lowering viscosity and decreasing residual oil saturation. Smectite clay matrix could swell and clog pore throats if injected waters have low salinity. The high temperature of injected fluids will collapse some of the interlayer clays, thus increasing porosity and permeability. Reservoir heterogeneity resulting from facies variation and diagenesis must be considered when siting production and injection wells within the heavy-oil reservoir. The ability of abandoned gas wells to produce sufficient volumes of hot water over the long term will also affect the economics of TEOR.

Examining social, physical, and environmental dimensions of tornado vulnerability in Texas.

Science.gov (United States)

Siebeneck, Laura

2016-01-01

To develop a vulnerability model that captures the social, physical, and environmental dimensions of tornado vulnerability of Texas counties. Guided by previous research and methodologies proposed in the hazards and emergency management literature, a principle components analysis is used to create a tornado vulnerability index. Data were gathered from open source information available through the US Census Bureau, American Community Surveys, and the Texas Natural Resources Information System. Texas counties. The results of the model yielded three indices that highlight geographic variability of social vulnerability, built environment vulnerability, and tornado hazard throughout Texas. Further analyses suggest that counties with the highest tornado vulnerability include those with high population densities and high tornado risk. This article demonstrates one method for assessing statewide tornado vulnerability and presents how the results of this type of analysis can be applied by emergency managers towards the reduction of tornado vulnerability in their communities.

Medications and Supplements (Other Than Steroids)

Science.gov (United States)

... people taking this drug. Cardiac Medications Aniotensin-Converting Enzyme (ACE) Inhibitors (i.e. Lisinopril, Captopril, Enalapril) These ... Care About PPMD ❯ Mission & Impact Staff & Board News History Finance & Operations Partners Media Contact us Get Involved ❯ ...

Second-year medical students' motivational beliefs, emotions, and achievement.

Science.gov (United States)

Artino, Anthony R; La Rochelle, Jeffery S; Durning, Steven J

2010-12-01

A challenge for medical educators is to better understand the personal factors that lead to individual success in medical school and beyond. Recently, educational researchers in fields outside medicine have acknowledged the importance of motivation and emotion in students' learning and performance. These affective factors have received less emphasis in the medical education literature. This longitudinal study examined the relations between medical students' motivational beliefs (task value and self-efficacy), achievement emotions (enjoyment, anxiety and boredom) and academic achievement. Second-year medical students (n=136) completed motivational beliefs and achievement emotions surveys following their first and second trimesters, respectively. Academic achievement was operationalised as students' average course examination grades and national board shelf examination scores. The results largely confirmed the hypothesised relations between beliefs, emotions and achievement. Structural equation modelling revealed that task value beliefs were positively associated with course-related enjoyment (standardised regression coefficient [β] = 0.59) and were negatively related to boredom (β= -0.25), whereas self-efficacy beliefs were negatively associated with course-related anxiety only (β = -0.47). Furthermore, student enjoyment was positively associated with national board shelf examination score (β = 0.31), whereas anxiety and boredom were both negatively related to course examination grade (β= -0.36 and -0.27, respectively). The overall structural model accounted for considerable variance in each of the achievement outcomes: R(2) = 0.20 and 0.14 for the course examination grade and national board shelf examination score, respectively. This study suggests that medical students' motivational beliefs and achievement emotions are important contributors to their academic achievement. These results have implications for medical educators striving to understand the

Electric deregulation in Texas : the next steps

International Nuclear Information System (INIS)

Giuliani, R.

2004-01-01

This presentation provided a look at the deregulated market in Texas and provided some statistics and facts about the Electric Reliability Council of Texas (ERCOT) which monitors the reliability of 37,000 miles of power transmission lines and 77,000 MW of generation. The governance adopted by ERCOT was described along with market design and wholesale operation in terms of open access to transmission and distribution systems, reliability, timely conveyance of information needed to support customer choice, and accurate accountability for electricity production and delivery. Transmission has been one the greatest challenges facing ERCOT, but retail operations are progressing well despite initial start-up problems. tabs., figs

Educational pipelines of nurses in Texas: promoting academic mobility through partnerships.

Science.gov (United States)

Darnall, Emily D; Kishi, Aileen; Wiebusch, Pamela

2011-01-01

Texas, like many states across the nation, is struggling to position itself to achieve the Institute of Medicine (IOM) recommendations on the future of nursing. This article provides insights into the hurdles faced by Texas in achieving some of the IOM goals, particularly those related to a better educated nursing workforce. Only 9% of actively licensed nurses have pursued higher degrees, putting Texas below the national average. Currently, there is a gap between actual academic mobility and national recommendations to increase the numbers of baccalaureate- and doctorate-prepared nurses by 2020. The purpose of this study was to evaluate the educational pipeline in the state of Texas while suggesting partnerships as a solution to promote academic mobility. This cross-sectional study evaluated the academic mobility of four selected cohorts of nurses who have been in practice for 5 to 20 years. The findings revealed limited academic mobility compared with national benchmarks among all cohorts, regardless of basic degree and length in the profession. Educational pipelines for nurses need to be more dynamic in Texas than current trends reflect. Collaboration and partnerships between academics, clinicians, administrators, employers, and policy makers should be developed to address barriers that are deterring nurses from continuing their education. Copyright © 2011 Elsevier Inc. All rights reserved.

The impact of the New Panama Canal Locks on Texas ports and the Texas economy.

Science.gov (United States)

2017-10-01

This report examines the first year transits through the new Panama Canal locks and its impact on Texas deep water ports. It finds that the canal is operating efficiently and can accommodate 14,000 TEU containerships and bulk vessels up to 125,000 to...

What makes great boards great.

Science.gov (United States)

Sonnenfeld, Jeffrey A

2002-09-01

In the wake of meltdowns at WorldCom, Tyco, and Enron, enormous attention has been focused on the companies' boards. It seems inconceivable that business disasters of such magnitude could happen without gross or even criminal negligence on the part of board members. And yet a close examination of those boards reveals no broad pattern of incompetence or corruption. In fact, they followed most of the accepted standards for board operations: Members showed up for meetings; they had money invested in the company; audit committees, compensation committees, and codes of ethics were in place; the boards weren't too small or too big, nor were they dominated by insiders. In other words, they passed the tests that would normally be applied to determine whether a board of directors was likely to do a good job. And that's precisely what's so scary, according to corporate governance expert Jeffrey Sonnenfeld, who suggests that it's time for some new thinking about how corporate boards operate and are evaluated. He proposes thinking not only about how to structure the board's work but also about how to manage it as a social system. Good boards are, very simply, high-functioning work groups. They're distinguished by a climate of respect, trust, and candor among board members and between the board and management. Information is shared openly and on time; emergent political factions are quickly eliminated. Members feel free to challenge one another's assumptions and conclusions, and management encourages lively discussion of strategic issues. Directors feel a responsibility to contribute meaningfully to the board's performance. In addition, good boards assess their own performance, both collectively and individually.

Medical support to a disabled nuclear platform at sea

Directory of Open Access Journals (Sweden)

Vishal Kansal

2016-01-01

Full Text Available Indian Navy has recently joined the select band of countries that are operating nuclear powered platforms. Despite the fact, that the present day nuclear technology is quite advanced and safe; accidents on board can still happen. An accident on board a Nuclear Platform at sea can result in ‘Radiation Exposure and Contamination’ to the crew members; which can prove catastrophic. Management of casualties on board a Nuclear platform at sea presents a formidable challenge. The distressed platform being at sea will also bring in many other operational variables like distance from shore, geographical location, weather conditions, availability of rescue assets and trained manpower etc. Consequently, there is a necessity to have a well defined ‘Medical Contingency Plan’ to deal with any such eventuality happening at sea. The successful execution of the contingency plan will depend upon close coordination among diverse authorities like local Service Hospital, Command Medical & Operational Authorities, Naval Dockyard, Radiation Safety Organisations and the Rescue/Hospital Ship crew. The need is to have a holistic review of our existing medical set up and integrate new equipment, training methodologies, operating procedures to have a credible response capability.

Advanced Texas Studies: Curriculum Guide.

Science.gov (United States)

Harlandale Independent School District, San Antonio, TX. Career Education Center.

The guide is arranged in vertical columns relating curriculum concepts in Texas studies to curriculum performance objectives, career concepts and career performance objectives, suggested teaching methods, and audio-visual and resource materials. Career information is included on 24 related occupations. Space is provided for teachers' notes which…

20 CFR 416.926 - Medical equivalence for adults and children.

Science.gov (United States)

2010-04-01

... judge or Appeals Council level, the responsibility for deciding medical equivalence rests with the.... 416.926 Section 416.926 Employees' Benefits SOCIAL SECURITY ADMINISTRATION SUPPLEMENTAL SECURITY... medical judgments by the Social Security Administration, the Railroad Retirement Board, or a State agency...

Coastal Bend Texas Benthic Habitat Mapping Patchy Shapefile Map - Lower Laguna Madre

Data.gov (United States)

National Oceanic and Atmospheric Administration, Department of Commerce — The NOAA Office for Coastal Management (OCM) requested the creation of benthic habitat data along the southern Texas coast to support the Texas Seagrass Monitoring...

Achieving the Texas Higher Education Vision

National Research Council Canada - National Science Library

Benjamin, Roger

2000-01-01

The Texas higher education system faces severe challenges in responding to the twin demands placed on it by economic growth and by the increasing problems of access to higher education that many Texans experience...

Texas RPO workshop implementation project summary.

Science.gov (United States)

2012-05-01

This report documents rural planning organization (RPO) workshops conducted throughout Texas. An RPO is a voluntary organization created and governed by locally elected officials responsible for transportation decisions at the local level. RPOs addre...

The American Board of Radiology Maintenance of Certification (MOC) Program in Radiologic Physics

International Nuclear Information System (INIS)

Thomas, Stephen R.; Hendee, William R.; Paliwal, Bhudatt R.

2005-01-01

Maintenance of Certification (MOC) recognizes that in addition to medical knowledge, several essential elements involved in delivering quality care must be developed and maintained throughout one's career. The MOC process is designed to facilitate and document the professional development of each diplomate of The American Board of Radiology (ABR) through its focus on the essential elements of quality care in Diagnostic Radiology and its subspecialties, and in the specialties of Radiation Oncology and Radiologic Physics. The initial elements of the ABR-MOC have been developed in accord with guidelines of The American Board of Medical Specialties. All diplomates with a ten-year, time-limited primary certificate in Diagnostic Radiologic Physics, Therapeutic Radiologic Physics, or Medical Nuclear Physics who wish to maintain certification must successfully complete the requirements of the appropriate ABR-MOC program for their specialty. Holders of multiple certificates must meet ABR-MOC requirements specific to the certificates held. Diplomates with lifelong certificates are not required to participate in the MOC, but are strongly encouraged to do so. MOC is based on documentation of individual participation in the four components of MOC: (1) professional standing, (2) lifelong learning and self-assessment, (3) cognitive expertise, and (4) performance in practice. Within these components, MOC addresses six competencies: medical knowledge, patient care, interpersonal and communication skills, professionalism, practice-based learning and improvement, and systems-based practice

78 FR 6316 - Enterprise Texas Pipeline LLC; Notice of Compliance Filing

Science.gov (United States)

2013-01-30

... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [Docket No. PR13-23-000] Enterprise Texas Pipeline LLC; Notice of Compliance Filing Take notice that on January 17, 2013, Enterprise Texas Pipeline LLC filed a revised Statement of Operating Conditions to comply with a Commission order issued in...

75 FR 70732 - Enterprise Texas Pipeline LLC; Notice of Baseline Filing

Science.gov (United States)

2010-11-18

... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [Docket No. PR10-92-001] Enterprise Texas Pipeline LLC; Notice of Baseline Filing November 10, 2010. Take notice that on November 9, 2010, Enterprise Texas Pipeline LLC submitted a revised baseline filing of its Statement of Operating Conditions...

Instructional Leadership Responsibilities of Assistant Principals in Large Texas High Schools

Science.gov (United States)

Howard-Schwind, Michelle

2010-01-01

The purpose of this study was to determine the extent secondary assistant principals in large Texas high schools demonstrate behaviors consistent with what the literature describes as instructional leadership. Three hundred seventy principals and assistant principals of large Texas high schools participated in this study. The Principal…

78 FR 23671 - Onions Grown in South Texas; Increased Assessment Rate

Science.gov (United States)

2013-04-22

... behalf. There are approximately 85 producers of onions in the production area and approximately 30... FR] Onions Grown in South Texas; Increased Assessment Rate AGENCY: Agricultural Marketing Service... Texas Onion Committee (Committee) for the 2012-13 and subsequent fiscal periods from $0.025 to $0.03 per...

The Perceptions of Georgia School Board Members' Need for Training on School Board Governance

Science.gov (United States)

Nutt, Pamela Studdard

2010-01-01

This study explored the perceptions of training needs of school board members in Georgia. The study examined perceptions of school board chairs, board members with 1 to 5 years experience, members with 6 to 10 years experience, members with 11 to 15 years experience and board members with 16 plus years experience in the areas of school board…

77 FR 55837 - Board Meeting

Science.gov (United States)

2012-09-11

... FARM CREDIT SYSTEM INSURANCE CORPORATION Board Meeting AGENCY: Farm Credit System Insurance Corporation. ACTION: Regular meeting. SUMMARY: Notice is hereby given of the regular meeting of the Farm Credit System Insurance Corporation Board (Board). Date and Time: The meeting of the Board will be held...

75 FR 9196 - Letter From Secretary of Energy Accepting Defense Nuclear Facilities Safety Board (Board...

Science.gov (United States)

2010-03-01

... DEPARTMENT OF ENERGY Letter From Secretary of Energy Accepting Defense Nuclear Facilities Safety Board (Board) Recommendation 2009-2 AGENCY: Department of Energy. ACTION: Notice. SUMMARY: The...: The Department of Energy (DOE) acknowledges receipt of Defense Nuclear Facilities Safety Board (Board...

Board affiliation and pay gap

Directory of Open Access Journals (Sweden)

Shenglan Chen

2014-06-01

Full Text Available This paper examines the effects of board affiliation on the corporate pay gap. Using a sample of Chinese listed firms from 2005 to 2011, we find that boards with a greater presence of directors appointed by block shareholders have lower pay gaps. Furthermore, the governance effects of board affiliation with and without pay are distinguished. The empirical results show that board affiliation without pay is negatively related to the pay gap, while board affiliation with pay is positively related to the pay gap. Overall, the results shed light on how block shareholders affect their companies’ pay gaps through board affiliation.

49 CFR 1011.2 - The Board.

Science.gov (United States)

2010-10-01

... TRANSPORTATION GENERAL RULES AND REGULATIONS BOARD ORGANIZATION; DELEGATIONS OF AUTHORITY § 1011.2 The Board. (a... submitted for decision except those assigned to an individual Board Member or employee or an employee board...) The Board may bring before it any matter assigned to an individual Board Member or employee or...

Safety Culture: Lessons Learned from the US Chemical Safety and Hazard Investigations Board

International Nuclear Information System (INIS)

Griffon, M.

2016-01-01

The U.S. Chemical Safety and Hazard Investigation Board (CSB) investigation of the 2005 BP Texas City Refinery disaster as well as the Baker Panel Report have set the stage for the consideration of human and organizational factors and safety culture as contributing causes of major accidents in the oil and gas industry. The investigation of the BP Texas City tragedy in many ways started a shift in the way the oil and chemical industry sectors looked at process safety and the importance of human and organizational factors in improving safety. Since the BP Texas City incident the CSB has investigated several incidents, including the 2010 Macondo disaster in the Gulf of Mexico, where organizational factors and safety culture, once again, were contributing causes of the incidents. In the Texas City incident the CSB found that “while most attention was focused on the injury rate, the overall safety culture and process safety management (PSM) program had serious deficiencies.” The CSB concluded that “safety campaigns, goals, and rewards focused on improving personal safety metrics and worker behaviors rather than on process safety and management safety systems.” The Baker panel, established as a result of a CSB recommendation, did a more extensive review of BPs safety culture. The Baker panel found that ‘while BP has aspirational goals of “no accidents, no harm to people” BP has not provided effective leadership in making certain it’s management and US refining workforce understand what is expected of them regarding process safety performance.’ This may have been in part due to a misinterpretation of positive trends in personal injury rates as an indicator of effective process safety. The panel also found that “at some of its US refineries BP has not established a positive, trusting and open environment with effective lines of communication between management and the workforce, including employee representatives.” In 2010 when the CSB began to

In-flight medical emergencies during airline operations: a survey of physicians on the incidence, nature, and available medical equipment

Directory of Open Access Journals (Sweden)

Hinkelbein J

2017-02-01

Full Text Available Jochen Hinkelbein,1,2 Christopher Neuhaus,2,3 Lennert Böhm,1 Steffen Kalina,1 Stefan Braunecker1,2 1Department of Anaesthesiology and Intensive Care Medicine, University Hospital of Cologne, Cologne, 2Working group “Emergency Medicine and Air Rescue”, German Society for Aviation and Space Medicine (DGLRM, Munich, 3Department of Anesthesiology, Heidelberg University Hospital, Heidelberg, Germany Background: Data on the incidence of in-flight medical emergencies on-board civil aircraft are uncommon and rarely published. Such data could provide information regarding required medical equipment on-board aircraft and requisite training for cabin crew. The aim of the present study was to gather data on the incidences, nature, and medical equipment for in-flight medical emergencies by way of a survey of physician members of a German aerospace medical society.Materials and methods: Using unipark.de (QuestBack GmbH, Cologne, Germany, an online survey was developed and used to gather specific information. Members of the German Society for Aviation and Space Medicine (Deutsche Gesellschaft für Luft- und Raumfahrtmedizin e.V.; DGLRM were invited to participate in the survey during a 4-week period (21 March 2015 to 20 April 2015. Chi-square test was used for statistical analysis (p<0.05 was considered significant.Results: Altogether, 121 members of the society responded to the survey (n=335 sent out. Of the 121 respondents, n=54 (44.6% of the participants (89.9% male and 10.1% female; mean age, 54.1 years; n=121 were involved in at least one in-flight medical emergency. Demographic parameters in this survey were in concordance with the society members’ demographics. The mean duration of flights was 5.7 hours and the respondents performed 7.1 airline flights per year (median. Cardiovascular (40.0% and neurological disorders (17.8% were the most frequent diagnoses. The medical equipment (78.7% provided was sufficient. An emergency diversion was

Potential impact of neonicotinoid use on Northern bobwhite (Colinus virginianus) in Texas: A historical analysis.

Science.gov (United States)

Ertl, Hannah M H; Mora, Miguel A; Brightsmith, Donald J; Navarro-Alberto, Jorge A

2018-01-01

The widespread use of neonicotinoid insecticides in recent years has led to increasing environmental concern, including impacts to avian populations. In Texas and across their range, Northern bobwhite (Colinus virginianus) habitat frequently overlaps cultivated cropland protected by neonicotinoids. To address the effects of neonicotinoid use on bobwhites in Texas, we conducted a historical analysis from 1978-2012 in Texas' ecological regions using quail count data collected from North American Breeding Bird Survey and Texas Parks and Wildlife Department, and neonicotinoid use data from the U.S. Geological Survey. We considered bobwhite abundance, neonicotinoid use, climate, and land-use variables in our analysis. Neonicotinoid use was significantly (pTexas Plains ecological regions in the time periods following neonicotinoid introduction (1994-2003) or after their widespread use (2004-2012). Our analyses suggest that the use of neonicotinoid insecticides may negatively affect bobwhite populations in crop-producing regions of Texas.

The artificial organ museum in Cleveland (1979-1999) moved to Houston, Texas, and named in 2002 as the ICMT Museum for Artificial Organs.

Science.gov (United States)

Nosé, Yukihiko

2003-09-01

The artificial organ museum established in Cleveland, Ohio, in 1979 organized by the International Center for Artificial Organs and Transplantation (ICAOT), was moved to Houston, Texas, in 1999. The museum with expanded and renewed artificial organ exhibits was officially opened on the 8th and 9th of November, 2002, at the Cullen Pavilion of the original Memorial Hermann Hospital. This building is the oldest in the Texas Medical Center, which was built in 1922. The ICMT (International Center for Medical Technologies) Museum for Artificial Organs (Museum) was completed after phase I, II, and III expansions of the exhibit booths, which were made over the last two years. Approximately 250 historically important and currently widely used artificial organs are exhibited in the Museum. The official opening of the Museum was coordinated with the "Symposium on Artificial Organs: Past, Present, and Future" during two days in November. There were approximately 225 participants at these events, and approximately 40 pioneers and clinical experts in the development and practice of various types of artificial organs contributed. During these programs, a proposal to maintain human resources in addition to artificial organ hardware and software was made in addition to the Museum. This new organization would be called the International Academy of Artificial Organ Pioneers (Academy). All contributors to the symposium were invited to be members of the Academy. The attendants of the symposium accepted this proposal unanimously. An additional 40 individuals, who were recognized as contributors to artificial organ technologies, were later added to the original Academy members. Later, the effective utilization of the Museum and Academy was encompassed in the International Faculty for Health and Medical Technologies (Faculty), a new addition to the activities of the ICMT. Dr. Michael DeBakey was elected as Dean of the Faculty. This is considered a "university without walls," a "university

20 CFR 220.186 - When and how often the Board will conduct a continuing disability review.

Science.gov (United States)

2010-04-01

... returned to work; (7) A State Vocational Rehabilitation Agency tells the Board that— (i) The services have.... Examples of cases likely to be scheduled for a medical improvement excepted diary are fractures and cases...

78 FR 8047 - Onions Grown in South Texas; Increased Assessment Rate

Science.gov (United States)

2013-02-05

... Executive Order 12988, Civil Justice Reform. Under the marketing order now in effect, South Texas onion... DEPARTMENT OF AGRICULTURE Agricultural Marketing Service 7 CFR Part 959 [Doc. No. AMS-FV-12-0039; FV12-959-1 PR] Onions Grown in South Texas; Increased Assessment Rate AGENCY: Agricultural Marketing...

78 FR 4847 - Board Meeting

Science.gov (United States)

2013-01-23

... FARM CREDIT SYSTEM INSURANCE CORPORATION Board Meeting AGENCY: Farm Credit System Insurance Corporation. SUMMARY: Notice is hereby given of the regular meeting of the Farm Credit System Insurance Corporation Board (Board). DATE AND TIME: The meeting of the Board will be held at the offices of the Farm...

Medical Information for the Vocational Rehabilitation Counselor--A Training Guide.

Science.gov (United States)

Phelps, William R.

This paper presents information helpful to the vocational rehabilitation counselor and can be utilized in training programs for the newly employed untrained vocational rehabilitation practitioner. Areas covered include medical terminology, common prefixes and suffixes, speciality boards; paramedic professions, and medical education. Undergraduate…

A Survey of Texas HIV, Sexually Transmitted Disease, Tuberculosis, and Viral Hepatitis Providers' Billing and Reimbursement Capabilities.

Science.gov (United States)

Flynn, Matthew B; Atwood, Robin; Greenberg, Jennifer B; Ray, Tara; Harris, Karol Kaye

2015-11-01

The Affordable Care Act presents financial challenges and opportunities for publicly funded service providers. We assessed billing practices and anticipated barriers to third-party billing among organizations in Texas that provide publicly funded HIV, sexually transmitted diseases, tuberculosis, and viral hepatitis services. One third to one half of the organizations did not bill for medical services. The most common barrier to third-party billing was lack of staff knowledge about billing and coding. Future research must evaluate options for organizations and communities to maintain access to infectious disease services for vulnerable populations.

A Survey of Texas HIV, Sexually Transmitted Disease, Tuberculosis, and Viral Hepatitis Providers’ Billing and Reimbursement Capabilities

Science.gov (United States)

Atwood, Robin; Greenberg, Jennifer B.; Ray, Tara; Harris, Karol Kaye

2015-01-01

The Affordable Care Act presents financial challenges and opportunities for publicly funded service providers. We assessed billing practices and anticipated barriers to third-party billing among organizations in Texas that provide publicly funded HIV, sexually transmitted diseases, tuberculosis, and viral hepatitis services. One third to one half of the organizations did not bill for medical services. The most common barrier to third-party billing was lack of staff knowledge about billing and coding. Future research must evaluate options for organizations and communities to maintain access to infectious disease services for vulnerable populations. PMID:26447911

[The movement to establish a Christian medical school proposed by medical missionary "John C. Berry"].

Science.gov (United States)

Fuseda, Tetsuya

2014-12-01

John C. Berry (1847-1936) came to Japan in 1872, worked as a medical missionary for the American Board of Commissioners for Foreign Missions (ABCFM . He attempted to influence Japanese medical education toward a more Christian-influenced approach. In early Meiji, the Japanese government adopted the German language and principles for its national medical program. This promoted a tendency towards the adoption of German concepts in Japanese medical education. The director of of Doshisha, Niijima, was concerned about such a tendency, which he considered rather science-oriented or skeptical and atheistic, according to his writings. The tradition of corruption among Japanese doctors also deeply disappointed him. Niijima sought the type of medical institution in which the students would learn Western medicine based on a moral base of Christianity, presumably in Kyoto, to take advantage of the foundation of Doshisha, which had already been built. Missionaries in Japan, especially Berry, supported Niijima's intentions. During his visit to the U.S. he promoted a mission statement in support of Niijima's idea in order to raise funds among Christian communities. This project produced a resolution among the Christian community in Philadelphia to establish an interdenominational foundation for establishing such a medical institution and it encouraged other cities to follow. However, the American Board of Missionaries in Japan disagreed with the idea of its being interdenominational, and then, along with other struggles such as the lack of funding in light of the economic slowdown, and the widespread social rejection of Christianity in Japan, the project fell apart and was suspended.

Closed to reason: time for accountability for the International Narcotic Control Board

Directory of Open Access Journals (Sweden)

Small Dan

2007-05-01

Full Text Available Abstract For more than two decades, the International Narcotic Control Board (INCB has tried to stop harm reduction and its HIV prevention programs. This posture is based on a fundamental misunderstanding of their responsibilities and of drug addiction itself – i.e. as a public health and clinical care matter made criminal by decree. A recent focal point for the Board's action has been rejecting the use of supervised injection facilities to reduce morbidity and mortality of drug injectors. They single out individual countries and attempt to bully them into rejecting such programs under the banner of the United Nations (falsely and in the name of international treaties. Their unrelenting and unjustified badgering of signatories to the international treaties that established the INCB is not only unjustified; it is an affront to one of the core purposes of the Board itself: to ensure adequate medical supplies and safe use of controlled substances. The INCB's ill-conceived obsession with intravenousaddiction as a crime flies in the face of the medical view and policies of the World Health Organization and the universally endorsed principles of the General Assembly of the United Nations. The latest target of the INCB is North America's only supervised injection facility, Insite, located in the inner city of Vancouver, Canada. Using the power of their office to meddle in matters of public health for individual nations is without medical, scientific or legal justification. But, most importantly, it is a matter of lifeand death for these most marginalized of citizens. The empirical evidence remains that a significant portion of the continued growth of the AIDS pandemic is due to injecting drug use, and the INCB's intrusion will inevitably result in additional deaths due to preventable HIV infections and drug overdoses. So we are very pleased to call to our readers' attention to a recent report produced by the Canadian HIV/AIDS Legal Network and the

76 FR 15 - Approval and Promulgation of Implementation Plans; Texas; Emissions Banking and Trading of...

Science.gov (United States)

2011-01-03

... Promulgation of Implementation Plans; Texas; Emissions Banking and Trading of Allowances Program AGENCY... to the Texas State Implementation Plan (SIP) that create and amend the Emissions Banking and Trading... revisions to the Texas State Implementation Plan (SIP) that create and amend the Emissions Banking and...

Texas market profile: soil and groundwater decontamination sector

International Nuclear Information System (INIS)

1998-12-01

The soil and groundwater decontamination market in Texas generated $7 billion in earnings in 1997 and should reach almost $9 billion in 2002. While Texas has introduced voluntary clean-up programs, decontamination is required at more than 200,000 sites. Pollution has arisen from such industrial sectors as chemicals, crude oil and natural gas. In Texas, government agency decontamination activities provide major business opportunities. As in the base of the environmental sector as a whole, economic factors are gradually taking over from regulation as the prime demand drivers. Cost and risk are major concerns for clients. Because the incentive to reduce costs and the trend toward contracting out and privatization are becoming stronger, companies with specialized technologies have opportunities in this market. The government is the main client for environmental restoration services, but the private sector is accounting for an increased share of the market. Aspects of market access discussed include: implications of NAFTA and 'Buy America', ATA carnets, the Environmental Technology Verification Program, centralized database, federal government contracting announcements, partnerships, and payment conditions

20 CFR 255.9 - Individual enrolled under supplementary medical insurance plan.

Science.gov (United States)

2010-04-01

... supplementary medical insurance premiums will be applied toward payment of such premiums, and the balance of the... medical insurance plan. 255.9 Section 255.9 Employees' Benefits RAILROAD RETIREMENT BOARD REGULATIONS... supplementary medical insurance plan. Where recovery of the overpayment is by setoff as provided for in § 255.6...

Pilot Boarding Areas

Data.gov (United States)

National Oceanic and Atmospheric Administration, Department of Commerce — Pilot boarding areas are locations at sea where pilots familiar with local waters board incoming vessels to navigate their passage to a destination port. Pilotage is...

Board Certification in Counseling Psychology

Science.gov (United States)

Crowley, Susan L.; Lichtenberg, James W.; Pollard, Jeffrey W.

2012-01-01

Although specialty board certification by the American Board of Professional Psychology (ABPP) has been a valued standard for decades, the vast majority of counseling psychologists do not pursue board certification in the specialty. The present article provides a brief history of board certification in general and some historical information about…

The rise of neglected tropical diseases in the "new Texas".

Directory of Open Access Journals (Sweden)

Peter J Hotez

2018-01-01

Full Text Available Within the last five years, the State of Texas has experienced either transmission or outbreaks of Ebola, chikungunya, West Nile, and Zika virus infections. Autochthonous transmission of neglected parasitic and bacterial diseases has also become increasingly reported. The rise of such emerging and neglected tropical diseases (NTDs has not occurred by accident but instead reflects rapidly evolving changes and shifts in a "new" Texas beset by modern and globalizing forces that include rapid expansions in population together with urbanization and human migrations, altered transportation patterns, climate change, steeply declining vaccination rates, and a new paradigm of poverty known as "blue marble health." Summarized here are the major NTDs now affecting Texas. In addition to the vector-borne viral diseases highlighted above, there also is a high level of parasitic infections, including Chagas disease, trichomoniasis, and possibly leishmaniasis and toxocariasis, as well as typhus-group rickettsiosis, a vector-borne bacterial infection. I also highlight some of the key shifts in emerging and neglected disease patterns, partly due to an altered and evolving economic and ecological landscape in the new Texas, and provide some preliminary disease burden estimates for the major prevalent and incident NTDs.

Uranium solution mining: comparison of New Mexico with South Texas

International Nuclear Information System (INIS)

Conine, W.D.

1980-01-01

In-situ uranium-leaching or solution-mining operations are currently underway in both south Texas and Wyoming. Mobil Oil Corporation is in the process of applying solution-mining technology, such as that developed at the O'Hern facility in south Texas, to uranium orebodies located near Crownpoint, New Mexico. The O'Hern facility uses an alkaline-leach process to bring the uranium to the surface, where it is removed from solution using ion-exchange resin and chemical precipitation. Line-drive and five-spot well field patterns are used to inject and recover the leach solutions. Although details of ore occurrence in New Mexico differ from those in south Texas, laboratory, engineering-design, and field-hydrology tests indicate that solution mining of uranium should be feasible in New Mexico. To determine the commercial feasibility, Mobil is proceeding with the construction of pilot-plant facilities for a 75-gallon-perminute (gpm) test at an orebody near Crownpoint. The pilot test will use five-spot patterns at various spacings for production of uranium-bearing leachate. Initial surface processing will be the same as that used in south Texas

The rise of neglected tropical diseases in the "new Texas"

Science.gov (United States)

2018-01-01

Within the last five years, the State of Texas has experienced either transmission or outbreaks of Ebola, chikungunya, West Nile, and Zika virus infections. Autochthonous transmission of neglected parasitic and bacterial diseases has also become increasingly reported. The rise of such emerging and neglected tropical diseases (NTDs) has not occurred by accident but instead reflects rapidly evolving changes and shifts in a “new” Texas beset by modern and globalizing forces that include rapid expansions in population together with urbanization and human migrations, altered transportation patterns, climate change, steeply declining vaccination rates, and a new paradigm of poverty known as “blue marble health.” Summarized here are the major NTDs now affecting Texas. In addition to the vector-borne viral diseases highlighted above, there also is a high level of parasitic infections, including Chagas disease, trichomoniasis, and possibly leishmaniasis and toxocariasis, as well as typhus-group rickettsiosis, a vector-borne bacterial infection. I also highlight some of the key shifts in emerging and neglected disease patterns, partly due to an altered and evolving economic and ecological landscape in the new Texas, and provide some preliminary disease burden estimates for the major prevalent and incident NTDs. PMID:29346369

Radar-based Flood Warning System for Houston, Texas and Its Performance Evaluation

Science.gov (United States)

Fang, N.; Bedient, P.

2009-12-01

Houston has a long history of flooding problems as a serious nature. For instance, Houstonians suffered from severe flood inundation during Tropical Storm Allison in 2001 and Hurricane Ike in 2008. Radar-based flood warning systems as non-structural tools to provide accurate and timely warnings to the public and private entities are greatly needed for urban areas prone to flash floods. Fortunately, the advent of GIS, radar-based rainfall estimation using NEXRAD, and real-time delivery systems on the internet have allowed flood alert systems to provide important advanced warning of impending flood conditions. Thus, emergency personnel can take proper steps to mitigate against catastrophic losses. The Rice and Texas Medical Center (TMC) Flood Alert System (FAS2) has been delivering warning information with 2 to 3 hours of lead time to facility personnel in a readily understood format for more than 40 events since 1997. The system performed well during these major rainfall events with R square value of 93%. The current system has been improved by incorporating a new hydraulic prediction tool - FloodPlain Map Library (FPML). The FPML module aims to provide visualized information such as floodplain maps and water surface elevations instead of just showing hydrographs in real time based on NEXRAD radar rainfall data. During Hurricane Ike (September, 2008), FAS2 successfully provided precise and timely flood warning information to TMC with the peak flow difference of 3.6% and the volume difference of 5.6%; timing was excellent for this double-peaked event. With the funding from the Texas Department of Transportation, a similar flood warning system has been developed at a critical transportation pass along Highway 288 in Houston, Texas. In order to enable emergency personnel to begin flood preparation with as much lead time as possible, FAS2 is being used as a prototype to develop warning system for other flood-prone areas such as City of Sugar Land.

Texas Nurse Staffing Trends Before and After Mandated Nurse Staffing Committees.

Science.gov (United States)

Jones, Terry; Heui Bae, Sung; Murry, Nicole; Hamilton, Patti

2015-08-01

This article describes the evolution of mandated nurse staffing committees in Texas from 2002 to 2009 and presents a study that analyzed nurse staffing trends in Texas using a secondary analysis of hospital staffing data (N = 313 hospitals) from 2000 to 2012 obtained from the American Hospital Association Annual Survey. Nurse staffing patterns based on three staffing variables for registered nurses (RNs), licensed vocational nurses (LVNs), and total licensed nurses were identified: full-time equivalents per 1,000 adjusted patient days, productive hours per adjusted patient day, and RN skill mix. Similar to national trends between 2000 and 2012, most Texas hospitals experienced an increase in RN and total nurse staffing, decrease in LVN staffing, and an increase in RN skill mix. The magnitude of total nurse staffing changes in Texas (5% increase) was smaller than national trends (13.6% increase). Texas's small, rural, government hospitals and those with the highest preregulation staffing levels experienced the least change in staffing between 2000 and 2012: median change of 0 to .13 full-time equivalents per 1,000 adjusted patient days and median change in productive hours per patient day of 0 to .23. The varying effects of staffing committees in different organizational contexts should be considered in future staffing legislative proposals and other policy initiatives. © The Author(s) 2015.

Texas Occurrence of Lyme Disease and Its Neurological Manifestations.

Science.gov (United States)

Dandashi, Jad A; Nizamutdinov, Damir; Dayawansa, Samantha; Fonkem, Ekokobe; Huang, Jason H

2016-06-01

Today, Lyme disease is the most commonly reported tick-borne disease in the United States and Europe. The culprits behind Lyme disease are the Borrelia species of bacteria. In the USA, Borrelia burgdorferi causes the majority of cases, while in Europe and Asia Borrelia afzelii and Borrelia garinii carry the greatest burden of disease. The clinical manifestations of Lyme disease have been identified as early localized, early disseminated, and late chronic. The neurological effects of Lyme disease include both peripheral and central nervous systems involvement, including focal nerve abnormalities, cranial neuropathies, painful radiculoneuritis, meningitis, and/or toxic metabolic encephalopathy, known as Lyme encephalopathy. Given the geographic predominance of Lyme disease in the Northeast and Midwest of the USA, no major studies have been conducted regarding Southern states. Between 2005 and 2014, the Center for Disease Control has reported 582 confirmed cases of Lyme disease in Texas. Because of the potential for increased incidence and prevalence in Texas, it has become essential for research and clinical efforts to be diverted to the region. The Texas A&M College of Veterinary Medicine and Biomedical Sciences Lyme Lab has been investigating the ecology of Lyme disease in Texas and developing a pan-specific serological test for Lyme diagnosis. This report aimed to exposure materials and raise awareness of Lyme disease to healthcare providers.

Estimating Texas motor vehicle operating costs.

Science.gov (United States)

2009-10-01

A specific Vcost model was developed for Texas conditions based on a sophisticated fuel model for light : duty vehicles, several excellent sources of secondary vehicle cost data, and the ability to measure heavy truck fuel : consumption through both ...

Board-to-Board Free-Space Optical Interconnections Passing through Boards for a Bookshelf-Assembled Terabit-Per-Second-Class ATM Switch.

Science.gov (United States)

Hirabayashi, K; Yamamoto, T; Matsuo, S; Hino, S

1998-05-10

We propose free-space optical interconnections for a bookshelf-assembled terabit-per-second-class ATM switch. Thousands of arrayed optical beams, each having a rate of a few gigabits per second, propagate vertically to printed circuit boards, passing through some boards, and are connected to arbitrary transmitters and receivers on boards by polarization controllers and prism arrays. We describe a preliminary experiment using a 1-mm-pitch 2 x 2 beam-collimator array that uses vertical-cavity surface-emitting laser diodes. These optical interconnections can be made quite stable in terms of mechanical shock and temperature fluctuation by the attachment of reinforcing frames to the boards and use of an autoalignment system.

John Holt Stanway: Gone to Texas

Science.gov (United States)

Bryan, J.

2008-01-01

John Holt Stanway (1799Ð1872) was an amateur astronomer who lived in Manchester, England until 1845. He was in contact with the English Ôgrand amateurÕ astronomer, William Henry Smyth, who supported him for Fellowship of the Royal Astronomical Society and evidently advised him on how to build and equip an observatory. Apparently, Stanway had an observatory at Chorlton-cum-Hardy in 1837. In 1845, Stanway left for the United States in response to serious business problems. En route, he met Ashbel Smith, a representative of the government of the Republic of Texas, who convinced Stanway to go to Texas. There he changed his name to John H. Smythe Stanley and settled in Houston, where he re-established his observatory. He became a commercial photographer and wrote about astronomy and other scientific subjects in Houston newspapers until his death in 1872.

In Defense of Boards

NARCIS (Netherlands)

B. Visser (Bauke); S. Dominguez Martinez (Silvia); O.H. Swank (Otto)

2007-01-01

textabstractIt is often assumed that bad corporate performance means a bad CEO. The task of a board of directors is then simple: dismiss the executive. If it fails to do so, the board is said to be indolent. We take a kinder approach to observed board behaviour and point to the problems even

Production of a small-circulation medical journal using desktop publishing methods.

Science.gov (United States)

Peters, B A

1994-07-01

Since its inception in January 1988, the Baylor University Medical Center Proceedings, a quarterly medical journal, has been published by the few staff of the Scientific Publications Office (Baylor Research Institute, Dallas, Texas, USA) using microcomputers and page-makeup software in conjunction with a commercial printing company. This article outlines the establishment of the journal; the steps used in the publication process; the software and hardware used; and the changes in design, content, and circulation that have taken place as the journal and the technology used to create it have evolved.

COLLABORATION BOARD (CB55)

CERN Multimedia

B. Cousins

Open Access Publication Policy ATLAS had recently issued a short statement in support of open access publishing. The mood of the discussions in the December CMS Collaboration Board had appeared to be in favour and so it was being proposed that CMS issue the same statement as that made by ATLAS (the statement is attached to the agenda of this meeting). The Collaboration Board agreed. Election of the Chair of the Collaboration Board Following the agreement to shorten the terms of both the Spokesperson and the Collaboration Board Chair, and to introduce a longer overlap period between the election and the start of the term, the election for the next Collaboration Board Chair was due in December 2007. If the old standard schedule specified in the Constitution were adapted to this date, then the Board should be informed at the present meeting that the election was being prepared. However, it was felt that the experience of the previous year's election of the Spokesperson had shown that it would be desirable to...

Status of the Texas low-level radioactive waste disposal site - construction sequencing and staffing patterns

International Nuclear Information System (INIS)

Jacobi, L.R. Jr.

1996-01-01

The Texas Low-Level Radioactive Waste Disposal Authority, an agency of the State of Texas, has been attempting to develop a site for the disposal of low-level radioactive waste in Texas for more than fourteen years. Since 1991, the agency has been evaluating a site near Sierra Blanca, in far west Texas. Site characterization was completed in 1992, and a license application was filed that year. Construction plans were completed in 1993. In April 1996, the licensing agency, the Texas Natural Resource Conservation Commission, completed its review and proposed to issue a license. The administrative hearings on the proposed license should be completed by July 1997. The Authority is prepared to begin construction and operations as soon as a final license can be issued

WeaselBoard :

Energy Technology Data Exchange (ETDEWEB)

Mulder, John C.; Schwartz, Moses Daniel; Berg, Michael J.; Van Houten, Jonathan Roger; Urrea, Jorge Mario; King, Michael Aaron; Clements, Abraham Anthony; Jacob, Joshua A.

2013-10-01

Critical infrastructures, such as electrical power plants and oil refineries, rely on programmable logic controllers (PLCs) to control essential processes. State of the art security cannot detect attacks on PLCs at the hardware or firmware level. This renders critical infrastructure control systems vulnerable to costly and dangerous attacks. WeaselBoard is a PLC backplane analysis system that connects directly to the PLC backplane to capture backplane communications between modules. WeaselBoard forwards inter-module traffic to an external analysis system that detects changes to process control settings, sensor values, module configuration information, firmware updates, and process control program (logic) updates. WeaselBoard provides zero-day exploit detection for PLCs by detecting changes in the PLC and the process. This approach to PLC monitoring is protected under U.S. Patent Application 13/947,887.

The impact of psychiatric patient boarding in emergency departments.

Science.gov (United States)

Nicks, B A; Manthey, D M

2012-01-01

Objectives. Studies have demonstrated the adverse effects of emergency department (ED) boarding. This study examines the impact of resource utilization, throughput, and financial impact for psychiatric patients awaiting inpatient placement. Methods. The authors retrospectively studied all psychiatric and non-psychiatric adult admissions in an Academic Medical Center ED (>68,000 adult visits) from January 2007-2008. The main outcomes were ED length of stay (LOS) and associated reimbursement. Results. 1,438 patients were consulted to psychiatry with 505 (35.1%) requiring inpatient psychiatric care management. The mean psychiatric patient age was 42.5 years (SD 13.1 years), with 2.7 times more women than men. ED LOS was significantly longer for psychiatric admissions (1089 min, CI (1039-1140) versus 340 min, CI (304-375); P boarding accounted for a direct loss of ($1,198) compared to non-psychiatric admissions. Factoring the loss of bed turnover for waiting patients and opportunity cost due to loss of those patients, psychiatric patient boarding cost the department $2,264 per patient. Conclusions. Psychiatric patients awaiting inpatient placement remain in the ED 3.2 times longer than non-psychiatric patients, preventing 2.2 bed turnovers (additional patients) per psychiatric patient, and decreasing financial revenue.

Motel DHW Retrofit--Dallas, Texas

Science.gov (United States)

1982-01-01

Solar-energy system designed to provide 65% of total domestic-hot-water (DHW) demands for 100-room motel in Dallas, Texas is subject of a report now available. System is retrofit, and storage-tank size was limited to 1,000 gallons (3,785 1) by size of room where it is located.

49 CFR 1011.5 - Employee boards.

Science.gov (United States)

2010-10-01

... 49 Transportation 8 2010-10-01 2010-10-01 false Employee boards. 1011.5 Section 1011.5... OF TRANSPORTATION GENERAL RULES AND REGULATIONS BOARD ORGANIZATION; DELEGATIONS OF AUTHORITY § 1011.5 Employee boards. This section covers matters assigned to the Accounting Board, a board of employees of the...

Board Size and Board Independence: A Quantitative Study on Banking Industry in Pakistan

Directory of Open Access Journals (Sweden)

Kashif Rashid

2014-12-01

Full Text Available This paper aims to investigate the relationship of board independence and board size with productivity and efficiency of the listed banks on the Karachi Stock Exchange, Pakistan. There is a lack of consensus regarding impact of corporate governance practices in correspondence to number of board members and board independence in banking sector. The derived results of the study show that there is a positive relationship between board independence and bank profitability and efficiency. Independent directors play a crucial role in providing genuine advice during executive decision making process which is an important source for improving overall corporate governance. Moreover, results regarding the role of control variables suggest a positive relationship of the total assets and deposits of the firm with the firm’s performance supporting stewardship theory in the market.

Uranium favorability of southwestern Oklahoma and north-central Texas

International Nuclear Information System (INIS)

Stanton, G.D.; Brogdon, L.D.; Quick, J.V.; Thomas, N.G.; Martin, T.S.

1977-10-01

Results are presented of a project to identify and delineate units and (or) facies that are favorable for uranium in the Upper Pennsylvanian and Lower Permian strata of north-central Texas and southwestern Oklahoma. To aid in this evaluation, an assessment of the probable uranium rocks (Wichita and Arbuckle Mountains) was necessary. Surface samples were collected from igneous and sedimentary rocks. Stream-sediment samples were also collected. However, the main emphasis of the investigation of the sedimentary units was on the identification of sedimentary facies trends in the subsurface and an evaluation of the uranium favorability within units studied. The area investigated centers along the Red River, the boundary between Texas and Oklahoma. The project area encompasses approximately 17,000 sq. mi. It includes all or parts of Cooke, Montague, Clay, Wichita, Wilbarger, Hardeman, Baylor, Knox, and Archer Counties in Texas and Love, Jefferson, Cotton, Tillman, Jackson, Stephens, Carter, Comanche, Harmon, and Greer Counties in Oklahoma

Reporter Turnover on Texas Daily Newspapers.

Science.gov (United States)

Moss, Marquita

1978-01-01

A survey of Texas daily newspapers yielded a picture of newspaper reporters as relatively young men who do not stay in one place very long, suggesting that the stereotype of the itinerant reporter may have its basis in fact. (GW)

South Texas Native Plant Restoration Project

Science.gov (United States)

2012-10-01

The South Texas Native Plant Restoration Project was a resounding success in that the primary goal of : developing commercial sources of native seed has been substantially met. By the conclusion of the project : on August 31, 2011, 20 native seed sou...

Austin, Texas: Solar in Action (Brochure)

Energy Technology Data Exchange (ETDEWEB)

2011-10-01

This brochure provides an overview of the challenges and successes of Austin, Texas, a 2007 Solar America City awardee, on the path toward becoming a solar-powered community. Accomplishments, case studies, key lessons learned, and local resource information are given.

CRC Handbook of Medical Physics, vol. 3

International Nuclear Information System (INIS)

Waggener, R.G.; Kereiakes, J.G.; Shalek, R.J.

1984-01-01

In this work, the care and testing of measurement and diagnostic instruments are described in detail. Difficulties encountered with therapeutic and diagnostic calibrations are explored and solutions are suggested. VOLUME III Physics Teaching for Radiologic Technologists, Physics Teaching for Diagnostic Radiology Residents, Physics Teaching for Nuclear Medicine Residents, Physics Teaching for Radiotherapy Residents, Degree Programs in Medical Physics, Radiobiology Teaching, Non-Degree Medical Physics Training and American Board of Radiology Certifications, Radioactivity and Production of Medical Isotopes, Practical Medical Physics Consulting, Radiologic Terminology, Nuclear Medicine Imaging Techniques, Description of Radiotherapy Procedures, Medical Applications of Ultrasonography and Thermography, Glossary of Medical and Anatomical Terms Used in Medical Physics, Equipment List for Medical Physics and Acquisition Priority. Bibliography of Reference Materials. Index

The Smart Grid in Texas. An investigation for Dutch business opportunities

International Nuclear Information System (INIS)

Van Ooijen, A.; Van Gellecum, P.

2011-12-01

This paper discusses the smart grid industry in the state of Texas, USA. A market scan for Dutch business opportunities is made. Currently, over 8 million smart meters have been installed in 18 smart grid projects in Texas. Its business climate is perceived as friendly and has attracted a lot of investments from the industry and over USD 1 billion from government grants. The deployment of smart meters is done mandatory. With the massive rollout of smart meters Texas has laid a profound foundation of the smart grid infrastructure. Some smart grid projects are mainly focused on the roll-out of smart meters, while others are holistically focused on the reduction of electricity consumption and include the use of solar panels, wind turbines and electric vehicles. The most important opportunities for Dutch business are in the in-home display industry, technologies for safety and security, smart grid applications, consumer involvement, bridging the smart grid to the smart city, deployment knowledge within Texas, and future pilot possibilities. Implications are discussed.

Medical Student Psychiatry Examination Performance at VA and Non-VA Clerkship Sites

Science.gov (United States)

Tucker, Phebe; von Schlageter, Margo Shultes; Park, EunMi; Rosenberg, Emily; Benjamin, Ashley B.; Nawar, Ola

2009-01-01

Objective: The authors examined the effects of medical student assignment to U.S. Department of Veterans Affairs (VA) Medical Center inpatient and outpatient psychiatry clerkship sites versus other university and community sites on the performance outcome measure of National Board of Medical Examiners (NBME) subject examination scores. Methods:…

Diversity and Innovation for Geosciences (dig) Texas Earth and Space Science Instructional Blueprints

Science.gov (United States)

Ellins, K. K.; Bohls-Graham, E.; Riggs, E. M.; Serpa, L. F.; Jacobs, B. E.; Martinez, A. O.; Fox, S.; Kent, M.; Stocks, E.; Pennington, D. D.

2014-12-01

The NSF-sponsored DIG Texas Instructional Blueprint project supports the development of online instructional blueprints for a yearlong high school-level Earth science course. Each blueprint stitches together three-week units that contain curated educational resources aligned with the Texas state standards for Earth and Space Science and the Earth Science Literacy Principles. Units focus on specific geoscience content, place-based concerns, features or ideas, or other specific conceptual threads. Five regional teams composed of geoscientists, pedagogy specialists, and practicing science teachers chose unit themes and resources for twenty-two units during three workshops. In summer 2014 three Education Interns (Earth science teachers) spent six weeks refining the content of the units and aligning them with the Next Generation Science Standards. They also assembled units into example blueprints. The cross-disciplinary collaboration among blueprint team members allowed them to develop knowledge in new areas and to share their own discipline-based knowledge and perspectives. Team members and Education Interns learned where to find and how to evaluate high quality geoscience educational resources, using a web-based resource review tool developed by the Science Education Resource Center (SERC). SERC is the repository for the DIG Texas blueprint web pages. Work is underway to develop automated tools to allow educators to compile resources into customized instructional blueprints by reshuffling units within an existing blueprint, by mixing units from other blueprints, or creating new units and blueprints. These innovations will enhance the use of the units by secondary Earth science educators beyond Texas. This presentation provides an overview of the project, shows examples of blueprints and units, reports on the preliminary results of classroom implementation by Earth science teachers, and considers challenges encountered in developing and testing the blueprints. The

South Texas Maquiladora Suppliers Project.

Science.gov (United States)

Patrick, J. Michael

This project was undertaken to assist South Texas industries in improving export to nearby Mexican maquiladoras (factories). The maquiladora program is based on co-production by two plants under a single management, one on each side of the border. Activities addressed four objectives: (1) to determine the dollar value, quantity, and source of the…

40 CFR 62.10850 - Identification of Plan.

Science.gov (United States)

2010-07-01

... from existing sulfuric acid production plants as adopted by the Texas Air Control Board (TACB) on May... (CONTINUED) APPROVAL AND PROMULGATION OF STATE PLANS FOR DESIGNATED FACILITIES AND POLLUTANTS Texas Plan for... Identification of Plan. (a) Identification of plan. Texas Plan for Control of Designated Pollutants from Existing...

Medical practice in New Zealand 1769-1860.

Science.gov (United States)

Lawrenson, Ross

2004-06-01

New Zealand was discovered by Captain Cook in 1769. Over the next ninety years, increasing numbers of medical practitioners visited and began to settle in what became a British colony. The first medical visitors were usually naval surgeons or served on board whaling ships. The major influx of doctors occurred at the behest of the New Zealand Company between 1840 and 1848, although Christian missionaries, army doctors, and individual medical entrepreneurs also emigrated and provided services. This paper describes the pattern of medical settlement in the colony's earliest years and relates this to the health of the population and the development of medical and hospital services.

Position coincidence optical identifications using Texas interferometer radio positions

International Nuclear Information System (INIS)

Bozyan, E.P.

1979-01-01

1048 radio source positions measured with the Texas Interferometer were searched for optical identifications on glass copies of the Palomar Sky Survey E and O plates, resulting in 242 identifications and 806 blank fields. Finding charts are presented for 124 of the 125 new identifications not previously reported in the literature, and for 73 blank fields containing nearby optical objects which may be real identifications. This brings the cumulative number of Texas radio positions searched to 2015, producing 864 optical identifications and 1151 blank fields

[Medical services on an inspection ship in the north Atlantic].

Science.gov (United States)

Kjaer, A

1990-10-29

The Danish Naval Inspection Ships sail in the North Atlantic waters with a doctor on board. The object of this investigation was to illustrate the medical services on board and to elucidate the significance of various factors to predict seeking medical advice. During a period of three months, all of the medical services and certain basic factors were registered. The crew was interviewed about consumption of alcohol and tobacco, previous life at sea and family background. A total of 305 consultations were used by the crew of 72 men. This figure is five times the anticipated figure in general practice. Low rank and low age were predictors for frequent medical consultations. The diagnosis groups of traumata/injuries, dermatological conditions and disease in the nervous system or organs of sense were relatively overrepresented. A series of factors may possibly have influenced the pattern of seeking medical help so that this differs from general practice. It is concluded that the dangerous working environment and poor possibilities for good hygiene are important factors whereas the mental stress is of lesser significance.

Research on and in medical education.

Science.gov (United States)

Panter, Michaela S

2011-09-01

Dr. George Lister of the University of Texas Southwestern Medical Center delivered the Lee E. Farr Lecture on Student Research Day on May 9, 2011. This day focused on the dissertation work of Yale School of Medicine MD students, whose research opportunities for prospective physicians were recently examined and critiqued by Yale's Committee to Promote Student Interest in Careers as Physician Scientists. Lister's talk served to highlight the importance of communication between the laboratory and the clinic in optimizing diagnostics and treatments, effectively affirming the validity of the Committee's objectives. Copyright © 2011.

An aerial radiological survey of the South Texas Project Electric Generating Station and surrounding area, Bay City, Texas

International Nuclear Information System (INIS)

Thompson, J.M.

1988-12-01

An aerial radiological survey was conducted over the South Texas Project Electric Generating Station (STPEGS) near Bay City, Texas, during the period 25 March to 4 April 1988. The purpose of the 259-square-kilometer (100-square-mile) survey was to document the terrestrial gamma environment of the plant and surrounding area. An exposure rate contour map at 1 meter above ground level (AGL) was constructed from the gamma data and overlaid on an aerial photograph and map of the area. Exposure rates were observed up to 10μR/h over land. No areas of enhanced exposure rates were observed. Ground-based exposure rate measurements and soil samples were obtained to support the aerial data. Oblique aerial photographs of the plant were also acquired during the survey. 9 refs., 4 figs., 1 tab

Perceptions of Texas 4-H Livestock Ambassadors on Career Development, Higher Education, and Leadership Development

Science.gov (United States)

Zanolini, William F.; Rayfield, John; Ripley, Jeff

2013-01-01

Selected 4-H youth participated in the Texas 4-H Livestock Ambassador program. Forty-five youth participated in the 3-day program delivered by university professors and staff, Texas AgriLife Extension faculty and industry representatives. An instrument was developed and administered to the Texas 4-H Livestock Ambassadors at the end of their first…

Texas perpetual pavements : new design guidelines.

Science.gov (United States)

2010-06-01

Since 2001, the State of Texas has been designing and constructing perpetual pavements : on some of its heavily trafficked highways where the expected 20-year truck-traffic estimate of : 18 kip ESALs is in excess of 30 million (TxDOT, 2001). To date,...

Cost-Effectiveness Analysis of the Residential Provisions of the 2015 IECC for Texas

Energy Technology Data Exchange (ETDEWEB)

Mendon, Vrushali V. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Zhao, Mingjie [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Taylor, Zachary T. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Poehlman, Eric A. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States)

2016-02-15

The 2015 IECC provides cost-effective savings for residential buildings in Texas. Moving to the 2015 IECC from the 2009 IECC base code is cost-effective for residential buildings in all climate zones in Texas.

Psychiatry in American Medical Education: The Case of Harvard's Medical School, 1900-1945.

Science.gov (United States)

Abraham, Tara H

2018-01-01

As American psychiatrists moved from the asylum to the private clinic during the early twentieth century, psychiatry acquired a growing presence within medical school curricula. This shift in disciplinary status took place at a time when medical education itself was experiencing a period of reform. By examining medical school registers at Harvard University, records from the Dean's office of Harvard's medical school, and oral histories, this paper examines the rise in prominence of psychiatry in medical education. Three builders of Harvard psychiatry - Elmer E. Southard, C. Macfie Campbell, and Harry C. Solomon - simultaneously sought to mark territory for psychiatry and its relevance. In doing so, they capitalized on three related elements: the fluidity that existed between psychiatry and neurology, the new venues whereby medical students gained training in psychiatry, and the broader role of patrons, professional associations, and certification boards, which sought to expand psychiatry's influence in the social and cultural life of twentieth-century America.

76 FR 52997 - Public Company Accounting Oversight Board; Order Approving Proposed Board Funding Final Rules for...

Science.gov (United States)

2011-08-24

... Accounting Oversight Board; Order Approving Proposed Board Funding Final Rules for Allocation of the Board's... August 18, 2011. I. Introduction On June 21, 2011, the Public Company Accounting Oversight Board (the... public accounting firm, in amounts that are sufficient to cover the costs of processing and reviewing...

Evaluation of Wind Energy Production in Texas using Geographic Information Systems (GIS)

Science.gov (United States)

Ferrer, L. M.

2017-12-01

Texas has the highest installed wind capacity in the United States. The purpose of this research was to estimate the theoretical wind turbine energy production and the utilization ratio of wind turbines in Texas. Windfarm data was combined applying Geographic Information System (GIS) methodology to create an updated GIS wind turbine database, including location and technical specifications. Applying GIS diverse tools, the windfarm data was spatially joined with National Renewable Energy Laboratory (NREL) wind data to calculate the wind speed at each turbine hub. The power output for each turbine at the hub wind speed was evaluated by the GIS system according the respective turbine model power curve. In total over 11,700 turbines are installed in Texas with an estimated energy output of 60 GWh per year and an average utilization ratio of 0.32. This research indicates that applying GIS methodologies will be crucial in the growth of wind energy and efficiency in Texas.

Glaucoma Medication Preferences among Glaucoma Specialists in Mexico

OpenAIRE

Lazcano-Gomez, Gabriel; Alvarez-Ascencio, Daniela; Haro-Zuno, Cindy; Turati-Acosta, Mauricio; Garcia-Huerta, Magdalena; Jimenez-Arroyo, Jesus; Castañeda-Diez, Rafael; Castillejos-Chevez, Armando; Gonzalez-Salinas, Roberto; Dominguez-Dueñas, Francisca; Jimenez-Roman, Jesus

2017-01-01

Aim To determine the glaucoma specialists’ preferences for the different brands of topical glaucoma medications available in Mexico. Materials and methods A web-based survey was sent to 150 board-certified glaucoma specialists in Mexico, with 14 questions related to brand preferences for all glaucoma medications available in Mexico. Participants were asked to select each glaucoma medication class by brand and to state the factors leading to their choice. Results Data from 111 (74%) glaucoma s...

High energy physics program at Texas A&M University

Science.gov (United States)

1990-10-01

The Texas A&M high energy physics program has achieved significant mile-stones in each of its research initiatives. We are participating in two major operating experiments, CDF and MACRO; the development of two new detector technologies, liquid scintillating fiber calorimetry and knife-edge chambers; and two SSC detector proposals, SDC and TEXAS/EMPACT. We have developed prototypes of a liquid-scintillator fiber calorimeter system, in which internally reflecting channels are imbedded in a lead matrix and filled with liquid scintillator. This approach combines the performance features of fiber calorimetry and the radiation hardness of liquid scintillator, and is being developed for forward calorimetry in TEXAS/EMPACT. A new element in this program is the inclusion of a theoretical high energy physics research program being carried out by D. Nanopoulos and C. Pope. D. Nanopoulos has succeeded in building a string-derived model that unifies all known interactions: flipped SU(5), which is the leading candidate for a TOE. The impact of this work on string phenomenology certainly has far reaching consequences. C. Pope is currently working on some generalizations of the symmetries of string theory, known as W algebras. These are expected to have applications in two- dimensional conformal field theory, two-dimensional extensions of gravity and topological gravity, and W-string theory. The following report presents details of the accomplishments of the Texas A&M program over the past year and the proposed plan of research for the coming year.

Broken trusts: The Texas Attorney General versus the oil industry, 1889-1909

Science.gov (United States)

Singer, Jonathan Whitney

The legal history of state antitrust enforcement and the oil industry in Texas illustrates how and why antitrust law contemplated complementary enforcement at the state and federal government level. Historians, economists, and lawyers have concentrated on federal antitrust law and enforcement, ignoring state efforts. Yet for most of the first twenty-five years following the enactment of the Sherman Antitrust Act, federal enforcement efforts were extremely limited, leaving the field to the states. Texas was one of several states that had strong antitrust laws, and whose attorneys general prosecuted antitrust violations with vigor. Political ambition was a factor in the decisions to investigate and prosecute cases against a highly visible target, the petroleum industry, but there was also a genuine belief in the goals of antitrust policy, and in the efficacy of enforcement of the laws. Enforcement efforts were also complicated by the fact that large oil companies provided vital commodities, articles of "prime necessity," to the citizens of Texas and following the discovery of large oil fields, played an increasingly important role in the economies of many Texas communities. The Texas Attorney General's antitrust enforcement efforts against the oil industry in this time of transition from an agricultural society to an industrial society provide insights into the litigation process, and reveal how well the rhetoric of trust-busting fit with the reality of antitrust enforcement. The antitrust crusade against the petroleum industry also highlights the changing roles of state government in the late nineteenth and early twentieth centuries, particularly the Attorney General's Department. The experience of Texas undermines the view that federal action has always dominated antitrust enforcement efforts and that antitrust litigation against Standard Oil was ineffective and ineffectual. Rather, the Texas Attorney General's litigations and their results suggest that some states

Medical therapy cost considerations for glaucoma.

Science.gov (United States)

Fiscella, Richard G; Green, Amy; Patuszynski, Daniel H; Wilensky, Jacob

2003-07-01

To determine the calculated daily patient cost (cost minimization) of medical glaucoma therapy and review cost trends. Experimental, controlled, prospective study. The actual volume of various glaucoma medications or glaucoma medications with redesigned bottles was determined for most commercially available sizes of the tested products. The drops per milliliter based on the actual volume and the daily costs of the dosage schedules recommended by the manufacturers were compared. The cost of each bottle of medication was determined from the average wholesale price (AWP) in the United States. A comparison to 1999 prices where applicable will be analyzed to review costing trends. The generic timolol products (range, US dollars 0.38-US dollars 0.46 per day) were similar on a cost per day basis vs Betimol (Santen, Napa Valley, California, USA), Optipranolol (Bausch and Lomb Pharmaceuticals, Tampa, Florida, USA) and Timoptic (Merck, West Point, Pennsylvania, USA). Their percentage cost increase ranged from 5% to 22% since 1999, except for generic timolol XE gel-forming solution (48%). Betagan (Allergan, Irvine, California, USA), Betoptic S (Alcon Laboratories, Fort Worth, Texas, USA), and Ocupress (Novartis, Duluth, Georgia, USA) ranged from US dollars 0.88 to US dollars 1.11 per day, and their percentage cost increase ranged from 33% to 53%. Some brand-only products have raised their AWPs a greater percentage, including Betoptic S (37%), Iopidine (Alcon, Fort Worth, Texas, USA) (50%), Ocupress (Novartis Ophthalmics, Duluth, Georgia, USA) (53%), and Pilopine gel (Alcon, Fort Worth, Texas, USA) (32%). The mean cost per day for the topical carbonic anhydrase inhibitors Azopt (Alcon Laboratories; US dollars 1.33 per day) and Trusopt (Merck; US dollars 1.05 per day) differed from 1999 when prices were almost identical. Cosopt (Merck; timolol 0.5% plus dorzolamide 2%, US dollars 1.04 per day) was less than the cost of separate bottles of a topical carbonic anhydrase inhibitor

Improving the communication between teams managing boarded patients on a surgical specialty ward.

Science.gov (United States)

Puvaneswaralingam, Shobitha; Ross, Daniella

2016-01-01

Transferring patients from the ward of their specialty or consultant is described as boarding. 1 Boarding patients is becoming increasingly prevalent due to greater pressure on hospital capacity. This practice compromises patient safety through delayed investigations, prolonged hospital stays, and increased risk of hospital-acquired infections. 1 2 We evaluated how regularly boarded patients were reviewed, and how effectively information regarding their management was communicated from their primary specialty to ward staff. We aimed to improve the frequency of patient reviews by ensuring that each patient was reviewed every weekday and increase communication between primary specialty, and medical and nursing teams by 20% from baseline during the data collection period. The project was based in the Otolaryngology ward in Ninewells Hospital, Dundee, where there was a high prevalence of boarded patients. Baseline data showed a clear deficit in communication between the primary specialty and ward staff with only 31% of patient reviews being communicated to ward doctors. We designed and implemented a communication tool, in the form of a sticker, to be inserted into patients' medical notes for use by the primary specialty. Implementation of the sticker improved communication between teams as stickers were completed in 93% of instances. In 88% of patient reviews, the junior doctor was informed of the management plan, showing a large increase from baseline. Through PDSA cycles, we aimed to increase the sustainability and reliability of the sticker; however, we faced challenges with sustainability of sticker insertion. We aim to engage more stakeholders to raise awareness of the problem, brainstorm solutions together, and review the production and implementation of stickers with senior hospital management to discuss the potential use of this tool within practice. There is potentially a large scope for utilisation of this communication tool on a local level, which we hope

A Mobile Phone HIV Medication Adherence Intervention: Care4Today™ Mobile Health Manager

Science.gov (United States)

Martin, C. Andrew

2016-01-01

This paper presents the findings of a qualitative study designed to describe the experience of HIV medication adherence using a mobile phone application. For the purpose of this qualitative study, nine semi-structured focus group discussions were conducted over a three-month period at an AIDS service organization in Central Texas. The data were…

Use of medical photography among dermatologists: a nationwide online survey study.

Science.gov (United States)

Milam, E C; Leger, M C

2018-02-06

Medical photography enhances patient care, medical education and research. Despite medical photography's widespread use, little is known about how dermatologists choose to implement photography in routine clinical practice, and how they approach issues of image storage, image security and patient consent. To characterize dermatologists' medical photography habits and opinions. A 32-item anonymous, multiple-choice SurveyMonkey questionnaire about medical photography practices was emailed to programme directors of the 117 United States (US) dermatology residency programmes between May and August 2015, with a request to forward to faculty and affiliated dermatologists. Only board-certified dermatologists practicing in the United States were eligible. The Institutional Review Board exempted our study from full review. Our survey included 153 board-certified dermatologists, primarily representing the north-east (43.1%) and identifying as academic dermatologists (75.5%). Medical photography is prevalent: 61.8% report everyday use and 21.7% photograph every patient. Those reporting rare use (3.3%) were, on average, 20 years older. Dermatologists most commonly use photography to mark biopsy sites (87.5%), track disease (82.9%) and for education/teaching (72.4%). Nearly half (46%) use smartphone cameras. Emailing and texting photographs with patients or colleagues are common (69.1%). Most dermatologists (75.7%) always request patient consent for photographs. Only 23.7% adhere to a photography protocol and 73.9% desire more training opportunities. Dermatologists value medical photography. While patterns of image acquisition, storage and consent are noted, a variety of methods and preferences exist. Clearer photography guidelines and increased educational resources are likely to improve image quality, exchangeability and confidentiality. © 2018 European Academy of Dermatology and Venereology.

Role and movement of nilgai antelope, Boselaphus tragocamelus, in the epizootiology of cattle fever ticks (Acari: Ixodidae) in re-infestations along the Texas/Mexico border in south Texas

Science.gov (United States)

Nilgai antelope are the largest Asian antelope and are originally endemic to the Indian subcontinent. Nilgai were introduced into Texas in the 1940s for hunting purposes and are now the most abundant free-ranging ungulate in south Texas with population estimates in the early 1990s of more than 36,0...

Clinician Survey to Determine Knowledge of Dengue and Clinical Management Practices, Texas, 2014.

Science.gov (United States)

Adam, Jessica K; Abeyta, Roman; Smith, Brian; Gaul, Linda; Thomas, Dana L; Han, George; Sharp, Tyler M; Waterman, Stephen H; Tomashek, Kay M

2017-03-01

AbstractDengue, a mosquito-borne viral disease, is increasingly being identified as a cause of outbreaks in the United States. During July-December 2013, a total of three south Texas counties reported 53 laboratory-confirmed dengue cases; 26 were locally acquired, constituting the largest outbreak in Texas since 2005. Because dengue outbreaks are expected to continue in south Texas and early case identification and timely treatment can reduce mortality, we sought to determine clinicians' knowledge of dengue and its clinical management. A survey was sent to 2,375 south Texas clinicians; 217 (9%) completed the survey. Approximately half of participants demonstrated knowledge needed to identify dengue cases, including symptoms (56%), early indicators of shock (54%), or timing of thrombocytopenia (48%). Fewer than 20% correctly identified all prevention messages, severe dengue warning signs, or circumstances in which a dengue patient should return for care. Knowledge of clinical management was limited; few participants correctly identified scenarios when plasma leakage occurred (10%) or a crystalloid solution was indicated (7%); however, 45% correctly identified when a blood transfusion was indicated. Because of the ongoing threat of dengue, we recommend clinicians in south Texas receive dengue clinical management training.

Clinician Survey to Determine Knowledge of Dengue and Clinical Management Practices, Texas, 2014