WorldWideScience

Sample records for total planned community

  1. Community development planning

    International Nuclear Information System (INIS)

    Gray, S.I.

    1983-01-01

    The focus of this paper will be methods of local community involvement in the community development planning efforts which will be required at the recommended sites. Community development planning will include capital improvement plans, housing plans, zoning changes, business development plans and other community service and fiscal plans required to meet the projected needs of new residents as a result of the repository construction and operation. This paper will present, (1) the need for community planning, (2) methods of responding to community planning needs, (3) current community planning issues to be addressed. 2 references, 1 figure

  2. Total quality management program planning

    Energy Technology Data Exchange (ETDEWEB)

    Thornton, P.T.; Spence, K.

    1994-05-01

    As government funding grows scarce, competition between the national laboratories is increasing dramatically. In this era of tougher competition, there is no for resistance to change. There must instead be a uniform commitment to improving the overall quality of our products (research and technology) and an increased focus on our customers` needs. There has been an ongoing effort to bring the principles of total quality management (TQM) to all Energy Systems employees to help them better prepare for future changes while responding to the pressures on federal budgets. The need exists for instituting a vigorous program of education and training to an understanding of the techniques needed to improve and initiate a change in organizational culture. The TQM facilitator is responsible for educating the work force on the benefits of self-managed work teams, designing a program of instruction for implementation, and thus getting TQM off the ground at the worker and first-line supervisory levels so that the benefits can flow back up. This program plan presents a conceptual model for TQM in the form of a hot air balloon. In this model, there are numerous factors which can individually and collectively impede the progress of TQM within the division and the Laboratory. When these factors are addressed and corrected, the benefits of TQM become more visible. As this occurs, it is hoped that workers and management alike will grasp the ``total quality`` concept as an acceptable agent for change and continual improvement. TQM can then rise to the occasion and take its rightful place as an integral and valid step in the Laboratory`s formula for survival.

  3. Rakhaine community embraces family planning.

    Science.gov (United States)

    Chowdhury, S M

    1994-01-01

    The Rakhaines are a small, tightly knit community of 15,000 people who occupy parts of the coastal and hilly districts of southern Bangladesh. It is a closed community with different ethnic origins and religion from other Bangladeshis. As such, they have been largely unreached by government health and family planning services. In response to the need to bring services to these people, contact was established between the Family Planning Association of Bangladesh (FPAB) and the Rakhaine in 1987 in the interest of improving family health and well-being among the Rakhaine people through the introduction of maternal and child health care and family planning. The Family Planning Services for the Rakhaine Community project of the FPAB began in Cox's Bazar and Harbang in late 1987, and spread gradually over the hilly terrain inhabited by the Rakhaine to now serve 2000 couples. Although family planning was the focal point, the project also incorporated schemes for income generation, maternal and child health care, and sanitation. At baseline, less than 25% of reproductive age couples were using contraception, but this proportion grew to 69% by 1993, higher than the national contraceptive prevalence rate of approximately 40%. Used by 41% of married women of reproductive age, the pill is the most preferred contraceptive method, followed by sterilization among 10% of women. The efforts of fieldworkers were crucial to program success. The author notes that current users have been using contraception on average for just over two years. Moreover, the level of tetanus toxoid immunization rose to 60% of pregnant women, while 75% of children are now immunized against major life-threatening diseases. Some costs are recovered, but not enough to finance the project.

  4. A template for integrated community sustainability planning.

    Science.gov (United States)

    Ling, Christopher; Hanna, Kevin; Dale, Ann

    2009-08-01

    This article describes a template for implementing an integrated community sustainability plan. The template emphasizes community engagement and outlines the components of a basic framework for integrating ecological, social and economic dynamics into a community plan. The framework is a series of steps that support a sustainable community development process. While it reflects the Canadian experience, the tools and techniques have applied value for a range of environmental planning contexts around the world. The research is case study based and draws from a diverse range of communities representing many types of infrastructure, demographics and ecological and geographical contexts. A critical path for moving local governments to sustainable community development is the creation and implementation of integrated planning approaches. To be effective and to be implemented, a requisite shift to sustainability requires active community engagement processes, political will, and a commitment to political and administrative accountability, and measurement.

  5. Sustainable Communities Regional Planning Grantees (NGDA)

    Data.gov (United States)

    Department of Housing and Urban Development — The Sustainable Communities Regional Planning (SCRP) Grant Program supports locally-led collaborative efforts that bring together diverse interests from the many...

  6. Gender Responsive Community Based Planning and Budgeting ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    ... Responsive Community Based Planning and Budgeting Tool for Local Governance ... in data collection, and another module that facilitates gender responsive and ... In partnership with UNESCO's Organization for Women in Science for the ...

  7. Management and Planning for Small Community Wastewater

    Science.gov (United States)

    Operators Small Systems Management and Planning for Small Community Wastewater The NESC has provided of Clean Water Agencies (NACWA) Achieving Environmental Excellence: An Environmental Management Agencies, The Office of Wastewater Management at EPA, in cooperation with the Global Environment and

  8. Planning positive legacies for communities

    DEFF Research Database (Denmark)

    Pacheco Cueva, Vladimir

    2012-01-01

    In the last 3 decades, an increasing number of mining and resources companies around the world have established community funds, trusts and foundations (FTFs) in order to comply with government legislation and/or to promote their corporate social responsibility or philanthropic programmes. Accord...

  9. The two (quality) faces of HCHP (Harvard Community Health Plan).

    Science.gov (United States)

    Burda, D

    1991-03-18

    When it comes to total quality management, Harvard Community Health Plan has two personalities. It's using the principles espoused by such TQM gurus as Joseph Juran to reduce costs and improve quality in its clinics and offices. But HCHP also is enhancing its image in the healthcare industry by teaching TQM principles to others for big bucks.

  10. Assessment of community led total sanitation uptake in rural Kenya ...

    African Journals Online (AJOL)

    Background: Community Led Total Sanitation (CLTS) is an innovative community led drive to set up pit latrines in rural Kenya with an aim of promoting sustainable sanitation through behaviour change. It's a behaviour change approach based on social capital that triggers households to build pit latrines without subsidy.

  11. Overlapping communities from dense disjoint and high total degree clusters

    Science.gov (United States)

    Zhang, Hongli; Gao, Yang; Zhang, Yue

    2018-04-01

    Community plays an important role in the field of sociology, biology and especially in domains of computer science, where systems are often represented as networks. And community detection is of great importance in the domains. A community is a dense subgraph of the whole graph with more links between its members than between its members to the outside nodes, and nodes in the same community probably share common properties or play similar roles in the graph. Communities overlap when nodes in a graph belong to multiple communities. A vast variety of overlapping community detection methods have been proposed in the literature, and the local expansion method is one of the most successful techniques dealing with large networks. The paper presents a density-based seeding method, in which dense disjoint local clusters are searched and selected as seeds. The proposed method selects a seed by the total degree and density of local clusters utilizing merely local structures of the network. Furthermore, this paper proposes a novel community refining phase via minimizing the conductance of each community, through which the quality of identified communities is largely improved in linear time. Experimental results in synthetic networks show that the proposed seeding method outperforms other seeding methods in the state of the art and the proposed refining method largely enhances the quality of the identified communities. Experimental results in real graphs with ground-truth communities show that the proposed approach outperforms other state of the art overlapping community detection algorithms, in particular, it is more than two orders of magnitude faster than the existing global algorithms with higher quality, and it obtains much more accurate community structure than the current local algorithms without any priori information.

  12. THE COMMUNITY PLANNING PROCESS. KANSAS STATE UNIVERSITY SHORT COURSE SERIES ON COMMUNITY PLANNING AND DEVELOPMENT, 6.

    Science.gov (United States)

    WEISENBURGER, RAY B.

    PART OF A KANSAS STATE UNIVERSITY SERIES ON COMMUNITY PLANNING AND DEVELOPMENT, THIS MONOGRAPH DISCUSSES THE STAGES IN THE PREPARATION AND IMPLEMENTATION OF COMPREHENSIVE URBAN SCHEMES. FIRST OF ALL, SOCIAL ACCEPTANCE, ECONOMIC, FEASIBILITY, POLITICAL RESPONSIBILITY, AND ENVIRONMENTAL SATISFACTION ARE VITAL TO SUCCESSFUL PLANNING. ORGANIZATION FOR…

  13. Community energy plan : village of Burns Lake

    International Nuclear Information System (INIS)

    Rivard, B.

    2008-09-01

    Climate change has a significant impact on the lives of Canadians and their economies. In northern British Columbia, the ability to grow, process and transport food will likely change. The rising cost of fuel and other natural resources will create a need for more resilient communities. This report presented a community energy plan for Burns Lake in order to provide the first steps toward building on an already resilient community. The report answered questions about Burns Lake's energy consumption and greenhouse gas (GHG) emissions as well as the community's views on energy issues. The report provided background information on the Village of Burns Lake and discussed climate change in Burns Lake, energy use, and greenhouse gas emissions. The report also described community engagement by way of a questionnaire on fuel prices, homes and public opinion in Burns Lake. A strategy was also outlined. It was concluded that the village of Burns Lake is well positioned to face challenges regarding future energy use. The community is looking to the municipality for support and leadership, in order to deliver through active opportunities to reduce greenhouse gas emissions. 6 figs., 4 appendices.

  14. Succession Planning for Community Colleges: A Study of Best Practices

    Science.gov (United States)

    McMaster, Susan Marie

    2012-01-01

    The purpose of this study is to apply best practices for succession planning to community colleges. Succession planning is relevant to management practices in community colleges because there is a surge in retirements in higher education from the "baby boomer" generation. Community colleges need to implement a succession plan to ensure…

  15. Digital versus analogue preoperative planning of total hip arthroplasties - A randomized clinical trial of 210 total hip arthroplasties

    NARCIS (Netherlands)

    The, Bertram; Verdonschot, Nico; van Horn, Jim R.; van Ooijen, Peter M. A.; Diercks, Ron L.

    The objective of this randomized clinical trial was to compare the clinical and technical results of digital preoperative planning for primary total hip arthroplasties with analogue planning. Two hundred and ten total hip arthroplasties were randomized. All plans were constructed on standardized

  16. Integrating hospitals into community emergency preparedness planning.

    Science.gov (United States)

    Braun, Barbara I; Wineman, Nicole V; Finn, Nicole L; Barbera, Joseph A; Schmaltz, Stephen P; Loeb, Jerod M

    2006-06-06

    Strong community linkages are essential to a health care organization's overall preparedness for emergencies. To assess community emergency preparedness linkages among hospitals, public health officials, and first responders and to investigate the influence of community hazards, previous preparation for an event requiring national security oversight, and experience responding to actual disasters. With expert advice from an advisory panel, a mailed questionnaire was used to assess linkage issues related to training and drills, equipment, surveillance, laboratory testing, surge capacity, incident management, and communication. A simple random sample of 1750 U.S. medical-surgical hospitals. Of 678 hospital representatives that agreed to participate, 575 (33%) completed the questionnaire in early 2004. Respondents were hospital personnel responsible for environmental safety, emergency management, infection control, administration, emergency services, and security. Prevalence and breadth of participation in community-wide planning; examination of 17 basic elements in a weighted analysis. In a weighted analysis, most hospitals (88.2% [95% CI, 84.1% to 92.3%]) engaged in community-wide drills and exercises, and most (82.2% [CI, 77.8% to 86.5%]) conducted a collaborative threat and vulnerability analysis with community responders. Of all respondents, 57.3% (CI, 52.1% to 62.5%) reported that their community plans addressed the hospital's need for additional supplies and equipment, and 73.0% (CI, 68.1% to 77.9%) reported that decontamination capacity needs were addressed. Fewer reported a direct link to the Health Alert Network (54.4% [CI, 49.3% to 59.5%]) and around-the-clock access to a live voice from a public health department (40.0% [CI, 35.0% to 45.0%]). Performance on many of 17 basic elements was better in large and urban hospitals and was associated with a high number of perceived hazards, previous national security event preparation, and experience in actual

  17. Preliminary socioeconomic and community planning studies

    Energy Technology Data Exchange (ETDEWEB)

    Rivkin, Goldie W; Rivkin, Malcolm D [Rivkin Associates, Bethesda, MD (United States)

    1986-07-01

    The timing of resettlement on Bikini Atoll and the nature of a master plan to guide construction of a new community depend on four critical determinants which are not yet definitively known. The Bikini Atoll Rehabilitation Committee (BARC) and its consultants have been addressing three of these: a. How long it will take to restore Bikini Island, which will be the main settlement area, to a habitable state. The methods under investigation by BARC for decontaminating the island might be considered as alternatives or, possibly in combination. They vary considerably, not only with respect to cost, but also with respect to important factors such as: - how long it will take to decontaminate the island (i.e. to reduce radiation to levels acceptable within Federal standards), - the necessity of removing existing vegetation and the time and effort needed to restore environment and vegetation to a state sufficient to support a new community at a reasonable standard of amenity, - requirements for repeated or continual application of decontamination procedures (and associated risks), and - implications for potential constraints on the lifestyle of the people who resettle on Bikini Island. b. Adequacy of water resources (groundwater and rainwater catchment potential) on Bikini and Eneu Islands to support both revegetation as necessary, and a new community. c. The likely state of the Bikini people (size of the population, location(s), living conditions, financial commitments, etc.) at the time their atoll is ready for resettlement. d. The judgment and wishes of the Bikini people regarding a community plan in light of all the foregoing factors, once they become known.

  18. Preliminary socioeconomic and community planning studies

    International Nuclear Information System (INIS)

    Rivkin, Goldie W.; Rivkin, Malcolm D.

    1986-01-01

    The timing of resettlement on Bikini Atoll and the nature of a master plan to guide construction of a new community depend on four critical determinants which are not yet definitively known. The Bikini Atoll Rehabilitation Committee (BARC) and its consultants have been addressing three of these: a. How long it will take to restore Bikini Island, which will be the main settlement area, to a habitable state. The methods under investigation by BARC for decontaminating the island might be considered as alternatives or, possibly in combination. They vary considerably, not only with respect to cost, but also with respect to important factors such as: - how long it will take to decontaminate the island (i.e. to reduce radiation to levels acceptable within Federal standards), - the necessity of removing existing vegetation and the time and effort needed to restore environment and vegetation to a state sufficient to support a new community at a reasonable standard of amenity, - requirements for repeated or continual application of decontamination procedures (and associated risks), and - implications for potential constraints on the lifestyle of the people who resettle on Bikini Island. b. Adequacy of water resources (groundwater and rainwater catchment potential) on Bikini and Eneu Islands to support both revegetation as necessary, and a new community. c. The likely state of the Bikini people (size of the population, location(s), living conditions, financial commitments, etc.) at the time their atoll is ready for resettlement. d. The judgment and wishes of the Bikini people regarding a community plan in light of all the foregoing factors, once they become known

  19. Community reintegration following a total joint replacement: a pilot study.

    Science.gov (United States)

    Stergiou-Kita, Mary; Grigorovich, Alisa

    2014-06-01

    To examine community reintegration following a hip or knee total joint replacement (TJR) from the perspective of rehabilitation clients. A phenomenological frame of reference guided the present study. Ten participants who received inpatient rehabilitation completed semi-structured qualitative interviews to explore their experiences with reintegrating back into their chosen communities and the meanings that they ascribed to their reintegration. Interview data were analysed using thematic analysis. Demographic data, and information regarding participants' living situation and supports were extracted from existing databases and used to characterize the sample. Participants revealed that reintegration after a TJR encompassed two key elements of meaning: i) engagement in meaningful activities; and ii) satisfaction levels. Additionally, the following five factors were identified as facilitators or barriers to community reintegration following a TJR: i) ongoing preparation and education; ii) confounding health issues; iii) driving and transportation; iv) personal facilitators; v) access to supports from professionals, family and friends, and community programmes. The present study highlights the significance of engaging in meaningful activities and being satisfied in one's level of engagement to achieving a sense of community reintegration following a TJR. This suggests that reintegration post-TJR has broader meanings than just improvements in functional abilities. Practitioners are encouraged to inquire about patients' meaningful activities, support their preparedness throughout the rehabilitation process, to identify confounding health issues that may limit reintegration, consider patients' fears and anxieties and establish supports to enhance their feelings of self-efficacy and abilities to cope following a TJR. © 2014 John Wiley & Sons, Ltd.

  20. Effect of strategic planning education on attitudes and perceptions of independent community pharmacy owners/managers.

    Science.gov (United States)

    Harrison, Donald L

    2007-01-01

    To assess the impact of formal education program participation on the attitudes and perceptions of independent community pharmacy owners/managers toward strategic planning. Cross-sectional study. United States; June 4-July 30, 2004. Nationwide random sample of 1,250 owners/managers of independent community pharmacies. Mailed survey. Strategic planning formal education program participation. Comprehensiveness of strategic planning. Attitudes and perceptions of owners/managers of independent community pharmacies toward strategic planning. A total of 527 (42.1%) usable questionnaires were returned. Only 124 (23.5%) respondents indicated that they participated in a formal strategic planning education program. However, of the 141 (26.85%) respondents who indicated that they had conducted strategic planning for their community pharmacy, 111 (89.5%) had participated in a formal strategic planning education program. A significant association was detected between formal education program participation and the conducting of strategic planning (Pstrategic planning based on program participation (Pstrategic planning rating than those respondents who did not participate in an educational program (Pstrategic planning education program participation and the conducting of strategic planning by owner/managers of independent community pharmacies, and those participating in such programs have significantly different attitudes and perceptions toward the conducting of strategic planning and have a significantly higher comprehensiveness of strategic planning rating.

  1. Learning through Participatory Action Research for Community Ecotourism Planning.

    Science.gov (United States)

    Guevara, Jose Roberto Q.

    1996-01-01

    Ecologically sound tourism planning and policy require an empowering community participation. The participatory action research model helps a community gain understanding of its social reality, learn how to learn, initiate dialog, and discover new possibilities for addressing its situation. (SK)

  2. Planning innovation for better urban communities in sub-Saharan ...

    African Journals Online (AJOL)

    Planning innovation for better urban communities in sub-Saharan Africa: The education ... This is at a time when Africa is urbanising faster than any other region ... management are yet to be thoroughly analysed and rethought in planning ...

  3. planning peoples' participaion in sustainable community ...

    African Journals Online (AJOL)

    LUCY

    COMMUNITY DEVELOPMENT AT THE GRASSROOT. LEVELS IN ... development strategy is predicated on the capacity ..... energies and satisfaction which are central to the growth of .... intelligent members of the community must be involved.

  4. Techniques for overcoming community resistance to family planning programs.

    Science.gov (United States)

    Palley, H A

    1968-01-01

    Methods of overcoming resistance to publicly subsidized family planning programs are discussed. The main sources of opposition include groups that oppose family planning for moral reasons, and those who object to the spending of government funds to provide services and information. Such opposition can be weakened by indicating that family planning clinics fulf: 11 important medical needs. Presenting social justification for family planning can help to lower oppostion. In order to secure participation in the programs by low income groups it is essential to have community leaders involved in policy decisions and to use indigenous community paraprofessionals in the clinics. A coalition of representatives of the poor community and the health and welfare system, aided by the community organization, can lead to an effective family planning program.

  5. Common and Critical Components Among Community Health Assessment and Community Health Improvement Planning Models.

    Science.gov (United States)

    Pennel, Cara L; Burdine, James N; Prochaska, John D; McLeroy, Kenneth R

    Community health assessment and community health improvement planning are continuous, systematic processes for assessing and addressing health needs in a community. Since there are different models to guide assessment and planning, as well as a variety of organizations and agencies that carry out these activities, there may be confusion in choosing among approaches. By examining the various components of the different assessment and planning models, we are able to identify areas for coordination, ways to maximize collaboration, and strategies to further improve community health. We identified 11 common assessment and planning components across 18 models and requirements, with a particular focus on health department, health system, and hospital models and requirements. These common components included preplanning; developing partnerships; developing vision and scope; collecting, analyzing, and interpreting data; identifying community assets; identifying priorities; developing and implementing an intervention plan; developing and implementing an evaluation plan; communicating and receiving feedback on the assessment findings and/or the plan; planning for sustainability; and celebrating success. Within several of these components, we discuss characteristics that are critical to improving community health. Practice implications include better understanding of different models and requirements by health departments, hospitals, and others involved in assessment and planning to improve cross-sector collaboration, collective impact, and community health. In addition, federal and state policy and accreditation requirements may be revised or implemented to better facilitate assessment and planning collaboration between health departments, hospitals, and others for the purpose of improving community health.

  6. An Asset-Based Approach to Tribal Community Energy Planning

    Energy Technology Data Exchange (ETDEWEB)

    Gutierrez, Rachael A. [Pratt Inst., Brooklyn, NY (United States). City and Regional Planning; Martino, Anthony [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States). Materials, Devices, and Energy Technologies; Begay, Sandra K. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States). Materials, Devices, and Energy Technologies

    2016-08-01

    Community energy planning is a vital component of successful energy resource development and project implementation. Planning can help tribes develop a shared vision and strategies to accomplish their energy goals. This paper explores the benefits of an asset-based approach to tribal community energy planning. While a framework for community energy planning and federal funding already exists, some areas of difficulty in the planning cycle have been identified. This paper focuses on developing a planning framework that offsets those challenges. The asset-based framework described here takes inventory of a tribe’s capital assets, such as: land capital, human capital, financial capital, and political capital. Such an analysis evaluates how being rich in a specific type of capital can offer a tribe unique advantages in implementing their energy vision. Finally, a tribal case study demonstrates the practical application of an asset-based framework.

  7. Advance care planning in a community setting.

    Science.gov (United States)

    Connolly, Josaleen; Milligan, Stuart; Stevens, Elaine; Jackson, Susan; Rooney, Kevin

    2015-02-10

    To evaluate the effects of implementing an advance care planning process within pilot sites in North Ayrshire in 2010, focusing on people with palliative care needs. Data were collected from participants in advance care planning training using a questionnaire. Semi-structured interviews were conducted and an audit of documentation was undertaken. Thirty nine questionnaires were returned, a response rate of 16%. Twenty four out of 25 (96%) participants rated the training as having improved their understanding of the advance care planning process. The general consensus in interviews was that advance care planning is a worthwhile process. Participants reported patients achieving their preferred place of end of life care and greater consultation regarding hospitalisation. Within the pilot sites, advance care planning training enhanced the ability of professionals to implement the advance care planning process and record the wishes of patients and residents.

  8. Planning for Community Based Tourism in a Remote Location

    Directory of Open Access Journals (Sweden)

    Sharon Harwood

    2010-07-01

    Full Text Available Remote areas are difficult to access, tend to lack critical infrastructure, are highly susceptible to shocks in the marketplace, and are perceived by industry to possess limited development opportunities. Accordingly a community orientated and territorial approach to development planning in a remote area will be more successful than a top down industry based approach [1]. Given the limitations of being remote, the case study community examined in this research manages and sustains a bird watching tourism product within a global market place. This paper examines how a remotely located community in the Arfak Mountains of West Papua overcomes these difficulties and plans for community based tourism (CBT in their locale.

  9. Community College Attendance and Socioeconomic Plans

    Science.gov (United States)

    Park, Sueuk; Pascarella, Ernest T.

    2010-01-01

    Using data from the National Education Longitudinal Study, 1988 (NELS: 88), this paper documents differences in the socioeconomic plans of students in two-year and four-year colleges. We found attendance at a two-year college led to a modest but statistically significant disadvantage in socioeconomic plans. However, the impact of attending a…

  10. Integrating Family Planning and HIV Services at the Community ...

    African Journals Online (AJOL)

    USER

    Little is known on integrating HIV and family planning (FP) services in community settings. Using a cluster randomized ..... process evaluation data from several studies on facility-based ... PEPFAR blueprint: Creating an AIDS-free generation.

  11. Factors Affecting Community Participation in O and OD Planning ...

    African Journals Online (AJOL)

    Factors Affecting Community Participation in O and OD Planning and ... great success at start but later dropped in number of cattle taken for dipping. ... and to establish the measures taken by the district leadership in addressing the problems.

  12. Keyword analysis of community planning documents

    Data.gov (United States)

    U.S. Environmental Protection Agency — This file contains total hits per keyword expressed as percentage of total hits for the eight domains of the human well-being index. Additional categorical data is...

  13. Williamsport Area Community College Long Range Planning: The Long Range Plan, Update 1987.

    Science.gov (United States)

    Williamsport Area Community Coll., PA.

    This update to Williamsport Area Community College's (WACC's) 1984-89 long-range plan offers a status report on each of the plan's 78 objectives, reassigns responsibility for specific objectives to make the plan responsive to the current organizational structure of the college, and offers 11 new objectives for the 1986-87 academic year. After…

  14. Community energy planning in Canada. The role of renewable energy

    International Nuclear Information System (INIS)

    St Denis, Genevieve; Parker, Paul

    2009-01-01

    An emerging trend in Canada is the creation of community energy plans, where decisions that used to be left to regional level energy agencies or private individuals are now being considered at the community level. A desire to reduce greenhouse gas emissions and to become more energy self-sufficient is driving this change. Theoretically, local level management is desirable because it achieves these goals through improvements in the three areas of energy efficiency, energy conservation and switching to renewable energy sources. The analysis of 10 of the first community energy plans in Canadian communities, ranging in population size from 500 to one million, finds that communities are choosing policies and programs centred on increasing energy efficiency and conservation while renewable energy receives much less attention. Municipal operations were called upon to set higher targets than the general community. Communities that recognized the substantial potential of renewable energy often focused on technologies that the municipal sector could implement, such as bio-fuels for their transportation fleet. Wind, passive solar design, solar photovoltaics and solar thermal options were only recommended in a few cases. Overall, only one of the five larger communities (Calgary) recommended implementing multiple renewable energy technologies while three of the five smaller communities proposed multiple renewable energy sources. The implication is that smaller and more remote communities may be the most willing to lead in the planned introduction of renewable energy systems. (author)

  15. Community Vision and Interagency Alignment: A Community Planning Process to Promote Active Transportation.

    Science.gov (United States)

    DeGregory, Sarah Timmins; Chaudhury, Nupur; Kennedy, Patrick; Noyes, Philip; Maybank, Aletha

    2016-04-01

    In 2010, the Brooklyn Active Transportation Community Planning Initiative launched in 2 New York City neighborhoods. Over a 2-year planning period, residents participated in surveys, school and community forums, neighborhood street assessments, and activation events-activities that highlighted the need for safer streets locally. Consensus among residents and key multisectoral stakeholders, including city agencies and community-based organizations, was garnered in support of a planned expansion of bicycling infrastructure. The process of building on community assets and applying a collective impact approach yielded changes in the built environment, attracted new partners and resources, and helped to restore a sense of power among residents.

  16. Considering communities in forest management planning in western Oregon.

    Science.gov (United States)

    Ellen M. Donoghue; N. Lynnae Sutton; Richard W. Haynes

    2007-01-01

    A recurrent theme in the development of U.S. forest policies has been the assertion of strong positive relations among communities, economies, and natural resource management. Now as a new round of federal land management planning is getting underway, questions are being raised about the strength of that assertion and how to view communities following a decade of...

  17. Best management practices for creating a community wildfire protection plan

    Science.gov (United States)

    Pamela J. Jakes; Christine Esposito; Sam Burns; Antony S. Cheng; Kristen C. Nelson; Victoria E. Sturtevant; Daniel R. Williams

    2012-01-01

    A community wildfire protection plan (CWPP) is a means of bringing local solutions to wildland fire management. In developing and implementing CWPPs, communities assume a leadership role in reducing wildfi re risk on federal and nonfederal land. In this publication, we identify best management practices for CWPP development and implementation based on the experiences...

  18. Communities and Spontaneous Urban Planning: A Toolkit for Urban ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    State-led urban planning is often absent, which creates unsustainable environments and hinders the integration of migrants. Communities' prospects of ... This toolkit is expected to be a viable alternative for planning urban expansion wherever it cannot be carried out through traditional means. The toolkit will be tested in ...

  19. Master plans for pedestrian and bicycle transportation: community characteristics.

    Science.gov (United States)

    Steinman, Lesley; Doescher, Mark; Levinger, David; Perry, Cynthia; Carter, Louise; Eyler, Amy; Aytur, Semra; Cradock, Angie L I; Evenson, Kelly R; Heinrich, Katie; Kerr, Jacqueline; Litt, Jill; Severcan, Yucel; Voorhees, Carolyn

    2010-03-01

    Recent research demonstrates the importance of targeting the built environment to support individual physical activity, particularly for people experiencing health disparities. Master plans to promote biking and/or pedestrians (BPMPs) are a potential method for environmental change. This descriptive study aims to provide a snapshot of plan attributes and better understand demographic, social and transportation characteristics of communities with BPMPs. We collected a census sample of BPMPs from 4 states. Population and commuting data were obtained from national statistics. 294 master plans were included, with most plans representing municipalities. 62% of plans targeted biking only, one-fifth targeted biking and walking, and 15% targeted walking only. The sampled locations have a similar demographic profile as the overall U.S. for median age and household income, people of color, high school education, and income inequality. The degree of racial diversity of sampled communities is slightly less than the U.S. average and the percentage of people who walk to work were slightly higher. Given that communities with master plans have a similar profile as the overall U.S., BPMPs could feasibly be spread to communities throughout the country. Further research is planned to describe BPMPs in detail toward informing future plan development.

  20. Preparing US community greenhouse gas inventories for climate action plans

    International Nuclear Information System (INIS)

    Blackhurst, Michael; Scott Matthews, H; Hendrickson, Chris T; Sharrard, Aurora L; Azevedo, Ines Lima

    2011-01-01

    This study illustrates how alternative and supplemental community-level greenhouse gas (GHG) inventory techniques could improve climate action planning. Eighteen US community GHG inventories are reviewed for current practice. Inventory techniques could be improved by disaggregating the sectors reported, reporting inventory uncertainty and variability, and aligning inventories with local organizations that could facilitate emissions reductions. The potential advantages and challenges of supplementing inventories with comparative benchmarks are also discussed. While GHG inventorying and climate action planning are nascent fields, these techniques can improve CAP design, help communities set more meaningful emission reduction targets, and facilitate CAP implementation and progress monitoring.

  1. Preparing US community greenhouse gas inventories for climate action plans

    Energy Technology Data Exchange (ETDEWEB)

    Blackhurst, Michael [Department of Civil, Architectural and Environmental Engineering, The University of Texas at Austin, 1 University Station C1752, Austin, TX 78712-0276 (United States); Scott Matthews, H; Hendrickson, Chris T [Department of Civil and Environmental Engineering, Carnegie Mellon University, 119 Porter Hall, Pittsburgh, PA 15213 (United States); Sharrard, Aurora L [Green Building Alliance, 333 East Carson Street, Suite 331, Pittsburgh, PA 15219 (United States); Azevedo, Ines Lima, E-mail: mblackhurst@gmail.com, E-mail: hsm@cmu.edu, E-mail: auroras@gbapgh.org, E-mail: cth@andrew.cmu.edu, E-mail: iazevedo@cmu.edu [Department of Engineering and Public Policy, Carnegie Mellon University, 119 Porter Hall, Pittsburgh, PA 15213 (United States)

    2011-07-15

    This study illustrates how alternative and supplemental community-level greenhouse gas (GHG) inventory techniques could improve climate action planning. Eighteen US community GHG inventories are reviewed for current practice. Inventory techniques could be improved by disaggregating the sectors reported, reporting inventory uncertainty and variability, and aligning inventories with local organizations that could facilitate emissions reductions. The potential advantages and challenges of supplementing inventories with comparative benchmarks are also discussed. While GHG inventorying and climate action planning are nascent fields, these techniques can improve CAP design, help communities set more meaningful emission reduction targets, and facilitate CAP implementation and progress monitoring.

  2. From a Moment of Totality to a Lasting Community

    Science.gov (United States)

    Gay, Pamela; Murph, Susan; Astronomy Cast

    2018-01-01

    The 2017 Great American Eclipse provided a reason for people from around the world to come together in one place and share their passion for astronomy. The Astronomy Cast podcast provided an opportunity and organizational structure for 100 people from more than 10 nations to come together for 3 days. These people are all listeners of the Astronomy Cast podcast, or family members of listeners. The majority of attendees did not know one another prior to this event. In this poster, we look at what organizational structure was provided to attendees before, during, and after this event, and how important different factors have been in building a lasting community from this group of attendees.The primary goals in hosting the Astronomy Cast event was to build a lasting community of people willing to attend real-world learning opportunities, and to facilitate the formation of social relationships between attendees that would encourage continued engagement. In order to meet these goals, we needed to construct an event that both met attendee expectations for science lectures and events, and also facilitated communications between attendees. We recognized that attendees would largely be introverts, and that this would present challenges to community building. Our strategy for success included: building a Facebook group well in advance of the event and using regular communications to build excitement; providing a space for community building as well as food and board games to communicate around; and following up the event with opportunities for participants to share the photos, experiences, and ways to connect.This work includes analysis of attendee surveys and commentaries that are used to study which aspects of this program were most (and least successful), and to see what self-maintaining community has been created.

  3. Planning for strategic change? A participative planning approach for community hospitals.

    Science.gov (United States)

    MacDonald, S K; Beange, J E; Blachford, P C

    1992-01-01

    Strategic planning is becoming to hospitals what business case analysis is to private corporations. In fact, this type of planning is becoming essential for the professional management of Ontario hospitals. The participative strategic planning process at Toronto East General Hospital (TEGH) is an example of how a professionally structured and implemented strategic planning process can be successfully developed and implemented in a community hospital. In this article, the environmental factors driving planning are reviewed and the critical success factors for the development and implementation of a strategic plan are examined in the context of TEGH's experience.

  4. Permafrost knowledge to serve as foundation for Inuit community planning

    Science.gov (United States)

    Gibéryen, T.; Allard, M.

    2011-12-01

    With the recent announcement of Québec's provincial government's Plan Nord, Nunavik will see a 500 new houses sweep onto it's territory over the next 5 years. The local Inuit communities are confronted with the pressuring need to find suitable land to safely accommodate the new infrastructures in the long term. Additional to human and environmental constraints are those related to warming permafrost. Intensive studies on four Nunavik communities (Inukjuak, Puvirnituq, Akulivik, Kangirsuk) have allowed us to extensively consult local and regional authorities on their planning and management considerations. Recent and archived drilling data have been used to corroborate air photo interpretation, surficial geology and permafrost mapping. All collected information are integrated into aggregated maps that will eventually serve as community master plans. General recommendations on how to best manage and plan for community expansions on warming permafrost are made. Appropriate engineering techniques assuring long-term stable foundations are outlined and additionally mapped, taking into consideration the variable terrain conditions and simulated changes in permafrost temperature and active layer thickness according to climate change scenarios. The final purpose of our results is for them to support local and regional governments in their community planning process towards the best possible climate change adaptation strategies.

  5. Planning for energy needs: a look at three new communities

    Energy Technology Data Exchange (ETDEWEB)

    Lambert, B

    1981-05-01

    Case histories describe how three communities are building in new sites in order to increase their self-sufficiency. Each community acted as its own developer. Cerro Gordo, Oregon is planned as a self-contained, laissez faire shelter from urban blight, but problems have kept investors and developers away. Rock Ridge Community, Wisconsin is building earth-sheltered duplex buildings out of prestressed concrete to provide a simple life for the Quaker community. Septic-tank placement and other probjems have raised costs, but the settlement plan remains viable. Soldiers Grove, Wisconsin residents are rebuilding above the floodplain in an urban-renewal project which uses volunteers and local talent to build energy-efficient structures that rely heavily on passive solar energy. (DCK)

  6. Understanding advance care planning within the South Asian community.

    Science.gov (United States)

    Biondo, Patricia D; Kalia, Rashika; Khan, Rooh-Afza; Asghar, Nadia; Banerjee, Cyrene; Boulton, Debbie; Marlett, Nancy; Shklarov, Svetlana; Simon, Jessica E

    2017-10-01

    Advance care planning (ACP) is a process of reflection on and communication of a person's future health-care preferences. Evidence suggests visible minorities engage less in ACP. The South Asian ethnic group is the largest visible minority group in Canada, and information is needed to understand how ACP is perceived and how best to approach ACP within this diverse community. To explore perspectives of South Asian community members towards ACP. Peer-to-peer inquiry. South Asian community members who graduated from the Patient and Community Engagement Research programme (PaCER) at the University of Calgary utilized the PaCER method (SET, COLLECT and REFLECT) to conduct a focus group, family interviews and a community forum. Fifty-seven community-dwelling men and women (22-86 years) who self-identified with the South Asian community in Calgary, Alberta, Canada. The concept of ACP was mostly foreign to this community and was often associated with other end-of-life issues such as organ donation and estate planning. Cultural aspects (e.g. trust in shared family decision making and taboos related to discussing death), religious beliefs (e.g. fatalism) and immigration challenges (e.g. essential priorities) emerged as barriers to participation in ACP. However, participants were eager to learn about ACP and recommended several engagement strategies (e.g. disseminate information through religious institutions and community centres, include families in ACP discussions, encourage family physicians to initiate discussions and translate materials). Use of a patient engagement research model proved highly successful in understanding South Asian community members' participation in ACP. © 2017 The Authors Health Expectations Published by John Wiley & Sons Ltd.

  7. Gated communities in South Africa: Tensions between the planning ...

    African Journals Online (AJOL)

    Gated communities are considered by many South Africans as a necessity – a place to stay in a safer environment in the context of high crime rates. At the same time, these developments can also challenge planning and development goals towards greater integration and accessibility. This article considers the views of ...

  8. Community College Budgeting and Financial Planning Issues: A Case Study

    Science.gov (United States)

    Krieger, Jennifer

    2011-01-01

    Soon after his election in 1995, Kentucky governor Paul E. Patton instituted a plan to restructure the commonwealth's system of postsecondary education to create a more efficient system designed to prepare Kentuckians for jobs in the new era. While Patton looked at all of postsecondary education, he focused on the 29 community and technical…

  9. Participatory land use planning for community based forest ...

    African Journals Online (AJOL)

    Participatory land use planning for community based forest management in South-Eastern Nigeria. FE Bisong, A Animashaun. Abstract. No Abstract. Lwati: A Journal of Contemporary Research Vol. 4 () 2007: pp.329-347. Full Text: EMAIL FULL TEXT EMAIL FULL TEXT · DOWNLOAD FULL TEXT DOWNLOAD FULL TEXT.

  10. University Community Engagement and the Strategic Planning Process

    Directory of Open Access Journals (Sweden)

    Laura Newton Miller

    2018-03-01

    Full Text Available Abstract  Objectives – To understand how university libraries are engaging with the university community (students, faculty, campus partners, and administration when working through the strategic planning process.  Methods – Literature review and exploratory open-ended survey to members of CAUL (Council of Australian University Librarians, CARL (Canadian Association of Research Libraries, CONZUL (Council of New Zealand University Librarians, and RLUK (Research Libraries UK who are most directly involved in the strategic planning process at their library.  Results – Out of a potential 113 participants from 4 countries, 31 people (27% replied to the survey. Libraries most often mentioned the use of regularly-scheduled surveys to inform their strategic planning, which helps to truncate the process for some respondents, as opposed to conducting user feedback specifically for the strategic planning process. Other quantitative methods include customer intelligence and library-produced data. Qualitative methods include the use of focus groups, interviews, and user experience/design techniques to help inform the strategic plan. The focus of questions to users tended to fall towards user-focused (with or without library lens, library-focused, trends and vision, and feedback on plan.  Conclusions – Combining both quantitative and qualitative methods can help give a fuller picture for librarians working on a strategic plan. Having the university community join the conversation on how the library moves forward is an important but difficult endeavour.  Regardless, the university library needs to be adaptive to the rapidly changing environment around it. Having a sense of how other libraries engage with the university community benefits others who are tasked with strategic planning.

  11. A Flight Plan for the Community Media Act

    Directory of Open Access Journals (Sweden)

    Jesús Enrique Urbina Serjant

    2012-02-01

    Full Text Available In the design and implementation of public policy, planning usually plays a unique role. Government interventions generally follow a pattern conceived with forethought. In the case of President Hugo Chavez’ Administration (1999 to present, little has been left to chance in the most important impact on the communications sector: the legal regulation, control of broadcasters, the consolidation of public media and sponsorship of community media. As he has been radicalizing his Bolivarian political project, Chávez weaves forecasts consistent communication policy in the content of government plans. The draft Community Media Act is a good example of synchronicity between government actions and communications sector address of the "revolution". The popular initiative for submission of the Act was not spontaneous or its rules respond to genuine community interest.

  12. Using multilevel, multisource needs assessment data for planning community interventions.

    Science.gov (United States)

    Levy, Susan R; Anderson, Emily E; Issel, L Michele; Willis, Marilyn A; Dancy, Barbara L; Jacobson, Kristin M; Fleming, Shirley G; Copper, Elizabeth S; Berrios, Nerida M; Sciammarella, Esther; Ochoa, Mónica; Hebert-Beirne, Jennifer

    2004-01-01

    African Americans and Latinos share higher rates of cardiovascular disease (CVD) and diabetes compared with Whites. These diseases have common risk factors that are amenable to primary and secondary prevention. The goal of the Chicago REACH 2010-Lawndale Health Promotion Project is to eliminate disparities related to CVD and diabetes experienced by African Americans and Latinos in two contiguous Chicago neighborhoods using a community-based prevention approach. This article shares findings from the Phase 1 participatory planning process and discusses the implications these findings and lessons learned may have for programs aiming to reduce health disparities in multiethnic communities. The triangulation of data sources from the planning phase enriched interpretation and led to more creative and feasible suggestions for programmatic interventions across the four levels of the ecological framework. Multisource data yielded useful information for program planning and a better understanding of the cultural differences and similarities between African Americans and Latinos.

  13. Dosimetric evaluation of total marrow irradiation using 2 different planning systems

    International Nuclear Information System (INIS)

    Nalichowski, Adrian; Eagle, Don G.; Burmeister, Jay

    2016-01-01

    This study compared 2 different treatment planning systems (TPSs) for quality and efficiency of total marrow irradiation (TMI) plans. The TPSs used in this study were VOxel-Less Optimization (VoLO) (Accuray Inc, Sunnyvale, CA) using helical dose delivery on a Tomotherapy Hi-Art treatment unit and Eclipse (Varian Medical Systems Inc, Palo Alto, CA) using volumetric modulated arc therapy (VMAT) dose delivery on a Varian iX treatment unit. A total dose of 1200 cGy was prescribed to cover 95% of the planning target volume (PTV). The plans were optimized and calculated based on a single CT data and structure set using the Alderson Rando phantom (The Phantom Laboratory, Salem, NY) and physician contoured target and organ at risk (OAR) volumes. The OARs were lungs, heart, liver, kidneys, brain, and small bowel. The plans were evaluated based on plan quality, time to optimize the plan and calculate the dose, and beam on time. The resulting mean and maximum doses to the PTV were 1268 and 1465 cGy for VoLO and 1284 and 1541 cGy for Eclipse, respectively. For 5 of 6 OAR structures the VoLO system achieved lower mean and D10 doses ranging from 22% to 52% and 3% to 44%, respectively. Total computational time including only optimization and dose calculation were 0.9 hours for VoLO and 3.8 hours for Eclipse. These times do not include user-dependent target delineation and field setup. Both planning systems are capable of creating high-quality plans for total marrow irradiation. The VoLO planning system was able to achieve more uniform dose distribution throughout the target volume and steeper dose fall off, resulting in superior OAR sparing. VoLO's graphics processing unit (GPU)–based optimization and dose calculation algorithm also allowed much faster creation of TMI plans.

  14. Dosimetric evaluation of total marrow irradiation using 2 different planning systems

    Energy Technology Data Exchange (ETDEWEB)

    Nalichowski, Adrian, E-mail: nalichoa@karmanos.org [Karmanos Cancer Center, Detroit, MI (United States); Eagle, Don G. [Wayne State University School of Medicine, Detroit, MI (United States); Burmeister, Jay [Karmanos Cancer Center, Detroit, MI (United States); Wayne State University School of Medicine, Detroit, MI (United States)

    2016-10-01

    This study compared 2 different treatment planning systems (TPSs) for quality and efficiency of total marrow irradiation (TMI) plans. The TPSs used in this study were VOxel-Less Optimization (VoLO) (Accuray Inc, Sunnyvale, CA) using helical dose delivery on a Tomotherapy Hi-Art treatment unit and Eclipse (Varian Medical Systems Inc, Palo Alto, CA) using volumetric modulated arc therapy (VMAT) dose delivery on a Varian iX treatment unit. A total dose of 1200 cGy was prescribed to cover 95% of the planning target volume (PTV). The plans were optimized and calculated based on a single CT data and structure set using the Alderson Rando phantom (The Phantom Laboratory, Salem, NY) and physician contoured target and organ at risk (OAR) volumes. The OARs were lungs, heart, liver, kidneys, brain, and small bowel. The plans were evaluated based on plan quality, time to optimize the plan and calculate the dose, and beam on time. The resulting mean and maximum doses to the PTV were 1268 and 1465 cGy for VoLO and 1284 and 1541 cGy for Eclipse, respectively. For 5 of 6 OAR structures the VoLO system achieved lower mean and D10 doses ranging from 22% to 52% and 3% to 44%, respectively. Total computational time including only optimization and dose calculation were 0.9 hours for VoLO and 3.8 hours for Eclipse. These times do not include user-dependent target delineation and field setup. Both planning systems are capable of creating high-quality plans for total marrow irradiation. The VoLO planning system was able to achieve more uniform dose distribution throughout the target volume and steeper dose fall off, resulting in superior OAR sparing. VoLO's graphics processing unit (GPU)–based optimization and dose calculation algorithm also allowed much faster creation of TMI plans.

  15. Planning for Serious Illness amongst Community-Dwelling Older Adults

    Directory of Open Access Journals (Sweden)

    Donna Goodridge

    2013-01-01

    Full Text Available Older adults have long been encouraged to maintain their autonomy by expressing their wishes for health care before they become too ill to meaningfully participate in decision making. This study explored the manner in which community-dwelling adults aged 55 and older plan for serious illness. An online survey was conducted within the province of Saskatchewan, Canada, with 283 adults ranging in age from 55 to 88 years. Planning for future medical care was important for the majority (78.4% of respondents, although only 25.4% possessed a written advance care plan and 41.5% had designated a substitute decision maker. Sixty percent of respondents reported conversations about their treatment wishes; nearly half had discussed unacceptable states of health. Associations between key predictor variables and planning behaviors (discussions about treatment wishes or unacceptable states of health; designation of a substitute decision maker; preparation of a written advance care plan were assessed using binary logistic regression. After controlling for all predictor variables, self-reported knowledge about advance care planning was the key variable significantly associated with all four planning behaviors. The efforts of nurses to educate older adults regarding the process of advance care planning can play an important role in enhancing autonomy.

  16. A Total Quality-Control Plan with Right-Sized Statistical Quality-Control.

    Science.gov (United States)

    Westgard, James O

    2017-03-01

    A new Clinical Laboratory Improvement Amendments option for risk-based quality-control (QC) plans became effective in January, 2016. Called an Individualized QC Plan, this option requires the laboratory to perform a risk assessment, develop a QC plan, and implement a QC program to monitor ongoing performance of the QC plan. Difficulties in performing a risk assessment may limit validity of an Individualized QC Plan. A better alternative is to develop a Total QC Plan including a right-sized statistical QC procedure to detect medically important errors. Westgard Sigma Rules provides a simple way to select the right control rules and the right number of control measurements. Copyright © 2016 Elsevier Inc. All rights reserved.

  17. Influence of PAHs among other coastal environmental variables on total and PAH-degrading bacterial communities.

    Science.gov (United States)

    Sauret, Caroline; Tedetti, Marc; Guigue, Catherine; Dumas, Chloé; Lami, Raphaël; Pujo-Pay, Mireille; Conan, Pascal; Goutx, Madeleine; Ghiglione, Jean-François

    2016-03-01

    We evaluated the relative impact of anthropogenic polycyclic aromatic hydrocarbons (PAHs) among biogeochemical variables on total, metabolically active, and PAH bacterial communities in summer and winter in surface microlayer (SML) and subsurface seawaters (SSW) across short transects along the NW Mediterranean coast from three harbors, one wastewater effluent, and one nearshore observatory reference site. At both seasons, significant correlations were found between dissolved total PAH concentrations and PAH-degrading bacteria that formed a gradient from the shore to nearshore waters. Accumulation of PAH degraders was particularly high in the SML, where PAHs accumulated. Harbors and wastewater outfalls influenced drastically and in a different way the total and active bacterial community structure, but they only impacted the communities from the nearshore zone (PAH concentrations on the spatial and temporal dynamic of total and active communities in this area, but this effect was putted in perspective by the importance of other biogeochemical variables.

  18. An Exploration of Strategic Planning Perspectives and Processes within Community Colleges Identified as Being Distinctive in Their Strategic Planning Practices

    Science.gov (United States)

    Augustyniak, Lisa J.

    2015-01-01

    Community college leaders face unprecedented change, and some have begun reexamining their institutional strategic planning processes. Yet, studies in higher education strategic planning spend little time examining how community colleges formulate their strategic plans. This mixed-method qualitative study used an expert sampling method to identify…

  19. Soft system methodology and decision making in community planning system

    OpenAIRE

    Křupka, Jiří; Kašparová, Miloslava; Jirava, Pavel; Mandys, Jan; Ferynová, Lenka; Duplinský, Josef

    2013-01-01

    A model of community planning was defined in this paper. The model was designed for the city of Pardubice and works with real questionnaire research data sets in its evaluation phase. Questionnaires were submitted to fill users, providers and sponsors of social services. When creating the model was used Checkland’s soft system methodology. Also soft computing methods and decision trees were used to create the model. The model was implemented in the data mining tool IBM SPSS Modeler 14.

  20. Planning of community heating systems modernization and development

    International Nuclear Information System (INIS)

    Mroz, Tomasz M.

    2008-01-01

    New approach to community heating systems modernization and development planning process has been proposed. It is based on the general decision making aid algorithm. The proposed algorithm takes into account both demand and supply side of community heat market modernization and development. The first step of algorithm - analytical step, refers to data base creation, which is needed for the description of community heating system energy, ecology and economic characteristics. Analysis of those characteristics allows for the identification of heating system market modernization and development potential scenarios. The second algorithm step - decision step, allows for the identification of the most compromise scenarios of system modernization and development. To make the planning process more transparent and to increase the influence of decision makers on the planning process the ELECTRE III method was chosen as the tool of decision aid. The ELECTRE III method is based on the construction of outranking relation and definition of pseudo-criterion. The iteration mode of method application allows the decision maker and analyst for the investigation of the sensitivity of final solution to the changing preference model. One of the methods of statistics - the creditability of mean range method was used for the determination of initial definition of pseudo-criterion. Proposed algorithm and decision aid method were employed for the case study analysis referring to the choice of the heating system for new developing urban area. (author)

  1. Community inflamed: Passionate opposition mounted to sour-gas drilling plan upwind of Canada's energy capital

    International Nuclear Information System (INIS)

    Lorenz, A.

    1998-01-01

    Residents of Bearspaw and Glendale, two small communities near Calgary are up in arms in opposition to the plans of Canadian 88 Energy Company to drill a 'level four' sour gas well in the area. The target gas contains 33.9 per cent hydrogen sulfide, a substance rated as lethal in much lower doses. Since the well is slated to be drilled on high ground upwind of Calgary, an accident causing a leak could expose community residents and thousands of Calgarians within half hour distance from the well to hydrogen sulfide concentrations several times higher than the Alberta Energy Board considers safe. Seepage into the water system poses yet another danger. For reasons that are not too well understood the Alberta Energy Board relaxed the size of the area for which the company must provide an emergency response plan from a radius of 18 km to a radius of 4 km, considered by experts to be totally unacceptable in a populated area. The Board granted the relaxation of the area covered by the emergency response plan on the assurances of the Company that it would substantially increase the criteria needed to make the plan manageable. However, the community is not convinced that the emergency response plan comes near to addressing the problem, and is prepared to oppose drilling of the well by all available means

  2. Development of community plans to enhance survivorship from colorectal cancer: community-based participatory research in rural communities.

    Science.gov (United States)

    Lengerich, Eugene J; Kluhsman, Brenda C; Bencivenga, Marcyann; Allen, Regina; Miele, Mary Beth; Farace, Elana

    2007-09-01

    In 2002, 10.4% of the 10 million persons alive who have ever been diagnosed with cancer had colorectal cancer (CRC). Barriers, such as distance, terrain, access to care and cultural differences, to CRC survivorship may be especially relevant in rural communities. We tested the hypothesis that teams from rural cancer coalitions and hospitals would develop a Community Plan (CP) to enhance CRC survivorship. We used community-based participatory research and the PRECEDE-PROCEED model to train teams from rural cancer coalitions and hospitals in Pennsylvania and New York. We measured knowledge at three points in time and tested the change with McNemar's test, corrected for multiple comparisons (p < 0.0167). We also conducted a qualitative review of the CP contents. Fourteen (93.3%) of the 15 coalitions or hospitals initially recruited to the study completed a CP. Knowledge in public health, sponsorship of A National Action Plan for Cancer Survivorship, and CRC survivorship and treatment increased. Teams identified perceived barriers and community assets. All teams planned to increase awareness of community assets and almost all planned to enhance treatment-related care and psychosocial care for the CRC survivor; 50% planned to enhance primary care and CRC screening. The study demonstrated the interest and ability of rural organizations to plan to enhance CRC survivorship, including linkage of CRC survivorship to primary care. Rural cancer coalitions and hospitals may be a vehicle to develop local action for A National Action Plan. Access to more comprehensive care for CRC cancer survivors in rural communities appears to be facilitated by the community-based initiative described and investigated in this study. Efforts such as these could be replicated in other rural communities and may impact the care and quality of life of survivors with many types of cancers. While access to health services may be increased through community-based initiatives, we still need to measure

  3. Differential sensitivity of total and active soil microbial communities to drought and forest management.

    Science.gov (United States)

    Bastida, Felipe; Torres, Irene F; Andrés-Abellán, Manuela; Baldrian, Petr; López-Mondéjar, Rubén; Větrovský, Tomáš; Richnow, Hans H; Starke, Robert; Ondoño, Sara; García, Carlos; López-Serrano, Francisco R; Jehmlich, Nico

    2017-10-01

    Climate change will affect semiarid ecosystems through severe droughts that increase the competition for resources in plant and microbial communities. In these habitats, adaptations to climate change may consist of thinning-that reduces competition for resources through a decrease in tree density and the promotion of plant survival. We deciphered the functional and phylogenetic responses of the microbial community to 6 years of drought induced by rainfall exclusion and how forest management affects its resistance to drought, in a semiarid forest ecosystem dominated by Pinus halepensis Mill. A multiOMIC approach was applied to reveal novel, community-based strategies in the face of climate change. The diversity and the composition of the total and active soil microbiome were evaluated by 16S rRNA gene (bacteria) and ITS (fungal) sequencing, and by metaproteomics. The microbial biomass was analyzed by phospholipid fatty acids (PLFAs), and the microbially mediated ecosystem multifunctionality was studied by the integration of soil enzyme activities related to the cycles of C, N, and P. The microbial biomass and ecosystem multifunctionality decreased in drought-plots, as a consequence of the lower soil moisture and poorer plant development, but this decrease was more notable in unthinned plots. The structure and diversity of the total bacterial community was unaffected by drought at phylum and order level, but did so at genus level, and was influenced by seasonality. However, the total fungal community and the active microbial community were more sensitive to drought and were related to ecosystem multifunctionality. Thinning in plots without drought increased the active diversity while the total diversity was not affected. Thinning promoted the resistance of ecosystem multifunctionality to drought through changes in the active microbial community. The integration of total and active microbiome analyses avoids misinterpretations of the links between the soil microbial

  4. Stakeholder perceptions of a total market approach to family planning in Nicaragua.

    Science.gov (United States)

    Drake, Jennifer Kidwell; Espinoza, Henry; Suraratdecha, Chutima; Lacayo, Yann; Keith, Bonnie M; Vail, Janet G

    2011-05-01

    To assess private-sector stakeholders' and donors' perceptions of a total market approach (TMA) to family planning in Nicaragua in the context of decreased funding; to build evidence for potential strategies and mechanisms for TMA implementation (including public-private partnerships (PPPs)); and to identify information gaps and future priorities for related research and advocacy. A descriptive exploratory study was conducted in various locations in Nicaragua from March to April 2010. A total of 24 key private-sector stakeholders and donors were interviewed and their responses analyzed using two questionnaires and a stakeholder analysis tool (PolicyMakerTM software). All survey participants supported a TMA, and public-private collaboration, in family planning in Nicaragua. Based on the survey responses, opportunities for further developing PPPs for family planning include building on and expanding existing governmental frameworks, such as Nicaragua's current coordination mechanism for contraceptive security. Obstacles include the lack of ongoing government engagement with the commercial (for-profit) sector and confusion about regulations for its involvement in family planning. Strategies for strengthening existing PPPs include establishing a coordination mechanism specifically for the commercial sector and collecting and disseminating evidence supporting public-private collaboration in family planning. There was no formal or absolute opposition to a TMA or PPPs in family planning in Nicaragua among a group of diverse nongovernmental stakeholders and donors. This type of study can help identify strategies to mobilize existing and potential advocates in achieving articulated policy goals, including diversification of funding sources for family planning to achieve contraceptive security.

  5. Review of performance-based incentives in community-based family planning programmes

    Science.gov (United States)

    Bellows, Nicole M; Askew, Ian; Bellows, Benjamin

    2015-01-01

    Background One strategy for improving family planning (FP) uptake at the community level is the use of performance-based incentives (PBIs), which offer community distributors financial incentives to recruit more users of FP. This article examines the use of PBIs in community-based FP programmes via a literature search of the peer-reviewed and grey literature conducted in April 2013. Results A total of 28 community-based FP programmes in 21 countries were identified as having used PBIs. The most common approach was a sales commission model where distributors received commission for FP products sold, while a referral payment model for long-term methods was also used extensively. Six evaluations were identified that specifically examined the impact of the PBI in community-based FP programmes. Overall, the results of the evaluations are mixed and more research is needed; however, the findings suggest that easy-to-understand PBIs can be successful in increasing the use of FP at the community level. Conclusion For future use of PBIs in community-based FP programmes it is important to consider the ethics of incentivising FP and ensuring that PBIs are non-coercive and choice-enhancing. PMID:25037703

  6. Utilising Planning and Financing Strategies in the Management of Community Development Projects in Enugu State, Nigeria

    Science.gov (United States)

    Obetta, Chukwuemeka K.; Oreh, Catherine I.

    2017-01-01

    Utilisation of community management strategies is an approach to governance that is based on community and organisational involvement. Communities with development projects have formed community projects management committees (CPMCs) that are encouraged to adopt the community management strategy in the planning and financing of community…

  7. COMMUNITY SCALE STREAM TAXA SENSITIVITIES TO DIFFERENT COMPOSITIONS OF EXCESS TOTAL DISSOLVED SOLIDS

    Science.gov (United States)

    Model stream chronic dosing studies (42 d) were conducted with three total dissolved solids (TDS) recipes. The recipes differed in composition of major ions. Community scale emergence was compared with single-species responses conducted simultaneously using the whole effluent tox...

  8. Stronger communities? Changing prospects for community-led strategic planning in New Zealand

    Directory of Open Access Journals (Sweden)

    Bruno Brosnan

    2010-12-01

    Full Text Available New Zealand’s Local Government Act 2002 ushered in a new phase in local government, a phase that is best characterised by the term ‘empowerment’. Not only were councils empowered to promote social, economic, environmental and cultural well-being, in contrast with previous more prescriptive legislation, but citizens were empowered to engage in community-led strategic planning. In many respects the new statute reflected contemporary international public management trends in which governance is increasingly being conducted via networks of public and private actors. However, with the change of government from a centre-left Labour-led coalition to a centre-right National-led government following the November 2008 general election, it is less certain that local government and communities will continue to experience a strengthening of the pluralisation of governance that has been a feature of the past decade. This article argues that the potential disempowerment of local government, and possible attenuation of community-led strategic planning in New Zealand, comes at a time when the momentum for devolution to local government and other communities is increasing elsewhere.

  9. Perceptions of Community College Presidents: Total Quality Management Performance Measures at Their Colleges

    Science.gov (United States)

    Riccardi, Mark T.

    2009-01-01

    Continuous Quality Improvement (CQI) measures such as Total Quality Management (TQM), Strategic Planning, Six Sigma, and the Balanced Scorecard are often met with skepticism among leaders of higher education. This study attempts to fill a gap in the literature regarding the study of relationships among specific variables, or building blocks,…

  10. Community Relations Plan for Lawrence Berkeley Laboratory. Environmental Restoration Program

    Energy Technology Data Exchange (ETDEWEB)

    1993-07-01

    The Lawrence Berkeley Laboratory (LBL) has applied to the California Environmental Protection Agency, Department of Toxic Substances Control (DTSC), for renewal of its Hazardous Waste Handling Facility Permit. A permit is required under Resource Conservation and Recovery Act (RCRA) regulations. The permit will allow LBL to continue using its current hazardous waste handling facility, upgrade the existing facility, and construct a replacement facility. The new facility is scheduled for completion in 1995. The existing facility will be closed under RCRA guidelines by 1996. As part of the permitting process, LBL is required to investigate areas of soil and groundwater contamination at its main site in the Berkeley Hills. The investigations are being conducted by LBL`s Environmental Restoration Program and are overseen by a number of regulatory agencies. The regulatory agencies working with LBL include the California Environmental Protection Agency`s Department of Toxic Substances Control, the California Regional Water Quality Control Board, the Bay Area Air Quality Management District, the East Bay Municipal Utilities District, and the Berkeley Department of Environmental Health. RCRA requires that the public be informed of LBL`s investigations and site cleanup, and that opportunities be available for the public to participate in making decisions about how LBL will address contamination issues. LBL has prepared this Community Relations Plan (CRP) to describe activities that LBL will use to keep the community informed of environmental restoration progress and to provide for an open dialogue with the public on issues of importance. The CRP documents the community`s current concerns about LBL`s Environmental Restoration Program. Interviews conducted between February and April 1993 with elected officials, agency staff, environmental organizations, businesses, site neighbors, and LBL employees form the basis for the information contained in this document.

  11. Detroit Works Long-Term Planning Project: Engagement Strategies for Blending Community and Technical Expertise

    Directory of Open Access Journals (Sweden)

    Toni L. Griffin

    2014-10-01

    Full Text Available In January 2013, civic leaders, community stakeholders, and residents came together to release Detroit Future City: 2012 Detroit Strategic Framework Plan, a guiding blueprint for transforming Detroit from its current state of population loss and excessive vacancy into a model for the reinvention of post-industrial American cities. Three years prior, the U.S. Census had reported that the city had lost 24% of its population over the last decade and had experienced a 20% increase in vacant and abandoned property, bringing total vacancy to roughly the size of Manhattan. In addition to physical and economic challenges, Detroiters had also acknowledged significant barriers to effective civic engagement. Foremost among these barriers were a profound sense of immobilization, planning fatigue, and a general perception of cynicism about planning and engagement efforts. These challenges were compounded by historic racial dynamics and tension. This case study elaborates on the comprehensive and innovative civic engagement executed in a citywide planning process called the Detroit Works Project, which took place from late 2010 through late 2012. For the citywide planning process to be successful and sustainable, civic leaders and project funders committed to a planning initiative that would be different from previous efforts, in large part because the “owners” of the process would be diverse and inclusive across all community sectors. The case study, written by three of the key consultants from the project, describes four key civic engagement strategies deployed in the creation of the strategic framework: (1 addressing profound challenges of culture, race, and politics by deliberately building trust; (2 elevating community expertise by fostering a sense of ownership of the process; (3 blending technical and community expertise; and (4 viewing civic engagement as an ongoing two-way conversation rather than a series of large-scale episodic events. This

  12. The interplay of governance, power and citizen participation in community tourism planning

    Science.gov (United States)

    E.J. Jordan; C.A. Vogt; Linda Kruger; N. Grewe

    2013-01-01

    This research examines a unique case of tourism planning and explores the relationships between governance, power, and citizen participation in community decision-making. In less than two years, the community of Sitka, Alaska, undertook two separate tourism-planning processes in response to proposed tourism development. The first plan followed a participant-led...

  13. Family planning use and associated factors among pastoralist community of afar region, eastern Ethiopia.

    Science.gov (United States)

    Alemayehu, Mussie; Lemma, Hailemariam; Abrha, Kidan; Adama, Yohannes; Fisseha, Girmatsion; Yebyo, Henock; Gebeye, Ejigu; Negash, Kassahun; Yousuf, Jemal; Fantu, Tigist; Gebregzabher, Tesfay; Medhanyie, Araya Abrha

    2016-07-18

    Ethiopia is the second most populous country in Africa with a total fertility rate (TFR) of 4.8 children per a woman and contraceptive prevalence rate (CPR) of 29 %. The overall prevalence of modern family planning in a pastoralist community, like Afar region, is low (9.1 %). This study aimed to assess family planning utilization and associated factors among married women of Afar region, Eastern Ethiopia. A community-based cross-sectional study was conducted from January 10-28, 2013 among 602 women. Multistage sampling technique was used to select the study participants. Descriptive and multiple variable logistic regression analyses were done to isolate independent predictors on utilization of family planning using SPSS 20. The overall prevalence of family planning utilization in Afar region was 8.5 % (6.2-10.7). Majority of the women (92.2 %) had used injectable. The most common reasons mentioned in the non-use of family planning methods were religion-related (85.3 %), desire to have more children (75.3 %), and husband's objection (70.1 %). Women who had a positive attitude towards family planning utilization (AOR = 4.7, 95 % CI: 2.1, 10.3), owning radio (AOR = 1.8, 95 % CI: 1.02, 4.18), and literate (AOR = 4.4, 95 % CI: 1.80, 11.08) were more likely to use family planning methods as compared to their counterparts. The increase of monthly income was also associated with the likelihood of family planning methods utilization. The odds of using family planning methods were higher among those with monthly income of $27-$55.5 (AOR = 2. 0, 95 % CI: 1.9, 4.7) and > $55 (AOR = 4. 6, 95 % CI: 1.23-17.19) as compared to women with the lowest category of monthly income ($27 and less). The low coverage of family planning in the region could be due to the influence of husband, religious and clan leader. Attitude of women towards family planning methods, possession of radio, monthly income, and educational status could influence family

  14. CFSC (Community and Family Study Center) study finds birth rates falling everywhere - family planning (family planning) is a factor.

    Science.gov (United States)

    1978-08-01

    The findings of the Community and Family Study Center study, based on estimated crude birthrates and total fertility rates for 1968 and 1975, indicate that there has been a significant reduction in fertility levels of both developed and developing countries. Despite regional variations, the estimates show an average proportional decline of 8.5% in total fertility rates between 1968 and 1975. Of the 148 nations studied, 113 were in developing regions and 35 in the developed regions. Information on important social and economic development factors, such as life expectancy, literacy, percent of labor force in agriculture, per capita income, and family planning program strength were gathered for each country. Analyses of these data are reported in "The Public Interest" (to be published) "Population Reference Bulletin," October 1978, and a paper presented at the 1978 Population Association of America Meetings in Atlanta, Georgia. The recent change in fertility affected 81% of the world's population, primarily the peoples of Asia, Latin America, and North America. The total fertility rate in the world in 1968 was 4635 and declined to 4068 in 1975. More substantial declines occurred in Asia and Latin America, where the number of fewer births 1000 women would bear under a given fertility schedule declined by 845 births and 617 births, respectively. As more research is conducted to investigate the underlying causes of this decline, it is likely to confirm the important role that family planning programs have had in developing nations. Although major improvements in the socioeconomic well-being of the developing areas continue as an essential goal, the need to maintain the organized provision of family planning services should not be understated.

  15. Community Solutions for Stormwater Management: A Guide for Voluntary Long-Term Planning

    Science.gov (United States)

    This draft guide describes how to develop a comprehensive long-term community stormwater plan that integrates stormwater management with communities’ broader plans for economic development, infrastructure investment and environmental compliance.

  16. Developing a composite weighted quality metric to reflect the total benefit conferred by a health plan.

    Science.gov (United States)

    Taskler, Glen B; Braithwaite, R Scott

    2015-03-01

    To improve individual health quality measures, which are associated with varying degrees of health benefit, and composite quality metrics, which weight individual measures identically. We developed a health-weighted composite quality measure reflecting the total health benefit conferred by a health plan annually, using preventive care as a test case. Using national disease prevalence, we simulated a hypothetical insurance panel of individuals aged 25 to 84 years. For each individual, we estimated the gain in life expectancy associated with 1 year of health system exposure to encourage adherence to major preventive care guidelines, controlling for patient characteristics (age, race, gender, comorbidity) and variation in individual adherence rates. This personalized gain in life expectancy was used to proxy for the amount of health benefit conferred by a health plan annually to its members, and formed weights in our health-weighted composite quality measure. We aggregated health benefits across the health insurance membership panel to analyze total health system performance. Our composite quality metric gave the highest weights to health plans that succeeded in implementing tobacco cessation and weight loss. One year of compliance with these goals was associated with 2 to 10 times as much health benefit as compliance with easier-to-follow preventive care services, such as mammography, aspirin, and antihypertensives. For example, for women aged 55 to 64 years, successful interventions to encourage weight loss were associated with 2.1 times the health benefit of blood pressure reduction and 3.9 times the health benefit of increasing adherence with screening mammography. A single health-weighted quality metric may inform measurement of total health system performance.

  17. Village renewal in spatial plans of the community: Example of the SP of Subotica community

    Directory of Open Access Journals (Sweden)

    Šećerov Velimir

    2007-01-01

    Full Text Available Spatial plans of communities, returned to legal framework in 2003 and imposed as obligation for all local communities in Serbia, present a strategic document for development, organization and protection of the whole territory of the community. The base for integral observation and treatment of the urban and rural settlements, within the local administrative area, has been set thereby. The current function of villages has been significantly changed regarding traditional organization and the essential role, that they used to have in the past. First of all, it is a consequence of an intensive deagrarization and industrialization/ urbanization, as a result of official (state strategy in the middle of the 20. century. As a rule, these processes were painful for villages, leaving them depopulized, with varied age structure of the population and with new relation to agriculture, which led to economic stagnation, social fallow and unclear development perspectives as a consequence. The reconstruction of these areas is, therefore, of enormous interest for development of the whole territory of a community, as well as even intra-communal and broader, intra-regional and intra-national development.

  18. Master-planned in exurbia: examining the drivers and impacts of master-planned communities at the urban fringe

    Science.gov (United States)

    Jenna H. Tilt; Lee. Cerveny

    2013-01-01

    Smart growth strategies of infill and compact growth in existing suburban cities will most likely not be sufficient to absorb a new US household growth in the future. To meet housing demands and preferences, master-planned communities will continue to be built in outlying exurban areas. However, little is known about the impacts these communities may have on the...

  19. PLANNING OF IMPLANTO‐PROSTHETIC STRUCTURES IN TOTAL EDENTATION ACCORDING TO BIOMECHANICAL CRITERIA

    Directory of Open Access Journals (Sweden)

    N. VASILE

    2013-07-01

    Full Text Available Scope of the study: Analysis of the biomechanical aspects of the implanto‐prosthetic structures for planning the treatment in cases of total edentation.Materials and method: The study was performed in the Clinics of Prosthetics and Oral Implantology, Military Emergency Hospital of Sibiu, on a group of mandibularly totally edentated patients. Planning of the implanto‐pros‐ thetic treatment had in view the peculiarities of total man‐ dibular edentation and observance of the biomechanical principles. Selection of the type of occlusion restoration considered the presence of parafunctions and the nature of the antagonistic arch. Special attention was paid to the direction and intensity of the forces acting in the region of the future prosthetic work. When bruxism was manifested, its preimplantary removal was compulsory.Results and discussion: In fixed prosthetic restaurati‐ ons applied on implants, distribuition of forces obviously depend on the quality of osteo‐acceptance, as well, and also on the elasticity degree of the prosthetic work. In the case of mobilized prosthetic restorations supported on implants, rigidization of implants from the anterior region of the mandible may be obtained by means of a bar. In decreasing order of their elasticity, the materials employed are: acrylate, composites, noble and seminoble alloys, other metals, ceramics. Ceramics confers maximum stability to implants, yet without redeeming the forces. For amortizing the forces and for a progressive charging of the implants, it is recommended that the first (temporary prosthetic restorations should be made of either acrylate or compo‐ sites.Conclusions. Observance of the occlusological princi‐ ples in cases of occlusal reconstruction represents the determining element which assures the osteo‐acceptance of implants and the integrity of prosthetic restaurations.

  20. Community Participation and Local Government Planning in Lesotho

    African Journals Online (AJOL)

    and planning, and promulgated it in 2001. This paper provides a critical appraisal of efforts to put local government planning into practice in Lesotho through the use of the 'Quick and SMART' local government planning model. This article uses the SWOT analysis technique to undertake a critical appraisal of this planning ...

  1. Family planning practices of rural community dwellers in cross River ...

    African Journals Online (AJOL)

    Results: Fifty (17.2%) respondents were using at least one family planning method. One hundred and ninety-eight (68.3%) respondents had used at least one family planning method at some point in time. Reasons given for not using any family planning method included “Family planning is against my religious beliefs” ...

  2. Developing a vision and strategic action plan for future community-based residency training.

    Science.gov (United States)

    Skelton, Jann B; Owen, James A

    2016-01-01

    The Community Pharmacy Residency Program (CPRP) Planning Committee convened to develop a vision and a strategic action plan for the advancement of community pharmacy residency training. Aligned with the profession's efforts to achieve provider status and expand access to care, the Future Vision and Action Plan for Community-based Residency Training will provide guidance, direction, and a strategic action plan for community-based residency training to ensure that the future needs of community-based pharmacist practitioners are met. National thought leaders, selected because of their leadership in pharmacy practice, academia, and residency training, served on the planning committee. The committee conducted a series of conference calls and an in-person strategic planning meeting held on January 13-14, 2015. Outcomes from the discussions were supplemented with related information from the literature. Results of a survey of CPRP directors and preceptors also informed the planning process. The vision and strategic action plan for community-based residency training is intended to advance training to meet the emerging needs of patients in communities that are served by the pharmacy profession. The group anticipated the advanced skills required of pharmacists serving as community-based pharmacist practitioners and the likely education, training and competencies required by future residency graduates in order to deliver these services. The vision reflects a transformation of community residency training, from CPRPs to community-based residency training, and embodies the concept that residency training should be primarily focused on training the individual pharmacist practitioner based on the needs of patients served within the community, and not on the physical location where pharmacy services are provided. The development of a vision statement, core values statements, and strategic action plan will provide support, guidance, and direction to the profession of pharmacy to

  3. Moving from Survival to Fulfillment: A Planning Framework for Community Schools

    Science.gov (United States)

    Shaia, Wendy E.; Finigan-Carr, Nadine

    2018-01-01

    Community schooling is an effective tool for combating the effects of poverty by integrating academic, social service, health, and economic supports for students, families, and community members. But this is complex work, requiring extraordinarily careful planning and assessment. This article suggests a planning framework that can help community…

  4. 24 CFR 570.401 - Community adjustment and economic diversification planning assistance.

    Science.gov (United States)

    2010-04-01

    ... undertake planning for community adjustment and economic diversification. (4) The cost-effectiveness of the... fiscal year, and will review and consider for funding each application according to the threshold and... cost analyses and similar planning for specific projects to implement community adjustment or economic...

  5. 2001 Toxic Chemical Release Inventory Emergency Planning and Community Right to Know Act SEC 313

    International Nuclear Information System (INIS)

    ZALOUDEK, D.E.

    2002-01-01

    Pursuant to section 313 of the Emergency Planning and Community Right-To-Know Act of 1986 (EPCRA), and Executive Order 13148, Greening the Government Through Leadership in Environmental Management, the US Department of Energy has prepared and submitted a Toxic Chemical Release Inventory for the Hanford Site covering activities performed during calendar year 2001. EPCRA Section 313 requires facilities that manufacture, process, or otherwise use listed toxic chemicals in quantities exceeding established threshold levels to report total annual releases of those chemicals. During calendar year 2001, Hanford Site activities resulted in one chemical used in amounts exceeding an activity threshold. Accordingly, the Hanford Site 2001 Toxic Chemical Release Inventory, DOE/RL-2002-37, includes total annual amount of lead released to the environment, transferred to offsite locations, and otherwise managed as waste

  6. 78 FR 22501 - Designation of Areas for Air Quality Planning Purposes; State of Nevada; Total Suspended Particulate

    Science.gov (United States)

    2013-04-16

    ... Areas for Air Quality Planning Purposes; State of Nevada; Total Suspended Particulate AGENCY... designations for total suspended particulate within the State of Nevada because the designations are no longer necessary. These designations relate to the attainment or unclassifiable areas for total suspended...

  7. Computed tomography for preoperative planning in total hip arthroplasty: what radiologists need to know

    Energy Technology Data Exchange (ETDEWEB)

    Huppertz, Alexander [Charite - University Hospitals Berlin, Department of Radiology, Berlin (Germany); Imaging Science Institute Charite, Berlin (Germany); Radmer, Sebastian [Proendo, Orthopedic Surgery, Berlin (Germany); Wagner, Moritz; Hamm, Bernd [Charite - University Hospitals Berlin, Department of Radiology, Berlin (Germany); Roessler, Torsten [Klinikum Ernst von Bergmann, Department of Trauma and Orthopedic Surgery, Potsdam (Germany); Sparmann, Martin [Proendo, Orthopedic Surgery, Berlin (Germany); Charite - University Hospital, Berlin (Germany)

    2014-08-15

    The number of total hip arthroplasties is continuously rising. Although less invasive surgical techniques, sophisticated component design, and intraoperative navigation techniques have been introduced, the rate of peri- and postoperative complications, including dislocations, fractures, nerve palsies, and infections, is still a major clinical problem. Better patient outcome, faster recovery and rehabilitation, and shorter operation times therefore remain to be accomplished. A promising strategy is to use minimally invasive techniques in conjunction with modular implants, aimed at independently reconstructing femoral offset and leg length on the basis of highly accurate preoperative planning. Plain radiographs have clear limitations for the correct estimation of hip joint geometry and bone quality. Three-dimensional assessment based on computed tomography (CT) allows optimizing the choice and positions of implants and anticipating difficulties to be encountered during surgery. Postoperative CT is used to monitor operative translation and plays a role in arthroplastic quality management. Radiologists should be familiar with the needs of orthopedic surgeons in terms of CT acquisition, post-processing, and data transfer. The CT protocol should be optimized to enhance image quality and reduce radiation exposure. When dedicated orthopedic CT protocols and state-of-the-art scanner hardware are used, radiation exposure can be decreased to a level just marginally higher than that of conventional preoperative radiography. Surgeons and radiologists should use similar terminology to avoid misunderstanding and inaccuracies in the transfer of preoperative planning. (orig.)

  8. Comparison between cultivated and total bacterial communities associated with Cucurbita pepo using cultivation-dependent techniques and 454 pyrosequencing.

    Science.gov (United States)

    Eevers, N; Beckers, B; Op de Beeck, M; White, J C; Vangronsveld, J; Weyens, N

    2016-02-01

    Endophytic bacteria often have beneficial effects on their host plants that can be exploited for bioremediation applications but, according to the literature, only 0.001-1% of all endophytic microbes should be cultivable. This study compared the cultivated endophytic communities of the roots and shoots of Cucurbita pepo with the total endophytic communities as determined by cultivation-dependent techniques and 454 pyrosequencing. The ten most abundant taxa of the total communities aligned well with the cultivated taxa; however, the abundance of these taxa in the two communities differed greatly. Enterobacter showed very low presence in the total communities, whereas they were dominantly present in the cultivated communities. Although Rhizobium dominated in total root and shoot communities, it was poorly cultivable and even then only in growth media containing plant extract. Since endophytes likely contribute to plant-growth promotion, cultivated bacterial strains were tested for their plant-growth promoting capabilities, and the results were correlated with their abundance in the total community. Bacillus and Pseudomonas showed promising results when considering cultivability, abundance in the total community and plant-growth promoting capability. This study demonstrated that, although a limited number of bacterial genera were cultivable, current cultivation-dependent techniques may be sufficient for further isolation and inoculation experiments that aim to improve phytoremediation efficiency. Copyright © 2015 Elsevier GmbH. All rights reserved.

  9. Planning PR for a Community-Based Program

    Science.gov (United States)

    Keim, William A.

    1977-01-01

    An essential for public relations is a combination of marketing techniques and an understanding of the community in its social, economic, political, and geographic aspects. Reaching disadvantaged clientele requires the use of community agencies and development of specialized programs. (RT)

  10. Rhetoric and Reality of Community Participation in Health Planning ...

    African Journals Online (AJOL)

    community oriented health programmes. The fourth principle of ... vary between projects, programmes, countries and even within and ... evidence on mechanisms for inclusion of community ..... [7, 50] Celedon [75] report from Chile, however,.

  11. The Role of Communication in Strategic Planning at California Community Colleges

    Science.gov (United States)

    Carvalho Cooley, Linda M.

    2017-01-01

    Purpose: Community colleges continue to face an ever-changing environment. California Community Colleges are confronted with state initiatives, accountability, and accreditation changes that require integrated planning processes. The purpose of this qualitative study was to describe the role of communication as perceived by community college…

  12. Land-total and Ocean-total Precipitation and Evaporation from a Community Atmosphere Model version 5 Perturbed Parameter Ensemble

    Energy Technology Data Exchange (ETDEWEB)

    Covey, Curt [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Lucas, Donald D. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Trenberth, Kevin E. [National Center for Atmospheric Research, Boulder, CO (United States)

    2016-03-02

    This document presents the large scale water budget statistics of a perturbed input-parameter ensemble of atmospheric model runs. The model is Version 5.1.02 of the Community Atmosphere Model (CAM). These runs are the “C-Ensemble” described by Qian et al., “Parametric Sensitivity Analysis of Precipitation at Global and Local Scales in the Community Atmosphere Model CAM5” (Journal of Advances in Modeling the Earth System, 2015). As noted by Qian et al., the simulations are “AMIP type” with temperature and sea ice boundary conditions chosen to match surface observations for the five year period 2000-2004. There are 1100 ensemble members in addition to one run with default inputparameter values.

  13. A Model for Long Range Planning for Seminole Community College.

    Science.gov (United States)

    Miner, Norris

    A model for long-range planning designed to maximize involvement of college personnel, to improve communication among various areas of the college, to provide a process for evaluation of long-range plans and the planning process, to adjust to changing conditions, to utilize data developed at a level useful for actual operations, and to have…

  14. Implementing Community-based Health Planning and Services in impoverished urban communities: health workers' perspective.

    Science.gov (United States)

    Nwameme, Adanna Uloaku; Tabong, Philip Teg-Nefaah; Adongo, Philip Baba

    2018-03-20

    Three-quarters of sub-Saharan Africa's urban population currently live under slum conditions making them susceptible to ill health and diseases. Ghana characterizes the situation in many developing countries where the urban poor have become a group much afflicted by complex health problems associated with their living conditions, and the intra-city inequity between them and the more privileged urban dwellers with respect to health care accessibility. Adopting Ghana's rural Community-Based Health Planning and Service (CHPS) programme in urban areas is challenging due to the differences in social networks and health challenges thus making modifications necessary. The Community Health Officers (CHOs) and their supervisors are the frontline providers of health in the community and there is a need to analyze and document the health sector response to urban CHPS. The study was solely qualitative and 19 in-depth interviews were conducted with all the CHOs and key health sector individuals in supervisory/coordinating positions working in urban CHPS zones to elicit relevant issues concerning urban CHPS implementation. Thematic content data analysis was done using the NVivo 7 software. Findings from this appraisal suggest that the implementation of this urban concept of the CHPS programme has been well undertaken by the health personnel involved in the process despite the challenges that they face in executing their duties. Several issues came to light including the lack of first aid drugs, as well as the need for the Integrated Management of Neonatal and Childhood Illnesses (IMNCI) programme and more indepth training for CHOs. In addition, the need to provide incentives for the volunteers and Community Health Committee members to sustain their motivation and the CHOs' apprehensions with regards to furthering their education and progression in their careers were key concerns raised. The establishment of the CHPS concept in the urban environment albeit challenging has been

  15. Drivers shaping the diversity and biogeography of total and active bacterial communities in the South China Sea

    Science.gov (United States)

    Zhang, Yao; Zhao, Zihao; Dai, Minhan; Jiao, Nianzhi; Herndl, Gerhard J

    2014-01-01

    To test the hypothesis that different drivers shape the diversity and biogeography of the total and active bacterial community, we examined the bacterial community composition along two transects, one from the inner Pearl River estuary to the open waters of the South China Sea (SCS) and the other from the Luzon Strait to the SCS basin, using 454 pyrosequencing of the 16S rRNA and 16S rRNA gene (V1-3 regions) and thereby characterizing the active and total bacterial community, respectively. The diversity and biogeographic patterns differed substantially between the active and total bacterial communities. Although the composition of both the total and active bacterial community was strongly correlated with environmental factors and weakly correlated with geographic distance, the active bacterial community displayed higher environmental sensitivity than the total community and particularly a greater distance effect largely caused by the active assemblage from deep waters. The 16S rRNA vs. rDNA relationships indicated that the active bacteria were low in relative abundance in the SCS. This might be due to a high competition between active bacterial taxa as indicated by our community network models. Based on these analyses, we speculate that high competition could cause some dispersal limitation of the active bacterial community resulting in a distinct distance-decay relationship. Altogether, our results indicated that the biogeographic distribution of bacteria in the SCS is the result of both environmental control and distance decay. PMID:24684298

  16. Community Mobilization and Readiness: Planning Flaws which Challenge Effective Implementation of 'Communities that Care' (CTC) Prevention System.

    Science.gov (United States)

    Basic, Josipa

    2015-01-01

    This article reviews the experience of implementing a community approach to drug use and youth delinquency prevention based on the 'Communities that Care' (CTC) system implemented in one Croatian county consisting of 12 communities, 2002 to 2013 (Hawkins, 1999; Hawkins & Catalano, 2004). This overview explores selected critical issues which are often not considered in substance use(r) community intervention planning, implementation as well as in associated process and outcome assessments. These issues include, among others, the mobilization process of adequate representation of people; the involvement of relevant key individual and organizational stakeholders and being aware of the stakeholders' willingness to participate in the prevention process. In addition, it is important to be aware of the stakeholders' knowledge and perceptions about the 'problems' of drug use and youth delinquency in their communities as well as the characteristics of the targeted population(s). Sometimes there are community members and stakeholders who block needed change and therefore prevention process enablers and 'bridges' should be involved in moving prevention programming forward. Another barrier that is often overlooked in prevention planning is community readiness to change and a realistic assessment of available and accessible resources for initiating the planned change(s) and sustaining them. All of these issues have been found to be potentially related to intervention success. At the end of this article, I summarize perspectives from prevention scientists and practitioners and lessons learned from communities' readiness research and practice in Croatian that has international relevance.

  17. Increasing advance personal planning: the need for action at the community level.

    Science.gov (United States)

    Waller, Amy; Sanson-Fisher, Rob; Ries, Nola; Bryant, Jamie

    2018-05-09

    Advance personal planning is the process by which people consider, document and communicate their preferences for personal, financial and health matters in case they lose the ability to make decisions or express their wishes in the future. Advance personal planning is most often undertaken by individuals who are seriously ill, often in the context of a medical crisis and/or at the time of admission to hospital. However, the clinical utility and legal validity of the planning process may be compromised in these circumstances. Patients may lack sufficient capacity to meaningfully engage in advance personal planning; there may be insufficient time to adequately reflect on and discuss wishes with key others; and there may also be limited opportunity for inter-professional input and collaboration in the process. Here, we propose an agenda for research to advance the science of advance personal planning by promoting a 'whole community' approach. Adoption of advance personal planning at a community level may be achieved using a variety of strategies including public media campaigns, intervening with professionals across a range of health care and legal settings, and mobilising support from influential groups and local government. One potentially promising method for encouraging earlier adoption of advance personal planning among a broader population involves a community action approach, whereby multiple evidence-based strategies are integrated across multiple access points. Community action involves calling on community members, professionals, community and/or government organisations to work collaboratively to design and systematically implement intervention strategies with the aim of bringing about desired behaviour change. An example of a community action trial to improving uptake and quality of advance personal planning is described. While promising, there is a need for rigorous evidence to demonstrate whether a community action approach is effective in

  18. Community College Program Planning: A Method to Measure and Meet Community Need

    Science.gov (United States)

    Perez-Vergara, Kelly; Lathrop, Rachel; Orlowski, Martin

    2018-01-01

    Offering academic programs that meet community need has long been a core mission of community colleges. However, determining which job skills and credentials are needed for employment in the community is challenging. In order to facilitate a holistic and community-based perspective, our 2-year community college developed a structured curricular…

  19. Exploration on Planning Methods for Rural Communities in the Local Economic and Institutional Contexts

    Institute of Scientific and Technical Information of China (English)

    Ying; WANG; Xin; PAN; Zhilun; XIAO; Xiangwei; CHENG; Caige; LI

    2014-01-01

    This paper reviews the wave of rural community construction, compares the urban and rural areas on the aspects of land property right, financing channels, construction management procedures, and the user-builder difference, and examines the unique characteristics of rural communities. On the basis of that, it proposes some planning methods for the rural community planning and construction, such as encouraging public participation, conducting public facility-oriented planning, and providing house-design menu, and further puts forward some supporting measures and policies.

  20. Community participation in fire management planning: The Trinity county fire safe council's fire plan

    Science.gov (United States)

    Yvonne Everett

    2008-01-01

    In 1999, Trinity County CA, initiated a participatory fire management planning effort. Since that time, the Trinity County Fire Safe Council has completed critical portions of a fire safe plan and has begun to implement projects defined in the plan. Completion of a GIS based, landscape scale fuels reduction element in the plan defined by volunteer fire fighters, agency...

  1. Interobserver and Intraobserver Reliability of Three-Dimensional Preoperative Planning Software in Total Hip Arthroplasty.

    Science.gov (United States)

    Wako, Yasushi; Nakamura, Junichi; Miura, Michiaki; Kawarai, Yuya; Sugano, Masahiko; Nawata, Kento

    2018-02-01

    The purpose of this study is to clarify interobserver and intraobserver reliabilities of the three-dimensional (3D) templating of total hip arthroplasty (THA). We selected preoperative computed tomography from 60 hips in 46 patients (14 men and 32 women) who underwent primary THA. To evaluate interobserver and intraobserver reliability, 6 orthopedic surgeons performed 3D templating twice over a 4-week interval. We investigated intraclass correlation coefficients (ICCs) and percent agreement of component size and alignment, comparing morphological differences in the hip. Reproducibility was also compared between groups with osteoarthritis (OA) and those with osteonecrosis (ON). The interobserver reliabilities for mean cup size and stem size were excellent, with ICC = 0.907 and 0.944, respectively. The value was significantly higher in the ON group than in the OA group. In the OA group, the reliability of cup size and alignment decreased in hips with severe subluxation. Percent agreement of stem size was significantly different between the shapes of femoral canal. For intraobserver reliability, the mean ICC of cup size was 0.965 overall, while the value in the ON group was significantly higher than in the OA group. The mean ICC of stem size was 0.972 overall. Computed tomography-based 3D templating showed excellent reliability for component size and alignment in THA. Deformity of the affected joint influenced the reliability of preoperative planning. Copyright © 2017 Elsevier Inc. All rights reserved.

  2. Planning for Technology Integration in a Professional Learning Community

    Science.gov (United States)

    Thoma, Jennifer; Hutchison, Amy; Johnson, Debra; Johnson, Kurt; Stromer, Elizabeth

    2017-01-01

    Barriers to technology integration in instruction include a lack of time, resources, and professional development. One potential approach to overcoming these barriers is through collaborative work, or professional learning communities. This article focuses on one group of teachers who leveraged their professional learning community to focus on…

  3. Critical Components of Community College Enrollment Management Planning

    Science.gov (United States)

    Bucher, Karen Hart

    2010-01-01

    Enrollment management has become a common practice at four-year institutions, but has not been extensively explored at community colleges. As students have more educational options available to them, community colleges have begun to explore ways to grow their enrollment, improve student retention and increase graduation rates. This study explored…

  4. Planning for a National Community Sediment Transport Model

    Science.gov (United States)

    2002-01-01

    modeling project. The workshop did not develop a NOPP proposal because NOPP had not yet announced funding opportunities for a coastal community modeling...2002, titled “NOPP / USGS Coastal Community Sediment-Transport Model”. Dr. Sherwood presented status reports at the NOPP Nearshore Annual meeting in

  5. Analysis of behavioral change techniques in community-led total sanitation programs.

    Science.gov (United States)

    Sigler, Rachel; Mahmoudi, Lyana; Graham, Jay Paul

    2015-03-01

    The lack of sanitation facilitates the spread of diarrheal diseases-a leading cause of child deaths worldwide. As of 2012, an estimated 1 billion people still practiced open defecation (OD). To address this issue, one behavioral change approach used is community-led total sanitation (CLTS). It is now applied in an estimated 66 countries worldwide, and many countries have adopted this approach as their main strategy for scaling up rural sanitation coverage. While it appears that many of the activities used in CLTS-that target community-level changes in sanitation behaviors instead of household-level changes-have evolved out of existing behavior change frameworks and techniques, it is less clear how these activities are adapted by different organizations and applied in different country contexts. The aims of this study are to (i) show which behavior change frameworks and techniques are the most common in CLTS interventions; (ii) describe how activities are implemented in CLTS interventions by region and context; and (3) determine which activities program implementers considered the most valuable in achieving open defecation free (ODF) status and sustaining it. The results indicate that a wide range of activities are conducted across the different programs and often go beyond standard CLTS activities. CLTS practitioners ranked follow-up and monitoring activities as the most important activities for achieving an ODF community, yet only 1 of 10 organizations conducted monitoring and follow-up throughout their project. Empirical studies are needed to determine which specific behavioral change activities are most effective at ending OD and sustaining it. © The Author 2014. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  6. Field assessment of bacterial communities and total trihalomethanes: Implications for drinking water networks.

    Science.gov (United States)

    Montoya-Pachongo, Carolina; Douterelo, Isabel; Noakes, Catherine; Camargo-Valero, Miller Alonso; Sleigh, Andrew; Escobar-Rivera, Juan-Carlos; Torres-Lozada, Patricia

    2018-03-01

    Operation and maintenance (O&M) of drinking water distribution networks (DWDNs) in tropical countries simultaneously face the control of acute and chronic risks due to the presence of microorganisms and disinfection by-products, respectively. In this study, results from a detailed field characterization of microbiological, chemical and infrastructural parameters of a tropical-climate DWDN are presented. Water physicochemical parameters and the characteristics of the network were assessed to evaluate the relationship between abiotic and microbiological factors and their association with the presence of total trihalomethanes (TTHMs). Illumina sequencing of the bacterial 16s rRNA gene revealed significant differences in the composition of biofilm and planktonic communities. The highly diverse biofilm communities showed the presence of methylotrophic bacteria, which suggest the presence of methyl radicals such as THMs within this habitat. Microbiological parameters correlated with water age, pH, temperature and free residual chlorine. The results from this study are necessary to increase the awareness of O&M practices in DWDNs required to reduce biofilm formation and maintain appropriate microbiological and chemical water quality, in relation to biofilm detachment and DBP formation. Copyright © 2017 Elsevier B.V. All rights reserved.

  7. Energetic Communities: Planning support for sustainable energy transition in small- and medium-sized communities

    Directory of Open Access Journals (Sweden)

    Christina Valeska Sager-Klauss

    2016-04-01

    Full Text Available The necessity for transition in the energy sector is beyond dispute and high on the political agendas. Climate change, the depletion of fossil fuels and the vulnerability of economies to resource speculation and unreliable political systems in the producing countries lay path for a broad implementation of smart alternative solutions. This means the integration of more sustainable renewable energy sources in the existing supply structures or the displacement of existing systems by new ones. Cities and communities are central players in the energy transition process. Energy demand is determined by the built environment. Renewable energy production needs space. The conflicts between different interest groups often break out in the context of local implementation measures that affect urban planning and the appearance of landscapes. Small- and medium-sized communities might prove to be game-changers in the overall energy transition because many problems have to be solved within their ambit. Urban planning is dealing with the numerous processes of urban change. Energy is a fairly new task to be addressed and many stakeholders lack experience and criteria for strategic decision making. After a period of fierce determination to turn the wheel against climate change, it seems that there is a growing resignation among politicians, planners and the public because some things have not turned out the way we’d expected and the hope for quick solutions fades. Rebound-effects seem to eat up the savings to a good extent, and alternative ideas of how sustainable energy systems may be put into place have not yet been persuasive in many cases. Energy systems have proved to be complex. They are still perceived to be important but in practice there is a growing uneasiness about the right steps to take. The overarching research question of this thesis is: What do decision makers in smalland medium-sized communities need to become more successful in implementing

  8. Office of Community Planning and Development (CPD) Awards (2004-2017)

    Data.gov (United States)

    City and County of Durham, North Carolina — This data set provide full-year allocations at the local jurisdiction level for the Office of Community Planning and Development's (CPD) formula programs from...

  9. Strengthening Hope and Purpose in Community College Futures through Strategic Marketing Planning.

    Science.gov (United States)

    Scigliano, John A.

    1981-01-01

    After defining marketing, describes the application of strategic marketing planning to community college funding problems. Delineates alternative sources of funding and creative techniques for tapping them. A marketing index for higher education is appended. (AYC)

  10. Applying social science and public health methods to community-based pandemic planning.

    Science.gov (United States)

    Danforth, Elizabeth J; Doying, Annette; Merceron, Georges; Kennedy, Laura

    2010-11-01

    Pandemic influenza is a unique threat to communities, affecting schools, businesses, health facilities and individuals in ways not seen in other emergency events. This paper aims to outline a local government project which utilised public health and social science research methods to facilitate the creation of an emergency response plan for pandemic influenza coincidental to the early stages of the 2009 H1N1 ('swine flu') outbreak. A multi-disciplinary team coordinated the creation of a pandemic influenza emergency response plan which utilised emergency planning structure and concepts and encompassed a diverse array of county entities including schools, businesses, community organisations, government agencies and healthcare facilities. Lessons learned from this project focus on the need for (1) maintaining relationships forged during the planning process, (2) targeted public health messaging, (3) continual evolution of emergency plans, (4) mutual understanding of emergency management concepts by business and community leaders, and (5) regional coordination with entities outside county boundaries.

  11. Building and measuring infrastructure and capacity for community health assessment and health improvement planning in Florida.

    Science.gov (United States)

    Abarca, Christine; Grigg, C Meade; Steele, Jo Ann; Osgood, Laurie; Keating, Heidi

    2009-01-01

    COMPASS (Comprehensive Assessment, Strategic Success) is the Florida Department of Health's community health assessment and health improvement planning initiative. Since 2002, COMPASS built state and county health department infrastructure to support a comprehensive, systematic, and integrated approach to community health assessment and planning. To assess the capacity of Florida's 67 county health departments (CHDs) to conduct community health assessment and planning and to identify training and technical assistance needs, COMPASS surveyed the CHDs using a Web-based instrument annually from 2004 through 2008. Response rate to the survey was 100 percent annually. In 2007, 96 percent of CHDs reported conducting assessment and planning within the past 3 years; 74 percent used the MAPP (Mobilizing for Action through Planning and Partnerships) framework. Progress was greater for the organizational and assessment phases of the MAPP-based work; only 10 CHDs had identified strategic priorities in 2007, and even fewer had implemented strategies for improving health. In 2007, the most frequently requested types of training were measuring success, developing goals and action plans, and using qualitative data; technical assistance was most frequently requested for program evaluation and writing community health status reports. Florida's CHDs have increased their capacity to conduct community health assessment and planning. Questions remain about sustaining these gains with limited resources.

  12. Getting help quickly: older people and community worker perspectives of contingency planning for falls management.

    Science.gov (United States)

    Charlton, Kimberly; Murray, Carolyn M; Kumar, Saravana

    2018-01-01

    Older people living in the community need to plan for getting help quickly if they have a fall. In this paper planning for falls is referred to as contingency planning and is not a falls prevention strategy but rather a falls management strategy. This research explored the perspectives of older people and community workers (CWs) about contingency planning for a fall. Using a qualitative descriptive approach, participants were recruited through a community agency that supports older people. In-depth interviews were conducted with seven older people (67-89 years of age) and a focus group was held with seven workers of mixed disciplines from the same agency. Older people who hadn't fallen were included but were assumed to be at risk of falls because they were in receipt of services. Thematic analysis and concept mapping combined the data from the two participant groups. Four themes including preconceptions about planning ahead for falling, a fall changes perception, giving, and receiving advice about contingency plans and what to do about falling. Both CWs and older people agree contingency planning requires understanding of individual identity and circumstances. CWs have limited knowledge about contingency planning and may be directive, informative, or conservative. Implications for Rehabilitation Falls can result in serious consequences for older people. There is an evidence-practice gap as availability of and access to contingency planning does not necessarily mean older people will use it in a falls emergency. Older people prefer community workers to be directive or informative about contingency planning options but they do want choice and control. Increased community workers knowledge of, and collaborative decision-making about, contingency planning may promote patient-centered services and assist in closing the evidence-practice gap.

  13. Assessment of the implementation of community-led total sanitation, hygiene, and associated factors in Diretiyara district, Eastern Ethiopia.

    Directory of Open Access Journals (Sweden)

    Roba Argaw Tessema

    Full Text Available Based on the sustainable development goals, the United Nations plans to achieve equitable sanitation and hygiene for all and to end open defecation by 2030. In Ethiopia, 60% to 80% of health problems are due to communicable diseases attributable to unsafe water supply, unhygienic and unsanitary waste management, which are directly linked to the practice of open defecation. This study has aimed at assessing the implementation of community-led total sanitation and hygiene (CLTSH and associated factors. A community-based cross-sectional study design involving 420 of the 7,225 households found in Diretiyara district was conducted in June 2014. Both quantitative and qualitative data were collected. Using Logistic Regressions, bivariate and multivariate analyses were computed. This study showed that 66% of the respondents have knowledge of CLTSH. Eighty-nine percent of the respondents have latrine, of which 78% were constructed after the introduction of CLTSH. Eleven percent of the respondents reported to have defected in the open field and 15% of them reported that they had been recently exposed to diarrhea diseases. The occurrence of diarrheal disease was significantly associated with the extent of latrine ownership [AOR = 2.48; 95% CI 1.00, 6.12]. Attitude and perception parameters were significantly associated with consistent latrine utilization. Respondents who agreed that "Open defecation is preferred due to the unpleasant smell and heat from the Latrine'' [COR = 0.58; 95% CI 0.34, 0.99] were 58% less likely to use the latrine consistently. In conclusion, CLTSH has increased the extent of latrine ownership and decreased practice of open defecation, and yet, intermittent latrine use and poor hygienic practice were reported. Although some fundamental misconceptions were reported, the majority of the respondents have accepted CLTSH approach as a means to ending open defecation in their village. Health extension workers and local authorities should

  14. Multicultural Education as Community Engagement: Policies and Planning in a Transnational Era

    Science.gov (United States)

    Davis, Kathryn A.; Phyak, Prem; Bui, Thuy Thi Ngoc

    2012-01-01

    Through viewing multicultural education as policy and planning that is enacted at national, regional, and local levels in Nepal and Vietnam, we explore the challenges and possibilities of engaging communities. We examine transnationalism, neoliberalism, and globalization as these impact national policies, community ideologies, regional/local…

  15. Transformation of a Community College Budgeting Process Driven by the Strategic Plan

    Science.gov (United States)

    Portmann, Renee R.

    2017-01-01

    Community colleges are unique in the higher education realm. Open access, the demographics of students, communities served, locations, and funding sources all present distinct circumstances. A strategic plan supported by leadership, faculty, staff and the external environment is needed to steer students on pathways to success. The focus on…

  16. Product-market differentiation: a strategic planning model for community hospitals.

    Science.gov (United States)

    Milch, R A

    1980-01-01

    Community hospitals would seem to have every reason to identify and capitalize on their product-market strengths. The strategic marketing/planning model provides a framework for rational analysis of the community hospital dilemma and for developing sensible solutions to the complex problems of accelerating hospital price-inflation.

  17. Treatment Plans in Psychiatric Community Housing Programs : Do They Reflect Rehabilitation Principles?

    NARCIS (Netherlands)

    de Heer-Wunderink, Charlotte; Visser, Ellen; Caro-Nienhuis, Annemarie D.; van Weeghel, Jaap; Sytema, Sjoerd; Wiersma, Durk

    2012-01-01

    Objective: This study examined the extent to which treatment plans of service users of community housing programs measure up to rehabilitation principles according to the Choose-Get-Keep model of psychiatric rehabilitation. The study evaluates whether these plans correspond with service-user and

  18. Understanding Program Planning Theory and Practice in a Feminist Community-Based Organization

    Science.gov (United States)

    Bracken, Susan J.

    2011-01-01

    The purpose of this article is to discuss feminist-program-planning issues, drawing from a critical ethnographic study of a Latin American feminist community-based organization. The research findings discuss the centrality of feminist identity to understanding and analyzing day-to-day program-planning process issues within a feminist…

  19. Forest communities and the Northwest Forest Plan: what socioeconomic monitoring can tell us.

    Science.gov (United States)

    Jonathan. Thompson

    2007-01-01

    The Northwest Forest Plan (the Plan) was designed to balance protection of older forest ecosystems with mitigation of impacts on rural communities and economies. It was implemented by using an adaptive management approach that featured an interagency monitoring program. This program included socioeconomic monitoring—the systematic observation and measurement of a set...

  20. Medical Signbank as a Model for Sign Language Planning? A Review of Community Engagement

    Science.gov (United States)

    Napier, Jemina; Major, George; Ferrara, Lindsay; Johnston, Trevor

    2015-01-01

    This paper reviews a sign language planning project conducted in Australia with deaf Auslan users. The Medical Signbank project utilised a cooperative language planning process to engage with the Deaf community and sign language interpreters to develop an online interactive resource of health-related signs, in order to address a gap in the health…

  1. Robotic-Arm Assisted Total Knee Arthroplasty Demonstrated Greater Accuracy and Precision to Plan Compared with Manual Techniques.

    Science.gov (United States)

    Hampp, Emily L; Chughtai, Morad; Scholl, Laura Y; Sodhi, Nipun; Bhowmik-Stoker, Manoshi; Jacofsky, David J; Mont, Michael A

    2018-05-01

    This study determined if robotic-arm assisted total knee arthroplasty (RATKA) allows for more accurate and precise bone cuts and component position to plan compared with manual total knee arthroplasty (MTKA). Specifically, we assessed the following: (1) final bone cuts, (2) final component position, and (3) a potential learning curve for RATKA. On six cadaver specimens (12 knees), a MTKA and RATKA were performed on the left and right knees, respectively. Bone-cut and final-component positioning errors relative to preoperative plans were compared. Median errors and standard deviations (SDs) in the sagittal, coronal, and axial planes were compared. Median values of the absolute deviation from plan defined the accuracy to plan. SDs described the precision to plan. RATKA bone cuts were as or more accurate to plan based on nominal median values in 11 out of 12 measurements. RATKA bone cuts were more precise to plan in 8 out of 12 measurements ( p  ≤ 0.05). RATKA final component positions were as or more accurate to plan based on median values in five out of five measurements. RATKA final component positions were more precise to plan in four out of five measurements ( p  ≤ 0.05). Stacked error results from all cuts and implant positions for each specimen in procedural order showed that RATKA error was less than MTKA error. Although this study analyzed a small number of cadaver specimens, there were clear differences that separated these two groups. When compared with MTKA, RATKA demonstrated more accurate and precise bone cuts and implant positioning to plan. Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

  2. Community Options Model): Using Artificial Intelligence for Transportation Planning and Community Decision Making

    Science.gov (United States)

    1997-01-01

    This paper describes the Community Options Model for Transportation-Related Issues (COMTRI) designed to estimate the social and economic impacts of highway realignments on rural Michigan communities for the Michigan Department of Transportation (MDOT...

  3. School Leaders and Community: Research and a Plan for Collaboration.

    Science.gov (United States)

    Davis, Patricia W.; Karr-Kidwell, PJ

    Parental and community involvement in Title I schools is limited by occurrence and the absence of positive motivation. When parents are involved in the life of a school, children receive the message that education is important and the school is a vital commodity. With this involvement, a culture is developed that encompasses the children,…

  4. Development of emergency response plans for community water ...

    African Journals Online (AJOL)

    All water services systems, irrespective of size, location etc., should have emergency response plans (ERPs) to guide officials, stakeholders and consumers through emergencies, as part of managing risks in the water supply system. Emergencies in the water supply system may result from, among other causes, natural ...

  5. Knowing the Community: Women Planning Careers in Educational Leadership

    Science.gov (United States)

    Sperandio, Jill

    2015-01-01

    Women aspiring to be principals and superintendents in the U.S. public school system have little information concerning optimum career paths to leadership. This article considers recent research and theory regarding career planning in the context of K-12 schools, and the different approaches adopted by male and female aspirants. The choice of…

  6. The experience of a nationwide Community of Practice to set up Regional Prevention Plans in Italy.

    Science.gov (United States)

    Giusti, Angela; Perra, Alberto; Lombardo, Flavia

    2017-07-27

    In 2010, the Italian Ministry of Health decided to start the planning process to elaborate the National Plan of Prevention 2010-2012 jointly with the 21 Regions. The National Institute of Health was responsible for supporting regional planners (RPs) by an original participatory approach of a web-based Community of Practice (CoP) to set up their own Regional Plans of Prevention. In this paper, we summarise the theoretical framework adopted, the main phases characterising the lifecycle of the nationwide CoP, the evaluation approach adopted and its findings. Following the CoP theoretical framework from Wenger, an initial group of RPs were trained on Project Cycle Management as a planning method and thereafter they started interacting on a web-based Moodle platform for 8 months. The CoP evaluation mainly took into account aspects of 'immediate value', such as members interactions within the website, and several quantitative and qualitative tools were used to monitor changes over time. Data were retrieved from Moodle statistics or directly from the RPs by the means of a Knowledge, Attitude and Practice survey, a reaction survey, SWOT analysis and focus groups. The level of individual RPs knowledge increased after the initial course from 55.7% to 75%, attitudes and competence perception about the planning process method also showed an overall favourable change. During the CoP life span, the number of members increased from the original 98 RPs to include up to 600 new members on the basis of spontaneous demand. From April 2010 to January 2011, the 'vital signs' of the CoP were monitored, including RP logins (13,450 total logins and 3744 unique logins), views (27,522) and posts (1606) distributed in 326 forum discussion threads. Data and information retrieved from quantitative and qualitative evaluation approaches proved to be useful for the management and follow-up of the CoP. The CoP experience was successful as 19 out of 20 Regions submitted their Regional Preventive

  7. Concept and Method of Asset-Based Community Development Planning: A Case Study on Minlecun Community in Chongqing’s Yuzhong District

    Institute of Scientific and Technical Information of China (English)

    Huang; Ling; Liu; Yang; Xu; Jianfeng

    2015-01-01

    With the transformation of the Chinese economy from an extensive growth to intensive development, city development is also gradually turning from incremental construction to stock management. Community, as a basic unit of human settlements, is an important platform to build and improve the social governance capability. In 2013, Shiyoulu Jiedao Offi ce of Yuzhong District led the 1st urban community development planning, which was a milestone of Chongqing’s city regeneration and governance innovation. This paper focuses on two key issues: how to understand the community values and make the community development planning based on the above, and how to integrate with the local forces so that the community development planning can be integrated into the action plan. Combined with the practice of Minlecun Community Development Planning, using the concept of asset-based community development, a comprehensive survey is conducted on community assets(including three aspects of physical, human, and social capital), and a community comprehensive planning strategy is formulated which covers two parts: the optimization of community spaces and the upgrading of community governance. The paper explores the local-based community planning theories and methods from such aspects as value attitude, public participation, role transformation of urban planners, and others.

  8. Community-Led Total Sanitation, Open Defecation Free Status, and Ebola Virus Disease in Lofa County, Liberia.

    Science.gov (United States)

    Capps, Jean Meyer; Njiru, Haron; deVries, Pieter

    2017-01-01

    The Ebola virus disease (EVD) epidemic entered Liberia through Lofa County in February 2014 and spread to two health districts where the nongovernmental organization Global Communities had been implementing community-led total sanitation (CLTS) since 2012. By December 2014 the county had 928 Ebola cases (422 of them confirmed) and 648 deaths. Before the epidemic, CLTS was triggered in 155 communities, and 98 communities were certified as Open Defecation Free (ODF). Using mixed quantitative and qualitative methods, we determined that no cases of EVD were found in ODF communities and in only one CLTS community that had not reached ODF status. No differences were found between EVD and non-EVD communities in tribe, religion, ethnic group, or major sources of Ebola information. Radio was the most common source of information for all communities, but health workers were the most trusted information sources. CLTS ODF communities attributed their avoidance of EVD to Water, Sanitation, and Hygiene behaviors, especially hand washing with soap and disposal of feces that they learned from CLTS prior to the epidemic. Communities that got EVD blamed their strong initial resistance to Ebola response messages on their distrust that Ebola was real and their reliance on friends and family for advice. A strong inverse correlation between EVD and CLTS with or without ODF emerged from the regression analysis (R = -.6).

  9. A Dynamic Community of Discovery: Planning, Learning, and Change

    Directory of Open Access Journals (Sweden)

    Michelle Gordon

    2011-01-01

    Full Text Available Ryerson University’s Prior Learning and Competency Evaluation and Documentation (PLACED program is funded by the Government of Ontario to engage internationally educated professionals (IEPs, employers, and regulatory/occupational bodies in the use of competency-based practices. In 2008, the authors created a self-assessment tool for IEPs that would build a portfolio reflecting an individual’s knowledge and skills while introducing him or her to aspects of the Canadian workplace and labour market. The authors felt that this tool would be useful to assist IEPs in considering their career options and wanted to create an online workshop that would provide flexibility to users whose priorities were most likely work and family obligations. This short project description will capture a why the self-assessment tool was developed; (b how we fostered participants’ self-efficacy; c how we used Blackboard; (d what the participants gained from the workshop; and (e how the workshop has evolved based on facilitators’ observations, participants’ feedback, and an external organization’s request for customizing the workshop. In working together to design the online workshop, IEPs’ Self-Assessment and Planning, we focused on two main concepts: self-assessment and career planning. With that in mind, we set out in the workshop to bolster self-discovery, self-efficacy, individualized research skills, action planning, and ongoing professional development. The learning platform was Blackboard, which is used across Ryerson University in both classroom and online learning.

  10. Urban Community Planning in the Context of Transition in China: Theory Interpretation and Practice Exploration Based on Relationship Reconstruction

    OpenAIRE

    Jiayan  LIU

    2017-01-01

    Along with a full-scale transition in both the urban development pattern and the socio-economic development in China, the planning of urban residential pace has experienced a significant transition process from the residential area planning in traditional Danwei system, to the commercial housing estate planning in marketized housing system, then to the springing up of contemporary community planning. On the basis of an analysis of the primary goal, form, and limitations of community planning ...

  11. IMPLEMENTASI DISTRIBUSI REQUIREMENT PLANNING DAN SAVING MATRIX UNTUK MEMINIMASI TOTAL BIAYA DISTRIBUSI DI INDUSTRI BAHAN KIMIA

    Directory of Open Access Journals (Sweden)

    Johan Oscar Ong

    2013-12-01

    Full Text Available Planning and scheduling of the distribution of goods in PT. Senatama Laboranusa are not well coordinated, so the demand for each product is out of control, which results in deficiency or excess of inventories in both of the factories and each warehouse. This problem will affect the distribution cost incurred by the company. In this study, the distribution data process is done by using Distribution Requirement Planning method and route distribution processing by using Saving Matrix, in which both of these methods can group the delivery schedule and flow of distribution route regularly. PO Release, which contains time, order amount of each area, and lot size EOQ (Economic Order Quantity method used; will be generated from the calculation of DRP. From the calculation of Saving Matrix, route order sequence is applied by using Nearest Neighbor method. After the implementation of Distribution Requirement Planning, the cost reduction resulted is 29.75% and the difference in distance after the application of Saving Matrix is 983.3 Km. With a good distribution activity planning and scheduling, the success rate in meeting the customer demand would be more optimal, while sales performance increases in fulfilling orders in a timely manner and  appropriate amount, hence the distribution costs can be kept as minimum as possible.

  12. Assessing the integration of health center and community emergency preparedness and response planning.

    Science.gov (United States)

    Wineman, Nicole V; Braun, Barbara I; Barbera, Joseph A; Loeb, Jerod M

    2007-11-01

    To assess the state of health center integration into community preparedness, we undertook a national study of linkages between health centers and the emergency preparedness and response planning initiatives in their communities. The key objectives of this project were to gain a better understanding of existing linkages in a nationally representative sample of health centers, and identify health center demographic and experience factors that were associated with strong linkages. The objectives of the study were to gain a baseline understanding of existing health center linkages to community emergency preparedness and response systems and to identify factors that were associated with strong linkages. A 60-item questionnaire was mailed to the population of health centers supported by the Health Resources and Services Administration's Bureau of Primary Health Care in February 2005. Results were aggregated and a chi square analysis identified factors associated with stronger linkages. Overall performance on study-defined indicators of strong linkages was low: 34% had completed a hazard vulnerability analysis in collaboration with the community emergency management agency, 30% had their role documented in the community plan, and 24% participated in community-wide exercises. Stronger linkages were associated with experience responding to a disaster and a perception of high risk for experiencing a disaster. The potential for health centers to participate in an integrated response is not fully realized, and their absence from community-based planning leaves an already vulnerable population at greater risk. Community planners should be encouraged to include health centers in planning and response and centers should receive more targeted resources for community integration.

  13. Selecting a Risk-Based SQC Procedure for a HbA1c Total QC Plan.

    Science.gov (United States)

    Westgard, Sten A; Bayat, Hassan; Westgard, James O

    2017-09-01

    Recent US practice guidelines and laboratory regulations for quality control (QC) emphasize the development of QC plans and the application of risk management principles. The US Clinical Laboratory Improvement Amendments (CLIA) now includes an option to comply with QC regulations by developing an individualized QC plan (IQCP) based on a risk assessment of the total testing process. The Clinical and Laboratory Standards Institute (CLSI) has provided new practice guidelines for application of risk management to QC plans and statistical QC (SQC). We describe an alternative approach for developing a total QC plan (TQCP) that includes a risk-based SQC procedure. CLIA compliance is maintained by analyzing at least 2 levels of controls per day. A Sigma-Metric SQC Run Size nomogram provides a graphical tool to simplify the selection of risk-based SQC procedures. Current HbA1c method performance, as demonstrated by published method validation studies, is estimated to be 4-Sigma quality at best. Optimal SQC strategies require more QC than the CLIA minimum requirement of 2 levels per day. More complex control algorithms, more control measurements, and a bracketed mode of operation are needed to assure the intended quality of results. A total QC plan with a risk-based SQC procedure provides a simpler alternative to an individualized QC plan. A Sigma-Metric SQC Run Size nomogram provides a practical tool for selecting appropriate control rules, numbers of control measurements, and run size (or frequency of SQC). Applications demonstrate the need for continued improvement of analytical performance of HbA1c laboratory methods.

  14. Integrating Personalized and Community Services for Mobile Travel Planning and Management

    Science.gov (United States)

    Yu, Chien-Chih

    Personalized and community services have been noted as keys to enhance and facilitate e-tourism as well as mobile applications. This paper aims at proposing an integrated service framework for combining personalized and community functions to support mobile travel planning and management. Major mobile tourism related planning and decision support functions specified include personalized profile management, information search and notification, evaluation and recommendation, do-it-yourself planning and design, community and collaboration management, auction and negotiation, transaction and payment, as well as trip tracking and quality control. A system implementation process with an example prototype is also presented for illustrating the feasibility and effectiveness of the proposed system framework, process model, and development methodology.

  15. Native Grass Community Management Plan for the Oak Ridge Reservation

    Energy Technology Data Exchange (ETDEWEB)

    Ryon, Michael G [ORNL; Parr, Patricia Dreyer [ORNL; Cohen, Kari [ORNL

    2007-06-01

    Land managers at the Department of Energy's Oak Ridge National Laboratory in East Tennessee are restoring native warm-season grasses and wildflowers to various sites across the Oak Ridge Reservation (ORR). Some of the numerous benefits to planting native grasses and forbs include improved habitat quality for wildlife, improved aesthetic values, lower long-term maintenance costs, and compliance with Executive Order 13112 (Clinton 1999). Challenges to restoring native plants on the ORR include the need to gain experience in establishing and maintaining these communities and the potentially greater up-front costs of getting native grasses established. The goals of the native grass program are generally outlined on a fiscal-year basis. An overview of some of the issues associated with the successful and cost-effective establishment and maintenance of native grass and wildflower stands on the ORR is presented in this report.

  16. The true costs of participatory sanitation: Evidence from community-led total sanitation studies in Ghana and Ethiopia.

    Science.gov (United States)

    Crocker, Jonny; Saywell, Darren; Shields, Katherine F; Kolsky, Pete; Bartram, Jamie

    2017-12-01

    Evidence on sanitation and hygiene program costs is used for many purposes. The few studies that report costs use top-down costing methods that are inaccurate and inappropriate. Community-led total sanitation (CLTS) is a participatory behavior-change approach that presents difficulties for cost analysis. We used implementation tracking and bottom-up, activity-based costing to assess the process, program costs, and local investments for four CLTS interventions in Ghana and Ethiopia. Data collection included implementation checklists, surveys, and financial records review. Financial costs and value-of-time spent on CLTS by different actors were assessed. Results are disaggregated by intervention, cost category, actor, geographic area, and project month. The average household size was 4.0 people in Ghana, and 5.8 people in Ethiopia. The program cost of CLTS was $30.34-$81.56 per household targeted in Ghana, and $14.15-$19.21 in Ethiopia. Most program costs were from training for three of four interventions. Local investments ranged from $7.93-$22.36 per household targeted in Ghana, and $2.35-$3.41 in Ethiopia. This is the first study to present comprehensive, disaggregated costs of a sanitation and hygiene behavior-change intervention. The findings can be used to inform policy and finance decisions, plan program scale-up, perform cost-effectiveness and benefit studies, and compare different interventions. The costing method is applicable to other public health behavior-change programs. Copyright © 2017 The Authors. Published by Elsevier B.V. All rights reserved.

  17. Using Community-Based Participatory Research to Identify Environmental Justice Issues in an Inner-City Community and Inform Urban Planning.

    Science.gov (United States)

    Mansyur, Carol Leler; Jeng, Hueiwang Anna; Holloman, Erica; DeBrew, Linwood

    2016-01-01

    The Southeast CARE Coalition has been using community-based participatory research to examine environmental degradation in the Southeast Community, Newport News, Virginia. A survey was developed to collect assessment data. Up to 66% of respondents were concerned about environmental problems in their community. Those with health conditions were significantly more likely to identify specific environmental problems. The top 5 environmental concerns included coal dust, air quality, crime, water quality, and trash. The community-based participatory research process is building community capacity and participation, providing community input into strategic planning, and empowering community members to take control of environmental justice issues in their community.

  18. Effectiveness of participatory planning for community management of fisheries in Bangladesh.

    Science.gov (United States)

    Sultana, Parvin; Abeyasekera, Savitri

    2008-01-01

    This study provides statistical evidence that support for community-based management of resources was more effective when initiated through a process known as participatory action plan development (PAPD). Thirty-six sites were studied where community management of fisheries was facilitated by NGOs. All involved community participation and establishing local fisheries management institutions. However, communities were able to take up more conservation-related interventions and faced fewer conflicts in the 18 sites where a PAPD was the basis for collective action and institution development. This indicates the value and effectiveness of adopting good practice in participatory planning, such as PAPD, which helps diverse stakeholders find common problems and solutions for natural resource management.

  19. West Valley Demonstration Project community relations plan FY 1990/91

    International Nuclear Information System (INIS)

    Damerow, M.W.

    1989-09-01

    The purpose of the Community Relations Plan is to fully inform the community about the West Valley Demonstration Project (WVDP) and provide opportunities for public input. A sound approach to community relations is essential to the creation and maintenance of public awareness and community support. The WVDP is a matter of considerable public interest because it deals with nuclear waste. The mission of the WVDP is to solve an existing environmental concern by solidifying high-level radioactive waste and transporting the solidified waste to a federal repository for permanent disposal. The public requires evidence of the continued commitment and demonstrated progress of the industry and government in carrying out the mission in order to sustain confidence that the WVDP is being managed well and will be discussed successfully completed. For this reason, a comprehensive communication plan is essential for the successful completion of the WVDP

  20. Source Water Protection Planning for Ontario First Nations Communities: Case Studies Identifying Challenges and Outcomes

    Directory of Open Access Journals (Sweden)

    Leslie Collins

    2017-07-01

    Full Text Available After the Walkerton tragedy in 2000, where drinking water contamination left seven people dead and many suffering from chronic illness, the Province of Ontario, Canada implemented policies to develop Source Water Protection (SWP plans. Under the Clean Water Act (2006, thirty-six regional Conservation Authorities were mandated to develop watershed-based SWP plans under 19 Source Protection Regions. Most First Nations in Ontario are outside of these Source Protection Regions and reserve lands are under Federal jurisdiction. This paper explores how First Nations in Ontario are attempting to address SWP to improve drinking water quality in their communities even though these communities are not part of the Ontario SWP framework. The case studies highlight the gap between the regulatory requirements of the Federal and Provincial governments and the challenges for First Nations in Ontario from lack of funding to implement solutions to address the threats identified in SWP planning. This analysis of different approaches taken by Ontario First Nations shows that the Ontario framework for SWP planning is not an option for the majority of First Nations communities, and does not adequately address threats originating on reserve lands. First Nations attempting to address on-reserve threats to drinking water are using a variety of resources and approaches to develop community SWP plans. However, a common theme of all the cases surveyed is a lack of funding to support implementing solutions for the threats identified by the SWP planning process. Federal government initiatives to address the chronic problem of boil water advisories within Indigenous communities do not recognize SWP planning as a cost-effective tool for improving drinking water quality.

  1. Planning community-based assessments of HIV educational intervention programs in sub-Saharan Africa.

    Science.gov (United States)

    Kelcey, Ben; Shen, Zuchao

    2017-08-01

    A key consideration in planning studies of community-based HIV education programs is identifying a sample size large enough to ensure a reasonable probability of detecting program effects if they exist. Sufficient sample sizes for community- or group-based designs are proportional to the correlation or similarity of individuals within communities. As a result, efficient and effective design requires reasonable a priori estimates of the correlational structure among individuals within communities. In this study, we investigate the degree of correlation among individuals within communities and regions using samples of sixth-grade adolescents from 609 local area district communities and 122 regions in 15 sub-Saharan African nations. We develop nation-specific and international summaries of these correlations using variance partitioning coefficients from multilevel models and subsequently assess the extent to which different types of background variables delineate key sources of these correlations. The results suggest persistent differences among communities and regions and that the degree of correlation among individuals within communities varied considerably by nation. The findings underscore the importance of empirically derived values of design parameters that are anchored in evidence specific to the outcome, nation and context of the planned study. © The Author 2017. Published by Oxford University Press. All rights reserved. For permissions, please email: journals.permissions@oup.com.

  2. A Tool for Measuring NASA's Aeronautics Research Progress Toward Planned Strategic Community Outcomes

    Science.gov (United States)

    Tahmasebi, Farhad; Pearce, Robert

    2016-01-01

    Description of a tool for portfolio analysis of NASA's Aeronautics research progress toward planned community strategic Outcomes is presented. For efficiency and speed, the tool takes advantage of a function developed in Excels Visual Basic for Applications. The strategic planning process for determining the community Outcomes is also briefly discussed. Stakeholder buy-in, partnership performance, progress of supporting Technical Challenges, and enablement forecast are used as the criteria for evaluating progress toward Outcomes. A few illustrative examples of using the tool are also presented.

  3. Developing and Implementing a Citywide Asthma Action Plan: A Community Collaborative Partnership.

    Science.gov (United States)

    Staudt, Amanda Marie; Alamgir, Hasanat; Long, Debra Lynn; Inscore, Stephen Curtis; Wood, Pamela Runge

    2015-12-01

    Asthma affects 1 in 10 children in the United States, with higher prevalence among children living in poverty. Organizations in San Antonio, Texas, partnered to design and implement a uniform, citywide asthma action plan to improve asthma management capacity in schools. The asthma action plan template was modified from that of the Global Initiative for Asthma. School personnel were trained in symptom recognition, actions to take, and use of equipment before the asthma action plan implementation. The annual Asthma Action Plan Summit was organized as a forum for school nurses, healthcare providers, and members of the community to exchange ideas and strategies on implementation, as well as to revise the plan. The asthma action plan was implemented in all 16 local school districts. Feedback received from school nurses suggests that the citywide asthma action plan resulted in improved asthma management and student health at schools. The evidence in this study suggests that community organizations can successfully collaborate to implement a citywide health initiative similar to the asthma action plan.

  4. Community-level Language Planning for Chinese Heritage Language Maintenance in the United States

    Directory of Open Access Journals (Sweden)

    An Chung Cheng

    2012-08-01

    Full Text Available This paper investigates the development of Chinese heritage language in the United States from the perspective of language policy and planning. The case study examines the Chinese heritage language maintenance through community-based Chinese schools (CHS, and CHS’s relationships with Chinese American community, as well as governments and non-government organizations in China, Taiwan, and the United States. The paper starts with a theoretical discussion on the definition of language policy and planning, and then describes the history and heritage language education of Chinese Americans in the United States. The paper also presents micro-level planning activities initiated by CHSs in the Chinese American community and non-government organizations. Special focus is placed on the interaction between non-government organizations in the US and governmental bodies in Taiwan and mainland China and in the United States. This paper suggests that micro planning of heritage language maintenance is beneficial when initiated in the community, but it can only be developed and sustained within the wider scope of macro-level planning from governments

  5. Utilizing Strategic and Operational Methods for Whole-Community Disaster Planning.

    Science.gov (United States)

    Franks, Stevee; Seaton, Ellen

    2017-12-01

    Analysis of response and recovery efforts to disasters over the past 2 decades has identified a consistent gap that plagues the nation in regard to persons with access and functional needs. This gap can be highlighted by Hurricane Katrina, where the majority of those killed were a part of the access and functional needs population. After a disaster, many individuals with access and functional needs require assistance recovering but often have difficulty accessing services and resources. These difficulties are due to a combination of issues, such as health problems and the disruption of community support services. We sought to help bridge this gap by focusing on strategic and operational methods used while planning for the whole community. This article highlights the many partnerships that must be fostered for successful whole-community planning. These partnerships include, but are not limited to, local government departments, health agencies, nonprofit and nongovernmental organizations, and other volunteer organizations. We showcase these methods by using a developmental Post-Disaster Canvassing Plan to highlight planning methods that may aid jurisdictions across the United States in disaster planning for the whole community. (Disaster Med Public Health Preparedness. 2017;11:741-746).

  6. Exploring Collaborative and Community Based Planning in Tourism Case Study Sitia-Cavo Sidero Project

    OpenAIRE

    Katsouli, Penelope

    2007-01-01

    The present paper has explored the policy planning and development in emerging tourism settings in Sitia. Comprehensively, this study, in the name of sustainable development, focused on the extent of collaborative and community-based planning. For that reason exploratory research has been used; the context and the structure of this paper aimed to uncover the socially constructed reality of Sitia's stakeholders, within the dynamic environment, and respond to and questions. Therein significant ...

  7. Measuring total mercury due to small-scale gold mining activities to determine community vulnerability in Cihonje, Central Java, Indonesia.

    Science.gov (United States)

    Sari, Mega M; Inoue, Takanobu; Matsumoto, Yoshitaka; Yokota, Kuriko

    2016-01-01

    This research is comparative study of gold mining and non-gold mining areas, using four community vulnerability indicators. Vulnerability indicators are exposure degree, contamination rate, chronic, and acute toxicity. Each indicator used different samples, such as wastewater from gold mining process, river water from Tajum river, human hair samples, and health questionnaire. This research used cold vapor atomic absorption spectrometry to determine total mercury concentration. The result showed that concentration of total mercury was 2,420 times than the maximum content of mercury permitted in wastewater based on the Indonesian regulation. Moreover, the mercury concentration in river water reached 685 ng/l, exceeding the quality threshold standards of the World Health Organization (WHO). The mercury concentration in hair samples obtained from the people living in the research location was considered to identify the health quality level of the people or as a chronic toxicity indicator. The highest mercury concentration--i.e. 17 ng/mg, was found in the gold mining respondents. Therefore, based on the total mercury concentration in the four indicators, the community in the gold mining area were more vulnerable to mercury than communities in non-gold mining areas. It was concluded that the community in gold mining area was more vulnerable to mercury contamination than the community in non-gold mining area.

  8. Landscape Hazards in Yukon Communities: Geological Mapping for Climate Change Adaptation Planning

    Science.gov (United States)

    Kennedy, K.; Kinnear, L.

    2010-12-01

    Climate change is considered to be a significant challenge for northern communities where the effects of increased temperature and climate variability are beginning to affect infrastructure and livelihoods (Arctic Climate Impact Assessment, 2004). Planning for and adapting to ongoing and future changes in climate will require the identification and characterization of social, economic, cultural, political and biophysical vulnerabilities. This pilot project addresses physical landscape vulnerabilities in two communities in the Yukon Territory through community-scale landscape hazard mapping and focused investigations of community permafrost conditions. Landscape hazards are identified by combining pre-existing data from public utilities and private-sector consultants with new geophysical techniques (ground penetrating radar and electrical resistivity), shallow drilling, surficial geological mapping, and permafrost characterization. Existing landscape vulnerabilities are evaluated based on their potential for hazard (low, medium or high) under current climate conditions, as well as under future climate scenarios. Detailed hazard maps and landscape characterizations for both communities will contribute to overall adaptation plans and allow for informed development, planning and mitigation of potentially threatening hazards in and around the communities.

  9. Cloud-based preoperative planning for total hip arthroplasty: a study of accuracy, efficiency, and compliance.

    Science.gov (United States)

    Maratt, Joseph D; Srinivasan, Ramesh C; Dahl, William J; Schilling, Peter L; Urquhart, Andrew G

    2012-08-01

    As digital radiography becomes more prevalent, several systems for digital preoperative planning have become available. The purpose of this study was to evaluate the accuracy and efficiency of an inexpensive, cloud-based digital templating system, which is comparable with acetate templating. However, cloud-based templating is substantially faster and more convenient than acetate templating or locally installed software. Although this is a practical solution for this particular medical application, regulatory changes are necessary before the tremendous advantages of cloud-based storage and computing can be realized in medical research and clinical practice. Copyright 2012, SLACK Incorporated.

  10. Clermont Preferred Future: Stakeholder Reflections on a Community Foresight and Planning Initiative

    Directory of Open Access Journals (Sweden)

    Richard Parsons

    2013-10-01

    Full Text Available This paper demonstrates the potential of the mining industry to contribute to social development (community building, resilience and wellbeing and to economic transitioning post-mining. A number of factors may facilitate the realisation of this potential, in particular community engagement activities that build community resilience and capacity to adapt to changing environments. This paper reviews a community foresight initiative, named Clermont Preferred Future (CPF, which is associated with a coal mine development in the town of Clermont in Queensland, Australia. The purpose of CPF, which was adopted in 2008 and is intended to continue to 2020, is to facilitate a transition to a prosperous and sustainable future by leveraging opportunities from coal mining while reducing dependence on the industry. CPF has been cited as a successful model of engagement and community development, and was highly commended in the Community Economic Development category at the 2011 Australian National Awards for Economic Development Excellence. This review draws on the experiences of stakeholders involved in CPF, and on foresight, community engagement, and community development literature. It identifies what has worked well, what has fallen short of the project’s rhetorical aspirations, and how processes and outcomes might be improved. It also trials artwork as an engagement tool. The findings are valuable for Clermont specifically, but also for the mining industry and mining communities more broadly, as well as for other industries in the context of community engagement and strategic planning.

  11. Total Water Management: The New Paradigm for Urban Water Resources Planning

    Science.gov (United States)

    There is a growing need for urban water managers to take a more holistic view of their water resource systems as population growth, urbanization, and current resource management practices put different stresses on local water resources and urban infrastructure. Total Water Manag...

  12. Astrobiology: guidelines and future missions plan for the international community

    Science.gov (United States)

    French, L.; Miller, D.

    The search for extra-terrestrial life has been going on ever since humans realized there was more to the Universe than just the Earth. These quests have taken many forms including, but not limited to: the quest for understanding the biological origins of life on Earth; the deployment of robotic probes to other planets to look for microbial life; the analysis of meteorites for chemical and fossil remnants of extra - terrestrial life; and the search of the radio spectrum for signs of extra-solar intelligence. These searches so far have yielded hints, but no unambiguous proof of life with origins from off Earth. The emerging field of astrobiology studies the origin, distribution, and future of life in the Universe. Technical advances and new, though not conclusive, evidence of extinct microbial life on Mars have created a new enthusiasm for astrobiology in many nations. However, the next steps to take are not clear, and should a positive result be returned, the follow-on missions are yet to be defined. This paper reports on the results of an eight-week study by the students of the International Space University during the summer of 2002. The study created a source book that can be used by mission designers and policy makers to chart the next steps in astrobiology. In particular, the study addresses the following questions:1.What is the full set of dimensions along which we can search forextra-terrestrial life?2.What activities are currently underway by the internationalcommunity along each of these dimensions?3.What are the most effective next steps that can be taken by theinternational space community in order to further this search (from a policy,sociological and mission point of view)?4.What are the proper steps for eliminating possible contaminationof the Earth's biosphere?5.What are the issues with planetary quarantine with regards tounwanted contamination of other biospheres with terrestrial organisms? Integrating all the considerations affecting the search for

  13. Total quality management applications for Hanford's five-year plan and public outreach

    International Nuclear Information System (INIS)

    Peterson, J.M.

    1993-01-01

    The US Department of Energy has encountered problems and experienced successes and failures in the cleanup of the Hanford Site in Washington State. This paper focuses on (1) internal problems involved in managing this large and complex cleanup; (2) attempts at overcoming these problems; (3) problems and attempts at solutions in describing cleanup activities to the public and other government entities. It describes the Total Quality Management (TQM) approaches used in trying to solve these problems

  14. Non-nuclear radiological emergencies. Special plan for radiological risk of the Valencian Community

    International Nuclear Information System (INIS)

    Rodríguez Rodrigo, I.; Piles Alepuz, I.; Peiró Juan, J.; Calvet Rodríguez, D.

    2015-01-01

    After the publication of the Radiological Hazard Basic Directive, Generalitat (the regional government in Valencian Community) initiated the edition of the pertinent Special Plan, with the objective to assemble the response of all the Security and Emergency Agencies, including the Armed Forces, in a radiological emergency affecting the territory of the Valencian Community, under a single hierarchy command. Being approved and homologated the Radiological Hazard Special Plan, Generalitat has undertaken the implementation process planned to finish in June 2015. Following the same process as other Plans, implementation is organized in a first informative stage, followed of a formative and training stage, and finishing with an activation exercise of the Plan. At the end of the process, is expected that every Agency will know their functions, the structure and organization in which the intervention takes place, the resources needed, and adapt their protocols to the Plan requirements. From the beginning, it has been essential working together with the Nuclear Safety Council, as is established in the agreement signed in order to collaborate in Planning, Preparedness and Response in Radiological Emergencies. [es

  15. Phylogenetic and Functional Diversity of Total (DNA) and Expressed (RNA) Bacterial Communities in Urban Green Infrastructure Bioswale Soils.

    Science.gov (United States)

    Gill, Aman S; Lee, Angela; McGuire, Krista L

    2017-08-15

    New York City (NYC) is pioneering green infrastructure with the use of bioswales and other engineered soil-based habitats to provide stormwater infiltration and other ecosystem functions. In addition to avoiding the environmental and financial costs of expanding traditional built infrastructure, green infrastructure is thought to generate cobenefits in the form of diverse ecological processes performed by its plant and microbial communities. Yet, although plant communities in these habitats are closely managed, we lack basic knowledge about how engineered ecosystems impact the distribution and functioning of soil bacteria. We sequenced amplicons of the 16S ribosomal subunit, as well as seven genes associated with functional pathways, generated from both total (DNA-based) and expressed (RNA) soil communities in the Bronx, NYC, NY, in order to test whether bioswale soils host characteristic bacterial communities with evidence for enriched microbial functioning, compared to nonengineered soils in park lawns and tree pits. Bioswales had distinct, phylogenetically diverse bacterial communities, including taxa associated with nutrient cycling and metabolism of hydrocarbons and other pollutants. Bioswale soils also had a significantly greater diversity of genes involved in several functional pathways, including carbon fixation ( cbbL-R [ cbbL gene, red-like subunit] and apsA ), nitrogen cycling ( noxZ and amoA ), and contaminant degradation ( bphA ); conversely, no functional genes were significantly more abundant in nonengineered soils. These results provide preliminary evidence that urban land management can shape the diversity and activity of soil communities, with positive consequences for genetic resources underlying valuable ecological functions, including biogeochemical cycling and degradation of common urban pollutants. IMPORTANCE Management of urban soil biodiversity by favoring taxa associated with decontamination or other microbial metabolic processes is a

  16. Organizing to Use Facebook Advertisements: A Planning Tool for Extension Professionals, Businesses, and Communities

    Science.gov (United States)

    Barnes, James

    2016-01-01

    The purpose of this article is to explain how Extension professionals, businesses, and communities can use Facebook advertisements effectively. The article is a planning tool that introduces Facebook's Advertiser Help Center, explains some applicable key concepts, and suggests best practices to apply before launching a Facebook advertising…

  17. Community Resources for Career Education: Starring Baltimore's McCormick Plan

    Science.gov (United States)

    Carey, E. Niel; Marshall, Howard E.

    1973-01-01

    The article develops from a general discussion of the utilization of community resources in career education to a discussion of a particular program--the McCormick Plan in Baltimore--and other Maryland programs. Suggestions drawn from those programs are offered for identifying and using such resources. (AG)

  18. Applying Customer Satisfaction Theory to Community College Planning of Counseling Services.

    Science.gov (United States)

    Hom, Willard C.

    2002-01-01

    This article discusses a framework in which a researcher may apply a customer satisfaction model to the planning of counseling services at the community college level. It also reviews some historical work on satisfaction research with the unique environment of student services in two-year colleges. The article suggests that readers could benefit…

  19. Using the Concept of "Population Dose" in Planning and Evaluating Community-Level Obesity Prevention Initiatives

    Science.gov (United States)

    Cheadle, Allen; Schwartz, Pamela M.; Rauzon, Suzanne; Bourcier, Emily; Senter, Sandra; Spring, Rebecca; Beery, William L.

    2013-01-01

    When planning and evaluating community-level initiatives focused on policy and environment change, it is useful to have estimates of the impact on behavioral outcomes of particular strategies (e.g., building a new walking trail to promote physical activity). We have created a measure of estimated strategy-level impact--"population dose"--based on…

  20. Community Wildfire Protection Planning: The Importance of Framing, Scale, and Building Sustainable Capacity

    Science.gov (United States)

    Daniel R. Williams; Pamela J. Jakes; Sam Burns; Antony S. Cheng; Kristen C. Nelson; Victoria Sturtevant; Rachel F. Brummel; Emily Staychock; Stephanie G. Souter

    2012-01-01

    Community wildfire protection planning has become an important tool for engaging wildland-urban interface residents and other stakeholders in efforts to address their mutual concerns about wildland fire management, prioritize hazardous fuel reduction projects, and improve forest health. Drawing from 13 case studies from across the United States, this article describes...

  1. Service-Learning in the Financial Planning Curriculum: Expanding Access to the Community

    Science.gov (United States)

    Annis, Paul M.; Palmer, Lance; Goetz, Joseph

    2010-01-01

    Service-learning projects are a cornerstone of student experiential learning. Such programs have proven to be mutually beneficial to communities and students within a variety of family and consumer sciences courses. However, there is a paucity of literature addressing service-learning efforts within the field of financial planning. There is an…

  2. Enterprise Resource Planning Systems: Assessment of Risk Factors by California Community College Leaders

    Science.gov (United States)

    Valente, Mario Manuel

    2011-01-01

    Most California Community Colleges have chosen to purchase and implement a Management Information Systems software solution also known as an Enterprise Resource Planning (ERP) system in order to monitor, control, and automate their administrative tasks. ERP implementations are complex, expensive, high profile, and therefore high risk. To reduce…

  3. Community Education for Family Planning in the U.S.: A Systematic Review.

    Science.gov (United States)

    Carter, Marion W; Tregear, Michelle L; Moskosky, Susan B

    2015-08-01

    Community education may involve activities that seek to raise awareness and promote behavior change, using mass media, social media, and other media or interpersonal methods in community settings. This systematic review evaluated the evidence of the effects of community education on select short- and medium-term family planning outcomes. Using an analytic approach drawn from the U.S. Preventive Services Task Force, multiple databases were searched for articles published from January 1985 through February 2011 describing studies of community education related to family planning in the U.S. Included articles were reviewed and assessed for potential bias using a standardized process in 2011. An updated, targeted review for the 2011-2014 period was conducted in early 2015. Seventeen papers were identified. Most (nine) related to mass media interventions; three involved targeted print media, two involved text messaging or e-mail, two described outcome workers conducting community education, and one involved community theater. Study designs, strength of evidence, and levels of possible bias varied widely. Twelve of 15 studies that addressed outcomes such as increased awareness found positive associations with those outcomes, with six also reporting null findings. Seven of eight studies that addressed use of services reported positive associations, with two also reporting null findings. The targeted, additional review identified two other studies. Evidence related to community education for family planning purposes is limited and highly variable. As goals of community education are usually limited to shorter-term outcomes, the evidence suggests that a range of approaches may be effective. Published by Elsevier Inc.

  4. Propuesta de un plan de mercadeo para el Gimnasio Impacto Total

    OpenAIRE

    Rojas Salazar, Manuel Emilio

    2009-01-01

    Tesis de maestría -- Universidad de Costa Rica. Posgrado en Administración y Dirección de Empresas. Maestría Profesional en Administración y Dirección de Empresas, 2009 El Gimnasio Impacto Total es una micro empresa dedicada a brindar sus servicios en el cantón de Atenas, de nuestro país, donde participa en un mercado bastante competitivo. El gimnasio tiene poco más de un año de haber abierto sus puertas, sin embargo, posee una participación importante en dicho mercado. El presente trabajo...

  5. The search conference as a method in planning community health promotion actions

    Directory of Open Access Journals (Sweden)

    Eva Magnus

    2016-08-01

    Full Text Available Aims: The aim of this article is to describe and discuss how the search conference can be used as a method for planning health promotion actions in local communities. Design and methods: The article draws on experiences with using the method for an innovative project in health promotion in three Norwegian municipalities. The method is described both in general and how it was specifically adopted for the project. Results and conclusions: The search conference as a method was used to develop evidence-based health promotion action plans. With its use of both bottom-up and top-down approaches, this method is a relevant strategy for involving a community in the planning stages of health promotion actions in line with political expectations of participation, ownership, and evidence-based initiatives.

  6. Plans to Observe the 2017 Total Solar Eclipse from near the Path Edges

    Science.gov (United States)

    Waring Dunham, David; Nugent, Richard; Guhl, Konrad; Bode, Hans-Joachim

    2015-08-01

    The August 21st, 2017 solar eclipse provides a good opportunity, to time the totality contacts, other Baily’s bead phenomena, and observe other dynamic edge phenomena, from locations near the edges of the path of totality. A good network of roads and generally favorable weather prospects means that more observers will likely be able to deploy more equipment than during most previous eclipses. The value of contact and Baily’s bead timings of total solar eclipses, for determining solar diameter and intensity variations, was described in an earlier presentation in Focus Meeting 13. This presentation will concentrate on how observations of different types that have been used during past eclipses can be made by different observers, to obtain better information about the accuracy of the different types of observations for determining the mean solar diameter, and the systematic differences between them. A problem has been that the few observers who have attempted recording Baily’s beads from path edge locations have wanted to use the latest technology, to try to record the observations better, rather than try to make the observations in the same ways that were used for many past eclipses. Several observers trying different techniques at the same location, and doing that at several locations at different places along the path, is needed. Past techniques that we would like to compare include direct visual observation (but keeping eye safety in mind); visual observation of telescopically projected images; direct filtered video telescopic observations; and recording the flash spectrum. There are several towns that straddle the path edges. The International Occultation Timing Association would like to mobilize people in those towns to observe the eclipse from many places, to say whether or not the eclipse happened, and if it did, time it. A suitable cell phone app could be designed to report observations, including the observer’s location, as was attempted for an

  7. The Search Conference as a Method in Planning Community Health Promotion Actions

    Science.gov (United States)

    Magnus, Eva; Knudtsen, Margunn Skjei; Wist, Guri; Weiss, Daniel; Lillefjell, Monica

    2016-01-01

    Aims: The aim of this article is to describe and discuss how the search conference can be used as a method for planning health promotion actions in local communities. Design and methods: The article draws on experiences with using the method for an innovative project in health promotion in three Norwegian municipalities. The method is described both in general and how it was specifically adopted for the project. Results and conclusions: The search conference as a method was used to develop evidence-based health promotion action plans. With its use of both bottom-up and top-down approaches, this method is a relevant strategy for involving a community in the planning stages of health promotion actions in line with political expectations of participation, ownership, and evidence-based initiatives. Significance for public health This article describe and discuss how the Search conference can be used as a method when working with knowledge based health promotion actions in local communities. The article describe the sequences of the conference and shows how this have been adapted when planning and prioritizing health promotion actions in three Norwegian municipalities. The significance of the article is that it shows how central elements in the planning of health promotion actions, as participation and involvements as well as evidence was a fundamental thinking in how the conference were accomplished. The article continue discussing how the method function as both a top-down and a bottom-up strategy, and in what way working evidence based can be in conflict with a bottom-up strategy. The experiences described can be used as guidance planning knowledge based health promotion actions in communities. PMID:27747199

  8. Culture Development Planning in the Special Region of Yogyakarta (Management Planning of Cultural Heritage in Kotagede District based on Community Empowerment Conservation Model

    Directory of Open Access Journals (Sweden)

    Eko Suryanti

    2014-09-01

    Full Text Available The Special Region of Yogyakarta is a cultural rich city with excellent cultural resources. Yogyakarta should manage their assets with long-term planning to keep the sustainability. There is a very unique planning process due to a combination of political, technocratic, participatory, top down and bottom up approaches. This planning process is comprehensive or integrated because its involved many actor from multisectoral, multidisciplinary, multi regulatory, and multi planning documents, etc. Local wisdoms have been coloring the planning documents. This study describe and analyze the cultural development planning in Yogyakarta especially on the Management Planning in Kotagede Cultural Heritage District. We used qualitative descriptive approach methods and Miles and Huberman analysis methods. Participation of community and Non Governmental Organization (NGO in conservation planning of cultural heritage in this area is very significant in simplify the government task because people have been more literate in planning, have database of cultural assets, and capable of making their own decisions for the future of the region. Participatory rural appraisal (PRA dan Rapid Rural Appraisal (RRA were integrated in the planning process of Kotagede Heritage District management, thus it becomes a model of cultural heritage with community empowerment-based conservation. Keywords: culture development planning, comprehensive planning, heritage cultural district, community empowerment-based conservation.

  9. The Importance of Documenting and Including Traditional Wisdom in Community-Based Ecotourism Planning

    Directory of Open Access Journals (Sweden)

    Vesna Đukić

    2017-01-01

    Full Text Available This article accords to the theory of community-based tourism, which represents a concept that respects natural and cultural resources of a particular community and encourages participation of its members in the process of tourist product creation. The article operates in the planning phase and aims to give insights into the process of establishing the groundwork for community-based tourism. The key element is documenting and illustrating everything that could be a part of what is known as “traditional wisdom,” namely, the skills and knowledge of traditional life practices. The methods of case study, content analysis, and observation of the village of Omoljica, Serbia, were used. The positive aspect of this locality is reflected in the existing short-term initiatives of organizations and individuals engaging in preserving traditional practices, but without systematic, long-term planning and management of community-based tourism, these individual efforts to revalue traditional life practices would stay unrecognizable and invisible for visitors and stakeholders. Thus, the main goal of this article is to understand the relation between short-term bottom-up initiatives and long-term top-down strategic planning of specific ecotourism destinations, one that would embrace the traditional ways of rural community life. The contribution of this study, in addition to documenting and illustrating “traditional wisdom” of the specific rural community placed in the protected area which encompasses a particular local social system, will be reflected in the creation of a set of guidelines for sustainable, rural, community-based ecotourism as a soft-driver development of protected areas near big cities of the postsocialist countries.

  10. Sustainable community assets:business planning for the (re)development of community buildings

    OpenAIRE

    Moobela, Cletus; Rampton, Leigh

    2009-01-01

    This guide is designed to help you think through making a decision about whether your potential project is worthwhile and viable. Specifically, it seeks to help you look at whether your proposed project is a good for your organisation (business case) whether it is a good investment (investment appraisal) and whether it will likely to be viable when it is completed (business plan). We will also briefly outline the main elements of initiating and managing a (re)development project.

  11. Active and total microbial communities in forest soil are largely different and highly stratified during decomposition

    Czech Academy of Sciences Publication Activity Database

    Baldrian, Petr; Kolařík, Miroslav; Štursová, Martina; Kopecký, J.; Valášková, Vendula; Větrovský, Tomáš; Žifčáková, Lucia; Šnajdr, Jaroslav; Rídl, Jakub; Vlček, Čestmír; Voříšková, Jana

    2012-01-01

    Roč. 6, č. 2 (2012), s. 248-258 ISSN 1751-7362 R&D Projects: GA ČR GA526/08/0751; GA MŠk LC06066 Institutional research plan: CEZ:AV0Z50200510; CEZ:AV0Z50520514 Keywords : cellulose decomposition * bacteria * forest soil Subject RIV: EE - Microbiology, Virology Impact factor: 8.951, year: 2012

  12. 40 CFR 52.142 - Federal Implementation Plan for Tri-Cities landfill, Salt River Pima-Maricopa Indian Community.

    Science.gov (United States)

    2010-07-01

    ...-Cities landfill, Salt River Pima-Maricopa Indian Community. 52.142 Section 52.142 Protection of... IMPLEMENTATION PLANS Arizona § 52.142 Federal Implementation Plan for Tri-Cities landfill, Salt River Pima... the Tri-Cities landfill located on the Salt River Pima-Maricopa Indian Community near Phoenix, Arizona...

  13. Environmental Scan: A Summary of Key Issues Facing California Community Colleges Pertinent to the Strategic Planning Process

    Science.gov (United States)

    Research and Planning Group for California Community Colleges (RP Group), 2005

    2005-01-01

    As part of the Statewide Strategic Planning Process for California Community Colleges, the Center for Student Success, the research and evaluation organization of the Research and Planning Group for California Community Colleges (RP/CSS) was asked to develop a series of overview documents that would outline both internal and external trends that…

  14. The activity and community structure of total bacteria and denitrifying bacteria across soil depths and biological gradients in estuary ecosystem.

    Science.gov (United States)

    Lee, Seung-Hoon; Kang, Hojeong

    2016-02-01

    The distribution of soil microorganisms often shows variations along soil depth, and even in the same soil layer, each microbial group has a specific niche. In particular, the estuary soil is intermittently flooded, and the characteristics of the surface soil layer are different from those of other terrestrial soils. We investigated the microbial community structure and activity across soil depths and biological gradients composed of invasive and native plants in the shallow surface layer of an estuary ecosystem by using molecular approaches. Our results showed that the total and denitrifying bacterial community structures of the estuarine wetland soil differed according to the short depth gradient. In growing season, gene copy number of 16S rRNA were 1.52(±0.23) × 10(11), 1.10(±0.06) × 10(11), and 4.33(±0.16) × 10(10) g(-1) soil; nirS were 5.41(±1.25) × 10(8), 4.93(±0.94) × 10(8), and 2.61(±0.28) × 10(8) g(-1) soil; and nirK were 9.67(±2.37) × 10(6), 3.42(±0.55) × 10(6), and 2.12(±0.19) × 10(6) g(-1) soil in 0 cm, 5 cm, and 10 cm depth layer, respectively. The depth-based difference was distinct in the vegetated sample and in the growing season, evidencing the important role of plants in structuring the microbial community. In comparison with other studies, we observed differences in the microbial community and functions even across very short depth gradients. In conclusion, our results suggested that (i) in the estuary ecosystem, the denitrifying bacterial community could maintain its abundance and function within shallow surface soil layers through facultative anaerobiosis, while the total bacterial community would be both quantitatively and qualitatively affected by the soil depth, (ii) the nirS gene community, rather than the nirK one, should be the first candidate used as an indicator of the microbial denitrification process in the estuary system, and (iii) as the microbial community is distributed and plays a certain niche role according to

  15. [Sustainability focus in the health plans of the autonomous communities: sustainable development as an opportunity].

    Science.gov (United States)

    Moyano-Santiago, Miguel A; Rivera-Lirio, Juana M

    2016-01-01

    To determine the degree to which the health plans of the autonomous communities focus on the usual three dimensions of sustainability: economic, social and environmental, both in the general level of discourse and in the different areas of intervention. A qualitative study was conducted through content analysis of a large sample of documents. The specific methodology was analysis of symbolic and operational sensitivity in a sample of eleven health plans of the Spanish state. Social aspects, such as social determinants or vulnerable groups, are receiving increasing attention from the health planner, although there is room to strengthen attention to environmental issues and to provide specific interventions in economic terms. The analysis demonstrates the incipient state of health plans as strategic planning documents that integrate economic, social and environmental aspects and contribute to the sustainability of the different health systems of the country. Copyright © 2016 SESPAS. Published by Elsevier Espana. All rights reserved.

  16. Community energy and emissions planning : a guide for BC local governments

    International Nuclear Information System (INIS)

    2008-09-01

    British Columbia (BC) local governments are becoming more interested in completing an energy and greenhouse gas emissions plan for their community as awareness of climate change grows and energy prices escalate. The purpose of this guide was to support local government elected officials and staff in undertaking an energy and emissions planning process. This guide described the purpose and content of a community energy and emissions plan, its benefits, and how to go about creating one. Specifically, the guide provided practical tips, examples from BC communities, and links to more detailed information. Topics that were presented in the guide included engagement; inventories; target-setting; action plan; implementation and monitoring; and funding and resources. It was concluded that the key to long-term success is to maintain good communication with council/board, staff and the public. The document emphasized that it is important to make sure that people know the work being undertaken, and the results achieved, so that momentum is not lost. refs., tabs., figs

  17. Total quality management in a 300-bed community hospital: the quality improvement process translated to health care.

    Science.gov (United States)

    Hughes, J M

    1992-09-01

    Winter Park Memorial Hospital (Winter Park, Florida) began implementation of a well-strategized plan for total quality management (TQM) in 1987. Having no guidelines for applying TQM to health care but using the industrial quality management techniques of Philip Crosby Associates, Inc, the hospital made the transition and saved thousands of dollars in the process. This article describes the transition, especially the integral part played by the Medical Staff Quality Council in changing the hospital's culture.

  18. Stakeholder engagement: a model for tobacco policy planning in Oklahoma Tribal communities.

    Science.gov (United States)

    Blanchard, Jessica W; Petherick, J T; Basara, Heather

    2015-01-01

    Oklahoma law pre-empts local governments from enacting smoking restrictions inside public places that are stricter than state law, but the sovereign status of Oklahoma's 38 Tribal nations means they are uniquely positioned to stand apart as leaders in the area of tobacco policy. To provide recommendations for employing university-Tribal partnerships as an effective strategy for tobacco policy planning in tribal communities. Using a community-based participatory research approach, researchers facilitated a series of meetings with key Tribal stakeholders in order to develop a comprehensive tobacco policy plan. Ongoing engagement activities held between January 2011 and May 2012, including interdepartmental visits, facility site tours, interviews, and attendance at tribal activities, were critical for fostering constructive and trusting relationships between all partners involved in the policy planning process. The 17-month collaborative engagement produced a plan designed to regulate the use of commercial tobacco in all Tribally owned properties. The extended period of collaboration between the researchers and Tribal stakeholders facilitated: (1) levels of trust between partners; and (2) a steadfast commitment to the planning process, ensuring completion of the plan amid uncertain political climates and economic concerns about tobacco bans. Extended engagement produced an effective foundation for policy planning that promoted collaboration between otherwise dispersed Tribal departments, and facilitated communication of diverse stakeholder interests related to the goal of tobacco policies. The findings of this study provide useful strategies and best practices for those looking to employ Tribal-university partnerships as strategies for tobacco control planning and policy-based research. Copyright © 2015 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.

  19. Integral stormwater management master plan and design in an ecological community.

    Science.gov (United States)

    Che, Wu; Zhao, Yang; Yang, Zheng; Li, Junqi; Shi, Man

    2014-09-01

    Urban stormwater runoff nearly discharges directly into bodies of water through gray infrastructure in China, such as sewers, impermeable ditches, and pump stations. As urban flooding, water shortage, and other environment problems become serious, integrated water environment management is becoming increasingly complex and challenging. At more than 200ha, the Oriental Sun City community is a large retirement community located in the eastern side of Beijing. During the beginning of its construction, the project faced a series of serious water environment crises such as eutrophication, flood risk, water shortage, and high maintenance costs. To address these issues, an integral stormwater management master plan was developed based on the concept of low impact development (LID). A large number of LID and green stormwater infrastructure (GSI) approaches were designed and applied in the community to replace traditional stormwater drainage systems completely. These approaches mainly included bioretention (which captured nearly 85th percentile volume of the annual runoff in the site, nearly 5.4×10(5)m(3) annually), swales (which functioned as a substitute for traditional stormwater pipes), waterscapes, and stormwater wetlands. Finally, a stormwater system plan was proposed by integrating with the gray water system, landscape planning, an architectural master plan, and related consultations that supported the entire construction period. After more than 10 years of planning, designing, construction, and operation, Oriental Sun City has become one of the earliest modern large-scale LID communities in China. Moreover, the project not only addressed the crisis efficiently and effectively, but also yielded economic and ecological benefits. Copyright © 2014. Published by Elsevier B.V.

  20. LA SAFE and Isle de Jean Charles: Regional Adaptation and Community Resettlement Planning

    Science.gov (United States)

    Sanders, M.

    2017-12-01

    LA SAFE, or Louisiana's Strategic Adaptations for Future Environments, is a strategic framework for community development utilizing future projections of coastal land loss and flood risk as a determining factor in regional growth management and local planning initiatives along a 10, 25, and 50 year timeline. LA SAFE utilizes the input of passionate local citizen leaders and organizations committed to enabling community members to take proactive steps towards mitigating risk and increasing resilience against coastal issues. The project aims to acknowledge that adaptation and restoration must go hand-in-hand with addressing community growth and contraction, as well as realizing Louisiana's most vulnerable coastal communities will need to contemplate resettlement over the next 50 years. The project's outlook is to become a global leader for adaptation and cultural design and restoration. Connecting a global interest with the project and offering extensive ways for people to learn about the issues and get involved will provide an immense amount of support necessary for future coastal environments around the world. This presentation will focus on the output of a year-long planning effort across a six-parish target area encompassing several vulnerable coastal Louisiana locales. The Resettlement of Isle de Jean Charles is a federally-funded and first-of-its kind initiative marking Louisiana's first attempt to relocate a vulnerable coastal community at-scale and as a group. Due to a myriad of environmental factors, the Island has experienced 98 percent land loss since 1955, leading to many of the Island's historical inhabitants to retreat to higher, drier landscapes. In moving the community at-scale, the project seeks to inject new life into the community and its residents in relocating the community to higher, safer ground, while also developing the new community in such a way that it maximizes economic development, job training, and educational opportunities and can be a

  1. Using the INEL site-specific plan as a community relations tool

    International Nuclear Information System (INIS)

    Hart, Michael; Macdonald, Don; Couch, Brad; Reuel Smith, M.

    1992-01-01

    Idaho National Engineering Laboratory (INEL) activities have affected, or have the potential to affect the environment. For this reason) the issues surrounding INEL activities are of interest to a broad range of people. The preparation of the INEL Site-Specific Plan (SSP) reflects the U.S. Department of Energy Idaho Field Office's (DOE-ID'S) initiative for open and clear communications with the public. The INEL SSP describes for the public DOE-ID'S plan to clean up inactive facilities and locations that were contaminated due to past waste management practices. It also discusses waste management strategies for avoiding future contamination by active operations. The SSP is an over-arching document and supplies 'the big picture' of environmental restoration and waste management activities to the public, including budget information and long-range plans. DOE-ID has been using the INEL Site-Specific Plan and its associated public comment period as a primary tool for public involvement and as way to get meaningful citizen input into DOE-ID planning. Public involvement in the INBL Site-Specific Plan has four main objectives: To inform public officials, Indian Tribes, interest groups, businesses, and individuals about current plans for environmental restoration and waste management activities at INEL; To ensure that public concerns and interests relating to environmental restoration and waste management are reflected in the SSP and DOE-ID planning; To provide flexibility so modifications can be made to DOE-ID plans and the SSP in response to changing concerns within the community, and; To ensure that DOE-ID and INEL contractors are given feedback regarding public interest in, and concerns about, the DOE-ID'S plans. To carry out these objectives, DOE-ID has implemented an aggressive public outreach effort that provides multiple opportunities for public participation in cleanup and waste management decisions. (author)

  2. 76 FR 36857 - Federal Employees Health Benefits Program: New Premium Rating Method for Most Community Rated Plans

    Science.gov (United States)

    2011-06-23

    ... contingency reserve accounts or factored into reduced premiums for enrollees in the following plan year. Under...-TCR community rated plans' contingency reserves. Issuers failing to meet the FEHB-specific MLR... definition of medical loss ratio by HHS in December 2010, upon which this rule relies. Further, plans have...

  3. Total aflatoxins in complementary foods produced at community levels using locally available ingredients in Ethiopia.

    Science.gov (United States)

    Ayelign, Abebe; Woldegiorgis, Ashagrie Zewdu; Adish, Abdulaziz; De Saeger, Sarah

    2018-06-01

    This study was conducted to determine the occurrence and levels of total aflatoxins in complementary foods (CFs) and their ingredients. A total of 126 samples collected from 20 Districts from Amhara, Tigray, Oromia, and Southern Nations Nationalities and Peoples (SNNP) regions were analysed for levels of total aflatoxins using enzyme linked immunosorbent assay (ELISA). Aflatoxins were detected in 62 out of 66 pre-milling samples with mean range of 0.3-9.9 µg/kg. Aflatoxins were also detected in 19 out of 20 post-production CFs and in all of the one-month stored CFs at households and grain banks, with a mean range of 0.5-8.0, 3.6-11.3, and 0.2-12.4 µg/kg, respectively. Overall, 3 out of 126 samples exceeded the maximum limit (10 µg/kg). Although most aflatoxin levels were below the maximum limit and thus considered to be safe for consumption, more effort should be implemented to reduce contamination, as these CFs are intended for consumption by young children.

  4. Community-based asthma care: trial of a "credit card" asthma self-management plan.

    Science.gov (United States)

    D'Souza, W; Crane, J; Burgess, C; Te Karu, H; Fox, C; Harper, M; Robson, B; Howden-Chapman, P; Crossland, L; Woodman, K

    1994-07-01

    Although asthma self-management plans are widely recommended as essential in the long-term treatment of adult asthma, there have been few studies examining their use. Our objective was to assess the effect of a "credit card" adult asthma self-management plan in a community experiencing major health problems from asthma, by means of a before and after intervention trial of the efficacy of the "credit card" plan, when introduced through community-based asthma clinics. The participants were 69 Maori people with asthma. The "credit card" plan consisted of written guidelines for the self-management of asthma, based on self-assessment of asthma severity, printed on a plastic card. On one side, management guidelines were based on the interpretation of peak expiratory flow rate (PEFR) recordings, whilst the reverse side was based on symptoms. The outcome measures used were before and after comparison of markers of asthma morbidity and requirement for acute medical treatment; and a structured questionnaire assessing the acceptability and use of the credit card plan. Following the introduction of the plan, the mean PEFR increased from 347 to 389 l.min-1, the percentage of nights woken fell from 30.4 to 16.9%, and the number of days "out of action" fell from 3.8 to 1.7%. The requirements for acute medical treatment also fell during the intervention period. Most participants commented favourably on the content and usefulness of the plan. In the situation of worsening asthma, 28% of subjects found the peak flow side of the card most helpful, 7% the symptoms side, and 48% found both sides equally helpful.(ABSTRACT TRUNCATED AT 250 WORDS)

  5. Innovation in Management Plans for Community Conserved Areas: Experiences from Australian Indigenous Protected Areas

    Directory of Open Access Journals (Sweden)

    Jocelyn Davies

    2013-06-01

    Full Text Available Increasing attention to formal recognition of indigenous and community conserved areas (ICCAs as part of national and/or global protected area systems is generating novel encounters between the customary institutions through which indigenous peoples and local communities manage these traditional estates and the bureaucratic institutions of protected area management planning. Although management plans are widely considered to be important to effective management of protected areas, little guidance has been available about how their form and content can effectively reflect the distinctive socio-cultural and political characteristics of ICCAs. This gap has been particularly apparent in Australia where a trend to rapidly increased formal engagement of indigenous people in environmental management resulted, by 2012, in 50 indigenous groups voluntarily declaring their intent to manage all or part of their estates for conservation in perpetuity, as an indigenous protected area (IPA. Development and adoption of a management plan is central to the process through which the Australian Government recognizes these voluntary declarations and invests resources in IPA management. We identified four types of innovations, apparent in some recent IPA plans, which reflect the distinctive socio-cultural and political characteristics of ICCAs and support indigenous people as the primary decision makers and drivers of knowledge integration in IPAs. These are (1 a focus on customary institutions in governance; (2 strategic planning approaches that respond to interlinkages of stewardship between people, place, plants, and animals; (3 planning frameworks that bridge scales by considering values and issues across the whole of an indigenous people's territory; and (4 varied communication modes appropriate to varied audiences, including an emphasis on visual and spatial modes. Further research is warranted into how governance and management of IPAs, and the plans that

  6. Family planning practices of rural community dwellers in cross River State, Nigeria.

    Science.gov (United States)

    Etokidem, A J; Ndifon, W; Etowa, J; Asuquo, E F

    2017-06-01

    Nigeria is the most populous nation in Africa and the seventh most populous in the world. Despite a high fertility rate of 5.5 per woman and a high population growth rate of 3.2%, Nigeria's contraceptive prevalence is 15%, which is one of the lowest in the world. The objective of this study was to determine the knowledge of family planning and family planning preferences and practices of rural community women in Cross River State of Nigeria. This was a cross-sectional study involving 291 rural women. Convenience sampling method was used. The women were assembled in a hall and a semi-structured questionnaire was administered to every consenting woman until the sample size was attained. Data obtained from the study were analyzed using the Statistical Package for the Social Sciences version 20 and presented in tables as frequencies and percentages as well as figures. Association between categorical variables was explored using chi-square test. Binary logistic regression was also performed to determine predictors of use of at least one family planning method at some point in time. Fifty (17.2%) respondents were using at least one family planning method. One hundred and ninety-eight (68.3%) respondents had used at least one family planning method at some point in time. Reasons given for not using any family planning method included "Family planning is against my religious beliefs" (56%); "it is against our culture" (43.8%); "I need more children" (64.9%); "my partner would not agree" (35.3%); "family planning does not work" (42.9%); "it reduces sexual enjoyment" (76%); and "it promotes unfaithfulness/infidelity" (59%). Binary logistic regression conducted to predict the use of at least one family planning method at some point in time using some independent variables showed that who makes the decision regarding family planning use was the strongest predictor of family planning use (OR = 0.567; 95% CI = 0.391-0.821). This suggests that family planning uptake is more

  7. Computed tomography for preoperative planning in minimal-invasive total hip arthroplasty: Radiation exposure and cost analysis

    Energy Technology Data Exchange (ETDEWEB)

    Huppertz, Alexander, E-mail: Alexander.Huppertz@charite.de [Imaging Science Institute Charite Berlin, Robert-Koch-Platz 7, D-10115 Berlin (Germany); Department of Radiology, Medical Physics, Charite-University Hospitals of Berlin, Chariteplatz 1, D-10117 Berlin (Germany); Radmer, Sebastian, E-mail: s.radmer@immanuel.de [Department of Orthopedic Surgery and Rheumatology, Immanuel-Krankenhaus, Koenigstr. 63, D-14109, Berlin (Germany); Asbach, Patrick, E-mail: Patrick.Asbach@charite.de [Department of Radiology, Medical Physics, Charite-University Hospitals of Berlin, Chariteplatz 1, D-10117 Berlin (Germany); Juran, Ralf, E-mail: ralf.juran@charite.de [Department of Radiology, Medical Physics, Charite-University Hospitals of Berlin, Chariteplatz 1, D-10117 Berlin (Germany); Schwenke, Carsten, E-mail: carsten.schwenke@scossis.de [Biostatistician, Scossis Statistical Consulting, Zeltinger Str. 58G, D-13465 Berlin (Germany); Diederichs, Gerd, E-mail: gerd.diederichs@charite.de [Department of Radiology, Medical Physics, Charite-University Hospitals of Berlin, Chariteplatz 1, D-10117 Berlin (Germany); Hamm, Bernd, E-mail: Bernd.Hamm@charite.de [Department of Radiology, Medical Physics, Charite-University Hospitals of Berlin, Chariteplatz 1, D-10117 Berlin (Germany); Sparmann, Martin, E-mail: m.sparmann@immanuel.de [Department of Orthopedic Surgery and Rheumatology, Immanuel-Krankenhaus, Koenigstr. 63, D-14109, Berlin (Germany)

    2011-06-15

    Computed tomography (CT) was used for preoperative planning of minimal-invasive total hip arthroplasty (THA). 92 patients (50 males, 42 females, mean age 59.5 years) with a mean body-mass-index (BMI) of 26.5 kg/m{sup 2} underwent 64-slice CT to depict the pelvis, the knee and the ankle in three independent acquisitions using combined x-, y-, and z-axis tube current modulation. Arthroplasty planning was performed using 3D-Hip Plan (Symbios, Switzerland) and patient radiation dose exposure was determined. The effects of BMI, gender, and contralateral THA on the effective dose were evaluated by an analysis-of-variance. A process-cost-analysis from the hospital perspective was done. All CT examinations were of sufficient image quality for 3D-THA planning. A mean effective dose of 4.0 mSv (SD 0.9 mSv) modeled by the BMI (p < 0.0001) was calculated. The presence of a contralateral THA (9/92 patients; p = 0.15) and the difference between males and females were not significant (p = 0.08). Personnel involved were the radiologist (4 min), the surgeon (16 min), the radiographer (12 min), and administrative personnel (4 min). A CT operation time of 11 min and direct per-patient costs of 52.80 Euro were recorded. Preoperative CT for THA was associated with a slight and justifiable increase of radiation exposure in comparison to conventional radiographs and low per-patient costs.

  8. Short-term hypertension management in community is associated with long-term risk of stroke and total death in China: A community controlled trial.

    Science.gov (United States)

    Wang, Zengwu; Hao, Guang; Wang, Xin; Wang, Wen; Chen, Weiwei; Zhu, Manlu

    2016-11-01

    It is not fully clear whether the effect of short-term management in community can reduce the long-term risk of stroke OBJECTIVES:: To evaluate whether short-term hypertension management is associated with long-term incidence of stroke and total death in community health centers in China. Community controlled trail. Six community health centers (4 active, 2 control) in China, patients with hypertension. Patients were treated with normally therapy method. Patients were treated oriented by the Guideline for hypertension management. Two centers (Hebei and Zhejiang) from the Hypertension Control in Community (HCC) Project, which was conducted from 2005 to 2008, were randomly selected for this study. Four thousand hypertensive patients from these centers, who were under management for one year in the baseline, were followed up in 2013. The electronic health record system (2005-2008) was used to identify 2000 hypertensive patients, who were not included in HCC but lived in comparable community health center in the same province, as the control group. All baseline and follow-up data were collected using standardized questionnaires for stroke outcomes. Stroke. Of the 6000 participants, 3787 (63.1%) were eligible for analysis. At the time of follow-up, the average BP was kept in the lower level than that in baseline, and the control rate was 59.3%. After propensity-score matching, 110 strokes (2.0% vs 4.6%) and 141 deaths (1.4% vs 3.8%) were noted in the matched intervention and control groups (1078 pairs), respectively. Patients in the intervention group were less likely to experience a stroke or die than those in the control group (hazard ratio [HR] = 0.40, 95% confidence interval [CI]: 0.26-0.62, P stroke in hypertensive patients.

  9. Metabolic Profiling of Total Physical Activity and Sedentary Behavior in Community-Dwelling Men.

    Directory of Open Access Journals (Sweden)

    Kota Fukai

    Full Text Available Physical activity is known to be preventive against various non-communicable diseases. We investigated the relationship between daily physical activity level and plasma metabolites using a targeted metabolomics approach in a population-based study.A total of 1,193 participants (male, aged 35 to 74 years with fasting blood samples were selected from the baseline survey of a cohort study. Information on daily total physical activity, classified into four levels by quartile of metabolic equivalent scores, and sedentary behavior, defined as hours of sitting per day, was collected through a self-administered questionnaire. Plasma metabolite concentrations were quantified by capillary electrophoresis mass spectrometry method. We performed linear regression analysis models with multivariable adjustment and corrected p-values for multiple testing in the original population (n = 808. The robustness of the results was confirmed by replication analysis in a separate population (n = 385 created by random allocation.Higher levels of total physical activity were associated with various metabolite concentrations, including lower concentrations of amino acids and their derivatives, and higher concentrations of pipecolate (FDR p <0.05 in original population. The findings persisted after adjustment for age, body mass index, smoking, alcohol intake, and energy intake. Isoleucine, leucine, valine, 4-methyl-2-oxoisopentanoate, 2-oxoisopentanoate, alanine, and proline concentrations were lower with a shorter sitting time.Physical activity is related to various plasma metabolites, including known biomarkers for future insulin resistance or type 2 diabetes. These metabolites might potentially play a key role in the protective effects of higher physical activity and/or less sedentary behavior on non-communicable diseases.

  10. Energy Efficiency Feasibility Study and Resulting Plan for the Bay Mills Indian Community

    Energy Technology Data Exchange (ETDEWEB)

    Kushman, Chris [Inter-Tribal Council of Michigan, Inc., Sault Ste. Marie, MI (United States). Environmental Services Division

    2014-03-01

    In 2011 the Inter-Tribal Council of Michigan, Inc. was awarded an Energy Efficiency Development and Deployment in Indian Country grant from the U.S. Department of Energy’s Tribal Energy Program. This grant aimed to study select Bay Mills Indian Community community/government buildings to determine what is required to reduce each building’s energy consumption by 30%. The Bay Mills Indian Community (BMIC) buildings with the largest expected energy use were selected for this study and included the Bay Mills Ellen Marshall Health Center building, Bay Mills Indian Community Administration Building, Bay Mills Community College main campus, Bay Mills Charter School and the Waishkey Community Center buildings. These five sites are the largest energy consuming Community buildings and comprised the study area of this project titled “Energy Efficiency Feasibility Study and Resulting Plan for the Bay Mills Indian Community”. The end objective of this study, plan and the Tribe is to reduce the energy consumption at the Community’s most energy intensive buildings that will, in turn, reduce emissions at the source of energy production, reduce energy expenditures, create long lasting energy conscious practices and positively affect the quality of the natural environment. This project’s feasibility study and resulting plan is intended to act as a guide to the Community’s first step towards planned energy management within its buildings/facilities. It aims to reduce energy consumption by 30% or greater within the subject facilities with an emphasis on energy conservation and efficiency. The energy audits and related power consumption analyses conducted for this study revealed numerous significant energy conservation and efficiency opportunities for all of the subject sites/buildings. In addition, many of the energy conservation measures require no cost and serve to help balance other measures requiring capital investment. Reoccurring deficiencies relating to heating

  11. An investigation of total bacterial communities, culturable antibiotic-resistant bacterial communities and integrons in the river water environments of Taipei city.

    Science.gov (United States)

    Yang, Chu-Wen; Chang, Yi-Tang; Chao, Wei-Liang; Shiung, Iau-Iun; Lin, Han-Sheng; Chen, Hsuan; Ho, Szu-Han; Lu, Min-Jheng; Lee, Pin-Hsuan; Fan, Shao-Ning

    2014-07-30

    The intensive use of antibiotics may accelerate the development of antibiotic-resistant bacteria (ARB). The global geographical distribution of environmental ARB has been indicated by many studies. However, the ARB in the water environments of Taiwan has not been extensively investigated. The objective of this study was to investigate the communities of ARB in Huanghsi Stream, which presents a natural acidic (pH 4) water environment. Waishuanghsi Stream provides a neutral (pH 7) water environment and was thus also monitored to allow comparison. The plate counts of culturable bacteria in eight antibiotics indicate that the numbers of culturable carbenicillin- and vancomycin-resistant bacteria in both Huanghsi and Waishuanghsi Streams are greater than the numbers of culturable bacteria resistant to the other antibiotics tested. Using a 16S rDNA sequencing approach, both the antibiotic-resistant bacterial communities (culture-based) and the total bacterial communities (metagenome-based) in Waishuanghsi Stream exhibit a higher diversity than those in Huanghsi Stream were observed. Of the three classes of integron, only class I integrons were identified in Waishuanghsi Stream. Our results suggest that an acidic (pH 4) water environment may not only affect the community composition of antibiotic-resistant bacteria but also the horizontal gene transfer mediated by integrons. Copyright © 2013 Elsevier B.V. All rights reserved.

  12. Access to emergency hormonal contraception from community pharmacies and family planning clinics

    Science.gov (United States)

    Lewington, Gaye; Marshall, Kay

    2006-01-01

    Aims To evaluate differences in the time taken to access progestogen-only emergency hormonal contraception (EHC) by young women from family planning (FP) or community pharmacy settings. Methods An observational study of 203 women requesting EHC from FP clinics and community pharmacies in South-west Kent Primary Care Trust (PCT) from December 2002 to October 2003. Results Access to EHC from community pharmacy was significantly faster than from FP clinics (16 h vs. 41 h, P < 0.001). Older teenagers tended to seek EHC more quickly and were more likely to have had a contraceptive failure rather than have used no contraception at all. Conclusion The results provide further support for pharmacist involvement in the supply of EHC. PMID:16669854

  13. Association of total daily physical activity with disability in community-dwelling older persons: a prospective cohort study

    Directory of Open Access Journals (Sweden)

    Shah Raj C

    2012-10-01

    Full Text Available Abstract Background Based on findings primarily using self-report measures, physical activity has been recommended to reduce disability in old age. Collecting objective measures of total daily physical activity in community-dwelling older adults is uncommon, but might enhance the understanding of the relationship of physical activity and disability. We examined whether greater total daily physical activity was associated with less report of disability in the elderly. Methods Data were from the Rush Memory and Aging Project, a longitudinal prospective cohort study of common, age-related, chronic conditions. Total daily physical activity was measured in community-dwelling participants with an average age of 82 using actigraphy for approximately 9 days. Disability was measured via self-reported basic activities of daily living (ADL. The odds ratio and 95% Confidence Interval (CI were determined for the baseline association of total daily physical activity and ADL disability using a logistic regression model adjusted for age, education level, gender and self-report physical activity. In participants without initial report of ADL disability, the hazard ratio and 95% CI were determined for the relationship of baseline total daily physical activity and the development of ADL disability using a discrete time Cox proportional hazard model adjusted for demographics and self-report physical activity. Results In 870 participants, the mean total daily physical activity was 2. 9 × 105 counts/day (range in 105 counts/day = 0.16, 13. 6 and the mean hours/week of self-reported physical activity was 3.2 (SD = 3.6. At baseline, 718 (82.5% participants reported being independent in all ADLs. At baseline, total daily physical activity was protective against disability (OR per 105 counts/day difference = 0.55; 95% CI = 0.47, 0.65. Of the participants without baseline disability, 584 were followed for 3.4 years on average. Each 105 counts/day additional total

  14. High-throughput sequencing of nematode communities from total soil DNA extractions

    DEFF Research Database (Denmark)

    Sapkota, Rumakanta; Nicolaisen, Mogens

    2015-01-01

    nematodes without the need for enrichment was developed. Using this strategy on DNA templates from a set of 22 agricultural soils, we obtained 64.4% sequences of nematode origin in total, whereas the remaining sequences were almost entirely from other metazoans. The nematode sequences were derived from...... in previous sequence-based studies are not nematode specific but also amplify other groups of organisms such as fungi and plantae, and thus require a nematode enrichment step that may introduce biases. Results: In this study an amplification strategy which selectively amplifies a fragment of the SSU from...... a broad taxonomic range and most sequences were from nematode taxa that have previously been found to be abundant in soil such as Tylenchida, Rhabditida, Dorylaimida, Triplonchida and Araeolaimida. Conclusions: Our amplification and sequencing strategy for assessing nematode diversity was able to collect...

  15. Identifying Social-ecological Linkages to Develop a Community Fire Plan in Mexico

    Directory of Open Access Journals (Sweden)

    Rachel A.S Sheridan

    2015-01-01

    Full Text Available Community forestry in rural Mexico presents a unique opportunity to study the linkages and feedback within coupled social-ecological systems due to the fact that agrarian or indigenous communities control approximately half of the national territory of Mexico. We used social and ecological diagnostic tools to develop a fire management strategy for a communal forest containing an endemic piñón pine species, Pinus cembroides subs. orizabensis, in the state of Tlaxcala, Mexico. The ecological diagnostic was done through fuel inventory, forest structure sampling, and fire behaviour modelling. The social assessment was conducted through household interviews, community workshops, and direct participant observation. The ecological fire hazard was quantified and coupled with the social assessment to develop a fire management plan. Vertical fuel continuity and flashy surface fuels created a high fire hazard. Modelled fire behaviour showed a rapid rate of spread and high flame lengths under multiple scenarios. Relative impunity for starting forest fires, poor community and inter-agency organisation, and lack of project continuity across organisational sectors appear to be the most significant social limiting factors for wildfire management. Combining both social and ecological diagnostic tools provides a comprehensive understanding of the actual risks to forests, and identifies realistic community-supported options for conservation on cooperatively managed lands.

  16. Planning the diffusion of a neck-injury prevention programme among community rugby union coaches.

    Science.gov (United States)

    Donaldson, Alex; Poulos, Roslyn G

    2014-01-01

    This paper describes the development of a theory-informed and evidence-informed, context-specific diffusion plan for the Mayday Safety Procedure (MSP) among community rugby coaches in regional New South Wales, Australia. Step 5 of Intervention Mapping was used to plan strategies to enhance MSP adoption and implementation. Coaches were identified as the primary MSP adopters and implementers within a system including administrators, players and referees. A local advisory group was established to ensure context relevance. Performance objectives (eg, attend MSP training for coaches) and determinants of adoption and implementation behaviour (eg, knowledge, beliefs, skills and environment) were identified, informed by Social Cognitive Theory. Adoption and implementation matrices were developed and change-objectives for coaches were identified (eg, skills to deliver MSP training to players). Finally, intervention methods and specific strategies (eg, coach education, social marketing and policy and by-law development) were identified based on advisory group member experience, evidence of effective coach safety behaviour-change interventions and Diffusion of Innovations theory. This is the first published example of a systematic approach to plan injury prevention programme diffusion in community sports. The key strengths of this approach were an effective researcher-practitioner partnership; actively engaging local sports administrators; targeting specific behaviour determinants, informed by theory and evidence; and taking context-related practical strengths and constraints into consideration. The major challenges were the time involved in using a systematic diffusion planning approach for the first time; and finding a planning language that was acceptable and meaningful to researchers and practitioners.

  17. Beliefs, Behaviors, and Perceptions of Community-Led Total Sanitation and Their Relation to Improved Sanitation in Rural Zambia

    Science.gov (United States)

    Joseph Lawrence, J.; Yeboah-Antwi, Kojo; Biemba, Godfrey; Ram, Pavani K.; Osbert, Nicolas; Sabin, Lora L.; Hamer, Davidson H.

    2016-01-01

    Inadequate hygiene and sanitation remain leading global contributors to morbidity and mortality in children and adults. One strategy for improving sanitation access is community-led total sanitation (CLTS), in which participants are guided into self-realization of the importance of sanitation through activities called “triggering.” This qualitative study explored community members' and stakeholders' sanitation, knowledge, perceptions, and behaviors during early CLTS implementation in Zambia. We conducted 67 in-depth interviews and 24 focus group discussions in six districts in Zambia 12–18 months after CLTS implementation. Triggering activities elicited strong emotions, including shame, disgust, and peer pressure, which persuaded individuals and families to build and use latrines and handwashing stations. New sanitation behaviors were also encouraged by the hierarchical influences of traditional leaders and sanitation action groups and by children's opinions. Poor soil conditions were identified as barriers to latrine construction. Taboos, including prohibition of different generations of family members, in-laws, and opposite genders from using the same toilet, were barriers for using sanitation facilities. CLTS, through community empowerment and ownership, produced powerful responses that encouraged construction and use of latrines and handwashing practices. These qualitative data suggest that CLTS is effective for improving sanitation beliefs and behaviors in Zambia. PMID:26787149

  18. Assessment of Family Planning Services at Community Pharmacies in San Diego, California

    Directory of Open Access Journals (Sweden)

    Sally Rafie

    2013-10-01

    Full Text Available Levonorgestrel emergency contraception and other contraceptive methods are available over-the-counter (OTC; however youth continue to face a number of barriers in accessing healthcare services, including lack of knowledge of the method, fear of loss of privacy, difficulties in finding a provider, and cost. A descriptive, nonexperimental, cross-sectional study of a sample of 112 community pharmacies in San Diego, California was conducted between December 2009 and January 2010 to assess community pharmacy practices related to the availability and accessibility of family planning health pharmacy services and products, particularly to youth. A majority (n = 79/112, 70.5% of the pharmacies carried a wide selection of male condoms; however, the other OTC nonhormonal contraceptive products were either not available or available with limited selection. A majority of the pharmacies sold emergency contraception (n = 88/111, 78.6%. Most patient counseling areas consisted of either a public or a semi-private area. A majority of the pharmacy sites did not provide materials or services targeting youth. Significant gaps exist in providing family planning products and services in the majority of community pharmacies in San Diego, California. Education and outreach efforts are needed to promote provision of products and services, particularly to the adolescent population.

  19. Preliminary evaluation of Community-Led Total Sanitation for the control of Taenia solium cysticercosis in Katete District of Zambia.

    Science.gov (United States)

    Bulaya, Carol; Mwape, Kabemba E; Michelo, Charles; Sikasunge, Chummy S; Makungu, Chitwambi; Gabriel, Sarah; Dorny, Pierre; Phiri, Isaac K

    2015-01-30

    Taenia solium taeniasis/cysticercosis is a zoonotic disease endemic in sub-Saharan Africa. It is associated with poor sanitary practices, free-range pig husbandry and lack of disease awareness in endemic communities. A comparative research was conducted with pre and post-intervention assessments in nine villages to evaluate Community-Led Total Sanitation (CLTS) as an intervention measure for the control of porcine cysticercosis in Katete District in the Eastern Province of Zambia. Blood samples were collected from pigs for circulating antigen detection and a questionnaire focused on the household was administered to a total of 153 respondents whose pigs were examined (64 pre-intervention, 89 post-intervention), in order to obtain information on general demographic characteristics, pig husbandry practices, sanitation practices and associated knowledge and awareness of T. solium infections. The first sampling was conducted prior to the implementation of the CLTS and second sampling eight months after triggering of CLTS in the selected villages. A total of 379 pig serum samples were examined using the B158/B60 Ag-ELISA to detect T. solium cysticercosis, 104 pre-intervention and 275 post-intervention, of which 14 (13.5%) and 45 (16.4%) were positive, respectively. Wald test p-values were computed to assess significant differences in the variables of interest mentioned above for the pre and post CLTS. The research revealed that CLTS as a control measure did not significantly improve T. solium infections in pigs. The research also revealed that the sanitation practices and awareness of cysticercosis did not change. It is recommended that a longer term evaluation be undertaken when the villages have been declared open defaecation free. In addition, the research recommends that health education, mass drug treatment and pig vaccination be incorporated, as an essential component of prevention and control programmes for T. solium infections. Copyright © 2014 Elsevier B

  20. The changing roles of community nurses: the case of health plan nurses in Israel.

    Science.gov (United States)

    Nissanholtz-Gannot, Rachel; Rosen, Bruce; Hirschfeld, Miriam

    2017-12-23

    In Israel, approximately one-third of the country's nurses work in community settings - primarily as salaried employees in Israel's four non-profit health plans. Many health system leaders believe that the roles of health plan nurses have changed significantly in recent years due to a mix of universal developments (such as population aging and academization of the profession) and Israel-specific changes (such as the introduction of extensive quality monitoring in primary care). The main objectives of the study were to identify recent changes in the roles of health plan nurses and their current areas of activity. It also explored the experience of front-line nurses with regard to autonomy, work satisfaction, and barriers to further role development. The study integrated interviews and surveys of nurses and other professionals conducted across 4 years. Data generated from earlier study components were used to guide questions and focus for later components. In 2013, in-depth interviews were held with 55 senior nursing and medical professionals supplemented by interviews in mid-2017 with the head nurses in the four health plans. In addition, a national survey was conducted in 2014-5 among a representative sample of 1019 community nurses who work for the health plans and who are engaged in direct patient care. Six hundred ninety-two nurses responded to the survey, yielding a response rate of 69%. The survey sample consisted of an equal number of nurses from each health plan, and the observations were weighted accordingly. Senior professionals identified general themes associated with a shift in nursing roles, including a transition from reactive to initiated work, increased specialization, and a shifting of tasks from hospitals to community settings. They identified the current main areas of activity in the health plans as being: routine care, chronic care, health promotion, quality monitoring and improvement, specialized care (such as wound care), and home care. In

  1. New Tsunami Response, Mitigation, and Recovery Planning "Playbooks" for California (USA) Maritime Communities

    Science.gov (United States)

    Wilson, R. I.; Lynett, P. J.; Miller, K.; Eskijian, M.; Dengler, L. A.; Ayca, A.; Keen, A.; Admire, A. R.; Siegel, J.; Johnson, L. A.; Curtis, E.; Hornick, M.

    2015-12-01

    The 2010 Chile and 2011 Japan tsunamis both struck the California coast offering valuable experience and raised a number of significant issues for harbor masters, port captains, and other maritime entities. There was a general call for more planning products to help guide maritime communities in their tsunami response, mitigation, and recovery activities. The State of California is working with the U.S. Federal Emergency Management Agency (FEMA), the U.S. National Tsunami Hazard Mitigation Program (NTHMP), and other tsunami experts to provide communities with new tsunami planning tools to address these issues: Response Playbooks and plans have been developed for ports and harbors identifying potential tsunami current hazards and related damage for various size events. Maps have been generated showing minor, moderate, and severe damage levels that have been linked to current velocity thresholds of 3, 6, and 9 knots, respectively. Knowing this information allows harbor personnel to move ships or strengthen infrastructure prior to the arrival of distant source tsunamis. Damage probability tools and mitigation plans have been created to help reduce tsunami damage by evaluating the survivability of small and large vessels in harbors and ports. These results were compared to the actual damage assessments performed in California and Japan following the 2011 Japanese tsunami. Fragility curves were developed based on current velocity and direction to help harbor and port officials upgrade docks, piles, and related structures. Guidance documents are being generated to help in the development of both local and statewide recovery plans. Additional tools, like post-tsunami sediment and debris movement models, will allow harbors and ports to better understand if and where recovery issues are most likely to occur. Streamlining the regulatory and environmental review process is also a goal of the guidance. These maritime products and procedures are being integrated into guidance

  2. Accredited Health Department Partnerships to Improve Health: An Analysis of Community Health Assessments and Improvement Plans.

    Science.gov (United States)

    Kronstadt, Jessica; Chime, Chinecherem; Bhattacharya, Bulbul; Pettenati, Nicole

    The Public Health Accreditation Board (PHAB) Standards & Measures require the development and updating of collaborative community health assessments (CHAs) and community health improvement plans (CHIPs). The goal of this study was to analyze the CHAs and CHIPs of PHAB-accredited health departments to identify the types of partners engaged, as well as the objectives selected to measure progress toward improving community health. The study team extracted and coded data from documents from 158 CHA/CHIP processes submitted as part of the accreditation process. Extracted data included population size, health department type, data sources, and types of partner organizations. Health outcome objectives were categorized by Healthy People 2020 Leading Health Indicator (LHI), as well as by the 7 broad areas in the PHAB reaccreditation framework for population health outcomes reporting. Participants included health departments accredited between 2013 and 2016 that submitted CHAs and CHIPs to PHAB, including 138 CHAs/CHIPs from local health departments and 20 from state health departments. All the CHAs/CHIPs documented collaboration with a broad array of partners, with hospitals and health care cited most frequently (99.0%). Other common partners included nonprofit service organizations, education, business, and faith-based organizations. Small health departments more frequently listed many partner types, including law enforcement and education, compared with large health departments. The majority of documents (88.6%) explicitly reference Healthy People 2020 goals, with most addressing the LHIs nutrition/obesity/physical activity and access to health services. The most common broad areas from PHAB's reaccreditation framework were preventive health care and individual behavior. This study demonstrates the range of partners accredited health departments engage with to collaborate on improving their communities' health as well as the objectives used to measure community health

  3. Facilitating advance care planning in community palliative care: conversation starters across the client journey.

    Science.gov (United States)

    Blackford, Jeanine; Street, Annette F

    2013-03-01

    This paper describes the development of a tool for palliative care nurses to initiate and facilitate advance care planning (ACP) conversations in community palliative care practice. Seven community palliative care services located across Australia participated in a multi-site action research project. Data included participant observation, individual and focus group interviews with palliative care health professionals, and medical record audit. A directed content analysis used a pre-established palliative care practice framework of referral, admission, ongoing management, and terminal/discharge care. From this framework a Conversation Starter Tool for ACP was developed. The Tool was then used in orientation and continuing nurse education programmes. It provided palliative care nurses the opportunity to introduce and progress ACP conversations.

  4. Quality assurance of HDR prostate plans: program implementation at a community hospital.

    Science.gov (United States)

    Rush, Jennifer B; Thomas, Michael D

    2005-01-01

    Adenocarcinoma of the prostate is currently the most commonly diagnosed cancer in men in the United States, and the second leading cause of cancer mortality. The utilization of radiation therapy is regarded as the definitive local therapy of choice for intermediate- and high-risk disease, in which there is increased risk for extracapsular extension, seminal vesicle invasion, or regional node involvement. High-dose-rate (HDR) brachytherapy is a logical treatment modality to deliver the boost dose to an external beam radiation therapy (EBRT) treatment to increase local control rates. From a treatment perspective, the utilization of a complicated treatment delivery system, the compressed time frame in which the procedure is performed, and the small number of large dose fractions make the implementation of a comprehensive quality assurance (QA) program imperative. One aspect of this program is the QA of the HDR treatment plan. Review of regulatory and medical physics professional publications shows that substantial general guidance is available. We provide some insight to the implementation of an HDR prostate plan program at a community hospital. One aspect addressed is the utilization of the low-dose-rate (LDR) planning system and the use of existing ultrasound image sets to familiarize the radiation therapy team with respect to acceptable HDR implant geometries. Additionally, the use of the LDR treatment planning system provided a means to prospectively determine the relationship between the treated isodose volume and the product of activity and time for the department's planning protocol prior to the first HDR implant. For the first 12 HDR prostate implants, the root-mean-square (RMS) deviation was 3.05% between the predicted product of activity and time vs. the actual plan values. Retrospective re-evaluation of the actual implant data reduced the RMS deviation to 2.36%.

  5. Quality assurance of HDR prostate plans: Program implementation at a community hospital

    International Nuclear Information System (INIS)

    Rush, Jennifer B.; Thomas, Michael D.

    2005-01-01

    Adenocarcinoma of the prostate is currently the most commonly diagnosed cancer in men in the United States, and the second leading cause of cancer mortality. The utilization of radiation therapy is regarded as the definitive local therapy of choice for intermediate- and high-risk disease, in which there is increased risk for extracapsular extension, seminal vesicle invasion, or regional node involvement. High-dose-rate (HDR) brachytherapy is a logical treatment modality to deliver the boost dose to an external beam radiation therapy (EBRT) treatment to increase local control rates. From a treatment perspective, the utilization of a complicated treatment delivery system, the compressed time frame in which the procedure is performed, and the small number of large dose fractions make the implementation of a comprehensive quality assurance (QA) program imperative. One aspect of this program is the QA of the HDR treatment plan. Review of regulatory and medical physics professional publications shows that substantial general guidance is available. We provide some insight to the implementation of an HDR prostate plan program at a community hospital. One aspect addressed is the utilization of the low-dose-rate (LDR) planning system and the use of existing ultrasound image sets to familiarize the radiation therapy team with respect to acceptable HDR implant geometries. Additionally, the use of the LDR treatment planning system provided a means to prospectively determine the relationship between the treated isodose volume and the product of activity and time for the department's planning protocol prior to the first HDR implant. For the first 12 HDR prostate implants, the root-mean-square (RMS) deviation was 3.05% between the predicted product of activity and time vs. the actual plan values. Retrospective re-evaluation of the actual implant data reduced the RMS deviation to 2.36%

  6. What are community nurses experiences of assessing frailty and assisting in planning subsequent interventions?

    Science.gov (United States)

    Britton, Hannah

    2017-09-02

    With an ageing population and increasing focus on community care, this study aimed to explore the experiences of community nurses in assessing frailty and planning interventions around frailty. Six community nurses were recruited for face-to-face semi-structured interviews as part of this qualitative study which was underpinned by a competence framework ( Royal College of Nursing, 2009 ). Thematic analysis was used and frailty was identified as an emerging topic within practice. Participants discussed several aspects associated with frailty; however, some uncertainty around the concept of frailty and its definition was noted, particularly for staff who had received limited frailty training. Participants had a growing awareness of frailty in practice, but challenges-including time constraints and staffing within some roles, a perception of limited services to support older people, and for some a lack of confidence and training-presented barriers to frailty assessment. The Rockwood frailty scale was used by participants within practice, but evidence suggested it was felt to lack validity within the community setting.

  7. Evaluation of natural factors in town planning and strategic programming of development local community

    Directory of Open Access Journals (Sweden)

    Lješević Milutin

    2009-01-01

    Full Text Available The natural components are very important aspect of human life and work. The nature is place is place wherever to happened majority of human activity, working vacation and survival, although are some areas is technicality and desecrating to denaturalization. Because of that, it is necessary to study all valid of natural factors, when to programs new contents which are in function of human living, work or holiday. We can find great differences in exploration of some natural factors depending of level in programming of development (general or detail urban planning and strategic programming or local community or projecting. .

  8. Emergency Planning and Community Right-To-Know Act, Section 311

    International Nuclear Information System (INIS)

    Evans, R.A.; Martin, K.J.

    1996-03-01

    The following information reflects changes in the lists of hazardous chemicals present at this facility in amounts equal to or greater than 10,000 pounds and extremely hazardous substances present in amounts equal to or greater than 500 pounds or its Threshold Planning Quantity, whichever was lowest. These lists represent the following: list of materials last reported in February 1995; materials to be deleted from list; materials to be added to list; and revised list of materials. The revised list of materials is a composite of the Y-12 Plant Emergency Planing and Community Right-to-Know Act Section 312 report prepared and submitted for calendar year 1995

  9. Household waste compositional analysis variation from insular communities in the framework of waste prevention strategy plans

    International Nuclear Information System (INIS)

    Zorpas, Antonis A.; Lasaridi, Katia; Voukkali, Irene; Loizia, Pantelitsa; Chroni, Christina

    2015-01-01

    Highlights: • Waste framework directive has set clear waste prevention procedures. • Household Compositional analysis. • Waste management plans. • Zero waste approach. • Waste generation. - Abstract: Waste management planning requires reliable data regarding waste generation, affecting factors on waste generation and forecasts of waste quantities based on facts. In order to decrease the environmental impacts of waste management the choice of prevention plan as well as the treatment method must be based on the features of the waste that are produced in a specific area. Factors such as culture, economic development, climate, and energy sources have an impact on waste composition; composition influences the need of collecting waste more or less frequently of waste collection and disposition. The research question was to discover the main barriers concerning the compositional analysis in Insular Communities under warm climate conditions and the findings from this study enabled the main contents of a waste management plan to be established. These included advice to residents on waste minimisation, liaison with stakeholders and the expansion of kerbside recycling schemes

  10. Household waste compositional analysis variation from insular communities in the framework of waste prevention strategy plans

    Energy Technology Data Exchange (ETDEWEB)

    Zorpas, Antonis A., E-mail: antonis.zorpas@ouc.ac.cy [Cyprus Open University, Faculty of Pure and Applied Science, Environmental Conservation and Management, P.O. Box 12794, 2252 Latsia, Nicosia (Cyprus); Lasaridi, Katia, E-mail: klasaridi@hua.gr [Harokopio University, Department of Geography, 70 El. Venizelou, 176 71 Athens, Kallithea (Greece); Voukkali, Irene [Institute of Environmental Technology and Sustainable Development, ENVITECH LTD, Department of Research and Development, P.O. Box 34073, 5309 (Cyprus); Loizia, Pantelitsa, E-mail: irenevoukkali@envitech.org [Institute of Environmental Technology and Sustainable Development, ENVITECH LTD, Department of Research and Development, P.O. Box 34073, 5309 (Cyprus); Chroni, Christina [Harokopio University, Department of Geography, 70 El. Venizelou, 176 71 Athens, Kallithea (Greece)

    2015-04-15

    Highlights: • Waste framework directive has set clear waste prevention procedures. • Household Compositional analysis. • Waste management plans. • Zero waste approach. • Waste generation. - Abstract: Waste management planning requires reliable data regarding waste generation, affecting factors on waste generation and forecasts of waste quantities based on facts. In order to decrease the environmental impacts of waste management the choice of prevention plan as well as the treatment method must be based on the features of the waste that are produced in a specific area. Factors such as culture, economic development, climate, and energy sources have an impact on waste composition; composition influences the need of collecting waste more or less frequently of waste collection and disposition. The research question was to discover the main barriers concerning the compositional analysis in Insular Communities under warm climate conditions and the findings from this study enabled the main contents of a waste management plan to be established. These included advice to residents on waste minimisation, liaison with stakeholders and the expansion of kerbside recycling schemes.

  11. Building the Capacity of States to Ensure Inclusion of Rural Communities in State and Local Primary Violence Prevention Planning

    Science.gov (United States)

    Cook-Craig, Patricia G.; Lane, Karen G.; Siebold, Wendi L.

    2010-01-01

    Rural, frontier, and geographically isolated communities face unique challenges associated with ensuring that they are equal partners in capacity-building and prevention planning processes at the state and local level despite barriers that can inhibit participation. By their nature, rural, frontier, and geographically isolated communities and…

  12. A Community-Based Continuing Care Program for the Elderly Disabled. An Evaluation of Planned Intermittent Hospital Readmission

    Science.gov (United States)

    Robertson, Duncan; And Others

    1977-01-01

    Utilizing flexible community-supporting services integrated with a hospital-based program of planned intermittent relief of the patients' supporters, patients (N=50) were maintained in the community at an average cost of 79.5 hospital bed days per patient per annum. The Continuing Care Program is an alternative to institutionalization. (Author)

  13. Implementing an Advance Care Planning Intervention in Community Settings with Older Latinos: A Feasibility Study.

    Science.gov (United States)

    Nedjat-Haiem, Frances R; Carrion, Iraida V; Gonzalez, Krystyna; Quintana, Alejandra; Ell, Kathleen; O'Connell, Mary; Thompson, Beti; Mishra, Shiraz I

    2017-09-01

    Older Latinos with serious medical conditions such as cancer and other chronic diseases lack information about advance care planning (ACP). ACP Intervention (ACP-I Plan) was designed for informational and communication needs of older Latinos to improve communication and advance directives (ADs). To determine the feasibility of implementing ACP-I Plan among seriously ill, older Latinos (≥50 years) in Southern New Mexico with one or more chronic diseases (e.g., cancer, heart disease, renal/liver failure, stroke, hypertension, diabetes, chronic obstructive pulmonary disease, and HIV/AIDS). We conducted a prospective, pretest/post-test, two-group, randomized, community-based pilot trial by using mixed data collection methods. Older Latino/Hispanic participants were recruited from community-based settings in Southern New Mexico. All participants received ACP education, whereas the intervention group added: (1) emotional support addressing psychological distress; and (2) systems navigation for resource access, all of which included interactive ACP treatment decisional support and involved motivational interview (MI) methods. Purposive sampling was guided by a sociocultural framework to recruit Latino participants from community-based settings in Southern New Mexico. Feasibility of sample recruitment, implementation, and retention was assessed by examining the following: recruitment strategies, trial enrollment, retention rates, duration of MI counseling, type of visit (home vs. telephone), and satisfaction with the program. We contacted 104 patients, enrolled 74 randomized to usual care 39 (UC) and treatment 35 (TX) groups. Six dropped out before the post-test survey, three from TX before the post-test survey because of sickness (n = 1) or could not be located (n = 2), and the same happened for UC. Completion rates were 91.4% UC and 92.3% TX groups. All participants were Latino/Hispanic, born in the United States (48%) or Mexico (51.4%) on average in the United

  14. Surgical planning of total hip arthroplasty: accuracy of computer-assisted EndoMap software in predicting component size

    International Nuclear Information System (INIS)

    Davila, Jesse A.; Kransdorf, Mark J.; Duffy, Gavan P.

    2006-01-01

    The purpose of our study was to assess the accuracy of a computer-assisted templating in the surgical planning of patients undergoing total hip arthroplasty utilizing EndoMap software (Siemans AG, Medical Solutions, Erlangen, Germany). Endomap Software is an electronic program that uses DICOM images to analyze standard anteroposterior radiographs for determination of optimal prosthesis component size. We retrospectively reviewed the preoperative radiographs of 36 patients undergoing uncomplicated primary total hip arthroplasty, utilizing EndoMap software, Version VA20. DICOM anteroposterior radiographs were analyzed using standard manufacturer supplied electronic templates to determine acetabular and femoral component sizes. No additional clinical information was reviewed. Acetabular and femoral component sizes were assessed by an orthopedic surgeon and two radiologists. Mean and estimated component size was compared with component size as documented in operative reports. The mean estimated acetabular component size was 53 mm (range 48-60 mm), 1 mm larger than the mean implanted size of 52 mm (range 48-62 mm). Thirty-one of 36 acetabular component sizes (86%) were accurate within one size. The mean calculated femoral component size was 4 (range 2-7), 1 size smaller than the actual mean component size of 5 (range 2-9). Twenty-six of 36 femoral component sizes (72%) were accurate within one size, and accurate within two sizes in all but four cases (94%). EndoMap Software predicted femoral component size well, with 72% within one component size of that used, and 94% within two sizes. Acetabular component size was predicted slightly better with 86% within one component size and 94% within two component sizes. (orig.)

  15. Coaching small communities towards a climate stretegy plan -- experiences from Sweden

    Energy Technology Data Exchange (ETDEWEB)

    Gormsen, D. [City of Malmoe (Sweden). Environment Dept.

    2008-07-01

    Working on climate change mitigation and adaptation is often more difficult for small communities than is the case for larger cities. Smaller cities and towns may lack the resources and time to take up this work in a comprehensive manner, which is usually not prescribed as a local governmental task by national law but instead is performed voluntarily. In Sweden, applications for a national climate investment fund have shown that small and medium-sized communities are represented to a very small degree among applicants to the fund. To address this gap, the Swedish Network of Municipalities on Climate Change initiated a project called 'Climate coaching -- support to local activities on climate change in small communities', which started in January 2007. Twenty-three small communities joined the project that aims at the production of sustainable energy and the development of climate plans in at least 11 of the participants by September 2008. The remaining communities should by then at least be in the process of developing a climate strategy. The communities receive direct support from a climate coach who visits the communities, arranges seminars of common interest to the participants, and gives support via email and telephone. Additional support comes also from the existing Swedish Network of Municipalities on Climate Change and their 23 members. The results show so far that a number of factors are important for the success of local work. These include the following: The responsibility for the work has to be clear within the municipal organization; The responsible officers need to have time and resources which will allow them to work with climate issues; The politicians should support the commitment of the officers; and It is also important that attention is paid to the establishment of a suitable internal organization for climate mitigation and adaptation, and that this process is allowed to take time. When these issues are in place this will guarantee that

  16. Commentary on community-led total sanitation and human rights: should the right to community-wide health be won at the cost of individual rights?

    Science.gov (United States)

    Bartram, Jamie; Charles, Katrina; Evans, Barbara; O'Hanlon, Lucinda; Pedley, Steve

    2012-12-01

    The Millennium Development Goals (MDGs) set out to halve the proportion of the population without access to basic sanitation between 1990 and 2015. The slow pace of progress has lead to a search for innovative responses, including social motivation approaches. One example of this type of approach is 'Community-led Total Sanitation' (CLTS). CLTS represents a major shift for sanitation projects and programmes in recognising the value of stopping open-defecation across the whole community, even when the individual toilets built are not necessarily wholly hygienic. However, recent publications on CLTS document a number of examples of practices which fail to meet basic ethical criteria and infringe human rights. There is a general theme in the CLTS literature encouraging the use of 'shame' or 'social stigma' as a tool for promoting behaviours. There are reported cases where monetary benefits to which individuals are otherwise entitled or the means to practice a livelihood are withheld to create pressures to conform. At the very extreme end of the scale, the investigation and punishment of violence has reportedly been denied if the crime occurred while defecating in the open, violating rights to a remedy and related access to justice. While social mobilisation in general, and CLTS in particular, have drastically and positively changed the way we think about sanitation, they neither need nor benefit from an association with any infringements of human rights.

  17. Local Cultural Heritage Sites and Spatial Planning for the Bantik Ethnic Community in Indonesia

    Directory of Open Access Journals (Sweden)

    Egam, P. P.

    2014-07-01

    Full Text Available The course of a city’s development has an effect on both spatial and social aspects, and this situation affects ethnic communities. As a result of recent urban developments, the cultural values of a community that are embedded in living arrangements have been disturbed, thus obscuring, or even hiding, the rich cultural heritage therein. The purpose of this paper is to analyze the spatial characteristics of local neighborhoods based on a wealth of cultural heritage objects. This research focuses on the physical cultural heritage of the Bantik settlement in Malalayang. The spatial characteristics of cultural heritage objects are analyzed, based on physical and other characteristics. The results indicate that, although the Bantik ethnic community in Malalayang, Indonesia, has physical cultural heritage sites, it is unable to effectively develop these as significant cultural spaces because of the physical separation of their locations, the declining meaning of these sites to the community, and the lack of support from indigenous organizations. Distance is not the only determinant of the optimization of cultural space. Planning for cultural spaces involves three zones: 1 a promotion zone, 2 a core zone, and 3 a buffer zone. The greatest potential for developing a cultural space is in the vicinity of Minanga Road and the Niopo Stone, with the physical object reinforcement of similar sites. To improve cultural space, it is not enough to only rely on the existence of a physical object, it is necessary to create a close relationship between the object and the community with the support of indigenous organizations.

  18. COMPLEAT (Community-Oriented Model for Planning Least-Cost Energy Alternatives and Technologies): A planning tool for publicly owned electric utilities. [Community-Oriented Model for Planning Least-Cost Energy Alternatives and Technologies (Compleat)

    Energy Technology Data Exchange (ETDEWEB)

    1990-09-01

    COMPLEAT takes its name, as an acronym, from Community-Oriented Model for Planning Least-Cost Energy Alternatives and Technologies. It is an electric utility planning model designed for use principally by publicly owned electric utilities and agencies serving such utilities. As a model, COMPLEAT is significantly more full-featured and complex than called out in APPA's original plan and proposal to DOE. The additional complexity grew out of a series of discussions early in the development schedule, in which it became clear to APPA staff and advisors that the simplicity characterizing the original plan, while highly desirable in terms of utility applications, was not achievable if practical utility problems were to be addressed. The project teams settled on Energy 20/20, an existing model developed by Dr. George Backus of Policy Assessment Associates, as the best candidate for the kinds of modifications and extensions that would be required. The remainder of the project effort was devoted to designing specific input data files, output files, and user screens and to writing and testing the compute programs that would properly implement the desired features around Energy 20/20 as a core program. This report presents in outline form, the features and user interface of COMPLEAT.

  19. Sci-Fri PM: Radiation Therapy, Planning, Imaging, and Special Techniques - 07: Transitioning from extended-distance total body irradiation to optimized VMAT total marrow irradiation

    Energy Technology Data Exchange (ETDEWEB)

    Cherpak, Amanda; Chytyk-Praznik, Krista; Yewondwossen, Mammo; Schella, Jason; Davis, Carol-Anne; Day, Allan; DeGiobbi, Jennifer; McAloney, Dave; Mulroy, Liam [Nova Scotia Cancer Centre, Halifax, NS (Canada)

    2016-08-15

    Purpose: TMI targets only the bone marrow, with the intent of sparing normal tissues. The NSCC has recently implemented a TMI protocol which includes VMAT fields to treat the bone marrow from head to mid-thigh and extended SSD POP fields to treat the lower legs. This work describes the commissioning and initial clinical results of the first reported VMAT TMI treatments in Canada. Methods: Detailed CT simulation, imaging, planning and treatment procedures were developed by a multi-disciplinary team. Patients have 1 cm of bolus over the lower legs and 0.5 cm of bolus around the lower arms. The PTV includes all bone, except mandible, facial bones and hands, with the objective of V(12 Gy) > 90%. Detailed analysis of the influence of field overlap was performed to determine optimal field placement and image-guidance tolerances. Results: PTV coverage was achieved for all cases as V(12 Gy) ranged from 90.4–96.3%. The minimum dose to the PTV, D(99%), ranged from 91.4–97.87% and V(90%Rx=10.8 Gy) ranged from 99.1–100.0%. The lungs, liver and heart had an average D{sub mean} of (7.8±0.3)Gy/(65±2)%, (7.6±0.7)Gy/(63±5)%, and (6.8±0.4)Gy/(56±4)% respectively. Conclusions: Commissioning required input and collaboration from all team members. Transitioning from TBI to TMI requires additional time for contouring, treatment planning, QA, and treatment. Patient benefit can however be seen in the quality of OAR sparing.

  20. Sci-Fri PM: Radiation Therapy, Planning, Imaging, and Special Techniques - 07: Transitioning from extended-distance total body irradiation to optimized VMAT total marrow irradiation

    International Nuclear Information System (INIS)

    Cherpak, Amanda; Chytyk-Praznik, Krista; Yewondwossen, Mammo; Schella, Jason; Davis, Carol-Anne; Day, Allan; DeGiobbi, Jennifer; McAloney, Dave; Mulroy, Liam

    2016-01-01

    Purpose: TMI targets only the bone marrow, with the intent of sparing normal tissues. The NSCC has recently implemented a TMI protocol which includes VMAT fields to treat the bone marrow from head to mid-thigh and extended SSD POP fields to treat the lower legs. This work describes the commissioning and initial clinical results of the first reported VMAT TMI treatments in Canada. Methods: Detailed CT simulation, imaging, planning and treatment procedures were developed by a multi-disciplinary team. Patients have 1 cm of bolus over the lower legs and 0.5 cm of bolus around the lower arms. The PTV includes all bone, except mandible, facial bones and hands, with the objective of V(12 Gy) > 90%. Detailed analysis of the influence of field overlap was performed to determine optimal field placement and image-guidance tolerances. Results: PTV coverage was achieved for all cases as V(12 Gy) ranged from 90.4–96.3%. The minimum dose to the PTV, D(99%), ranged from 91.4–97.87% and V(90%Rx=10.8 Gy) ranged from 99.1–100.0%. The lungs, liver and heart had an average D mean of (7.8±0.3)Gy/(65±2)%, (7.6±0.7)Gy/(63±5)%, and (6.8±0.4)Gy/(56±4)% respectively. Conclusions: Commissioning required input and collaboration from all team members. Transitioning from TBI to TMI requires additional time for contouring, treatment planning, QA, and treatment. Patient benefit can however be seen in the quality of OAR sparing.

  1. Partnership capacity for community health improvement plan implementation: findings from a social network analysis.

    Science.gov (United States)

    McCullough, J Mac; Eisen-Cohen, Eileen; Salas, S Bianca

    2016-07-13

    Many health departments collaborate with community organizations on community health improvement processes. While a number of resources exist to plan and implement a community health improvement plan (CHIP), little empirical evidence exists on how to leverage and expand partnerships when implementing a CHIP. The purpose of this study was to identify characteristics of the network involved in implementing the CHIP in one large community. The aims of this analysis are to: 1) identify essential network partners (and thereby highlight potential network gaps), 2) gauge current levels of partner involvement, 3) understand and effectively leverage network resources, and 4) enable a data-driven approach for future collaborative network improvements. We collected primary data via survey from n = 41 organizations involved in the Health Improvement Partnership of Maricopa County (HIPMC), in Arizona. Using the previously validated Program to Analyze, Record, and Track Networks to Enhance Relationships (PARTNER) tool, organizations provided information on existing ties with other coalition members, including frequency and depth of partnership and eight categories of perceived value/trust of each current partner organization. The coalition's overall network had a density score of 30 %, degree centralization score of 73 %, and trust score of 81 %. Network maps are presented to identify existing relationships between HIPMC members according to partnership frequency and intensity, duration of involvement in the coalition, and self-reported contributions to the coalition. Overall, number of ties and other partnership measures were positively correlated with an organization's perceived value and trustworthiness as rated by other coalition members. Our study presents a novel use of social network analysis methods to evaluate the coalition of organizations involved in implementing a CHIP in an urban community. The large coalition had relatively low network density but high

  2. The Critical Role of the Research Community in Space Weather Planning and Execution

    Science.gov (United States)

    Robinson, Robert M.; Behnke, Richard A.; Moretto, Therese

    2018-03-01

    The explosion of interest in space weather in the last 25 years has been due to a confluence of efforts all over the globe, motivated by the recognition that events on the Sun and the consequent conditions in interplanetary space and Earth's magnetosphere, ionosphere, and thermosphere can have serious impacts on vital technological systems. The fundamental research conducted at universities, government laboratories, and in the private sector has led to tremendous improvements in the ability to forecast space weather events and predict their impacts on human technology and health. The mobilization of the research community that made this progress possible was the result of a series of actions taken by the National Science Foundation (NSF) to build a national program aimed at space weather. The path forward for space weather is to build on those successes through continued involvement of the research community and support for programs aimed at strengthening basic research and education in academia, the private sector, and government laboratories. Investments in space weather are most effective when applied at the intersection of research and applications. Thus, to achieve the goals set forth originally by the National Space Weather Program, the research community must be fully engaged in the planning, implementation, and execution of space weather activities, currently being coordinated by the Space Weather Operations, Research, and Mitigation Subcommittee under the National Science and Technology Council.

  3. Serving our communities better. Guidelines for planning and developing integrated delivery networks.

    Science.gov (United States)

    Prybil, L; Golden, P; Ballance, X

    1995-04-01

    In 1994 the Daughters of Charity National Health System-East Central (DCNHS-East Central) adopted 11 guidelines to help corporate staff and local leaders plan and develop integrated networks. Guideline 1 emphasizes needs-based strategic planning. Guideline 2 focuses on the community-based network planning process, recommending a team approach and ongoing communication with the local ordinary. In guidelines 3 through 5, the DCNHS-East Central Board of Directors spells out key issues that must be covered in proposals ultimately presented for governance action. Guideline 6 presents three core elements that should characterize all CBNs in which DCNHS-East Central institutions participate. Guideline 7 emphasizes that all CBN proposals and agreements must be clear with respect to the Catholic identity of DCNHS-East Central institutions. Guidelines 8 and 9 require that proposed changes to traditional policies and management practices be explicit in CBN proposals. The tenth guideline requires that all CBN proposals indicate an explicit evaluation function. The final guideline underscores that regardless of the strategic fit or how well a CBN is designed, it is unlikely to succeed unless both internal and external relationships are based on a solid foundation of honesty, mutual respect, and trust.

  4. [Silent myocardial ischemia and exercise-induced arrhythmia detected by the exercise test in the total health promotion plan (THP)].

    Science.gov (United States)

    Iwane, M; Shibe, Y; Itoh, K; Kinoshita, F; Kanagawa, Y; Kobayashi, M; Mugitani, K; Ohta, M; Ohata, H; Yoshikawa, A; Ikuta, Z; Nakamura, Y; Mohara, O

    2001-03-01

    We investigated the prevalence and characteristics of ischemic heart disease especially silent myocardial ischemia (SMI) and arrhythmia in need of careful observation in the exercise stress tests in the Total Health Promotion Plan (THP), which was conducted between 1994-96 for the purpose of measuring cardiopulmonary function. All workers (n = 4,918, 4,426 males) aged 18-60 yr old in an occupational field were studied. Exercise tests with an ergometer were performed by the LOPS protocol, in which the maximal workload was set up as a presumed 70-80% maximal oxygen intake, or STEP (original multistage protocol). ECG changes were evaluated with a CC5 lead. Two hundred and fifteen people refused the study because of a common cold, lumbago and so on. Of 4,703 subjects, 17 with abnormal rest ECG and 19 with probable anginal pain were excluded from the exercise tests. Of 4,667 who underwent the exercise test, 37 (0.79%) had ischemic ECG change, and 155 (3.32%) had striking arrhythmia. These 228 subjects then did a treadmill exercise test with Bruce protocol. Twenty-two (0.47% of 4,703) showed positive ECG change, 9 (0.19%) of 22 had abnormal findings on a 201Tl scan. 8 (0.17%) were diagnosed as SMI (Cohn I), in which the prevalence of hypertension, hyperlipidemia, diabetes mellitus, smoker and positive familial history of ischemic heart disease was greater than that of all subjects. In a 15-30 month follow up, none has developed cardiac accidents. Exercise-induced arrhythmia was detected in 11 (0.23%) subjects. Four were non-sustained ventricular tachycardia without any organic disease, 4 were ventricular arrhythmia based on cardiomyopathy detected by echocardiography, 2 were atrial fibrillation and another was WPW syndrome. It is therefore likely that the ergometer exercise test in THP was effective in preventing sudden death caused by ischemic heart disease or striking arrhythmia.

  5. Total and Bioaccessible Soil Arsenic and Lead Levels and Plant Uptake in Three Urban Community Gardens in Puerto Rico

    Directory of Open Access Journals (Sweden)

    John Misenheimer

    2018-01-01

    Full Text Available Arsenic (As and lead (Pb are two contaminants of concern associated with urban gardening. In Puerto Rico, data currently is limited on As and Pb levels in urban garden soils, soil metal (loid bioaccessibility, and uptake of As and Pb in soil by edible plants grown in the region. This study examined total and bioaccessible soil As and Pb concentrations and accumulation in 10 commonly grown garden plants collected from three urban community gardens in Puerto Rico. Bioavailability values were predicted using bioaccessibility data to compare site-specific bioavailability estimates to commonly used default exposure assumptions. Total and bioaccessible As levels in study soils ranged from 2 to 55 mg/kg and 1 to 18 mg/kg, respectively. Total and bioaccessible Pb levels ranged from 19 to 172 mg/kg and 17 to 97 mg/kg, respectively. Measured bioaccessibility values corresponded to 19% to 42% bioaccessible As and 61% to 100% bioaccessible Pb when expressed as a percent of total As and Pb respectively. Predicted relative percent bioavailability of soil As and Pb based on measured bioaccessibility values ranged from 18% to 36% and 51% to 85% for As and Pb respectively. Transfer factors (TFs measuring uptake of As in plants from soil ranged from 0 to 0.073 in the edible flesh (fruit or vegetable of plant tissues analyzed and 0.073 to 0.444 in edible leaves. Pb TFs ranged from 0.002 to 0.012 in flesh and 0.023 to 0.204 in leaves. Consistent with TF values, leaves accumulated higher concentrations of As and Pb than the flesh, with the highest tissue concentrations observed in the culantro leaf (3.2 mg/kg dw of As and 8.9 mg/kg dw of Pb. Leaves showed a general but not statistically-significant (α = 0.05 trend of increased As and Pb concentration with increased soil levels, while no trend was observed for flesh tissues. These findings provide critical data that can improve accuracy and reduce uncertainty when conducting site-specific risk determination of

  6. Adaptation to heavy rainfall events: watershed-community planning of soil and water conservation technologies in Syria

    Science.gov (United States)

    Ziadat, Feras; Al-Wadaey, Ahmed; Masri, Zuhair; Sakai, Hirokazu

    2010-05-01

    classified into high erosion risk areas. Accordingly, a community-watershed plan was established and revised with the community committee. Loans to implement soil and water conservation measures were distributed to 52 farmers based on the priorities of their farms. Results from four runoff events in 2009 showed that one erosive runoff event can deliver more than 50% of the total soil loss. Implementing semi-circular bunds reduced rill erosion by 40% and captured 3.4 tons of sediments per hectare. The effect of this approach in limiting the negative impact of extreme rainfall events, at watershed and field levels, are now being quantified and modeled. Keywords: climate change, land use, soil erosion, GIS, flow accumulation, land tenure.

  7. Community Dialogue to Shift Social Norms and Enable Family Planning: An Evaluation of the Family Planning Results Initiative in Kenya

    Science.gov (United States)

    Creanga, Andreea A.; Galavotti, Christine; Wamalwa, Emmanuel

    2016-01-01

    Introduction Use of family planning (FP) is powerfully shaped by social and gender norms, including the perceived acceptability of FP and gender roles that limit women’s autonomy and restrict communication and decision-making between men and women. This study evaluated an intervention that catalyzed ongoing community dialogues about gender and FP in Siaya county, Nyanza Province, Kenya. Specifically, we explored the changes in perceived acceptability of FP, gender norms and use of FP. Methods We used a mixed-method approach. Information on married men and women’s socio-demographic characteristics, pregnancy intentions, gender-related beliefs, FP knowledge, attitudes, and use were collected during county-representative, cross-sectional household surveys at baseline (2009; n11 = 650 women; n12 = 305 men) and endline (2012; n21 = 617 women; n22 = 317 men); exposure to the intervention was measured at endline. We assessed changes in FP use at endline vs. baseline, and fitted multivariate logistic regression models for FP use to examine its association with intervention exposure and explore other predictors of use at endline. In-depth, qualitative interviews with 10 couples at endline further explored enablers and barriers to FP use. Results At baseline, 34.0% of women and 27.9% of men used a modern FP method compared to 51.2% and 52.2%, respectively, at endline (pwomen, but this association was not significant for men. Women’s use of modern FP was significantly associated with higher spousal communication, control over own cash earnings, and FP self-efficacy. Men who reported high approval of FP were significantly more likely to use modern FP if reporting high approval of FP and more equitable gender beliefs. FP dialogues addressed persistent myths and misconceptions, normalized FP discussions, and increased its acceptability. Public examples of couples making joint FP decisions legitimized communication and decision-making with spouses about FP especially for

  8. IMPLEMENTATION BIRTH PLANNING AND COMPLICATIONS PREVENTIONS PROGRAM (P4K ON COASTAL COMMUNITIES IN MAMUJU

    Directory of Open Access Journals (Sweden)

    Ashriady Ashriady

    2017-01-01

    Full Text Available The results of the 97 countries, there is a significant correlation between aid delivery with maternal mortality (Depkes, 2011. Proportion of birth in Indonesia showed 76.1% in Healthcare Facilities and 23.7% in home and another (Kemenkes RI, 2014. In the coastal community primary choices deliveries take place at home, assisted by shamans because mothers feel safe from evil spirits, and convenient for the family attended (Yunarti, 2013. Scope of delivery assistance by health workers in 2006 - 2011 in West Sulawesi has not reached the target of minimum service standards in 2015 by 90%, obstetric complications handled in 2011 in Mamuju 35.1%. The aim of research to analyze the implementation of Birth Planning and Complications Preventions Program (P4K based on the knowledge and attitude of Mother on Coastal Communities in Mamuju. This type of research is survey with cross sectional study design. In the study period in August-October 2016. The population is all Mother toddler who visited IHC 330, 149 of the samples obtained by using the formula, taken by accidental sampling method. The results showed 68 (81.9% of respondents have sufficient knowledge of the implementation of the less well P4K, 113 (79.6% positive attitude to the implementation mother P4K less good, there is no statistical relationship between knowledge and attitude of mothers with implementation P4K. Midwives need intensive assistance in filling and installation sticker P4K at home mom.

  9. A Climate Change Adaptation Planning Process for Low-Lying, Communities Vulnerable to Sea Level Rise

    Directory of Open Access Journals (Sweden)

    Kristi Tatebe

    2012-09-01

    Full Text Available While the province of British Columbia (BC, Canada, provides guidelines for flood risk management, it is local governments’ responsibility to delineate their own flood vulnerability, assess their risk, and integrate these with planning policies to implement adaptive action. However, barriers such as the lack of locally specific data and public perceptions about adaptation options mean that local governments must address the need for adaptation planning within a context of scientific uncertainty, while building public support for difficult choices on flood-related climate policy and action. This research demonstrates a process to model, visualize and evaluate potential flood impacts and adaptation options for the community of Delta, in Metro Vancouver, across economic, social and environmental perspectives. Visualizations in 2D and 3D, based on hydrological modeling of breach events for existing dike infrastructure, future sea level rise and storm surges, are generated collaboratively, together with future adaptation scenarios assessed against quantitative and qualitative indicators. This ‘visioning package’ is being used with staff and a citizens’ Working Group to assess the performance, policy implications and social acceptability of the adaptation strategies. Recommendations based on the experience of the initiative are provided that can facilitate sustainable future adaptation actions and decision-making in Delta and other jurisdictions.

  10. Can Perceptions of Environmental and Climate Change in Island Communities Assist in Adaptation Planning Locally?

    Science.gov (United States)

    Aswani, Shankar; Vaccaro, Ismael; Abernethy, Kirsten; Albert, Simon; de Pablo, Javier Fernández-López

    2015-12-01

    Local perceptions of environmental and climate change, as well as associated adaptations made by local populations, are fundamental for designing comprehensive and inclusive mitigation and adaptation plans both locally and nationally. In this paper, we analyze people's perceptions of environmental and climate-related transformations in communities across the Western Solomon Islands through ethnographic and geospatial methods. Specifically, we documented people's observed changes over the past decades across various environmental domains, and for each change, we asked respondents to identify the causes, timing, and people's adaptive responses. We also incorporated this information into a geographical information system database to produce broad-scale base maps of local perceptions of environmental change. Results suggest that people detected changes that tended to be acute (e.g., water clarity, logging intensity, and agricultural diseases). We inferred from these results that most local observations of and adaptations to change were related to parts of environment/ecosystem that are most directly or indirectly related to harvesting strategies. On the other hand, people were less aware of slower insidious/chronic changes identified by scientific studies. For the Solomon Islands and similar contexts in the insular tropics, a broader anticipatory adaptation planning strategy to climate change should include a mix of local scientific studies and local observations of ongoing ecological changes.

  11. Development of the good food planning tool: A food system approach to food security in indigenous Australian remote communities.

    Science.gov (United States)

    Brimblecombe, Julie; van den Boogaard, Christel; Wood, Beverley; Liberato, Selma C; Brown, Jacqui; Barnes, Adam; Rogers, Alison; Coveney, John; Ritchie, Jan; Bailie, Ross

    2015-07-01

    Few frameworks exist to assist food system planning, especially for Indigenous Australian remote communities. We developed a Good Food Planning Tool to support stakeholders to collectively plan and take action for local food system improvement. Development occurred over a four-year period through an evolving four phase participatory process that included literature review, several meetings with representatives of various organisations and communities and application of the Tool with multi-sector groups in each of four Indigenous Australian remote communities. A diverse range of 148 stakeholders, 78 of whom were Indigenous, had input to its development. Five food system domains: (i) Leadership and partnerships; (ii) Traditional food and local food production; (iii) Food businesses; (iv) Buildings, public places and transport; (v) Community and services and 28 activity areas form the framework of the Tool. The Good Food Planning Tool provides a useful framework to facilitate collective appraisal of the food system and to identify opportunities for food system improvement in Indigenous Australian remote communities, with potential for adaptation for wider application. Copyright © 2015 Elsevier Ltd. All rights reserved.

  12. Factors that hinder community participation in developing and implementing comprehensive council health plans in Manyoni District, Tanzania

    Directory of Open Access Journals (Sweden)

    Emmanuel G. Kilewo

    2015-06-01

    Full Text Available Background: Decentralization of public health planning is proposed to facilitate public participation in health issues. Health Sector Reform in Tanzania places emphasis on the participation of lower level health facilities and community in health planning process. Despite availability of policies, guidelines, and community representative organs, actual implementation of decentralization strategies is poorly achieved. This study intended to find out factors that hinder community participation in developing and implementing Comprehensive Council Health Plan (CCHP. Materials and methods: A qualitative approach was conducted in this study with key informants from Health Facility Governing Committees (HFGC, Council Health Service Board (CHSB, and Council Health Management Team (CHMT. Data were collected using in-depth interviews. Data generated were analyzed for themes and patterns. Results: Factors that hindered community participation included lack of awareness on the CCHP among HFGC members, poor communication and information sharing between CHMT and HFGC, unstipulated roles and responsibilities of HFGC, lack of management capacity among HFGC members, and lack of financial resources for implementing HFGC activities. Conclusions: The identified challenges call for policy makers to revisit the decentralization by devolution policy by ensuring that local governance structures have adequate resources as well as autonomy to participate in planning and managing CCHP in general and health facility plans in particular.

  13. Planning for a soft landing : non-renewable resource development and community infrastructure in the Northwest Territories

    International Nuclear Information System (INIS)

    2006-02-01

    This paper provided a high-level overview of research related to the boom and bust cycle of resource-based economic development and community infrastructure in the north, particularly in the Northwest Territories. The paper focused on what is known and on knowledge gaps that needed to be filled in each of 3 theme areas for an experts workshop on northern communities. The themes that were discussed at the workshop and in this paper were: the connections between non-renewable resources development and community infrastructure in the north; planning for resource development; and strategies for moving ahead and putting ideas into practice. The paper discussed the objectives of the research and discussed findings under each of the 3 themes. Topics discussed included: changes in the infrastructure mix; infrastructure and climate change; infrastructure financing; uncertainty; knowledge; planning tools; stakeholder participation; and measuring and monitoring planning implementation. Data availability was also discussed along with funding mechanisms, technological innovations and community capacity building. It was concluded that strategies for dealing with the boom-induced infrastructure challenges facing communities in the Northwest Territories should focus on making more creative use of available funding; promoting technical innovation; and improving maintenance capacity at the community level. 62 refs

  14. Community and health systems barriers and enablers to family planning and contraceptive services provision and use in Kabwe District, Zambia.

    Science.gov (United States)

    Silumbwe, Adam; Nkole, Theresa; Munakampe, Margarate Nzala; Milford, Cecilia; Cordero, Joanna Paula; Kriel, Yolandie; Zulu, Joseph Mumba; Steyn, Petrus S

    2018-05-31

    Unmet need for contraception results in several health challenges such as unintended pregnancies, unwanted births and unsafe abortions. Most interventions have been unable to successfully address this unmet need due to various community and health system level factors. Identifying these inhibiting and enabling factors prior to implementation of interventions forms the basis for planning efforts to increase met needs. This qualitative study was part of the formative phase of a larger research project that aimed to develop an intervention to increase met needs for contraception through community and health system participation. The specific study component reported here explores barriers and enablers to family planning and contraceptive services provision and utilisation at community and health systems levels. Twelve focus group discussions were conducted with community members (n = 114) and two with healthcare providers (n = 19). Ten in-depth interviews were held with key stakeholders. The study was conducted in Kabwe district, Zambia. Interviews/discussions were translated and transcribed verbatim. Data were coded and organised using NVivo 10 (QSR international), and were analysed using thematic analysis. Health systems barriers include long distances to healthcare facilities, stock-outs of preferred methods, lack of policies facilitating contraceptive provision in schools, and undesirable provider attitudes. Community level barriers comprise women's experience with contraceptive side effects, myths, rumours and misconceptions, societal stigma, and negative traditional and religious beliefs. On the other hand, health systems enablers consist of political will from government to expand contraceptive services access, integration of contraceptive services, provision of couples counselling, and availability of personnel to offer basic methods mix. Functional community health system structures, community desire to delay pregnancy, and knowledge of contraceptive

  15. Effects of temperature and fertilization on total vs. active bacterial communities exposed to crude and diesel oil pollution in NW Mediterranean Sea

    Energy Technology Data Exchange (ETDEWEB)

    Rodriguez-Blanco, Arturo; Antoine, Virginie [UPMC Univ Paris 06, UMR 7621, Laboratoire ARAGO, Avenue Fontaule, BP44, F-66650 Banyuls-sur-Mer (France); CNRS, UMR 7621, Laboratoire d' Oceanographie Biologique de Banyuls, Avenue Fontaule, BP44, F-66650 Banyuls-sur-Mer (France); Pelletier, Emilien [Institut des Sciences de la Mer de Rimouski (ISMER), Universite du Quebec a Rimouski, 310 allee des Ursulines, Rimouski, Canada G5L 3A1 (Canada); Delille, Daniel [UPMC Univ Paris 06, UMR 7621, Laboratoire ARAGO, Avenue Fontaule, BP44, F-66650 Banyuls-sur-Mer (France); CNRS, UMR 7621, Laboratoire d' Oceanographie Biologique de Banyuls, Avenue Fontaule, BP44, F-66650 Banyuls-sur-Mer (France); Ghiglione, Jean-Francois, E-mail: ghiglione@obs-banyuls.f [UPMC Univ Paris 06, UMR 7621, Laboratoire ARAGO, Avenue Fontaule, BP44, F-66650 Banyuls-sur-Mer (France); CNRS, UMR 7621, Laboratoire d' Oceanographie Biologique de Banyuls, Avenue Fontaule, BP44, F-66650 Banyuls-sur-Mer (France)

    2010-03-15

    The dynamics of total and active microbial communities were studied in seawater microcosms amended with crude or diesel oil at different temperatures (25, 10 and 4 deg. C) in the presence/absence of organic fertilization (Inipol EAP 22). Total and hydrocarbon-degrading microbes were enumerated by fluorescence microscopy and Most Probable Number (MPN) method, respectively. Total (16S rDNA-based) vs. active (16S rRNA) bacterial community structure was monitored by Capillary-Electrophoresis Single Strand Conformation Polymorphism (CE-SSCP) fingerprinting. Hydrocarbons were analyzed after 12 weeks of incubation by gas chromatography-mass spectrometry. Total and hydrocarbon-degrading microbial counts were highly influenced by fertilization while no important differences were observed between temperatures. Higher biodegradation levels were observed in fertilized microcosms. Temperature and fertilization induced changes in structure of total bacterial communities. However, fertilization showed a more important effect on active bacterial structure. The calculation of Simpson's diversity index showed similar trends among temperatures whereas fertilization reduced diversity index of both total and active bacterial communities. - Nutrient availability was the most important factor influencing microbial oil biodegradation in coastal waters of the North-western Mediterranean Sea.

  16. Municipal community gardens in the metropolitan area of Milano. Assessment and planning criteria

    Directory of Open Access Journals (Sweden)

    Giulio Senes

    2016-06-01

    Full Text Available A community garden (CG can generally be defined as a piece of land gardened collectively by a group of people that grow their produce on shared lots that have been divided into smaller plots. Some gardens are grown collectively, are divided into different plots for individual and family use; CGs are usually located in urban or peri-urban areas. As a growing portion of the urban open space network, CGs are contributing to land preservation, access to open space, and sustainable re-use of vacant land. They promote healthy communities and provide food security for many. In this context, the object of the study are the municipal community gardens (MCGs, a specific typology of CGs provided for land-use planning legislation and practice as an urban service with social function, made available to the community by the municipalities and assigned to be cultivated to citizens (usually seniors/retired people. In particular, the study aimed: i to evaluate the presence of MCGs in the città metropolitana di Milano (the former province of Milano; and ii to define criteria for new MCGs settlement, using existing geo-database and geographical information system to make it replicable in other settings. For the first topic the 133 municipalities of the former province of Milano (excluded the city of Milano were analysed. Only 59 municipalities had presence of MCGs. The average area per capita of MCGs is 0.68 sq.m/inhab. (if we exclude Rodano, an outlier with 35 sq.m/inhab.. An overlay with land use map has permitted to define the relationships between the MCGs and their surrounding territory. The major part of MCGs are included in urban or suburban areas. For the second goal, the land area to be allocated for new MCGs was assessed for each municipality, comparing area of existing MCGs and a minimum required area (calculated on the basis of the inhabitants number. Finally a method was proposed to locate the new MCGs areas. Criteria used to identify suitable areas

  17. Preoperative digital planning versus postoperative outcomes in total hip arthroplasty using a calcar-guided short stem: frequent valgization can be avoided.

    Science.gov (United States)

    Kutzner, Karl Philipp; Pfeil, Joachim; Kovacevic, Mark Predrag

    2017-07-01

    Modern total hip arthroplasty is largely dependent on the successful preservation of hip geometry. Thus, a successful implementation of the preoperative planning is of great importance. The present study evaluates the accuracy of anatomic hip reconstruction predicted by 2D digital planning using a calcar-guided short stem of the newest generation. A calcar-guided short stem was implanted in 109 patients in combination with a cementless cup using the modified anterolateral approach. Preoperative digital planning was performed including implant size, caput-collum-diaphyseal angle, offset, and leg length using mediCAD II software. A coordinate system and individual scale factors were implemented. Postoperative outcome was evaluated accordingly and was compared to the planning. Intraoperatively used stem sizes were within one unit of the planned stem sizes. The postoperative stem alignment showed a minor and insignificant (p = 0.159) mean valgization of 0.5° (SD 3.79°) compared to the planned caput-collum-diaphyseal angles. Compared to the planning, mean femoral offset gained 2.18 (SD 4.24) mm, while acetabular offset was reduced by 0.78 (SD 4.36) mm during implantation resulting in an increased global offset of 1.40 (SD 5.51) mm (p = 0.0094). Postoperative femoroacetabular height increased by a mean of 5.00 (SD 5.98) mm (p planning in calcar-guided short-stem total hip arthroplasty assures a satisfying implementation of the intended anatomy. Valgization, which has been frequently observed in previous short-stem designs, negatively affecting offset, can be avoided. However, surgeons have to be aware of a possible leg lengthening.

  18. Smart patient, smart community: improving client participation in family planning consultations through a community education and mass-media program in Indonesia.

    Science.gov (United States)

    Kim, Young Mi; Bazant, Eva; Storey, J Douglas

    In health care consultations, patients often receive insufficient information from providers and communicate little with providers about their needs or concerns. This study evaluated a combined community education and mass media intervention to improve clients' participation in family planning consultations. A household survey was conducted with 1,200 women in three sub-districts (two intervention and one control) of West Java province in Indonesia. A comparison of post-campaign findings among family planning clients suggests that the intervention as a whole had a positive effect on client participation, specifically the number of clients who prepared questions to ask the service provider prior to a family planning visit in the past year. Multivariate analyses showed that the "Smart Card" intervention and elements of the "Sahabat" (Friend) mass media campaign were positively associated with clients' preparation of questions and question asking behavior during family planning consultations, indicating that a combined community education and mass-media approach can improve client communication with providers and improve the quality of family planning counseling.

  19. Psycho-Ecological Systems Model: A Systems Approach to Planning and Gauging the Community Impact of Community-Engaged Scholarship

    Science.gov (United States)

    Reeb, Roger N.; Snow-Hill, Nyssa L.; Folger, Susan F.; Steel, Anne L.; Stayton, Laura; Hunt, Charles A.; O'Koon, Bernadette; Glendening, Zachary

    2017-01-01

    This article presents the Psycho-Ecological Systems Model (PESM)--an integrative conceptual model rooted in General Systems Theory (GST). PESM was developed to inform and guide the development, implementation, and evaluation of transdisciplinary (and multilevel) community-engaged scholarship (e.g., a participatory community action research project…

  20. Planning Community-Based Youth Services in Cork, Ireland: The Relevance of the Concepts "Youth" and "Community."

    Science.gov (United States)

    Gaetz, Stephen

    1992-01-01

    A weakness in the approach to community-based youth services in Cork (Ireland) involves viewing the terms "youth" and "community" as though they represented homogeneous categories. Ethnographic data highlight the difficulties of monolithic classification by describing the experiences of three distinct categories of young…

  1. Apples and Oranges Mean a New Fruit Crop: New Business Plan Competition Model Integrates Economic and Community Development

    Science.gov (United States)

    Feldman, Jacqueline; Oden, Lisa Derby

    2007-01-01

    Mount Wachusett Community College Entrepreneurial Resource Center Business Plan Competition brings together stakeholders across all economic sectors to bolster the regional economy. It also highlights entrepreneurs as a viable career choice. The competition disintegrates existing silos, provides education to all entrants, and gives business…

  2. Serving English as a Second Language Communities: A Literary Review and an In-Service Plan To Assist Administrators.

    Science.gov (United States)

    Westendorf, David; Karr-Kidwell, PJ

    This paper presents a literature review and describes an inservice plan for aspiring and current elementary administrators in schools serving English-as-a-Second-Language (ESL) communities. The literature review examines habits and guidelines for effective leaders to use in educational settings, discusses laws regarding bilingual/ESL education,…

  3. Getting Started with Market Research for Out-of-School Time Planning: A Resource Guide for Communities

    Science.gov (United States)

    Pokela, Julianne; Steblea, Ingrid; Shea, Linda; Denny, Elizabeth

    2007-01-01

    Conducting market research for out-of-school-time planning can replace assumptions with facts, give kids and parents a voice to express their needs and preferences, and help build stakeholder buy-in and support. This practical guide shows community leaders, policymakers and out-of-school-time practitioners how to use market research to make more…

  4. A Model for Technovocational School-Based Curriculum Planning and Evaluation under the Framework of Total Quality Management.

    Science.gov (United States)

    Wang, Yen-Zen

    In the current climate of rapid technological advance and social value change, many have suggested that schools should use a school-based approach to curriculum planning. How to design such a curriculum in order to train graduates suited for employment has become an important issue. Many domestic and international enterprises have successfully…

  5. 76 FR 58379 - Resolution Plans Required for Insured Depository Institutions With $50 Billion or More in Total...

    Science.gov (United States)

    2011-09-21

    ... franchise value. The core business lines of the CIDI are valuable assets of the CIDI. The Resolution Plan..., diminish the CIDI's franchise value, obstruct its continued business operations or increase the operational... a strategy for the sale or disposition of the deposit franchise, including branches, core business...

  6. 77 FR 3075 - Resolution Plans Required for Insured Depository Institutions With $50 Billion or More in Total...

    Science.gov (United States)

    2012-01-23

    ... business day of the institution's failure (two business days if the failure occurs on a day other than... the continuing exposure of the banking industry to the risks of insolvency of large and complex insured depository institutions, an exposure that can be mitigated with proper resolution planning. The...

  7. Higgs Working Group Report of the Snowmass 2013 Community Planning Study

    CERN Document Server

    Dawson, S; Logan, H; Qian, J; Tully, C; Van Kooten, R; Ajaib, A; Anastassov, A; Anderson, I; Bake, O; Barger, V; Barklow, T; Batell, B; Battaglia, M; Berge, S; Blondel, A; Bolognesi, S; Brau, J; Brownson, E; Cahill-Rowley, M; Calancha-Paredes, C; Chen, C -Y; Chou, W; Clare, R; Cline, D; Craig, N; Cranmer, K; de Gruttola, M; Elagin, A; Essig, R; Everett, L; Feng, E; Fujii, K; Gainer, J; Gao, Y; Gogoladze, I; Gori, S; Goncalo, R; Graf, N; Grojean, C; Guindon, S; Han, T; Hanson, G; Harnik, R; Heinemann, B; Heinemeyer, S; Heintz, U; Hewett, J; Ilchenko, Y; Ismail, A; Jain, V; Janot, P; Kawada, S; Kehoe, R; Klute, M; Kotwal, A; Krueger, K; Kukartsev, G; Kumar, K; Kunkle, J; Lewis, I; Li, Y; Linssen, L; Lipeles, E; Lipton, R; Liss, T; List, J; Liu, T; Liu, Z; Low, I; Ma, T; Mackenzie, P; Mellado, B; Melnikov, K; Moortgat-Pick, G; Mourou, G; Narain, M; Nielsen, J; Okada, N; Okawa, H; Olsen, J; Onyisi, P; Parashar, N; Peskin, M; Petriello, F; Plehn, T; Pollard, C; Potter, C; Prokofiev, K; Rauch, M; Rizzo, T; Robens, T; Rodriguez, V; Roloff, P; Ruiz, R; Sanz, V; Sayre, J; Shafi, Q; Shaughnessy, G; Sher, M; Simon, F; Solyak, N; Stupak, J; Su, S; Tanabe, T; Tajima, T; Telnov, V; Tian, J; Thomas, S; Thomson, M; Un, C; Velasco, M; Wagner, C; Wang, S; Whitbeck, A; Yao, W; Yokoya, H; Zenz, S; Zerwas, D; Zhang, Y; Zhou, Y

    2013-01-01

    This report summarizes the work of the Energy Frontier Higgs Boson working group of the 2013 Community Summer Study (Snowmass). We identify the key elements of a precision Higgs physics program and document the physics potential of future experimental facilities as elucidated during the Snowmass study. We study Higgs couplings to gauge boson and fermion pairs, double Higgs production for the Higgs self-coupling, its quantum numbers and $C\\!P$-mixing in Higgs couplings, the Higgs mass and total width, and prospects for direct searches for additional Higgs bosons in extensions of the Standard Model. Our report includes projections of measurement capabilities from detailed studies of the Compact Linear Collider (CLIC), a Gamma-Gamma Collider, the International Linear Collider (ILC), the Large Hadron Collider High-Luminosity Upgrade (HL-LHC), Very Large Hadron Colliders up to 100 TeV (VLHC), a Muon Collider, and a Triple-Large Electron Positron Collider (TLEP).

  8. Guided preparedness planning with lay communities: enhancing capacity of rural emergency response through a systems-based partnership.

    Science.gov (United States)

    McCabe, O Lee; Perry, Charlene; Azur, Melissa; Taylor, Henry G; Gwon, Howard; Mosley, Adrian; Semon, Natalie; Links, Jonathan M

    2013-02-01

    Community disaster preparedness plans, particularly those with content that would mitigate the effects of psychological trauma on vulnerable rural populations, are often nonexistent or underdeveloped. The purpose of the study was to develop and evaluate a model of disaster mental health preparedness planning involving a partnership among three, key stakeholders in the public health system. A one-group, post-test, quasi-experimental design was used to assess outcomes as a function of an intervention designated Guided Preparedness Planning (GPP). The setting was the eastern-, northern-, and mid-shore region of the state of Maryland. Partner participants were four local health departments (LHDs), 100 faith-based organizations (FBOs), and one academic health center (AHC)-the latter, collaborating entities of the Johns Hopkins University and the Johns Hopkins Health System. Individual participants were 178 community residents recruited from counties of the above-referenced geographic area. Effectiveness of GPP was based on post-intervention assessments of trainee knowledge, skills, and attitudes supportive of community disaster mental health planning. Inferences about the practicability (feasibility) of the model were drawn from pre-defined criteria for partner readiness, willingness, and ability to participate in the project. Additional aims of the study were to determine if LHD leaders would be willing and able to generate post-project strategies to perpetuate project-initiated government/faith planning alliances (sustainability), and to develop portable methods and materials to enhance model application and impact in other health jurisdictions (scalability). The majority (95%) of the 178 lay citizens receiving the GPP intervention and submitting complete evaluations reported that planning-supportive objectives had been achieved. Moreover, all criteria for inferring model feasibility, sustainability, and scalability were met. Within the span of a six-month period

  9. Building the community voice into planning: 25 years of methods development in social audit.

    Science.gov (United States)

    Andersson, Neil

    2011-12-21

    Health planners and managers make decisions based on their appreciation of causality. Social audits question the assumptions behind this and try to improve quality of available evidence. The method has its origin in the follow-up of Bhopal survivors in the 1980s, where "cluster cohorts" tracked health events over time. In social audit, a representative panel of sentinel sites are the framework to follow the impact of health programmes or reforms. The epidemiological backbone of social audit tackles causality in a calculated way, balancing computational aspects with appreciation of the limits of the science.Social audits share findings with planners at policy level, health services providers, and users in the household, where final decisions about use of public services rest. Sharing survey results with sample communities and service workers generates a second order of results through structured discussions. Aggregation of these evidence-based community-led solutions across a representative sample provides a rich substrate for decisions. This socialising of evidence for participatory action (SEPA) involves a different skill set but quality control and rigour are still important.Early social audits addressed settings without accepted sample frames, the fundamentals of reproducible questionnaires, and the logistics of data turnaround. Feedback of results to stakeholders was at CIET insistence--and at CIET expense. Later social audits included strong SEPA components. Recent and current social audits are institutionalising high level research methods in planning, incorporating randomisation and experimental designs in a rigorous approach to causality.The 25 years have provided a number of lessons. Social audit reduces the arbitrariness of planning decisions, and reduces the wastage of simply allocating resources the way they were in past years. But too much evidence easily exceeds the uptake capacity of decision takers. Political will of governments often did not match

  10. Building the community voice into planning: 25 years of methods development in social audit

    Directory of Open Access Journals (Sweden)

    Andersson Neil

    2011-12-01

    Full Text Available Abstract Health planners and managers make decisions based on their appreciation of causality. Social audits question the assumptions behind this and try to improve quality of available evidence. The method has its origin in the follow-up of Bhopal survivors in the 1980s, where “cluster cohorts” tracked health events over time. In social audit, a representative panel of sentinel sites are the framework to follow the impact of health programmes or reforms. The epidemiological backbone of social audit tackles causality in a calculated way, balancing computational aspects with appreciation of the limits of the science. Social audits share findings with planners at policy level, health services providers, and users in the household, where final decisions about use of public services rest. Sharing survey results with sample communities and service workers generates a second order of results through structured discussions. Aggregation of these evidence-based community-led solutions across a representative sample provides a rich substrate for decisions. This socialising of evidence for participatory action (SEPA involves a different skill set but quality control and rigour are still important. Early social audits addressed settings without accepted sample frames, the fundamentals of reproducible questionnaires, and the logistics of data turnaround. Feedback of results to stakeholders was at CIET insistence – and at CIET expense. Later social audits included strong SEPA components. Recent and current social audits are institutionalising high level research methods in planning, incorporating randomisation and experimental designs in a rigorous approach to causality. The 25 years have provided a number of lessons. Social audit reduces the arbitrariness of planning decisions, and reduces the wastage of simply allocating resources the way they were in past years. But too much evidence easily exceeds the uptake capacity of decision takers. Political

  11. An evaluation of a family planning mobile job aid for community health workers in Tanzania.

    Science.gov (United States)

    Braun, Rebecca; Lasway, Christine; Agarwal, Smisha; L'Engle, Kelly; Layer, Erica; Silas, Lucy; Mwakibete, Anna; Kudrati, Mustafa

    2016-07-01

    The global rapid growth in mobile technology provides unique opportunities to support community health workers (CHWs) in providing family planning (FP) services. FHI 360, Pathfinder International and D-tree International developed an evidence-based mobile job aid to support CHW counseling, screening, service provision and referrals, with mobile forms for client and service data, and text-message reporting and reminders. The purpose of this study is to evaluate the acceptability and potential benefits to service quality from the perspective of CHWs and their clients. The mobile job aid was piloted in Dar es Salaam, Tanzania. Data collection tools included a demographic survey of all 25 CHWs trained to use the mobile job aid, in-depth interviews with 20 of the CHWs after 3 months and a survey of 176 clients who received FP services from a CHW using the mobile job aid after 6 months. Both CHWs and their clients reported that the mobile job aid was a highly acceptable FP support tool. CHWs perceived benefits to service quality, including timelier and more convenient care; better quality of information; increased method choice; and improved privacy, confidentiality and trust with clients. Most clients discussed multiple FP methods with CHWs; only 1 in 10 clients reported discussion of all 9 methods. This research suggests that mobile phones can be effective tools to support CHWs with FP counseling, screening and referrals, data collection and reporting, and communication. Challenges remain to support informed contraceptive choice. Future research should focus on implementation, including scale-up and sustainability. Mobile job aids can uniquely enhance FP service provision at the community level through adherence to standard protocols, real-time feedback and technical assistance, and provision of confidential care. This study can inform future efforts to support and expand the role of CHWs in increasing FP access and informed contraceptive choice. Copyright © 2016

  12. Community-based game intervention to improve South Asian Indian Americans' engagement with advanced care planning.

    Science.gov (United States)

    Radhakrishnan, Kavita; Van Scoy, Lauren Jodi; Jillapalli, Regina; Saxena, Shubhada; Kim, Miyong T

    2017-07-27

    Advance care planning (ACP) allows individuals to express their preferences for medical treatment in the event that they become incapable of making their own decisions. This study assessed the efficacy of a conversation game intervention for increasing South Asian Indian Americans' (SAIAs') engagement in ACP behaviors as well as the game's acceptability and cultural appropriateness among SAIAs. Eligible community-dwelling SAIAs were recruited at SAIA cultural events held in central Texas during the summer of 2016. Pregame questionnaires included demographics and the 55-item ACP Engagement Survey. Played in groups of 3-5, the game consists of 17 open-ended questions that prompt discussions of end-of-life issues. After each game session, focus groups and questionnaires were used to examine the game's cultural appropriateness and self-rated conversation quality. Postintervention responses on the ACP Engagement Survey and rates of participation in ACP behaviors were collected after 3 months through phone interviews or online surveys. Data were analyzed using descriptive statistics, frequencies, and paired t-tests comparing pre/post averages at a .05 significance level. Of the 47 participants, 64% were female, 62% had graduate degrees, 92% had lived in the U.S. for >10 years, 87% were first-generation immigrants, and 74% had no advance directive prior to the game. At the 3-month follow-up, 58% of participants had completed at least one ACP behavior, 42% had discussed end-of-life issues with loved ones, 15% did so with their healthcare providers, and 18% had created an advanced directive. ACP Engagement Survey scores increased significantly on all four of the process subscales by 3 months postgame. SAIA individuals who played a conversation game had a relatively high rate of performing ACP behaviors 3 months after the intervention. These findings suggest that conversation games may be useful tools for motivating people from minority communities to engage in ACP behaviors.

  13. Field in field technique in two-dimensional planning for whole brain irradiation; Tecnica field in field em planejamentos bidimensionais para irradiacao de cerebro total

    Energy Technology Data Exchange (ETDEWEB)

    Castro, A.L.S.; Campos, T.P.R., E-mail: radioterapia.andre@gmail.com [Universidade Federal de Minas Gerais (UFMG), Belo Horizonte (Brazil). Departamento de Engenharia Nuclear

    2016-11-01

    Radiotherapy is the most used clinical method used for brain metastases treatment, the most frequent secondary tumors provided by breast, lung and melanomas as primary origin. The protocols often use high daily doses and, depending on the irradiation technique there is high probability of complications in health tissues. In order to minimize adverse effects, it is important the dosimetric analysis of three-dimensional radiotherapy planning through tomographic images or, concerning to the 2D simulations, by the application of techniques that optimize dose distribution by increasing the homogeneity. The study aimed to compare the 2D and 3D conformal planning for total brain irradiation in a individual equivalent situation and evaluate the progress of these planning applying the field in field technique. The methodology consisted of simulating a two-dimensional planning, reproduce it on a set of tomographic images and compare it with the conformal plan for two fields and four fields (field in field). The results showed no significant difference between 2D and 3D planning for whole brain irradiation, and the field in field technique significantly improved the dose distribution in brain volume compared with two fields for the proposal situation. As conclusion, the two-dimensional plane for the four fields described was viable for whole brain irradiation in the treatment of brain metastases at the proposal situation. (author)

  14. Learning from a Community Action Plan to Promote Safe Sexual Practices

    Science.gov (United States)

    Weiss, Josie A.; Dwonch-Schoen, Kathy; Howard-Barr, Elissa M.; Panella, Michael P.

    2010-01-01

    The well-being of a community is only as good as the well-being of the individuals who reside in the community. A group of citizens, concerned about the welfare of their community, recognized the high rates of HIV/AIDS and teenage pregnancy in their south Florida county and decided to take action. Supported by community leaders and using available…

  15. Case Study of Resilient Baton Rouge: Applying Depression Collaborative Care and Community Planning to Disaster Recovery

    Directory of Open Access Journals (Sweden)

    Robin Keegan

    2018-06-01

    Full Text Available Background: Addressing behavioral health impacts of major disasters is a priority of increasing national attention, but there are limited examples of implementation strategies to guide new disaster responses. We provide a case study of an effort being applied in response to the 2016 Great Flood in Baton Rouge. Methods: Resilient Baton Rouge was designed to support recovery after major flooding by building local capacity to implement an expanded model of depression collaborative care for adults, coupled with identifying and responding to local priorities and assets for recovery. For a descriptive, initial evaluation, we coupled analysis of documents and process notes with descriptive surveys of participants in initial training and orientation, including preliminary comparisons among licensed and non-licensed participants to identify training priorities. Results: We expanded local behavioral health service delivery capacity through subgrants to four agencies, provision of training tailored to licensed and non-licensed providers and development of advisory councils and partnerships with grassroots and government agencies. We also undertook initial efforts to enhance national collaboration around post-disaster resilience. Conclusion: Our partnered processes and lessons learned may be applicable to other communities that aim to promote resilience, as well as planning for and responding to post-disaster behavioral health needs.

  16. Regional health care planning: a methodology to cluster facilities using community utilization patterns.

    Science.gov (United States)

    Delamater, Paul L; Shortridge, Ashton M; Messina, Joseph P

    2013-08-22

    Community-based health care planning and regulation necessitates grouping facilities and areal units into regions of similar health care use. Limited research has explored the methodologies used in creating these regions. We offer a new methodology that clusters facilities based on similarities in patient utilization patterns and geographic location. Our case study focused on Hospital Groups in Michigan, the allocation units used for predicting future inpatient hospital bed demand in the state's Bed Need Methodology. The scientific, practical, and political concerns that were considered throughout the formulation and development of the methodology are detailed. The clustering methodology employs a 2-step K-means + Ward's clustering algorithm to group hospitals. The final number of clusters is selected using a heuristic that integrates both a statistical-based measure of cluster fit and characteristics of the resulting Hospital Groups. Using recent hospital utilization data, the clustering methodology identified 33 Hospital Groups in Michigan. Despite being developed within the politically charged climate of Certificate of Need regulation, we have provided an objective, replicable, and sustainable methodology to create Hospital Groups. Because the methodology is built upon theoretically sound principles of clustering analysis and health care service utilization, it is highly transferable across applications and suitable for grouping facilities or areal units.

  17. Male involvement in maternal healthcare through Community- based Health Planning and Services: the views of the men in rural Ghana.

    Science.gov (United States)

    Bougangue, Bassoumah; Ling, How Kee

    2017-09-06

    The need to promote maternal health in Ghana has committed the government to extend maternal healthcare services to the door steps of rural families through the community-based Health Planning and Services. Based on the concerns raised in previous studies that male spouses were indifferent towards maternal healthcare, this study sought the views of men on their involvement in maternal healthcare in their respective communities and at the household levels in the various Community-based Health Planning and Services zones in Awutu-Senya West District in the Central Region of Ghana. A qualitative method was employed. Focus groups and individual interviews were conducted with married men, community health officers, community health volunteers and community leaders. The participants were selected using purposive, quota and snowball sampling techniques. The study used thematic analysis for analysing the data. The study shows varying involvement of men, some were directly involved in feminine gender roles; others used their female relatives and co-wives to perform the women's roles that did not have space for them. They were not necessarily indifferent towards maternal healthcare, rather, they were involved in the spaces provided by the traditional gender division of labour. Amongst other things, the perpetuation and reinforcement of traditional gender norms around pregnancy and childbirth influenced the nature and level of male involvement. Sustenance of male involvement especially, husbands and CHVs is required at the household and community levels for positive maternal outcomes. Ghana Health Service, health professionals and policy makers should take traditional gender role expectations into consideration in the planning and implementation of maternal health promotion programmes.

  18. TH-EF-BRB-06: Implementation of a Modulated-Arc Total Body Irradiation (TBI) Technique Using the RayStation Treatment Planning System

    Energy Technology Data Exchange (ETDEWEB)

    Phillips, J; Cheung, J; Held, M; Han, D; Morin, O [UCSF, San Francisco, CA (United States)

    2016-06-15

    Purpose: To develop a clinical workflow for delivering a modulated-arc total body irradiation (TBI) with RayStation scripting. This technique uses arc fields with the patient lying at floor level on a padded table and is validated through measurements taken on a custom-made TBI phantom. Methods: Treatment planning was performed for a retrospective cohort of eight patients with a diverse range of heights and body types. Each was replanned using an open-field dual arc method, with the patient in supine and prone positions on the floor of the vault. All plans were optimized using Raystation Planning 4.7.2.5 (RaySearch Laboratories, Stockholm, Sweden), with 200 cGy prescribed to the 95% of the body contour − 5mm. This results in an open-field beam that sweeps craniocaudally across the length of the patient. The technique is validated with measurements at 10 cm intervals in a custom-milled, 5 cm thick acrylic phantom. A centrally located CC13 ion chamber and a Mobile MOSFET (Best Medical Canada, Ottawa, ON) detector array were used to measure dose. Supine and prone arcs for each patient were consecutively delivered, and the aggregate dose at each point was compared to the planned dose calculated in the phantom. Results: The ion chamber measurements differed from the planned dose by an average of .5%, with a standard deviation of 2.1%. All measured data for the MOSFETS were within 10% of the corresponding planned dose except for two outlying points. The standard deviation of dose differences across the entire cohort was 4.0%. Most significant discrepancies occurred either in inhomogeneous regions with large gradients, or at inferior points where beam angle was steepest. Conclusion: We have confirmed that the planned dose is well matched to our measurements within 10% for this method of planning and delivery. We are currently incorporating this technique into our clinical workflow. This work is supported by RaySearch.

  19. Energetic planning in isolated Amazonian communities using geographical information system; Planejamento energetico em regioes isoladas da Amazonia utilizando sistemas de informacoes geograficas

    Energy Technology Data Exchange (ETDEWEB)

    Almeida, Arthur [Universidade Federal do Para (UFPA), Belem, PA (Brazil). Programa de Pos-Graduacao de Engenharia Eletrica; Rocha, Brigida R.P.; Monteiro, Jose H.A.; Gaspar, Gabriella C.M. [Universidade Federal do Para (UFPA), Belem, PA (Brazil). Dept. de Engenharia Eletrica e de Computacao; Aarao Junior, Raimundo N.N. [Universidade Federal do Para (UFPA), Belem, PA (Brazil). Dept. de Engenharia Mecanica

    2004-07-01

    This paper proposes a system of electric planning in isolated Amazonian communities. For those communities, we propose the use of decentralized systems of electric energy with biomass as fuel. We also propose a computer system of electric planning with geographical information systems for its facilities of integrating geographical information, so useful in an Amazonian context. (author)

  20. COMPARISON OF MEMBRANE FILTER, MULTIPLE-FERMENTATION-TUBE, AND PRESENCE-ABSENCE TECHNIQUES FOR DETECTING TOTAL COLIFORMS IN SMALL COMMUNITY WATER SYSTEMS

    Science.gov (United States)

    Methods for detecting total coliform bacteria in drinking water were compared using 1483 different drinking water samples from 15 small community water systems in Vermont and New Hampshire. The methods included the membrane filter (MF) technique, a ten tube fermentation tube tech...

  1. Transient changes in milk production efficiency and bacterial community composition resulting from near-total exchange of ruminal contents between high- and low-efficiency Holstein cows

    Science.gov (United States)

    The objectives of this study were to determine if milk production efficiency (MPE) is altered by near-total exchange of ruminal contents between high- (HE) and low-MPE (LE) cows and to characterize ruminal bacterial community composition (BCC) prior to exchange and over time post-exchange. Three pai...

  2. An audit of local government planning tools for their potential use in addressing community food and nutrition issues.

    Science.gov (United States)

    Good, Elizabeth; Hammond, Melinda; Martin, Caroline; Burns, Catherine; Groos, Anita

    2010-04-01

    This project aimed to identify how local government planning tools could be used to influence physical and policy environments to support healthy eating behaviours in communities. An audit of Queensland's legislative and non-legislative local government planning tools was conducted by a public health nutritionist to assess their potential use in addressing strategies to achieve positive nutrition outcomes. Ten strategies were identified and covered the following themes: improving access to healthy foods and drinks; increasing access to breastfeeding facilities; decreasing fast food outlet density; and unhealthy food advertising. The audit found that all of the 10 strategies to achieve positive nutrition outcomes could be considered through three or more of the planning tools. Based on the findings of this audit, local government planning tools provide opportunities to address food and nutrition issues and contribute toward creating physical and policy environments that support healthy eating behaviours.

  3. Development of a residential wood smoke reduction plan in a wood burning community: A case study in Libby, Montana

    International Nuclear Information System (INIS)

    Fox, R.J.; Manderino, L.; Lyons, C.E.; Morris, A.L.; Anderson, R.L.

    1992-01-01

    Libby, Montana depends on wood as a heating fuel. Libby exceeded the 24-hour federal PM10 ambient air quality standard every year since monitoring began in 1987. Residential wood smoke significantly contributes to its air pollution. To decrease residential wood smoke's contribution to air pollution, residents have to modify their heating habits. County officials sponsored the development of a comprehensive community-oriented plan to reduce wood smoke. This paper describes how the plan was developed and the components of the air pollution reduction strategies. The plan was developed using community input and tailored to local conditions. Four specific strategies were developed to reduce residential wood smoke pollution. Development of strategies required analysis of home heating habits and potential alternatives. Economic conditions were also considered. Expensive control strategies would be worthless unless alternative funding methods were provided. Thus, the plan included an array of funding sources to facilitate implementation. The development and implementation techniques are applicable to other communities with similar air pollution challenges

  4. Patient-specific instrumentation for total knee arthroplasty does not match the pre-operative plan as assessed by intra-operative computer-assisted navigation.

    Science.gov (United States)

    Scholes, Corey; Sahni, Varun; Lustig, Sebastien; Parker, David A; Coolican, Myles R J

    2014-03-01

    The introduction of patient-specific instruments (PSI) for guiding bone cuts could increase the incidence of malalignment in primary total knee arthroplasty. The purpose of this study was to assess the agreement between one type of patient-specific instrumentation (Zimmer PSI) and the pre-operative plan with respect to bone cuts and component alignment during TKR using imageless computer navigation. A consecutive series of 30 femoral and tibial guides were assessed in-theatre by the same surgeon using computer navigation. Following surgical exposure, the PSI cutting guides were placed on the joint surface and alignment assessed using the navigation tracker. The difference between in-theatre data and the pre-operative plan was recorded and analysed. The error between in-theatre measurements and pre-operative plan for the femoral and tibial components exceeded 3° for 3 and 17% of the sample, respectively, while the error for total coronal alignment exceeded 3° for 27% of the sample. The present results indicate that alignment with Zimmer PSI cutting blocks, assessed by imageless navigation, does not match the pre-operative plan in a proportion of cases. To prevent unnecessary increases in the incidence of malalignment in primary TKR, it is recommended that these devices should not be used without objective verification of alignment, either in real-time or with post-operative imaging. Further work is required to identify the source of discrepancies and validate these devices prior to routine use. II.

  5. Geographic Response Information Network : a new tool to manage community information for oil spill contingency planning and response operations

    Energy Technology Data Exchange (ETDEWEB)

    Munger, M.; Bryant, T. [Cook Inlet Regional Citizen' s Advisory Council, Kenai, AK (United States); Haugstad, E.; Kwietniak, J. [Tesora Alaska Petroleum, Kenai, AK (United States); DeCola, E.; Robertson, T. [Nuka Research and Planning Group, Seldovia, AK (United States)

    2006-07-01

    This paper described the Geographic Response Information Network (GRIN) project which was launched to address some of the logistical challenges that often complicate oil spill and emergency response operations. The objective of the project was to develop a computer-based tool for incident logistics to organize maps and data related to oil spills, safety, public relations and basic community resources. In addition to its use for oil spill response planning, the data available can be useful for all-hazards emergency response planning. Early prototypes of the GRIN used PowerPoint slides to organize basic information about coastal communities in Alaska. With time, hyper text markup language (html) was used as the programming format because it can be more readily hyper-linked. Currently, GRIN is organized as a web page with the following 5 categories of information: general, liaison, public information, logistics and safety. There are several sub-headings under each category, such as location, people, economy, subsistence and transportation. This general information allows incident management personnel to obtain a community profile to better understand the cultural, social and economic basis of the community. The GRIN prototype was developed for the Kodiak urban area, but it may be expanded in the future to include other coastal communities in Alaska. 3 refs., 6 figs.

  6. Geographic Response Information Network : a new tool to manage community information for oil spill contingency planning and response operations

    International Nuclear Information System (INIS)

    Munger, M.; Bryant, T.; Haugstad, E.; Kwietniak, J.; DeCola, E.; Robertson, T.

    2006-01-01

    This paper described the Geographic Response Information Network (GRIN) project which was launched to address some of the logistical challenges that often complicate oil spill and emergency response operations. The objective of the project was to develop a computer-based tool for incident logistics to organize maps and data related to oil spills, safety, public relations and basic community resources. In addition to its use for oil spill response planning, the data available can be useful for all-hazards emergency response planning. Early prototypes of the GRIN used PowerPoint slides to organize basic information about coastal communities in Alaska. With time, hyper text markup language (html) was used as the programming format because it can be more readily hyper-linked. Currently, GRIN is organized as a web page with the following 5 categories of information: general, liaison, public information, logistics and safety. There are several sub-headings under each category, such as location, people, economy, subsistence and transportation. This general information allows incident management personnel to obtain a community profile to better understand the cultural, social and economic basis of the community. The GRIN prototype was developed for the Kodiak urban area, but it may be expanded in the future to include other coastal communities in Alaska. 3 refs., 6 figs

  7. Serum total bilirubin levels are negatively correlated with metabolic syndrome in aged Chinese women: a community-based study.

    Science.gov (United States)

    Zhong, P; Sun, D M; Wu, D H; Li, T M; Liu, X Y; Liu, H Y

    2017-01-26

    We evaluated serum total bilirubin levels as a predictor for metabolic syndrome (MetS) and investigated the relationship between serum total bilirubin levels and MetS prevalence. This cross-sectional study included 1728 participants over 65 years of age from Eastern China. Anthropometric data, lifestyle information, and previous medical history were collected. We then measured serum levels of fasting blood-glucose, total cholesterol, triglycerides, and total bilirubin, as well as alanine aminotransferase activity. The prevalence of MetS and each of its individual component were calculated per quartile of total bilirubin level. Logistic regression was used to assess the correlation between serum total bilirubin levels and MetS. Total bilirubin level in the women who did not have MetS was significantly higher than in those who had MetS (Pbilirubin quartiles were linearly and negatively correlated with MetS prevalence and hypertriglyceridemia (HTG) in females (Pbilirubin was an independent predictor of MetS for females (OR: 0.910, 95%CI: 0.863-0.960; P=0.001). The present study suggests that physiological levels of serum total bilirubin might be an independent risk factor for aged Chinese women, and the prevalence of MetS and HTG are negatively correlated to serum total bilirubin levels.

  8. The role of community health centers in assessing the social determinants of health for planning and policy: the example of frontier New Mexico.

    Science.gov (United States)

    Bruna, Sean; Stone, Lisa Cacari; Wilger, Susan; Cantor, Jeremy; Guzman, Carolina

    2014-01-01

    This article examines the experience of a frontier-based community health center when it utilized the Tool for Health and Resilience in Vulnerable Environments (THRIVE) for assessing social determinants of health with a local health consortium. Community members (N = 357) rated safety, jobs, housing, and education among the top health issues. Community leaders integrated these health priorities in a countywide strategic planning process. This example of a frontier county in New Mexico demonstrates the critical role that community health centers play when engaging with local residents to assess community health needs for strategic planning and policy development.

  9. Conducting five-year plan and tri-party agreement community outreach activities at the U. S. Department Of Energy Richland Field Office

    International Nuclear Information System (INIS)

    Peterson, James M.; Brown, Madeleine C.

    1992-01-01

    For cleanup to succeed, the public must be informed and involved. Both the Tri-Party Agreement and the Five-Year Plan require significant public interactions. The Tri-Party Agreement has a community relations plan, and the Five-Year Plan has a rigorous community outreach agenda. Both recognize that the public must get every reasonable opportunity to learn about and to voice opinions about DOE's cleanup activities. Beginning this year, our Five-Year Plan public participation action plan will fold in all DOE Environmental Restoration and Waste Management outreach activities at Hanford. This supports the need we recognize to coordinate public involvement activities sitewide. (author)

  10. The University and the Community: Planning for an Alternative Form of Educational Service Delivery.

    Science.gov (United States)

    Strickland, Wayne G.

    1980-01-01

    The planning process and marketing strategy adopted by a large urban postsecondary institution investigating the feasibility of developing a branch campus is described. Among the planning elements were a market analysis and citizen interest survey. (MSE)

  11. Placentophagy among women planning community births in the United States: Frequency, rationale, and associated neonatal outcomes.

    Science.gov (United States)

    Benyshek, Daniel C; Cheyney, Melissa; Brown, Jennifer; Bovbjerg, Marit L

    2018-05-02

    Limited systematic research on maternal placentophagy is available to maternity care providers whose clients/patients may be considering this increasingly popular practice. Our purpose was to characterize the practice of placentophagy and its attendant neonatal outcomes among a large sample of women in the United States. We used a medical records-based data set (n = 23 242) containing pregnancy, birth, and postpartum information for women who planned community births. We used logistic regression to determine demographic and clinical predictors of placentophagy. Finally, we compared neonatal outcomes (hospitalization, neonatal intensive unit admission, or neonatal death in the first 6 weeks) between placenta consumers and nonconsumers, and participants who consumed placenta raw vs cooked. Nearly one-third (31.2%) of women consumed their placenta. Consumers were more likely to have reported pregravid anxiety or depression compared with nonconsumers. Most (85.7%) placentophagic mothers consumed their placentas in encapsulated form, and nearly half (49.1%) consumed capsules containing dehydrated, uncooked placenta. Placentophagy was not associated with any adverse neonatal outcomes. Women with home births were more likely to engage in placentophagy than women with birth center births. The most common reason given (58.6%) for engaging in placentophagy was to prevent postpartum depression. The majority of women consumed their placentas in uncooked/encapsulated form and hoping to avoid postpartum depression, although no evidence currently exists to support this strategy. Preparation technique (cooked vs uncooked) did not influence adverse neonatal outcomes. Maternity care providers should discuss the range of options available to prevent/treat postpartum depression, in addition to current evidence with respect to the safety of placentophagy. © 2018 Wiley Periodicals, Inc.

  12. Host specificity of the ruminal bacterial community in the dairy cow followng near-total exchange of ruminal contents

    Science.gov (United States)

    The purpose of this study was to examine the stability and host specificity of a cow’s ruminal bacterial community following massive challenge with the ruminal microflora from another cow. In each of two experiments, one pair of cows was selected on the basis of differences in ruminal bacterial comm...

  13. Public health program planning logic model for community engaged type 2 diabetes management and prevention.

    Science.gov (United States)

    West, Joseph F

    2014-02-01

    Diabetes remains a growing epidemic with widening health inequity gaps in disease management, self-management knowledge, access to care and outcomes. Yet there is a paucity of evaluation tools for community engaged interventions aimed at closing the gaps and improving health. The Guide to Community Preventive Services (the Community Guide) developed by the Task Force on Community Preventive Services (the Task Force) at the Centers for Disease Control and Prevention (CDC) recommends two healthcare system level interventions, case management interventions and disease management programs, to improve glycemic control. However, as a public health resource guide for diabetes interventions a model for community engagement is a glaringly absent component of the Community Guide recommendations. In large part there are few evidence-based interventions featuring community engagement as a practice and system-level focus of chronic disease and Type 2 diabetes management. The central argument presented in this paper is that the absence of these types of interventions is due to the lack of tools for modeling and evaluating such interventions, especially among disparate and poor populations. A conceptual model emphasizing action-oriented micro-level community engagement is needed to complement the Community Guide and serve as the basis for testing and evaluation of these kinds of interventions. A unique logic model advancing the Community Guide diabetes recommendations toward measureable and sustainable community engagement for improved Type 2 diabetes outcomes is presented. Copyright © 2013 Elsevier Ltd. All rights reserved.

  14. Cattle impact on composition of archaeal, bacterial, and fungal communities by comparative fingerprinting of total and extracellular DNA

    Czech Academy of Sciences Publication Activity Database

    Chroňáková, Alica; Ascher, J.; Jirout, Jiří; Ceccherini, M.T.; Elhottová, Dana; Pietramellara, G.; Šimek, Miloslav

    2013-01-01

    Roč. 49, č. 3 (2013), s. 351-361 ISSN 0178-2762 R&D Projects: GA ČR GA526/09/1570; GA ČR GAP504/10/2077; GA MŠk LC06066 Institutional support: RVO:60077344 Keywords : SSU rRNA gene-DGGE * soil microbial community * cattle impact Subject RIV: EE - Microbiology, Virology Impact factor: 3.396, year: 2013

  15. A New Total Digital Smile Planning Technique (3D-DSP to Fabricate CAD-CAM Mockups for Esthetic Crowns and Veneers

    Directory of Open Access Journals (Sweden)

    F. Cattoni

    2016-01-01

    Full Text Available Purpose. Recently, the request of patients is changed in terms of not only esthetic but also previsualization therapy planning. The aim of this study is to evaluate a new 3D-CAD-CAM digital planning technique that uses a total digital smile process. Materials and Methods. Study participants included 28 adult dental patients, aged 19 to 53 years, with no oral, periodontal, or systemic diseases. For each patient, 3 intra- and extraoral pictures and intraoral digital impressions were taken. The digital images improved from the 2D Digital Smile System software and the scanner stereolithographic (STL file was matched into the 3D-Digital Smile System to obtain a virtual previsualization of teeth and smile design. Then, the mockups were milled using a CAM system. Minimally invasive preparation was carried out on the enamel surface with the mockups as position guides. Results. The patients found both the digital smile design previsualization (64.3% and the milling mockup test (85.7% very effective. Conclusions. The new total 3D digital planning technique is a predictably and minimally invasive technique, allows easy diagnosis, and improves the communication with the patient and helps to reduce the working time and the errors usually associated with the classical prosthodontic manual step.

  16. Application of a tool of aid to the energy planning in isolated rural communities. Case of application Las Peladas

    International Nuclear Information System (INIS)

    Benítez Leyva, Lázaro Ventura; Jerez Pereira, Rubén; Pompa Chávez, Yanel; Tamayo Saborit, Michel; Rosa Andino, Alain de la

    2014-01-01

    This work refers the experience of a study of case realized in the rural community Las Peladas, located in the municipality Bartolome Maso Marquez, of the Granma province. In the same the application of a multi-objective mathematical model like computer tool of aid to the planning appears energetics, in agreement with the specific characteristics of the analyzed locality. The field study was based on the results of a participating survey, the observation and compilation of data that it made possible to obtain a characterization of the community and, this way, of delimiting the necessary parameters for the application of the tool. Five alternatives were evaluated: Aeolian energy, biomass, to pave, hydraulics and the connection to the national network. Of them, the model suggests, that the photovoltaic energy solar exerts the greater influence in the improvement of the integral sustainability of the capitals natural, physical, financial, human and social in the community. (author)

  17. Exploring Local Perspectives for Conservation Planning: A Case Study from a Remote Forest Community in Indonesian Papua

    Directory of Open Access Journals (Sweden)

    Miriam van Heist

    2015-09-01

    Full Text Available Reconciling conservation and livelihoods is a concern wherever forests are important in local people’s lives. We plead for engaging these people in survey activities to clarify what is important to them, as a first step in conservation planning. This will help to address their priorities and gain their guidance and support for interventions. This paper presents the results of such a survey with the community of Kwerba in Mamberamo, a remote and little known part of Indonesian Papua. Views and priorities were explored through interviews, scoring exercises, community mapping and a field survey. Whereas small gardens provided most staple food, culture and livelihoods were linked to the forest. People scored primary forest highest for nearly all use categories. Primary forest was particularly highly valued as a source of construction materials, ornaments and rituals, and as a hunting place. We developed a list of the overall most important plants and animals. Many natural resources were used, but few were commercially exploited. The community had rules to control access to certain areas and resources. Taboos to restrict access to sacred places were also maintained. Our evaluation identified opportunities to achieve conservation outcomes jointly with the Kwerba people. In follow-up activities, the community presented local government with a land-use plan for their territory. The government recognized the value of our approach and requested training to implement it more widely in the region.

  18. Rural community birth: Maternal and neonatal outcomes for planned community births among rural women in the United States, 2004-2009.

    Science.gov (United States)

    Nethery, Elizabeth; Gordon, Wendy; Bovbjerg, Marit L; Cheyney, Melissa

    2017-11-13

    Approximately 22% of women in the United States live in rural areas with limited access to obstetric care. Despite declines in hospital-based obstetric services in many rural communities, midwifery care at home and in free standing birth centers is available in many rural communities. This study examines maternal and neonatal outcomes among planned home and birth center births attended by midwives, comparing outcomes for rural and nonrural women. Using the Midwives Alliance of North America Statistics Project 2.0 dataset of 18 723 low-risk, planned home, and birth center births, rural women (n = 3737) were compared to nonrural women. Maternal outcomes included mode of delivery (cesarean and instrumental delivery), blood transfusions, severe events, perineal lacerations, or transfer to hospital and a composite (any of the above). The primary neonatal outcome was a composite of early neonatal intensive care unit or hospital admissions (longer than 1 day), and intrapartum or neonatal deaths. Analysis involved multivariable logistic regression, controlling for sociodemographics, antepartum, and intrapartum risk factors. Rural women had different risk profiles relative to nonrural women and reduced risk of adverse maternal and neonatal outcomes in bivariable analyses. However, after adjusting for risk factors and confounders, there were no significant differences for a composite of maternal (adjusted odds ratio [aOR] 1.05 [95% confidence interval {CI} 0.93-1.19]) or neonatal (aOR 1.13 [95% CI 0.87-1.46]) outcomes between rural and nonrural pregnancies. Among this sample of low-risk women who planned midwife-led community births, no increased risk was detected by rural vs nonrural status. © 2017 Wiley Periodicals, Inc.

  19. Physical aspects of total-body irradiation at the Middlesex Hospital (UCL group of hospitals), London 1988 - 1993: II. In vivo planning and dosimetry

    Science.gov (United States)

    Planskoy, B.; Tapper, P. D.; Bedford, A. M.; Davis, F. M.

    1996-11-01

    Part II of this paper gives the results of applying the TBI methods described in part I, to in vivo patient planning and dosimetry. Patients are planned on nine CT based body slices, five of which pass through the lungs. Planned doses are verified with ten silicon diodes applied bi-laterally to five body sites, at each treatment. LiF TLDs are applied to seven other body sites at the first treatment only. For 84 patients and at least 1016 measurements per body site with the diodes, the mean measured total doses agreed with planned doses within at most 2% except at lung levels, where the mean measured dose was 3% too low. Standard deviations of the measurements about the mean were between 2.4 and 3.1%. For the LiF TLDs, the mean measured doses for all seven body sites were within of planned doses. A separate assessment of measured entrance and transmitted doses showed that the former agreed well with planned doses, but that the latter tended to be low, especially over the lungs, and that they had a wider dispersion. Possible reasons for this are discussed. These results show measurement uncertainties similar to those for non-TBI treatments of Nilsson et al, Leunens et al and Essers et al. An analysis of the treatment plans showed a mean dose inhomogeneity in the body (75 patients, nine slices) of (1 s.d.) and in the lungs (40 patients, five slices) of (1 s.d.). The conclusions are that, overall, the methods are reasonably satisfactory but that, with an extra effort, even closer agreement between measured and planned doses and a further limited reduction in the body dose inhomogeneity could be obtained. However, if it were thought desirable to make a substantial reduction in the dose inhomogeneity in the body and lungs, this could only be achieved with the available equipment by changing from lateral to anterior - posterior irradiation and any potential advantages of this change would have to be balanced against a likely deterioration in patient comfort and an

  20. 77 FR 9956 - Announcement of Funding Awards for the Sustainable Communities Regional Planning Grant Program...

    Science.gov (United States)

    2012-02-21

    ... and workforce development, transportation, and infrastructure investments in a manner that empowers... nontraditional partnerships (e.g., arts and culture, recreation, public health, food systems, regional planning...

  1. Stakeholder perceptions of a total market approach to family planning in Nicaragua Percepciones de grupos interesados sobre la aplicación de un enfoque de mercado total a la planificación familiar en Nicaragua

    Directory of Open Access Journals (Sweden)

    Jennifer Kidwell Drake

    2011-05-01

    Full Text Available OBJECTIVE: To assess private-sector stakeholders' and donors' perceptions of a total market approach (TMA to family planning in Nicaragua in the context of decreased funding; to build evidence for potential strategies and mechanisms for TMA implementation (including public-private partnerships (PPPs; and to identify information gaps and future priorities for related research and advocacy. METHODS: A descriptive exploratory study was conducted in various locations in Nicaragua from March to April 2010. A total of 24 key private-sector stakeholders and donors were interviewed and their responses analyzed using two questionnaires and a stakeholder analysis tool (PolicyMakerTM software. RESULTS: All survey participants supported a TMA, and public-private collaboration, in family planning in Nicaragua. Based on the survey responses, opportunities for further developing PPPs for family planning include building on and expanding existing governmental frameworks, such as Nicaragua's current coordination mechanism for contraceptive security. Obstacles include the lack of ongoing government engagement with the commercial (for-profit sector and confusion about regulations for its involvement in family planning. Strategies for strengthening existing PPPs include establishing a coordination mechanism specifically for the commercial sector and collecting and disseminating evidence supporting public-private collaboration in family planning. CONCLUSIONS: There was no formal or absolute opposition to a TMA or PPPs in family planning in Nicaragua among a group of diverse nongovernmental stakeholders and donors. This type of study can help identify strategies to mobilize existing and potential advocates in achieving articulated policy goals, including diversification of funding sources for family planning to achieve contraceptive security.OBJETIVO: Evaluar las percepciones de los grupos interesados y de los donantes del sector privado sobre la aplicación de un

  2. TERRITORIAL LAND-USE PLANNING IN THE CONTEXT OF FORMATION THE FINANCIAL STABILITY OF THE UNITED LOCAL COMMUNITIES

    Directory of Open Access Journals (Sweden)

    Tretiak A.

    2017-02-01

    Full Text Available Territorial planning now is one of the essential attributes of management activities developed countries. The modern system of planning land- use in Ukraine now is not formed and balanced and does not provide positive results in achieving its high economic efficiency and environmental safety. Territorial planning of land use wasn’t needed by system of state and municipal administration because there are problems in the territorial land management which are related with insufficient compliance current needs of sustainable development. If planning of development in the cities (towns is developed and makes of base planning documentation (general plans then the area of land ownership and land use outside towns isn’t covered completely creation of land documents. In Ukraine in most scientific research view separate aspects of influence territorial use of planning the spatial organization of economic activities of local communities. For the new community situation in use land and natural resources became difficult, first of all through: -underestimation of the complexity and specificity of land reform during land and economic reforms in Ukraine; - local community hasn’t full information about rights to land and other natural resources, their potential use and protection of the state; - incompetence of system solving problems of land reform in the local councils, for example : remove communities from order of land in their territories, lands of state and municipal property aren’t separated, land reform and land tenure systems, especially in agriculture are incomplete; - unsatisfactory legal and information support and protection of property rights of villagers to land and other natural resources; - ignoring the problems of putting into economic turnover of land as a capital resource and integrated approach to village territories in development the transformation of land relations, absence of a balanced state land politics of planning of land

  3. Total Quality Management in the African business community of Burkina Faso : a change in perspective on knowledge development

    NARCIS (Netherlands)

    Karsten, L.; Pennink, B.

    2007-01-01

    During the 1990s Total Quality Management (TQM) became diffused to Burkina Faso. The overarching logic of privatization due to Structural Adjustment Programs prepared the ground for far-reaching changes in management practices. TQM became exhorted as a new way of manufacturing. This new management

  4. 75 FR 6689 - Sustainable Communities Planning Grant Program Advance Notice and Request for Comment

    Science.gov (United States)

    2010-02-10

    ... final NOFA will be broadly announced through appropriate and familiar means and will provide further... sustainability, and social equity in metropolitan regions and rural communities. Recognizing the fundamental role... way in reshaping the role of the Federal government in helping communities obtain the capacity to...

  5. Shuffling the Operational Deck: Future Requirements for the Plans, Operations, Medical Intelligence (POMI) Community

    Science.gov (United States)

    2011-04-11

    countries. PepsiCo, IBM and Nike are current examples of the so-called "game planning" approach to succession and talent ~anagement.21 Annual...Rothwell and associates, inc .; a full-service consulting Succession Planning finn provides other partner industries with the value of strategic

  6. An Integrative Approach to Value-Added Planning: From Community Needs to Local Authority Revenue

    NARCIS (Netherlands)

    Cilliers, E.J.; Timmermans, W.

    2015-01-01

    The concept of value-added planning (as part of the Valuing Attractive Landscapes in the Urban Economy, INTERREG IVB North West Europe Project) is introduced in this paper to facilitate integrative planning, focusing on the benefits that use and non-use green spaces can provide to an urban area. The

  7. School Travel Planning: Mobilizing School and Community Resources to Encourage Active School Transportation

    Science.gov (United States)

    Buliung, Ron; Faulkner, Guy; Beesley, Theresa; Kennedy, Jacky

    2011-01-01

    Background: Active school transport (AST), school travel using an active mode like walking, may be important to children's overall physical activity. A "school travel plan" (STP) documents a school's transport characteristics and provides an action plan to address school and neighborhood barriers to AST. Methods: We conducted a pilot STP…

  8. The National LGBT Cancer Action Plan: A White Paper of the 2014 National Summit on Cancer in the LGBT Communities

    Science.gov (United States)

    Margolies, Liz; Sigurdsson, Hrafn Oli; Walland, Jonathan; Radix, Asa; Rice, David; Buchting, Francisco O.; Sanchez, Nelson F.; Bare, Michael G.; Boehmer, Ulrike; Cahill, Sean; Griebling, Tomas L.; Bruessow, Diane; Maingi, Shail

    2016-01-01

    Abstract Despite growing social acceptance of lesbians, gay men, bisexuals, and transgender (LGBT) persons and the extension of marriage rights for same-sex couples, LGBT persons experience stigma and discrimination, including within the healthcare system. Each population within the LGBT umbrella term is likely at elevated risk for cancer due to prevalent, significant cancer risk factors, such as tobacco use and human immunodeficiency virus infection; however, cancer incidence and mortality data among LGBT persons are lacking. This absence of cancer incidence data impedes research and policy development, LGBT communities' awareness and activation, and interventions to address cancer disparities. In this context, in 2014, a 2-day National Summit on Cancer in the LGBT Communities was convened by a planning committee for the purpose of accelerating progress in identifying and addressing the LGBT communities' concerns and needs in the spheres of cancer research, clinical cancer care, healthcare policy, and advocacy for cancer survivorship and LGBT health equity. Summit participants were 56 invited persons from the United States, United Kingdom, and Canada, representatives of diverse identities, experiences, and knowledge about LGBT communities and cancer. Participants shared lessons learned and identified gaps and remedies regarding LGBT cancer concerns across the cancer care continuum from prevention to survivorship. This white paper presents background on each of the Summit themes and 16 recommendations covering the following: sexual orientation and gender identity data collection in national and state health surveys and research on LGBT communities and cancer, the clinical care of LGBT persons, and the education and training of healthcare providers.

  9. Beam’s-eye-view dosimetrics (BEVD) guided rotational station parameter optimized radiation therapy (SPORT) planning based on reweighted total-variation minimization

    Science.gov (United States)

    Kim, Hojin; Li, Ruijiang; Lee, Rena; Xing, Lei

    2015-03-01

    Conventional VMAT optimizes aperture shapes and weights at uniformly sampled stations, which is a generalization of the concept of a control point. Recently, rotational station parameter optimized radiation therapy (SPORT) has been proposed to improve the plan quality by inserting beams to the regions that demand additional intensity modulations, thus formulating non-uniform beam sampling. This work presents a new rotational SPORT planning strategy based on reweighted total-variation (TV) minimization (min.), using beam’s-eye-view dosimetrics (BEVD) guided beam selection. The convex programming based reweighted TV min. assures the simplified fluence-map, which facilitates single-aperture selection at each station for single-arc delivery. For the rotational arc treatment planning and non-uniform beam angle setting, the mathematical model needs to be modified by additional penalty term describing the fluence-map similarity and by determination of appropriate angular weighting factors. The proposed algorithm with additional penalty term is capable of achieving more efficient and deliverable plans adaptive to the conventional VMAT and SPORT planning schemes by reducing the dose delivery time about 5 to 10 s in three clinical cases (one prostate and two head-and-neck (HN) cases with a single and multiple targets). The BEVD guided beam selection provides effective and yet easy calculating methodology to select angles for denser, non-uniform angular sampling in SPORT planning. Our BEVD guided SPORT treatment schemes improve the dose sparing to femoral heads in the prostate and brainstem, parotid glands and oral cavity in the two HN cases, where the mean dose reduction of those organs ranges from 0.5 to 2.5 Gy. Also, it increases the conformation number assessing the dose conformity to the target from 0.84, 0.75 and 0.74 to 0.86, 0.79 and 0.80 in the prostate and two HN cases, while preserving the delivery efficiency, relative to conventional single-arc VMAT plans.

  10. Beam’s-eye-view dosimetrics (BEVD) guided rotational station parameter optimized radiation therapy (SPORT) planning based on reweighted total-variation minimization

    International Nuclear Information System (INIS)

    Kim, Hojin; Li, Ruijiang; Xing, Lei; Lee, Rena

    2015-01-01

    Conventional VMAT optimizes aperture shapes and weights at uniformly sampled stations, which is a generalization of the concept of a control point. Recently, rotational station parameter optimized radiation therapy (SPORT) has been proposed to improve the plan quality by inserting beams to the regions that demand additional intensity modulations, thus formulating non-uniform beam sampling. This work presents a new rotational SPORT planning strategy based on reweighted total-variation (TV) minimization (min.), using beam’s-eye-view dosimetrics (BEVD) guided beam selection. The convex programming based reweighted TV min. assures the simplified fluence-map, which facilitates single-aperture selection at each station for single-arc delivery. For the rotational arc treatment planning and non-uniform beam angle setting, the mathematical model needs to be modified by additional penalty term describing the fluence-map similarity and by determination of appropriate angular weighting factors. The proposed algorithm with additional penalty term is capable of achieving more efficient and deliverable plans adaptive to the conventional VMAT and SPORT planning schemes by reducing the dose delivery time about 5 to 10 s in three clinical cases (one prostate and two head-and-neck (HN) cases with a single and multiple targets). The BEVD guided beam selection provides effective and yet easy calculating methodology to select angles for denser, non-uniform angular sampling in SPORT planning. Our BEVD guided SPORT treatment schemes improve the dose sparing to femoral heads in the prostate and brainstem, parotid glands and oral cavity in the two HN cases, where the mean dose reduction of those organs ranges from 0.5 to 2.5 Gy. Also, it increases the conformation number assessing the dose conformity to the target from 0.84, 0.75 and 0.74 to 0.86, 0.79 and 0.80 in the prostate and two HN cases, while preserving the delivery efficiency, relative to conventional single-arc VMAT plans

  11. Acute effects of total suspended particles and sulfur dioxides on preterm delivery: a community-based cohort study

    Energy Technology Data Exchange (ETDEWEB)

    Xu, X.P.; Ding, H.; Wang, X.B. [Harvard University, Boston, MA (United States). Dept. of Environmental Health

    1995-11-01

    The acute effects of air pollution on preterm delivery were examined in a prospective cohort in Beijing, China. From early pregnancy until delivery in 1988, we followed all registered pregnant women who lived in four residential areas of Beijing. Information for both mothers and infants was collected. Daily air pollution and meteorological data were obtained independently. The sample for analysis included 25 370 resident women who gave first live births in 1988. Multiple linear regression and logistic regression were used to estimate the effects of air pollution on gestational age and preterm delivery (i.e. {lt} 37 wk), with adjustment for outdoor temperature and humidity, day of the week, season, maternal age, gender of child, and residential area. Very high concentrations of ambient sulfur dioxide (mean = 102 {mu}g/m{sup 3}), (maximum = 630 {mu}g/m{sup 3}) and total suspended particulates (mean = 375 {mu}g/m{sup 3}), (maximum =1 003 {mu}g/m{sup 3}) were observed in these areas. There was a significant dose-dependent association between gestational age and sulfur dioxide and total suspended particulate concentrations. The estimated reduced duration of gestation was 0.075 wk (12.6 h) and 0.042 wk (7.1 h) for each 100 {mu}g/m{sup 3} increase in sulfur dioxide and total suspended particulates 7-d lagged moving average, respectively. We concluded that high levels of total suspended particulates and sulfur dioxide, or of a more complex pollution mixture associated with these pollutants, appear to contribute to excess risk of preterm delivery in this population. Further work needs to be carried out, with more detailed information on personal exposure and effect modifiers.

  12. Reliability of community health worker collected data for planning and policy in a peri-urban area of Kisumu, Kenya.

    Science.gov (United States)

    Otieno, C F; Kaseje, D; Ochieng', B M; Githae, M N

    2012-02-01

    A general introduction of this article is as follows: Reliable and timely health information is an essential foundation of public health action and health systems strengthening, both nationally and internationally (Aqil et al. in Health Policy Plan 24(3): 217-228, 2009; Bradshaw et al. in initial burden of disease estimates for South Africa, 2000. South African Medical Research Council, Cape Town, 2003). The need for sound information is especially urgent in the case of emergent diseases and other acute health threats, where rapid awareness, investigation and response can save lives and prevent broader national outbreaks and even global pandemics (Aqil et al. in Health Policy Plan 24(3): 217-228, 2009). The government of Kenya, through the ministry of public health and sanitation has rolled out the community health strategy as a way of improving health care at the household level. This involves community health workers collecting health status data at the household level, which is then used for dialogue at all the levels to inform decisions and actions towards improvement in health status. A lot of health interventions have involved the community health workers in reaching out to the community, hence successfully implementing these health interventions. Large scale involvement of community health workers in government initiatives and most especially to collect health data for use in the health systems has been minimal due to the assumption that the data may not be useful to the government, because its quality is uncertain. It was therefore necessary that the validity and reliability of the data collected by community health workers be determined, and whether this kind of data can be used for planning and policy formulation for the communities from which it is collected. This would go a long way to settle speculation on whether the data collected by these workers is valid and reliable for use in determining the health status, its causes and distribution, of a

  13. A systematic strategic planning process focused on improved community engagement by an academic health center: the University of Kansas Medical Center's story.

    Science.gov (United States)

    Cook, David C; Nelson, Eve-Lynn; Ast, Cori; Lillis, Teresa

    2013-05-01

    A growing number of academic health centers (AHCs) are considering approaches to expand collaboration with their communities in order to address complex and multisystem health concerns. In 2010, internal leaders at the University of Kansas Medical Center undertook a strategic planning process to enhance both community engagement activities and the scholarship resulting from these engagement activities. The authors describe the strategic planning process, recommendations, and actions associated with elevating community engagement within the AHC's mission and priorities. The strategic planning process included conducting an inventory of community engagement activities within the AHC; analyzing strengths, weaknesses, opportunities, and threats for community engagement work; and identifying goals and strategies to improve future community engagement activities and scholarship. The resulting road map for enhancing community engagement at their institution through 2015 consists of four main strategies: emphasize scholarship in community engagement, revise organizational structures to better facilitate community engagement, prioritize current engagement activities to ensure appropriate use of resources, and enhance communication of engagement initiatives to further develop stakeholder relationships.The authors also discuss implementation of the plan to date and highlight lessons learned that may inform other AHCs as they enhance and expand similar endeavors.

  14. Strategic Planning for Irwin Army Community Hospital: The Assessment and Implementation of Services, in Order to Meet Fort Riley's Increasing Population

    National Research Council Canada - National Science Library

    Besser, Christopher S

    2008-01-01

    ... that is significantly increasing in size yet with the same physical support structure. The purpose of this research is to develop a strategic plan to determine an optimal "mix" of services for Irwin Army Community Hospital (IACH...

  15. Understanding the Role and Impact of Effective Country and Community Leadership in Progress Toward the Global Plan.

    Science.gov (United States)

    Lyons, Charles; Pillay, Yogan

    2017-05-01

    Individual leadership and leaders have played pivotal roles in the history of efforts to end the AIDS epidemic. The goal of this article is to reflect on and understand how leadership and leaders have impacted and enabled the success of the Global Plan Towards the Elimination of New HIV Infections among Children by 2015 and Keeping their Mothers Alive (Global Plan). To accomplish this goal, multiple interviews were conducted with individuals in positions of leadership who had been identified as people whose actions drove progress. Interviewees were selected from all levels of traditional hierarchies and sectors to provide a more complete account and representation of leadership, with a particular emphasis on the community, district, and country levels. The leaders interviewed provide insight into their work, motivations, and approaches to effective leadership. Through their experiences, they shed light on the strategies they used to drive changes in policy, programs, practice, and communities that allowed for progress toward the goals of the Global Plan. Leaders also identify future challenges and areas of improvement in the effort to end the AIDS epidemic that they feel require leadership and urgent action. In conclusion, this article identifies common characteristics of effective leadership and reflects on the experiences of individuals who are leaders in the effort to end the AIDS epidemic, and how their lessons learned can be applied to help realize future global public health goals.

  16. Community

    Science.gov (United States)

    stability Science & Innovation Collaboration Careers Community Environment Science & Innovation Recruitment Events Community Commitment Giving Campaigns, Drives Economic Development Employee Funded neighbor pledge: contribute to quality of life in Northern New Mexico through economic development

  17. Plant assemblage composition and soil P concentration differentially affect communities of AM and total fungi in a semi-arid grassland.

    Science.gov (United States)

    Klabi, Rim; Bell, Terrence H; Hamel, Chantal; Iwaasa, Alan; Schellenberg, Mike; Raies, Aly; St-Arnaud, Marc

    2015-01-01

    Adding inorganic P- and N-fixing legumes to semi-arid grasslands can increase forage yield, but soil nutrient concentrations and plant cover may also interact to modify soil fungal populations, impacting short- and long-term forage production. We tested the effect of plant assemblage (seven native grasses, seven native grasses + the domesticated N-fixing legume Medicago sativa, seven native grasses + the native N-fixing legume Dalea purpurea or the introduced grass Bromus biebersteinii + M. sativa) and soil P concentration (addition of 0 or 200 P2O5 kg ha(-1) at sowing) on the diversity and community structure of arbuscular mycorrhizal (AM) fungi and total fungi over two consecutive years, using 454-pyrosequencing of 18S rDNA and ITS amplicons. Treatment effects were stronger in the wet year (2008) than the dry year (2009). The presence of an N-fixing legume with native grasses generally increased AM fungal diversity, while the interaction between soil P concentration and plant assemblage modified total fungal community structure in 2008. Excluding interannual variations, which are likely driven by moisture and plant productivity, AM fungal communities in semi-arid grasslands appear to be primarily affected by plant assemblage composition, while the composition of other fungi is more closely linked to soil P. © FEMS 2014. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  18. Integrating Youth into Community Development: Implications for Policy Planning and Program Evaluation

    Directory of Open Access Journals (Sweden)

    Rosemary V. Barnett

    2006-09-01

    Full Text Available As non-profits, volunteer groups, and nongovernmental organizations take on increasingly larger roles in contributing to local well-being, the active collaboration between youth and adults is vital to the long-term success of community development efforts. Similarly, as service activities become standardized components of high-school programs, youth are empowered to becoming long-term contributors to local development efforts. Through this process youth engage in shared citizenship, leading to greater investment in their communities. This research was based on the premise that youth, acting as central parts of the community development process, have the capacity to improve local well-being. It reflects input from 12 key informants and 418 youth who participated in a survey conducted on the development issues contributing to their involvement. The findings of this study provide insights into the factors most directly shaping youth attitudes and involvement in their communities, as well as presenting direct implications for applied use.

  19. Integrated rural mobility and access: mainstreaming environmental issues in community transport planning and construction projects

    CSIR Research Space (South Africa)

    Mashiri, M

    2008-07-01

    Full Text Available endeavours to find innovative solutions to challenges related to accessing socio-economic opportunities by communities within the ambit of environmental sustainability. These interventions would include inter alia, the provision of appropriate and integrated...

  20. Local governments and climate change: sustainable energy planning and implementation in small and medium sized communities

    National Research Council Canada - National Science Library

    Van Staden, Maryke; Musco, Francesco

    2010-01-01

    The focus of 'Local governments and climate change' is on how small and medium-sized communities in Europe are effectively responding to climate change, with a particular focus on different approaches...

  1. EPA Seeks Public Input for National Plan to Manage PFAS at First Community Engagement Event

    Science.gov (United States)

    New Englanders know that our part of the country is special. New England boasts vibrant communities, many with histories dating to before the American Revolution. Our environment is also unique and wonderful.

  2. United States Intelligence Community 500 Day Plan for Integration and Collaboration

    National Research Council Canada - National Science Library

    2007-01-01

    ..., cyber attacks, and illegal trafficking. The Intelligence Community (IC) is adjusting to meet this new complex threat environment and adapt to the new strategic context in which it now operates...

  3. Theory and Praxis in Community Based Language Development: preliminary findings from applications of the Guide for Planning the Future of Our Language

    OpenAIRE

    Eberhard David M.

    2017-01-01

    This study will provide a critique of preliminary results obtained from the application of the ‘Guide for Planning the Future of Our Language’ (Hanawalt, Varenkamp, Lahn, & Eberhard 2015) in minority speech communities. This recent methodological tool was developed to enable and empower minoritized language groups to do their own language planning and to control their own language development. The tool is based on a theoretical approach to community based language development known as the ‘Su...

  4. The U.S. Intelligence Community's Five Year Strategic Human Capital Plan

    National Research Council Canada - National Science Library

    2006-01-01

    .... The National Intelligence Strategy (NIS) requires a 5-year human capital strategy that will build an agile, "all source" workforce by projecting and planning for mission critical human resource requirements...

  5. A technology-supported collaboration between a health plan and a community pharmacy to improve blood pressure control.

    Science.gov (United States)

    Frail, Caitlin K; Cooper, Susan; Gallagher, Tim; Sarkis, Josh; Topor, Laura; Bruzek, Richard J

    To assess the impact of a health plan and community pharmacy partnership to improve blood pressure control. A midwestern health plan and a regional community pharmacy chain. Health plan members with a hypertension diagnosis and attributed to the pharmacy chain based on prescription claims were invited to participate. Interested patients enrolled in the program at their pharmacies and were assigned a "smart card" for use with a blood pressure kiosk in the pharmacy. When the card was used at the kiosk, individual patient readings were linked directly to their electronic pharmacy record and an online patient portal. Pharmacists intervened with patients and prescribers as necessary to address adherence issues and adjust therapy as needed. Before and after blood pressure readings were assessed to determine the impact of patient self-monitoring and pharmacist intervention for patients with 1) uncontrolled blood pressure at first reading and 2) multiple readings throughout the pilot period. Fifty-six of 276 eligible patients (20%) were enrolled in the program. Fourteen patients qualified for before and after assessments, having uncontrolled blood pressure on initial reading and multiple readings throughout the pilot. These patients demonstrated a mean reduction in systolic blood pressure of 12 mm Hg and diastolic blood pressure of 8 mm Hg. Nine of 16 eligible pharmacy locations enrolled patients at their sites. Challenges faced in the initiative included gaining adequate pharmacist and patient engagement. The pilot demonstrated promising early results in a model that has potential to improve blood pressure monitoring and management in a community pharmacy setting. Copyright © 2017 American Pharmacists Association®. Published by Elsevier Inc. All rights reserved.

  6. Challenges of Implementing Renewable Energy Policies at Community Scale: The Case of Strategic Energy Plans in Denmark

    DEFF Research Database (Denmark)

    Petersen, Jens-Phillip

    2017-01-01

    The implementation of national energy efficiency targets requires policies at the local scale. It is widely acknowledged that local communities play an important tole to implement these policies: as arena where renewable energy technologies can be combined with socio-economic interests of local...... stakeholders. Although a vast amount of demo projects are well-documented, insufficient attention has been given to the average performing municipalities and their challenges in linking technical energy scenarios with their socio-economic realities in practice. This paper analyses the Strategic Energy Plans...... (SEP) of 17 Danish municipalities on their development, inclusion of local communities, affected stakeholders, and on their impact on the municipalities’ working procedures. The main technical, physical, organisational and socio-economic challenges for local energy policy implementation are illustrated...

  7. Can scenario-planning support community-based natural resource management? Experiences from three countries in Latin America

    Directory of Open Access Journals (Sweden)

    Kerry A. Waylen

    2015-12-01

    Full Text Available Community-based natural resource management (CBNRM is a concept critical to managing social-ecological systems but whose implementation needs strengthening. Scenario planning is one approach that may offer benefits relevant to CBNRM but whose potential is not yet well understood. Therefore, we designed, trialed, and evaluated a scenario-planning method intended to support CBNRM in three cases, located in Colombia, Mexico, and Argentina. Implementing scenario planning was judged as worthwhile in all three cases, although aspects of it were challenging to facilitate. The benefits generated were relevant to strengthening CBNRM: encouraging the participation of local people and using their knowledge, enhanced consideration of and adaptation to future change, and supporting the development of systems thinking. Tracing exactly when and how these benefits arose was challenging, but two elements of the method seemed particularly useful. First, using a systematic approach to discuss how drivers of change may affect local social-ecological systems helped to foster systems thinking and identify connections between issues. Second, explicitly focusing on how to use and respond to scenarios helped identify specific practical activities, or "response options," that would support CBNRM despite the pressures of future change. Discussions about response options also highlighted the need for support by other actors, e.g., policy groups: this raised the question of when and how other actors and other sources of knowledge should be involved in scenario planning, so as to encourage their buy-in to actions identified by the process. We suggest that other CBNRM initiatives may benefit from adapting and applying scenario planning. However, these initiatives should be carefully monitored because further research is required to understand how and when scenario-planning methods may produce benefits, as well as their strengths and weaknesses versus other methods.

  8. The Coastal Resilience Index: High School Students Planning for Their Community's Future

    Science.gov (United States)

    Kastler, J. A.; Dorcik, S.; Sempier, T.; Kimbrell, C.

    2017-12-01

    Communities in Jackson County, Mississippi sustained heavy damages during Hurricane Katrina in 2005 and are expected to experience early effects as sea level rise and increasing episodes of nuisance flooding. Many high school students still remember months-long evacuations and other disruptions to home and family in 2005. Others do not remember or moved here recently. None anticipate their communities are likely to face similar challenges in the future, nor do they have a strong understanding that preparing for such an event is a practical, local career choice for a science major. Through a series of classroom and field lessons, students in two coastal communities learned how and why coastal habitats are changing, and how modeling predicts future impacts. During a culminating experience students learn how to use the Coastal Resilience Index developed by Mississippi Alabama Sea Grant Consortium. Working in teams or three to four students, the students addressed one of twelve scenarios based on real experiences observed by Gulf Coast communities during their post-hurricane assessments. Each team explored its topic using internet resources and conversations with family members, then worked together to brainstorm possible approaches to address the situation described in their scenario. They selected one potential solution for their focus and developed it, ultimately producing a poster of the scenario and their idea of its solution. The teams gathered at the University of Southern Mississippi at the end of the term to present their work, science fair style, to a selection of community leaders from the Climate Community of Practice. Posters were judged and best poster presentations were awarded. This talk will focus on the evaluation results. Existing qualitative observations show differences in awareness and self-efficacy to work productively in this field. Community leaders expressed interest in the solutions offered. Ongoing quantitative evaluations will also be

  9. Knowledge Networking for Family Planning: The Potential for Virtual Communities of Practice to Move Forward the Global Reproductive Health Agenda

    Directory of Open Access Journals (Sweden)

    Megan O’Brien

    2010-06-01

    Full Text Available This paper highlights experience from five years of using virtual communication tools developed by the World Health Organization Department of Reproductive Health and Research (WHO/RHR and its partners in the Implementing Best Practices (IBP in Reproductive Health Initiative to help bridge the knowledge-to-practice gap among family planning and reproductive health professionals. It explores how communities of practice and virtual networks offer a unique low-cost way to convene public health practitioners around the world to share experiences. It offers examples of how communities of practice can contribute to the development and dissemination of evidence-based health information products, and explores the potential for online networking and collaboration to enhance and inform program design and management. The paper is intended to inform the reproductive health community, as well as others working in health and development, of the potential for using virtual communities of practice to work towards achieving common goals and provide some examples of their successful use.

  10. Total Quality Management Master Plan

    Science.gov (United States)

    1989-01-01

    Enhanced competitiveness in the private . public and international sectors - Increased cash flow, influenced by contractor’s contributions to quality I...the project applies novel public- sector compensation concepts gleaned from the best in the private sector . Major employee development opportunities...management must strive to upgrade the quality of worklife which will also contribute to an environment which fosters continuous improvement. Individuals

  11. 1992 Toxic Chemical Release Inventory: Emergency Planning and Community Right-To-Know-Act of 1986 Section 313

    International Nuclear Information System (INIS)

    1993-07-01

    Section 313 of the Emergency Planning and Community Right-To-Know Act of 1986 (EPCRA) requires the annual submittal of toxic chemical release information to the US Environmental Protection Agency (EPA). The following document is the July 1993 submittal of the EPCRA Toxic Chemical Release Inventory Report (Form R). Included is a Form R for chlorine and for lead, the two chemicals used in excess of the established regulatory thresholds at the Hanford Site by the US Department of Energy, Richland Operations Office and its contractors during calendar year 1992

  12. Household waste behaviours among a community sample in Iran: an application of the theory of planned behaviour.

    Science.gov (United States)

    Pakpour, Amir H; Zeidi, Isa Mohammadi; Emamjomeh, Mohammad Mahdi; Asefzadeh, Saeed; Pearson, Heidi

    2014-06-01

    Understanding the factors influencing recycling behaviour can lead to better and more effective recycling programs in a community. The goal of this study was to examine factors associated with household waste behaviours in the context of the theory of planned behaviour (TPB) among a community sample of Iranians that included data collection at time 1 and at follow-up one year later at time 2. Study participants were sampled from households under the coverage of eight urban health centers in the city of Qazvin. Of 2000 invited households, 1782 agreed to participate in the study. A self-reported questionnaire was used for assessing socio-demographic factors and the TPB constructs (i.e. attitude, subjective norms, perceived behavioural control, and intention). Furthermore, questions regarding moral obligation, self-identity, action planning, and past recycling behaviour were asked, creating an extended TPB. At time 2, participants were asked to complete a follow-up questionnaire on self-reported recycling behaviours. All TPB constructs had positive and significant correlations with each other. Recycling behaviour at time 1 (past behaviour) significantly related to household waste behaviour at time 2. The extended TPB explained 47% of the variance in household waste behaviour at time 2. Attitude, perceived behavioural control, intention, moral obligation, self-identity, action planning, and past recycling behaviour were significant predictors of household waste behaviour at time 2 in all models. The fact that the expanded TPB constructs significantly predicted household waste behaviours holds great promise for developing effective public campaigns and behaviour-changing interventions in a region where overall rates of household waste reduction behaviours are low. Our results indicate that educational materials which target moral obligation and action planning may be particularly effective. Copyright © 2013 Elsevier Ltd. All rights reserved.

  13. The Association between Total Protein and Vegetable Protein Intake and Low Muscle Mass among the Community-Dwelling Elderly Population in Northern Taiwan

    Directory of Open Access Journals (Sweden)

    Ru-Yi Huang

    2016-06-01

    Full Text Available Sarcopenia, highly linked with fall, frailty, and disease burden, is an emerging problem in aging society. Higher protein intake has been suggested to maintain nitrogen balance. Our objective was to investigate whether pre-sarcopenia status was associated with lower protein intake. A total of 327 community-dwelling elderly people were recruited for a cross-sectional study. We adopted the multivariate nutrient density model to identify associations between low muscle mass and dietary protein intake. The general linear regression models were applied to estimate skeletal muscle mass index across the quartiles of total protein and vegetable protein density. Participants with diets in the lowest quartile of total protein density (<13.2% were at a higher risk for low muscle mass (odds ratio (OR 3.03, 95% confidence interval (CI 1.37–6.72 than those with diets in the highest quartile (≥17.2%. Similarly, participants with diets in the lowest quartile of vegetable protein density (<5.8% were at a higher risk for low muscle mass (OR 2.34, 95% CI 1.14–4.83 than those with diets in the highest quartile (≥9.4%. Furthermore, the estimated skeletal muscle mass index increased significantly across the quartiles of total protein density (p = 0.023 and vegetable protein density (p = 0.025. Increasing daily intakes of total protein and vegetable protein densities appears to confer protection against pre-sarcopenia status.

  14. A study of acceptors and non-acceptors of family planning methods among three tribal communities.

    Science.gov (United States)

    Mutharayappa, R

    1995-03-01

    Primary data were collected from 399 currently married women of the Marati, Malekudiya, and Koraga tribes in the Dakshina Kannada district of Karnataka State in this study of the implementation of family planning programs in tribal areas. The Marati, Malekudiya, and Koraga tribes are three different endogamous tribal populations living in similar ecological conditions. Higher levels of literacy and a high rate of acceptance of family planning methods, however, have been observed among these tribes compared to the rest of the tribal population in the state. 46.4% of currently married women aged 15-49 years in the tribes were acceptors of family planning methods, having a mean 3.7 children. The majority of acceptors opted for tubectomy and vasectomy. The adoption of spacing methods is less common among tribal people. Most acceptors received their operations through government health facilities. They were motivated mainly by female health workers and received both cash and other incentives to accept family planning. The main reason for non-acceptance of family planning among non-acceptors was the desire to conceive and bear more children. The data indicate that most of the tribal households are nuclear families with household size more or less similar to that of the general population. They have a higher literacy rate than the rest of the tribal population in the state, with literacy levels between males and females and between the three tribes being quite different; the school enrollment ratio is relatively higher for both boys and girls.

  15. Community based study on married couples' family planning knowledge, attitude and practice in rural and urban Gambia.

    Science.gov (United States)

    Jammeh, Sulayman S S; Liu, Chieh-Yu; Cheng, Su-Fen; Lee-Hsieh, Jane

    2014-06-01

    Family planning services have been free of charge and available in all the health facilities in the Gambia since 1975 yet contraceptive prevalence is only 17.5% and even 6% in some areas. Since the last census in 2003, there existed no available data on married couples' contraception status. To explore married couples' family planning knowledge, attitudes, and practices in rural and urban Gambia and to analyze what factors may affect such knowledge, attitudes and practices. Quantitative cross-sectional study design was used. Through convenience sampling, 176 men and 235 women representing a total of 176 couples participated. A structured questionnaire was used for data collection. The mean scores of the married couples family planning knowledge, attitudes, and practices were 19.00 ± 6.11(ranging from 0 to 64), 6.90 ± 3.08 (0 to 14) and 4.69 ± 3.3 (0 to 19) respectively. Urban residents had higher scores on family planning practice than rural residents (pfamily planning knowledge, attitude and practice in Gambia", as well as suggesting broader health intervention programs in health education and promotion.

  16. Event and Community Development: Planning Legacy for the 2008 European Capital of Culture, Liverpool

    Directory of Open Access Journals (Sweden)

    Yi-De Liu

    2017-12-01

    Full Text Available Event legacy has become a major topic of discussion in recent years. Especially, European Capital of Culture is emerging as a means of facilitating community development in Europe. Based on a case study of the 2008 European Capital of Culture Liverpool, this article aims to conceptualise the relationship between an event and its sustained effects on community development. Methodologically, adopting case study as approach, both primary and secondary were collected and analysed, including four times neighborhood surveys, official evaluation reports and academic publications. The study period is from 2007 to 2015 to monitor changes in an event’s impacts. The results reveal four dimensions of effects, including: cultural access and engagement, volunteering, governance and infrastructure, and sense of place. Overall, the study stresses the importance of integrating the event into a long-term development strategy of the city, through synergies between culture and urban regeneration and community renewal.

  17. Local government involvement in long term resource planning for community energy systems. Demand side management

    Energy Technology Data Exchange (ETDEWEB)

    1992-03-01

    A program was developed to coordinate governmental, research, utility, and business energy savings efforts, and to evaluate future potential actions, based on actual field data obtained during the implementation of Phase I of the State Resource Plan. This has lead to the establishment of a state conservation and energy efficiency fund for the purpose of establishing a DSM Program. By taking a state wide perspective on resource planning, additional savings, including environmental benefits, can be achieved through further conservation and demand management. This effort has already blossomed into a state directive for DSM programs for the natural gas industry.

  18. Local government involvement in long term resource planning for community energy systems

    Energy Technology Data Exchange (ETDEWEB)

    1992-03-01

    A program was developed to coordinate governmental, research, utility, and business energy savings efforts, and to evaluate future potential actions, based on actual field data obtained during the implementation of Phase I of the State Resource Plan. This has lead to the establishment of a state conservation and energy efficiency fund for the purpose of establishing a DSM Program. By taking a state wide perspective on resource planning, additional savings, including environmental benefits, can be achieved through further conservation and demand management. This effort has already blossomed into a state directive for DSM programs for the natural gas industry.

  19. SU-C-213-04: Application of Depth Sensing and 3D-Printing Technique for Total Body Irradiation (TBI) Patient Measurement and Treatment Planning

    Energy Technology Data Exchange (ETDEWEB)

    Lee, M; Suh, T [Department of Biomedical Engineering, College of Medicine, The Catholic University of Korea, Seoul (Korea, Republic of); Research Institute of Biomedical Engineering, College of Medicine, The Catholic University of Korea, Seoul (Korea, Republic of); Han, B; Xing, L [Department of Radiation Oncology, Stanford University School of Medicine, Palo Alto, CA (United States); Jenkins, C [Department of Radiation Oncology, Stanford University School of Medicine, Palo Alto, CA (United States); Department of Mechanical Engineering, Stanford University, Palo Alto, CA (United States)

    2015-06-15

    Purpose: To develop and validate an innovative method of using depth sensing cameras and 3D printing techniques for Total Body Irradiation (TBI) treatment planning and compensator fabrication. Methods: A tablet with motion tracking cameras and integrated depth sensing was used to scan a RANDOTM phantom arranged in a TBI treatment booth to detect and store the 3D surface in a point cloud (PC) format. The accuracy of the detected surface was evaluated by comparison to extracted measurements from CT scan images. The thickness, source to surface distance and off-axis distance of the phantom at different body section was measured for TBI treatment planning. A 2D map containing a detailed compensator design was calculated to achieve uniform dose distribution throughout the phantom. The compensator was fabricated using a 3D printer, silicone molding and tungsten powder. In vivo dosimetry measurements were performed using optically stimulated luminescent detectors (OSLDs). Results: The whole scan of the anthropomorphic phantom took approximately 30 seconds. The mean error for thickness measurements at each section of phantom compare to CT was 0.44 ± 0.268 cm. These errors resulted in approximately 2% dose error calculation and 0.4 mm tungsten thickness deviation for the compensator design. The accuracy of 3D compensator printing was within 0.2 mm. In vivo measurements for an end-to-end test showed the overall dose difference was within 3%. Conclusion: Motion cameras and depth sensing techniques proved to be an accurate and efficient tool for TBI patient measurement and treatment planning. 3D printing technique improved the efficiency and accuracy of the compensator production and ensured a more accurate treatment delivery.

  20. SU-C-213-04: Application of Depth Sensing and 3D-Printing Technique for Total Body Irradiation (TBI) Patient Measurement and Treatment Planning

    International Nuclear Information System (INIS)

    Lee, M; Suh, T; Han, B; Xing, L; Jenkins, C

    2015-01-01

    Purpose: To develop and validate an innovative method of using depth sensing cameras and 3D printing techniques for Total Body Irradiation (TBI) treatment planning and compensator fabrication. Methods: A tablet with motion tracking cameras and integrated depth sensing was used to scan a RANDOTM phantom arranged in a TBI treatment booth to detect and store the 3D surface in a point cloud (PC) format. The accuracy of the detected surface was evaluated by comparison to extracted measurements from CT scan images. The thickness, source to surface distance and off-axis distance of the phantom at different body section was measured for TBI treatment planning. A 2D map containing a detailed compensator design was calculated to achieve uniform dose distribution throughout the phantom. The compensator was fabricated using a 3D printer, silicone molding and tungsten powder. In vivo dosimetry measurements were performed using optically stimulated luminescent detectors (OSLDs). Results: The whole scan of the anthropomorphic phantom took approximately 30 seconds. The mean error for thickness measurements at each section of phantom compare to CT was 0.44 ± 0.268 cm. These errors resulted in approximately 2% dose error calculation and 0.4 mm tungsten thickness deviation for the compensator design. The accuracy of 3D compensator printing was within 0.2 mm. In vivo measurements for an end-to-end test showed the overall dose difference was within 3%. Conclusion: Motion cameras and depth sensing techniques proved to be an accurate and efficient tool for TBI patient measurement and treatment planning. 3D printing technique improved the efficiency and accuracy of the compensator production and ensured a more accurate treatment delivery

  1. Storms over the Urban Forest: Planning, Responding, and Regreening-- A community Guide to Natural Disaster Relief

    Science.gov (United States)

    Lisa L. Burban; John W. Andresen

    1994-01-01

    Natural disasters which can occur in the United States include floods, hurricanes, tornadoes, and related high-velocity winds, as well as ice storms. Preparing for these natural disasters, which strike urban forests in large cities and small communities, should involve the cooperative effort of a wide array of municipal agencies, private arboricultural companies,...

  2. Using Economic Incentives to Recruit Community College Faculty: Effects of Starting Salary and Healthcare Benefits Plan

    Science.gov (United States)

    Winter, Paul A.; Petrosko, Joseph M.; Rodriguez, Glenn

    2007-01-01

    Staffing the nation's community colleges with qualified faculty is an emerging problem. The problem results from massive retirements among members of the post-WW II "baby boom" generation and intense competition from other sectors of the economy for scarce human talent. This study was a faculty-recruitment simulation designed to investigate the…

  3. A Plan for Environmental/Energy Education in the Public Community College System of Illinois.

    Science.gov (United States)

    National Field Research Center Inc., Iowa City, IA.

    This report examines the environmental training efforts of community colleges in Illinois. The text includes a series of nine model environmental protection curricula and outlines appropriate course descriptions for pollution control and abatement, radiation, and general environmental technology. A final section offers recommendations which…

  4. Total, technical, economic and social evaluation of a plan for defense of the vineyard according to the methodology of the "GREAT CHAIN".

    Science.gov (United States)

    Spera, G; Cargnello, G; Moretti, S; Pezza, L

    2004-01-01

    In another work, proposed in this congress, we have presented the basic methodology of the "GREAT CHAIN" in which a plan of fight to vine diseases is evaluated in the globality using 54 variables, to which a weight (in %) in a scale of priority at technical, economic, social and ethical level has been given. This basic methodology has been favourably accepted at the XIII GESCO Congress (Groupe International Systèmes De Conduite de la Vigne)--February 2003 in Montevideo (Uruguay), and at the congress on "Paysages de Vignes et de Vins" in Fonteyraud (Val de Loire) (Carbonneau, Cargnello, 2003). In this work the results of researches on the total, technical, economic, social and ethical evaluation of a conventional phytopathologic defence plan led in a vineyard of the Latium according to the method of the "GREAT CHAIN" are exposed. These researches have shown that the model of conventional phytopathologic struggle, applied in the Latium, against pests of vine positively answers for how much concerns the plants protection: the answer is good at enterprise level, but negative for all that is defence and safeguard for man and environment, in the widest sense of the term. The researches have gone on the phytopathologic defence of biological and eco-compatible vineyards with very encouraging results.

  5. Training Community Modeling and Simulation Business Plan, 2007 Edition. Volume 2: Data Call Responses and Analysis

    Science.gov (United States)

    2009-02-01

    services; and • Other reconstruction assistance. D-14 17. Train Forces on Military Assistance to Civil Authorities ( MACA ) Develop environments...for training in the planning and execution of MACA in support of disaster relief (natural and man-made), military assistance for civil disturbances

  6. 78 FR 42051 - Proposed Revision of the Corporation for National and Community Service Strategic Plan; Request...

    Science.gov (United States)

    2013-07-15

    ... implementing its mission. We invite grantees, partners, future partners, and the public to submit written... and opportunity. Goal 3: Maximize the value we add to grantees, partners and participants. Goal 4... plan? What is less relevant in today's environment, allowing resources to be focused elsewhere? Dated...

  7. Hispanic Community College Students: Acculturation, Family Support, Perceived Educational Barriers, and Vocational Planning

    Science.gov (United States)

    Fiebig, Jennifer Nepper; Braid, Barbara L.; Ross, Patricia A.; Tom, Matthew A.; Prinzo, Cara

    2010-01-01

    A multiple logistic regression model was used to determine the associations between the role of acculturation, perception of educational barriers, need for family kin support, vocational planning, and expectations for attaining future vocational goals against the demographic variables (gender, age, being the oldest child, the first to attend…

  8. Community Alert: Using Text Messaging and Social Media to Improve Campus Emergency Planning

    Science.gov (United States)

    Connolly, Maureen

    2014-01-01

    This article describes emergency management and the part that social media technologies and mobile messaging have made when they are included as part of the campus emergency plan. Administrators have found that ample notification and preparedness must be built into campus communication systems. Social media platforms such as Twitter and Facebook…

  9. The Nature and Operation of Training Institutes: A Generic Marketing Plan for Community Colleges.

    Science.gov (United States)

    Vivelo, Frank R.

    1991-01-01

    Discusses marketing problems and opportunities associated with satisfying demand, product-consumer match, support services, personnel, and personal involvement. Identifies overall marketing and business/financial goals and related objectives. Covers action plans, performance evaluations, curriculum design, advisory committee participation and…

  10. Improving Training in Enterprise Resource Planning Systems Implementation through Communities of Practice

    Science.gov (United States)

    Kerr, Don; Burgess, Kevin J.; Houghton, Luke; Murray, Peter A.

    2012-01-01

    The Enterprise Resource Planning (ERP) literature suggests that effective training is one of the key reasons for success in ERP implementations. However, limited research has been conducted on what constitutes effective training in an ERP environment. A case study approach was used to explore the effectiveness of traditional training and to…

  11. AN EDUCATIONAL DEVELOPMENT PLAN FOR THE KAPIOLANI COMMUNITY COLLEGE--JANUARY 1967.

    Science.gov (United States)

    NAKAMOTO, HARRIET; AND OTHERS

    THIS REPORT OF THE COLLEGE'S EDUCATIONAL DEVELOPMENT PLAN COMMITTEE COVERS IN DETAIL PRESENT CURRICULUMS AND FACILITIES FOR COURSES IN BUSINESS EDUCATION, DENTAL ASSISTING, HOTEL AND RESTAURANT SERVICE, LANGUAGE ARTS, AND PRACTICAL NURSING, AS WELL AS THE PROPOSED DEVELOPMENT OF PROGRAMS FOR GENERAL EDUCATION, TRANSFER, OCCUPATIONAL AND CONTINUING…

  12. Planning and Reviewing for Success. Training Guides for the Head Start Learning Community.

    Science.gov (United States)

    Aspen Systems Corp., Rockville, MD.

    This guide offers Head Start staff a blueprint for developing the skills and methods necessary for a Head Start program's planning and review process. The guide stresses the need for Head Start administrative and managerial leadership to maintain a holistic, integrated approach; use the strength and resources of Head Start team members; identify…

  13. Community.

    Science.gov (United States)

    Grauer, Kit, Ed.

    1995-01-01

    Art in context of community is the theme of this newsletter. The theme is introduced in an editorial "Community-Enlarging the Definition" (Kit Grauer). Related articles include: (1) "The Children's Bridge is not Destroyed: Heart in the Middle of the World" (Emil Robert Tanay); (2) "Making Bridges: The Sock Doll…

  14. Evaluating community investments in the mining sector using multi-criteria decision analysis to integrate SIA with business planning

    International Nuclear Information System (INIS)

    Esteves, A.M.

    2008-01-01

    Gaining senior management's commitment to long-term social development projects, which are characterised by uncertainty and complexity, is made easier if projects are shown to benefit the site's strategic goals. However, even though the business case for community investment may have been accepted at a general level, as a strategy for competitive differentiation, risk mitigation and a desire to deliver - and to be seen to deliver - a 'net benefit' to affected communities, mining operations are still faced with implementation challenges. Case study research on mining companies, including interviews with social investment decision-makers, has assisted in developing the Social Investment Decision Analysis Tool (SIDAT), a decision model for evaluating social projects in order to create value for both the company and the community. Multi-criteria decision analysis techniques integrating business planning processes with social impact assessment have proved useful in assisting mining companies think beyond the traditional drivers (i.e. seeking access to required lands and peaceful relations with neighbours), to broader issues of how they can meet their business goals and contribute to sustainable development in the regions in which they operate

  15. Determinants of family planning use among married women in bale eco-region, Southeast Ethiopia: a community based study.

    Science.gov (United States)

    Gonie, Alemayehu; Wudneh, Alemayehu; Nigatu, Dejene; Dendir, Zelalem

    2018-03-12

    Family planning is the ability of individuals and couples to anticipate and attain their desired number of children and the spacing and timing of their births. Providing family planning could prevent maternal deaths by allowing women to delay motherhood, space births, avoid unintended pregnancies and abortions, and stop childbearing when they reach their desired family size. Despite the fact that family planning is advantageous for maternal and newborn health and the services and commodities are free of charge, the reason of not using modern family planning methods is unclear in Bale Eco-Region. Therefore, this study assessed the contraceptive prevalence rate and its determinants among women in Bale Eco-Region, Ethiopia. A community-based cross-sectional study design (both quantitative and qualitative methods) was conducted from December 2016 to February 2017. Five hundred sixty-seven women were successfully interviewed using structured and pre-tested questionnaire. A multistage sampling technique was employed. Data were entered into Epi-data version 3.1 and exported to SPSS version 21. Logistic regression analyses were done and a significant association was declared at p-value less than 0.05. All focus group discussions and key informant interviews were recorded and analyzed thematically. The overall contraceptive prevalence rate was 41.5%. Injectable (48.1%), implants (22.6%) and pills (20.0%) were the most contraceptive methods utilized by study participants. Spousal (husband's) opposition (38.8%), religious beliefs (17.7%), concern and fear of side effects (14.8%), and distance of family planning service (5.9%) were the reasons for not using contraceptive methods. Having more than seven deliveries (AOR = 2.98, CI = 1.91-6.10, P = 0.000) and having birth interval less than 24 months between the last two children (AOR = 3.8, CI = 13.41-21.61, P = 0.003) were significantly associated with utilization of contraceptive methods. Low

  16. Assessing Future Flood Hazards for Adaptation Planning in a Northern European Coastal Community

    DEFF Research Database (Denmark)

    Sørensen, Carlo Sass; Broge, Niels H.; Molgaard, Mads R.

    2016-01-01

    From a transdisciplinary approach in the town of Thyboron, Denmark, we investigate couplings between sea state (i.e., mean and extreme) and flooding hazards today and ahead. This includes analyses of change and variability in the groundwater table, precipitation, land motion, geotechnical ground ......, and it will provide for more holistic solutions that both serve to protect the town and allow for business development and better municipal planning ahead....... properties, sewerage systems and other infrastructure to outline a more complete platform for the integration of knowledge into climate adaptation schemes at this highly vulnerable coastal location. It involves the engagement of the main stakeholders who, although having different responsibilities, interests......, needs of knowledge and data, and different timeframes for investment and planning, must join in a common appraisal of the challenges faced ahead to provide for better adaptation measures. Apart from obvious adverse effects from future storm surge events, knowledge about the coupled effects...

  17. SENSITIVITY AND SPECIFICITY OF INDIVIDUAL BERG BALANCE ITEMS COMPARED WITH THE TOTAL SCORE TO PREDICT FALLS IN COMMUNITY DWELLING ELDERLY INDIVIDUALS

    Directory of Open Access Journals (Sweden)

    Hazel Denzil Dias

    2014-09-01

    Full Text Available Background: Falls are a major problem in the elderly leading to increased morbidity and mortality in this population. Scores from objective clinical measures of balance have frequently been associated with falls in older adults. The Berg Balance Score (BBS which is a frequently used scale to test balance impairments in the elderly ,takes time to perform and has been found to have scoring inconsistencies. The purpose was to determine if individual items or a group of BBS items would have better accuracy than the total BBS in classifying community dwelling elderly individuals according to fall history. Method: 60 community dwelling elderly individuals were chosen based on a history of falls in this cross sectional study. Each BBS item was dichotomized at three points along the scoring scale of 0 – 4: between scores of 1 and 2, 2 and 3, and 3 and 4. Sensitivity (Sn, specificity (Sp, and positive (+LR and negative (-LR likelihood ratios were calculated for all items for each scoring dichotomy based on their accuracy in classifying subjects with a history of multiple falls. These findings were compared with the total BBS score where the cut-off score was derived from receiver operating characteristic curve analysis. Results: On analysing a combination of BBS items, B9 and B11 were found to have the best sensitivity and specificity when considered together. However the area under the curve of these items was 0.799 which did not match that of the total score (AUC= 0.837. A, combination of 4 BBS items - B9 B11 B12 and B13 also had good Sn and Sp but the AUC was 0.815. The combination with the AUC closest to that of the total score was a combination items B11 and B13. (AUC= 0.824. hence these two items can be used as the best predictor of falls with a cut off of 6.5 The ROC curve of the Total Berg balance Scale scores revealed a cut off score of 48.5. Conclusion: This study showed that combination of items B11 and B13 may be best predictors of falls in

  18. SENSITIVITY AND SPECIFICITY OF INDIVIDUAL BERG BALANCE ITEMS COMPARED WITH THE TOTAL SCORE TO PREDICT FALLS IN COMMUNITY DWELLING ELDERLY INDIVIDUALS

    Directory of Open Access Journals (Sweden)

    Hazel Denzil Dias

    2014-06-01

    Full Text Available Background: Falls are a major problem in the elderly leading to increased morbidity and mortality in this population. Scores from objective clinical measures of balance have frequently been associated with falls in older adults. The Berg Balance Score (BBS which is a frequently used scale to test balance impairments in the elderly ,takes time to perform and has been found to have scoring inconsistencies. The purpose was to determine if individual items or a group of BBS items would have better accuracy than the total BBS in classifying community dwelling elderly individuals according to fall history. Method: 60 community dwelling elderly individuals were chosen based on a history of falls in this cross sectional study. Each BBS item was dichotomized at three points along the scoring scale of 0 – 4: between scores of 1 and 2, 2 and 3, and 3 and 4. Sensitivity (Sn, specificity (Sp, and positive (+LR and negative (-LR likelihood ratios were calculated for all items for each scoring dichotomy based on their accuracy in classifying subjects with a history of multiple falls. These findings were compared with the total BBS score where the cut-off score was derived from receiver operating characteristic curve analysis. Results: On analysing a combination of BBS items, B9 and B11 were found to have the best sensitivity and specificity when considered together. However the area under the curve of these items was 0.799 which did not match that of the total score (AUC= 0.837. A, combination of 4 BBS items - B9 B11 B12 and B13 also had good Sn and Sp but the AUC was 0.815. The combination with the AUC closest to that of the total score was a combination items B11 and B13. (AUC= 0.824. hence these two items can be used as the best predictor of falls with a cut off of 6.5 The ROC curve of the Total Berg balance Scale scores revealed a cut off score of 48.5. Conclusion: This study showed that combination of items B11 and B13 may be best predictors of falls in

  19. Cities and mobility: a planning guideline for community-compatible mobility; Stadtwege: Planungsleitfaden fuer Stadtvertraegliche Mobilitaet in Kommunen

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1998-12-01

    So far, municipal transport planning and policy have not really resulted in pioneering concepts for solving problems arising from the transport issue common to all cities. Even individual promising approaches, which mostly relate to singular aspects of municipal transport policy, cannot obscure the fact that the routines of transport planning obviate innovative impulses. Even the research project's two exemplary municipalities, Freiburg and Schwerin, are a long way from having attained a mobility beneficial to the community (as reflected in a report on these cities' transport situation in the annex). In both there are elements of motor-vehicle-oriented planning and transport policy, but also, in part, distinct clues to a decline in car orientation and to the furtherance of alternative, environmentally compatible means of transport. The present guideline wants to open up new perspectives and give concerned planners impulses. It summarizes results from the research project 'Compatibility of urban mobility' and describes new ideas and paradigms in municipal transport planning and policy. (orig.) [German] Kommunale Verkehrsplanung und -politik hat bisher nicht zu wirklich zukunftsweisenden Loesungsentwuerfen der flaechendeckend festzustellenden Verkehrsproblematik in den Staedten gefuehrt. Auch einzelne gute Ansaetze, die meist auf singulaere Aspekte der staedtischen Verkehrspolitik bezogen sind, koennen nicht darueber hinwegtaeuschen, dass die Routinen der Verkehrsplanung den Blick auf innovative Impulse verstellen. Auch die beiden Modellkommunen des Forschungsprojektes, Freiburg und Schwerin, sind um einiges von dem Ziel der Stadtvertraeglichen Mobilitaet entfernt (s. verkehrliche Zustandsbeschreibung im Anhang). In beiden Staedten finden sich Elemente der autoorientierten Planung und Verkehrspolitik, aber auch zum Teil deutliche Hinweise des Zurueckdraengens der Autoorientierung und der Foerderung der umweltvertraeglichen

  20. A Survey of Dog Owners in Remote Northern Australian Indigenous Communities to Inform Rabies Incursion Planning.

    Directory of Open Access Journals (Sweden)

    Emily G Hudson

    2016-04-01

    Full Text Available Australia is underprepared for a rabies incursion due to a lack of information about how a rabies outbreak would spread within the susceptible canine populations and which control strategies would be best to control it. The aim of this study was to collect information to parameterize a recently developed dog rabies spread model as well as use this information to gauge how the community would accept potential control strategies. Such information-together with model outputs-would be used to inform decision makers on the best control strategies and improve Australia's preparedness against a canine rabies incursion. The parameters this study focussed on were detection time, vaccination rates and dog-culling and dog movement restriction compliance. A cross-sectional survey of 31 dog-owners, using a questionnaire, was undertaken in the five communities of the Northern Peninsular Area (NPA in northern Australia regarding community dog movements, veterinary visits, reporting systems, perceptions of sick dogs and potential human behaviours during hypothetical rabies outbreaks. It highlighted the significant shortfalls in veterinary care that would need to be vastly improved during an outbreak, who educational programs should be targeted towards and which dog movements should be restricted. The results indicate that men were significantly more likely than women to allow their dogs to roam and to move their dogs. The current low vaccination rate of 12% highlighted the limited veterinary services that would need to be substantially increased to achieve effective rabies control. Participation in mass vaccination was accepted by 100% of the respondents. There was lower acceptance for other possible rabies control strategies with 10-20% of the respondents stating a resistance to both a mass culling program and a ban on dog movements. Consequently, movement bans and mass dog culling would have limited effectiveness as a control strategy in the NPA community

  1. Planning for Ecotourism in Communities Near the B&JCM National Park

    Science.gov (United States)

    Alton Thompson; Evan Mercer; Antoine J.  Alston

    1999-01-01

    Eco-tourism has become very popular among tourists looking for an alternative to conventional tours, and with many governments and communities searching for a development tool. The growing attraction of this type of tourism is evident in attempts by mass tourism packagers to use the eco-tourism label. In 1989, eco-tourism and the broader category of adventure travel...

  2. The Role of Local Community in the Marketing Planning for Sustainable Tourism National Park Skadar Lake (Montenegro

    Directory of Open Access Journals (Sweden)

    Darko Lacmanović

    2014-07-01

    Full Text Available The relationship between local community and tourism sector is an important issue in the marketing management of tourist destinations in theoretical and practical terms. It is especially important to consider specific issues relating to sustainable tourism marketing process and the participation of local people in the process. The subject of this work is to determine the existence of significant differences in the local community attachment and involment that may affect the marketing plan in offering different types of sustainable tourism in the National Park “Skadar Lake”.The research was conducted using a survey on a sample of 51 households in the stated area, using few statistical method for processing data (The T-test for independent samples; ANOVA.Examined: the perceived importance of the supply of sustainable forms of tourism; attitude towards tourists / visitors and the perception level of tourism marketing trends.Testing the validity of the hypotheses noted the following. Rejection of Hypothesis 1 clearly states that men and women do not have clear differences of opinions regarding the development of sustainable tourism offers. Partially confirmed Hypothesis 2 showed a more significant difference in the positive attitudes of the middle-aged group, which indicates the need for careful marketing communication in relation to other age groups. Confirming the Hypothesis 3 has highlighted the clearer perception of local residents who are employed in the tourism sector about the advantages and disadvantages of tourism development. The Hypothesis 4 regarding significant monitoring of the developments in the tourism market of highly educated residents and resident-employees in the tourism sector, public services, culture and education in relation to other comparable groups has been confirmed. The rejection of the Hypothesis 5 shows that the place of residence does not significantly affect the views of local residents about the development of

  3. Emergency Planning and Community Right-To-Know Act, Section 311

    International Nuclear Information System (INIS)

    Evans, R.A.

    1997-05-01

    Included in this report is a list of hazardous and extremely hazardous chemicals at the Oak Ridge Y-12 Plant. The information reflects changes in the lists of hazardous chemicals present at this facility in amounts equal to or greater than 10,000 pounds and extremely hazardous chemicals present in amounts equal to or greater than 500 pounds or its Threshold Planning Quantity, whichever was less. These lists represent the following: List of materials last reported in March 1996 (reference Y/TS-1482); Materials to be deleted from list; Materials to be added to list; and Revised lists of materials

  4. SU-F-T-406: Verification of Total Body Irradiation Commissioned MU Lookup Table Accuracy Using Treatment Planning System for Wide Range of Patient Sizes

    Energy Technology Data Exchange (ETDEWEB)

    Lewis, D; Chi, P; Tailor, R; Aristophanous, M; Tung, S [UT MD Anderson Cancer Center, Houston, TX (United States)

    2016-06-15

    Purpose: To verify the accuracy of total body irradiation (TBI) measurement commissioning data using the treatment planning system (TPS) for a wide range of patient separations. Methods: Our institution conducts TBI treatments with an 18MV photon beam at 380cm extended SSD using an AP/PA technique. Currently, the monitor units (MU) per field for patient treatments are determined using a lookup table generated from TMR measurements in a water phantom (75 × 41 × 30.5 cm3). The dose prescribed to an umbilicus midline point at spine level is determined based on patient separation, dose/ field and dose rate/MU. One-dimensional heterogeneous dose calculations from Pinnacle TPS were validated with thermoluminescent dosimeters (TLD) placed in an average adult anthropomorphic phantom and also in-vivo on four patients with large separations. Subsequently, twelve patients with various separations (17–47cm) were retrospectively analyzed. Computed tomography (CT) scans were acquired in the left and right decubitus positions from vertex to knee. A treatment plan for each patient was generated. The ratio of the lookup table MU to the heterogeneous TPS MU was compared. Results: TLD Measurements in the anthropomorphic phantom and large TBI patients agreed with Pinnacle calculated dose within 2.8% and 2%, respectively. The heterogeneous calculation compared to the lookup table agreed within 8.1% (ratio range: 1.014–1.081). A trend of reduced accuracy was observed when patient separation increases. Conclusion: The TPS dose calculation accuracy was confirmed by TLD measurements, showing that Pinnacle can model the extended SSD dose without commissioning a special beam model for the extended SSD geometry. The difference between the lookup table and TPS calculation potentially comes from lack of scatter during commissioning when compared to extreme patient sizes. The observed trend suggests the need for development of a correction factor between the lookup table and TPS dose

  5. Planning and implementation of community oral health programs for caries management in children.

    Science.gov (United States)

    Chu, C H; Chau, Alex M H; Lo, Edward C M; Lam, Anty

    2012-01-01

    Tooth decay or cavities (dental caries) can have a significant impact on children's quality of life, causing pain, infection, and other problems in the oral environment. Good oral health is a fundamental element of good general health for children, yet dental caries is still prevalent among children in many countries. Dental caries is well-understood, and effective prevention is an attainable goal. Dental professionals should actively engage with communities--in particular, the underprivileged--to identify dental caries problems and implement appropriate and effective community oral health programs (COHPs) to improve oral health and reduce oral health inequalities. This paper discusses COHPs as well as the steps involved in caries prevention for children. These steps cannot ensure the success of every COHP, but they are helpful for developing, integrating, expanding, and enhancing them. The effectiveness of COHPs for the prevention of caries in children varies from country to country, according to cultural, social, economic, and health care settings. Careful consideration of the local situation is required when selecting the elements of COHPs.

  6. Assessing future flood hazards for adaptation planning in a northern European coastal community

    Directory of Open Access Journals (Sweden)

    Carlo eSorensen

    2016-05-01

    Full Text Available From a transdisciplinary approach in the town of Thyboron, Denmark, we investigate couplings between sea state (i.e. mean and extreme and flooding hazards today and ahead. This includes analyses of change and variability in the groundwater table, precipitation, land motion, geotechnical ground properties, sewerage systems and other infrastructure to outline a more complete platform for the integration of knowledge into climate adaptation schemes at this highly vulnerable coastal location. It involves the engagement of the main stakeholders who, although having different responsibilities, interests, needs of knowledge and data, and different timeframes for investment and planning, must join in a common appraisal of the challenges faced ahead to provide for better adaptation measures. Apart from obvious adverse effects from future storm surge events, knowledge about the coupled effects of the abovementioned parameters needs to be taken into account to reach optimal mitigation and adaptation measures. Through stakeholder interviews it becomes clear that an enhanced focus on transdisciplinary research is a viable way forward to develop such measures: it will bring in more knowledge, a broader scope, and it will provide for more holistic solutions that both serve to protect the town and allow for business development and better municipal planning ahead.

  7. Public interface and waste management planning: An approach for integrating community involvement in waste strategies

    International Nuclear Information System (INIS)

    Xiques, P.J.

    1988-01-01

    Public involvement and information programs have bridged a communication abyss and allowed waste management policy-makers to understand legitimate public concerns. The perception often held by waste generators that technical concerns had greater validity than institutional issues is being altered as managers realize that information failures can halt a program as abruptly as technical ones. The role and level of involvement of the public in establishing waste management policies has changed dramatically over the past decade. Once the domain only of the generators and regulators, effective waste management strategy development must now make early provisions for public and local government involvement. By allowing public decision makers to participate in the initial planning process and maintain involvement throughout the implementation, many institutional barriers can be avoided. In today's climate, such barriers may represent direct costs, such as litigation, or indirect costs, such as delay, deferral, or duplication of work. Government programs have historically enjoyed a degree of insulation from public involvement factors on the basis of national security, defense, or the greater public good. However, such programs are no longer sacrosanct. Today, the cost of cleaning up past environmental impact can leave little or no money to meet present program objectives. Thus failure to get a public consensus before beginning remedial action can have a major impact on the allocation of scarce resources. Specific approaches to integrating the public into the planning phase of waste management will be addressed, including audience identification, issue analysis and tracking, prioritization of concerns, and information tool development

  8. Bundled payment initiatives for Medicare and non-Medicare total joint arthroplasty patients at a community hospital: bundles in the real world.

    Science.gov (United States)

    Doran, James P; Zabinski, Stephen J

    2015-03-01

    In the setting of current United States healthcare reform, bundled payment initiatives and episode of care payment models for total joint arthroplasty (TJA) have become increasingly common. The following is a review of our results and experience in a community hospital with bundled payment initiatives for both non-Medicare and Medicare TJA patients since 2011. We have successfully decreased the cost of the TJA episode of care in comparison to our historical averages prior to 2011. This cost-reduction has primarily been achieved through decreased length of inpatient stay, increased discharge to home rather than to skilled nursing or inpatient rehabilitation facilities, reduction in implant cost, improvement in readmission rate and migration of cases to lower cost sites of service. Copyright © 2015 Elsevier Inc. All rights reserved.

  9. 1995 Toxic chemical release inventory: Emergency Planning and Community Right-to-Know Act of 1986, Section 313

    International Nuclear Information System (INIS)

    Mincey, S.L.

    1996-08-01

    Section 313 of the Emergency Planning and Community Right-To-Know Act (EPCRA) requires the annual submittal of toxic chemical release information to the U.S. Environmental Protection Agency.Executive Order 12856, 'Federal Compliance With Right-to-Know Laws and Pollution Prevention Requirements' extends the requirements of EPCRA to all Federal agencies. The following document is the August 1996 submittal of the Hanford Site Toxic Chemical Release Inventory report. Included is a Form R for ethylene glycol, the sole chemical used in excess of the established regulatory thresholds at the Hanford Site by the U.S. Department of Energy, Richland Operations Office and its contractors during Calendar Year 1995

  10. Norfolk, Virginia—Planning to be the Coastal Community of the Future in a rising water environment

    Science.gov (United States)

    Homewood, G. M.

    2017-12-01

    Norfolk VA is the second most at-risk population center in North America from sea level rise while also being home to the world's largest naval base and one of the 3 largest east coast ports. Norfolk is one of the original cohort of cities in the 100 Resilient Cities effort pioneered by the Rockefeller Foundation and has changed its sea level adaptation strategy from "keep the water out" to "living with water" through a ground-breaking community visioning process. In Norfolk, this means, among other goals, finding co-benefits in public and private investments and interventions—these can be environmental, economic, social, recreational or other things we have not yet thought about—and it is in this area that the geosciences can benefit Norfolk's planning for a rising water environment.

  11. A Synthesis of Environmental and Plant Community Data for Tidal Wetland Restoration Planning in the Lower Columbia River and Estuary

    Energy Technology Data Exchange (ETDEWEB)

    Diefenderfer, Heida L.; Borde, Amy B.; Cullinan, Valerie I.

    2013-12-01

    This report reanalyzes and synthesizes previously existing environmental and plant community data collected by PNNL at 55 tidal wetlands and 3 newly restored sites in the lower Columbia River and estuary (LCRE) between 2005 and 2011. Whereas data were originally collected for various research or monitoring objectives of five studies, the intent of this report is to provide only information that will have direct utility in planning tidal wetland restoration projects. Therefore, for this report, all tidal wetland data on plants and the physical environment, which were originally developed and reported by separate studies, were tabulated and reanalyzed as a whole. The geographic scope of the data collected in this report is from Bonneville Lock and Dam to the mouth of the Columbia River

  12. Business plan competition

    CERN Multimedia

    2007-01-01

    "Venture – Companies for tomorrow" is a business plan competition, which supports students and other junior entrepreneurs in developing their business plans. The sixth edition of the competition is now taking place. Venture 2008 highlights: - prize money totalling CHF 150’000; - possibility to optimize business ideas and business plans with the help of experienced coaches: around 200 coaches are available, with a wide range of backgrounds, entrepreneurs as well as venture capitalists; -\tpossibility to present business ideas and business plans to potential investors ("Investor Days" - 17 January and 7 May); - active involvement in the start-up community; -\tcontribution to potential independence. The competition consists of two phases: Phase I, Business idea, Deadline for submission of business idea: 5 December 2007 (online at http://www.venture.ch). Award Ceremony: 17 January 2008 Phase II, Business plan Deadline for submission of business plan: 2 April 2008 (online at...

  13. Drivers Motivating Community Health Improvement Plan Completion by Local Public Health Agencies and Community Partners in the Rocky Mountain Region and Western Plains.

    Science.gov (United States)

    Hill, Anne; Wolf, Holly J; Scallan, Elaine; Case, Jenny; Kellar-Guenther, Yvonne

    There are numerous drivers that motivate completion of community health improvement plans (CHIPs). Some are more obvious and include voluntary public health accreditation, state requirements, federal and state funding, and nonprofit hospital requirements through IRS regulations. Less is known about other drivers, including involvement of diverse partners and belief in best practices, that may motivate CHIP completion. This research investigated the drivers that motivated CHIP completion based on experiences of 51 local public health agencies (LPHAs). An explanatory mixed-methods design, including closed- and open-ended survey questions and key informant interviews, was used to understand the drivers that motivated CHIP completion. Analysis of survey data involved descriptive statistics. Classical content analysis was used for qualitative data to clarify survey findings. The surveys and key informant interviews were conducted in the Rocky Mountain Region and Western Plains among 51 medium and large LPHAs in Colorado, Kansas, Montana, Nebraska, North Dakota, South Dakota, Utah, and Wyoming. More than 50% of respondents were public health directors; the balance of the respondents were division/program directors, accreditation coordinators, and public health planners. CHIP completion. Most LPHAs in the Rocky Mountains and Western Plains have embraced developing and publishing a CHIP, with 80% having completed their plan and another 13% working on it. CHIP completion is motivated by a belief in best practices, with LPHAs and partners seeing the benefit of quality improvement activities linked to the CHIP and the investment of nonprofit hospitals in the process. Completing a CHIP is strengthened through engagement of diverse partners and a well-functioning partnership. The future of CHIP creation depends on LPHAs and partners investing in the CHIP as a best practice, dedicating personnel to CHIP activities, and enhancing leadership skills to contribute to a synergistic

  14. Social acceptance of wind energy development and planning in rural communities of Australia: A consumer analysis

    International Nuclear Information System (INIS)

    D'Souza, Clare; Yiridoe, Emmanuel K.

    2014-01-01

    Social acceptance is necessary for widespread adoption of new renewable energy technologies. A lack of social acceptance by local community residents is a barrier to increasing the renewable energy mix and targets in Australia. This study empirically evaluated predictor importance of key constructs of social acceptance, using responses from a sample of 226 survey respondents in Australia. Regression analysis suggest that ‘Concerns with wind turbines’ was the predictor most strongly correlated with Social Acceptance, followed by ‘Annoyance with wind turbines’, and then ‘Consultation with stakeholders’. Implications of the study and recommendations for consideration by various interest groups (such as policy makers, and potential entrepreneurs) are discussed. This research contributes to theory building rather than theory testing of social acceptance of wind energy development

  15. Emergency Planning and Community Right-To-Know Act. Section 312 Tier Two report forms

    Energy Technology Data Exchange (ETDEWEB)

    Evans, R.A.; Martin, K.J.

    1997-02-01

    As required by Right-to-Know Laws and Pollution Prevention Requirements, the Y-12 Plant staff is submitting an unclassified version of the Tier-Two Forms. This report contains data for CY 1996 for all hazardous chemicals stored at the Y-12 Plant in quantities equal to or greater than 10,000 pounds and all extremely hazardous substances stored in quantities equal to or greater than 500 pounds or the threshold planning quantity, whichever is lower. Also included with this submittal is a key to the inventory, temperature, pressure, and container codes used on the report forms. This information is included to aid in the interpretation of the data presented. It is not necessary that the code information be forwarded to the referenced state and local agencies. Classified information supporting this document will be maintained on file for review by Q-cleared personnel.

  16. The long-term demographic role of community-based family planning in rural Bangladesh.

    Science.gov (United States)

    Phillips, J F; Hossain, M B; Arends-Kuenning, M

    1996-01-01

    Experimental studies demonstrating the effectiveness of nonclinical distribution of contraceptives are typically conducted in settings where contraceptive use is low and unmet need is extensive. Determining the long-term role of active outreach programs after initial demand is met represents an increasingly important policy issue in Asia, where contraceptive prevalence is high and fixed service points are conveniently available. This article examines the long-term rationale for household family planning in Bangladesh-where growing use of contraceptives, rapid fertility decline, and normative change in reproductive preferences are in progress, bringing into question the rationale for large-scale deployment of paid outreach workers. Longitudinal data are analyzed that record outreach encounters and contraceptive use dynamics in a large rural population. Findings demonstrate that outreach has a continuing impact on program effectiveness, even after a decade of household visitation. The policy implications of this finding are reviewed.

  17. Emergency Planning and Community Right-To-Know Act. Section 312 Tier Two report forms

    International Nuclear Information System (INIS)

    Evans, R.A.

    1998-02-01

    As required by Right-to-Know Laws and Pollution Prevention Requirements, the Y-12 Plant staff is submitting an unclassified version of the Tier-Two Forms. This report contains data for CY 1997 for all hazardous chemicals stored at the Y-12 Plant in quantities equal to or greater than 10,000 pounds and all extremely hazardous substances stored in quantities equal to or greater than 500 pounds or the threshold planning quantity, whichever is lower. Also included with this submittal is a key to the inventory, temperature, pressure, and container codes used on the report forms. This information is included to aid in the interpretation of the data presented. It is not necessary that the code information be forwarded to the referenced state and local agencies. Classified information supporting this document will be maintained on file for review by Q-cleared personnel

  18. Multifunctionality assessment in forest planning at landscape level. The study case of Matese Mountain Community (Italy.

    Directory of Open Access Journals (Sweden)

    Umberto Di Salvatore

    2013-12-01

    Full Text Available Normal 0 14 false false false MicrosoftInternetExplorer4 The main objective is to improve a method that aims at evaluating forest multifunctionality from a technical and practical point of view. A methodological approach - based on the index of forest multifunctionality level - is proposed to assess the “fulfilment capability” of a function providing an estimate of performance level of each function in a given forest. This method is aimed at supporting technicians requested to define most suitable management guidelines and silvicultural practices in the framework of a Forest Landscape Management Plan (FLMP. The study area is the Matese district in southern Apennines (Italy, where a landscape planning experimentation was implemented. The approach includes the qualitative and quantitative characterization of selected populations, stratified by forest category by a sampling set of forest inventory plots. A 0.5 ha area around the sample plot was described by filling a form including the following information: site condition, tree species composition, stand origin and structure, silvicultural system, health condition, microhabitats presence. In each sample plot, both the multifunctionality assessment and the estimate of the effect of alternative management options on ecosystem goods and services, were carried out. The introduction of the term “fulfilment capability” and the modification of the concept of priority level - by which the ranking of functions within a plot is evaluated - is an improvement of current analysis method. This enhanced approach allows to detect the current status of forest plot and its potential framed within the whole forest. Assessing functional features of forests with this approach reduces the inherent subjectivity and allows to get useful information on forest multifunctionality to support forest planners in defining management guidelines consistent with current status and potential evolutive pattern.

  19. Bereavement care interventions and outcome criteria planned by community nurses in the Canary Islands.

    Science.gov (United States)

    Rodríguez-Álvaro, Martín; García-Hernández, Alfonso Miguel; Brito-Brito, Pedro Ruymán; Aguirre-Jaime, Armando; Fernández-Gutiérrez, Domingo Ángel

    2018-02-19

    Nursing care in bereavement is complex. Primary health care is the ideal setting to support the bereaved, but we do not know much about the care plans designed by primary health care nurses in the treatment of grief. To identify the outcomes criteria and interventions planned by nurses for mourners with and without complications in the Canary Islands. Retrospective longitudinal study, using the electronic health records of the Canary Islands health service of people with a diagnosis of grieving, risk of complicated grieving and complicated grieving, in the period 2009-2014. NOC outcomes criteria were recorded in 67% of the mourners, and up to 24 different outcomes were identified. The main outcomes measures were Grief resolution; Psychosocial adjustment, Life change; Coping; Family coping; Family social climate and Caregiver emotional health. The remaining outcomes were present in less than 1% of the mourners. Although the outcomes criteria proposed by nurses in the mourners with and without complications were quite homogeneous, differences in interventions were found. In 67% of the cases, NIC interventions were reported. Ninety-nine different interventions were identified in the mourners; the most frequent were Emotional support; Grief work facilitation; Active listening; Coping enhancement and counselling. The remaining identified interventions were present in less than 5% of patients. The main interventions in the mourners with complications were Grief work facilitation; Coping enhancement; Active listening; Counselling and Family integrity promotion. Nurses state that there are more interventions and outcomes in mourners with complications. Given the few methodologically reliable studies that prove their effectiveness, continued research in this area is recommended. Copyright © 2017 Elsevier España, S.L.U. All rights reserved.

  20. Sci-Fri PM: Radiation Therapy, Planning, Imaging, and Special Techniques - 10: Results from Canada Wide Survey on Total Body Irradiation Practice

    Energy Technology Data Exchange (ETDEWEB)

    Studinski, Ryan; Fraser, Danielle; Samant, Rajiv; MacPherson, Miller [The Ottawa Hospital Cancer Centre, The Ottawa Hospital Cancer Centre, The Ottawa Hospital Cancer Centre, The Ottawa Hospital Cancer Centre (Canada)

    2016-08-15

    Purpose: Total Body Irradiation (TBI) is delivered to a relatively small number of patients with a variety of techniques; it has been a challenge to develop consensus studies for best practice. This survey was created to assess the current state of TBI in Canada. Methods: The survey was created with questions focusing on the radiation prescription, delivery technique and resources involved. The survey was circulated electronically to the heads of every clinical medical physics department in Canada. Responses were gathered and collated, and centres that were known to deliver TBI were urged to respond. Results: Responses from 20 centres were received, including 12 from centres that perform TBI. Although a variety of TBI dose prescriptions were reported, 12 Gy in 6 fractions was used in 11 centres while 5 centres use unique prescriptions. For dose rate, a range of 9 to 51 cGy/min was reported. Most centres use an extended SSD technique, with the patient standing or lying down against a wall. The rest use either a “sweeping” technique or a more complicated multi-field technique. All centres but one indicated that they shield the lungs, and only a minority shield other organs. The survey also showed that considerable resources are used for TBI including extra staffing, extended planning and treatment times and the use of locally developed hardware or software. Conclusions: This survey highlights that both similarities and important discrepancies exist between TBI techniques across the country, and is an opportunity to prompt more collaboration between centres.

  1. Green infrastructure planning for cooling urban communities: Overview of the contemporary approaches with special reference to Serbian experiences

    Directory of Open Access Journals (Sweden)

    Marić Igor

    2015-01-01

    Full Text Available This paper investigates contemporary approaches defined by the policies, programs or standards that favor green infrastructure in urban planning for cooling urban environments with special reference to Serbian experiences. The research results reveal an increasing emphasis on the multifunctionality of green infrastructure as well the determination to the development of policies, guidelines and standards with the support of the overall community. Further, special importance is given to policies that promote ‘cool communities’ strategies resulting in the increase of vegetation-covered areas, what has contributed in adapting urban environments to the impacts of climate change. In addition, this research indicates the important role of local authorities and planners in Serbia in promoting planning policies and programs that take into consideration the role of green infrastructure in terms of improving climatic conditions, quality of life and reducing energy needed for cooling and heating. [Projekat Ministarstva nauke Republike Srbije, br. TR 36035: Spatial, ecological, energy, and social aspects of developing settlements and climate change - mutual impacts i br. 43007: The investigation of climate change and its impacts, climate change adaptation and mitigation

  2. Recruiting patients for postgraduate medical training in a community family planning clinic: how do patients want to be asked?

    Science.gov (United States)

    Heathcote, Jennifer

    2008-01-01

    To look at patients' views about the way in which they are recruited to assist with postgraduate medical training (i.e. Who is the best person to ask patients to participate? When is the best time for patients to be asked?) and to compare these with clinical practice. Questionnaire surveys of 103 female family planning clinic (FPC) patients and 40 Diploma of the Faculty of Family Planning (DFFP) instructing doctors. Patients were recruited from the waiting room of a community FPC, and DFFP instructing doctors from the North West of England were recruited at an updating meeting. Patients preferred to be recruited by non-medical staff (i.e. receptionist and nurses). Few patients wanted to be asked by the training doctor. Only 9% would find it difficult to refuse a receptionist, 47% would find it difficult to refuse the instructing doctor and 65% would find it difficult to refuse the training doctor. In practice, the commonest person to recruit patients is the instructing doctor. Patients wanted to be given some time to consider the request; this was not always given. Patients may feel coerced into seeing training doctors because they find it difficult to refuse requests, particularly when they are being recruited by doctors. Non-medical staff may be more appropriate for the initial recruitment of patients. Patients need time to consider their involvement. The provision of written information may be useful. Further research is indicated to empower patients' decision-making and reduce the likelihood of coercion.

  3. Modelling condom use: Does the theory of planned behaviour explain condom use in a low risk, community sample?

    Science.gov (United States)

    Thomas, Joanna; Shiels, Chris; Gabbay, Mark B

    2014-01-01

    To date, most condom research has focused on young or high-risk groups, with little evidence about influences on condom use amongst lower-risk community samples. These groups are not risk free and may still wish to negotiate safer sex; yet the considerations involved could be different from those in higher-risk groups. Our research addresses this gap: We report a cross-sectional questionnaire study enquiring about recent condom use and future use intentions in community settings. Our sample (n = 311) purposively included couples in established relationships, known to be condom users. Items included demographics, sexual history and social-cognitive variables taken from the theory of planned behaviour. The strongest association with condom use/use intentions amongst our respondents was sexual partner's perceived willingness to use them. This applied across both univariate and multivariate analyses. Whilst most social-cognitive variables (attitudes; self-efficacy and peer social norms) were significant in univariate analyses, this was not supported in multivariate regression. Of the social-cognitive variables, only "condom-related attitudes" were retained in the model explaining recent condom use, whilst none of them entered the model explaining future use intentions. Further analysis showed that attitudes concerning pleasure, identity stigma and condom effectiveness were most salient for this cohort. Our results suggest that, in community samples, the decision to use a condom involves different considerations from those highlighted in previous research. Explanatory models for established couples should embrace interpersonal perspectives, emphasising couple-factors rather than individual beliefs. Messages to this cohort could usefully focus on negotiation skills, condom advantages (other than disease prevention) and reducing the stigma associated with use.

  4. A community-based, mixed-methods study of the attitudes and behaviors of men regarding modern family planning in Nigeria.

    Science.gov (United States)

    Akaba, Godwin; Ketare, Nathaniel; Tile, Wilfred

    2016-10-01

    To investigate the knowledge, attitudes, and extent of involvement of men in family planning in Nigeria, and to evaluate spousal communication regarding family planning. A community-based, mixed-methods study enrolled participants in Gwagwalada, Abuja, Nigeria between January 11 and June 30, 2012. Quantitative surveys including semi-structured interviews were used to collect information from married men regarding their knowledge and attitudes to modern family planning. The qualitative components constituted focus group discussion sessions and in-depth interviews that included married men, married women, religious leaders, community leaders, and family-planning providers. Quantitative surveys were completed by 152 men; 99 (65.1%) reported that they would accompany their wives to family-planning clinics in the future, 116 (76.3%) reported approving of the use of modern contraception by their wives, and 132 (86.8%) reported wanting to know more about family planning. Both quantitative and qualitative aspects of the study indicated that husbands were the major decision makers regarding family size, choice of contraceptive, and pregnancy timing. In terms of fertility goals and family planning, men were the primary decision makers; consequently, obtaining their support and commitment to family planning is of crucial importance in Nigeria. Copyright © 2016 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.

  5. 1997 toxic chemical release inventory. Emergency Planning and Community Right-To-Know Act, Section 313

    International Nuclear Information System (INIS)

    Zaloudek, D.E.

    1998-01-01

    Two listed toxic chemicals were used at the Hanford Site above established activity thresholds: phosphoric acid and chlorine. Because total combined quantities of chlorine released, disposed, treated, recovered through recycle operations, co-combusted for energy recovery, and transferred to off-site locations for the purpose of recycle, energy recovery, treatment, and/or disposal, amounted to less than 500 pounds, the Hanford Site qualified for the alternate one million pound threshold for chlorine. Accordingly, this Toxic Chemical Release Inventory includes a Form A for chlorine, and a Form B for phosphoric acid

  6. The Best Laid Plans: Access to the Rajiv Aarogyasri community health insurance scheme of Andhra Pradesh

    Directory of Open Access Journals (Sweden)

    H. Narasimhan

    2014-05-01

    Full Text Available This paper is a qualitative assessment of a public health insurance scheme in the state of Andhra Pradesh, south India, called the Rajiv Aarogyasri Community Health Insurance Scheme (or Aarogyasri, using the case-study method. Focusing on inpatient hospital care and especially on surgical treatments leaves the scheme wanting in meeting the health care needs of and addressing the impoverishing health expenditure incurred by the poor, especially those living in rural areas. Though well-intentioned, people from vulnerable sections of society may find the scheme ultimately unhelpful for their needs. Through an in-depth qualitative approach, the paper highlights not just financial difficulties but also the non-financial barriers to accessing health care, despite the existence of a scheme such as Aarogyasri. Narrative evidence from poor households offers powerful insights into why even the most innovative state health insurance schemes may not achieve their goals and systemic corrections needed to address barriers to health care.

  7. Honoring Choices Minnesota: preliminary data from a community-wide advance care planning model.

    Science.gov (United States)

    Wilson, Kent S; Kottke, Thomas E; Schettle, Sue

    2014-12-01

    Advance care planning (ACP) increases the likelihood that individuals who are dying receive the care that they prefer. It also reduces depression and anxiety in family members and increases family satisfaction with the process of care. Honoring Choices Minnesota is an ACP program based on the Respecting Choices model of La Crosse, Wisconsin. The objective of this report is to describe the process, which began in 2008, of implementing Honoring Choices Minnesota in a large, diverse metropolitan area. All eight large healthcare systems in the metropolitan area agreed to participate in the project, and as of April 30, 2013, the proportion of hospitalized individuals 65 and older with advance care directives in the electronic medical record was 12.1% to 65.6%. The proportion of outpatients aged 65 and older was 11.6% to 31.7%. Organizations that had sponsored recruitment initiatives had the highest proportions of records containing healthcare directives. It was concluded that it is possible to reduce redundancy by recruiting all healthcare systems in a metropolitan area to endorse the same ACP model, although significantly increasing the proportion of individuals with a healthcare directive in their medical record requires a campaign with recruitment of organizations and individuals. © 2014 The Authors.The Journal of the American Geriatrics Society published by Wiley Periodicals, Inc. on behalf of The American Geriatrics Society.

  8. The South Florida Ecosystem Portfolio Model - A Map-Based Multicriteria Ecological, Economic, and Community Land-Use Planning Tool

    Science.gov (United States)

    Labiosa, William B.; Bernknopf, Richard; Hearn, Paul; Hogan, Dianna; Strong, David; Pearlstine, Leonard; Mathie, Amy M.; Wein, Anne M.; Gillen, Kevin; Wachter, Susan

    2009-01-01

    issues of regional ecological sustainability can be explored with the EPM (for example, changes in biodiversity potential and regional habitat fragmentation), it does not attempt to define or evaluate long-term ecological sustainability as such. Instead, the EPM is intended to provide transparent first-order indications of the direction of ecological, economic, and community change, not to make detailed predictions of ecological, economic, and social outcomes. In short, the EPM is an attempt to widen the perspectives of its users by integrating natural and social scientific information in a framework that recognizes the diversity of values at stake in South Florida land-use planning. For terrestrial ecosystems, land-cover change is one of the most important direct drivers of changes in ecosystem services (Hassan and others, 2005). More specifically, the fragmentation of habitat from expanding low-density development across landscapes appears to be a major driver of terrestrial species decline and the impairment of terrestrial ecosystem integrity, in some cases causing irreversible impairment from a land-use planning perspective (Brody, 2008; Peck, 1998). Many resource managers and land-use planners have come to realize that evaluating land-use conversions on a parcel-by-parcel basis leads to a fragmented and narrow view of the regional effects of natural land-cover loss to development (Marsh and Lallas, 1995). The EPM is an attempt to integrate important aspects of the coupled natural-system/human-system view from a regional planning perspective. The EPM evaluates proposed land-use changes, both conversion and intensification, in terms of relevant ecological, economic, and social criteria that combine information about probable land-use outcomes, based on ecological and environmental models, as well as value judgments, as expressed in user-modifiable preference models. Based on on-going meetings and interviews with stakeholders and potential tool users we foc

  9. Risk factors for radiation pneumonitis after stereotactic radiation therapy for lung tumours: clinical usefulness of the planning target volume to total lung volume ratio.

    Science.gov (United States)

    Ueyama, Tomoko; Arimura, Takeshi; Takumi, Koji; Nakamura, Fumihiko; Higashi, Ryutaro; Ito, Soichiro; Fukukura, Yoshihiko; Umanodan, Tomokazu; Nakajo, Masanori; Koriyama, Chihaya; Yoshiura, Takashi

    2018-06-01

    To identify risk factors for symptomatic radiation pneumonitis (RP) after stereotactic radiation therapy (SRT) for lung tumours. We retrospectively evaluated 68 lung tumours in 63 patients treated with SRT between 2011 and 2015. RP was graded according to the National Cancer Institute-Common Terminology Criteria for Adverse Events version 4.0. SRT was delivered at 7.0-12.0 Gy per each fraction, once daily, to a total of 48-64 Gy (median, 50 Gy). Univariate analysis was performed to assess patient- and treatment-related factors, including age, sex, smoking index (SI), pulmonary function, tumour location, serum Krebs von den Lungen-6 value (KL-6), dose-volume metrics (V5, V10, V20, V30, V40 and VS5), homogeneity index of the planning target volume (PTV), PTV dose, mean lung dose (MLD), contralateral MLD and V2, PTV volume, lung volume and the PTV/lung volume ratio (PTV/Lung). Performance of PTV/Lung in predicting symptomatic RP was also analysed using receiver operating characteristic (ROC) analysis. The median follow-up period was 21 months. 10 of 63 patients (15.9%) developed symptomatic RP after SRT. On univariate analysis, V10, V20, PTV volume and PTV/Lung were significantly associated with occurrence of RP  ≥Grade 2. ROC curves indicated that symptomatic RP could be predicted using PTV/Lung [area under curve (AUC): 0.88, confidence interval (CI: 0.78-0.95), cut-off value: 1.09, sensitivity: 90.0% and specificity: 72.4%]. PTV/Lung is a good predictor of symptomatic RP after SRT. Advances in knowledge: The cases with high PTV/Lung should be carefully monitored with caution for the occurrence of RP after SRT.

  10. A Development Curriculum Plan To Achieve a Sequenced Curriculum between High School Courses in Automotive Mechanics and the Mattatuck Community College Automotive Technician Program. Final Report.

    Science.gov (United States)

    Mattatuck Community Coll., Waterbury, CT.

    This document contains a developmental curriculum plan for an articulated curriculum in automotive mechanics for Connecticut's Mattatuck Community College and area high schools. The curriculum guide includes a course description, criteria for evaluation, attendance policy, objectives, a curriculum outline, a three-part automotive technician test,…

  11. A Developmental Curriculum Plan To Achieve a Sequenced Curriculum between High School Courses in Food Preparation and the Mattatuck Community College Hospitality/Food Services Program. Final Report.

    Science.gov (United States)

    Mattatuck Community Coll., Waterbury, CT.

    This document contains a developmental curriculum plan for an articulated curriculum in hospitality/food service for Connecticut's Mattatuck Community College and area high schools. The curriculum guide includes a course description, criteria for evaluation, attendance policy, objectives, a curriculum area outline, 17 content area objectives, a…

  12. Prospective comparative effectiveness cohort study comparing two models of advance care planning provision for Australian community aged care clients.

    Science.gov (United States)

    Detering, Karen Margaret; Carter, Rachel Zoe; Sellars, Marcus William; Lewis, Virginia; Sutton, Elizabeth Anne

    2017-12-01

    Conduct a prospective comparative effectiveness cohort study comparing two models of advance care planning (ACP) provision in community aged care: ACP conducted by the client's case manager (CM) ('Facilitator') and ACP conducted by an external ACP service ('Referral') over a 6-month period. This Australian study involved CMs and their clients. Eligible CM were English speaking, ≥18 years, had expected availability for the trial and worked ≥3 days per week. CMs were recruited via their organisations, sequentially allocated to a group and received education based on the group allocation. They were expected to initiate ACP with all clients and to facilitate ACP or refer for ACP. Outcomes were quantity of new ACP conversations and quantity and quality of new advance care directives (ACDs). 30 CMs (16 Facilitator, 14 Referral) completed the study; all 784 client's files (427 Facilitator, 357 Referral) were audited. ACP was initiated with 508 (65%) clients (293 Facilitator, 215 Referral; p<0.05); 89 (18%) of these (53 Facilitator, 36 Referral) and 41 (46%) (13 Facilitator, 28 Referral; p<0.005) completed ACDs. Most ACDs (71%) were of poor quality/not valid. A further 167 clients (facilitator 124; referral 43; p<0.005) reported ACP was in progress at study completion. While there were some differences, overall, models achieved similar outcomes. ACP was initiated with 65% of clients. However, fewer clients completed ACP, there was low numbers of ACDs and document quality was generally poor. The findings raise questions for future implementation and research into community ACP provision. © 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.

  13. Perspectives on risk: Assessment of risk profiles and outcomes among women planning community birth in the United States.

    Science.gov (United States)

    Bovbjerg, Marit L; Cheyney, Melissa; Brown, Jennifer; Cox, Kim J; Leeman, Lawrence

    2017-09-01

    There is little agreement on who is a good candidate for community (home or birth center) birth in the United States. Data on n=47 394 midwife-attended, planned community births come from the Midwives Alliance of North America Statistics Project. Logistic regression quantified the independent contribution of 10 risk factors to maternal and neonatal outcomes. Risk factors included: primiparity, advanced maternal age, obesity, gestational diabetes, preeclampsia, postterm pregnancy, twins, breech presentation, history of cesarean and vaginal birth, and history of cesarean without history of vaginal birth. Models controlled additionally for Medicaid, race/ethnicity, and education. The independent contributions of maternal age and obesity were quite modest, with adjusted odds ratios (AOR) less than 2.0 for all outcomes: hospital transfer, cesarean, perineal trauma, postpartum hemorrhage, low/very-low Apgar, maternal or neonatal hospitalization, NICU admission, and fetal/neonatal death. Breech was strongly associated with morbidity and fetal/neonatal mortality (AOR 8.2, 95% CI, 3.7-18.4). Women with a history of both cesarean and vaginal birth fared better than primiparas across all outcomes; however, women with a history of cesarean but no prior vaginal births had poor outcomes, most notably fetal/neonatal demise (AOR 10.4, 95% CI, 4.8-22.6). Cesarean births were most common in the breech (44.7%), preeclampsia (30.6%), history of cesarean without vaginal birth (22.1%), and primipara (11.0%) groups. The outcomes of labor after cesarean in women with previous vaginal deliveries indicates that guidelines uniformly prohibiting labor after cesarean should be reconsidered for this subgroup. Breech presentation has the highest rate of adverse outcomes supporting management of vaginal breech labor in a hospital setting. © 2017 Wiley Periodicals, Inc.

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

    Science.gov (United States)

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

    2011-01-01

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

  15. Competition is not necessarily a barrier to community mobilisation among sex workers: an intervention planning assessment from Zimbabwe.

    Science.gov (United States)

    Mtetwa, Sibongile; Busza, Joanna; Davey, Calum; Wong-Gruenwald, Ramona; Cowan, Frances

    2015-08-16

    with Victoria Falls and Hwange where fewer agreed there was competition between SWs (70.5 % and 78.0 %), but also fewer reported that SWs support each other at work (55.2 % and 51.2 %). Women reported being most likely to support each other when confronted with serious danger but maintained high levels of competition for clients, suggesting competition at work does not represent a barrier to support. Examples of practical assistance between SWs provide entry points for our planned community mobilization activities, which aim to broaden trust and support among SWs while acknowledging their professional competition.

  16. Applying geo-spatial analysis in community needs assessment: Implications for planning and prioritizing based on data.

    Science.gov (United States)

    Baig, Kamran; Shaw-Ridley, Mary; Munoz, Oscar J

    2016-10-01

    Colonias are sub standardized and unincorporated areas located along the US-Mexico border, with severely lacking infrastructure. Residents have poor health and limited availability, accessibility and/or utilization of healthcare services in the region. Using 2006-2007 community needs assessment (CNA) surveys collected by the Center for Housing and Urban Development of Texas A&M University, 410 randomly selected surveys from Hidalgo County, Texas were analyzed. Descriptive and spatial analyses were performed and Odds ratio (OR) was calculated. Out of 410 surveys, 333 were geo-coded to identify areas most in need of dental and vision care. Two hospitals existed within 5 miles radius of the mean centers for the two areas. Distance to health care facility was not statistically predictive of the need of dental care OR=0.96 (95% CI=0.855-1.078, p value=0.492) and vision care OR=1.083 (95% CI=0.968-1.212, p value=0.164). Integrating spatial analysis and CNA enhances planning to improve service accessibility and utilization in underserved areas. Copyright © 2016 Elsevier Ltd. All rights reserved.

  17. Community based distribution agents’ approach to provision of family planning information and services in five Nigerian States: A mirage or a reality?

    Directory of Open Access Journals (Sweden)

    Mojisola Fayemi

    2011-11-01

    Full Text Available Background: Reducing maternal mortality in Nigeria has received continuous attention both nationally and internationally. Objectives: This article highlights the outcome of an intervention which sought to address maternal mortality reduction through increasing contraceptive uptake in 10 rural local government areas (LGAsin five Nigerian states. Method: The community based distribution (CBD approach was used in the implementation of a three year intervention that targeted 10 LGAs. Two hundred and fifty community members were trained as community based distribution agents (CBDA to provide information on reproductive health, provide non-prescriptive family planning (FP commodities, treat minor aliment and make referrals to primary health centres within the communities. Results: Final evaluation revealed an increase in the proportion of community members who had utilised FP commodities at all, from 28% at baseline to 49%, and an increase in the proportion of current contraceptive users from 16% at baseline to 37%. An average of 50% increase in clientele patronage was also observed in the 10 LGAs’ primary health care centres. Most (96% of the interviewed CBDA agents reported that a drug-revolving system was in place to ensure that drugs and commodities were available. On-the-spot assessment of the service forms revealed that 86% of them had their activities regularly recorded in their worksheets. Some of the challenges faced by CBDA were discrimination and misconception of community members about family planning (38%, inadequate financial support (14%,and transportation problems (8%. Conclusion: This study has demonstrated that the CBD approach played a critical role in enhancing access to Reproductive Health and Family Planning information and services in the project communities.

  18. Mildly elevated serum total bilirubin is negatively associated with hemoglobin A1c independently of confounding factors among community-dwelling middle-aged and elderly persons

    Directory of Open Access Journals (Sweden)

    Ryuichi Kawamoto

    2017-08-01

    Full Text Available Abnormally high glycated hemoglobin (Hb (HbA1c is significantly associated with oxidative stress and an increased risk of cardiovascular disease (CVD. Serum total bilirubin (T-B may have a beneficial role in preventing oxidative changes and be a negative risk factor of CVD. Limited information is available on whether serum T-B is an independent confounding factor of HbA1c. The study subjects were 633 men aged 70 ± 9 (mean ± standard deviation (SD years and 878 women aged 70 ± 8 years who were enrolled consecutively from among patients aged ≥40 years through a community-based annual check-up process. We evaluated the relationship between various confounding factors including serum T-B and HbA1c in each gender. Multiple linear regression analysis pertaining to HbA1c showed that in men, serum T-B ( β = −0.139 as well as waist circumference ( β = 0.099, exercise habit ( β = 0.137, systolic blood pressure (SBP ( β = 0.076, triglycerides ( β = 0.087, and uric acid ( β = −0.123 were significantly and independently associated with HbA1c, and in women, serum T-B ( β = −0.084 as well as body mass index ( β = 0.090, smoking status ( β = −0.077, SBP ( β = 0.117, diastolic blood pressure (DBP ( β = −0.155, low-density lipoprotein cholesterol ( β = 0.074, prevalence of antidyslipidemic medication ( β = 0.174, and uric acid ( β = 0.090 were also significantly and independently associated with HbA1c. Multivariate-adjusted serum HbA1c levels were significantly high in subjects with the lowest serum T-B levels in both genders. Serum T-B is an independent confounding factor for HbA1c among community-dwelling middle-aged and elderly persons.

  19. Patient-specific positioning guides for total knee arthroplasty: no significant difference between final component alignment and pre-operative digital plan except for tibial rotation.

    Science.gov (United States)

    Boonen, Bert; Schotanus, Martijn G M; Kerens, Bart; Hulsmans, Frans-Jan; Tuinebreijer, Wim E; Kort, Nanne P

    2017-09-01

    To assess whether there is a significant difference between the alignment of the individual femoral and tibial components (in the frontal, sagittal and horizontal planes) as calculated pre-operatively (digital plan) and the actually achieved alignment in vivo obtained with the use of patient-specific positioning guides (PSPGs) for TKA. It was hypothesised that there would be no difference between post-op implant position and pre-op digital plan. Twenty-six patients were included in this non-inferiority trial. Software permitted matching of the pre-operative MRI scan (and therefore calculated prosthesis position) to a pre-operative CT scan and then to a post-operative full-leg CT scan to determine deviations from pre-op planning in all three anatomical planes. For the femoral component, mean absolute deviations from planning were 1.8° (SD 1.3), 2.5° (SD 1.6) and 1.6° (SD 1.4) in the frontal, sagittal and transverse planes, respectively. For the tibial component, mean absolute deviations from planning were 1.7° (SD 1.2), 1.7° (SD 1.5) and 3.2° (SD 3.6) in the frontal, sagittal and transverse planes, respectively. Absolute mean deviation from planned mechanical axis was 1.9°. The a priori specified null hypothesis for equivalence testing: the difference from planning is >3 or plan in all planes, except for the tibial rotation in the transverse plane. Possible explanations for outliers are discussed and highlight the importance for adequate training surgeons before they start using PSPG in their day-by-day practise. Prospective cohort study, Level II.

  20. Analysis of Stakeholder-Defined Needs in Northeast U.S. Coastal Communities to Determine Gaps in Research Informing Coastal Resilience Planning

    Science.gov (United States)

    Molino, G. D.; Kenney, M. A.; Sutton-Grier, A.; Penn, K.

    2017-12-01

    The impacts of climate change on our coastlines are increasing pressure on communities, ecosystems, infrastructure, and state-to-local economies in the northeastern United States (U.S.). As a result of current or imminent risk of acute and chronic hazards, local, state and regional entities have taken steps to identify and address vulnerabilities to climate change. Decisions to increase coastal infrastructure resilience and grey, green, and cultural infrastructure solutions requires physical, natural, and social science that is useful for decision-making and effective science translation mechanisms. Despite the desire to conduct or fund science that meets the needs of communities, there has been no comprehensive analysis to determine stakeholder-defined research needs. To address this gap, this study conducts a stakeholder needs analysis in northeast U.S. coastal communities to determine gaps in information and translation processes supporting coastal resilience planning. Documents were sourced from local, state, and regional organizations in both the public and private sectors, using the northeast region defined by the third National Climate Assessment. Modeled after Dilling et al. (2015), a deductive coding schema was developed that categorized documents using specific search terms such as "Location and condition of infrastructure" and "Proactive planning". A qualitative document analysis was then executed using NVivo to formally identify patterns and themes present in stakeholder surveys, workshop proceedings, and reports. Initial stakeholder priorities centered around incorporation of climate science into planning and decision making regarding vulnerabilities of infrastructure, enhanced emergency planning and response, and communication of key information.

  1. Total protein

    Science.gov (United States)

    ... page: //medlineplus.gov/ency/article/003483.htm Total protein To use the sharing features on this page, please enable JavaScript. The total protein test measures the total amount of two classes ...

  2. Examples of geodiversity - biodiversity interactions in the concise guide Inspiration Treasure House Earth, a tool for spatial planning with geodiversity and geoheritage at community level

    Science.gov (United States)

    van den Ancker, Hanneke; Jungerius, Pieter Dirk; van der Graaff, Evert; de Groof, Arthur; Doornbos, Gerard

    2014-05-01

    SIKB is a Dutch network organisation, set up to guarantee a minimum quality of soil management. The network encompasses both the private and the public sector. Their activities include the development of decision-making procedures and rendering of services for soil remediation and soil handling, i.a. through standardisation and certification. Each year SIKB produces concise hand-outs to assist and improve soil management. In 2000 the Dutch Ministry of Agriculture then responsible for earth heritage management, commissioned the Stichting Geomorfologie & Landschap to find out how geoheritage and geodiversity were cared for at the community level. The conclusion was that concern for geomorphology, geology, soil and their importance for landscape management and spatial planning was minimal in most Dutch communities. They were only mentioned in the descriptive paragraphs of the local community plan, often very short and using complex terminology not to be understood by any community member. Only in few communities it had resulted in geoheritage protection or attention for preserving the geodiversity of the area. Therefore, in 2007, SIKB and Geoheritage NL produced a hand-out to improve attention for geoheritage and geodiversity at the level of the local community. They produced a concise guide to get geoheritage and geodiversity within the different levels of the spatial plan of the local communities, then called bestemmingsplan now named structuurplan. This hand-out was a success: it had four re-prints and people are still interested in receiving a copy, although it is out of print. Yet, those working with it explained in a special meeting to evaluate the hand-out that it was too thorough a product to inspire decision makers and their colleagues in the local community. Apart from this, SIKB preferred not to make a reprint, but to come with a new product to revive attention. In 2013 we started to develop a hand-out which focusses on examples clarifying why attention for

  3. Non-nuclear radiological emergencies. Special plan for radiological risk of the Valencian Community; Emergencias radiológicas no nucleares. Plan especial ante el riesgo radiológico de la Comunidad Valenciana

    Energy Technology Data Exchange (ETDEWEB)

    Rodríguez Rodrigo, I.; Piles Alepuz, I.; Peiró Juan, J.; Calvet Rodríguez, D.

    2015-07-01

    After the publication of the Radiological Hazard Basic Directive, Generalitat (the regional government in Valencian Community) initiated the edition of the pertinent Special Plan, with the objective to assemble the response of all the Security and Emergency Agencies, including the Armed Forces, in a radiological emergency affecting the territory of the Valencian Community, under a single hierarchy command. Being approved and homologated the Radiological Hazard Special Plan, Generalitat has undertaken the implementation process planned to finish in June 2015. Following the same process as other Plans, implementation is organized in a first informative stage, followed of a formative and training stage, and finishing with an activation exercise of the Plan. At the end of the process, is expected that every Agency will know their functions, the structure and organization in which the intervention takes place, the resources needed, and adapt their protocols to the Plan requirements. From the beginning, it has been essential working together with the Nuclear Safety Council, as is established in the agreement signed in order to collaborate in Planning, Preparedness and Response in Radiological Emergencies. [Spanish] Tras la publicación de la Directriz Básica de Riesgo Radiológico, la Generalitat inició la redacción del correspondiente Plan Especial, con el objetivo de articular la respuesta de todos los organismos de Seguridad y Emergencias, y las Fuerzas Armadas, en una emergencia radiológica que afecte al territorio de la Comunidad Valenciana, bajo la dirección de un mando único. Aprobado y homologado el Plan Especial ante el Riesgo Radiológico, la Generalitat ha acometido el proceso de implantación que finalizará en junio de 2015. Por analogía con otros planes de la Comunidad, la implantación se estructura en una primera fase divulgativa e informativa, seguida de una fase formativa y de adiestramiento, culminando con un simulacro de activación del Plan

  4. Support increased adoption of green infrastructure into community stormwater management plans and watershed sustainability goals: Information and guidance through community partnerships

    Science.gov (United States)

    This project will provide technical assistance to support implementation of GI in U.S. communities and information on best practices for GI approaches that protect ground water supplies. Case studies that can be more broadly applied to other communities will be conducted. The pro...

  5. Planning ahead for livable communities along the Powell–Division Bus Rapid Transit : neighborhood conditions and change.

    Science.gov (United States)

    2017-07-04

    New transit investments can be a double-edged sword for disadvantaged communities (e.g., those included in environmental justice and Title VI protected classes). Transit investments improve communities mobility and access, and may improve health w...

  6. Medicaid program; state plan home and community-based services, 5-year period for waivers, provider payment reassignment, and home and community-based setting requirements for Community First Choice and home and community-based services (HCBS) waivers. Final rule.

    Science.gov (United States)

    2014-01-16

    This final rule amends the Medicaid regulations to define and describe state plan section 1915(i) home and community-based services (HCBS) under the Social Security Act (the Act) amended by the Affordable Care Act. This rule offers states new flexibilities in providing necessary and appropriate services to elderly and disabled populations. This rule describes Medicaid coverage of the optional state plan benefit to furnish home and community based-services and draw federal matching funds. This rule also provides for a 5-year duration for certain demonstration projects or waivers at the discretion of the Secretary, when they provide medical assistance for individuals dually eligible for Medicaid and Medicare benefits, includes payment reassignment provisions because state Medicaid programs often operate as the primary or only payer for the class of practitioners that includes HCBS providers, and amends Medicaid regulations to provide home and community-based setting requirements related to the Affordable Care Act for Community First Choice State plan option. This final rule also makes several important changes to the regulations implementing Medicaid 1915(c) HCBS waivers.

  7. Pulling the plug : how the Liberals' plan to dismantle BC Hydro threatens taxpayers, businesses, communities and jobs

    International Nuclear Information System (INIS)

    Veerkamp, M.

    2002-06-01

    The British Columbia government is planning to sell-off and deregulate the province's integrated, publicly-owned electric utilities despite election promises not to do so. The author argues that the consequences will be catastrophic with massive price increasing, rolling brownouts and service cuts. A recent poll indicates that 76 per cent of British Columbians oppose the decision to sell, 68 per cent do not support deregulation, and 83 per cent support a full public consultation before any changes are made. In response, the BC Citizens for Public Power Society was formed to give voice to British Columbians demand that their power system remain in public hands. This report presents a chronology of events for BC Hydro, and describes the experience of other jurisdictions with electricity deregulation. The BC Task Force on Energy Policy has released a report which claims that a fully competitive energy market will attract private capital and bring more energy supply, thereby lowering energy costs and increasing energy security. British Columbians condemn that report, arguing that it is too ideological and poorly substantiated. This paper discusses the impact that deregulation would have on the transmission system, the environment, and on local governments and small communities. It was noted that if the public electricity resources are removed from public ownership and control, the province's future options will be restricted under the North American Free Trade Agreement (NAFTA) and the General Agreement on Trade in Services (GATS). The BC Citizens for Public Power Society argues that the future power needs of the province are best met by public investment and energy conservation using BC Hydro. 65 refs

  8. Total Cost of Ownership, System Acceptance and Perceived Success of Enterprise Resource Planning Software: Simulating a Dynamic Feedback Perspective of ERP in the Higher Education Environment

    Science.gov (United States)

    Fryling, Meg

    2010-01-01

    Enterprise Research Planning (ERP) software is advertised as the product that will "run the enterprise", improving data access and accuracy as well as enhancing business process efficiency. Unfortunately, organizations often make implementation decisions with little consideration for the maintenance phase of an ERP, resulting in significant…

  9. Micro-regional planning: evidence-based community buy-in for health development in five of Mexico’s poorest rural districts

    Directory of Open Access Journals (Sweden)

    Arrizón Ascencio

    2011-12-01

    Full Text Available Abstract Background Community participation was a core tenet of Primary Health Care as articulated in the 1970s. How this could be generated and maintained was less clear. This historical article describes development of protocols for evidence-based community mobilisation in five local administrative units (municipios in the Mexican state of Guerrero between 1992 and 1995. Methods A sample of five to eight sentinel sites represented each of the most impoverished municipalities of the poorest five of the state's seven regions. A 1992 baseline survey of diarrhoea and its actionable determinants provided the substrate for discussion with local planners and communities. Municipal planners used different strategies to promote participation. In one municipality, new health committees took control of water quality. In another, municipal authorities hired health promoters; a song promoted oral rehydration, and house-to-house interpersonal discussions promoted chlorination. In the poorest and most mountainous municipality, radio casera (home-made radio soap operas used local "stars". In the largest and most disparate municipality, a child-to-family scheme relied on primary and secondary school teachers. The research team assessed outcomes at intervals and used the results to reinforce local planning and action. Results Diarrhoea rates declined in all five municipalities, and there were several positive intermediate outcomes from the communication strategies – changing knowledge, household practices and uptake of services. There was a strong link between specific contents of the communication package and the changing knowledge or practices. Conclusions Apart from these evidence-based interventions, other factors probably contributed to the decline of childhood diarrhoea. But, by monitoring implementation of planning decisions and the impact this has at community level, micro-regional planning can stimulate and reinforce actions likely to improve the

  10. Technical Assistance Plan (TAP)

    Science.gov (United States)

    A Technical Assistance Plan (TAP) enables community groups to retain the services of an independent technical advisor and to provide resources for a community group to help inform other community members about site decisions.

  11. Champagne-Ardenne Climate-Air-Energy Plan + Synthesis + Wind energy regional plan + Report and conclusion of the consultation and dialogue organised from January 20 to March 20, 2012. Territorial Climate-Energy Plan Coeur d'Ardenne urban community, Sedan region community of communes

    International Nuclear Information System (INIS)

    Guillot, Michel; Bachy, Jean-Paul

    2012-05-01

    After a recall of stakes and challenges related to climate, air and energy, an introduction presents the Champagne-Ardenne Regional Climate Air Energy Plan (PCAER), recalls national and international commitments (struggle against greenhouse effect, improvement of air quality, development of renewable energies, energy demand management), describes the PCAER elaboration process, indicates its legal status and value, and its relationship with other schemes and plans. The next part proposes a situational analysis with a presentation of the territory (economy, geography, demography, organisation), an assessment of its final energy consumption, and an assessment of potential energy savings, energy efficiency improvements and energy demand management. It proposes an assessment of renewable and recovery energy production and of its potential development, an inventory of greenhouse gas emissions and of atmospheric pollutant emissions, an assessment of air quality, and a discussion of territory vulnerability to climate change. The next part is a more prospective one as it defines orientations for land and urban development, mobility, good transport, agriculture and viticulture, forest and wood valorisation, buildings, renewable and recovery energies, water, natural, technological and health risks, the tertiary sector, industry, communities, and governance for the PCAER implementation. A second document is a synthesis of this PCAER and proposes an overview of the situation and challenges, of objectives to be reached, and the definition of a roadmap, with a focus on the regional scheme for wind energy (SRE). This last one discusses the wind energy development (legal and regulatory framework, role in regional development, issues related to land development, dialogue, impacts), proposes an overview of the different types of constraints and servitudes (environmental, technical, heritage, landscape, and so on). The next document reports the consultation and dialogue process and

  12. Total algorithms

    NARCIS (Netherlands)

    Tel, G.

    We define the notion of total algorithms for networks of processes. A total algorithm enforces that a "decision" is taken by a subset of the processes, and that participation of all processes is required to reach this decision. Total algorithms are an important building block in the design of

  13. FY 1990 report on the R and D of the manganese nodule mining system. 2/6 volume. Total system (experimental plan); 1990 nendo mangan dankai saiko system no kenkyu kaihatsu seika hokokusho. 2/6. Total system (jikken keikaku) hen

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1991-03-01

    For the purpose of securing the stable supply of non-ferrous metal resources such as Ni, Co, Cu and Mn and of improving the overall ocean development technology, the R and D were carried out of a technology to mine Mn nodules existing in the bottom of deep sea of the depth between 4,000m and 6,000m by the fluid dredging method which is highly efficient and reliable. Therefore, plans of experiments to be made for each subsystem are adjusted/integrated to make the contents of a comprehensive experiment, and at the same time a draft of the comprehensive experiment plan was worked out for an experimental system to be developed/trially fabricated. As to a total system (experimental plan), a plan for execution was studied in the case of rationalizing the comprehensive ocean experiment plan and choosing between pump lift and air lift. The TA-C sea area was continuously investigated as a candidate sea area for survey and the range was limited. The paper studied the basic plan of the mining system and commenced the basic study of the assessment of economical efficiency. (NEDO)

  14. A patient and community-centered approach selecting endpoints for a randomized trial of a novel advance care planning tool

    Directory of Open Access Journals (Sweden)

    Bridges JFP

    2018-02-01

    Full Text Available John FP Bridges,1,2 Norah L Crossnohere,2 Anne L Schuster,1 Judith A Miller,3 Carolyn Pastorini,3,† Rebecca A Aslakson2,4,5 1Department of Health Policy and Management, The Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, 2Department of Health, Behavior, and Society, The Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, 3Patient-Centered Outcomes Research Institute (PCORI Project, Baltimore, MD, 4Department of Anesthesiology and Critical Care Medicine, The Johns Hopkins School of Medicine, Baltimore, MD, 5Armstrong Institute for Patient Safety and Quality, The Johns Hopkins School of Medicine, Baltimore, MD, USA †Carolyn Pastorini passed away on August 24, 2015 Background: Despite a movement toward patient-centered outcomes, best practices on how to gather and refine patients’ perspectives on research endpoints are limited. Advanced care planning (ACP is inherently patient centered and would benefit from patient prioritization of endpoints for ACP-related tools and studies.Objective: This investigation sought to prioritize patient-centered endpoints for the content and evaluation of an ACP video being developed for patients undergoing major surgery. We also sought to highlight an approach using complementary engagement and research strategies to document priorities and preferences of patients and other stakeholders.Materials and methods: Endpoints identified from a previously published environmental scan were operationalized following rating by a caregiver co-investigator, refinement by a patient co-investigator, review by a stakeholder committee, and validation by patients and family members. Finalized endpoints were taken to a state fair where members of the public who indicated that they or a loved one had undergone major surgery prioritized their most relevant endpoints and provided comments.Results: Of the initial 50 ACP endpoints identified from the review, 12 endpoints were selected for public

  15. History matters: childhood weight trajectories as a basis for planning community-based obesity prevention to adolescents.

    Science.gov (United States)

    Ekberg, J; Angbratt, M; Valter, L; Nordvall, M; Timpka, T

    2012-04-01

    To use epidemiological data and a standardized economic model to compare projected costs for obesity prevention in late adolescence accrued using a cross-sectional weight classification for selecting adolescents at age 15 years compared with a longitudinal classification. All children born in a Swedish county (population 440 000) in 1991 who participated in all regular measurements of height and weight at ages 5, 10 and 15 years (n=4312) were included in the study. The selection strategies were compared by calculating the projected financial load resulting from supply of obesity prevention services from providers at all levels in the health care system. The difference in marginal cost per 1000 children was used as the primary end point for the analyses. Using the cross-sectional selection strategy, 3.8% of adolescents at age 15 years were selected for evaluation by a pediatric specialist, and 96.2% were chosen for population-based interventions. In the trajectory-based strategy, 2.4% of the adolescents were selected for intensive pediatric care, 1.4% for individual clinical interventions in primary health care, 14.0% for individual primary obesity prevention using the Internet and 82.1% for population-based interventions. Costs for the cross-sectional selection strategy were projected to USD463 581 per 1000 adolescents and for the trajectory-based strategy were USD 302 016 per 1000 adolescents. Using projections from epidemiological data, we found that by basing the selection of adolescents for obesity prevention on weight trajectories, the load on highly specialized pediatric care can be reduced by one-third and total health service costs for obesity management among adolescents reduced by one-third. Before use in policies and prevention program planning, our findings warrant confirmation in prospective cost-benefit studies.

  16. Study Protocol--Alcohol Management Plans (AMPs) in remote indigenous communities in Queensland: their impacts on injury, violence, health and social indicators and their cost-effectiveness.

    Science.gov (United States)

    Clough, Alan R; Fitts, Michelle S; Robertson, Jan A; Shakeshaft, Anthony; Miller, Adrian; Doran, Christopher M; Muller, Reinhold; Ypinazar, Valmae; Martin, David; McDermott, Robyn; Sanson-Fisher, Rob; Towle, Simon; Margolis, Stephen A; West, Caryn

    2014-01-09

    In 2002/03 the Queensland Government responded to high rates of alcohol-related harm in discrete Indigenous communities by implementing alcohol management plans (AMPs), designed to include supply and harm reduction and treatment measures. Tighter alcohol supply and carriage restrictions followed in 2008 following indications of reductions in violence and injury. Despite the plans being in place for over a decade, no comprehensive independent review has assessed to what level the designed aims were achieved and what effect the plans have had on Indigenous community residents and service providers. This study will describe the long-term impacts on important health, economic and social outcomes of Queensland's AMPs. The project has two main studies, 1) outcome evaluation using de-identified epidemiological data on injury, violence and other health and social indicators for across Queensland, including de-identified databases compiled from relevant routinely-available administrative data sets, and 2) a process evaluation to map the nature, timing and content of intervention components targeting alcohol. Process evaluation will also be used to assess the fidelity with which the designed intervention components have been implemented, their uptake and community responses to them and their perceived impacts on alcohol supply and consumption, injury, violence and community health. Interviews and focus groups with Indigenous residents and service providers will be used. The study will be conducted in all 24 of Queensland's Indigenous communities affected by alcohol management plans. This evaluation will report on the impacts of the original aims for AMPs, what impact they have had on Indigenous residents and service providers. A central outcome will be the establishment of relevant databases describing the parameters of the changes seen. This will permit comprehensive and rigorous surveillance systems to be put in place and provided to communities empowering them with the

  17. ‘Overall Regional Planning, Whole Advancement, and Terminal Offer’is the Fundamental Outset for Prohibition of Burning Straw in Field and Total Utilization of Straws in China

    Directory of Open Access Journals (Sweden)

    CHANG Zhi-zhou

    2015-08-01

    Full Text Available Straw burning is a serious problem, which draws high attention from the whole society. In this study, the issues of management, policy and techniques regarding to the straw burning and its integrated utilization were analyzed. Based on the analysis results, a novel strategy, i.e., overall regional planning, village basis, combination of collection and returning, policy guidance and market operation, was raised to inhibit straw burning and enhance the efficiency of straw utilization. In technology, the methods of regional control, balance of harvest and return, effective collection, improving application, creative mechanism were emphasized. In addition, the effect of total utilization replying on the method of overall regional planning and whole advancement was presented on the village-scale. The application results in Chemen Township, Sihong County, Jiangsu Province showed that the goal of total utilization of straws and prohibition of burning in the regional scale could be achieved according to the novel strategy.

  18. Rebuilding for the Community in New Orleans

    Science.gov (United States)

    Bingler, Steven

    2010-01-01

    Five years after hurricane Katrina, the City of New Orleans is now implementing a far-reaching plan for the systemic renovation and rebuilding of community programmes and infrastructure. A total of USD 3 billion has now been allocated to public building projects. With the student population down to nearly half of pre-storm totals, a recently…

  19. Creating community action plans for obesity prevention using the ANGELO (Analysis Grid for Elements Linked to Obesity) Framework

    DEFF Research Database (Denmark)

    Simmons, A; Mavoa, H M; Bell, A C

    2009-01-01

    Community-based interventions are an important component of obesity prevention efforts. The literature provides little guidance on priority-setting for obesity prevention in communities, especially for socially and culturally diverse populations. This paper reports on the process of developing pr...

  20. 76 FR 38282 - Federal Employees Health Benefits Program: New Premium Rating Method for Most Community Rated Plans

    Science.gov (United States)

    2011-06-29

    ... set but prior to January 1 of the plan year, including book rates filed with the state. Once SSSGs... after rates were set but before January 1 of the plan year, such as new book rates filed in the state in.... OPM's intention is to keep FEHB premiums stable and sustainable using this more transparent...

  1. Epistemic Planning

    DEFF Research Database (Denmark)

    Baral, Chitta; Bolander, Thomas; van Ditmarsch, Hans

    The seminar Epistemic Planning brought together the research communities of Dynamic Epistemic Logic, Knowledge Representation and Reasoning, and Automated Planning to address fundamental problems on the topic of epistemic planning. In the context of this seminar, dynamic epistemic logic...... investigates the formal semantics of communication and communicative actions, knowledge representation and reasoning focuses on theories of action and change, and automated planning investigates computational techniques and tools to generate plans. The original goals of the seminar were to develop benchmarks...... for epistemic planning, to explore the relationship between knowledge and belief in multi-agent epistemic planning, to develop models of agency and capability in epistemic planning and to explore action types and their representations (these originally separate goals were merged during the seminar), and finally...

  2. A blueprint for community benefit. A CHA-AAHA (Catholic Health Association-American Association of Homes for the Aging) document helps long-term care providers plan for and implement needed services.

    Science.gov (United States)

    Forschner, B; Trocchio, J

    1993-05-01

    A collaborative effort of the Catholic Health Association (CHA) and the American Association of Homes for the Aging, The Social Accountability Program: Continuing the Community Benefit Tradition of Not-for-Profit Homes and Services for the Aging helps long-term care organizations plan and report community benefit activities. The program takes long-term care providers through five sequential tasks: reaffirming commitment to the elderly and others in the community; developing a community service plan; developing and providing community services; reporting community services; and evaluating the community service role. To help organizations reaffirm commitment, the Social Accountability Program presents a process facilities can use to review their historical roots and purposes and evaluate whether current policies and procedures are consistent with the organizational philosophy. Once this step is completed, providers can develop a community service plan by identifying target populations and the services they need. For facilities developing and implementing such services, the program suggests ways of measuring and monitoring them for budgetary purposes. Once they have implemented services, not-for-profit healthcare organizations must account for their impact on the community. The Social Accountability Program lists elements to be included in community service reports. It also provides guidelines for evaluating these services' effectiveness and the organization's overall community benefit role.

  3. Totally James

    Science.gov (United States)

    Owens, Tom

    2006-01-01

    This article presents an interview with James Howe, author of "The Misfits" and "Totally Joe". In this interview, Howe discusses tolerance, diversity and the parallels between his own life and his literature. Howe's four books in addition to "The Misfits" and "Totally Joe" and his list of recommended books with lesbian, gay, bisexual, transgender,…

  4. Marketing Plan for the Naval Postgraduate School Master of Business Administration to the Navy Unrestricted Line Community

    National Research Council Canada - National Science Library

    Trevino, R

    2004-01-01

    .... The intent of this project is to create awareness in the Navy Unrestricted Line community about the benefits of the Defense-focused MBA and to build a brand name for the Naval Postgraduate School MBA (NPS-MBA...

  5. Louisiana Speaks Regional Plan Community Growth Options: Vacant, Developed, and Constrained Areas; UTM 15N NAD83; LRA (2007); [developable

    Data.gov (United States)

    Louisiana Geographic Information Center — This GIS raster data set illustrates vacant, developed, and constrained areas for the 35 parishes in the Louisiana Speaks Regional Plan South Louisiana study area....

  6. Community-based educational intervention on necklace method as a natural family planning amongst reproductive age group women in India

    Directory of Open Access Journals (Sweden)

    Jyothi Ramesh

    2018-01-01

    Conclusions: Nurses play a vital role in educating women and creating awareness regarding modern and safe family planning methods. These methods are effective and essential to avoid unwanted pregnancy and thus greatly impact the health of women.

  7. Using an intervention mapping approach for planning, implementing and assessing a community-led project towards malaria elimination in the Eastern Province of Rwanda.

    Science.gov (United States)

    Ingabire, Chantal Marie; Hakizimana, Emmanuel; Kateera, Fredrick; Rulisa, Alexis; Van Den Borne, Bart; Nieuwold, Ingmar; Muvunyi, Claude; Koenraadt, Constantianus J M; Van Vugt, Michele; Mutesa, Leon; Alaii, Jane

    2016-12-16

    Active community participation in malaria control is key to achieving malaria pre-elimination in Rwanda. This paper describes development, implementation and evaluation of a community-based malaria elimination project in Ruhuha sector, Bugesera district, Eastern province of Rwanda. Guided by an intervention mapping approach, a needs assessment was conducted using household and entomological surveys and focus group interviews. Data related to behavioural, epidemiological, entomological and economical aspects were collected. Desired behavioural and environmental outcomes were identified concurrently with behavioural and environmental determinants. Theoretical methods and their practical applications were enumerated to guide programme development and implementation. An operational plan including the scope and sequence as well as programme materials was developed. Two project components were subsequently implemented following community trainings: (1) community malaria action teams (CMATs) were initiated in mid-2014 as platforms to deliver malaria preventive messages at village level, and (2) a mosquito larval source control programme using biological substances was deployed for a duration of 6 months, implemented from January to July 2015. Process and outcome evaluation has been conducted for both programme components to inform future scale up. The project highlighted malaria patterns in the area and underpinned behavioural and environmental factors contributing to malaria transmission. Active involvement of the community in collaboration with CMATs contributed to health literacy, particularly increasing ability to make knowledgeable decisions in regards to malaria prevention and control. A follow up survey conducted six months following the establishment of CMATs reported a reduction of presumed malaria cases at the end of 2014. The changes were related to an increase in the acceptance and use of available preventive measures, such as indoor residual spraying and

  8. Community Planning In The Ecological Reservation Area Of Shenzhen%深圳市生态控制线内社区规划研究

    Institute of Scientific and Technical Information of China (English)

    林浩韬; 徐逸伦; 杨林川; 魏宗财

    2017-01-01

    Since the establishment of ecological reservation area in Shenzhen,balance between ecological protection and community development,and management of community affairs have become key issues.This paper concludes the evolution of communities inside ecological reservation line in Shenzhen,analyzes dilemmas of community planning,and establishes a framework from content,orientation,compilation,and implementation,to optimize ecological and socio-economic values.%自深圳市划定生态控制线以来,如何平衡生态保护与社区发展,妥善处理生态控制线内已建社区的生产生活问题成为相关政策关注的焦点.本文深入分析了深圳市生态控制线内社区的发展过程,总结了现阶段该类社区规划存在的困境,并参照国外社区规划的相关理论,从内容、定位、编制和实施四方面构建了生态控制线内社区规划的框架体系,以期实现线内生态价值与社会经济价值的综合优化,为其他城市的生态管控提供参考.

  9. 2009 Toxic Chemical Release Inventory Report for the Emergency Planning and Community Right-to-Know Act of 1986, Title III, Section 313

    Energy Technology Data Exchange (ETDEWEB)

    Environmental Stewardship Group (ENV-ES)

    2010-11-01

    For reporting year 2009, Los Alamos National Laboratory (LANL) submitted a Form R report for lead as required under the Emergency Planning and Community Right-to- Know Act (EPCRA) Section 313. No other EPCRA Section 313 chemicals were used in 2009 above the reportable thresholds. This document was prepared to provide a description of the evaluation of EPCRA Section 313 chemical use and threshold determinations for LANL for calendar year 2009, as well as to provide background information about data included on the Form R reports.

  10. Partnering With Community-Dwelling Individuals With Diabetes for Health Behavior Change Using Action Plans: An Innovation in Health Professionals Education and Practice.

    Science.gov (United States)

    Barry Hultquist, Teresa; Brown, Sara Goomis; Geske, Jenenne; Kaiser, Katherine Laux; Waibel-Rycek, Denise

    2015-11-01

    Health care practitioners support or hinder an individual's attempts to self-manage health behavior. Practitioners must understand an individual's health needs and goals to effectively partner for behavior change. Self-management support (SMS) promote efforts toward positive health behavior change. Practitioners need training to provide effective SMS, beginning with their formal education. The purpose of this educational practice project was to integrate an evidence-based intervention (SMS using action plans) into a nursing curriculum. Three sequential steps included (1) providing foundational SMS education, (2) SMS application with students' personal action plans, and (3) implementing SMS with community-dwelling individuals with diabetes. Students (n = 130) partnered with participants (n = 85), developing short- (n = 240) and long-term (n = 99) action plans during home visits. The average baseline Diabetes Empowerment Scale score measuring participant's perceived psychosocial diabetes management self-efficacy was 4.3 (1-5 scale, SD = 0.51, n = 83). Most common short-term actions related to physical activity (n = 100, 42%) and healthy eating (n = 61, 25%). Average participant confidence level was 7.7 (SD = 1.9, 0-10 scale). Short-term goal evaluation (n = 209) revealed 66% (n = 137) were met more than 50% of the time. Both participants (99%) and students (99%) expressed satisfaction with home visit and action plan experiences. This teaching-learning experience is replicable and applicable to any professional health care student. © 2015 Society for Public Health Education.

  11. Alcohol management plans in Aboriginal and Torres Strait Islander (Indigenous Australian communities in Queensland: community residents have experienced favourable impacts but also suffered unfavourable ones

    Directory of Open Access Journals (Sweden)

    Alan R. Clough

    2017-01-01

    Full Text Available Abstract Background In Australia, ‘Alcohol Management Plans’ (AMPs provide the policy infrastructure for State and Commonwealth Governments to address problematic alcohol use among Aboriginal and Torres Strait Islanders. We report community residents’ experiences of AMPs in 10 of Queensland’s 15 remote Indigenous communities. Methods This cross-sectional study used a two-stage sampling strategy: N = 1211; 588 (48% males, 623 (52% females aged ≥18 years in 10 communities. Seven propositions about ‘favourable’ impacts and seven about ‘unfavourable’ impacts were developed from semi-structured interviews. For each proposition, one-sample tests of proportions examined participant agreement and multivariable binary logistic regressions assessed influences of gender, age (18–24, 25–44, 45–64, ≥65 years, residence (≥6 years, current drinking and Indigenous status. Confirmatory factor analyses estimated scale reliability (ρ, item loadings and covariances. Results Slim majorities agreed that: AMPs reduced violence (53%, p = 0.024; community a better place to live (54%, 0.012; and children were safer (56%, p < 0.001. More agreed that: school attendance improved (66%, p < 0.001; and awareness of alcohol’s harms increased (71%, p < 0.001. Participants were equivocal about improved personal safety (53%, p = 0.097 and reduced violence against women (49%, p = 0.362. The seven ‘favourable’ items reliably summarized participants’ experiences of reduced violence and improved community amenity (ρ = 0.90. Stronger agreement was found for six ‘unfavourable’ items: alcohol availability not reduced (58%, p < 0.001; drinking not reduced (56%, p < 0.001; cannabis use increased (69%, p < 0.001; more binge drinking (73%, p < 0.001; discrimination experienced (77%, p < 0.001; increased fines, convictions and criminal records for breaching restrictions (90%, p < 0

  12. Commercial insurance vs community-based health plans: time for a policy option with clinical emphasis to address the cost spiral.

    Science.gov (United States)

    Amundson, Bruce

    2005-01-01

    The nation continues its ceaseless struggle with the spiraling cost of health care. Previous efforts (regulation, competition, voluntary action) have included almost every strategy except clinical. Insurers have largely failed in their cost-containment efforts. There is a strong emerging body of literature that demonstrates the relationship between various clinical strategies and reductions in utilization and costs. This article describes the organization of health services, including integration of delivery and financing systems, at the community level as a model that effectively addresses the critical structural flaws that have frustrated control of costs. Community-based health plans (CHPs) have been developed and have demonstrated viability. The key elements of CHPs are a legal organizational structure, a full provider network, advanced care-management systems, and the ability to assume financial risk. Common misconceptions regarding obstacles to CHP development are the complexity of the undertaking, difficulty assuming the insurance function, and insured pools that are too small to be viable. The characteristics of successful CHPs and 2 case studies are described, including the types of advanced care-management systems that have resulted in strong financial performance. The demonstrated ability of CHPs to establish financial viability with small numbers of enrollees challenges the common assumption that there is a fixed relationship between health plan enrollment size and financial performance. Organizing the health system at the community/regional level provides an attractive alternative model in the health-reform debate. There is an opportunity for clinical systems and state and federal leaders to support the development of community-based integrated delivery and financing system models that, among other advantages, have significant potential to modulate the pernicious cost spiral.

  13. Wind energy planning in Denmark

    International Nuclear Information System (INIS)

    Godtfredsen, F.; Lemming, J.; Nielsen, S.R.; Jessien, S.

    1992-01-01

    The total capacity of the about 3300 Danish wind turbines is approximately 450 MW. Most of the wind turbines have been erected detached or in small clusters by private citizens - especially by joint ownership. 100 MW of the capacity have been installed by the power companies, mainly in wind farms. Up till now the privately owned wind turbines have been erected without a previous planning process. Increased expansion of wind energy makes demands on physical planning, since access to suitable locations in Denmark is limited. Hence more coordination is called for between the interested parties to ensure optimal utilization of the sites allocated by the physical planning authorities. A siting committee appointed by the Government has recommended locations for additional 100 MW power company wind farms as well as a more detailed planning in each local community. The detailed planning in the municipality of Thisted is described. (au)

  14. Digital and Media Literacy: A Plan of Action. A White Paper on the Digital and Media Literacy Recommendations of the Knight Commission on the Information Needs of Communities in a Democracy

    Science.gov (United States)

    Hobbs, Renee

    2010-01-01

    This report proposes a detailed plan that positions digital and media literacy as an essential life skill and outlines steps that policymakers, educators, and community advocates can take to help Americans thrive in the digital age. It offers a plan of action for how to bring digital and media literacy education into formal and informal settings…

  15. Development of school energy policy and energy education plans: A comparative case study in three Wisconsin school communities

    International Nuclear Information System (INIS)

    Lane, Jennie F.; Floress, Kristin; Rickert, Melissa

    2014-01-01

    Through a qualitative comparative case study, this investigation examined the process by which three school districts in Wisconsin, U.S.A., developed a school energy policy and complementary energy education plan. To guide the process, the researchers created an outline of recommended steps for the districts to follow. Although there were variations in the sequence and perceived ease of the steps, the Energy Task Force members involved in the process found the outline to be a supportive guide. Further analysis of the cases involved interviewing members of the Energy Task Forces to identify facilitating and obstructing factors. The study concluded that factors such as level of environmental literacy, along with aspects of the school culture and leadership, interacted to influence the successful drafting of school energy policies and education plans. In addition to introducing an outline of recommended steps that can be used by other school policy development teams interested in promoting energy efficiency, this study adds insights into the analysis of energy policy work within the context of a school setting. - Highlights: • School energy policy and complementary energy education plans can be successfully developed with guidelines for policy team membership. • Teacher agency, including environmental literacy, helps overcome barriers in developing school policy and energy education plans. • Administrative support of energy conservation is a key to the development of school energy policies and complementary energy education plans

  16. Day of Surgery Admission in Total Joint Arthroplasty: Why Are Surgeries Cancelled? An Analysis of 3195 Planned Procedures and 114 Cancellations

    Directory of Open Access Journals (Sweden)

    David M. Dalton

    2016-01-01

    Full Text Available Background. Day of surgery admission (DOSA is becoming standard practice as a means of reducing cost in total joint arthroplasty. Aims. The aim of our study was to audit the use of DOSA in a specialty hospital and identify reasons for cancellation. Methods. A retrospective study of patients presenting for hip or knee arthroplasty between 2008 and 2013 was performed. All patients were assessed at the preoperative assessment clinic (PAC. Results. Of 3195 patients deemed fit for surgery, 114 patients (3.5% had their surgery cancelled. Ninety-two cancellations (80% were due to the patient being deemed medically unsuitable for surgery by the anaesthetist. Cardiac disease was the most common reason for cancellation (n=27, followed by pulmonary disease (n=22. 77 patients (67.5% had their operation rescheduled and successfully performed in our institution at a later date. Conclusion. DOSA is associated with a low rate of cancellations on the day of surgery. Patients with cardiorespiratory comorbidities are at greatest risk of cancellation.

  17. Fiscal 1993 report on results of R and D on manganese nodule mining system. Manganese nodule mining system (Total system - experiment plan part); 1993 nendo mangan danakai saiko system no kenkyu kaihatsu seika hokokusho. 2/5. Mangan dankai saiko system (total system (jikken keikaku) hen)

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1994-03-01

    Technology is being developed for mining the nodules existing at a depth of 4,000-6,000 m by a fluid dredge method, with the purpose of securing steady supply of non-ferrous metal resources and enhancing oceanic development technologies. To be concrete, comprehensive oceanic experiments will be conducted in the GA-04 sea area, 600 km southeast of Marcus Island, by developing and experimentally preparing a test system for the mining. In the R and D of a total system, activities were carried out in the two areas of (1) experimental operation section for design and manufacture of experimental equipment and comprehensive experimental simulation, and (2) experimental planning operation section for experimental policy, survey and analysis of sea area for experiment, and research on mining system. In (2), examination of the experiment implementation plan was carried out in the case where, as the experimental plan, the first stage experiment is implemented in TA-GA sea area and the second stage experiment in TA-TB sea area with abundant nodules of a submarine mountain in the area; examination was also made on the draft of an experiment implementation guideline suitable for M.S. Hakuryu No.3 as the experimental boat as well as on various guideline plans. In addition, a sensitivity analysis was made on the mining system as the evaluation of cost effectiveness in the case of commercial production. (NEDO)

  18. Effect of an integrated intervention package of preventive chemotherapy, community-led total sanitation and health education on the prevalence of helminth and intestinal protozoa infections in Côte d'Ivoire.

    Science.gov (United States)

    Hürlimann, Eveline; Silué, Kigbafori D; Zouzou, Fabien; Ouattara, Mamadou; Schmidlin, Thomas; Yapi, Richard B; Houngbedji, Clarisse A; Dongo, Kouassi; Kouadio, Bernadette A; Koné, Siaka; Bonfoh, Bassirou; N'Goran, Eliézer K; Utzinger, Jürg; Acka-Douabélé, Cinthia A; Raso, Giovanna

    2018-02-27

    Preventive chemotherapy with donated anthelminthic drugs is the cornerstone for the control of helminthiases. However, reinfection can occur rapidly in the absence of clean water and sanitation coupled with unhygienic behaviour. The purpose of this study was to assess the effect of an integrated package of interventions, consisting of preventive chemotherapy, community-led total sanitation (CLTS) and health education, on the prevalence of helminth and intestinal protozoa infections and on participants' knowledge, attitude, practice and beliefs (KAPB) towards these diseases including water, sanitation and hygiene (WASH). A cross-sectional survey was carried out in nine communities of south-central Côte d'Ivoire to assess people's infection with helminths and intestinal protozoa and KAPB. Subsequently, interventions were targeted to five communities, while the remaining communities served as control. The intervention encouraged latrine construction and an evaluation was done 6-7 months later to determine open defecation status of the respective communities. Anthelminthic treatment was provided to all community members. A follow-up cross-sectional survey was conducted approximately one year later, using the same procedures. Overall, 810 people had complete baseline and follow-up data and were given anthelminthic treatment. The baseline prevalence of hookworm, Schistosoma haematobium, Trichuris trichiura, Schistosoma mansoni and Ascaris lumbricoides was 31.1%, 7.0%, 2.0%, 1.0% and 0.3%, respectively. Four of the five intervention communities were classified open-defecation free. For hookworm infection, we observed higher negative changes in terms of proportion of decrease (-0.10; 95% confidence interval (CI): - 0.16, -0.04) and higher egg reduction rate (64.9 vs 15.2%) when comparing intervention with control communities. For intestinal protozoa, prevalence reduction was higher in intervention compared to control communities (8.2 vs 2.6%) and WASH indicators and

  19. Does the design and implementation of proven innovations for delivering basic primary health care services in rural communities fit the urban setting: the case of Ghana's Community-based Health Planning and Services (CHPS).

    Science.gov (United States)

    Adongo, Philip Baba; Phillips, James F; Aikins, Moses; Arhin, Doris Afua; Schmitt, Margaret; Nwameme, Adanna U; Tabong, Philip Teg-Nefaah; Binka, Fred N

    2014-04-01

    Rapid urban population growth is of global concern as it is accompanied with several new health challenges. The urban poor who reside in informal settlements are more vulnerable to these health challenges. Lack of formal government public health facilities for the provision of health care is also a common phenomenon among communities inhabited by the urban poor. To help ameliorate this situation, an innovative urban primary health system was introduced in urban Ghana, based on the milestones model developed with the rural Community-Based Health Planning and Services (CHPS) system. This paper provides an overview of innovative experiences adapted while addressing these urban health issues, including the process of deriving constructive lessons needed to inform discourse on the design and implementation of the sustainable Community-Based Health Planning and Services (CHPS) model as a response to urban health challenges in Southern Ghana. This research was conducted during the six-month pilot of the urban CHPS programme in two selected areas acting as the intervention and control arms of the design. Daily routine data were collected based on milestones initially delineated for the rural CHPS model in the control communities whilst in the intervention communities, some modifications were made to the rural milestones. The findings from the implementation activities revealed that many of the best practices derived from the rural CHPS experiment could not be transplanted to poor urban settlements due to the unique organizational structures and epidemiological characteristics found in the urban context. For example, constructing Community Health Compounds and residential facilities within zones, a central component to the rural CHPS strategy, proved inappropriate for the urban sector. Night and weekend home visit schedules were initiated to better accommodate urban residents and increase coverage. The breadth of the disease burden of the urban residents also requires a

  20. Questioning the effectiveness of planned conflict resolution strategies in water disputes between rural communities and mining companies in Peru

    NARCIS (Netherlands)

    Sosa Landeo, Milagros; Zwarteveen, Margreet

    2016-01-01

    Disputes between mining companies and surrounding communities over the access to, control of and distribution of water form an important part of the socio-environmental conflicts that large mining operations in Peru are producing. In order to mitigate environmental impacts, solve conflicts and

  1. Questioning the effectiveness of planned conflict resolution strategies in water disputes between rural communities and mining companies in Peru

    NARCIS (Netherlands)

    Sosa, M.; Zwarteveen, M.

    2016-01-01

    Disputes between mining companies and surrounding communities over the access to, control of and distribution of water form an important part of the socio-environmental conflicts that large mining operations in Peru are producing. In order to mitigate environmental impacts, solve conflicts and deal

  2. 78 FR 12346 - Jennings Low-Effect Habitat Conservation Plan for the Morro Shoulderband Snail, Community of Los...

    Science.gov (United States)

    2013-02-22

    ... Fish and Wildlife Office, U.S. Fish and Wildlife Service, 2493 Portola Road, Suite B, Ventura, CA 93003... the following activities: ``to harass, harm, pursue, hunt, shoot, wound, kill, trap, capture, or... located at 460 Los Osos Valley Road in western portion of Los Osos, an unincorporated community of San...

  3. Fuels planning: science synthesis and integration: social issues fact sheet 19: Impacts of wildland fire on communities

    Science.gov (United States)

    Rocky Mountain Research Station USDA Forest Service

    2007-01-01

    Large fires can result in a series of disasters for individuals and communities in the wildland-urban interface. They create significant disruptions to ongoing social processes, result in large financial losses, and lead to expensive restoration activities. By being aware of the impacts of wildland fire on local residents, fire managers can bring added value to them...

  4. Increasing Availability to and Ascertaining Value of Asthma Action Plans in Schools through Use of Technology and Community Collaboration

    Science.gov (United States)

    Hanson, Tabitha K.; Aleman, Martha; Hart, Lacey; Yawn, Barbara

    2013-01-01

    Background: Approximately 9% of school-aged children in the United States have asthma. Since 1997, the Asthma Action Plan (AAP) has been recommended as an asthma self-management tool for individuals with asthma. In the school setting, the use of the AAP has been primarily dependent on communication between the family and the school through a paper…

  5. Social learning in a policy-mandated collaboration: Community wildfire protection planning in the eastern United States

    Science.gov (United States)

    Rachel F. Brummel; Kristen C. Nelson; Pamela J. Jakes; Daniel R. Williams

    2010-01-01

    Policies such as the US Healthy Forests Restoration Act (HFRA) mandate collaboration in planning to create benefits such as social learning and shared understanding among partners. However, some question the ability of top-down policy to foster successful local collaboration. Through in-depth interviews and document analysis, this paper investigates social learning and...

  6. Watershed restoration, jobs-in-the woods, and community assistance: Redwood National Park and the Northwest Forest Plan.

    Science.gov (United States)

    Christopher E. DeForest

    1999-01-01

    There are many parallels between the 1978 legislation to expand Redwood National Park and the Northwest Forest Plan, which together with the Northwest Economic Adjustment Initiative formed the 1993 Pacific Northwest Initiative. In both situations, the Federal Government sought to promote retraining for displaced workers, to undertake watershed assessment and...

  7. 40 CFR 49.22 - Federal implementation plan for Tri-Cities landfill, Salt River Pima-Maricopa Indian Community.

    Science.gov (United States)

    2010-07-01

    ... outweigh the environmental and social costs imposed as a result of its location or construction. (2) If the... operator of the responsibility to comply fully with applicable provisions of the Federal implementation... 40 Protection of Environment 1 2010-07-01 2010-07-01 false Federal implementation plan for Tri...

  8. Evaluating the impact of the community-based health planning and services initiative on uptake of skilled birth care in Ghana.

    Directory of Open Access Journals (Sweden)

    Fiifi Amoako Johnson

    Full Text Available The Community-based Health Planning and Services (CHPS initiative is a major government policy to improve maternal and child health and accelerate progress in the reduction of maternal mortality in Ghana. However, strategic intelligence on the impact of the initiative is lacking, given the persistant problems of patchy geographical access to care for rural women. This study investigates the impact of proximity to CHPS on facilitating uptake of skilled birth care in rural areas.Data from the 2003 and 2008 Demographic and Health Survey, on 4,349 births from 463 rural communities were linked to georeferenced data on health facilities, CHPS and topographic data on national road-networks. Distance to nearest health facility and CHPS was computed using the closest facility functionality in ArcGIS 10.1. Multilevel logistic regression was used to examine the effect of proximity to health facilities and CHPS on use of skilled care at birth, adjusting for relevant predictors and clustering within communities. The results show that a substantial proportion of births continue to occur in communities more than 8 km from both health facilities and CHPS. Increases in uptake of skilled birth care are more pronounced where both health facilities and CHPS compounds are within 8 km, but not in communities within 8 km of CHPS but lack access to health facilities. Where both health facilities and CHPS are within 8 km, the odds of skilled birth care is 16% higher than where there is only a health facility within 8km.Where CHPS compounds are set up near health facilities, there is improved access to care, demonstrating the facilitatory role of CHPS in stimulating access to better care at birth, in areas where health facilities are accessible.

  9. Evaluating the impact of the community-based health planning and services initiative on uptake of skilled birth care in Ghana.

    Science.gov (United States)

    Johnson, Fiifi Amoako; Frempong-Ainguah, Faustina; Matthews, Zoe; Harfoot, Andrew J P; Nyarko, Philomena; Baschieri, Angela; Gething, Peter W; Falkingham, Jane; Atkinson, Peter M

    2015-01-01

    The Community-based Health Planning and Services (CHPS) initiative is a major government policy to improve maternal and child health and accelerate progress in the reduction of maternal mortality in Ghana. However, strategic intelligence on the impact of the initiative is lacking, given the persistant problems of patchy geographical access to care for rural women. This study investigates the impact of proximity to CHPS on facilitating uptake of skilled birth care in rural areas. Data from the 2003 and 2008 Demographic and Health Survey, on 4,349 births from 463 rural communities were linked to georeferenced data on health facilities, CHPS and topographic data on national road-networks. Distance to nearest health facility and CHPS was computed using the closest facility functionality in ArcGIS 10.1. Multilevel logistic regression was used to examine the effect of proximity to health facilities and CHPS on use of skilled care at birth, adjusting for relevant predictors and clustering within communities. The results show that a substantial proportion of births continue to occur in communities more than 8 km from both health facilities and CHPS. Increases in uptake of skilled birth care are more pronounced where both health facilities and CHPS compounds are within 8 km, but not in communities within 8 km of CHPS but lack access to health facilities. Where both health facilities and CHPS are within 8 km, the odds of skilled birth care is 16% higher than where there is only a health facility within 8km. Where CHPS compounds are set up near health facilities, there is improved access to care, demonstrating the facilitatory role of CHPS in stimulating access to better care at birth, in areas where health facilities are accessible.

  10. Proactive Semantic Interference is Associated with Total and Regional Abnormal Amyloid Load in Non-Demented Community-Dwelling Elders: A Preliminary Study.

    Science.gov (United States)

    Loewenstein, David A; Greig, Maria T; Curiel, Rosie; Rodriguez, Rosemarie; Wicklund, Meredith; Barker, Warren W; Hidalgo, Jacqueline; Rosado, Marian; Duara, Ranjan

    2015-12-01

    To evaluate the relationship between susceptibility to proactive semantic interference (PSI) and retroactive semantic interference (RSI) and brain amyloid load in non-demented elders. 27 participants (11 cognitively normal [CN] with subjective memory complaints, 8 CN without memory complaints, and 8 with mild cognitive impairment [MCI]) underwent complete neurological and neuropsychological evaluations. Participants also received the Semantic Interference Test (SIT) and AV-45 amyloid PET imaging. High levels of association were present between total amyloid load, regional amyloid levels, and the PSI measure (in the entire sample and a subsample excluding MCI subjects). RSI and other memory measures showed much weaker associations or no associations with total and regional amyloid load. No associations between amyloid levels and non-memory performance were observed. In non-demented individuals, vulnerability to PSI was highly associated with total and regional beta-amyloid load and may be an early cognitive marker of brain pathology. Copyright © 2015 American Association for Geriatric Psychiatry. Published by Elsevier Inc. All rights reserved.

  11. Georgetown University generic integrated community energy system GU-ICES demonstration project. Modified work management plan. Final report

    Energy Technology Data Exchange (ETDEWEB)

    None

    1979-04-01

    This Phase II Modified Work Management Plan reflects the change from a Coal Using ICES to a Generic ICES Program. As such, it retains the essential elements relating to coal while broadening the number and types of alternative energy subsystems to be evaluated for eventual implementation on the Georgetown University Campus. In addition to the plan in Book I, Book II deals with an energy audit conducted at the campus in the fall of 1978 to establish a gross baseline from which to measure and evaluate the contributions of selected alternative energy subsystems both from an energy and cost standpoint. Book I proceeds from a discussion of an ICES through an explanation of the scope of effort in each phase expanded into detailed task descriptions by phase together with schedules, PERT and GANTT charts, milestones and levels of effort by task for the Feasibility Analysis, and schedules for the overall program. A description of examples of alternative subsystems to be considered is also included. A detailed Management Plan for the conduct of the effort by General Electric completes the plan. Appendices related to cogeneration, life-cycle costing, GE energy subsystems, the GU Master Energy Plan, and typical regulatory processes to be encountered are included. Book II treats the Energy Audit under the three committed task areas of System Description, Analysis and Survey, and Criteria for Energy Usage. The five major energy systems utilized at Georgetown are considered: electrical, chilled water, steam, gas and fuel oil, and city water. A top level analysis yields significant results and recommendations for further action with respect to a detailed measurements program, particularly of steam and electric power usage, over a one year period.

  12. Offering the full range of contraceptive options: a survey of interest in vasectomy training in the US family planning community.

    Science.gov (United States)

    Nguyen, Brian T; Jochim, Andrea L; Shih, Grace H

    2017-05-01

    To assess current practices regarding female and male sterilization counseling and provision, as well as determine interest in providing vasectomy among family planning specialists. Members of the US-based network of family planning fellowship physicians (current fellows, graduates and faculty) received a Web-based survey from November 2015 through January 2016 regarding current sterilization preferences and practices, as well as interest in obtaining training in vasectomy counseling and procedure. Nearly 60% (n=178/302) of family planning fellowship providers responded to the survey. While 62% (111/178) of respondents reported counseling their patients about vasectomy at least most of the time and 57% (102/178) recommended vasectomy over female sterilization, few (8/178; 4 trained in family medicine and 4 trained in obstetrics and gynecology) had performed a vasectomy in the last year. Nearly 90% (158/178) of respondents were somewhat or very interested in receiving training on vasectomy counseling; 58% (103/178) desired procedural training. Desire for training was associated with being male and receiving residency training in family medicine. Few family planning fellowship physicians provide vasectomy, and the majority expressed being at least somewhat interested in receiving further training. Vasectomy is more effective, safer and less expensive than female sterilization but is less common than female sterilization. One barrier to vasectomy access is the low number of vasectomy providers. Creating a structured vasectomy training program through the family planning fellowship may help to increase the number of vasectomy providers. Copyright © 2017 Elsevier Inc. All rights reserved.

  13. Towards democracy in spatial planning through spatial information built by communities: The investigation of spatial information built by citizens from participatory mapping to volunteered geographic information in Indonesia

    Science.gov (United States)

    Yudono, Adipandang

    2017-06-01

    Recently, crowd-sourced information is used to produce and improve collective knowledge and community capacity building. Triggered by broadening and expanding access to the Internet and cellular telephones, the utilisation of crowd-sourcing for policy advocacy, e-government and e-participation has increased globally [1]. Crowd-sourced information can conceivably support government’s or general social initiatives to inform, counsel, and cooperate, by engaging subjects and empowering decentralisation and democratization [2]. Crowd-sourcing has turned into a major technique for interactive mapping initiatives by urban or rural community because of its capability to incorporate a wide range of data. Continuously accumulated spatial data can be sorted, layered, and envisioned in ways that even beginners can comprehend with ease. Interactive spatial visualization has the possibility to be a useful democratic planning tool to empower citizens participating in spatial data provision and sharing in government programmes. Since the global emergence of World Wide Web (WWW) technology, the interaction between information providers and users has increased. Local communities are able to produce and share spatial data to produce web interfaces with territorial information in mapping application programming interfaces (APIs) public, such as Google maps, OSM and Wikimapia [3][4][5]. In terms of the democratic spatial planning action, Volunteered Geographic Information (VGI) is considered an effective voluntary method of helping people feel comfortable with the technology and other co-participants in order to shape coalitions of local knowledge. This paper has aim to investigate ‘How is spatial data created by citizens used in Indonesia?’ by discussing the characteristics of spatial data usage by citizens to support spatial policy formulation, starting with the history of participatory mapping to current VGI development in Indonesia.

  14. Climate change adaptation planning for the Skeena region of British Columbia, Canada: A combined biophysical modelling, social science, and community engagement approach

    Science.gov (United States)

    Melton, J. R.; Kaplan, J. O.; Matthews, R.; Sydneysmith, R.; Tesluk, J.; Piggot, G.; Robinson, D. C.; Brinkman, D.; Marmorek, D.; Cohen, S.; McPherson, K.

    2011-12-01

    The Skeena region of British Columbia, Canada is among the world's most important commercial forest production areas, a key transportation corridor, and provides critical habitat for salmon and other wildlife. Climate change compounds threats to the region from other local environmental and social challenges. To aid local communities in adaptive planning for future climate change impacts, our project combined biophysical modelling, social science, and community engagement in a participatory approach to build regional capacity to prepare and respond to climate change. The sociological aspect of our study interviewed local leaders and resource managers (both First Nations and settlers groups in three communities) to examine how perceptions of environmental and socioeconomic issues have changed in the recent past, and the values placed on diverse natural resources at the present. The three communities differed in their perception of the relative value and condition of community resources, such as small business, natural resource trade, education and local government. However, all three communities regarded salmon as their most important and threatened resource. The most important future drivers of change in the study region were perceived to be: "aboriginal rights, title and treaty settlements", "availability of natural resources", "natural resource policies", and the "global economy". Climate change, as a potential driver of change in the region, was perceived as less important than other socio-economic factors; even though climate records for the region already demonstrate warmer winters, decreased snowfall, and decreased spring precipitation over the last half century. The natural science component of our project applies a regional-scale dynamic vegetation model (LPJ-GUESS) to simulate the potential future of forest ecosystems, with a focus on how climate change and management strategy interact to influence forest productivity, disturbance frequency, species

  15. West Angeles Community Development Corporation final technical report on export market feasibility planning and research for the solar medical autoclave

    Energy Technology Data Exchange (ETDEWEB)

    Power, G.D.

    1998-04-20

    This report summarizes core findings from an investigation performed by the staff of West Angeles Community Development Corporation (CDC) regarding the feasibility of marketing the Solar Medical Autoclave (``autoclave``) in South Africa. The investigation was completed during 1997, the period prescribed by the Grant Award made by the U.S. Department of Energy on January 1, 1997, and was monitored by the National Renewable Energy Laboratory.

  16. Questioning the effectiveness of planned conflict resolution strategies in water disputes between rural communities and mining companies in Peru

    OpenAIRE

    Sosa Landeo, Milagros; Zwarteveen, Margreet

    2016-01-01

    Disputes between mining companies and surrounding communities over the access to, control of and distribution of water form an important part of the socio-environmental conflicts that large mining operations in Peru are producing. In order to mitigate environmental impacts, solve conflicts and deal with opposition to mining operations, governmental actors and mining companies make use of a combination of legal and technical strategies. This article questions the effectiveness of these strateg...

  17. Needs assessment of school and community physical activity opportunities in rural West Virginia: the McDowell CHOICES planning effort

    OpenAIRE

    Kristjansson, Alfgeir L; Elliott, Eloise; Bulger, Sean; Jones, Emily; Taliaferro, Andrea R; Neal, William

    2015-01-01

    Background McDowell CHOICES (Coordinated Health Opportunities Involving Communities, Environments, and Schools) Project is a county wide endeavor aimed at increasing opportunities for physical activity (PA) in McDowell County, West Virginia (WV). A comprehensive needs-assessment laid the foundation of the project. Methods During the 6?month needs assessment, multiple sources of data were collected in two Town Hall Meetings (n?=?80); a student online PA interest survey (n?=?465); a PA and nutr...

  18. Planning and implementation of a cardiovascular prevention strategy in a lower middle class community in Pakistan - a preliminary report

    International Nuclear Information System (INIS)

    Aziz, K.; Faruqui, A.M.A.; Manolio, T.; Davis, C.E.; Denis, B.H.; Burke, G.L.

    2000-01-01

    Cardiovascular risk factors (RF) and coronary heart diseases (CHD) are increasing in Pakistan. The National Inst. of Cardiovascular Diseases (NICVD), Karachi, in collaboration with National Heart, Lung and Blood Institute (NHLBI) in Bethesda, Maryland, USA, designed a 5-year diet intervention study (MHS) for modification of RF. This was done by education, designed to increase knowledge and attitudes regarding CHD and by modifying the diet in 400 households in Metrovitte, which is a lower middle class community in Karachi. The Department of preventive cardiology of NICVD trained doctors, social workers including volunteers from the community for data collection and recording. The education was imparted in health fairs and home conferences and diet modification was achieved by 14 home visits of social workers over a 28-month period with a final goal of reducing salt by 28% and replacement of ghee with vegetable oils and reducing fat by 33%. Community center was used for data collection and involved demographic, blood pressure, serum cholesterol, hemoglobin and blood glucose data at base line and at screening 11(280) households. All phases of the study have been successfully implemented and results are being analyzed. Various aspects of the methods of implementation are discussed. (author)

  19. Using scenario planning to evaluate the impacts of climate change on wildlife populations and communities in the Florida Everglades

    Science.gov (United States)

    Catano, Christopher P.; Romañach, Stephanie S.; Beerens, James M.; Pearlstine, Leonard G.; Brandt, Laura A.; Hart, Kristen M.; Mazzotti, Frank J.; Trexler, Joel C.

    2015-01-01

    It is uncertain how climate change will impact hydrologic drivers of wildlife population dynamics in freshwater wetlands of the Florida Everglades, or how to accommodate this uncertainty in restoration decisions. Using projections of climate scenarios for the year 2060, we evaluated how several possible futures could affect wildlife populations (wading birds, fish, alligators, native apple snails, amphibians, threatened and invasive species) across the Everglades landscape and inform planning already underway. We used data collected from prior research and monitoring to parameterize our wildlife population models. Hydrologic data were simulated using a spatially explicit, regional-scale model. Our scenario evaluations show that expected changes in temperature, precipitation, and sea level could significantly alter important ecological functions. All of our wildlife indicators were negatively affected by scenarios with less rainfall and more evapotranspiration. Under such scenarios, habitat suitability was substantially reduced for iconic animals such as wading birds and alligators. Conversely, the increased rainfall scenario benefited aquatic prey productivity and apex predators. Cascading impacts on non-native species is speculative, but increasing temperatures could increase the time between cold events that currently limit expansion and abundance of non-native fishes, amphibians, and reptiles with natural ranges in the tropics. This scenario planning framework underscored the benefits of proceeding with Everglades restoration plans that capture and clean more freshwater with the potential to mitigate rainfall loss and postpone impacts of sea level rise.

  20. Using Scenario Planning to Evaluate the Impacts of Climate Change on Wildlife Populations and Communities in the Florida Everglades

    Science.gov (United States)

    Catano, Christopher P.; Romañach, Stephanie S.; Beerens, James M.; Pearlstine, Leonard G.; Brandt, Laura A.; Hart, Kristen M.; Mazzotti, Frank J.; Trexler, Joel C.

    2015-04-01

    It is uncertain how climate change will impact hydrologic drivers of wildlife population dynamics in freshwater wetlands of the Florida Everglades, or how to accommodate this uncertainty in restoration decisions. Using projections of climate scenarios for the year 2060, we evaluated how several possible futures could affect wildlife populations (wading birds, fish, alligators, native apple snails, amphibians, threatened and invasive species) across the Everglades landscape and inform planning already underway. We used data collected from prior research and monitoring to parameterize our wildlife population models. Hydrologic data were simulated using a spatially explicit, regional-scale model. Our scenario evaluations show that expected changes in temperature, precipitation, and sea level could significantly alter important ecological functions. All of our wildlife indicators were negatively affected by scenarios with less rainfall and more evapotranspiration. Under such scenarios, habitat suitability was substantially reduced for iconic animals such as wading birds and alligators. Conversely, the increased rainfall scenario benefited aquatic prey productivity and apex predators. Cascading impacts on non-native species is speculative, but increasing temperatures could increase the time between cold events that currently limit expansion and abundance of non-native fishes, amphibians, and reptiles with natural ranges in the tropics. This scenario planning framework underscored the benefits of proceeding with Everglades restoration plans that capture and clean more freshwater with the potential to mitigate rainfall loss and postpone impacts of sea level rise.

  1. Community noise

    Science.gov (United States)

    Bragdon, C. R.

    Airport and community land use planning as they relate to airport noise reduction are discussed. Legislation, community relations, and the physiological effect of airport noise are considered. Noise at the Logan, Los Angeles, and Minneapolis/St. Paul airports is discussed.

  2. Total Logistic Plant Solutions

    Directory of Open Access Journals (Sweden)

    Dusan Dorcak

    2016-02-01

    Full Text Available The Total Logistics Plant Solutions, plant logistics system - TLPS, based on the philosophy of advanced control processes enables complex coordination of business processes and flows and the management and scheduling of production in the appropriate production plans and planning periods. Main attributes of TLPS is to create a comprehensive, multi-level, enterprise logistics information system, with a certain degree of intelligence, which accepts the latest science and research results in the field of production technology and logistics. Logistic model of company understands as a system of mutually transforming flows of materials, energy, information, finance, which is realized by chain activities and operations

  3. Education plan

    International Nuclear Information System (INIS)

    Baur, J.

    1987-01-01

    There is pressing need for education of fusion people and those in the radiation effects community on the role of radiation hardening in radiation diagnostic. There is no plan at present to do this. The plan is to be proposed and developed. The education methods should include distribution of a primer, the proceedings of this workshop, and updated data compilations and talks by experts at the fusion labs, universities, and meetings

  4. Planning community-based intervention for speech for children with cleft lip and palate from rural South India: A needs assessment

    Directory of Open Access Journals (Sweden)

    Subramaniyan Balasubramaniyan

    2017-01-01

    Full Text Available Background and Aim: A community-based rehabilitation programme, Sri Ramachandra University-Transforming Faces project, was initiated to provide comprehensive management of communication disorders in individuals with CLP in two districts in Tamil Nadu, India. This community-based programme aims to integrate hospital-based services with the community-based initiatives and to enable long-term care. The programme was initiated in Thiruvannamalai (2005 district and extended to Cuddalore (2011. The aim of this study was to identify needs related to speech among children with CLP, enroled in the above community-based programme in two districts in Tamil Nadu, India. Design: This was a cross–sectional study. Participants and Setting: Ten camps were conducted specifically for speech assessments in two districts over a 12-month period. Two hundred and seventeen individuals (116 males and 101 females> 3 years of age reported to the camps. Methods: Investigator (SLP collected data using the speech protocol of the cleft and craniofacial centre. Descriptive analysis and profiling of speech samples were carried out and reported using universal protocol for reporting speech outcomes. Fleiss' Kappa test was used to estimate inter-rater reliability. Results: In this study, inter-rater reliability between three evaluators revealed good agreement for the parameters: resonance, articulatory errors and voice disorder. About 83.8% (n = 151/180 of the participants demonstrated errors in articulation and 69% (n = 124/180 exhibited abnormal resonance. Velopharyngeal port functioning assessment was completed for 55/124 participants. Conclusion: This study allows us to capture a “snapshot” of children with CLP, living in a specific geographical location, and assist in planning intervention programmes.

  5. The UK Pharmacy Care Plan service: Description, recruitment and initial views on a new community pharmacy intervention.

    Directory of Open Access Journals (Sweden)

    Michael J Twigg

    Full Text Available The UK government advocates person-centred healthcare which is ideal for supporting patients to make appropriate lifestyle choices and to address non-adherence. The Community Pharmacy Future group, a collaboration between community pharmacy companies and independents in the UK, introduced a person-centred service for patients with multiple long-term conditions in 50 pharmacies in Northern England.Describe the initial findings from the set up and delivery of a novel community pharmacy-based person-centred service.Patients over fifty years of age prescribed more than one medicine including at least one for cardiovascular disease or diabetes were enrolled. Medication review and person-centred consultation resulted in agreed health goals and steps towards achieving them. Data were collated and analysed to determine appropriateness of patient recruitment process and quality of outcome data collection. A focus group of seven pharmacists was used to ascertain initial views on the service.Within 3 months of service initiation, 683 patients had baseline clinical data recorded, of which 86.9% were overweight or obese, 53.7% had hypertension and 80.8% had high cardiovascular risk. 544 (77.2% patients set at least one goal during the first consultation with 120 (22.1% setting multiple goals. A majority of patients identified their goals as improvement in condition, activity or quality of life. Pharmacists could see the potential patient benefit and the extended role opportunities the service provided. Allowing patients to set their own goals occasionally identified gaps to be addressed in pharmacist knowledge.Pharmacists successfully recruited a large number of patients who were appropriate for such a service. Patients were willing to identify goals with the pharmacist, the majority of which, if met, may result in improvements in quality of life. While challenges in delivery were acknowledged, allowing patients to identify their own personalised goals was

  6. Consortium of Universities for the Advancement of Hydrologic Science Inc. (CUAHSI) Science Plan: A Community-based Infrastructure Initiative

    Science.gov (United States)

    Wilson, J. L.; Dressler, K.; Hooper, R. P.

    2005-12-01

    The river basin is a fundamental unit of the landscape and water in that defined landscape plays a central role in shaping the land surface, in dissolving minerals, in transporting chemicals, and in determining species distribution. Therefore, the river basin is a natural observatory for examining hydrologic phenomena and the complex interaction of physical, chemical, and biological processes that control them. CUAHSI, incorporated in 2001, is a community-based research infrastructure initiative formed to mobilize the hydrologic community through addressing key science questions and leveraging nationwide hydrologic resources from its member institutions and collaborative partners. Through an iterative community-based process, it has been previously proposed to develop a network of hydrologic infrastructure that organizes around scales on the order of 10,000 km2 to examine critical interfaces such as the land-surface, atmosphere, and human impact. Data collection will characterize the stores, fluxes, physical pathways, and residence time distributions of water, sediment, nutrients, and contaminants coherently at nested scales. These fundamental properties can be used by a wide range of scientific disciplines to address environmental questions. This more complete characterization will enable new linkages to be identified and hypotheses to be tested more incisively. With such a research platform, hydrologic science can advance beyond measuring streamflow or precipitation input to understanding how the river basin functions in both its internal processes and in responding to environmental stressors. That predictive understanding is needed to make informed decisions as development and even natural pressures stress existing water supplies and competing demands for water require non-traditional solutions that take into consideration economic, environmental, and social factors. Advanced hydrologic infrastructure will enable research for a broad range of multidisciplinary

  7. Lifestyle change in Kerala, India: needs assessment and planning for a community-based diabetes prevention trial

    Directory of Open Access Journals (Sweden)

    Daivadanam Meena

    2013-02-01

    Full Text Available Abstract Background Type 2 Diabetes Mellitus (T2DM has become a major public health challenge in India. Factors relevant to the development and implementation of diabetes prevention programmes in resource-constrained countries, such as India, have been under-studied. The purpose of this study is to describe the findings from research aimed at informing the development and evaluation of a Diabetes Prevention Programme in Kerala, India (K-DPP. Methods Data were collected from three main sources: (1 a systematic review of key research literature; (2 a review of relevant policy documents; and (3 focus groups conducted among individuals with a high risk of progressing to diabetes. The key findings were then triangulated and synthesised. Results Prevalence of risk factors for diabetes is very high and increasing in Kerala. This situation is largely attributable to rapid changes in the lifestyle of people living in this state of India. The findings from the systematic review and focus groups identified many environmental and personal determinants of these unhealthy lifestyle changes, including: less than ideal accessibility to and availability of health services; cultural values and norms; optimistic bias and other misconceptions related to risk; and low expectations regarding one’s ability to make lifestyle changes in order to influence health and disease outcomes. On the other hand, there are existing intervention trials conducted in India which suggests that risk reduction is possible. These programmes utilize multi-level strategies including mass media, as well as strategies to enhance community and individual empowerment. India’s national programme for the prevention and control of major non-communicable diseases (NCD also provide a supportive environment for further community-based efforts to prevent diabetes. Conclusion These findings provide strong support for undertaking more research into the conduct of community-based diabetes prevention

  8. Lifestyle change in Kerala, India: needs assessment and planning for a community-based diabetes prevention trial.

    Science.gov (United States)

    Daivadanam, Meena; Absetz, Pilvikki; Sathish, Thirunavukkarasu; Thankappan, K R; Fisher, Edwin B; Philip, Neena Elezebeth; Mathews, Elezebeth; Oldenburg, Brian

    2013-02-01

    Type 2 Diabetes Mellitus (T2DM) has become a major public health challenge in India. Factors relevant to the development and implementation of diabetes prevention programmes in resource-constrained countries, such as India, have been under-studied. The purpose of this study is to describe the findings from research aimed at informing the development and evaluation of a Diabetes Prevention Programme in Kerala, India (K-DPP). Data were collected from three main sources: (1) a systematic review of key research literature; (2) a review of relevant policy documents; and (3) focus groups conducted among individuals with a high risk of progressing to diabetes. The key findings were then triangulated and synthesised. Prevalence of risk factors for diabetes is very high and increasing in Kerala. This situation is largely attributable to rapid changes in the lifestyle of people living in this state of India. The findings from the systematic review and focus groups identified many environmental and personal determinants of these unhealthy lifestyle changes, including: less than ideal accessibility to and availability of health services; cultural values and norms; optimistic bias and other misconceptions related to risk; and low expectations regarding one's ability to make lifestyle changes in order to influence health and disease outcomes. On the other hand, there are existing intervention trials conducted in India which suggests that risk reduction is possible. These programmes utilize multi-level strategies including mass media, as well as strategies to enhance community and individual empowerment. India's national programme for the prevention and control of major non-communicable diseases (NCD) also provide a supportive environment for further community-based efforts to prevent diabetes. These findings provide strong support for undertaking more research into the conduct of community-based diabetes prevention in the rural areas of Kerala. We aim to develop, implement and

  9. Needs assessment of school and community physical activity opportunities in rural West Virginia: the McDowell CHOICES planning effort.

    Science.gov (United States)

    Kristjansson, Alfgeir L; Elliott, Eloise; Bulger, Sean; Jones, Emily; Taliaferro, Andrea R; Neal, William

    2015-04-03

    McDowell CHOICES (Coordinated Health Opportunities Involving Communities, Environments, and Schools) Project is a county wide endeavor aimed at increasing opportunities for physical activity (PA) in McDowell County, West Virginia (WV). A comprehensive needs-assessment laid the foundation of the project. During the 6 month needs assessment, multiple sources of data were collected in two Town Hall Meetings (n = 80); a student online PA interest survey (n = 465); a PA and nutrition survey among 5(th) (10-11 years) and 8(th) graders (13-14 years) with questions adapted from the CDC's Youth Risk Behavior Surveillance Survey (n = 442, response rate = 82.2%); six semi-structured school and community focus groups (n = 44); school site visits (n = 11); and BMI screening (n = 550, response rate = 69.7%). One third of children in McDowell County meet the national PA minimum of 60 minutes daily. At least 40% of 5(th) and 8(th) graders engage in electronic screen activity for 3 hours or more every day. The prevalence of obesity in 5(th) graders is higher in McDowell County than the rest of WV (~55% vs. 47% respectively). SWOT analyses of focus group data suggest an overall interest in PA but also highlight a need for increase in structured PA opportunities. Focus group data also suggested that a central communication (e.g. internet-based) platform would be beneficial to advertise and boost participation both in current and future programs. Schools were commonly mentioned as potential facilities for public PA participation throughout the county, both with regards to access and convenience. School site visits suggest that schools need more equipment and resources for before, during, and after school programs. An overwhelming majority of participants in the McDowell CHOICES needs assessment were interested to participate in more PA programs throughout the county as well as to improve opportunities for the provision of such programs. Public schools were widely recognized as the hub

  10. Community-level effect of the reproductive health vouchers program on out-of-pocket spending on family planning and safe motherhood services in Kenya.

    Science.gov (United States)

    Obare, Francis; Warren, Charlotte; Kanya, Lucy; Abuya, Timothy; Bellows, Ben

    2015-08-25

    Although vouchers can protect individuals in low-income countries from financial catastrophe and impoverishment arising from out-of-pocket expenditures on healthcare, their effectiveness in achieving this goal depends on whether both service and transport costs are subsidized as well as other factors such as service availability in a given locality and community perceptions about the quality of care. This paper examines the community-level effect of the reproductive health vouchers program on out-of-pocket expenditure on family planning, antenatal, delivery and postnatal care services in Kenya. Data are from two rounds of cross-sectional household surveys in voucher and non-voucher sites. The first survey was conducted between May 2010 and July 2011 among 2,933 women aged 15-49 years while the second survey took place between July and October 2012 among 3,094 women of similar age groups. The effect of the program on out-of-pocket expenditure is determined by difference-in-differences estimation. Analysis entails comparison of changes in proportions, means and medians as well as estimation of multivariate linear regression models with interaction terms between indicators for study site (voucher or non-voucher) and period of study (2010-2011 or 2012). There were significantly greater declines in the proportions of women from voucher sites that paid for antenatal, delivery and postnatal care services at health facilities compared to those from non-voucher sites. The changes were also consistent with increased uptake of the safe motherhood voucher in intervention sites over time. There was, however, no significant difference in changes in the proportions of women from voucher and non-voucher sites that paid for family planning services. The results further show that there were significant differences in changes in the amount paid for family planning and antenatal care services by women from voucher compared to those from non-voucher sites. Although there were greater

  11. Total rRNA-Seq Analysis Gives Insight into Bacterial, Fungal, Protozoal and Archaeal Communities in the Rumen Using an Optimized RNA Isolation Method

    Directory of Open Access Journals (Sweden)

    Chijioke O. Elekwachi

    2017-09-01

    Full Text Available Advances in high throughput, next generation sequencing technologies have allowed an in-depth examination of biological environments and phenomena, and are particularly useful for culture-independent microbial community studies. Recently the use of RNA for metatranscriptomic studies has been used to elucidate the role of active microbes in the environment. Extraction of RNA of appropriate quality is critical in these experiments and TRIzol reagent is often used for maintaining stability of RNA molecules during extraction. However, for studies using rumen content there is no consensus on (1 the amount of rumen digesta to use or (2 the amount of TRIzol reagent to be used in RNA extraction procedures. This study evaluated the effect of using various quantities of ground rumen digesta and of TRIzol reagent on the yield and quality of extracted RNA. It also investigated the possibility of using lower masses of solid-phase rumen digesta and lower amounts of TRIzol reagent than is used currently, for extraction of RNA for metatranscriptomic studies. We found that high quality RNA could be isolated from 2 g of ground rumen digesta sample, whilst using 0.6 g of ground matter for RNA extraction and using 3 mL (a 5:1 TRIzol : extraction mass ratio of TRIzol reagent. This represents a significant savings in the cost of RNA isolation. These lower masses and volumes were then applied in the RNA-Seq analysis of solid-phase rumen samples obtained from 6 Angus X Hereford beef heifers which had been fed a high forage diet (comprised of barley straw in a forage-to-concentrate ratio of 70:30 for 102 days. A bioinformatics analysis pipeline was developed in-house that generated relative abundance values of archaea, protozoa, fungi and bacteria in the rumen and also allowed the extraction of individual rRNA variable regions that could be analyzed in downstream molecular ecology programs. The average relative abundances of rRNA transcripts of archaea, bacteria

  12. Total rRNA-Seq Analysis Gives Insight into Bacterial, Fungal, Protozoal and Archaeal Communities in the Rumen Using an Optimized RNA Isolation Method.

    Science.gov (United States)

    Elekwachi, Chijioke O; Wang, Zuo; Wu, Xiaofeng; Rabee, Alaa; Forster, Robert J

    2017-01-01

    Advances in high throughput, next generation sequencing technologies have allowed an in-depth examination of biological environments and phenomena, and are particularly useful for culture-independent microbial community studies. Recently the use of RNA for metatranscriptomic studies has been used to elucidate the role of active microbes in the environment. Extraction of RNA of appropriate quality is critical in these experiments and TRIzol reagent is often used for maintaining stability of RNA molecules during extraction. However, for studies using rumen content there is no consensus on (1) the amount of rumen digesta to use or (2) the amount of TRIzol reagent to be used in RNA extraction procedures. This study evaluated the effect of using various quantities of ground rumen digesta and of TRIzol reagent on the yield and quality of extracted RNA. It also investigated the possibility of using lower masses of solid-phase rumen digesta and lower amounts of TRIzol reagent than is used currently, for extraction of RNA for metatranscriptomic studies. We found that high quality RNA could be isolated from 2 g of ground rumen digesta sample, whilst using 0.6 g of ground matter for RNA extraction and using 3 mL (a 5:1 TRIzol : extraction mass ratio) of TRIzol reagent. This represents a significant savings in the cost of RNA isolation. These lower masses and volumes were then applied in the RNA-Seq analysis of solid-phase rumen samples obtained from 6 Angus X Hereford beef heifers which had been fed a high forage diet (comprised of barley straw in a forage-to-concentrate ratio of 70:30) for 102 days. A bioinformatics analysis pipeline was developed in-house that generated relative abundance values of archaea, protozoa, fungi and bacteria in the rumen and also allowed the extraction of individual rRNA variable regions that could be analyzed in downstream molecular ecology programs. The average relative abundances of rRNA transcripts of archaea, bacteria, protozoa and fungi in

  13. Efforts to monitor Global progress on individual and community demand for immunization: Development of definitions and indicators for the Global Vaccine Action Plan Strategic Objective 2.

    Science.gov (United States)

    Hickler, Benjamin; MacDonald, Noni E; Senouci, Kamel; Schuh, Holly B

    2017-06-16

    The Second Strategic Objective of the Global Vaccine Action Plan, "individuals and communities understand the value of vaccines and demand immunization as both their right and responsibility", differs from the other five in that it does not focus on supply-side aspects of immunization programs but rather on public demand for vaccines and immunization services. This commentary summarizes the work (literature review, consultations with experts, and with potential users) and findings of the UNICEF/World Health Organization Strategic Objective 2 informal Working Group on Vaccine Demand, which developed a definition for demand and indicators related to Strategic Objective 2. Demand for vaccines and vaccination is a complex concept that is not external to supply systems but rather encompasses the interaction between human behaviors and system structure and dynamics. Copyright © 2017. Published by Elsevier Ltd.

  14. Total Thyroidectomy

    Directory of Open Access Journals (Sweden)

    Lopez Moris E

    2016-06-01

    Full Text Available Total thyroidectomy is a surgery that removes all the thyroid tissue from the patient. The suspect of cancer in a thyroid nodule is the most frequent indication and it is presume when previous fine needle puncture is positive or a goiter has significant volume increase or symptomes. Less frequent indications are hyperthyroidism when it is refractory to treatment with Iodine 131 or it is contraindicated, and in cases of symptomatic thyroiditis. The thyroid gland has an important anatomic relation whith the inferior laryngeal nerve and the parathyroid glands, for this reason it is imperative to perform extremely meticulous dissection to recognize each one of these elements and ensure their preservation. It is also essential to maintain strict hemostasis, in order to avoid any postoperative bleeding that could lead to a suffocating neck hematoma, feared complication that represents a surgical emergency and endangers the patient’s life.It is essential to run a formal technique, without skipping steps, and maintain prudence and patience that should rule any surgical act.

  15. Use of Home- and Community-Based Services in Taiwan's National 10-Year Long-Term Care Plan.

    Science.gov (United States)

    Yu, Hsiao-Wei; Tu, Yu-Kang; Kuo, Po-Hsiu; Chen, Ya-Mei

    2018-05-01

    We aimed to understand the relationships between care recipients' profiles and home- and community-based services (HCBS use patterns. Data were from the 2010 to 2013 Long-Term Care Service Management System in Taiwan ( N = 78,205). We used latent class analysis and multinomial logistic regression analyses. Three HCBS use patterns were found. Care recipients who lived alone, lived in less urbanized areas, and had instrumental activities of daily living disabilities were more likely to be in the home-based personal care group. Those in the home-based personal and medical care group were more likely than others to have a primary caregiver. Care recipients who had poorer abilities at basic activities of daily living and cognitive function, better household income, and lived in a more urbanized area were more likely to be in the non-personal care multiple services group. The findings suggest that policymakers alleviate barriers to accessing various patterns of HCBS should be encouraged.

  16. Projections, plans, policies and politics in Prince George: reflections on five years of climate change adaptation in a northern Canadian community

    Science.gov (United States)

    Picketts, I. M.; Dery, S. J.; Curry, J.

    2013-12-01

    The City of Prince George, in central British Columbia, Canada, has partnered with academics and collaborators for over five years to address climate change adaptation at the local level. The first phase of research involved conducting a detailed overview of past climate trends and future projections for the region using the outputs of GCMs and downscaled RCMs. This information was communicated to senior local staff and community members, and feedback was applied to create a detailed adaptation strategy for the City, which identified priority impacts and outlined potential strategies to address them at the local level. The top priority impacts for Prince George are forest changes, increased flooding, and impacts to transportation infrastructure. During a second implementation phase of the project, eight local initiatives were completed focusing on: incorporating adaptation into a local sustainability plan and land use plan; exploring impacts related to forests, flooding and transportation infrastructure; and assessing trends and projections in freeze-thaw cycles and heavy rainfall events. This presentation will outline the adaptation initiatives undertaken in the City of Prince George during the second phase of research, and evaluate their effectiveness through reflections from interviews with local planners, engineers, managers, community champions and politicians. The initiatives deemed to be most successful - and most likely to be implemented - focus on topics that: are of high public concern; have clear cost implications; incorporate adaptation into policy; and/or incorporate adaptation into an ongoing project. Outcomes highlight challenges local researchers, practitioners and leaders face as they strive to implement proactive adaptation measures in policy and practice without strong support from policy and professional practices, and with a paucity of successful case study examples to build upon. Outcomes also reveal challenges as municipalities strive to do

  17. Social class and family size as determinants of attributed machismo, femininity, and family planning: a field study in two South American communities.

    Science.gov (United States)

    Nicassio, P M

    1977-12-01

    A study was conducted to determine the way in which stereotypes of machismo and femininity are associated with family size and perceptions of family planning. A total of 144 adults, male and female, from a lower class and an upper middle class urban area in Colombia were asked to respond to photographs of Colombian families varying in size and state of completeness. The study illustrated the critical role of sex-role identity and sex-role organization as variables having an effect on fertility. The lower-class respondents described parents in the photographs as significantly more macho or feminine because of their children than the upper-middle-class subjects did. Future research should attempt to measure when this drive to sex-role identity is strongest, i.e., when men and women are most driven to reproduce in order to "prove" themselves. Both lower- and upper-middle-class male groups considered male dominance in marriage to be directly linked with family size. Perceptions of the use of family planning decreased linearly with family size for both social groups, although the lower-class females attributed more family planning to spouses of large families than upper-middle-class females. It is suggested that further research deal with the ways in which constructs of machismo and male dominance vary between the sexes and among socioeconomic groups and the ways in which they impact on fertility.

  18. Current advance care planning practice in the Australian community: an online survey of home care package case managers and service managers.

    Science.gov (United States)

    Sellars, Marcus; Detering, Karen M; Silvester, William

    2015-04-23

    Advance care planning (ACP) is the process of planning for future healthcare that is facilitated by a trained healthcare professional, whereby a person's values, beliefs and treatment preferences are made known to guide clinical decision-making at a future time when they cannot communicate their decisions. Despite the potential benefits of ACP for community aged care clients the availability of ACP is unknown, but likely to be low. In Australia many of these clients receive services through Home Care Package (HCP) programs. This study aimed to explore current attitudes, knowledge and practice of advance care planning among HCP service managers and case managers. An invitation to take part in a cross-sectional online survey was distributed by email to all HCP services across Australia in November 2012. Descriptive analyses were used to examine overall patterns of responses to each survey item in the full sample. 120 (response rate 25%) service managers and 178 (response rate 18%) case managers completed the survey. Only 34% of services had written ACP policies and procedures in place and 48% of case managers had previously completed any ACP training. In addition, although most case managers (70%) had initiated an ACP discussion in the past 12 months and viewed ACP as part of their role, the majority of the conversations (80%) did not result in documentation of the client's wishes and most (85%) of the case managers who responded did not believe ACP was done well within their service. This survey shows low organisational ACP systems and support for case managers and a lack of a normative approach to ACP across Australian HCP services. As HCPs become more prevalent it is essential that a model of ACP is developed and evaluated in this setting, so that clients have the opportunity to discuss and document their future healthcare wishes if they choose to.

  19. Using the community-based health planning and services program to promote skilled delivery in rural Ghana: socio-demographic factors that influence women utilization of skilled attendants at birth in Northern Ghana

    OpenAIRE

    Sakeah, Evelyn; Doctor, Henry V; McCloskey, Lois; Bernstein, Judith; Yeboah-Antwi, Kojo; Mills, Samuel

    2014-01-01

    Background The burden of maternal mortality in sub-Saharan Africa is enormous. In Ghana the maternal mortality ratio was 350 per 100,000 live births in 2010. Skilled birth attendance has been shown to reduce maternal deaths and disabilities, yet in 2010 only 68% of mothers in Ghana gave birth with skilled birth attendants. In 2005, the Ghana Health Service piloted an enhancement of its Community-Based Health Planning and Services (CHPS) program, training Community Health Officers (CHOs) as mi...

  20. Community participation to design rural primary healthcare services.

    Science.gov (United States)

    Farmer, Jane; Nimegeer, Amy

    2014-03-21

    This paper explores how community participation can be used in designing rural primary healthcare services by describing a study of Scottish communities. Community participation is extolled in healthcare policy as useful in planning services and is understood as particularly relevant in rural settings, partly due to high social capital. Literature describes many community participation methods, but lacks discussion of outcomes relevant to health system reconfiguration. There is a spectrum of ideas in the literature on how to design services, from top-down standard models to contextual plans arising from population health planning that incorporates community participation. This paper addresses an evidence gap about the outcomes of using community participation in (re)designing rural community health services. Community-based participatory action research was applied in four Scottish case study communities in 2008-10. Data were collected from four workshops held in each community (total 16) and attended by community members. Workshops were intended to produce hypothetical designs for future service provision. Themes, rankings and selections from workshops are presented. Community members identified consistent health priorities, including local practitioners, emergency triage, anticipatory care, wellbeing improvement and health volunteering. Communities designed different service models to address health priorities. One community did not design a service model and another replicated the current model despite initial enthusiasm for innovation. Communities differ in their receptiveness to engaging in innovative service design, but some will create new models that fit in a given budget. Design diversity indicates that context influences local healthcare planning, suggesting community participation impacts on design outcomes, but standard service models maybe useful as part of the evidence in community participation discussions.

  1. Using the community-based health planning and services program to promote skilled delivery in rural Ghana: socio-demographic factors that influence women utilization of skilled attendants at birth in northern Ghana.

    Science.gov (United States)

    Sakeah, Evelyn; Doctor, Henry V; McCloskey, Lois; Bernstein, Judith; Yeboah-Antwi, Kojo; Mills, Samuel

    2014-04-10

    The burden of maternal mortality in sub-Saharan Africa is enormous. In Ghana the maternal mortality ratio was 350 per 100,000 live births in 2010. Skilled birth attendance has been shown to reduce maternal deaths and disabilities, yet in 2010 only 68% of mothers in Ghana gave birth with skilled birth attendants. In 2005, the Ghana Health Service piloted an enhancement of its Community-Based Health Planning and Services (CHPS) program, training Community Health Officers (CHOs) as midwives, to address the gap in skilled attendance in rural Upper East Region (UER). The study determined the extent to which CHO-midwives skilled delivery program achieved its desired outcomes in UER among birthing women. We conducted a cross-sectional household survey with women who had ever given birth in the three years prior to the survey. We employed a two stage sampling techniques: In the first stage we proportionally selected enumeration areas, and the second stage involved random selection of households. In each household, where there is more than one woman with a child within the age limit, we interviewed the woman with the youngest child. We collected data on awareness of the program, use of the services and factors that are associated with skilled attendants at birth. A total of 407 households/women were interviewed. Eighty three percent of respondents knew that CHO-midwives provided delivery services in CHPS zones. Seventy nine percent of the deliveries were with skilled attendants; and over half of these skilled births (42% of total) were by CHO-midwives. Multivariate analyses showed that women of the Nankana ethnic group and those with uneducated husbands were less likely to access skilled attendants at birth in rural settings. The implementation of the CHO-midwife program in UER appeared to have contributed to expanded skilled delivery care access and utilization for rural women. However, women of the Nankana ethnic group and uneducated men must be targeted with health

  2. Implementation Of The National Program Comunity Empowerment Plan Strategic Community Development RESPEK Case Studi In Sota Disctrict Merauke

    Directory of Open Access Journals (Sweden)

    Alexander P. Tjilen

    2015-08-01

    Full Text Available ABSTRACT The purpose of this study was to determine how the preconditions of policy implementation to support policy implementation Respect Program and how communication between organizations resources executive attitudes and bureaucratic structures that occur in the implementation of policy in the Respect program Sota District Merauke. The method used is descriptive qualitative research. Source of data obtained are from interviews observation and documentation of research focusing on the implementation of the Respect in Sota District. The results showed precondition Respect program delivery policy implementation in general fall into the category of pretty but still so many things that need to be addressed. Dissemination activities have been carried out but implementation at the village level results are not optimal. Community participation is still passive and complementary. Communication between organizations constrained limits of authority between provincial and district governments resources available adequate but are constrained by the rules of the rules that limit. The attitude of the implementing agencies in accordance with the requirements and have high motivation fragmentation does not cause bottlenecks in policy. Bureaucratic structure has been prepared in accordance with the PTO but is still constrained in the monitoring and evaluation system is not running properly.

  3. Increasing availability to and ascertaining value of asthma action plans in schools through use of technology and community collaboration.

    Science.gov (United States)

    Hanson, Tabitha K; Aleman, Martha; Hart, Lacey; Yawn, Barbara

    2013-12-01

    Approximately 9% of school-aged children in the United States have asthma. Since 1997, the Asthma Action Plan (AAP) has been recommended as an asthma self-management tool for individuals with asthma. In the school setting, the use of the AAP has been primarily dependent on communication between the family and the school through a paper process. To address the limited availability of AAPs, the Southeast Minnesota Beacon Project developed and implemented a secure portal designed for the electronic exchange of the AAP between providers and schools. This project was designed to assess school nurses' responses to the portal and the perceived value of AAPs, efficiency, self-efficacy, and project impact. School nurses perceive that the AAP enables more efficient management of the care of students with asthma and increases school nurse self-efficacy in regard to asthma management. Overall, school nurses felt the AAP portal was useful and they reported satisfaction with its function as a school health office resource. Electronic sharing of the AAP has the potential to increase efficiency and enhance effective communication among health care providers, families, and schools. © 2013, American School Health Association.

  4. Prevalence of migraine in a diverse community--electronic methods for migraine ascertainment in a large integrated health plan.

    Science.gov (United States)

    Pressman, Alice; Jacobson, Alice; Eguilos, Roderick; Gelfand, Amy; Huynh, Cynthia; Hamilton, Luisa; Avins, Andrew; Bakshi, Nandini; Merikangas, Kathleen

    2016-04-01

    The growing availability of electronic health data provides an opportunity to ascertain diagnosis-specific cases via systematic methods for sample recruitment for clinical research and health services evaluation. We developed and implemented a migraine probability algorithm (MPA) to identify migraine from electronic health records (EHR) in an integrated health plan. We identified all migraine outpatient diagnoses and all migraine-specific prescriptions for a five-year period (April 2008-March 2013) from the Kaiser Permanente, Northern California (KPNC) EHR. We developed and evaluated the MPA in two independent samples, and derived prevalence estimates of medically-ascertained migraine in KPNC by age, sex, and race. The period prevalence of medically-ascertained migraine among KPNC adults during April 2008-March 2013 was 10.3% (women: 15.5%, men: 4.5%). Estimates peaked with age in women but remained flat for men. Prevalence among Asians was half that of whites. We demonstrate the feasibility of an EHR-based algorithm to identify cases of diagnosed migraine and determine that prevalence patterns by our methods yield results comparable to aggregate estimates of treated migraine based on direct interviews in population-based samples. This inexpensive, easily applied EHR-based algorithm provides a new opportunity for monitoring changes in migraine prevalence and identifying potential participants for research studies. © International Headache Society 2015.

  5. Generating tsunami risk knowledge at community level as a base for planning and implementation of risk reduction strategies

    Science.gov (United States)

    Wegscheider, Stephanie; Post, Joachim; Mück, Matthias; Zosseder, Kai; Muhari, Abdul; Anwar, Herryal Z.; Gebert, Niklas; Strunz, Günter; Riedlinger, Torsten

    2010-05-01

    More than 4 million Indonesians live in tsunami-prone areas on the southern and western coasts of Sumatra, Java and Bali. Depending on the location of the tsunamigenic earthquake, in many cases the time to reach a tsunami-safe area is as short as 15 or 20 minutes. To increase the chances of a successful evacuation a comprehensive and thorough planning and preparation is necessary. For this purpose, detailed knowledge on potential hazard impact and safe areas, exposed elements such as people, critical facilities and lifelines, deficiencies in response capabilities and evacuation routes is crucial. The major aims of this paper are (i) to assess and quantify people's response capabilities and (ii) to identify high risk areas which have a high need of action to improve the response capabilities and thus to reduce the risk. The major factor influencing people's ability to evacuate successfully is the factor time. The estimated time of arrival of a tsunami at the coast which determines the overall available time for evacuation after triggering of a tsunami can be derived by analyzing modeled tsunami scenarios for a respective area. But in most cases, this available time frame is diminished by other time components including the time until natural or technical warning signs are received and the time until reaction follows a warning (understanding a warning and decision to take appropriate action). For the time to receive a warning we assume that the early warning centre is able to fulfil the Indonesian presidential decree to issue a warning within 5 minutes. Reaction time is difficult to quantify as here human intrinsic factors as educational level, believe, tsunami knowledge and experience play a role. Although we are aware of the great importance of this factor and the importance to minimize the reaction time, it is not considered in this paper. Quantifying the needed evacuation time is based on a GIS approach. This approach is relatively simple and enables local

  6. A spatial framework for targeting urban planning for pollinators and people with local stakeholders: A route to healthy, blossoming communities?

    Science.gov (United States)

    Bellamy, Chloe C; van der Jagt, Alexander P N; Barbour, Shelley; Smith, Mike; Moseley, Darren

    2017-10-01

    Pollinators such as bees and hoverflies are essential components of an urban ecosystem, supporting and contributing to the biodiversity, functioning, resilience and visual amenity of green infrastructure. Their urban habitats also deliver health and well-being benefits to society, by providing important opportunities for accessing nature nearby to the homes of a growing majority of people living in towns and cities. However, many pollinator species are in decline, and the loss, degradation and fragmentation of natural habitats are some of the key drivers of this change. Urban planners and other practitioners need evidence to carefully prioritise where they focus their resources to provide and maintain a high quality, multifunctional green infrastructure network that supports pollinators and people. We provide a modelling framework to inform green infrastructure planning as a nature based solution with social and ecological benefits. We show how habitat suitability models (HSM) incorporating remote sensed vegetation data can provide important information on the influence of urban landcover composition and spatial configuration on species distributions across cities. Using Edinburgh, Scotland, as a case study city, we demonstrate this approach for bumble bees and hoverflies, providing high resolution predictive maps that identify pollinator habitat hotspots and pinch points across the city. By combining this spatial HSM output with health deprivation data, we highlight 'win-win' opportunity areas in most need of improved green infrastructure to support pollinator habitat quality and connectivity, as well as societal health and well-being. In addition, in collaboration with municipal planners, local stakeholders, and partners from a local greenspace learning alliance, we identified opportunities for citizen engagement activities to encourage interest in wildlife gardening as part of a 'pollinator pledge'. We conclude that this quantitative, spatially explicit and

  7. Environmental protection by cost minimization: Least Cost Planning for traffic. Includes a guide for the application in local communities; Umweltentlastung durch Kostenminimierung: Least Cost Planning im Verkehr. Mit Leitfaden fuer die Anwendung in Kommunen

    Energy Technology Data Exchange (ETDEWEB)

    Bracher, T.; Diegmann, V.; Eckart, C.F.; Liwicki, M.; Lobenberg, G.; Wetzel, C. [Gesellschaft fuer Informatik, Verkehrs- und Umweltplanung mbH (IVU), Berlin (Germany); Bergmann, M.; Uricher, A.; Lueers, A. [Oeko-Institut, Inst. fuer Angewandte Oekologie e.V., Freiburg im Breisgau (Germany); Becker, U.; Karl, G.; Karl, B.; Voellings, A. [Technische Univ. Dresden (Germany). Lehrstuhl fuer Verkehrsoekologie

    1999-08-01

    An intermodal approach for the evaluation of transportation services on the municipal level was developed. Both non-motorised and motorised transportation were included. The approach aims at helping communities to provide an economically and ecologically viable transport policy. Least Cost Transportation Planning (LCTP) was developed to transfer the successful concept of Least Cost Planning from the energy sector to transportation. The conclusion from an analysis of LCTP literature and present evaluation methods was that an improved approach should be intermodal and integrate users, public bodies and transport companies as well as all planning sectors. An approach was developed firstly to identify and clarify transportation expenditures and incomes of a city within a year, and secondly for the evaluation of planning alternatives. This was illustrated for the access system of an industrial area with adjacent railway services in the town of Freiburg. Three alternatives were compared: the extension of a tramway line, the upgrading of the present bus system, and the development of a service and bicycle provision concept for rail stations and companies. Besides income and expenditure for each alternative, the effects on transport demand, the impact on air pollution and noise and on space consumption were presented. As a result, the bicycle concept is in most items better than its alternatives. The final report has three volumes and there is an extra guideline for implementing the method within municipalities. It includes a set of excel sheet tables for an easy application (all in German). (orig.) [German] Fuer die Verkehrsplanung wurde ein verkehrstraegeruebergreifendes Bewertungsverfahren fuer Kommunen entwickelt, das motorisierte und nicht motorisierte Verkehrstraeger einbezieht. Das Verfahren soll Gemeinden unterstuetzen, eine oekonomische und oekologisch vertraegliche Verkehrspolitik zu verfolgen. Least Cost Transportation Planning (LCTP) zielt darauf ab, das fuer

  8. Evaluation of a co-delivered training package for community mental health professionals on service user- and carer-involved care planning.

    Science.gov (United States)

    Grundy, A C; Walker, L; Meade, O; Fraser, C; Cree, L; Bee, P; Lovell, K; Callaghan, P

    2017-08-01

    WHAT IS KNOWN ON THE SUBJECT?: There is consistent evidence that service users and carers feel marginalized in the process of mental health care planning. Mental health professionals have identified ongoing training needs in relation to involving service users and carers in care planning. There is limited research on the acceptability of training packages for mental health professionals which involve service users and carers as co-facilitators. WHAT DOES THIS PAPER ADD TO EXISTING KNOWLEDGE?: A co-produced and co-delivered training package on service user- and carer-involved care planning was acceptable to mental health professionals. Aspects of the training that were particularly valued were the co-production model, small group discussion and the opportunity for reflective practice. The organizational context of care planning may need more consideration in future training models. WHAT ARE THE IMPLICATIONS FOR PRACTICE?: Mental health nurses using co-production models of delivering training to other mental health professionals can be confident that such initiatives will be warmly welcomed, acceptable and engaging. On the basis of the results reported here, we encourage mental health nurses to use co-production approaches more often. Further research will show how clinically effective this training is in improving outcomes for service users and carers. Background There is limited evidence for the acceptability of training for mental health professionals on service user- and carer-involved care planning. Aim To investigate the acceptability of a co-delivered, two-day training intervention on service user- and carer-involved care planning. Methods Community mental health professionals were invited to complete the Training Acceptability Rating Scale post-training. Responses to the quantitative items were summarized using descriptive statistics (Miles, ), and qualitative responses were coded using content analysis (Weber, ). Results Of 350 trainees, 310 completed the

  9. Cost-effectiveness analysis of the national implementation of integrated community case management and community-based health planning and services in Ghana for the treatment of malaria, diarrhoea and pneumonia.

    Science.gov (United States)

    Escribano Ferrer, Blanca; Hansen, Kristian Schultz; Gyapong, Margaret; Bruce, Jane; Narh Bana, Solomon A; Narh, Clement T; Allotey, Naa-Korkor; Glover, Roland; Azantilow, Naa-Charity; Bart-Plange, Constance; Sagoe-Moses, Isabella; Webster, Jayne

    2017-07-05

    Ghana has developed two main community-based strategies that aim to increase access to quality treatment for malaria, diarrhoea and suspected pneumonia: the integrated community case management (iCCM) and the community-based health planning and services (CHPS). The aim of the study was to assess the cost-effectiveness of these strategies under programme conditions. A cost-effectiveness analysis was conducted. Appropriate diagnosis and treatment given was the effectiveness measure used. Appropriate diagnosis and treatment data was obtained from a household survey conducted 2 and 8 years after implementation of iCCM in the Volta and Northern Regions of Ghana, respectively. The study population was carers of children under-5 years who had fever, diarrhoea and/or cough in the last 2 weeks prior to the interview. Costs data was obtained mainly from the National Malaria Control Programme (NMCP), the Ministry of Health, CHPS compounds and from a household survey. Appropriate diagnosis and treatment of malaria, diarrhoea and suspected pneumonia was more cost-effective under the iCCM than under CHPS in the Volta Region, even after adjusting for different discount rates, facility costs and iCCM and CHPS utilization, but not when iCCM appropriate treatment was reduced by 50%. Due to low numbers of carers visiting a CBA in the Northern Region it was not possible to conduct a cost-effectiveness analysis in this region. However, the cost analysis showed that iCCM in the Northern Region had higher cost per malaria, diarrhoea and suspected pneumonia case diagnosed and treated when compared to the Volta Region and to the CHPS strategy in the Northern Region. Integrated community case management was more cost-effective than CHPS for the treatment of malaria, diarrhoea and suspected pneumonia when utilized by carers of children under-5 years in the Volta Region. A revision of the iCCM strategy in the Northern Region is needed to improve its cost-effectiveness. Long-term financing

  10. Partners Plus: Families and Caregivers in Partnerships. A Family-Centered Guide to Respite Care. Trainer's Workshop Manual [and] Community Planning Manual [and] A Family Manual [and] Caregiver Manual.

    Science.gov (United States)

    Ownby, Lisa L.; Hooke, Amanda C.; Moore, Dee Wylie; Garland, Corinne W.; Frank, Adrienne

    Four manuals on implementing the Partners Respite Model, which provides respite care for children with disabilities or chronic illnesses, comprise this document. The Community Planning Manual offers a step-by-step guide to replication of the Partners Respite Model and is divided into sections on developing the Partners program, implementing the…

  11. Total and EDF invest

    International Nuclear Information System (INIS)

    Signoret, St.

    2008-01-01

    So as to prepare the future of their industrial sector,the Total company plans to invest (14 billion Euros in 2008) to increase its production capacities and strengthen in of other activities as the liquefied natural gas and the renewable energies; EDF plans to inject 35 billion Euros over three years to multiply the new projects of power plants (wind turbines, coal in Germany, gas in Great Britain and nuclear power in Flamanville). EDF wants to exploit its knowledge of leader to run more than ten E.P.R.(European pressurized water reactor) in the world before 2020, projects are in examination with China, Great Britain, South Africa and United States. (N.C.)

  12. Parasitological and nutritional status of school-age and preschool-age children in four villages in Southern Leyte, Philippines: Lessons for monitoring the outcome of Community-Led Total Sanitation.

    Science.gov (United States)

    Belizario, Vicente Y; Liwanag, Harvy Joy C; Naig, June Rose A; Chua, Paul Lester C; Madamba, Manuel I; Dahildahil, Roy O

    2015-01-01

    While preventive chemotherapy remains to be a major strategy for the prevention and control of soil-transmitted helminthiases (STH), improvements in water, sanitation, and hygiene (WASH) comprise the long-term strategy to achieve sustained control of STH. This study examined the parasitological and nutritional status of school-age and preschool-age children in four villages in Southern Leyte, Philippines where two of the villages attained Open-Defecation-Free (ODF) status after introduction of Community-Led Total Sanitation (CLTS). A total of 341 children (89.0% of the total eligible population) submitted stool samples which were examined using the Kato-Katz technique. Results showed that 27.9% of the total stool samples examined had at least one type of STH (cumulative prevalence), while 7.9% had moderate-heavy intensity infections. Between the two villages where CLTS was introduced, Buenavista had a significantly higher cumulative prevalence of STH at 67.4% (pnutritional parameters, as well as the presence of CLTS in the village, suggesting the need to monitor the ODF status of villages on a regular basis even after the end of CLTS activities to ensure the sustainability of the CLTS approach. In order to achieve effective control of STH, deeper collaboration between the WASH and STH sectors are recommended where partners can work together in the area of monitoring and evaluation that may include improved parasitological and nutritional status in high-risk groups, as well as sustainable behavior change as outcome indicators. Copyright © 2014 Elsevier B.V. All rights reserved.

  13. Community-based health insurance knowledge, concern, preferences, and financial planning for health care among informal sector workers in a health district of Douala, Cameroon.

    Science.gov (United States)

    Noubiap, Jean Jacques N; Joko, Walburga Yvonne A; Obama, Joel Marie N; Bigna, Jean Joel R

    2013-01-01

    For the last two decades, promoted by many governments and international number in sub-Saharan Africa. In 2005 in Cameroon, there were only 60 Community-based health insurance (CBHI) schemes nationwide, covering less than 1% of the population. In 2006, the Cameroon government adopted a national strategy aimed at creating at least one CBHI scheme in each health district and covering at least 40% of the population with CBHI schemes by 2015. Unfortunately, there is almost no published data on the awareness and the implementation of CBHI schemes in Cameroon. Structured interviews were conducted in January 2010 with 160 informal sectors workers in the Bonassama health district (BHD) of Douala, aiming at evaluating their knowledge, concern and preferences on CBHI schemes and their financial plan to cover health costs. The awareness on the existence of CHBI schemes was poor awareness schemes among these informal workers. Awareness of CBHI schemes was significantly associated with a high level of education (p = 0.0001). Only 4.4% of respondents had health insurance, and specifically 1.2% were involved in a CBHI scheme. However, 128 (86.2%) respondents thought that belonging to a CBHI scheme could facilitate their access to adequate health care, and were thus willing to be involved in CBHI schemes. Our respondents would have preferred CBHI schemes run by missionaries to CBHI schemes run by the government or people of the same ethnic group (p). There is a very low participation in CBHI schemes among the informal sector workers of the BHD. This is mainly due to the lack of awareness and limited knowledge on the basic concepts of a CBHI by this target population. Solidarity based community associations to which the vast majority of this target population belong are prime areas for sensitization on CBHI schemes. Hence these associations could possibly federalize to create CBHI schemes.

  14. Advance Care Planning Discussions with Adolescent and Young Adult Cancer Patients Admitted to a Community Palliative Care Service: A Retrospective Case-Note Audit.

    Science.gov (United States)

    Fletcher, Sophie; Hughes, Rachel; Pickstock, Sarah; Auret, Kirsten

    2018-02-01

    Adolescents and young adults (AYA) with cancer are a cohort requiring specialized healthcare models to address unique cognitive and physical challenges. Advance care planning (ACP) discussions likely warrant age-appropriate adaptation, yet, there is little Australian research data available to inform best practice for this group. The goal of this work is to inform future models of ACP discussions for AYA. Retrospective medical record audit of AYA patients and an adult comparison group, diagnosed with a malignancy and referred to a community hospice service, in Western Australia, in the period between January 1, 2012 and December 1, 2015. Information was collected regarding end-of-life care discussions, documentation of agreed plan of care, and care received. Twenty-seven AYA and 37 adult medical records were reviewed. Eighteen (66.7%) AYA patients died at home, compared with 19 (51.4%) adults (p = 0.028). Desire to pursue all available oncological therapies, including clinical trials, was documented for 14 (51.9%) AYA patients compared with 9 (24.3%) of the adult group (p = 0.02). Eleven AYA patients (40.7%) received chemotherapy during the last month of life compared with two (5.4%) adults (p = 0.001). The results indicate that end-of-life care preferences for this unique cohort may differ from those of the adult population and need to be captured and understood. An ACP document incorporating a discussion regarding goals of care, preferred location of care, preference for place of death, and consent to future intervention, including cardiopulmonary resuscitation and prompts for review, could assist in pursuing this objective.

  15. Total quality is people

    International Nuclear Information System (INIS)

    Vogel, C.E.

    1991-01-01

    Confronted by changing market conditions and increased global competition, in 1983 the Commercial Nuclear Fuel Division (CNFD) of Westinghouse Electric embarked on an ambitious plan to make total quality the centerpiece of its long-term business strategy. Five years later, the division's efforts in making continuous quality improvement a way of life among its more than 2,000 employees gained national recognition when it was named a charter recipient of the Malcolm Baldridge National Quality Award. What CNFD achieved during the 1980s was a cultural transformation, characterized by an empowered work force committed to a common vision. The company's quality program development strategy is described

  16. Hypoxia and inactivity related physiological changes precede or take place in absence of significant rearrangements in bacterial community structure: The PlanHab randomized trial pilot study.

    Directory of Open Access Journals (Sweden)

    Robert Šket

    Full Text Available We explored the assembly of intestinal microbiota in healthy male participants during the randomized crossover design of run-in (5 day and experimental phases (21-day normoxic bed rest (NBR, hypoxic bed rest (HBR and hypoxic ambulation (HAmb in a strictly controlled laboratory environment, with balanced fluid and dietary intakes, controlled circadian rhythm, microbial ambiental burden and 24/7 medical surveillance. The fraction of inspired O2 (FiO2 and partial pressure of inspired O2 (PiO2 were 0.209 and 133.1 ± 0.3 mmHg for NBR and 0.141 ± 0.004 and 90.0 ± 0.4 mmHg for both hypoxic variants (HBR and HAmb; ~4000 m simulated altitude, respectively. A number of parameters linked to intestinal environment such as defecation frequency, intestinal electrical conductivity (IEC, sterol and polyphenol content and diversity, indole, aromaticity and spectral characteristics of dissolved organic matter (DOM were measured (64 variables. The structure and diversity of bacterial microbial community was assessed using 16S rRNA amplicon sequencing. Inactivity negatively affected frequency of defecation and in combination with hypoxia increased IEC (p < 0.05. In contrast, sterol and polyphenol diversity and content, various characteristics of DOM and aromatic compounds, the structure and diversity of bacterial microbial community were not significantly affected over time. A new in-house PlanHab database was established to integrate all measured variables on host physiology, diet, experiment, immune and metabolic markers (n = 231. The observed progressive decrease in defecation frequency and concomitant increase in IEC suggested that the transition from healthy physiological state towards the developed symptoms of low magnitude obesity-related syndromes was dose dependent on the extent of time spent in inactivity and preceded or took place in absence of significant rearrangements in bacterial microbial community. Species B. thetaiotamicron, B. fragilis, B

  17. Hypoxia and Inactivity Related Physiological Changes (Constipation, Inflammation Are Not Reflected at the Level of Gut Metabolites and Butyrate Producing Microbial Community: The PlanHab Study

    Directory of Open Access Journals (Sweden)

    Robert Šket

    2017-05-01

    Full Text Available We explored the assembly of intestinal microbiota in healthy male participants during the run-in (5 day and experimental phases [21-day normoxic bed rest (NBR, hypoxic bedrest (HBR], and hypoxic ambulation (HAmb in a strictly controlled laboratory environment, balanced fluid, and dietary intakes, controlled circadian rhythm, microbial ambiental burden, and 24/7 medical surveillance. The fraction of inspired O2 (FiO2 and partial pressure of inspired O2 (PiO2 were 0.209 and 133.1 ± 0.3 mmHg for NBR and 0.141 ± 0.004 and 90.0 ± 0.4 mmHg for both hypoxic variants (HBR and HAmb; ~4,000 m simulated altitude, respectively. A number of parameters linked to intestinal transit spanning Bristol Stool Scale, defecation rates, zonulin, α1-antitrypsin, eosinophil derived neurotoxin, bile acids, reducing sugars, short chain fatty acids, total soluble organic carbon, water content, diet composition, and food intake were measured (167 variables. The abundance, structure, and diversity of butyrate producing microbial community were assessed using the two primary bacterial butyrate synthesis pathways, butyryl-CoA: acetate CoA-transferase (but and butyrate kinase (buk genes. Inactivity negatively affected fecal consistency and in combination with hypoxia aggravated the state of gut inflammation (p < 0.05. In contrast, gut permeability, various metabolic markers, the structure, diversity, and abundance of butyrate producing microbial community were not significantly affected. Rearrangements in the butyrate producing microbial community structure were explained by experimental setup (13.4%, experimentally structured metabolites (12.8%, and gut metabolite-immunological markers (11.9%, with 61.9% remaining unexplained. Many of the measured parameters were found to be correlated and were hence omitted from further analyses. The observed progressive increase in two immunological intestinal markers suggested that the transition from healthy physiological state toward

  18. 1998 Toxic Chemical Release Inventory Report for the Emergency Planning and Community Right-to-Know Act of 1986, Title III

    International Nuclear Information System (INIS)

    Stockton, Marjorie B.

    1999-01-01

    The Emergency Planning and Community Right-to-Know Act (EPCRA) of 1986 [also known as the Superfund Amendment and Reauthorization Act (SARA), Title III], as modified by Executive Order 12856, requires that all federal facilities evaluate the need to submit an annual Toxic Chemical Release Inventory report as prescribed in Title III, Section 313 of this Act. This annual report is due every July for the preceding calendar year. Owners and operators who manufacture, process, or otherwise use certain toxic chemicals above listed threshold quantities are required to report their toxic chemical releases to all environmental mediums (air, water, soil, etc.). At Los Alamos National Laboratory (LANL), no EPCRA Section 313 chemicals were used in 1998 above the reportable threshold limits of 10,000 lb or 25,000 lb. Therefore LANL was not required to submit any Toxic Chemical Release Inventory reports (Form Rs) for 1998. This document was prepared to provide a detailed description of the evaluation on chemical usage and EPCRA Section 313 threshold determinations for LANL for 1998

  19. 2004 Toxic Chemical Release Inventory Report for the Emergency Planning and Community Right-to-Know Act of 1986, Title III, Section 313

    Energy Technology Data Exchange (ETDEWEB)

    M. Stockton

    2006-01-15

    Section 313 of Emergency Planning and Community Right-to-Know Act (EPCRA) specifically requires facilities to submit a Toxic Chemical Release Inventory Report (Form R) to the U.S. Environmental Protection Agency (EPA) and state agencies if the owners and operators manufacture, process, or otherwise use any of the listed toxic chemicals above listed threshold quantities. EPA compiles this data in the Toxic Release Inventory database. Form R reports for each chemical over threshold quantities must be submitted on or before July 1 each year and must cover activities that occurred at the facility during the previous year. For reporting year 2004, Los Alamos National Laboratory (LANL or the Laboratory) submitted Form R reports for lead compounds, nitric acid, and nitrate compounds as required under the EPCRA Section 313. No other EPCRA Section 313 chemicals were used in 2004 above the reportable thresholds. This document provides a description of the evaluation of EPCRA Section 313 chemical use and threshold determinations for LANL for calendar year 2004, as well as background information about data included on the Form R reports.

  20. Internet plan and planning

    Directory of Open Access Journals (Sweden)

    Kahriman Emina

    2008-01-01

    Full Text Available Paper discuss specific features of internet plan as well as planning as management process in general in the contemporary environment. No need to stress out that marketing plan and marketing planning is core activity in approaching to market. At the same time, there are a lot specific c request in preparing marketing plan comparing to business planning due to marketing plan is an essential part. The importance of internet plan and planning rely on specific features of the internet network but as a part of general corporate as well as marketing strategy.

  1. 2002 Toxic Chemical Release Inventory Report for the Emergency Planning and Community Right-to-Know Act of 1986, Title III, Section 313

    International Nuclear Information System (INIS)

    Stockton, M.

    2003-01-01

    For reporting year 2002, Los Alamos National Laboratory (LANL or the Laboratory) submitted Form R reports for lead compounds and mercury as required under the Emergency Planning and Community Right-to-Know Act (EPCRA), Section 313. No other EPCRA Section 313 chemicals were used in 2002 above the reportable thresholds. This document was prepared to provide a description of the evaluation of EPCRA Section 313 chemical usage and threshold determinations for LANL for calendar year 2002 as well as provide background information about the data included on the Form R reports. Section 313 of EPCRA specifically requires facilities to submit a Toxic Chemical Release Inventory report (Form R) to the U.S. Environmental Protection Agency (EPA) and state agencies if the owners and operators manufacture, process, or otherwise use any of the listed toxic chemicals above listed threshold quantities. EPA compiles this data in the Toxic Release Inventory database. Form R reports for each chemical over threshold quantities must be submitted on or before July 1 each year and must cover activities that occurred at the facility during the previous year. In 1999 EPA promulgated a final rule on Persistent Bioaccumulative Toxics (PBTs). This rule added several chemicals to the EPCRA Section 313 list of toxic chemicals and established lower reporting thresholds for these and other PBT chemicals that were already reportable under EPCRA Section 313. These lower thresholds became applicable in reporting year 2000. In 2001, EPA expanded the PBT rule to include a lower reporting threshold for lead and lead compounds. Facilities that manufacture, process, or otherwise use more than 100 lb of lead or lead compounds must submit a Form R

  2. Tracking Success: Outputs Versus Outcomes-A Comparison of Accredited and Non-Accredited Public Health Agencies' Community Health Improvement Plan objectives.

    Science.gov (United States)

    Perrault, Evan K; Inderstrodt-Stephens, Jill; Hintz, Elizabeth A

    2018-06-01

    With funding for public health initiatives declining, creating measurable objectives that are focused on tracking and changing population outcomes (i.e., knowledge, attitudes, or behaviors), instead of those that are focused on health agencies' own outputs (e.g., promoting services, developing communication messages) have seen a renewed focus. This study analyzed 4094 objectives from the Community Health Improvement Plans (CHIPs) of 280 local PHAB-accredited and non-accredited public health agencies across the United States. Results revealed that accredited agencies were no more successful at creating outcomes-focused objectives (35% of those coded) compared to non-accredited agencies (33% of those coded; Z = 1.35, p = .18). The majority of objectives were focused on outputs (accredited: 61.2%; non-accredited: 63.3%; Z = 0.72, p = .47). Outcomes-focused objectives primarily sought to change behaviors (accredited: 85.43%; non-accredited: 80.6%), followed by changes in knowledge (accredited: 9.75%; non-accredited: 10.8%) and attitudes (accredited: 1.6%; non-accredited: 5.1%). Non-accredited agencies had more double-barreled objectives (49.9%) compared to accredited agencies (32%; Z = 11.43, p < .001). The authors recommend that accreditation procedures place a renewed focus on ensuring that public health agencies strive to achieve outcomes. It is also advocated that public health agencies work with interdisciplinary teams of Health Communicators who can help them develop procedures to effectively and efficiently measure outcomes of knowledge and attitudes that are influential drivers of behavioral changes.

  3. 2006 Toxic Chemical Release Inventory Report for the Emergency Planning and Community Right-to-Know Act of 1986, Title III, Section 313

    Energy Technology Data Exchange (ETDEWEB)

    Ecology and Air Quality Group (ENV-EAQ)

    2007-12-12

    For reporting year 2006, Los Alamos National Laboratory (LANL or the Laboratory) submitted Form R reports for lead as required under the Emergency Planning and Community Right-to-Know Act (EPCRA) Section 313. No other EPCRA Section 313 chemicals were used in 2006 above the reportable thresholds. This document was prepared to provide a description of the evaluation of EPCRA Section 313 chemical use and threshold determinations for LANL for calendar year 2006, as well as to provide background information about data included on the Form R reports. Section 313 of EPCRA specifically requires facilities to submit a Toxic Chemical Release Inventory Report (Form R) to the U.S. Environmental Protection Agency (EPA) and state agencies if the owners and operators manufacture, process, or otherwise use any of the listed toxic chemicals above listed threshold quantities. EPA compiles this data in the Toxic Release Inventory database. Form R reports for each chemical over threshold quantities must be submitted on or before July 1 each year and must cover activities that occurred at the facility during the previous year. In 1999, EPA promulgated a final rule on persistent bioaccumulative toxics (PBTs). This rule added several chemicals to the EPCRA Section 313 list of toxic chemicals and established lower reporting thresholds for these and other PBT chemicals that were already reportable. These lower thresholds became applicable in reporting year 2000. In 2001, EPA expanded the PBT rule to include a lower reporting threshold for lead and lead compounds. Facilities that manufacture, process, or otherwise use more than 100 lb of lead or lead compounds must submit a Form R.

  4. Plan's CCCD approach - Country study PLAN-Bangladesh

    NARCIS (Netherlands)

    Uffelen, van G.J.

    2009-01-01

    PLAN Netherlands National Organisation has in coordination with PLAN International Headquarters commissioned an independent formative evaluation study to get systematic insight in the preconditions for appropriate functionality of Child Centred Community Development (CCCD) and to strengthen common

  5. WE-DE-201-11: Sensitivity and Specificity of Verification Methods Based On Total Reference Air Kerma (TRAK) Or On User Provided Dose Points for Graphically Planned Skin HDR Brachytherapy

    International Nuclear Information System (INIS)

    Damato, A; Devlin, P; Bhagwat, M; Buzurovic, I; Hansen, J; O’Farrell, D; Cormack, R

    2016-01-01

    Purpose: To investigate the sensitivity and specificity of a novel verification methodology for image-guided skin HDR brachytherapy plans using a TRAK-based reasonableness test, compared to a typical manual verification methodology. Methods: Two methodologies were used to flag treatment plans necessitating additional review due to a potential discrepancy of 3 mm between planned dose and clinical target in the skin. Manual verification was used to calculate the discrepancy between the average dose to points positioned at time of planning representative of the prescribed depth and the expected prescription dose. Automatic verification was used to calculate the discrepancy between TRAK of the clinical plan and its expected value, which was calculated using standard plans with varying curvatures, ranging from flat to cylindrically circumferential. A plan was flagged if a discrepancy >10% was observed. Sensitivity and specificity were calculated using as a criteria for true positive that >10% of plan dwells had a distance to prescription dose >1 mm different than prescription depth (3 mm + size of applicator). All HDR image-based skin brachytherapy plans treated at our institution in 2013 were analyzed. Results: 108 surface applicator plans to treat skin of the face, scalp, limbs, feet, hands or abdomen were analyzed. Median number of catheters was 19 (range, 4 to 71) and median number of dwells was 257 (range, 20 to 1100). Sensitivity/specificity were 57%/78% for manual and 70%/89% for automatic verification. Conclusion: A check based on expected TRAK value is feasible for irregularly shaped, image-guided skin HDR brachytherapy. This test yielded higher sensitivity and specificity than a test based on the identification of representative points, and can be implemented with a dedicated calculation code or with pre-calculated lookup tables of ideally shaped, uniform surface applicators.

  6. WE-DE-201-11: Sensitivity and Specificity of Verification Methods Based On Total Reference Air Kerma (TRAK) Or On User Provided Dose Points for Graphically Planned Skin HDR Brachytherapy

    Energy Technology Data Exchange (ETDEWEB)

    Damato, A; Devlin, P; Bhagwat, M; Buzurovic, I; Hansen, J; O’Farrell, D; Cormack, R [Harvard Medical School, Boston, MA (United States)

    2016-06-15

    Purpose: To investigate the sensitivity and specificity of a novel verification methodology for image-guided skin HDR brachytherapy plans using a TRAK-based reasonableness test, compared to a typical manual verification methodology. Methods: Two methodologies were used to flag treatment plans necessitating additional review due to a potential discrepancy of 3 mm between planned dose and clinical target in the skin. Manual verification was used to calculate the discrepancy between the average dose to points positioned at time of planning representative of the prescribed depth and the expected prescription dose. Automatic verification was used to calculate the discrepancy between TRAK of the clinical plan and its expected value, which was calculated using standard plans with varying curvatures, ranging from flat to cylindrically circumferential. A plan was flagged if a discrepancy >10% was observed. Sensitivity and specificity were calculated using as a criteria for true positive that >10% of plan dwells had a distance to prescription dose >1 mm different than prescription depth (3 mm + size of applicator). All HDR image-based skin brachytherapy plans treated at our institution in 2013 were analyzed. Results: 108 surface applicator plans to treat skin of the face, scalp, limbs, feet, hands or abdomen were analyzed. Median number of catheters was 19 (range, 4 to 71) and median number of dwells was 257 (range, 20 to 1100). Sensitivity/specificity were 57%/78% for manual and 70%/89% for automatic verification. Conclusion: A check based on expected TRAK value is feasible for irregularly shaped, image-guided skin HDR brachytherapy. This test yielded higher sensitivity and specificity than a test based on the identification of representative points, and can be implemented with a dedicated calculation code or with pre-calculated lookup tables of ideally shaped, uniform surface applicators.

  7. Village family planning volunteers in Indonesia: their role in the family planning programme.

    Science.gov (United States)

    Utomo, Iwu Dwisetyani; Arsyad, Syahmida S; Hasmi, Eddy Nurul

    2006-05-01

    Family planning was once a sensitive issue in Indonesia, but today it is considered essential. This paper reports on a study in 1997-98 of the role of village family planning volunteers and the cadres who worked under them in West Java, Central Java and DI Yogyakarta, in implementing the national family planning programme in Indonesia. A total of 108 village family planning volunteers, 108 family planning cadres, 108 local leaders and 324 couples eligible for family planning from 36 villages in the three provinces were interviewed. The volunteers and cadres have made a significant contribution to the implementation of the family planning programme. They promote family planning, organise meetings, provide information, organise income-generation activities, give savings and credit assistance, collect and report data and deliver other family welfare services. Teachers, wives of government officials and others recognised by the community as better off in terms of education and living conditions were most often identified to become family planning volunteers. Because they are women and because they are the most distant arm of the programme, their work is taken for granted. As their activities are directed towards women, especially in women's traditional roles, the programme tends to entrench the existing gender gap in responsibility for family planning and family welfare.

  8. The "Total Immersion" Meeting Environment.

    Science.gov (United States)

    Finkel, Coleman

    1980-01-01

    The designing of intelligently planned meeting facilities can aid management communication and learning. The author examines the psychology of meeting attendance; architectural considerations (lighting, windows, color, etc.); design elements and learning modes (furniture, walls, audiovisuals, materials); and the idea of "total immersion meeting…

  9. Breastfeeding: Planning Ahead

    Medline Plus

    Full Text Available ... menu It's Only Natural Planning ahead Breastfeeding and baby basics Making breastfeeding work for you Addressing breastfeeding ... in the African-American community Incredible facts about babies, breastmilk, and breastfeeding Overcoming challenges Common questions about ...

  10. Prevalence and factors associated with unmet need for family planning among the currently married reproductive age women in Shire-Enda- Slassie, Northern West of Tigray, Ethiopia 2015: a community based cross-sectional study.

    Science.gov (United States)

    Gebre, Gelawdiwos; Birhan, Nigussie; Gebreslasie, Kahsay

    2016-01-01

    Unmet family planning is one of the common causes for low contraceptive prevalence rate in developing countries including Ethiopia. Thus, this study designed to assess the prevalence and associated factors of unmet need in Shire Endaslassie town, Northern west of Tigray, Ethiopia. A community based cross sectional study design was employed. Multistage sampling technique was employed and data were collected using a semi-structured questionnaire by interviewer administered technique. Questionnaires were reviewed and checked for completeness, accuracy and consistency. Reviewed data were entered to Epi info 7 and analyzed by SPSS version 20 statistical software. Variables with P-value of less than 0.2 in bivariate analyses were entered for multivariate analysis and AOR at 95% CI with p-value of less than 0.05 were considered as significant variables. The overall unmet need for family planning in the study area was 109(21.4%). 74(14.5%) for spacing and 35(6.9%) for limiting. Age group of 35-39 and >=40 (AOR= 2.7,95%CI:1.1,6.5), (AOR = 2.65, 95%CI:1.10, 6.40) respectively, decided numbers of desired children more than five (AOR = O.48, 95%CI: 0.28, 0.80), discussions of client with heath care providers (AOR = 6.32, 95%CI: 2.56, 15.58), previous use of modern family planning (AOR = 2.29, 95%CI, 1.20, 4.34) were significantly associated with unmet need for family planning. Unmet need for family planning in the study area was high, so continuous discussion on modern family planning with community health workers and encouraging of women to decide desired numbers of children of less than five in general are better to be strengthened.

  11. A Multi-Institutional Study of Black and Latina/o Community College Students' Transfer Intentions: A Theory of Planned Behavior Reconceptualization

    Science.gov (United States)

    Nellum, Christopher James

    2014-01-01

    Community colleges currently enroll over one-third of all undergraduates and serve as the gateway to postsecondary education for increasing numbers of Americans in the 21st century, especially students of color. A significant portion of community college students aspire to transfer to a four-year college or university, but only 23% to 40% make…

  12. The Use of Restorative Justice Practices in a School Community Traumatized by an Incident of Planned School Violence: A Case Study

    Science.gov (United States)

    Mateer, Susan Carol

    2010-01-01

    In 2001, less than two years after the Columbine High School shootings, a plan to copycat the Columbine shooting in a junior high school was interrupted by police. This was one of the first documented cases of interrupted school violence and the school where this was to occur was traumatized both by the fact that students were planning violence…

  13. A prison mental health in-reach model informed by assertive community treatment principles: evaluation of its impact on planning during the pre-release period, community mental health service engagement and reoffending.

    Science.gov (United States)

    McKenna, Brian; Skipworth, Jeremy; Tapsell, Rees; Madell, Dominic; Pillai, Krishna; Simpson, Alexander; Cavney, James; Rouse, Paul

    2015-12-01

    It is well recognised that prisoners with serious mental illness (SMI) are at high risk of poor outcomes on return to the community. Early engagement with mental health services and other community agencies could provide the substrate for reducing risk. To evaluate the impact of implementing an assertive community treatment informed prison in-reach model of care (PMOC) on post-release engagement with community mental health services and on reoffending rates. One hundred and eighty prisoners with SMI released from four prisons in the year before implementation of the PMOC were compared with 170 such prisoners released the year after its implementation. The assertive prison model of care was associated with more pre-release contacts with community mental health services and contacts with some social care agencies in some prisons. There were significantly more post-release community mental health service engagements after implementation of this model (Z = -2.388, p = 0.02). There was a trend towards reduction in reoffending rates after release from some of the prisons (Z =1.82, p = 0.07). Assertive community treatment applied to prisoners with mental health problems was superior to 'treatment as usual', but more work is needed to ensure that agencies will engage prisoners in pre-release care. The fact that the model showed some benefits in the absence of any increase in resources suggests that it may be the model per se that is effective. Copyright © 2014 John Wiley & Sons, Ltd.

  14. Final Scientific/Technical Report for DOE/EERE Comprehensive Community Renewable Energy Implementation Plan in Forest County and Milwaukee County

    Energy Technology Data Exchange (ETDEWEB)

    Karman, Nathan [Forest County Potawatomi Community, Crandon, WI (United States)

    2014-06-27

    Forest County Potawatomi Community (the “Community”) sought and obtained Community Renewable Energy Deployment funding from the Department of Energy to evaluate and implement a diverse number of renewable energy technologies throughout its lands held in trust or owned in fee simple in Forest County and Milwaukee County (the “Project”). The technologies and sites evolved during the Project, ultimately leading to the investigation of biomass and solar projects on the Community’s reservation in Forest County, as well as the investigation and eventual deployment of a solar project and an anaerobic digestion and biogas project on Community lands in Milwaukee.

  15. Preliminary study for the National Energy Plan (PEN) uses the Community market as a reference base. El ante-proyecto del Plan Energetico Nacional (PEN) toma referencia basica del mercado comunitario

    Energy Technology Data Exchange (ETDEWEB)

    1991-11-01

    The National Energy Plan (PEN) for the period 1991 to 2000 lays down basic guidelines for a Spanish energy policy. This includes a wide range of economic measures. The PEN is divided into five main sections with two appendices. The sections are: the international situation; energy demand; energy supply; energy and the environment; and R D policy. The appendices are: Energy-saving and energy-efficiency plan; and General plan for radioactive waste. The PEN provides for 4-year research programmes which aim to reduce the environmental impact of energy production and use. General demand for energy during this period will increase by2.4% and investment in power installations and in the gas sector will be some 1.5 thousand million pesetas. 4 figs., 3 tabs.

  16. The business case for payer support of a community-based health information exchange: a humana pilot evaluating its effectiveness in cost control for plan members seeking emergency department care.

    Science.gov (United States)

    Tzeel, Albert; Lawnicki, Victor; Pemble, Kim R

    2011-07-01

    As emergency department utilization continues to increase, health plans must limit their cost exposure, which may be driven by duplicate testing and a lack of medical history at the point of care. Based on previous studies, health information exchanges (HIEs) can potentially provide health plans with the ability to address this need. To assess the effectiveness of a community-based HIE in controlling plan costs arising from emergency department care for a health plan's members. Albert Tzeel. The study design was observational, with an eligible population (N = 1482) of fully insured plan members who sought emergency department care on at least 2 occasions during the study period, from December 2008 through March 2010. Cost and utilization data, obtained from member claims, were matched to a list of persons utilizing the emergency department where HIE querying could have occurred. Eligible members underwent propensity score matching to create a test group (N = 326) in which the HIE database was queried in all emergency department visits, and a control group (N = 325) in which the HIE database was not queried in any emergency department visit. Post-propensity matching analysis showed that the test group achieved an average savings of $29 per emergency department visit compared with the control group. Decreased utilization of imaging procedures and diagnostic tests drove this cost-savings. When clinicians utilize HIE in the care of patients who present to the emergency department, the costs borne by a health plan providing coverage for these patients decrease. Although many factors can play a role in this finding, it is likely that HIEs obviate unnecessary service utilization through provision of historical medical information regarding specific patients at the point of care.

  17. Challenges in developing a remediation plan, procurement plan and long term monitoring program for the former port radium uranium mine that meets the needs of the community of Deline - 59333

    International Nuclear Information System (INIS)

    Ward, Julie

    2012-01-01

    Document available in abstract form only. Full text of publication follows: After a five year political process to investigate historic and present day concerns about the former Port Radium Uranium Mine, the site has being remediated to present day standards. Prior to remediation Indian and Northern Affairs Canada (INAC) worked with Deline First Nations to develop a Remediation Plan that was suitable to the known environmental conditions and identified risks on site. Prior to remediation INAC obtained a land use permit and Waste Nuclear Substance License for the work that was carried out and for future storage of radioactive wastes. After the remediation plan was complete a procurement plan was developed for the work which followed Federal contracting polices, met the intent of the Sahtu Dene and Metis Comprehensive Land Claim Agreement and abided by INAC's commitment under the Canada Deline Uranium Table to maximize local participation and subcontracting opportunities. Lastly, INAC worked with Deline to develop a monitoring plan in hopes to begin to restore their confidence in their environment while monitoring engineered remedial structures and residual risks on site. (author)

  18. 24 CFR 91.415 - Strategic plan.

    Science.gov (United States)

    2010-04-01

    ... 24 Housing and Urban Development 1 2010-04-01 2010-04-01 false Strategic plan. 91.415 Section 91... CONSOLIDATED SUBMISSIONS FOR COMMUNITY PLANNING AND DEVELOPMENT PROGRAMS Consortia; Contents of Consolidated Plan § 91.415 Strategic plan. Strategies and priority needs must be described in the consolidated plan...

  19. Deep-sea drilling. Practical aspects of 4D seismic: what an engineer needs to know. Developments in Iran: 'SIRRI' of the Total company and 'DOROOD' of the Elf company. The 'DOROOD' operating plan. The 'SIRRI' operating plan; Le forage en eau profonde. Aspects pratiques de la sismique 4D: ce qu'un ingenieur doit savoir. Developpements en Iran: 'SIRRI' de Total et 'DOROOD' d'Elf. Le projet 'DOROOD'. Le projet 'SIRRI'

    Energy Technology Data Exchange (ETDEWEB)

    Claverie, P [Schlumberger Sedco Forex, 92 - Montrouge (France); Bauquis, P R [Association Francaise des Techniciens et Professionnels du Petrole, AFTP, 92 - Paris-la-Defense (France); Seiller, B; Geronimi, X [Elf France, (France); Barthe, D [Total Fina, 92 - La Defense (France)

    1999-08-01

    In this 'Drilling-Production' section, in which 7 papers are gathered, 3 main topics are developed: (1)the deep-sea drilling (2)the practical aspects of 4D seismic (3)the 'SIRRI' and 'DOROOD' operating plans in Iran. Concerning the first point, it can be noticed that nowadays, mobile platforms are located in great offshore where water depths are of about 2400 m. In the second point is particularly detailed what 4D is, what it can do, what the primary conditions for it works are and how it costs. The third point is the more particularly detailed in this section (15 pages). At first an introduction indicates why Iran has to call to international petroleum investors, what the current problems of Iran are, what Iran has to do to attract foreign investment and technology and what the challenges to foreign companies are. Then the two operating plans: 'SIRRI' and 'DOROOD' are exposed into details. A synthesis of these plans, called of 'Buy Back', (production, investment, refund) is given as well as their advantages and disadvantages. (O.M.)

  20. Influence of Pro-Qura-generated Plans on Postimplant Dosimetric Quality: A Review of a Multi-Institutional Database